Nogry, S., Boulc’h, L. et Villemonteix, F. (dir.). (2019). Le numérique à l’école primaire. Pratiques de classe et supervision pédagogique dans les pays francophones

L’ouvrage fait suite au deuxième colloque ÉTIC (École et technologies de l’information et de la communication) et s’intéresse à l’utilisation des technologies informatisées à l’école primaire. Il est composé de neuf chapitres que l’on peut organiser en deux parties. Les quatre premiers chapitres ont pour sujet l’utilisation des objets tactiles et mobiles par les enseignants et les élèves à l’école primaire. Les cinq derniers sont issus de la recherche SUPERE-RCF (Supervision pédagogique et re..

Nogry, S., Boulc’h, L. et Villemonteix, F. (dir.). (2019). Le numérique à l’école primaire. Pratiques de classe et supervision pédagogique dans les pays francophones

L’ouvrage fait suite au deuxième colloque ÉTIC (École et technologies de l’information et de la communication) et s’intéresse à l’utilisation des technologies informatisées à l’école primaire. Il est composé de neuf chapitres que l’on peut organiser en deux parties. Les quatre premiers chapitres ont pour sujet l’utilisation des objets tactiles et mobiles par les enseignants et les élèves à l’école primaire. Les cinq derniers sont issus de la recherche SUPERE-RCF (Supervision pédagogique et re..

Clinical relevance of serum electrolytes in dogs and cats with acute heart failure : a retrospective study

Background: Hypochloremia is a strong negative prognostic factor in humans with congestive heart failure (CHF), but the implications of electrolyte abnormalities in small animals with acute CHF are unclear. Objectives: To document electrolyte abnormalities present upon admission of small animals with acute CHF, and to assess the relationship between electrolyte concentrations and diuretic dose, duration of hospitalization and survival time. Animals: Forty-six dogs and 34 cats with first onset of acute CHF. Methods: Retrospective study. The associations between electrolyte concentrations and diuretic doses were evaluated with Spearman rank correlation coefficients. Relationship with duration of hospitalization and survival were assessed by simple linear regression and Cox proportional hazard regression, respectively. Results: The most commonly encountered electrolyte anomaly was hypochloremia observed in 24% (9/46 dogs and 10/34 cats) of cases. In dogs only, a significant negative correlation was identified between serum chloride concentrations at admission (median 113 mmol/L [97-125]) and furosemide doses both at discharge (median 5.2 mg/kg/day [1.72-9.57]; r = 0.59; P < .001) and at end-stage heart failure (median 4.7 mg/kg/day [2.02-7.28]; r = 0.62; P = .005). No significant hazard ratios were found for duration of hospitalization nor survival time for any of the electrolyte concentrations. Conclusions and Clinical Importance: The observed association between serum chloride concentrations and diuretic doses suggests that hypochloremia could serve as a marker of disease severity and therapeutic response in dogs with acute CHF

Intensive care unit admission in chronic obstructive pulmonary disease: patient information and the physician’s decision-making process

International audienceIntroduction: ICU admission is required in more than 25% of patients with chronic obstructive pulmonary disease (COPD) at some time during the course of the disease. However, only limited information is available on how physicians communicate with COPD patients about ICU admission. Methods: COPD patients and relatives from 19 French ICUs were interviewed at ICU discharge about their knowledge of COPD. French pulmonologists self-reported their practices for informing and discussing intensive care treatment preferences with COPD patients. Finally, pulmonologists and ICU physicians reported barriers and facilitators for transfer of COPD patients to the ICU and to propose invasive mechanical ventilation. Results: Self-report questionnaires were filled in by 126 COPD patients and 102 relatives, and 173 pulmonologists and 135 ICU physicians were interviewed. For 41% (n = 39) of patients and 54% (n = 51) of relatives, ICU admission had never been expected prior to admission. One half of patients were not routinely informed by their pulmonologist about possible ICU admission at some time during the course of COPD. Moreover, treatment options (that is, non-invasive ventilation, intubation and mechanical ventilation or tracheotomy) were not explained to COPD patients during regular pulmonologist visits. Pulmonologists and ICU physician have different perceptions of the decision-making process pertaining to ICU admission and intubation. Conclusions: The information provided by pulmonologists to patients and families concerning the prognosis of COPD, the risks of ICU admission and specific care could be improved in order to deliver ICU care in accordance with the patient's personal values and preferences. Given the discrepancies in the decision-making process between pulmonologists and intensivists, a more collaborative approach should probably be discussed

Assessing the effect of sample bias correction in species distribution models

1. Open-source biodiversity databases contain a large number of species occurrence records but are often spatially biased; which affects the reliability of species distribution models based on these records. Sample bias correction techniques require data filtering which comes at the cost of record numbers, or require considerable additional sampling effort. Since independent data is rarely available, assessment of the correction technique often relies solely on performance metrics computed using subsets of the available – biased – data, which may prove misleading. 2. Here, we assess the extent to which an acknowledged sample bias correction technique is likely to improve models’ ability to predict species distributions in the absence of independent data. We assessed variation in model predictions induced by the aforementioned correction and model stochasticity; the variability between model replicates related to a random component (pseudo-absences sets and cross-validation subsets). We present, then, an index of the effect of correction relative to model stochasticity; the Relative Overlap Index (ROI). We investigated whether the ROI better represented the effect of correction than classic performance metrics (Boyce index, cAUC, AUC and TSS) and absolute overlap metrics (Schoener’s D, Pearson’s and Spearman’s correlation coefficients) when considering data related to 64 vertebrate species and 21 virtual species with a generated sample bias. 3. When based on absolute overlaps and cross-validation performance metrics, we found that correction produced no significant effects. When considering its effect relative to model stochasticity, the effect of correction was strong for most species at one of the three sites. The use of virtual species enabled us to verify that the correction technique improved both distribution predictions and the biological relevance of the selected variables at the specific site, when these were not correlated with sample bias patterns. 4. In the absence of additional independent data, the assessment of sample bias correction based on subsample data may be misleading. We propose to investigate both the biological relevance of environmental variables selected, and, the effect of sample bias correction based on its effect relative to model stochasticity. Accessibility maps Cross-validation Performance metrics Overlap Pseudo-absence selection Terrestrial vertebrates Variable selection Virtual speciespublishedVersio

Do tidal sand waves always regenerate after dredging?

Tidal sand waves are rhythmic bedforms found on sandy continental shelves that pose a threat to offshore activities. While emphasis is placed on studying their natural morphodynamic evolution, little is known about if and how fast sand waves recover after dredging. This work presents an analysis of multibeam echosounder data collected at three former sand extraction sites on the Belgian continental shelf. At one of the sites, sand waves seemed to reappear approximately 5 years after dredging had stopped, which did not happen at the other two sites during the measurement period (5 and 9 years). The lack of recovery in those sites is likely the result of larger depths and smaller local sediment availability compared with the site where recovery occurred. Furthermore, these data reveal that in the latter site sand wave recovery was established mainly through local sediment redistribution. • Tidal sand waves are isolated from bathymetric data of the Belgian continental shelf. • At only one of the three sites, sand waves seemed to regenerate after dredging. • Possible explanations are differences in water depth and local sediment availability. • The regenerating tidal sand waves do so as a result of local redistribution of sand

A multiplicative hazard regression model to assess the risk of disease transmission at hospital during community epidemics

<p>Abstract</p> <p>Background</p> <p>During community epidemics, infections may be imported within hospital and transmitted to hospitalized patients. Hospital outbreaks of communicable diseases have been increasingly reported during the last decades and have had significant consequences in terms of patient morbidity, mortality, and associated costs. Quantitative studies are thus needed to estimate the risks of communicable diseases among hospital patients, taking into account the epidemiological process outside, hospital and host-related risk factors of infection and the role of other patients and healthcare workers as sources of infection.</p> <p>Methods</p> <p>We propose a multiplicative hazard regression model to analyze the risk of acquiring a communicable disease by patients at hospital. This model derives from epidemiological data on communicable disease epidemics in the community, hospital ward, patient susceptibility to infection, and exposure of patients to infection at hospital. The model estimates the relative effect of each of these factors on a patient's risk of communicable disease.</p> <p>Results</p> <p>Using individual data on patients and health care workers in a teaching hospital during the 2004-2005 influenza season in Lyon (France), we show the ability of the model to assess the risk of influenza-like illness among hospitalized patients. The significant effects on the risk of influenza-like illness were those of old age, exposure to infectious patients or health care workers, and a stay in a medical care unit.</p> <p>Conclusions</p> <p>The proposed multiplicative hazard regression model could be an interesting epidemiological tool to quantify the risk of communicable disease at hospital during community epidemics and the uncertainty inherent in such quantification. Furthermore, key epidemiological, environmental, host, or exposure factors that influence this risk can be identified.</p

Prevalence of celiac disease in multiple sclerosis

<p>Abstract</p> <p>Background</p> <p>Celiac disease (CD) is a common systemic disease related to a permanent intolerance to gluten and is often associated with different autoimmune and neurological diseases. Its mean prevalence in the general population is 1-2% worldwide. Our aim was to study the prevalence of celiac disease in a prospective series of Multiple Sclerosis (MS) patients and their first-degree relatives.</p> <p>Methods</p> <p>We analyzed the prevalence of serological, histological and genetic CD markers in a series of 72 MS patients and in their 126 first-degree relatives, compared to 123 healthy controls.</p> <p>Results</p> <p>Tissue IgA-anti-transglutaminase-2 antibodies were positive in 7 MS patients (10%), compared to 3 healthy controls (2.4%) (p < 0.05). OR: 5.33 (CI-95%: 1.074-26.425). No differences were found in HLA-DQ2 markers between MS patients (29%) and controls (26%) (NS).</p> <p>We detected mild or moderate villous atrophy (Marsh III type) in duodenal biopsies, in 8 MS patients (11.1%). We also found a high proportion of CD among first-degree relatives: 23/126 (32%). Several associated diseases were detected, mainly dermatitis 41 (57%) and iron deficiency anemia in 28 (39%) MS patients. We also found in them, an increased frequency of circulating auto-antibodies such as anti-TPO in 19 (26%), ANA in 11 (15%) and AMA in 2 (3%).</p> <p>Conclusions</p> <p>We have found an increased prevalence of CD in 8 of the 72 MS patients (11.1%) and also in their first-degree relatives (23/126 [32%]). Therefore, increased efforts aimed at the early detection and dietary treatment of CD, among antibody-positive MS patients, are advisable.</p

The ARIA-MASK-air® approach

Funding Information: The authors thank Ms Véronique Pretschner for submitting the paper. MASK‐air has been supported by Charité Universitätsmedizin Berlin, EU grants (EU Structural and Development Funds Languedoc Roussillon and Region PACA; POLLAR: EIT Health; Twinning: EIP on AHA; Twinning DHE: H2020; Catalyse: Horizon Europe) and educational grants from Mylan‐Viatris, ALK, GSK, Novartis, Stallergènes‐Greer and Uriach. None for the study. ® Publisher Copyright: © 2023 The Authors. Clinical and Translational Allergy published by John Wiley & Sons Ltd on behalf of European Academy of Allergy and Clinical Immunology.MASK-air®, a validated mHealth app (Medical Device regulation Class IIa) has enabled large observational implementation studies in over 58,000 people with allergic rhinitis and/or asthma. It can help to address unmet patient needs in rhinitis and asthma care. MASK-air® is a Good Practice of DG Santé on digitally-enabled, patient-centred care. It is also a candidate Good Practice of OECD (Organisation for Economic Co-operation and Development). MASK-air® data has enabled novel phenotype discovery and characterisation, as well as novel insights into the management of allergic rhinitis. MASK-air® data show that most rhinitis patients (i) are not adherent and do not follow guidelines, (ii) use as-needed treatment, (iii) do not take medication when they are well, (iv) increase their treatment based on symptoms and (v) do not use the recommended treatment. The data also show that control (symptoms, work productivity, educational performance) is not always improved by medications. A combined symptom-medication score (ARIA-EAACI-CSMS) has been validated for clinical practice and trials. The implications of the novel MASK-air® results should lead to change management in rhinitis and asthma.publishersversionpublishe

Rhinitis associated with asthma is distinct from rhinitis alone: TARIA‐MeDALL hypothesis

Asthma, rhinitis, and atopic dermatitis (AD) are interrelated clinical phenotypes that partly overlap in the human interactome. The concept of “one-airway-one-disease,” coined over 20 years ago, is a simplistic approach of the links between upper- and lower-airway allergic diseases. With new data, it is time to reassess the concept. This article reviews (i) the clinical observations that led to Allergic Rhinitis and its Impact on Asthma (ARIA), (ii) new insights into polysensitization and multimorbidity, (iii) advances in mHealth for novel phenotype definitions, (iv) confirmation in canonical epidemiologic studies, (v) genomic findings, (vi) treatment approaches, and (vii) novel concepts on the onset of rhinitis and multimorbidity. One recent concept, bringing together upper- and lower-airway allergic diseases with skin, gut, and neuropsychiatric multimorbidities, is the “Epithelial Barrier Hypothesis.” This review determined that the “one-airway-one-disease” concept does not always hold true and that several phenotypes of disease can be defined. These phenotypes include an extreme “allergic” (asthma) phenotype combining asthma, rhinitis, and conjunctivitis.info:eu-repo/semantics/publishedVersio