Search

Objectives: To evaluate the ability of 18 FDG PET/CT, at diagnosis of giant cell arteritis (GCA) and during follow-up, to predict occurrence of relapse in large-vessel GCA (LV-GCA)., Methods: We conducted a retrospective study using the French Study Group for Large-Vessel Vasculitis (GEFA) network. Data from patients with LV-GCA diagnosed by PET/CT and who had PET/CT in the following year were collected. For each PET/CT, PET vascular activity score (PETVAS) and total vascular score (TVS) were assessed, and their ability to predict the occurrence of subsequent relapse was assessed., Results: A total of 65 LV-GCA patients were included, of whom 55 had undergone a follow-up PET/CT 3 to 12 months after the diagnosis of GCA. Patients for whom the second PET/CT (PET2) was performed during active GCA were excluded. PETVAS and TVS decreased between PET1 and PET2 in all patients (p < 0.001). There was no correlation between vascular activity scores in PET2 and time to prednisone taper. For relapse prediction, at PET1, the AUC of the TVS and PETVAS were respectively 51.9 and 41.9 at 6 months, 55.3 and 49.7 at 1 year, 55 and 55.7 at 2 years. For PET2, the AUC were respectively 46.1 and 46.7 at 6 months, 52.1 and 48.9 at 1 year, 58.4 and 52.3 at 2 years., Conclusion: PET vascular activity scores at diagnosis and at follow-up PET/CT performed outside a period of GCA activity do not display high performance to predict the occurrence of subsequent relapse in LV-GCA patients., Competing Interests: Disclosures Maxime Samson: Argenx (consulting), Boerhinger Ingelheim (consulting), Chugai (consulting), CSL Vifor (consulting), Fresenius Kabi (consulting), GSK (consulting), Novartis (consulting and research grant), (Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)

France faced an unusual situation of dengue transmission in 2022, with 65 autochthonous cases spread over nine transmission events by 21 October. This exceeded the number of cases observed during the entire period 2010 to 2021. Six of these events occurred in departments that had never experienced autochthonous dengue transmission. We provide an update of dengue surveillance data in mainland France in 2022. The multiplication of transmission events calls for continuous adaption of preparedness and response to arbovirus-related risks.

Objectives: The Coronavirus 2019 (COVID-19) pandemic caused a considerable mortality in long-term care facilities (LTCFs), including residential care setting and nursing homes. This study aimed to estimate COVID-19 incidence and mortality in residential care facilities and to compare them with those recorded in nursing homes., Design: Nationwide observational study conducted by French health authorities., Settings and Participants: Since March 1, 2020, all LTCFs in France reported all COVID-19 cases and COVID-19-related deaths among their residents., Methods: Possible cases were those with COVID-19-related symptoms without laboratory confirmation and confirmed cases those with a reverse transcriptase polymerase chain reaction test or serology positive for SARS-CoV-2. We included facilities with at least 1 confirmed case of COVID-19 and estimated the cumulative incidence of COVID-19 cases and mortality due to COVID-19 reported until June 30, 2020, using the maximum bed capacity as a denominator., Results: Of the 2288 residential care facilities, 310 (14%) and, of the 7688 nursing homes, 3110 (40%) reported COVID-19 cases among residents (P < .001). The cumulative incidence of COVID-19 was significantly lower in residential care facilities as compared with nursing homes (1.10 vs 9.97 per 100 beds, P < .001). Mortality due to COVID-19 was also lower in residential care facilities compared with nursing homes (0.07 vs 1.29 per 100 beds, P < .001). Case fatality was lower in residential care facilities (6.49% vs 12.93%, P < .001)., Conclusion and Implications: French residential care facilities experienced a much lower burden from COVID-19 than nursing homes. Our findings may inform the implementation of better infection control practices in these settings., (Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.)

Introduction: Elevated troponin levels are found in a significant number of patients who are diagnosed with acute embolic stroke (AES) after first diagnosed atrial fibrillation (AF). These myocardial injuries, which are known as cardiocerebral infarction (CCI), are potentially caused by coronary embolism and correspond to simultaneous cardiac and cerebral embolisms. However, this severe condition remains poorly understood. In this prospective study, we aimed to investigate the prevalence and the cardiac magnetic resonance (CMR) characteristics of CCI., Materials and Methods: Consecutive patients with first diagnosed AF hospitalized for AES in a neurovascular intensive care unit from 2019 to 2020 were included. Troponin Ic kinetic were measured <72 h, MRI and coronary angiography or CT scan were performed <7 days after admission. Patients with significant coronary lesions were excluded., Results: During the study period, 1150 patients with strokes were hospitalized in the neurovascular intensive care unit (ICU). Of these patients, 955 had an ischemic stroke and 97 had a transient ischemic attack. Among the 44 patients with AES and with first diagnosed AF, 34 patients underwent CMR and CMR analysis identified 12 MI. A significant rise in troponin (>0.10 µg/L) was observed in 35% of the total population (12/34 patients). More specifically, a rise was seen in 23% of the AES without MI group, 58% of the AES with MI. In addition, coronary embolism was identified in 3 patients who underwent coronary angiography (3/12) and MI was often (30%) localized in infero-latero-medial and infero-apical segments. Most AES were localized in the superficial sylvian territory., Conclusion: We found a high prevalence of CMR-confirmed double embolization sites in the acute phase of an embolic stroke. Further studies are required to better characterize the pathophysiology, clinical course and prognostic value of CCI. Moreover, optimal management strategies, including antiplatelet therapy, remain to be determined., (Copyright © 2021 Elsevier Inc. All rights reserved.)

The article discusses a study to identify and assess functional consequences of NLRP12 missense mutation in periodic fever syndromes (PFS). Findings reveal that the identification of this NLRP12 molecular defect contributes to the delineation of the clinical spectrum associated with mutations in this gene. Results prove that the deleterious effect of this recurrent missense mutation is consistent with the inflammatory phenotype of PFS.

While historically the family nature of farms has depended mainly on the fact that capital and labour are in the same hands, developments in the French countryside increasingly challenge this “historical” model; certain production processes found today on farms clearly seem to move away from it. This article, based on statistical data available to date, identifies elements indicating major changes and introduces a few specific cases illustrating major qualitative changes. The analysis then addresses the issue of the transfer of the most capitalised farms and the “flexible farming” model proposed by CER-France (Centre d’Economie Rurale – France). The capital/labour separation process at work and its possible outcome are brought to light, particularly regarding the distribution of value-added. 1 1 The author warmly thanks Janet Dwyer for his attentive proofreading. [ABSTRACT FROM AUTHOR]

Mapping of Scar-Related VT Background Substrate-based VT ablation is mostly based on maps acquired with ablation catheters. We hypothesized that multipolar mapping catheters are more effective for identification of scar and local abnormal ventricular activity (LAVA). Methods and results Phase1: In a sheep infarction model (2 months postinfarction), substrate mapping and LAVA tagging (CARTO®3) was performed, using a Navistar (NAV) versus a PentaRay (PR) catheter (Biosense Webster). Phase2: Consecutive VT ablation patients from a single center underwent NAV versus PR mapping. Point pairs were defined as a PR and a NAV point located within a 3D-distance of ≤3 mm. Agreement was defined as both points in a pair being manually tagged as normal or LAVA. Four sheep (4 years, 50 ± 4.8 kg) and 9 patients were included (53 ± 14 years, 8 male, 6 ischemic cardiomyopathy). Mapping density was higher within the scar with PR versus NAV (3.2 vs. 0.7 points/cm2, P = 0.001) with larger bipolar scar area (68 ± 55 cm2 vs. 58 ± 48 cm2, P = 0.001). In total, 818 point pairs were analyzed. Using PR, far-field voltages were smaller (PR vs. NAV; bipolar: 1.43 ± 1.84 mV vs. 1.64 ± 2.04 mV, P = 0.001; unipolar; 4.28 ± 3.02 mV vs. 4.59 ± 3.67 mV, P < 0.001). More LAVA were also detected with PR (PR vs. NAV; 126 ± 113 vs. 36 ± 29, P = 0.001). When agreement on LAVA was reached (overall: 72%; both LAVA, 40%; both normal, 82%) higher LAVA voltages were recorded on PR (0.48 ± 0.33 mV vs. 0.31 ± 0.21 mV, P = 0.0001). Conclusion Multipolar mapping catheters with small electrodes provide more accurate and higher density maps, with a higher sensitivity to near-field signals. Agreement between PR and NAV is low. [ABSTRACT FROM AUTHOR]

Atrial Fibrosis on MRI in Patients Introduction We studied the extent and distribution of left atrial (LA) fibrosis on delayed-enhanced (DE) MRI in a general cardiology population. Methods and Results One hundred ninety consecutive patients referred for cardiac MRI underwent DE imaging using a free breathing method. The population comprised 60 AF patients and 130 patients without AF, including 75 with structural heart disease (SHD). DE was quantified using histogram thresholding, expressed in % of the wall. Regression analysis was performed to identify predictors of DE. Additionally, DE was registered on a template to study its distribution in subpopulations. In the total population, age, AF, and SHD were independently associated with DE. DE was increasingly observed from 11.1 ± 4.7% in patients with no SHD nor AF, 18.8 ± 7.8% in SHD and no AF history, 22.9 ± 7.8% in paroxysmal AF, to 27.8 ± 7.7% in persistent AF. Among non-AF patients, age and SHD were independently associated with DE. Among AF patients, female gender and AF persistence were independently associated with DE. DE was variably distributed but more frequently detected in the posterior wall. Conclusion Age, history of AF, and SHD are the most powerful predictors of atrial fibrosis, as detected by MRI, in a general cardiology population. Atrial fibrosis predominates in the posterior LA wall. [ABSTRACT FROM AUTHOR]

Epicardial-Only VT Ablation Background Nonischemic cardiomyopathy is a heterogeneous condition providing a favorable substrate for ventricular tachycardia (VT). Objective The purpose of this study is to further characterize the substrate in a subset of postmyocarditis patients with epicardial-only scar. Methods Twelve postmyocarditis patients (11 male, 49 ± 14 years, left ventricular ejection fraction 49 ± 12%) with VT and epicardial-only scar were included for analysis comparing automatic high-amplitude normal activity (HANA) maps to manually adjusted maps of based on local abnormal ventricular activity (LAVA) electrograms when present. A combined endocardial (endo) and epicardial (epi) approach was used in 11/12 with usual bipolar/unipolar voltage thresholds and analyzed using image integration. Results A delayed enhancement MRI scar area of 52 cm2 (38, 59) and multidetector CT wall thinning area of 18 cm2 (14, 35) was found. Bipolar voltage substrate mapping (160 points [101, 239] endo, 553 points [232, 713] epi and LAVA were found only epicardially [443 LAVA points] in all) illustrated a low-voltage area of HANA: 1 cm2 (0, 10) endo, 25 cm2 (22, 39) epi and LAVA: 1 cm2 (0, 10) endo, 39 cm2 (28, 51) epi. Manual maps performed better than automatic maps for delineating low-voltage area with a higher overlap with scar area on delayed enhancement magnetic resonance imaging (DE-MRI; 76% [66, 94] vs. 45% [35, 62]; P = 0.04). In addition, manual voltage maps also showed a higher overlap with location of LAVA (LAVA in normal voltage area: 3% [0, 9] vs. 35% [32, 41]; P < 0.05). Conclusion In postmyocarditis patients with epicardial-only scar, automatic voltage mapping may miss or minimize the electrical VT substrate. DE-MRI and manual LAVA-based voltage mapping are necessary to optimize scar delineation. Epicardial access is critical for mapping and ablation in this condition. [ABSTRACT FROM AUTHOR]

Following similar events in other European countries, some cases of dermatitis related to contact with China-imported furniture possibly treated with dimethyl(E)-butenedioate (dimethylfumarate [DMF]) were reported to the French institute for public health surveillance at the beginning of September 2008. An active multisource case collection was conducted in order to provide an epidemiological description of this outbreak. Results of this investigation show that, in France, mainly during the 4th quarter of 2008, a large number of people presented dermatological symptoms at least plausibly due to a contact with DMF-treated consumer products. The products involved were mostly shoes and sofa (94% of cases). This work offers an example of a multipartner investigation in the field of environmental health. It also shows how the results obtained contributed to decision-making and resulted in the limitation of DMF-treated products in France and in Europe. [ABSTRACT FROM PUBLISHER]

Objective A new class of autoinflammatory syndromes called NLRP12-associated disorders (NLRP12AD) has been associated with mutations in NLRP12. Conflicting data on the putative role of NLRP12 in interleukin-1β (IL-1β) signaling have been found in in vitro analyses. This prospective study was undertaken to assess the secretion of IL-1β and 3 IL-1β-induced cytokines (IL-1 receptor antagonist [IL-1Ra], IL-6, and tumor necrosis factor α [TNFα]) in patients' peripheral blood mononuclear cells (PBMCs) cultured ex vivo and to evaluate the patients' response to IL-1Ra (anakinra), a major drug used in the treatment of autoinflammatory disorders. Methods Patients' disease manifestations and cytokine measurements were recorded before anakinra treatment was started, during 14 months of therapy, and after discontinuation of anakinra treatment. Results Spontaneous secretion of IL-1β by patients' PBMCs was found to be dramatically increased (80-175 fold) compared to healthy controls. Consistent with these findings, anakinra initially led to a marked clinical improvement and to a rapid near-normalization of IL-1β secretion. However, a progressive clinical relapse occurred secondarily, associated with an increase in TNFα secretion, persistent elevated levels of IL-1Ra and IL-6, and a reactivation of IL-1β secretion. Anakinra was discontinued after 14 months of therapy. Conclusion Our findings provide in vivo evidence of the crucial role of IL-1β in the pathophysiology of NLRP12AD. This is the first time anakinra has been used to treat this disorder. This study provides new insights into the mechanisms underlying resistance to anti-IL-1 therapy observed in a few patients with autoinflammatory syndromes. Our data also point to the potential of ex vivo cytokine measurements as predictors of response to treatment. [ABSTRACT FROM AUTHOR]

BackgroundClusters of dengue cases have recently become more frequent in areas of southern France colonised by the vector mosquito Aedes albopictus . In July 2015, a 2-month outbreak of dengue virus serotype 1 (DENV-1) was reported in Nîmes. Aim: We conducted a serosurvey in the affected area at the end of the vector activity period to determine the true extent of dengue transmission. Methods: We collected capillary blood from consenting household members, and information on their medical and travel histories, and exposure to mosquito bites. Recent infections were identified using IgM and IgG anti-DENV ELISA, followed, when positive, by plaque reduction neutralisation tests on serum against DENV 1-4 and West Nile virus. The prevalence estimator was calibrated on reference demographic data. We quantified the spatial clustering of dengue cases within the affected community and inferred the transmission tree. Results: The study participation rate was 39% (564/1,431). Three of 564 participants tested positive for DENV-1 infection (after marginal calibration, 0.41%; 95% confidence interval: 0.00-0.84). The spatial analysis showed that cases were clustered at the household level. Most participants perceived the presence of mosquitos as abundant (83%) and reported frequent mosquito bites (57%). We incidentally identified six past West Nile virus infections (0.9%; 95% CI: 0.2-1.6). Conclusion: This serosurvey confirms the potential for arboviral diseases to cause outbreaks - albeit limited for now - in France and Europe.

Introduction. Several cases of morel poisoning associated with neurological symptoms have been reported. The objective of this study was to describe this new mushroom poisoning syndrome. Material and methods. Retrospective study of morel poisonings collected in the French Poison Control Centers from 1976 to 2006. Cases were classified as neurological syndrome (NS; tremor or dizziness/inebriation or unsteadiness/ataxia ± associated with gastrointestinal symptoms) or isolated gastrointestinal syndrome. Results. 146 patients presented gastrointestinal syndrome (median time to onset: 5 h) and 129 presented NS (12 h) after morel consumption. Gastrointestinal (67%) and other neurological symptoms were also present (mainly ocular/vision disorders: 26%, paresthesia: 7%, drowsiness/confusion: 6%, and muscle disorders: 6%). These patients more frequently ingested a large quantity of morels. Confusion with Gyromitra was ruled out. Discussion. The NS is very different from the common gastrointestinal syndrome occurring after ingestion of poorly cooked morels and is not limited to a cerebellar syndrome. [ABSTRACT FROM AUTHOR]

There is nothing new about predictions that climate change will cause serious social problems in the twenty-first century. However, in recent years, some tendencies in the environmental movement have made an even stronger assertion: the climate-induced collapse of industrial society is highly likely and may have positive consequences. This claim, which I term the collapse thesis, is associated with the deep adaptation movement in Britain and the collapsology movement in France. In this article, I analyse the work of key theorists associated with these movements to outline the core tenets of the societal collapse thesis. Responding to the criticisms directed against the idea of societal collapse, I partially defend the thesis by reading it as a form of science fiction. Following Darko Suvin's notion of cognitive estrangement, it is argued that collapse encourages us to pinpoint the unstable ecological preconditions of everyday life and posit a new utopian world. [ABSTRACT FROM AUTHOR]

Abstract: A field survey was carried out in seven newly built energy-efficient houses in France. Several indoor air-quality indicators (total volatile organic compounds, volatile organic compounds, aldehydes, carbon monoxide, particulate matter less than 2.5 μm in diameter (PM2.5) and radon) and indoor environmental parameters (carbon dioxide, temperature, relative humidity and noise) were measured before and during the houses' first year of occupancy. The air exchange per hour (ACH) and air exhaust rate were measured simultaneously, and the perceptions of the occupants were evaluated with a questionnaire. The results show that the levels of aromatic hydrocarbons, terpenes, alkanes and aldehydes were higher before occupancy than during occupancy, whereas the opposite trend was observed for PM2.5. During occupation, the concentrations of acetaldehyde, alpha-pinene, ethylbenzene, limonene, styrene, toluene and xylenes decrease, most likely because of the decrease in emissions sources from houses. At the same time, the levels of benzene, formaldehyde, hexaldehyde, n-decane and n-undecane temporarily increase because of human activities. The PM2.5 levels show seasonal variation. Compared to standard French houses, the concentrations of benzene, ethylbenzene, m- and p-xylenes, PM2.5 and radon were low, whereas the CO2 and formaldehyde levels were not significantly different. In contrast, the levels of acetaldehyde, hexaldehyde, n-decane, n-undecane, oxylene and styrene were higher in these new homes, possibly because of the emissions from products and materials. Mechanical ventilation with heat-recovery systems allows for ACH levels of 0.5 h−1 or higher, making the air drier. Shortcomings of the system are also reported. [Copyright &y& Elsevier]

Objectives: To describe early electrocardiogram (ECG) abnormalities after status epilepticus (SE) and evaluate their association with 90-day neurological outcomes. Design: Retrospective analysis of a multicenter, national prospective registry between February 2018 and June 2020. Setting: Sixteen ICUs in France, IctalGroup Research Network. Patients: Adults with available ECG performed less than or equal to 24 hours after the onset of SE and less than or equal to 12 hours after its resolution. Intervention: Double-blinded review of all ECGs was performed by two independent cardiologists. ECGs were categorized as normal/abnormal and then with minor/major early ECG abnormalities according to the Novacode ECG Classification system. Measurements and Main Results: Among 155 critically ill patients with SE, early ECG abnormalities were encountered in 145 (93.5%), categorized as major in 91 of 145 (62.8%). In addition to sinus tachycardia, the main abnormalities were in the ST segment (elevation [16.6%] or depression [17.9%]) or negative T waves (42.1%). Major early ECG abnormalities were significantly associated with respiratory distress and sinus tachycardia at the scene and hyperlactatemia at ICU admission. By multivariable analysis, three variables were significantly associated with 90-day poor outcome: age, preexisting ultimately fatal comorbidity, and cerebral insult as the cause of SE. Early major ECG abnormalities were not independently associated with 90-day functional outcome. Conclusions: In our study, early ECG abnormalities in the acute phase of SE were frequent, often unrecognized and were associated with clinical and biological stigma of hypoxemia. Although they were not independently associated with 90-day functional outcome, ECG changes at the early stage of SE should be systematically evaluated. TRIAL REGISTRATION: https://clinicaltrials.gov/ct2/show/NCT03457831. [ABSTRACT FROM AUTHOR]

The August 2003 heat wave in France resulted in many thousands of excess deaths particularly of elderly people. Individual and environmental risk factors for death among the community-dwelling elderly were identified. We conducted a case--control survey and defined cases as people aged 65 years and older who lived at home and died from August 8 through August 13 from causes other than accident, suicide, or surgical complications. Controls were matched with cases for age, sex, and residential area. Interviewers used questionnaires to collect data. Satellite pictures provided profiles of the heat island characteristics around the homes, Lack of mobility was a major risk factor along with some pre-existing medical conditions. Housing characteristics associated with death were lack of thermal insulation and sleeping on the top floor, right under the roof. The temperature around the building was a major risk factor. Behaviour such as dressing lightly and use of cooling techniques and devices were protective factors. These findings suggest people with pre-existing medical conditions were likely to be vulnerable during heat waves and need information on how to adjust daily routines to heat waves. In the long term, building insulation and urban planning must be adapted to provide protection from possible heat waves. [ABSTRACT FROM AUTHOR]

In October 2014, an outbreak of 12 autochthonous chikungunya cases, 11 confirmed and 1 probable, was detected in a district of Montpellier, a town in the south of France colonised by the vector Aedes albopictus since 2010. A case returning from Cameroon living in the affected district was identified as the primary case. The epidemiological investigations and the repeated vector control treatments performed in the area and around places frequented by cases helped to contain the outbreak. In 2014, the chikungunya and dengue surveillance system in mainland France was challenged by numerous imported cases due to the chikungunya epidemic ongoing in the Caribbean Islands. This first significant outbreak of chikungunya in Europe since the 2007 Italian epidemic, however, was due to an East Central South African (ECSA) strain, imported by a traveller returning from West Africa. Important lessons were learned from this episode, which reminds us that the threat of a chikungunya epidemic in southern Europe is real.

During the summer of 2014, all the pre-requisites for autochthonous transmission of chikungunya virus are present in southern France: a competent vector, Aedes albopictus, and a large number of travellers returning from the French Caribbean islands where an outbreak is occurring. We describe the system implemented for the surveillance of chikungunya and dengue in mainland France. From 2 May to 4 July 2014, there were 126 laboratory-confirmed imported chikungunya cases in mainland France.

Objective: There is considerable interest in cognitive remediation for schizophrenia. Our study aimed to evaluate, in a large sample of patients with schizophrenia, the interest of a computer-assisted cognitive remediation program on cognitive performances of patients as well as in clinical and functional outcome., Method: Seventy-seven patients with remitted schizophrenia were randomly assigned to 14 2-hours individual sessions of computer-assisted cognitive remediation (n=39) or a control condition (n=38). Remediation was performed using RehaCom ® software. Four procedures were chosen to train four cognitive functions involved in different stages of the information processing: attention/concentration, working memory, logic, and executive functions. Primary outcomes were remediation exercise metrics, neuropsychological composites (episodic memory, working memory, attention, executive functioning, and processing speed), clinical and community functioning measures., Results: Cognitive performances concerning Attention/vigilance, verbal working memory and verbal learning memory and reasoning/problem solving improved significantly in the remediation condition when no difference was reported in the control condition between the 2 assessments. However, there were no significant benefits of cognitive remediation on non-verbal working memory and learning and speed of processing or functional outcome measures., Conclusions: Cognitive remediation for people with schizophrenia was effective in improving performance, but the benefits of training did not generalize to functional outcome measures. Long term follow-up studies are needed to confirm the maintenance of such improvements., (Copyright © 2010 Elsevier B.V. All rights reserved.)

This article presents an overview of the human exposures reported to the ten French poison control centres in 2006 for the toxicological response to emergencies. The figures are extracted from the national database of poisonings and from the activity reports. In 2006,197 042 cases of human exposure have been completed and 130463 analyzed. The vast majority (82.5%) of poison exposures are unintentional. Thus, children from 1 to 4 years old are the most concerned (46.3%); pharmaceuticals (28%), followed by the household products (19.2%) are mostly involved. The intentional intoxications (14.1%) are mainly suicides (92.6%) and women are more concerned (62.4%). Pharmaceuticals (65.8%), especially paracetamol (9.8%), are most often involved. Fatal poisonings (138) are mostly intentional (65.4%) and are observed among people from 30 to 59 years old (53.8%). Ethanol (15.2%), carbon monoxide (14.5%) and fires smoke (5.8%) are the agents most frequently involved in fatal poisonings.

This paper investigates the socio-political implications of sceptical metaphors in French discourse about the climate crisis. Existing literature has demonstrated the prevalence of religion metaphors in English sceptical discourse. Yet, in France, religious references in language use are limited as such references have been considered "anti-revolutionary" since the storming of the Bastille, in 1789. I thus ask to what extent sceptical metaphors in French climate crisis discourse differ from English sceptical metaphors. To this aim, I conduct a corpus-based study relying on texts published in the extreme-right wing French newspaper "Valeurs Actuelles". The metaphors identified in this corpus are analysed so as to uncover the mini-narratives related to sceptical metaphor scenarios. Consistent with existing literature, the analysis establishes the prevalence of the religion scenario. However, the research highlights significant argumentative exploitations: metaphor users define the source concept according to cultural viewpoints on religion and ideological understanding of the religious lexicon. I demonstrate that religion metaphors prevail because associated source concepts (environmentalism as islam) are not conceived as being part of the domain of religion, according to these (extreme-right-wing) discourse producers. [ABSTRACT FROM AUTHOR]

Diseases caused by arboviruses are on the increase worldwide. In addition to arthropod bites, most arboviruses can be transmitted via accessory routes. Products of human origin (labile blood products, solid organs, hematopoietic stem cells, tissues) present a risk of contamination for the recipient if the donation is made when the donor is viremic. Mainland France and its overseas territories are exposed to a complex array of imported and endemic arboviruses, which differ according to their respective location. This narrative review describes the risks of acquiring certain arboviral diseases from human products, mainly solid organs and hematopoietic stem cells, in the French context. The main risks considered in this study are infections by West Nile virus, dengue virus, and tick-borne encephalitis virus. The ancillary risks represented by Usutu virus infection, chikungunya, and Zika are also addressed more briefly. For each disease, the guidelines issued by the French High Council of Public Health, which is responsible for mitigating the risks associated with products of human origin and for supporting public health policy decisions, are briefly outlined. This review highlights the need for a "One Health" approach and to standardize recommendations at the international level in areas with the same viral epidemiology. [ABSTRACT FROM AUTHOR]

Various theoretical studies have shown that highly diluted plutonium solutions could have a positive temperature effect, but up to now, no experimental program has confirmed this effect. The French Plutonium Temperature Effect Experimental Program (or PU+ in short) aims to effectively show that such a positive temperature effect exists for diluted plutonium solutions. The PU+ experiments were conducted in the "Apparatus B" facility at the CEA VALDUC research center in France. It involved several sub-critical approach-type experiments using plutonium nitrate solutions with concentrations of 14.3, 15, and 20 g/L at temperatures ranging from 20 to 40 °C. Fourteen (five at 20 g/L, four at 15 g/L, and five at 14.3 g/L) phase I experiments (consisting of independent sub-critical approaches) were performed between 2006 and 2007. The impact of the uncertainties on solution acidity and plutonium concentration made it difficult to demonstrate the positive temperature effect, requiring an additional phase II experiment (with a unique plutonium solution) from 22 to 28 °C that was performed in July 2007. This phase II experiment has shown the existence of a positive temperature effect of ~+5.17 pcm/°C (from 22 to 28 °C for a plutonium concentration of 14.3 g/L). It has recently been possible to confirm the results of this program with MORET 5 calculations by generating thermal scattering data S(α,β) at the correct experimental temperatures. This paper finally presents a fully documented experimental program highlighting the Plutonium Temperature Effect theoretically described in the literature. Its high level of precision and its "one-step" approach to criticality allowed it to show a significant positive temperature effect for a rather small variation of temperature (+6 °C). The order of magnitude of the effect was confirmed with Monte Carlo calculations using thermal scattering data for hydrogen in the solution produced by IRSN for the purpose of the comparison. [ABSTRACT FROM AUTHOR]

West Nile virus (WNV) and Usutu virus (USUV) are two arthropod-borne viruses that circulate in mainland France. Assessing vector competence has only been conducted so far with mosquitoes from southern France while an increasingly active circulation of WNV and USUV has been reported in the last years. The main vectors are mosquitoes of the Culex genus and the common mosquito Culex pipiens. Here, we measure the vector competence of five mosquito species (Aedes rusticus, Aedes albopictus, Anopheles plumbeus, Culex pipiens and Culiseta longiareolata) present in northeastern France. Field-collected populations were exposed to artificial infectious blood meal containing WNV or USUV and examined at different days post-infection. We show that (i) Cx. pipiens transmitted WNV and USUV, (ii) Ae. rusticus only WNV, and (iii) unexpectedly, Ae. albopictus transmitted both WNV and USUV. Less surprising, An. plumbeus was not competent for both viruses. Combined with data on distribution and population dynamics, these assessments of vector competence will help in developing a risk map and implementing appropriate prevention and control measures. Author summary: West Nile virus (WNV) and Usutu virus (USUV) are on the rise in Europe and in France. WNV is reported in France as early as the 1960s in the Camargue and USUV more recently, in 2015 in eastern France. The re-emergence of WNV infections in the Camargue is associated with an expansion towards the North which is also favorable to maintain a viral transmission cycle. USUV frequently co-circulates with WNV sharing the same mosquito vectors. Culex pipiens, able to feed on birds and humans, is considered to be the main vector in France. Our study is the first to investigate the vector competence to WNV and USUV of five different mosquito species collected in northeastern France. We ascertain that French Cx. pipiens mosquitoes are competent to both WNV and USUV. More surprisingly, the mosquito Aedes albopictus from northeastern France was able to transmit WNV and USUV. Based on our result, we propose that surveillance of mosquitoes combined with viral detections must be implemented in northeastern France to allow early viral detection and timely intervention to prevent outbreaks of these two neurological diseases. [ABSTRACT FROM AUTHOR]

Simple Summary: Mosquitoes are responsible for causing various disturbances, such as nuisance, allergies, and acting as the vectors of deadly diseases for humans and animals. To combat this confirmed vector, various strategies are implemented. One such strategy is the use of the Qista trap (also known as the Borne-Anti-Moustique: BAM), which employs a CO2 and lure emitting mechanism to bait mosquitoes. In this study, six BAMs were deployed to assess their effectiveness in reducing the nuisance rate caused by mosquitoes. The traps were able to capture 84,461 mosquitoes from eleven different species over a period of six months. The average capture rate per trap was 76.92 mosquitoes per day. The survey indicated a significant reduction in nuisance rates in the protected area compared to the control area. The Qista BAM trap appears to be a promising tool for mosquito control and to update the biodiversity of mosquito seeking species in the south of France. Nuisance, allergy, and vector role: mosquitoes are responsible for numerous inconveniences. Several strategies have been employed to fight against this confirmed vector. To record the diversity of mosquito vectors in Camargue (France) and assess the effectiveness of the Qista trap, six BAMs were deployed as a belt barrier to protect the Espeyran Castle (Saint-Gilles, Camargue). Prior to evaluating the reduction in the nuisance rate, recovery nets from the traps and human landing catches (HLC) were utilized twice a week in the treated and control areas. Overall, 85,600 mosquitoes were captured, belonging to eleven species, namely Aedes albopictus, Aedes caspius, Aedes detritus, Aedes dorsalis, Aedes rossicus, Aedes vexans, Anopheles maculipennis, Culex pipiens, Culex modestus, Culiseta annulata and Culiseta longiareolata. The six BAM devices trapped 84,461 mosquitoes. The average capture rate per BAM is 76.92 mosquitoes per day. The rate of nuisance has decreased from 4.33 ± 2.88 before the deployment to 1.59 ± 2.77 after BAM implantation. The Qista BAM trap seems to be an excellent tool for reducing the nuisance rate and may help researchers to optimize trapping methods by obtaining more significant sample sizes. It may also allow the updating of the host-seeking mosquito species' reported biodiversity in the south of France. [ABSTRACT FROM AUTHOR]

Public policies such as feed-in tariffs have been widely introduced to stimulate the development of renewable energies, and sustain a decarbonisation of the electricity sector. Proponents argue that these governance instruments safeguard public goods such as the climate – yet they are accused of creating political markets, and political prices, here understood as market distortion. This paper studies the ‘politics’ of pricing by following the adoption of the first feed-in tariff in France. Pricing as a way of achieving non-economic ends, such as climate mitigation, brings the values of several public goods into play, all the while prompting a translation of these values into a single price. Following the struggles over the pricing of wind power in the early 2000s, the study illustrates that rather than a pollution of the market sphere by that of politics, a politics of pricing can be observed in four distinct struggles: namely the framing of the public interest; valuation as the articulation of the future; the possible agencies of governance; and role of valuation methods and calculations. [ABSTRACT FROM PUBLISHER]

Phytomanagement is a concept fit for a bio-based circular economy that combines phytotechnologies and biomass production for non-food purposes. Here, ten annual and perennial industrial non-food crops (Sorghum Biomass 133, Sorghum Santa Fe red, Linum usitatissimum L., Eucalyptus sp., Salix Inger, Salix Tordis, Beta vulgaris L., Phacelia tanacetifolia Benth., Malva sylvestris L., and Chenopodium album L.) were studied under field conditions for phytomanaging a metal (Cd, Cu, Pb, and Zn)-contaminated dredged sediment in the North of France. The crops were selected according to their relevance to pedoclimatic and future climatic conditions, and one or more non-food end-products were proposed for each plant part collected, such as biogas, bioethanol, compost, natural dye, ecocatalyst, and fiber. Based on the soil–plant transfer of metals, eight out of the crops cultivated on field plots exhibited an excluder behavior (bioconcentration factor, BCF < 1), a trait suitable for phytostabilization. However, these crops did not change the metal mobilities in the dredged sediment. The BCF < 1 was not sufficient to characterize the excluder behavior of crops as this factor depended on the total dredged-sediment contaminant. Therefore, a BCF group ranking method was proposed accounting for metal phytotoxicity levels or yield decrease as a complemental way to discuss the crop behavior. The feasibility of the biomass-processing chains was discussed based on these results and according to a survey of available legislation in standard and scientific literature. [ABSTRACT FROM AUTHOR]

Every year, the world faces vector-borne diseases including arboviral (arthropod-borne viral) diseases caused by several, possibly fatal flaviviruses. The way they spread is related to a complex episystem involving several elements including vector abundance, animal carriers, and the flavivirus itself, which makes the disease difficult to manage. Here, we serologically screened 556 animals (358 dogs and 198 horses) using ELISA and a serum neutralisation test (SNT) for the anti-IgG antibodies directed against the West Nile (WNV) and Usutu (USUV) viruses. The animals investigated were split into two groups according to their exposure to the risk linked to the abundance of mosquitoes and migratory birds as well as the geographical distribution of arbovirus cases (458 animals from areas exposed to risk and 98 not exposed to risk). Overall, 25/310 dogs (8.1%) and 2/148 horses (1.3%) tested positive for SNT WNV and/or USUV in geographically exposed areas. Animals in unexposed areas were all negative. The geographical distribution of WNV seroprevalence in dogs was the same as the distribution of reported autochthonous human cases. Interestingly, a non-negligible seroprevalence caused by an as yet unidentified flavivirus other than WNV, USUV, or tick-borne encephalitis virus (TBEV) was detected in 18.6% (28/150) and 3.7% (4/106) of the investigated dogs and horses from the Hérault department, in the southeast of France, respectively. These data highlight the role of outdoor dogs as suitable sentinels for the evidence of WNV and USUV circulation in each area. In addition, the serological detection of an as yet unidentified flavivirus circulating in the Hérault department deserves greater attention, as this may constitute a serious threat to public and animal health. [ABSTRACT FROM AUTHOR]

In the fifty years since the introduction of the Pacific oyster Crassostrea gigas and the first reports of the parasites Marteilia refringens and Bonamia ostreae in European waters, numerous research projects dedicated to the native European flat oyster Ostrea edulis have been conducted, notably in France. Most of these projects have been dedicated to developing controlled reproduction and hatchery technology for seed production, examining pathological aspects to understand and control diseases, and using genetics to develop resistant lines. While the long-term objective of most studies has been to revive the aquaculture production of O. edulis, a smaller number have addressed the ecology of local remnant beds and reefs in France. This article provides an overview of the major outcomes of all these projects, focusing on results obtained in France and prospects for future work there, taking into account the rising interest in increasing aquaculture production and ecological motivation to restore declining populations as part of the framework of the Native Oyster Restoration Alliance (NORA) and in line with UN Decade for Ecosystem Restoration. [ABSTRACT FROM AUTHOR]

Copyright of Parasite (1252607X) is the property of EDP Sciences and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Simple Summary: While information about sociodemographic characteristics of Hodgkin lymphoma (HL) and their influence on outcomes remains elusive, the objective of this present study was to decipher the potential impact of social disparities on the disease features at diagnosis and to analyze how sociodemographic patient characteristics could impact HL outcomes. These findings suggest that some patient sociodemographic characteristics might impact access to medical care leading to a higher frequency of unfavorable presentations. Introduction: Whereas numerous studies on several cancers describe the link between social conditions and disease severity, little is known about the social and demographic characteristics of Hodgkin lymphoma (HL) patients. At diagnosis, 10–15% of the patients in the advanced stages have a well-known poor outcome owing to their chemoresistance, but the determinants of the more advanced stages remain elusive. The objective of the present study was to decipher the potential impact of social disparities on the disease features at diagnosis and analyze how the sociodemographic patient features could impact the HL outcome of patients with advanced-stage HL enrolled in the AHL2011 trial. Methods: This ancillary study was conducted on a cohort of patients from French centers that had recruited more than five patients in the phase III AHL2011 study (NCT0135874). Patients had to be alive at the time of the ancillary study and had to have given their consent to answer the questionnaire. Pre-treatment data (age, gender, stage, B symptoms, IPS), the treatment received, the responses to PET-CT, and the presence of serious adverse events (serious adverse events—SAEs) were all extracted from the AHL2011 trial database. Sociodemographic data—marital status, living area, level of education, socio-professional category, and professional situation—were extracted from the questionnaires. The population density at the point of diagnosis was determined based on ZIP Code, and the distance from the reference medical center was then calculated by the road network. Baseline PET acquisition was performed before any treatment. PET images at baseline were centrally reviewed. The total metabolic tumor volume (TMTV) at the baseline was calculated using a 41% SUVmax cutoff for each lesion. Progression-free survival was defined as the time from randomization to the first progression, relapse, or death from any cause or the last follow-up. The data cutoff for the analyses presented here was 31 October 2017. The progression-free survival was analyzed on an intention-to-treat basis. Results: Among the 823 patients enrolled in the AHL2011 study, the questionnaire was sent to 394 patients, of whom 232 (58.9%) responded. At the time of HL diagnosis, 61.9% (N = 143) of patients declared that they were not socially isolated, 38.1% (N = 88) that they were single, 163 (71.2%) had a professional activity, and 66 (28.8%) were inactive owing to unemployment, retirement, or sick leave. Of the patients, 31.1% (N = 71) lived in a rural region, compared to 68.9% (N = 157) that lived in an urban region. The residence ZIP Code at the time of HL diagnosis was available for 163 (70%). Sociodemographic characteristics did not influence the presence of usual prognostic factors (ECOG, B symptoms, bulky mass, IPS) except for professional activity, which was associated with more frequent low IPS (0–2) (79 (48.5%) active versus 20 (30.3%) inactive patients; p = 0.012). Likewise, no correlation was observed between TMTV and sociodemographic characteristics. However, the TMTV quartile distribution was different according to the living area, with the two upper quartiles being enriched with patients living in a rural area (p = 0.008). Moreover, a negative correlation between the average number of the living area's inhabitants and TMTV (R Pearson = −0.29, p = 0.0004) was observed. Conclusion: This study focused on sociodemographic parameters in advanced-stage HL patients and shows that professional activity is associated with more favorable disease features (low IPS), while patients living in rural or low-populated areas are more likely to have an unfavorable HL presentation with a high tumor burden (high TMTV). These data suggest that some patient sociodemographic characteristics might impact either access to medical care or environmental exposure, leading to a higher frequency of unfavorable presentations. Further prospective sociodemographic studies are necessary to confirm these preliminary results. [ABSTRACT FROM AUTHOR]

Background: Epithelial ingrowth is a rare complication after ocular perforation and can become manifest many years after the primary trauma. Case presentation: A 49-year-old patient presented with a positive Seidel test of unclear origin at her left eye, as well as a sharply defined anterior-stromal corneal scar at both eyes. Prior operations included a bilateral laser-assisted blepharoplasty 3 months earlier. The patient indicated to have been on holiday to France 5 months earlier, during an ongoing oak processionary moth caterpillars infestation. The examination using confocal microscopy confirmed a corneal perforation at the left eye and revealed corneal epithelial ingrowth capped with scarred stroma in both eyes. We performed a penetrating keratoplasty at the left eye. The scarred and perforated host cornea was divided into 4 pieces for further investigation: microbiology (negative), virology (negative), histology and transmission electron microscopy (TEM). Histology revealed differently structured epithelium, centrally inverted into the stroma through defects in Bowman's layer. TEM revealed full thickness corneal perforation with an epithelial plug extending to the lower third of the cornea, but without evidence of epithelial cell migration into the anterior chamber. Our differential diagnosis of the unclear positive Seidel test with epithelial ingrowth was as follows: (1) corneal perforation by hairs of the oak processionary moth caterpillar, although no hairs could be found histologically; (2) corneal perforation during laser-assisted blepharoplasty, which may be supported by the presence of pigmented cells on the posterior surface of Descemet´s membrane, pointing to a possible iris injury. Conclusion: Consequently, we highlighted that contact lenses can be useful, safe and inexpensive protective devices in upper eyelid procedures to protect the cornea against mechanical iatrogenic trauma. [ABSTRACT FROM AUTHOR]

Background: Parents are crucial in establishing their children's eating habits, and doctors and health/childcare professionals (HCCPs) can provide meaningful and trusted guidance on feeding, especially in the 0-3-year-old period. With the upcoming release of the official brochure containing the new child feeding recommendations in France, this study aims to: (1) assess professionals' practices and perceptions regarding their communication with parents on child feeding and (2) evaluate their perception of the draft of the new brochure. Methods: A 15-page draft brochure (without pictures) containing updated child feeding recommendations for children 0–3 years old was developed by Santé publique France (the French public health agency). Online semi-structured interviews were conducted with professionals (n = 21), including 13 pediatricians and general practitioners (doctors) and eight healthcare or childcare professionals (HCCPs) two weeks after they were provided with this draft brochure to read. The interview guide was developed and piloted with other professionals (n = 3) prior to these interviews. Interview data were transcribed verbatim and analyzed thematically using an inductive approach. Results: While doctors and HCCPs mostly communicate orally with parents, both acknowledged that the brochure might be a helpful supplement, especially for HCCPs to legitimize their advice to parents. For doctors, giving the brochure to parents may help provide systematic advice and save time during consultations. Professionals serving parents of lower socioeconomic status would prefer a supplement with less text and more illustrations. In general, the messages were perceived to be easily understandable but providing detachable cards to distribute according to the child's age would facilitate information dissemination and might be more useful to parents. Professionals reported that lack of training, the circulation of contradictory information, and language barriers were common challenges. Conclusion: French professionals welcomed the new official brochure as a means to spread updated child feeding recommendations. However, this brochure could be modified and specific tools developed to better adapt to professionals' needs of communication with parents and to facilitate the relay of information. Providing updated and consistent information to parents should be considered a priority for public health stakeholders toward increased adherence to new recommendations. [ABSTRACT FROM AUTHOR]

The article explores changes in costing practices over forty decades from 1820 to 1880 in France. Its main purpose is to contribute to the dynamic history of changes in cost accounting methods. This dynamic is contained within a broad view of how costing methods have evolved. In industry, the methods became more complex in order to achieve greater precision, as in the agricultural sector, except that in the latter case, criticism of too much complexity started to arise. In the field of railway transport, accounting advances were made with a view to complying with legal obligations. As for the sophisticated models devised by the engineers during this period, they were not applied until a century later. Instead, rather simple methods prevailed: the equivalence methods. Costing methods wavered between a search for precision at the price of increased complexity, and a search for simplification to the detriment of precision, but not to the point where we could call this a cyclical phenomenon. [ABSTRACT FROM AUTHOR]

Cropping system design is being transformed through the twofold evolution of agricultural practices for an agroecological transition, and of equipment diversification for agrotechnical needs. Among the most well-known drivers there are genetic selection, crop diversification, protein and energy autonomy. Protein and energy autonomy but also crop diversification could be achieved by reintroducing pulses into farming systems. The availability of specific equipment might be the simplest prerequisite for developing agroecological farming practices while supporting these goals. However, the links between pulses and agri-equipment are not clarified in the literature. The aim of this study is to understand recent historical and current links between pulses and equipment and to gain insight into the suitability or even to find shortcomings concerning pulses and available agri-equipment. To this end, 21 key informants were identified in the agronomical, sociotechnical, economic, and political sectors in France. We asked them four questions: (i) Can you describe your professional functions? (ii) Do you think that equipment is related to the design of the culture system? (iii) Do you think that pulses require specific equipment? (iv) How do you define agroecology? Respondents' profiles are equally distributed into profiles directly related to the farmer and profiles not directly related to farmers. All 21 respondents answered questions (ii) and (iv). Only 14 respondents answered question (iii), and most of them are directly related to the farmer. We note that pulses do not require specific agri-equipment in a conventional system. The need for agri-equipment is found in the soil conservation approach where pulses are combined with other crops. Soil conservation approaches appear to achieve agroecological goals through the reintroduction of legumes and the decarbonization of energy associated with reduced mechanical costs and CO2 emissions. This article presents expert opinions on the impact of equipment in the adaptation of agroecological practices as well as insights into the existing blockages of equipment in relation to soil conservation practices. [ABSTRACT FROM AUTHOR]

Background: Percutaneous closure of paravalvular leak (PVL) has emerged as an alternative to surgical management in selected cases. Achieving complete PVL occlusion, while respecting prosthesis function remains challenging. A multimodal imaging analysis of PVL morphology before and during the procedure is mandatory to select an appropriate device. We aim to explore the additional value of 3D printing in predicting device related adverse events including mechanical valve leaflet blockade, risk of device embolization and residual shunting. Methods: From the FFPP registries (NCT05089136 and NCT05117359), we included 11 transcatheter PVL closure procedures from three centers for which 3D printed models were produced. Cardiac CT was used for segmentation for 3D printed models (3D-heartmodeling, Caissargues, France). Technology used a laser to fuse very fine powders (TPU Thermoplastic polyurethane) into a final part-laser sintering technology (SLS) with an adapted elasticity. A simulation on 3D printed model was performed using a set of occluders. Results: PVLs were located around aortic prostheses in six cases, mitral prostheses in four cases and tricuspid ring in one case. The device chosen during the simulation on the 3D printed model matched the one implanted in eight cases. In the three other cases, a similar device type was chosen during the procedures but with a different size. A risk of prosthesis leaflet blockade was identified on 3D printed models in four cases. During the procedure, the occluder was removed before release in one case. In another case the device was successfully repositioned and released. In two patients, leaflet impingement was observed post-operatively and surgical device removal had to be performed. Conclusion: In a case-series of complex transcatheter PVL closure procedures, hands-on simulation testing on 3D printed models proved its usefulness to plan and facilitate these challenging procedures. [ABSTRACT FROM AUTHOR]

Copyright of French Cultural Studies is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The New Caledonian crow (Corvus moneduloides) is known for displaying a unique set of tool-related behaviours, with the bird's bill acting as an individually consistently lateralized effector. However, we still fail to understand how such laterality develops, is modulated or even if its expression is consistent across other behavioural categories. Creating the first ethogram for this species allowed us to examine laterality and vocalisations in a population of wild, free-flying New Caledonian crows using detailed analyses of close-up video footage. We revealed the existence of an overall strong left-sided bias during object manipulation only and which was driven by the adult crows of our focal population, the stabilization of individual preferences occurring during the birds' juvenile years. Individually, at least one crow showed consistent side biases to the right and left within different behavioural categories. Our findings highlight previously unknown variability in behavioural laterality in this species, thus advocating for further investigation. Specifically, we argue that a better understanding of the New Caledonian crow's biology and ecology is required if one wishes to pursue the promising comparative road that laterality could be connected to the evolution of tool-making. [ABSTRACT FROM AUTHOR]

Introduction: Due to changes in esophageal position, preoperative assessment of the esophageal location may not mitigate the risk of esophageal injury in catheter ablation for atrial fibrillation (AF). This study aimed to assess esophageal motion and its impact on AF ablation strategies. Methods and Results: Ninety‐seven AF patients underwent two computed tomography (CT) scans. The area at risk of esophageal injury (AAR) was defined as the left atrial surface ≤3 mm from the esophagus. On CT1, ablation lines were drawn blinded to the esophageal location to create three ablation sets: individual pulmonary vein isolation (PVI), wide antral circumferential ablation (WACA), and WACA with linear ablation (WACA + L). Thereafter, ablation lines for WACA and WACA + L were personalized to avoid the AAR. Rigid registration was performed to align CT1 onto CT2, and the relationship between ablation lines and the AAR on CT2 was analyzed. The esophagus moved by 3.6 [2.7 to 5.5] mm. The AAR on CT2 was 8.6 ± 3.3 cm2, with 77% overlapping that on CT1. High body mass index was associated with the AAR mismatch (standardized β 0.382, p <.001). Without personalization, AARs on ablation lines for individual PVI, WACA, and WACA + L were 0 [0–0.4], 0.8 [0.5–1.2], and 1.7 [1.2–2.0] cm2. Despite the esophageal position change, the personalization of ablation lines for WACA and WACA + L reduced the AAR on lines to 0 [0–0.5] and 0.7 [0.3–1.0] cm2 (p <.001 for both). Conclusion: The personalization of ablation lines based on a preoperative CT reduced ablation to the AAR despite changes in esophageal position. [ABSTRACT FROM AUTHOR]

Background: There are few data concerning the neonatal and long-term prognosis of monochorionic biamniotic twin pregnancies (MCBA) complicated by selective intrauterine growth restriction (sIUGR). The aim of the study is to assess the neurological outcomes at two years of age of these newborns and compares these outcomes to those of newborns resulting from intrauterine growth restriction (IUGR) pregnancies. Methods: The study focuses on a cross-sectional prospective cohort of patients treated between 2012 and 2019 in Marseille, France. The primary endpoint is the overall score of the Ages and Stages questionnaires (ASQ) at two years, which assesses the global neurodevelopment. The secondary endpoint is the assessment of neonatal morbi-mortality for both groups (composite endpoint). Results: In total, 251 patients were included in the analysis: 67 in the sIUGR group and 184 in the IUGR group. There was no statistically significant difference in the overall ASQ score at two years but there was the finest motor skills impairment in the IUGR group. The areas most often impaired were communication and fine motor skills. There were no significant differences between the neonatal morbi-mortality of the two groups (adjusted OR = 0.95, p = 0.9). Conclusions: Newborns from MCBA pregnancies with sIUGR appear to have similar overall neurological development to IUGR. Notably, IUGR seems to have the most moderate neurobehavioral disorder (fine motor) as a consequence of impaired antenatal brain development due to placenta insufficiency leading to chronic hypoxia. [ABSTRACT FROM AUTHOR]

Objective: Evaluation of relevance and feasibility of universal newborn congenital cytomegalovirus infection (cCMVI) screening in saliva.Design: Retrospective, population-based cohort study.Setting: Clamart, France, 2016-2020.Population: All neonates born consecutively in our level III maternity unit.Methods: CMV PCR in saliva for all neonates at birth, and, if positive, CMV PCR in urine to confirm or exclude cCMVI. Prospective and retrospective characterisation of maternal infections. ROC curve analysis to assess saliva PCR performances. Acceptability of screening among staff members evaluated by a survey.Main Outcome Measures: Number of cCMVI neonates; number of expected and unexpected cCMVI.Results: Among 15 341 tested neonates, 63 had cCMVI (birth prevalence of 0.4%, 95% CI 0.3-0.5). In 50% of cases, maternal infection was a non-primary infection (NPI) during pregnancy. cCMVI was expected or suspected (maternal primary infection [PI], antenatal or neonatal signs) in 24/63 neonates (38%), and unexpected in 39/63 neonates (62%). The best CMV saliva threshold to predict cCMVI was 356 (2.55 log) copies/ml [95% CI 2.52 log-3.18 log], with an area under the ROC curve of 0.97. Over 90% of the 72 surveyed staff members reported that the screening was easy and quick. No parent refused the screening.Conclusions: Universal screening for cCMVI with CMV PCR on saliva samples is feasible and highly acceptable to parents and healthcare providers. Over half (62%) of the cases had no prenatal/neonatal signs of cCMVI or a maternal history of CMV infection during pregnancy and would probably not have been diagnosed without universal screening.Tweetable Abstract: In 62% of congenital cytomegalovirus infection cases, only universal neonatal screening in saliva can detect infection. [ABSTRACT FROM AUTHOR]

In the context of global change, the aim of this study was to investigate the effects of temperature on the survival rate and various variables (development time, morphometric measures, energy values) for both embryos and post-hatch stages until first food intake of northern pike (Esox lucius). We applied five constant temperatures (8, 10, 12, 14 and 16 °C) and their effects were analyzed during the entire endogenous feeding period at three stages: hatching, emergence and first food intake. Around 80,000 eggs from five females and five males were used. As expected, the development time was three times longer at 8 than at 16 °C. The survival rate of well-formed post-hatch stages at the end of the endogenous feeding period was similar between temperatures: 76% (10 °C), 73% (12 °C), 72% (14 °C), 72% (16 °C), except at 8 °C (70%). Also at 16 °C, post-hatch stages were larger and had the highest energy value when starting feeding exogenously. These results are in accordance with current models that predict an increase of the distribution area of northern pike in France in coming decades associated with climate change projections (1 to 5 °C increase by 2100 for France). [ABSTRACT FROM AUTHOR]

Noncombustible air fresheners are indoor air emission sources of concern. The associated health risks should be better understood. Based on 15 products (4 sprays, 6 passive diffusers, and 5 active diffusers), the health risk assessment (HRA) approach was applied to a national use survey in France and to concentrations measured in an experimental house. The targeted substances included volatile organic compounds (VOCs), carbonyls, and fine particles (PM2.5). Mean‐use and reasonable worst‐case generic scenarios were designed. No situation of concern occurred regarding chronic exposure associated with the mean use. Under the reasonable worst‐case scenarios, the chronic risk could exceed selected health reference standards, mainly for acrolein (average inhaled concentration (AIC) up to 3.5 µg/m3), benzene (AIC up to 4 µg/m3), and limonene (AIC up to 8 mg/m3). The acute exposure, defined as a 1‐h exposure, could exceed selected health standards, primarily for acrolein (up to 23 µg/m3) and formaldehyde (up to approximately 370 µg/m3). Furthermore, the 1‐h average PM2.5 concentration, including ultrafine particles, could exceed 100 µg/m3, typically for sprays. These results suggest that the highest exposures should be reduced and, as such, that the emissions of the highest‐emissivity products should be lowered. [ABSTRACT FROM AUTHOR]

Background and gaps. The topic of indoor air quality (IAQ) in low-energy buildings has received increasing interest over the past few years. Often based on two measurement points and on passive measurements over one week, IAQ studies are struggling to allow the calculation of pollutants exposure. Objectives. We would like to improve the evaluation of the health impacts, through measurements able to estimate the exposure of the occupants. Methodology. This article presents detailed IAQ measurements taken in an energy-efficient occupied house in France. Two campaigns were conducted in winter and spring. Total volatile organic compounds (TVOC), formaldehyde, the particle numbers and PM2.5, carbon dioxide (CO2), relative humidity (RH), temperature (T), ventilation airflows, and weather conditions were dynamically measured in several points. Laboratory and low-cost devices were used, and an inter-comparison was carried out for them. A survey was conducted to record all the daily activities of the inhabitants. IAQ performance indicators based on the different pollutants were calculated. Results. PM2.5 cumulative exposure did not exceed the threshold available in the literature. Formaldehyde concentrations were high, in the kitchen, where the average concentrations exceeded the threshold. However, the formaldehyde cumulative exposure of the occupants did not exceed the threshold. TVOC concentrations were found to reach the threshold. With these measurements performed with high spatial and temporal discretization, we showed that such detailed data allow for a better-quality health impacts assessment and for a better understanding of the transport of pollutants between rooms. [ABSTRACT FROM AUTHOR]

Background: In France, the lifting of the lockdown implemented to control the COVID-19 first wave in 2020 was followed by a reinforced contact-tracing (CT) strategy for the early detection of cases and transmission chains. We developed a reporting system of clusters defined as at least three COVID-19 cases, within seven days and belonging to the same community or having participated in the same gathering, whether they know each other or not. The aim of this study was to describe the typology and criticality of clusters reported between the two lockdowns in France to guide future action prioritisation.Methods: In this study we describe the typology and criticality of COVID-19 clusters between the two lockdowns implemented in France (between May and end of October 2020). Clusters were registered in a national database named "MONIC" (MONItoring des Clusters), established in May 2020. This surveillance system identified the most affected communities in a timely manner. A level of criticality was defined for each cluster to take into consideration the risk of spreading within and outside the community of occurrence, and the health impact within the community. We compared the level of criticality according to the type of community in which the cluster occurred using Pearson's chi-square tests.Results: A total of 7236 clusters were reported over the study period, particularly in occupational environment (25.1%, n = 1813), elderly care structures (21.9%, n = 1586), and educational establishments (15.9%, n = 1154). We show a shift over time of the most affected communities in terms of number of clusters. Clusters reported in occupational environment and the personal sphere had increased during summer while clusters reported in educational environment increased after the start of the school year. This trend mirrors change of transmission pattern overtime according to social contacts. Among all reported clusters, 43.1% had a high level of criticality with significant differences between communities (p < 0.0001). A majority of clusters had a high level of criticality in elderly care structures (82.2%), in disability care centres (56.6%), and health care facilities (51.7%).Conclusion: These results highlight the importance of targeting public health action based on timely sustained investigations, testing capacity and targeted awareness campaigns. The emergence of new SARS-CoV-2 variants strengthen these public health recommendations and the need for rapid and prioritise vaccination campaigns. [ABSTRACT FROM AUTHOR]

Over the last few years, an increasing number of agricultural R&D actors have sought to discover and get to know farmers' practices that they consider as innovative, unconventional, or promising. We refer to these approaches, all of which aim to support the design of farming systems, as 'farmer innovation tracking'. There is still a lack of knowledge, however, about the specificities of the approaches adopted to track innovations and how they contribute to design processes. To explore these questions, we studied 14 initiatives in France led by actors from different R&D networks. We analysed the data collected using agronomy and design science concepts. Three outcomes emerge from this work. (1) We shed light on the common features of innovation tracking. We outline five stages that structure all the approaches: formulating an innovation tracking project, unearthing innovations, learning about them, analysing them, and generating agronomic content. (2) We characterize six contributions of farmer innovation tracking to design processes: giving rise to creative anomalies, shedding light on systemic mechanisms to fuel design processes on other farms, uncovering research questions, stimulating design in orphan fields of innovation, circulating innovation concepts, and connecting farmer-designers with each other. (3) Finally, we highlight three tracking strategies: the targeted tracking of proven practices, the targeted tracking of innovations under development, and the exploratory tracking of proven practices. This article is the first to propose a theorization of the farmer innovation tracking approaches, thus enriching the agronomic foundations supporting farming system design. The purpose of our paper is not to provide a turnkey method, but to highlight concepts, mechanisms, and points of reference for actors who might wish to develop farmer innovation tracking in different contexts in the future. By revealing their contributions to design processes, this article seeks to contribute to the institutionalization of innovation tracking. [ABSTRACT FROM AUTHOR]

Copyright of Materiali e Strutture is the property of Edizioni Quasar di Severino Tognon s.r.l. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The article focuses on France's political ecology movement. It provides information on the membership stagnation of French Green and its rivalry with Brice Lalonde, former Minister for the Environment and an ex-anti-nuclear activist. According to the author, Lalonde preferred to ecologize politics and has planned to organize an all-party ecologist organization. The organization is viewed by the French Greens as a government life-raft for the election of the parliament and has put up for the candidates in by-elections. Information on the annual general meetings and elections of French Greens is also provided.