46 research outputs found

    Du Mésolithique au Néolithique en Méditerranée occidentale: l’impact africain - MeNeMOIA

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    [EN] Between the 8th and 5th millennia BC, the human societies of the Western Mediterranean underwent several major changes. The first occurred during the 7th millennium with the appearance of the ‘Second Mesolithic’. It can be seen mainly in the material productions of these populations, in particular their stone tool industries, by a fundamental change in production, operating sequences and technical procedures. Deeper changes in the social organization of these societies are also perceptible, in particular through changes in rites and funeral practices. The precise origin of these changes escapes us at present, but they seem to occur initially in North Africa before spreading rapidly along the Mediterranean shores and reaching Western Europe. A second major upheaval took place a few centuries later, with the appearance of the Neolithic. In this extensive process, the southern shores of the Mediterranean should not be ignored. Recent data suggest that, during the 6th millennium before our era, human communities practicing hunting and gathering and having acquired ceramic technology, occupied parts of the Maghreb. Interactions with spheres of the Impresso / Cardial complex occurred in southern Italy and, at the other end, southern Spain. This seems to be indicated by some traits of the technical systems of the first Neolithic communities of Andalusia. These hypotheses should now be tested by close examination of timelines and technical systems which if confirmed may offer a possible alternative to the strictly European scenarios. The international program of research, MeNeMOIA, financed for 2016 and 2017, will attempt to estimate the importance of a North African impact on European societies of recent prehistory (Second Mesolithic, Early Neolithic), a scenario breaking with the traditional scenario which, since decolonization, has recognized in Europe only movements of east-west diffusion and completely ignored any that might indicate movement from the south northward (or from the north southward) on both shores of the western Mediterranean.[FR] Entre les viiie et ve millénaires avant notre ère, les sociétés humaines du Bassin occidental de la Méditerranée connaissent plusieurs évolutions majeures. La première d’entre elles se déroule durant le viie millénaire avec l’apparition du «Second Mésolithique». Elle se matérialise principalement dans les productions matérielles de ces populations, et notamment dans leurs industries lithiques par un bouleversement des modes de production, des séquences opératoires et des gestes techniques. Des évolutions plus profondes, dans l’organisation sociale même de ces sociétés, sont également sensibles, notamment au travers de l’évolution des rites et pratiques funéraires. L’origine précise de ces évolutions nous échappe encore actuellement, mais elles semblent se produire initialement en Afrique du Nord avant de diffuser ensuite le long des rivages méditerranéens de manière rapide, et gagner ensuite l’ensemble de l’Europe occidentale. Un second bouleversement majeur se déroule quelques siècles après le précédent, avec l’apparition du Néolithique. Dans ce vaste processus, les rives sud de la Méditerranée ne doivent pas être ignorées. De récentes données suggèrent en effet que, durant le vie millénaire avant notre ère, des communautés humaines pratiquant chasse et cueillette et ayant acquis la technologie céramique occupaient certaines parties du Maghreb. Des interactions avec les sphères du complexe Impresso / Cardial ont ainsi pu voir le jour dans le Sud italien et, à l’autre extrémité, dans le sud de l’Espagne. C’est d’ailleurs ce que semblent montrer certains caractères des systèmes techniques des premières communautés néolithiques d’Andalousie. Ces hypothèses qu’il faut désormais confirmer par la confrontation étroite des chronologies et des systèmes techniques offrent donc une alternative possible aux scénarios classiques strictement européens. Le programme international de recherche MeNeMOIA, financé par l’IDEX toulousain pour 2016 et 2017, va donc s’attacher à évaluer l’importance des impacts nord-africains sur les sociétés européennes de la Préhistoire récente (Second Mésolithique, Néolithique ancien), scénario rompant avec les schémas traditionnels qui, depuis la décolonisation, se cantonnent à ne reconnaitre en Europe que des mouvements de diffusion est-ouest et ignorent complètement ceux allant du sud vers le nord (ou du nord vers le sud) de part et d’autre du Bassin occidental de la Méditerranée.Peer Reviewe

    Allergic Rhinitis and its Impact on Asthma (ARIA) Phase 4 (2018) : Change management in allergic rhinitis and asthma multimorbidity using mobile technology

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    Allergic Rhinitis and its Impact on Asthma (ARIA) has evolved from a guideline by using the best approach to integrated care pathways using mobile technology in patients with allergic rhinitis (AR) and asthma multimorbidity. The proposed next phase of ARIA is change management, with the aim of providing an active and healthy life to patients with rhinitis and to those with asthma multimorbidity across the lifecycle irrespective of their sex or socioeconomic status to reduce health and social inequities incurred by the disease. ARIA has followed the 8-step model of Kotter to assess and implement the effect of rhinitis on asthma multimorbidity and to propose multimorbid guidelines. A second change management strategy is proposed by ARIA Phase 4 to increase self-medication and shared decision making in rhinitis and asthma multimorbidity. An innovation of ARIA has been the development and validation of information technology evidence-based tools (Mobile Airways Sentinel Network [MASK]) that can inform patient decisions on the basis of a self-care plan proposed by the health care professional.Peer reviewe

    Adherence to treatment in allergic rhinitis using mobile technology. The MASK Study

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    Background: Mobile technology may help to better understand the adherence to treatment. MASK-rhinitis (Mobile Airways Sentinel NetworK for allergic rhinitis) is a patient-centred ICT system. A mobile phone app (the Allergy Diary) central to MASK is available in 22 countries. Objectives: To assess the adherence to treatment in allergic rhinitis patients using the Allergy Diary App. Methods: An observational cross-sectional study was carried out on all users who filled in the Allergy Diary from 1 January 2016 to 1 August 2017. Secondary adherence was assessed by using the modified Medication Possession Ratio (MPR) and the Proportion of days covered (PDC) approach. Results: A total of 12143 users were registered. A total of 6949 users reported at least one VAS data recording. Among them, 1887 users reported >= 7 VAS data. About 1195 subjects were included in the analysis of adherence. One hundred and thirty-six (11.28%) users were adherent (MPR >= 70% and PDC = 70% and PDC = 1.50) and 176 (14.60%) were switchers. On the other hand, 832 (69.05%) users were non-adherent to medications (MPR Conclusion and clinical relevance: Adherence to treatment is low. The relative efficacy of continuous vs on-demand treatment for allergic rhinitis symptoms is still a matter of debate. This study shows an approach for measuring retrospective adherence based on a mobile app. This also represents a novel approach for analysing medication-taking behaviour in a real-world setting.Peer reviewe

    Correlation between work impairment, scores of rhinitis severity and asthma using the MASK-air (R) App

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    Background In allergic rhinitis, a relevant outcome providing information on the effectiveness of interventions is needed. In MASK-air (Mobile Airways Sentinel Network), a visual analogue scale (VAS) for work is used as a relevant outcome. This study aimed to assess the performance of the work VAS work by comparing VAS work with other VAS measurements and symptom-medication scores obtained concurrently. Methods All consecutive MASK-air users in 23 countries from 1 June 2016 to 31 October 2018 were included (14 189 users; 205 904 days). Geolocalized users self-assessed daily symptom control using the touchscreen functionality on their smart phone to click on VAS scores (ranging from 0 to 100) for overall symptoms (global), nose, eyes, asthma and work. Two symptom-medication scores were used: the modified EAACI CSMS score and the MASK control score for rhinitis. To assess data quality, the intra-individual response variability (IRV) index was calculated. Results A strong correlation was observed between VAS work and other VAS. The highest levels for correlation with VAS work and variance explained in VAS work were found with VAS global, followed by VAS nose, eye and asthma. In comparison with VAS global, the mCSMS and MASK control score showed a lower correlation with VAS work. Results are unlikely to be explained by a low quality of data arising from repeated VAS measures. Conclusions VAS work correlates with other outcomes (VAS global, nose, eye and asthma) but less well with a symptom-medication score. VAS work should be considered as a potentially useful AR outcome in intervention studies.Peer reviewe

    Dielectric nanohole array metasurface for high-resolution near-field sensing and imaging

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    Dielectric metasurfaces support resonances that are widely explored both for far-field wavefront shaping and for near-field sensing and imaging. Their design explores the interplay between localised and extended resonances, with a typical trade-off between Q-factor and light localisation; high Q-factors are desirable for refractive index sensing while localisation is desirable for imaging resolution. Here, we show that a dielectric metasurface consisting of a nanohole array in amorphous silicon provides a favourable trade-off between these requirements. We have designed and realised the metasurface to support two optical modes both with sharp Fano resonances that exhibit relatively high Q-factors and strong spatial confinement, thereby concurrently optimizing the device for both imaging and biochemical sensing. For the sensing application, we demonstrate a limit of detection (LOD) as low as 1 pg/ml for Immunoglobulin G (IgG); for resonant imaging, we demonstrate a spatial resolution below 1 µm and clearly resolve individual E. coli bacteria. The combined low LOD and high spatial resolution opens new opportunities for extending cellular studies into the realm of microbiology, e.g. for studying antimicrobial susceptibility

    Mineralogy of the HSE in the subcontinental lithospheric mantle —An interpretive review

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    The highly siderophile elements (HSE: Os, Ir, Ru, Rh, Pt, Pd, Re, Au) exist in solid solution in accessory base-metal sulfides (BMS) as well as nano-to-micron scale minerals in rocks of the subcontinental lithospheric mantle (SCLM). The latter include platinum-group minerals (PGM) and gold minerals, which may vary widely in morphology, composition and distribution. The PGM form isolated grains often associated with larger BMS hosted in residual olivine, located at interstices in between peridotite-forming minerals or more commonly in association with metasomatic minerals (pyroxenes, carbonates, phosphates) and silicate glasses in some peridotite xenoliths. The PGM found inside residual olivine are mainly Os-, Ir- and Ru-rich sulfides and alloys. In contrast, those associated with metasomatic minerals or silicate glasses of peridotite xenoliths consist of Pt, Pd, and Rh bonded with semimetals like As, Te, Bi, and Sn. Nanoscale observations on natural samples along with the results of recent experiments indicate that nucleation of PGM is mainly related with the uptake of HSE by nanoparticles, nanominerals or nanomelts at high temperature (> 900 °C) in both silicate and/or sulfide melts, regardless of the residual or metasomatic origin of their host minerals. A similar interpretation can be assumed for gold minerals. Our observations highlight that nanoscale processes play an important role on the ore-forming potential of primitive mantle-derived magmas parental to magmatic-hydrothermal deposits enriched in noble metals. The metal inventory in these magmas could be related with the physical incorporation of HSE-bearing nanoparticles or nanomelts during processes of partial melting of mantle peridotite and melt migration from the mantle to overlying continental crust.We thank Laurie Reisberg, Hannah Hughes and an anonymous referee for their criticism, which greatly improved the quality of our manuscript. We also are indebted to Prof. Sisir K. Mondal for Editorial handling of this work and their constructive edits. This research was supported by Spanish projects: RTI2018-099157-A-I00 , CGL2015-65824-P and CGL2016-81085-R granted by the “ Ministerio de Ciencia, Innovación y Universidades ” and Ministerio de Economía y Competitividad ” (MINECO), respectively. Additional funding was provided by the Ramón y Cajal Fellowship RYC-2015-17596 and Junta de Andalucía project B-RNM-189-UGR18 to JMGJ, and the BES-2017-079949 fellowship to ES. This work was also supported by the Mexican research programs CONACYT-Ciencia Básica ( A1-S-14574 ) and UNAM-PAPIIT grant IA-101419 awarded to VC. A. Jiménez-Franco also acknowledge a postdoctoral grant (CVU 350809 ) from the National Council on Science and Technology (CONACYT) of Mexico. Research grants, infrastructures and human resources leading to this research have benefited from funding by the European Social Fund and the European Regional Development Fund. We are grateful to Prof. José Jorge Aranda Gómez who provided the xenolith samples of La Breña (Durango Volcanic Field, Central Mexico). María del Mar Abad, Isabel Sánchez Almazo and Rocío Márquez Crespo (CIC, University of Granada) are acknowledged for her assistance with HRTEM, and HR-SEM and FE-SEM analysis, respectively. We are also indebted to Miguel Ángel Hidalgo Laguna from CIC of University of Granada and Xavier Llovet from the Centres Científics i Tecnològics of the Universitat of Barcelona (CCiTUB) for their careful help with EMPA

    Genomic Profiling of Uterine Aspirates and cfDNA as an Integrative Liquid Biopsy Strategy in Endometrial Cancer

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    The incidence and mortality of endometrial cancer (EC) have risen in recent years, hence more precise management is needed. Therefore, we combined different types of liquid biopsies to better characterize the genetic landscape of EC in a non-invasive and dynamic manner. Uterine aspirates (UAs) from 60 patients with EC were obtained during surgery and analyzed by next-generation sequencing (NGS). Blood samples, collected at surgery, were used for cell-free DNA (cfDNA) and circulating tumor cell (CTC) analyses. Finally, personalized therapies were tested in patient-derived xenografts (PDXs) generated from the UAs. NGS analyses revealed the presence of genetic alterations in 93% of the tumors. Circulating tumor DNA (ctDNA) was present in 41.2% of cases, mainly in patients with high-risk tumors, thus indicating a clear association with a more aggressive disease. Accordingly, the results obtained during the post-surgery follow-up indicated the presence of ctDNA in three patients with progressive disease. Moreover, 38.9% of patients were positive for CTCs at surgery. Finally, the efficacy of targeted therapies based on the UA-specific mutational landscape was demonstrated in PDX models. Our study indicates the potential clinical applicability of a personalized strategy based on a combination of different liquid biopsies to characterize and monitor tumor evolution, and to identify targeted therapies
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