Utilité du dosage de la CRP dans le diagnostic, le pronostic et le suivi de la pneumonie acquise dans la communauté [Role of C-reactive protein in the diagnosis, prognosis and follow-up of community-acquired pneumonia].

Community-acquired pneumonia (CAP) is a major clinical problem in terms of morbidity, mortality, and use of hospital resources. It is well recognized that a delay in making the diagnosis and instituting appropriate antibiotic treatment is associated with an increased mortality. C-reactive protein may be helpful in the management of patients with CAP. CRP is widely used in the management of CAP, including diagnosis, prognosis and follow-up. But its usefulness is not known. The aim of this systematic review was to evaluate the usefulness of CRP in the diagnosis, prognosis and follow-up of CAP.

Författningsändring och problemlösning: en studie av kvalificerade majoriteter i 34 stater

Abstract: Constitutional amendment and problem-solving: supermajorities in 34 states.

Remote collaborative multi-user informal learning experiences: design and evaluation

This paper presents a customizable system used to develop a collaborative multi-user problem solving game. It addresses the increasing demand for appealing informal learning experiences in museum-like settings. The system facilitates remote collaboration by allowing groups of learners tocommunicate through a videoconferencing system and by allowing them to simultaneously interact through a shared multi-touch interactive surface. A user study with 20 user groups indicates that the game facilitates collaboration between local and remote groups of learners. The videoconference and multitouch surface acted as communication channels, attracted students’ interest, facilitated engagement, and promoted inter- and intra-group collaboration—favoring intra-group collaboration. Our findings suggest that augmentingvideoconferencing systems with a shared multitouch space offers newpossibilities and scenarios for remote collaborative environments and collaborative learning.

Functional remediation for bipolar disorder

Neurocognitive impairment constitutes a core feature of bipolar illness. The main domains affected are verbal memory, attention, and executive functions. Deficits in these areas as well as difficulties to get functional remission seem to be increased associated with illness progression. Several studies have found a strong relationship between neurocognitive impairment and low functioning in bipolar disorder, as previously reported in other illnesses such as schizophrenia. Cognitive remediation strategies, adapted from work conducted with traumatic brain injury patients and applied to patients with schizophrenia, also need to be adapted to individuals with bipolar disorders. Early intervention using functional remediation, involves neurocognitive techniques and training, but also psychoeducation on cognition-related issues and problem-solving within an ecological framework.

Typing less common ovarian tumors: A training tool based on a pattern-based algorithm applied to a set of 20 virtual slides.

Context: Ovarian tumors (OT) typing is a competency expected from pathologists, with significant clinical implications. OT however come in numerous different types, some rather rare, with the consequence of few opportunities for practice in some departments. Aim: Our aim was to design a tool for pathologists to train in less common OT typing. Method and Results: Representative slides of 20 less common OT were scanned (Nano Zoomer Digital Hamamatsu®) and the diagnostic algorithm proposed by Young and Scully applied to each case (Young RH and Scully RE, Seminars in Diagnostic Pathology 2001, 18: 161-235) to include: recognition of morphological pattern(s); shortlisting of differential diagnosis; proposition of relevant immunohistochemical markers. The next steps of this project will be: evaluation of the tool in several post-graduate training centers in Europe and Québec; improvement of its design based on evaluation results; diffusion to a larger public. Discussion: In clinical medicine, solving many cases is recognized as of utmost importance for a novice to become an expert. This project relies on the virtual slides technology to provide pathologists with a learning tool aimed at increasing their skills in OT typing. After due evaluation, this model might be extended to other uncommon tumors.

Reduced left hemisphere dominance for multiple versus single anagram solutions and its modulation by individuals' schizotypy

Problem solving (including insight, divergent thinking) seems to rely on the right hemisphere (RH). These functions are difficult to assess behaviorally. We propose anagram resolution as a suitable paradigm. University students (n=32) performed three tachistoscopic lateralized visual half-field experiments (stimulus presentation 150ms). In Experiment 1, participants recalled four-letter strings. Subsequently, participants provided solutions for four-letter anagrams (one solution in Experiment 2; two solutions in Experiment 3). Additionally, participants completed a schizotypy questionnaire (O-LIFE). Results showed a right visual field advantage in Experiment 1 and 2, but no visual field advantage in Experiment 3. In Experiment 1, increasing positive schizotypy associated with a RH performance shift. Problem solving seems to require increasingly the RH when facing several rather than one solution. This result supports previous studies on the RH's role in remote associative, metaphor and discourse processing. The more complex language requirements, the less personality traits seem to matter.

CIRAS News Annual Report 2000, January 3, 2001

CIRAS professionals, the equipment they use to do their jobs, and the latest in technical support equipment. With these investments, CIRAS continues to meet the needs of Iowa manufacturers, whether in doing routine problem solving, long-range planning, or transferring newer technologies. In all of its services, but most notably in product development projects, one of the strengths of CIRAS lies in bringing ISU students into the picture, both to help reach project goals and as real-job learning experiences for the students.

CIRAS News Annual Report 2001, January 3, 2001

CIRAS professionals, the equipment they use to do their jobs, and the latest in technical support equipment. With these investments, CIRAS continues to meet the needs of Iowa manufacturers, whether in doing routine problem solving, long-range planning, or transferring newer technologies. In all of its services, but most notably in product development projects, one of the strengths of CIRAS lies in bringing ISU students into the picture, both to help reach project goals and as real-job learning experiences for the students.

CIRAS News Annual Report 2002, January 3, 2001

CIRAS professionals, the equipment they use to do their jobs, and the latest in technical support equipment. With these investments, CIRAS continues to meet the needs of Iowa manufacturers, whether in doing routine problem solving, long-range planning, or transferring newer technologies. In all of its services, but most notably in product development projects, one of the strengths of CIRAS lies in bringing ISU students into the picture, both to help reach project goals and as real-job learning experiences for the students.

CIRAS News Annual Report 2003, January 5, 2004

CIRAS professionals, the equipment they use to do their jobs, and the latest in technical support equipment. With these investments, CIRAS continues to meet the needs of Iowa manufacturers, whether in doing routine problem solving, long-range planning, or transferring newer technologies. In all of its services, but most notably in product development projects, one of the strengths of CIRAS lies in bringing ISU students into the picture, both to help reach project goals and as real-job learning experiences for the students.

CIRAS News Annual Report 2004, November 29, 2004

CIRAS professionals, the equipment they use to do their jobs, and the latest in technical support equipment. With these investments, CIRAS continues to meet the needs of Iowa manufacturers, whether in doing routine problem solving, long-range planning, or transferring newer technologies. In all of its services, but most notably in product development projects, one of the strengths of CIRAS lies in bringing ISU students into the picture, both to help reach project goals and as real-job learning experiences for the students.

CIRAS News Annual Report 2005, October 21, 2005

CIRAS professionals, the equipment they use to do their jobs, and the latest in technical support equipment. With these investments, CIRAS continues to meet the needs of Iowa manufacturers, whether in doing routine problem solving, long-range planning, or transferring newer technologies. In all of its services, but most notably in product development projects, one of the strengths of CIRAS lies in bringing ISU students into the picture, both to help reach project goals and as real-job learning experiences for the students.

CIRAS News Annual Report 2006, September 4, 2007

CIRAS professionals, the equipment they use to do their jobs, and the latest in technical support equipment. With these investments, CIRAS continues to meet the needs of Iowa manufacturers, whether in doing routine problem solving, long-range planning, or transferring newer technologies. In all of its services, but most notably in product development projects, one of the strengths of CIRAS lies in bringing ISU students into the picture, both to help reach project goals and as real-job learning experiences for the students.

Doxorubicin induces drug efflux pumps in Candida albicans.

Candida albicans is one of the most important opportunistic fungal pathogens. It can cause serious fungal diseases in immunocompromised patients, including those with cancer. Treatment failures due to the emergence of drug-resistant C. albicans strains have become a serious clinical problem. Resistance incidents were often mediated by fungal efflux pumps which are closely related to the human ABC transporter P-glycoprotein (P-gp). P-gp is often overexpressed in cancer cells and confers resistance to many cytotoxic drugs. We examined whether cytotoxic drugs commonly used for cancer treatment (doxorubicin and cyclophosphamide) could alter the expression of genes responsible for the development of fluconazole resistance in Candida cells in the way they can influence homologous genes in cancer cell lines. ABC transporters (CDR1 and CDR2) and other resistance genes (MDR1 and ERG11) were tested by real-time PCR for their expression in C. albicans cells at the mRNA level after induction by antineoplastic drugs. The results were confirmed by a lacZ gene reporter system and verified at the protein level using GFP and immunoblotting. We showed that doxorubicin is a potent inducer of CDR1/CDR2 expression in C. albicans at both the mRNA and protein level and thus causes an increase in fluconazole MIC values. However, cyclophosphamide, which is not a substrate of human P-gp, did not induce ABC transporter expression in C. albicans. Neither doxorubicin nor cyclophosphamide could influence the expression of the other resistance genes (MDR1 and ERG11). The induction of CDR1/CDR2 by doxorubicin in C. albicans and the resulting alteration of antifungal susceptibility might be of clinical relevance for the antifungal treatment of Candida infections occurring after anticancer chemotherapy with doxorubicin.