Gastrointestinal strongyles of ruminants : mechanisms of anthelmintic resistance and consequences on their management

The management of gastrointestinal strongyle infestations in ruminants relies mostly on anthelmintics. Only three chemical families are available, and gastrointestinal strongyles resistance is increasing. The resistance mechanisms are relatively well known for benzimidazoles (involving one gene with two alleles), whereas the genetic determinism of the resistance to macrocyclic lactones or imidazothiazoles (levamisole) is still poorly understood, but probably involves multigenic regulation. A double approach (candidate genes and transcriptomic) is proposed for levamisole resistance and the first results are presented. It is very important to understand resistance mechanisms to reduce their occurrences. Examples with benzimidazoles are presented to describe interactions between the type of genetic mechanism and the speed with which resistance appears and expands, the efficacy of selective pressure by treatments, and the role of refugia.La gestion des infestations du tube digestif par les strongles chez les ruminants est essentiellement assurée par les traitements anthelminthiques. Seules trois familles chimiques sont disponibles et des phénomènes de résistance à ces produits sont apparus chez les strongles gastro-intestinaux. Les mécanismes de résistance concernant la famille des benzimidazoles sont relativement bien établis (un gène avec deux allèles est impliqué), alors que pour la famille des lactones macrocycliques ou celle des imidazothiazoles (lévamisole), les déterminismes génétiques, encore peu connus, sont sans doute multigéniques. Une double approche (« gènes candidats » et transcriptomique) est proposée pour le lévamisole et les premiers résultats sont présentés. La compréhension des mécanismes d'action est très importante pour tenter de réduire l'apparition de résistance. Des exemples concernant les benzimidazoles sont utilisés pour décrire l'interaction entre le type de mécanisme de résistance et la vitesse d'apparition et de diffusion de la résistance, l'efficacité des pressions sélectives par les traitements et le rôle des refuges

Synthesis of branched-phosphodiester and mannosecentered fucosylated glycoclusters and their binding studies with Burkholderia ambifaria lectin (BambL)

Universite Montpellier 2, Region Rhoˆne-Alpes Cluster Chimie. A.A.International audienceFive fucosylated glycoclusters exhibiting 4, 6 or 8 residues were synthesised with two different spatial environments based on mannose-centered and branched-phosphodiester scaffolds. Their synthesis was performed in solution using phosphoramidite chemistry to generate phosphodiester linkages, combined with Cu(I)-catalyzed azide-alkyne cycloaddition (CuAAC). The multivalent ligands were evaluated for their ability to bind to Burkholderia ambifaria Lectin (BambL). Binding evaluation was performed through inhibition of hemagglutination (HIA), surface plasmon resonance (SPR) and isothermal titration microcalorimetry (ITC). All fucosylated glycoclusters exhibited a higher affinity to BambL than methyl α-L-fucoside. A dissociation constant of 43 nM was observed for the fucocluster exhibiting four residues with the branched-phosphodiester spatial environment corresponding to a 22-fold increase in comparison with methyl α-L-fucoside. These multivalent fucoclusters represent the first example of ligands of high affinity to BambL

Factori asociați cu COVID-19: studiu comparativ caz-control în Benin

Introduction. Although there are several previous publications related to risk factors of COVID-19 infection in Benin, there are very few data to explain the outbreak risk factors. Material and methods.This case-control study, conducted from 14 September to 20 October 2020, aimed to identify the risk factors associated with COVID-19 infection in Benin. Questions on knowledge, attitudes, and practices related to COVID-19, sociodemographic characteristics, nutritional factors, medical history, housing and working conditions of respondents were asked through a questionnaire survey. Bivariate and multivariate logistic regression analyses were conducted to identify the factors associated with COVID-19. The statistical significance was set at 5%. Results. In multivariate logistic regression, no handwashing device installed at the home entrance (ORa=1.86; 95% CI [1.07-3.21]) or a device delivering only water (ORa=5.57; 95% CI [1.98-15.65]), using permanently airconditioning at workplaces (ORa=5.48; 95% CI [2.40-12.57]), less knowledge of protective measures (ORa=1.41; 95% CI [1.08-1.84]) and no knowledge on the coronavirus incubation period (ORa=4.19; 95% CI [2.37-7.44]) were identified as risk factors for COVID-19 infection. Conclusions. Based on the findings of this study, a contextual response should prioritize strategies that will raise awareness and population’s knowledge of COVID-19 as well as preventive practices.Introducere. Deși există mai multe publicații cu referire la factorii de risc ai infecției COVID-19 în Benin, sunt prezentate însă foarte puține date care să explice factorii de risc în perioada de epidemie. Material si metode. Acest studiu caz-control, realizat în perioada 14 septembrie–20 octombrie 2020, și-a propus să identifice factorii de risc asociați cu infecția COVID-19 în Benin. Respondenților, prin intermediul unui chestionar, le-au fost adresate întrebări privind cunoștințele, atitudinile și practicile legate de COVID-19, caracteristicile socio-demografice, factorii nutriționali, istoricul medical, locuința și condițiile de muncă. Au fost efectuate analize de regresie logistică bivariată și multivariată, pentru a identifica factorii asociați cu COVID-19. Semnificația statistică a fost stabilită la 5%. Rezultate. Cu ajutorul regresiei logistice multivariate, au fost identificați drept factori de risc pentru infecția cu COVID-19: lipsa unui dispozitiv de spălat mâinile instalat la intrarea în casă (ORa=1,86; 95% CI [1,07-3,21]) sau al unui dispozitiv care furnizează apă (ORa=5,57; 95% CI [1,98-15,65]), prezența aerului condiționat la locurile de muncă (ORa=5,48; 95% CI [2,40-12,57]), cunoștințe insuficiente despre măsurile de protecție (ORa=1,41; 95% CI [1,08-1,84]) și lipsă de cunoștințe privind perioada de incubație a coronavirusului (ORa=4,19 ; 95% CI [2,37-7,44]). Concluzii. Pe baza constatărilor acestui studiu, un răspuns contextual ar trebui să prioritizeze strategiile care vor crește gradul de conștientizare și cunoaștere de către populație despre COVID-19, precum și practicile preventive

Histoire des sciences au Moyen Âge

Programme de l’année 2010-2011 : I. Les intérêts scientifiques dans les commentaires bibliques (suite). — II. Les transformations de la matière et leurs théories médiévales (suite)

A simplified table using validated diagnostic criteria is effective to improve characterization of colorectal polyps: the CONECCT teaching program

International audienceIntroduction and study aims Accurate real-time endoscopic characterization of colorectal polyps is key to choosing the most appropriate treatment. Mastering the currently available classifications is challenging. We used validated criteria for these classifications to create a single table, named CONECCT, and evaluated the impact of a teaching program based on this tool.Methods A prospective multicenter study involving GI fellows and attending physicians was conducted. During the first session, each trainee completed a pretest consisting in histological prediction and choice of treatment of 20 colorectal polyps still frames. This was followed by a 30-minute course on the CONECCT table, before taking a post-test using the same still frames reshuffled. During a second session at 3 – 6 months, a last test (T3 M) was performed, including these same still frames and 20 new ones.Results A total 419 participants followed the teaching program between April 2017 and April 2018. The mean proportion of correctly predicted/treated lesions improved significantly from pretest to post-test and to T3 M, from 51.0 % to 74.0 % and to 66.6 % respectively (P < 0.001). Between pretest and post-test, 343 (86.6 %) trainees improved, and 153 (75.4 %) at T3 M. Significant improvement occurred for each subtype of polyp for fellows and attending physicians. Between the two sessions, trainees continued to progress in the histology prediction and treatment choice of polyps CONECCT IIA. Over-treatment decreased significantly from 30.1 % to 15.5 % at post-test and to 18.5 % at T3 M (P < 0.001).Conclusion The CONECCT teaching program is effective to improve the histology prediction and the treatment choice by gastroenterologists, for each subtype of colorectal polyp

A targeted next-generation sequencing assay for the molecular diagnosis of genetic disorders with orodental involvement.

BACKGROUND: Orodental diseases include several clinically and genetically heterogeneous disorders that can present in isolation or as part of a genetic syndrome. Due to the vast number of genes implicated in these disorders, establishing a molecular diagnosis can be challenging. We aimed to develop a targeted next-generation sequencing (NGS) assay to diagnose mutations and potentially identify novel genes mutated in this group of disorders. METHODS: We designed an NGS gene panel that targets 585 known and candidate genes in orodental disease. We screened a cohort of 101 unrelated patients without a molecular diagnosis referred to the Reference Centre for Oro-Dental Manifestations of Rare Diseases, Strasbourg, France, for a variety of orodental disorders including isolated and syndromic amelogenesis imperfecta (AI), isolated and syndromic selective tooth agenesis (STHAG), isolated and syndromic dentinogenesis imperfecta, isolated dentin dysplasia, otodental dysplasia and primary failure of tooth eruption. RESULTS: We discovered 21 novel pathogenic variants and identified the causative mutation in 39 unrelated patients in known genes (overall diagnostic rate: 39%). Among the largest subcohorts of patients with isolated AI (50 unrelated patients) and isolated STHAG (21 unrelated patients), we had a definitive diagnosis in 14 (27%) and 15 cases (71%), respectively. Surprisingly, COL17A1 mutations accounted for the majority of autosomal-dominant AI cases. CONCLUSIONS: We have developed a novel targeted NGS assay for the efficient molecular diagnosis of a wide variety of orodental diseases. Furthermore, our panel will contribute to better understanding the contribution of these genes to orodental disease. TRIAL REGISTRATION NUMBERS: NCT01746121 and NCT02397824.journal articleresearch support, non-u.s. gov't2016 Feb2015 10 26importe

Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome associated with COVID-19: An Emulated Target Trial Analysis.

RATIONALE: Whether COVID patients may benefit from extracorporeal membrane oxygenation (ECMO) compared with conventional invasive mechanical ventilation (IMV) remains unknown. OBJECTIVES: To estimate the effect of ECMO on 90-Day mortality vs IMV only Methods: Among 4,244 critically ill adult patients with COVID-19 included in a multicenter cohort study, we emulated a target trial comparing the treatment strategies of initiating ECMO vs. no ECMO within 7 days of IMV in patients with severe acute respiratory distress syndrome (PaO2/FiO2 <80 or PaCO2 ≥60 mmHg). We controlled for confounding using a multivariable Cox model based on predefined variables. MAIN RESULTS: 1,235 patients met the full eligibility criteria for the emulated trial, among whom 164 patients initiated ECMO. The ECMO strategy had a higher survival probability at Day-7 from the onset of eligibility criteria (87% vs 83%, risk difference: 4%, 95% CI 0;9%) which decreased during follow-up (survival at Day-90: 63% vs 65%, risk difference: -2%, 95% CI -10;5%). However, ECMO was associated with higher survival when performed in high-volume ECMO centers or in regions where a specific ECMO network organization was set up to handle high demand, and when initiated within the first 4 days of MV and in profoundly hypoxemic patients. CONCLUSIONS: In an emulated trial based on a nationwide COVID-19 cohort, we found differential survival over time of an ECMO compared with a no-ECMO strategy. However, ECMO was consistently associated with better outcomes when performed in high-volume centers and in regions with ECMO capacities specifically organized to handle high demand. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/)

Marliac Alain, 2016, Problèmes d’archéologie développementale en Afrique

Sur un continent où l’intervention scientifique et technique occidentale encourage les disciplines des sciences « dures », supposées pouvoir agir sur les situations désastreuses qu’il connaît, quelle est la place de l’archéologie ? À travers sept points de réflexion, Alain Marliac, archéologue et membre de l’IRD, ne se contente pas de répondre à cette question, il met également la discipline au centre des interactions entre développeurs et développés. En se servant des réflexions qu’il a mené..

Poster SAfA Toulouse- J.A

Poster de début de thèse, présentant les résultats préliminaires de la première campagne de terrain réalisée début 2016.<div><br><div>Exposé à l'occasion du 23e congrès international de la Society of Africanist Archaeologist (SAfA) tenu à Toulouse du 26 Juin au 02 Juillet 2016</div></div