Prospective multicenter international surveillance of azole resistance in Aspergillus fumigatus.

To investigate azole resistance in clinical Aspergillus isolates, we conducted prospective multicenter international surveillance. A total of 3,788 Aspergillus isolates were screened in 22 centers from 19 countries. Azole-resistant A. fumigatus was more frequently found (3.2% prevalence) than previously acknowledged, causing resistant invasive and noninvasive aspergillosis and severely compromising clinical use of azoles.

La veille bibliographique. Partie 4, Un élément de surveillance

Voici la quatrième et dernière partie des résultats d'une veille bibliographique sur la surveillance biologique de l'exposition aux produits chimiques en milieu de travail (SBEPCMT) mise en place par un réseau francophone multidisciplinaire.

Age and adverse drug reactions from psychopharmacological treatment: data from the AMSP drug surveillance programme in Switzerland.

QUESTION UNDER STUDY: The frequency of severe adverse drug reactions (ADRs) from psychotropic drugs was investigated in hospitalised psychiatric patients in relation to their age. Specifically, the incidence of ADRs in patients up to 60 years was compared to that of patients older than 60 years. METHODS: Prescription rates of psychotropic drugs and reports of severe ADRs were collected in psychiatric hospitals in Switzerland between 2001 and 2010. The data stem from the drug surveillance programme AMSP. RESULTS: A total of 699 patients exhibited severe ADRs: 517 out of 28,282 patients up to 60 years (1.8%); 182 out of 11,446 elderly patients (1.6%, ns). Logistic regression analyses showed a significantly negative relationship between the incidence of ADRs and patients' age in general and in particular for weight gain, extrapyramidal motor system (EPMS) symptoms, increased liver enzymes and galactorrhoea. A significantly negative relationship was observed for age and the dosages of olanzapine, quetiapine, risperidone, valproic acid and lamotrigine. When comparing age groups, frequency of ADRs was lower in general for antipsychotic drugs and anticonvulsants, in particular for valproic acid in the elderly. Weight gain was found to be lower in the elderly for antipsychotic drugs, in particular for olanzapine. For the group of mood-stabilising anticonvulsants (carbamazepine, lamotrigine and valproic acid) the elderly exhibited a lower incidence of reported allergic skin reactions. CONCLUSION: The results suggest that for psychiatric inpatients the incidence of common severe ADRs (e.g., weight gain or EPMS symptoms) arising from psychotropic medication decreases with the age of patients.

Explorer les intersections entre la science forensique et la criminologie au travers de la temporalité de trois types d'actions de contrôle social

Our contribution aims to explore some intersections between forensic science and criminology through the notion of time. The two disciplines analyse the vestiges of illicit activities in order to reconstruct and understand the past, and occasionally to prevent future harms. While forensic science study the material and digital traces as signs of criminal activities and repetitions, criminology contributes to the acquisition of knowledge through its analysis of crime, its authors and victims, as well as social (re)actions to harmful behaviours. Exploratory, our contribution proposes a conceptual delimitation of the notion of time considering its importance in the study of criminality and harms. Through examples, we propose a "crimino-forensic" analysis of three types of actions of social control - prevention, investigation and intelligence - through their respective temporality (before, near or during and after the criminal activity or harm). The temporal issues of the different methodologies developed to appreciate the efficiency of these actions are also addressed to highlight the connections between forensic science and criminology. This attempt to classify the relations between different times and actions of social control are discussed through the multiple benefits and challenges carried out by the formalisation of fusing those two sciences. Notre contribution vise à explorer quelques intersections entre la science forensique (ou criminalistique) et la criminologie au travers de la notion de temps. En effet, les deux disciplines ont en commun qu'elles analysent les vestiges du phénomène criminel pour tenter de reconstruire et comprendre le passé et parfois prévenir de futurs incidents. Alors que la science forensique étudie les traces matérielles et numériques comme signe d'activités et de répétitions criminelles, la criminologie contribue à l'avancée des connaissances en ce domaine par son analyse des comportements contraires aux normes, de leurs auteurs et de leurs victimes, ainsi que des (ré)actions sociales à ces comportements. A but exploratoire, notre contribution propose une délimitation conceptuelle de la notion de temps en regard de l'importance que revêtent ses différentes manifestations dans l'étude de la criminalité. A l'appui d'exemples, nous proposons une analyse « crimino-forensique » de trois types d'action de contrôle social - la prévention, l'investigation et le renseignement - en fonction de leur temporalité respective (avant, proche voire pendant et après l'activité criminelle). Les enjeux temporels entourant les différentes stratégies méthodologiques développées pour apprécier l'efficacité de ces actions sont aussi abordés pour mettre en évidence des pistes d'intégration entre la science forensique et la criminologie. Cet essai de classification des relations entre les temps et ces trois actions de contrôle social est discuté sous l'angle des bénéfices, multiples, mais aussi des défis, que pose la formalisation des liens entre ces deux disciplines des sciences criminelles.

A Legislator under Surveillance: The Creation and Implementation of Swiss Banking Legislation 1910-1934

This paper analyses how banking regulation was introduced in Switzerland - one of the world's most prominent financial centres - which remained in place until the beginning of the twenty-first century. It shows that the law adopted on 8 November 1934 is a perfect example of capture of the regulator by the regulated. Essentially a political response in the context of the economic crisis of the 1930s, it largely reflected the interests of banking circles by limiting the intervention of the State as much as possible. The introduction of the new legislation was facilitated by the temporary weakness of Swiss banking circles, as they depended on the State to delay or prevent the collapse of many major credit institutions. They did not manage to derail the law as they had two decades earlier when they scuppered the federal bill on banks drawn up between 1914 and 1916. But this time they were better organized and more united, and intervened all the more effectively in the legislative process itself. The 1934 law is thus distinctive in that it made no structural changes to the architecture of the financial centre but merely codified its practices through flexible legislation meant to reassure the public. The law was aimed less at controlling banking activity than at keeping - thanks to skilfully calibrated political concessions - the State from having to intervene more directly in the internal management of banks or in the fixing of interest rates and the export of capital.