Evaluation of the Management of Infant Respiratory Distress at the CNHU-HKM Pediatric Emergency Department

Introduction: Respiratory distress (RD) is a major emergency to which infants are particularly vulnerable. It can lead to neurological sequelae and even death when treatment is not adequate and rapid. Objective: To evaluate the management of RD in infants at the CNHU-HKM in Cotonou. Methods: The study was of a transversal and analytical nature and took place over a period of 06 months, from 1st January to 30th June 2015. Included in the study were all infants hospitalised for DR. The therapeutic modalities were analysed according to the recommendations of the World Health Organization. Results: A total of 96 infants were included. The hospital frequency of DR was 38%. The average age was 12 months. One in 3 infants had SaO2 less than 90% on admission, and in 58.3% of cases, the infant showed at least 3 signs of struggle. The initial assessment was as recommended. The systematic use of oxygenrequires a revision of the criteria for oxygentherapy in the unit. The three main causes were severe pneumonia (31.3%), severe malaria (18.8%) and bronchiolitis (15.6%), and their treatment was correct. However, none of the infants had been able to benefit from ventilatory support. Mortality was high (31.2%) linked to the intensity of DR (p = 0.04) and sepsis (p = 0.006). Conclusion: The procedures for the diagnosis and treatment of RD in infants at the CNHU are fairly consistent with WHO guidelines. Ventilatory support is necessary for some children with severe RD

Computational Complexity of Atomic Chemical Reaction Networks

Informally, a chemical reaction network is "atomic" if each reaction may be interpreted as the rearrangement of indivisible units of matter. There are several reasonable definitions formalizing this idea. We investigate the computational complexity of deciding whether a given network is atomic according to each of these definitions. Our first definition, primitive atomic, which requires each reaction to preserve the total number of atoms, is to shown to be equivalent to mass conservation. Since it is known that it can be decided in polynomial time whether a given chemical reaction network is mass-conserving, the equivalence gives an efficient algorithm to decide primitive atomicity. Another definition, subset atomic, further requires that all atoms are species. We show that deciding whether a given network is subset atomic is in $\textsf{NP}$, and the problem "is a network subset atomic with respect to a given atom set" is strongly $\textsf{NP}$-$\textsf{Complete}$. A third definition, reachably atomic, studied by Adleman, Gopalkrishnan et al., further requires that each species has a sequence of reactions splitting it into its constituent atoms. We show that there is a $\textbf{polynomial-time algorithm}$ to decide whether a given network is reachably atomic, improving upon the result of Adleman et al. that the problem is $\textbf{decidable}$. We show that the reachability problem for reachably atomic networks is $\textsf{Pspace}$-$\textsf{Complete}$. Finally, we demonstrate equivalence relationships between our definitions and some special cases of another existing definition of atomicity due to Gnacadja

Caractérisation phénotypique et génétique du riz africain (Oryza glaberrima Steud) phenotypic and genetic characterization of african rice (oryza glaberrima steud)

The agronomic interest of African rice and the morphological similarities with other species, arouse the necessity to characterize African rice for recovery and conservation. The present study aims primarily to characterize phenotypically and genetically African rice for better exploitation in aid of rice producers and consumers. Indeed, the phenotypic characteristics of the rice accessions examined have been determined in two agronomics systems (upland and irrigated) carried out about 235 accessions of African rice; and afterwards, genetic characterization using a specific marker has been carried. At the end of the analyzes, with regard to the phenotypic characters, 22 O.sativa or interspecific accessions differing morphologically on several descriptors were identified. Genetically, out of 19 profiles revealed on a 935-bp band, 14 confirmed the phenotypic results. This study shows that 221 out of 235 accessions are O. glaberrima rice. These results show that the accessions of different species analyzed were confused during the collection. They also seems to validate the possibility of hybridization between the two rice species in peasant environment. The accessions characterized strengthen the conservation effort of African rice. This collection can be used for future studies, particularly with perspective to selection and running African rice with the possibility to establish a genetic model to facilitate the transfer of useful genes from O.glaberrima to O.sativa, while controlling the reproductive barrier. Thus, it will be easy to better exploit the genetic diversity of the African species of cultivated rice

Mobilise-D insights to estimate real-world walking speed in multiple conditions with a wearable device

This study aimed to validate a wearable device’s walking speed estimation pipeline, considering complexity, speed, and walking bout duration. The goal was to provide recommendations on the use of wearable devices for real-world mobility analysis. Participants with Parkinson’s Disease, Multiple Sclerosis, Proximal Femoral Fracture, Chronic Obstructive Pulmonary Disease, Congestive Heart Failure, and healthy older adults (n = 97) were monitored in the laboratory and the real-world (2.5 h), using a lower back wearable device. Two walking speed estimation pipelines were validated across 4408/1298 (2.5 h/laboratory) detected walking bouts, compared to 4620/1365 bouts detected by a multi-sensor reference system. In the laboratory, the mean absolute error (MAE) and mean relative error (MRE) for walking speed estimation ranged from 0.06 to 0.12 m/s and − 2.1 to 14.4%, with ICCs (Intraclass correlation coefficients) between good (0.79) and excellent (0.91). Real-world MAE ranged from 0.09 to 0.13, MARE from 1.3 to 22.7%, with ICCs indicating moderate (0.57) to good (0.88) agreement. Lower errors were observed for cohorts without major gait impairments, less complex tasks, and longer walking bouts. The analytical pipelines demonstrated moderate to good accuracy in estimating walking speed. Accuracy depended on confounding factors, emphasizing the need for robust technical validation before clinical application. Trial registration: ISRCTN – 12246987

Phantom maps and purity in modular representation theory, I

Let k be a field and G a finite group. By analogy with the theory of phantom maps in topology, a map f : M → ℕ between kG-modules is said to be phantom if its restriction to every finitely generated submodule of M factors through a projective module. We investigate the relationships between the theory of phantom maps, the algebraic theory of purity, and Rickard's idempotent modules. In general, adding one to the pure global dimension of kG gives an upper bound for the number of phantoms we need to compose to get a map which factors through a projective module. However, this bound is not sharp. For example, for the group ℤ/4×ℤ/2 in characteristic two, the composite of 6 phantom maps always factors through a projective module, whereas the pure global dimension of the group algebra can be arbitrarily large

Caractérisation phénotypique et génétique du riz africain (Oryza glaberrima Steud)

The agronomic interest of African rice and the morphological similarities with other species,arouse the necessity to characterize African rice for recovery and conservation. The present study aims primarily to characterize phenotypically and genetically African rice for better exploitation in aid of rice producers and consumers. Indeed, the phenotypic characteristics of the rice accessions examined have been determined in two agronomics systems (upland and irrigated) carried out about 235 accessions of African rice ; and afterwards, genetic characterization using a specific marker has been carried. At the end of the analyzes, with regard to the phenotypic characters, 22 O.sativa or interspecific accessions differing morphologically on several descriptors were identified. Genetically, out of 19 profiles revealed on a 935-bp band, 14 confirmed the phenotypic results. This study shows that 221 out of 235 accessions are O. glaberrimarice. These results show that the accessions of different species analyzed were confused during the collection. They also seems to validate the possibility of hybridization between the two rice species in peasant environment. The accessions characterized strengthen the conservation effort of African rice. This collection can be used for future studies, particularly with perspective to selection and running African rice with the possibility to establish a genetic model to facilitate the transfer of useful genes from O.glaberrimato O.sativa, while controlling the reproductive barrier. Thus, it will be easy to better exploit the genetic diversity of the African species of cultivated rice