Amelioration de la valeur paysagere des boisements d'epicea commun de la Chaine des Puys par accroissement de la biodiversite

SIGLEAvailable from INIST (FR), Document Supply Service, under shelf-number : GR 1716 / INIST-CNRS - Institut de l'Information Scientifique et TechniqueFRFranc

How valid are proxy assessment of mental health and sleep comorbidities of patients with epilepsy using standardized questionnaires?

International audienceBackground: The study aimed to determine the level of agreement between patients with epilepsy and their proxies when assessing psychiatric comorbidities, sleep disorders, and medication adherence using standardized questionnaires.Methods: This agreement study is an ancillary analysis of the PRERIES study, a matched case-control study exploring SUDEP risk factors. Controls aged 15 years and older, with active epilepsy or in remission for less than 5 years were recruited between 01/01/2011 and 03/31/2019. An interview was carried out by a trained psychologist on both the patient and a proxy-respondent. During these independent interviews, the following comorbidities were explored: psychiatric comorbidities using the MINI, the STAI- Y2 and NDDI-E scales, sleep disorders with the SDQ-SA and Epworth scales and medication adherence. Level of agreement between patient and their proxy was estimated using Gwet's AC1&2.Results: Among the 107 patient–proxy dyads recruited, proxy respondents were mainly family members (65.4%) or spouses (30.8%). Exploration of present major depression showed excellent agreement at 0.81 [0.65;0.97], as well as exploration of dysthymia at 0.96 [0.61;1]. Suicidal risk evaluation had a lesser agreement at 0.77 [0.60;0.94]. Agreement on anxiety was moderate 0.5 [0.38;0.62]. For sleep disorder, SDQ-SA presented a better agreement than the Epworth questionnaire with respectively 0.73 [0.51;0.95] and 0.45 [0.26;0.63]. For medication adherence, the overall agreement rate was excellent (0.90 [0.78;1]).Conclusion: Exploration of potential risk factors through families can give valuable and relatively robust information, especially if the respondent lives with the patient, and should be retrieved, when possible, in usual clinical setting

Key technologies to accelerate the ICT Green evolution An operator's point of view

The exponential growth in networks' traffic accompanied by the multiplication of new services like those promised by the 5G led to a huge increase in the infrastructures' energy consumption. All over the world, many telecom operators are facing the problem of energy consumption and Green networking since many years and they all convey today that it turned from sustainable development initiative to an OPEX issue. Therefore, the challenge to make the ICT sector more energy-efficient and environment-friendly has become a fundamental objective not only to green networks but also in the domain of green services that enable the ICT sectors to help other industrial sector to clean their own energy consumption. The present paper is a point of view of a European telecom operator regarding green networking. We address some technological advancements that would enable to accelerate this ICT green evolution after more than 15 years of field experience and international collaborative research projects. Basically, the paper is a global survey of the evolution of the ICT industry in green networks including optical and wireless networks and from hardware improvement to the software era as well as the green orchestration

Restauration de la biodiversite floristique lors des operations de boisements

SIGLEAvailable from INIST (FR), Document Supply Service, under shelf-number : GR 1915 / INIST-CNRS - Institut de l'Information Scientifique et TechniqueFRFranc