Connaissances expertes et modélisation pour l'exploitation d'images d'observation de la Terre à hautes résolutions spatiale, spectrale et temporelle

Les futures missions spatiales d'observation de la Terre, Venµs et Sentinelle (1 et 2), fourniront un flot de données inédit en termes de résolution spatiale, revisite temporelle et richesse spectrale. Afin d'exploiter de façon efficace ces données pour la réalisation de cartes d'occupation des sols ou de détection de changements, des approches rapides, robustes et le moins supervisées possibles seront nécessaires. Un exemple d'utilisation de ces données pourrait être d'identifier, dès le mois de mai, les surfaces couvertes par du maïs dans tout le Sud-ouest de la France. Ou encore d'obtenir une carte d'occupation des sols mensuelle, dans un délai très court, à l'échelle de grandes régions. On constate que les images seules ne permettent pas d'obtenir de telles données. Nous avons cependant d'autres types d'informations à notre disposition, qui ont jusqu'alors été très peu exploitées. Ce travail de thèse a consisté à identifier les informations dites a priori disponibles, évaluer leur pertinence, et les introduire dans les chaînes de traitement déjà existantes pour chiffrer leur apport. Nous nous sommes intéressés en particulier au domaine du suivi de l'agriculture. Les informations que nous avons utilisées sont, entre autres, les connaissances sur les pratiques agricoles (rotations de culture, irrigation, alternances de catégories de cultures, etc.), les tailles des parcelles et la topographie. Nous avons principalement travaillé avec 2 sources de connaissances a priori : * Celles contenues dans des bases de données telles que le Registre Parcellaire Graphique (RPG). Nous avons utilisé des méthodes d'apprentissage automatique sur les données pour les extraire. * Celles fournies par des experts. Nous les avons modélisées à l'aide de règles de la logique de 1er ordre. Une des contributions de cette thèse est la sélection et l'évaluation d'un outil qui permette d'extraire l'information et de la traiter, de manière à ce qu'elle soit introduite de façon efficace dans les algorithmes de classification déjà existants. Pour cela, nous avons utilisé la Logique de Markov, un outil statistique capable de travailler à la fois sur des informations issues de bases de données, et sur des informations modélisées sous la forme de règles logiques. Nous avons montré que l'utilisation de ces données permet d'améliorer la qualité des cartes d'occupation du sol. Nous avons de plus montré que ces informations permettent d'obtenir des cartes en quasi-temps-réel, dont la qualité va crescendo avec l'arrivé de nouvelles informations. En conclusion de ce travail de thèse, nous donnons des pistes pour appliquer la même méthodologie à d'autres domaines, en particulier au suivi des forêts tropicales et à la cartographie générique de l'occupation du sol.The future Earth observation space missions, Venµs and Sentinel (1 and 2), will provide us with a flow of data unseen in terms of spatial, spectral and temporal resolution. To use these data efficiently for the generation of land cover maps or change detection, we need fast, robust approaches that require as little supervision as possible. For instance, a concrete use of these data could be the identification, as early as May, of the area growing corn in all the South-West part of France. Or obtaining a monthly land cover map, in a slight delay, on large areas. Images alone don't allow us to reach such goals. Nevertheless, other information is available, which hasn't been really used. The main goal of this thesis is to identify available prior information, evaluate its revelance, and introduce it in preexisting processing chains to assess its contribution. We focused on agriculture monitoring. The information we used is knowledge on farming practices (crop rotations, irrigation, crop class alternation, etc) and the size and the topography of the fields. We mainly worked with 2 sources of prior knowledge: * Knowledge contained in databases such as the Registre Parcellaire Graphique (RPG). We used data mining methods to extract it. * Knowledge provided by experts. We modeled it with 1\up{st} order logic rules. One contribution of this thesis is the selection and assessment of a tool allowing us to extract and process information in a way that we can introduce it efficiently in preexisting classification algorithms: Markov Logic. Markov Logic is a statistical tool able to work with both information from databases and information modeled with logic rules. We show that using these data increases the quality of the land cover maps. We also show that this information allows us to obtain real time maps, whose quality increases with the arrival of new information. As a conclusion of this thesis work, we provide outlooks for applying the same methodology to other areas, such as the monitoring of tropical forests dans generic land cover mapping

CorE from Myxococcus xanthus Is a Copper-Dependent RNA Polymerase Sigma Factor

The dual toxicity/essentiality of copper forces cells to maintain a tightly regulated homeostasis for this metal in all living organisms, from bacteria to humans. Consequently, many genes have previously been reported to participate in copper detoxification in bacteria. Myxococcus xanthus, a prokaryote, encodes many proteins involved in copper homeostasis that are differentially regulated by this metal. A σ factor of the ECF (extracytoplasmic function) family, CorE, has been found to regulate the expression of the multicopper oxidase cuoB, the P1B-type ATPases copA and copB, and a gene encoding a protein with a heavy-metal-associated domain. Characterization of CorE has revealed that it requires copper to bind DNA in vitro. Genes regulated by CorE exhibit a characteristic expression profile, with a peak at 2 h after copper addition. Expression rapidly decreases thereafter to basal levels, although the metal is still present in the medium, indicating that the activity of CorE is modulated by a process of activation and inactivation. The use of monovalent and divalent metals to mimic Cu(I) and Cu(II), respectively, and of additives that favor the formation of the two redox states of this metal, has revealed that CorE is activated by Cu(II) and inactivated by Cu(I). The activation/inactivation properties of CorE reside in a Cys-rich domain located at the C terminus of the protein. Point mutations at these residues have allowed the identification of several Cys involved in the activation and inactivation of CorE. Based on these data, along with comparative genomic studies, a new group of ECF σ factors is proposed, which not only clearly differs mechanistically from the other σ factors so far characterized, but also from other metal regulators

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Cloud Mask Intercomparison eXercise (CMIX): An evaluation of cloud masking algorithms for Landsat 8 and Sentinel-2

Cloud cover is a major limiting factor in exploiting time-series data acquired by optical spaceborne remote sensing sensors. Multiple methods have been developed to address the problem of cloud detection in satellite imagery and a number of cloud masking algorithms have been developed for optical sensors but very few studies have carried out quantitative intercomparison of state-of-the-art methods in this domain. This paper summarizes results of the first Cloud Masking Intercomparison eXercise (CMIX) conducted within the Committee Earth Observation Satellites (CEOS) Working Group on Calibration & Validation (WGCV). CEOS is the forum for space agency coordination and cooperation on Earth observations, with activities organized under working groups. CMIX, as one such activity, is an international collaborative effort aimed at intercomparing cloud detection algorithms for moderate-spatial resolution (10–30 m) spaceborne optical sensors. The focus of CMIX is on open and free imagery acquired by the Landsat 8 (NASA/USGS) and Sentinel-2 (ESA) missions. Ten algorithms developed by nine teams from fourteen different organizations representing universities, research centers and industry, as well as space agencies (CNES, ESA, DLR, and NASA), are evaluated within the CMIX. Those algorithms vary in their approach and concepts utilized which were based on various spectral properties, spatial and temporal features, as well as machine learning methods. Algorithm outputs are evaluated against existing reference cloud mask datasets. Those datasets vary in sampling methods, geographical distribution, sample unit (points, polygons, full image labels), and generation approaches (experts, machine learning, sky images). Overall, the performance of algorithms varied depending on the reference dataset, which can be attributed to differences in how the reference datasets were produced. The algorithms were in good agreement for thick cloud detection, which were opaque and had lower uncertainties in their identification, in contrast to thin/semi-transparent clouds detection. Not only did CMIX allow identification of strengths and weaknesses of existing algorithms and potential areas of improvements, but also the problems associated with the existing reference datasets. The paper concludes with recommendations on generating new reference datasets, metrics, and an analysis framework to be further exploited and additional input datasets to be considered by future CMIX activities

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome : Insights from the LUNG SAFE study

Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods: In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence of hyperoxemia (PaO2 > 100 mmHg) on day 1, sustained (i.e., present on day 1 and day 2) hyperoxemia, or excessive oxygen use (FIO2 ≥ 0.60 during hyperoxemia). Results: Of 2005 patients that met the inclusion criteria, 131 (6.5%) were hypoxemic (PaO2 < 55 mmHg), 607 (30%) had hyperoxemia on day 1, and 250 (12%) had sustained hyperoxemia. Excess FIO2 use occurred in 400 (66%) out of 607 patients with hyperoxemia. Excess FIO2 use decreased from day 1 to day 2 of ARDS, with most hyperoxemic patients on day 2 receiving relatively low FIO2. Multivariate analyses found no independent relationship between day 1 hyperoxemia, sustained hyperoxemia, or excess FIO2 use and adverse clinical outcomes. Mortality was 42% in patients with excess FIO2 use, compared to 39% in a propensity-matched sample of normoxemic (PaO2 55-100 mmHg) patients (P = 0.47). Conclusions: Hyperoxemia and excess oxygen use are both prevalent in early ARDS but are most often non-sustained. No relationship was found between hyperoxemia or excessive oxygen use and patient outcome in this cohort. Trial registration: LUNG-SAFE is registered with ClinicalTrials.gov, NCT02010073publishersversionPeer reviewe

The Changing Landscape for Stroke\ua0Prevention in AF: Findings From the GLORIA-AF Registry Phase 2

Background GLORIA-AF (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients with Atrial Fibrillation) is a prospective, global registry program describing antithrombotic treatment patterns in patients with newly diagnosed nonvalvular atrial fibrillation at risk of stroke. Phase 2 began when dabigatran, the first non\u2013vitamin K antagonist oral anticoagulant (NOAC), became available. Objectives This study sought to describe phase 2 baseline data and compare these with the pre-NOAC era collected during phase&nbsp;1. Methods During phase 2, 15,641 consenting patients were enrolled (November 2011 to December 2014); 15,092 were eligible. This pre-specified cross-sectional analysis describes eligible patients\u2019 baseline characteristics. Atrial fibrillation&nbsp;disease characteristics, medical outcomes, and concomitant diseases and medications were collected. Data were analyzed using descriptive statistics. Results Of the total patients, 45.5% were female; median age was 71 (interquartile range: 64, 78) years. Patients were from Europe (47.1%), North America (22.5%), Asia (20.3%), Latin America (6.0%), and the Middle East/Africa (4.0%). Most had high stroke risk (CHA2DS2-VASc [Congestive heart failure, Hypertension, Age&nbsp; 6575 years, Diabetes mellitus, previous Stroke, Vascular disease, Age 65 to 74 years, Sex category] score&nbsp; 652; 86.1%); 13.9% had moderate risk (CHA2DS2-VASc&nbsp;= 1). Overall, 79.9% received oral anticoagulants, of whom 47.6% received NOAC and 32.3% vitamin K antagonists (VKA); 12.1% received antiplatelet agents; 7.8% received no antithrombotic treatment. For comparison, the proportion of phase 1 patients (of N&nbsp;= 1,063 all eligible) prescribed VKA was 32.8%, acetylsalicylic acid 41.7%, and no therapy 20.2%. In Europe in phase 2, treatment with NOAC was more common than VKA (52.3% and 37.8%, respectively); 6.0% of patients received antiplatelet treatment; and 3.8% received no antithrombotic treatment. In North America, 52.1%, 26.2%, and 14.0% of patients received NOAC, VKA, and antiplatelet drugs, respectively; 7.5% received no antithrombotic treatment. NOAC use was less common in Asia (27.7%), where 27.5% of patients received VKA, 25.0% antiplatelet drugs, and 19.8% no antithrombotic treatment. Conclusions The baseline data from GLORIA-AF phase 2 demonstrate that in newly diagnosed nonvalvular atrial fibrillation patients, NOAC have been highly adopted into practice, becoming more frequently prescribed than VKA in&nbsp;Europe and North America. Worldwide, however, a large proportion of patients remain undertreated, particularly in&nbsp;Asia&nbsp;and North America. (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation [GLORIA-AF]; NCT01468701

The SIB Swiss Institute of Bioinformatics' resources: focus on curated databases

The SIB Swiss Institute of Bioinformatics (www.isb-sib.ch) provides world-class bioinformatics databases, software tools, services and training to the international life science community in academia and industry. These solutions allow life scientists to turn the exponentially growing amount of data into knowledge. Here, we provide an overview of SIB's resources and competence areas, with a strong focus on curated databases and SIB's most popular and widely used resources. In particular, SIB's Bioinformatics resource portal ExPASy features over 150 resources, including UniProtKB/Swiss-Prot, ENZYME, PROSITE, neXtProt, STRING, UniCarbKB, SugarBindDB, SwissRegulon, EPD, arrayMap, Bgee, SWISS-MODEL Repository, OMA, OrthoDB and other databases, which are briefly described in this article