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The objectives of this study were to describe poisonings occurring in older or disabled patients residing in structured living facilities, identify risk factors, and propose preventive measures. This was a prospective and observational study, covering all cases of poisoning occurring in structured living facilities in the Brittany region of France. All calls were received at the Grand Ouest Poison Control Centre (PCC) of Angers and were recorded from 1 February 2019 to 31 January 2020. The clinical severity of the poisonings was assessed using the Poisoning Severity Score (PSS). Clinical severity was compared by univariate and multivariate analyses using the following dependent variables: PSS score < 2 and PSS ≥ 2. This study included 158 residents with a median age of 83 years (5–116 years old). The average number of residents supervised by a member of the supervisory staff was 11 (+/−10.7). The substance ingested was a personal hygiene product or a cleaning product in 48% and 25% of cases, respectively. The most frequently ingested product was a bar of soap (n = 20). All moderate to severe cases (4.6%, n = 8 including one death) occurred in residents with dementia living in nursing homes for elderly patients, and 9% of residents required hospital treatment. In more than 50% of cases (n = 83), the product was provided by the facility and in 23% (n = 40), it was brought in by the family. Ingestion of a bar of soap or a product brought in by the family was significantly associated with higher poisoning severity (PSS ≥ 2). After adjustment for age, sex and the number of residents per supervisor, the severity of poisoning was significantly greater after ingestion of a bar of soap (OR = 12.33, CI95 [2.12, 71.63], p = 0.005). Older adults residing in medical facilities who have a history of dementia and/or cognitive impairment are more at risk of non-medicinal product poisoning. Clinical severity and the hospitalisation rate were greater when bar soap was ingested. [ABSTRACT FROM AUTHOR]

Mass graves are usually key historical markers with strong incentive for archeological investigations. The identification of individuals buried in mass graves has long benefitted from traditional historical, archaeological, anthropological and paleopathological techniques. The addition of novel methods including genetic, genomic and isotopic geochemistry have renewed interest in solving unidentified mass graves. In this study, we demonstrate that the combined use of these techniques allows the identification of the individuals found in two Breton historical mass graves, where one method alone would not have revealed the importance of this discovery. The skeletons likely belong to soldiers from the two enemy armies who fought during a major event of Breton history: the siege of Rennes in 1491, which ended by the wedding of the Duchess of Brittany with the King of France and signaled the end of the independence of the region. Our study highlights the value of interdisciplinary approaches with a particular emphasis on increasingly accurate isotopic markers. The development of the sulfur isoscape and testing of the triple isotope geographic assignment are detailed in a companion paper [13]. [ABSTRACT FROM AUTHOR]

This study used a large spatial scale approach in order to better quantify the relationships between maerl bed structure and a selection of potentially forcing physical factors. Data on maerl bed structure and morpho-sedimentary characteristics were obtained from recent oceanographic surveys using underwater video recording and grab sampling. Considering the difficulties in carrying out real-time monitoring of highly variable hydrodynamic and physicochemical factors, these were generated by three-dimensional numerical models with high spatial and temporal resolution. The BIOENV procedure indicated that variation in the percentage cover of thalli can best be explained (correlation = 0.76) by a combination of annual mean salinity, annual mean nitrate concentration and annual mean current velocity, while the variation in the proportion of living thalli can best be explained (correlation = 0.47) by a combination of depth and mud content. Linear relationships showed that the percentage cover of maerl thalli was positively correlated with nitrate concentration (R2= 0.78, P < 0.01) and negatively correlated with salinity (R2= 0.81, P < 0.01), suggesting a strong effect of estuarine discharge on maerl bed structure, and also negatively correlated with current velocity (R2= 0.81, P < 0.01). When maerl beds were deeper than 10 m, the proportion of living thalli was always below 30% but when they were shallower than 10 m, it varied between 4 and 100%, and was negatively correlated with mud content (R2= 0.53, P < 0.01). On the other hand, when mud content was below 10%, the proportion of living thalli showed a negative correlation with depth (R2= 0.84, P < 0.01). This large spatial scale explanation of maerl bed heterogeneity provides a realistic physical characterization of these ecologically interesting benthic habitats and usable findings for their conservation and management. [ABSTRACT FROM PUBLISHER]

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A 200-km2 area in the Bay of Concarneau on the South Brittany coast was surveyed acoustically using different sidescan sonars (a 100-kHz EdgeTech DF1000, and a 240-kHz Reson SeaBat 8101). The area corresponds to a sector of the REBENT network. It was selected for its physical and biological characteristics, reflecting the sedimentary heterogeneity and biological diversity of Brittany''s coastal seafloors. The work presented here illustrates the methodology for mapping subtidal seabed habitats in the context of the network. Backscatter mosaics were produced covering 100% of the survey area. Extensive ground-truthing was carried out involving 93 Shipek grab samples and 25 drop-down video profiles. From interpretation of the acoustic facies, 40 biological soft-bottom stations were sampled using a Hamon grab to characterize macrobenthic communities (>2mm). The results indicated considerable variation in backscatter responses in relation to high densities of macrobenthic species (Lithothamnion, Asterias, Haploops, Maldane, Ophiocomina), and a wide variety of substratum types present within a relatively small area. Dense biocenoses of maerl were accurately surveyed from 20-m to <5-m depth (Lower Astronomical Tide; LAT). Boundaries of Haploops communities are associated with dense small pockmarks in the centre of the bay. The relationships between sediment sometimes colonized by macrobenthic species and backscatter responses are discussed. [Copyright &y& Elsevier]