[Défilé du 14 juillet 1919, dépôt de gerbe au cénotaphe place de l'Etoile] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 54962

Predictive Value of Readiness, Importance, and Confidence in Ability to Change Drinking and Smoking

Background: Visual analog scales (VAS) are used to assess readiness to changeconstructs, which are often considered critical for change.Objective: We studied whether 3 constructs -readiness to change, importance of changing and confidence inability to change- predict risk status 6 months later in 20 year-old men with either orboth of two behaviors: risky drinking and smoking. Methods: 577 participants in abrief intervention randomized trial were assessed at baseline and 6 months later onalcohol and tobacco consumption and with three 1-10 VAS (readiness, importance,confidence) for each behavior. For each behavior, we used one regression model foreach constructs. Models controlled for receipt of a brief intervention and used thelowest level (1-4) in each construct as the reference group (vs medium (5-7) and high(8-10) levels).Results: Among the 475 risky drinkers, mean (SD) readiness, importance and confidence to change drinking were 4.0 (3.1), 2.8 (2.2) and 7.2 (3.0).Readiness was not associated with being alcohol-risk free 6 months later (OR 1.3[0.7; 2.2] and 1.4 [0.8; 2.6] for medium and high readiness). High importance andhigh confidence were associated with being risk free (OR 0.9 [0.5; 1.8] and 2.9 [1.2;7.5] for medium and high importance; 2.1 [1.0;4.8] and 2.8 [1.5;5.6] for medium andhigh confidence). Among the 320 smokers, mean readiness, importance andconfidence to change smoking were 4.6 (2.6), 5.3 (2.6) and 5.9 (2.6). Neitherreadiness nor importance were associated with being smoking free (OR 2.1 [0.9; 4.7]and 2.1 [0.8; 5.8] for medium and high readiness; 1.4 [0.6; 3.4] and 2.1 [0.8; 5.4] formedium and high importance). High confidence was associated with being smokingfree (OR 2.2 [0.8;6.6] and 3.4 [1.2;9.8] for medium and high confidence).Conclusions: For drinking and smoking, high confidence in ability to change wasassociated -with similar magnitude- with a favorable outcome. This points to thevalue of confidence as an important predictor of successful change.

[Défilé du 14 juillet 1919, l'obélisque décoré place de la Concorde] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 54964

[Défilé du 14 juillet 1919, la foule place de la Concorde] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 54969

[Défilé du 14 juillet 1919 place de la Concorde] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 54972

[Défilé du 14 juillet 1919 place de la Concorde] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 54972 bis

[Défilé du 14 juillet 1919 place de la Concorde] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 54974

[Défilé du 14 juillet 1919 place de la Concorde] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 54980

[Défilé du 14 juillet 1919, dépôt de gerbes au cénotaphe place de l'Etoile] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 54985

[Défilé du 14 juillet 1919 place de la Concorde, devant le jardin des Tuileries, maréchaux Joffre et Foch ?] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 54990

[Défilé du 14 juillet 1919 place de la Concorde, devant le jardin des Tuileries, maréchaux Joffre et Foch ?] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 54990 bis

14-9-19, Douai, vue de la place d'Armes [et du beffroi, la foule lors de la décoration de la ville de la légion d'honneur] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 55936

δ15N value does not reflect fasting in mysticetes.

The finding that tissue δ15N values increase with protein catabolism has led researchers to apply this value to gauge nutritive condition in vertebrates. However, its application to marine mammals has in most occasions failed. We investigated the relationship between δ15N values and the fattening/fasting cycle in a model species, the fin whale, a migratory capital breeder that experiences severe seasonal variation in body condition. We analyzed two tissues providing complementary insights: one with isotopic turnover (muscle) and one that keeps a permanent record of variations in isotopic values (baleen plates). In both tissues δ15N values increased with intensive feeding but decreased with fasting, thus contradicting the pattern previously anticipated. The apparent inconsistency during fasting is explained by the fact that a) individuals migrate between different isotopic isoscapes, b) starvation may not trigger significant negative nitrogen balance, and c) excretion drops and elimination of 15N-depleted urine is minimized. Conversely, when intensive feeding is resumed in the northern grounds, protein anabolism and excretion start again, triggering 15N enrichment. It can be concluded that in whales and other mammals that accrue massive depots of lipids as energetic reserves and which have limited access to drinking water, the δ15N value is not affected by fasting and therefore cannot be used as an indicatior of nutritive condition.

Prognostic value of early MR imaging in term infants with severe perinatal asphyxia.

The prognostic significance of magnetic resonance imaging (MRI) in the neonatal period was studied prospectively in 43 term infants with perinatal asphyxia. MRI was performed between 1 and 14 days after birth with a high field system (2.35 Tesla). Neurodevelopmental outcome was assessed by a standardized neurological examination and the Griffiths developmental test at a mean age of 18.9 months. The predictive value of the various MRI patterns was as follows: Severe diffuse brain injury (pattern AII+III; n = 7) and lesions of thalamus and basal ganglia (pattern C; n = 5) were strongly associated with poor outcome and greatly reduced head growth. Mild diffuse brain injury (pattern AI; n = 7), parasagittal lesions (B; n = 7), periventricular hyperintensity (D; n = 2), focal brain necrosis and hemorrhage (E; n = 3) and periventricular hypointense stripes (on T2-weighted images; F; n = 3) led in one third of the infants to minor neurological disturbances and mild developmental delay. Infants with normal MRI findings (G; n = 9) developed normally with the exception of one infant who was mildly delayed at 18 months. The results indicate that MRI examination during the first two weeks of life is of prognostic significance in term infants suffering from perinatal asphyxia. Severe hypoxic-ischemic brain lesions were associated highly significantly with poor neuro-developmental outcome, whereas infants with inconspicuous MRI developed normally.

19/10/19, remise de la Croix de guerre à la ville de Paris [défilé place de l'Hôtel-de-Ville] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 56504