NobleBlocks

Délégation Midi Pyrénées

governmentToulouse, Occitanie, France

Research output, citation impact, and the most-cited recent papers from Délégation Midi Pyrénées (France). Aggregated across the NobleBlocks index of 300M+ scholarly works.

Total works
211
Citations
779
h-index
14
i10-index
17
Also known as
Délégation Midi Pyrénées

Top-cited papers from Délégation Midi Pyrénées

Agile Robotic Fliers: A Morphing-Based Approach
Valentin Rivière, Augustin Manecy, Stéphane Viollet
2018· Soft Robotics115doi:10.1089/soro.2017.0120

Abstract The aerial robot presented here for the first time was based on a quadrotor structure, which is capable of unique morphing performances based on an actuated elastic mechanism. Like birds, which are able to negotiate narrow apertures despite their relatively large wingspan, our Quad-Morphing robot was able to pass through a narrow gap at a high forward speed of 2.5 m.s − 1 by swiftly folding up the structure supporting its propellers. A control strategy was developed to deal with the loss of controllability on the roll axis resulting from the folding process, while keeping the robot stable until it has crossed the gap. In addition, a complete recovery procedure was also implemented to stabilize the robot after the unfolding process. A new metric was also used to quantify the gain in terms of the gap-crossing ability in comparison with that observed with classical quadrotors with rigid bodies. The performances of these morphing robots are presented, and experiments performed with a real flying robot passing through a small aperture by reducing its wingspan by 48% are described and discussed.

Protein crowding and lipid complexity influence the nanoscale dynamic organization of ion channels in cell membranes
Anna L. Duncan, Tyler Reddy, Heidi Koldsø, Jean Hélie +3 more
2017· Scientific Reports96doi:10.1038/s41598-017-16865-6

Abstract Cell membranes are crowded and complex environments. To investigate the effect of protein-lipid interactions on dynamic organization in mammalian cell membranes, we have performed coarse-grained molecular dynamics simulations containing >100 copies of an inwardly rectifying potassium (Kir) channel which forms specific interactions with the regulatory lipid phosphatidylinositol 4,5-bisphosphate (PIP 2 ). The tendency of protein molecules to cluster has the effect of organizing the membrane into dynamic compartments. At the same time, the diversity of lipids present has a marked effect on the clustering behavior of ion channels. Sub-diffusion of proteins and lipids is observed. Protein crowding alters the sub-diffusive behavior of proteins and lipids such as PIP 2 which interact tightly with Kir channels. Protein crowding also affects bilayer properties, such as membrane undulations and bending rigidity, in a PIP 2 -dependent manner. This interplay between the diffusion and the dynamic organization of Kir channels may have important implications for channel function.

Assessing the response of micro-eukaryotic diversity to the Great Acceleration using lake sedimentary DNA
François Keck, Laurent Millet, Didier Debroas, David Étienne +3 more
2020· Nature Communications89doi:10.1038/s41467-020-17682-8

Long-term time series have provided evidence that anthropogenic pressures can threaten lakes. Yet it remains unclear how and the extent to which lake biodiversity has changed during the Anthropocene, in particular for microbes. Here, we used DNA preserved in sediments to compare modern micro-eukaryotic communities with those from the end of the 19th century, i.e., before acceleration of the human imprint on ecosystems. Our results obtained for 48 lakes indicate drastic changes in the composition of microbial communities, coupled with a homogenization of their diversity between lakes. Remote high elevation lakes were globally less impacted than lowland lakes affected by local human activity. All functional groups (micro-algae, parasites, saprotrophs and consumers) underwent significant changes in diversity. However, we show that the effects of anthropogenic changes have benefited in particular phototrophic and mixotrophic species, which is consistent with the hypothesis of a global increase of primary productivity in lakes.

Joint <italic>A Contrario</italic> Ellipse and Line Detection
Viorica Pătrăucean, Pierre Gurdjos, Rafael Grompone von Gioi
2016· IEEE Transactions on Pattern Analysis and Machine Intelligence69doi:10.1109/tpami.2016.2558150

We propose a line segment and elliptical arc detector that produces a reduced number of false detections on various types of images without any parameter tuning. For a given region of pixels in a grey-scale image, the detector decides whether a line segment or an elliptical arc is present (model validation). If both interpretations are possible for the same region, the detector chooses the one that best explains the data (model selection ). We describe a statistical criterion based on the a contrario theory, which serves for both validation and model selection. The experimental results highlight the performance of the proposed approach compared to state-of-the-art detectors, when applied on synthetic and real images.

Sine scleroderma, limited cutaneous, and diffused cutaneous systemic sclerosis survival and predictors of mortality
S. De Almeida Chaves, T. Porel, Mickael Mounié, Laurent Alric +4 more
2021· Arthritis Research & Therapy50doi:10.1186/s13075-021-02672-y

BACKGROUND: Systemic sclerosis (SSc) is associated with a variability of mortality rates in the literature. OBJECTIVE: To determine the mortality and its predictors in a long-term follow-up of a bi-centric cohort of SSc patients. METHODS: A retrospective observational study by systematically analyzing the medical records of patients diagnosed with SSc in Toulouse University Hospital and Ducuing Hospital. Standardized Mortality Ratio (SMR), mortality at 1, 3, 5, 10, and 15 years of disease and causes of death were described. Predictors of mortality using Cox regression were assessed. RESULTS: Three hundred seventy-five patients were included: 63 with diffuse cutaneous SSc, 279 with limited cutaneous SSc, and 33 with sine scleroderma. The SMR ratio was 1.88 (95% CI 1.46-1.97). The overall survival rates were 97.6% at 1 year, 93.4% at 3 years, 87.1% at 5 years, 77.9% at 10 years, and 61.3% at 15 years. Sixty-nine deaths were recorded. 46.4% were SSc related deaths secondary to interstitial lung disease (ILD) (34.4%), pulmonary hypertension (31.2%), and digestive tract involvement (18.8%). 53.6% were non-related to SSc: cardiovascular disorders (37.8%) and various infections (35.1%) largely distanced those from cancer (13.5%). Four significant independent predictive factors were identified: carbon monoxide diffusing capacity (DLCO) < 70% (HR=3.01; p=0.0053), C-reactive protein (CRP) >5 mg/l (HR=2.13; p=0.0174), cardiac involvement (HR=2.86; p=0.0012), and the fact of being male (HR=3.25; p=0.0004). CONCLUSION: Long-term data confirmed high mortality of SSc. Male sex, DLCO <70%, cardiac involvement, and CRP> 5mg/l were identified as independent predictors of mortality.

Identification of new enterosynes using prebiotics: roles of bioactive lipids and mu-opioid receptor signalling in humans and mice
Anne Abot, Eve Wemelle, Claire Laurens, Adrien Paquot +4 more
2020· Gut46doi:10.1136/gutjnl-2019-320230

OBJECTIVE: The enteric nervous system (ENS) plays a key role in controlling the gut-brain axis under normal and pathological conditions, such as type 2 diabetes. The discovery of intestinal actors, such as enterosynes, able to modulate the ENS-induced duodenal contraction is considered an innovative approach. Among all the intestinal factors, the understanding of the role of gut microbes in controlling glycaemia is still developed. We studied whether the modulation of gut microbiota by prebiotics could permit the identification of novel enterosynes. DESIGN: We measured the effects of prebiotics on the production of bioactive lipids in the intestine and tested the identified lipid on ENS-induced contraction and glucose metabolism. Then, we studied the signalling pathways involved and compared the results obtained in mice to human. RESULTS: We found that modulating the gut microbiota with prebiotics modifies the actions of enteric neurons, thereby controlling duodenal contraction and subsequently attenuating hyperglycaemia in diabetic mice. We discovered that the signalling pathway involved in these effects depends on the synthesis of a bioactive lipid 12-hydroxyeicosatetraenoic acid (12-HETE) and the presence of mu-opioid receptors (MOR) on enteric neurons. Using pharmacological approaches, we demonstrated the key role of the MOR receptors and proliferator-activated receptor γ for the effects of 12-HETE. These findings are supported by human data showing a decreased expression of the proenkephalin and MOR messanger RNAs in the duodenum of patients with diabetic. CONCLUSIONS: Using a prebiotic approach, we identified enkephalin and 12-HETE as new enterosynes with potential real beneficial and safety impact in diabetic human.

Paleoreconstructions of ciliate communities reveal long-term ecological changes in temperate lakes
Cécilia Barouillet, Valentin Vasselon, François Keck, Laurent Millet +4 more
2022· Scientific Reports30doi:10.1038/s41598-022-12041-7

Ciliates are unicellular heterotrophic organisms that play a key role in aquatic planktonic and benthic food webs. Advances in sedimentary DNA (sed-DNA) analysis offer the possibility to integrate these bioindicators in paleoenvironmental reconstructions. In this study, we used the top-bottom paleolimnological approach and metabarcoding techniques applied to sed-DNA to compare the recent and past (i.e. prior to major anthropogenic impacts) ciliate communities of 48 lakes located along an elevation gradient. Our results show an overall decline in the β-diversity in recent time, especially in lowland lakes, which are more strongly exposed to local human pressures. Analyses of the functional groups indicate important restructuration of the food web, including the recent increase in mixotrophs. Moreover, changes in the benthic ciliates were consistent with the widespread increase in deep water anoxia. Our results provided evidence that sed-DNA can uncover information about past ciliate communities on a wide variety of lakes. Overall, our study demonstrates the potential of using ciliates as new paleoindicators, integrating information from the pelagic to the benthic zones, and providing valuable insights into ecosystem functioning through a trait-based functional community approach. As paleoindicator, they thus offer a more holistic view on the long-term changes of aquatic ecosystems.

Epidemiology and Antimicrobial Resistance of <i>Streptococcus pneumoniae</i> in France in 2007: Data from the Pneumococcus Surveillance Network
Marie Kempf, R. Baraduc, Henri Bonnabau, Michel Brun +4 more
2010· Microbial Drug Resistance26doi:10.1089/mdr.2010.0031

Antimicrobial resistance of Streptococcus pneumoniae in France is closely monitored by the pneumococcus surveillance network, founded in 1995, which collects data from regional observatories (Observatoire Régionaux du Pneumocoque [ORP]). In 2007, 23 ORPs analyzed the antibiotic susceptibility of 5,302 isolates of S. pneumoniae recovered in France from cerebrospinal fluid, blood, middle ear fluid, and pleural fluid, as well as from adult respiratory samples. The study showed that 38.2% of the strains were nonsusceptible to penicillin, 19.3% nonsusceptible to amoxicillin, and 10.5% nonsusceptible to cefotaxime. The percentage of pneumococcus nonsusceptible to penicillin varied according to both the sample and the age of the patient (child/adult): blood (27.8%/32.5%), cerebrospinal fluid (33.7%/34.6%), middle ear fluid (60.2%/27.5%), and pleural fluid (50.0%/31.0%). Between 2003 and 2007, the frequency of penicillin resistance in invasive pneumococcal disease gradually decreased from 46.4% to 29.0% in children and from 43.8% to 32.7% in adults. This decrease coincided with the introduction of a seven-valent pneumococcal conjugate vaccine into immunization programs and with a general reduction in levels of antibiotic consumption in France.

Effect of familial clustering in the genetic screening of 235 French ALS families
Philippe Corcia, William Camu, Céline Brulard, Sylviane Marouillat +4 more
2021· Journal of Neurology Neurosurgery & Psychiatry23doi:10.1136/jnnp-2020-325064

Objectives To determine whether the familial clustering of amyotrophic lateral sclerosis (ALS) cases and the phenotype of the disease may help identify the pathogenic genes involved. Methods We conducted a targeted next-generation sequencing analysis on 235 French familial ALS (FALS), unrelated probands to identify mutations in 30 genes linked to the disease. The genealogy, that is, number of cases and generations with ALS, gender, age, site of onset and the duration of the disease were analysed. Results Regarding the number of generations, 49 pedigrees had only one affected generation, 152 had two affected generations and 34 had at least three affected generations. Among the 149 pedigrees (63.4%) for which a deleterious variant was found, an abnormal G4C2 expansion in C9orf72 was found in 98 cases as well as SOD1 , TARBP or FUS mutations in 30, 9 and 7 cases, respectively. Considering pedigrees from the number of generations, abnormal G4C2 expansion in C9orf72 was more frequent in pedigrees with pairs of affected ALS cases, which represented 65.2% of our cohort. SOD1 mutation involved all types of pedigrees. No TARDBP nor FUS mutation was present in monogenerational pedigrees. TARDBP mutation predominated in bigenerational pedigrees with at least three cases and FUS mutation in multigenerational pedigrees with more than seven cases, on average, and with an age of onset younger than 45 years. Conclusion Our results suggest that familial clustering, phenotypes and genotypes are interconnected in FALS, and thus it might be possible to target the genetic screening from the familial architecture and the phenotype of ALS cases.

Modelling complex large scale systems using object oriented Bayesian networks (OOBN)
Quan Liu, Ayeley Tchangani, François Pérès
2016· IFAC-PapersOnLine20doi:10.1016/j.ifacol.2016.07.562

The aim of this communication is to present a new way of how to structure modelling process of complex and large scale systems by object oriented Bayesian network (OOBN) for risk assessment and management purpose. In the first stage, we extend OOBN by presenting a new definition that introduces some flexibility, in a second stage, dynamic Bayesian networks (DBN) described by OOBN method are presented, that leads to a framework that we refer to as Dynamic Objet Oriented Bayesian Network (DOOBN). A demonstration in the domain of risk assessment of flash floods effect on the infrastructures inoperability is considered to show potential applicability of the extended OOBN.

Des baladeurs MP3 en classe d'allemand - L'effet de l'autorégulation matérielle de l'écoute sur la compréhension auditive en langue seconde
Stéphanie Roussel, Angelika Rieussec, Jean–Luc Nespoulous, André Tricot
2008· Alsic19doi:10.4000/alsic.413

Nous rendons compte de plusieurs expérimentations au cours desquelles des élèves français de secondes LV1 allemand ont écouté plusieurs documents sonores en allemand au format MP3 sur ordinateur. Pendant leur écoute, leur écran a été filmé. Les mouvements de la souris et donc précisément les codes temporels (time codes) des pauses, des retours en arrière et des avances rapides effectués pendant l'écoute ont ainsi été enregistrés, puis analysés. Cette méthode nous a permis de rendre compte des stratégies cognitives d'écoute autorégulée. Les données sont analysées d'un point de vue linguistique et psycholinguistique. Nous avons pu dégager quatre grands types d'écoute. Il en ressort que les auditeurs plus compétents ont une approche plus globale de la tâche d'écoute et que les moins compétents s'arrêtent plus souvent et ont plus de difficultés à comprendre le message. Notre étude montre que la possibilité d'exercer un contrôle sur l'input sonore améliore en règle générale la performance en compréhension. Cette performance dépend elle-même de la stratégie d'écoute utilisée et du niveau initial des auditeurs.

Robustness of a Resonant Controller for a Multiphase Induction Heating System
Kien Long Nguyen, Olivier Pateau, Stéphane Caux, Pascal Maussion +1 more
2014· IEEE Transactions on Industry Applications18doi:10.1109/tia.2014.2354405

This paper presents a robustness study of the current control scheme for a multiphase induction heating system. Resonant control has been chosen in order to achieve a perfect current reference tracking in the inductors with different solutions from the literature. A simplified model of the system is given; it is based on data extracted from finite-element software, including a model of the energy transfer between the dc source and the currents. The metal sheet resistivity will change with temperature, inducing some modifications in the system parameters. These disturbances will be rejected by the resonant controllers whose pole and zero variations are investigated. In addition, the tuning method for the resonant controllers is detailed when the sampling frequency/switching frequency ratio is very low. Some specific stability zones are defined for the resonant controller gains. The application is currently developed on a test bench devoted to disc induction heating.

[Epidemiology of myocardial infarction in France. Regional specificities].
Jean‐Pierre Cambou, N Genès, L Vaur, Marie‐Ange Renault +3 more
1997· PubMed11

A national epidemiological study undertaken in November 1995 recensed the data of 2563 patients admitted to 373 Intensive Care Units for acute myocardial infarction. There were 1827 men and 736 women with an average age of 67 years. Seventeen per cent of patients had left ventricular ejection fration (LVEF) < or = 35%. The mortality rate at 5 days was 7.7%. Clinical heart failure (Killip > 1) was observed in 34.4% of patients. 63% of patients were admitted before the 6th hour. Forty-six per cent of patients underwent early revascularisation by thrombolysis and/or angioplasty. The most widely used drugs in the first 5 days were heparin (96%), aspirin (89%), betablockers (65%), and angiotension converting enzyme inhibitors (46%). The influence of region on the demographical features, morbidity, mortality and therapeutic practice was studied. France was divided into 6 regions. In the Centre, the patients were older, with increased morbidity and mortality compared with the national average. Patients in the North East were similar and had a higher incidence of obesity. In the Ile de France, patients were generally younger with a higher incidence of tobacco consumption and their infarcts were generally less severe. Finally, in the South East, the mortality was particularly low. In multivariate analysis living in this region was good prognostic factor whereas low LVEF (< or = 35%) and age > or = 65 years were poor prognostic factors. This study, for the first time in France, describes the clinical features of myocardial infarction admitted to the Intensive Care Unit with respect to criteria of severity (LVEF, Killip) and region of origin of the patients. Its confirms large regional variations in the severity of acute myocardial infarction.

Les bases médico-administratives pour mesurer les inégalités sociales de santé
Denis Ducros, Valérie Nicoules, Haithem Chehoud, Annette Bayle +4 more
2015· Santé Publique9doi:10.3917/spub.153.0383

Objectif : La capacité à mesurer les inégalités sociales de santé (ISS) est un préalable à la mise en œuvre des politiques territoriales de réduction de ces inégalités. L’absence d’informations individuelles à caractère socio-économique dans les bases de données médico-administratives ne permet pas de les évaluer directement. L’objectif est de proposer une méthode de mesure des ISS à partir des bases de données de l’Assurance maladie et d’un indicateur écologique agrégé de défavorisation. Méthodes : Vingt-sept indicateurs de recours aux soins et à la prévention ont été construits comme marqueurs potentiels d’ISS. Les bases de données médico-administratives ont été complétées avec un indice de défavorisation disponible à l’IRIS, l’ European Deprivation Index . Un indicateur d’accessibilité spatiale potentielle est également calculé afin de prendre en compte la distribution spatiale de l’offre de soins. Résultats : La population de l’étude comprenait les données issues des trois principaux régimes d’Assurance maladie, soit 89 % de la population de la région Midi-Pyrénées. 98 % ont pu être géocodés. Les 27 indicateurs ont donc été calculés sur 2 574 310 personnes, soit 87 % de la population régionale. Conclusion : Ce travail montre l’intérêt d’utiliser les données médico-administratives pour créer des bases de données permettant de mesurer les ISS et leurs évolutions en région. Les indicateurs proposés pourraient être utilisés comme outils d’aide à la décision en matière de sélection de territoires d’intervention et permettre d’apprécier l’impact des politiques publiques mises en œuvre en faveur de la réduction des ISS.

Kalman Filter-Based Novel Methodology to Assess Insulin Pump Accuracy
Sylvain Girardot, Flavien Mousin, Jérémy Vezinet, Pauline Jacquemier +2 more
2019· Diabetes Technology & Therapeutics7doi:10.1089/dia.2019.0147

Background: Insulin pump or continuous subcutaneous insulin infusion (CSII) system is a widely adopted contemporary treatment for type 1 diabetes and is a major component of an artificial pancreas (AP). CSII accuracy is essential for glycemic control and to-date such metric has not been given sufficient study, especially at the range of the lowest basal rate. The gold-standard assessment method IEC (International Electrotechnical Commission) 60601-2-24 has some limitations. Our study presents a new accurate and reactive method for CSII system evaluation based on direct flow measurement. Materials and Methods: A leading-edge assessment method based on a double measurement approach utilizing a direct mass flow meter and a time-stamped microgravimetric bench test was combined with a Bayesian-based mathematical filter (Kalman). The performance of this new method was evaluated while assessing the delivery precision of an off-the-shelf insulin pump at several basal rates. The proposed methodology offers a double reading—volume and flow rate—which provides direct instantaneous flow rate. CSII dose errors were evaluated using mean absolute relative dispersion (MARD) at different time intervals windows over the whole test. Results: The metrological aspect of the measurements and filtering performance were consistent. CSII precision is shown to be different in terms of the flow rate value: MARD15min (2 UI/h) = 12.7%, MARD15min (0.5 UI/h) = 20.4%, and MARD15min (0.1 UI/h) = 65.0%. MARD240min (2 UI/h) = 8.1%, (0.5 UI/h), MARD240min (0.5 UI/h) = 18.8%, and MARD240min (0.1 UI/h) = 18.4%. Instantaneous flow rate results highlight an irregular stroke-based delivery. Conclusion: This new method to assess insulin pump administration has been validated and highlights the current imprecision in insulin delivery, especially for the lowest basal rate, which is mainly used in pediatric cases and AP system delivery. This leading-edge method should be used to precisely compare several CSII performances in those contexts.

El Tossal Montañés (Valdeltormo, Teruel): Une maison-tour ibérique du VIe siècle av. J.-C.
Pierre Moret
2020· DAI3doi:10.34780/o0c8-l8r6

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A landscape-scale field survey demonstrates the role of wheat volunteers as a local and diversified source of leaf rust inoculum
Anne‐Lise Boixel, Henriette Goyeau, Julie Berder, J. Moinard +4 more
2023· Scientific Reports3doi:10.1038/s41598-023-47499-6

Deploying disease-resistant cultivars is one of the most effective control strategies to manage crop diseases such as wheat leaf rust, caused by Puccinia triticina. After harvest, this biotrophic fungal pathogen can survive on wheat volunteers present at landscape scale and constitute a local source of primary inoculum for the next cropping season. In this study, we characterised the diversity of P. triticina populations surveyed on wheat volunteer seedlings for six consecutive years (2007-2012) at the landscape scale. A total of 642 leaf rust samples classified in 52 virulence profiles (pathotypes) were collected within a fixed 5-km radius. The pathotype composition (identity and abundance) of field-collected populations was analyzed according to the distance between the surveyed wheat plots and to the cultivars of origin of isolates. Our study emphasised the high diversity of P. triticina populations on wheat volunteers at the landscape scale. We observed an impact of cultivar of origin on pathogen population composition. Levels of population diversity differed between cultivars and their deployment in the study area. Our results suggest that wheat volunteers could provide a significant though highly variable contribution to the composition of primary inoculum and subsequent initiation of leaf rust epidemics.

Susceptible-infected diffusion of food safety opinion dissemination: Infrastructure-driven spread and behavior-embedded substance
Xinyue Hao, Dapeng Dong, Chang Liu, Emrah Demir +1 more
2025· Expert Systems with Applications3doi:10.1016/j.eswa.2025.128886

This study examines how food safety information disseminates across three structurally distinct Chinese social media platforms, Weibo, TikTok, and Xiaohongshu (XHS), during crisis events. Rather than serving as neutral transmission channels, these platforms are conceptualized as dynamic Information Service Systems (ISS), in which algorithmic infrastructures and content substances co-produce public meaning, emotional salience, and trust dynamics. Drawing on the Substance–Infrastructure (S-I) model, specifically Type II logic, where infrastructure drives substance, we theorize that technical mechanisms such as feed algorithms, trending systems, and visibility logics interact with semantic features like emotional tone, media modality, and narrative framing to shape the velocity, reach, and epistemic reliability of crisis communication. Employing a mixed-methods design that combines temporal Exponential Random Graph Models (ERGM), Susceptible-Infected (SI) diffusion simulations, and BERT-based sentiment analysis, we identify how different network structures, decentralized, centralized, and hybrid, interact with conformity, homophily, and neophilia to produce platform-specific information ecologies. TikTok’s architecture enables high-speed virality with minimal deliberative anchoring, limiting the platform’s ability to support trust repair; XHS facilitates high-affinity trust ecosystems led by key opinion leaders, but is vulnerable to echo chambers and insular misinformation; Weibo, with its hybrid infrastructure, supports rapid escalation and multi-directional discourse, but suffers from volatility in trust due to inconsistent epistemic control. These distinct affordances explain the asymmetric amplification of food safety narratives and the divergent trajectories of public trust, consolidation, polarization, or collapse, across platforms. As a contribution, the study introduces the Integrated Design and Operation Management (IDOM) framework, which positions platforms as reflexive control systems that must adapt to real-time signals of uncertainty and trust decay. It further underscores the need for resilient public governance that aligns institutional interventions with platform-specific logics and user cognitive baselines, advocating for a coordinated socio-technical ecosystem capable of sustaining trustworthy, inclusive, and responsive food safety communication in the digital era.

Serotype Distribution and Antibiotic Resistance of <i>Streptococcus pneumoniae</i> Strains Isolated from Adults in France: Evolution Between 2001 and 2003
Micheline Roussel‐Delvallez, Véronique Vernet-Garnier, Sandra Bourdon, Michel Brun +4 more
2009· Microbial Drug Resistance3doi:10.1089/mdr.2009.0920

Antibiotic-resistant Streptococcus pneumoniae (Sp) are described around the world. The present national surveillance study report analyzes more than 6000 Sp strains, isolated from adults across France in 2001 and 2003, from blood cultures (3086 in 2001 and 3164 in 2003), cerebrospinal fluid (respectively, 238 and 240), or middle ear fluid (respectively, 110 and 100). The proportion of isolates with reduced susceptibility to penicillin fell significantly between 2001 and 2003 from 46.5% to 43.9%. The proportion of high-level resistant strains to penicillin minimal inhibitory concentrations (MIC > 1 mg/L), amoxicillin, and cefotaxime (MIC > 2 mg/L) slightly decreased but remained low: 10.6%, 1.2%, and 0.2% in 2003. Resistance to other antibiotics (erythromycin, cotrimoxazole, tetracycline, and chloramphenicol) also decreased. Decrease in prevalence of penicillin-resistant Sp varied according to specimen source. The proportion of penicillin nonsusceptible pneumococci decreased in blood cultures and middle ear fluids between 2001 and 2003 but increased in cerebrospinal fluid (43.4% and 46.5%, respectively). Serotypes covered by the heptavalent vaccine accounted for 42.4% of all isolates recovered in 2001 and 46.1% in 2003. Prevalence of antibiotic-resistant Sp decreased in 2003 in France.

Combination of exhaled breath condensate samples with lipoarabinomannan point of care assay for pulmonary tuberculosis (TB) diagnosis: protocol for a diagnostic accuracy study
Stéphane Pouzol, Mohammad Khaja Mafij Uddin, Ashabul Islam, Maha Sultana Jabin +3 more
2024· BMJ Open3doi:10.1136/bmjopen-2024-087026

INTRODUCTION: The WHO estimates a gap of about 30% between the incident (10.6 million) and notified (7.5 million) cases of tuberculosis (TB). Combined with the growing recognition in prevalence surveys of the high proportion of cases identified who are asymptomatic or paucisymptomatic, these data underscore how current symptom screening approaches and use of diagnostic tests with suboptimal performance on sputum miss large numbers of cases. Thus, the development of sputum-free biomarker-based tests for diagnosis is becoming necessary, which the WHO has already identified as a priority for new TB diagnostics.The objective of this study is to evaluate a combination of exhaled breath condensate (EBC) samples and mycobacterial lipoarabinomannan (LAM) as point-of-care (POC) assays to identify TB patients. METHODS AND ANALYSIS: This prospective diagnostic accuracy study is conducted at the TB Screening and Treatment Centre of International Center for Diarrhoeal Disease Research, Bangladesh, on a cohort of adults and adolescents >11 years of age. A total of 614 individuals with presumptive pulmonary TB based on TB signs, symptoms and radiography are being recruited from 28 August 2023. Spot sputum is collected for standard reference testing (L-J culture, GeneXpert MTB/Rif, acid-fast Bacilli microscopy) to fine-tune categorisation of TB disease status for each participant, defined as (1) definite TB (at least one positive standard reference test); (2) probable TB (not microbiologically confirmed but under TB treatment); (3) possible TB (no TB treatment but signs, symptoms and radiography suggestive of TB); (4) other respiratory disease (microbiologically not confirmed and no radiography presenting abnormalities compatible with TB); and (5) unknown (no microbiological evidence with normal/no TB abnormalities with radiography). Urine and EBC specimens will be subjected to LAM POC testing and biobanked for further investigation. Statistical analyses will include an assessment of diagnostic accuracy by constructing receiver operating curves and calculating sensitivity and specificity, as well as post-test probabilities. ETHICS AND DISSEMINATION: The study protocol was approved by the Research Review Committee as well as the Ethical Review Committee of icddr,b and recorded under a protocol reference number, PR-2301. Results will be submitted to open-access peer-reviewed journals, presented at academic meetings, and shared with national and international policymaking bodies.