Sample records for ganil caen france

  1. Conceptual design of the AGATA 1 π array at GANIL

    NASA Astrophysics Data System (ADS)

    Clément, E.; Michelagnoli, C.; de France, G.; Li, H. J.; Lemasson, A.; Barthe Dejean, C.; Beuzard, M.; Bougault, P.; Cacitti, J.; Foucher, J.-L.; Fremont, G.; Gangnant, P.; Goupil, J.; Houarner, C.; Jean, M.; Lefevre, A.; Legeard, L.; Legruel, F.; Maugeais, C.; Ménager, L.; Ménard, N.; Munoz, H.; Ozille, M.; Raine, B.; Ropert, J. A.; Saillant, F.; Spitaels, C.; Tripon, M.; Vallerand, Ph.; Voltolini, G.; Korten, W.; Salsac, M.-D.; Theisen, Ch.; Zielińska, M.; Joannem, T.; Karolak, M.; Kebbiri, M.; Lotode, A.; Touzery, R.; Walter, Ch.; Korichi, A.; Ljungvall, J.; Lopez-Martens, A.; Ralet, D.; Dosme, N.; Grave, X.; Karkour, N.; Lafay, X.; Legay, E.; Kojouharov, I.; Domingo-Pardo, C.; Gadea, A.; Pérez-Vidal, R. M.; Civera, J. V.; Birkenbach, B.; Eberth, J.; Hess, H.; Lewandowski, L.; Reiter, P.; Nannini, A.; De Angelis, G.; Jaworski, G.; John, P.; Napoli, D. R.; Valiente-Dobón, J. J.; Barrientos, D.; Bortolato, D.; Benzoni, G.; Bracco, A.; Brambilla, S.; Camera, F.; Crespi, F. C. L.; Leoni, S.; Million, B.; Pullia, A.; Wieland, O.; Bazzacco, D.; Lenzi, S. M.; Lunardi, S.; Menegazzo, R.; Mengoni, D.; Recchia, F.; Bellato, M.; Isocrate, R.; Egea Canet, F. J.; Didierjean, F.; Duchêne, G.; Baumann, R.; Brucker, M.; Dangelser, E.; Filliger, M.; Friedmann, H.; Gaudiot, G.; Grapton, J.-N.; Kocher, H.; Mathieu, C.; Sigward, M.-H.; Thomas, D.; Veeramootoo, S.; Dudouet, J.; Stézowski, O.; Aufranc, C.; Aubert, Y.; Labiche, M.; Simpson, J.; Burrows, I.; Coleman-Smith, P. J.; Grant, A.; Lazarus, I. H.; Morrall, P. S.; Pucknell, V. F. E.; Boston, A.; Judson, D. S.; Lalović, N.; Nyberg, J.; Collado, J.; González, V.; Kuti, I.; Nyakó, B. M.; Maj, A.; Rudigier, M.

    2017-05-01

    The Advanced GAmma Tracking Array (AGATA) has been installed at the GANIL facility, Caen-France. This set-up exploits the stable and radioactive heavy-ions beams delivered by the cyclotron accelerator complex of GANIL. Additionally, it benefits from a large palette of ancillary detectors and spectrometers to address in-beam γ-ray spectroscopy of exotic nuclei. The set-up has been designed to couple AGATA with a magnetic spectrometer, charged-particle and neutron detectors, scintillators for the detection of high-energy γ rays and other devices such as a plunger to measure nuclear lifetimes. In this paper, the design and the mechanical characteristics of the set-up are described. Based on simulations, expected performances of the AGATA 1 π array are presented.

  2. Development of target ion source systems for radioactive beams at GANIL

    NASA Astrophysics Data System (ADS)

    Bajeat, O.; Delahaye, P.; Couratin, C.; Dubois, M.; Franberg-Delahaye, H.; Henares, J. L.; Huguet, Y.; Jardin, P.; Lecesne, N.; Lecomte, P.; Leroy, R.; Maunoury, L.; Osmond, B.; Sjodin, M.

    2013-12-01

    The GANIL facility (Caen, France) is dedicated to the acceleration of heavy ion beams including radioactive beams produced by the Isotope Separation On-Line (ISOL) method at the SPIRAL1 facility. To extend the range of radioactive ion beams available at GANIL, using the ISOL method two projects are underway: SPIRAL1 upgrade and the construction of SPIRAL2. For SPIRAL1, a new target ion source system (TISS) using the VADIS FEBIAD ion source coupled to the SPIRAL1 carbon target will be tested on-line by the end of 2013 and installed in the cave of SPIRAL1 for operation in 2015. The SPIRAL2 project is under construction and is being design for using different production methods as fission, fusion or spallation reactions to cover a large area of the chart of nuclei. It will produce among others neutron rich beams obtained by the fission of uranium induced by fast neutrons. The production target made from uranium carbide and heated at 2000 °C will be associated with several types of ion sources. Developments currently in progress at GANIL for each of these projects are presented.

  3. Perspectives of Super-Heavy Nuclei research with the upcoming separator-spectrometer setup S3 at GANIL/SPIRAL2 - The VAMOS Gas-Filled separator and AGATA

    NASA Astrophysics Data System (ADS)

    Theisen, Christophe

    2017-11-01

    Several facilities or apparatus for the synthesis and spectroscopy of the Super-Heavy Nuclei (SHN) are presently under construction in the world, which reflect the large interest for this region of extreme mass and charge, but also for the need of even more advanced research infrastructures. Among this new generation, the GANIL/SPIRAL2 facility in Caen, France, will soon deliver very high intense ion beams of several tens of particle μA. The Super Separator Spectrometer S3 has been designed to exploit these new beams for the study of SHN after separation. It will provide the needed beam rejection, mass selection and full arsenal of state-of-the art detection setups. Still at GANIL, the AGATA new generation gamma-ray tracking array is being operated. The VAMOS high acceptance spectrometer is being upgraded as a gas-filled separator. Its coupling with AGATA will lower the spectroscopic limits for the prompt gamma-ray studies of heavy and super-heavy nuclei. In this proceeding, these new devices will be presented along with a selected physics case.

  4. Nuclear data measurements at the new NFS facility at GANIL

    NASA Astrophysics Data System (ADS)

    Gustavsson, C.; Pomp, S.; Scian, G.; Lecolley, F.-R.; Tippawan, U.; Watanabe, Y.

    2012-10-01

    The NFS (Neutrons For Science) facility is part of the SPRIAL 2 project at GANIL, Caen, France. The facility is currently under construction and the first beam is expected in early 2013. NFS will have a white neutron source covering the 1-40 MeV energy range with a neutron flux higher than comparable facilities. A quasi-mono-energetic neutron beam will also be available. In these energy ranges, especially above 14 MeV, there is a large demand for neutron-induced data for a wide range of applications involving dosimetry, medical therapy, single-event upsets in electronics and nuclear energy. Today, there are a few or no cross section data on reactions such as (n, fission), (n, xn), (n, p), (n, d) and (n, α). We propose to install experimental equipment for measuring neutron-induced light-charged particle production and fission relative to the H(n, p) cross section. Both the H(n, p) cross section and the fission cross section for 238U are important reference cross sections used as standards for many other experiments. Nuclear data for certain key elements, such as closed shell nuclei, are also of relevance for the development of nuclear reaction models. Our primary intention is to measure charged particle production (protons, deuterons and alphas) from 12C, 16O, 28Si and 56Fe and neutron-induced fission cross sections from 238U and 232Th.

  5. The 52nd International Conference on Medicinal Chemistry (RICT 2016) of the French Medicinal Chemistry Society (SCT) Held in Caen (Normandy).

    PubMed

    Sapi, Janos; Van Hijfte, Luc; Dallemagne, Patrick

    2017-06-21

    Outstanding Medchem in France: Guest editors Janos Sapi, Luc Van Hjfte, and Patrick Dallemagne look back at the 52 nd International Conference on Medicinal Chemistry (RICT 2016) held in Caen, France. They discuss the history of the French Medicinal Chemistry Society (Société de Chimie Thérapeutique, SCT) and provide highlights of last year's events, including some key presentations now collected in this Special Issue. © 2017 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.

  6. Origin of cometary and chondritic refractory organics: Ion irradiation experiments

    NASA Astrophysics Data System (ADS)

    Quirico, E.; Faure, M.; Faure, A.; Baklouti, D.; Boduch, P.; Rothard, H.; Ballanzat, E.; Dartois, E.; Brunetto, R.; Bonal, L.; Beck, P.; Schmitt, B.; Duprat, J.; Engrand, C.

    2017-09-01

    The formation process of Refractory Organic matter present in chondrites and Interplanetary Dust Particles (IDPs) of cometary and asteroidal origin is a debated issue. Earlier studies have advocated a formation step in a hot environment, however the potential role of ion irradiation has been so far poorly constrained. We present here experimental simulations that address this issue, comprising thermal degradation and ion irradiation experiments conducted at GANIL (Caen France) and CSNSM (Orsay France). We show that unlike thermal reactions, ion irradiation might lead to ROM-like material under very stringent conditions on both the nuclear dose and the nature of precursor. These very narrow conditions suggest that forming ROM without any action of thermal reactions is extremely difficult in astrophysical environments, either ISM or the proto-solar disk.

  7. The AGATA Campaign at GANIL

    NASA Astrophysics Data System (ADS)

    Lenzi, Silvia M.; Clement, Emmanuel

    2018-02-01

    The Advanced Gamma Tracking Array, AGATA, is presently in its construction phase in which the European γ-spectroscopy research community is involved since several years. This powerful HPGe array offers unique possibilities for the study of rare phenomena in nuclei by detailed gamma-ray spectroscopy. The physics campaign in GANIL foresees different setups, with AGATA coupled to different spectrometers, to study nuclear structure properties of nuclei all across the nuclear chart, from light nuclei to very heavy species, using stable and radioactive beams. After a brief description of the AGATA concept, some recent results are presented together with the very interesting opportunities for nuclear structure research in the forthcoming years with AGATA at GANIL.

  8. FUSTIPEN—the France-U.S. Theory Institute for Physics with Exotic Nuclei

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Papenbrock, Thomas

    FUSTIPEN, the France-U.S. Theory Institute for Physics with Exotic Nuclei, was an international venue for theoretical research on the physics of nuclei during an era of particularly active experimental investigations of rare isotopes, see http://fustipen.ganil.fr/. It was dedicated to collaborative research between U.S.-based and French nuclear physicists, drawing on the complementary expertise in the two countries. The grant provided travel and local support for visits by U.S. nuclear physicists to GANIL, where the FUSTIPEN offices are located, and also supported collateral travel to other French research institutions.

  9. A review on SHE research at GANIL

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Stodel, Ch.; Anne, R.; Bouriquet, B.

    This report summarizes the experiments relative to Super-Heavy Element studies done at GANIL - CEA - CNRS since 1999. It also gives an overview of future experiments and opportunities offered by SPIRAL 2 and LINAG beams in a medium term.

  10. Experiments with neutron-rich isomeric beams

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Rykaczewski, K.; Grzywacz, R.; Lewitowicz, M.

    1998-01-01

    A review of experimental results obtained on microsecond-isomeric states in neutron-rich nuclei produced in fragmentation reactions and studied with SISSI-Alpha-LISE3 spectrometer system at GANIL Caen is given. The perspectives of experiments based on secondary reactions with isomeric beams are presented.

  11. Radiation damage induced in Al2O3 single crystal by 90 MeV Xe ions

    NASA Astrophysics Data System (ADS)

    Zirour, H.; Izerrouken, M.; Sari, A.

    2015-12-01

    Radiation damage induced in Al2O3 single crystal by 90 MeV Xe ions were investigated by optical absorption measurements, Raman spectroscopy and X-ray diffraction (XRD) techniques. The irradiations were performed at the GANIL accelerator in Caen, France for the fluence in the range from 1012 to 6 × 1013 cm-2 at room temperature under normal incidence. The F+ and F22+ centers kinetic as a function of fluence deduced from the optical measurements explains that the single defects (F and F+) aggregate to F center clusters (F2 , F2+, F22+) during irradiation at high fluence (>1013 cm-2). Raman and XRD analysis reveal a partial disorder of 40% of Al2O3 in the studied fluence range in accordance with Kabir et al. (2008) study. The result suggests that this is due to the stress relaxation process which occurs at high fluence (>1013 cm-2).

  12. The Neutrons for Science Facility at SPIRAL-2

    NASA Astrophysics Data System (ADS)

    Ledoux, X.; Aïche, M.; Avrigeanu, M.; Avrigeanu, V.; Audouin, L.; Balanzat, E.; Ban-d'Etat, B.; Ban, G.; Barreau, G.; Bauge, E.; Bélier, G.; Bem, P.; Blideanu, V.; Blomgren, J.; Borcea, C.; Bouffard, S.; Caillaud, T.; Chatillon, A.; Czajkowski, S.; Dessagne, P.; Doré, D.; Fallot, M.; Farget, F.; Fischer, U.; Giot, L.; Granier, T.; Guillous, S.; Gunsing, F.; Gustavsson, C.; Herber, S.; Jacquot, B.; Jurado, B.; Kerveno, M.; Klix, A.; Landoas, O.; Lecolley, F. R.; Lecolley, J. F.; Lecouey, J. L.; Majerle, M.; Marie, N.; Materna, T.; Mrazek, J.; Negoita, F.; Novak, J.; Oberstedt, S.; Oberstedt, A.; Panebianco, S.; Perrot, L.; Petrascu, M.; Plompen, A. J. M.; Pomp, S.; Ramillon, J. M.; Ridikas, D.; Rossé, B.; Rudolf, G.; Serot, O.; Shcherbakov, O.; Simakov, S. P.; Simeckova, E.; Smith, A. G.; Steckmeyer, J. C.; Sublet, J. C.; Taïeb, J.; Tassan-Got, L.; Takibayev, A.; Tungborn, E.; Thfoin, I.; Tsekhanovich, I.; Varignon, C.; Wieleczko, J. P.

    2011-12-01

    The "Neutrons for Science" (NFS) facility will be a component of SPIRAL-2, the future accelerator dedicated to the production of very intense radioactive ion beams, under construction at GANIL in Caen (France). NFS will be composed of a pulsed neutron beam for in-flight measurements and irradiation stations for cross-section measurements and material studies. Continuous and quasi-monokinetic energy spectra will be available at NFS respectively produced by the interaction of deuteron beam on thick a Be converter and by the 7Li(p,n) reaction on a thin converter. The flux at NFS will be up to 2 orders of magnitude higher than those of other existing time-of-flight facilities in the 1 MeV to 40 MeV range. NFS will be a very powerful tool for physics and fundamental research as well as applications like the transmutation of nuclear waste, design of future fission and fusion reactors, nuclear medicine or test and development of new detectors.

  13. Status of the SPIRAL2 injector commissioning

    NASA Astrophysics Data System (ADS)

    Thuillier, T.; Angot, J.; Barué, C.; Bertrand, P.; Biarrotte, J. L.; Canet, C.; Denis, J.-F.; Ferdinand, R.; Flambard, J.-L.; Jacob, J.; Jardin, P.; Lamy, T.; Lemagnen, F.; Maunoury, L.; Osmond, B.; Peaucelle, C.; Roger, A.; Sole, P.; Touzery, R.; Tuske, O.; Uriot, D.

    2016-02-01

    The SPIRAL2 injector, installed in its tunnel, is currently under commissioning at GANIL, Caen, France. The injector is composed of two low energy beam transport lines: one is dedicated to the light ion beam production, the other to the heavy ions. The first light ion beam, created by a 2.45 GHz electron cyclotron resonance ion source, has been successfully produced in December 2014. The first beam of the PHOENIX V2 18 GHz heavy ion source was analyzed on 10 July 2015. A status of the SPIRAL2 injector commissioning is given. An upgrade of the heavy ion source, named PHOENIX V3 aimed to replace the V2, is presented. The new version features a doubled plasma chamber volume and the high charge state beam intensity is expected to increase by a factor of 1.5 to 2 up to the mass ˜50. A status of its assembly is proposed.

  14. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Thuillier, T., E-mail: thuillier@lpsc.in2p3.fr; Angot, J.; Jacob, J.

    The SPIRAL2 injector, installed in its tunnel, is currently under commissioning at GANIL, Caen, France. The injector is composed of two low energy beam transport lines: one is dedicated to the light ion beam production, the other to the heavy ions. The first light ion beam, created by a 2.45 GHz electron cyclotron resonance ion source, has been successfully produced in December 2014. The first beam of the PHOENIX V2 18 GHz heavy ion source was analyzed on 10 July 2015. A status of the SPIRAL2 injector commissioning is given. An upgrade of the heavy ion source, named PHOENIX V3more » aimed to replace the V2, is presented. The new version features a doubled plasma chamber volume and the high charge state beam intensity is expected to increase by a factor of 1.5 to 2 up to the mass ∼50. A status of its assembly is proposed.« less

  15. Status of the SPIRAL2 injector commissioning.

    PubMed

    Thuillier, T; Angot, J; Barué, C; Bertrand, P; Biarrotte, J L; Canet, C; Denis, J-F; Ferdinand, R; Flambard, J-L; Jacob, J; Jardin, P; Lamy, T; Lemagnen, F; Maunoury, L; Osmond, B; Peaucelle, C; Roger, A; Sole, P; Touzery, R; Tuske, O; Uriot, D

    2016-02-01

    The SPIRAL2 injector, installed in its tunnel, is currently under commissioning at GANIL, Caen, France. The injector is composed of two low energy beam transport lines: one is dedicated to the light ion beam production, the other to the heavy ions. The first light ion beam, created by a 2.45 GHz electron cyclotron resonance ion source, has been successfully produced in December 2014. The first beam of the PHOENIX V2 18 GHz heavy ion source was analyzed on 10 July 2015. A status of the SPIRAL2 injector commissioning is given. An upgrade of the heavy ion source, named PHOENIX V3 aimed to replace the V2, is presented. The new version features a doubled plasma chamber volume and the high charge state beam intensity is expected to increase by a factor of 1.5 to 2 up to the mass ∼50. A status of its assembly is proposed.

  16. Precision measurements with LPCTrap at GANIL

    NASA Astrophysics Data System (ADS)

    Liénard, E.; Ban, G.; Couratin, C.; Delahaye, P.; Durand, D.; Fabian, X.; Fabre, B.; Fléchard, X.; Finlay, P.; Mauger, F.; Méry, A.; Naviliat-Cuncic, O.; Pons, B.; Porobic, T.; Quéméner, G.; Severijns, N.; Thomas, J. C.; Velten, Ph.

    2015-11-01

    The experimental achievements and the results obtained so far with the LPCTrap device installed at GANIL are presented. The apparatus is dedicated to the study of the weak interaction at low energy by means of precise measurements of the β - ν angular correlation parameter in nuclear β decays. So far, the data collected with three isotopes have enabled to determine, for the first time, the charge state distributions of the recoiling ions, induced by shakeoff process. The analysis is presently refined to deduce the correlation parameters, with the potential of improving both the constraint deduced at low energy on exotic tensor currents (6He1+) and the precision on the V u d element of the quark-mixing matrix (35Ar1+ and 19Ne1+) deduced from the mirror transitions dataset.

  17. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ledoux, X.; Bauge, E.; Belier, G.

    The ''Neutrons for Science''(NFS) facility will be a component of SPIRAL-2, the future accelerator dedicated to the production of very intense radioactive ion beams, under construction at GANIL in Caen (France). NFS will be composed of a pulsed neutron beam for in-flight measurements and irradiation stations for cross-section measurements and material studies. Continuous and quasi-monokinetic energy spectra will be available at NFS respectively produced by the interaction of deuteron beam on thick a Be converter and by the {sup 7}Li(p,n) reaction on a thin converter. The flux at NFS will be up to 2 orders of magnitude higher than thosemore » of other existing time-of-flight facilities in the 1 MeV to 40 MeV range. NFS will be a very powerful tool for physics and fundamental research as well as applications like the transmutation of nuclear waste, design of future fission and fusion reactors, nuclear medicine or test and development of new detectors.« less

  18. [Which information is given during the purchase of an HIV self-test in a Caen pharmacy? A Comprehensive transversal and observational study using surveys, without modification of practice].

    PubMed

    Guitton, S; Rabiaza, A

    2018-04-16

    HIV infection affects about 150,000 people in France. In total, 30,000 of them are unaware of their serostatus. In this context, HIV self-testing has arrived in France in September 2015. The aim of our study was to analyze the level of application of the recommendations during the purchase of an HIV self-test. Our primary hypothesis was that the delivered information is poor. We realized a comprehensive transversal and observational study with surveys without modification of practice in all Caen pharmacies. The primary endpoint was the seller's assessment of the presence or possibility of an emergency situation requiring a post-exposure prophylaxis and suitability assessment of self-testing for the patient's case. Seven pharmacies out of the 41 visited (17.07%) validated our primary endpoint. In all pharmacies, 43.9% had HIV self-tests available for sale. The availabality of the self-tests is linked to the main endpoint (P<0.005). In total, 31.71% of the vendors redirected the patient to another method of screening (general practitioner, sexual health clinic…). The delivered information about HIV self-tests is poor. Improving it would put the pharmacist at the heart of the HIV screening strategy. The introduction of training for the professionnals in our region could be interesting to improve the dispensing of the self-tests. Copyright © 2018 Académie Nationale de Pharmacie. Published by Elsevier Masson SAS. All rights reserved.

  19. Radiation damage induced in Al2O3 single crystal sequentially irradiated with reactor neutrons and 90 MeV Xe ions

    NASA Astrophysics Data System (ADS)

    Zirour, H.; Izerrouken, M.; Sari, A.

    2016-06-01

    The present investigation reports the effect of 90 MeV Xe ion irradiation on neutron irradiated Al2O3 single crystals. Three irradiation experiments were performed, with neutrons only, 90 MeV Xe ions only and with neutrons followed by 90 MeV Xe ions. Neutron and 90 MeV Xe ion irradiations were performed at NUR research reactor, Algiers, Algeria and at GANIL accelerator, Caen, France respectively. After irradiation, the radiation damage was investigated by Raman spectroscopy, Fourier Transform Infrared Spectroscopy (FTIR), optical absorption measurements, and X-ray diffraction (XRD) techniques. Raman technique revealed that the concentration of the defects formed in Al2O3 samples subsequently irradiated with neutrons and 90 MeV Xe ions is lower than that formed in Al2O3 samples which were irradiated only with neutrons. This reveals the occurrence of ionization-induced recovery of the neutron damage. Furthermore, as revealed by XRD analysis, a new peak is appeared at about 2θ = 38.03° after irradiation at high fluence (>3 × 1013 Xe/cm2). It can be assigned to the formation of new lattice plane.

  20. [Cystic fibrosis gene mutations in the West of France: clinical application].

    PubMed

    Verlingue, C; Travert, G; Le Roux, M G; Laroche, D; Audrézet, M P; Mercier, B; Moisan, J P; Férec, C

    1994-01-01

    The cystic fibrosis transmembrane conductance regulator (CFTR) gene, responsible for the cystic fibrosis phenotype when both alleles are mutated, was cloned and sequenced in 1989. Since then, more than 400 mutations have been reported in the gene, although most of these are rare. We have systematically analysed the entire coding sequence of the CFTR gene in a cohort of patients originating from the West of France (Caen, Brest and Nantes). More than 450 CF children, 914 chromosomes in all, have been exhaustively studied in the three centers. We have been able to characterize more than 90% of the mutations, respectively 93.5%, 99% and 95.8%. Despite the large diversity in the CFTR mutations occurring in CF patients from this area, these results can help to improve genetic counselling, prenatal diagnosis as well as our understanding of the molecular basis of the pathophysiology of cystic fibrosis.

  1. Heavy ion irradiation of crystalline water ice. Cosmic ray amorphisation cross-section and sputtering yield

    NASA Astrophysics Data System (ADS)

    Dartois, E.; Augé, B.; Boduch, P.; Brunetto, R.; Chabot, M.; Domaracka, A.; Ding, J. J.; Kamalou, O.; Lv, X. Y.; Rothard, H.; da Silveira, E. F.; Thomas, J. C.

    2015-04-01

    Context. Under cosmic irradiation, the interstellar water ice mantles evolve towards a compact amorphous state. Crystalline ice amorphisation was previously monitored mainly in the keV to hundreds of keV ion energies. Aims: We experimentally investigate heavy ion irradiation amorphisation of crystalline ice, at high energies closer to true cosmic rays, and explore the water-ice sputtering yield. Methods: We irradiated thin crystalline ice films with MeV to GeV swift ion beams, produced at the GANIL accelerator. The ice infrared spectral evolution as a function of fluence is monitored with in-situ infrared spectroscopy (induced amorphisation of the initial crystalline state into a compact amorphous phase). Results: The crystalline ice amorphisation cross-section is measured in the high electronic stopping-power range for different temperatures. At large fluence, the ice sputtering is measured on the infrared spectra, and the fitted sputtering-yield dependence, combined with previous measurements, is quadratic over three decades of electronic stopping power. Conclusions: The final state of cosmic ray irradiation for porous amorphous and crystalline ice, as monitored by infrared spectroscopy, is the same, but with a large difference in cross-section, hence in time scale in an astrophysical context. The cosmic ray water-ice sputtering rates compete with the UV photodesorption yields reported in the literature. The prevalence of direct cosmic ray sputtering over cosmic-ray induced photons photodesorption may be particularly true for ices strongly bonded to the ice mantles surfaces, such as hydrogen-bonded ice structures or more generally the so-called polar ices. Experiments performed at the Grand Accélérateur National d'Ions Lourds (GANIL) Caen, France. Part of this work has been financed by the French INSU-CNRS programme "Physique et Chimie du Milieu Interstellaire" (PCMI) and the ANR IGLIAS.

  2. Processing of ammonia-containing ices by heavy ions and its relevance to outer Solar System surfaces

    NASA Astrophysics Data System (ADS)

    Pilling, Sergio; Seperuelo Duarte, Eduardo; da Silveira, Enio F.; Domaracka, Alicja; Balanzat, Emmanuel; Rothard, Hermann; Boduch, Philippe

    Ammonia-containing ices have been detected or postulated as important components of the icy surfaces of planetary satellites (e.g. Enceladus, Miranda), in the outer Solar System objects (e.g. Charon, Quaoar) and in Oort cloud comets. We present experimental studies of the interaction of heavy, highly-charged, and energetic ions with ammonia-containing ices (pure NH3 ; NH3 :CO; NH3 :H2 O and NH3 :H2 O:CO) in an attempt to simulate the physical chemistry induced by heavy-ion cosmic rays and heavy-ion solar wind particles at outer Solar System surfaces. The measurements were performed inside a high vacuum chamber at the heavy-ion accelerator GANIL (Grand Accelerateur National d'Ions Lourds) in Caen, France. The gas samples were deposited onto a polished CsI substrate previously cooled to 13 K. In-situ analysis was performed by a Fourier transform infrared spectrometer (FTIR) at different ion fluences. The dissociation cross-section and sputtering yield of ammonia and other ice compounds have been determined. Half-life of frozen ammonia due to heavy ion bombardment at different Solar System surfaces has been estimated. Radiolysis products have been identified and their implications for the chemistry on outer Solar System surfaces are discussed.

  3. Chronic Alcohol Consumption and its Effect on Nodes of Frontocerebellar and Limbic Circuitry: Comparison of Effects in France and the United States

    PubMed Central

    Le Berre, Anne-Pascale; Pitel, Anne-Lise; Chanraud, Sandra; Beaunieux, Hélène; Eustache, Francis; Martinot, Jean-Luc; Reynaud, Michel; Martelli, Catherine; Rohlfing, Torsten; Sullivan, Edith V.; Pfefferbaum, Adolf

    2016-01-01

    Alcohol Use Disorders present a significant public health problem in France and the United States (U.S.), but whether the untoward effect of alcohol on the brain results in similar damage in both countries remains unknown. Accordingly, we conducted a retrospective collaborative investigation between two French sites (Caen and Orsay) and a U.S. laboratory (SRI/Stanford University) with T1-weighted, structural MRI data collected on a common imaging platform (1.5T, General Electric) on 288 normal controls (NC), 165 uncomplicated alcoholics (ALC), and 26 patients with alcoholic Korsakoff’s syndrome (KS) diagnosed at all sites with a common interview instrument. Data from the two countries were pooled, then preprocessed and analyzed together at the U.S. site using atlas-based parcellation. National differences indicated that thalamic volumes were smaller in ALC in France than the U.S. despite similar alcohol consumption levels in both countries. By contrast, volumes of the hippocampus, amygdala, and cerebellar vermis were smaller in KS in the U.S. than France. Estimated amount of alcohol consumed over a lifetime, duration of alcoholism, and length of sobriety were significant predictors of selective regional brain volumes in France and in the U.S. The common analysis of MRI data enabled identification of discrepancies in brain volume deficits in France and the U.S. that may reflect fundamental differences in the consequences of alcoholism on brain structure between the two countries, possibly related to genetic or environmental differences. PMID:24639416

  4. Mass Measurements with the CSS2 and CIME cyclotrons at GANIL

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Gomez Hornillos, M. B.; Chartier, M.; Demonchy, C. E.

    2006-03-13

    This paper presents two original direct mass-measurement techniques developed at GANIL using the CSS2 and CIME cyclotrons as high-resolution mass spectrometers. The mass measurement with the CSS2 cyclotron is based on a time-of-flight method along the spiral trajectory of the ions inside the cyclotron. The atomic mass excesses of 68Se and 80Y recently measured with this technique are -53.958(246) MeV and -60.971(180) MeV, respectively. The new mass-measurement technique with the CIME cyclotron is based on the sweep of the acceleration radio-frequency of the cyclotron. Tests with stable beams have been performed in order to study the accuracy of this newmore » mass-measurement method and to understand the systematic errors.« less

  5. The Neutrons for Science Facility at SPIRAL-2.

    PubMed

    Ledoux, X; Aïche, M; Avrigeanu, M; Avrigeanu, V; Balanzat, E; Ban-d'Etat, B; Ban, G; Bauge, E; Bélier, G; Bém, P; Borcea, C; Caillaud, T; Chatillon, A; Czajkowski, S; Dessagne, P; Doré, D; Fischer, U; Frégeau, M O; Grinyer, J; Guillous, S; Gunsing, F; Gustavsson, C; Henning, G; Jacquot, B; Jansson, K; Jurado, B; Kerveno, M; Klix, A; Landoas, O; Lecolley, F R; Lecouey, J L; Majerle, M; Marie, N; Materna, T; Mrázek, J; Novák, J; Oberstedt, S; Oberstedt, A; Panebianco, S; Perrot, L; Plompen, A J M; Pomp, S; Prokofiev, A V; Ramillon, J M; Farget, F; Ridikas, D; Rossé, B; Serot, O; Simakov, S P; Šimecková, E; Stanoiu, M; Štefánik, M; Sublet, J C; Taïeb, J; Tarrío, D; Tassan-Got, L; Thfoin, I; Varignon, C

    2017-11-21

    The neutrons for science (NFS) facility is a component of SPIRAL-2, the new superconducting linear accelerator built at GANIL in Caen (France). The proton and deuteron beams delivered by the accelerator will allow producing intense neutron fields in the 100 keV-40 MeV energy range. Continuous and quasi-mono-kinetic energy spectra, respectively, will be available at NFS, produced by the interaction of a deuteron beam on a thick Be converter and by the 7Li(p,n) reaction on thin converter. The pulsed neutron beam, with a flux up to two orders of magnitude higher than those of other existing time-of-flight facilities, will open new opportunities of experiments in fundamental research as well as in nuclear data measurements. In addition to the neutron beam, irradiation stations for neutron-, proton- and deuteron-induced reactions will be available for cross-sections measurements and for the irradiation of electronic devices or biological cells. NFS, whose first experiment is foreseen in 2018, will be a very powerful tool for physics, fundamental research as well as applications like the transmutation of nuclear waste, design of future fission and fusion reactors, nuclear medicine or test and development of new detectors. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  6. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Gales, S.

    The exploration of unknown region of the nuclear mass chart, in particular, the neutron rich side, raised new and challenging physics issues in the understanding of nuclei far from stability. The physics of weakly bound systems, the appearance of shell quenching, the interface with astrophysical problems prompted the study of new generation of ''Rad ioactive Beam Facilities'' with high luminosity and the development of associated new experimental tools.GANIL presently offers unique opportunities in nuclear physics and many other fields. With the construction of SPIRAL2 over the next few years, GANIL is in a good position to retain its world-leading capabilitymore » even though it faces strong competition from new and upgraded ISOL and fragmentation facilities. As selected by the ESFRI committee, the next generation of ISOL facility in Europe is represented by the SPIRAL2 project to be built at GANIL (Caen, France). SPIRAL2 is based on a high power, CW, superconducting LINAC, delivering 5 mA of deuteron beams at 40 MeV (200 KW) directed on a C converter+ Uranium target and producing therefore more 10{sup 13} fissions/s. The expected radioactive beams intensities in the mass range from A = 60 to A = 140, will surpass by two order of magnitude any existing facilities in the world. These unstable atoms will be available at energies between few KeV/n to 15 MeV/n. The same driver will accelerate high intensity (100* A to 1 mA), heavier ions (Ar up to Xe) at maximum energy of 14 MeV/n.In applied areas SPIRAL2 is considered as a powerful variable energy neutron source. The Neutrons For Science collaboration (NFS) is proposing a physics program on fission induced by fast neutrons as well as fusion studies on materials.Under the 7FP program of European Union called 'Preparatory phase', the SPIRAL2 project has been granted a budget of about 4 MEuro to build up an international consortium around this new venture. Regarding the future physics program a call for Letter of

  7. Characterization and performances of DOSION, a dosimetry equipment dedicated to radiobiology experiments taking place at GANIL

    NASA Astrophysics Data System (ADS)

    Boissonnat, Guillaume; Fontbonne, Jean-Marc; Balanzat, Emmanuel; Boumard, Frederic; Carniol, Benjamin; Cassimi, Amine; Colin, Jean; Cussol, Daniel; Etasse, David; Fontbonne, Cathy; Frelin, Anne-Marie; Hommet, Jean; Salvador, Samuel

    2017-06-01

    Currently, radiobiology experiments using heavy ions at GANIL (Grand Accélérateur National d‧Ions Lourds) are conducted under the supervision of the CIMAP (Center for research on Ions, MAterials and Photonics). In this context, a new beam monitoring equipment named DOSION has been developed. It allows to perform measurements of accurate fluence and dose maps in near real time for each biological sample irradiated. In this paper, we present the detection system, its design, performances, calibration protocol and measurements performed during radiobiology experiments. This setup is currently available for any radiobiology experiments if one wishes to correlate one's own sample analysis to state-of-the-art dosimetric references.

  8. Characterization of the Medley setup for measurements of neutron-induced fission cross sections at the GANIL-NFS facility

    NASA Astrophysics Data System (ADS)

    Tarrío, Diego; Prokofiev, Alexander V.; Gustavsson, Cecilia; Jansson, Kaj; Andersson-Sundén, Erik; Al-Adili, Ali; Pomp, Stephan

    2017-09-01

    Neutron-induced fission cross sections of 235U and 238U are widely used as standards for monitoring of neutron beams and fields. An absolute measurement of these cross sections at an absolute scale, i.e., versus the H(n,p) scattering cross section, is planned with the white neutron beam under construction at the Neutrons For Science (NFS) facility in GANIL. The experimental setup, based on PPACs and ΔE-ΔE-E telescopes containing Silicon and CsI(Tl) detectors, is described. The expected uncertainties are discussed.

  9. Dose- and time-dependent gene expression alterations in prostate and colon cancer cells after in vitro exposure to carbon ion and X-irradiation

    PubMed Central

    Suetens, Annelies; Moreels, Marjan; Quintens, Roel; Soors, Els; Buset, Jasmine; Chiriotti, Sabina; Tabury, Kevin; Gregoire, Vincent; Baatout, Sarah

    2015-01-01

    Hadrontherapy is an advanced form of radiotherapy that uses beams of charged particles (such as protons and carbon ions). Compared with conventional radiotherapy, the main advantages of carbon ion therapy are the precise absorbed dose localization, along with an increased relative biological effectiveness (RBE). This high ballistic accuracy of particle beams deposits the maximal dose to the tumor, while damage to the surrounding healthy tissue is limited. Currently, hadrontherapy is being used for the treatment of specific types of cancer. Previous in vitro studies have shown that, under certain circumstances, exposure to charged particles may inhibit cell motility and migration. In the present study, we investigated the expression of four motility-related genes in prostate (PC3) and colon (Caco-2) cancer cell lines after exposure to different radiation types. Cells were irradiated with various absorbed doses (0, 0.5 and 2 Gy) of accelerated 13C-ions at the GANIL facility (Caen, France) or with X-rays. Clonogenic assays were performed to determine the RBE. RT-qPCR analysis showed dose- and time-dependent changes in the expression of CCDC88A, FN1, MYH9 and ROCK1 in both cell lines. However, whereas in PC3 cells the response to carbon ion irradiation was enhanced compared with X-irradiation, the effect was the opposite in Caco-2 cells, indicating cell-type–specific responses to the different radiation types. PMID:25190155

  10. The neutrons for science facility at SPIRAL-2

    NASA Astrophysics Data System (ADS)

    Ledoux, X.; Aïche, M.; Avrigeanu, M.; Avrigeanu, V.; Balanzat, E.; Ban-d'Etat, B.; Ban, G.; Bauge, E.; Bélier, G.; Bém, P.; Borcea, C.; Caillaud, T.; Chatillon, A.; Czajkowski, S.; Dessagne, P.; Doré, D.; Fischer, U.; Frégeau, M. O.; Grinyer, J.; Guillous, S.; Gunsing, F.; Gustavsson, C.; Henning, G.; Jacquot, B.; Jansson, K.; Jurado, B.; Kerveno, M.; Klix, A.; Landoas, O.; Lecolley, F. R.; Lecouey, J. L.; Majerle, M.; Marie, N.; Materna, T.; Mrázek, J.; Negoita, F.; Novák, J.; Oberstedt, S.; Oberstedt, A.; Panebianco, S.; Perrot, L.; Plompen, A. J. M.; Pomp, S.; Prokofiev, A. V.; Ramillon, J. M.; Farget, F.; Ridikas, D.; Rossé, B.; Sérot, O.; Simakov, S. P.; Šimečková, E.; Štefánik, M.; Sublet, J. C.; Taïeb, J.; Tarrío, D.; Tassan-Got, L.; Thfoin, I.; Varignon, C.

    2017-09-01

    Numerous domains, in fundamental research as well as in applications, require the study of reactions induced by neutrons with energies from few MeV up to few tens of MeV. Reliable measurements also are necessary to improve the evaluated databases used by nuclear transport codes. This energy range covers a large number of topics like transmutation of nuclear waste, design of future fission and fusion reactors, nuclear medicine or test and development of new detectors. A new facility called Neutrons For Science (NFS) is being built for this purpose on the GANIL site at Caen (France). NFS is composed of a pulsed neutron beam for time-of-flight facility as well as irradiation stations for cross-section measurements. Neutrons will be produced by the interaction of deuteron and proton beams, delivered by the SPIRAL-2 linear accelerator, with thick or thin converters made of beryllium or lithium. Continuous and quasi-mono-energetic spectra will be available at NFS up to 40 MeV. In this fast energy region, the neutron flux is expected to be up to 2 orders of magnitude higher than at other existing time-of-flight facilities. In addition, irradiation stations for neutron-, proton- and deuteron-induced reactions will allow performing cross-section measurements by the activation technique. After a description of the facility and its characteristics, the experiments to be performed in the short and medium term will be presented.

  11. The invasive New Guinea flatworm Platydemus manokwari in France, the first record for Europe: time for action is now.

    PubMed

    Justine, Jean-Lou; Winsor, Leigh; Gey, Delphine; Gros, Pierre; Thévenot, Jessica

    2014-01-01

    Non-indigenous terrestrial flatworms (Platyhelminthes) have been recorded in thirteen European countries. They include Bipalium kewense and Dolichoplana striata that are largely restricted to hothouses and may be regarded as non-invasive species. In addition there are species from the southern hemisphere such as the invasive New Zealand flatworm Arthurdendyus triangulatus in the United Kingdom, Eire and the Faroe Islands, the Australian flatworm Australoplana sanguinea alba in Eire and the United Kingdom, and the Australian Blue Garden flatworm Caenoplana coerulea in France, Menorca and the United Kingdom. The United Kingdom has some twelve or more non-indigenous species most of which are Australian and New Zealand species. These species may move to an invasive stage when optimum environmental and other conditions occur, and the flatworms then have the potential to cause economic or environmental harm. In this paper, we report the identification (from morphology and molecular analysis of COI sequences) of non-indigenous terrestrial flatworms found in a hothouse in Caen (France) as the New Guinea flatworm Platydemus manokwari de Beauchamp, 1963 (Platyhelminthes, Continenticola, Geoplanidae, Rhynchodeminae). Platydemus manokwari is among the "100 World's Worst Invader Alien Species". Lists of World geographic records, prey in the field and prey in laboratories of P. manokwari are provided. This species is considered a threat to native snails wherever it is introduced. The recent discovery of P. manokwari in France represents a significant extension of distribution of this Invasive Alien Species from the Indo-Pacific region to Europe. If it escaped the hothouse, the flatworm might survive winters and become established in temperate countries. The existence of this species in France requires an early warning of this incursion to State and European Union authorities, followed by the eradication of the flatworm in its locality, tightening of internal quarantine measures

  12. Sensitive biomarkers of alcoholism's effect on brain macrostructure: similarities and differences between France and the United States

    PubMed Central

    Le Berre, Anne-Pascale; Pitel, Anne-Lise; Chanraud, Sandra; Beaunieux, Hélène; Eustache, Francis; Martinot, Jean-Luc; Reynaud, Michel; Martelli, Catherine; Rohlfing, Torsten; Pfefferbaum, Adolf; Sullivan, Edith V.

    2015-01-01

    Alcohol consumption patterns and recognition of health outcomes related to hazardous drinking vary widely internationally, raising the question whether these national differences are reflected in brain damage observed in alcoholism. This retrospective analysis assessed variability of alcoholism's effects on brain cerebrospinal fluid (CSF) and white matter volumes between France and the United States (U.S.). MRI data from two French sites (Caen and Orsay) and a U.S. laboratory (SRI/Stanford University) were acquired on 1.5T imaging systems in 287 controls, 165 uncomplicated alcoholics (ALC), and 26 alcoholics with Korsakoff's Syndrome (KS). All data were analyzed at the U.S. site using atlas-based parcellation. Results revealed graded CSF volume enlargement from ALC to KS and white matter volume deficits in KS only. In ALC from France but not the U.S., CSF and white matter volumes correlated with lifetime alcohol consumption, alcoholism duration, and length of sobriety. MRI highlighted CSF volume enlargement in both ALC and KS, serving as a basis for an ex vacuo process to explain correlated gray matter shrinkage. By contrast, MRI provided a sensitive in vivo biomarker of white matter volume shrinkage in KS only, suggesting a specific process sensitive to mechanisms contributing to Wernicke's encephalopathy, the precursor of KS. Identified structural brain abnormalities may provide biomarkers underlying alcoholism's heterogeneity in and among nations and suggest a substrate of gray matter tissue shrinkage. Proposed are hypotheses for national differences in interpreting whether the severity of sequelae observe a graded phenomenon or a continuum from uncomplicated alcoholism to alcoholism complicated by KS. PMID:26157376

  13. Sterol Alkyl Ethers in Immature Callovian (Middle Jurassic) Sediments of Pas de Calais and Normandy (France): Environmental Constraints on their Potential Origins.

    NASA Astrophysics Data System (ADS)

    Kenig, F. P. H.

    2017-12-01

    Steryl alkyl ethers (SAEs), steroids with C8-C12 alkyl ether substituent at C3have only been reported in a limited number of studies since their first identification in modern diatomaceous ooze (Boon and de Leeuw, 1979 Mar. Chem. 7, 117-132). These compounds were identified in Holocene to Eocene sediments, but only once in the Cretaceous, in the Valanginian sediments of Shasky Rise (Brassell, 2009; Palaeo Palaeo Palaeo 282, 45-57). The origin of these compounds remains unclear, though they have been proposed to be associated with diatoms and biologically productive environments and cold water. Here we report the occurrence of SAEs in Callovian (Middle Jurassic), thermally immature sediments of the Marnes d'Argences near Caen (Normandy, France) and near Le Wast (Pas de Calais, France), extanding their geological occurrence by 28 million years. These marls contain C36 to C41 SAEs with C9 or C10 alkyl moieties. The steroid moieties (C27 to C31) are saturated, unsaturated (at C5 or C22), or di-unsaturated (at C5 and C22). Some of the samples collected near Le Wast contain only 4-methyl substituted C27, C28 and C29 steroid moieties as well as steroid moieties typical of dinoflagellates such 4,23,24-trimethylsteroids saturated and unsaturated at C22, and diatoms such as 4-desmethyl-23,24-dimethyl-steroid. The origin of SAEs will be discussed in view of their novel identification in Jurassic sediments and considering the environment of deposition of the Marnes d'Argences and comparison with their stratigraphic equivalent in England (Oxford Clay) and Eastern France where none of these compounds were observed.

  14. Distribution of HLA-A,B alleles in 13 panels of blood donors in France.

    PubMed

    Prevost, P; Busson, M; Marcelli-Barge, A

    1984-05-01

    In this study, we analysed 13 samples of the French population--4147 non-related individuals living in Bordeaux, Brest, Caen, Dijon, Limoges, Lyon, Marseille, Nancy, Paris, Poitiers, Rennes, Strasbourg and Toulouse--all of whom were typed for 10 alleles of the HLA-A locus and 16 alleles of the HLA-B locus. The results showed a strong heterogeneity (chi 2 = 675.13 for 324 df, p less than 10(5)). A diagram has been drawn up, showing the matrix of genetic distances obtained thanks to the B2 of Balkrishnan & Sanghvi (1968). This diagram enables us to envisage the hypothesis of 6 homogeneous clusters. A partition of chi 2 was used to test this 6 luster hypothesis: Paris and Caen (p = 0.98); Nancy, Strasbourg (p less than 5%); Rennes, Brest (p less than 1%); Dijon, Lyon, Marseille (p = 0.89); Limoges, Poitiers (p = 0.18); Toulouse, Bordeaux (p less than 10(-5)). The heterogeneity within these clusters represents only 1/43 of the total heterogeneity.

  15. Temporal Trends in Transcatheter Aortic Valve Replacement in France: FRANCE 2 to FRANCE TAVI.

    PubMed

    Auffret, Vincent; Lefevre, Thierry; Van Belle, Eric; Eltchaninoff, Hélène; Iung, Bernard; Koning, René; Motreff, Pascal; Leprince, Pascal; Verhoye, Jean Philippe; Manigold, Thibaut; Souteyrand, Geraud; Boulmier, Dominique; Joly, Patrick; Pinaud, Frédéric; Himbert, Dominique; Collet, Jean Philippe; Rioufol, Gilles; Ghostine, Said; Bar, Olivier; Dibie, Alain; Champagnac, Didier; Leroux, Lionel; Collet, Frédéric; Teiger, Emmanuel; Darremont, Olivier; Folliguet, Thierry; Leclercq, Florence; Lhermusier, Thibault; Olhmann, Patrick; Huret, Bruno; Lorgis, Luc; Drogoul, Laurent; Bertrand, Bernard; Spaulding, Christian; Quilliet, Laurent; Cuisset, Thomas; Delomez, Maxence; Beygui, Farzin; Claudel, Jean-Philippe; Hepp, Alain; Jegou, Arnaud; Gommeaux, Antoine; Mirode, Anfani; Christiaens, Luc; Christophe, Charles; Cassat, Claude; Metz, Damien; Mangin, Lionel; Isaaz, Karl; Jacquemin, Laurent; Guyon, Philippe; Pouillot, Christophe; Makowski, Serge; Bataille, Vincent; Rodés-Cabau, Josep; Gilard, Martine; Le Breton, Hervé

    2017-07-04

    Transcatheter aortic valve replacement (TAVR) is standard therapy for patients with severe aortic stenosis who are at high surgical risk. However, national data regarding procedural characteristics and clinical outcomes over time are limited. The aim of this study was to assess nationwide performance trends and clinical outcomes of TAVR during a 6-year period. TAVRs performed in 48 centers across France between January 2013 and December 2015 were prospectively included in the FRANCE TAVI (French Transcatheter Aortic Valve Implantation) registry. Findings were further compared with those reported from the FRANCE 2 (French Aortic National CoreValve and Edwards 2) registry, which captured all TAVRs performed from January 2010 to January 2012 across 34 centers. A total of 12,804 patients from FRANCE TAVI and 4,165 patients from FRANCE 2 were included in this analysis. The median age of patients was 84.6 years, and 49.7% were men. FRANCE TAVI participants were older but at lower surgical risk (median logistic European System for Cardiac Operative Risk Evaluation [EuroSCORE]: 15.0% vs. 18.4%; p < 0.001). More than 80% of patients in FRANCE TAVI underwent transfemoral TAVR. Transesophageal echocardiography guidance decreased from 60.7% to 32.3% of cases, whereas more recent procedures were increasingly performed in hybrid operating rooms (15.8% vs. 35.7%). Rates of Valve Academic Research Consortium-defined device success increased from 95.3% in FRANCE 2 to 96.8% in FRANCE TAVI (p < 0.001). In-hospital and 30-day mortality rates were 4.4% and 5.4%, respectively, in FRANCE TAVI compared with 8.2% and 10.1%, respectively, in FRANCE 2 (p < 0.001 for both). Stroke and potentially life-threatening complications, such as annulus rupture or aortic dissection, remained stable over time, whereas rates of cardiac tamponade and pacemaker implantation significantly increased. The FRANCE TAVI registry provided reassuring data regarding trends in TAVR performance in an all

  16. Radiolysis of astrophysical ice analogs by energetic ions: the effect of projectile mass and ice temperature.

    PubMed

    Pilling, Sergio; Duarte, Eduardo Seperuelo; Domaracka, Alicja; Rothard, Hermann; Boduch, Philippe; da Silveira, Enio F

    2011-09-21

    An experimental study of the interaction of highly charged, energetic ions (52 MeV (58)Ni(13+) and 15.7 MeV (16)O(5+)) with mixed H(2)O : C(18)O(2) astrophysical ice analogs at two different temperatures is presented. This analysis aims to simulate the chemical and the physicochemical interactions induced by cosmic rays inside dense, cold astrophysical environments, such as molecular clouds or protostellar clouds as well at the surface of outer solar system bodies. The measurements were performed at the heavy ion accelerator GANIL (Grand Accelerateur National d'Ions Lourds) in Caen, France. The gas samples were deposited onto a CsI substrate at 13 K and 80 K. In situ analysis was performed by a Fourier transform infrared (FTIR) spectrometer at different fluences. Radiolysis yields of the produced species were quantified. The dissociation cross section at 13 K of both H(2)O and CO(2) is about 3-4 times smaller when O ions are employed. The ice temperature seems to affect differently each species when the same projectile was employed. The formation cross section at 13 K of molecules such as C(18)O, CO (with oxygen from water), and H(2)O(2) increases when Ni ions are employed. The formation of organic compounds seems to be enhanced by the oxygen projectiles and at lower temperatures. In addition, because the organic production at 13 K is at least 4 times higher than the value at 80 K, we also expect that interstellar ices are more organic-rich than the surfaces of outer solar system bodies.

  17. SPIRAL2 at GANIL: Status and Perspectives

    NASA Astrophysics Data System (ADS)

    Gales, S.

    2008-05-01

    To pursue the investigation of a new territory of nuclei with extreme N/Z called ``terra incognita'' several projects, all aiming at the increase by several orders of magnitude of the RIB intensities are now under discussions worldwide. In Europe, two major new projects have been approved recently FAIRatGSI using the so-called ``in-flight'' method and SPIRAL2atGANIL, based on the ISOL method. Both projects were selected in the European Strategic Roadmap For research Infrastructures (ESFRI). The main goal of SPIRAL2 is clearly to extend our knowledge of the limit of existence and the structure of nuclei deeply in the medium and heavy mass region (A = 60 to 140) which is to day an almost unexplored continent. SPIRAL 2 is based on a high power, CW, superconducting driver LINAC, delivering 5 mA of deuteron beams at 40 MeV (200 KW) directed on a C converter+ Uranium target and producing therefore more 1013 fissions/s. The expected radioactive beams intensities for exotic species in the mass range from A = 60 to A = 140, of the order of 106 to 1010 pps will surpass by two order of magnitude any existing facilities in the world. These unstable atoms will be available at energies between few KeV/n to 15 MeV/n. The same driver will accelerate high intensity (100 μA to 1 mA), heavier ions up to Ar at 14 MeV/n producing also proton rich exotic nuclei. In applied areas SPIRAL2 is considered as a powerful variable energy neutron source, a must to study the impact of nuclear fission and fusion on materials. The intensities of these unstable species are excellent opportunities for new tracers and diagnostics either for solid state, material or for radiobiological science and medicine. The ``Go'' decision has been taken in May 2005. The investments and personnel costs amount to 190 M€, for the construction period 2006-2012. Construction of the SPIRAL2 facility is shared by ten French laboratories and a network of international partners. Under the 7FP program of European Union

  18. France Without NATO

    DTIC Science & Technology

    1966-04-08

    and unstable France . Two decades of European peace and prosperity are causing the French to reevaluate the threat from the East and to question the...continued need for alliances in which France is not the dominate power. The French attacks on the North Atlantic Treaty Organization and the...distracted or compromised in his belief of French greatness, stands the "man who is France ," President Charles de Gaulle. France has gained strength

  19. Disentangling the control of tectonics, eustasy, trophic conditions and climate on shallow-marine carbonate production during the Aalenian-Oxfordian interval: From the western France platform to the western Tethyan domain

    NASA Astrophysics Data System (ADS)

    Andrieu, Simon; Brigaud, Benjamin; Barbarand, Jocelyn; Lasseur, Eric; Saucède, Thomas

    2016-11-01

    The objective of this work is to improve our understanding of the processes controlling changes in the architecture and facies of intracontinental carbonate platforms. We examined the facies and sequence stratigraphy of Aalenian to Oxfordian limestones of western France. Seventy-seven outcrop sections were studied and thirty-one sedimentary facies identified in five depositional environments ranging from lower offshore to backshore. Platform evolution was reconstructed along a 500 km cross-section. Twenty-two depositional sequences were identified on the entire western France platform and correlated with European third-order sequences at the biozone level, demonstrating that eustasy was the major factor controlling the cyclic trend of accommodation. The tectonic subsidence rate was computed from accommodation measurements from the Aalenian to the Oxfordian in key localities. Tectonism controlled the sedimentation rate and platform architecture at a longer time scale. Tectonic subsidence triggered the demise of carbonate production at the Bathonian/Callovian boundary while the uplift made possible the recovery of carbonate platform from Caen to Le Mans during the mid Oxfordian. Topography of the Paleozoic basement mainly controlled lateral variations of paleodepth within the western France platform until the mid Bathonian. A synthesis of carbonate production in the western Tethyan domain at that time was conducted. Stages of high carbonate production during the Bajocian/Bathonian and the middle to late Oxfordian are synchronous with low δ13C, high eccentricity intervals, and rather dry climate promoting (1) evaporation and carbonate supersaturation, and (2) oligotrophic conditions. Periods of low carbonate production during the Aalenian and from the middle Callovian to early Oxfordian correlate with high δ13C and low eccentricity intervals, characterized by wet climate and less oligotrophic conditions. Such conditions tend to diminish growth potential of carbonate

  20. Convergent and construct validity and test-retest reliability of the Caen Chronotype Questionnaire in six languages.

    PubMed

    Laborde, Sylvain; Dosseville, Fabrice; Aloui, Asma; Ben Saad, Helmi; Bertollo, Maurizio; Bortoli, Laura; Braun, Barbara; Chamari, Karim; Chtourou, Hamdi; De Kort, Yvonne; Farooq, Abdulaziz; Gordijn, Marijke Cm; Greco, Pablo; Guillén, Félix; Haddad, Monoem; Hosang, Thomas; Khalladi, Karim; Lericollais, Romain; Lopes, Mariana; Robazza, Claudio; Smolders, Karin; Wurm, Alexander; Allen, Mark S

    2018-06-06

    Chronotype questionnaires provide a simple and time-effective approach to assessing individual differences in circadian variations. Chronotype questionnaires traditionally focused on one dimension of chronotype, namely its orientation along a continuum of morningness and eveningness. The Caen Chronotype Questionnaire (CCQ) was developed to assess an additional dimension of chronotype that captures the extent to which individual functioning varies during the day (amplitude). The aim of this study was to provide a multilanguage validation of the CCQ in six world regions (Arabic, Dutch, German, Italian, Portuguese and Spanish). At Time 1, a total of 2788 participants agreed to take part in the study (Arabic, n = 731; Dutch, n = 538; German, n = 329; Italian, n = 473; Portuguese, n = 361; Spanish, n = 356). Participants completed an assessment of the CCQ together with the Morningness-Eveningness Questionnaire (MEQ; Horne & Ostberg 1976) as well as questions related to factors theoretically related to chronotype (age, shift work, physical activity, sleep parameters and coffee consumption). One month later, participants again completed the CCQ. Results showed that the two-factor structure (morningness-eveningness and amplitude) of the CCQ could be replicated in all six languages. However, measurement invariance could not be assumed regarding the factor loadings across languages, meaning that items loaded more on their factors in some translations than in others. Test-retest reliability of the CCQ ranged from unacceptable (German version) to excellent (Dutch, Portuguese). Convergent validity was established through small-medium effect size correlations between the morningness-eveningness dimension of the CCQ and the MEQ. Taken together, our findings generally support the use of the translated versions of the CCQ. Further validation work on the CCQ is required including convergent validation against physiological markers of sleep, health and well-being.

  1. Radioresistance of Adenine to Cosmic Rays

    NASA Astrophysics Data System (ADS)

    Vignoli Muniz, Gabriel S.; Mejía, Christian F.; Martinez, Rafael; Auge, Basile; Rothard, Hermann; Domaracka, Alicja; Boduch, Philippe

    2017-04-01

    The presence of nucleobases in carbonaceous meteorites on Earth is an indication of the existence of this class of molecules in outer space. However, space is permeated by ionizing radiation, which can have damaging effects on these molecules. Adenine is a purine nucleobase that amalgamates important biomolecules such as DNA, RNA, and ATP. Adenine has a unique importance in biochemistry and therefore life. The aim of this work was to study the effects of cosmic ray analogues on solid adenine and estimate its survival when exposed to corpuscular radiation. Adenine films were irradiated at GANIL (Caen, France) and GSI (Darmstadt, Germany) by 820 MeV Kr33+, 190 MeV Ca10+, 92 MeV Xe23+, and 12 MeV C4+ ion beams at low temperature. The evolution of adenine molecules under heavy ion irradiation was studied by IR absorption spectroscopy as a function of projectile fluence. It was found that the adenine destruction cross section (σd) follows an electronic stopping power (Se) power law under the form: CSen; C is a constant, and the exponential n is a dimensionless quantity. Using the equation above to fit our results, we determined σd = 4 × 10-17 Se1.17, with Se in kiloelectronvolts per micrometer (keV μm-1). New IR absorption bands arise under irradiation of adenine and can be attributed to HCN, CN-, C2H4N4, CH3CN, and (CH3)3CNC. These findings may help to understand the stability and chemistry related to complex organic molecules in space. The half-life of solid adenine exposed to the simulated interstellar medium cosmic ray flux was estimated as (10 ± 8) × 106 years.

  2. A comparison between the processing of Titan aerosols analogs by ionizing photons and energetic cosmic rays.

    NASA Astrophysics Data System (ADS)

    De Araujo Vasconcelos, Fredson; Pilling, Sergio; Boduch, Philippe; Alexandre Souza Bergantini, M.; Ding, M. Jingjie J.; Rothard, Hermann; Robson Rocha, Will

    Titan, the largest satellite of Saturn, has an atmosphere mainly made of N_{2} and CH_{4} and includes traces of several simple organic compounds. This atmosphere also partly consists of haze and erosol particles which during the last 4.5 gigayears have been processed by electric discharges, ions, and ionizing photons, being slowly deposited over Titańs surface. In this work, we investigate the possible effects produced by ionizing photons (vacuum ultraviolet and soft X-rays) and cosmic ray analogs (15.7 MeV (16) O (+5) ) on Titan aerosol analogs in an attempt to simulate some prebiotic photochemistry. For photons, the experiments have been performed using a high vacuum portable chamber from the Laboratorio de Astroquimica e Astrobiologia (LASA/UNIVAP) coupled to the the Brazilian Synchrotron Light Source (LNLS) in Campinas, Brazil. For ions, the investigation was performed at the Grand Accelerateur National d’Ions Lourds (GANIL) Caen, France. In-situ sample analyses were performed by a Fourier transform infrared spectrometer at different fluences. During the sample processing, the infrared spectra have presented several new organic molecules, including nitriles, HCN and aromatic CN compounds. The processing of the sample by fast ions has enhanced the formation of daughter species in the Titan aerosol sample when compared with the products from the employing VUV and soft X-rays photons. The destruction cross section of the parent species was determined, as well as, the formation cross section for some selected daughter species. Molecular Half-lives were extrapolated to the Titańs environment. This investigation confirms previous results which showed that the organic chemistry on frozen moons inside Solar system can be very complex and extremely rich in prebiotic compounds. Authors would like to tanks the agencies FAPESP (JP-2009/18304-0), CAPES-Cofecub (569/2007), INCT-A and CNPq for the financial support.

  3. The Spirit of France

    DTIC Science & Technology

    1994-01-01

    seemed to boost self esteem amongst the French , giving France a greater sense of dignity. Charles de Gaulle sought grandeur to unite France and give...overshadowed by the US, UK and Russia. The war had left France with little influence in Europe and had psychologically and morally weakened the French ... France as a way to increase the influence base of the French state. Influence, either perceived or real, meant power. Power represented independence

  4. Vegetation cover and long-term conservation of radioactive waste packages: the case study of the CSM waste disposal facility (Manche District, France).

    PubMed

    Petit-Berghem, Yves; Lemperiere, Guy

    2012-03-01

    The CSM is the first French waste disposal facility for radioactive waste. Waste material is buried several meters deep and protected by a multi-layer cover, and equipped with a drainage system. On the surface, the plant cover is a grassland vegetation type. A scientific assessment has been carried out by the Géophen laboratory, University of Caen, in order to better characterize the plant cover (ecological groups and associated soils) and to observe its medium and long term evolution. Field assessments made on 10 plots were complemented by laboratory analyses carried out over a period of 1 year. The results indicate scenarios and alternative solutions which could arise, in order to passively ensure the long-term safety of the waste disposal system. Several proposals for a blanket solution are currently being studied and discussed, under the auspices of international research institutions in order to determine the most appropriate materials for the storage conditions. One proposal is an increased thickness of these materials associated with a geotechnical barrier since it is well adapted to the forest plants which are likely to colonize the site. The current experiments that are carried out will allow to select the best option and could provide feedback for other waste disposal facility sites already being operated in France (CSFMA waste disposal facility, Aube district) or in other countries.

  5. France. Country profile. [France's economy adjusts to a declining birth rate].

    PubMed

    Inserra, P

    1984-09-01

    This discussion of France focuses on regions and cities, age distribution, households and families, housing, labor force, consumption, education, and communications. France counted 54,334,871 citizens as of March 4, 1982. There were 250,000 more people than in 1975, yielding a 7-year growth rate of 3.3%. If present trends continue, there will be 56 million French by the end of the 1980s. Since 1975 when the last census was conducted, cities of more than 200,000 lost an average of 5% of their residents. For the 1st time in more than a century, urban areas of 20,000 or more did not gain population but merely held their own. France continues to experience the effects of the large-scale decimation of its male population during the 2 world wars. The World war i loss showed up March 1982 as a relatively smaller 60-74 group. Conversely the population aged 75 and over is growing, both in absolute numbers and as a percent of the population. There were 3.6 million aged 75 and over (6.6% of the population) in 1982 compared with 3 million (5.6%) in 1975. The 19 and under age group declined between 1975-85, from 31% (16.2 million) to 29% (15.6 million). The 20-59 year old group constitutes the largest segment of the population--about double the group aged 19 and under--and its growing. This group was 50% of the population in 1973 and 53% in 1982. The infant mortality rate has declined steadily in France, from 18.2 deaths/1000 births in 1970 to 13.6 in 1975 and 9.5 at present. The total fertility rate has continued to decline: 1.8 children/woman in the 1982 census a rate less than the number needed to replace the present French population. Between 1975-82 households grew 10.4% to a total of 19.6 million. The growth in the number of households is attributed to the increase in divorce and the tendency for French children to leave the parental home at an earlier age. France has nearly 23 million dwelling places. More than half of householders own their own homes. New housing starts

  6. France and European Security

    DTIC Science & Technology

    1986-04-01

    block number) In the 1960s, French defense policy emphasized the protection of French territory rather than the collective security of France and her... France and her European allies. This began to change in the late 1970s. The French contribution to European security is now a matter of considerable...independence. He interpreted independence in a specific manner. Although France would maintain ties and commitments to its allies, the French government

  7. The Evolution of Minehunting in France (L’Evolution de la Chasse aux Mines en France),

    DTIC Science & Technology

    1983-07-13

    The Necessity of Minehunting in France And why are the French , Ohl such a small number of experts, interested in minehunting? The coasts of France are...AD-A132 532 THE EVOLUTION OF MINEHUNTING IN FRANCE IL’EVOLUTION DE I/1 LA CHASSE AUX MINES EN FRANCE )(U) NAVAL INTELLIGENCE SUPPORT CENTER WASHINGTON...MINEHUNTING IN FRANCE AUTHOR: DE DREZIGUE TRANSLATEO gY: LCDR ROBERT AUGELLI, USNR-R NISC TRANSLATION UNIT 0166 eei o DTIC MI’S OR&I DfIC T ELECTE Ja~tinoati

  8. Germany, France and NATO

    DTIC Science & Technology

    1994-10-17

    the Alliance. Ii. France and NATO. " The French position on NAI 0 has evolved since 1990. Rance has moved toward closer military cooperation with...NATO as demonstrated, for example, by the subcrdination c! French troops in the EUROCORPS io SACFUR when a crisis demands it, " Yet France has also...future. Greater cooperation may develop between France and the United Kingdom, particularly in nuclear matters, as indicated in the French White

  9. Design, test, and calibration of an electrostatic beam position monitor

    NASA Astrophysics Data System (ADS)

    Cohen-Solal, Maurice

    2010-03-01

    The low beta of proton or ion beams favors an electrostatic pickup to measure the transverse beam centroid position. Often papers on beam position monitors (BPM) are focused on a particular aspect of the problem; however, it is important to consider all various issues of a position measurement system. Based on our experience at the IPHI (high intensity injector proton) facility at CEA-Saclay, this paper will address all aspects to design, test, and calibrate a BPM for proton linear accelerators, while emphasizing the determination of the absolute beam position. We present details of the readout electronics, and describe the calibration of the BPM using a test station. For calculation and simulation of the electrical signals we developed a Mathematica script. The error analysis presented, on the basis of six BPMs installed in the high energy section of IPHI, demonstrates the expected accuracy of the position measurement. These studies also identify the parameters that could improve the performance of the beam position control. The experience from these developments is currently being used for the BPM design and test stand dedicated to the Spiral2 accelerator at Ganil-Caen which will deliver heavy ion beams.

  10. [Anesthesiologists in France].

    PubMed

    Mizuno, Ju; Hanaoka, Kazuo; Merckx, Paul; Bonneville, Claire Tae; Kavafyan, Juliette; Mantz, Jean

    2007-03-01

    We review some anesthesiologist's curriculum and demographic characteristics in France to the community of Japanese anesthesiologists. To become a certified anesthesiologist and an intensive care physician currently requires six years' medical education, passing national medical examination, and five years' special training as an intern of anesthesiology and intensive care. This educational course was started in 1984. There are 7942 certified anesthesiologists in France in 1999. The average age is 45.9 years and the ratio of female is 35.3%. Approximately two thirds of certified anesthesiologists are working in public institutions. 89% is full-time workers. More than half of certified anesthesiologists actually participate in daily intensive care practice. The number of certified anesthesiologists has been increasing gradually totaling 10,062 persons in 2005. The number of certified anesthesiologists per ten thousands general population is 1.7 persons and the corresponding ratio to all medical doctors is 4.8%. Working hours and holidays are regulated by the French Labour Law. The anaesthesiologist often works in a team with a nurse anaesthetist. The number of certified anesthesiologists in France is larger than that in Japan. Management of anesthesia in France seems to have an advantage in manpower.

  11. Radioresistance of Adenine to Cosmic Rays.

    PubMed

    Vignoli Muniz, Gabriel S; Mejía, Christian F; Martinez, Rafael; Auge, Basile; Rothard, Hermann; Domaracka, Alicja; Boduch, Philippe

    2017-04-01

    The presence of nucleobases in carbonaceous meteorites on Earth is an indication of the existence of this class of molecules in outer space. However, space is permeated by ionizing radiation, which can have damaging effects on these molecules. Adenine is a purine nucleobase that amalgamates important biomolecules such as DNA, RNA, and ATP. Adenine has a unique importance in biochemistry and therefore life. The aim of this work was to study the effects of cosmic ray analogues on solid adenine and estimate its survival when exposed to corpuscular radiation. Adenine films were irradiated at GANIL (Caen, France) and GSI (Darmstadt, Germany) by 820 MeV Kr 33+ , 190 MeV Ca 10+ , 92 MeV Xe 23+ , and 12 MeV C 4+ ion beams at low temperature. The evolution of adenine molecules under heavy ion irradiation was studied by IR absorption spectroscopy as a function of projectile fluence. It was found that the adenine destruction cross section (σ d ) follows an electronic stopping power (S e ) power law under the form: CS e n ; C is a constant, and the exponential n is a dimensionless quantity. Using the equation above to fit our results, we determined σ d  = 4 × 10 -17 S e 1.17 , with S e in kiloelectronvolts per micrometer (keV μm -1 ). New IR absorption bands arise under irradiation of adenine and can be attributed to HCN, CN - , C 2 H 4 N 4 , CH 3 CN, and (CH 3 ) 3 CNC. These findings may help to understand the stability and chemistry related to complex organic molecules in space. The half-life of solid adenine exposed to the simulated interstellar medium cosmic ray flux was estimated as (10 ± 8) × 10 6 years. Key Words: Heavy ions-Infrared spectroscopy-Astrochemistry-Cosmic rays-Nucleobases-Adenine. Astrobiology 17, 298-308.

  12. [Rabies in France: an update].

    PubMed

    Jaussaud, R; Strady, C; Liénard, M; Strady, A

    2000-08-01

    In 1996, rabies was responsible for more than 35,000 deaths worldwide. Three cases of human rabies that had been contracted abroad were diagnosed in France during the same year. Cases notified in 1997 followed exposure outside the country. Fox, bat, and dog rabies are reviewed on the basis of the latest epidemiological data obtained in France. Two cases of fox rabies diagnosed in 1998 occurred at the border between France and Germany, thus preventing five French departments bordering Germany from being officially declared rabies-free in 1999. The campaigns for oral immunization of foxes that are led since 1986 are responsible for the decrease in rabies incidence. Though not well known, bat rabies is a reality in France, involving either European virus strains (five cases all over the country) or African virus strains that are carried along by imported tropical bats. Dogs rabies is also today an imported disease. The decrease in risk for rabies has resulted from the conjunction of multiple efforts: extensive programs aimed at oral vaccination of foxes in France and its neighboring countries, efficient epidemiological survey, sanitary controls at borders, ban on importing tropical bats. Furthermore, recommendations for preventive pre-exposure immunization have recently been changed, leading to modifications of the French licensing form.

  13. Does intraoperative neuromonitoring of recurrent nerves have an impact on the postoperative palsy rate? Results of a prospective multicenter study.

    PubMed

    Mirallié, Éric; Caillard, Cécile; Pattou, François; Brunaud, Laurent; Hamy, Antoine; Dahan, Marcel; Prades, Michel; Mathonnet, Muriel; Landecy, Gérard; Dernis, Henri-Pierre; Lifante, Jean-Christophe; Sebag, Frederic; Jegoux, Franck; Babin, Emmanuel; Bizon, Alain; Espitalier, Florent; Durand-Zaleski, Isabelle; Volteau, Christelle; Blanchard, Claire

    2018-01-01

    neuromonitoring does not decrease postoperative recurrent laryngeal nerve palsy rate. Due to its high specificity, however, intraoperative neuromonitoring is useful to predict normal vocal cord mobility. From the CHU de Nantes, a Clinique de Chirurgie Digestive et Endocrinienne, Nantes, France; CHU Lille, Université de Lille, b Chirurgie Générale et Endocrinienne, Lille, France; CHU Nancy-Hôpital de Brabois, c Service de Chirurgie Digestive, Hépato-Biliaire, et Endocrinienne, Nancy, France; CHU Angers, d Chirurgie Digestive et Endocrinienne, Angers, France; CHU de Toulouse-Hôpital Larrey, e Chirurgie Thoracique, Pôle Voies Respiratoires, Toulouse; CHU Saint-Etienne-Hôpital Nord, f ORL et Chirurgie Cervico-Faciale et Plastique, Saint-Etienne, France; CHU de Limoges-Hôpital Dupuytren, g Chirurgie Digestive, Générale et Endocrinienne, Limoges, France; CHU de Besançon-Hôpital Jean Minjoz, h Chirurgie Digestive, Besançon, France; Centre Hospitalier du Mans, i Service ORL et Chirurgie Cervico-Faciale, Le Mans, France; Centre Hospitalier Lyon-Sud, j Chirurgie Générale, Endocrinienne, Digestive et Thoracique, Pierre Bénite, France; AP-HM-Hôpital de La Conception, k Chirurgie Générale, Marseille, France; CHU de Rennes-Hôpital Pontchaillou, l Service ORL et Chirurgie Maxillo-Faciale, Rennes, France; CHU de Caen, m ORL et Chirurgie Cervico-Faciale, Caen, France; CHU d'Angers, n ORL et Chirurgie Cervico-Faciale, Angers, France; CHU de Nantes, o Service ORL, Nantes, France; AP HP URCEco île-de-France, p hôpital de l'Hôtel-Dieu, Paris, France; DRCI, département Promotion, q Nantes, France. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Bioelectromagnetics Research in France--An Assessment.

    DTIC Science & Technology

    1984-06-29

    to level of the Defense Department. He was 5 years. The latter will help demon- replaced in normal rotation by a manager strate the breadth and scope...engineering. Unless support is found Ondes Electromagnetiques et Biologie immediately in industry or in other (Jouy en Josas, France, 1980), countries, France...Bioelectromagnetics de URSI, Ondes Electromagnetiques et Journal, not one French paper has been Biologie (Jouy en Josas, France, published in it. Whether any were

  15. Chateaubriant, France

    NASA Image and Video Library

    2010-03-08

    This image, acquired 11-05-2007 by NASA Terra spacecraft, shows the city of Chateaubriant, France, surrounded by very old farmsteads. The surrounding countryside presents an interesting pattern of randomly oriented, small individual farmsteads.

  16. Women in physics in France

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Pierron-Bohnes, Véronique

    We present six associations and entities working in France on issues of women in physics: the Women and Physics Commission, French Physical Society; Women in Nuclear (WiN) France; Women and Science Association; Mission for the Place of Women at CNRS; Parity, Diversity, and Women Network, CEA; and the Network of University Equality-Diversity Representatives.

  17. France acts on electronic cigarettes.

    PubMed

    Cahn, Zachary

    2013-11-01

    France is deciding how to regulate electronic cigarettes. I first consider the French approach and how it contrasts with other attempts at electronic cigarette regulation globally. Next, I critique the individual elements of the French proposal. The overall approach taken by France is a positive development, but banning indoor use appears unnecessary and banning advertising may be counterproductive.

  18. 78 FR 25365 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-01

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Final rule. SUMMARY: We are adopting a new airworthiness directive (AD) for Eurocopter France... applies. FAA's Determination These helicopters have been approved by the aviation authority of France and...

  19. 77 FR 54796 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-06

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), DOT... France Model AS350 helicopters. This AD requires installing protection sleeves over certain forward... helicopters have been approved by the aviation authority of France and are approved for operation in the...

  20. 78 FR 18230 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-26

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Final rule. SUMMARY: We are adopting a new airworthiness directive (AD) for Eurocopter France... approved by the aviation authority of France and is approved for operation in the United States. Pursuant...

  1. 78 FR 65871 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-04

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Final rule. SUMMARY: We are adopting a new airworthiness directive (AD) for Eurocopter France... aviation authority of France and are approved for operation in the United States. Pursuant to our bilateral...

  2. 77 FR 44118 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-27

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA... airworthiness directive (AD) for Eurocopter France (Eurocopter) Model EC155B1 helicopters with a certain... Determination These helicopters have been approved by the aviation authority of France and are approved for...

  3. 78 FR 25380 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-01

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Final rule. SUMMARY: We are adopting a new airworthiness directive (AD) for Eurocopter France... Determination These helicopters have been approved by the aviation authority of France and are approved for...

  4. 77 FR 70360 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-26

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Final rule. SUMMARY: We are adopting a new airworthiness directive (AD) for all Eurocopter France... France and are approved for operation in the United States. Pursuant to our bilateral agreement with...

  5. 77 FR 5994 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-07

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA... airworthiness directive (AD) for all Eurocopter France EC130B4 helicopters that have not had Eurocopter... actions. FAA's Determination These helicopters have been approved by the aviation authority of France and...

  6. 78 FR 59306 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-26

    ...-0826; Directorate Identifier 2011-SW-046-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for Eurocopter France (Eurocopter) Model... helicopters have been approved by the aviation authority of France and [[Page 59307

  7. 77 FR 57996 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-19

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Final rule. SUMMARY: We are adopting a new airworthiness directive (AD) for Eurocopter France... directive (AD): 2012-18-08 EUROCOPTER FRANCE: Amendment 39-17184; Docket No. FAA- 2011-1408; Directorate...

  8. 78 FR 857 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-07

    ... Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Final rule. SUMMARY: We are adopting a new airworthiness directive (AD) for Eurocopter France (Eurocopter... been approved by the aviation authority of France and are approved for operation in the United States...

  9. 78 FR 1739 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-09

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Final rule. SUMMARY: We are adopting a new airworthiness directive (AD) for all Eurocopter France... Directorate General for Civil Aviation (DGAC France) AD F-2008-04, dated June 4, 2008, for the Eurocopter...

  10. 78 FR 9634 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-11

    ...-0119; Directorate Identifier 2011-SW-034-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for Eurocopter France (Eurocopter) Model... helicopter. FAA's Determination These helicopters have been approved by the aviation authority of France and...

  11. 78 FR 21233 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-10

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Final rule. SUMMARY: We are adopting a new airworthiness directive (AD) for Eurocopter France... (NPRM), which proposed to amend 14 CFR part 39 to include an AD that would apply to Eurocopter France...

  12. 78 FR 59298 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-26

    ...-1158; Directorate Identifier 2010-SW-018-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to revise airworthiness directive (AD) 2011-22-05 for Eurocopter France (Eurocopter...'s Determination These helicopters have been approved by the aviation authority of France and are...

  13. 77 FR 5991 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-07

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA... airworthiness directive (AD) for the Eurocopter France (ECF) Model AS332L2 helicopter and superseding an AD for... of France and are approved for operation in the United States. Pursuant to our bilateral agreement...

  14. 77 FR 18967 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-29

    ...-0339; Directorate Identifier 2011-SW-051-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for all Eurocopter France (Eurocopter... Airworthiness Directive (AD): Eurocopter France: Docket No. FAA-2012-0339; Directorate Identifier 2011-SW-051-AD...

  15. 78 FR 44043 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-23

    ...-0635; Directorate Identifier 2012-SW-081-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for Eurocopter France (Eurocopter) Model... France and are approved for operation in the United States. Pursuant to our bilateral agreement with...

  16. 78 FR 23462 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-19

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA... airworthiness directive (AD) for Eurocopter France (Eurocopter) Model AS332C, AS332L, and AS332L1 helicopters... helicopters have been approved by the aviation authority of France and are approved for operation in the...

  17. 78 FR 16200 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-14

    ...-0240; Directorate Identifier 2011-SW-060-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for certain Eurocopter France (Eurocopter... helicopters have been approved by the aviation authority of France and are approved for operation in the...

  18. 77 FR 44509 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-30

    ...-0795; Directorate Identifier 2008-SW-53-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for Eurocopter France (Eurocopter) Model... by the aviation authority of the France and are approved for operation in the United States. Pursuant...

  19. 78 FR 33764 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-05

    ...-0479; Directorate Identifier 2011-SW-070-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for Eurocopter France (Eurocopter) Model... authority of France and are approved for operation in the United States. Pursuant to our bilateral agreement...

  20. 77 FR 36216 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-18

    ...-0631; Directorate Identifier 2011-SW-021-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France... rulemaking (NPRM). SUMMARY: We propose to adopt a new airworthiness directive (AD) for Eurocopter France... approved by the aviation authority of France and are approved for operation in the United States. Pursuant...

  1. 77 FR 43734 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-26

    ...-0774; Directorate Identifier 2010-SW-057-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for Eurocopter France (Eurocopter) Model... Determination This helicopter model is manufactured in France and is type certificated for operation in the...

  2. 78 FR 37154 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-20

    ...-0523; Directorate Identifier 2012-SW-091-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for Eurocopter France (Eurocopter) Model... Determination These helicopters have been approved by the aviation authority of France and are approved for...

  3. 78 FR 51115 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-20

    ...-0737; Directorate Identifier 2012-SW-111-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for certain Eurocopter France (Eurocopter... approved by the aviation authority of France and are approved for operation in the United States. Pursuant...

  4. 77 FR 56755 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-14

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Final rule. SUMMARY: We are adopting a new airworthiness directive (AD) for Eurocopter France... proposed to amend 14 CFR part 39 to include an AD that would apply to Eurocopter France Model SA341G...

  5. 77 FR 20319 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-04

    ...-0354; Directorate Identifier 2010-SW-104-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for all Eurocopter France (EC) Model SA... France: Docket No. FAA-2012-0354; Directorate Identifier 2010-SW-104-AD. (a) Applicability This AD...

  6. 77 FR 43738 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-26

    ...-0772; Directorate Identifier 2007-SW-053-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for Eurocopter France (Eurocopter) Model... manufactured in France and is type certificated for operation in the United States under the provisions of 14...

  7. 77 FR 50582 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-22

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Final rule. SUMMARY: We are adopting a new airworthiness directive (AD) for Eurocopter France... 39 to include an AD that would apply to Eurocopter France Model EC155B and EC155B1 helicopters with a...

  8. 77 FR 18965 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-29

    ...-0338; Directorate Identifier 2009-SW-51-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for Eurocopter France Model SA341G.... Discussion The Direction Generale de l'Aviation Civile (DGAC), which is the aviation authority for France...

  9. 77 FR 14310 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-09

    ...-0222; Directorate Identifier 2011-SW-007-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for certain Eurocopter France Model AS350... Determination These products have been approved by the aviation authority of France and are approved for...

  10. 77 FR 36213 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-18

    ...-0630; Directorate Identifier 2011-SW-010-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for Eurocopter France EC130B4 helicopters... unsafe condition for the Eurocopter France EC130B4 helicopters. EASA states that it received reports that...

  11. 77 FR 36220 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-18

    ...-0632; Directorate Identifier 2011-SW-044-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for all Eurocopter France (Eurocopter... Civil Aviation (DGAC France) AD F-2008-04, dated June 4, 2008, for the Eurocopter Model EC 155 B, EC 155...

  12. 77 FR 11787 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-28

    ...-0177; Directorate Identifier 2009-SW-59-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for Eurocopter France Model EC155B and... approved by the aviation authority of France and are approved for operation in the United States. Pursuant...

  13. 78 FR 75579 - Low Enriched Uranium From France

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-12

    ... From France Determination On the basis of the record \\1\\ developed in the subject five-year review, the... uranium from France would be likely to lead to continuation or recurrence of material injury to an... Commission are contained in USITC Publication 4436 (December 2013), entitled Low Enriched Uranium from France...

  14. 78 FR 9777 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-12

    ... Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), Department of... airworthiness directive (AD) for Eurocopter France (Eurocopter) Model EC 155B, EC155B1, SA-365N1, AS-365N2 and... aviation authority of France and are approved for operation in the United States. Pursuant to our bilateral...

  15. 78 FR 63429 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-24

    ...-0872; Directorate Identifier 2013-SW-012-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for Eurocopter France Model AS332C, AS332L... approved by the aviation authority of France and are approved for operation in the United States. Pursuant...

  16. [Comparisons outpatient drug prescriptions: France, Denmark, Norway, Sweden].

    PubMed

    Dezileaux, Barbara; Martinez, Florie

    2016-06-01

    Comparisons outpatient drug prescriptions: France, Denmark, Norway, Sweden. Project compares quantitatively outpatient drug prescriptions in France, Denmark, Norway and Sweden. Data were obtained from national databases; the unit of measurement was defined daily dose per 1000 inhabitants. The five most prescribed drug classes were compared in each country in 2009, then benzodiazepines and antibiotics from 2006 to 2012. A literature review was focused on the context of prescriptions for each country. In 2009, the five most prescribed drug classes in the four countries represented seven classes in total. France was not the biggest prescriber of drugs, but from 2006 to 2012 benzodiazepines and antibiotics were prescribed much more in France than in the other countries. The evolution of prescriptions was different for each country, and very stable in France. In 2009, France was not the biggest drugs consumer of all classes, but was characterized by high prescriptions in some classes. Copyright © 2016 Société française de pharmacologie et de thérapeutique. Published by Elsevier Masson SAS. All rights reserved.

  17. 77 FR 54353 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-05

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Final rule. SUMMARY: We are adopting a new airworthiness directive (AD) for all Eurocopter France... apply to all Eurocopter France (EC) Model SA-365N, SA-365N1, SA-366G1, AS-365N2, AS 365 N3, EC 155B, and...

  18. Vocational Education and Training in France.

    ERIC Educational Resources Information Center

    Willems, Jean-Pierre

    This monograph gives an overview of the vocational education and training system in France. It contains the following information: (1) a presentation of the administrative, demographic, and economic background in which the training system in France exists; (2) a brief historical review of the development of the training systems; (3) a presentation…

  19. 78 FR 60681 - Airworthiness Directives; Eurocopter France (Eurocopter) Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-02

    ... Airworthiness Directives; Eurocopter France (Eurocopter) Helicopters AGENCY: Federal Aviation Administration... helicopters have been approved by the aviation authority of France and are approved for operation in the United States. Pursuant to our bilateral agreement with France, EASA, its technical representative, has...

  20. 78 FR 60188 - Airworthiness Directives; Eurocopter France (Eurocopter) Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-01

    ... Airworthiness Directives; Eurocopter France (Eurocopter) Helicopters AGENCY: Federal Aviation Administration... aviation authority of France and are approved for operation in the United States. Pursuant to our bilateral agreement with France, EASA, its technical representative, has notified us of the unsafe condition described...

  1. 78 FR 63853 - Airworthiness Directives; Eurocopter France (Eurocopter) Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    ... Airworthiness Directives; Eurocopter France (Eurocopter) Helicopters AGENCY: Federal Aviation Administration... aviation authority of France and are approved for operation in the United States. Pursuant to our bilateral agreement with France, EASA, its technical representative, has notified us of the unsafe condition described...

  2. 77 FR 16137 - Airworthiness Directives; Eurocopter France Model Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-20

    ... Airworthiness Directives; Eurocopter France Model Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Final rule. SUMMARY: We are adopting a new airworthiness directive (AD) for the Eurocopter France... directive (AD): 2012-05-01 Eurocopter France: Amendment 39-16973; Docket No. FAA- 2011-0454; Directorate...

  3. 78 FR 34960 - Airworthiness Directives; Eurocopter France Model Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-11

    ...-0501; Directorate Identifier 2011-SW-036-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France... rulemaking (NPRM). SUMMARY: We propose to adopt a new airworthiness directive (AD) for Eurocopter France... Determination These helicopters have been approved by the aviation authority of France and are approved for...

  4. 78 FR 66668 - Airworthiness Directives; Eurocopter France (Eurocopter) Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-06

    ...-0938; Directorate Identifier 2012-SW-057-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France... Determination These helicopters have been approved by the aviation authority of France and are approved for operation in the United States. Pursuant to our bilateral agreement with France, EASA, its technical...

  5. 78 FR 33766 - Airworthiness Directives; Eurocopter France (Eurocopter) Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-05

    ...-0480; Directorate Identifier 2012-SW-090-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France... approved by the aviation authority of France and are approved for operation in the United States. Pursuant to our bilateral agreement with France, EASA, its technical representative, has notified us of the...

  6. A surgical sabbatical in France.

    PubMed

    Sutherland, F; Launois, B

    2000-06-01

    During my stay in France I had the unique opportunity to meet surgical professors from all over the world and made many friends and contacts in the field of hepatobiliary surgery. Brittany is a beautiful province of France, having unique way of life and approach to social and societal problems. The cultural enrichment that I received from my year there will last a lifetime, as well the many fond memories of the people, the culinary delights and the spectacular seashore.

  7. France.

    PubMed

    1987-09-01

    In 1986, France had a population of 55,493,000, with an annual growth rate of 0.4%. The infant mortality rate stood at 8.2/1000. Of the work force of 23.8 million, 8.3% were engaged in agriculture, 45.2% were in the industry and commerce sector, and 46.5% were engaged in services. The unemployment rate stood at 10.7%. The country's gross domestic product (GDP) was US$724 billion in 1986, with an average annual growth rate of 2.0%, and per capita income averaged $13,046. France has substantial agricultural resources, a diversified modern industrial system, and a highly skilled labor force. Following the return of a socialist majority in government in 1981, several large manufacturing firms were nationalized along with much of the commercial banking sector. Initial socialist policies were stimulative, relying partly on income redistribution and partly on increased government spending. However, the resultant increase in import demand was not offset by an increased demand French exports. In 1983, an economic stabilization plan of reductions in the budget deficit, involving spending cuts, increased taxes, and tighter monetary and credit policies, was successfully implemented. Although current economic policies should promote stronger growth over the medium to long term, trade competitiveness remains weak and high unemployment is a major social problem.

  8. Beginning of Viniculture in France

    NASA Technical Reports Server (NTRS)

    McGovern, Patrick E.; Luley, Benjamin P.; Rovira, Nuria; Mirzoian, Armen; Callahan, Michael P.; Smith, Karen F.; Hall, Gretchen R.; Davidson, Theodore; Henkin, Joshua M.

    2013-01-01

    Chemical analyses of ancient organic compounds absorbed into the pottery fabrics of imported Etruscan amphoras (ca. 500-475 B.C.) and into a limestone pressing platform (ca. 425-400 B.C.) at the ancient coastal port site of Lattara in southern France provide the earliest biomolecular archaeological evidence for grape wine and viniculture from this country, which is crucial to the later history of wine in Europe and the rest of the world. The data support the hypothesis that export of wine by ship from Etruria in central Italy to southern Mediterranean France fueled an ever-growing market and interest in wine there, which, in turn, as evidenced by the winepress, led to transplantation of the Eurasian grapevine and the beginning of a Celtic industry in France. Herbal and pine resin additives to the Etruscan wine point to the medicinal role of wine in antiquity, as well as a means of preserving it during marine transport.

  9. Beginning of viniculture in France

    PubMed Central

    McGovern, Patrick E.; Luley, Benjamin P.; Rovira, Nuria; Mirzoian, Armen; Callahan, Michael P.; Smith, Karen E.; Hall, Gretchen R.; Davidson, Theodore; Henkin, Joshua M.

    2013-01-01

    Chemical analyses of ancient organic compounds absorbed into the pottery fabrics of imported Etruscan amphoras (ca. 500–475 B.C.) and into a limestone pressing platform (ca. 425–400 B.C.) at the ancient coastal port site of Lattara in southern France provide the earliest biomolecular archaeological evidence for grape wine and viniculture from this country, which is crucial to the later history of wine in Europe and the rest of the world. The data support the hypothesis that export of wine by ship from Etruria in central Italy to southern Mediterranean France fueled an ever-growing market and interest in wine there, which, in turn, as evidenced by the winepress, led to transplantation of the Eurasian grapevine and the beginning of a Celtic industry in France. Herbal and pine resin additives to the Etruscan wine point to the medicinal role of wine in antiquity, as well as a means of preserving it during marine transport. PMID:23733937

  10. 78 FR 49115 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-13

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), DOT... published in the Federal Register. The AD applies to certain Eurocopter France (Eurocopter) Model AS350B3...

  11. 75 FR 39277 - Sorbitol From France; Determination

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-08

    ... INTERNATIONAL TRADE COMMISSION [Investigation No. 731-TA-44 (Third Review)] Sorbitol From France... U.S.C. 1675d(c)) (the Act), that revocation of the antidumping duty order on sorbitol from France... views of the Commission are contained in USITC Publication 4164 (June 2010), entitled Sorbitol from...

  12. SPIRAL2 at GANIL: A world leading ISOL facility at the dawn of the next decade

    NASA Astrophysics Data System (ADS)

    Gales, S.

    2007-07-01

    To pursue the investigation of a new territory of nuclei with extreme N/Z, called “terra incognita”, several projects, all aiming at the increase by several orders of magnitude of RIB intensities are now under discussion worldwide. In Europe, two major new projects have been approved recently: FAIR@GSI, using the so-called “in-flight” method, and SPIRAL2@GANIL, based on the ISOL method. The main goal of SPIRAL2 is clearly to extend our knowledge of the limit of existence and the structure of nuclei deeply in the medium and heavy mass region ( A=60-140), which is today an almost unexplored continent. SPIRAL2 is based on a high power, CW, superconducting driver LINAC, delivering 5 mA of deuteron beams at 40 MeV (200 kW) directed on a C converter+ Uranium target and producing therefore more than 10 13 fissions/s. The expected radioactive beam intensities for exotic species in the mass range from A=60 to A=140, of the order of 10 6-10 10 pps will surpass by two order of magnitude any existing facility in the world. These unstable atoms will be available at energies between a few keV/n to 15 MeV/n. The same driver will accelerate high intensity (100 μA to 1 mA), heavier ions up to Ar at 14 MeV/n producing also proton rich exotic nuclei. In applied areas SPIRAL2 is considered as a powerful variable energy neutron source, a must for studying the impact of nuclear fission and fusion on materials. The intensities of these unstable species are excellent opportunities for new tracers and diagnostics either for solid state, material or for radiobiological science and medicine. The technical design has reached the point where SPIRAL2 is ready for construction. Project status and foreseen schedules will be presented. Scientific and technical R&D programs in collaboration with EU and International partners for the facility as well as for the associated innovative new instruments will be discussed.

  13. Uranium mining in France

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    White, L.

    Since the onset of the first ''oil shock'' in 1974, France has pursued a policy of steadily increasing energy independence based on nuclear power for generation of electricity. In 1973, nuclear reactors supplied only 8% of France's electrical power. A strong development effort lifted the nuclear share to 23% in 1980, to 66% in 1985, and the plan is to raise the total to 75% by 1990. In 1976, Cogema (Compagnie Generale des Matieres Nucleaires) was organized from the production division of France's Commissariat a l'Energie Atomique (CEA) to handle fuel supply and spent fuel reprocessing for the expanding industrymore » (see subsequent article on Cogema). In parallel with growth of the French nuclear power, Cogema has become a world leader in all aspects of the fuel cycle, providing services not only domestically but internationally as well. As a uranium mining company, Cogema has steadily developed domestic and foreign sources of supply, and over the years it has maintained the world's strongest uranium exploration effort throughout the ups and downs of the market. As a result, the company has become the world's leading uranium supplier, with about 20% of total production contributed either by its domestic mining divisions or overseas subsidiaries.« less

  14. Inside France: Three Missing Pages from Your Students' Textbook.

    ERIC Educational Resources Information Center

    Conniffe, Patricia, Ed.

    This mini-unit seeks to fill the gap in textbooks that exists when teaching about modern France. Many textbooks end their coverage of France with the chapter on World War II. This unit offers high school students a unique introduction to France in the mid-1990s. The mini-unit includes a two-sided poster, teaching tips, and student pages. Student…

  15. Gambling and gambling-related problems in France.

    PubMed

    Valleur, Marc

    2015-12-01

    To provide an overview of the gambling landscape and gambling-related problems in France, including the history, legislation, gambling policy and epidemiological data on excessive gambling. A literature review, using Medline, PsycInfo and Toxibase/OFDT databases, based on the systematic monitoring of scientific literature since 2008 (including French and international papers). Since 1776 and the creation of the royal lottery, state monopoly has been the main pillar of gambling policy in France. Increases in gambling venues and opportunities, growing evidence of gambling-related problems, pressures from the European Commission and the growth of on-line gambling have led to major changes in this policy: while land-based gambling remains mainly in the form of a state monopoly, on-line gambling was partially liberalized in 2010, and regulation authorities were established. The first epidemiological survey was conducted in 2010. Rates of problematic gambling in France are within the average of other European countries. Treatment has begun to be made available within addiction centres. A majority of on-line gamblers in France use legal websites, which was one of the initial goals of liberalization. Recent studies confirm that the prevalence of problem gambling in France is far higher among on-line gamblers than among land-based gamblers; however, this difference cannot be attributed only to greater addictiveness of on-line gambling. © 2015 Society for the Study of Addiction.

  16. 78 FR 70202 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-25

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), DOT... France (Eurocopter) Model AS350B, BA, B1, B2, B3, D, AS355E, F, F1, F2, and N [[Page 70203

  17. 78 FR 47230 - Airworthiness Directives; Eurocopter France (Eurocopter) Model Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-05

    ...-0679; Directorate Identifier 2009-SW-015-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France... aviation authority of France and are approved for operation in the United States. Pursuant to our bilateral agreement with France, EASA, its technical representative, has notified us of the unsafe condition described...

  18. Ceftriaxone-Resistant Salmonella enterica Serotype Newport, France

    PubMed Central

    Egorova, Svetlana; Timinouni, Mohammed; Demartin, Marie; Granier, Sophie A.; Whichard, Jean M.; Sangal, Vartul; Fabre, Laëtitia; Delauné, Aurélia; Pardos, Maria; Millemann, Yves; Espié, Emmanuelle; Achtman, Mark; Grimont, Patrick A.D.

    2008-01-01

    The multidrug-resistant (MDR) Salmonella enterica serotype Newport strain that produces CMY-2 β-lactamase (Newport MDR-AmpC) was the source of sporadic cases and outbreaks in humans in France during 2000–2005. Because this strain was not detected in food animals, it was most likely introduced into France through imported food products. PMID:18507913

  19. Aging in France: Population Trends, Policy Issues, and Research Institutions

    ERIC Educational Resources Information Center

    Beland, Daniel; Durandal, Jean-Philippe Viriot

    2013-01-01

    Like in other advanced industrial countries, in France, demographic aging has become a widely debated research and policy topic. This article offers a brief overview of major aging-related trends in France. The article describes France's demographics of aging, explores key policy matters, maps the institutional field of French social gerontology…

  20. [Primary care in France].

    PubMed

    Sánchez-Sagrado, T

    2016-01-01

    The poor planning of health care professionals in Spain has led to an exodus of doctors leaving the country. France is one of the chosen countries for Spanish doctors to develop their professional career. The French health care system belongs to the Bismarck model. In this model, health care system is financed jointly by workers and employers through payroll deduction. The right to health care is linked to the job, and provision of services is done by sickness-funds controlled by the Government. Primary care in France is quite different from Spanish primary care. General practitioners are independent workers who have the right to set up a practice anywhere in France. This lack of regulation has generated a great problem of "medical desertification" with problems of health care access and inequalities in health. French doctors do not want to work in rural areas or outside cities because "they are not value for money". Medical salary is linked to professional activity. The role of doctors is to give punctual care. Team work team does not exist, and coordination between primary and secondary care is lacking. Access to diagnostic tests, hospitals and specialists is unlimited. Duplicity of services, adverse events and inefficiencies are the norm. Patients can freely choose their doctor, and they have a co-payment for visits and hospital care settings. Two years training is required to become a general practitioner. After that, continuing medical education is compulsory, but it is not regulated. Although the French medical Health System was named by the WHO in 2000 as the best health care system in the world, is it not that good. While primary care in Spain has room for improvement, there is a long way for France to be like Spain. Copyright © 2015 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

  1. [Utilization of methylphenidate(Ritalin) in France].

    PubMed

    Frances, C; Hoizey, G; Millart, H; Trenque, T

    2002-01-01

    Methylphenidate (Ritalin) is the only psychostimulant approved in France and indicated in attention deficit hyperactivity disorder in children over 6 years. It is under restricted prescription and distribution conditions. As such, it requires a hospital initiated prescription from either a neurology, psychiatry or pediatric specialist and it is covered by the "narcotics" schedule. The French Pharmacovigilance database spontaneous adverse drug reactions reporting, since it was approved in 1995, were analyzed. 21 adverse drug reactions were reported. In 16 cases, methylphenidate was suspected. They were generally non-serious, mild side effects and in most cases promptly resolved. These results do not suggest methylphenidate misuse in France or an overuse in between 1300 and 4000 treated children, to date. Until more information is available concerning the long-term effects of methylphenidate, and in order to limit misuse, inappropriate or overuse, the current prescription and dispensing regulation should be maintained in France, and could well be developed in other countries.

  2. 77 FR 63262 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-16

    ... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration 14 CFR Part 39 [Docket No. FAA-2012-1087; Directorate Identifier 2009-SW-32-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France... France: Docket No. FAA-2012-1087; Directorate Identifier 2009-SW-32-AD. (a) Applicability This AD applies...

  3. International Reports on Literacy Research: France and Argentina

    ERIC Educational Resources Information Center

    Malloy, Jacquelynn A., Comp.; Botzakis, Stergios, Comp.

    2006-01-01

    This is a compilation of two separate reports on international literacy research from France and Argentina. In the reports from France, research correspondent Jacques Fijalkow detailed three research projects that included the following: (1) A description of adult literacy skills; (2) An investigation of how study-abroad students were integrated…

  4. The Challenges Facing Catholic Education in France Today

    ERIC Educational Resources Information Center

    Moog, François

    2016-01-01

    The effects of secularisation on society demand a rethinking of the identity and mission of Catholic schools in France. In 2013, the French bishops published a new directory which offers new approaches, described here, based on the three challenges facing Catholic education in France: linking social responsibility and evangelisation, setting up…

  5. 47 CFR 3.46 - Use of gold francs.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 1 2014-10-01 2014-10-01 false Use of gold francs. 3.46 Section 3.46... AUTHORITIES IN MARITIME AND MARITIME MOBILE-SATELLITE RADIO SERVICES Settlement Operations § 3.46 Use of gold francs. An accounting authority must accept accounts presented to it from foreign administrations in gold...

  6. 47 CFR 3.46 - Use of gold francs.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 1 2013-10-01 2013-10-01 false Use of gold francs. 3.46 Section 3.46... AUTHORITIES IN MARITIME AND MARITIME MOBILE-SATELLITE RADIO SERVICES Settlement Operations § 3.46 Use of gold francs. An accounting authority must accept accounts presented to it from foreign administrations in gold...

  7. 47 CFR 3.46 - Use of gold francs.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Use of gold francs. 3.46 Section 3.46... AUTHORITIES IN MARITIME AND MARITIME MOBILE-SATELLITE RADIO SERVICES Settlement Operations § 3.46 Use of gold francs. An accounting authority must accept accounts presented to it from foreign administrations in gold...

  8. 47 CFR 3.46 - Use of gold francs.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 1 2011-10-01 2011-10-01 false Use of gold francs. 3.46 Section 3.46... AUTHORITIES IN MARITIME AND MARITIME MOBILE-SATELLITE RADIO SERVICES Settlement Operations § 3.46 Use of gold francs. An accounting authority must accept accounts presented to it from foreign administrations in gold...

  9. 47 CFR 3.46 - Use of gold francs.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 1 2012-10-01 2012-10-01 false Use of gold francs. 3.46 Section 3.46... AUTHORITIES IN MARITIME AND MARITIME MOBILE-SATELLITE RADIO SERVICES Settlement Operations § 3.46 Use of gold francs. An accounting authority must accept accounts presented to it from foreign administrations in gold...

  10. Echinococcus ortleppi Infections in Humans and Cattle, France

    PubMed Central

    Umhang, Gérald; Arbez-Gindre, Francine; Mantion, Georges; Delabrousse, Eric; Millon, Laurence; Boué, Franck

    2014-01-01

    In 2011 and 2012, liver infections caused by Echinococcus ortleppi tapeworms were diagnosed in 2 humans in France. In 2012, a nationwide slaughterhouse survey identified 7 E. ortleppi infections in cattle. The foci for these infections were spatially distinct. The prevalence of E. ortleppi infections in France may be underestimated. PMID:25417697

  11. In Wake of Riots, France Refashions Priority Zones

    ERIC Educational Resources Information Center

    Hendrie, Caroline

    2006-01-01

    This article deals with an initiative embarked upon by the government of France one year after widespread youth violence broke out in many disadvantaged communities in France. The initiative is aimed at adapting its 25-year-old "priority education" program to a landscape that has dramatically changed. The initiative is the centerpiece of…

  12. Satellite remote sensing of hailstorms in France

    NASA Astrophysics Data System (ADS)

    Melcón, Pablo; Merino, Andrés; Sánchez, José Luis; López, Laura; Hermida, Lucía

    2016-12-01

    Hailstorms are meteorological phenomena of great interest to the scientific community, owing to their socioeconomic impact, which is mainly on agricultural production. With its global coverage and high spatial and temporal resolution, satellite remote sensing can contribute to monitoring of such events through the development of appropriate techniques. This paper presents an extensive validation in the south of France of a hail detection tool (HDT) developed for the Middle Ebro Valley (MEV). The HDT is based on consecutive application of two filters, a convection mask (CM) and hail mask (HM), using spectral channels of the Meteosat Second Generation (MSG) satellite. The south of France is an ideal area for studying hailstorms, because there is a robust database of hail falls recorded by an extensive network of hailpads managed by the Association Nationale d'Etude et de Lutte contre les Fleáux Atmosphériques (ANELFA). The results show noticeably poorer performance of the HDT in France relative to that in the MEV, with probability of detection (POD) 60.4% and false alarm rate (FAR) 26.6%. For this reason, a new tool to suit the characteristics of hailstorms in France has been developed. The France Hail Detection Tool (FHDT) was developed using logistic regression from channels of the Spinning Enhanced Visible and Infrared Imager (SEVIRI) sensor of the MSG. The FHDT was validated, resulting in POD 69.3% and FAR 15.4%, thus improving hail detection in the study area as compared with the previous tool. The new tool was tested in a case study with satisfactory results, supporting its future practical application.

  13. [History of clinical pharmacology in France: adaptation, evaluation, defense and illustration of drug in France 1978-1981].

    PubMed

    Montastruc, Paul

    2014-01-01

    This text illustrates some unknown aspects of the history and beginnings of clinical pharmacology in France in the late 1970s and early 1980s From the current situation, development and objectives of clinical pharmacology are recalled as well as obstacles necessary to overcome to change the paradigm in the field of drug evaluation and appropriate use in France. The text recalls this important moment where French medicine and medical pharmacology entered the modern era. © 2014 Société Française de Pharmacologie et de Thérapeutique.

  14. The e-Bug project in France.

    PubMed

    Touboul, Pia; Dunais, Brigitte; Urcun, Jeanne-Marie; Michard, Jean-Louis; Loarer, Christian; Azanowsky, Jean-Michel; Vincent, Isabelle; Jestin, Christine; Housseau, Bruno; de Warren, Anne; Dellamonica, Pierre

    2011-06-01

    The high rates of antibiotic prescriptions and antimicrobial resistance in France motivated its participation in the European e-Bug school project concerning microbes, and infection transmission, prevention and treatment. The prospect of raising awareness among children, helping them to adopt suitable attitudes and behaviour towards infection transmission and treatment starting from childhood, generated enthusiastic support from relevant national educational and health institutions throughout the Project. France was actively involved in every stage: background research showed that the subject matter was best suited to the national science curricula of the fourth and fifth forms in junior schools, and the sixth and ninth forms in senior schools; a focus group study with junior and senior teachers elicited teachers' needs concerning teaching resources; and a qualitative and quantitative evaluation, after translation and pack review, enabled further adaptation of the packs. This evaluation showed an overall enthusiastic reception by teachers and their students in France, and reassured teachers on the ease of use of the Project's resources and students' progress. The e-Bug Project was launched through a national institutional implementation plan in September 2009 and orders for e-Bug tools increased rapidly. By the end of October, 57% of all senior science teachers and 16% of all junior school teachers had ordered the pack. France is one of the most frequent users of the e-Bug web site. The collaboration with both educational and health partners was particularly helpful to implementing the Project, and this was confirmed by the favourable reception and participation of teachers and students in the field.

  15. Comparison of rehospitalization rates in France and the United States.

    PubMed

    Gusmano, Michael; Rodwin, Victor; Weisz, Daniel; Cottenet, Jonathan; Quantin, Catherine

    2015-01-01

    To compare rates of 30-day all-cause rehospitalization in France and the US among patients aged 65 years and older and explain any difference between the countries. To calculate rehospitalization rates in France, we use an individual identifying variable in the national hospital administrative dataset to track unique individuals aged 65 years or more hospitalized in France in 2010. To calculate the proportion of rehospitalized patients (65+) who received outpatient visits between the time of initial discharge and rehospitalization, we linked the hospital database with a database that includes all medical and surgical admissions. We used step by step regression models to predict rehospitalization. Rates of rehospitalization in France (14.7%) are lower than among Medicare beneficiaries in the US (20%). We find that age, sex, patient morbidity and the ownership status of the hospital are all correlated with rehospitalization in France. Lower rates of rehospitalization in France appear to be due to a combination of better access to primary care, better health among the older French population, longer lengths of stay in French hospitals and the fact that French nursing homes do not face the same financial incentive to rehospitalize residents. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  16. [Air quality surveillance in France].

    PubMed

    Téton, S; Robin, D; Genève, C

    2009-10-01

    As air quality has a direct impact on human health, its monitoring is imperative. In France, this task was entrusted by the government (Air Law of 1996) to organisations with territorial responsibility: the Registered Associations for the Surveillance of Air Quality. The type and level of pollution evolve: from industrial and sulphur pollution in the seventies, to urban and photochemical pollution today and to nanoparticles, pesticides and pollutants in buildings tomorrow. The tools, the skills and the roles of the different people involved in air quality control follow these sometimes rapid transitions in connection with an increasingly precise understanding of the relationship between health and the environment and of the considerable research on the subject. This article describes the mechanisms of air quality monitoring in France.

  17. Concentrating Solar Power Projects in France | Concentrating Solar Power |

    Science.gov Websites

    ;alphabetical by project name. You can browse a project profile by clicking on the project name. eLLO Solar NREL France Concentrating solar power (CSP) projects in France are listed belowâ€"

  18. La punaise diabolique a la conquete de la France

    USDA-ARS?s Scientific Manuscript database

    Halyomorpha halys is now present in France in Alsace and in several neighboring countries (Switzerland and Italy). The potential risk of invasion of H. halys throughout France is considered to be high. Through its natural dispersal, or with human assistance, this insect will likely colonize the majo...

  19. ADULT EDUCATION IN FRANCE.

    ERIC Educational Resources Information Center

    TITMUS, COLIN J.

    A SURVEY OF NONVOCATIONAL ADULT EDUCATION IN FRANCE, THE FIRST FULL LENGTH STUDY, OUTLINES ITS HISTORY FROM THE FRENCH REVOLUTION THROUGH THE RESISTANCE, THE PRINCIPLES AND CONDITIONS OF POPULAR EDUCATION SINCE 1945, LOCAL AND GOVERNMENTAL PROGRAMS, SERVICES OF PRIVATE AND GENERAL ORGANIZATIONS, PROVISIONS FOR SPECIAL INTERESTS AND GROUPS,…

  20. Assessment and diffusion of medical innovations in France: an overview.

    PubMed

    Dubromel, Amélie; Geffroy, Loïc; Aulagner, Gilles; Dussart, Claude

    2018-01-01

    Background: In France, a significant part of health expenditure is publicly funding. This put a heavy burden on society. In an economic context requiring tight control of public spending, it seems relevant to control the diffusion of medical innovations. That is why health technology assessment is subject to an increasing interest at national level for management and approval decisions. This article provides an overview of the assessment and diffusion of medical innovation in France. Method: The data are extracted from French authorities or organisations websites and documents and from French legislative texts. In addition, regarding discussion, a search in MEDLINE database was carried out. Results: An overview of the assessment and diffusion of medical innovation in France is given by presenting the different types of medical innovations according to French health system definition (I); introducing French authorities participating to health technology assessment and describe assessment procedures of medical innovations (II); and giving details about market access process of innovative health product in France (III). Key opportunities and challenges of medical innovation assessment and diffusion in France are discussed at the end of this article. Conclusion: In France, medical innovation is considered as a crucial component for quality of care and performance of healthcare system. The aim of health technology assessment is to promote a secure and timely access to innovation for patients. Nevertheless, it appears necessary to improve regulatory mechanisms.

  1. [Health and politics in France].

    PubMed

    Tabuteau, Didier

    2012-06-01

    Health is a dual notion. It is individual, singular and intimate. It is also collective, statistical and political. The modern problematic of health relies upon a balance of complex relations between individual and collective acceptances of the notion. You can try to outline the evolutions and the main concepts through a quadruple approach: health and politics, health and its professionals, health and society and in the end, health and the State. The relationships between health and politics in France are affected by the historical delay of France in public health, namely because of a structural weakness of the administrative organization of public health. Nevertheless France developed a dense and well organized care system and a universal social protection against the disease. The creation of the health professions in France was marked by a historical opposition between the doctors and the state which led to a failure of hygienist medicine and a fundamental misunderstanding on health insurance. Medical domination led to the organization of a system based on professional dichotomy and the delegation of the regulation skills to the health care professionals. The role of health issues in the French society was deeply renewed by the development of the medical and epidemiological knowledge. This resulted in a new political responsibility in the management of health risks but also in the confirmation of the patients' rights and the role of their associations in the health systems operations and the piloting of public policies. In this environment, the state has recently and progressively confirmed its dominating role in the health sector. A public hospital service was created In the 60's and 70's, then in the 80's there were recurrent interventions in order to control health spendings and eventually in the 90's health safety devices were set up. More recently, a process of health policies institutionalization confirmed this evolution. In the future, health issues should

  2. 75 FR 53857 - Airworthiness Directives; Eurocopter France Model SA330J Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-02

    ... Airworthiness Directives; Eurocopter France Model SA330J Helicopters AGENCY: Federal Aviation Administration... known U.S. owners and operators of Eurocopter France (Eurocopter) Model SA330J helicopters by individual...'' rather than checking for ``play.'' This helicopter model is manufactured in France and is type...

  3. 75 FR 42380 - Revocation of Antidumping Duty Order on Sorbitol From France

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-21

    ... Duty Order on Sorbitol From France AGENCY: Import Administration, International Trade Administration... sunset review of the antidumping duty order on sorbitol from France. See Initiation of Five-year... the existing antidumping duty order on sorbitol from France would not be likely to lead to...

  4. [A case of donovanosis acquired in France].

    PubMed

    Okhremchuk, I; Marmottant, E; Abed, S; Nguyen, A-T; Fournier, B; Boye, T; Morand, J-J

    2016-11-01

    Donovanosis (granuloma inguinale) is a bacterial infection caused by Klebsiella granulomatis that occurs mainly in the genital area and is primarily sexually transmitted; it is seen predominantly in the tropics. Herein, we report a case of the disease contracted in metropolitan France. A 47-year-old man presented with painless ulceration of the glans, present for one month, with progressive extension; there was no history of any recent trip abroad. Skin biopsy with Whartin-Starry and Giemsa staining revealed Donovan bodies in the cytoplasm of macrophages. Based on these findings, further questioning of the patient revealed unprotected sexual contact two months earlier in France. Treatment was initiated with azithromycin 1g on the first day followed by 500mg per day for three weeks. The clinical outcome was spectacular, with almost complete regression of the ulcer at 7 days. This case demonstrates that donovanosis can occur in metropolitan France. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  5. "Franklin: Science, Politics and France"

    NASA Astrophysics Data System (ADS)

    McClellan, James E., III

    2003-04-01

    This presentation traces Benjamin Franklin's career as a "civic scientist" in Old-Regime France. It outlines the initial - and not always positive - reception of Franklin's work on electricity by the community of French scientists in the 1750s. It sketches Franklin's subsequent elevation into the pantheon of French Enlightenment heros, and it details his work as a "civic scientist" while American envoy to France in the 1770s and 1780s, notably his service on the government-sponsored commissions that repudiated the scientific and medical claims of Franz Anton Mesmer. This presentation concludes by examining a few features of Franklin's career that are not completely congruent with our notion of what a "civic scientist" might be, a contrast that is intended to illuminate both Franklin and the concept of "civic scientist."

  6. The Definition of Vocational Diplomas in Germany and France.

    ERIC Educational Resources Information Center

    Mobus, Martine; Verdier, Eric

    1997-01-01

    In both France and Germany, the government, employers' organizations, and unions all participate in defining vocational diplomas based on a national framework of procedures of elaborating and standardizing titles. Important differences between the diploma definition processes in France and Germany may be identified. In Germany, the issue is…

  7. 76 FR 81430 - Airworthiness Directives; Eurocopter France (Eurocopter) Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-28

    ... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration 14 CFR Part 39 [Docket No. FAA-2011-1408; Directorate Identifier 2008-SW-10-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France... [Amended] 2. The FAA amends Sec. 39.13 by adding the following new AD: Eurocopter France: Docket No. FAA...

  8. The Marketisation of Guidance Services in Germany, France and Britain.

    ERIC Educational Resources Information Center

    Rees, Teresa; Bartlett, Will; Watts, A. G.

    1999-01-01

    Compares developments in Britain, France, and Germany, focusing on the trends toward marketing adult career guidance services. Describes how Germany's centralized system and the quasi-market based system in France might apply in Britain. (JOW)

  9. [Hospital emergency and health system organization in France].

    PubMed

    Moreau, François

    2003-01-01

    There is no legal definition of the term "emergency" in France. Given the vagueness of this term, a law was passed on 6 January 1986 in France defining the principle of urgent medical assistance as "providing the sick, the wounded and pregnant women, wherever they are, with the appropriate emergency care to meet their condition". The Ethical Medical Code of 6 September 1995 (Art. 77) specifies that "regarding constant availability of health care, the duty of every doctor is to take part in the day and night on-call rota". To understand the emergency care system in France, it should be stressed that the health system is a joint system, with a private sector and a public sector jointly organizing and providing health care. The patient can access either system as he chooses.

  10. 76 FR 75772 - Airworthiness Directives; Eurocopter France Model EC 120B Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-05

    ... Airworthiness Directives; Eurocopter France Model EC 120B Helicopters AGENCY: Federal Aviation Administration... the Eurocopter France Model EC 120B helicopters. This AD requires modifying the pilot cyclic control... include an AD that would apply to Eurocopter France Model EC 120B helicopters. That NPRM was published in...

  11. Experimental study of a high intensity radio-frequency cooler

    NASA Astrophysics Data System (ADS)

    Boussaid, Ramzi; Ban, G.; Cam, J. F.

    2015-07-01

    Within the framework of the DESIR/SPIRAL-2 project, a radio-frequency quadrupole cooler named SHIRaC has been studied. SHIRaC is a key device of SPIRAL-2, designed to enhance the beam quality required by DESIR. The preliminary study and development of this device has been carried out at Laboratoire de Physique Corpusculaire de CAEN (LPC Caen), France. The goal of this paper is to present the experimental studies conducted on a SHIRaC prototype. The main peculiarity of this cooler is its efficient handling and cooling of ion beams with currents going up as high as 1 μ A which has never before been achieved in any of the previous coolers. Much effort has been made lately into these studies for development of appropriate optics, vacuum and rf systems which allow cooling of beams of large emittance (˜80 π mm mrad ) and high current. The dependencies of SHIRaC's transmission and the cooled beam parameters in terms of geometrical transverse emittance and the longitudinal energy spread have also been discussed. Investigation of beam purity at optimum cooling condition has also been done. Results from the experiments indicate that an emittance reduction of less than 2.5 π mm mrad and a longitudinal energy spread reduction of less than 4 eV are obtained with more than 70% of ion transmission. The emittance is at expected values whereas the energy spread is not.

  12. Getting Skills Right: France

    ERIC Educational Resources Information Center

    OECD Publishing, 2017

    2017-01-01

    This report identifies effective strategies to tackle skills imbalances in France. It provides an assessment of practices and policies in the following areas: the collection and use of information on skill needs to foster a better alignment of skills acquisitions with labour market needs; policies stimulating skills demand and skills use; policies…

  13. Exclusive radiotherapy for stage T1-T2N0M0 lanryngeal cancer: retrospective study of 59 patients at CFB and CHU de Caen.

    PubMed

    Cuny, F; Géry, B; Florescu, C; Clarisse, B; Blanchard, D; Rame, J-P; Babin, E; De Raucourt, D

    2013-11-01

    Study of patients with stage T1N0M0 or T2N0M0 glottic cancer treated by exclusive radiotherapy and comparison of the survival and functional results of this series with those of the literature. Retrospective study of stage T1N0M0 or T2N0M0 glottic cancers diagnosed between 1st January 2000 and 31st December 2010 and treated by exclusive radiotherapy. Evaluation of survival, recurrence and larynx preservation rates. CLCC François-Baclesse and CHU de Caen. Fifty-nine patients (53 men and sixwomen) treated for glottic cancer (57 squamous cell carcinomas, two verrucous carcinomas) comprising 51 T1N0M0 and eight T2N0M0 tumours. Treatment with exclusive radiotherapy (mean dose of 70 Grays limited to the thyroid cartilage for 57 patients, with lymph node irradiation for two patients). In this series, five (9.8%) patients with stage T1N0M0 glottic cancer and three patients (37.5%) with stage T2N0M0 glottic cancer relapsed, corresponding to a global recurrence rate of 13.6%. Three of the eight recurrences involved lymph nodes exclusively (N), two patients relapsed exclusively at the primary tumour site (T) and three patients presented local and lymph node recurrence (T and N). Treatment consisted of salvage total laryngectomy with bilateral cervical lymph node dissection in three cases, bilateral cervical lymph node dissection and sensitized radiotherapy in two cases, exclusive chemotherapy in one case, cervical lymph node dissection and cervical radiotherapy in one case. The last patient with recurrence died prior to salvage therapy. The larynx preservation rate was 94.9%. In comparison with the literature, treatment of stage T1-T2N0M0 glottic cancer by exclusive radiotherapy gives very good results, with a larynx preservation rate of 95%. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  14. Assessment and diffusion of medical innovations in France: an overview

    PubMed Central

    Dubromel, Amélie; Geffroy, Loïc; Aulagner, Gilles; Dussart, Claude

    2018-01-01

    ABSTRACT Background: In France, a significant part of health expenditure is publicly funding. This put a heavy burden on society. In an economic context requiring tight control of public spending, it seems relevant to control the diffusion of medical innovations. That is why health technology assessment is subject to an increasing interest at national level for management and approval decisions. This article provides an overview of the assessment and diffusion of medical innovation in France. Method: The data are extracted from French authorities or organisations websites and documents and from French legislative texts. In addition, regarding discussion, a search in MEDLINE database was carried out. Results: An overview of the assessment and diffusion of medical innovation in France is given by presenting the different types of medical innovations according to French health system definition (I); introducing French authorities participating to health technology assessment and describe assessment procedures of medical innovations (II); and giving details about market access process of innovative health product in France (III). Key opportunities and challenges of medical innovation assessment and diffusion in France are discussed at the end of this article. Conclusion: In France, medical innovation is considered as a crucial component for quality of care and performance of healthcare system. The aim of health technology assessment is to promote a secure and timely access to innovation for patients. Nevertheless, it appears necessary to improve regulatory mechanisms. PMID:29686802

  15. [Attractiveness of France for clinical trials: evaluation of laboratories and promoters].

    PubMed

    d'Enfert, Jérôme; Lassale, Catherine; Prod'homme, Pauline

    2003-01-01

    Questions have been raised regarding the attractiveness of France versus other countries for performing clinical trials. A questionnaire was sent to pharmaceutical companies with offices in France to assess their level of activity and to get information on the pros and cons of performing phase I-IV international clinical trials in France. Eleven companies, of large to medium size and representing 44% of the shared market returned answers. In 2001, they spent 131 million euros on clinical trials--53% for phase I-III, with a staff of 1469 (not including Contact Research Organisations)--and involved 21,000 investigators recruiting 98,000 patients on local budgets, and 2257 investigators recruiting 10,270 patients on international budgets. France ranked well as regards size of market or resource availability, with an intermediate rank as regards costs, access to patients and disease prevalence, and was weak with regard to speed of recruitment and quality of investigators. Ways of improving France's attractiveness will be discussed.

  16. [Courses in microsurgical techniques in France and abroad].

    PubMed

    Alzakri, A; Al-Rajeh, M; Liverneaux, P A; Facca, S

    2014-06-01

    The objective of this work was to determine the state of current training programs for microsurgery in France and abroad. Our survey of microsurgery training programs determined the registration volume, program contents, and number of students in France, and looked at registration volume and teaching time for programs abroad. Data were obtained from the Internet, university administration, those responsible for university diploma programs, and students. There were 18 university diploma programs in microsurgery in France. The average list price was €1,129 for an average of 19 hours of theoretical training and 100 hours of practice. Evaluation methods varied, but all required at least vascular anastomosis in rats. In 2011-2012, 148 students were enrolled and 126 graduated (85% passing rate). Abroad, 16 basic courses were listed in the USA, Europe and Asia. Nine advanced courses were offered. The average price was $1,346 for 36 hours of practice in the basic courses and $1,955 for over 50 hours of training in advanced courses. None of these courses gave out a diploma. Our results show that in France, university diploma programs in microsurgery are heterogeneous and the French College should consider updating them. Globally, a study is underway by the International Microsurgical Simulation Society. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  17. Long-Term Care Financing: Lessons From France

    PubMed Central

    Doty, Pamela; Nadash, Pamela; Racco, Nathalie

    2015-01-01

    Context An aging population leads to a growing demand for long-term services and supports (LTSS). In 2002, France introduced universal, income-adjusted, public long-term care coverage for adults 60 and older, whereas the United States funds means-tested benefits only. Both countries have private long-term care insurance (LTCI) markets: American policies create alternatives to out-of-pocket spending and protect purchasers from relying on Medicaid. Sales, however, have stagnated, and the market's viability is uncertain. In France, private LTCI supplements public coverage, and sales are growing, although its potential to alleviate the long-term care financing problem is unclear. We explore whether France's very different approach to structuring public and private financing for long-term care could inform the United States’ long-term care financing reform efforts. Methods We consulted insurance experts and conducted a detailed review of public reports, academic studies, and other documents to understand the public and private LTCI systems in France, their advantages and disadvantages, and the factors affecting their development. Findings France provides universal public coverage for paid assistance with functional dependency for people 60 and older. Benefits are steeply income adjusted and amounts are low. Nevertheless, expenditures have exceeded projections, burdening local governments. Private supplemental insurance covers 11% of French, mostly middle-income adults (versus 3% of Americans 18 and older). Whether policyholders will maintain employer-sponsored coverage after retirement is not known. The government's interest in pursuing an explicit public/private partnership has waned under President François Hollande, a centrist socialist, in contrast to the previous center-right leader, President Nicolas Sarkozy, thereby reducing the prospects of a coordinated public/private strategy. Conclusions American private insurers are showing increasing interest in long

  18. Electricite de France`s ALARA policy

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Stricker, L.; Rollin, P.

    1995-03-01

    In 1992, Electricite de France - EDF decided to improve the degree to which radiological protection is incorporated in overall management of the utility and set itself the objective of ensuring the same level of protection for workers from contractors as for those from EDF. This decision was taken in a context marked by a deterioration in exposure figures for French plants and by the new recommendations issued by the ICRP. This document describes the policy adopted by EDF at both corporate and plant level to meet these objectives, by: (1) setting up management systems which were responsive but notmore » cumbersome; (2) a broad policy of motivation; (3) the development and use of suitable tools. The document then describes some quite positive results of EDF`s ALARA policy, giving concrete examples and analyzing the changes in global indicators.« less

  19. Linguistic Pluralism in France.

    ERIC Educational Resources Information Center

    Laroche, Jacques M.

    This paper suggests that a discussion of linguistic pluralism in France begins by chronicling the emergence of French as the primary language in early French history and the role of linguistic minorities at various periods in French history. It then focuses on growing linguistic activism in the second half of the twentieth century, when the…

  20. What did we learn from PEGASEAS forum "Science and Governance of the Channel Marine Ecosystem"?

    PubMed

    Evariste, Emmanuelle; Claquin, Pascal; Robin, Jean-Paul; Auber, Arnaud; McQuatters-Gollop, Abigail; Fletcher, Stephen; Glegg, Gillian; Dauvin, Jean-Claude

    2015-04-15

    As one of the busiest marine ecosystems in the world, the English Channel is subjected to strong pressures due to the human activities occurring within it. Effective governance is required to improve the combined management of different activities and so secure the benefits provided by the Channel ecosystem. In July 2014, a Cross-Channel Forum, entitled "Science and Governance of the Channel Marine Ecosystem", was held in Caen (France) as part of the INTERREG project "Promoting Effective Governance of the Channel Ecosystem" (PEGASEAS). Here we use outputs from the Forum as a framework for providing Channel-specific advice and recommendations on marine governance themes, including the identification of knowledge gaps, which may form the foundation of future projects for the next INTERREG project call (2015-2020). Copyright © 2015 Elsevier Ltd. All rights reserved.

  1. Populations at Risk for Alveolar Echinococcosis, France

    PubMed Central

    Piarroux, Martine; Piarroux, Renaud; Knapp, Jenny; Bardonnet, Karine; Dumortier, Jérôme; Watelet, Jérôme; Gerard, Alain; Beytout, Jean; Abergel, Armand; Bresson-Hadni, Solange

    2013-01-01

    During 1982–2007, alveolar echinococcosis (AE) was diagnosed in 407 patients in France, a country previously known to register half of all European patients. To better define high-risk groups in France, we conducted a national registry-based study to identify areas where persons were at risk and spatial clusters of cases. We interviewed 180 AE patients about their way of life and compared responses to those of 517 controls. We found that almost all AE patients lived in 22 départements in eastern and central France (relative risk 78.63, 95% CI 52.84–117.02). Classification and regression tree analysis showed that the main risk factor was living in AE-endemic areas. There, most at-risk populations lived in rural settings (odds ratio [OR] 66.67, 95% CI 6.21–464.51 for farmers and OR 6.98, 95% CI 2.88–18.25 for other persons) or gardened in nonrural settings (OR 4.30, 95% CI 1.82–10.91). These findings can help sensitization campaigns focus on specific groups. PMID:23647623

  2. 75 FR 28469 - Airworthiness Directives; Eurocopter France Model AS332L2 Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-21

    ... Airworthiness Directives; Eurocopter France Model AS332L2 Helicopters AGENCY: Federal Aviation Administration.... SUMMARY: We are adopting a new airworthiness directive (AD) for Eurocopter France (Eurocopter) Model... Unsafe Condition Determination This helicopter has been approved by the aviation authority of France and...

  3. Enterovirus Migration Patterns between France and Tunisia

    PubMed Central

    Othman, Ines; Mirand, Audrey; Slama, Ichrak; Mastouri, Maha; Peigue-Lafeuille, Hélène; Aouni, Mahjoub; Bailly, Jean-Luc

    2015-01-01

    The enterovirus (EV) types echovirus (E-) 5, E-9, and E-18, and coxsackievirus (CV-) A9 are infrequently reported in human diseases and their epidemiologic features are poorly defined. Virus transmission patterns between countries have been estimated with phylogenetic data derived from the 1D/VP1 and 3CD gene sequences of a sample of 74 strains obtained in France (2000–2012) and Tunisia (2011–2013) and from the publicly available sequences. The EV types (E-5, E-9, and E-18) exhibited a lower worldwide genetic diversity (respective number of genogroups: 4, 5, and 3) in comparison to CV-A9 (n = 10). The phylogenetic trees estimated with both 1D/VP1 and 3CD sequence data showed variations in the number of co-circulating lineages over the last 20 years among the four EV types. Despite the low number of genogroups in E-18, the virus exhibited the highest number of recombinant 3CD lineages (n = 10) versus 4 (E-5) to 8 (E-9). The phylogenies provided evidence of multiple transportation events between France and Tunisia involving E-5, E-9, E-18, and CV-A9 strains. Virus spread events between France and 17 other countries in five continents had high probabilities of occurrence as those between Tunisia and two European countries other than France. All transportation events were supported by BF values > 10. Inferring the source of virus transmission from phylogenetic data may provide insights into the patterns of sporadic and epidemic diseases caused by EVs. PMID:26709514

  4. Enterovirus Migration Patterns between France and Tunisia.

    PubMed

    Othman, Ines; Mirand, Audrey; Slama, Ichrak; Mastouri, Maha; Peigue-Lafeuille, Hélène; Aouni, Mahjoub; Bailly, Jean-Luc

    2015-01-01

    The enterovirus (EV) types echovirus (E-) 5, E-9, and E-18, and coxsackievirus (CV-) A9 are infrequently reported in human diseases and their epidemiologic features are poorly defined. Virus transmission patterns between countries have been estimated with phylogenetic data derived from the 1D/VP1 and 3CD gene sequences of a sample of 74 strains obtained in France (2000-2012) and Tunisia (2011-2013) and from the publicly available sequences. The EV types (E-5, E-9, and E-18) exhibited a lower worldwide genetic diversity (respective number of genogroups: 4, 5, and 3) in comparison to CV-A9 (n = 10). The phylogenetic trees estimated with both 1D/VP1 and 3CD sequence data showed variations in the number of co-circulating lineages over the last 20 years among the four EV types. Despite the low number of genogroups in E-18, the virus exhibited the highest number of recombinant 3CD lineages (n = 10) versus 4 (E-5) to 8 (E-9). The phylogenies provided evidence of multiple transportation events between France and Tunisia involving E-5, E-9, E-18, and CV-A9 strains. Virus spread events between France and 17 other countries in five continents had high probabilities of occurrence as those between Tunisia and two European countries other than France. All transportation events were supported by BF values > 10. Inferring the source of virus transmission from phylogenetic data may provide insights into the patterns of sporadic and epidemic diseases caused by EVs.

  5. Multiple sclerosis in North African migrants to France.

    PubMed

    Kurtzke, J F; Delasnerie-Lauprêtre, N; Wallin, M T

    1998-11-01

    Among some 7500 respondents with known place of birth who had completed a nationwide questionnaire survey for multiple sclerosis (MS) in France in 1986, there were 260 born in former French North Africa (Algeria, Morocco, Tunisia). They had migrated to France between 1923 and 1986, but 66% came between 1956 and 1964. Two-thirds were from Algeria, where virtually the entire European population had emigrated in 1962 at the end of the Algerian war for independence. The migrants were younger at prevalence day (mean 43.4 years) and at onset (29.4 years) than the French-born MS (46.6; 31.3 years). Eight migrants lacked age information. The 225 migrants with onset more than 1 year after immigration presumably acquired their MS in France. They provided an age adjusted (US 1960) MS prevalence rate 1.54 times that for all France. If the latter is taken at 50 per 100,000 population their estimated adjusted rate is 76.8 with 95% confidence interval of 67.1 to 87.5. The other 27 with presumed acquisition in North Africa gave an estimated adjusted prevalence of 16.6 per 100,000 (95% CI 10.9-24.1). For those migrants with acquisition in France there was a mean interval of 13 years between immigration or age 11 and clinical onset, with a minimum of 3 years. This series provides further support for the theses: 1) that MS is primarily an environmental disease acquired after childhood; 2) that acquisition requires prolonged or repeated exposure (here 3 years for these medium-to-high MS risk migrants) followed by a prolonged latent or incubation period between acquisition and symptom onset (here 10 years); and 3) that this disease is most likely a widespread but unknown persistent infection which results in clinical MS in only a small proportion of those affected.

  6. Predictors of Publication Productivity Among Hospital Pharmacists in France and Quebec

    PubMed Central

    Lelièvre, Joachim; Lebel, Denis; Prot-Labarthe, Sonia

    2011-01-01

    Objective To describe publications by hospital pharmacists in France and Quebec and evaluate factors predictive of publication productivity. Method Variables related to scientific publication productivity were identified through a search of the literature and organized into 4 themes (ie, personal and professional characteristics, hospital activities, research and publishing activities, publication-related motivations and perceptions). A questionnaire was developed that included short-answer items and 58 multiple-choice questions to determine respondents' level of agreement with statements about their motivations and perceptions surrounding publishing. Results Four hundred twenty-two hospital pharmacists (218 respondents from France and 204 from Quebec) were recruited. Respondents from France were more prolific than those from Quebec, even when considering factors such as time worked and gender. Furthermore, the percentage of respondents working in a university health center was lower in France than Quebec (46% vs. 70%, p = 0.001), as was the percentage of respondents indicating a mastery of English (43% vs. 88%, p = 0.001). Conclusion Seven factors were predictive of the number of publications per respondent in France and Quebec: practicing hospital pharmacy in France, being male, having academic duties or a PhD, having participated in a clinical trial, having secured funding in one's own name for a research project, and allocating a greater number of hours per week to research. PMID:21451771

  7. Geographical Heterogeneity of Multiple Sclerosis Prevalence in France.

    PubMed

    Pivot, Diane; Debouverie, Marc; Grzebyk, Michel; Brassat, David; Clanet, Michel; Clavelou, Pierre; Confavreux, Christian; Edan, Gilles; Leray, Emmanuelle; Moreau, Thibault; Vukusic, Sandra; Hédelin, Guy; Guillemin, Francis

    2016-01-01

    Geographical variation in the prevalence of multiple sclerosis (MS) is controversial. Heterogeneity is important to acknowledge to adapt the provision of care within the healthcare system. We aimed to investigate differences in prevalence of MS in departments in the French territory. We estimated MS prevalence on October 31, 2004 in 21 administrative departments in France (22% of the metropolitan departments) by using multiple data sources: the main French health insurance systems, neurologist networks devoted to MS and the Technical Information Agency of Hospitalization. We used a spatial Bayesian approach based on estimating the number of MS cases from 2005 and 2008 capture-recapture studies to analyze differences in prevalence. The age- and sex-standardized prevalence of MS per 100,000 inhabitants ranged from 68.1 (95% credible interval 54.6, 84.4) in Hautes-Pyrénées (southwest France) to 296.5 (258.8, 338.9) in Moselle (northeast France). The greatest prevalence was in the northeast departments, and the other departments showed great variability. By combining multiple data sources into a spatial Bayesian model, we found heterogeneity in MS prevalence among the 21 departments of France, some with higher prevalence than anticipated from previous publications. No clear explanation related to health insurance coverage and hospital facilities can be advanced. Population migration, socioeconomic status of the population studied and environmental effects are suspected.

  8. [Report on chronic dialysis in France in 2016].

    PubMed

    Société Francophone de Néphrologie Dialyse Et Transplantation

    2017-04-01

    The report on dialysis in France in 2016 from the French Speaking Society of Nephrology Dialysis and Transplantation (SFNDT) provides an exhaustive and documented inventory on dialysis in France. It underlines the organizations that are important in 2016 to maintain a high quality dialysis. Several measures are proposed to maintain and improve the care of dialysis in France: (1) The regulation of dialysis treatment in France must be maintained; (2) a burden of care indicator is proposed to ensure that patients requiring the most care are treated in the centers. Proposals are also made to stimulate peritoneal dialysis offers, (3) to improve the calculation of the cost of dialysis and warn against lower reimbursement rates of dialysis, (4) to reduce transport costs by minimizing transport by ambulance (5). The SFNDT recalls recent recommendations concerning access to the renal transplant waiting list, are recalled; (6) as well as recommendations that require waiting until clinical signs are present to start dialysis (7). The SFNDT makes the proposal to set up advanced renal failure units. These units are expected to develop care that is not supported today: consultation with a nurse, a dietician, a social worker or psychologist, palliative care, and coordination (8). Finally, the financial and human resources for pediatric dialysis should be maintained. Copyright © 2017. Published by Elsevier Masson SAS.

  9. Fine-scale human genetic structure in Western France.

    PubMed

    Karakachoff, Matilde; Duforet-Frebourg, Nicolas; Simonet, Floriane; Le Scouarnec, Solena; Pellen, Nadine; Lecointe, Simon; Charpentier, Eric; Gros, Françoise; Cauchi, Stéphane; Froguel, Philippe; Copin, Nane; Le Tourneau, Thierry; Probst, Vincent; Le Marec, Hervé; Molinaro, Sabrina; Balkau, Beverley; Redon, Richard; Schott, Jean-Jacques; Blum, Michael Gb; Dina, Christian

    2015-06-01

    The difficulties arising from association analysis with rare variants underline the importance of suitable reference population cohorts, which integrate detailed spatial information. We analyzed a sample of 1684 individuals from Western France, who were genotyped at genome-wide level, from two cohorts D.E.S.I.R and CavsGen. We found that fine-scale population structure occurs at the scale of Western France, with distinct admixture proportions for individuals originating from the Brittany Region and the Vendée Department. Genetic differentiation increases with distance at a high rate in these two parts of Northwestern France and linkage disequilibrium is higher in Brittany suggesting a lower effective population size. When looking for genomic regions informative about Breton origin, we found two prominent associated regions that include the lactase region and the HLA complex. For both the lactase and the HLA regions, there is a low differentiation between Bretons and Irish, and this is also found at the genome-wide level. At a more refined scale, and within the Pays de la Loire Region, we also found evidence of fine-scale population structure, although principal component analysis showed that individuals from different departments cannot be confidently discriminated. Because of the evidence for fine-scale genetic structure in Western France, we anticipate that rare and geographically localized variants will be identified in future full-sequence analyses.

  10. [The Lebanese in France: population trends and characteristics].

    PubMed

    Abdulkarim, A

    1993-01-01

    Demographic characteristics, population trends, and the spatial distribution of Lebanese migrants to France are examined and compared with those of migrants from other countries. The focus is on the decision to migrate and its effect on life in France. The author concludes that Lebanese migration is primarily labor migration, even during times of political upheaval and war, and that this motivation contributes to the assimilation of the Lebanese into the middle and upper socioeconomic classes. (SUMMARY IN ENG AND SPA)

  11. Measures to control an imported case of canine rabies in France.

    PubMed

    2006-01-01

    France has been free from terrestrial rabies since 2001. On 21 August 2004, a female dog aged 4 months died in Gironde (south-west France), after experiencing clinical symptoms suggestive of rabies for 3 days. On 26 August, a diagnosis of rabies was confirmed by the Pasteur Institute. This paper describes the measures that were taken to manage the risks to human and animal health, and analyses the alert raised in France as a result of this imported case of rabies, the third such case in 2004.

  12. [End of life in France].

    PubMed

    Vacheron, André

    2013-01-01

    Two major changes in end-of-life management have occured in recent decades: first, because of the increase in life expectancy and the resulting aging of the population, most deaths now involve old or very old people; second, more than two-thirds of deaths occur in a hospital or an institution. Our fellow citizens are afraid of suffering and death. They wish for a peaceful death, as rapid as possible and, in recent surveys, say they favour euthanasia. Yet euthanasia is illegal in France and in most other Western countries (with the exception of the Benelux nations). Palliative care ensures dignity in death, without anxiety of suffering, and is expanding rapidly in France. Léonetti's law of 22 April 2005 ensures the protection of the weakest, who should never be considered unworthy of life, yet is poorly known to the public and even to physicians. It now needs to be applied in practice.

  13. 77 FR 23508 - Brass Sheet and Strip From France, Germany, Italy, and Japan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-19

    ...)] Brass Sheet and Strip From France, Germany, Italy, and Japan Determination On the basis of the record \\1... antidumping duty orders on brass sheet and strip from France, Germany, Italy, and Japan would be likely to... from France, Germany, Italy, and Japan: Investigation Nos. 731-TA-313, 314, 317, and 379 (Third Review...

  14. France: Factors Shaping Foreign Policy, and Issues in U.S.-French Relations

    DTIC Science & Technology

    2008-05-21

    view, France should seek a balance that embraces diversity yet preserves a degree of uniformity that sustains the French “identity.” He believes that...Order Code RL32464 France : Factors Shaping Foreign Policy, and Issues in U.S.- French Relations Updated May 21, 2008 Paul Gallis Specialist in... France : Factors Shaping Foreign Policy, and Issues in U.S.- French Relations 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6

  15. France: Factors Shaping Foreign Policy, and Issues in U.S.-French Relations

    DTIC Science & Technology

    2009-05-20

    TYPE 3. DATES COVERED 00-00-2009 to 00-00-2009 4. TITLE AND SUBTITLE France : Factors Shaping Foreign Policy, and Issues in U.S.- French ...Z39-18 France : Factors Shaping Foreign Policy, and Issues in U.S.- French Relations Congressional Research Service Summary The factors that shape... French foreign policy have changed since the end of the Cold War. The perspectives of France and the United States have diverged in some cases. More

  16. Bat Rabies in France: A 24-Year Retrospective Epidemiological Study

    PubMed Central

    Picard-Meyer, Evelyne; Robardet, Emmanuelle; Arthur, Laurent; Larcher, Gérald; Harbusch, Christine; Servat, Alexandre; Cliquet, Florence

    2014-01-01

    Since bat rabies surveillance was first implemented in France in 1989, 48 autochthonous rabies cases without human contamination have been reported using routine diagnosis methods. In this retrospective study, data on bats submitted for rabies testing were analysed in order to better understand the epidemiology of EBLV-1 in bats in France and to investigate some epidemiological trends. Of the 3176 bats submitted for rabies diagnosis from 1989 to 2013, 1.96% (48/2447 analysed) were diagnosed positive. Among the twelve recognised virus species within the Lyssavirus genus, two species were isolated in France. 47 positive bats were morphologically identified as Eptesicus serotinus and were shown to be infected by both the EBLV-1a and the EBLV-1b lineages. Isolation of BBLV in Myotis nattereri was reported once in the north-east of France in 2012. The phylogenetic characterisation of all 47 French EBLV-1 isolates sampled between 1989 and 2013 and the French BBLV sample against 21 referenced partial nucleoprotein sequences confirmed the low genetic diversity of EBLV-1 despite its extensive geographical range. Statistical analysis performed on the serotine bat data collected from 1989 to 2013 showed seasonal variation of rabies occurrence with a significantly higher proportion of positive samples detected during the autumn compared to the spring and the summer period (34% of positive bats detected in autumn, 15% in summer, 13% in spring and 12% in winter). In this study, we have provided the details of the geographical distribution of EBLV-1a in the south-west of France and the north-south division of EBLV-1b with its subdivisions into three phylogenetic groups: group B1 in the north-west, group B2 in the centre and group B3 in the north-east of France. PMID:24892287

  17. [The pharmaceutical industry in France: the turning point of 1915].

    PubMed

    Bonnemain, Bruno

    2015-12-01

    For several convergent reasons, 1915 was a key period for the pharmaceutical industry in France. The overall realization that France was dependent on Germany for chemical and pharmaceutical products came from shortages of key drugs but also from massive use of poison gas for which France was not able to face this unexpected event. France's shortage for chemists properly trained to answer the needs of industry, the weak relationship between industry and faculty, the uncomfortable situation of specialty drugs, the regulations on patents and trademarks were many subjects of controversies which will contribute to the analysis of the source of this French dependence to Germany. It will be at the origin of new orientations after the war for the pharmaceutical industry and the French society. The objective was to be independent for drugs and consequently to resolve the identified issues, as well as to have a dynamic industrial research. The creation and development of several pharmaceutical companies after the war was a more or less direct benefit from the considerations starting in 1915.

  18. Long-term care financing: lessons from France.

    PubMed

    Doty, Pamela; Nadash, Pamela; Racco, Nathalie

    2015-06-01

    POLICY POINTS: France's model of third-party coverage for long-term services and supports (LTSS) combines a steeply income-adjusted universal public program for people 60 or older with voluntary supplemental private insurance. French and US policies differ: the former pay cash; premiums are lower; and take-up rates are higher, in part because employer sponsorship, with and without subsidization, is more common-but also because coverage targets higher levels of need and pays a smaller proportion of costs. Such inexpensive, bare-bones private coverage, especially if marketed as a supplement to a limited public benefit, would be more affordable to those Americans currently most at risk of "spending down" to Medicaid. An aging population leads to a growing demand for long-term services and supports (LTSS). In 2002, France introduced universal, income-adjusted, public long-term care coverage for adults 60 and older, whereas the United States funds means-tested benefits only. Both countries have private long-term care insurance (LTCI) markets: American policies create alternatives to out-of-pocket spending and protect purchasers from relying on Medicaid. Sales, however, have stagnated, and the market's viability is uncertain. In France, private LTCI supplements public coverage, and sales are growing, although its potential to alleviate the long-term care financing problem is unclear. We explore whether France's very different approach to structuring public and private financing for long-term care could inform the United States' long-term care financing reform efforts. We consulted insurance experts and conducted a detailed review of public reports, academic studies, and other documents to understand the public and private LTCI systems in France, their advantages and disadvantages, and the factors affecting their development. France provides universal public coverage for paid assistance with functional dependency for people 60 and older. Benefits are steeply income

  19. [Recent trends in divorce in France: some comparisons with the Czechoslovak republics].

    PubMed

    Dittgen, A

    1992-11-01

    The first part of this article presents a demographic analysis of differences in divorce patterns between France and Czechoslovakia. The second part examines social factors affecting divorce in France.

  20. Women and Divorce in France.

    ERIC Educational Resources Information Center

    International Journal of Family Therapy, 1981

    1981-01-01

    Reviews the history and current status of women and divorce in France. Recent statistics are noted and changes in the status of women are outlined. Issues related to single women and working women are discussed. Other topics include women and the family, women and politics, divorce laws and ramifications. (RC)

  1. The Dynamic Model and Inherent Variability: The Case of Northern France.

    ERIC Educational Resources Information Center

    Hornsby, David

    1999-01-01

    Explores the claims of the "dynamic" model of variation by testing against data recorded in Avion, Northern France. Parallels are drawn between "langue d'oil" areas of France and decreolization situations in which proponents of the dynamic model have generally worked. (Author/VWL)

  2. A Primer for Accompanying Secondary Student Groups to France. [Revised].

    ERIC Educational Resources Information Center

    Becker, Jim

    Many of the factors that can help ensure a successful and positive learning experience for teachers, leaders, chaperons, and students who travel and/or study in France are addressed in this publication. Although it is geared toward France, many of the ideas, especially the section on pre-departure orientation, can be applied to any travel group.…

  3. Bordetella pertussis, Finland and France

    PubMed Central

    Elomaa, Annika; Brun, Delphine; Mertsola, Jussi; He, Qiushui; Guiso, Nicole

    2006-01-01

    We used pulsed-field gel electrophoresis analysis and genotyping to compare clinical isolates of Bordetella pertussis recovered since the early 1990s in Finland and France, 2 countries with similar histories of long-term mass vaccination with whole-cell pertussis vaccines. Isolates from both countries were similar genetically but varied temporally. PMID:16707058

  4. Modeling the Historical Flood Events in France

    NASA Astrophysics Data System (ADS)

    Ali, Hani; Blaquière, Simon

    2017-04-01

    We will present the simulation results for different scenarios based on the flood model developed by AXA Global P&C CAT Modeling team. The model uses a Digital Elevation Model (DEM) with 75 m resolution, a hydrographic system (DB Carthage), daily rainfall data from "Météo France", water level from "HYDRO Banque" the French Hydrological Database (www.hydro.eaufrance.fr), for more than 1500 stations, hydrological model from IRSTEA and in-house hydraulic tool. In particular, the model re-simulates the most important and costly flood events that occurred during the past decade in France: we will present the re-simulated meteorological conditions since 1964 and estimate insurance loss incurred on current AXA portfolio of individual risks.

  5. Cord blood banking in France: reorganising the national network.

    PubMed

    Katz, Gregory; Mills, Antonia

    2010-06-01

    Paradoxically, France is one of the leading exporters of cord blood units worldwide, but ranks only 17th in terms of cord blood units per inhabitant, and imports 64% of cord blood grafts to meet national transplantation demands. With three operational banks in 2008, the French allogeneic cord blood network is now entering an important phase of development with the creation of seven new banks collecting from local clusters of maternities. Although the French network of public banks is demonstrating a strong commitment to reorganise and scale up its activities, the revision of France's bioethics law in 2010 has sparked a debate concerning the legalisation of commercial autologous banking. The paper discusses key elements for a comprehensive national plan that would strengthen the allogeneic banking network through which France could meet its national medical needs and guarantee equal access to healthcare. Copyright 2010. Published by Elsevier Ltd.

  6. 75 FR 16839 - Sorbitol From France

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-02

    ... INTERNATIONAL TRADE COMMISSION [Investigation No. 731-TA-44 (Third Review)] Sorbitol From France AGENCY: United States International Trade Commission. ACTION: Revised schedule for the subject review. DATES: Effective Date: Date of Commission approval. FOR FURTHER INFORMATION CONTACT: Dana Lofgren (202...

  7. Management of snakebites in France.

    PubMed

    de Haro, Luc

    2012-09-15

    Although not a major health problem in Europe, snakebite in the old continent was the focus of recent studies to evaluate their overall incidence and define management techniques. The purpose of this three-part report is to present the experience of the Marseille Poison Centre with snakebite in France. The first section deals with viper envenomation that now benefits from a validated therapeutic protocol using of purified antivenom of proven efficacy and tolerance in patients showing grade 2 and 3 symptoms. The second section describes the highly variable snakebite situation in French overseas territories that include areas where local species require specialized management, e.g. Martinique and French Guiana. The third section involves the emerging problems associated with the keeping of exotic snakes as pets with problems related to the use of antivenoms from foreign countries. The exotic-snake pets fashion was at the origin of the creation of a national antivenom bank by two French poison centers (Angers and Marseille) to ensure prompt delivery of antivenoms for exotic snake envenomation anywhere in mainland France. Copyright © 2012 Elsevier Ltd. All rights reserved.

  8. The Highlights and Pitfalls of Developing an Intercultural Workshop in France.

    ERIC Educational Resources Information Center

    Frey-Hartel, Cheri; Kasum, Duffy

    An intercultural training workshop including orientation and travel to France is described. The program was made available to businessmen and women interested or involved in trade with France, to students in communications, foreign languages, and international business, and to community members. The program included pre-departure classes to…

  9. Committees and sponsors

    NASA Astrophysics Data System (ADS)

    2011-10-01

    International Advisory Committee Richard F CastenYale, USA Luiz Carlos ChamonSão Paulo, Brazil Osvaldo CivitareseLa Plata, Argentina Jozsef CsehATOMKI, Hungary Jerry P DraayerLSU, USA Alfredo Galindo-UribarriORNL & UT, USA James J KolataNotre Dame, USA Jorge López UTEP, USA Joseph B NatowitzTexas A & M, USA Ma Esther Ortiz IF-UNAM Stuart PittelDelaware, USA Andrés SandovalIF-UNAM Adam SzczepaniakIndiana, USA Piet Van IsackerGANIL, France Michael WiescherNotre Dame, USA Organizing Committee Libertad Barrón-Palos (Chair)IF-UNAM Roelof BijkerICN-UNAM Ruben FossionICN-UNAM David LizcanoININ Sponsors Instituto de Ciencias Nucleares, UNAMInstituto de Física, UNAMInstituto Nacional de Investigaciones NuclearesDivisión de Física Nuclear de la SMFCentro Latinoamericano de Física

  10. [Epidemiology of induced abortion in France].

    PubMed

    Vigoureux, S

    2016-12-01

    Conduct a synthesis of existing knowledge about the frequency of induced abortion or termination of pregnancy and unplanned pregnancies, the exposure factors of unplanned pregnancies and abortion and the associated morbidity and mortality. Consultation of The Medline database, and national and international reports on abortions in France and in developed countries. Voluntary termination of pregnancy is an induced abortion, opted for non-medical reasons, which in France can be performed before 14 weeks of gestation. Abortion is a common procedure, with rare complications, amounting to about 220,000 procedures per year in France with a stable rate over decades. Similarly to births, women aged 20 to 24 are most affected. The possibility of an abortion exists for all women; this potential event, however, is not equal for each and varies by age of women, socio-professional situations, geographical origins, marital status and past or present domestic and sexual violence. The French historical analysis shows that for 50 years the increase in contraceptive prevalence rate is associated with a decrease in the frequency of unplanned pregnancies. It is therefore possible that the prevention of unplanned pregnancy through early uptake of contraception and contraception options by women is related to a woman's lifestyle. Nonetheless, the number of abortion remains stable since its decriminalization despite the large increase in medicalized contraceptive prevalence rate. Good knowledge of the epidemiology of voluntary termination of pregnancy and unplanned pregnancies is a prerequisite to better adopt prevention and case management strategies. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  11. Curriculum Placement and Educational Stratification in France.

    ERIC Educational Resources Information Center

    Hout, Michael; Garnier, Maurice A.

    1979-01-01

    Maintains that curriculum differentiation in France is the keystone of educational, and, consequently, social stratification. Factors which influence curriculum differentiation include father's occupation, academic performance, parents' expectations, and teachers' expectations. (DB)

  12. Swift Heavy Ions in Matter

    NASA Astrophysics Data System (ADS)

    Rothard, Hermann; Severin, Daniel; Trautmann, Christina

    2015-12-01

    The present volume contains the proceedings of the Ninth International Symposium on Swift Heavy Ions in Matter (SHIM). This conference was held in Darmstadt, from 18 to 21 May 2015. SHIM is a triennial series, which started about 25 years ago by a joint initiative of CIRIL - Caen and GSI - Darmstadt, with the aim of promoting fundamental and applied interdisciplinary research in the field of high-energy, heavy-ion interaction processes with matter. SHIM was successively organized in Caen (1989), Bensheim (1992), Caen (1995), Berlin (1998), Catania (2002), Aschaffenburg (2005), Lyon (2008), and Kyoto (2012). The conference attracts scientists from many different fields using high-energy heavy ions delivered by large accelerator facilities and characterized by strong and short electronic excitations.

  13. New Terrorism In France

    DTIC Science & Technology

    2018-03-01

    transportation massacre at the hands of al-Qaeda backed militants. While France experienced social rioting in the summer of 2005, it still remained free from...did, I did of my own free will, without any influence by anyone who said to me one day ‘do this, do that.’ I did it all alone. I organized it all...157 Freeman, “Democracy,” 43. 158 The Washington Consensus refers to a set of broad free market economic

  14. The mortality impacts of fine particles in France.

    PubMed

    Pascal, Mathilde; de Crouy Chanel, Perrine; Wagner, Vérène; Corso, Magali; Tillier, Claude; Bentayeb, Malek; Blanchard, Myriam; Cochet, Amandine; Pascal, Laurence; Host, Sabine; Goria, Sarah; Le Tertre, Alain; Chatignoux, Edouard; Ung, Aymeric; Beaudeau, Pascal; Medina, Sylvia

    2016-11-15

    Worldwide, air pollution has become a main environmental cause of premature mortality. This burden is largely due to fine particles. Recent cohort studies have confirmed the health risks associated with chronic exposure to PM2.5 for European and French populations. We assessed the mortality impact of PM2.5 in continental France using these new results. Based on a meta-analysis of French and European cohorts, we computed a shrunken estimate of PM2.5-mortality relationship for the French population (RR 1.15 [1.05:1.25] for a 10μg/m(3) increase in PM2.5). This RR was applied to PM2.5 annual concentrations estimated at a fine spatial scale, using a classical health impacts assessment method. The health benefits associated with alternative scenarios of improving air quality were computed for 36,219 French municipalities for 2007-2008. 9% of the total mortality in continental France is attributable to anthropogenic PM2.5. This represents >48,000 deaths per year, and 950,000years of life lost per year, more than half occurring in urban areas larger than 100,000 inhabitants. If none of the municipalities exceeded the World Health Organization guideline value for PM2.5 (10μg/m(3)), the total mortality could be decreased by 3%, corresponding to 400,000years of life saved per year. Results were consistent with previous estimates of the long-term mortality impacts of fine particles in France. These findings show that further actions to improve air quality in France would substantially improve health. Copyright © 2016 Elsevier B.V. All rights reserved.

  15. Quantitative health impact of indoor radon in France.

    PubMed

    Ajrouche, Roula; Roudier, Candice; Cléro, Enora; Ielsch, Géraldine; Gay, Didier; Guillevic, Jérôme; Marant Micallef, Claire; Vacquier, Blandine; Le Tertre, Alain; Laurier, Dominique

    2018-05-08

    Radon is the second leading cause of lung cancer after smoking. Since the previous quantitative risk assessment of indoor radon conducted in France, input data have changed such as, estimates of indoor radon concentrations, lung cancer rates and the prevalence of tobacco consumption. The aim of this work was to update the risk assessment of lung cancer mortality attributable to indoor radon in France using recent risk models and data, improving the consideration of smoking, and providing results at a fine geographical scale. The data used were population data (2012), vital statistics on death from lung cancer (2008-2012), domestic radon exposure from a recent database that combines measurement results of indoor radon concentration and the geogenic radon potential map for France (2015), and smoking prevalence (2010). The risk model used was derived from a European epidemiological study, considering that lung cancer risk increased by 16% per 100 becquerels per cubic meter (Bq/m 3 ) indoor radon concentration. The estimated number of lung cancer deaths attributable to indoor radon exposure is about 3000 (1000; 5000), which corresponds to about 10% of all lung cancer deaths each year in France. About 33% of lung cancer deaths attributable to radon are due to exposure levels above 100 Bq/m 3 . Considering the combined effect of tobacco and radon, the study shows that 75% of estimated radon-attributable lung cancer deaths occur among current smokers, 20% among ex-smokers and 5% among never-smokers. It is concluded that the results of this study, which are based on precise estimates of indoor radon concentrations at finest geographical scale, can serve as a basis for defining French policy against radon risk.

  16. Patterns of alcohol consumption in middle-aged men from France and Northern Ireland. The PRIME study.

    PubMed

    Marques-Vidal, P; Arveiler, D; Evans, A; Montaye, M; Bingham, A; Ruidavets, J B; McMaster, D; Haas, B; Amouyel, P; Ducimetière, P

    2000-04-01

    To assess the patterns of alcohol consumption in France and Northern Ireland. Four cross-sectional studies. Sample of 50-59 y old men living in France and Northern Ireland, consuming at least one unit of alcoholic beverage per week. 5363 subjects from France and 1367 from Northern Ireland. None. Consumption of wine was higher in France whereas consumption of beer and spirits was higher in Northern Ireland. Alcohol drinking was rather homogeneous throughout the week in France, whereas Fridays and Saturdays accounted for 60% of total alcohol consumption in Northern Ireland. In both countries, current smokers had a higher consumption of all types of alcoholic beverages than non-smokers. Similarly, obese and hypertensive subjects had a higher total alcohol consumption than non-obese or normotensive subjects, but the type of alcoholic beverages differed between countries. In Northern Ireland, subjects which reported some physical activity consumed significantly less alcoholic beverages than sedentary subjects, whereas no differences were found in France. Conversely, subjects with dyslipidemia consumed more alcoholic beverages than normolipidemic subjects in France, whereas no differences were found in Northern Ireland. In France, total alcohol, wine and beer consumption was negatively related to socioeconomic status and educational level. In Northern Ireland, total alcohol, beer and spirits consumption was negatively related whereas wine consumption was positively related to socioeconomic status and educational level. Alcohol drinking patterns differ between France and Northern Ireland, and also according to cardiovascular risk factors, socioeconomic and educational levels. Merck, Sharp & Dohme-Chibret (France), the NICHSA and the Department of Health and Social Service (Northern Ireland).

  17. The impact of economic complexity on carbon emissions: evidence from France.

    PubMed

    Can, Muhlis; Gozgor, Giray

    2017-07-01

    This paper reanalyzes the determinants of the CO 2 emissions in France. For this purpose, it considers the unit root test with two structural breaks and a dynamic ordinary least squares estimation. The paper also considers the effects of the energy consumption and the economic complexity on CO 2 emissions. First, it is observed that the EKC hypothesis is valid in France. Second, the positive effect of the energy consumption on CO 2 emissions is obtained. Third, it is observed that a higher economic complexity suppresses the level of CO 2 emissions in the long run. The findings imply noteworthy environmental policy implications to decrease the level of CO 2 emissions in France.

  18. An estimation of burden of serious fungal infections in France.

    PubMed

    Gangneux, J-P; Bougnoux, M-E; Hennequin, C; Godet, C; Chandenier, J; Denning, D W; Dupont, B

    2016-12-01

    An estimation of burden of serious fungal diseases in France is essential data to inform public health priorities on the importance of resources and research needed on these infections. In France, precise data are available for invasive fungal diseases but estimates for several other diseases such as chronic and immunoallergic diseases are by contrast less known. A systematic literature search was conducted using the Web of Science Platform. Published epidemiology papers reporting fungal infection rates from France were identified. Where no data existed, we used specific populations at risk and fungal infection frequencies in those populations to estimate national incidence or prevalence, depending on the condition. The model predicts high prevalences of severe asthma with fungal sensitization episodes (189 cases/100,000 adults per year), of allergic bronchopulmonary aspergillosis (145/100,000) and of chronic pulmonary aspergillosis (5.24/100,000). Besides, estimated incidence for invasive aspergillosis is 1.8/100,000 annually based on classical high risk factors. Estimates for invasive mucormycosis, pneumocystosis and cryptococcosis are 0.12/100,000, 1/100,000 and 0.2/100,000, respectively. Regarding invasive candidiasis, more than 10,000 cases per year are estimated, and a much higher number of recurrent vaginal candidiasis is probable but must be confirmed. Finally, this survey was an opportunity to report a first picture of the frequency of tinea capitis in France. Using local and literature data of the incidence or prevalence of fungal infections, approximately 1,000,000 (1.47%) people in France are estimated to suffer from serious fungal infections each year. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  19. France: A Study of the Educational System of France and a Guide to the Academic Placement of Students in Educational Institutions of the United States. World Education Series.

    ERIC Educational Resources Information Center

    Assefa, A. Mariam

    The purpose of this book is to explain French educational credentials to U.S. college and university admissions officers and credentials evaluators. Following introductory sections providing a map of France and an educational and historical overview of France, the following chapters are presented: (1) elementary and secondary education (including…

  20. Medication sales and syndromic surveillance, France.

    PubMed

    Vergu, Elisabeta; Grais, Rebecca F; Sarter, Hélène; Fagot, Jean-Paul; Lambert, Bruno; Valleron, Alain-Jaques; Flahault, Antoine

    2006-03-01

    Although syndromic surveillance systems using nonclinical data have been implemented in the United States, the approach has yet to be tested in France. We present the results of the first model based on drug sales that detects the onset of influenza season and forecasts its trend. Using weekly lagged sales of a selected set of medications, we forecast influenzalike illness (ILI) incidence at the national and regional level for 3 epidemic seasons (2000-01, 2001-02, and 2002-03) and validate the model with real-time updating on the fourth (2003-04). For national forecasts 1-3 weeks ahead, the correlation between observed ILI incidence and forecast was 0.85-0.96, an improvement over the current surveillance method in France. Our findings indicate that drug sales are a useful additional tool to syndromic surveillance, a complementary and independent source of information, and a potential improvement for early warning systems for both epidemic and pandemic planning.

  1. Temporal evolution of the distribution of hepatitis E virus genotypes in Southwestern France.

    PubMed

    Lhomme, Sebastien; Abravanel, Florence; Dubois, Martine; Chapuy-Regaud, Sabine; Sandres-Saune, Karine; Mansuy, Jean-Michel; Rostaing, Lionel; Kamar, Nassim; Izopet, Jacques

    2015-10-01

    Southwest France is a highly endemic region for hepatitis E virus (HEV). This study examined the circulation of HEV strains between 2003 and 2014 in the Midi-Pyrénées, and compared these data with those from the rest of France. The polyproline region (PPR) of the ORF1 region of the HEV genome was also analyzed. HEV genotype was determined by sequencing a 348-nt fragment within the ORF2 gene for 333 strains in the Midi-Pyrénées and for 571 strains from the rest of France. PPR region was characterized for 56 strains. The frequency of subgenotype 3f decreased over time, whereas subgenotype 3c increased in the Midi-Pyrénées. Repartition of strains did not differ in the Midi-Pyrénées compared to the rest of France. HEV3i and HEV4 have been recently detected throughout France. PPR lengths showed that two major groups of HEV3f exist. Our study shows that HEV3 distribution in the Midi-Pyrénées was similar to the whole of France. Local dietary habits could explain the higher seroprevalence in the Midi-Pyrénées rather the circulation of a particular variant in this region. Copyright © 2015 Elsevier B.V. All rights reserved.

  2. Socioeconomic Segregation in Large Cities in France and the United States.

    PubMed

    Quillian, Lincoln; Lagrange, Hugues

    2016-08-01

    Past cross-national comparisons of socioeconomic segregation have been undercut by lack of comparability in measures, data, and concepts. Using IRIS data from the French Census of 2008 and the French Ministry of Finance as well as tract data from the American Community Survey (2006-2010) and the U.S. Department of Housing and Urban Development Picture of Subsidized Households, and constructing measures to be as similar as possible, we compare socioeconomic segregation in metropolitan areas with a population of more than 1 million in France and the United States. We find much higher socioeconomic segregation in large metropolitan areas in the United States than in France. We also find (1) a strong pattern of low-income neighborhoods in central cities and high-income neighborhoods in suburbs in the United States, but varying patterns across metropolitan areas in France; (2) that high-income persons are the most segregated group in both countries; (3) that the shares of neighborhood income differences that can be explained by neighborhood racial/ethnic composition are similar in France and the United States; and (4) that government-assisted housing is disproportionately located in the poorest neighborhoods in the United States but is spread across many neighborhood income levels in France. We conclude that differences in government provision of housing assistance and levels of income inequality are likely important contributing factors to the Franco-U.S. difference in socioeconomic segregation.

  3. New Introductions of Enterovirus 71 Subgenogroup C4 Strains, France, 2012

    PubMed Central

    Henquell, Cécile; Mirand, Audrey; Coste-Burel, Marianne; Marque-Juillet, Stéphanie; Desbois, Delphine; Lagathu, Gisèle; Bornebusch, Laure; Bailly, Jean-Luc; Lina, Bruno

    2014-01-01

    In France during 2012, human enterovirus 71 (EV-A71) subgenogroup C4 strains were detected in 4 children hospitalized for neonatal fever or meningitis. Phylogenetic analysis showed novel and independent EV-A71 introductions, presumably from China, and suggested circulation of C4 strains throughout France. This observation emphasizes the need for monitoring EV-A71 infections in Europe. PMID:25061698

  4. Cannabis use during pregnancy in France in 2010.

    PubMed

    Saurel-Cubizolles, M-J; Prunet, C; Blondel, B

    2014-07-01

    The aim was to estimate the proportion of women who reported cannabis use during pregnancy, to analyse the demographic and social characteristics of users, and the link between cannabis use and either preterm or small-for-gestational-age birth. Data were obtained from interviews of a representative sample of women giving birth in France in 2010 in the days after delivery, and from their medical records. All maternity units in France. The analysis includes women with live singleton births in metropolitan France who responded to the question about cannabis use during pregnancy: in total, 13 545 women. The percentage of cannabis users during pregnancy was estimated, and variations according to social characteristics were described. Logistic regression analyses were used to investigate any associations between cannabis use and preterm birth or small-for-gestational-age status. Percentage of cannabis use, preterm birth rate, and small-for-gestational-age rate. In all, 1.2% of women reported having used cannabis during pregnancy. This percentage was higher among younger women, women living alone, or women who had a low level of education or low income. It was also associated with tobacco use and drinking alcohol. Cannabis users had higher rates of spontaneous preterm births: 6.4 versus 2.8%, for an adjusted odds ratio (aOR) of 2.15 (95% CI 1.10-4.18). The corresponding aOR was 2.64 (95% CI 1.12-6.22) among tobacco smokers and 1.22 (95% CI 0.29-5.06) among non-tobacco smokers. Although the reported rate of cannabis use during pregnancy in France is low, efforts should be continued to inform women and healthcare providers about the potential consequences of its use. © 2014 Royal College of Obstetricians and Gynaecologists.

  5. Recent Demographic Developments in France: Relatively Low Mortality at Advanced Ages.

    PubMed

    Prioux, France; Barbieri, Magali

    2012-10-01

    France had 65.3 million inhabitants as of 1 January 2012, including 1.9 million in the overseas départements . The population is slightly younger than that of the European Union as a whole. Population growth continues at the same rate, mainly through natural increase. There are now more African than European immigrants living in France. Fertility was practically stable in 2011 (2.01 children per woman), but the lifetime fertility of the 1971-1972 cohorts reached a historic low in metropolitan France (1.99 children per woman), nevertheless remaining among the highest in Europe. Abortion levels remained stable and rates among young people are no longer increasing. The marriage rate is falling and the divorce rate has stabilized (46.2 divorces per 100 marriages in 2011). The risk of divorce decreases with age, but has greatly increased among the under-70s over the last decade. Life expectancy at birth (78.4 years for men, 85.0 for women) has continued to increase at the same rate, mainly thanks to progress at advanced ages. Among European countries, France has the lowest mortality in the over-65 age group, but it ranks less well for premature mortality.

  6. Floods in southwest-central Florida from hurricane Frances, September 2004

    USGS Publications Warehouse

    Kane, Richard L.

    2005-01-01

    Hurricane Frances brought heavy rainfall and widespread flooding to southwest-central Florida September 4-14, 2004. The center of Hurricane Frances made landfall on the east coast of Florida on September 5 as a category 2 hurricane on the Saffir-Simpson scale, then moved west-northwestward through central Florida before exiting Pasco County into the Gulf of Mexico on September 6 (fig. 1; National Weather Service, 2004). The hurricane moved across the Florida Peninsula generating 5 to 11 inches of rain over already saturated ground (table 1). Record flooding occurred in parts of Hardee, Hillsborough, Pasco, and Polk Counties (fig. 1). The hurricane and resulting floods caused an estimated $4-5 billion in damage to public and private property (Harrington, 2004), and 23 deaths were attributed to Hurricane Frances (National Weather Service, 2004). Several watersheds drain counties in southwest-central Florida that were affected by Hurricane Frances. De Soto, Hardee, and Polk Counties generally are drained by the Peace River system, which flows southwestward to Charlotte Harbor and the Gulf of Mexico. Hillsborough and Pasco Counties generally are drained by the Alafia, Hillsborough, Anclote, and Pithlachascotee River systems. Water in the Hillsborough and Alafia River watersheds flows west to Tampa Bay and water in the Anclote and Pithlachascotee River watersheds flows west to the Gulf of Mexico. (fig. 1, http://water.usgs.gov/pubs/fs/2005/3028/#fig1).

  7. Progress in industrial holography in France

    NASA Astrophysics Data System (ADS)

    Smigielski, Paul

    1992-01-01

    Industrial applications of holography in France are briefly reviewed. Particular attention is given to nondestructive testing of helicopter blades at Aerospatiale Central Laboratory, the use of holography at Renault for car-engine vibration study, vibration characterization of turbo-jet engine components at SNECMA, and vibration analysis of plates in an industrial hemodynamic tunnel.

  8. Predictive factors of cytomegalovirus seropositivity among pregnant women in Paris, France.

    PubMed

    N'Diaye, Dieynaba S; Yazdanpanah, Yazdan; Krivine, Anne; Andrieu, Thibaut; Rozenberg, Flore; Picone, Olivier; Tsatsaris, Vassilis; Goffinet, François; Launay, Odile

    2014-01-01

    Cytomegalovirus (CMV) is the most frequent cause of congenital infection. The objective of this study was to evaluate predictive factors for CMV seronegativity in a cohort of pregnant women in Paris, France. Pregnant women enrolled in a prospective cohort during the 2009 A/H1N1 pandemic were tested for CMV IgG antibodies. Variables collected were age, geographic origin, lifestyle, work characteristics, socioeconomic status, gravidity, parity and number of children at home. A multivariate logistic regression model was used to identify independent predictive factors for CMV seropositivity. Among the 826 women enrolled, 389 (47.1%) were primiparous, and 552 (67.1%) had Metropolitan France as a geographic origin. Out of these, 355 (i.e. 57.0%, 95% confidence interval (CI): [53.6%-60.4%]) were CMV seropositive: 43.7% (95% CI:[39.5%-47.9%]) in those whose geographic origin was Metropolitan France and 84.1% in those with other origins (95% CI:[79.2%-88.3%]). Determinants associated with CMV seropositivity in a multivariate logistic regression model were: (i) geographic origin (p<0.001(compared with Metropolitan France, geographic origins of Africa adjusted odds ratio (aOR) 21.2, 95% CI:[9.7-46.5], French overseas departments and territories and other origin, aOR 7.5, 95% CI:[3.9-14.6], and Europe or Asia, aOR 2.2, 95% CI: [1.3-3.7]); and (ii) gravidity (p = 0.019), (compared with gravidity = 1, if gravidity≥3, aOR = 1.5, 95% CI: [1.1-2.2]; if gravidity = 2, aOR = 1.0, 95% CI: [0.7-1.4]). Work characteristics and socioeconomic status were not independently associated with CMV seropositivity. In this cohort of pregnant women, a geographic origin of Metropolitan France and a low gravidity were predictive factors for CMV low seropositivity. Such women are therefore the likely target population for prevention of CMV infection during pregnancy in France.

  9. Predictive Factors of Cytomegalovirus Seropositivity among Pregnant Women in Paris, France

    PubMed Central

    N’Diaye, Dieynaba S.; Yazdanpanah, Yazdan; Krivine, Anne; Andrieu, Thibaut; Rozenberg, Flore; Picone, Olivier; Tsatsaris, Vassilis; Goffinet, François; Launay, Odile

    2014-01-01

    Background Cytomegalovirus (CMV) is the most frequent cause of congenital infection. The objective of this study was to evaluate predictive factors for CMV seronegativity in a cohort of pregnant women in Paris, France. Methods Pregnant women enrolled in a prospective cohort during the 2009 A/H1N1 pandemic were tested for CMV IgG antibodies. Variables collected were age, geographic origin, lifestyle, work characteristics, socioeconomic status, gravidity, parity and number of children at home. A multivariate logistic regression model was used to identify independent predictive factors for CMV seropositivity. Results Among the 826 women enrolled, 389 (47.1%) were primiparous, and 552 (67.1%) had Metropolitan France as a geographic origin. Out of these, 355 (i.e. 57.0%, 95% confidence interval (CI): [53.6%–60.4%]) were CMV seropositive: 43.7% (95% CI:[39.5%–47.9%]) in those whose geographic origin was Metropolitan France and 84.1% in those with other origins (95% CI:[79.2%–88.3%]). Determinants associated with CMV seropositivity in a multivariate logistic regression model were: (i) geographic origin (p<0.001(compared with Metropolitan France, geographic origins of Africa adjusted odds ratio (aOR) 21.2, 95% CI:[9.7–46.5], French overseas departments and territories and other origin, aOR 7.5, 95% CI:[3.9–14.6], and Europe or Asia, aOR 2.2, 95% CI: [1.3–3.7]); and (ii) gravidity (p = 0.019), (compared with gravidity = 1, if gravidity≥3, aOR = 1.5, 95% CI: [1.1–2.2]; if gravidity = 2, aOR = 1.0, 95% CI: [0.7–1.4]). Work characteristics and socioeconomic status were not independently associated with CMV seropositivity. Conclusions In this cohort of pregnant women, a geographic origin of Metropolitan France and a low gravidity were predictive factors for CMV low seropositivity. Such women are therefore the likely target population for prevention of CMV infection during pregnancy in France. PMID:24587077

  10. FALSTAFF: A New Tool for Fission Fragment Characterization

    NASA Astrophysics Data System (ADS)

    Doré, D.; Farget, F.; Lecolley, F.-R.; Lehaut, G.; Materna, T.; Pancin, J.; Panebianco, S.; Papaevangelou, Th.

    2014-05-01

    The future Neutron For Science (NFS) facility to be installed at SPIRAL2 (Caen, France) will produce high intensity neutron beams from hundreds of keV up to 40 MeV. Taking advantage of this facility, data of particular interest to the nuclear community, in view of the development of fast reactor technology, will be measured. The development of an experimental setup called FALSTAFF for a full characterization of actinide fission fragments has been undertaken. Fission fragment isotopic yields and associated neutron multiplicities will be measured as a function of the neutron energy. Based on time-of-flight and residual energy technique, the setup will allow for the simultaneous measurement of the velocity and energy of the complementary fragments. The performance of the time-of-flight detectors of FALSTAFF will be presented and expected resolutions for fragment masses and neutron multiplicities, based on realistic simulations, will be shown.

  11. Increasing Incidence of Listeriosis in France and Other European Countries

    PubMed Central

    Hedberg, Craig; Le Monnier, Alban; de Valk, Henriette

    2008-01-01

    From 1999 through 2005, the incidence of listeriosis in France declined from 4.5 to 3.5 cases/million persons. In 2006, it increased to 4.7 cases/million persons. Extensive epidemiologic investigations of clusters in France have ruled out the occurrence of large foodborne disease outbreaks. In addition, no increase has occurred in pregnancy-associated cases or among persons <60 years of age who have no underlying disease. Increases have occurred mainly among persons >60 years of age and appear to be most pronounced for persons >70 years of age. In 8 other European countries, the incidence of listeriosis has increased, or remained relatively high, since 2000. As in France, these increases cannot be attributed to foodborne outbreaks, and no increase has been observed in pregnancy-associated cases. European countries appear to be experiencing an increased incidence of listeriosis among persons >60 years of age. The cause of this selective increased incidence is unknown. PMID:18439354

  12. World Foods. The Flavor of France.

    ERIC Educational Resources Information Center

    Calhoun, Helen; And Others

    This teacher's guide contains materials to be used in a study of France and its cuisine. Unit 1 provides an overview of French geographic, political, economic, social, and cultural characteristics. Unit 2 studies French food habits, nutrition, food preparation, and meal patterns. Each unit contains a list of objectives (e.g., identify the type of…

  13. Paediatric clinical research from the perspective of hospital pharmacists from France and Canada.

    PubMed

    Guérin, Aurélie; Tanguay, Cynthia; Lebel, Denis; Prot-Labarthe, Sonia; Bourdon, Olivier; Bussières, Jean-François

    2014-12-01

    To compare pharmacy support for paediatric research services in France and Canada and to describe the perception of pharmacists and rank the paediatric clinical research issues. This was a cross-sectional descriptive study. All paediatric hospitals from Canada and the main hospitals from France were contacted. A survey was conducted from May-September 2012. Descriptive statistics were performed. Results from 11 paediatric hospitals in Canada (11/12, 92%) and 11 (11/18, 61%) in France were obtained. There was a similar number of ongoing paediatric clinical trials per hospital in France versus Canada (38 (10-81) versus 20 (4-178)). A lower number of pharmacists per hospital was observed in France (17 (11.5-35) versus 45 (18.9-76.8)), but a similar number of pharmacists were assigned to clinical trials (1.5 (1-3) versus 1.9 (0.2-17.4)). Institutional protocols represented the majority of paediatric clinical trials in France (61% (14-100) versus 25% (0-100)). Similar pharmacy support services were offered, but the majority of French respondents also offered help for institutional protocol development (91 versus 50% P = 0.063). The main issues associated with paediatric clinical research were absence of financial interest from the pharmaceutical industry, prohibitive cost versus profit ratio, small patient cohorts and the non-availability of the appropriate drug formulations. Difficulties related to pharmaceutical compounding were identified as the main hindrance to paediatric clinical research; particular attention should be paid to these details when setting up a paediatric trial. © 2014 Royal Pharmaceutical Society.

  14. Sub-Saharan African migrants living with HIV acquired after migration, France, ANRS PARCOURS study, 2012 to 2013.

    PubMed

    Desgrées-du-Loû, Annabel; Pannetier, Julie; Ravalihasy, Andrainolo; Gosselin, Anne; Supervie, Virginie; Panjo, Henri; Bajos, Nathalie; Lert, France; Lydié, Nathalie; Dray-Spira, Rosemary

    2015-01-01

    We estimated the proportion of migrants from sub-Saharan Africa who acquired human immunodeficiency virus (HIV) while living in France. Life-event and clinical information was collected in 2012 and 2013 from a random sample of HIV-infected outpatients born in sub-Saharan Africa and living in the Paris region. We assumed HIV infection in France if at least one of the following was fulfilled: (i) HIV diagnosis at least 11 years after arrival in France, (ii) at least one negative HIV test in France, (iii) sexual debut after arrival in France. Otherwise, time of HIV infection was based on statistical modelling of first CD4(+) T-cell count; infection in France was assumed if more than 50% (median scenario) or more than 95% (conservative scenario) of modelled infection times occurred after migration. We estimated that 49% of 898 HIV-infected adults born in sub-Saharan Africa (95% confidence interval (CI): 45-53) in the median and 35% (95% CI: 31-39) in the conservative scenario acquired HIV while living in France. This proportion was higher in men than women (44% (95% CI: 37-51) vs 30% (95% CI: 25-35); conservative scenario) and increased with length of stay in France. These high proportions highlight the need for improved HIV policies targeting migrants.

  15. Health-resource use and costs associated with fibromyalgia in France, Germany, and the United States

    PubMed Central

    Knight, Tyler; Schaefer, Caroline; Chandran, Arthi; Zlateva, Gergana; Winkelmann, Andreas; Perrot, Serge

    2013-01-01

    Background Fibromyalgia (FM) is a chronic disorder characterized by widespread, persistent pain. Prospective and retrospective studies have demonstrated substantial health-care costs associated with FM in a number of countries. This study evaluated and compared health-resource use (HRU) and associated costs related to FM in routine clinical practice across the US, France, and Germany. Methods Two separate, cross-sectional, observational studies of subjects with FM were conducted: one in the US and one in France and Germany. HRU related to prescription medication, physician office visits, diagnostic tests, and hospitalizations was abstracted from chart review; patient out-of-pocket costs and lost productivity were collected via subject self-report. Costs were assigned to HRU based on standard algorithms. Direct and indirect costs were evaluated and compared by simple linear regression. Results A total of 442 subjects (203 US, 70 France, 169 Germany) with FM were analyzed. The mean (standard deviation) age in the US, France, and Germany was 47.9 (10.9), 51.2 (9.5), and 49.2 (9.8), respectively (P = 0.085). Most subjects were female (95% US, 83% France, 80% Germany) (P < 0.001). Adjusted annual direct costs per subject for FM were significantly higher in the US ($7087) than in France ($481, P < 0.001) or Germany ($2417, P < 0.001). Adjusted mean annual indirect costs per subject for FM were lower in the US ($6431) than in France ($8718) or Germany ($10,001), but represented a significant proportion of total costs in all countries. Conclusion The significant HRU and costs associated with FM in the US, France, and Germany documented in this study highlight the substantial global economic burden of FM. Indirect costs represented a significant proportion of the total costs, particularly in Europe. Comparisons between the three countries show differences in HRU, with significantly higher direct costs in the US compared with France and Germany. PMID:23637545

  16. [A survey on the position of France in international clinical research as assessed by pharmaceutical laboratories].

    PubMed

    Courcier-Duplantier, Soizic; Bouhours, Philippe; Pinton, Philippe; Sibenaler, Claire; Lassale, Catherine

    2004-01-01

    In order to evaluate the attractiveness of France for conducting international clinical trials, a survey was performed among pharmaceutical companies that are based in France or that have affiliates in France. The survey concerned international phase II and III clinical studies carried out in 2002 and 2003. Ten pharmaceutical companies representing 36% of the French market completed the survey. 134 trials were analysed in total. France recruited 8.3% of the overall number of patients recruited, and 15.0% of those recruited within Europe. France was within the overall mean with regard to the percentage of active centres (78.5% versus 79.5%) and the percentage of patients evaluable according to protocol (86.8% versus 87.3%). In contrast, France ranked within the last third of analysed countries with respect to the speed of recruitment (1.5 versus 1.9 patients/centre/month), and the number of queries per observation (16.8 versus 10.9). The analysis of the qualitative indicators of performance showed that, although the perception of pharmaceutical companies towards the quality of French medicine and administrative authorities is positive, France notably needs to improve the productivity of its clinical research in order to enhance its attractiveness for the pharmaceutical sponsors of clinical trials.

  17. A coordinated set of ecosystem research platforms open to international research in ecotoxicology, AnaEE-France.

    PubMed

    Mougin, Christian; Azam, Didier; Caquet, Thierry; Cheviron, Nathalie; Dequiedt, Samuel; Le Galliard, Jean-François; Guillaume, Olivier; Houot, Sabine; Lacroix, Gérard; Lafolie, François; Maron, Pierre-Alain; Michniewicz, Radika; Pichot, Christian; Ranjard, Lionel; Roy, Jacques; Zeller, Bernd; Clobert, Jean; Chanzy, André

    2015-10-01

    The infrastructure for Analysis and Experimentation on Ecosystems (AnaEE-France) is an integrated network of the major French experimental, analytical, and modeling platforms dedicated to the biological study of continental ecosystems (aquatic and terrestrial). This infrastructure aims at understanding and predicting ecosystem dynamics under global change. AnaEE-France comprises complementary nodes offering access to the best experimental facilities and associated biological resources and data: Ecotrons, seminatural experimental platforms to manipulate terrestrial and aquatic ecosystems, in natura sites equipped for large-scale and long-term experiments. AnaEE-France also provides shared instruments and analytical platforms dedicated to environmental (micro) biology. Finally, AnaEE-France provides users with data bases and modeling tools designed to represent ecosystem dynamics and to go further in coupling ecological, agronomical, and evolutionary approaches. In particular, AnaEE-France offers adequate services to tackle the new challenges of research in ecotoxicology, positioning its various types of platforms in an ecologically advanced ecotoxicology approach. AnaEE-France is a leading international infrastructure, and it is pioneering the construction of AnaEE (Europe) infrastructure in the field of ecosystem research. AnaEE-France infrastructure is already open to the international community of scientists in the field of continental ecotoxicology.

  18. Recent Demographic Developments in France: Relatively Low Mortality at Advanced Ages

    PubMed Central

    Prioux, France; Barbieri, Magali

    2013-01-01

    France had 65.3 million inhabitants as of 1 January 2012, including 1.9 million in the overseas départements. The population is slightly younger than that of the European Union as a whole. Population growth continues at the same rate, mainly through natural increase. There are now more African than European immigrants living in France. Fertility was practically stable in 2011 (2.01 children per woman), but the lifetime fertility of the 1971–1972 cohorts reached a historic low in metropolitan France (1.99 children per woman), nevertheless remaining among the highest in Europe. Abortion levels remained stable and rates among young people are no longer increasing. The marriage rate is falling and the divorce rate has stabilized (46.2 divorces per 100 marriages in 2011). The risk of divorce decreases with age, but has greatly increased among the under-70s over the last decade. Life expectancy at birth (78.4 years for men, 85.0 for women) has continued to increase at the same rate, mainly thanks to progress at advanced ages. Among European countries, France has the lowest mortality in the over-65 age group, but it ranks less well for premature mortality. PMID:24285939

  19. Dispersant approval procedures in France and Italy: A comparative ecotoxicity study.

    PubMed

    Manfra, Loredana; Tornambè, Andrea; Guyomarch, Julien; Le Guerrogue, Pascale; Kerambrun, Loïc; Rotini, Alice; Savorelli, Federica; Onorati, Fulvio; Magaletti, Erika

    2017-09-01

    A research project has been performed to the request of the RAMOGE Executive Secretariat to identify differences between dispersant approval procedures in France and Italy and propose ways to harmonize them. A collaborative study has been conducted by CEDRE (Centre of Documentation, Research and Experimentation on Accidental Water Pollution) and ISPRA (Italian Institute for Environmental Protection and Research) to: a) compare current approval procedures in Italy and France with identification of differences and commonalities; b) carry out toxicity tests using both procedures on two selected dispersants; c) propose a common approach between Italy and France. The results showed that, because of the differences in ecotoxicological tests and in the evaluation criteria used, the outcomes on the same products could be different in Italy and in France. Both tested dispersants met the French requirements for approval (LC 50 ≥ 10 times reference toxicant), while only one dispersant met the Italian approval criterion (EC 50 > 10mg/L). A possible way of harmonizing the approval procedures could be to increase the number of test organisms in the French procedure, which currently only uses one crustacean species. Furthermore, a common criterion for toxicity assessment should be discussed and agreed. Copyright © 2017. Published by Elsevier Inc.

  20. Strategic proposal for a national trauma system in France.

    PubMed

    Gauss, Tobias; Balandraud, Paul; Frandon, Julien; Abba, Julio; Ageron, Francois Xavier; Albaladejo, Pierre; Arvieux, Catherine; Barbois, Sandrine; Bijok, Benjamin; Bobbia, Xavier; Charbit, Jonathan; Cook, Fabrice; David, Jean-Stephane; Maurice, Guillaume De Saint; Duranteau, Jacques; Garrigue, Delphine; Gay, Emmanuel; Geeraerts, Thomas; Ghelfi, Julien; Hamada, Sophie; Harrois, Anatole; Kobeiter, Hicham; Leone, Marc; Levrat, Albrice; Mirek, Sebastien; Nadji, Abdel; Paugam-Burtz, Catherine; Payen, Jean Francois; Perbet, Sebastien; Pirracchio, Romain; Plenier, Isabelle; Pottecher, Julien; Rigal, Sylvain; Riou, Bruno; Savary, Dominique; Secheresse, Thierry; Tazarourte, Karim; Thony, Frederic; Tonetti, Jerome; Tresallet, Christophe; Wey, Pierre-Francois; Picard, Julien; Bouzat, Pierre

    2018-05-29

    In this road map for trauma in France, we focus on the main challenges for system implementation, surgical and radiology training, and upon innovative training techniques. Regarding system organisation: procedures for triage, designation and certification of trauma centres are mandatory to implement trauma networks on a national scale. Data collection with registries must be created, with a core dataset defined and applied through all registries. Regarding surgical and radiology training, diagnostic-imaging processes should be standardised and the role of the interventional radiologist within the trauma team and the trauma network should be clearly defined. Education in surgery for trauma is crucial and recent changes in medical training in France will promote trauma surgery as a specific sub-specialty. Innovative training techniques should be implemented and be based on common objectives, scenarios and evaluation, so as to improve individual and team performances. The group formulated 14 proposals that should help to structure and improve major trauma management in France over the next 10 years. Copyright © 2018 Société française d'anesthésie et de réanimation (Sfar). Published by Elsevier Masson SAS. All rights reserved.

  1. Prevalence of Anaplasma phagocytophilum in small rodents in France.

    PubMed

    Chastagner, A; Moinet, M; Perez, G; Roy, E; McCoy, K D; Plantard, O; Agoulon, A; Bastian, S; Butet, A; Rantier, Y; Verheyden, H; Cèbe, N; Leblond, A; Vourc'h, G

    2016-07-01

    Anaplasma phagocytophilum is an emerging zoonotic tick-borne pathogen affecting a wide range of mammals. Rodents are suspected to be natural reservoirs for this bacterium, but their role in the epidemiologic cycles affecting domestic animals and wild ungulates has not been demonstrated. This study aimed to improve our knowledge on A. phagocytophilum prevalence in Apodemus sylvaticus, A. flavicollis and Myodes glareolus using data collected in 2010 in one area in eastern France and in 2012-2013 in two others areas in western France. Rodents were captured in each site and infection was tested using qualitative real-time PCR assays on either blood or spleen samples. Prevalence showed high variability among sites. The highest prevalence was observed in the most eastern site (with an average infection rate of 22.8% across all species), whereas no rodent was found to be PCR positive in the south-west site and only 6.6% were positive in the north-west of France. Finally, a significant increase in prevalence was observed in autumn samples compared to spring samples in the north-west, but no change was found in the other two sites. Copyright © 2016 Elsevier GmbH. All rights reserved.

  2. [Current status of animal rabies in France].

    PubMed

    Aubert, M

    1997-01-01

    The main host reservoir and vector of rabies in Western Europe is the red fox (Vulpes vulpes). A vaccination strategy for this species has been developed and tested in Switzerland since 1978. Results indicate that the vaccine which is administered in spring and autumn for at least two consecutive years is more effective than destruction by shooting or gassing the animals. The same approach using bait containing increasingly effective and safe vaccines has been in use in France since 1986. By creating an immunological barrier from the English channel to the Swiss border, it has been possible to stop the southern progression of the disease. In the following years the vaccination program was extended to all contaminated areas in France (141,700 km2). From 1989 to 1996 rabies decreased in incidence by 99.7% and disappeared from 95% of the previously contaminated area. Although no case of rabies involving a non-flying mammal has been reported since October 1996, rabies cannot be considered as eradicated as long as places of active disease subsist in neighboring areas of Belgium and the Sarreland. Bat rabies in Europe is caused by two viral genotypes that have never been isolated in any species other than bats and man. A total of four cases of bat rabies have been diagnosed in France since 1989. All four cases occurred in the Serotine community including one in 1997. All cases of canine rabies reported in the last 20 years have been observed in imported animals. The last was in 1995 and could have been prevented by stricter border control.

  3. Questionnaire-based survey on distribution of canine ocular thelaziosis in southwestern France.

    PubMed

    Mérindol, Isabelle; Ravier, Jean-François; Halos, Lénaïg; Guillot, Jacques

    2018-04-15

    The distribution of Thelazia callipaeda, commonly known as "oriental eyeworm'', has been considered for a long time to be confined to the former soviet Republics and Asia where the nematode causes infections in domestic and wild carnivores, rabbits and sometimes humans. However, since 2000, thelaziosis has been diagnosed in dogs and sometimes in cats from a growing number of European countries, including France. In 2006, a survey demonstrated that many autochthonous cases of canine thelaziosis were present in the department of Dordogne (southwestern France) in three hyperenzootic counties where strawberry production was predominant. The objective of the present study was to obtain an updated evaluation of the enzootic occurrence of T. callipaeda in France. In April 2016, an electronic questionnaire was sent to 1670 veterinary clinics from 24 French departments of southwestern France. Among 279 responses, 97 veterinary clinics reported cases of canine thelaziosis during the last 12 months. Most of them (72/97, 74.2%) reported a limited number of cases. Two veterinary clinics in previously-identified hyperenzootic counties of Dordogne reported the higher incidence (50 and 68 new cases annually). Noteworthly, two clinics located in another department (Landes) also reported many autochthonous cases (30 cases annually) demonstrating the existence of new enzootic foci. The present investigation confirmed that Dordogne is still an enzootic area of ocular thelaziosis and that the disease is spreading in new areas of southwestern France since a decade. Copyright © 2018 The Authors. Published by Elsevier B.V. All rights reserved.

  4. Jedburgh Operations: Support to the French Resistance in Central France from June through September 1944

    DTIC Science & Technology

    1991-06-07

    SUBTITLE 5. FUNDING NUMBERS Jedbr’rgh Operations: Support to the French Resistance in Central France From June through September 1944 F.. AUTHOR(S...Europe, beginning with operation OVERLORD in France . This study explains the origins, purpose, and missions/tasks of the Jedburgh project . The focus of...Best Available Standard Form 298 Back (Rev 2-89) JEDBURGH OPERATI ONS: SUPPORT TO THE FRENCH RESISTANCE IN CENTRAL FRANCE FROM JUNE THROUGH SEPTEMBER

  5. The virulence of human pathogenic fungi: notes from the South of France.

    PubMed

    Reedy, Jennifer L; Bastidas, Robert J; Heitman, Joseph

    2007-08-16

    The Second FEBS Advanced Lecture Course on Human Fungal Pathogens: Molecular Mechanisms of Host-Pathogen Interactions and Virulence, organized by Christophe d'Enfert (Institut Pasteur, France), Anita Sil (UCSF, USA), and Steffen Rupp (Fraunhofer, IGB, Germany), occurred May 2007 in La Colle sur Loup, France. Here we review the advances presented and the current state of knowledge in key areas of fungal pathogenesis.

  6. Battle of France WWII

    NASA Astrophysics Data System (ADS)

    Gadhath, Arpitha Rao

    The purpose of this thesis is to build an interactive Geographical Information System (GIS) tool, relating to the series of events that occurred during the Battle of France World War II. The tool gives us an insight about the countries involved in the battle, their allies and their strategies. This tool was created to use it as a one stop source of information regarding all the important battles that took place, which lead to the fall of France. The tool brings together the maps of all the countries involved. Integrated with each map is the data relevant to that map. The data for each country includes the place of attack, the strategies used during the attack, and the kind of warfare. The tool also makes use of HTML files to give all the information, along with the images from the time of the war and a footage which explains everything about the particular battle. The tool was build using JAVA, along with the use of MOJO (Map Objects Java Objects) to develop Maps of each of the countries. MOJO is developed by ESRI (Environmental Science Research Institute) which makes it easier to add data to the maps. It also makes highlighting important information easier making use of pop-up windows, charts and infographics. HTML files were designed making use of the open-source template developed by Bootstrap. The tool is built in such a way that the interface is simple and easy for the user to use and understand.

  7. Frances Keesler Graham (1918-2013).

    PubMed

    Berg, W Keith

    2014-09-01

    Frances Keesler Graham, noted psychophysiologist and developmental researcher, died on April 16, 2013. Fran was born in Canastota, New York, on August 1, 1918. Fran's high-quality research, her success in obtaining 39 years of uninterrupted funding, and the very high regard in which she was held among her colleagues led to numerous awards and honors. Fran was demanding but equally willing to provide extensive assistance to students willing to work hard. (c) 2014 APA, all rights reserved.

  8. Frequency and correlates of late presentation for HIV infection in France: older adults are a risk group - results from the ANRS-VESPA2 Study, France.

    PubMed

    Wilson, Kayigan d'Almeida; Dray-Spira, Rosemary; Aubrière, Cindy; Hamelin, Christine; Spire, Bruno; Lert, France

    2014-01-01

    Correlates of late presentation (LP) for HIV infection in Metropolitan France and French overseas departments (FODs) were assessed among HIV-infected patients recently diagnosed, using data from a large cross-sectional survey, representative of the French HIV-infected population, conducted in 2011. LP was defined as presentation with either clinical AIDS events within the calendar year of diagnosis or CD4 < 350/mm(3) and presentation with advanced disease (PAD) was defined as presentation with either clinical AIDS events or CD4 < 200/mm(3). Correlates of LP/PAD were assessed through logistic modelling, separately in Metropolitan France and FODs. In Metropolitan France, 47.7% of participants were late presenters and 29.3% presented with advanced disease. LP was more frequent among male and female migrants from sub-Saharan Africa (SSA; 58.5% and 56.4%) and non-African heterosexual males (61.8%) than among men who have sex with men (34.8%). In FODs, 53.2% of participants were late presenters and 36.8% presented with an advanced disease. LP was more frequent among men than women (60.6% vs. 45.3%) and among those with a lower level of education (56.6% vs. 47.5%). A consistent positive association was found in adjusted analyses between LP/PAD and increasing age at diagnosis among all subpopulations, in both settings. In Metropolitan France, among men who have sex with men, those self-declaring as bisexual were at higher risk of LP/PAD; among non-African heterosexual males and females, religiosity was associated with increased risk of LP/PAD; and among SSA migrants, those diagnosed within the year following their arrival in France were at higher risk of LP/PAD. Older age at diagnosis is a major risk factor for LP/PAD independently of any other socio-demographic characteristics. Promotion of HIV testing should be renewed to target each subgroup at risk while paying a particular attention to middle-aged or older adults whose attitudes and beliefs towards HIV/AIDS might

  9. [The attractive position of France in international clinical research: 2006 survey assessed by Leem (French pharmaceutical companies)].

    PubMed

    Courcier, Soizic; Sibenaler, Claire; Couderc, Monique; Trinquet, Françoise; Plétan, Yannick; Lassale, Catherine

    2006-01-01

    In order to evaluate the attractiveness of France for conducting international clinical trials, a survey is performed every two years among pharmaceutical companies that are based in France or have affiliates in France. Initiated in 2006, the current survey was much more representative than the previous ones with 20 companies accounting for 61% of the French market. This survey included 352 international phase II and III clinical studies carried out in 2004 and 2005, 74 countries, 17 345 centres and 137 989 patients. France has participated to half of the overall number of international clinical trials. France ranked among the best European recruiters (0,19 patient/1000 inhabitants) at the second position behind Scandinavian countries, taking in account numbers of inhabitants. Protocols are now to be given the go-ahead by Ethics Committee (CCPPRB) within 60 days. With a high productivity in phase IIb and in oncology, France is still an attractive place to locate clinical research.

  10. A new efficient method to monitor precocious puberty nationwide in France.

    PubMed

    Rigou, Annabel; Le Moal, Joëlle; Léger, Juliane; Le Tertre, Alain; Carel, Jean-Claude

    2018-02-01

    Clinical precocious puberty (PP) is a disease, reputed to be on the increase and suspected to be linked to endocrine disrupting chemicals (EDC) exposure. Population-based epidemiological data are lacking in France and scarce elsewhere. We accessed the feasibility of monitoring PP nationwide in France in this context, using a nationwide existing database, the French National Health Insurance Information System. Here, we present the method we used with a step-by-step approach to build and select the most suitable indicator. We built three indicators reflecting the incidence of idiopathic central precocious puberty (ICPP), the most frequent form of PP, and we compared these indicators according to their strengths and weaknesses with respect to surveillance purposes. Monitoring ICPP in France proved feasible using a Drug reimbursement indicator. Our method is cost efficient and highly relevant in public health surveillance. Our step-by-step approach proved helpful to achieve this project and could be proposed for assessing the feasibility of monitoring health outcomes of interest using existing data bases. What is known: • Precocious puberty (PP) is suspected to be related to EDC exposure and it is believed to be on the increase in France and in others countries. • Very few epidemiologic data on PP are currently available in the world at the national scale. What is new: • This is the first study describing a method to monitor the most frequent form of PP, idiopathic central PP (ICPP) nationwide in a cost-efficient way, using health insurance databases. • This cost-effective method will allow to estimate and monitor the incidence of ICPP in France and to analyze spatial variations at a very precise scale, which will be very useful to examine the role of environmental exposures, especially to EDCs.

  11. RU 486 in France and England: corporate ethics and compulsory licensing.

    PubMed

    Boland, R

    1992-01-01

    Prospects for the introduction of RU-486 into the US in the foreseeable future are not good. The governments of France and England moved forward expeditiously with testing and approval of the drug. The legal developments surrounding the introduction of RU-486 in France and England as well as American, French, and English legal issues of corporate responsibility for licensing valuable drugs and compulsory licensing are outlined. The French government on October 28, 1988, ordered the company Roussel-Uclaf to resume plans to distribute RU-486 out of concern for public health and stated that RU-486 was the moral property of women. Roussel-Uclaf agreed to resume plans for distribution. RU-486 suits were finally decided in late 1990 and early 1991 by the State Council, France's highest administrative court, which issued a series of significant rulings. The French government issued new rules prohibiting the use of RU-486 by women who are heavy smokers or over 35 years old and modifying the dose of prostaglandin to be administered because of an RU-486-related death of an overweight 31-year old woman. In England, RU-486 was initially approved in July 1991. The conditions set were similar to those in France: the drug would have be used within 9 weeks of amenorrhea, as opposed to 7 in France; women over 35 or moderate to heavy smokers would be ineligible; and visits 36-48 hours later would be necessary to have a prostaglandin administered with check ups 7-10 days later. The hostility of the current US administration to the introduction of RU-486 blocks access to the drug. In 1989, the Food and Drug Administration placed reluctant to enter the American market. Under the Bush administration there is little possibility that the American government will act and take an active role in facilitating access to RU-486.

  12. The Status of Women in France Today.

    ERIC Educational Resources Information Center

    Weitz, Margaret Collins

    1978-01-01

    Reviews the women's movement in France during the past two centuries. A discussion of the process by which French women acquired political rights and access to education and the professions leads to examination of the question of future directions. An annotated listing of French women's movements is appended. (AMH)

  13. Corporate Language: The Blind Spot of Language Policy? Reflections on France's Loi Toubon

    ERIC Educational Resources Information Center

    Saulière, Jérôme

    2014-01-01

    This article looks at France's Loi Toubon, which mandates the use of French in private companies, to illustrate how macro-level language planning reaches a dead end if it fails to consider local contexts and involve micro-level agents. The motivations, limitations and contradictions of France's language policy in relation to companies are…

  14. Educating the People: "Cours d'adultes" and Social Stratification in France, 1830-1870

    ERIC Educational Resources Information Center

    Rowe, Steven E.

    2010-01-01

    This essay examines the formation, operation, and social effects of adult education classes in France during the nineteenth century. These classes were created and operated prior to the formation of France's national education system and were part of the expansion of primary schooling for the working class, or more generally for "the…

  15. [France, an attractive country for international clinical research: 2008 survey assessed by Leem (French association of pharmaceutical companies)].

    PubMed

    Lassale, Catherine; Sibenaler, Claire; Béhier, Jehan-Michel; Plétan, Yannick; Courcier, Soizic

    2008-01-01

    In order to evaluate the attractiveness of France for conducting international clinical trials, a survey is performed every two years among pharmaceutical companies that are based in France or have affiliates in France. Nineteen companies (61.9 % of the French market) have participated in the current survey which included 385 international phase II and III clinical studies, 77 countries, 29,708 centres and 312,835 patients (included in 2006/2007). France (400 patients/million inhabitants) ranked among the best European recruiters in second position behind Scandinavia. Since 2006, France has improved administrative processes and reduced deadlines for hospital contracts. Protocols are now to be given the go-ahead by French Authorities (Afssaps and CPP) within 60 days, in accordance with European directive. Its performance in early phases, oncology/hematology and vaccines/anti-infectious contribute to the attractiveness of France in international clinical research.

  16. Poppers regulation for public sale: No measure in France yet.

    PubMed

    Victorri-Vigneau, Caroline; Trewick, David; Dejoie, Thomas; Masson, Damien; Bulteau, Samuel; Rousselet, Morgane; Sauvaget, Anne; Grall-Bronnec, Marie; Jolliet, Pascale

    2017-10-23

    Poppers have become legal in France since June 2013. Is their liberalisation associated with an increase of severe side effects observed? To identify elevated methaemoglobinaemia related to poppers abuse, we reviewed all methaemoglobin concentrations measured in Nantes university hospital, during 12 months. Methaemoglobin concentrations were superior to 25% in three cases of poppers consumption that occurred after the legalisation. Evaluating the prevalence of elevated methaemoglobinaemia could help to monitor severe complications of poppers use in France. Copyright © 2017 Société française de pharmacologie et de thérapeutique. Published by Elsevier Masson SAS. All rights reserved.

  17. Fifty years of successful MCT research and production in France

    NASA Astrophysics Data System (ADS)

    Bensussan, Philippe; Tribolet, Philippe; Destéfanis, Gérard; Sirieix, Michel

    2009-05-01

    France has a long and fruitful history regarding Mercury Cadmium Telluride (MCT) research and production and is still one of the leading countries for the production of MCT IR detectors. To give a historical account of its development and progress, SAGEM Défense Sécurité will describe the early days of MCT developments in France. CEA-Leti (the French Atomic Energy Commission and a leading applied research center in electronics) will then present the research carried out on second- and third-generation MCT technologies, followed by Sofradir who will discuss the production of these new detector types.

  18. Seroprevalence of cytomegalovirus infection in France in 2010.

    PubMed

    Antona, D; Lepoutre, A; Fonteneau, L; Baudon, C; Halftermeyer-Zhou, F; LE Strat, Y; Lévy-Bruhl, D

    2017-05-01

    Cytomegalovirus (CMV) infection remains the leading cause of congenital virus infection in developed countries. Measuring the national prevalence of this infection, especially among women of childbearing age, is of great value to estimate the risk of congenital CMV infection, as well as to identify risk groups that should be targeted for behavioural interventions and/or vaccination once a CMV vaccine finally becomes available. In order to fulfil these objectives, a seroprevalence survey was conducted in 2010, using a nationally representative, population-based sample of 2536 people aged between 15 and 49 years, living in metropolitan France and attending private microbiological laboratories for blood testing. All blood samples were analysed in the same laboratory and screened for CMV-specific IgG using an enzyme-linked immunoassay technique (Elisa PKS Medac Enzyme immunoassay). The overall point estimate of CMV infection seroprevalence for individuals aged 15-49 years was 41.9%. The estimates were higher in women than in men (respectively 45.6% and 39.3%), and people born in a non-Western country were more likely to be CMV seropositive than those born in France or in another Western country (93.7% vs. 37.7%). Our results showed that a substantial percentage of women of childbearing age in France are CMV seronegative and therefore at risk of primary CMV infection during pregnancy. Educational measures and future vaccine are key issues to prevent infection in pregnant women and congenital CMV disease.

  19. Education Provisions in Support of Allophone Students in France: Policies, Achievements and Challenges

    ERIC Educational Resources Information Center

    Diallo, Ibrahima; Abdallah, Kaouthar Ben; Embarki, Mohamed

    2016-01-01

    Since 1970, French education authorities have put in place education provisions to address the education needs of the "Elèves Nouvellement Arrivés en France" (ENAF) [Students Newly Arrived in France]. They put in place a series of such and a range of policy frameworks (circulars and decrees) to legitimise the education provisions…

  20. Patterns of adjuvant chemotherapy for stage II and III colon cancer in France and Italy.

    PubMed

    Bouvier, Anne-Marie; Minicozzi, Pamela; Grosclaude, Pascale; Bouvier, Véronique; Faivre, Jean; Sant, Milena

    2013-08-01

    European guidelines recommend adjuvant chemotherapy for stage III colon cancer but not for stage II. To determine the extent to which adjuvant chemotherapy was used in Italy and France. A common retrospective database of 2186 colon cancers diagnosed between 2003 and 2005 was analysed according to age, stage and presenting features. 38.9% of patients with stage II and 64.6% with stage III received chemotherapy in Italy, 21.7% and 65.1% in France. For stage II, the association between country and chemotherapy was only significant in patients diagnosed out of emergency (ORItaly/France: 3.05 [2.12-4.37], p<0.001) whereas patients diagnosed in emergency were as likely to receive chemotherapy in both countries. For stage III, there was a trend to a higher administration of chemotherapy for elderly patients in France compared to Italy. French patients were more likely than Italian to receive chemotherapy (OR: 1.91[1.32-2.78], p=0.001). Chemotherapy for stage III colon cancer was as extensively used in Italy as in France for young patients. Its administration could be increased in patients over 75. Stage II patients with a lower risk of relapse received chemotherapy more often in Italy than in France. Copyright © 2013 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

  1. Mycobacterium bovis Infection of Red Fox, France.

    PubMed

    Michelet, Lorraine; De Cruz, Krystel; Hénault, Sylvie; Tambosco, Jennifer; Richomme, Céline; Réveillaud, Édouard; Gares, Hélène; Moyen, Jean-Louis; Boschiroli, María Laura

    2018-06-01

    Mycobacterium bovis infection in wild red foxes was found in southern France, where livestock and other wildlife species are infected. Foxes frequently interact with cattle but have been underestimated as a reservoir of M. bovis. Our results suggest a possible role of the red fox in the epidemiology of bovine tuberculosis.

  2. Cancer incidence and mortality in France in 1975-95.

    PubMed

    Ménégoz, F; Black, R J; Arveux, P; Magne, V; Ferlay, J; Buémi, A; Carli, P M; Chapelain, G; Faivre, J; Gignoux, M; Grosclaude, P; Mace-Lesec'h, J; Raverdy, N; Schaffer, P

    1997-10-01

    The aims of the European Network of Cancer Registries (ENCR) are to improve the quality, comparability and availability of cancer registry data in Europe. This paper on cancer incidence and mortality in France presents the most recent available data, with short-term projections to 1995, and a commentary based, where possible, on epidemiological research carried out in France. Cancer incidence in men in France increased throughout the study period 1975 to 1995, from 92,000 new cases in 1975 to about 135,000 in 1995. This increase was partly due to the ageing of the French population, but incidence rates have also increased, particularly from 1975 to 1985. The trend appears to be levelling off in the 1990s, with an incidence rate in 1995 of about 482 per 100,000 (this and subsequent rates quoted are standardized to the European Standard Population). Among women, the all-cancer incidence rates also increased during the 1970s and 1980s. Although the rate of increase was less pronounced than in men, the trend is continuing in the 1990s. The estimated age standardized rate in 1995 was 309 per 100,000, representing 104,000 new cases. The main components of these changes in the last decade were, for men, increases in large bowel and prostate cancer, which have been partly compensated for by decreases in oral cavity, larynx and stomach cancer. For women the trend was dominated by the continuing increase in breast cancer with increases also in large bowel and lung cancers. Of the numerically important cancers in women, only stomach cancer has shown a clear decline. The situation in 1995 was that breast cancer remained the predominant cancer affecting women in France, accounting for almost one third of all new cases of cancer diagnosed and one fifth of cancer deaths. The next most frequent cancers in women were those of the large bowel. Regrettably, incidence rates of both breast and bowel cancer are increasing in women. For men in France the most frequent cancers in 1995

  3. Context and dating of Aurignacian vulvar representations from Abri Castanet, France

    PubMed Central

    White, Randall; Mensan, Romain; Bourrillon, Raphaëlle; Cretin, Catherine; Higham, Thomas F. G.; Clark, Amy E.; Sisk, Matthew L.; Tartar, Elise; Gardère, Philippe; Goldberg, Paul; Pelegrin, Jacques; Valladas, Hélène; Tisnérat-Laborde, Nadine; de Sanoit, Jacques; Chambellan, Dominique; Chiotti, Laurent

    2012-01-01

    We report here on the 2007 discovery, in perfect archaeological context, of part of the engraved and ocre-stained undersurface of the collapsed rockshelter ceiling from Abri Castanet, Dordogne, France. The decorated surface of the 1.5-t roof-collapse block was in direct contact with the exposed archaeological surface onto which it fell. Because there was no sedimentation between the engraved surface and the archaeological layer upon which it collapsed, it is clear that the Early Aurignacian occupants of the shelter were the authors of the ceiling imagery. This discovery contributes an important dimension to our understanding of the earliest graphic representation in southwestern France, almost all of which was discovered before modern methods of archaeological excavation and analysis. Comparison of the dates for the Castanet ceiling and those directly obtained from the Chauvet paintings reveal that the “vulvar” representations from southwestern France are as old or older than the very different wall images from Chauvet. PMID:22586111

  4. Underreporting of musculoskeletal disorders in 10 regions in France in 2009.

    PubMed

    Rivière, Stéphanie; Penven, Emmanuelle; Cadéac-Birman, Hélène; Roquelaure, Yves; Valenty, Madeleine

    2014-10-01

    Underreporting of occupational diseases (OD) has been quantified, in particular in the United States, but little information is available in other countries. The aim of this study was to evaluate underreporting of musculoskeletal disorders (MSD) in France in 2009. We calculated an indicator that approximated the underreporting rate of MSD in 10 regions of France. Two databases were used: data on OD compensated by insurance funding and data from the surveillance program for uncompensated work-related diseases. Analyses were performed for carpal tunnel syndrome (CTS) and elbow, shoulder, and lumbar spine MSD. The underreporting rate was estimated at 59% (range 52-64%) for CTS, 73% (range 67-79%) for elbow MSD, 69% (range 63-74%) for shoulder MSD, and 63% (range 50-76%) for lumbar spine MSD. This study revealed that MSD are substantially underreported in France, as in the United States, despite the differences in workers' compensation systems. © 2014 Wiley Periodicals, Inc.

  5. VEB-1 Extended-Spectrum β-lactamase–producing Acinetobacter baumannii, France1

    PubMed Central

    Coignard, Bruno; Carbonne, Anne; Blanckaert, Karine; Bajolet, Odile; Bernet, Claude; Verdeil, Xavier; Astagneau, Pascal; Desenclos, Jean-Claude; Nordmann, Patrice

    2006-01-01

    VEB-1 extended-spectrum β-lactamase–producing Acinetobacter baumannii was responsible for an outbreak in hospitals in France. A national alert was triggered in September 2003 when 4 hospitals reported clusters of A. baumannii infection with similar susceptibility profiles. Case definitions and laboratory guidelines were disseminated, and prospective surveillance was implemented; strains were sent to a single laboratory for characterization and typing. From April 2003 through June 2004, 53 hospitals reported 290 cases of A. baumannii infection or colonization; 275 isolates were blaVEB-1-positive and clonally related. Cases were first reported in 5 districts of northern France, then in 10 other districts in 4 regions. Within a region, interhospital spread was associated with patient transfer. In northern France, investigation and control measures led to a reduction of reported cases after January 2004. The national alert enabled early control of new clusters, demonstrating the usefulness of early warning about antimicrobial drug resistance. PMID:16965700

  6. Obesity framing for health policy development in Australia, France and Switzerland.

    PubMed

    Patchett, Annabelle D; Yeatman, Heather R; Johnson, Keryn M

    2016-03-01

    The obesity epidemic is a consequence of the interaction of cultural, environmental, genetic and behavioural factors; framing the issue is central to determining appropriate solutions. This study used content and thematic framing analysis to explore portrayal of responsibility for obesity in policy documents in Australia, France and Switzerland. For Australia and France, obesity causality was a combination of individual and environmental factors, but for Switzerland, it was predominantly individual. The primary solutions for all countries were health promotion strategies and children's education. Industry groups proposed more school education while health advocates advised government intervention. Where France emphasized cultural attitudes towards taste, Australia focused on sport. The French were most keen on legislating against unhealthy foods compared with Switzerland where there was opposition towards regulation of individual's choices. To curb the increasing prevalence of obesity, allocation of responsibility needs to be considered and initiatives enacted accordingly. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  7. Murine Typhus, Reunion, France, 2011–2013

    PubMed Central

    Camuset, Guillaume; Socolovschi, Cristina; Moiton, Marie-Pierre; Kuli, Barbara; Foucher, Aurélie; Poubeau, Patrice; Borgherini, Gianandrea; Wartel, Guillaume; Audin, Héla; Raoult, Didier; Filleul, Laurent; Parola, Philippe; Pagès, Fréderic

    2015-01-01

    Murine typhus case was initially identified in Reunion, France, in 2012 in a tourist. Our investigation confirmed 8 autochthonous cases that occurred during January 2011–January 2013 in Reunion. Murine typhus should be considered in local patients and in travelers returning from Reunion who have fevers of unknown origin. PMID:25625653

  8. Nano-scale processes behind ion-beam cancer therapy

    NASA Astrophysics Data System (ADS)

    Surdutovich, Eugene; Garcia, Gustavo; Mason, Nigel; Solov'yov, Andrey V.

    2016-04-01

    This topical issue collates a series of papers based on new data reported at the third Nano-IBCT Conference of the COST Action MP1002: Nanoscale Insights into Ion Beam Cancer Therapy, held in Boppard, Germany, from October 27th to October 31st, 2014. The Nano-IBCT COST Action was launched in December 2010 and brought together more than 300 experts from different disciplines (physics, chemistry, biology) with specialists in radiation damage of biological matter from hadron-therapy centres, and medical institutions. This meeting followed the first and the second conferences of the Action held in October 2011 in Caen, France and in May 2013 in Sopot, Poland respectively. This conference series provided a focus for the European research community and has highlighted the pioneering research into the fundamental processes underpinning ion beam cancer therapy. Contribution to the Topical Issue "COST Action Nano-IBCT: Nano-scale Processes Behind Ion-Beam Cancer Therapy", edited by Andrey V. Solov'yov, Nigel Mason, Gustavo Garcia and Eugene Surdutovich.

  9. Evaluating the Effectiveness of France's Indoor Smoke-Free Law 1 Year and 5 Years after Implementation: Findings from the ITC France Survey.

    PubMed

    Fong, Geoffrey T; Craig, Lorraine V; Guignard, Romain; Nagelhout, Gera E; Tait, Megan K; Driezen, Pete; Kennedy, Ryan David; Boudreau, Christian; Wilquin, Jean-Louis; Deutsch, Antoine; Beck, François

    2013-01-01

    France implemented a comprehensive smoke-free law in two phases: Phase 1 (February 2007) banned smoking in workplaces, shopping centres, airports, train stations, hospitals, and schools; Phase 2 (January 2008) banned smoking in hospitality venues (bars, restaurants, hotels, casinos, nightclubs). This paper evaluates France's smoke-free law based on the International Tobacco Control Policy Evaluation Project in France (the ITC France Project), which conducted a cohort survey of approximately 1,500 smokers and 500 non-smokers before the implementation of the laws (Wave 1) and two waves after the implementation (Waves 2 and 3). Results show that the smoke-free law led to a very significant and near-total elimination of observed smoking in key venues such as bars (from 94-97% to 4%) and restaurants (from 60-71% to 2-3%) at Wave 2, which was sustained four years later (6-8% in bars; 1-2% in restaurants). The reduction in self-reported smoking by smoking respondents was nearly identical to the effects shown in observed smoking. Observed smoking in workplaces declined significantly after the law (from 41-48% to 18-20%), which continued to decline at Wave 3 (to 14-15%). Support for the smoke-free laws increased significantly after their implementation and continued to increase at Wave 3 (p<.001 among smokers for bars and restaurants; p<.001 among smokers and p = .003 for non-smokers for workplaces). The findings demonstrate that smoke-free policies that are implemented in ways consistent with the Guidelines for Article 8 of the WHO Framework Convention on Tobacco Control (WHO FCTC) lead to substantial and sustained reductions in indoor smoking while also leading to high levels of support by the public. Moreover, contrary to arguments by opponents of smoke-free laws, smoking in the home did not increase after the law was implemented and prevalence of smoke-free homes among smokers increased from 23.2% before the law to 37.2% 5 years after the law.

  10. Light charged clusters emitted in 32 MeV/nucleon Xe,124136+Sn,112124 reactions: Chemical equilibrium and production of 3He and 6He

    NASA Astrophysics Data System (ADS)

    Bougault, R.; Bonnet, E.; Borderie, B.; Chbihi, A.; Dell'Aquila, D.; Fable, Q.; Francalanza, L.; Frankland, J. D.; Galichet, E.; Gruyer, D.; Guinet, D.; Henri, M.; La Commara, M.; Le Neindre, N.; Lombardo, I.; Lopez, O.; Manduci, L.; Marini, P.; Pârlog, M.; Roy, R.; Saint-Onge, P.; Verde, G.; Vient, E.; Vigilante, M.; Indra Collaboration

    2018-02-01

    Background: The isovector part of the nuclear equation of state remains partly unknown and is the subject of many studies. The degree of equilibration between the two main collision partners in heavy ion reactions may be used to study the equation of state since it is connected to isospin (N /Z ) transport properties of nuclear matter. Purpose: We aim to test chemical equilibrium attainment by measuring isotopic characteristics of emitted elements as a function of impact parameter. Method: We study four Xe,124136+Sn,112124 reactions at 32 MeV/nucleon. The data were acquired with the INDRA detector at the GANIL (Caen, France) facility. Combined (projectile+target) systems are identical for two studied reactions, therefore it is possible to study the path towards chemical equilibrium from different neutron to proton ratio (N /Z ) entrance channels. The study is limited to identified isotopes detected in the forward part of the center of mass in order to focus on the evolution of projectile-like fragment isotopic content and the benefit of excellent detection performances of the forward part of the apparatus. Results: Light charged particle productions, multiplicities, and abundance ratios dependence against impact parameter are studied. It is measured to almost identical mean characteristics for the two 124Xe+124Sn and 136Xe+112Sn systems for central collisions. Comparing all four studied systems it is shown that mean values evolve from projectile N /Z to projectile+target N /Z dependence. Those identical mean characteristics concern all light charged particles except 3He whose mean behavior is strongly different. Conclusions: Our inclusive analysis (no event selection) shows that N /Z equilibration between the projectile-like and the target-like is realized to a high degree for central collisions. The light charged particle production mean value difference between 124Xe+124Sn and 136Xe+112Sn systems for central collisions is of the order of a few %. This slight

  11. City of Paris, France

    NASA Image and Video Library

    1992-09-20

    STS047-94-010 (12 - 20 Sept 1992) --- This 250mm Hasselblad color photo of Paris, France recorded during this mission, shows urban land uses in great detail. Several airports are clear, including the two major international airports of Orly and Le Bourget. Paris was founded in pre-Roman times on an island in the Seine River and continued as a Roman outpost. The easily defensible location was one of the keys to the growth of this island city. The city expanded from its island state to become a major urban center in Europe because of its location, its easy access by river traffic, and its productive hinterland.

  12. [Violence against persons in France].

    PubMed

    Gilgenkrantz, Simone

    2009-01-01

    The violence against persons in France are various, from those inflicted by society against human groups or individuals, from those, almost unrecognizable, occurring inside the families. It is an important public health problem and need population-based surveys to evaluate and to prevent it. The numerous publications about violence, and particularly about violence against women which have been recently published reflect the actual awareness. But they demonstrate also the diversity and the evolution of the policies which do not simplify the the ways to find solutions.

  13. Complete Genome and Phylogeny of Puumala Hantavirus Isolates Circulating in France.

    PubMed

    Castel, Guillaume; Couteaudier, Mathilde; Sauvage, Frank; Pons, Jean-Baptiste; Murri, Séverine; Plyusnina, Angelina; Pontier, Dominique; Cosson, Jean-François; Plyusnin, Alexander; Marianneau, Philippe; Tordo, Noël

    2015-10-22

    Puumala virus (PUUV) is the agent of nephropathia epidemica (NE), a mild form of hemorrhagic fever with renal syndrome (HFRS) in Europe. NE incidence presents a high spatial variation throughout France, while the geographical distribution of the wild reservoir of PUUV, the bank vole, is rather continuous. A missing piece of the puzzle is the current distribution and the genetic variation of PUUV in France, which has been overlooked until now and remains poorly understood. During a population survey, from 2008 to 2011, bank voles were trapped in eight different forests of France located in areas known to be endemic for NE or in area from where no NE case has been reported until now. Bank voles were tested for immunoglobulin (Ig)G ELISA serology and two seropositive animals for each of three different areas (Ardennes, Jura and Orleans) were then subjected to laboratory analyses in order to sequence the whole S, M and L segments of PUUV. Phylogenetic analyses revealed that French PUUV isolates globally belong to the central European (CE) lineage although isolates from Ardennes are clearly distinct from those in Jura and Orleans, suggesting a different evolutionary history and origin of PUUV introduction in France. Sequence analyses revealed specific amino acid signatures along the N protein, including in PUUV from the Orleans region from where NE in humans has never been reported. The relevance of these mutations in term of pathophysiology is discussed.

  14. What strategy should France implement for H2020?

    PubMed

    Dhainaut, Jean-François; Diebolt, Vincent; Pouletty-Lefèbvre, Brigitte; Baker, Angela; Bassompierre, François; Borel, Thomas; Braunstein, David; Demotes, Jacques; François, Bruno; Huet, Stéphane; Micallef, Joëlle; Misse, Christophe; Molon, Annamaria; Rascol, Olivier; Ravoire, Sophie; Schwartz, Bertrand; Donne, Nathalie; Donne, Nathalie; Fusaï, Guillaume; Pouletty, Philippe; Vicaut, Eric

    2015-01-01

    The initiation of Horizon 2020--the European Union's 8th Framework Programme for Research and Innovation, allotted a budget of 79 billion euros--provides an opportunity to review France's participation in previous Framework Programmes. Indeed, French participation does not match either its scientific importance or its financial investment. While France contributed 16.5 to 17% of the EU's 7th Framework Programme research budget, its return through the funding of coordinated projects in which French teams are participating stands at around 12.5 to 13%, a shortfall of 600 million euros. Although the situation depends on the type of activity, French participation in clinical research appears to be smaller than that of its neighbours, with fewer responses to European calls for proposals. While France has many assets, which include the assured funding of clinical research, structured thematic networks and the initiation of major national programmes, it suffers from the dilution of resources due to France's regional development policy, the lack of multidisciplinarity and the ignorance of both the medical and scientific community and the institutions to which they belong as to how Horizon 2020 actually works. We propose three types of strategy to encourage proposals for coordinated clinical research projects or projects involving French teams, and to help in the drawing up of applications: Broaden the vision of our children, students and colleagues, helping them to adapt to the globalisation of knowledge throughout their educational and professional lives. Recognise the value of European actions to influence the European landscape and change mentalities. Help and support project initiators by pooling skills within a limited number of expert centres designed to assist them in their funding application. • Broaden the vision of our children, students and colleagues, helping them to adapt to the globalisation of knowledge throughout their educational and professional lives

  15. Molecular diagnosis of Pseudoterranova decipiens s.s in human, France.

    PubMed

    Brunet, Julie; Pesson, Bernard; Royant, Maude; Lemoine, Jean-Philippe; Pfaff, Alexander W; Abou-Bacar, Ahmed; Yera, Hélène; Fréalle, Emilie; Dupouy-Camet, Jean; Merino-Espinosa, Gema; Gómez-Mateos, Magdalena; Martin-Sanchez, Joaquina; Candolfi, Ermanno

    2017-06-06

    Anisakis and Pseudoterranova are the main genera involved in human infections caused by nematodes of the Anisakidae family. Species identification is complicated due to the lack of differential morphological characteristics at the larval stage, thus requiring molecular differentiation. Pseudoterranova larvae ingested through raw fish are spontaneously eliminated in most cases, but mechanical removal by means of endoscopy might be required. To date, only very few cases of Pseudoterranova infection have been reported in France. A 19-year-old woman from Northeastern France detected, while brushing her teeth, a larva exiting through her mouth. The patient who presented with headache, diarrhea, and abdominal cramps reported having eaten baked cod. The worm was a fourth-stage larva with a size of 22 × 0.9 mm, and molecular biology identified it as Pseudoterranova decipiens sensu stricto (s. s.). In a second P. decipiens infection case, occurring a few months later, a worm exited through the patient's nose after she had eaten raw sea bream. These two cases demonstrate that Pseudoterranova infection is not uncommon among French patients. Therefore, molecular techniques should be more widely applied for a better characterization of anisakidosis epidemiology in France.

  16. Outlier detection for groundwater data in France

    NASA Astrophysics Data System (ADS)

    Valmy, Larissa; de Fouquet, Chantal; Bourgine, Bernard

    2014-05-01

    Quality and quantity water in France are increasingly observed since the 70s. Moreover, in 2000, the EU Water Framework Directive established a framework for community action in the water policy field for the protection of inland surface waters (rivers and lakes), transitional waters (estuaries), coastal waters and groundwater. It will ensure that all aquatic ecosystems and, with regard to their water needs, terrestrial ecosystems and wetlands meet 'good status' by 2015. The Directive requires Member States to establish river basin districts and for each of these a river basin management plan. In France, monitoring programs for the water status were implemented in each basin since 2007. The data collected through these programs feed into an information system which contributes to check the compliance of water environmental legislation implementation, assess the status of water guide management actions (programs of measures) and evaluate their effectiveness, and inform the public. Our work consists in study quality and quantity groundwater data for some basins in France. We propose a specific mathematical approach in order to detect outliers and study trends in time series. In statistic, an outlier is an observation that lies outside the overall pattern of a distribution. Usually, the presence of an outlier indicates some sort of problem, thus, it is important to detect it in order to know the cause. In fact, techniques for temporal data analysis have been developed for several decades in parallel with geostatistical methods. However compared to standard statistical methods, geostatistical analysis allows incomplete or irregular time series analysis. Otherwise, tests carried out by the BRGM showed the potential contribution of geostatistical methods for characterization of environmental data time series. Our approach is to exploit this potential through the development of specific algorithms, tests and validation of methods. We will introduce and explain our method

  17. Providing for Disabled Students: University of Grenoble, France.

    ERIC Educational Resources Information Center

    PEB Exchange, 2000

    2000-01-01

    Examines how France's University of Grenoble provides for its disabled students in its residence halls, including a description of the university's service for disabled service. A hospital/education center where disabled students can receive care and physiotherapy while attending school is highlighted. (GR)

  18. Unusual Transmission of Plasmodium falciparum, Bordeaux, France, 2009

    PubMed Central

    Vareil, Marc-Olivier; Tandonnet, Olivier; Chemoul, Audrey; Bogreau, Hervé; Saint-Léger, Mélanie; Micheau, Maguy; Millet, Pascal; Koeck, Jean-Louis; Boyer, Alexandre; Rogier, Christophe

    2011-01-01

    Plasmodium falciparum malaria is usually transmitted by mosquitoes. We report 2 cases in France transmitted by other modes: occupational blood exposure and blood transfusion. Even where malaria is not endemic, it should be considered as a cause of unexplained acute fever. PMID:21291597

  19. [Mapping of the key oncology indicators available in France].

    PubMed

    Laanani, Moussa; Vongmany, Natalie; Lafay, Lionel; Cerf, Nicole Rasamimanana; Le Quellec-Nathan, Martine; Viguier, Jérôme; Bousquet, Philippe Jean

    2014-01-01

    Available data in the field of oncology in France are scattered due to the large number of available indicators and their sources. In order to facilitate identification and analysis of these indicators, the French National Cancer Institute (INCa) has mapped the main indicators available in oncology. Mapping was based on the needs of various categories of potential users. Standardized interviews were conducted face-to-face or by email among representatives to determine their needs and expectations. The underlying data sources were also identified: databases, national surveys, websites. A first selection of indicators was proposed in the report entitled "La situation du cancer en France en 2009" ("The state of cancer in France in 2009") and was expanded. Data collection concerning indicators was performed among INCa correspondents for each theme. Several themes were defined: epidemiology, prevention and risk factors, screening, medical demography, health care offer, living conditions, costs and expenses, research. Data were classified according to: geographical coverage, age, gender, type of cancer, occupational categories. This information was collected for each indicator selected and was made available via the cancer data website (http://lesdonnees.e-cancer.fr). The available oncology indicators are numerous and scattered. Mapping can be a useful tool to facilitate access to these indicators. It should be regularly updated to reflect the most recent data.

  20. Circulation of Pneumocystis dihydropteroate synthase mutants in France.

    PubMed

    Le Gal, Solène; Damiani, Céline; Perrot, Maëla; Rouillé, Amélie; Virmaux, Michèle; Quinio, Dorothée; Moalic, Elodie; Saliou, Philippe; Berthou, Christian; Le Meur, Yann; Totet, Anne; Nevez, Gilles

    2012-10-01

    Data on the prevalence of Pneumocystis jirovecii (P. jirovecii) dihydropteroate synthase (DHPS) mutants in France are still limited. In this study, mutant prevalence in the Brest region (western France) was determined. Archival pulmonary specimens from 85 patients infected with P. jirovecii and admitted to our institution (University Hospital, Brest) from October 2007 to February 2010 were retrospectively typed at the DHPS locus using a polymerase chain reaction-restriction fragment length polymorphism assay. Type identification was successful in 66 of 85 patients. Sixty-four patients were infected with a wild type, whereas mutants were found in 2 patients (2/66, 3%). Medical chart analysis revealed that these 2 patients usually lived in Paris. Another patient usually lived on the French Riviera, whereas 63 patients were from the city of Brest. Thus, the corrected prevalence of mutants in patients who effectively lived in our geographic area was 0% (0/63). Taking into account that i) Paris is characterized by a high prevalence of mutants from 18.5% to 40%, ii) infection diagnoses were performed in the 2 Parisians during their vacation <30 days, iii) infection incubation is assumed to last about 2 months, the results provide evidence of mutant circulation from Paris to Brest through infected vacationers. The study shows that the usual city of patient residence, rather than the city of infection diagnosis, is a predictor of mutants and that P. jirovecii infections involving mutants do not represent a public health issue in western France. Copyright © 2012 Elsevier Inc. All rights reserved.

  1. Cohort changes in educational disparities in smoking: France, Germany and the United States

    PubMed Central

    Pampel, Fred; Legleye, Stephane; Goffette, Celine; Piontek, Daniela; Kraus, Ludwig; Khlat, Myriam

    2017-01-01

    This study investigates the evolution of educational disparities in smoking uptake across cohorts for men and women in three countries. Nationally representative surveys of adults in France, Germany and the United States in 2009–2010 include retrospective measures of age of uptake that are compared for three cohorts (born 1946–1960–1961–1975, and 1976–1992). Discrete logistic regressions and a relative measure of education are used to model smoking histories until age 34. The following patterns are found: a strengthening of educational disparities in the timing of uptake from older to younger cohorts; an earlier occurrence of the strengthening for men than women and for the United States than France or Germany; a faster pace of the epidemic in France than in the United States, and; a divide between the highest level of education and the others in the United States, as opposed to a gradient across categories in France. Those differences in smoking disparities across cohorts, genders and countries help identify the national and temporal circumstances that shape the size and direction of the relationship between education and health and the need for policies that target educational disparities. PMID:25037853

  2. 'Miss Frances', 'Miss Gail' and 'Miss Sandra' Crapemyrtles

    USDA-ARS?s Scientific Manuscript database

    The Agricultural Research Service, United States Department of Agriculture, announces the release to nurserymen of three new crapemyrtle cultivars named 'Miss Gail', 'Miss Frances', and 'Miss Sandra'. ‘Miss Gail’ resulted from a cross-pollination between ‘Catawba’ as the female parent and ‘Arapaho’ ...

  3. Structure and Governance of Universities in France, the United States of America, and Mexico.

    ERIC Educational Resources Information Center

    Acostaromero, Salvador

    This thesis reviews the main elements of university governance in France, the United States, and Mexico. A brief historical overview of higher education in the three countries precedes an individual analysis. The analysis of university governance in France focuses on the 1968 reform of higher education prompted by student protests and the 1983…

  4. Foodborne outbreak and nonmotile Salmonella enterica variant, France.

    PubMed

    Le Hello, Simon; Brisabois, Anne; Accou-Demartin, Marie; Josse, Adeline; Marault, Muriel; Francart, Sylvie; Da Silva, Nathalie Jourdan; Weill, François-Xavier

    2012-01-01

    We report a food-related outbreak of salmonellosis in humans caused by a nonmotile variant of Salmonella enterica serotype Typhimurium in France in 2009. This nonmotile variant had been circulating in laying hens but was not considered as Typhimurium and consequently escaped European poultry flock regulations.

  5. Systemic Change in Vocational Training Institutions in France.

    ERIC Educational Resources Information Center

    Moallem, Abbas; Moallem, Mahnaz

    1998-01-01

    The Specialized Vocational Training Institutions known as Institut Medico-Professionel (IMPro) in France are faced with increasing demands to provide quality services to adolescents with intellectual disabilities. This article describes the process of organizational changes in IMPro including the model, methods, tools, and techniques used in…

  6. 78 FR 23107 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-18

    ... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration 14 CFR Part 39 [Docket No. FAA-2012-1087; Directorate Identifier 2009-SW-32-AD; Amendment 39-17424; AD 2013-08-07] RIN 2120-AA64...-07 Eurocopter France: Amendment 39-17424; Docket No. FAA- 2012-1087; Directorate Identifier 2009-SW...

  7. Estimation and mapping of uranium content of geological units in France.

    PubMed

    Ielsch, G; Cuney, M; Buscail, F; Rossi, F; Leon, A; Cushing, M E

    2017-01-01

    In France, natural radiation accounts for most of the population exposure to ionizing radiation. The Institute for Radiological Protection and Nuclear Safety (IRSN) carries out studies to evaluate the variability of natural radioactivity over the French territory. In this framework, the present study consisted in the evaluation of uranium concentrations in bedrocks. The objective was to provide estimate of uranium content of each geological unit defined in the geological map of France (1:1,000,000). The methodology was based on the interpretation of existing geochemical data (results of whole rock sample analysis) and the knowledge of petrology and lithology of the geological units, which allowed obtaining a first estimate of the uranium content of rocks. Then, this first estimate was improved thanks to some additional information. For example, some particular or regional sedimentary rocks which could present uranium contents higher than those generally observed for these lithologies, were identified. Moreover, databases on mining provided information on the location of uranium and coal/lignite mines and thus indicated the location of particular uranium-rich rocks. The geological units, defined from their boundaries extracted from the geological map of France (1:1,000,000), were finally classified into 5 categories based on their mean uranium content. The map obtained provided useful data for establishing the geogenic radon map of France, but also for mapping countrywide exposure to terrestrial radiation and for the evaluation of background levels of natural radioactivity used for impact assessment of anthropogenic activities. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. Molecular Survey of Head and Body Lice, Pediculus humanus, in France.

    PubMed

    Candy, Kerdalidec; Amanzougaghene, Nadia; Izri, Arezki; Brun, Sophie; Durand, Rémy; Louni, Meriem; Raoult, Didier; Fenollar, Florence; Mediannikov, Oleg

    2018-05-01

    Human lice, Pediculus humanus, are obligate blood-sucking parasites. Phylogenetically, they belong to several mitochondrial clades exhibiting some geographic differences. Currently, the body louse is the only recognized disease vector, with the head louse being proposed as an additional vector. In this article, we study the genetic diversity of head and body lice collected from Bobigny, a town located close to Paris (France), and look for louse-borne pathogens. By amplifying and sequencing the cytb gene, we confirmed the presence of clades A and B in France. Besides, by amplifying and sequencing both cytb and cox1 gene, we reported, for the first time, the presence of clade E, which has thus far only been found in lice from West Africa. DNA from Bartonella quintana was detected in 16.7% of body lice from homeless individuals, but in none of the head lice collected from 47 families. Acinetobacter DNA was detected in 11.5% of head lice belonging to all three clades and 29.1% of body lice. Six species of Acinetobacter were identified, including two potential new ones. Acinetobacter baumannii was the most prevalent, followed by Candidatus Acinetobacter Bobigny-1, Acinetobacter calcoaceticus, Acinetobacter nosocomialis, Acinetobacter junii, and Candidatus Acinetobacter Bobigny-2. Body lice were found to be infected only with A. baumannii. These findings show for the first time, the presence of clade E head lice in France. This study is also the first to report the presence of DNAs of several species of Acinetobacter in human head lice in France.

  9. Introduction of SARS in France, March–April, 2003

    PubMed Central

    van der Werf, Sylvie; Bonmarin, Isabelle; Levy-Bruhl, Daniel; Yazdanpanah, Yazdan; Hoen, Bruno; Emmanuelli, Julien; Lesens, Olivier; Dupon, Michel; Natali, François; Michelet, Christian; Reynes, Jacques; Guery, Benoit; Larsen, Christine; Semaille, Caroline; Mouton, Yves; Christmann, Daniel; André, Michel; Escriou, Nicolas; Burguière, Anna; Manuguerra, Jean-Claude; Coignard, Bruno; Lepoutre, Agnés; Meffre, Christine; Bitar, Dounia; Decludt, Bénédicte; Capek, Isabelle; Antona, Denise; Che, Didier; Herida, Magid; Infuso, Andréa; Saura, Christine; Brücker, Gilles; Hubert, Bruno; LeGoff, Dominique; Scheidegger, Suzanne

    2004-01-01

    We describe severe acute respiratory syndrome (SARS) in France. Patients meeting the World Health Organization definition of a suspected case underwent a clinical, radiologic, and biologic assessment at the closest university-affiliated infectious disease ward. Suspected cases were immediately reported to the Institut de Veille Sanitaire. Probable case-patients were isolated, their contacts quarantined at home, and were followed for 10 days after exposure. Five probable cases occurred from March through April 2003; four were confirmed as SARS coronavirus by reverse transcription–polymerase chain reaction, serologic testing, or both. The index case-patient (patient A), who had worked in the French hospital of Hanoi, Vietnam, was the most probable source of transmission for the three other confirmed cases; two had been exposed to patient A while on the Hanoi-Paris flight of March 22–23. Timely detection, isolation of probable cases, and quarantine of their contacts appear to have been effective in preventing the secondary spread of SARS in France. PMID:15030682

  10. [Reflection on the psychiatric financial allocation in France].

    PubMed

    Boyer, L; Fond, G; Devictor, B; Samuelian, J-C; Lancon, C; Rouillon, F; Gaillard, R; Zendjidjian, X; Llorca, P-M

    2016-08-01

    For 25years work has been underway in France for the implementation of an alternative to public financing of health care. In the absence of progress, some regional health agencies are engaged in work related to the reallocation of public finances between psychiatric institutions. We propose a reflection with suggestion on the method proposed by the Provence Alpes Côte d'Azur Regional Health Agency. Without questioning the need for a reallocation of resources between psychiatric institutions, the method proposed here needs to evolve further to be applied in a legitimate and appropriate manner. There is a kind of urgency for a reallocation of resources between psychiatric institutions in France, but it implies a collective thinking and especially the definition of evaluation procedures for the selected models. These conditions are necessary to guarantee the quality of French psychiatry and equity in access to psychiatric care. Copyright © 2016 L’Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

  11. Reliability and validity of the French-Canadian version of the scoliosis research society 22 questionnaire in France.

    PubMed

    Lonjon, Guillaume; Ilharreborde, Brice; Odent, Thierry; Moreau, Sébastien; Glorion, Christophe; Mazda, Keyvan

    2014-01-01

    Outcome study to determine the internal consistency, reproducibility, and concurrent validity of the French-Canadian version of the Scoliosis Research Society 22 (SRS-22 fcv) patient questionnaire in France. To determine whether the SRS-22 fcv can be used in a population from France. The SRS-22 has been translated and validated in multiple countries, notably in the French-Canadian language in Quebec, Canada. Use of SRS-22 fcv seems appropriate for evaluating adolescent idiopathic scoliosis in France. However, French-Canadian French is noticeably different from the French spoken in France, and no study has investigated the use of a French-Canadian version of a health-quality questionnaire in another French population. The methods used for validating the SRS-22 fcv in Quebec were adopted for use with a group of 200 adolescents with idiopathic scoliosis and 60 healthy adolescents in France. Reliability and reproducibility were measured by the Cronbach α and intraclass correlation coefficient (ICC), construct validity by factorial analysis, concurrent validity by the Short-Form of the survey, and discriminant validity by analysis of variance and multivariate linear regression. In France, the SRS-22 fcv showed good global internal consistency (Cronbach α = 0.87, intraclass correlation coefficient = 0.92), a coherent factorial structure, and high correlation coefficients between the SRS-22 fcv and Short-Form of the survey (P < 0.001). However, reliability and validity were slightly less than that for the instrument's original validation and the validation of the SRS-22 fcv in Quebec. These differences could be explained by language and cultural differences. The SRS-22 fcv is relevant for use in France, but further development and validation of a specific French questionnaire remain necessary to improve the assessment of functional outcomes of adolescents with scoliosis in France. N/A.

  12. Space Radar Image of Rhine River, France and Germany

    NASA Image and Video Library

    1999-04-15

    This spaceborne radar image shows a segment of the Rhine River where it forms the border between the Alsace region of northeastern France on the left and the Black Forest region of Germany on the right.

  13. History as Passport: Frances FitzGerald and Her Critics.

    ERIC Educational Resources Information Center

    Westfall, William

    1981-01-01

    Attempts to get at some of the assumptions and definitions behind "America Revised" by Frances FitzGerald and, in addition, to investigate some of the conceptions of history held by critics who reviewed the book. (DB)

  14. France's grandes écoles accused of elitism

    NASA Astrophysics Data System (ADS)

    Hellemans, Alexander

    2010-02-01

    Physicists in France have backed government plans to open up the country's elite grandes écoles to more students from poorer backgrounds. The government wants to allow up to 30% of students to be given free scholarships in an attempt to broaden the social mix of the student body. The physicists say this would not lead to a lowering of standards.

  15. A Paradox in Physics Education in France

    ERIC Educational Resources Information Center

    Smigiel, Eddie; Sonntag, Michel

    2013-01-01

    This paper deals with the nature and the level of difficulty of teaching and learning physics in the first year of undergraduate engineering schools in France. Our case study is based on a survey regarding a classic and basic question in applied physics, and which was conducted with a group of second-year students in a post-baccalaureate 1…

  16. [Reasons for General Practitioner Shortage – a Comparison Between France and Switzerland].

    PubMed

    Cerny, Thomas; Rosemann, Thomas; Tandjung, Ryan; Chmiel, Corinne

    2016-05-25

    Both France and Switzerland face a general practitioner (GP) shortage. What differences or parallels exist between the two countries with regard to the causes for this shortage? What conclusions might be drawn from a systematic comparison? Literature review with qualitative and semi-quantitative content analysis. Parallels exist in the comparing categories work contents, working structure, income and social status, medical school formation, private life, psychological motives. Differences are found in the categories biography and social selection, medical socialisation, residency. In Switzerland, residency is not uniformly structured, rarely institutionally organised and contains only few elements specific to general medicine. In France, medical socialisation not only exalts the specialists, but also strongly devaluates the GPs. By systematic analysis and comparison of both countries' pertinent literature, France and Switzerland can deepen their understanding of GP shortage. This paper identifies possible fields of action from medical school through residency up to workplace conditions that are pivotal in addressing the shortage of GPs.

  17. Possible application of the Environmental Relative Moldiness Index in France: A pilot study in Brittany

    EPA Science Inventory

    Our goal was to determine if the US Environmental Relative Moldiness Index (ERMI) scale might have application in France. Twenty homes in Brittany, north western region of France were classified by inspection as “Moldy” or “Non-Moldy”. Dust and air samples were collected (MiTest ...

  18. Foodborne Outbreak and Nonmotile Salmonella enterica Variant, France

    PubMed Central

    Brisabois, Anne; Accou-Demartin, Marie; Josse, Adeline; Marault, Muriel; Francart, Sylvie; Da Silva, Nathalie Jourdan; Weill, François-Xavier

    2012-01-01

    We report a food-related outbreak of salmonellosis in humans caused by a nonmotile variant of Salmonella enterica serotype Typhimurium in France in 2009. This nonmotile variant had been circulating in laying hens but was not considered as Typhimurium and consequently escaped European poultry flock regulations. PMID:22257550

  19. Cohort changes in educational disparities in smoking: France, Germany and the United States.

    PubMed

    Pampel, Fred; Legleye, Stephane; Goffette, Céline; Piontek, Daniela; Kraus, Ludwig; Khlat, Myriam

    2015-02-01

    This study investigates the evolution of educational disparities in smoking uptake across cohorts for men and women in three countries. Nationally representative surveys of adults in France, Germany and the United States in 2009-2010 include retrospective measures of age of uptake that are compared for three cohorts (born 1946-1960, 1961-1975, and 1976-1992). Discrete logistic regressions and a relative measure of education are used to model smoking histories until age 34. The following patterns are found: a strengthening of educational disparities in the timing of uptake from older to younger cohorts; an earlier occurrence of the strengthening for men than women and for the United States than France or Germany; a faster pace of the epidemic in France than in the United States, and; a divide between the highest level of education and the others in the United States, as opposed to a gradient across categories in France. Those differences in smoking disparities across cohorts, genders and countries help identify the national and temporal circumstances that shape the size and direction of the relationship between education and health and the need for policies that target educational disparities. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  20. France: Factors Shaping Foreign Policy, and Issues in U.S.-French Relations

    DTIC Science & Technology

    2005-01-10

    Policy, and Issues in U.S.- French Relations 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK...298 (Rev. 8-98) Prescribed by ANSI Std Z39-18 France : Factors Shaping Foreign Policy, and Issues in U.S.- French Relations Summary The factors that...shape French foreign policy have changed since the end of the Cold War. The perspectives of France and the United States have diverged in some cases

  1. France: Factors Shaping Foreign Policy, and Issues in U.S.-French Relations

    DTIC Science & Technology

    2006-05-19

    Policy, and Issues in U.S.- French Relations 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK...298 (Rev. 8-98) Prescribed by ANSI Std Z39-18 France : Factors Shaping Foreign Policy, and Issues in U.S.- French Relations Summary The factors that...shape French foreign policy have changed since the end of the Cold War. The perspectives of France and the United States have diverged in some cases

  2. Hospital based ethics, current situation in France: between “Espaces” and committees

    PubMed Central

    Guerrier, M

    2006-01-01

    Unlike research ethics committees, which were created in 1988, the number of functioning hospital based ethical organisations in France, such as clinical ethics committees, is unknown. The objectives of such structures are diverse. A recent law created regional ethical forums, the objectives of which are education, debate, and research in relation to healthcare ethics. This paper discusses the current situation in France and the possible evolution and conflicts induced by this law. The creation of official healthcare ethics structures raises several issues. PMID:16943328

  3. Age-specific mortality trends in France and Italy since 1900: period and cohort effects.

    PubMed

    Caselli, G; Vallin, J; Vaupel, J W; Yashin, A

    1987-11-01

    The age/sex-specific mortality trends of France and Italy were studied over the 1899-1979 period in as much detail as possible in an effort to distinguish between cohort effects and those related to period changes. Complete series of mortality data by individual years of age and calendar years were available from 1869 to 1979 for Italy and from 1899 to 1982 for France. For both countries, these data include the military and civil deaths not registered in vital statistics during the war periods. They cover each national territory as defined by its present boundaries. The graphical representation method of mortality surfaces, elaborated by Vaupel, Gambill, and Yashin (1985), was adopted. The age/sex-specific mortality patterns of France and Italy have not followed the same trends, and the differences observed today are not those of 100 years ago. The mean death probabilities for the 1975-79 period were used to illustrate the age-specific patterns of mortality. Although infant mortality was higher in Italy than in France, the death probabilities at ages 1-15 for both sexes were roughly the same for both countries. At ages 15-23, they were much higher in France than in Italy, and they remained considerably higher in France up to age 55. From then on, the sexes differ: for males, the 2 countries showed similar patterns, whereas for females the probabilities were noticeably higher for France. The situation was very different for both countries at the beginning of the century. For both sexes, higher mortality was observed in Italy not only during infancy but throughout childhood and the adolescent years up to age 15. The 2 countries showed similar patterns from 15-25. Above age 25, the 2 countries had similar patterns for females, whereas male mortality was higher in France right up to the old age groups. Such differences in the age-specific mortality trends depend in part on a different development of health and social conditions but also may be due to factors concerning

  4. A future for systems and computational neuroscience in France?

    PubMed

    Faugeras, Olivier; Frégnac, Yves; Samuelides, Manuel

    2007-01-01

    This special issue of the Journal of Physiology, Paris, is an outcome of NeuroComp'06, the first French conference in Computational Neuroscience. The preparation for this conference, held at Pont-à-Mousson in October 2006, was accompanied by a survey which has resulted in an up-to-date inventory of human resources and labs in France concerned with this emerging new field of research (see team directory in http://neurocomp.risc.cnrs.fr/). This thematic JPP issue gathers some of the key scientific presentations made on the occasion of this first interdisciplinary meeting, which should soon become recognized as a yearly national conference representative of a new scientific community. The present introductory paper presents the general scientific context of the conference and reviews some of the historical and conceptual foundations of Systems and Computational Neuroscience in France.

  5. 76 FR 58299 - Brass Sheet and Strip From France, Germany, Italy, and Japan; Scheduling of a Full Five-Year...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-20

    ...)] Brass Sheet and Strip From France, Germany, Italy, and Japan; Scheduling of a Full Five-Year Review Concerning the Antidumping Duty Order on Brass Sheet and Strip From France, Germany, Italy, and Japan AGENCY... strip from France, Germany, Italy, and Japan would be likely to lead to continuation or recurrence of...

  6. International Reports on Literacy Research: Canada, France, Russia

    ERIC Educational Resources Information Center

    Malloy, Jacquelynn A., Comp.; Botzakis, Stergios, Comp.

    2006-01-01

    This article is a compilation of reports on international literacy research. The report includes 3 separate reports on Canada, France and Russia. In the first report, research correspondent Linda M. Phillips, in collaboration with Christian Beaulieu, reports on the Canadian Language and Literacy Research Network (CLLRNet). The vision of CLLRNet is…

  7. Crisis in Feminism: The United States and France.

    ERIC Educational Resources Information Center

    Hogsett, Charlotte

    Feminism is experiencing a similar dual crisis in the United States and France. One aspect of this crisis, the movement's alignment with other groups, is destructive, inevitably leading to the subordination of women's issues to "human" issues. The other dimension of the crisis, internal differences, is potentially creative, offering the…

  8. [New conditions for organ donation in France].

    PubMed

    Antoine, Corinne; Maroudy, Daniel

    2016-09-01

    The procurement of organs from donors after circulatory death is a reliable technique which gives satisfactory posttransplant results and also represents a potential source of additional organs. In order to meet the growing need for organ donations, the 'anticipated organ donation approach' procedure is currently receiving renewed interest with new conditions for its implementation in France. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  9. Does smoke cross the border? Cigarette tax avoidance in France.

    PubMed

    Ben Lakhdar, Christian; Vaillant, Nicolas Gérard; Wolff, François-Charles

    2016-12-01

    This paper examines the impact on cigarette sales of the successive increases in cigarette prices in France from 2002 to 2004. Since the price differential between France and neighboring countries increased over the period in question, cross-border purchases became more financially attractive for smokers living near borders. Results from difference-in-differences estimates indicate that the decrease in cigarette sales observed in French border departments was around 20 % higher from 2004 to 2007 compared to non-border departments. The loss of fiscal revenue due to cross-border shopping since the tax increase amounts to 2 billion euros over the period 2002-2007. Our findings highlight the need for improved coordination of policies aimed at reducing tobacco consumption across European Union countries.

  10. [Involuntary psychiatric care for inmates in France: Only for "dangerous" patients?

    PubMed

    Fovet, T; Bertrand, M; Horn, M; Si Mohammed, W; Dandelot, D; Dalle, M-C; Thomas, P; Amad, A

    2017-11-27

    The unités hospitalières spécialement aménagées (UHSA) are full-time inpatient psychiatric units for inmates in France. Their creation has been associated with several advances in access to psychiatric care for inmates in recent years. However, there is still only one means of involuntary hospitalization for prisoners in France: care by decision of a representative of the state (les soins sur décision d'un représentant de l'état [SDRE]). Interestingly, for SDRE to be recognized as legal by the French judge, the patient must be "a danger to himself or to the others". Thus, there is a major difference with involuntary hospitalization outside the prison, and there are specific criteria for involuntary psychiatric hospitalization for inmates in France. This situation questions the general framework of involuntary psychiatric care and is very inconsistent with French law. Indeed, the goal of the loi n o  94-43 du 18 janvier 1994 relating to public health and social protection is to ensure equivalent care for all patients, incarcerated or not. Copyright © 2017 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

  11. Promoting Reflective Practice in Continuing Education in France

    ERIC Educational Resources Information Center

    Ryder, Jane

    2012-01-01

    Educationalist Fred Korthagen elaborated a model in the 1980s for the relationship between the teacher educator and the teacher which embraces reflective practice as its guiding principle. In the present study, research was carried out into teacher development among a small group of language teachers working in continuing education in France.…

  12. International Reports on Literacy Research: Argentina, Mexico, France

    ERIC Educational Resources Information Center

    Malloy, Jacquelynn A., Comp.; Mallozzi, Christine, Comp.

    2007-01-01

    This is a compilation of reports on international literacy research. The report includes 3 separate reports on Argentina, Mexico, and France. In the first report, Melina Porto reports on a new implementation of a teacher-education program currently underway in the province of Buenos Aires, Argentina, under the leadership of teacher-researcher…

  13. Ensemble reconstruction of spatio-temporal extreme low-flow events in France since 1871

    NASA Astrophysics Data System (ADS)

    Caillouet, Laurie; Vidal, Jean-Philippe; Sauquet, Eric; Devers, Alexandre; Graff, Benjamin

    2017-06-01

    The length of streamflow observations is generally limited to the last 50 years even in data-rich countries like France. It therefore offers too small a sample of extreme low-flow events to properly explore the long-term evolution of their characteristics and associated impacts. To overcome this limit, this work first presents a daily 140-year ensemble reconstructed streamflow dataset for a reference network of near-natural catchments in France. This dataset, called SCOPE Hydro (Spatially COherent Probabilistic Extended Hydrological dataset), is based on (1) a probabilistic precipitation, temperature, and reference evapotranspiration downscaling of the Twentieth Century Reanalysis over France, called SCOPE Climate, and (2) continuous hydrological modelling using SCOPE Climate as forcings over the whole period. This work then introduces tools for defining spatio-temporal extreme low-flow events. Extreme low-flow events are first locally defined through the sequent peak algorithm using a novel combination of a fixed threshold and a daily variable threshold. A dedicated spatial matching procedure is then established to identify spatio-temporal events across France. This procedure is furthermore adapted to the SCOPE Hydro 25-member ensemble to characterize in a probabilistic way unrecorded historical events at the national scale. Extreme low-flow events are described and compared in a spatially and temporally homogeneous way over 140 years on a large set of catchments. Results highlight well-known recent events like 1976 or 1989-1990, but also older and relatively forgotten ones like the 1878 and 1893 events. These results contribute to improving our knowledge of historical events and provide a selection of benchmark events for climate change adaptation purposes. Moreover, this study allows for further detailed analyses of the effect of climate variability and anthropogenic climate change on low-flow hydrology at the scale of France.

  14. [Attractiveness of France for international clinical research: 8th survey conducted by Leem (French association for pharmaceutical companies)].

    PubMed

    Galaup, Ariane; Barthélémy, Philippe; Pouletty-Lefebvre, Brigitte; Béhier, Jehan-Michel; Zetlaoui, Jean; Borel, Thomas

    2018-04-18

    The Leem (French association of pharmaceutical companies) has conducted the eighth survey on attractiveness of France for clinical research. It serves to measure France's global competitiveness for international clinical trials and assess its strengths and areas of excellence. It also highlights the potential for progress and emerging trends at a time when the regulatory environment in France and Europe is undergoing change. This survey has been updated every two years since 2002 using the same methodology. It assesses the current status of research undertaken in France by the pharmaceutical industry between January 1st 2014 and December 31st 2015. Thirty companies (62% of the French market) have participated in this 8th survey which involved 3474 centers (versus 2860 in 2014) and 16,622 patients (versus 14,634 in 2014) enrolled in France across 586 clinical trials (versus 613 in 2014). This survey shows a reduction in the number of phase I and phase II trials. It also confirms that the studies conducted in France are primarily concerned with oncology (45%). Despite improvements across hospital contracts times (due to the adoption of the sole agreement) and performance indicators in trials (such as the number of patients enrolled by center), trial setup times in France are still overly lengthy (with stable times by French authorities). Ensuring that clinical research remains a priority issue for country is crucial for patients because of rapid access to innovation but also for the vitality of the French economy. Constructive dialogue with stakeholders on the subject of clinical research is essential to enhance the attractiveness of France and to improve the continuum between research, innovation and care. Copyright © 2018 Société française de pharmacologie et de thérapeutique. Published by Elsevier Masson SAS. All rights reserved.

  15. Regional factors interact with educational and income tax levels to influence food intake in France.

    PubMed

    Wyndels, K; Dallongeville, J; Simon, C; Bongard, V; Wagner, A; Ruidavets, J-B; Arveiler, D; Ferrières, J; Amouyel, P; Dauchet, L

    2011-09-01

    The goal of the present study was to assess whether geographic factors affect the relationship between socioeconomic indicators and adherence to the French National Nutritional Health Programme (Programme National Nutrition Santé (PNNS)) guidelines. The MONA LISA-NUT study (2005-2007) is a cross-sectional survey of a representative sample from northern, northeastern and southwestern France. Educational level and household income tax were recorded by trained interviewers. Food intake was assessed with a 3-day food diary in 3188 subjects aged from 35-64 years. Adherence to the PNNS guidelines was assessed with a validated score (the French score of indicators of the PNNS objective (FSIPO)). Multivariate analyses were adjusted for gender, age, marital status, body mass index, energy intake and medically prescribed diets. The FSIPO score was higher in southwestern France than in the two other regions (P<0.0001). The FSIPO score was correlated with the educational level in northern and northeastern France (P<0.0001) but not in southwestern France (region-education interaction: P<0.001). This interaction was accounted for by fruit and vegetable (P<0.0001), calcium (P=0.03), saturated fatty acid (P<0.0001), and fibre (P=0.0001) components of the FSIPO score. In contrast, the income tax level and the FSIPO score were positively correlated (P<0.0001) to a similar extent in all three regions (region × income tax interaction: P=0.09). The relationship between educational level and adherence to the national nutritional health guidelines differs from one region of France to another, suggesting that nutrition education programmes should perhaps be adapted on a regional basis. In contrast, guideline adherence is correlated with income tax level independently of geographical factors, suggesting that financial constraints on food choices are uniform across France.

  16. Accreditation or Validation of Prior Experiential Learning: Knowledge and "Savoirs" in France-A Different Perspective?

    ERIC Educational Resources Information Center

    Pouget, Mireille; Osborne, Michael

    2004-01-01

    This article stems from the study of the process and application of Accreditation of Prior Experiential Learning (APEL) in the French higher education system, in France referred to as VAP (Validation des Acquis Professionnels ). The paper seeks to review not only the context in which the concepts underpinning VAP in France have developed, but also…

  17. Wildlife Reservoir for Hepatitis E Virus, Southwestern France

    PubMed Central

    Lhomme, Sebastien; Top, Sokunthea; Bertagnoli, Stephane; Dubois, Martine; Guerin, Jean-Luc

    2015-01-01

    Pigs are a reservoir for hepatitis E virus (HEV). To determine the relative contribution of game to the risk for human HEV infection in southwestern France, we tested wildlife samples. HEV RNA was in 3.3% of wildlife livers, indicating that in this region, eating game meat is as risky as eating pork. PMID:26079541

  18. 78 FR 70242 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-25

    ...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for Eurocopter (Eurocopter) France Model... proposed AD is prompted by the jamming of the left-hand (LH) side of the fuel shut-off and general cut-off.... Department of Transportation, Docket Operations, M-30, West Building Ground Floor, Room W12-140, 1200 New...

  19. 5. Historic American Buildings Survey Frances Rand Smith Collection California ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    5. Historic American Buildings Survey Frances Rand Smith Collection California Historical Society Original: After 1860's Re-photo: January 1940 FIRST FRAME CHURCH (LEFT) - Mission San Rafael Archangel, San Rafael, Marin County, CA

  20. Psycho-social influences on food choice in Southern France and Central England.

    PubMed

    Pettinger, C; Holdsworth, M; Gerber, M

    2004-06-01

    This study used attitudinal scales to investigate the nature of attitudes to diet and health in a northern European country (Central England) and a southern European country (Mediterranean France). Cross-sectional studies were conducted using self-administered postal questionnaires that were distributed simultaneously in April 2001 in Montpellier, France and Nottingham, England. A stratified random sample of 1000 males and 1000 females aged 18-65 years was generated from the electoral roll in each country. The final sample comprised England: n = 826 (58% male and 42% female; mean age=44 years) and France: n = 766 (42% male and 58% female; mean age=42 years). This study has demonstrated that the pleasurable and social aspects of eating, certain food quality issues, as well as health as a value were regarded as priorities by French respondents. On the other hand, English respondents reported that organic and ethical issues and convenience were important factors influencing their food choices. In conclusion, the two populations can be differentiated overall in their attitudes and beliefs to food choice.

  1. Determinants of tetanus, diphtheria and poliomyelitis vaccinations among Hajj pilgrims, Marseille, France.

    PubMed

    Gautret, Philippe; Yong, Winnie; Soula, Georges; Parola, Philippe; Brouqui, Philippe; DelVecchio Good, Mary-Jo

    2010-08-01

    It has been observed that Muslim pilgrims departing France for Mecca have low national immunization rates against tetanus, diphtheria and poliomyelitis (TdP). Our purpose is to identify immigration, socio-economic and socio-cultural determinants of vaccination coverage against TdP. A cross-sectional survey study was conducted in late 2006 among 580 pilgrims in preparation who attended the Infectious and Tropical Medicine ward in Hôpital Nord at Marseille to receive their N. meningitidis vaccine required for travel to Mecca. Total vaccination rates for tetanus (18.9%), diphtheria (14.7%) and poliomyelitis (15.0%) were comparable. Pilgrim's characteristic lower socio-economic and social status, in addition to their unifying linguistic, cultural and religious identity defines them as a particularly disadvantageous group in France. French citizenship, higher level of education, better French fluency and no previous travel to country of origin were the strongest and most significant determinants of TdP vaccination status. These results suggest that the Muslim community in France is at risk from inequities of national preventive care efforts.

  2. Molecular epidemiology of penicillinase-producing Neisseria gonorrhoeae isolates in France.

    PubMed

    Micaëlo, M; Goubard, A; La Ruche, G; Denamur, E; Tenaillon, O; Cambau, E; Jacquier, H; Bercot, B

    2017-12-01

    Characterizing the molecular epidemiology of antibiotic resistance is crucial for a better understanding of the evolution and spread of resistance in Neisseria gonorrhoeae. Here, we examine the molecular epidemiology of penicillinase-producing N. gonorrhoeae (PPNG) isolates in France. We investigated 176 PPNG isolates collected between 2010 and 2012 by the National Reference Centre in France. Genotyping was performed using the NG-MAST technique, bla TEM genes were Sanger-sequenced, and plasmids were characterized by PCR-typing. We revealed the existence of four major clusters representing about one-third of PPNG circulating in France. These clusters were related to ST1479 (18/176, 10.2%), to ST1582 (15/176, 8.5%), to ST8922 (10/176, 5.6%), and to ST1285 (9/176, 5.1%). Wild-type TEM-1 was identified in 151 (151/176, 85.8%) PPNG isolates, and TEM-1 variants were mostly represented by the M182T mutation (14/176, 8%), followed by P14S/L (8/176, 4.5%), G228S (2/176, 1.1%), and Q269K (1/176, 0.6%). The bla TEM genes were carried by African (157/176, 89.2%), Asian (13/176, 7.4%), and Toronto/Rio (6/176, 3.4%) plasmids. The M182T variants were found in various genetic backgrounds, whereas the P14S variants were disseminated clonally. The G228S and Q269K variants belong to one of the four major clusters of PPNG, which suggests a recent de novo emergence of these mutations. Our results show that approximately one-third of the penicillinase-producing N. gonorrhoeae isolates in France belong to one of four major clusters and that the spread of the different TEM variants is associated with distinct patterns of molecular epidemiology. Copyright © 2017 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  3. [Determinants of the evolution of hospital pharmacy in France and Quebec: Perception of hospital pharmacists].

    PubMed

    Guérin, A; Lebel, D; Marando, N; Prot-Labarthe, S; Bourdon, O; Bussières, J-F

    2014-05-01

    Hospital pharmacy practice has evolved differently between France and Quebec. While this development is part of broader systems, French and Quebec hospitals have undergone significant changes over the years to cope with challenges, among others, the economic and demographic realities. The main objective is to evaluate and compare the perception of French and Quebec hospital pharmacists about the factors that have contributed to the evolution of pharmacy practice in their respective context. This is a descriptive cross-sectional study. The study focuses on a sample of experienced hospital pharmacists in France and Quebec. We targeted a convenience sample of 50 respondents per country. An online questionnaire with 15 pharmaceutical activities to which are connected nine factors that may have influenced the implementation of each of these activities in each country was used. The mean score was calculated for each of the nine factors for each activity. The perception of French and Quebec hospital pharmacists was then compared. A P value less than 0.05 was considered statistically significant. Two hundred and sixty hospital pharmacists were directly contacted in France and 79 in Quebec. Seventy-eight French pharmacists and 77 Quebec pharmacists responded to the survey, that is a respective response rate of 30% and 97%, respectively. The hierarchy of factors that contributed to the evolution of pharmacy practice was similar between the two countries, legislative and regulatory factors as well as the concern for risk management and quality dominate; scientific human, economic factors and training have a relatively similar position. For cons, the news factor (6th in France against the 10th position in Quebec) and the academic factor (10th position in France against the 6th position in Quebec) obtained inverse scores between France and Quebec. There are few data on the determinants of the evolution of hospital pharmacy in France and Quebec. The hierarchy of factors that

  4. From Sun King to Royal Twilight: Painting in Eighteenth Century France from the Musee Picardie, Amiens.

    ERIC Educational Resources Information Center

    Johnson, Mark M.

    2000-01-01

    Focuses on the traveling exhibition from the Musee de Picardie in Amiens, France, called "From the Sun King to the Royal Twilight: Painting in Eighteenth Century France," that provides an overview of French paintings from the reign of Louis IV to the fall of the monarchy. (CMK)

  5. Supply and Demand: Religious Schooling in Ninteenth-Century France.

    ERIC Educational Resources Information Center

    Curtis, Sarah A.

    1999-01-01

    Examines the reasons behind the expansion of congregational primary education before the educational push of the Third Republic in the diocese of Lyon (France). Argues that the popularity of Catholic-sponsored schooling in Lyon depended on the conjuncture of religious philanthropy and cost effectiveness. (CMK)

  6. 10. Historic American Buildings Survey Frances Rand Smith Collection California ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    10. Historic American Buildings Survey Frances Rand Smith Collection California Historical Society Original: About 1890 Re-photo: January 1940 SECOND FRAME CHURCH REPLACING MISSION (1890) - Mission San Rafael Archangel, San Rafael, Marin County, CA

  7. Surname distribution in France: a distance analysis by a distorted geographical map.

    PubMed

    Mourrieras, B; Darlu, P; Hochez, J; Hazout, S

    1995-01-01

    The distribution of surnames in 90 distinct regions in France during two successive periods, 1889-1915 and 1916-1940, is analysed from the civil birth registers of the 36,500 administrative units in France. A new approach, called 'Mobile Site Method' (MSM), is developed to allow representation of a surname distance matrix by a distorted geographical map. A surname distance matrix between the various regions in France is first calculated, then a distorted geographical map called the 'surname similarity map' is built up from the surname distances between regions. To interpret this map we draw (a) successive map contours obtained during the step-by-step distortion process, revealing zones of high surname dissimilarity, and (b) maps in grey levels representing the displacement magnitude, and allowing the segmentation of the geographical and surname maps into 'homogeneous surname zones'. By integrating geography and surname information in the same analysis, and by comparing results obtained for the two successive periods, the MSM approach produces convenient maps showing: (a) 'regionalism' of some peripheral populations such as Pays Basque, Alsace, Corsica and Brittany; (b) the presence of preferential axes of communications (Rhodanian corridor, Garonne valley); (c) barriers such as the Central Massif, Vosges; (d) the weak modifications of the distorted maps associated with the two periods studied suggest an extension (but limited) of the tendency of surname uniformity in France. These results are interpreted, in the nineteenth- and twentieth century context, as the consequences of a slow process of local migrations occurring over a long period of time.

  8. Outbreak of tularaemia in brown hares (Lepus europaeus) in France, January to March 2011.

    PubMed

    Decors, A; Lesage, C; Jourdain, E; Giraud, P; Houbron, P; Vanhem, P; Madani, N; Madani, M

    2011-07-14

    We report an outbreak of tularaemia in brown hares (Lepus europaeus) in France, which occurred from January to March 2011 and was characterised by a high mortality rate in the local hare population. In France, hare tularaemia is usually sporadic and does not significantly affect hare populations. The epizootic form of the outbreak reported here led us to reconsider the potential associated risks for hare populations and public health.

  9. [How to approach the discipline of "nursing science" in France?].

    PubMed

    Lecordier, Didier; Rémy-Largeau, Isabelle; Jovic, Ljiljana

    2013-03-01

    The last four years have seen the development of supports toward research in nursing and other healthcare professionals' research, along with the fact that, nursing education has become part of university programs. Professional and scientific landscapes are changing and the opening perspectives let glimpse a growing professionalization of nurses' activities but also, raise the question of the nursing science construction in France. By considering interdisciplinary work, as an approach for complex situations of care, by specifying the purpose of the production of nursing scientific knowledge in order to meet the population needs of healthcare, by explaining the purpose of nursing research and theoretical elements that allow its construction, the following article offers an epistemological reflection on the evolution of the profession and on the construction of a nursing scientific discipline in France.

  10. Early signal of diverted use of tropicamide eye drops in France.

    PubMed

    Ponté, Camille; Pi, Christian; Palmaro, Aurore; Jouanjus, Emilie; Lapeyre-Mestre, Maryse

    2017-08-01

    Tropicamide is a mydriatic drug used as eye-drops for diagnostic or therapeutic purposes. From 2013, a diverted use by intravenous route has been suspected in Eastern Europe in opioids users. To date, no signal of misuse has been identified in France. The aims of this study were to investigate any early signals of a diverted use of tropicamide eye drops and to collect information regarding motives for the misuse and tropicamide-induced effects. Information was obtained at three levels: (1) at regional level (Midi-Pyrénées area), from reimbursement data and pharmacists' reports on suspicious requests; (2) at national level: from reimbursement data and prescriptions suggesting possible abuse from the OSIAP (Ordonnances Suspectes, Indicateur d'Abus Possible) survey; and (3) at international level: from VigiBase ® reports and Web sources. Beta-blocker eye-drops were used as comparators. In France, in 2014-2015, 17 (0.91%, 95% CI [0.53-1.46%]) falsified prescriptions involving tropicamide were identified in the OSIAP survey (compared with 0%, 95% CI [0-0.19%] for beta-blockers). Moreover, 37 other suspicious prescriptions were presented in 2015 (notified in 2016). In Midi-Pyrénées, seven patients aged 35-49 were reimbursed for 19-45 vials of 10 ml, in a year. Since September 2014, the regional Addictovigilance Centre has received 91 notifications of suspicious requests to obtain tropicamide. In VigiBase ® , two cases were identified but none in France. An increased interest in tropicamide-related Internet searches was observed from Russia and Ukraine. These results represent the first early warnings of a tropicamide diverted use in France. Tropicamide abusers would seek euphoria or hallucinations. The high doses involved in intravenous administration could lead to serious complications. © 2017 The British Pharmacological Society.

  11. Current process and future path for health economic assessment of pharmaceuticals in France

    PubMed Central

    Toumi, Mondher; Rémuzat, Cécile; El Hammi, Emna; Millier, Aurélie; Aballéa, Samuel; Chouaid, Christos; Falissard, Bruno

    2015-01-01

    The Social Security Funding Law for 2012 introduced the Economic and Public Health Assessment Committee (Commission Evaluation Economique et de Santé Publique, or CEESP) in the Social Security Code as a specialised committee affiliated with the Haute Autorité de Santé in charge of providing recommendations and health economic opinions. This article provides an in-depth description of the CEESP's structure and working methods, and analyses the impact of health economic assessment on market access of drugs in France. It also points out the areas of uncertainty and the conflicting rules following the introduction of the health economic assessment in France. The authors also provide their personal opinion on the likely future of health economic assessment of drugs in France, including the possible merge of the CEESP and the Transparency Committee, the implementation of a French threshold, and the extension of health economic assessment to a larger number of products. PMID:27123173

  12.  Autochthonous infection with hepatitis E virus related to subtype 3a, France: a case report.

    PubMed

    Saint-Jacques, Pauline; Tissot-Dupont, Hervé; Colson, Philippe

    2016-01-01

    Hepatitis E virus (HEV) recently emerged in Europe as a cause of autochthonous acute hepatitis and a porcine zoonosis. European autochthonous cases almost exclusively involved viruses of genotype 3, subtype 3a being only recently reported in France, from farm pigs. We report an autochthonous human infection with a HEV related to subtype 3a in Southeastern France. A 55-year-old human immunodeficiency virus-infected man presented liver cytolysis in June 2014. HEV RNA was detected in serum and three months later, anti-HEV IgM and IgG were positive whereas HEV RNA was no more detectable in serum. No biological or clinical complication did occur. HEV phylogeny based on two capsid gene fragments showed clustering of sequences obtained from the case-patient with HEV-3a, mean nucleotide identity being 91.7 and 91.3% with their 10 best GenBank matches that were obtained in Japan, South Korea, USA, Canada, Germany and Hungria from humans, pigs and a mongoose. Identity between HEV sequence obtained here and HEV-3a sequences obtained at our laboratory from farm pigs sampled in 2012 in Southeastern France was only 90.2-91.4%. Apart from these pig sequences, best hits from France were of subtypes 3i, 3f, or undefined. The patient consumed barely cooked wild-boar meat; no other risk factor for HEV infection was documented. In Europe, HEV-3a has been described in humans in England and Portugal, in wild boars in Germany, and in pigs in Germany, the Netherlands, and, recently, France. These findings suggest to gain a better knowledge of HEV-3a circulation in France.

  13. Identification Strategies of a Texas Rebel: Frances (Sissy) Farenthold.

    ERIC Educational Resources Information Center

    McMahan, Eva M.

    The identification techniques in Herbert C. Kelman's schema of identification were used to analyze the near, and perhaps surprising, success of Rep. Frances (Sissy) Farenthold's bid for the Democratic Texas gubernatorial nomination in 1972. Opposing government corruption, Farenthold overcame the potential obstacles of being a politically liberal…

  14. Psychology and Didactics of Mathematics in France--An Overview.

    ERIC Educational Resources Information Center

    Vergnaud, Gerard

    1983-01-01

    Examples are given of the variety of mathematical concepts and problems being studied by psychologically oriented researchers in France. Work on decimals, circles, natural numbers, decimal and real numbers, and didactic transposition are included. Comments on designing research on mathematics concept formation conclude the article. (MNS)

  15. Incidence of tuberculous meningitis in France, 2000: a capture-recapture analysis.

    PubMed

    Cailhol, J; Che, D; Jarlier, V; Decludt, B; Robert, J

    2005-07-01

    To estimate the incidence of culture-positive and culture-negative tuberculous meningitis (TBM) in France in 2000. Capture-recapture method using two unrelated sources of data: the tuberculosis (TB) mandatory notification system (MNTB), recording patients treated by anti-tuberculosis drugs, and a survey by the National Reference Centre (NRC) for mycobacterial drug resistance, recording culture-positive TBM. Of 112 cases of TBM reported to the MNTB, 28 culture-positive and 34 culture-negative meningitis cases were validated (17 duplicates, 3 cases from outside France, 21 false notifications, and 9 lost records were excluded). The NRC recorded 31 culture-positive cases, including 21 known by the MNTB. When the capture-recapture method was applied to the reported culture-positive meningitis cases, the estimated number of meningitis cases was 41 and the incidence was 0.7 cases per million. Sensitivity was 75.6% for the NRC, 68.3% for the MNTB, and 92.7% for both systems together. When sensitivity of the MNTB for culture-positive cases was applied to culture-negative meningitis, the total estimated number of culture-negative meningitis cases was 50 and the incidence was 0.85 cases per million. TBM is underestimated in France. Capture-recapture analysis using different sources to better estimate its incidence is of great interest.

  16. Entre Reproduction et Mobilisation: les Rapports de Genre EN Formation Continue EN France et AU Canada

    NASA Astrophysics Data System (ADS)

    Fourner, Christine; Béret, Pierre; Doray, Pierre; Bélanger, Paul

    2009-01-01

    REPRODUCTION OR MOBILISATION? GENDER PROPORTIONS IN CONTINUING EDUCATION IN FRANCE AND CANADA - Initial education provisions for women have evolved greatly over the past 40 years. But what about their situation within adult education and training? This article, comparing Canada and France, shows that, while it is well known that more women than men participate in adult education, their greater presence in professional training courses is a new development. The analysis highlights certain particular findings, such as the growing demand for continuing education in Canada and the increased rate of participation by full-time employees in France. In both countries, a number of social factors continue to influence women's participation.

  17. MRI in France: the French paradox.

    PubMed

    Lavayssière, R; Cabée, A E

    2001-04-01

    Although France is a modern, developed country, which spends nearly 10% of the gross national product on healthcare and has a highly praised level of medicine, the number of modern imaging scanners, such as CT (595), MRI (182), and PET (5), is quite low when compared to other European countries. Politics and a long-standing tradition of centralization are prominent among reasons for such an underdevelopment. This situation has resulted in another French paradox not linked to wine consumption. The French life expectancy is very high, but the number of imaging equipment is very low.

  18. THEORIES AND PRACTICES IN THE EDUCATION OF WOMEN DURING THE AGE OF ENLIGHTMENT IN FRANCE.

    ERIC Educational Resources Information Center

    FRIEDMAN, LEONARD M.

    A REPORT WAS GIVEN ON A SEARCH OF THE LITERATURE ON THE EDUCATION OF WOMEN IN FRANCE DURING THE PERIOD FROM THE FOUNDING OF ST. CYR (1686) THROUGH THE REVOLUTION. THE AUTHOR SUMMARIZES (1) THE EDUCATIONAL PRACTICES USED AND (2) THE EDUCATIONAL THEORIES PROPOSED AT THAT TIME. WHILE THE EDUCATION OF WOMEN IN 18TH-CENTURY FRANCE LEFT MUCH TO BE…

  19. 77 FR 53844 - Ball Bearings and Parts Thereof From France and Italy: Rescission of Antidumping Duty...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-04

    ... DEPARTMENT OF COMMERCE International Trade Administration [A-475-801, A-427-801] Ball Bearings and... antidumping duty orders on ball bearings and parts thereof from France and Italy. The period of review is May... the antidumping duty orders on ball bearings and parts thereof from France and Italy in accordance...

  20. Ensemble reconstruction of severe low flow events in France since 1871

    NASA Astrophysics Data System (ADS)

    Caillouet, Laurie; Vidal, Jean-Philippe; Sauquet, Eric; Devers, Alexandre; Graff, Benjamin

    2016-04-01

    This work presents a study of severe low flow events that occurred from 1871 onwards for a large number of near-natural catchments in France. It aims at assessing and comparing their characteristics to improve our knowledge on historical events and to provide a selection of benchmark events for climate change adaptation purposes. The historical depth of streamflow observations is generally limited to the last 50 years and therefore offers too small a sample of severe low flow events to properly explore the long-term evolution of their characteristics and associated impacts. In order to overcome this limit, this work takes advantage of a 140-year ensemble hydrometeorological dataset over France based on: (1) a probabilistic precipitation and temperature downscaling of the Twentieth Century Reanalysis over France (Caillouet et al., 2015), and (2) a continuous hydrological modelling that uses the high-resolution meteorological reconstructions as forcings over the whole period. This dataset provides an ensemble of 25 equally plausible daily streamflow time series for a reference network of stations in France over the whole 1871-2012 period. Severe low flow events are identified based on a combination of a fixed threshold and a daily variable threshold. Each event is characterized by its deficit, duration and timing by applying the Sequent Peak Algorithm. The procedure is applied to the 25 simulated time series as well as to the observed time series in order to compare observed and simulated events over the recent period, and to characterize in a probabilistic way unrecorded historical events. The ensemble aspect of the reconstruction leads to address specific issues, for properly defining events across ensemble simulations, as well as for adequately comparing the simulated characteristics to the observed ones. This study brings forward the outstanding 1921 and 1940s events but also older and less known ones that occurred during the last decade of the 19th century. For

  1. The features of infectious diseases departments and anti-infective practices in France and Turkey: a cross-sectional study.

    PubMed

    Erdem, H; Stahl, J P; Inan, A; Kilic, S; Akova, M; Rioux, C; Pierre, I; Canestri, A; Haustraete, E; Engin, D O; Parlak, E; Argemi, X; Bruley, D; Alp, E; Greffe, S; Hosoglu, S; Patrat-Delon, S; Heper, Y; Tasbakan, M; Corbin, V; Hopoglu, M; Balkan, I I; Mutlu, B; Demonchy, E; Yilmaz, H; Fourcade, C; Toko-Tchuindzie, L; Kaya, S; Engin, A; Yalci, A; Bernigaud, C; Vahaboglu, H; Curlier, E; Akduman, D; Barrelet, A; Oncu, S; Korten, V; Usluer, G; Turgut, H; Sener, A; Evirgen, O; Elaldi, N; Gorenek, L

    2014-09-01

    The aim of this study was to assess the infectious diseases (ID) wards of tertiary hospitals in France and Turkey for technical capacity, infection control, characteristics of patients, infections, infecting organisms, and therapeutic approaches. This cross-sectional study was carried out on a single day on one of the weekdays of June 17-21, 2013. Overall, 36 ID departments from Turkey (n = 21) and France (n = 15) were involved. On the study day, 273 patients were hospitalized in Turkish and 324 patients were followed in French ID departments. The numbers of patients and beds in the hospitals, and presence of an intensive care unit (ICU) room in the ID ward was not different in both France and Turkey. Bed occupancy in the ID ward, single rooms, and negative pressure rooms were significantly higher in France. The presence of a laboratory inside the ID ward was more common in Turkish ID wards. The configuration of infection control committees, and their qualifications and surveillance types were quite similar in both countries. Although differences existed based on epidemiology, the distribution of infections were uniform on both sides. In Turkey, anti-Gram-positive agents, carbapenems, and tigecycline, and in France, cephalosporins, penicillins, aminoglycosides, and metronidazole were more frequently preferred. Enteric Gram-negatives and hepatitis B and C were more frequent in Turkey, while human immunodeficiency virus (HIV) and streptococci were more common in France (p < 0.05 for all significances). Various differences and similarities existed in France and Turkey in the ID wards. However, the current scene is that ID are managed with high standards in both countries.

  2. 78 FR 21416 - Low Enriched Uranium From France; Scheduling of a Full Five-year Review Concerning the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-10

    ... INTERNATIONAL TRADE COMMISSION [Investigation No. 731-TA-909 (Second Review)] Low Enriched Uranium... Enriched Uranium from France AGENCY: United States International Trade Commission. ACTION: Notice. SUMMARY... antidumping duty order on low enriched uranium from France would be likely to lead to continuation or...

  3. France's Administrative Tertiary: Stable Numbers for Occupations in Flux.

    ERIC Educational Resources Information Center

    Liaroutzos, Olivier; Meriot, Sylvie-Anne

    1995-01-01

    During the past decade, the number of jobs in France's administrative service sector has remained stable. General administrative work has become more infrequent; however, the basic occupations of secretary and accountancy have been maintained. Although the number of typists has declined, the number of "secretarial" jobs has increased…

  4. Frances Kellor, Americanization, and the Quest for Participatory Democracy

    ERIC Educational Resources Information Center

    Press, John

    2010-01-01

    Frances Alice Kellor (1873 - 1952) is most famous for leading the Americanization movement that greeted immigrants from 1906 to 1921. The movement has been damned as coercive in the name of conformity in the historical literature. This dissertation argues that Kellor's Americanization movement promoted immigrants and immigration, Americanized…

  5. International Reports on Literacy Research: France, United Kingdom, Brazil

    ERIC Educational Resources Information Center

    Malloy, Jacquelynn A., Comp.; Botza, Stergios, Comp.

    2005-01-01

    This is a compilation of reports on international literacy research. The report includes 3 separate reports on France, United Kingdom and Brazil. In the first report, research correspondent Jacques Fijalkow presents research into variations of reading motivation related to students' socioeconomic status (SES), age, and gender. Three of these…

  6. Factors Associated with Breastfeeding Initiation: A Comparison between France and French-Speaking Canada.

    PubMed

    Girard, Lisa-Christine; Côté, Sylvana M; de Lauzon-Guillain, Blandine; Dubois, Lise; Falissard, Bruno; Forhan, Anne; Doyle, Orla; Bernard, Jonathan Y; Heude, Barbara; Saurel-Cubizolles, Marie-Josephe; Kaminski, Monique; Boivin, Michel; Tremblay, Richard E

    2016-01-01

    Breastfeeding is associated with multiple domains of health for both mothers and children. Nevertheless, breastfeeding initiation is low within certain developed countries. Furthermore, comparative studies of initiation rates using harmonised data across multiple regions is scarce. The aim of the present study was to investigate and compare individual-level determinants of breastfeeding initiation using two French-speaking cohorts. Participants included ~ 3,900 mothers enrolled in two cohort studies in Canada and France. Interviews, questionnaires, and medical records were utilised to collect information on maternal, family, and medical factors associated with breastfeeding initiation. Rates of breastfeeding initiation were similar across cohorts, slightly above 70%. Women in both Canada and France who had higher levels of maternal education, were born outside of their respective countries and who did not smoke during pregnancy were more likely to initiate breastfeeding with the cohort infant. Notably, cohort effects of maternal education at the university level were found, whereby having 'some university' was not statistically significant for mothers in France. Further, younger mothers in Canada, who delivered by caesarean section and who had previous children, had reduced odds of breastfeeding initiation. These results were not found for mothers in France. While some similar determinants were observed, programming efforts to increase breastfeeding initiation should be tailored to the characteristics of specific geographical regions which may be heavily impacted by the social, cultural and political climate of the region, in addition to individual and family level factors.

  7. Current status of beech bark disease in France

    Treesearch

    R. Perrin

    1983-01-01

    The two organisms involved in beech bark disease are endemic everywhere in France. Nevertheless the disease is restricted to the northern part of the beech's range, where it grows on the plains. During the last five years beech bark disease has shown a general decrease in severity but there have been local increases in the north and north-eastern parts of forests...

  8. Clonal propagation on Eucalyptus by cuttings in France

    Treesearch

    H. Chaperon

    1983-01-01

    A.FO.CEL has developed a technique for mass propagation by cuttings of Eucalyptus in France. This technique is described from the selection of the ortet to the mass propagation of the clone for afforestation: the first stage is the mobilization of the ortet, the second stage is called pre-propagation which includes rejuvenating and rooting conditioning, the third stage...

  9. 8. Historic American Buildings Survey Frances Rand Smith Collection California ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    8. Historic American Buildings Survey Frances Rand Smith Collection California Historical Society Original: 1870's Re-photo: January, 1940 FIRST FRAME CHURCH (LEFT), OLD MARIN COUNTY COURT HOUSE (CENTER) - Mission San Rafael Archangel, San Rafael, Marin County, CA

  10. Re-Emergence of Bluetongue Virus Serotype 8 in France, 2015.

    PubMed

    Sailleau, C; Bréard, E; Viarouge, C; Vitour, D; Romey, A; Garnier, A; Fablet, A; Lowenski, S; Gorna, K; Caignard, G; Pagneux, C; Zientara, S

    2017-06-01

    At the end of August 2015, a ram located in central France (department of Allier) showed clinical signs suggestive of BTV (Bluetongue virus) infection. However, none of the other animals located in the herd showed any signs of the Bluetongue disease. Laboratory analyses identified the virus as BTV serotype 8. The viro and sero prevalence intraherd were 2.4% and 8.6% in sheep and 18.3% and 42.9% in cattle, respectively. Phylogenetic studies showed that the sequences of this strain are closely related to another BTV-8 strain that has circulated in France in 2006-2008. The origin of the outbreak is unclear but it may be assumed that the BTV-8 has probably circulated at very low prevalence (possibly in livestock or wildlife) since its first emergence in 2007-2008. © 2015 Blackwell Verlag GmbH.

  11. 75 FR 4475 - Airworthiness Directives; Eurocopter France Model AS332L1, AS332L2, and EC225LP Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-28

    ... Airworthiness Directives; Eurocopter France Model AS332L1, AS332L2, and EC225LP Helicopters AGENCY: Federal.... SUMMARY: We are adopting a new airworthiness directive (AD) for the specified Eurocopter France (ECF... France and are approved for operation in the United States. Pursuant to our bilateral [[Page 4476...

  12. Estimating the budget impact of orphan drugs in Sweden and France 2013-2020.

    PubMed

    Hutchings, Adam; Schey, Carina; Dutton, Richard; Achana, Felix; Antonov, Karolina

    2014-02-13

    The growth in expenditure on orphan medicinal products (OMP) across Europe has been identified as a concern. Estimates of future expenditure in Europe have suggested that OMPs could account for a significant proportion of total pharmaceutical expenditure in some countries, but few of these forecasts have been well validated. This analysis aims to establish a robust forecast of the future budget impact of OMPs on the healthcare systems in Sweden and France. A dynamic forecasting model was created to estimate the budget impact of OMPs in Sweden and France between 2013 and 2020. The model used historical data on OMP designation and approval rates to predict the number of new OMPs coming to the market. Average OMP sales were estimated for each year post-launch by regression analysis of historical sales data. Total forecast sales were compared with expected sales of all pharmaceuticals in each country to quantify the relative budget impact. The model predicts that by 2020, 152 OMPs will have marketing authorization in Europe. The base case OMP budget impacts are forecast to grow from 2.7% in Sweden and 3.2% in France of total drug expenditure in 2013 to 4.1% in Sweden and 4.9% in France by 2020. The principal driver of expenditure growth is the number of new OMPs obtaining OMP designation. This is tempered by the slowing success rate for new approvals and the loss of intellectual property protection on existing orphan medicines. Given the forward-looking nature of the analysis, uncertainty exists around model parameters and sensitivity analysis found peak year budget impact varying between 2% and 11%. The budget impact of OMPs in Sweden and France is likely to remain sustainable over time and a relatively small proportion of total pharmaceutical expenditure. This forecast could be affected by changes in the success rate for OMP approvals, average cost of OMPs, and the type of companies developing OMPs.

  13. Ecole Maternelle (Preschool) in France: A Cross-Cultural Perspective

    ERIC Educational Resources Information Center

    Brougere, Gilles; Guenif-Souilamas, Nacira; Rayna, Sylvie

    2008-01-01

    This article looks at a cross-cultural analysis of interviews of (im/migrant and non-im/migrant) preschool teachers and parents, concerning im/migrant children enrolled in the French "ecole maternelle", in the context of the international Children Crossing Borders (CCB) research project. Interviews were conducted in France following a…

  14. Teacher Training in France in the Early 2010s

    ERIC Educational Resources Information Center

    Lapostolle, Guy; Chevaillier, Thierry

    2011-01-01

    The organisation of teacher training was thoroughly transformed in France in 2010. This transformation was the consequence of three interrelated reforms: the requirement of a Master's degree for all teachers, the new recruitment process for teachers and the integration of teacher training colleges (IUFM) into the universities. Universities are now…

  15. Sea surface temperature of the coastal zones of France

    NASA Technical Reports Server (NTRS)

    Deschamps, P. Y.; Verger, F.; Monget, J. M.; Crepon, M. (Principal Investigator); Frouin, R.; Cassanet, J.; Wald, L.

    1980-01-01

    The results of an investigation to map the various thermal gradients in the coastal zones of France are presented. Paricular emphasis is given to the natural phenomena and man made thermal effluents. It is shown that a close correlation exist between wind speed direction and the offshore width of the effluent.

  16. Educational Inequality and Academic Achievement in England and France.

    ERIC Educational Resources Information Center

    Lees, Lynn Hollen

    1994-01-01

    In both France and England, students scored in the middle-to-high ranks on the International Assessment of Educational Progress, with large gaps between low and high achievers. Despite attempts to democratize education, educational achievement in both countries continues to be strongly linked to parents' social background, with limited access to…

  17. E-waste management and resources recovery in France.

    PubMed

    Vadoudi, Kiyan; Kim, Junbeum; Laratte, Bertrand; Lee, Seung-Jin; Troussier, Nadège

    2015-10-01

    There are various issues of concern regarding electronic waste management, such as the toxicity of hazardous materials and the collection, recycling and recovery of useful resources. To understand the fate of electronic waste after collection and recycling, a products and materials flow analysis should be performed. This is a critical need, as material resources are becoming increasingly scarce and recycling may be able to provide secondary sources for new materials in the future. In this study, we investigate electronic waste systems, specifically the resource recovery or recycling aspects, as well as mapping electronic waste flows based on collection data in France. Approximately 1,588,453 t of new electrical and electronic equipment were sold in the French market in 2010. Of this amount, 430,000 t of electronic waste were collected, with the remaining 1,128,444 t remaining in stock. Furthermore, the total recycled amounts were 354,106 t and 11,396 t, respectively. The main electronic waste materials were ferrous metals (37%), plastic (22%), aluminium (12%), copper (11%) and glass (7%). This study will contribute to developing sustainable electronic waste and resource recycling systems in France. © The Author(s) 2015.

  18. USA-France: Confronting two perspectives on shale gas

    NASA Astrophysics Data System (ADS)

    Gautier, C.; Fellous, J.

    2013-12-01

    Exploiting shale gas and oil can be seen from very different perspectives, whether you live in the US where it is a decade long reality shaping the country's energy landscape or in France, where it is banned by law since 2011. Beyond this situation, the overall legal framework that regulates (or not) environmental and water protection, the use of chemicals, land ownership and the exploitation of underground mineral resources, the attribution of licenses for exploration and exploitation, etc. in Europe (and particularly in France, the only European country with Bulgaria where hydraulic fracturation is strictly forbidden) and in the US is at complete variance. This presentation will discuss subsequent attitudes vis-à-vis exploration, exploitation, scientific research on shale gas and fracking, and public activism that has arisen as a result of environmental, socioeconomic and human concerns. It will compare and contrast the different views and look at lessons that can be learned from those differences. This work is building upon the experience of the authors who have studied the issues relating to energy, water, population and climate and their connections, as seen from both sides of the Atlantic.

  19. Two ways of estimating the euro value of the illicit market for cannabis in France.

    PubMed

    Legleye, Stephane; Ben Lakhdar, Christian; Spilka, Stanislas

    2008-09-01

    The most recent health surveys in general population are used in order to estimate the annual market size for cannabis in France in 2005. Two methods for arriving at an estimate are proposed: the first based on reported consumption, the other on reported expenditure on cannabis. The annual sales figure for cannabis in France is between 746 and 832 million euro. Men's expenditure accounts for between 80 and 85% of total expenditure and those aged between 15 and 24 years account for the greatest part of the size of the cannabis market, between 57 and 60%, depending upon the method. According to these estimates, consumers' average annual expenditure on cannabis is around euro 202 in France, compared to estimates obtained for New Zealand and Holland (euro 124) and the United States (euro 362).

  20. Living in France. A Brief Introduction or Review of the Culture and Language of France for Visitors, Students and Business Travelers. Third revised Edition.

    ERIC Educational Resources Information Center

    Hawkinson, Anni; Moran, Patrick R.

    The guide offers practical information on various aspects of daily living in France, including: money; food; restaurants; hotels; postal and telecommunications services; transportation; shopping; health and medical care; safety and security; tipping; electricity; measurement and clothing size conversions; greetings and leave-takings; names,…

  1. 76 FR 35910 - Brass Sheet and Strip From France, Germany, Italy, and Japan; Notice of Commission Determinations...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-20

    ...)] Brass Sheet and Strip From France, Germany, Italy, and Japan; Notice of Commission Determinations To..., Germany, Italy, and Japan AGENCY: United States International Trade Commission. ACTION: Notice. SUMMARY... duty orders on brass sheet and strip from France, Germany, Italy, and Japan would be likely to lead to...

  2. 75 FR 2108 - Ball Bearings and Parts Thereof from France, Germany, Italy, Japan, and the United Kingdom...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-14

    ...-804, A-412-801] Ball Bearings and Parts Thereof from France, Germany, Italy, Japan, and the United Kingdom: Extension of Time Limit for Preliminary Results of Antidumping Duty Administrative Reviews AGENCY... reviews of the antidumping duty orders on ball bearings and parts thereof from France, Germany, Italy...

  3. 76 FR 2647 - Ball Bearings and Parts Thereof From France, Germany, Italy, Japan, and the United Kingdom...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-14

    ...-804, A-412-801] Ball Bearings and Parts Thereof From France, Germany, Italy, Japan, and the United Kingdom: Extension of Time Limit for Preliminary Results of Antidumping Duty Administrative Reviews AGENCY... administrative reviews of the antidumping duty orders on ball bearings and parts thereof from France, Germany...

  4. [France, an attractive country for international clinical research: 2010 survey assessed by Leem (French association of pharmaceutical companies)].

    PubMed

    Lassale, Catherine; Sibenaler, Claire; Behier, Jehan-Michel; Pletan, Yannick; Courcier, Soizic

    2011-01-01

    In order to evaluate the attractiveness of France for conducting international clinical trials, a survey is performed every two years among pharmaceutical companies that are based in France or have affiliates in France. Twenty-nine companies (72% of the French market) including 10 newly participants, have participated in the current survey which included 328 international phase II and III clinical studies, 79 countries, 24,337 centres and 249,704 patients (included in 2008/2009). France (291 patients/million inhabitants) ranked among the best European recruiters in second position behind Scandinavia. Since 2008, protocols are still to be given the go-ahead by French Authorities (Afssaps and CPP) within 60 days, in accordance with European directive. The continuation of reduction in deadlines for hospital contracts is encouraging and highlights the positive effect of CeNGEPS. French state-of-art is well recognized in Oncology/Hematology and Orphan disease which could be an example to improve the competitiveness of France in other key therapeutic areas such as Alzheimer's disease and Immuno-Inflammation. © 2011 Société Française de Pharmacologie et de Thérapeutique.

  5. VizieR Online Data Catalog: The Canada-France Redshift Survey (CFRS) (Lilly+, 1995)

    NASA Astrophysics Data System (ADS)

    Lilly, S. J.; Le Fevre, O.; Crampton, D.; Hammer, F.; Tresse, L.

    2001-11-01

    The Canada-France Redshift Survey (CFRS) is a collaboration between astronomers in Canada and France: Simon Lilly (University of Toronto), Olivier Le Fevre and Francois Hammer (Observatoire de Paris Meudon), David Crampton (Dominion Astrophysical Observatory, Victoria), Laurence Tresse (Cambridge University), and David Schade and Dan Hudon (University of Toronto). The survey is based primarily on observations with the 3.6m Canada-France-Hawaii Telescope (CFHT) on Mauna Kea, Hawaii. The CFRS consists of spectra of over 1000 faint objects selected to have 17.5 < I(AB) < 22.5 in five regions of sky. The survey is providing the first systematic study of normal galaxies at redshifts z > 0.5, corresponding to look-back times of greater than 50% of the age of the Universe. Observations of CFRS galaxies have also been made with the Hubble Space Telescope and the survey will form the basis of future studies with a number of other ground-based and space facilities. We have written a lay-persons guide to the CFRS and the main scientific results that are emerging from it. (1 data file).

  6. Immigration reform in France and the United States: reflections and documentation.

    PubMed

    Wenden, C W; Costa-lascoux, J

    1984-01-01

    This paper analyzes similarities and dissimilarities in French and American efforts to come to grip with irregular migration. The symbolic importance of immigration reform is argued to be a key political concern in both nations, although the politics of immigration reform has assumed a more partisan flavor in France, particularly since the municipal elections of 1983. In France, the theme of control and security, associated with the notion of preventing "automatic" immigration which would endanger the cohesion of French society, was widely utilized for political ends prior to and after May 10, 1981 (the date of Francois Mitterand's investiture). The American government, on the other hand, is confronted with the unenviable task of obtaining a legislative consensus on legalization and employer sanctions through an approach seeking to harmonize and integrate the demands articulated by various groups: employers, unions, and alien and ethnic interest groups (principally Hispanic groups divided into a hierarchy along a recently arrived/established cleavage). The American situation most sharply differs from the French case in terms of the absence of a right/left political cleavage. The real effects of clandestine immigration are to be found at the local level. In France, as in the US, the ability of local actors to exert pressure raises the fear that legalization and sanctions will change little, except in terms of symbolic legitimacy.

  7. France tries to save its ailing national health insurance system.

    PubMed

    Sorum, Paul Clay

    2005-07-01

    France has provided universal health care through employment-based health insurance funds. As its governments have increasingly used tax revenues to supplement payroll levies, they have assumed a larger role. Faced with widening deficits in the funds' accounts, the National Assembly adopted in August 2004 legislation designed to decrease health expenses, increase revenues to the funds, and improve quality of care. The apparent impacts of the so-called Douste-Blazy law are to reaffirm social solidarity and equality of access; to reinforce central control rather than relying more on decentralized and market forces; to give the now-unified funds a stronger director, shielded not only from labor and business but also, possibly, from the central government; to allow French private physicians to retain their unrivaled freedom of prescription; and to continue France's reliance on taxes as well as payroll levies to finance its health care.

  8. [Not Available].

    PubMed

    2004-06-01

    St Dunstan's, the charity for blind ex-Service men and women, is commemorating this month's 60th anniversary of the D-Day landings with a spectacular rocket and light display linking all the towns and cities along the south coast that participated in the D-Day departures. Embarkation for the biggest military invasion of World War Two began on June 2 1944 on the beaches of Falmouth. Among the 'St Dunstaners' who took part were Fred Bentley (pictured left, with a guide) who, as a 20-year-old, was blinded when a German grenade exploded in front of him during the battle for Caen in northern France after the Allied invasion. Also pictured (inset) is Bob Osborne who was in the first wave of troops landing on the Normandy beaches. He, too, was 20 at the time and lost a leg, an arm and his sight under fire from enemy tanks. For many years he ran the newsagent at St Dunstan's main centre for training, rehabilitation and support near Brighton.

  9. Selected contributions from the 9th International Conference on Tidal Sedimentology, November 2015, Puerto Madryn, Patagonia, Argentina: an introduction

    NASA Astrophysics Data System (ADS)

    Scasso, Roberto A.; Cuitiño, José I.

    2017-08-01

    This special issue of Geo-Marine Letters presents selected contributions from the 9th International Conference on Tidal Sedimentology held on 17-19 November 2015 in Puerto Madryn, Chubut Province, Patagonia, Argentina. The guest editors are the conference organizers Roberto A. Scasso and José I. Cuitiño. Gerardo M. Perillo was the head of the Scientific Committee. The conferences on tidal sedimentology have been traditionally held every 4 years. However, only 3 years separated the last conference held in Caen (France, 2012) from this conference. Increasing numbers of contributions and the growing interest in tidal sedimentation have been the reasons for shortening the inter-conference period. The 2015 conference served as a discussion forum focusing on advances in modern and ancient tidal sedimentation at different locations worldwide. The papers presented in this Special Issue provide a selective view of the latest research results, the main topics dealing with tidal hydrodynamics and sediment transport, tidal coastal morphodynamics, modern and ancient tidal sedimentation, geotechnical processes in tidal environments, and tidal basins, facies and reservoirs.

  10. Factors Associated with Breastfeeding Initiation: A Comparison between France and French-Speaking Canada

    PubMed Central

    Girard, Lisa-Christine; Côté, Sylvana M.; de Lauzon-Guillain, Blandine; Dubois, Lise; Falissard, Bruno; Forhan, Anne; Doyle, Orla; Bernard, Jonathan Y.; Heude, Barbara; Saurel-Cubizolles, Marie-Josephe; Kaminski, Monique; Boivin, Michel; Tremblay, Richard E.

    2016-01-01

    Background Breastfeeding is associated with multiple domains of health for both mothers and children. Nevertheless, breastfeeding initiation is low within certain developed countries. Furthermore, comparative studies of initiation rates using harmonised data across multiple regions is scarce. Objective The aim of the present study was to investigate and compare individual-level determinants of breastfeeding initiation using two French-speaking cohorts. Methods Participants included ~ 3,900 mothers enrolled in two cohort studies in Canada and France. Interviews, questionnaires, and medical records were utilised to collect information on maternal, family, and medical factors associated with breastfeeding initiation. Results Rates of breastfeeding initiation were similar across cohorts, slightly above 70%. Women in both Canada and France who had higher levels of maternal education, were born outside of their respective countries and who did not smoke during pregnancy were more likely to initiate breastfeeding with the cohort infant. Notably, cohort effects of maternal education at the university level were found, whereby having ‘some university’ was not statistically significant for mothers in France. Further, younger mothers in Canada, who delivered by caesarean section and who had previous children, had reduced odds of breastfeeding initiation. These results were not found for mothers in France. Conclusions and Implications for Practice While some similar determinants were observed, programming efforts to increase breastfeeding initiation should be tailored to the characteristics of specific geographical regions which may be heavily impacted by the social, cultural and political climate of the region, in addition to individual and family level factors. PMID:27902741

  11. Occurrence and species distribution of pathogenic Mucorales in unselected soil samples from France.

    PubMed

    Mousavi, B; Costa, J M; Arné, P; Guillot, J; Chermette, R; Botterel, F; Dannaoui, E

    2018-04-01

    Mucormycosis is a life-threatening invasive fungal disease that affects a variety of patient groups. Although Mucorales are mostly opportunistic pathogens originating from soil or decaying vegetation, there are currently few data on prevalence of this group of fungi in the environment. The aim of the present study was to assess the prevalence and diversity of species of Mucorales from soil samples collected in France. Two grams of soil were homogenized in sterile saline and plated on Sabouraud dextrose agar and RPMI agar supplemented with itraconazole or voriconazole. Both media contained chloramphenicol and gentamicin. The plates were incubated at 35 ± 2 °C and checked daily for fungal growth for a maximum of 7 d. Mucorales were subcultured for purity. Each isolate was identified phenotypically and molecular identification was performed by ITS sequencing. A total of 170 soil samples were analyzed. Forty-one isolates of Mucorales were retrieved from 38 culture-positive samples. Among the recovered isolates, 27 Rhizopus arrhizus, 11 Mucor circinelloides, one Lichtheimia corymbifera, one Rhizopus microsporus and one Cunninghamella bertholletiae were found. Positive soil samples came from cultivated fields but also from other types of soil such as flower beds. Mucorales were retrieved from samples obtained in different geographical regions of France. Voriconazole-containing medium improved the recovery of Mucorales compared with other media. The present study showed that pathogenic Mucorales are frequently recovered from soil samples in France. Species diversity should be further analyzed on a larger number of soil samples from different geographic areas in France and in other countries.

  12. Estimated Annual Numbers of Foodborne Pathogen-Associated Illnesses, Hospitalizations, and Deaths, France, 2008-2013.

    PubMed

    Van Cauteren, Dieter; Le Strat, Yann; Sommen, Cécile; Bruyand, Mathias; Tourdjman, Mathieu; Da Silva, Nathalie Jourdan; Couturier, Elisabeth; Fournet, Nelly; de Valk, Henriette; Desenclos, Jean-Claude

    2017-09-01

    Estimates of the annual numbers of foodborne illnesses and associated hospitalizations and deaths are needed to set priorities for surveillance, prevention, and control strategies. The objective of this study was to determine such estimates for 2008-2013 in France. We considered 15 major foodborne pathogens (10 bacteria, 3 viruses, and 2 parasites) and estimated that each year, the pathogens accounted for 1.28-2.23 million illnesses, 16,500-20,800 hospitalizations, and 250 deaths. Campylobacter spp., nontyphoidal Salmonella spp., and norovirus accounted for >70% of all foodborne pathogen-associated illnesses and hospitalizations; nontyphoidal Salmonella spp. and Listeria monocytogenes were the main causes of foodborne pathogen-associated deaths; and hepatitis E virus appeared to be a previously unrecognized foodborne pathogen causing ≈68,000 illnesses in France every year. The substantial annual numbers of foodborne illnesses and associated hospitalizations and deaths in France highlight the need for food-safety policymakers to prioritize foodborne disease prevention and control strategies.

  13. Conservation and promotion of the geological heritage in the «Ile-de-France» region (France): Establishment of a decision support-tool based on inventory

    NASA Astrophysics Data System (ADS)

    Auberger, Elise; Gély, Jean-Pierre; De Wever, Patrick; Merle, Didier

    2017-04-01

    Based on an initiative by the "Regional Commission of Geological Patrimony" (CRPG), the French state and the regional government of Ile-de-France co-financed the setting up of an inventory with the aim of safeguarding geological sites of patrimonial interest. This project forms part of larger scale policies, at the national and European level. Geological studies in the Paris region began as early as the 18th century, in the fields of cartography and paleontology. Later on, prominent scientists like G. Cuvier, A. Brongniart and A. d'Orbigny established the first concepts in sedimentology and stratigraphy through the description of Cenozoic fossil sites that rank amongst the richest in the world and geological formations in the Paris Basin. Eventually, later on, five historical stratotypes were established in the Ile-de-France region. Yet, at present, this geological heritage is constantly threatened by expanding urbanisation. To conserve this diverse geological patrimony, we have set up a protocol composed of 4 main actions: i) The exhaustive and objective referencing of geological sites in Ile-de-France. This information is centralised in a database, which currently comprises 639 sites (mainly of anthropic nature such as quarries) ii) The pre-selection of sites (298 out of the initial 639) based on sufficient accessibility and potential geological interest. iii) The use of a method of description and hierarchisation - following the guidelines of the National Geological Heritage Inventory Program (INPG) - on the pre-selected sites. iv) Establishment of a schedule specifying actions of geo-conservation which will take into account the patrimonial value of the sites, but also their threats, their juridical status and the socio-economic context of the region. The purpose of this program is to conserve a collection of geological sites that reflect the totality of the regional geology in Ile-de-France. The results of this study will be released to the general public and

  14. Understanding increases in smoking prevalence: case study from France in comparison with England 2000-10.

    PubMed

    McNeill, Ann; Guignard, Romain; Beck, François; Marteau, Rosie; Marteau, Theresa M

    2015-03-01

    In France, following a long-term decline in smoking prevalence, an increase in smoking was observed between 2005 and 2010, an unusual occurrence in countries in the 'mature' stage of the smoking epidemic. By contrast, smoking prevalence in England, the neighbouring country, continued its long-term decline. We identified and translated recent reports on smoking and tobacco control in France and using these assessed the main data sources on smoking and compared them with similar sources in England, in order to explore possible explanations. In France, national smoking prevalence data are collected 5-yearly, minimizing opportunities for fine-grained analysis; the comparable study in England is implemented annually. We identified several probable causes of the recent increased prevalence of smoking in France, the primary one being the absence of sufficient price rises between 2005 and 2010, due probably to the lack of a robust tobacco control strategy, which also appeared to have empowered tobacco industry influence. Funding to compensate tobacconists appears to incentivize tobacco sales and is significantly higher than tobacco control funding. Mindful of the limitations of a case-study approach, the absence of sufficient price rises in the context of a weak tobacco control strategy seems the most likely explanation for the recent increase in smoking prevalence in France. A new cancer control plan and a national smoking reduction programme have been proposed by the French government in 2014 which, depending on implementation, may reverse the trend. In both countries, the higher levels of smoking among the more disadvantaged groups are of great concern and require greater political leadership for effective action. © 2014 Society for the Study of Addiction.

  15. Direct medical costs associated with the extrahepatic manifestations of hepatitis C virus infection in France.

    PubMed

    Cacoub, P; Vautier, M; Desbois, A C; Saadoun, D; Younossi, Z

    2018-01-01

    The economic impact of extrahepatic manifestations of hepatitis C virus (HCV) infection remains unknown for France. To estimate the prevalence of extrahepatic manifestations of HCV and the direct medical costs associated with them. Estimates of 13 extrahepatic manifestations prevalence were obtained from (1) a retrospective data analysis of HCV-infected patients in a specialised centre and the baseline prevalence in the general French population and (2) an international systematic review. Per-patient-per-year costs to treat these manifestations were obtained from the literature, national databases or expert opinion. The impact of achieving HCV cure after anti-viral therapy was applied to the French healthcare costs. Using approach (1), increased prevalence rates in HCV patients compared to the general population were observed for most extrahepatic manifestations. The mean per-patient-per-year cost of these manifestations in the tertiary centre was 3296 € [95% CI 1829; 5540]. In France, HCV-extrahepatic manifestations amounted to a total cost of 215 million (M) € per year [144; 299]. Using approach (2), the mean per-patient-per-year cost was estimated to be 1117 €. The estimated total cost reduction in France associated with HCV cure was 13.9 M€ for diabetes, 8.6 M€ for cryoglobulinemia vasculitis, 6.7 M€ for myocardial infarction, 2.4 M€ for end-stage renal disease and 1.4 M€ for stroke. Extrahepatic manifestations of HCV infection substantially add to the overall economic burden of the disease in France. HCV cure after anti-viral therapy is expected to significantly reduce the total costs of managing these manifestations in France. © 2017 John Wiley & Sons Ltd.

  16. Characteristics of patients with fibromyalgia in France and Germany.

    PubMed

    Perrot, S; Winkelmann, A; Dukes, E; Xu, X; Schaefer, C; Ryan, K; Chandran, A; Sadosky, A; Zlateva, G

    2010-07-01

    Few studies have comprehensively assessed the burden associated with fibromyalgia (FM). This cross-sectional, observational study evaluates the impact of FM on patients in France and Germany. A total of 299 FM patients were recruited from 33 physician offices in France and Germany during routine visits. Patients completed a survey that included the Brief Pain Inventory-Short Form (BPI-sf), Fibromyalgia Impact Questionnaire (FIQ), EuroQol 5D (EQ-5D) and the Hospital Anxiety and Depression Scale (HADS) to describe their pain, FM and health-related quality of life (HRQOL). FM severity was defined using patients' FIQ total scores with 0 to < 39, 39 to < 59 and 59-100, representing mild, moderate and severe FM, respectively. Site staff completed case report forms using patients' medical records. Mean (standard deviation, SD) age was 54.2 (12.6); 81% of patients were women. The mean (SD) FIQ total score was 53.3 (19.6); 33% and 44% of patients reported moderate and severe FM, respectively. Most patients (91%) were receiving prescription medications for FM during the study. Patients reported a mean (SD) EQ-5D health state valuation of 0.44 (0.33) and a mean (SD) BPI-sf Pain Severity Index score of 4.9 (1.8). Forty-one percent of patients reported some level of disruption in their employment because of FM; employed patients missed a mean (SD) of 2.2 (4.6) workdays during the past 4 weeks. An increase in FM severity was significantly associated with increased pain severity, productivity loss, sleep disturbance and higher anxiety and depression (p < 0.0001). There is a substantial burden of illness including treatment limitations for FM patients in France and Germany.

  17. Epidemiology of invasive Streptococcus pyogenes infections in France in 2007.

    PubMed

    Lepoutre, A; Doloy, A; Bidet, P; Leblond, A; Perrocheau, A; Bingen, E; Trieu-Cuot, P; Bouvet, A; Poyart, C; Lévy-Bruhl, D

    2011-12-01

    Invasive group A streptococcal (GAS) infections cause significant morbidity and mortality. A national survey was initiated to assess the burden of invasive GAS infections in France, describe their clinical characteristics, and assess the molecular characteristics of GAS strains responsible for these infections. The survey was conducted in 194 hospitals, accounting for 51% of acute care hospital admissions in France. Clinical data, predisposing factors, and demographic data were obtained, and all GAS isolates were emm sequence typed. We identified 664 cases of invasive GAS infections, with an annual incidence of 3.1 per 100,000 population. The case-fatality ratio was 14% and rose to 43% in the case of streptococcal toxic shock syndrome. Bacteremia without identified focus (22%) and skin/soft tissue infections (30%) were the most frequent clinical presentations. Necrotizing fasciitis was frequent in adults (18%) and uncommon in children (3%). The 3 predominant emm types were emm1, emm89, and emm28, accounting for 33%, 16%, and 10% of GAS isolates, respectively. The emm1 type was associated with fatal outcomes and was more frequent in children than in adults. Six clusters of cases were identified, with each cluster involving 2 invasive cases due to GAS strains which shared identical GAS emm sequence types. Four clusters of cases involved eight postpartum infections, one family cluster involved a mother and child, and one cluster involved two patients in a nursing home. Invasive GAS infection is one of the most severe bacterial diseases in France, particularly in persons aged ≥ 50 years or when associated with toxic shock syndrome.

  18. [Frequency and costs of hospital stays for hypoglycemia in France in 1995].

    PubMed

    Allicar, M P; Mégas, F; Houzard, S; Baroux, A; Le Thai, F; Augendre-Ferrante, B

    2000-04-01

    Diabetes is a highly prevalent chronic disease causing serious complications. Hypoglycemia is the most frequent, the most serious, and the most feared by patients and families. Hospitalization may be necessary and can be costly. The main objective of this study was to determine the number of cases of hypoglycemia cared for annually in France in an inpatient setting and to estimate the annual financial impact of hospitalizations. The number of hypoglycemias seen annually by physician s in France and the frequencies of hospitalizations for hypoglycemia were determined from a literature search. Complementary data on costs were obtained from the national PMSI mission. Our sample included 817 hospital stays between 1994 and 1995. In 1992, physicians in France cared for 40,000 episodes of hypoglycemia. There were 10,800 hospitalizations. In 9 out of 10 cases, the hospital stay lasted several days and, despite hospitalization, 1.9% of the patients died. Mean total medical cost of a hospital stay for hypoglycemia was 14,000 FF ($2,100) (median 10,000 FF, range 1,200-120,000 FF). Mean length of stay was 6.6 days. Mean unit cost for hospital stays for hypoglycemia is high. Based on the 1993 SESI survey, the probable annual cost for the society for hospital care of patients with hypoglycemia was an estimated 108 to 151 million FF ($16-22 million) in 1995. This figure only takes into account the visible cost of caring for hypoglycemia patients. Ambulatory care was not taken into consideration. Education, for the patient and family, is fundamental for the prevention and treatment of hypoglycemia. It is important to have this estimation due to the absence of a medicoeconomic study on ambulatory and hospital care for hypoglycemia. Complementary studies should be conducted to estimate the total annual cost of hypoglycemia in France.

  19. Bishop plays down report on condoms / AIDS in France.

    PubMed

    1996-02-26

    Individual bishops in France and other European countries have argued that condom use can save lives by preventing the spread of HIV. The French Bishops' Conference social commission published a 200-page report which in which agreement was expressed with widespread medical opinion that condom use is the sole and necessary barrier against the sexual spread of HIV. Extensive media coverage ensued and led to Bishop Albert Rouet, the bishop of Poitiers and chairman of the French Bishops' Conference, being interviewed by the Holy See's official radio. In the interview, Bishop Rouet distanced the Roman Catholic Church in France from the report, claiming that the media had exaggerated the issue and that his commission was not bound by the reference. The Vatican remains staunchly opposed to condom use against HIV infection and preaches abstinence outside of marriage and fidelity within marriage as the only true ways to avoid HIV infection. In 1995, the Vatican fired Jacques Gaillot, the former bishop of Evreux in Normandy, for his outspoken endorsement of condom use against HIV.

  20. Situation Report--Argentina, France, Gambia, Grenada, Hungary, Nepal, and Paraguay.

    ERIC Educational Resources Information Center

    International Planned Parenthood Federation, London (England).

    Data relating to population and family planning in seven foreign countries are presented in these situation reports. Countries included are Argentina, France, Gambia, Grenada, Hungary, Nepal, and Paraguay. Information is provided, where appropriate and available, under two topics, general background and family planning situation. General…

  1. The "cradle of glass": incubators for infants in late nineteenth-century France.

    PubMed

    Greene, Gina

    2010-01-01

    This article examines the development of the incubator for premature infants in fin-de-siècle France. During a period of widespread anxiety in France regarding infant mortality and its implications for population growth, physicians in Paris developed and widely promoted the lifesaving technology. This article explores the ways in which the incubator reflected new scientific and symbolic approaches to creating hygienic spaces as well as how it reflected new scientific and symbolic approaches to the traditionally feminine project of infant care. By creating such an isolating and protective milieu around premature infants—an entirely new population of patients—the incubator, I argue, heralded a renegotiation of the boundary between motherhood and medical authority.

  2. Evaluation of the smoking ban in public places in France one year and five years after its implementation: Findings from the ITC France survey

    PubMed Central

    Fong, Geoffrey T.; Craig, Lorraine V.; Guignard, Romain; Nagelhout, Gera E.; Tait, Megan K.; Driezen, Pete; Kennedy, Ryan David; Boudreau, Christian; Wilquin, Jean-Louis; Deutsch, Antoine; Beck, François

    2013-01-01

    France implemented a comprehensive smoke-free policy in public places in February 2007 for workplaces, shopping centres, airports, train stations, hospitals and schools. On January 2008, it was extended to meeting places (bars, restaurants, hotels, casinos, nightclubs). This paper evaluates France’s smoke-free law based on the International Tobacco Control Policy Evaluation Project in France (the ITC France Project), which conducted a cohort survey of approximately 1,500 smokers and 500 non-smokers before the implementation of the laws (Wave 1, conducted December 2006 to February 2007) and two waves after the implementation (Wave 2, conducted between September-November 2008; and Wave 3, conducted between September-December 2012). Results show that the smoke-free law led to a very significant and near total elimination of indoor smoking in key venues such as bars (from 95.9% to 3.7%) and restaurants (from 64.7% to 2.3%) at Wave 2, which was sustained four years later at Wave 3 (1.4% in restaurants; 6.6% in bars). Smoking in workplaces declined significantly after the law (from 42.6% to 19.3%), which continued to decline at Wave 3 (to 12.8%). Support for the smoke-free law increased significantly after their implementation and continued to increase at Wave 3 (among smokers for bars and restaurants; among smokers and non-smokers for workplaces). The findings demonstrate that smoke-free policies that are implemented in ways consistent with the Guidelines for Article 8 of the WHO Framework Convention on Tobacco Control (WHO FCTC) lead to substantial and sustained reductions in tobacco smoke in public places while also leading to high levels of support by the public. PMID:24803715

  3. 78 FR 40045 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-03

    ... directive (AD) for Eurocopter France (Eurocopter) Model AS350B, BA, B1, B2, B3, D, AS355E, F, F1, F2, and N... comments that we receive, as well as a report summarizing each substantive public contact with FAA... Eurocopter Model AS350B, BA, BB, B1, B2, B3, D, AS355 E, F, F1, F2, and N helicopters delivered before...

  4. [Rethinking the place of primary healthcare in France--role of general practice].

    PubMed

    Gay, B

    2013-06-01

    Primary healthcare is poorly structured in France while it is well defined at the international level: it is the point of first medical contact of the population with the healthcare system. General practice is the clinical specialty oriented to primary healthcare. Data in the scientific literature highlight the need of refocusing the health system on primary care known to improve both morbi-mortality and care efficiency. In France, health authorities acknowledge general practitioners as playing a key role in the health care system: its time to move from intention to action. Structural changes are needed to achieve this reinforcement of primary healthcare: to re-orientate medical studies towards primary care; to develop research in primary care; to promote cooperation between care providers; to ease the daily workload of practitioners; to diversify methods of payment; to propose a guide for patient's use of primary care. The transformation of the healthcare system in France requires a real strategy of primary healthcare implementation. Regardless of financial constraints, it is possible to redistribute the resources towards ambulatory care. Strengthening the role of general practice and favoring its societal recognition will be the major stages of this change. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  5. Prevalence of pain medication prescriptions in France, Germany, and the UK - a cross-sectional study including 4,270,142 patients.

    PubMed

    Jacob, Louis; Kostev, Karel

    2018-01-01

    The goal of the present study was to analyze the prevalence of pain medication prescriptions in general practices in France, Germany, and the UK. This study included all patients aged ≥18 years followed in 2016 in general practitioner practices in France, Germany and the UK. The primary outcome was the prevalence of patients receiving prescriptions for pain medications in France, Germany, and the UK in 2016. The following drugs were included in the analysis: anti-inflammatory and antirheumatic products, non-steroids and analgesics including opioids, antimigraine preparations, and other analgesics and antipyretics. Demographic variables included age and gender. This study included 4,270,142 patients. The prevalences of pain medication prescriptions were 57.3% in France, 29.6% in Germany, and 21.7% in the UK. Although this prevalence generally remained consistent between age groups in France (54.3%-60.3%), it increased with age in Germany (18-30 years: 23.8%; >70 years: 35.8%) and in the UK (18-30 years: 9.3%; >70 years: 43.8%). Finally, the prevalence of pain medication prescriptions was higher in women than in men in all three countries. Paracetamol was prescribed to 82.3% and 60.1% of patients receiving pain medication in France and the UK, respectively, whereas ibuprofen was prescribed to 46.5% of individuals in Germany. The prevalence of pain medication prescriptions was higher in France than in Germany and the UK. Further research is needed to gain a better understanding of the differences in the prescription patterns between these three European countries.

  6. Cost-effectiveness analysis of vaccination against rotavirus with RIX4414 in France.

    PubMed

    Standaert, Baudouin; Parez, Nathalie; Tehard, Bertrand; Colin, Xavier; Detournay, Bruno

    2008-01-01

    It is estimated that annually 300 000 cases of rotavirus-induced gastroenteritis (RVGE) occur in children aged up to 5 years in France. A two-dose vaccine against rotavirus infection (RIX4414; Rotarix, GlaxoSmithKline), has been shown to be highly effective against severe RVGE. This study evaluated the cost effectiveness of general vaccination against rotavirus using RIX4414 in France. A Markov model simulated RVGE events and the associated outcomes and costs relating to general vaccination of infants against rotavirus infection using RIX4414 (Rotarix) in a birth cohort of children aged up to 5 years in France with a combined adjustment for age distribution with the seasonality of the infection. Costs and outcomes were estimated from a limited societal perspective, including direct medical costs paid out of pocket or by third-party payers, as well as the proportion of direct medical costs reimbursed by the health authorities. Indirect costs were not included in the base-case analysis. The primary outcome measure was the incremental cost per QALY. Vaccination with RIX4414 incurred an incremental cost of 44 583 Euro per QALY at a public price of 57 Euro per vaccine dose. Univariate sensitivity analyses showed that the parameters with the largest influence on the results were the transition probabilities of severe diarrhoea, seeking medical advice and emergency visits, utility scores of diarrhoea (mild) in children and infants, and the discount rate for benefits. Probabilistic multivariate sensitivity analysis confirmed these results. The acceptability curve indicated that 94% of the results were under an informal threshold of 50 000 Euro per QALY. Comparing our results with those of a recently published study using pooled data for two rotavirus vaccine products in France, the main differences are explained by differences in model structure and in data input values. They include a different age distribution of the infection, shorter duration of the at-risk period (3

  7. Obtaining Reimbursement in France and Italy for New Diabetes Products

    PubMed Central

    Schaefer, Elmar; Sonsalla, Jessica

    2015-01-01

    Manufacturers launching next-generation or innovative medical devices in Europe face a very heterogeneous reimbursement landscape, with each country having its own pathways, timing, requirements and success factors. We selected 2 markets for a deeper look into the reimbursement landscape: France, representing a country with central decision making with defined processes, and Italy, which delegates reimbursement decisions to the regional level, resulting in a less transparent approach to reimbursement. Based on our experience in working on various new product launches and analyzing recent reimbursement decisions, we found that payers in both countries do not reward improved next-generation products with incremental reimbursement. Looking at innovations, we observe that manufacturers face a challenging and lengthy process to obtain reimbursement. In addition, requirements and key success factors differ by country: In France, comparative clinical evidence and budget impact very much drive reimbursement decisions in terms of pricing and restrictions, whereas in Italy, regional key opinion leader (KOL) support and additional local observational data are key. PMID:25550411

  8. Toxoplasma gondii infection in pork produced in France.

    PubMed

    Djokic, V; Blaga, R; Aubert, D; Durand, B; Perret, C; Geers, R; Ducry, T; Vallee, I; Djurkovic Djakovic, O; Mzabi, A; Villena, I; Boireau, P

    2016-04-01

    The aim of this study was to assess the seroprevalence of the Toxoplasma gondii parasite in pork produced in France, and to determine infection risk factors. An innovative survey was designed based on annual numbers of slaughtered pigs from intensive and outdoor farms in France. A total of 1549 samples of cardiac fluids were collected from pig hearts to determine seroprevalence using a Modified Agglutination Test. Of those, 160 hearts were bio-assayed in mice to isolate live parasites. The overall seroprevalence among fattening pigs was 2·9%. The adjusted seroprevalence in pigs from intensive farms was 3·0%; the highest in sows (13·4%); 2·9% in fattening pigs and 2·6% in piglets. Adjusted seroprevalence in fattening animals from outdoor farms was 6·3%. Strains were isolated from 41 animals and all were genotyped by Restriction Fragment Length Polymorphism as type II. Risk-factor analysis showed that the risk of infection was more than three times higher for outdoor pigs, and that sows' risk was almost five times higher than that of fattening animals. This study provides further evidence of extensive pork infection with T. gondii regardless of breeding systems, indicating that farm conditions are still insufficient to guarantee 'Toxoplasma-free pork'.

  9. 76 FR 60871 - Ball Bearings and Parts Thereof From France, Germany, and Italy; Termination of Five-Year Reviews

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-30

    ... INTERNATIONAL TRADE COMMISSION [Investigation Nos. 731-TA-391A-393A (Third Review)] Ball Bearings and Parts Thereof From France, Germany, and Italy; Termination of Five-Year Reviews AGENCY: United... parts thereof from France, Germany, and Italy would be likely to lead to continuation or recurrence of...

  10. Timing of chronic hepatitis B diagnosis after migration and its determinants among Sub-Saharan African migrants living in France.

    PubMed

    Pannetier, Julie; Gigonzac, Virginie; Lydié, Nathalie; Desgrées du Loû, Annabel; Dray Spira, Rosemary

    2017-01-01

    In European countries, chronic hepatitis B (CHB) disproportionately affects migrants from medium- and high-endemic areas and is largely underdiagnosed. To inform policy and improve screening strategies, we measured the timing of CHB diagnosis after migration and its determinants among sub-Saharan migrants living in the Paris metropolitan area (France). The PARCOURS study is a retrospective life-event history survey conducted in health care services in 2012-2013 among 779 migrants from sub-Saharan Africa who were receiving care for CHB. We investigated the timing of CHB diagnosis from the time of arrival in France using the Kaplan-Meier method and characteristics associated with CHB diagnosis since the time of arrival in France using discrete-time multivariate logistic regression models. The median CHB diagnosis occurred during the fourth year spent in France for men and during the second year spent in France for women. Among men, the probability of CHB diagnosis increased during years with (versus without) a temporary resident permit (aOR: 1.6, 95%CI: 1.1-2.2), a precarious accommodation (aOR: 1.7, 95%CI: 1.1-2.6), and hospitalization (aOR: 7.7, 95%CI: 3.4-15.1). Among women, CHB diagnosis was more likely to occur during years with unemployment (aOR: 1.9, 95%CI: 1.1-3.94), pregnancy (aOR: 6.6, 95%CI: 3.5-12.5) and hospitalization (aOR: 9.0, 95%CI: 2.95-32.3). For both sexes, the probability of CHB diagnosis was higher among those who migrated to France because they were threatened in their country. This study shows that social hardships (residential, economic, administrative) and contact with the health care system after arrival in France hasten access to a CHB diagnosis.

  11. Timing of chronic hepatitis B diagnosis after migration and its determinants among Sub-Saharan African migrants living in France

    PubMed Central

    Gigonzac, Virginie; Lydié, Nathalie; Desgrées du Loû, Annabel; Dray Spira, Rosemary

    2017-01-01

    Objective In European countries, chronic hepatitis B (CHB) disproportionately affects migrants from medium- and high-endemic areas and is largely underdiagnosed. To inform policy and improve screening strategies, we measured the timing of CHB diagnosis after migration and its determinants among sub-Saharan migrants living in the Paris metropolitan area (France). Design The PARCOURS study is a retrospective life-event history survey conducted in health care services in 2012–2013 among 779 migrants from sub-Saharan Africa who were receiving care for CHB. We investigated the timing of CHB diagnosis from the time of arrival in France using the Kaplan-Meier method and characteristics associated with CHB diagnosis since the time of arrival in France using discrete-time multivariate logistic regression models. Results The median CHB diagnosis occurred during the fourth year spent in France for men and during the second year spent in France for women. Among men, the probability of CHB diagnosis increased during years with (versus without) a temporary resident permit (aOR: 1.6, 95%CI: 1.1–2.2), a precarious accommodation (aOR: 1.7, 95%CI: 1.1–2.6), and hospitalization (aOR: 7.7, 95%CI: 3.4–15.1). Among women, CHB diagnosis was more likely to occur during years with unemployment (aOR: 1.9, 95%CI: 1.1–3.94), pregnancy (aOR: 6.6, 95%CI: 3.5–12.5) and hospitalization (aOR: 9.0, 95%CI: 2.95–32.3). For both sexes, the probability of CHB diagnosis was higher among those who migrated to France because they were threatened in their country. Conclusion This study shows that social hardships (residential, economic, administrative) and contact with the health care system after arrival in France hasten access to a CHB diagnosis. PMID:29283994

  12. Diversity of Group I and II Clostridium botulinum Strains from France Including Recently Identified Subtypes.

    PubMed

    Mazuet, Christelle; Legeay, Christine; Sautereau, Jean; Ma, Laurence; Bouchier, Christiane; Bouvet, Philippe; Popoff, Michel R

    2016-06-13

    In France, human botulism is mainly food-borne intoxication, whereas infant botulism is rare. A total of 99 group I and II Clostridium botulinum strains including 59 type A (12 historical isolates [1947-1961], 43 from France [1986-2013], 3 from other countries, and 1 collection strain), 31 type B (3 historical, 23 recent isolates, 4 from other countries, and 1 collection strain), and 9 type E (5 historical, 3 isolates, and 1 collection strain) were investigated by botulinum locus gene sequencing and multilocus sequence typing analysis. Historical C. botulinum A strains mainly belonged to subtype A1 and sequence type (ST) 1, whereas recent strains exhibited a wide genetic diversity: subtype A1 in orfX or ha locus, A1(B), A1(F), A2, A2b2, A5(B2') A5(B3'), as well as the recently identified A7 and A8 subtypes, and were distributed into 25 STs. Clostridium botulinum A1(B) was the most frequent subtype from food-borne botulism and food. Group I C. botulinum type B in France were mainly subtype B2 (14 out of 20 historical and recent strains) and were divided into 19 STs. Food-borne botulism resulting from ham consumption during the recent period was due to group II C. botulinum B4. Type E botulism is rare in France, 5 historical and 1 recent strains were subtype E3. A subtype E12 was recently identified from an unusual ham contamination. Clostridium botulinum strains from human botulism in France showed a wide genetic diversity and seems to result not from a single evolutionary lineage but from multiple and independent genetic rearrangements. © The Author 2016. Published by Oxford University Press on behalf of the Society for Molecular Biology and Evolution.

  13. Diversity of Group I and II Clostridium botulinum Strains from France Including Recently Identified Subtypes

    PubMed Central

    Mazuet, Christelle; Legeay, Christine; Sautereau, Jean; Ma, Laurence; Bouchier, Christiane; Bouvet, Philippe; Popoff, Michel R.

    2016-01-01

    In France, human botulism is mainly food-borne intoxication, whereas infant botulism is rare. A total of 99 group I and II Clostridium botulinum strains including 59 type A (12 historical isolates [1947–1961], 43 from France [1986–2013], 3 from other countries, and 1 collection strain), 31 type B (3 historical, 23 recent isolates, 4 from other countries, and 1 collection strain), and 9 type E (5 historical, 3 isolates, and 1 collection strain) were investigated by botulinum locus gene sequencing and multilocus sequence typing analysis. Historical C. botulinum A strains mainly belonged to subtype A1 and sequence type (ST) 1, whereas recent strains exhibited a wide genetic diversity: subtype A1 in orfX or ha locus, A1(B), A1(F), A2, A2b2, A5(B2′) A5(B3′), as well as the recently identified A7 and A8 subtypes, and were distributed into 25 STs. Clostridium botulinum A1(B) was the most frequent subtype from food-borne botulism and food. Group I C. botulinum type B in France were mainly subtype B2 (14 out of 20 historical and recent strains) and were divided into 19 STs. Food-borne botulism resulting from ham consumption during the recent period was due to group II C. botulinum B4. Type E botulism is rare in France, 5 historical and 1 recent strains were subtype E3. A subtype E12 was recently identified from an unusual ham contamination. Clostridium botulinum strains from human botulism in France showed a wide genetic diversity and seems to result not from a single evolutionary lineage but from multiple and independent genetic rearrangements. PMID:27189984

  14. Strong evidence for the presence of the tick Hyalomma marginatum Koch, 1844 in southern continental France.

    PubMed

    Vial, Laurence; Stachurski, Frédéric; Leblond, Agnès; Huber, Karine; Vourc'h, Gwenaël; René-Martellet, Magalie; Desjardins, Isabelle; Balança, Gilles; Grosbois, Vladimir; Pradier, Sophie; Gély, Marie; Appelgren, Anaïs; Estrada-Peña, Agustin

    2016-10-01

    Hyalomma ticks can transmit several human and animal pathogens in Eurasia and Africa. Interest in Hyalomma marginatum has increased since the recent (re)emergence of Crimean-Congo Hemorrhagic fever in the Palearctic region. Until now, continental France has been considered free of this tick species. Nevertheless, the existence of incomplete and occasionally incorrect records has maintained confusion about its status. Based on several tick sampling campaigns conducted on horses and birds from 2007 to 2016, we provided very strong evidence for the presence of reproducing populations of H. marginatum in parts of southern continental France. We also confirmed the introduction of immature developmental stages of H. marginatum, as well as H. rufipes, into France probably through trans-Mediterranean bird migrations. Copyright © 2016. Published by Elsevier GmbH.

  15. Determinants of heroin retail prices in metropolitan France: Discounts, purity and local markets.

    PubMed

    Lahaie, Emmanuel; Janssen, Eric; Cadet-Taïrou, Agnès

    2016-09-01

    Field studies have indicated a recent increase in heroin availability and use in France, and yet very little is known about the mechanisms underlying heroin retail prices. This paper offers a first attempt at identifying the determinants of heroin pricing, to measure quantity discounts and assess the influence of purity on street prices, while controlling for a geographical effect. Data on heroin samples were collected during 2011 in seven urban areas of metropolitan France. Ordinary least squares regression was used to model the associations between price, quantity, purity and other independent variables. Quantity remains the most influential variable on heroin pricing. We estimate that a 10% increase in the size of a transaction leads to a 2.3% decrease in the unit price. Assessed purity proved to be significant, although in modest proportion. Sociodemographic characteristics, such as gender, users' experience and relationships with dealers, proved to be insignificant. Heroin retail prices vary according to a geographical gradient related to the routes of entry and distribution. As a credence good, heroin retail prices in France are affected by more than simply the traditional supply and demand relationship. The results of this study also underline the limitations of a quantitative framework and should be complemented by further ethnographic research to obtain an in-depth understanding of local markets. Policies should be designed to better take local disparities into account.[Lahaie E, Janssen E, Cadet-Taïrou A. Determinants of heroin retail prices in metropolitan France:Discounts, purity and local markets. Drug Alcohol Rev 2016;35:597-604]. © 2015 Australasian Professional Society on Alcohol and other Drugs.

  16. Enterovirus infections in hospitals of Ile de France region over 2013.

    PubMed

    Molet, Lucie; Saloum, Kenda; Marque-Juillet, Stéphanie; Garbarg-Chenon, Antoine; Henquell, Cécile; Schuffenecker, Isabelle; Peigue-Lafeuille, Hélène; Rozenberg, Flore; Mirand, Audrey

    2016-01-01

    The monitoring and genotyping of Enterovirus (EV) infections can help to associate particular or severe clinical manifestations with specific EV types and to identify the aetiology of infectious outbreaks. To describe the epidemiological features of EV infections diagnosed during the year 2013 in the Greater Paris area (Ile de France). During 2013, 2497 samples taken from 470 patients in 33 hospitals of Ile-de France were tested for EV genome by RT-PCR. EV genotyping was performed by the National Reference Centre (NRC) laboratories. EV infections were retrospectively reviewed by retrieving clinical and genotyping data from the NRC database. Of the 2497 samples, 490 (19.6%) was positive for EV genome detection. These EV infections represented 88.7% and 24.1%, respectively, of all reported regional and national infections. Twenty-seven different genotypes were identified. Echovirus 30 (E-30) accounted for 54.1% of all characterized strains and caused a large outbreak. Four severe neonatal infections were reported, of which two were caused by EV-A71. Respiratory infections involving EV-D68 were observed in two adults. One fatal case of Coxsackievirus A2-associated myocarditis was reported. Monitoring EV infections in combination with EV genotyping via the French EV network characterized the epidemiology of EV infections in the Ile de France region in 2013 and documented severe EV infections associated with EV-A71 or CV-A2. Copyright © 2015 Elsevier B.V. All rights reserved.

  17. Incidence of acute intussusception among infants in eastern France: results of the EPIstudy trial.

    PubMed

    Fotso Kamdem, Arnaud; Vidal, Chrystelle; Pazart, Lionel; Leroux, Franck; Pugin, Aurore; Savet, Caroline; Sainte-Claire Deville, Geoffroy; Riou França, Lionel; Guillemot, Didier; Massol, Jacques

    2017-03-01

    The incidence of intussusception in infants varies around the world. The epidemiology of intussusception in France has never been prospectively studied. We performed a prospective observational study with systematic inclusion of all infants aged <1 year with suspected intussusception admitted to the emergency departments of the hospitals in the eastern region of France (98,000 live births per year), from 4/1/2008 to 3/31/2012. Cases were classified using the Brighton Collaboration classification. In total, 185 infants with suspected intussusception were included of which 169 were idiopathic intussusception. Among these 169 cases, 115 (68%) were classed as Brighton level 1 (confirmed cases). Overall incidence of intussusception over the 4 years of the study was 29.8 (95% CI 24.6-35.7) cases per 100,000 live births for level 1 and 37.5 (95% CI 31.7-44.2) cases per 100,000 live births for all cases (levels 1-4). Annual incidence rates of level 1 intussusception were as follows: 44 (95% CI 31.9-59.3), 30.9 (20.9-44.2), 21.7 (13.4-33.2) and 22.1 (13.7-33.8) per 100,000 live births in the 1st, 2nd, 3rd and 4th study years, respectively. The incidence rate of intussusception in the eastern part of France is comparable to that of other European countries. There was a significant trend towards a decrease in the incidence of intussusception. What is known • Intussusception is the most frequent causes of intestinal obstruction in infants and young children. Overall incidence of intussusception in infants aged <1 year varies widely around the world. No specific epidemiological studies have not been conducted in France on intussusception. What is new: • This prospective and multicenter study provides important information about the epidemiology of intussusception in infants in France over a period of 4 years.

  18. Estimating the budget impact of orphan drugs in Sweden and France 2013–2020

    PubMed Central

    2014-01-01

    Background The growth in expenditure on orphan medicinal products (OMP) across Europe has been identified as a concern. Estimates of future expenditure in Europe have suggested that OMPs could account for a significant proportion of total pharmaceutical expenditure in some countries, but few of these forecasts have been well validated. This analysis aims to establish a robust forecast of the future budget impact of OMPs on the healthcare systems in Sweden and France. Methods A dynamic forecasting model was created to estimate the budget impact of OMPs in Sweden and France between 2013 and 2020. The model used historical data on OMP designation and approval rates to predict the number of new OMPs coming to the market. Average OMP sales were estimated for each year post-launch by regression analysis of historical sales data. Total forecast sales were compared with expected sales of all pharmaceuticals in each country to quantify the relative budget impact. Results The model predicts that by 2020, 152 OMPs will have marketing authorization in Europe. The base case OMP budget impacts are forecast to grow from 2.7% in Sweden and 3.2% in France of total drug expenditure in 2013 to 4.1% in Sweden and 4.9% in France by 2020. The principal driver of expenditure growth is the number of new OMPs obtaining OMP designation. This is tempered by the slowing success rate for new approvals and the loss of intellectual property protection on existing orphan medicines. Given the forward-looking nature of the analysis, uncertainty exists around model parameters and sensitivity analysis found peak year budget impact varying between 2% and 11%. Conclusion The budget impact of OMPs in Sweden and France is likely to remain sustainable over time and a relatively small proportion of total pharmaceutical expenditure. This forecast could be affected by changes in the success rate for OMP approvals, average cost of OMPs, and the type of companies developing OMPs. PMID:24524281

  19. [Catch-up vaccination of worldwide newcoming (adopted, refugee or migrant) children in France].

    PubMed

    de Monléon, J-V; Regnier, F; Ajana, F; Baptiste, C; Callamand, P; Cheymol, J; Gillet, Y; Hau-Rainsard, I; Lorrot, M; Reinert, P; Marchand, S; Okaïs, C; Picherot, G

    2014-03-01

    In France, international adoption includes around to 90,000 children since 1980 and near 300,000 immigrant children were counted in 2008. This population is heterogeneous, according to age and country of origin, and its large number. It is not easy to completely and surely assess the vaccine status of the child. Due to a great variability of individual situations, it is not possible to have systematic and unchangeable rules. This article aims to give an update of catch-up vaccination of internationally adopted or refugee or migrant children in France. The vaccination status of a child who recently arrived in France is complex and has to be adapted to his country of origin. Some of them were never vaccinated whereas the vaccine status of others is uncertain or unknown. Three parameters have to be considered: the age of the child, the country of origin, and sometimes serology in the case of doubts of his vaccine status. Catch-up vaccination of foreign children has to be adapted to French vaccine recommendations, as a reference, and to vaccines already administered to the child. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  20. 77 FR 24932 - Brass Sheet and Strip From France, Italy, Germany and Japan: Continuation of Antidumping Duty Orders

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-26

    ...-704] Brass Sheet and Strip From France, Italy, Germany and Japan: Continuation of Antidumping Duty... Japan would likely lead to continuation or recurrence of dumping, and the determinations by the... brass sheet and strip from France, Italy, Germany and Japan, pursuant to section 751(c) of the Tariff...

  1. 77 FR 2511 - Ball Bearings and Parts Thereof From France, Germany, and Italy: Extension of Time Limit for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-18

    ... Bearings and Parts Thereof From France, Germany, and Italy: Extension of Time Limit for Preliminary Results... ball bearings and parts thereof from France, Germany, Italy, Japan, and the United Kingdom for the... Administrative Reviews and Request for Revocation in Part, 76 FR 37781 (June 28, 2011).\\1\\ The preliminary...

  2. Perception of oral contraceptives among women of reproductive age in Japan: a comparison with the USA and France.

    PubMed

    Matsumoto, Yasuyo; Yamabe, Shingo; Sugishima, Toru; Geronazzo, Dan

    2011-07-01

    In order to reveal the differences between oral contraceptives (OC) perceptions and actual needs, we performed a web-based study in the USA, France, and Japan. The study was carried out using a web-based questionnaire in May 2009. Two hundred women each from the three countries who were in their 20s, 30s, or 40s were randomly selected and asked about contraception. The most frequently used contraceptive method was OC in the USA and France and condoms in Japan. The most commonly used OC information source was doctors in the USA and France, but the media in Japan. The main reason for taking OC was 'contraception' in the USA and France, but it was relief from menstruation-related problems in Japan. Partner agreement was highest in France, and partner disagreement was highest in the USA. The most common reason for discontinuing OC use was 'contraception became unnecessary' in all three countries. The second most common reason was 'troublesome to take everyday' in the USA and France but 'troublesome to get a doctor's prescription' in Japan. The most common reason for never taking OC was also 'troublesome to get a doctor's prescription' in Japan. As a non-contraceptive benefit, 'relief of dysmenorrhea' was well known in all three countries; however, other non-contraceptive benefits were little known among Japanese. There are several differences in the patterns of OC use in the three countries studied. Providers should know more about current OC usage patterns in order to improve the quality of care. © 2011 The Authors. Journal of Obstetrics and Gynaecology Research © 2011 Japan Society of Obstetrics and Gynecology.

  3. Seoul Virus Infection in Humans, France, 2014–2016

    PubMed Central

    Carli, Damien; Bour, Jean-Baptiste; Boudjeltia, Samir; Dewilde, Anny; Gerbier, Guillaume; Nussbaumer, Timothée; Jacomo, Véronique; Rapt, Marie-Pierre; Rollin, Pierre E.; Septfons, Alexandra

    2017-01-01

    We report detection of Seoul virus in 3 patients in France over a 2-year period. These patients accounted for 3 of the 4 Seoul virus infections among 434 hantavirus infections (1.7%) reported during this time. More attention should be given to this virus in Europe where surveillance has been focused mostly on Puumala and Dobrava-Belgrade hantaviruses. PMID:28368241

  4. PCR analysis of the viral complex associated with La France disease of Agaricus bisporus.

    PubMed Central

    Romaine, C P; Schlagnhaufer, B

    1995-01-01

    Reverse transcription PCR analysis was used to investigate the involvement of two RNA-genome viruses, La France isometric virus (LIV) and mushroom bacilliform virus (MBV), in the etiology of La France disease of the cultivated mushroom Agaricus bisporus. Reverse transcription PCR amplification of sequences targeted to the genomes of LIV and MBV, with a sensitivity of detection of < 10 fg of viral RNA, showed diseased mushrooms to be either singly infected by LIV or doubly infected by LIV and MBV. Of 70 geographically diverse diseased mushroom isolates, 100% were infected by LIV, whereas almost 60% of these isolates were coinfected by MBV. Of 58 mushroom isolates determined to be free of infection by LIV, 3 were found to be infected by MBV. This represents the first documented report of the independent replication of these two viruses. Our data support the hypothesis that La France disease is associated with infection by two autonomously replicating viruses in which LIV is the primary causal agent and MBV, although possibly pathogenic and capable of modulating symptoms, is not required for pathogenesis. PMID:7793952

  5. Cloud Height Maps for Hurricanes Frances and Ivan

    NASA Technical Reports Server (NTRS)

    2004-01-01

    NASA's Multi-angle Imaging SpectroRadiometer (MISR) captured these images and cloud-top height retrievals of Hurricane Frances on September 4, 2004, when the eye sat just off the coast of eastern Florida, and Hurricane Ivan on September 5th, after this cyclone had devastated Grenada and was heading toward the central and western Caribbean. Hurricane Frances made landfall in the early hours of September 5, and was downgraded to Tropical Storm status as it swept inland through the Florida panhandle and continued northward. On the heels of Frances is Hurricane Ivan, which is on record as the strongest tropical cyclone to form at such a low latitude in the Atlantic, and was the most powerful hurricane to have hit the Caribbean in nearly a decade.

    The ability of forecasters to predict the intensity and amount of rainfall associated with hurricanes still requires improvement, especially on the 24 to 48 hour timescale vital for disaster planning. To improve the operational models used to make hurricane forecasts, scientists need to better understand the multi-scale interactions at the cloud, mesoscale and synoptic scales that lead to hurricane intensification and dissipation, and the various physical processes that affect hurricane intensity and rainfall distributions. Because these uncertainties with regard to how to represent cloud processes still exist, it is vital that the model findings be evaluated against hurricane observations whenever possible. Two-dimensional maps of cloud height such as those shown here offer an unprecedented opportunity for comparing simulated cloud fields against actual hurricane observations.

    The left-hand panel in each image pair is a natural color view from MISR's nadir camera. The right-hand panels are cloud-top height retrievals produced by automated computer recognition of the distinctive spatial features between images acquired at different view angles. These results indicate that at the time that these images were

  6. Dietary habits in New France during the 17th and 18th centuries: An isotopic perspective.

    PubMed

    Vigeant, J; Ribot, I; Hélie, J-F

    2017-03-01

    Little attention has been given, so far, to the early colonial diet in New France from an isotopic perspective. Historical records that compare France to New France suggest a shift toward a more diverse diet, including a higher protein intake due to an improvement in living conditions in the New World, despite the retention of ancestral dietary habits. This hypothesis will be explored here. Stable carbon (organic and mineral) and nitrogen isotopes were measured on 43 individuals from Notre Dame cemetery (first Catholic parish church cemetery in Montreal, 1683-1803) as well as 13 French compatriots from La Rochelle, France (Protestant Hospital Cemetery, 1765-1792). Intragroup variation (age at death, sex, and/or burial location) was investigated and compared to compiled data from various northeastern North American sites (N = 99). The Notre Dame sample means are as follows: -19.6‰ versus VPDB for δ 13 C collagen , -12.22‰ versus VPDB for δ 13 C carbonate , and 11.5‰ versus AIR for δ 15 N. They are significantly lower than both La Rochelle (-18.4‰, -11.67‰, and 12.7‰, respectively, p ≤ .005) and the northeastern North American groups used for this comparison (p = .000). The isotopic values obtained from Notre Dame cemetery suggest that the diet was mainly based on C 3 resources with limited C 4 resources. Although different from all comparable contemporary sites, colonial Montreal's diet remains most similar to La Rochelle, France. This study agrees with historians who have suggested that French dietary traditions seem to have been retained among the early colonial inhabitants of Montreal. © 2016 Wiley Periodicals, Inc.

  7. Estimated Annual Numbers of Foodborne Pathogen–Associated Illnesses, Hospitalizations, and Deaths, France, 2008–2013

    PubMed Central

    Le Strat, Yann; Sommen, Cécile; Bruyand, Mathias; Tourdjman, Mathieu; Da Silva, Nathalie Jourdan; Couturier, Elisabeth; Fournet, Nelly; de Valk, Henriette; Desenclos, Jean-Claude

    2017-01-01

    Estimates of the annual numbers of foodborne illnesses and associated hospitalizations and deaths are needed to set priorities for surveillance, prevention, and control strategies. The objective of this study was to determine such estimates for 2008–2013 in France. We considered 15 major foodborne pathogens (10 bacteria, 3 viruses, and 2 parasites) and estimated that each year, the pathogens accounted for 1.28–2.23 million illnesses, 16,500–20,800 hospitalizations, and 250 deaths. Campylobacter spp., nontyphoidal Salmonella spp., and norovirus accounted for >70% of all foodborne pathogen–associated illnesses and hospitalizations; nontyphoidal Salmonella spp. and Listeria monocytogenes were the main causes of foodborne pathogen–associated deaths; and hepatitis E virus appeared to be a previously unrecognized foodborne pathogen causing ≈68,000 illnesses in France every year. The substantial annual numbers of foodborne illnesses and associated hospitalizations and deaths in France highlight the need for food-safety policymakers to prioritize foodborne disease prevention and control strategies. PMID:28820137

  8. The inter-relationship between formal and informal care: a study in France and Israel

    PubMed Central

    LITWIN, HOWARD; ATTIAS-DONFUT, CLAUDINE

    2012-01-01

    This study examined whether formal care services delivered to frail older people’s homes in France and Israel substitute for or complement informal support. The two countries have comparable family welfare systems but many historical, cultural and religious differences. Data for the respondents aged 75 or more years at the first wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) were analysed. Regressions were examined of three patterns of care from outside the household: informal support only, formal support only and both formal and informal care, with the predictor variables including whether informal help was provided by a family member living in the household. The results revealed that about one-half of the respondents received no help at all (France 51%, Israel 55%), about one-tenth received care from a household member (France 8%, Israel 10%), and one-third were helped by informal carers from outside the household (France 34%, Israel 33%). More French respondents (35%) received formal care services at home than Israelis (27%). Most predictors of the care patterns were similar in the two countries. The analysis showed that complementarity is a common outcome of the co-existence of formal and informal care, and that mixed provision occurs more frequently in situations of greater need. It is also shown that spouse care-givers had less formal home-care supports than either co-resident children or other family care-givers. Even so, spouses, children and other family care-givers all had considerable support from formal home-delivered care. PMID:23316096

  9. Assessing Patient Organization Participation in Health Policy: A Comparative Study in France and Italy

    PubMed Central

    Souliotis, Kyriakos; Agapidaki, Eirini; Evangelia Peppou, Lily; Tzavara, Chara; Varvaras, Dimitrios; Buonomo, Oreste Claudio; Debiais, Dominique; Hasurdjiev, Stanimir; Sarkozy, Francois

    2018-01-01

    Background: Even though there are many patient organizations across Europe, their role in impacting health policy decisions and reforms has not been well documented. In line with this, the present study endeavours to fill this gap in the international literature. To this end, it aims to validate further a previously developed instrument (the Health Democracy Index - HDI) measuring patient organization participation in health policy decision-making. In addition, by utilizing this tool, it aims to provide a snapshot of the degree and impact of cancer patient organization (CPO) participation in Italy and France. Methods: A convenient sample of 188 members of CPOs participated in the study (95 respondents from 10 CPOs in Italy and 93 from 12 CPOs in France). Participants completed online a self-reported questionnaire, encompassing the 9-item index and questions enquiring about the type and impact of participation in various facets of health policy decisionmaking. The psychometric properties of the scale were explored by performing factor analysis (construct validity) and by computing Cronbach α (internal consistency). Results: Findings indicate that the index has good internal consistency and the construct it taps is unidimensional. The degree and impact of CPO participation in health policy decision-making were found to be low in both countries; however in Italy they were comparatively lower than in France. Conclusion: In conclusion, the HDI can be effectively used in international policy and research contexts. CPOs participation is low in Italy and France and concerted efforts should be made on upgrading their role in health policy decision-making. PMID:29325402

  10. A cross-cultural comparison of population gambling patterns and regulatory frameworks: France and Québec.

    PubMed

    Kairouz, Sylvia; Paradis, Catherine; Nadeau, Louise; Tovar, Marie-Line; Pousset, Maud

    2016-12-01

    Few empirical studies have examined the relationships between differing regulatory approaches and patterns of gambling behaviors. This article reports on a correlational cross-cultural comparison of differences in the regulatory approaches and gambling behavior among general adult populations in France and Québec, Canada. We drew data from two large population surveys conducted in France and Québec (N=27 653 and N=11 888, respectively). We found diverging and converging aspects of government regulatory policies. Statistical analyses demonstrated significantly higher participation rates and prevalence of 'assiduous gamblers' in Québec. In France, among assiduous gamblers, the proportion of moderate-risk and probable pathological gamblers is significantly higher. Future research should examine environmental conditions and varying gambling offerings, as well as gambling regulation, to determine their potential influence on gambling behaviors.

  11. Maternity rights, work, and health in France and Italy.

    PubMed

    Romito, Patrizia; Saurel-Cubizolles, Marie-Josephe; Escriba-Aguir, Vicenta

    2002-01-01

    This article focuses on the principles and the implementation of maternity rights (MR) in France and Italy. Results show that MR are well established in both countries, where about 80% of women employed during pregnancy were back to work 1 year after childbirth. Nevertheless, social inequalities were found. Less-educated women and those who had manual jobs or worked in small firms in the private sector or off-the-books were less likely to take an extended leave and to return to work. Despite differences in child care provisions, quality and accessibility of child care were common concerns for both French and Italian mothers. Employment was not related to any health problem in Italy 1 year after birth; in France, unemployed new mothers had high rates of psychological distress. Financial worries and marital problems were associated with several health problems in both countries. In conclusion, combining work and motherhood is possible in these 2 countries without too many costs for women, at least for the more privileged among them. However, this relative ease could vanish if social and economic conditions changed for the worse.

  12. 77 FR 16537 - Ball Bearings and Parts Thereof from France, Germany, and Italy: Extension of Time Limit for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-21

    ... Bearings and Parts Thereof from France, Germany, and Italy: Extension of Time Limit for Preliminary Results... ball bearings and parts thereof from France, Germany, Italy, Japan, and the United Kingdom for the... Revocation in Part, 76 FR 37781 (June 28, 2011). See also Ball Bearings and Parts Thereof From Japan and the...

  13. Quantifying alteration of river flow regime by large reservoirs in France

    NASA Astrophysics Data System (ADS)

    Cipriani, Thomas; Sauquet, Eric

    2017-04-01

    Reservoirs may highly modify river flow regime. Knowing the alterations is of importance to better understand the biological and physical patterns along the river network. However data are not necessary available to carry out an analysis of modifications at a national scale, e.g. due to industrial interests or to lack of measurements. The objective of this study is to quantify the changes in a set of hydrological indices due to large reservoirs in France combining different data sources. The analysis is based on a comparison between influenced discharges (observed discharges) and natural discharges available from: (i) gauging stations available upstream the dam, (ii) regionalization procedures (Sauquet et al., 2008; Sauquet et Catalogne, 2011; Cipriani et al., 2012), or (iii) historical data free from human influence close to the dam location. The impact of large reservoirs is assessed considering different facets of the river flow regime, including flood quantiles, low flow characteristics, quantiles from the flow duration curve and the twelve mean monthly discharges. The departures from the indice representative of natural conditions quantify the effect of the reservoir management on the river flow regime. The analysis is based on 62 study cases. Results show large spread in terms of impact depending on the purposes of the reservoirs and the season of interest. Results also point out inconsistencies in data (water balance between outflow and inflow, downstream of the dam is not warranted) due to uncertainties in mean monthly discharges and to the imperfect knowledge of inflows and outflows. Lastly, we suggest a typology of hydrological alterations based on the purposes of the reservoirs. Cipriani T., Toilliez T., Sauquet E. (2012). Estimating 10 year return period peak flows and flood durations at ungauged locations in France. La Houille Blanche, 4-5: 5-13, doi : 10.1051/lhb/2012024. Sauquet E., Catalogne C. (2011). Comparison of catchment grouping methods for

  14. [Are schizophrenic patients being told their diagnosis today in France?

    PubMed

    Villani, M; Kovess-Masféty, V

    2017-04-01

    The progressive shifts in the legal and social contexts, along with major changes in information seeking habits with the development of the Internet, have placed patients' information at the core of medical practice. This has to be applied to the psychiatric fields as well, and to questions about how schizophrenic patients are being told their diagnosis nowadays in France. This paper is a national and international literature review about schizophrenia diagnosis disclosure practices, from 1972 to 2014, using French and English languages and various psychology and medical databases. The used key words were "diagnosis", "disclosure", "communication", "breaking bad news", "information", "schizophrenia" and "psychosis". Proportions of diagnosis announcement: our results show that the proportion of psychiatrists delivering schizophrenia diagnosis to their patients varies between countries. Although we must acknowledge that the questionnaires and samples are diverse, we have found that psychiatrists are in general less prone to deliver diagnosis information in France (from 13,5% to 39% given the studies), Germany (28%), Italy (30%), and Japan (30%), than in Anglo-Saxon countries. Thus, 70% of the psychiatrists in North America and 56% in Australia claim that they disclose their diagnosis to schizophrenic patients. In the United-Kingdom, a study targeting psychotic patients themselves has shown that 47% of them had been told their diagnosis by their doctor. Even in the countries where the proportion of diagnosis disclosure is the highest, there remains a substantial difference with other mental illnesses such as affective or anxiety disorders, which are almost always labeled as such in the information communicated to the patient (90% in North America). Diagnostic information about schizophrenia continues therefore to appear problematic for health professionals, which can seem a paradox given the recent social and legal evolutions, the therapeutic progress, the proved

  15. A cluster of three cases of botulism due to Clostridium baratii type F, France, August 2015.

    PubMed

    Tréhard, Hélène; Poujol, Isabelle; Mazuet, Christelle; Blanc, Quentin; Gillet, Yves; Rossignol, Frédérique; Popoff, Michel-Robert; Jourdan Da Silva, Nathalie

    2016-01-01

    A cluster of three cases of food-borne botulism due to Clostridium baratii type F occurred in France in August 2015. All cases required respiratory assistance. Consumption of a Bolognese sauce at the same restaurant was the likely source of contamination. Clostridium baratii was isolated both from stool specimens from the three patients and ground meat used to prepare the sauce. This is the second episode reported in France caused by this rare pathogen.

  16. [DOPPS estimate of patient life years attributable to modifiable hemodialysis practices in France].

    PubMed

    Canaud, Bernard; Combe, Christian; Bragg-Gresham, Jennifer L; Eichleay, Margaret A; Pisoni, Ronald L; Port, Friedrich K

    2008-07-01

    In this study, we used a prevalent cross-sectional sample of French hemodialysis patients from Dialysis Outcomes and Practice Patterns Study (DOPPS) 2 (2002-2004) to determine the percentage of patients whose values failed to meet targets in six different areas of hemodialysis practice (dialysis dose, anemia, serum phosphorus (PO(4)), serum calcium (Ca), serum albumin and catheter use for vascular access). Cox survival models, with adjustments for patient characteristics, were used for these analyses to estimate mortality hazard ratios (HR). Based on the mortality HR, the fraction of patients outside each target and the total HD population in France, we estimated the number of patient life years that could potentially be gained if every chronic, in-center hemodialysis patient in France who is currently outside of the specified target was able to achieve it. The proportion of patients failing to meet one of the six practice targets in France varied from 15% (dialysis dose) to 75% (albumin) while the percentage of patients complying with all six targets was restricted to 1.2%. The relative risk of mortality (RR) associated with being outside these targets varied from 1.12 to 1.46. Based on these two measures the life-years survival was estimated. The projected number of patients and life years potentially gained from adherence to the six targets was estimated close to 10,600 years-patient. In conclusion, this study suggests large opportunities to improve hemodialysis patient care in France still exist. Compliance with two major practice targets, such as albumin and restriction of catheter use will save highly significant life years of hemodialysis patient. Implementing and strict adherence to national and international guidelines should serve as a basic inspiration for continual improvement of hemodialysis patient care.

  17. Characterization of the large fire regime in SE France

    Treesearch

    Anne Ganteaume; Marielle Jappiot

    2015-01-01

    Southeastern France is the most wildfire prone region of the country, covering 14.7 percent of its land area-entire country, is the region most affected by wildfires, with 55 percent of the total number of fires recorded in the whole country from 2006 to 2008. It is a typical Mediterranean climate with hot and dry summers, often with strong NW wind, and includes plant...

  18. Introduction of new food textures during complementary feeding: Observations in France.

    PubMed

    Marduel Boulanger, A; Vernet, M

    2018-01-01

    Complementary feeding plays a crucial role in the development of infants and toddlers and studies suggest benefits specific to the introduction of food textures. Evaluate the recommendations given to parents, their practices, and their attitudes towards the introduction of food textures during complementary feeding in France. This was a cross-sectional pilot study conducted in 2013. One hundred and eighty-one parents with at least one child aged 6-36 months living in France completed an ad hoc questionnaire. Eighty-eight percent of the parents surveyed received oral information on complementary feeding, but only 46% received such information on the introduction of food textures. Pediatricians were the most frequently listed source of oral information on complementary feeding. More than half the parents also looked for additional information in books and on the internet. While oral recommendations matched parents' practices, they seemed to occur at a later age compared to infants' physiological ability to handle new textures. The quality of information on food texture advice available in paper and electronic formats evaluated using a 4-point scale was found to be limited. Introducing new food texture was spontaneously reported as the most common difficulty in complementary feeding (16%). Fear of choking when first introducing food pieces was reported by 54% of the parents. The parents' lack of information on the introduction of food textures, as well as their fear that their child may choke, should encourage providing new recommendations in France. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  19. Epidemiology of Invasive Streptococcus pyogenes Infections in France in 2007 ▿

    PubMed Central

    Lepoutre, A.; Doloy, A.; Bidet, P.; Leblond, A.; Perrocheau, A.; Bingen, E.; Trieu-Cuot, P.; Bouvet, A.; Poyart, C.; Lévy-Bruhl, D.

    2011-01-01

    Invasive group A streptococcal (GAS) infections cause significant morbidity and mortality. A national survey was initiated to assess the burden of invasive GAS infections in France, describe their clinical characteristics, and assess the molecular characteristics of GAS strains responsible for these infections. The survey was conducted in 194 hospitals, accounting for 51% of acute care hospital admissions in France. Clinical data, predisposing factors, and demographic data were obtained, and all GAS isolates were emm sequence typed. We identified 664 cases of invasive GAS infections, with an annual incidence of 3.1 per 100,000 population. The case-fatality ratio was 14% and rose to 43% in the case of streptococcal toxic shock syndrome. Bacteremia without identified focus (22%) and skin/soft tissue infections (30%) were the most frequent clinical presentations. Necrotizing fasciitis was frequent in adults (18%) and uncommon in children (3%). The 3 predominant emm types were emm1, emm89, and emm28, accounting for 33%, 16%, and 10% of GAS isolates, respectively. The emm1 type was associated with fatal outcomes and was more frequent in children than in adults. Six clusters of cases were identified, with each cluster involving 2 invasive cases due to GAS strains which shared identical GAS emm sequence types. Four clusters of cases involved eight postpartum infections, one family cluster involved a mother and child, and one cluster involved two patients in a nursing home. Invasive GAS infection is one of the most severe bacterial diseases in France, particularly in persons aged ≥50 years or when associated with toxic shock syndrome. PMID:21976764

  20. Diverse Approaches to Implement and Monitor River Restoration: A Comparative Perspective in France and Germany

    NASA Astrophysics Data System (ADS)

    Morandi, Bertrand; Kail, Jochem; Toedter, Anne; Wolter, Christian; Piégay, Hervé

    2017-11-01

    River restoration is a main emphasis of river management in European countries. Cross-national comparisons of its implementation are still rare in scientific literature. Based on French and German national censuses, this study compares river restoration practices and monitoring by analysing 102 French and 270 German projects. This comparison aims to draw a spatial and temporal framework of restoration practices in both countries to identify potential drivers of cross-national similarities and differences. The results underline four major trends: (1) a lag of almost 15 years in river restoration implementation between France and Germany, with a consequently higher share of projects in Germany than in France, (2) substantial similarities in restored reach characteristics, short reach length, small rivers, and in "agricultural" areas, (3) good correspondences between stressors identified and restoration measures implemented. Morphological alterations were the most important highlighted stressors. River morphology enhancement, especially instream enhancements, were the most frequently implemented restoration measures. Some differences exist in specific restoration practices, as river continuity restoration were most frequently implemented in French projects, while large wood introduction or channel re-braiding were most frequently implemented in German projects, and (4) some quantitative and qualitative differences in monitoring practices and a significant lack of project monitoring, especially in Germany compared to France. These similarities and differences between Germany and France in restoration application and monitoring possibly result from a complex set of drivers that might be difficult to untangle (e.g., environmental, technical, political, cultural).

  1. Diverse Approaches to Implement and Monitor River Restoration: A Comparative Perspective in France and Germany.

    PubMed

    Morandi, Bertrand; Kail, Jochem; Toedter, Anne; Wolter, Christian; Piégay, Hervé

    2017-11-01

    River restoration is a main emphasis of river management in European countries. Cross-national comparisons of its implementation are still rare in scientific literature. Based on French and German national censuses, this study compares river restoration practices and monitoring by analysing 102 French and 270 German projects. This comparison aims to draw a spatial and temporal framework of restoration practices in both countries to identify potential drivers of cross-national similarities and differences. The results underline four major trends: (1) a lag of almost 15 years in river restoration implementation between France and Germany, with a consequently higher share of projects in Germany than in France, (2) substantial similarities in restored reach characteristics, short reach length, small rivers, and in "agricultural" areas, (3) good correspondences between stressors identified and restoration measures implemented. Morphological alterations were the most important highlighted stressors. River morphology enhancement, especially instream enhancements, were the most frequently implemented restoration measures. Some differences exist in specific restoration practices, as river continuity restoration were most frequently implemented in French projects, while large wood introduction or channel re-braiding were most frequently implemented in German projects, and (4) some quantitative and qualitative differences in monitoring practices and a significant lack of project monitoring, especially in Germany compared to France. These similarities and differences between Germany and France in restoration application and monitoring possibly result from a complex set of drivers that might be difficult to untangle (e.g., environmental, technical, political, cultural).

  2. [Hypospadia and infertility of Henry II of France (1519-1559)].

    PubMed

    Hatzinger, M; Al-Shajlawi, S; Sohn, M

    2014-03-01

    Henry II (1519-1559) of France was the second son of Francis I (1494-1547) and Claude de France (1498-1524) born in 1519 in St. Germain-en-Laye. After his older brother's and his father's death in 1547, he was anointed the French king in Reims. In 1533 already, as a 14-year-old boy, for reasons of state, he was married to the same aged Catherine de Medici (1519-1589), as her uncle was Pope Clement VII (1478-1534). The marriage remained childless for 11 years since Henry, due to a distinct hypospadia and a completely sexually inexperienced wife was unable to conceive children with her. His existing liaison to Diane de Poitiers (1499-1566) - a 19-year-older maid of honor of his father Francis I from 1537 until his death - influenced his sexual life immensely.The blame for the childless marriage was placed primarily on his wife, as Henry had become father of an illegitimate daughter with a mistress. Catherine then underwent all possible medical and alchemical procedures to finally give birth to the hoped Dauphin. Ironically, her rival for the favor of her husband, Diane de Poitiers was one of her greatest allies. She made clear that the cause lay with Henry and not with his wife. This was confirmed by the added solid physician Jean Fernel (1497-1558). His treatment of Henry and the simultaneous training of the unexperienced Catherine by Diane de Poitiers led to success.The result was the birth of Francis II (1544-1560) in 1544, the first of 10 children in 12 years. Thus, the dynasty was saved. After the death of Henry in a tragic tournament accident in 1559, three of his sons became kings of France. But the line of Valois remained without further descendants and was continued by Henry IV, the first Bourbon king in 1589.

  3. La Maison Paternelle: 'A College of Repression' for Wayward Bourgeois Adolescents in Nineteenth and Early Twentieth Century France.

    ERIC Educational Resources Information Center

    Ramsland, John

    1989-01-01

    Describes the Maison Paternelle de St Antoine near Tours, France, which operated as a private institution for the correction of recalcitrant bourgeois adolescents from 1855 until 1909. Cites the suicide of an inmate as the factor which led to the closing of this facility and the focusing of attention in France on the rights of children. (KO)

  4. Travel-associated and autochthonous Zika virus infection in mainland France, 1 January to 15 July 2016

    PubMed Central

    Septfons, A; Leparc-Goffart, I; Couturier, E; Franke, F; Deniau, J; Balestier, A; Guinard, A; Heuzé, G; Liebert, A H; Mailles, A; Ndong, JR; Poujol, I; Raguet, S; Rousseau, C; Saidouni-Oulebsir, A; Six, C; Subiros, M; Servas, V; Terrien, E; Tillaut, H; Viriot, D; Watrin, M; Wyndels, K; Noel, H; Paty, MC; De Valk, H

    2016-01-01

    During summer 2016, all the conditions for local mosquito-borne transmission of Zika virus (ZIKV) are met in mainland France: a competent vector, Aedes albopictus, a large number of travellers returning from ZIKV-affected areas, and an immunologically naive population. From 1 January to 15 July 2016, 625 persons with evidence of recent ZIKV infection were reported in mainland France. We describe the surveillance system in place and control measures implemented to reduce the risk of infection. PMID:27542120

  5. Obtaining reimbursement in France and Italy for new diabetes products.

    PubMed

    Schaefer, Elmar; Schnell, Gerald; Sonsalla, Jessica

    2015-01-01

    Manufacturers launching next-generation or innovative medical devices in Europe face a very heterogeneous reimbursement landscape, with each country having its own pathways, timing, requirements and success factors. We selected 2 markets for a deeper look into the reimbursement landscape: France, representing a country with central decision making with defined processes, and Italy, which delegates reimbursement decisions to the regional level, resulting in a less transparent approach to reimbursement. Based on our experience in working on various new product launches and analyzing recent reimbursement decisions, we found that payers in both countries do not reward improved next-generation products with incremental reimbursement. Looking at innovations, we observe that manufacturers face a challenging and lengthy process to obtain reimbursement. In addition, requirements and key success factors differ by country: In France, comparative clinical evidence and budget impact very much drive reimbursement decisions in terms of pricing and restrictions, whereas in Italy, regional key opinion leader (KOL) support and additional local observational data are key. © 2015 Diabetes Technology Society.

  6. [Epidemiology and prevention of echinococcosis in France].

    PubMed

    Petavy, A F; Deblock, S; Walbaum, S

    1990-01-21

    Echinococcosis is a cosmopolitan parasitic disease caused by the larvae of two tapeworms: Echinococcus granulosus responsible for unilocular hydatidosis, and Echinococcus multilocularis responsible for alveolar hydatid disease. In both cases man is infected by ingesting eggs of these tapeworms belonging to the genus Cestoda. In France, the only animal that acts as definitive host and transmits the unilocular type of hydatid disease is the dog, while the alveolar type is transmitted by dogs, foxes and cats. Carnivorous pet animals must be taken into account in the prevention of echinococcosis, whether their role is direct or indirect (fouling plants).

  7. mcr-1 Colistin Resistance in ESBL-Producing Klebsiella pneumoniae, France

    PubMed Central

    Maillet, Mylène; Pavese, Patricia; Francony, Gilles; Brion, Jean-Paul; Mallaret, Marie-Reine; Bonnet, Richard; Robin, Frédéric; Beyrouthy, Racha; Maurin, Max

    2017-01-01

    We report intestinal carriage of an extended-spectrum β-lactamase−producing Klebsiella pneumoniae strain with high-level resistance to colistin (MIC 24 mg/L) in a patient in France who had been hospitalized for fungal meningitis. The strain had the mcr-1 plasmid gene and an inactivated mgrB gene, which are associated with colistin resistance. PMID:28418313

  8. Napoleon: His Interest in Books and the Libraries of France.

    ERIC Educational Resources Information Center

    Montgomery, Dorothy R.

    Napoleon Bonaparte had both a personal and national interest in books, and he exerted a tremendous influence on the country's libraries during his 16 years as leader of France. In addition to collecting books for his personal libraries (including a traveling library that he took with him on his campaigns), he instituted an accelerated program for…

  9. Oak silviculture, management, and defoliation effects in France and Germany

    Treesearch

    Kurt W. Gottschalk

    1993-01-01

    A study tour of four areas of France and Germany (two in each country) was conducted to examine oak silvicultural and managerial practices and the influence of insect defoliators on the ecology and management of oak forests. The French and German situations may provide useful information for managing oak forests and gypsy moth in the United States, especially the...

  10. Romanticism or Reality? An Exploration of Frances Mary Hendry's "Chandra."

    ERIC Educational Resources Information Center

    Johnson, Jilaine

    This paper singles out a novel written for children about India, "Chandra" (1995) by Frances Mary Hendry, as a powerful and useful novel to present to today's 11 to 14 year old students. The paper contends that the novel allows students to explore and consider different value systems, challenges them to become aware of prejudice and the…

  11. Teaching American Culture in France: Language Assistants' Identity Construction and Interculturality

    ERIC Educational Resources Information Center

    Dargent-Wallace, Anne

    2013-01-01

    This study investigates the identity and interculturality development of English-language teaching assistants through their perceptions of their experiences living and working in France. The study is framed using Bourdieu's (1979, 2000) notions of habitus and cultural capital, and draws from Byram's (2000) "intercultural mediator" and…

  12. Distribution of Leptospira serogroups in cattle herds and dogs in France.

    PubMed

    Ayral, Florence C; Bicout, Dominique J; Pereira, Helena; Artois, Marc; Kodjo, Angeli

    2014-10-01

    A retrospective study was conducted to identify and describe the distribution pattern of Leptospira serogroups in domestic animals in France. The population consisted of cattle herds and dogs with clinically suspected leptospirosis that were tested at the "Laboratoire des Leptospires" between 2008 and 2011. The laboratory database was queried for records of cattle and dogs in which seroreactivity in Leptospira microagglutination tests was consistent with a recent or current infection, excluding vaccine serogroups in dogs. A total of 394 cattle herds and 232 dogs were diagnosed with clinical leptospirosis, and the results suggested infection by the Leptospira serogroup Australis in 43% and 63%, respectively; by the Leptospira serogroup Grippotyphosa in 17% and 9%, respectively; and by the Leptospira serogroup Sejroe in 33% and 6%, respectively. This inventory of infecting Leptospira serogroups revealed that current vaccines in France are not fully capable of preventing the clinical form of the disease. © The American Society of Tropical Medicine and Hygiene.

  13. 75 FR 65222 - Airworthiness Directives; Eurocopter France Model AS 350 B, BA, B1, B2, B3, and D, and Model...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-22

    ... Airworthiness Directives; Eurocopter France Model AS 350 B, BA, B1, B2, B3, and D, and Model AS355 E, F, F1, F2... adopting a new airworthiness directive (AD) for the Eurocopter France Model AS 350 B, BA, B1, B2, B3, and D... 14 CFR part 39 to include an AD that would apply to the Eurocopter France Model AS 350 B, BA, B1, B2...

  14. Vocational Counselors in France: Comparison to Competencies of Employment Specialists Working in Canadian IPS Programs.

    PubMed

    de Pierrefeu, Inès; Corbière, Marc; Pachoud, Bernard

    2017-10-01

    Supported employment programs are evidence-based practices to help people with severe mental illness to obtain competitive employment. The competencies of employment specialists working in these programs are key elements related to work integration. In France, the Messidor Association, a prevocational organisation, has developed a practice with similarities to supported employment and is beginning to develop supported employment programs in their context. The objective of this quantitative study was to evaluate the Messidor vocational counselors' competencies using the Behaviors, Attitudes and Knowledge in Employment Specialists' scale by comparing their results to those of employment specialists working in IPS programs in Canada. Descriptive analyses and a MANOVA highlighted similarities between French and Canadian counselors such as the same importance given to the working alliance with clients and the development of relationships with different stakeholders (e.g., employers). Skills that should be developed in vocational counselors in France include those related to rapid job search and dealing with stigma. In addition, clinical implications are suggested to ensure the development of vocational counselors' competencies in France.

  15. Promoting the Swedish method of physical education throughout France for the benefit of public health (1868-1954).

    PubMed

    Bazoge, N; Saint-Martin, J; Attali, M

    2013-03-01

    This article examines the cultural and public health challenges associated with the dissemination of the Swedish approach and methods of physical education throughout France and illustrates the two main methods of influence, both direct through research and study visits and indirect through the creation of an international network entitled the International Federation of Physical Education. More particularly, it studies the roles of Philippe Tissié in 1898 and Pierre Seurin in 1946, and shows how these two major players of French physical education contributed actively to strengthening Swedish influence throughout France. It also highlights their equally essential role in the successful implementation of a pro-Swedish network in France, intended to serve their public health aims. This analysis forms part of the geopolitical and socio-cultural history of foreign physical education models, whose exemplarity was mainly dependent on Franco-Swedish relations and the models' social representations. Using archives from the French Physical Education League, travel logs and the Revue des jeux scolaires et d'hygiène sociale (Journal for School Games and Social Hygiene), it has been shown why the myth of the Swedish Eldorado contributed to creating, in France, "a work of art and of science that was, at the same time, both national and practical." © 2011 John Wiley & Sons A/S.

  16. Occitan: The Occitan Language in Education in France. Regional Dossiers Series.

    ERIC Educational Resources Information Center

    Berthoumieux, Michel; Willemsma, Adalgard

    This regional dossier aims to provide concise, descriptive information and basic educational statistics about minority language education in a specific region of the European Union--the South of France. Details are provided about the features of the educational system, recent educational policies, divisions of responsibilities, main actors, legal…

  17. Class, Gender, and School Expansion in France: A Four-Systems Comparison.

    ERIC Educational Resources Information Center

    Garnier, Maurice A.; Hage, Jerald

    1991-01-01

    Discusses a study of the effects of material incentives and institutionalized values upon the expansion of secondary school systems in France. Reports that class was more important than gender in determining expansion because state policies placed greater emphasis on emphasized class in determining supply. Concludes that state policy reinforced…

  18. 10 years of surveillance of human tularaemia in France.

    PubMed

    Mailles, A; Vaillant, V

    2014-11-13

    Tularaemia has been mandatorily notifiable in France since October 2002. The surveillance aims to detect early any infection possibly due to bioterrorism and to follow up disease trends. We report the results of national surveillance from 2002 to 2012. A case is defined as a patient with clinical presentation suggestive of tularaemia and biological confirmation of infection or an epidemiological link with a biologically confirmed case. Clinical, biological and epidemiological data are collected using a standardised notification form. From 2002 to 2012, 433 cases were notified, with a median age of 49 years (range 2 to 95 years) and a male–female sex ratio of 1.8. Most frequent clinical presentations were glandular tularaemia (n=200; 46%) and ulceroglandular tularaemia (n=113; 26%). Most frequent at-risk exposures were handling hares (n=179; 41%) and outdoor leisure exposure to dust aerosols (n=217; 50%). Tick bites were reported by 82 patients (19%). Ten clusters (39 cases) were detected over the 10-year period, as well as a national outbreak during winter 2007/2008. The tularaemia surveillance system is able to detect small clusters as well as major outbreaks. Surveillance data show exposure to dust aerosols during outdoor leisure activities to be a major source of contamination in France.

  19. Occupational, social and medical characteristics of early prenatal leave in France.

    PubMed

    Vigoureux, Solène; Blondel, Béatrice; Ringa, Virginie; Saurel-Cubizolles, Marie-Josèphe

    2016-12-01

    In France, most women of childbearing age work. The prenatal leave law in France protects women during pregnancy and their employment. We aimed to describe how long before delivery women stopped working and analyse the association between occupational, social and medical factors and early prenatal leave (before 24 weeks' gestation). The sample was extracted from the 2010 French National Perinatal Survey. Women were interviewed in French maternity units during a 1-week period. We focused on all women with a singleton live birth who were working during pregnancy (n = 10 149). Women were interviewed between delivery and discharge to collect information on employment, date of leave, sociodemographic and medical characteristics. Among women who worked during pregnancy, 27.5% reported early occupational leave (before 24 weeks' gestation). Early occupational leave was more frequent among women with unstable jobs (fixed-term vs. non-fixed-term contract: adjusted odds ratio aOR = 1.60 [95% confidence interval 1.40-1.84]) and with less-qualified occupational categories (manual workers vs. managers and upper-intellectual positions: aOR = 2.96 [2.30-3.82]), even after adjusting for sociodemographic and other employment characteristics. Women with a pathological or at risk pregnancy left work earlier than other women. After stratification on type of pregnancy there was still a higher rate of early leave for women with less qualified occupational group. In France, social vulnerability of pregnant women, linked to low sociodemographic situation or low occupational categories, is associated with early leave during pregnancy, even after stratification on type of pregnancy. © The Author 2016. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  20. Meal patterns and cooking practices in Southern France and Central England.

    PubMed

    Pettinger, Clare; Holdsworth, Michelle; Gerber, Mariette

    2006-12-01

    To evaluate whether meal patterns and cooking practices in Central England and Mediterranean France conform to popular stereotypes, eating together as a household, preparation of meals, food purchasing patterns, cooking practices and eating out were investigated. Cross-sectional studies conducted simultaneously in April 2001 using self-administered postal questionnaires. England (Nottingham, East Midlands) and France (Montpellier, Languedoc-Roussillon). A stratified random sample of 1000 males and 1000 females aged 18-65 years was generated from the electoral roll in each country. The final sample comprised 826 subjects in England (58% males, 42% females; mean age 44 years) and 766 subjects in France (42% males, 58% females; mean age 42 years). Analyses were conducted on samples standardised for sociodemographic differences. The French cooked from raw ingredients most often (P<0.001), ate together as a household more regularly (P<0.001) and were most likely to follow a regular meal pattern of three meals a day. On the other hand, the English relied more on ready-prepared (P<0.001) and take-away (P<0.001) meals, as well as on energy-dense snack foods such as crisps (P<0.001). Females in both countries reported having most responsibility for preparing meals. Some of the study's findings confirm popular stereotypes of French and English food cultures, as the importance of the convivial aspects of eating, as well as more traditional practices such as cooking meals from basic ingredients, structured mealtimes and less between-meal snacking, remain more prominent within the French population. This may contribute to the differences in prevalence of obesity seen between the two countries.

  1. [Economic impact of lung cancer screening in France: A modeling study].

    PubMed

    Gendarme, S; Perrot, É; Reskot, F; Bhoowabul, V; Fourre, G; Souquet, P-J; Milleron, B; Couraud, S

    2017-09-01

    The National Lung Screening Trial found that, in a selected population with a high risk of lung cancer, an annual low-dose CT-scan decreased lung cancer mortality by 20% and overall mortality by 7% compared to annual chest X-Ray. In France, a work group stated that individual screening should be considered in this setting. However, the economic impact of an organized and generalized (to all eligible individuals) screening in France was never reported. This is a modeling study using French population demographic data and published data from randomized screening trials. We used the same selection criteria as NLST: 55-74-year-old smokers for at least 30 pack-years, current smoker or quit less than 15 years. We computed a second model including also 50-54-year-old individuals. Then, we used different participation rates: 65%, 45%, and 32%. According to the considered model, there would be 1,650,588 to 2,283,993 subjects eligible to screening in France. According to the model and participation rate, lung cancer screening would diagnose 3600 to 10,118 stages 1/2 lung cancer each year. There would be 5991 to 16,839 false-positives, of whom 1416 to 3981 would undergo unnecessary surgery. Screening policy would cost 105 to 215 € million per year. However, increasing the price of a cigarette pack by 0.05 to 0.10 € would fully cover the screening costs. Participation rate is a key point for screening impact. Screening could be easily funded by a small increase in cigarette prices. Copyright © 2015 SPLF. Published by Elsevier Masson SAS. All rights reserved.

  2. France and the Rif War: Lessons from a Forgotten Counterinsurgency War (Northern Morocco - April 1925 - May 1927)

    DTIC Science & Technology

    2010-04-07

    the fighting: the then captains Alphonse Juin, Jean de Lattre de Tassigny, and Lieutenant Philippe de Hautecloque. In his study Three Marshals of...d’aviation. Paris: Berger Levrault, 1928. Juin, Alphonse (Marechal), Je suis soldat: Paris, Editions du Conquistador, 1960. Laure, Auguste, La...Marshals of France, 15 0. 83 Clayton, Three Marshals of France, 155. 84 Juin, Alphonse (man\\chal), Je suis soldat, pp. 102-103. « J’ai rappe!e moi

  3. [Embryo donation: why is there a delay in the implementation in France? A discussion on the practical, ethical and psychological dilemmas].

    PubMed

    Temstet, R; Devaux, A; Lourdel, E; Cabry, R; Brzakowski, M; Copin, H; Merviel, P

    2011-01-01

    Since 1999, French legislation has stipulated that embryo donation is one of the possibilities afforded to couples who have a surplus of cryopreserved embryos. Donation of embryos with no foreseeable future use by the genetic couple can therefore be given to infertile couples. In practice however, since the authorization of this novel Medically Assisted Reproduction technique, embryo donation is not widely performed in France even though it is not technically difficult. Why then is there reluctance towards the implementation of embryo donation in France? The aim of this article is to analyze the grounds for the delay in the realization of embryo donation in France. Our findings propose that a myriad of factors including organizational, ethical and psychological determinants have deterred the implementation of embryo donation in France. Copyright © 2011 Elsevier Masson SAS. All rights reserved.

  4. Sheep Feed and Scrapie, France

    PubMed Central

    Philippe, Sandrine; Ducrot, Christian; Roy, Pascal; Remontet, Laurent; Jarrige, Nathalie

    2005-01-01

    Scrapie is a small ruminant, transmissible spongiform encephalopathy (TSE). Although in the past scrapie has not been considered a zoonosis, the emergence of bovine spongiform encephalopathy, transmissible to humans and experimentally to sheep, indicates that risk exists for small ruminant TSEs in humans. To identify the risk factors for introducing scrapie into sheep flocks, a case-control study was conducted in France from 1999 to 2000. Ninety-four case and 350 control flocks were matched by location and main breed. Three main hypotheses were tested: direct contact between flocks, indirect environmental contact, and foodborne risk. Statistical analysis was performed by using adjusted generalized linear models with the complementary log-log link function, considering flock size as an offset. A notable effect of using proprietary concentrates and milk replacers was observed. The risk was heterogeneous among feed factories. Contacts between flocks were not shown to be a risk factor. PMID:16102318

  5. Travel-associated and autochthonous Zika virus infection in mainland France, 1 January to 15 July 2016.

    PubMed

    Septfons, A; Leparc-Goffart, I; Couturier, E; Franke, F; Deniau, J; Balestier, A; Guinard, A; Heuzé, G; Liebert, A H; Mailles, A; Ndong, J R; Poujol, I; Raguet, S; Rousseau, C; Saidouni-Oulebsir, A; Six, C; Subiros, M; Servas, V; Terrien, E; Tillaut, H; Viriot, D; Watrin, M; Wyndels, K; Noel, H; Paty, M C; De Valk, H

    2016-08-11

    During summer 2016, all the conditions for local mosquito-borne transmission of Zika virus (ZIKV) are met in mainland France: a competent vector, Aedes albopictus, a large number of travellers returning from ZIKV-affected areas, and an immunologically naive population. From 1 January to 15 July 2016, 625 persons with evidence of recent ZIKV infection were reported in mainland France. We describe the surveillance system in place and control measures implemented to reduce the risk of infection. This article is copyright of The Authors, 2016.

  6. Wine Chemical Composition and Radical Scavenging Activity of Some Cabernet Franc Clones.

    PubMed

    Popovic-Djordjevic, Jelena; Pejin, Boris; Dramicanin, Aleksandra; Jovic, Sonja; Vujovic, Dragan; Zunic, Dragoljub; Ristic, Renata

    2017-01-01

    Three clones of Cabernet Franc (Nos. 02, 010 and 012) were selected in the last phase of clonal selection in Serbia. Wines made from each clone were assessed for quality parameters and taste during five consecutive vintages (2008-2012) and compared to the standard. The wine quality was determined based on the following parameters: alcohol, total extract, anthocyanins, tannins, pH, titratable acidity, volatile acidity, aldehydes, esters and reducing sugars, relative density, ash, colour, tonality, and tasting score. In the last year of the study, grapes and wines of Cabernet Franc clones and a standard were subjected to a chemical analysis of their phenolic composition, resveratrol and radical scavenging activity. In the last year of the study, grapes and wines of Cabernet Franc clones and a standard were subjected to a chemical analysis of their phenolic composition, resveratrol and radical scavenging activity. Chemical analyses of grapes and wines along with sensory and radical scavenging activity evaluations were done according to the standard procedures. The wines of the clone No. 010 showed some superior properties compared to the other two clones and the standard; in five-year period the average concentration of anthocyanins (179±3.8 mg/L) and polyphenolics (1.85±0.02 g/L) was significantly higher than in wines of clones and the standard, (168-173 mg/L and 1.63-1.74 g/L for anthocyanins and phenolics, respectively). Furthermore, the same clone had a higher alcohol content (13.97±0.03%) in each year of the study, which indicated that it ripened faster than other clones (13.06-13.08 %) and compared to the standard (13.04±0.07%). This finding suggested that the clone No. 010 could possibly have a significant economic impact and further increase popularity of Cabernet Franc in a cooler climate viticultural region. It was also found to have the highest contents of aldehydes (488±1.54 mg/L) and esters (322±0.71 mg/L) compared to aldehydes (452-467 mg/L) and

  7. Future summer mega-heatwave and record-breaking temperatures in a warmer France climate

    NASA Astrophysics Data System (ADS)

    Bador, Margot; Terray, Laurent; Boé, Julien; Somot, Samuel; Alias, Antoinette; Gibelin, Anne-Laure; Dubuisson, Brigitte

    2017-07-01

    This study focuses on future very hot summers associated with severe heatwaves and record-breaking temperatures in France. Daily temperature observations and a pair of historical and scenario (greenhouse gas radiative concentration pathway 8.5) simulations with the high-resolution (∼12.5 km) ALADIN regional climate model provide a robust framework to examine the spatial distribution of these extreme events and their 21st century evolution. Five regions are identified with an extreme event spatial clustering algorithm applied to observed temperatures. They are used to diagnose the 21st century heatwave spatial patterns. In the 2070s, we find a simulated mega-heatwave as severe as the 2003 observed heatwave relative to its contemporaneous climate. A 20-member initial condition ensemble is used to assess the sensitivity of this future heatwave to the internal variability in the regional climate model and to pre-existing land surface conditions. Even in a much warmer and drier climate in France, late spring dry land conditions may lead to a significant amplification of summer extreme temperatures and heatwave intensity through limitations in evapotranspiration. By 2100, the increase in summer temperature maxima exhibits a range from 6 °C to almost 13 °C in the five regions in France, relative to historical maxima. These projections are comparable with the estimates given by a large number of global climate models.

  8. Graduate Education in Government: In England, France, and the United States.

    ERIC Educational Resources Information Center

    Vernardakis, George

    This book reports findings of a study comparing how the leading institutions of higher education in England, France, and the United States conduct their graduate programs in political science. Institutions studied were: Cambridge University, Oxford University, and the University of London in England; the University of Paris 1 (Sorbonne), Institute…

  9. Radioactive waste management in France and international cooperation

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Marque, Y.

    1991-01-01

    Long-term industrial management of radioactive waste in France is carried out by the Agence Nationale pour la gestion des Dechets Radioactifs. (ANDRA), which is a public body responsible mainly for siting, design, construction, and operation of the disposal facilities for every kind of radioactive waste produced in the country. Furthermore, ANDRA has to define and control the required quality of waste packages delivered for disposal. As far as disposal is concerned, it is customary in France to classify waste in two main categories. The first category includes all the so-called short-lived low-level waste (LLW) containing mainly radioactive substances have

  10. 75 FR 63052 - Airworthiness Directives; Eurocopter France (ECF) Model AS350B3 and EC130 B4 Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-14

    ... Airworthiness Directives; Eurocopter France (ECF) Model AS350B3 and EC130 B4 Helicopters AGENCY: Federal... directive (AD) for the Eurocopter France Model AS350B3 and EC130 B4 helicopters. This amendment is prompted... autorotation training making it impossible to execute a power recovery and compelling the pilot to continue the...

  11. [Immigrants or citizens: immigration policy in France and in the United States].

    PubMed

    Hollifield, J H

    1990-01-01

    Treatment of migrants and foreigners by a government can reveal not only the functioning of the political system but the philosophic values on which the system is founded. This article compares French and American immigration policy and explores the extent to which French immigration policy is more "statist" or Jacobin while American immigration policy is more "liberal" or pluralist. Immigration is an explosive problem for all democratic governments. 4 questions are involved, that of the sovereignty of the state over its citizens; that of citizenship, not only regarding the juridical definition of citizen but also assimilation, ethnicity, race, and political socialization; that of employment, which has been the most important determinant of migration policies in the industrialized countries after World War II; and that of humanitarian considerations, which have become more significant in the 1980s. Comparison of immigration policies must focus on issues of citizenship and employment and on humanitarian aspects. France and the US have had more difficulty in formulating and applying migration policies with national objectives than have any of the other liberal democracies. This work seeks to explain this similarity as well as divergences in the migration policies of France and the US by examining: 1) institutional differences between the 2 political systems and how they affect the state's capacity to control immigration; 2) the way in which the political and juridical culture influence relationships between problems of citizenship and use of foreign manpower; and 3) immigration policies as they have been applied in the 2 countries in the postwar period. The entire issue of immigration has become more politicized in France than in the US, partly because of the statist and administrative approach to it in France. The federal nature of the US political system, the stability of the party system, and the pluralist approach to legislation have fragmented the issue of

  12. Physics in France Circa 1850-1914; its National Organisation, Characteristics and Content.

    NASA Astrophysics Data System (ADS)

    Davis, John L.

    1990-01-01

    Available from UMI in association with The British Library. The thesis begins with an examination of what was understood by the term 'physics' in France circa. 1850. The development of the centralised state educational system and the physics research which was produced within this system in Paris and the provinces, is then considered. Although all the relevant institutions, where some form of physics or physical science was taught, have been examined, the Ecole Polytechnique, and the Ecole Normale Superieure have a particular importance in the early period of this study. As time passed and as a result of reforms put in hand by the republican regime which came out of the defeat of the Franco -Prussian war of 1870-71, the universite system grew in importance, while the role of the Polytechnique declined. The Ecole Normale, the Paris Faculty and the provincial faculties form part of the universite system and participated in its growth. A knowledge of the objectives of the physics courses in these institutions helps in the understanding of the characteristics of physics in France in this period. The central objective was, largely, to produce either science teachers, or (in the case of the Polytechnique), a type of elite 'technocrat', for the state, i.e. men who could communicate clearly, or technically utilise knowledge, which was already established on a firm theoretical basis. This is not to say that research had no place in the institutions of higher education, on the contrary, and this research, carried out by both teachers and students, is examined here to try to relate its form and content to the particular institution in which it was carried out. The role of national organisations like the Societe de physique and the Association Francaise pour l'avancement des sciences in the development of physics in France is also considered, as is the role of the Academie des sciences. The predominantly experimental nature of physics research in France is related to the

  13. [Violence for educational purpose: Representations of general practitioners in the Paris area, France. A qualitative study].

    PubMed

    de Brie, Claire; Piet, Emmanuelle; Chariot, Patrick

    2018-03-01

    Violence for educational purpose refers to a modality of education that includes threats, verbal abuse, physical abuse and humiliations. Twenty European countries, not including France, have abolished corporal punishment through explicit laws and regulations. The position of general practitioners in the screening and care of violence for educational purpose in France is unknown. In this study, we aimed to assess the representations of this form of violence among general practitioners. We have performed semi-directed interviews of general practitioners in the Paris, France region (Île-de-France). Interviews were conducted until data saturation was achieved. Interviews were recorded, transcribed and analysed by two investigators. Interviews were conducted with 20 physicians (November 2015-January 2016). General practitioners considered that physical, verbal or psychological abuse had possible negative consequences on children. Uncertainty regarding the consequences of violence was a cause of tolerance towards violence for educational purpose, depending on the act committed and the context, as perceived by nearly all practitioners. General practitioners expressed interest in the field. They cited their own education and experience as the main obstacles to action. Most of them expressed a feeling of failure when they screened or took care of violence for educational purpose. This study suggests that doctors can participate in supporting the parents in the prevention of violence for educational purpose. Support to parents would need specific medical training as well as a societal change. Copyright © 2018 Elsevier Masson SAS. All rights reserved.

  14. Operation ANVIL/DRAGOON: The Invasion of Southern France, Offensive, Deliberate Assault, Amphibious, 15 August-1 September 1944

    DTIC Science & Technology

    1984-05-01

    QUADRANT —where it was agreed a diversionary attack -for OVERLORD would take place in southern France. The operation, as proposed by the Americans...diversionary attack in southern France was codified by the American and British leadership at QUADRANT , the issue was again heavily debated by the "Big...the outcome at the war. Ore can ssv that the outcome ot the war in Europa was decided when operation OVERLORD was approved ior execution. The battle

  15. Snow covered Alps of France, Italy, and Switzerland

    NASA Image and Video Library

    1973-07-30

    SL3-121-2438 (July-September 1973) --- The Alps of Switzerland, France and Italy are featured in this exceptional photograph taken by a hand-held camera from the Skylab space station during the second manned Skylab mission. Also visible in the out-the-window 70mm Hasselblad view are Lake Geneva, Lake of Lucerne, Rhone River and many other features. The Skylab 3 crewmen, astronauts Alan L. Bean, Owen K. Garriott and Jack R. Lousma completed a 59-day mission with a successful splashdown on Sept. 25, 1973. Photo credit: NASA

  16. Occupational external exposure to ionising radiation in France (2005-2011).

    PubMed

    Feuardent, J; Scanff, P; Crescini, D; Rannou, A

    2013-12-01

    The Institute for Radiological Protection and Nuclear Safety (IRSN) produces the French annual report on occupational exposure to ionising radiation, collecting all national data and aggregating the results according to a unique activity classification expected to be shared by all involved in personal dosimetric monitoring (employers, external dosimetry services and IRSN). Nearly 344,000 monitored workers were counted in France in 2011, with a collective dose of 64.24 man.Sv. The average annual dose (as calculated over the number of measurably exposed workers) differed among the main activity fields: 0.54 mSv in medical and veterinary activities, 1.18 mSv in the nuclear field, 1.60 mSv in non-nuclear industry and 0.47 mSv in research activities. Because of improved knowledge about worker activities, the results for year 2011 are detailed per activity sectors in each field. Lasting limitations prevent from having complete and reliable worker activity information. Solutions are considered to reduce the inaccuracy in the annually published statistics. The evolution of occupational external exposure to ionising radiation from 2005 to 2011 in France is then presented for the main activity fields.

  17. Orthographic Competence among Multilingual School Children: Writing Moroccan Arabic in France

    ERIC Educational Resources Information Center

    Weth, Constanze

    2015-01-01

    This paper presents children's writing in their vernacular family language, Moroccan Arabic. It first provides some background to the family and school literacies of nine-year-old children of Moroccan Arabic (MA) background growing up in France with French literacy practices at school and Written Arabic literacy practices in the home. The paper…

  18. Conflicts and Competition for Influence: The History of PETE in France

    ERIC Educational Resources Information Center

    Collinet, Cecile; Terral, Philippe

    2007-01-01

    The paper provides a historical analysis of the evolution of PE teacher education (PETE) in France since the end of the nineteenth century. It highlights three main points: the progressive unification and integration into university structures, the implementation of scientific research within the structures of PETE and the creation of a specific…

  19. Commentary: "'Mobilising for the Values of the Republic'--France's Education Policy Response to the 'Fragmented Society': A Commented Press Review"

    ERIC Educational Resources Information Center

    Proeschel, Claude

    2017-01-01

    The article by Matthias Busch and Nancy Morys "'Mobilising for the Values of the Republic'--France's Education Policy Response to the 'Fragmented Society': A Commented Press Review" is dedicated to the recent debates on moral education in France. The debates have centred on the proposed reforms, called "the great mobilisation of…

  20. The path dependency theory: analytical framework to study institutional integration. The case of France.

    PubMed

    Trouvé, Hélène; Couturier, Yves; Etheridge, Francis; Saint-Jean, Olivier; Somme, Dominique

    2010-06-30

    The literature on integration indicates the need for an enhanced theorization of institutional integration. This article proposes path dependence as an analytical framework to study the systems in which integration takes place. PRISMA proposes a model for integrating health and social care services for older adults. This model was initially tested in Quebec. The PRISMA France study gave us an opportunity to analyze institutional integration in France. A qualitative approach was used. Analyses were based on semi-structured interviews with actors of all levels of decision-making, observations of advisory board meetings, and administrative documents. Our analyses revealed the complexity and fragmentation of institutional integration. The path dependency theory, which analyzes the change capacity of institutions by taking into account their historic structures, allows analysis of this situation. The path dependency to the Bismarckian system and the incomplete reforms of gerontological policies generate the coexistence and juxtaposition of institutional systems. In such a context, no institution has sufficient ability to determine gerontology policy and build institutional integration by itself. Using path dependence as an analytical framework helps to understand the reasons why institutional integration is critical to organizational and clinical integration, and the complex construction of institutional integration in France.

  1. The path dependency theory: analytical framework to study institutional integration. The case of France

    PubMed Central

    Trouvé, Hélène; Couturier, Yves; Etheridge, Francis; Saint-Jean, Olivier; Somme, Dominique

    2010-01-01

    Background The literature on integration indicates the need for an enhanced theorization of institutional integration. This article proposes path dependence as an analytical framework to study the systems in which integration takes place. Purpose PRISMA proposes a model for integrating health and social care services for older adults. This model was initially tested in Quebec. The PRISMA France study gave us an opportunity to analyze institutional integration in France. Methods A qualitative approach was used. Analyses were based on semi-structured interviews with actors of all levels of decision-making, observations of advisory board meetings, and administrative documents. Results Our analyses revealed the complexity and fragmentation of institutional integration. The path dependency theory, which analyzes the change capacity of institutions by taking into account their historic structures, allows analysis of this situation. The path dependency to the Bismarckian system and the incomplete reforms of gerontological policies generate the coexistence and juxtaposition of institutional systems. In such a context, no institution has sufficient ability to determine gerontology policy and build institutional integration by itself. Conclusion Using path dependence as an analytical framework helps to understand the reasons why institutional integration is critical to organizational and clinical integration, and the complex construction of institutional integration in France. PMID:20689740

  2. Market access pathways for cell therapies in France

    PubMed Central

    Rémuzat, Cécile; Toumi, Mondher; Jørgensen, Jesper; Kefalas, Panos

    2015-01-01

    Introduction and objective Cell therapies can be classified into three main categories of products: advanced therapy medicinal products (ATMPs), ATMPs prepared on a non-routine basis (hospital exemptions), and minimally manipulated cells. Despite the benefits that cell therapies can bring to patients, they are subject to complex pathways to reach the market in France. The objective of this study was to identify and describe routes to market access for cell therapies in France and how these vary by regulatory status. Methodology The research was structured following five main steps: (1) identification of the French regulatory framework for cell therapies; (2) identification of the health products categorised as cell therapies in France; (3) mapping of the market access pathways per category of cell therapy; (4) validation of findings by interviewing experts; and (5) development of a roadmap summarising market access pathways for cell therapies in France. The secondary research methodology included a comprehensive literature review conducted on websites of French public health institutions, complemented by a research for peer-reviewed articles, abstracts, and grey literature. Results Different market access pathways are possible depending on the cell therapy category. For ATMPs, market access pathways depend on the licensing status of the therapy. Licensed ATMPs followed the same market access pathways as ‘conventional’ pharmaceuticals, whereas not-yet-licensed ATMPs can be funded via a specific financial allowance under the framework of a Temporary Authorisation for Use procedure or various research programmes. For new ATMPs that are associated with a separate medical device (not considered as ‘combined ATMPs’) or associated with a new medical procedure, additional pathways will apply for the medical device and/or medical procedure to be reimbursed in the ambulatory settings or at hospital. The most likely funding option for ATMPs prepared on a non

  3. Market access pathways for cell therapies in France.

    PubMed

    Rémuzat, Cécile; Toumi, Mondher; Jørgensen, Jesper; Kefalas, Panos

    2015-01-01

    Cell therapies can be classified into three main categories of products: advanced therapy medicinal products (ATMPs), ATMPs prepared on a non-routine basis (hospital exemptions), and minimally manipulated cells. Despite the benefits that cell therapies can bring to patients, they are subject to complex pathways to reach the market in France. The objective of this study was to identify and describe routes to market access for cell therapies in France and how these vary by regulatory status. The research was structured following five main steps: (1) identification of the French regulatory framework for cell therapies; (2) identification of the health products categorised as cell therapies in France; (3) mapping of the market access pathways per category of cell therapy; (4) validation of findings by interviewing experts; and (5) development of a roadmap summarising market access pathways for cell therapies in France. The secondary research methodology included a comprehensive literature review conducted on websites of French public health institutions, complemented by a research for peer-reviewed articles, abstracts, and grey literature. Different market access pathways are possible depending on the cell therapy category. For ATMPs, market access pathways depend on the licensing status of the therapy. Licensed ATMPs followed the same market access pathways as 'conventional' pharmaceuticals, whereas not-yet-licensed ATMPs can be funded via a specific financial allowance under the framework of a Temporary Authorisation for Use procedure or various research programmes. For new ATMPs that are associated with a separate medical device (not considered as 'combined ATMPs') or associated with a new medical procedure, additional pathways will apply for the medical device and/or medical procedure to be reimbursed in the ambulatory settings or at hospital. The most likely funding option for ATMPs prepared on a non-routine basis is outside the diagnosis-related group (DRG

  4. Descriptive study of the parkinsonian population in the north of France: Epidemiological analysis and healthcare consumption.

    PubMed

    Carriere, N; Verloop, D; Dupont, C; Fontaine, V; Tir, M; Krystkowiak, P; Blanchard, A; Defebvre, M-M; Defebvre, L

    2017-06-01

    The "neurodegenerative diseases plan" under elaboration for the Hauts-de-France region requires better knowledge of the patient population and care pathways. In France, the prevalence of Parkinson's disease (PD) has been estimated from cohorts to be about 1-3 per 1000 inhabitants, but exhaustive data are scarce for the general population. The purpose of this study was to evaluate the prevalence of PD in the Hauts-de-France region and to assess PD-related healthcare consumption. A descriptive study was conducted to identify the parkinsonian population in the Hauts-de-France region (including the administrative districts of Pas-de-Calais and Picardie) for the year 2014. Parkinsonian patients were identified from health insurance fund reimbursement data using the following criteria: (i) reimbursement for a PD-specific medication; (ii) attribution of long-duration disease status coded as PD; (iii) hospital stay with PD diagnosis in the standard discharge report contained in the French medico-economic database on hospital activity (PMSI). The raw prevalence of PD in the region was 5.03 per 1000 inhabitants aged 20 years and older. The standardized prevalence by health territory ranged from 4.0 to 9.0 per 1000 inhabitants aged 20 years and older. During the 1-year study period, 33.5% of patients had a neurology consultation, 57.1% attended a physiotherapy session, and 7.7% received speech therapy. Most of patients (79.6%) were treated with levodopa, sometimes in combination with a catechol-O-methyl transferase inhibitor (14.4%). Dopaminergic agonists were prescribed in 33.5% of cases. A neuroleptic was prescribed for 6.9% of the population (clozapine for 25.9%). The prevalence of PD is high in the Hauts-de-France region with a heterogeneous distribution by health territory. Neurology consultations were attended by a minority of patients in 2014. This work provides perspectives for necessary improvement in specialized care for this disease, both in terms of follow

  5. Sea surface temperature of the coastal zones of France

    NASA Technical Reports Server (NTRS)

    Deschamps, P. Y.; Crepon, M.; Monget, J. M.; Verger, F. (Principal Investigator); Frouin, R.; Cassanet, J.; Wald, L.

    1980-01-01

    The various thermal gradients in the coastal zones of France were mapped with regard to natural phenomena and man made thermal effluents. The mesoscale thermal features of the English Channel, the Bay of Biscay, and the northwestern Mediterranean Sea were also studied. The evolution of the thermal gradients generated by the main estuaries of the French coastal zones was investigated along with the modeling of diurnal heating of the sea surface and its influence on the oceanic surface layers.

  6. Heavy Ion Microbeam- and Broadbeam-Induced Current Transients in SiGe HBTs

    NASA Technical Reports Server (NTRS)

    Pellish, Jonathan A.; Reed, R. A.; McMorrow, D.; Vizkelethy, G.; Ferlet-Cavrois, V.; Baggio, J.; Duhamel, O.; Moen, K. A.; Phillips, S. D.; Diestelhorst, R. M.; hide

    2009-01-01

    IBM 5AM SiGe HBT is device-under-test. High-speed measurement setup. Low-impedance current transient measurements. SNL, JYFL, GANIL. Microbeam to broadbeam position inference. Improvement to state-of-the-art. Microbeam (SNL) transients reveal position dependent heavy ion response, Unique response for different device regions Unique response for different bias schemes. Similarities to TPA pulsed-laser data. Broadbeam transients (JYFL and GANIL) provide realistic heavy ion response. Feedback using microbeam data. Overcome issues of LET and ion range with microbeam. **Angled Ar-40 data in full paper. Data sets yield first-order results, suitable for TCAD calibration feedback.

  7. Roll out of intraveneous artesunate under named patient programmes in the Netherlands, Belgium and France

    PubMed Central

    2013-01-01

    Background Intravenous (IV) artesunate is the treatment of choice for severe malaria. In Europe, this treatment is only available in a few countries via named patient programmes (NPPs). As a case study, the legal and organisational aspects and pharmacovigilance of these NPPs and possibilities for harmonisation within the EU were studied over time and space using IV artesunate (Malacef) in the Netherlands, Belgium and France. Methods The legal base and organisation of NPPs in the Netherlands, Belgium and France were studied. The diffusion and cumulative availability of IV artesunate and the pharmacovigilance components were compared among the three countries using distribution data from the period 2007 through 2012. Results Artesunate has quickly gained acceptance for treating severe malaria in the Netherlands, whereas both Belgium and France have introduced this treatment more hesitantly. This difference in acceptance is due to differences in the implementation of NPP legislation among the countries. France currently has a proactive system in which treatment requires the permission for each patient and an intensive follow-up protocol. On the other hand, Belgium and Dutch NPPs are more dependent on the investigators’ initiative and are therefore potentially faster and more flexible, facilitating the discovery of adverse effects that have not been reported by more formal comparative clinical trials. Conclusions NPPs provide a unique opportunity to study both the benefits and risks of unregistered products for treating rare diseases, provided that the patients are actively vigilated. Thus, we recommend that NPPs should be harmonised throughout Europe in order to ensure equal availability of treatment and therapeutic benefit to all Europeans without compromising patient safety. PMID:24063858

  8. "Compulsory Schooling" Despite the Law: How Education Policy Underpins the Widespread Ignorance of the Right to Home Educate in France

    ERIC Educational Resources Information Center

    Bongrand, Philippe

    2016-01-01

    Everyone in France takes for granted the existence of compulsory school attendance ("école obligatoire") while home education remains very exceptional. Yet school attendance is not, and has never been, legally compulsory in France. How can one explain the fact that the right to home educate is little known and practiced? This article…

  9. Human brucellosis in France in the 21st century: Results from national surveillance 2004-2013.

    PubMed

    Mailles, A; Garin-Bastuji, B; Lavigne, J P; Jay, M; Sotto, A; Maurin, M; Pelloux, I; O'Callaghan, D; Mick, V; Vaillant, V; De Valk, H

    2016-12-01

    Brucellosis is a bacterial zoonotic disease mainly transmitted to humans by ruminants. In France, brucellosis has disappeared from ruminants herds. Human brucellosis surveillance is performed through mandatory notification and the national reference center. We report the results of human brucellosis surveillance from 2004 to 2013 with regards to epidemiological, clinical and microbiological data. A total of 250 cases were notified, making an annual incidence of 0.3 cases per million inhabitants. Brucella melitensis biovar 3 was the most frequently identified bacterium (79% of isolated strains). In total, 213 (85%) cases had been contaminated abroad in endemic countries. In 2012, an episode of re-emergence of brucellosis in cattle occurred in Haute-Savoie, in the French Alps, and was responsible for 2 human cases. Brucellosis has become a disease of travelers in France. However, maintaining a stringent epidemiological surveillance is necessary to be able to early detect any local re-emergence in humans or animals. The multidisciplinary surveillance was implemented in France years ago and is a successful example of the One Health Concept. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  10. Multiple introductions of divergent genetic lineages in an invasive fungal pathogen, Cryphonectria parasitica, in France.

    PubMed

    Dutech, C; Fabreguettes, O; Capdevielle, X; Robin, C

    2010-08-01

    The occurrence of multiple introductions may be a crucial factor in the successful establishment of invasive species, but few studies focus on the introduction of fungal pathogens, despite their significant effect on invaded habitats. Although Cryphonectria parasitica, the chestnut blight fungus introduced in North America and Europe from Asia during the 20th century, caused dramatic changes in its new range, the history of its introduction is not well retraced in Europe. Using 10 microsatellite loci, we investigated the genetic diversity of 583 isolates in France, where several introductions have been hypothesized. Our analyses showed that the seven most frequent multilocus genotypes belonged to three genetic lineages, which had a different and geographically limited distribution. These results suggest that different introduction events occurred in France. Genetic recombination was low among these lineages, despite the presence of the two mating types in each chestnut stand analysed. The spatial distribution of lineages suggests that the history of introductions in France associated with the slow expansion of the disease has contributed to the low observed rate of recombination among the divergent lineages. However, we discuss the possibility that environmental conditions or viral interactions could locally reduce recombination among genotypes.

  11. Origin and Decline of the First University Radio Web in France

    ERIC Educational Resources Information Center

    Giorgi, Sebastián Mariano

    2017-01-01

    "Résonances" was the first university radio web in France. It was founded at the University of Limoges, in 2010. This article is about the origin and decline of this transmedia project. Two strategies are here unfolded: historical the first one, ranging from the conception of the idea, the vicissitudes experienced by the team for…

  12. [Therapeutic management of bipolar disorder in France and Europe: a multinational longitudinal study (WAVE-bd)].

    PubMed

    Bellivier, F; Delavest, M; Coulomb, S; Figueira, M L; Langosch, J M; Souery, D; Vieta, E

    2014-10-01

    Bipolar disorder is a complex disease which requires multiple healthcare resources and complex medical care programs including pharmacological and non pharmacological treatment. If mood stabilizers remain the corner stone for bipolar disorder treatment, the development of atypical antipsychotics and their use as mood stabilizers has significantly modified therapeutic care. At the present time, psychiatrists have a large variety of psychotropic drugs for bipolar disorder: mood stabilizers, atypical antipsychotics, antidepressants, anxiolytics… However, despite the publication of guidelines on pharmacological treatment, with a high degree of consensus, everyday clinical practices remain heterogeneous. Moreover, there are few longitudinal studies to describe therapeutic management of bipolar disorder, whatever the phase of the disease is. Indeed, most of the studies are carried out on a specific phase of the disease or treatment. And there is no study comparing French and European practices. In this paper, we aim to present the comparison of the management of pharmacological treatments of bipolar disorder between France and Europe, using the data of the observational Wide AmbispectiVE study of the clinical management and burden of bipolar disorder (WAVE-bd study). The WAVE-bd study is a multinational, multicentre and non-interventional cohort study of patients diagnosed with BD type I or type II, according to DSM IV-TR criteria, in any phase of the disorder, who have experienced at least one mood event during the 12 months before enrolment. In total, 2507 patients have been included across 8 countries of Europe (480 in France). Data collection was retrospective (from 3 to 12 months), but also prospective (from 9 to 15 months) for a total study length of 12 to 27 months. Main outcome measures were the healthcare resource use and pharmacological treatments. Our results show differences in the therapeutic management of bipolar disorder between France and other European

  13. ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT, FRANCE COMPRESSOR PRODUCTS EMISSIONS PACKING, PHASE I REPORT

    EPA Science Inventory

    The report presents results of a Phase I test of emissions packing technology offered by France Compressor Products which is designed to reduce methane leaks from compressor rod packing when a compressor is in a standby and pressurized state. This Phase I test was executed betwee...

  14. Did case-based payment influence surgical readmission rates in France? A retrospective study

    PubMed Central

    Vuagnat, Albert; Yilmaz, Engin; Roussot, Adrien; Rodwin, Victor; Gadreau, Maryse; Bernard, Alain; Creuzot-Garcher, Catherine; Quantin, Catherine

    2018-01-01

    Objectives To determine whether implementation of a case-based payment system changed all-cause readmission rates in the 30 days following discharge after surgery, we analysed all surgical procedures performed in all hospitals in France before (2002–2004), during (2005–2008) and after (2009–2012) its implementation. Setting Our study is based on claims data for all surgical procedures performed in all acute care hospitals with >300 surgical admissions per year (740 hospitals) in France over 11 years (2002–2012; n=51.6 million admissions). Interventions We analysed all-cause 30-day readmission rates after surgery using a logistic regression model and an interrupted time series analysis. Results The overall 30-day all-cause readmission rate following discharge after surgery increased from 8.8% to 10.0% (P<0.001) for the public sector and from 5.9% to 8.6% (P<0.001) for the private sector. Interrupted time series models revealed a significant linear increase in readmission rates over the study period in all types of hospitals. However, the implementation of case-based payment was only associated with a significant increase in rehospitalisation rates for private hospitals (P<0.001). Conclusion In France, the increase in the readmission rate appears to be relatively steady in both the private and public sector but appears not to have been affected by the introduction of a case-based payment system after accounting for changes in care practices in the public sector. PMID:29391376

  15. Managing medical technology: lessons for the United States from Quebec and France.

    PubMed

    Rosenau, P V

    2000-01-01

    Important modifications to technology assessment, diffusion, adoption, and utilization must take place if the United States is to better employ medical technology and save resources so as to assure access for the uninsured and underinsured. The United States can learn from other health systems that are more successful in achieving these goals. The author selects for comparison the health systems of France and Quebec. The discussion focuses on the differences between the three systems in the management of medical technology on a range of policy-relevant dimensions, including health system structure, attitudes about planning versus market competition, government regulation, the balance between decentralization and centralization, the needs of the individual and those of the society, linkages between technology assessment and policy-making, and the importance of medical technology assessment for medical practice. Seven specific recommendations are made for better managing medical technology in the United States, drawing on what can be observed from the experiences of Quebec and France.

  16. A new miniaturized lizard from the late Eocene of France and Spain.

    PubMed

    Bolet, Arnau; Augé, Marc

    2014-03-01

    We report here a new lizard genus and species shared by two late Eocene localities situated at both versants of the present Pyrenees (South-Western Europe), one located in France (Escamps, MP19), and the other in Catalonia, Spain (Sossís, MP17a). The recovered specimens are remarkable because of their small size and peculiar morphology. Features of the dentary are interpreted as adaptations to a fossorial or semi-fossorial lifestyle, although such modifications obscure the exact phylogenetic relationships of the new taxon. We suggest that it might represent a further example of scincoid lizard that independently achieved adaptations for burrowing or surface-dwelling. This taxon reinforces the hypotheses that link the Southern Pyrenean assemblages to those from France rather than to those of the rest of the Iberian Peninsula, which are supposed to be somehow isolated and endemic to a certain degree during the middle and late Eocene, forming part of the so-called Western Iberian Bioprovince. Copyright © 2014 Wiley Periodicals, Inc.

  17. The early evolution of feathers: fossil evidence from Cretaceous amber of France

    PubMed Central

    Perrichot, Vincent; Marion, Loïc; Néraudeau, Didier; Vullo, Romain; Tafforeau, Paul

    2008-01-01

    The developmental stages of feathers are of major importance in the evolution of body covering and the origin of avian flight. Until now, there were significant gaps in knowledge of early morphologies in theoretical stages of feathers as well as in palaeontological material. Here we report fossil evidence of an intermediate and critical stage in the incremental evolution of feathers which has been predicted by developmental theories but hitherto undocumented by evidence from both the recent and the fossil records. Seven feathers have been found in an Early Cretaceous (Late Albian, ca 100 Myr) amber of western France, which display a flattened shaft composed by the still distinct and incompletely fused bases of the barbs forming two irregular vanes. Considering their remarkably primitive features, and since recent discoveries have yielded feathers of modern type in some derived theropod dinosaurs, the Albian feathers from France might have been derived either from an early bird or from a non-avian dinosaur. PMID:18285280

  18. Genetic Diversity of Talpa Europaea and Nova Hanta Virus (NVAV) in France

    PubMed Central

    Hugot, Jean-Pierre; Gu, Se Hun; Feliu, Carlos; Ventur, Jacint; Ribas, Alexis; Dormion, Jerôme; Yanagihara, Richard; Nicolas, Violaine

    2014-01-01

    Summary Nova hantavirus (NVAV) was first identified in a single European mole (Talpa europaea), captured in Hungary. Analysis of lung tissues from 94 moles captured in France revealed NVAV in 50%. Based on the genetic diversity of the cytochrome b mtDNA, moles collected in Poitiers and Bordeaux were more closely related to the Iberian mole (T. occidentalis), a species previously assumed to be restricted to the Iberian Peninsula. Several hypotheses are discussed to explain these observations: 1) presence of hitherto unnoticed T. occidentalis in southwestern France; 2) existence of an ancient mitochondrial introgression phenomenon between the two Talpa species, producing a particular phenotype in some hybrids; 3) existence of a hybrid zone between the two species; and 4) existence of a new Talpa species. NVAV was not detected in the southwestern moles, which begs the question of the potential presence of a particular Hantavirus sp. in this population and/or in the Iberian moles. PMID:25530620

  19. Giving or giving back: new psychosocial insights from sperm donors in France.

    PubMed

    Kalampalikis, Nikos; Haas, Valérie; Fieulaine, Nicolas; Doumergue, Marjolaine; Deschamps, Gaëlle

    2013-01-01

    Despite the growing importance of the international scientific literature concerning donor insemination, studies of French samples are rare. We recently had the opportunity to conduct a nationwide study on psychosocial issues related to semen donation in France. In this article, we present the main results of an analysis of the narratives of 33 sperm donors. We examine the meaning they attribute to this experience, their motivations, the social ramifications of their action, and their perspective on the principles of sperm donation in France. We highlight our results by comparing them to those derived from other recent international studies in different legislative contexts. Finally, we suggest a hypothesis regarding donor motivations based on recent literature in social sciences regarding the fundamental role of gift and reciprocity. These issues, particularly the anonymity of gamete donation, are currently at the heart of a national debate related to the expected revision of the French bioethics law.

  20. Construction of a policy arena: the case of public health in France.

    PubMed

    Bergeron, Henri; Nathanson, Constance A

    2012-02-01

    In this article we examine the transformation over the past two decades of public health as a policy arena in France from a backwater of little interest to politicians, bureaucrats, the media, and the public into a central preoccupation of the state. Recent dramatic health crises (the scandal over HIV-contaminated blood, mad cow disease, etc.) have substantially raised the political profile of (and corresponding state investment in) public health in France, offering opportunities and incentives for political actors not traditionally associated with public health to enter the field and challenging more traditional actors to galvanize themselves and compete for this newly attractive policy terrain. We use the occasion of the passage of a public health law in 2004, labeled by its proponents as the "first" public health law in one hundred years, to show how, in a context of national struggle to contain both risks and costs, "public health" -- chameleonlike -- has taken on various meanings and forms to serve highly conflicting political interests.

  1. Symposium on "Shut Out Youth" (Strasbourg, France, October 25-30, 1987).

    ERIC Educational Resources Information Center

    Council of Europe, Strasbourg (France).

    Many aspects of social policy affect the lives of shut out youth in Europe. The purpose of a symposium held at the European Youth Center (Strasbourg, France) was to draw attention to these issues and recommend ways to coordinate the social policies that affect the well-being of youth. The relevance of current policies was assessed in local,…

  2. No evidence of 1918 influenza pandemic origin in Chinese laborers/soldiers in France.

    PubMed

    Shanks, G Dennis

    2016-01-01

    Laborers and soldiers from China and Southeast Asia recruited during the First World War by Britain and France have been suggested as the origin of the 1918 influenza pandemic in Western Europe. This study aimed to review the available data to better understand the sources and origins of the 1918 influenza pandemic, and clarify whether, in fact, there was an Asian connection to its onset. We reviewed official mortality lists from the Commonwealth War Graves Commission and the French Ministry of Defence for all-cause (Britain) and pneumonia/influenza (France) mortality, respectively. The results indicated that influenza mortality (estimated 1/1000) in Chinese and Southeast Asian laborers and soldiers lagged other co-located military units by several weeks. This finding does not support a Southeast Asian importation of lethal influenza to Europe in 1918. Copyright © 2015. Published by Elsevier Taiwan LLC.

  3. Vaccination against herpes zoster and postherpetic neuralgia in France: a cost-effectiveness analysis.

    PubMed

    Bresse, Xavier; Annemans, Lieven; Préaud, Emmanuelle; Bloch, Karine; Duru, Gérard; Gauthier, Aline

    2013-06-01

    This study assesses the cost-effectiveness of vaccination against herpes zoster (HZ) and postherpetic neuralgia in France, using a published Markov model. The cost-effectiveness of vaccinating individuals aged from 65 years or between 70 and 79 years was evaluated over their lifetime, from a third-party payer perspective. French-specific data were combined with results from clinical studies and international quality-of-life-based (EuroQol five-dimension questionnaire) utilities from the literature. HZ vaccination was highly cost effective in both populations. Incremental cost-effective ratios were estimated between €9513 and 12,304 per quality-adjusted life year gained, corresponding to €2240-2651 per HZ case avoided and €3539-4395 per postherpetic neuralgia case avoided. In addition to epidemiological and clinical evidence, economic evidence also supports the implementation of HZ vaccination in France.

  4. The GMO case in France: politics, lawlessness and postmodernism.

    PubMed

    Kuntz, Marcel

    2014-07-03

    The GMO debacle in France is analyzed in the light of the balance of forces around this controversy, the changes in position of governments and the opponents' strategic use of intimidation. These factors have caused insurmountable difficulties for scientific experimentations and assessment of the technology, as well as for farmers attempting to grow GM maize in this country. The change from a "modern" to a "postmodern" framing of official public debates and scientific institutions has not appeased confrontations concerning GMOs.

  5. Severe paediatric conditions linked with EV-A71 and EV-D68, France, May to October 2016

    PubMed Central

    Antona, Denise; Kossorotoff, Manoëlle; Schuffenecker, Isabelle; Mirand, Audrey; Leruez-Ville, Marianne; Bassi, Clément; Aubart, Mélodie; Moulin, Florence; Lévy-Bruhl, Daniel; Henquell, Cécile; Lina, Bruno; Desguerre, Isabelle

    2016-01-01

    We report 59 cases of severe paediatric conditions linked with enterovirus (EV)-A71 and EV-D68 in France between May and October 2016. Fifty-two children had severe neurological symptoms. EV sequence-based typing for 42 cases revealed EV-A71 in 21 (18 subgenotype C1, detected for the first time in France) and EV-D68 in eight. Clinicians should be encouraged to obtain stool and respiratory specimens from patients presenting with severe neurological disorders for EV detection and characterisation. PMID:27918268

  6. Prescription of drugs during pregnancy in France.

    PubMed

    Lacroix, I; Damase-Michel, C; Lapeyre-Mestre, M; Montastruc, J L

    2000-11-18

    A survey of the records of the French Health Insurance Service of drug prescriptions during pregnancy in 1000 women living in Haute-Garonne, southwest France, showed that 99% of the women received a prescription for at least one drug during pregnancy with a mean of 13.6 medications per woman. 1.6% of women received one or more prescriptions of drugs from the US Food and Drug Administration X category (fetal risk outweighs benefits). 59% of women had a prescription of drugs from the D category (fetal risk but benefits may be acceptable) and 79% of women were exposed to drugs for which information about safety in pregnancy was not available from animal or human studies.

  7. [National organization of forensic medicine in France].

    PubMed

    Chariot, Patrick

    2012-06-01

    Forensic medicine has long been characterized, in France, by diverse medical practices, which affected its recognition and development. A change was needed, Harmonization procedure includes the development of professional guidelines and allows forensic medicine to look at itself. However, the implementation of the recommendations is still far from complete. A national reform came into effect on 15 January 2011 and has defined a national reform of forensic medicine which includes funding by global budgets instead of fee-for-service. This reform allows easier organization and identification of forensic medicine units. One year later, tangible results are mixed. Forensic medicine is now more clearly identified but properly defined funding criteria are still lacking.

  8. France: Thrust and parry over nuclear risks

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Balter, M.

    1997-01-31

    Claims about the health risks posed by nuclear-power installations are always controversial, but nowhere more so than in France, where some 75% of the nation`s electricity is generated from nuclear energy. So, it was no surprise that publication of a study by two French epidemiologists earlier this month claiming to show a link between cases of childhood leukemia and the nuclear-waste reprocessing plant at La Hague on the Normandy coast sparked fireworks in the French press. Several French epidemiologists sharply criticized the study`s methodology and conclusions. Their attacks have now drawn an unusual response from the British Medical Journal (BMJ),more » in which the paper appeared.« less

  9. Elite Education and the State in France: Durable Ties and New Challenges

    ERIC Educational Resources Information Center

    van Zanten, Agnès; Maxwell, Claire

    2015-01-01

    Employing a Weberian understanding of the centrality of a strong bureaucracy in the modern nation-state, this article examines the relationship between the state and elite education in France. Through a historical analysis and an examination of two current issues facing education--widening participation and pressures to internationalise--we…

  10. Pathogens under scrutiny in the south of France

    PubMed Central

    Caldeira, Sandra; Dumenil, Guillaume

    2010-01-01

    The first EMBO workshop on Emerging Themes in Infection Biology was held last June in the South of France. It gathered scientists working on various pathogens from viruses and bacteria to larger eukaryotic fungi and parasites. Topics included not only the crosstalk between pathogens and their hosts but also the tools researchers are using to study and image such cellular and molecular conversations. “So it is said that if you know your enemies and know yourself, you can win a hundred battles without a single loss.” The Art of War, Sun Tzu PMID:20677210

  11. Interaction between different groundwaters in brittany catchments (france): characterizing multiple sources through Sr- and S isotope tracing

    NASA Astrophysics Data System (ADS)

    Negrel, Ph; Pauwels, H.

    2003-04-01

    Water resources in hard-rocks commonly involve different hydrogeological compartments such as overlying sediments, weathered rock, the weathered-fissured zone, and fractured bedrock. Streams, lakes and wetlands that drain such environments can drain groundwater, recharge groundwater, or do both. Groundwater resources in many countries are increasingly threatened by growing demand, wasteful use, and contamination. Surface water and shallow groundwater are particularly vulnerable to pollution, while deeper resources are more protected from contamination. Sr- and S-isotope data as well as major ions, from shallow and deep groundwater in three granite and Brioverian "schist" areas of the Armorican Massif (NW France) with intensive agriculture covering large parts are presented. The stable-isotope signatures of the waters plot close to the general meteoric-water line, reflecting a meteoric origin and the lack of significant evaporation or water-rock interaction. The water chemistry from the different catchments shows large variation in the major-element contents. Plotting Na, Mg, NO_3, K, SO_4 and Sr vs. Cl contents concentrations reflect agricultural input from hog and livestock farming and fertilizer applications, with local sewage-effluent influence, although some water samples are clearly unpolluted. The δ34S(SO_4) is controlled by several potential sources (atmospheric sulphate, pyrite-derived sulphates, fertilizer sulphates). Some δ18O and δ34S values are expected to increase through sulphate reduction, with higher effect on δ34S for the dissimilatory processes and on δ18O for assimilatory processes. The range in Sr contents in groundwater from different catchments agrees with previous work on groundwater sampled from granites in France. The Sr content is well correlated with Mg and both are related to agricultural practises. As in granite-gneiss watersheds in France, 87Sr/86Sr ratios range from 0.71265 to 0.72009. The relationship between 87Sr/86Sr and Mg

  12. Global Scale Variation in the Salinity Sensitivity of Riverine Macroinvertebrates: Eastern Australia, France, Israel and South Africa

    PubMed Central

    Kefford, Ben J.; Hickey, Graeme L.; Gasith, Avital; Ben-David, Elad; Dunlop, Jason E.; Palmer, Carolyn G.; Allan, Kaylene; Choy, Satish C.; Piscart, Christophe

    2012-01-01

    Salinity is a key abiotic property of inland waters; it has a major influence on biotic communities and is affected by many natural and anthropogenic processes. Salinity of inland waters tends to increase with aridity, and biota of inland waters may have evolved greater salt tolerance in more arid regions. Here we compare the sensitivity of stream macroinvertebrate species to salinity from a relatively wet region in France (Lorraine and Brittany) to that in three relatively arid regions eastern Australia (Victoria, Queensland and Tasmania), South Africa (south-east of the Eastern Cape Province) and Israel using the identical experimental method in all locations. The species whose salinity tolerance was tested, were somewhat more salt tolerant in eastern Australia and South Africa than France, with those in Israel being intermediate. However, by far the greatest source of variation in species sensitivity was between taxonomic groups (Order and Class) and not between the regions. We used a Bayesian statistical model to estimate the species sensitivity distributions (SSDs) for salinity in eastern Australia and France adjusting for the assemblages of species in these regions. The assemblage in France was slightly more salinity sensitive than that in eastern Australia. We therefore suggest that regional salinity sensitivity is therefore likely to depend most on the taxonomic composition of respective macroinvertebrate assemblages. On this basis it would be possible to screen rivers globally for risk from salinisation. PMID:22567097

  13. Recent circulation of West Nile virus and potentially other closely related flaviviruses in Southern France.

    PubMed

    Vittecoq, Marion; Lecollinet, Sylvie; Jourdain, Elsa; Thomas, Frédéric; Blanchon, Thomas; Arnal, Audrey; Lowenski, Steeve; Gauthier-Clerc, Michel

    2013-08-01

    In recent years, the number of West Nile virus (WNV) cases reported in horses and humans has increased dramatically throughout the Mediterranean basin. Furthermore, the emergence of Usutu virus (USUV) in Austria in 2001, and its subsequent expansion to Hungary, Spain, Italy, Switzerland, the United Kingdom, and Germany, has given added cause for concern regarding the impact of the spread of flaviviruses on human and animal health in western Europe. Despite frequent detection of WNV and USUV cases in neighboring countries, no case of WNV has been detected in France since 2006 and USUV has never been reported. However, recent investigations focused on detecting the circulation of flaviviruses in France are lacking. We investigated the circulation of WNV and USUV viruses in wild birds in southern France on the basis of a serological survey conducted on a sentinel species, the magpie (Pica pica), in the Camargue area from November, 2009, to December, 2010. We detected WNV-neutralizing antibodies at a high titer (160) in a second-year bird showing recent exposure to WNV, although no WNV case has been detected in humans or in horses since 2004 in the Camargue. In addition, we observed low titers (10 or 20) of USUV-specific antibodies in six magpies, two of which were also seropositive for WNV. Such low titers do not give grounds for concluding that these birds had been exposed to USUV; cross-reactions at low titers may occur between antigenically closely related flaviviruses. But these results urge for further investigations into the circulation of flaviviruses in southern France. They also emphasize the necessity of undertaking epidemiological studies on a long-term basis, rather than over short periods following public health crises, to gain insight into viral dynamics within natural reservoirs.

  14. Access to employment among African migrant women living with HIV in France: opportunities and constraints.

    PubMed

    Gerbier-Aublanc, Marjorie; Gosselin, Anne

    2016-08-01

    HIV in France particularly affects sub-Saharan migrants as they accounted for 31% of the new diagnoses in 2013. The objective of this study is to investigate the access to and the experience of employment among migrant women living with HIV in France. We use a mixed-method approach. The quantitative data come from the ANRS Parcours study, a life-event survey conducted in 2012-2013 in 70 health centres which collected year-by-year detailed information on living conditions about 755 sub-Saharan women migrants in the greater Paris region (470 with HIV and 285 without HIV). The qualitative data have been collected independently in the same region through socio-ethnographic observations and interviews conducted in 8 HIV-positive migrant organisations and among 35 women-members from 2011 to 2013. Two main results are noteworthy. First, being HIV-positive unexpectedly gives sub-Saharan migrant women a quicker access to employment thanks to the social support they find in migrant organisations: in the third year in France in median (versus 5th year among HIV-negative group). This effect of being HIV-positive on the access to employment remains all things being equal in a discrete-time logistic regression (aOR [95% CI] HIV+: 1.4[1.1;1.8]). Second, their employment situation remains strongly shaped by the racial division of work existing in France and they develop individual strategies to negotiate this constraint: for example, temporary jobs and working as health mediators. The type of jobs they find, mainly in the care sector, force them to carefully hide their HIV status because they fear discrimination at work. Not only migrant women endure structural discrimination in a segmented labour market, but they also anticipate HIV-related discrimination related to caring activities. Thus, the design and implementation of programmes that address stigma should consider structural discrimination to improve PLWHA's working experiences.

  15. Current status of medical and veterinary entomology in France: endangered discipline or promising science?

    PubMed

    Cuisance, Dominique; Antoine Rioux, Jean

    2004-09-01

    Following alarming statements (French Senate, Académie des Sciences) on the present situation concerning entomology and systematics in France, the Conseil Général Vétérinaire designated one of us (D.C.) to carry out a survey on the status of medical and veterinary entomology (MVE) with respect to research orientations and university curricula. Around 100 participants, including scientists, teachers and several directors of research and educational bodies, were interviewed and filled in questionnaires for this survey. On the basis of the results, it was concluded that the deterioration of MVE in France is associated with: (1) the hasty reorganisation of training and research in the life sciences, leading to the disappearance of several disciplines. Hence, the postgraduate DEA degree in entomology was eliminated, and even the name 'entomology' no longer appears in teaching programmes or on research contracts; (2) France's withdrawal from action research programmes in developing countries. Although these programmes were efficient in controlling outbreaks of major endemic diseases, integrated pest and vector management programmes have been replaced by basic health care ('Health for everyone in 2000') and vaccination programmes; (3) the general shift from field to laboratory research, focused mainly on molecular mechanisms. The survey results confirmed generally acknowledged trends concerning many points and highlighted several specific problems, such as the disappearance of systematics experts. Several potential solutions are proposed.

  16. National funding for mental health research in Finland, France, Spain and the United Kingdom.

    PubMed

    Hazo, Jean-Baptiste; Gandré, Coralie; Leboyer, Marion; Obradors-Tarragó, Carla; Belli, Stefano; McDaid, David; Park, A-La; Maliandi, Maria Victoria; Wahlbeck, Kristian; Wykes, Til; van Os, Jim; Haro, Josep Maria; Chevreul, Karine

    2017-09-01

    As part of the Roamer project, we aimed at revealing the share of health research budgets dedicated to mental health, as well as on the amounts allocated to such research for four European countries. Finland, France, Spain and the United Kingdom national public and non-profit funding allocated to mental health research in 2011 were investigated using, when possible, bottom-up approaches. Specifics of the data collection varied from country to country. The total amount of public and private not for profit mental health research funding for Finland, France, Spain and the UK was €10·2, €84·8, €16·8, and €127·6 million, respectively. Charities accounted for a quarter of the funding in the UK and less than six per cent elsewhere. The share of health research dedicated to mental health ranged from 4·0% in the UK to 9·7% in Finland. When compared to the DALY attributable to mental disorders, Spain, France, Finland, and the UK invested respectively €12·5, €31·2, €39·5, and €48·7 per DALY. Among these European countries, there is an important gap between the level of mental health research funding and the economic and epidemiologic burden of mental disorders. Copyright © 2017 Elsevier B.V. and ECNP. All rights reserved.

  17. Epidemiology of pancreatic cancer in France: descriptive study from the French national hospital database.

    PubMed

    Maire, Frédérique; Cibot, Jean-Olivier; Compagne, Catherine; Hentic, Olivia; Hammel, Pascal; Muller, Nelly; Ponsot, Philippe; Levy, Philippe; Ruszniewski, Philippe

    2017-08-01

    Although indirect evidence suggests that the incidence of pancreatic adenocarcinoma has increased in the last decade, few data are available in European countries. The aim of the present study was to update the epidemiology of pancreatic cancer in France in 2014 from the French national hospital database (Programme de Médicalisation des Systèmes d'Information). All patients hospitalized for pancreatic cancer in France in 2014 in public or private institutions were included. Patient and stays (length, type of support, institutions) characteristics were studied. The results were compared with those observed in 2010. A total of 13 346 (52% men, median age 71 years) new patients were treated for pancreatic cancer in 2014, accounting for a 12.5% increase compared with 2010. Overall, 22% of patients were operated on. Liver metastases were present in 60% of cases. The disease accounted for 146 680 hospital stays (+24.8% compared with 2010), 76% of which were related to chemotherapy (+32%). The average annual number and length of stay were 7 and 2.6 days, respectively. In 2014, 11 052 deaths were reported (+15.8%). Approximately 13 350 new cases of pancreatic cancer were observed in France in 2014. The increase in incidence was associated with a marked increase in hospital stays for chemotherapy.

  18. [Migrants from sub-Saharan Africa in France: some elements for the present discussion].

    PubMed

    Fassin, D

    1986-08-01

    Migrations in Africa have occurred since ancient times, but the 20th century migratory flows to Europe are a new phenomenon. After decolonization, the European economies needed cheap labor and African workers were attracted by the prospect of paying jobs. The 4 million foreigners in France comprise 7-8% of the population. Nearly 1/2 are of European origin, 1/3 are from Algeria, Tunisia, and Morocco, and about 3.5%, or 150,000 persons, are from Africa south of the Sahara. The main African countries of origin are Mali, Senegal, and Mauritania. Burkina Faso, the Ivory Coast, Togo, and Cameroon are less well represented. The migration to Europe began after World War II with small groups of Malians and Senegalese who had learned to speak French through their contact with French colonists and were readily assimilated into the labor force, mainly as skilled workers. Beginning in the late 1950s, their numbers increased rapidly. Accords signed by France, Mali, Senegal, and Mauritania in 1960 and 1963 to regularize their influx were ignored by employers needing labor and by Africans entering on tourist visas to seek work. By the early 1970s there were about 50,000 Africans in France, over 80% of them male. At about the same time immigration came to be regarded as a serious social and political problem, where before it had been little noticed. The number of immigrants had increased, especially in some neighborhoods of large cities, but not as much as generally believed. A larger proportion of families made the immigrants more visible on the streets and in the schools. The world economic recession caused the migrants to be regarded as competitors for the few jobs available. Cultural differences between the French and the immigrants increased. On the whole, North Africans are more numerous and visible, but Malians and Senegalese have become numerous enough in some Parisian neighborhoods to be perceived as a threat. Some journalists and politicians have fanned existing tensions

  19. Mapping and predictive variations of soil bacterial richness across France.

    PubMed

    Terrat, Sébastien; Horrigue, Walid; Dequiedt, Samuel; Saby, Nicolas P A; Lelièvre, Mélanie; Nowak, Virginie; Tripied, Julie; Régnier, Tiffanie; Jolivet, Claudy; Arrouays, Dominique; Wincker, Patrick; Cruaud, Corinne; Karimi, Battle; Bispo, Antonio; Maron, Pierre Alain; Chemidlin Prévost-Bouré, Nicolas; Ranjard, Lionel

    2017-01-01

    Although numerous studies have demonstrated the key role of bacterial diversity in soil functions and ecosystem services, little is known about the variations and determinants of such diversity on a nationwide scale. The overall objectives of this study were i) to describe the bacterial taxonomic richness variations across France, ii) to identify the ecological processes (i.e. selection by the environment and dispersal limitation) influencing this distribution, and iii) to develop a statistical predictive model of soil bacterial richness. We used the French Soil Quality Monitoring Network (RMQS), which covers all of France with 2,173 sites. The soil bacterial richness (i.e. OTU number) was determined by pyrosequencing 16S rRNA genes and related to the soil characteristics, climatic conditions, geomorphology, land use and space. Mapping of bacterial richness revealed a heterogeneous spatial distribution, structured into patches of about 111km, where the main drivers were the soil physico-chemical properties (18% of explained variance), the spatial descriptors (5.25%, 1.89% and 1.02% for the fine, medium and coarse scales, respectively), and the land use (1.4%). Based on these drivers, a predictive model was developed, which allows a good prediction of the bacterial richness (R2adj of 0.56) and provides a reference value for a given pedoclimatic condition.

  20. Downscaling and hydrological uncertainties in 20th century hydrometeorological reconstructions over France

    NASA Astrophysics Data System (ADS)

    Vidal, Jean-Philippe; Caillouet, Laurie; Dayon, Gildas; Boé, Julien; Sauquet, Eric; Thirel, Guillaume; Graff, Benjamin

    2017-04-01

    The record length of streamflow observations is generally limited to the last 50 years, which is not enough to properly explore the natural hydrometeorological variability, a key to better understand the effects of anthropogenic climate change. This work proposes a comparison of different hydrometeorological reconstruction datasets over France built on the downscaling of the NOAA 20th century global extended reanalysis (20CR, Compo et al., 2011). It aims at assessing the uncertainties related to these reconstructions and improving our knowledge of the multi-decadal hydrometeorological variability over the 20th century. High-resolution daily meteorological reconstructions over the period 1871-2012 are obtained with two statistical downscaling methods based on the analogue approach: the deterministic ANALOG method (Dayon et al., 2015) and the probabilistic SCOPE method (Caillouet et al., 2016). These reconstructions are then used as forcings for the GR6J lumped conceptual rainfall-runoff model and the SIM physically-based distributed hydrological model, in order to derive daily streamflow reconstructions over a set of around 70 reference near-natural catchments. Results show a large multi-decadal streamflow variability over the last 140 years, which is however relatively consistent over France. Empirical estimates of three types of uncertainty - structure of the downscaling method, small-scale internal variability, and hydrological model structure - show roughly equal contributions to the streamflow uncertainty at the annual time scale, with values as high as 20% of the interannual mean. Caillouet, L., Vidal, J.-P., Sauquet, E., and Graff, B.: Probabilistic precipitation and temperature downscaling of the Twentieth Century Reanalysis over France, Clim. Past, 12, 635-662, doi:10.5194/cp-12-635-2016, 2016. Compo, G. P., Whitaker, J. S., Sardeshmukh, P. D., Matsui, N., Allan, R. J., Yin, X., Gleason, B. E., Vose, R. S., Rutledge, G., Bessemoulin, P., Brönnimann, S

  1. Severe paediatric conditions linked with EV-A71 and EV-D68, France, May to October 2016.

    PubMed

    Antona, Denise; Kossorotoff, Manoëlle; Schuffenecker, Isabelle; Mirand, Audrey; Leruez-Ville, Marianne; Bassi, Clément; Aubart, Mélodie; Moulin, Florence; Lévy-Bruhl, Daniel; Henquell, Cécile; Lina, Bruno; Desguerre, Isabelle

    2016-11-17

    We report 59 cases of severe paediatric conditions linked with enterovirus (EV)-A71 and EV-D68 in France between May and October 2016. Fifty-two children had severe neurological symptoms. EV sequence-based typing for 42 cases revealed EV-A71 in 21 (18 subgenotype C1, detected for the first time in France) and EV-D68 in eight. Clinicians should be encouraged to obtain stool and respiratory specimens from patients presenting with severe neurological disorders for EV detection and characterisation. This article is copyright of The Authors, 2016.

  2. [Measles in France].

    PubMed

    Mortamet, G; Dina, J; Freymuth, F; Guillois, B; Vabret, A

    2012-11-01

    Measles is one of the most contagious diseases implicated in an outbreak in Western Europe for a few years. In France, the outbreak began in 2008, especially in the southern regions. Most of the cases are mild but deleterious effects can occur in infants, during the pregnancy, or in immunosuppressive patients. Pneumonia and encephalitis are the major complications in these patients. Measles illness during pregnancy results in a higher risk of premature labor, spontaneous abortion, and low-birthweight infants. Death from measles was reported in approximately 0.3% of cases. The National Reference Center for measles and paramyxoviridae is implicated in biological confirmation of cases and epidemiologic surveillance. Virologic diagnosis consists in a direct detection of viral RNA (real time PCR), or indirect detection of the immune response (IgM and IgG) in saliva samples. The measles genotype is determined by sequencing a 450 nucleotids fragment of the N gene, as the World Health Organization (WHO) recommendation. This molecular analysis helps determine the geographic origin of the virus and the viral strains circulating in the country. In 2011, 3105 specimens were received. PCR was positive for 1990 patients (64%), with a large majority of children younger than 2 years of age and young adults. The most important cause of measles resurgence is low vaccination coverage. The role of pediatricians is important in order to achieve the goal of 95% of vaccination coverage established by the WHO. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

  3. Underascertainment of Child Abuse Fatalities in France: Retrospective Analysis of Judicial Data to Assess Underreporting of Infant Homicides in Mortality Statistics

    ERIC Educational Resources Information Center

    Tursz, Anne; Crost, Monique; Gerbouin-Rerolle, Pascale; Cook, Jon M.

    2010-01-01

    Objectives: Test the hypothesis of an underestimation of infant homicides in mortality statistics in France; identify its causes; examine data from the judicial system and their contribution in correcting this underestimation. Methods: A retrospective, cross-sectional study was carried out in 26 courts in three regions of France of cases of infant…

  4. International Meeting on Business Start-up (Lille, France, November 26-28, 1992).

    ERIC Educational Resources Information Center

    Melis, Africa, Ed.; Peigne, Florence, Ed.

    1992-01-01

    An international meeting explored work on business start-up undertaken jointly by CEDEFOP (European Centre for the Development of Vocational Training) and France's Agence Nationale pour la creation d'entreprise. One opening presentation (Melis) addressed the basic idea underlying the research: to identify and highlight the role of training and…

  5. France’s New NATO Policy: Leveraging a Realignment of the Alliance?

    DTIC Science & Technology

    2009-01-01

    things that others only think. Former Socialist foreign minister, Hubert Védrine, put it in particularly stark terms: Were France to become a...see Ronja Kempin and Marco Overhaus, “Kein grosser Sprung in der Entwicklung der ESVP: Lehren aus der französischen Ratpräsidentschaft” [“No great

  6. The GMO case in France: Politics, lawlessness and postmodernism

    PubMed Central

    Kuntz, Marcel

    2014-01-01

    The GMO debacle in France is analyzed in the light of the balance of forces around this controversy, the changes in position of governments and the opponents’ strategic use of intimidation. These factors have caused insurmountable difficulties for scientific experimentations and assessment of the technology, as well as for farmers attempting to grow GM maize in this country. The change from a “modern” to a “postmodern” framing of official public debates and scientific institutions has not appeased confrontations concerning GMOs. PMID:25437234

  7. Freeing France: The Allies, the Resistance, and the JEDBURGHs

    DTIC Science & Technology

    2008-01-01

    attack. Grall suggested and SFHQ agreed the signal would be “Le Chapeau de Napoleon est-il toujours a Perros -Guirec?” (“Is Napoleon’s hat still at... Perros - Guirec?”). After an unsuccessful attempt on 4 July, GILES finally parachuted into the French night on 8/9 July from a Carpetbagger B-24.47...9 and Knox, letter. Napolean’s Hat is the name of a rock formation off the coast of France near the town of Perros -Guirec. 38 “FREDERICK, June Moon

  8. Cost-effectiveness analysis of universal newborn screening for medium chain acyl-CoA dehydrogenase deficiency in France

    PubMed Central

    2012-01-01

    Background Five diseases are currently screened on dried blood spots in France through the national newborn screening programme. Tandem mass spectrometry (MS/MS) is a technology that is increasingly used to screen newborns for an increasing number of hereditary metabolic diseases. Medium chain acyl-CoA dehydrogenase deficiency (MCADD) is among these diseases. We sought to evaluate the cost-effectiveness of introducing MCADD screening in France. Methods We developed a decision model to evaluate, from a societal perspective and a lifetime horizon, the cost-effectiveness of expanding the French newborn screening programme to include MCADD. Published and, where available, routine data sources were used. Both costs and health consequences were discounted at an annual rate of 4%. The model was applied to a French birth cohort. One-way sensitivity analyses and worst-case scenario simulation were performed. Results We estimate that MCADD newborn screening in France would prevent each year five deaths and the occurrence of neurological sequelae in two children under 5 years, resulting in a gain of 128 life years or 138 quality-adjusted life years (QALY). The incremental cost per year is estimated at €2.5 million, down to €1 million if this expansion is combined with a replacement of the technology currently used for phenylketonuria screening by MS/MS. The resulting incremental cost-effectiveness ratio (ICER) is estimated at €7 580/QALY. Sensitivity analyses indicate that while the results are robust to variations in the parameters, the model is most sensitive to the cost of neurological sequelae, MCADD prevalence, screening effectiveness and screening test cost. The worst-case scenario suggests an ICER of €72 000/QALY gained. Conclusions Although France has not defined any threshold for judging whether the implementation of a health intervention is an efficient allocation of public resources, we conclude that the expansion of the French newborn screening programme

  9. Cost-effectiveness analysis of universal newborn screening for medium chain acyl-CoA dehydrogenase deficiency in France.

    PubMed

    Hamers, Françoise F; Rumeau-Pichon, Catherine

    2012-06-08

    Five diseases are currently screened on dried blood spots in France through the national newborn screening programme. Tandem mass spectrometry (MS/MS) is a technology that is increasingly used to screen newborns for an increasing number of hereditary metabolic diseases. Medium chain acyl-CoA dehydrogenase deficiency (MCADD) is among these diseases. We sought to evaluate the cost-effectiveness of introducing MCADD screening in France. We developed a decision model to evaluate, from a societal perspective and a lifetime horizon, the cost-effectiveness of expanding the French newborn screening programme to include MCADD. Published and, where available, routine data sources were used. Both costs and health consequences were discounted at an annual rate of 4%. The model was applied to a French birth cohort. One-way sensitivity analyses and worst-case scenario simulation were performed. We estimate that MCADD newborn screening in France would prevent each year five deaths and the occurrence of neurological sequelae in two children under 5 years, resulting in a gain of 128 life years or 138 quality-adjusted life years (QALY). The incremental cost per year is estimated at €2.5 million, down to €1 million if this expansion is combined with a replacement of the technology currently used for phenylketonuria screening by MS/MS. The resulting incremental cost-effectiveness ratio (ICER) is estimated at €7 580/QALY. Sensitivity analyses indicate that while the results are robust to variations in the parameters, the model is most sensitive to the cost of neurological sequelae, MCADD prevalence, screening effectiveness and screening test cost. The worst-case scenario suggests an ICER of €72 000/QALY gained. Although France has not defined any threshold for judging whether the implementation of a health intervention is an efficient allocation of public resources, we conclude that the expansion of the French newborn screening programme to MCADD would appear to be cost

  10. [Evaluation of France's contributions to the Global Fund to Fight AIDS, Tuberculosis and Malaria: Ten years later].

    PubMed

    Kerouedan, D

    2014-01-01

    For 30 years, France has been very committed politically in the international combat against AIDS. The discovery of the AIDS virus at the Pasteur Institute in 1983, the AIDS summit meeting convened by Simone Veil in 1994, the excellence of research by French institutions on its virologic and other aspects as well as the socioeconomic and anthropological issues, and the strong commitment to international technical cooperation against this disease - all these have made (and continue to make) France a major political, technical, and financial participant in this battle against the combined pandemic of AIDS and tuberculosis. More than 10 years after the creation of the Global Fund, 5 years after the first evaluation of this Fund, and 2 years before the schedule for meeting the Millennium Development Goals, an assessment commissioned in 2013 from a French consulting firm of the French contributions is timely. The study was expected. Its results are disappointing. Why? Because the team chosen to conduct the assessment has a limited knowledge of the history of the interventions already funded by France and of the results of earlier assessments. The point was not to repeat the same observations but to move forward to see where they lead. In addition, the current and coming challenges are not considered. The countries to which France is providing cooperation are on the continent that after 30 years remains the most heavily affected by the pandemic. Several transitions are occurring there simultaneously: epidemiologic, demographic and urban. These metamorphoses influencing social values quite substantially, as well as risk factors for transmission of the AIDS virus; at the same time, they facilitate overcrowding and the propagation of tuberculosis. Nor do the authors consider the resistance of these infectious agents to the most commonly used drugs. The effects of the propagation of AIDS, of the expansion of armed conflicts in French-speaking Africa and of the sexual

  11. Nutrition Transition and Biocultural Determinants of Obesity among Cameroonian Migrants in Urban Cameroon and France

    PubMed Central

    Cohen, Emmanuel; Amougou, Norbert; Ponty, Amandine; Loinger-Beck, Juliette; Nkuintchua, Téodyl; Monteillet, Nicolas; Bernard, Jonathan Y.; Saïd-Mohamed, Rihlat; Holdsworth, Michelle; Pasquet, Patrick

    2017-01-01

    Native of rural West Cameroon, the Bamiléké population is traditionally predisposed to obesity. Bamiléké who migrated to urban areas additionally experience the nutrition transition. We investigated the biocultural determinants of obesity in Bamiléké who migrated to urban Cameroon (Yaoundé), or urban France (Paris). We conducted qualitative interviews (n = 36; 18 men) and a quantitative survey (n = 627; 266 men) of adults using two-stage sampling strategy, to determine the association of dietary intake, physical activity and body weight norms with obesity of Bamiléké populations in these three socio-ecological areas (rural Cameroon: n = 258; urban Cameroon: n = 319; urban France: n = 50). The Bamiléké valued overweight and traditional energy-dense diets in rural and urban Cameroon. Physical activity levels were lower, consumption of processed energy-dense food was frequent and obesity levels higher in new migrants living in urban Cameroon and France. Female sex, age, duration of residence in urban areas, lower physical activity and valorisation of overweight were independently associated with obesity status. This work argues in favour of local and global health policies that account for the origin and the migration trajectories to prevent obesity in migrants. PMID:28661463

  12. Nutrition Transition and Biocultural Determinants of Obesity among Cameroonian Migrants in Urban Cameroon and France.

    PubMed

    Cohen, Emmanuel; Amougou, Norbert; Ponty, Amandine; Loinger-Beck, Juliette; Nkuintchua, Téodyl; Monteillet, Nicolas; Bernard, Jonathan Y; Saïd-Mohamed, Rihlat; Holdsworth, Michelle; Pasquet, Patrick

    2017-06-29

    Native of rural West Cameroon, the Bamiléké population is traditionally predisposed to obesity. Bamiléké who migrated to urban areas additionally experience the nutrition transition. We investigated the biocultural determinants of obesity in Bamiléké who migrated to urban Cameroon (Yaoundé), or urban France (Paris). We conducted qualitative interviews ( n = 36; 18 men) and a quantitative survey ( n = 627; 266 men) of adults using two-stage sampling strategy, to determine the association of dietary intake, physical activity and body weight norms with obesity of Bamiléké populations in these three socio-ecological areas (rural Cameroon: n = 258; urban Cameroon: n = 319; urban France: n = 50). The Bamiléké valued overweight and traditional energy-dense diets in rural and urban Cameroon. Physical activity levels were lower, consumption of processed energy-dense food was frequent and obesity levels higher in new migrants living in urban Cameroon and France. Female sex, age, duration of residence in urban areas, lower physical activity and valorisation of overweight were independently associated with obesity status. This work argues in favour of local and global health policies that account for the origin and the migration trajectories to prevent obesity in migrants.

  13. Comparison of the temperature-mortality relationship in foreign born and native born died in France between 2000 and 2009

    NASA Astrophysics Data System (ADS)

    Mercereau, Luc; Todd, Nicolas; Rey, Gregoire; Valleron, Alain-Jacques

    2017-10-01

    The daily temperature-mortality relationship is typically U shaped. The temperature of minimum mortality (MMT) has been shown to vary in space (higher at lower latitudes) and time (higher in recent periods). This indicates human populations adapt to their local environment. The pace of this adaptation is unknown. The objective of this study was to investigate the differences in the temperature-mortality relationship in continental France between foreign born and natives. Source data were the 5,273,005 death certificates of individuals living in continental France between 2000 and 2009 at the time of their death. Foreign-born deaths ( N = 573,384) were matched 1:1 with a native-born death based on date of birth, sex, and place of death. Four regions of France based on similarity of their temperatures profiles were defined by unsupervised clustering. For each of these four regions, variations of all causes mortality with season and temperature of the day were modeled and compared between four groups of foreign born (Maghreb, sub-Saharan Africa, Southern Europe, and Northern Europe) and matched groups of natives. Overall, the temperature-mortality relationship and MMT were close in foreign born and in native born: The only difference between foreign born and native born concerned the attributable mortality to cold, found in several instances larger in foreign born. There are little differences in France between the temperature-mortality relationships in native born and in foreign born. This supports the hypothesis of an adaptation of these populations to the temperature patterns of continental France, which for those born in Africa differ markedly from the climatic pattern of their birth country.

  14. Comparison of the temperature-mortality relationship in foreign born and native born died in France between 2000 and 2009.

    PubMed

    Mercereau, Luc; Todd, Nicolas; Rey, Gregoire; Valleron, Alain-Jacques

    2017-10-01

    The daily temperature-mortality relationship is typically U shaped. The temperature of minimum mortality (MMT) has been shown to vary in space (higher at lower latitudes) and time (higher in recent periods). This indicates human populations adapt to their local environment. The pace of this adaptation is unknown. The objective of this study was to investigate the differences in the temperature-mortality relationship in continental France between foreign born and natives. Source data were the 5,273,005 death certificates of individuals living in continental France between 2000 and 2009 at the time of their death. Foreign-born deaths (N = 573,384) were matched 1:1 with a native-born death based on date of birth, sex, and place of death. Four regions of France based on similarity of their temperatures profiles were defined by unsupervised clustering. For each of these four regions, variations of all causes mortality with season and temperature of the day were modeled and compared between four groups of foreign born (Maghreb, sub-Saharan Africa, Southern Europe, and Northern Europe) and matched groups of natives. Overall, the temperature-mortality relationship and MMT were close in foreign born and in native born: The only difference between foreign born and native born concerned the attributable mortality to cold, found in several instances larger in foreign born. There are little differences in France between the temperature-mortality relationships in native born and in foreign born. This supports the hypothesis of an adaptation of these populations to the temperature patterns of continental France, which for those born in Africa differ markedly from the climatic pattern of their birth country.

  15. France, West Germany, and the Security of the Persian Gulf

    DTIC Science & Technology

    1982-03-01

    Revolution, the Soviet invasion of Afghanistan, and the Iran-Iraq Conflict have under - scored the vulnerability of Western oil supplies from the...areas. Under this policy in 1961, France drew 32 percent of her crude oil imports from Algeria and 20 percent from Iraq; thus receiving more than half of...her crude oil imports from sources under French political, or at least French company, control. French companies then produced 33 million tons of

  16. Genetic characterization of the human relapsing fever spirochete Borrelia miyamotoi in vectors and animal reservoirs of Lyme disease spirochetes in France.

    PubMed

    Cosson, Jean-François; Michelet, Lorraine; Chotte, Julien; Le Naour, Evelyne; Cote, Martine; Devillers, Elodie; Poulle, Marie-Lazarine; Huet, Dominique; Galan, Maxime; Geller, Julia; Moutailler, Sara; Vayssier-Taussat, Muriel

    2014-05-20

    In France as elsewhere in Europe the most prevalent TBD in humans is Lyme borreliosis, caused by different bacterial species belonging to Borrelia burgdorferi sensu lato complex and transmitted by the most important tick species in France, Ixodes ricinus. However, the diagnosis of Lyme disease is not always confirmed and unexplained syndromes occurring after tick bites have become an important issue. Recently, B. miyamotoi belonging to the relapsing fever group and transmitted by the same Ixodes species has been involved in human disease in Russia, the USA and the Netherlands. In the present study, we investigate the presence of B. miyamotoi along with other Lyme Borreliosis spirochetes, in ticks and possible animal reservoirs collected in France. We analyzed 268 ticks (Ixodes ricinus) and 72 bank voles (Myodes glareolus) collected and trapped in France for the presence of DNA from B. miyamotoi as well as from Lyme spirochetes using q-PCR and specific primers and probes. We then compared the French genotypes with those found in other European countries. We found that 3% of ticks and 5.55% of bank voles were found infected by the same B. miyamotoi genotype, while co-infection with other Lyme spirochetes (B. garinii) was identified in 12% of B. miyamotoi infected ticks. Sequencing showed that ticks and rodents carried the same genotype as those recently characterized in a sick person in the Netherlands. The genotype of B. miyamotoi circulating in ticks and bank voles in France is identical to those already described in ticks from Western Europe and to the genotype isolated from a sick person in The Netherlands. This results suggests that even though no human cases have been reported in France, surveillance has to be improved. Moreover, we showed that ticks could simultaneously carry B. miyamotoi and Lyme disease spirochetes, increasing the problem of co-infection in humans.

  17. Toxoplasmosis among pregnant women in France: risk factors and change of prevalence between 1995 and 2003.

    PubMed

    Berger, F; Goulet, V; Le Strat, Y; Desenclos, J-C

    2009-08-01

    Congenital toxoplasmosis may affect any organ, produce severe complications such as hydrocephalus and lead to ocular lesions which can appear late after birth. Fetal outcome can be fatal. During pregnancy, the mother can become infected, particularly by eating undercooked meat or poorly washed raw fruits and vegetables. In France, prevention of congenital toxoplasmosis is based on serial serology tests, performed repeatedly until delivery for pregnant women who remain negative then at the first prenatal visit. We used toxoplasmosis serology data collected during national perinatal surveys conducted in 1995 and 2003 to estimate toxoplasmosis prevalence, assess risk factors and ascertain time trends in prevalence. In each survey, socioeconomic variables as well as the serological status for toxoplasmosis were collected for all pregnant women who had terminated a pregnancy during a given week period. In 2003, 15,108 pregnant women were included; the prevalence of Toxoplasma infection was 43.8% (95% CI: 43.0-44.6). Prevalence increased with age and was greater for those who lived in the Southwest of France, the greater Paris area and in overseas districts. In 2003, as in 1995, prevalence increased with education level, occupational status of the household and number of pregnancies. Prevalence decreased 19% between 1995 and 2003. The decrease was significantly greater for pregnant women aged less than 30 years than for those aged more or equal to 30 years. Although it decreased over time, toxoplasmosis prevalence remained higher in France than in other European countries. With more than one out of two women in France susceptible of having Toxoplasma infection, it is important to promote preventive measures to avoid infection during pregnancy.

  18. [First-aid in France. Current situation and future perspectives].

    PubMed

    Larcan, Alain; Julien, Henri

    2010-06-01

    First-aid--treatment aimed at enabling a victim to survive pending the arrival of qualified medical support--is less well developed in France than in many other industrialized countries, especially among the general public. The current status of first-aid in France is paradoxical: schooling is free and obligatory, the ambulance service and emergency services are of the highest quality, but the general public are too often passive and unknowledgeable when faced with an emergency situation. This situation is due to several factors, including the complexity of first-aid training and regulations, the involvement of too many public bodies, the legal liability of the first-aider, and a lack of ongoing training. The French National Academy of Medicine recommends 8 measures to improve this situation: Provide a legal definition of first-aid: "a set of recognized measures aimed, in an emergency setting, at preserving the physical and psychological integrity of the victim of an accident or illness, notably pending the arrival of professional medical assistance". Waive, as in many other countries, civil and legal responsibility for the non professional first-aider, except in case of clear negligence. Reinforce the organization of first-aid in France in order to monitor the number and quality of first-aiders, and to ensure theoretical and pedagogic research; create a communications department capable of supporting and promoting first-aid. Improve access to first-aid training by increasing the number of situations in which it is obligatory (driving tuition, school and university examinations, group responsibility, at-risk practices), by providing financial assistance for certain groups, and by ensuring routine training at school, in the armed forces, and in the workplace. Create a progressive and integrated citizen first-aid training course with individual modules, ensuring that first-aiders update and perfect their knowledge throughout life. Soften pedagogic rules and shorten

  19. [Perceptions and attitudes regarding noise in urban areas: the example of the Ile-de-France region].

    PubMed

    Grange, Dorothée; Chatignoux, Edouard; Grémy, Isabelle

    2010-01-01

    Noise is the subject of increasing attention for the French, especially in highly urbanized areas where its sources are multiple. In this context, this article aims to gain a better understanding of the how the specificities of the Ile-de-France region influence perceptions, attitudes and expectations of its inhabitants with respect to noise. The article is based on the regional use of results extracted from the national Environmental Health Barometer 2007 study by the INPES, the French National Institute for Prevention and Health Education. First and foremost, noise is perceived as a source of discomfort and inconvenience, in particular in Ile-de-France, while the related consequences of noise exposure for health were of secondary importance and not necessarily influenced by the degree of urbanization. The preoccupation with noise was much more important in the Ile-de-France region than in the rest of the country. Furthermore, a significant proportion of young people, particularly the Paris region, are exposed to high noise levels during their leisure time. These results are useful to better understand the expectations and needs of Parisians in terms of policies needed for information and education, prevention and reduction of noise.

  20. Predictors of car smoking rules among smokers in France, Germany and the Netherlands

    PubMed Central

    Guignard, Romain; Nagelhout, Gera E.; Mons, Ute; Beck, François; van den Putte, Bas; Crone, Mathilde; de Vries, Hein; Hyland, Andrew; Fong, Geoffrey T.

    2012-01-01

    Background: As exposure to tobacco smoke pollution (TSP) has been identified as a cause of premature death and disease in non-smokers, and studies have demonstrated that smoking in cars produces high levels of TSP, this study will investigate smokers’ rules for smoking in their cars, and predictors of car smoking rules, including potentially modifiable correlates. Methods: Data were drawn from nationally representative samples of current smokers from the International Tobacco Control Policy Evaluation Project surveys in France (2007), Germany (2007), and the Netherlands (2008). Smokers in France and Germany were asked about smoking rules in their cars, and smokers in the Netherlands were asked about smoking rules in cars carrying children. Results: In France and Germany, 59% and 52% of smokers respectively, allowed smoking in their cars. In the Netherlands, 36% of smokers allowed smoking in cars carrying children. Predictors of allowing smoking in cars included: being a daily vs. non-daily smoker, being younger vs. older age, having no (young) children in the home, being a heavier smoker, and allowing smoking in the home. In the Netherlands, smokers who agreed that TSP is dangerous to non-smokers were less likely to allow smoking in cars carrying children. Conclusion: Overall, a sizeable proportion of smokers allowed smoking in their cars across the three countries. Media campaigns with information about the dangers of TSP may increase the adoption of smoke-free cars. These media campaigns could target smokers who are most likely to allow smoking in cars. PMID:22294780

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