Performance(s)

Dans le monde anglophone, les performance studies sont depuis longtemps un domaine à part entière de l’anthropologie de la musique et des arts scéniques (en anglais : performing arts). C’est grâce aux travaux de Richard Schechner, de Victor Turner ou, pour ce qui est de la musique, de Bruno Nettl que la discipline a acquis ses lettres de noblesse. Or le concept a tardé à s’imposer parmi les chercheurs francophones, probablement en raison de l’ambiguïté que comporte en français le terme même de « performance ». En effet, celui-ci définit l’exploit d’un athlète ou la prouessea d’une machine aussi bien que l’acte de « mettre en jeu », d’interpréter une pièce d’un corpus ou une œuvre d’un répertoire, qu’il s’agisse de poésie, de musique, de danse ou de théâtre. La diversité des approches, des situations et des champs musicaux abordés dans cet ouvrage montre bien que cette mise en jeu – qui implique aussi souvent une mise en scène – prend des formes très variées, déterminées en fonction du contexte culturel et événementiel dans lequel elle se produit, de l’assistance à laquelle elle est destinée et, évidemment, de la finalité de la performance

Report on chronic dialysis in France in 2016

International audienceThe report on dialysis in France in 2016 from the French Speaking Society of Nephrology Dialysis and Transplantation (SFNDT) provides an exhaustive and documented inventory on dialysis in France. It underlines the organizations that are important in 2016 to maintain a high quality dialysis. Several measures are proposed to maintain and improve the care of dialysis in France: (I) The regulation of dialysis treatment in France must be maintained; (2) a burden of care indicator is proposed to ensure that patients requiring the most care are treated in the centers. Proposals are also made to stimulate peritoneal dialysis offers, (3) to improve the calculation of the cost of dialysis and warn against lower reimbursement rates of dialysis, (4) to reduce transport costs by minimizing transport by ambulance (5). The SFNDT recalls recent recommendations concerning access to the renal transplant waiting list, are recalled; (6) as well as recommendations that require waiting until clinical signs are present to start dialysis (7). The SFNDT makes the proposal to set up advanced renal failure units. These units are expected to develop care that is not supported today: consultation with a nurse, a dietician, a social worker or psychologist, palliative care, and coordination (8). Finally, the financial and human resources for pediatric dialysis should be maintained. (C) 2017 Published by Elsevier Masson SAS on behalf of Association Societe de nephrologie

Low incidence of SARS-CoV-2, risk factors of mortality and the course of illness in the French national cohort of dialysis patients

International audienceThe aim of this study was to estimate the incidence of COVID-19 disease in the French national population of dialysis patients, their course of illness and to identify the risk factors associated with mortality. Our study included all patients on dialysis recorded in the French REIN Registry in April 2020. Clinical characteristics at last follow-up and the evolution of COVID-19 illness severity over time were recorded for diagnosed cases (either suspicious clinical symptoms, characteristic signs on the chest scan or a positive reverse transcription polymerase chain reaction) for SARS-CoV-2. A total of 1,621 infected patients were reported on the REIN registry from March 16th, 2020 to May 4th, 2020. Of these, 344 died. The prevalence of COVID-19 patients varied from less than 1% to 10% between regions. The probability of being a case was higher in males, patients with diabetes, those in need of assistance for transfer or treated at a self-care unit. Dialysis at home was associated with a lower probability of being infected as was being a smoker, a former smoker, having an active malignancy, or peripheral vascular disease. Mortality in diagnosed cases (21%) was associated with the same causes as in the general population. Higher age, hypoalbuminemia and the presence of an ischemic heart disease were statistically independently associated with a higher risk of death. Being treated at a selfcare unit was associated with a lower risk. Thus, our study showed a relatively low frequency of COVID-19 among dialysis patients contrary to what might have been assumed