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Purpose The service configuration with distinct child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) may be a barrier to continuity of care. Because of a lack of transition policy, CAMHS clinicians have to decide whether and when a young person should transition to AMHS. This study describes which characteristics are associated with the clinicians’ advice to continue treatment at AMHS. Methods Demographic, family, clinical, treatment, and service-use characteristics of the MILESTONE cohort of 763 young people from 39 CAMHS in Europe were assessed using multi-informant and standardized assessment tools. Logistic mixed models were fitted to assess the relationship between these characteristics and clinicians’ transition recommendations. Results Young people with higher clinician-rated severity of psychopathology scores, with self- and parent-reported need for ongoing treatment, with lower everyday functional skills and without self-reported psychotic experiences were more likely to be recommended to continue treatment. Among those who had been recommended to continue treatment, young people who used psychotropic medication, who had been in CAMHS for more than a year, and for whom appropriate AMHS were available were more likely to be recommended to continue treatment at AMHS. Young people whose parents indicated a need for ongoing treatment were more likely to be recommended to stay in CAMHS. Conclusion Although the decision regarding continuity of treatment was mostly determined by a small set of clinical characteristics, the recommendation to continue treatment at AMHS was mostly affected by service-use related characteristics, such as the availability of appropriate services.

Studies investigating motor learning in patients with multiple sclerosis (MS) disease highlighted that MS patients exhibit similar learning performance than healthy controls, but that learning can be hampered by the progression of MS eventually leading to impaired efficiency of subcortical-cortical networks. We aimed at investigating whether the long-term, overnight consolidation of sequential motor memories is preserved in MS disease. Thirty-one patients with MS and two healthy control groups (27 young and 14 middle age) were tested over two consecutive days using a serial reaction time task. Performance was tested (a) 20 min after the end of learning at Day 1 to monitor transient offline, short-term increase in motor and sequential performance and (b) after 24 h on Day 2 to quantify overnight delayed changes in performance reflecting memory consolidation. Besides a slower overall RT in patients with MS, motor performance similarly evolved in all groups. Sequence learning as assessed by interference effects was similar in patients with MS and both control groups on Day 1 (Learning and 20-min test). In contrast, while interference effects keep increasing on Day 2 after 24 h (Relearning) in healthy control groups, it reverted to levels reached at the end of learning for patients with MS. Long-term consolidation of sequential knowledge is impaired in patients with MS. At the motor level, learning and overnight consolidation abilities are preserved in MS disease.

PurposeThe presence of distinct child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) impacts continuity of mental health treatment for young people. However, we do not know the extent of discontinuity of care in Europe nor the effects of discontinuity on the mental health of young people. Current research is limited, as the majority of existing studies are retrospective, based on small samples or used non-standardised information from medical records. The MILESTONE prospective cohort study aims to examine associations between service use, mental health and other outcomes over 24 months, using information from self, parent and clinician reports.ParticipantsSeven hundred sixty-three young people from 39 CAMHS in 8 European countries, their parents and CAMHS clinicians who completed interviews and online questionnaires and were followed up for 2 years after reaching the upper age limit of the CAMHS they receive treatment at.Findings to dateThis cohort profile describes the baseline characteristics of the MILESTONE cohort. The mental health of young people reaching the upper age limit of their CAMHS varied greatly in type and severity: 32.8% of young people reported clinical levels of self-reported problems and 18.6% were rated to be ‘markedly ill’, ‘severely ill’ or ‘among the most extremely ill’ by their clinician. Fifty-seven per cent of young people reported psychotropic medication use in the previous half year.Future plansAnalysis of longitudinal data from the MILESTONE cohort will be used to assess relationships between the demographic and clinical characteristics of young people reaching the upper age limit of their CAMHS and the type of care the young person uses over the next 2 years, such as whether the young person transitions to AMHS. At 2 years follow-up, the mental health outcomes of young people following different care pathways will be compared.Trial registration numberNCT03013595., publishedVersion

Le lecteur est invité à une balade patrimoniale à la découverte d'ouvrages anciens et précieux couvrant les domaines de la médecine, de la pharmacie et des sciences biomédicales. Parmi ces trésors, on peut pointer une édition grecque de 1538 d'Hippocrate, un ouvrage d’exception en couleurs de 1549 de Dioscoride, deux atlas d’anatomie à feuillets mobiles, de très beaux ouvrages de botanique médicale, etc. Grâce à une iconographie variée et grâce aux commentaires rédigés pour la plupart par des membres de la Faculté de Médecine, le lecteur pourra notamment se rendre compte des progrès considérables qui ont été réalisés dans divers secteurs de la santé. Un beau livre richement illustré, pour toute personne désireuse de s’informer sur la médecine d’autrefois. Ce catalogue, complément à l’exposition Quand la médecine rencontre son patrimoine (18 novembre 2017 - 31 janvier 2018) est le fruit d’une collaboration entre la Bibliothèque Universitaire Moretus Plantin (BUMP) et la Faculté de Médecine de l’Université de Namur.

Guillaume Lamy (1644-1682) Explication mechanique et physique des fonctions de l’ame sensitive, ou des sens, des passions, et du mouvement volontaire où l’on a ajoûté une Description des organes des Sens. Discours sur la generation du laict. Dissertation contre la nouvelle opinion, qui prétend que tous les animaux sont engrendrez d’un oeuf. Réponse aux raisons par lesquelles le sieur Galatheau prétend établir l’empire de l’homme sur tout l’Univers A Paris : chez Lambert Roulland, 1681 SJZ.8.0...

Les images dites d'archives ont envahi notre culture visuelle, par le cinéma et la télévision, par la presse, la muséographie ou encore les manuels scolaires. Or, le devenir-archive de l'image photographique ou cinématographique ne va pas de soi. Si l'image n'a pas toujours été pensée et enregistrée à titre conservatoire, certaines logiques communicationnelles, telle la logique télévisuelle du direct, qui produit des documents éphémères, semblent contredire la vocation archivistique de l'image. L'idée originale de cet ouvrage est d'identifier les processus – stratégies, médiations, enjeux et objectifs – qui concourent à conférer à l'image ce statut d'archives. Qu'est-ce qui fait qu'une image devient document d'archives ? Qu'est-ce qui fait que certaines images échappent à cette qualification ? Interroger le potentiel archivistique de l'image implique dans un premier temps d'établir la généalogie du savoir sur la notion d'archives, en examinant les enjeux et débats qui ont traversé cette problématique contemporaine de la naissance de la photographie et du cinéma. Le devenir archive de l'image nécessite également de croiser les pratiques de la « prise », de l'archivage, et de la « reprise » (réemploi, citation, détournement…) au sein de champs à la fois complémentaires et distincts : photographie, cinéma, télévision, arts plastiques, marketing, historiographie, muséographie… L'analyse des différentes fonctions attribuées à l'image d'archives (monument, document, empreinte, trace, stock-shot…) permet, enfin, de préciser les contours du cadre définitoire de cette notion. L'ouvrage rassemble et articule ainsi des articles d'historiens, d'historiens de l'art, d'archivistes, de philosophes, d'esthètes, d'anthropologues, d'artistes et de chercheurs en études cinématographiques et en sciences de la communication. Deux entretiens inédits, menés avec des historiens spécialistes du sujet – Marc Ferro et Pierre Sorlin, Sylvie Lindeperg et Laurent Véray –, viennent clôturer l'ouvrage. Pour Annick, Elio, Carolina et Vadim.

Les images tournées en Belgique lors de la grève de l’hiver 1960-1961 constituent un cas d’étude intéressant pour qui veut s’interroger sur la valeur documentaire d’archives télévisuelles. L’objectif du présent article est de montrer comment il est possible, grâce aux documents d’époque, de redonner une épaisseur historique à ces images du passé et de leur conférer pleinement un statut d’archive. Au-delà de la notion générique d’« image d’archives » souvent utilisée dans des logiques de conse...

Particulate black carbon has a range of negative impacts on health, the environment and climate, however despite this there are relatively few long-term studies on its ambient distribution as a tropospheric air pollutant. In order to address this lack of data, to help to provide greater insight into the spatio-temporal distribution of particulate black carbon and to assess potential influencing factors, a new, permanent suburban monitoring network was established with sites in four northwest European cities: London (UK), Leicester (UK), Amsterdam (the Netherlands) and Antwerp (Belgium). We report here an analysis of the first measurements made by the network over a twenty-seven-month period (January 01, 2013–April 01, 2015), alongside data from pre-existing comparator urban roadside (AURN Marylebone Road, London, UK) and rural background (AURN Auchencorth Moss, Scotland) sites. The temporal evolution of black carbon was investigated at each site, as were associations with other commonly monitored pollutants (e.g. O3, NOx, PM2.5, PM10) and wind fields. Results showed clear anthropogenic signatures across the diurnal, weekly and annual timeframes, and positive correlations were obtained between black carbon measurements and other common traffic-related pollutants, highlighting the importance of vehicle emissions as a major contributor to ambient black carbon concentration in northwest Europe. Average black carbon concentrations varied from 6.6 μg m−3 at the urban roadside, to 0.2 μg m−3 in the rural background, with suburban and urban background sites having average concentrations in the range of 1.0–2.4 μg m−3. Wind field analysis further highlighted the importance of road traffic as a source of black carbon and demonstrated the importance of local emission sources at the various receptor locations. Statistical analysis of data between sites generally indicated a weak correlation (rs = −0.03 to 0.68, COD = 0.32–0.91), further highlighting the importance of local emissions in determining ambient black carbon concentration. It was also found that black carbon comprised a significant portion of total ambient particulate matter (PM), particularly at sites with the larger traffic volumes and during rush-hour (e.g. ~45% of PM2.5 at Marylebone Road), however, its contribution to total PM was found to decrease on days of high pollution, indicating the importance of other PM components when air quality is particularly poor.

Atmospheric particulate pollution is a significant problem across the EU and there is concern that there may be an increasing contribution from biomass burning, driven by rising fuel prices and an increased interest in the use of renewable energy sources. This study was carried out to assess current levels of biomass burning and the contribution to total PM10 across five sites in North-West Europe; an area which is frequently affected by poor air quality. Biomass burning was quantified by the determination of levoglucosan concentrations from PM10 aerosol filters collected over a 14 month period in 2013/2014 and continued for a further 12 months at the UK site in Leicester. Levoglucosan levels indicated a distinct period of increased biomass combustion between November and March. Within this period monthly average concentrations ranged between 23 +/- 9.7 and 283 +/- 163 ng/m(3), with Lille showing consistently higher levels than the sites in Belgium, the Netherlands and the UK. The estimated contribution to PM10 was, as expected, highest in the winter season where the season average percentage contribution was lowest in Wijk aan Zee at 2.7 +/- 1.4% and again highest in Lille at 11.6 +/- 3.8%, with a PM10 mass concentration from biomass that ranged from 0.56 mu g/m(3) in Leicester to 2.08 mu g/m(3) in Lille. Overall there was poor correlation between the levoglucosan concentrations measured at the different sites indicating that normally biomass burning would only affect atmospheric particulate pollution in the local area; however, there was evidence that extreme burning events such as the Easter fires traditionally held in parts of North-West Europe can have far wider ranging effects on air quality. Network validation measurements were also taken using a mobile monitoring station which visited the fixed sites to carry out concurrent collections of aerosol filters; the result of which demonstrated the reliability of both PM10 and levoglucosan measurements. (C) 2016 Elsevier Ltd. All rights reserved.

L'objectif de cet ouvrage sera de mettre au jour et en perspective les conditions de vie des patients pris en charge par les institutions psychiatriques belges pendant l'occupation de 1914-1918.00Derrière l'image consensuelle d?une petite Belgique unie dans l?adversité du premier conflit mondial, se dessinent des réalités bien complexes. Un des angles morts de ces années de guerre réside dans le sort des patients psychiatriques. Internés dans des grandes structures, tributaires des rations officielles, ceux-ci sont touchés par une surmortalité hors norme. Sans que cela n'émeuve grand monde? L?ouvrage est consacré à l'analyse de ce processus de fragilisation, encore très peu étudié. Des chapitres thématiques alternent avec l'évocation d'une certaine Élise qui a vécu ces événements de l?intérieur.