Chapitre 6 - Comment s’élabore une gouvernance alimentaire urbaine ? Le cas de Montpellier Méditerranée Métropole

Avec la contribution de Montpellier Méditerranée Métropole Alors que la question de l’alimentation avait quasiment disparu de l’agenda des villes du Nord après la Seconde Guerre mondiale, elle est aujourd’hui saisie par un nombre croissant de villes, au Nord comme au Sud (chapitre 3). Ce renouveau est stimulé par les discours produits sur l’alimentation qui s’attachent à promouvoir une politique urbaine durable. L’alimentation est ..

Psychological Flexibility Is Key for Reducing the Severity and Impact of Fibromyalgia

Fibromyalgia has a significant impact on the lives of patients; symptoms are influenced by psychological factors, such as psychological flexibility and catastrophizing. The objective of this study was to determine the importance of these variables in moderating the association between the severity and impact of fibromyalgia symptoms. A total of 187 patients from a general hospital population were evaluated using the Combined Index of Severity of Fibromyalgia (ICAF), the Fibromyalgia Impact Questionnaire (FIQ), the Acceptance and Action Questionnaire-II (AAQ-II), and the Pain Catastrophizing Scale (PCS). A series of multiple regression analyses were carried out using the PROCESS macro and decision tree analysis. The results show that psychological flexibility modulates the relation between severity and the impact of fibromyalgia symptoms. Catastrophism has residual importance and depends on the interaction with psychological flexibility. Interaction occurs if the severity of the disease is in transition from a mild to a moderate level and accounts for 40.1% of the variance in the sample. These aspects should be considered for evaluation and early intervention in fibromyalgia patients

Agriculteurs, citadins et élus locaux : comment transformer une plaine viticole méditerranéenne en un territoire périurbain nourricier ?

Les agriculteurs confrontés à l’étalement urbain sont diversement en phase avec les demandes des citadins en services et produits alimentaires locaux. Notre étude de la plaine Ouest de Montpellier, en France, ville côtière méditerranéenne particulièrement attractive, révèle le maintien d’une base agricole viticole coexistant avec de nouvelles formes d’agriculture. Des entretiens auprès d’agriculteurs, d’élus, de planificateurs agricoles et urbains ont permis d’identifier huit profils d’exploitations agricoles périurbaines. Face à l’avancée rapide de la ville, l’analyse de leurs pratiques et des relations entre elles, avec les citadins et les responsables locaux, révèle des stratégies spatiales et sociales qui leur permettent de s’intégrer à la ville et de se maintenir. Mais il existe un décalage entre ces initiatives agricoles locales et une politique territoriale ambitieuse visant à soutenir une transition écologique etalimentaire. Nos analyses peuvent contribuer à faciliter la co-construction de nouvelles politiques locales inclusives cohérentes avec la mosaïque agricole existante

Influenza Vaccination Rates, and Barriers to Influenza Vaccination, in People who are Homeless

Background: Influenza is a highly infectious virus which is endemic in most high-income countries. People experiencing homelessness are at an increased risk of contracting influenza, and often have poorer outcomes associated with hospitalisation and mortality. Annual influenza vaccination is recommended for all adults, and highly recommended for ‘at-risk’ groups, including people who are homeless. Despite this, the vaccination uptake within the homeless community is low. This systematic review will identify influenza vaccination rates, and barriers to influenza vaccination, in people who are homeless.   Methods: This review will consider primary studies about influenza vaccination in people who are homeless. Searches will be undertaken on five electronic databases and managed in EndNote X9. The literature will be screened by title/abstract, then by full-text, and citation chaining will be completed. Data about the influenza vaccination rates and barriers will be extracted. Each task, primarily the screening and extraction of data, will be completed by one researcher, and checked by at least one other.     Discussion: This review will identify influenza vaccination rates, and barriers to influenza vaccination, in people experiencing homelessness. This will inform vaccination delivery and funding, and may contribute to reducing the health disparities in this at-risk, hard-to-reach population.&nbsp

Comment étudier (analyser) la gouvernance territoriale ? Mise à l'épreuve d'une grille de lecture

International audienceDans cet article nous présentons une grille d'analyse de la gouvernance territoriale que nous avons construite dans le cadre d'un projet de recherche pluridisciplinaire à partir d'une définition commune de la gouvernance territoriale. La gouvernance territoriale est devenue une question centrale dans le développement territorial et un enjeu pour l'élaboration des politiques publiques. Elaborer une grille d'analyse sur la gouvernance territoriale ne va pas de soi ; nous illustrerons son opérationnalisation à partir des travaux de terrain réalisés dans trois situations dans la région de Languedoc Roussillon. Les dispositifs et outils sont contextuels et les modes de gouvernances pluriels selon les objectifs et les dynamiques antérieures. Enfin nous en tirerons des enseignements pour l'étude de la gouvernance tant sur la production des connaissances que sur l'opérationnalité de cette grille. / In this paper we present an analytical framework of territorial governance that we built as part of a multidisciplinary research project based on a common definition of territorial governance. Territorial governance has become a central issue in regional development and a challenge for public policy. Develop an analytical framework on territorial governance does not just happen, and we illustrate its operationalization based on fieldwork conducted in three situations in Languedoc-Roussillon. Devices and tools are contextual and plural forms of governance based on the objectives and dynamics earlier. Finally we will draw lessons for the study of governance both in the production of knowledge about the operational capability of the grid

Atypical E2Fs either Counteract or Cooperate with RB during Tumorigenesis Depending on Tissue Context

Simple Summary In virtually all human malignancies, the CDK-RB-E2F pathway is dysregulated resulting in the activation of the E2F transcriptional network. Rb and atypical E2Fs are the most important negative regulators of E2F-dependent transcription during tumorigenesis. However, it is unknown whether they cooporate or act independently in tumor development. Here we show that combined loss of RB and atypical E2Fs in mice enhances tumorigenesis in the liver, while in the pituitary gland, we observe inhibition of tumorigenesis. These findings suggest that the interaction between RB and atypical E2Fs in controlling tumorigenesis occurs in a tissue cell-type specific manner. E2F-transcription factors activate many genes involved in cell cycle progression, DNA repair, and apoptosis. Hence, E2F-dependent transcription must be tightly regulated to prevent tumorigenesis, and therefore metazoan cells possess multiple E2F regulation mechanisms. The best-known is the Retinoblastoma protein (RB), which is mutated in many cancers. Atypical E2Fs (E2F7 and -8) can repress E2F-target gene expression independently of RB and are rarely mutated in cancer. Therefore, they may act as emergency brakes in RB-mutated cells to suppress tumor growth. Currently, it is unknown if and how RB and atypical E2Fs functionally interact in vivo. Here, we demonstrate that mice with liver-specific combinatorial deletion of Rb and E2f7/8 have reduced life-spans compared to E2f7/8 or Rb deletion alone. This was associated with increased proliferation and enhanced malignant progression of liver tumors. Hence, atypical repressor E2Fs and RB cooperatively act as tumor suppressors in hepatocytes. In contrast, loss of either E2f7 or E2f8 largely prevented the formation of pituitary tumors in Rb+/- mice. To test whether atypical E2Fs can also function as oncogenes independent of RB loss, we induced long-term overexpression of E2f7 or E2f8 in mice. E2F7 and -8 overexpression increased the incidence of tumors in the lungs, but not in other tissues. Collectively, these data show that atypical E2Fs can promote but also inhibit tumorigenesis depending on tissue type and RB status. We propose that the complex interactions between atypical E2Fs and RB on maintenance of genetic stability underlie this context-dependency

Innovations et gouvernance territoriale : une analyse par les dispositifs

Cette communication vise à présenter les outils méthodologiques d'analyse/évaluation de la gouvernance territoriale élaborés dans le cadre du projet de recherche PSDR Gouv.Innov sur les innovations organisationnelles relatives à la gouvernance territoriale. Il s'agit d'étudier les transformations introduites par les politiques de développement durable au niveau des dispositifs de gouvernance territoriale visant à favoriser une gestion intégrée des espaces ruraux. Dans un contexte de recomposition de l'action publique où les procédures d'aménagement sont plutôt normées par des représentations urbaines, l'accent est mis sur la question des modalités de représentation des activités rurales, pour lesquelles nous faisons l'hypothèse qu'elles sont sous représentées. Les premiers résultats méthodologiques permettent, dans une première partie, de proposer une définition générique et pragmatique de la gouvernance territoriale et de préciser la notion de dispositifs de gouvernance comme objet d'observation. A partir de cette définition une grille d'analyse permettant d'appréhender l'ensemble des dimensions en jeu dans les processus de gouvernance territoriale est élaboré. Dans la deuxième partie nous explorons l'intérêt de la notion de dispositif pour observer les processus de gouvernance et proposons une grille de collecte et de structuration des informations pour constituer des chroniques des dispositifs étudiés.(Résumé d'auteur

Inhibition of polyploidization in Pten-deficient livers reduces steatosis

The tumour suppressor PTEN is a negative regulator of the PI3K/AKT signalling pathway. Liver-specific deletion of Pten in mice results in the hyper-activation PI3K/AKT signalling accompanied by enhanced genome duplication (polyploidization), marked lipid accumulation (steatosis) and formation of hepatocellular carcinomas. However, it is unknown whether polyploidization in this model has an impact on the development of steatosis and the progression towards liver cancer. Here, we used a liver-specific conditional knockout approach to delete Pten in combination with deletion of E2f7/8, known key inducers of polyploidization. As expected, Pten deletion caused severe steatosis and liver tumours accompanied by enhanced polyploidization. Additional deletion of E2f7/8 inhibited polyploidization, alleviated Pten-induced steatosis without affecting lipid species composition and accelerated liver tumour progression. Global transcriptomic analysis showed that inhibition of polyploidization in Pten-deficient livers resulted in reduced expression of genes involved in energy metabolism, including PPAR-gamma signalling. However, we find no evidence that deregulated genes in Pten-deficient livers are direct transcriptional targets of E2F7/8, supporting that reduction in steatosis and progression towards liver cancer are likely consequences of inhibiting polyploidization. Lastly, flow cytometry and image analysis on isolated primary wildtype mouse hepatocytes provided further support that polyploid cells can accumulate more lipid droplets than diploid hepatocytes. Collectively, we show that polyploidization promotes steatosis and function as an important barrier against liver tumour progression in Pten-deficient livers