Une statuette des environs de 1400 à l’Hôpital général de Dijon

Desservie par une dorure à la poudre peu engageante, une réfection sans finesse de la polychromie du visage et un épais repeint de la chevelure, cette statuette en bois doré a pu passer inaperçue au milieu du nombre imposant d’objets mobiliers anciens appartenant à l’Hôpital général de Dijon. À y regarder de plus près, et en faisant abstraction du socle mouluré à faces incurvées rapporté, elle se révèle être l’une des œuvres les plus rares conservées dans cet établissement (fig. n° 1). Figure..

Functional neuroimaging study of performances on a Go/No-go task in 6- to 7-year-old preterm children: Impact of intrauterine growth restriction ???

Children born preterm, and more specifically those with intrauterine growth restriction (IUGR), are prone to exhibit scholastic difficulties and behavioral problems later in development. Neuropsychological studies showed that their deficits in response inhibition and attention could be at the heart of these difficulties. Functional magnetic resonance imaging (fMRI) studies using a Go/No-go task in preterm adolescents and adults suggest their use of an alternative neuronal pathway to compensate for a possible delayed development. However, little is known about the impact of IUGR at a functional neural network level. This study used fMRI to explore brain regions activated during a Go/No-go task in 20 preterm children aged 6-7 years, 10 of which were born with IUGR. Results showed that preterm children without IUGR preferentially activated fronto-temporal regions including the inferior frontal cortex, region known to be involved in successful response inhibition. In contrast, IUGR preterm children exhibited greater activation in the putamen, in the medial frontal cortex and parietal regions, specifically involved in attention demanding tasks, some being part of the default-mode network. These findings suggest that IUGR preterm children use different brain regions and a more diffuse network to perform the task, which interfere with goal-directed activity and may reflect inefficient attentional control. The differences observed in IUGR preterm children might relate to their higher risk for neurodevelopmental and behavioral disorders

Numerical simulation of spray coalescence in an eulerian framework : direct quadrature method of moments and multi-fluid method

The scope of the present study is Eulerian modeling and simulation of polydisperse liquid sprays undergoing droplet coalescence and evaporation. The fundamental mathematical description is the Williams spray equation governing the joint number density function f(v, u; x, t) of droplet volume and velocity. Eulerian multi-fluid models have already been rigorously derived from this equation in Laurent et al. (2004). The first key feature of the paper is the application of direct quadrature method of moments (DQMOM) introduced by Marchisio and Fox (2005) to the Williams spray equation. Both the multi-fluid method and DQMOM yield systems of Eulerian conservation equations with complicated interaction terms representing coalescence. In order to validate and compare these approaches, the chosen configuration is a self-similar 2D axisymmetrical decelerating nozzle with sprays having various size distributions, ranging from smooth ones up to Dirac delta functions. The second key feature of the paper is a thorough comparison of the two approaches for various test-cases to a reference solution obtained through a classical stochastic Lagrangian solver. Both Eulerian models prove to describe adequately spray coalescence and yield a very interesting alternative to the Lagrangian solver

Impact of free on-site vaccine and/or healthcare workers training on hepatitis B vaccination acceptability in high-risk subjects: a pre-post cluster randomized study

AbstractDespite recommendations for adults at high-risk of hepatitis B virus (HBV) infection, HBV vaccine uptake remains low in this population. A pre-post randomized cluster study was conducted to evaluate the impact of on-site free HBV vaccine availability and/or healthcare worker training on HBV vaccination acceptability in high-risk adults consulting in 12 free and anonymous HIV and hepatitis B/C testing centres (FATC). The FATC were randomly allocated into three groups receiving a different intervention: training on HBV epidemiology, risk factors and vaccination (Group A), free vaccination in the FATC (Group B), both interventions (Group C). The main outcomes were the increase in HBV vaccination acceptability (receipt of at least one dose of vaccine) and vaccine coverage (receipt of at least two doses of vaccine) after intervention. Respectively, 872 and 809 HBV-seronegative adults at high-risk for HBV infection were included in the pre- and post-intervention assessments. HBV vaccination acceptability increased from 14.0% to 75.6% (p <0.001) in Group B and from 17.1% to 85.8% (p <0.001) in Group C and HBV vaccine coverage increased from 9.4% to 48.8% (p <0.001) in Group B and from 11.2% to 41.0% (p <0.001) in Group C. The association of training and free on-site vaccine availability was more effective than free on-site vaccine availability alone to increase vaccination acceptability (ratio 1.14; from 1.02 to 1.26; p 0.017). No effect of training alone was observed. These results support the policy of making HBV vaccine available in health structures attended by high-risk individuals. Updating healthcare workers’ knowledge on HBV virus and its prevention brings an additional benefit to vaccination acceptability

Cystites : l'antibiorésistance est très dépendante du terrain

International audienc

La garde-robe de Notre-Dame de Bon-Espoir et ses ornements

International audienc