98 research outputs found
FiliÚres agro-alimentaires et développement territorial : une lecture des dynamiques de proximités institutionnelles
Lâanalyse des filiĂšres agro-alimentaires de qualitĂ© incite Ă interroger les dynamiques territoriales quâelles peuvent impulser. Cet article sâappuie sur les avancĂ©es thĂ©oriques du courant « Dynamiques de proximité » pour analyser ces phĂ©nomĂšnes en termes de processus de spĂ©cification des ressources, de trajectoires territoriales. Le concept de proximitĂ©s semble a priori Ă©clairant pour identifier les modes de coordination et par lĂ mĂȘme rendre compte de lâĂ©volution des trajectoires territoriales. Mais lâidentification des proximitĂ©s est-elle suffisante pour comprendre les dynamiques locales de ces filiĂšres ? Cette contribution fait Ă©tat des rĂ©sultats de deux Ă©tudes de cas menĂ©es Ă partir de cette approche de la proximitĂ©. Il sâagit dâune filiĂšre « fruits dâĂ©té » et dâune filiĂšre « veau sous la mĂšre » toutes les deux localisĂ©es en Midi-PyrĂ©nĂ©es. Lâapproche par la proximitĂ© pose le problĂšme de sa mesure sur le terrain. Cette contribution propose dâexplorer plusieurs grilles de lecture des dynamiques collectives associĂ©es aux rapports entre acteurs dâune filiĂšre. Elle vise Ă interroger le concept de proximitĂ© et sa capacitĂ© Ă clarifier les processus de dĂ©veloppement territorial. Lâobservation de terrains montre que les externalitĂ©s ne sont pas toujours suffisamment positives, et que les trajectoires territoriales ne sont pas stables. Il convient alors de rechercher de nouveaux outils dâanalyse pour apprĂ©hender les phĂ©nomĂšnes dâaccumulation des ressources et les bifurcations de trajectoires auxquelles on peut assister lorsquâun territoire a Ă©tĂ© portĂ© par les acteurs de filiĂšres agro-alimentaires de qualitĂ©. AprĂšs avoir examinĂ©, au plan thĂ©orique, les dimensions non marchandes des dynamiques collectives, les auteurs suggĂšrent que la notion de capital territorial pourrait ĂȘtre utile pour comprendre lâarticulation entre les dimensions marchandes et non marchandes des dynamiques territoriales gĂ©nĂ©rĂ©es par ces filiĂšres.Research on local agrifood industrial systems calls for the integration of the analysis of territorial dynamics. This article uses the theoretical approach of âDynamics of proximityâ in order to analyze the territorial dynamics in terms of specification process and territorial trajectory. The concept of proximity can, indeed, provide some interesting insights to observed coordination patterns and, thus, the dynamics of territories. This paper presents the results of two case studies of local food systems in the region of Midi-PyrĂ©nĂ©es : the âsummer fruitsâ and the âveau sous la mĂšreâ (calves raised with cow milk) systems. Although it raises the problem of measurement, the use of the concept of proximity allows us to encompass the simple identification of some closed links within the systems. It also helps to understand the complex combination of both competition and cooperation relationships among local actors, who are reunited within a food chain project. Moreover, the dynamic analysis implied by the issue of territorial trajectories brings us to define more precisely the nature of externalities potentially yielded by the different proximities. We show that externalities are not always sufficiently positive and that territorial trajectories are not stable. Other analytical tools can be developed in order to take into account the process of resources accumulation and changes in territorial trajectories. The authors examine various issues to analyze non-market relationships and collective actions. They suggest that the concept of âterritorial capitalâ can be useful to explain the link between market and non-market local dynamics generated by those agrifood supply chains
Chapitre 7 - Innovations et gouvernance des territoires ruraux
LâidĂ©e que lâinnovation ou la crĂ©ativitĂ© pourraient ĂȘtre Ă lâorigine des processus de dĂ©veloppement des territoires est apparue assez rĂ©cemment dans la littĂ©rature, ainsi que dans les politiques et actions publiques. Ce nâest que ces derniĂšres annĂ©es que sâest imposĂ© le fait que les activitĂ©s nouvelles pouvaient prĂ©senter un intĂ©rĂȘt, voire mĂȘme constituer le moteur de la croissance des territoires (Regional Science Policy and Practic..
Le foncier agricole, nouvel enjeu des politiques dâamĂ©nagement de lâespace
Ce numĂ©ro spĂ©cial a Ă©tĂ© pensĂ© pour rendre compte de certains rĂ©sultats des projets PSDR portant sur lâintĂ©gration progressive des enjeux multiples du foncier agricole (agri-alimentaires, environnementaux, Ă©conomiques, paysagersâŠ) dans les processus dâamĂ©nagement de lâespace. Il est issu du Symposium virtuel « Transitions pour le dĂ©veloppement des territoires » qui sâest tenu du 28 au 30 octobre 2020 afin dâĂ©tablir un bilan du programme PSDR4 (Pour et Sur le DĂ©veloppement RĂ©gional), financĂ© p..
Direct microscopic examination of imprints in patients undergoing cardiac valve replacement
BACKGROUND: Bacteriological analysis of cardiac valves might be indicated in patients with suspected endocarditis. METHODS: We report here a prospective study on fifty-three consecutive patients whose native valves were sent to the bacteriological and pathological laboratories, to investigate the performance of direct microscopic examination of imprints and valve culture. RESULTS: On the basis of a histopathological gold standard to classify the inflammatory valve process, the sensitivity, the specificity, the positive and the negative predictive values of direct microscopic examination of imprints and valve culture were 21%, 100%, 100%, 60%, and 21%, 72%, 38%, 52% respectively. This weak threshold of the direct microscopic examination of imprints could be due to antimicrobial therapy prescribed before cardiac surgery and the fact that the patients came from a tertiary hospital receiving patients with a prolonged history of endocarditis. CONCLUSION: Clinical context and histopathology are indispensable when analyzing the imprints and valve culture
Linking people, places and products. A guide for promoting quality linked to geographical origin and sustainable geographical indications
The designations employed and the presentation of material in this information product do not imply the expression of any opinion whatsoever on the part of the Food and Agriculture Organization of the United Nations (FAO) concerning the legal or development status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. The mention of specific companies or products of manufacturers, whether or not these have been patented, does not imply that these have been endorsed or recommended by FAO in preference to others of a similar nature that are not mentioned. The views expressed in this information product are those of the author(s) and do not necessarily reflect the views of FAO. The views expressed in the contribution by SINER-GI members are the sole responsibility of the authors and do not necessarily reflect the views of the European Commission. Neither the European Commission nor any person acting on behalf of the Commission is responsible for the potential use of the information contained herein
A prospective, observational study of fidaxomicin use for Clostridioides difficile infection in France.
To describe the characteristics, management and outcomes of hospitalised patients with Clostridioides difficile infection (CDI) treated with and without fidaxomicin.
This prospective, multicentre, observational study (DAFNE) enrolled hospitalised patients with CDI, including 294 patients treated with fidaxomicin (outcomes recorded over a 3-month period) and 150 patients treated with other CDI therapies during three 1-month periods. The primary endpoint was baseline and CDI characteristics of fidaxomicin-treated patients.
At baseline, the fidaxomicin-treated population included immunocompromised patients (39.1%) and patients with severe (59.2%) and recurrent (36.4%) CDI. Fidaxomicin was associated with a high rate of clinical cure (92.2%) and low CDI recurrence (16.3% within 3 months). Clinical cure rates were â„90% in patients aged â„65 years, those receiving concomitant antibiotics and those with prior or severe CDI. There were 121/296 (40.9%) patients with adverse events (AEs), 5.4% with fidaxomicin-related AEs and 1.0% with serious fidaxomicin-related AEs. No fidaxomicin-related deaths were reported.
Fidaxomicin is an effective and well-tolerated CDI treatment in a real-world setting in France, which included patients at high risk of adverse outcomes.Trial registration: Description of the use of fidaxomicin in hospitalised patients with documented Clostridium difficile infection and the management of these patients (DAFNE), NCT02214771, www.ClinicalTrials.gov
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