Cégep de Sherbrooke

BACKGROUND: Night shift work, exposure to light at night (ALAN) and circadian disruption may increase the risk of hormone-dependent cancers. OBJECTIVES: We evaluated the association of exposure to ALAN during sleeping time with breast and prostate cancer in a population based multicase-control study (MCC-Spain), among subjects who had never worked at night. We evaluated chronotype, a characteristic that may relate to adaptation to light at night. METHODS: We enrolled 1,219 breast cancer cases, 1,385 female controls, 623 prostate cancer cases, and 879 male controls from 11 Spanish regions in 2008-2013. Indoor ALAN information was obtained through questionnaires. Outdoor ALAN was analyzed using images from the International Space Station (ISS) available for Barcelona and Madrid for 2012-2013, including data of remotely sensed upward light intensity and blue light spectrum information for each geocoded longest residence of each MCC-Spain subject. RESULTS: Among Barcelona and Madrid participants with information on both indoor and outdoor ALAN, exposure to outdoor ALAN in the blue light spectrum was associated with breast cancer [adjusted odds ratio (OR) for highest vs. lowest tertile, OR=1.47; 95% CI: 1.00, 2.17] and prostate cancer (OR=2.05; 95% CI: 1.38, 3.03). In contrast, those exposed to the highest versus lowest intensity of outdoor ALAN were more likely to be controls than cases, particularly for prostate cancer. Compared with those who reported sleeping in total darkness, men who slept in "quite illuminated" bedrooms had a higher risk of prostate cancer (OR=2.79; 95% CI: 1.55, 5.04), whereas women had a slightly lower risk of breast cancer (OR=0.77; 95% CI: 0.39, 1.51). CONCLUSION: Both prostate and breast cancer were associated with high estimated exposure to outdoor ALAN in the blue-enriched light spectrum. https://doi.org/10.1289/EHP1837.

Artificial light at night can be harmful to the environment, and interferes with fauna and flora, star visibility, and human health. To estimate the relative impact of a lighting device, its radiant power, angular photometry and detailed spectral power distribution have to be considered. In this paper we focus on the spectral power distribution. While specific spectral characteristics can be considered harmful during the night, they can be considered advantageous during the day. As an example, while blue-rich Metal Halide lamps can be problematic for human health, star visibility and vegetation photosynthesis during the night, they can be highly appropriate during the day for plant growth and light therapy. In this paper we propose three new indices to characterize lamp spectra. These indices have been designed to allow a quick estimation of the potential impact of a lamp spectrum on melatonin suppression, photosynthesis, and star visibility. We used these new indices to compare various lighting technologies objectively. We also considered the transformation of such indices according to the propagation of light into the atmosphere as a function of distance to the observer. Among other results, we found that low pressure sodium, phosphor-converted amber light emitting diodes (LED) and LED 2700 K lamps filtered with the new Ledtech's Equilib filter showed a lower or equivalent potential impact on melatonin suppression and star visibility in comparison to high pressure sodium lamps. Low pressure sodium, LED 5000 K-filtered and LED 2700 K-filtered lamps had a lower impact on photosynthesis than did high pressure sodium lamps. Finally, we propose these indices as new standards for the lighting industry to be used in characterizing their lighting technologies. We hope that their use will favor the design of new environmentally and health-friendly lighting technologies.

BACKGROUND: Leptin (LEP) and adiponectin (ADIPOQ) genes encode adipokines that are mainly secreted by adipose tissues, involved in energy balance and suspected to play a role in the pathways linking adiposity to impaired glucose and insulin homeostasis. We have thus hypothesized that LEP and ADIPOQ DNA methylation changes might be involved in obesity development and its related complications. The objective of this study was to assess whether LEP and ADIPOQ DNA methylation levels measured in subcutaneous (SAT) and visceral adipose tissues (VAT) are associated with anthropometric measures and metabolic profile in severely obese men and women. These analyses were repeated with DNA methylation profiles from blood cells obtained from the same individuals to determine whether they showed similarities. METHODS: Paired SAT, VAT and blood samples were obtained from 73 severely obese patients undergoing a bioliopancreatic diversion with duodenal switch. LEP and ADIPOQ DNA methylation and mRNA levels were quantified using bisulfite-pyrosequencing and qRT-PCR respectively. Pearson's correlation coefficients were computed to determine the associations between LEP and ADIPOQ DNA methylation levels, anthropometric measures and metabolic profile. RESULTS: DNA methylation levels at the ADIPOQ gene locus in SAT was positively associated with BMI and waist girth whereas LEP DNA methylation levels in blood cells were negatively associated with body mass index (BMI). Fasting LDL-C levels were found to be positively correlated with DNA methylation levels at LEP-CpG11 and -CpG17 in blood and SAT and with ADIPOQ DNA methylation levels in SAT (CpGE1 and CpGE3) and VAT (CpGE1). CONCLUSIONS: These results confirm that LEP and ADIPOQ epigenetic profiles are associated with obesity. We also report associations between LDL-C levels and both LEP and ADIPOQ DNA methylation levels suggesting that LDL-C might regulate their epigenetic profiles in adipose tissues. Furthermore, similar correlations were observed between LDL-C and LEP blood DNA methylation levels suggesting a common regulatory pathway of DNA methylation in both adipose tissues and blood.

Author: Sánchez de Miguel, Alejandro et al.; Genre: Journal Article; Finally published : 2019; Open Access; Title: Colour remote sensing of the impact of artificial light at night (I): The potential of the International Space Station and other DSLR-based platforms

The Sky Quality Meter (SQM) has become the most common device used to track the evolution of the brightness of the sky from polluted regions to first-class astronomical observatories. A vast database of SQM measurements already exists for many places in the world. Unfortunately, the SQM operates over a wide spectral band and its spectral response interacts with the sky's spectrum in a complex manner. This is why the optical signals are difficult to interpret when the data are recorded in regions with different sources of artificial light. The brightness of the night sky is linked in a complex way to ground-based light emissions, while taking into account atmospheric-induced optical distortion as well as spectral transformation from the underlying ground surfaces. While the spectral modulation of the sky's radiance has been recognized, it still remains poorly characterized and quantified. The impact of the SQM's spectral characteristics on sky-brightness measurements is analysed here for different light sources, including low- and high-pressure sodium lamps, PC-amber and white LEDs, metal halide and mercury lamps. We show that a routine conversion of radiance to magnitude is difficult, or rather impossible, because the average wavelength depends on actual atmospheric and environment conditions, the spectrum of the source and device-specific properties. We correlate SQM readings with both the Johnson astronomical photometry bands and the human system of visual perception, assuming different lighting technologies. These findings have direct implications for the processing of SQM data and for their improvement and/or remediation.

Propagation of artificial light at night (ALAN) in the environment is now known to have non negligible consequences on fauna, flora and human health. These consequences depend on light levels and their spectral power distributions, which in turn rely on the efficiency of various physical processes involved in the radiative transfer of this light into the atmosphere and its interactions with the built and natural environment. ALAN can affect the living organisms by direct lighting and indirect lighting (scattered by the sky and clouds and/or reflected by local surfaces). This paper mainly focuses on the behaviour of the indirect light scattered under clear sky conditions. Various interaction processes between anthropogenic light sources and the natural environment are discussed. This work mostly relies on a sensitivity analysis conducted with the light pollution radiative transfer model, Illumina (Aubé et al. 2005 Light pollution modelling and detection in a heterogeneous environment: toward a night-time aerosol optical depth retrieval method. In Proc. SPIE 2005, vol. 5890, San Diego, California, USA). More specifically, the impact of (i) the molecular and aerosol scattering and absorption, (ii) the second order of scattering, (iii) the topography and obstacle blocking, (iv) the ground reflectance and (v) the spectrum of light devices and their angular emission functions are examined. This analysis considers different behaviour as a function of the distance from the city centre, along with different zenith viewing angles in the principal plane.

BACKGROUND: In Canada, the first recommendations on the use of folic acid (FA) supplements by women planning a pregnancy or capable of becoming pregnant were issued in 1993. In 1998, fortification of flour with FA became mandatory. The objective of this study was to assess the impact of these measures on the prevalence of neural tube defects (NTDs) in the province of Quebec. METHODS: The study population included stillbirths, live births, and elective terminations for fetal malformations that were reported in 1992-2000 for women residing in the province of Quebec. NTD cases were identified from stillbirth certificates and hospital discharge summaries. RESULTS: There was a marked decrease in the total NTD rate after 1997. The average NTD rate was 1.89 per 1000 total births during the period of 1992-1997, and 1.28 per 1000 in 1998-2000, a 32% reduction (p < 0.001). CONCLUSIONS: Fortification of flour, which began in early 1997 and gradually became widespread, is a very plausible explanation for the timing, shape, and magnitude of the decrease in NTD prevalence observed in Quebec and other Canadian provinces. An increase in FA supplement use may have played only a minor role. Birth Defects Research (Part A) 67:000-000, 2003.

BACKGROUND: Virtual reality (VR) is a non-pharmacological method to distract from pain during painful procedures. However, it was never tested in young children with burn injuries undergoing wound care. AIM: We aimed to assess the feasibility and acceptability of the study process and the use of VR for procedural pain management. METHODS: From June 2016 to January 2017, we recruited children from 2 months to 10 years of age with burn injuries requiring a hydrotherapy session in a pediatric university teaching hospital in Montreal. Each child received the projector-based VR intervention in addition to the standard pharmacological treatment. Data on intervention and study feasibility and acceptability in addition to measures on pain (Face, Legs, Activity, Cry, Consolability scale), baseline (Modified Smith Scale) and procedural (Procedure Behavior Check List) anxiety, comfort (OCCEB-BECCO [behavioral observational scale of comfort level for child burn victims]), and sedation (Ramsay Sedation Scale) were collected before, during, and after the procedure. Data analyses included descriptive and non-parametric inferential statistics. RESULTS: We recruited 15 children with a mean age of 2.2±2.1 years and a mean total body surface area of 5% (±4). Mean pain score during the procedure was low (2.9/10, ±3), as was the discomfort level (2.9/10, ±2.8). Most children were cooperative, oriented, and calm. Assessing anxiety was not feasible with our sample of participants. The prototype did not interfere with the procedure and was considered useful for procedural pain management by most health care professionals. CONCLUSION: The projector-based VR is a feasible and acceptable intervention for procedural pain management in young children with burn injuries. A larger trial with a control group is required to assess its efficacy.

PURPOSE: To assess the accuracy of Goldmann tonometry after refractive surgery. SETTING: Refractive surgery center, Sherbrooke, Quebec, Canada. METHODS: The charts of 824 patients who had radial keratotomy (RK) and 415 who had photorefractive keratectomy (PRK) by the same surgeon were retrospectively reviewed. Of these, 306 RK and 168 PRK patients had discontinued steroid use for at least 4 weeks postoperatively and were thus eligible for evaluation of preoperative and postoperative intraocular pressure (IOP). Only one eye per patient was used for statistical analysis. RESULTS: Preoperative data showed that age, mean keratometry, and pachymetry were related to IOP measurement with the Goldmann tonometer. Pachymetry was related to age and mean keratometry. The mean decrease in measured IOP after RK was 1.0 mm Hg +/- 3.21 (SD) (P < .05). The only positive correlation was with the number of incisions. The mean decrease in measured PRK was 2.4 +/- 3.02 mm Hg (P < .05). Men and older patients had a larger drop in IOP measurements. There was no correlation with any corneal or operative parameter. CONCLUSION: Refractive surgery changed the accuracy of the Goldmann tonometer, causing it to underestimate IOP. The change was more marked in older men who had PRK.

Abstract. Vegetation optical depth (VOD) retrieved from microwave radiometry correlates with the total amount of water in vegetation, based on theoretical and empirical evidence. Because the total amount of water in vegetation varies with relative water content (as well as with biomass), this correlation further suggests a possible relationship between VOD and plant water potential, a quantity that drives plant hydraulic behavior. Previous studies have found evidence for that relationship on the scale of satellite pixels tens of kilometers across, but these comparisons suffer from significant scaling error. Here we used small-scale remote sensing to test the link between remotely sensed VOD and plant water potential. We placed an L-band radiometer on a tower above the canopy looking down at red oak forest stand during the 2019 growing season in central Massachusetts, United States. We measured stem xylem and leaf water potentials of trees within the stand and retrieved VOD with a single-channel algorithm based on continuous radiometer measurements and measured soil moisture. VOD exhibited a diurnal cycle similar to that of leaf and stem water potential, with a peak at approximately 05:00 eastern daylight time (UTC−4). VOD was also positively correlated with both the measured dielectric constant and water potentials of stem xylem over the growing season. The presence of moisture on the leaves did not affect the observed relationship between VOD and stem water potential. We used our observed VOD–water-potential relationship to estimate stand-level values for a radiative transfer parameter and a plant hydraulic parameter, which compared well with the published literature. Our findings support the use of VOD for plant hydraulic studies in temperate forests.

PURPOSE: To assess the accuracy of Goldmann tonometry after laser in situ keratomileusis (LASIK). SETTING: University-based refractive surgery group (Clinique du Laser Visuel). METHOD: The database of patients who had LASIK was retrospectively reviewed. Preoperative and postoperative intraocular pressure (IOP) was measured in 145 patients. The correlation between decrease in IOP and various preoperative and intraoperative parameters was evaluated by regression analysis. Only one eye in patients having bilateral surgery was used for statistical analysis. RESULTS: Laser in situ keratomileusis was associated with a mean decrease in IOP of 1.9 mm Hg +/- 2.9 (SD). There was no significant correlation between the decrease and any parameter evaluated. CONCLUSION: Intraocular pressure after LASIK decreased by a mean of 1.9 +/- 2.9 mm Hg. The cause of the decrease remains unknown.

BACKGROUND: Platelet-rich plasma (PRP) contains a number of biologically active growth factors, and previous studies have reported conflicting ridge augmentation results. The primary aim of this randomized, controlled, masked, clinical trial was to determine if PRP combined with a rapidly resorbing cancellous allograft would enhance the regenerative result compared with an allograft without PRP. METHODS: Thirty-two patients with an edentulous ridge defect were sequentially entered into the study; four were excluded from data analysis. Fourteen patients received a cancellous allograft (CAN group) and the other 14 received a cancellous allograft mixed with PRP (PRP group). All 28 grafted sites were covered with a resorbable polylactide membrane. After elevation of a full-thickness flap, horizontal ridge dimensions were measured with a digital caliper at the crest and 5 mm apical to the crest. Vertical ridge dimensions were measured from a tooth-supported stent. All sites were reentered at 4 months, and a trephine core was obtained for histologic analysis before implant placement. RESULTS: The crestal ridge width for the CAN group had a mean gain of 2.0 ± 1.2 mm, whereas the PRP group gained 2.9 ± 1.0, and the difference was statistically significant between groups (P <0.05). The percent vital bone was 36% ± 14% for the CAN group compared with 51% ± 15% for the PRP group and was statistically significant between groups (P <0.05). Loss of augmented ridge width was 34% ± 17% for the CAN group and 28% ± 17% for the PRP group (P >0.05). CONCLUSION: These clinical and histologic findings suggest that PRP enhanced bone regeneration and resulted in increased horizontal bone gain and percentage vital bone.

BACKGROUND: Night-shift work, exposure to artificial light-at-night (ALAN) and particularly blue light spectrum, and the consequent circadian disruption may increase the risk of breast and prostate cancer. Colorectal cancer risk may also be increased among night-shift workers. We investigated the association between exposure to ALAN according to light spectrum and colorectal cancer among subjects who had never worked at night in a general population case-control study in Spain. METHODS: We examined information on 661 incident histologically verified colorectal cancer cases and 1,322 controls from Barcelona and Madrid, 2007-2013. Outdoor ALAN exposure was based on images from the International Space Station (ISS) including data on remotely sensed upward light intensity. We derived adjusted odds ratio (OR) estimates and confidence intervals (CI) for visual light, blue light, and spectral sensitivities of the five human photopigments assigned to participant's geocoded longest residence. RESULTS: Exposure to blue light spectrum was positively associated with colorectal cancer (OR = 1.6; 95% CI: 1.2-2.2; highest vs. lowest tertile). ORs were similar (OR = 1.7; 95% CI: 1.3-2.3) when further adjusting for area socioeconomic status, diet patterns, smoking, sleep, and family history. We observed no association for outdoor visual light (full spectrum) (OR = 1.0; 95% CI, 0.7-1.2; highest vs. lowest tertile). Analysis of the five photopigments gave similar results with increased risks for shorter wavelengths overlapping with the blue spectrum and no association for longer wavelengths. CONCLUSIONS: Outdoor blue light spectrum exposure that is increasingly prevalent in recent years may be associated with colorectal cancer risk. See video abstract: http://links.lww.com/EDE/B708.

A. Rapid rate secondary to medical causes (usually in patients with pre-existing/permanent AF) e.g., sepsis, bleeding, PE, heart failure, ACS, etc.:

Astronomical observations are increasingly limited by light pollution, which is a product of the over-illumination of the night sky. To predict both the angular distribution of scattered light and the ground-reaching radiative fluxes, a set of models has been introduced in recent decades. Two distinct numerical tools, MSNsR Au and ILLUMINA, are compared in this paper, with the aim of identifying their strengths and weaknesses. The numerical experiment comprises the simulation of spectral radiances in the region of the Canary Islands. In particular, the light fields near the Roque de los Muchachos and Teide observatories are computed under various turbidity conditions. It is shown that ILLUMINA has enhanced accuracy at low elevation angles. However, ILLUMINA is time-consuming because of the two scattering orders incorporated into the calculation scheme. Under low-turbidity conditions and for zenith angles smaller than 70 the two models agree well, and thus can be successfully applied to typical cloudless situations at the majority of observatories. MSNsR Au is well optimized for large-scale simulations. In particular, the grid size is adapted dynamically depending on the distance between a light source and a hypothetical observer. This enables rapid numerical modelling for large territories. MSNsR Au is also well suited for the mass modelling of nightsky radiances after ground-based light sources are hypothetically changed. This enables an optimum design of public lighting systems and a time-efficient evaluation of the optical effects related to different lamp spectra or different lamp distributions. ILLUMINA provides two diagnostic geographical maps to help local authorities concerned about light-pollution control. The first map allows the identification of the relative contribution of each ground element to the observed sky radiance at a given viewing angle, while the second map gives the sensitivity, basically saying how each ground element contributes per lumen installed.

Over the last 6 years Sherbrooke Medical School has undertaken a major reform of its undergraduate curriculum. A new student-centred, community-oriented curriculum was implemented in September 1987. Problem-based learning (PBL) is now the main educational method. To adequately prepare teachers for the curriculum a series of faculty development programs in pedagogy were offered: first, a 2-day introductory workshop to initiate teachers into educational principles and their application in the new program; second, a 1-year basic training program in medical pedagogy; third, a 1-day workshop on PBL; and fourth, a comprehensive 3-day training program in PBL tutoring. Over 60% of all full-time teachers attended the introductory program and 80% the tutor training program. The 1-year basic training program was completed by 33% of the faculty members. The implementation of these programs, coupled with a high participation rate, resulted in a more student-centred educational philosophy and a greater interest in medical education. This had a significant impact when the new curriculum was instituted. Lessons learned from the experience are discussed.

Nighttime images taken with DSLR cameras from the International Space Station (ISS) can provide valuable information on the spatial and temporal variation of artificial nighttime lighting on Earth. In particular, this is the only source of historical and current visible multispectral data across the world (DMSP/OLS and SNPP/VIIRS-DNB data are panchromatic and multispectral in the infrared but not at visible wavelengths). The ISS images require substantial processing and proper calibration to exploit intensities and ratios from the RGB channels. Here we describe the different calibration steps, addressing in turn Decodification, Linearity correction (ISO dependent), Flat field/Vignetting, Spectral characterization of the channels, Astrometric calibration/georeferencing, Photometric calibration (stars)/Radiometric correction (settings correction - by exposure time, ISO, lens transmittance, etc) and Transmittance correction (window transmittance, atmospheric correction). We provide an example of the application of this processing method to an image of Spain.

Assessing the effect of light pollution, Microcystis aeruginosa was grown with and without low levels of night lighting. Significant differences were observed between the treatments in the maximum quantum yield of charge separation, the intracellular chlorophyll a concentration, the functional absorption cross-section of photosystem II, the number of Rubisco per cell and per chlorophyll a, the number of photosystem I per chlorophyll a, and the chlorophyll a fraction not bound to the photosystems and IsiA.

Tracking the Aerosol Optical Depth (AOD) is of particular importance in monitoring aerosol contributions to global radiative forcing. Until now, the two standard techniques used for retrieving AOD were; (i) sun photometry, and (ii) satellite-based approaches, such as based DDV (Dense Dark Vegetation) inversion algorithms. These methods are only available for use during daylight time since they are based on direct or indirect observation of sunlight. Few attempts have been made to measure AOD behaviour at night. One such method uses spectrally-calibrated stars as reference targets but the number of available stars is limited. This is especially true for urban sites where artificial lighting hides most of these stars. In this research, we attempt to provide an alternate method, one which exploits artificial sky glow or light pollution. This methodology links a 3D light pollution model with in situ light pollution measurements. The basic idea is to adjust an AOD value into the model in order to fit measured light pollution. This method requires an accurate model that includes spatial heterogeneity in lighting angular geometry, in lighting spectral dependence, in ground spectral reflectance and in topography. This model, named ILLUMINA, computes 1^st and 2^nd order molecular and aerosol scattering, as well as aerosol absorption. These model features represent major improvements to previous light pollution models. Therefore, new possibilities for light pollution studies will arise, many of which are of particular interest to the astronomical community. In this paper we will present a first sensitive study applied to the ILLUMINA model.

Rare-earth (RE) analogues of UiO-66 with non-functionalised 1,4-benzenedicarboxylate linkers are synthesised for the first time, and a series of synthetic approaches is provided to troubleshoot the synthesis. RE-UiO-66 analogues are fully characterised, and demonstrate a high degree of crystallinity, high surface area and thermal stability, consistent with the UiO-66 archetype.