Overview of ImageCLEF 2018: Challenges, Datasets and Evaluation

This paper presents an overview of the ImageCLEF 2018 evaluation campaign, an event that was organized as part of the CLEF (Conference and Labs of the Evaluation Forum) Labs 2018. ImageCLEF is an ongoing initiative (it started in 2003) that promotes the evaluation of technologies for annotation, indexing and retrieval with the aim of providing information access to collections of images in various usage scenarios and domains. In 2018, the 16th edition of ImageCLEF ran three main tasks and a pilot task: (1) a caption prediction task that aims at predicting the caption of a figure from the biomedical literature based only on the figure image; (2) a tuberculosis task that aims at detecting the tuberculosis type, severity and drug resistance from CT (Computed Tomography) volumes of the lung; (3) a LifeLog task (videos, images and other sources) about daily activities understanding and moment retrieval, and (4) a pilot task on visual question answering where systems are tasked with answering medical questions. The strong participation, with over 100 research groups registering and 31 submitting results for the tasks, shows an increasing interest in this benchmarking campaign

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Désobéissance et non-respect des normes juridiques

peer reviewe

Désobéissance et non-respect des normes juridiques (dossier)

International audienc

La sociologie du droit en France: de deux sociologies à la création d'un projet pluridisciplinaire?

International audienceLa sociologie du droit en France, au même titre que la sociologie juridique dans n’importe quel autre pays, est déterminée par les conditions historiques dans lesquelles le champ juridique s’est construit, ainsi que par les relations qui se sont établies entre le droit, le pouvoir politique et l’État. Cet article propose de présenter les enjeux auxquels fait face la sociologie du droit en portant une attention particulière au contexte social et politique dans lequel elle s’est développée au sein de l’Hexagone. Cet article pose l’hypothèse d’une faible institutionnalisation de la sociologie du droit dans ce pays, que nous proposons d’expliquer par sa construction historique « à l’ombre du droit », ainsi que par l’éclatement des différents groupes, courants et tendances qui la composent à l’heure actuelle