La lutte contre les schistosomoses en Afrique de l'Ouest

Les études menées au Burkina Faso sur les mollusques hôtes intermédiaires des schistosomoses ont montré que de nombreux biotopes sont favorables aux espèces susceptibles de transmettre les schistosomoses de l'homme et du bétail. Toutefois, chaque espèce possède sa propre niche écologique fortement liée aux conditions climatologiques. La distribution des bilharzioses est organisée en foyers. #Schistosoma haematobium est présent dans tout le pays, avec une plus forte prédominance au nord, notamment dans la zone sahélienne. #S. mansoni est davantage représenté dans le sud du pays où le climat est de type soudanien. Les aménagements hydrauliques constituent des zones privilégiées pour l'extension de l'endémie bilharzienne. (Résumé d'auteur

Investigating the cultural and contextual determinants of antimicrobial stewardship programmes across low-, middle- and high-income countries—A qualitative study

Background Most of the evidence on antimicrobial stewardship programmes (ASP) to help sustain the effectiveness of antimicrobials is generated in high income countries. We report a study investigating implementation of ASP in secondary care across low-, middle- and high-income countries. The objective of this study was to map the key contextual, including cultural, drivers of the development and implementation of ASP across different resource settings. Materials and methods Healthcare professionals responsible for implementing ASP in hospitals in England, France, Norway, India, and Burkina Faso were invited to participate in face-to face interviews. Field notes from observations, documentary evidence, and interview transcripts were analysed using grounded theory approach. The key emerging categories were analysed iteratively using constant comparison, initial coding, going back the field for further data collection, and focused coding. Theoretical sampling was applied until the categories were saturated. Cross-validation and triangulation of the findings were achieved through the multiple data sources. Results 54 participants from 24 hospitals (England 9 participants/4 hospitals; Norway 13 participants/4 hospitals; France 9 participants/7 hospitals; India 13 participants/ 7 hospitals; Burkina Faso 8 participants/2 hospitals) were interviewed. Across Norway, France and England there was consistency in ASP structures. In India and Burkina Faso there were country level heterogeneity in ASP. State support for ASP was perceived as essential in countries where it is lacking (India, Burkina Faso), and where it was present, it was perceived as a barrier (England, France). Professional boundaries are one of the key cultural determinants dictating involvement in initiatives with doctors recognised as leaders in ASP. Nurse and pharmacist involvement was limited to England. The surgical specialty was identified as most difficult to engage with in each country. Despite challenges, one hospital in India provided the best example of interdisciplinary ASP, championed through organisational leadership. Conclusions ASP initiatives in this study were restricted by professional boundaries and hierarchies, with lack of engagement with the wider healthcare workforce. There needs to be promotion of interdisciplinary team work including pharmacists and nurses, depending on the available healthcare workforce in different countries, in ASP. The surgical pathway remains a hard to reach, but critical target for ASP globally. There is a need to develop contextually driven ASP targeting the surgical pathway in different resource settings

Investigation of rare nuclear decays with BaF2_2 crystal scintillator contaminated by radium

The radioactive contamination of a BaF$_2$ scintillation crystal with mass of 1.714 kg was measured over 101 hours in the low-background DAMA/R&D set-up deep underground (3600 m w.e.) at the Gran Sasso National Laboratories of INFN (LNGS, Italy). The half-life of $^{212}$Po (present in the crystal scintillator due to contamination by radium) was measured as $T_{1/2}(^{212}$Po) = 298.8$\pm$0.8(stat.)$\pm$1.4(syst.) ns by analysis of the events' pulse profiles. The $^{222}$Rn nuclide is known as 100% decaying via emission of $\alpha$ particle with $T_{1/2}$ = 3.82 d; however, its $\beta$ decay is also energetically allowed with $Q_\beta = 24\pm21$ keV. Search for decay chains of events with specific pulse shapes characteristic for $\alpha$ or for $\beta/\gamma$ signals and with known energies and time differences allowed us to set, for the first time, the limit on the branching ratio of $^{222}$Rn relatively to $\beta$ decay as $B_\beta < 0.13$% at 90% C.L. (equivalent to limit on partial half-life $T_{1/2}^\beta > 8.0$ y). Half-life limits of $^{212}$Pb, $^{222}$Rn and $^{226}$Ra relatively to $2\beta$ decays are also improved in comparison with the earlier results.Comment: 10 pages, 9 figures, 2 table

Final results of an experiment to search for 2beta processes in zinc and tungsten with the help of radiopure ZnWO4 crystal scintillators

A search for the double beta decay of zinc and tungsten isotopes has been performed with the help of radiopure ZnWO4 crystal scintillators (0.1-0.7 kg) at the Gran Sasso National Laboratories of the INFN. The total exposure of the low background measurements is 0.529 kg yr. New improved half-life limits on the double beta decay modes of 64Zn, 70Zn, 180W, and 186W have been established at the level of 10^{18}-10^{21} yr. In particular, limits on double electron capture and electron capture with positron emission in 64Zn have been set: T_{1/2}(2\nu 2K) > 1.1 10^{19} yr, T_{1/2} (0\nu 2\epsilon) > 3.2 10^{20} yr, T_{1/2} (2\nu \epsilon \beta^+) > 9.4 10^{20} yr, and T_{1/2} (0\nu \epsilon \beta^+) > 8.5 10^{20} yr, all at 90% C.L. Resonant neutrinoless double electron capture in 180W has been restricted on the level of T_{1/2} (0\nu 2\epsilon) > 1.3 10^{18} yr. A new half-life limit on alpha transition of 183W to the metastable excited level 1/2^- 375 keV of 179Hf has been established: T_{1/2} > 6.7 10^{20} yr.Comment: This is an author-created, un-copyedited version of an article published in J. Phys. G: Nucl. Part. Phys. IOP Publishing Ltd is not responsible for any errors or omissions in this version of the manuscript or any version derived from it. The definitive publisher authenticated version is available online at doi: 10.1088/0954-3899/38/11/11510

Search for long-lived superheavy eka-tungsten with radiopure ZnWO4_4 crystal scintillator

The data collected with a radioactively pure ZnWO$_4$ crystal scintillator (699 g) in low background measurements during 2130 h at the underground (3600 m w.e.) Laboratori Nazionali del Gran Sasso (INFN, Italy) were used to set a limit on possible concentration of superheavy eka-W (seaborgium Sg, Z = 106) in the crystal. Assuming that one of the daughters in a chain of decays of the initial Sg nucleus decays with emission of high energy $\alpha$ particle ($Q_\alpha > 8$ MeV) and analyzing the high energy part of the measured $\alpha$ spectrum, the limit N(Sg)/N(W) < 5.5 $\times$ 10$^{-14}$ atoms/atom at 90% C.L. was obtained (for Sg half-life of 10$^9$ yr). In addition, a limit on the concentration of eka-Bi was set by analysing the data collected with a large BGO scintillation bolometer in an experiment performed by another group [L. Cardani et al., JINST 7 (2012) P10022]: N(eka-Bi)/N(Bi) < 1.1 $\times$ 10$^{-13}$ atoms/atom with 90% C.L. Both the limits are comparable with those obtained in recent experiments which instead look for spontaneous fission of superheavy elements or use the accelerator mass spectrometry.Comment: 9 pages, 2 figures; in press on Physica Script

Rejection of randomly coinciding events in Li2_2100^{100}MoO4_4 scintillating bolometers using light detectors based on the Neganov-Luke effect

Random coincidences of nuclear events can be one of the main background sources in low-temperature calorimetric experiments looking for neutrinoless double-beta decay, especially in those searches based on scintillating bolometers embedding the promising double-beta candidate $^{100}$Mo, because of the relatively short half-life of the two-neutrino double-beta decay of this nucleus. We show in this work that randomly coinciding events of the two-neutrino double decay of $^{100}$Mo in enriched Li$_2$$^{100}$MoO$_4$ detectors can be effectively discriminated by pulse-shape analysis in the light channel if the scintillating bolometer is provided with a Neganov-Luke light detector, which can improve the signal-to-noise ratio by a large factor, assumed here at the level of $\sim 750$ on the basis of preliminary experimental results obtained with these devices. The achieved pile-up rejection efficiency results in a very low contribution, of the order of $\sim 6\times10^{-5}$ counts/(keV$\cdot$kg$\cdot$y), to the background counting rate in the region of interest for a large volume ($\sim 90$ cm$^3$) Li$_2$$^{100}$MoO$_4$ detector. This background level is very encouraging in view of a possible use of the Li$_2$$^{100}$MoO$_4$ solution for a bolometric tonne-scale next-generation experiment as that proposed in the CUPID project

Search for double beta decay of 136^{136}Ce and 138^{138}Ce with HPGe gamma detector

Search for double $\beta$ decay of $^{136}$Ce and $^{138}$Ce was realized with 732 g of deeply purified cerium oxide sample measured over 1900 h with the help of an ultra-low background HPGe $\gamma$ detector with a volume of 465 cm$^3$ at the STELLA facility of the Gran Sasso National Laboratories of the INFN (Italy). New improved half-life limits on double beta processes in the cerium isotopes were set at the level of $\lim T_{1/2}\sim 10^{17}-10^{18}$~yr; many of them are even two orders of magnitude larger than the best previous results.Comment: 21 pages, 6 figures, 3 tables; version accepted for publication on Nucl. Phys.

First search for double-beta decay of 184Os and 192Os

A search for double-beta decay of osmium has been realized for the first time with the help of an ultra-low background HPGe gamma detector at the underground Gran Sasso National Laboratories of the INFN (Italy). After 2741 h of data taking with a 173 g ultra-pure osmium sample limits on double-beta processes in 184Os have been established at the level of T_{1/2} about 10^{14}-10^{17} yr. Possible resonant double-electron captures in 184Os were searched for with a sensitivity T_{1/2} about 10^{16} yr. A half-life limit T_{1/2} > 5.3 10^{19} yr was set for the double-beta decay of 192Os to the first excited level of 192Pt. The radiopurity of the osmium sample has been investigated and radionuclides 137Cs, 185Os and 207Bi were detected in the sample, while activities of 40K, 60Co, 226Ra and 232Th were limited at the mBq/kg level.Comment: 12 pages, 7 figures, 2 table

Search for 2\beta\ decays of 96Ru and 104Ru by ultra-low background HPGe gamma spectrometry at LNGS: final results

An experiment to search for double beta decay processes in 96Ru and 104Ru, which are accompanied by gamma rays, has been realized in the underground Gran Sasso National Laboratories of the I.N.F.N. (Italy). Ruthenium samples with masses of about (0.5-0.7) kg were measured with the help of ultra-low background high purity Ge gamma ray spectrometry. After 2162 h of data taking the samples were deeply purified to reduce the internal contamination of 40K. The last part of the data has been accumulated over 5479 h. New improved half life limits on 2\beta+/\epsilon \beta+/2\epsilon\ processes in 96Ru have been established on the level of 10^{20} yr, in particular for decays to the ground state of 96Mo: T1/2(2\nu 2\beta+) > 1.4 10^{20} yr, T1/2(2\nu \epsilon\beta+) > 8.0 10^{19} yr and T1/2(0\nu 2K) > 1.0 10^{21} yr (all limits are at 90% C.L.). The resonant neutrinoless double electron captures to the 2700.2 keV and 2712.7 keV excited states of 96Mo are restricted as: T1/2(0\nu KL) > 2.0 10^{20} yr and T1/2(0\nu 2L) > 3.6 10^{20} yr, respectively. Various two neutrino and neutrinoless 2\beta\ half lives of 96Ru have been estimated in the framework of the QRPA approach. In addition, the T1/2 limit for 0\nu 2\beta- transitions of 104Ru to the first excited state of 104Pd has been set as > 6.5 10^{20} yr.Comment: 14 pages, 5 figures, 2 tables; version accepted for publication on Phys. Rev.