De l’intégration scolaire à l’inclusion scolaire: quels obstacles et quels leviers du point de vue des enseignants ordinaires ?

Dans le cadre de ce travail, nous avons choisi d’étudier le passage de l’intégration scolaire à l’inclusion scolaire. Nous nous sommes intéressées plus particulièrement aux obstacles et aux leviers qu’identifient les enseignants ordinaires à ce passage. Pour répondre à nos différentes questions de recherche, nous avons opté pour la méthode qualitative et la passation d’entretiens semi-directifs. A cet effet, nous nous sommes rendues auprès de huit enseignants ordinaires du canton de Fribourg. Tout d’abord, nous avons questionné le sens que donnent les enseignants ordinaires aux concepts d’intégration scolaire et d’’inclusion scolaire, puis comment ces mêmes enseignants voient le passage progressif entre les deux, les conditions et les obstacles à ce passage, et finalement, leurs besoins quant à cette transition. Ces entretiens nous ont permis de répondre à nos questions de recherche. Bien que les enseignants semblent penser que le passage de l’intégration scolaire à l’inclusion est souhaitable, ils énoncent passablement de conditions à mettre en place. Selon eux, ces dernières impliquent de nombreux changements à différents niveaux. Pour se sentir prêts à ce passage, les enseignants ordinaires interrogés énoncent divers besoins. Finalement, nous avons discuté les résultats en distinguant les obstacles et les leviers. Ceux-ci n’étant pas directement interrogés, nous les avons extraits des différents résultats

Efficacy and Safety of Infliximab Tolerance Induction in Patients with Inflammatory Bowel Diseases who Experienced Acute Infusion Reactions

International audienceBACKGROUND AND AIMS: One of the reasons for the failure of infliximab (IFX) is immediate hypersensitivity reactions (IHR). We aimed to report the efficacy and safety of a tolerance induction protocol in inflammatory bowel diseases (IBD) patients who had previously experienced IHR during IFX infusions. PATIENTS AND METHODS: We reported all cases of IBD patients who had previously experienced IHR due to IFX and who were submitted to a standardized protocol of tolerance induction to IFX from 2010 to 2015. RESULTS: IHR occurred in a majority of patients (69%) during the first 3 infusions and for half of them after a period of IFX withdrawn. Skin prick tests were negative and only 2 intradermal tests were positive. Basophil activation tests and antidrug antibody measurements were performed in 8 out of 16 patients and were positive in 3 and 4 patients respectively. Induction of tolerance was successful in 69% of patients and IFX was pursued with clinical efficacy \textgreater 1 year in 7 patients (44%). Allergologic investigations were not predictive of tolerance induction success. CONCLUSION: A majority of IHR to IFX infusions occurred during the beginning or restarting of treatment and was related to a nonallergic hypersensitivity. Induction of tolerance to IFX is feasible and effective and may safely allow retreatment of IFX in almost 70% of IBD patients

Pain evaluation after day-surgery using a mobile phone application

Introduction: Few studies assess postoperative outcomes after discharge in the ambulatory setting. The aim of this study was to investigate postoperative pain and adverse effects at 24 h and at 7 days after day surgery using an e-health follow-up smartphone-based application named SATELIA®. Materials and methods: This retrospective, observational and monocentric cohort study was conducted at the University Hospital of Bordeaux. All eligible patients for SATELIA® follow-up between May 2018 and June 2019 were screened for the analysis. Data were extracted from two databases. Those with a missing primary outcome were excluded from the analysis. The main outcome was the worst pain score on POD 1, self-reported via SATELIA®. The secondary outcomes were the incidence of adverse effects on POD1, as well as the worst pain score and adverse effects on POD7. Quantitative data were reported by the median (IQR) and categorical data were presented as absolute numbers (%). Results: A total of 2283 patients were screened for analysis, from which 592 were excluded due to missing data for the main outcome; 1691 patients were thus finally included. The median worst pain score at POD 1 was 3.0 (1.0-5.0); 35.5% (n = 601/1691) and 29.1% (n = 492/1691) of the patients reported moderate-to-severe pain at POD1 and POD7, respectively. Conclusion: This retrospective study shows that 35.5% of patients experience moderate-to-severe pain after day surgery. Even if SATELIA® should be further developed and evaluated, it also demonstrates the interest of using phone based software to follow patients after discharge and ensure a better personalised management

sPlotOpen - An environmentally balanced, open-access, global dataset of vegetation plots

Motivation Assessing biodiversity status and trends in plant communities is critical for understanding, quantifying and predicting the effects of global change on ecosystems. Vegetation plots record the occurrence or abundance of all plant species co-occurring within delimited local areas. This allows species absences to be inferred, information seldom provided by existing global plant datasets. Although many vegetation plots have been recorded, most are not available to the global research community. A recent initiative, called 'sPlot', compiled the first global vegetation plot database, and continues to grow and curate it. The sPlot database, however, is extremely unbalanced spatially and environmentally, and is not open-access. Here, we address both these issues by (a) resampling the vegetation plots using several environmental variables as sampling strata and (b) securing permission from data holders of 105 local-to-regional datasets to openly release data. We thus present sPlotOpen, the largest open-access dataset of vegetation plots ever released. sPlotOpen can be used to explore global diversity at the plant community level, as ground truth data in remote sensing applications, or as a baseline for biodiversity monitoring. Main types of variable contained Vegetation plots (n = 95,104) recording cover or abundance of naturally co-occurring vascular plant species within delimited areas. sPlotOpen contains three partially overlapping resampled datasets (c. 50,000 plots each), to be used as replicates in global analyses. Besides geographical location, date, plot size, biome, elevation, slope, aspect, vegetation type, naturalness, coverage of various vegetation layers, and source dataset, plot-level data also include community-weighted means and variances of 18 plant functional traits from the TRY Plant Trait Database. Spatial location and grain Global, 0.01-40,000 m(2). Time period and grain 1888-2015, recording dates. Major taxa and level of measurement 42,677 vascular plant taxa, plot-level records. Software format Three main matrices (.csv), relationally linked

Rilpivirine in HIV-1-positive women initiating pregnancy: to switch or not to switch?

International audienceBackgroundSafety data about rilpivirine use during pregnancy remain scarce, and rilpivirine plasma concentrations are reduced during second/third trimesters, with a potential risk of viral breakthroughs. Thus, French guidelines recommend switching to rilpivirine-free combinations (RFCs) during pregnancy.ObjectivesTo describe the characteristics of women initiating pregnancy while on rilpivirine and to compare the outcomes for virologically suppressed subjects continuing rilpivirine until delivery versus switching to an RFC.MethodsIn the ANRS-EPF French Perinatal cohort, we included women on rilpivirine at conception in 2010–18. Pregnancy outcomes were compared between patients continuing versus interrupting rilpivirine. In women with documented viral suppression (<50 copies/mL) before 14 weeks of gestation (WG) while on rilpivirine, we compared the probability of viral rebound (≥50 copies/mL) during pregnancy between subjects continuing rilpivirine versus those switching to RFC.ResultsAmong 247 women included, 88.7% had viral suppression at the beginning of pregnancy. Overall, 184 women (74.5%) switched to an RFC (mostly PI/ritonavir-based regimens) at a median gestational age of 8.0 WG. Plasma HIV-1 RNA nearest delivery was <50 copies/mL in 95.6% of women. Among 69 women with documented viral suppression before 14 WG, the risk of viral rebound was higher when switching to RFCs than when continuing rilpivirine (20.0% versus 0.0%, P = 0.046). Delivery outcomes were similar between groups (overall birth defects, 3.8/100 live births; pregnancy losses, 2.0%; preterm deliveries, 10.6%). No HIV transmission occurred.ConclusionsIn virologically suppressed women initiating pregnancy, continuing rilpivirine was associated with better virological outcome than changing regimen. We did not observe a higher risk of adverse pregnancy outcomes

sPlot - A new tool for global vegetation analyses

Dengler, Jurgen/0000-0003-3221-660X; Chytry, Milan/0000-0002-8122-3075; de Gasper, Andre Luis/0000-0002-1940-9581; Marceno, Corrado/0000-0003-4361-5200; Swacha, Grzegorz/0000-0002-6380-2954; He, Tianhua/0000-0002-0924-3637; Haider, Sylvia/0000-0002-2966-0534; Kuhn, Ingolf/0000-0003-1691-8249; Svenning, Jens-Christian/0000-0002-3415-0862; Jansen, Florian/0000-0002-0331-5185; Casella, Laura/0000-0003-2550-3010; Schmidt, Marco/0000-0001-6087-6117; Chepinoga, Victor/0000-0003-3809-7453; Petrik, Petr/0000-0001-8518-6737; Willner, Wolfgang/0000-0003-1591-8386; Jansen, Steven/0000-0002-4476-5334; De Sanctis, Michele/0000-0002-7280-6199; Niinemets, Ulo/0000-0002-3078-2192; Pauchard, Anibal/0000-0003-1284-3163; Vibrans, Alexander C./0000-0002-8789-5833; Biurrun, Idoia/0000-0002-1454-0433; De Patta Pillar, Valerio/0000-0001-6408-2891; Phillips, Oliver L/0000-0002-8993-6168; Sibik, Jozef/0000-0002-5949-862X; Lenoir, Jonathan/0000-0003-0638-9582; Venanzoni, Roberto/0000-0002-7768-0468; Gutierrez, Alvaro G./0000-0001-8928-3198; Cayuela, Luis/0000-0003-3562-2662; Nobis, Marcin/0000-0002-1594-2418; Agrillo, Emiliano/0000-0003-2346-8346; Manning, Peter/0000-0002-7940-2023; Venanzoni, Roberto/0000-0002-7768-0468; Virtanen, Risto/0000-0002-8295-8217; Higuchi, Pedro/0000-0002-3855-555X; Sopotlieva, Desislava/0000-0002-9281-7039; Kuzemko, Anna/0000-0002-9425-2756; Hatim, Mohamed/0000-0002-0872-5108; Mencuccini, Maurizio/0000-0003-0840-1477; Enquist, Brian J./0000-0002-6124-7096; De Bie, Els/0000-0001-7679-743X; Samimi, Cyrus/0000-0001-7001-7893; Nowak, Arkadiusz/0000-0001-8638-0208; Jimenez-Alfaro, Borja/0000-0001-6601-9597; Font, Xavier/0000-0002-7253-8905; Levesley, Aurora/0000-0002-7999-5519; Acic, Svetlana/0000-0001-6553-3797; Kattge, Jens/0000-0002-1022-8469; Silc, Urban/0000-0002-3052-699X; Arnst, Elise/0000-0003-2388-7428; Moretti, Marco/0000-0002-5845-3198; Kozub, Lukasz/0000-0002-6591-8045; Kacki, Zygmunt/0000-0002-2241-1631; Fagundez, Jaime/0000-0001-6605-7278; Purschke, Oliver/0000-0003-0444-0882; Martynenko, Vasiliy/0000-0002-9071-3789; Jandt, Ute/0000-0002-3177-3669; Peyre, Gwendolyn/0000-0002-1977-7181; SABATINI, FRANCESCO MARIA/0000-0002-7202-7697; Bruelheide, Helge/0000-0003-3135-0356; Wohlgemuth, Thomas/0000-0002-4623-0894; Onyshchenko, Viktor/0000-0001-9079-7241; Kuzmic, Filip/0000-0002-3894-7115; Ejrnaes, Rasmus/0000-0003-2538-8606; Jirousek, Martin/0000-0002-4293-478X; Noroozi, Jalil/0000-0003-4124-2359; Curran, Michael/0000-0002-1858-5612; Baraloto, Christopher/0000-0001-7322-8581; Ozinga, Wim/0000-0002-6369-7859WOS: 000466421500001Aims Vegetation-plot records provide information on the presence and cover or abundance of plants co-occurring in the same community. Vegetation-plot data are spread across research groups, environmental agencies and biodiversity research centers and, thus, are rarely accessible at continental or global scales. Here we present the sPlot database, which collates vegetation plots worldwide to allow for the exploration of global patterns in taxonomic, functional and phylogenetic diversity at the plant community level. Results sPlot version 2.1 contains records from 1,121,244 vegetation plots, which comprise 23,586,216 records of plant species and their relative cover or abundance in plots collected worldwide between 1885 and 2015. We complemented the information for each plot by retrieving climate and soil conditions and the biogeographic context (e.g., biomes) from external sources, and by calculating community-weighted means and variances of traits using gap-filled data from the global plant trait database TRY. Moreover, we created a phylogenetic tree for 50,167 out of the 54,519 species identified in the plots. We present the first maps of global patterns of community richness and community-weighted means of key traits. Conclusions The availability of vegetation plot data in sPlot offers new avenues for vegetation analysis at the global scale.German Research FoundationGerman Research Foundation (DFG) [DFG FZT 118]; TRY initiative on plant traitsWe are grateful to thousands of vegetation scientists who sampled vegetation plots in the field or digitized them into regional, national or international databases. We also appreciate the support of the German Research Foundation for funding sPlot as one of the iDiv (DFG FZT 118) research platforms, and the organization of three workshops through the sDiv calls. We acknowledge this support with naming the database "sPlot", where the "s" refers to the sDiv synthesis workshops. The study was supported by the TRY initiative on plant traits (http://www.try-db.org). For all further acknowledgements see Appendix S10. We thank Meelis Partel for his very fast and constructive feedback on an earlier version of this manuscript

sPlotOpen:an environmentally balanced, open-access, global dataset of vegetation plots

Abstract Motivation: Assessing biodiversity status and trends in plant communities is critical for understanding, quantifying and predicting the effects of global change on ecosystems. Vegetation plots record the occurrence or abundance of all plant species co-occurring within delimited local areas. This allows species absences to be inferred, information seldom provided by existing global plant datasets. Although many vegetation plots have been recorded, most are not available to the global research community. A recent initiative, called ‘sPlot’, compiled the first global vegetation plot database, and continues to grow and curate it. The sPlot database, however, is extremely unbalanced spatially and environmentally, and is not open-access. Here, we address both these issues by (a) resampling the vegetation plots using several environmental variables as sampling strata and (b) securing permission from data holders of 105 local-to-regional datasets to openly release data. We thus present sPlotOpen, the largest open-access dataset of vegetation plots ever released. sPlotOpen can be used to explore global diversity at the plant community level, as ground truth data in remote sensing applications, or as a baseline for biodiversity monitoring. Main types of variable contained: Vegetation plots (n = 95,104) recording cover or abundance of naturally co-occurring vascular plant species within delimited areas. sPlotOpen contains three partially overlapping resampled datasets (c. 50,000 plots each), to be used as replicates in global analyses. Besides geographical location, date, plot size, biome, elevation, slope, aspect, vegetation type, naturalness, coverage of various vegetation layers, and source dataset, plot-level data also include community-weighted means and variances of 18 plant functional traits from the TRY Plant Trait Database. Spatial location and grain: Global, 0.01–40,000 m². Time period and grain: 1888–2015, recording dates. Major taxa and level of measurement: 42,677 vascular plant taxa, plot-level records. Software format: Three main matrices (.csv), relationally linked