Pourquoi et Comment Adapter une Politique de Sécurité pour les Entités du CNRS.

Politique de Sécurité du Système d'InformationNational audienceAprès une brève présentation de la genèse et objectifs du groupe de travail CAPSEC " Comment Adapter une Politique pour les Entités du CNRS ", nous verrons pourquoi il est important qu'une entité définisse sa PSSI " Politique de Sécurité du Système d'Information ", quelles sont les différentes méthodes étudiées par le groupe CAPSEC et quelle démarche a été utilisées par ce groupe pour générer des documents aidant les entités du CNRS à définir leur PSSI

L'impact des politiques publiques sur les paysages fluviaux en milieu urbain. Quelques exemples dans le Sud-Ouest de la France

International audienceL'article traite des effets des différentes formes de politiques publiques - politiques d'urbanisme, politiques de fixation des lits et de défense contre les crues, politiques patrimoniales et d'embellissement - sur les paysages fluviaux urbains. La réflexion s'appuie sur quelques exemples de villes dans le Sud-Ouest de la France : Agen, Dax, Luchon, Toulouse et Perpigna

Exploring the Impact of Language Services on Utilization and Clinical Outcomes for Diabetics

Background: Significant health disparities exist between limited English proficient and English-proficient patients. Little is known about the impact of language services on chronic disease outcomes such as for diabetes. Methods/Principal Findings: To determine whether the amount and type of language services received during primary care visits had an impact on diabetes-related outcomes (hospitalization, emergency room utilization, glycemic control) in limited English proficient patients, a retrospective cohort design was utilized. Hospital and medical record data was examined for 1425 limited English proficient patients in the Cambridge Health Alliance diabetes registry. We categorized patients receiving usual care into 7 groups based on the amount and combination of language services (language concordant providers, formal interpretation and nothing) received at primary care visits during a 9 month period. Bivariate analyses and multiple logistic regression were used to determine relationships between language service categories and outcomes in the subsequent 6 months. Thirty-one percent of patients (445) had no documentation of interpreter use or seeing a language concordant provider in any visits. Patients who received 100% of their primary care visits with language concordant providers were least likely to have diabetes-related emergency department visits compared to other groups (p<0001) in the following 6 months. Patients with higher numbers of co-morbidities were more likely to receive formal interpretation. Conclusions/Significance: Language concordant providers may help reduce health care utilization for limited English proficient patients with diabetes. However, given the lack of such providers in sufficient numbers to meet patients' communication needs, strategies are needed to both increase their numbers and ensure that the highest risk patients receive the most appropriate language services. In addition, systems serving diverse populations must clarify why some limited English proficient patients do not receive language services at some or all of their visits and whether this has an impact on quality of care

All Are Immigrants

“I constantly migrate and among many places and always to and fro I do it alone, although many people act like me”— Agnes Heller Three years ago, I left my home country of Iran for many reasons. I wanted something new in my life: new challenges and new experiences. This move expanded my world. I was not satisfied in Iran and, the United States was always the place I dreamed about being; I had an American dream and I decided my dream should become true. I became an immigrant. As my world expanded, I lost my comfort and security. I began to realize that what I thought America would be was different than the reality I found... I lost all the things I had. I chose to lose. When I came here, I had hard days, but I did not give up, and my thesis exhibition, All Are Immigrants, narrates my story as an immigrant with a Persian perspective. My work uses the multimedia forms of video art, sound installation and photography as a collaged reflection of my nostalgia for the past, and my transition adjusting to this new culture. The works explore more than my disappointment of the reality being different from my dream but they also extend to my status of trying to fill a void in my everyday life as an American immigrant. I found myself with this huge metaphorical void in my body. I found this hole after my immigration, a lack of something. The image of the hole means many things to me, but it is mostly representative of the deep pain I encountered—pain from my previous life, memories and my Persian identity, transition time here and the disappointment of my American dream. My work is informed by artists such as Kim Sooja, Anna Diprospero, Alex Prager, Nooshin Rosatmi (Iranian-New York artist), and Gohar Dashti. I believe that everyone has holes in their lives and feelings of loneliness; we can all relate to this aspect of the immigrant experience. I invite my audience to see my life after immigration and empathize, as I struggle to bridge my constructed fantasy of American life with the reality I faced me. The exhibition’s goal is to change the culture towards immigrants here and dispel the illusions about my country spread in the media. Some of these questions are painful and cause anxiety. In Iran, the America media shows false dreams to us about the U.S., while people here think wrongly about Iran based on the news and media

Analisis Kesejahteraan Hewan di Lembang Park and Zoo sebagai Destinasi Pariwisata Berbasis Hewan

Penelitian ini bertujuan untuk menganalisis kesejahteraan hewan di Lembang Park and Zoo sebagai destinasi pariwisata berbasis hewan. Penelitian ini menggunakan metode kualitatif. Teknik pengumpulan data menggunakan observasi, wawancara, dan dokumentasi. Teknik analisis yang digunakan pada penelitian ini adalah triangulasi dan analisis SWOT. Hasil penelitian menunjukan bahwa tingkat kesejahteraan hewan di Lembang Park and Zoo sudah sangat baik, dimana Lembang Park and Zoo memenuhi mayoritas dari kelima aspek dari kesejahteraan hewan. Simpulan penelitian ini bahwa Lembang Park and Zoo memastikan keselamatan pengunjungnya dengan menyediakan makanan dan udara yang berkualitas, check-in rutin, dan berbagai fasilitas untuk perawatan hewan. Taman ini juga memiliki area yang luas untuk observasi hewan, dengan beberapa area masih dalam tahap pembangunan tetapi dapat diakses oleh pengunjung. Taman ini juga tidak memiliki mesin X-Ray, sehingga memerlukan kerja sama dengan otoritas lain untuk identifikasi hewan. Selain itu, taman ini menghadapi berbagai tantangan lingkungan, seperti perubahan iklim, yang dapat memengaruhi keselamatan pengunjung dan jumlah pengunjung yang datang ke taman. Kata Kunci: Aspek Lima Kebebasan, Kesejahteraan Hewan, Lembang Park and Zo

Gardner Syndrome: complications/manifestations in the oral cavity and their relationship with oral health

Gardner syndrome (GS) is a genetic disease, with autosomal dominant transmission, being a phenotypic variant of familial adenomatous polyposis (FAP). FAP is manifested by the development of numerous adenomas in the rectum during adolescence, and in most cases, if not identified and treated at an early stage, lead to colorectal cancer. This syndrome has several phenotypic characteristics and among them some changes in the oral cavity. Thus, the dentist has a preponderant role in the detection of lesions that may be present in the oral cavity in order to make possible an early diagnosis of the disease. Some manifestations of GS are observed at the dental level. Around 30 to 75% of GS patients present dental anomalies including dental agenesis, including teeth, delays in teeth eruption, dentigerous cysts, odontomas, supernumerary teeth, root fusion and hypercementosis. It is possible to see a significant difference in the presence of dental problems between patients with GS and the general population. In order to reduce morbidity and mortality, several types of surgery are used to eliminate the risk of colorectal cancer, preserving neighbouring anatomical functions.info:eu-repo/semantics/publishedVersio

Síndrome de Gardner: complicações/manifestações na cavidade oral e relação com a saúde oral

A síndrome de Gardner (SG) é uma doença genética, com transmissão autossómica dominante, sendo uma variante fenotípica da polipose adenomatosa familiar (PAF). A PAF manifesta-se pelo desenvolvimento de numerosos adenomas no reto durante a adolescência, podendo na maioria dos casos e se não forem identificados e tratados numa fase inicial, conduzir a cancro colorretal. Esta síndrome apresenta diversas características fenotípicas, entre elas algumas alterações ao nível da cavidade oral. Deste modo, o médico dentista tem um papel preponderante na deteção das lesões que podem estar presentes na cavidade oral de modo a ser possível um diagnóstico precoce da doença. Algumas manifestações da SG são observadas ao nível dentário. Entre 30 e 75% dos pacientes com SG apresentam anomalias dentárias incluindo agenesias dentárias, dentes inclusos, atrasos na erupção dos dentes, cistos dentígeros, odontomas, dentes supranumerários, fusão das raízes e hipercementose. Existe uma diferença significativa de presença de problemas dentários entre os pacientes com SG e a população geral. De modo a reduzir a morbilidade e mortalidade, são usados vários tipos de cirurgia que visam eliminar o risco de cancro colorretal, preservando as funções anatómicas vizinhas.Gardner syndrome (GS) is a genetic disease, with autosomal dominant transmission, being a phenotypic variant of familial adenomatous polyposis (FAP). FAP is manifested by the development of numerous adenomas in the rectum during adolescence, and in most cases, if not identified and treated at an early stage, lead to colorectal cancer. This syndrome has several phenotypic characteristics and among them some changes in the oral cavity. Thus, the dentist has a preponderant role in the detection of lesions that may be present in the oral cavity in order to make possible an early diagnosis of the disease. Some manifestations of GS are observed at the dental level. Between 30 and 75% of GS patients present dental anomalies including dental agenesis, including teeth, delays in teeth eruption, dentigerous cysts, odontomas, supernumerary teeth, root fusion and hypercementose. It is possible to see a significant difference in the presence of dental problems between patients with GS and the general population. In order to reduce morbidity and mortality, several types of surgery are used to eliminate the risk of colorectal cancer, preserving neighboring anatomical functions

Síndrome de Gardner: complicações/manifestações na cavidade oral e relação com a saúde oral

A síndrome de Gardner (SG) é uma doença genética, com transmissão autossómica dominante, sendo uma variante fenotípica da polipose adenomatosa familiar (PAF). A PAF manifesta-se pelo desenvolvimento de numerosos adenomas no reto durante a adolescência, podendo na maioria dos casos e se não forem identificados e tratados numa fase inicial, conduzir a cancro colorretal. Esta síndrome apresenta diversas características fenotípicas, entre elas algumas alterações ao nível da cavidade oral. Deste modo, o médico dentista tem um papel preponderante na deteção das lesões que podem estar presentes na cavidade oral de modo a ser possível um diagnóstico precoce da doença. Algumas manifestações da SG são observadas ao nível dentário. Entre 30 e 75% dos pacientes com SG apresentam anomalias dentárias incluindo agenesias dentárias, dentes inclusos, atrasos na erupção dos dentes, cistos dentígeros, odontomas, dentes supranumerários, fusão das raízes e hipercementose. Existe uma diferença significativa de presença de problemas dentários entre os pacientes com SG e a população geral. De modo a reduzir a morbilidade e mortalidade, são usados vários tipos de cirurgia que visam eliminar o risco de cancro colorretal, preservando as funções anatómicas vizinhas.Gardner syndrome (GS) is a genetic disease, with autosomal dominant transmission, being a phenotypic variant of familial adenomatous polyposis (FAP). FAP is manifested by the development of numerous adenomas in the rectum during adolescence, and in most cases, if not identified and treated at an early stage, lead to colorectal cancer. This syndrome has several phenotypic characteristics and among them some changes in the oral cavity. Thus, the dentist has a preponderant role in the detection of lesions that may be present in the oral cavity in order to make possible an early diagnosis of the disease. Some manifestations of GS are observed at the dental level. Between 30 and 75% of GS patients present dental anomalies including dental agenesis, including teeth, delays in teeth eruption, dentigerous cysts, odontomas, supernumerary teeth, root fusion and hypercementose. It is possible to see a significant difference in the presence of dental problems between patients with GS and the general population. In order to reduce morbidity and mortality, several types of surgery are used to eliminate the risk of colorectal cancer, preserving neighboring anatomical functions

Leishmaniasis canina

La leishmaniasis es una infección parasitaria que afecta a humanos, animales domésticos y silvestres. Es causada por los miembros del género Leishmania que realizan parte de su ciclo biológico en un hospedador vertebrado, en forma aflagelar o amastigote. Y completan su desarrollo en el tubo digestivo del hospedador invertebrado, en su forma flagelar o promastigote, estos son flebótomos del género Phlebotomus en el Viejo Mundo y Lutzomyia en el Nuevo Mundo (Miró, 2007b; Baneth, 2006, 2007). En varios países de América el principal vector de leishmaniasis visceral es Lutzomyia longipalpis, su distribución abarca desde el sur de México hasta el norte de Argentina y es capturada dentro y fuera de las viviendas humanas (Milleron et al., 2004; Lainson y Rangel, 2005; González et al., 2006; Ramírez et al., 2006; Dantas, 2008; Diniz et al., 2008). La leishmaniasis está distribuida en el sur de Europa, África, Asia, América del sur, centro y recientemente en Estados Unidos y Canadá (Baneth, 2007). En el mundo hay 14 millones de personas infectadas y cada año se registran 2 millones de casos nuevos. De ellos 500,000 viscerales, que provoca más de 50,000 defunciones; y 1´500,000 casos cutáneos. La población en riesgo se eleva a 350 millones de personas y sólo en 33 de los 88 países endémicos la leishmaniasis es una enfermedad de notificación obligatoria (OMS, 2007). Los cambios ecológicos, demográficos y medioambientales relacionados con nuevos proyectos de desarrollo, urbanización y grandes movimientos de población están conduciendo a un aumento a escala mundial de consecuencias sanitarias adversas donde el desarrollo del flebótomo vector se ve favorecido, de tal manera que la aparición de casos parece estar relacionada con la continua deforestación y la expansión urbana, que se ha intensificado en los últimos años. Posicionándose como un problema de salud pública cada vez más acusado en muchas regiones de Latinoamérica, especialmente en Brasil, Colombia y Venezuela, donde anteriormente no se encontraba (Desjeux, 2002; Rondón, 2006; ENY-740S, 2007; Sousa y Pearson, 2009). El rol del perro (Canis familiaris), como reservorio en la transmisión doméstica y peri doméstica de la leishmaniasis humana ha sido reconocida desde que Charles Nicoles, el ganador al premio Nobel, descubrió la enfermedad en perros en Tunisia en 1908. El número de perros infectados en Sud América es estimado en millones con una alta tasa de infección en algunas áreas de Brasil y Venezuela (Killick-Kendrick, 1999; Baneth, 2006, 2007; Sousa y Pearson, 2009). La leishmaniasis canina es una enfermedad zoonótica que existe en cerca de 50 de los 88 países donde la leishmaniasis humana está presente y resulta frecuentemente mortal en humanos y perros no tratados (Baneth, 2006; Coura et al., 2006). En la población canina afectada los signos clínicos son muy variables, podemos observar desde animales aparentemente sanos, hasta otros que manifiestan varios signos clínicos. Esto se debe a la complejidad de los mecanismos patogénicos dependientes del parásito y a la marcada individualidad de la respuesta inmunitaria del hospedador (Miró, 2007b). Los términos que utilizaremos como abreviación para leishmaniasis canina será Lcan, en esta especie la piel se ve afectada en el transcurso de la diseminación de la enfermedad a los órganos internos, manifestándose ambas formas de la enfermedad a la vez (Killick-Kendrick, 1999; Baneth, 2006; Miró, 2007b; OIE, 2008). Para designar la enfermedad según sus manifestaciones clínicas en humanos, usaremos las siguientes abreviaciones: leishmaniasis cutánea (LC), leishmaniasis mucocutánea (LMC) y leishmaniasis visceral (LV) (Killick-Kendrick, 1999; Baneth, 2006). La presente monografía pretende ser un documento actualizado donde se revisa la enfermedad en todos sus aspectos, para aumentar los conocimientos existentes sobre esta zoonosis parasitaria de creciente interés en los últimos veinte años.Tesi

Electrospun Contrast Agent-Loaded Fibers for Colon-Targeted MRI

Magnetic resonance imaging is a diagnostic tool used for detecting abnormal organs and tissues, often using Gd(III) complexes as contrast-enhancing agents. In this work, core–shell polymer fibers have been prepared using coaxial electrospinning, with the intent of delivering gadolinium (III) diethylenetriaminepentaacetate hydrate (Gd(DTPA)) selectively to the colon. The fibers comprise a poly(ethylene oxide) (PEO) core loaded with Gd(DTPA), and a Eudragit S100 shell. They are homogeneous, with distinct core–shell phases. The components in the fibers are dispersed in an amorphous fashion. The proton relaxivities of Gd(DTPA) are preserved after electrospinning. To permit easy visualization of the release of the active ingredient from the fibers, analogous materials are prepared loaded with the dye rhodamine B. Very little release is seen in a pH 1.0 buffer, while sustained release is seen at pH 7.4. The fibers thus have the potential to selectively deliver Gd(DTPA) to the colon. Mucoadhesion studies reveal there are strong adhesive forces between porcine colon mucosa and PEO from the core, and the dye-loaded fibers can be successfully used to image the porcine colon wall. The electrospun core–shell fibers prepared in this work can thus be developed as advanced functional materials for effective imaging of colonic abnormalities