PETAAL Protection of border tree environment and technology

The sycamore lace bug has been identified as one of the main phytosanitary problems for managers of tree-planted heritage sites within green areas in 36,000 French regional authorities. The spread of this pest nationally and the predominance of sycamores in towns makes the bug one of the first pests to receive phytosanitary intervention in our green spaces. The move from chemical control, which is currently used, to biological control is governed by environmental and societal issues and embodies ongoing major technical innovation within green areas

PETAAL : Protection Environnement et Technologie des Arbres d’Alignements

Programme d’études coordonné par le centre technique Plante & Cité Avec le soutien du Fond Unique Interministériel et du Conseil Régional des Pays de la Loir

Programme PETAAL : Une stratégie combinée de protection biologique contre le tigre du platane en espaces verts

"Le végétal fait campagne" ou comment faire face à un monde de plus en plus urbanisé

Effectiveness of routine third trimester ultrasonography to reduce adverse perinatal outcomes in low risk pregnancy (the IRIS study): nationwide, pragmatic, multicentre, stepped wedge cluster randomised trial

Objectives To investigate the effectiveness of routine ultrasonography in the third trimester in reducing adverse perinatal outcomes in low risk pregnancies compared with usual care and the effect of this policy on maternal outcomes and obstetric interventions. Design Pragmatic, multicentre, stepped wedge cluster randomised trial. Setting 60 midwifery practices in the Netherlands. Participants 13 046 women aged 16 years or older with a low risk singleton pregnancy. Interventions 60 midwifery practices offered usual care (serial fundal height measurements with clinically indicated ultrasonography). After 3, 7, and 10 months, a third of the practices were randomised to the intervention strategy. As well as receiving usual care, women in the intervention strategy were offered two routine biometry scans at 28-30 and 34-36 weeks’ gestation. The same multidisciplinary protocol for detecting and managing fetal growth restriction was used in both strategies. Main outcome measures The primary outcome measure was a composite of severe adverse perinatal outcomes: perinatal death, Apgar score <4, impaired consciousness, asphyxia, seizures, assisted ventilation, septicaemia, meningitis, bronchopulmonary dysplasia, intraventricular haemorrhage, periventricular leucomalacia, or necrotising enterocolitis. Secondary outcomes were two composite measures of severe maternal morbidity, and spontaneous labour and birth. Results Between 1 February 2015 and 29 February 2016, 60 midwifery practices enrolled 13 520 women in mid-pregnancy (mean 22.8 (SD 2.4) weeks’ gestation). 13 046 women (intervention n=7067, usual care n=5979) with data based on the national Dutch perinatal registry or hospital records were included in the analyses. Small for gestational age at birth was significantly more often detected in the intervention group than in the usual care group (179 of 556 (32%) v 78 of 407 (19%), P<0.001). The incidence of severe adverse perinatal outcomes was 1.7% (n=118) for the intervention strategy and 1.8% (n=106) for usual care. After adjustment for confounders, the difference between the groups was not significant (odds ratio 0.88, 95% confidence interval 0.70 to 1.20). The intervention strategy showed a higher incidence of induction of labour (1.16, 1.04 to 1.30) and a lower incidence of augmentation of labour (0.78, 0.71 to 0.85). Maternal outcomes and other obstetric interventions did not differ between the strategies. Conclusion In low risk pregnancies, routine ultrasonography in the third trimester along with clinically indicated ultrasonography was associated with higher antenatal detection of small for gestational age fetuses but not with a reduced incidence of severe adverse perinatal outcomes compared with usual care alone. The findings do not support routine ultrasonography in the third trimester for low risk pregnancies. Trial registration Netherlands Trial Register NTR4367

Multidisciplinary consensus on screening for, diagnosis and management of fetal growth restriction in the Netherlands

Screening for, diagnosis and management of intrauterine growth restriction (IUGR) is often performed in multidisciplinary collaboration. However, variation in screening methods, diagnosis and management of IUGR may lead to confusion. In the Netherlands two monodisciplinary guidelines on IUGR do not fully align. To facilitate effective collaboration between different professionals in perinatal care, we undertook a Delphi study with uniform recommendations as our primary result, focusing on issues that are not aligned or for which specifications are lacking in the current guidelines. We conducted a Delphi study in three rounds. A purposively sampled selection of 56 panellists participated: 27 representing midwife-led care and 29 obstetrician-led care. Consensus was defined as agreement between the professional groups on the same answer and among at least 70% of the panellists within groups. Per round 51 or 52 (91% - 93%) panellists responded. This has led to consensus on 27 issues, leading to four consensus based recommendations on screening for IUGR in midwife-led care and eight consensus based recommendations on diagnosis and eight on management in obstetrician-led care. The multidisciplinary project group decided on four additional recommendations as no consensus was reached by the panel. No recommendations could be made about induction of labour versus expectant monitoring, nor about the choice for a primary caesarean section. We reached consensus on recommendations for care for IUGR within a multidisciplinary panel. These will be implemented in a study on the effectiveness and cost-effectiveness of routine third trimester ultrasound for monitoring fetal growth. Research is needed to evaluate the effects of implementation of these recommendations on perinatal outcomes. NTR436

Utilisation d'un système d'analyse d'image couleur pour quantifier les dégâts foliaires dans le cadre de la lutte biologique contre le tigre du platane

Utilisation d'un système d'analyse d'image couleur pour quantifier les dégâts foliaires dans le cadre de la lutte biologique contre le tigre du platan

Utilisation d&#039;un système d&#039;analyse d&#039;image couleur pour quantifier les dégâts foliaires dans le cadre de la lutte biologique contre le tigre du platane

Dans le cadre du projet PETAAL, un outil automatisé de mesure quantitative des décolorations foliaires dues au tigre du platane, Corythucha ciliata(Heteroptera : Tingidae), a été développé et mis en œuvre sur plus de 1000 feuilles de platane. Cet outil, constitué d\u27un banc d\u27acquisition couleur et d\u27un logiciel, est à ce jour opérationnel et utilisable en routine par des non spécialistes du traitement d\u27images. Les résultats quantitatifs produits par le système ont été confrontés aux classifications effectuées par deux experts humains. L\u27avantage du système est de pouvoir traiter automatiquement un grand nombre d\u27images en produisant des mesures quantitatives précises, répétables et non subjectives