Facteurs pronostiques des résections hépatiques curatives pour métastases hépatiques de cancer colorectal

TOURS-BU Médecine (372612103) / SudocSudocFranceF

0176: Intraoperative pulmonary artery stenting for management of pulmonary artery stenosis in children with congenital heart diseases: a single center 5-year experience

IntroductionPatients with Congenital Heart Diseases (CHD) often suffer from severe pulmonary artery (PA) stenosis. Management of PA stenosis is challenging for surgeons. The purpose of this study was to assess the results of intraoperative pulmonary artery stenting, performed additionally to, or instead of, conventional surgical angioplasty.Methods and resultsBetween January 2008 and August 2013, 31 children with hypoplastic or stenosed PA, median age of 23 months (range 6 days to 15 years), and median weight of 11,8kg (range 2,8 to 63kg), underwent intraoperative placement of stents in PA. Patients had pulmonary atresia (15) tetralogy of Fallot (10) troncus arteriosus (4), and complex CHD (2). The aim of the concomitant surgical procedure was palliative surgery (10), complete repair (12), or improvement of right ventricular outflow tract after complete repair (9). A total of 42 balloon-expandable stents were deployed in left or right PA. Maximum balloon diameters ranged from 3 to 16mm (mean=9). Post-operative mortality was 9,6% (3 patients) and 2 patients did not have complete follow-up. Eighteen patients underwent angiographic control, at a mean follow-up of 15 months (± SD 10 months) after surgery. Mean PA diameter increased from 5,19 to 7,57mm (p<0,001). Eight patients did not have angiography to date because routine echocardiography follow-up showed patent pulmonary arteries, with low residual gradient. Two patients (7,6%) needed a reoperation for severe intra-stent stenosis. Nine patients (34,6%) had repeated dilatation, performed percutaneously or during further intervention to complete repair of their CHD.ConclusionIntraoperative stenting of PA is an effective option to prevent recoil and external compression. However, smaller stents seem to be at higher risk of intra-stent proliferation

Impact of Schizotypy on Emotional Mimicry and Emotional Contagion

Emotional contagion is defined as the transfer of emotions between individuals through emotional expressions resulting in matching emotional states (Hatfield et al., 1994). Emotional mimicry is defined as the imitation of a counterpart's emotional expression resulting in matching emotional expressions (Hess &amp; Fischer, 2013, 2014). Both phenomena are associated with numerous social benefits such as increased liking, empathy, and social interaction quality (Hess &amp; Fischer, 2022; Mauersberger &amp; Hess, 2019). However, both emotional contagion and emotional mimicry are susceptible to inter-individual differences. In other words, some people are more prone to experience emotional contagion and emotional mimicry (Doherty, 1997; Hatfield et al., 1994; Hess &amp; Fischer, 2014, 2022). Recent work has focused on findings predictors of susceptibility to emotional contagion and emotional mimicry as a trait. Notably, some mental health diagnoses were found to be negative predictors of susceptibility to emotional contagion (Di Renzo et al., 2016; Hadjikhani et al., 2009; Helt et al., 2020). Increased interest in mental health diagnoses is explained by the shared connection to social outcomes. For instance, schizophrenia is a mental health diagnosis associated with heavy social skills deficits (Hooley, 2010). Various studies have demonstrated that individuals with a diagnosis of schizophrenia show deficits in emotional mimicry and emotional contagion (Falkenberg et al., 2008; Haker &amp; Rossler, 2009; Lehmann et al., 2014; Varcin et al., 2010, 2019). Results highlighted decreased emotional mimicry, decreased susceptibility to positive emotional contagion, and increased susceptibility to negative emotional contagion (Falkenberg et al., 2008; Haker &amp; Rossler, 2009; Lehmann et al., 2014; Varcin et al., 2010, 2019). However, measures of emotional contagion and emotional mimicry in individuals with a diagnosis of schizophrenia might be affected by confounding factors such as stigma, hospitalization, and medication (Ferchiou et al., 2017). To assess the influence of schizophrenia symptoms on emotional contagion and emotional mimicry, researchers can use the measure of schizotypy. The dimensional approach of schizotypy considers the existence of a continuum of schizophrenia’s symptoms in the general population (Raine, 2006). To our knowledge, only two studies have assessed the influence of schizotypy on emotional contagion and emotional mimicry (Platek et al., 2003; Stinson et al., 2022). However, no study has tested the influence of schizotypy on experimentally induced emotional contagion and emotional mimicry of affiliative emotions. This study aims to measure the influence of schizotypy on susceptibility to emotional contagion and emotional mimicry. We will use a pre-program computerized questionnaire. To assess emotional contagion participants will indicate their emotional state before and after watching an emotionally contagious video (Czarna et al., 2015; Wróbel, 2009; Wróbel et al., 2015). In addition, we will record participants’ facial expressions using the computer webcam. Video recordings of the participants will then be analyzed using OpenFace 2.2 (Kastendieck et al., 2021; Mauersberger et al., 2022). Finally, we will assess self-reported susceptibility to emotional contagion using the Emotional Contagion Scale (ECS (Doherty, 1997)) and self-reported schizotypy using the French translation of the Schizotypal Personality Questionnaire-Brief-Likert format (SPQ-B, (Ferchiou et al., 2017; Raine &amp; Benishay, 1995; Wuthrich &amp; Bates, 2005))

A review of a decade of lessons from one of the world’s largest MPAs: conservation gains and key challenges

Given the recent trend towards establishing very large marine protected areas (MPAs) and the high potential of these to contribute to global conservation targets, we review outcomes of the last decade of marine conservation research in the British Indian Ocean Territory (BIOT), one of the largest MPAs in the world. The BIOT MPA consists of the atolls of the Chagos Archipelago, interspersed with and surrounded by deep oceanic waters. Islands around the atoll rims serve as nesting grounds for sea birds. Extensive and diverse shallow and mesophotic reef habitats provide essential habitat and feeding grounds for all marine life, and the absence of local human impacts may improve recovery after coral bleaching events. Census data have shown recent increases in the abundance of sea turtles, high numbers of nesting seabirds and high fish abundance, at least some of which is linked to the lack of recent harvesting. For example, across the archipelago the annual number of green turtle clutches (Chelonia mydas) is ~ 20,500 and increasing and the number of seabirds is ~ 1 million. Animal tracking studies have shown that some taxa breed and/or forage consistently within the MPA (e.g. some reef fishes, elasmobranchs and seabirds), suggesting the MPA has the potential to provide long-term protection. In contrast, post-nesting green turtles travel up to 4000 km to distant foraging sites, so the protected beaches in the Chagos Archipelago provide a nesting sanctuary for individuals that forage across an ocean basin and several geopolitical borders. Surveys using divers and underwater video systems show high habitat diversity and abundant marine life on all trophic levels. For example, coral cover can be as high as 40–50%. Ecological studies are shedding light on how remote ecosystems function, connect to each other and respond to climate-driven stressors compared to other locations that are more locally impacted. However, important threats to this MPA have been identified, particularly global heating events, and Illegal, Unreported and Unregulated (IUU) fishing activity, which considerably impact both reef and pelagic fishes