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115,512 Research products, page 1 of 11,552

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  • Open Access
    Authors: 
    Graeme C. Hays; Luciana C. Ferreira; Ana M. M. Sequeira; Mark G. Meekan; Carlos M. Duarte; Helen Bailey; Fred Bailleul; W. Don Bowen; M. Julian Caley; Daniel P. Costa; +30 more
    Publisher: Elsevier BV
    Countries: Germany, United States, France, United Kingdom, Spain

    It is a golden age for animal movement studies and so an opportune time to assess priorities for future work. We assembled 40 experts to identify key questions in this field, focussing on marine megafauna, which include a broad range of birds, mammals, reptiles, and fish. Research on these taxa has both underpinned many of the recent technical developments and led to fundamental discoveries in the field. We show that the questions have broad applicability to other taxa, including terrestrial animals, flying insects, and swimming invertebrates, and, as such, this exercise provides a useful roadmap for targeted deployments and data syntheses that should advance the field of movement ecology. Workshop funding was granted to M.T., A.M.M.S., and C.M.D. by the UWA Oceans Institute, the Australian Institute of Marine Science, and the Office of Sponsored Research at King Abdullah University of Science and Technology (KAUST). Hays, Graeme C. et al. Peer reviewed

  • Open Access
    Authors: 
    Joseph Rozario; Ankit Vora; Sanjay Debnath; M. Pathak; Joshua M. Pearce;
    Publisher: Elsevier BV
    Countries: France, Canada
    Project: NSERC

    International audience; The effects of dispatch strategy on electrical performance of amorphous silicon-based solar photovoltaic-thermal systems, Renewable Energy 68, pp. 459-465 (2014). http://dx. Abstract: Previous work has shown that high-temperature short-term spike thermal annealing of hydrogenated amorphous silicon (a-Si:H) photovoltaic thermal (PVT) systems results in higher electrical energy output. The relationship between temperature and performance of a-Si:H PVT is not simple as high temperatures during thermal annealing improves the immediate electrical performance following an anneal, but during the anneal it creates a marked drop in electrical performance. In addition, the power generation of a-Si:H PVT depends on both the environmental conditions and the Staebler-Wronski Effect kinetics. In order to improve the performance of a-Si:H PVT systems further, this paper reports on the effect of various dispatch strategies on system electrical performance. Utilizing experimental results from thermal annealing, an annealing model simulation for a-Si:H-based PVT was developed and applied to different cities in the U. S. to investigate potential geographic effects on the dispatch optimization of the overall electrical PVT systems performance and annual electrical yield. The results showed that spike thermal annealing once per day maximized the improved electrical energy generation.

  • Open Access
    Authors: 
    K. Kiiveri; Daniel Gruen; Alexis Finoguenov; Thomas Erben; L. van Waerbeke; Eli S. Rykoff; Lance Miller; Steffen Hagstotz; R. A. Dupke; J. Patrick Henry; +12 more
    Publisher: Oxford University Press (OUP)
    Countries: Finland, France, Italy

    The COnstrain Dark Energy with X-ray clusters (CODEX) sample contains the largest flux limited sample of X-ray clusters at $0.35 < z < 0.65$. It was selected from ROSAT data in the 10,000 square degrees of overlap with BOSS, mapping a total number of 2770 high-z galaxy clusters. We present here the full results of the CFHT CODEX program on cluster mass measurement, including a reanalysis of CFHTLS Wide data, with 25 individual lensing-constrained cluster masses. We employ $lensfit$ shape measurement and perform a conservative colour-space selection and weighting of background galaxies. Using the combination of shape noise and an analytic covariance for intrinsic variations of cluster profiles at fixed mass due to large scale structure, miscentring, and variations in concentration and ellipticity, we determine the likelihood of the observed shear signal as a function of true mass for each cluster. We combine 25 individual cluster mass likelihoods in a Bayesian hierarchical scheme with the inclusion of optical and X-ray selection functions to derive constraints on the slope $��$, normalization $��$, and scatter $��_{\ln ��| ��}$ of our richness-mass scaling relation model in log-space: $\left = ����+ ��$, with $��= \ln (M_{200c}/M_{\mathrm{piv}})$, and $M_{\mathrm{piv}} = 10^{14.81} M_{\odot}$. We find a slope $��= 0.49^{+0.20}_{-0.15}$, normalization $ \exp(��) = 84.0^{+9.2}_{-14.8}$ and $��_{\ln ��| ��} = 0.17^{+0.13}_{-0.09}$ using CFHT richness estimates. In comparison to other weak lensing richness-mass relations, we find the normalization of the richness statistically agreeing with the normalization of other scaling relations from a broad redshift range ($0.0 37 pages, 12 figures

  • Open Access
    Authors: 
    Agnes Nadjar; Agnes Nadjar; Agnes Nadjar; Henna-Kaisa M. Wigren; Marie-Eve Tremblay; Marie-Eve Tremblay;
    Publisher: Frontiers Media SA
    Country: France
    Project: CIHR

    Sleep serves crucial learning and memory functions in both nervous and immune systems. Microglia are brain immune cells that actively maintain health through their crucial physiological roles exerted across the lifespan, including phagocytosis of cellular debris and orchestration of neuroinflammation. The past decade has witnessed an explosive growth of microglial research. Considering the recent developments in the field of microglia and sleep, we examine their possible impact on various pathological conditions associated with a gain, disruption, or loss of sleep in this focused mini-review. While there are extensive studies of microglial implication in a variety of neuropsychiatric and neurodegenerative diseases, less is known regarding their roles in sleep disorders. It is timely to stimulate new research in this emergent and rapidly growing field of investigation.

  • Open Access
    Authors: 
    F. Weber; Bertrand Fontaine; Isabelle Cournu-Rebeix; Antje Kroner; M. Knop; S. Lutz; F. Müller-Sarnowski; Manfred Uhr; Thomas Bettecken; Martin A. Kohli; +15 more
    Publisher: Springer Science and Business Media LLC
    Country: Germany

    Multiple sclerosis (MS) is the most common chronic inflammatory neurologic disorder diagnosed in young adults and, due to its chronic course, is responsible for a substantial economic burden. MS is considered to be a multifactorial disease in which both genetic and environmental factors intervene. The well-established human leukocyte antigen (HLA) association does not completely explain the genetic impact on disease susceptibility. However, identification and validation of non-HLA-genes conferring susceptibility to MS has proven to be difficult probably because of the small individual contribution of each of these genes. Recently, associations with two single nucleotide polymorphisms (SNPs) in the IL2RA gene (rs12722489, rs2104286) and one SNP in the IL7RA gene (rs6897932) have been reported by several groups. These three SNPs were genotyped in a French and a German population of MS patients using the hME assay by the matrix-assisted laser desorption/ionization time of flight technology (Sequenom, San Diego, CA, USA). We show that these SNPs do contribute to the risk of MS in these two unrelated European MS patient populations with odds ratios varying from 1.1 to 1.5. The discovery and validation of new genetic risk factors in independent populations may help toward the understanding of MS pathogenesis by providing valuable information on biological pathways to be investigated.

  • Open Access
    Authors: 
    Imen Ben-Cheikh; Roberto Beneduce; Jaswant Guzder; Sushrut Jadhav; Azaad Kassam; Myrna Lashley; Malika Mansouri; Marie Rose Moro; Don Quang Tran;
    Publisher: SAGE Publications
    Country: Italy
  • Publication . Part of book or chapter of book . 1990
    Open Access
    Authors: 
    Tawfik Jelassi; Gregory E. Kersten; Stanley Zionts;
    Publisher: Springer Berlin Heidelberg

    Group decision making and negotiation are important managerial activities, yet difficult to understand and support. The associated complexity is due to the multi-person, dynamic, and ill- structured environment in which these activities take place. Recent advances in information technology create new opportunities for supporting group decision and negotiation processes.

  • Open Access
    Authors: 
    Li Wang; Chun Gao; Shu-Kun Yao; Bu-Shan Xie;
    Publisher: MDPI AG

    Autophagy, a self-defense mechanism, has been found to be associated with drug resistance in hepatocellular carcinoma (HCC). Our study was designed to investigate the role and related mechanisms of autophagy in matrine-induced apoptosis in hepatoma cells of HepG2 and Bel7402. Cell apoptosis was detected by flow cytometry analysis (Annexin V–FITC/PI double-staining assay), the activity and activating cleavages of caspase-3, -8, and -9. MTT assay and colony forming assay were used to assess the effect of matrine on growth and proliferation of HCC cells. Autophagic flux in HCC cells was analyzed using the expression of LC3BI/II and p62/SQSTM1, GFP-LC3 transfection, and transmission electron microscopy. Moreover, regarding to the associated mechanisms, the effects of matrine on the phosphoinositide 3-kinase/AKT/mTOR pathway and beclin-1 were studied. Our results showed that: (1) both autophagy and apoptosis could be induced by treatment with matrine; (2) using the autophagic inhibitor chloroquine and beclin-1 small-interfering RNA, cell apoptosis induced by matrine could be enhanced in a caspase-dependent manner; and (3) autophagy was induced via inhibition of PI3K/AKT/mTOR pathway and up-regulation of beclin-1. In conclusion, inhibition of autophagy could enhance matrine-induced apoptosis in human hepatoma cells.

  • Publication . Conference object . Other literature type . 2017
    Open Access
    Authors: 
    Xavier Bultel; Sébastien Gambs; David Gérault; pascal lafourcade; Cristina Onete; Jean-Marc Robert;
    Country: France
    Project: NSERC

    International audience; Les communications sans contact sont omniprésentes dans notre quotidien, allant des badges de contrôle d'accès au passeport électronique. Ces systèmes sont sensibles aux attaques par relais, dans lesquelles un adversaire transfère simplement les messages entre le prouveur et le vérifieur pour usurper l'identité du prouveur. Les protocoles délimiteurs de distance (distance-bounding) ont été ont ntroduits pour contrer ces attaques en assurant une borne sur la distance entre le prouveur et le vérifieur grâcè a la mesure du temps des communications. Par la suite de nombreux travaux ont amélioré la sécurité de ces protocoles, mais ont aussi cherché à assurer le respect de la vie privée face à des adversaires actifs et également face à des vérifieurs malicieux. En particulier, une menace difficile à prévenir est la fraude terroriste, où un prouveur lointain coopère avec un complice proche pour tromper le vérifieur. La contre-mesure usuelle pour cette menace est de rendre impossible l'action du complice sans l'aide du prouveur lointain, à moins que le prouveur ne lui donne suffisamment d'information pour qu'il retrouve sa clef privée et puisse ainsi toujours se faire passer pour le prouveur. Dans cet article, nous proposons une nouvelle approche où le prouveur ne révèle pas sa clef privée mais utilise une clef de session avec une signature de groupe, la rendant ainsi utilisable plusieurs fois. Ceci permet à un adversaire d'usurper l'identité du prouveur sans même connaître sa clef de signature. Grâce à cette approche nous proposons SPADE le premier protocole de délimiteur de distance qui est anonyme, révocable et formellement prouvé sûr. Mots-clefs : Protocole délimiteur de distance (Distance Bounding), Sécurité, résitance à la fraude terroriste.

  • Publication . Article . 2010
    Open Access
    Authors: 
    Rosanna W. Peeling; Harvey Artsob; José L. Pelegrino; Philippe Buchy; Mary Jane Cardosa; Shamala Devi; Delia Enria; Jeremy Farrar; Duane J. Gubler; María G. Guzmán; +9 more
    Publisher: Springer Science and Business Media LLC

    Dengue is an arthropod-borne flavivirus that comprises four distinct serotypes (DEN-1, DEN-2, DEN-3 and DEN-4) that constitute an antigenic complex of the genus flavivirus, family Flaviviridae. Infection by one serotype induces life-long immunity against reinfection by the same serotype, but only transient and partial protection against infection with the other serotypes1,2. Dengue virus infections can result in a range of clinical manifestations from asymp tomatic infection to dengue fever (DF) and the severe disease dengue haemorrhagic fever/dengue shock syndrome (DHF/ DSS). Most dengue infections are asymptomatic or cause mild symptoms, which are characterized by undifferentiated fever with or without rash. Typical DF is characterized by high fever, severe headache, myalgia, arthralgia, retro-orbital pain and maculopapular rash. Some patients show petechiae, bruising or thrombocytopenia. The clinical presentation of acute dengue infection is non-specific but 5–10% of patients progress to severe DHF/DSS, which can result in death if it is not managed appropriately. Plasma extravasation is the main pathophysiological finding of DHF/ DSS, which differentiates it from DF. DHF/ DSS is characterized by high fever, bleeding, thrombocytopenia and haemoconcentration (an increase in the concentration of blood cells as a result of fluid loss). Approximately 3–4 days after the onset of fever, patients can present with petechiae, rash, epistaxis, and gingival and gastrointestinal bleeding. Pleural effusion and ascites are common. Some patients develop circulatory failure (DSS), presenting with a weak and fast pulse, narrowing of pulse pressure or hypotension, cold and moist skin and altered mental state. Although there are no specific antiviral treatments for dengue infection, patients usually recover when the need for fluid management is identified early and electrolytes are administered3. It has been proposed that the classification of dengue disease should be simplified as severe and non-severe dengue. This simplified classification would make patient management and surveillance easier4. There is a need for specific, inexpensive dengue diagnostic tests that can be used for clinical management, surveillance and outbreak investigations and would permit early intervention to treat patients and prevent or control epidemics. Progress is being made in primary prevention, with several candidate dengue vaccines in late phases of development as well as improved vector control measures. Additionally, new techniques for the early detection of severe disease such as the use of biomarkers have the potential to decrease morbidity and

Advanced search in
Research products
arrow_drop_down
Searching FieldsTerms
Any field
arrow_drop_down
includes
arrow_drop_down
Include:
The following results are related to Canada. Are you interested to view more results? Visit OpenAIRE - Explore.
115,512 Research products, page 1 of 11,552
  • Open Access
    Authors: 
    Graeme C. Hays; Luciana C. Ferreira; Ana M. M. Sequeira; Mark G. Meekan; Carlos M. Duarte; Helen Bailey; Fred Bailleul; W. Don Bowen; M. Julian Caley; Daniel P. Costa; +30 more
    Publisher: Elsevier BV
    Countries: Germany, United States, France, United Kingdom, Spain

    It is a golden age for animal movement studies and so an opportune time to assess priorities for future work. We assembled 40 experts to identify key questions in this field, focussing on marine megafauna, which include a broad range of birds, mammals, reptiles, and fish. Research on these taxa has both underpinned many of the recent technical developments and led to fundamental discoveries in the field. We show that the questions have broad applicability to other taxa, including terrestrial animals, flying insects, and swimming invertebrates, and, as such, this exercise provides a useful roadmap for targeted deployments and data syntheses that should advance the field of movement ecology. Workshop funding was granted to M.T., A.M.M.S., and C.M.D. by the UWA Oceans Institute, the Australian Institute of Marine Science, and the Office of Sponsored Research at King Abdullah University of Science and Technology (KAUST). Hays, Graeme C. et al. Peer reviewed

  • Open Access
    Authors: 
    Joseph Rozario; Ankit Vora; Sanjay Debnath; M. Pathak; Joshua M. Pearce;
    Publisher: Elsevier BV
    Countries: France, Canada
    Project: NSERC

    International audience; The effects of dispatch strategy on electrical performance of amorphous silicon-based solar photovoltaic-thermal systems, Renewable Energy 68, pp. 459-465 (2014). http://dx. Abstract: Previous work has shown that high-temperature short-term spike thermal annealing of hydrogenated amorphous silicon (a-Si:H) photovoltaic thermal (PVT) systems results in higher electrical energy output. The relationship between temperature and performance of a-Si:H PVT is not simple as high temperatures during thermal annealing improves the immediate electrical performance following an anneal, but during the anneal it creates a marked drop in electrical performance. In addition, the power generation of a-Si:H PVT depends on both the environmental conditions and the Staebler-Wronski Effect kinetics. In order to improve the performance of a-Si:H PVT systems further, this paper reports on the effect of various dispatch strategies on system electrical performance. Utilizing experimental results from thermal annealing, an annealing model simulation for a-Si:H-based PVT was developed and applied to different cities in the U. S. to investigate potential geographic effects on the dispatch optimization of the overall electrical PVT systems performance and annual electrical yield. The results showed that spike thermal annealing once per day maximized the improved electrical energy generation.

  • Open Access
    Authors: 
    K. Kiiveri; Daniel Gruen; Alexis Finoguenov; Thomas Erben; L. van Waerbeke; Eli S. Rykoff; Lance Miller; Steffen Hagstotz; R. A. Dupke; J. Patrick Henry; +12 more
    Publisher: Oxford University Press (OUP)
    Countries: Finland, France, Italy

    The COnstrain Dark Energy with X-ray clusters (CODEX) sample contains the largest flux limited sample of X-ray clusters at $0.35 < z < 0.65$. It was selected from ROSAT data in the 10,000 square degrees of overlap with BOSS, mapping a total number of 2770 high-z galaxy clusters. We present here the full results of the CFHT CODEX program on cluster mass measurement, including a reanalysis of CFHTLS Wide data, with 25 individual lensing-constrained cluster masses. We employ $lensfit$ shape measurement and perform a conservative colour-space selection and weighting of background galaxies. Using the combination of shape noise and an analytic covariance for intrinsic variations of cluster profiles at fixed mass due to large scale structure, miscentring, and variations in concentration and ellipticity, we determine the likelihood of the observed shear signal as a function of true mass for each cluster. We combine 25 individual cluster mass likelihoods in a Bayesian hierarchical scheme with the inclusion of optical and X-ray selection functions to derive constraints on the slope $��$, normalization $��$, and scatter $��_{\ln ��| ��}$ of our richness-mass scaling relation model in log-space: $\left = ����+ ��$, with $��= \ln (M_{200c}/M_{\mathrm{piv}})$, and $M_{\mathrm{piv}} = 10^{14.81} M_{\odot}$. We find a slope $��= 0.49^{+0.20}_{-0.15}$, normalization $ \exp(��) = 84.0^{+9.2}_{-14.8}$ and $��_{\ln ��| ��} = 0.17^{+0.13}_{-0.09}$ using CFHT richness estimates. In comparison to other weak lensing richness-mass relations, we find the normalization of the richness statistically agreeing with the normalization of other scaling relations from a broad redshift range ($0.0 37 pages, 12 figures

  • Open Access
    Authors: 
    Agnes Nadjar; Agnes Nadjar; Agnes Nadjar; Henna-Kaisa M. Wigren; Marie-Eve Tremblay; Marie-Eve Tremblay;
    Publisher: Frontiers Media SA
    Country: France
    Project: CIHR

    Sleep serves crucial learning and memory functions in both nervous and immune systems. Microglia are brain immune cells that actively maintain health through their crucial physiological roles exerted across the lifespan, including phagocytosis of cellular debris and orchestration of neuroinflammation. The past decade has witnessed an explosive growth of microglial research. Considering the recent developments in the field of microglia and sleep, we examine their possible impact on various pathological conditions associated with a gain, disruption, or loss of sleep in this focused mini-review. While there are extensive studies of microglial implication in a variety of neuropsychiatric and neurodegenerative diseases, less is known regarding their roles in sleep disorders. It is timely to stimulate new research in this emergent and rapidly growing field of investigation.

  • Open Access
    Authors: 
    F. Weber; Bertrand Fontaine; Isabelle Cournu-Rebeix; Antje Kroner; M. Knop; S. Lutz; F. Müller-Sarnowski; Manfred Uhr; Thomas Bettecken; Martin A. Kohli; +15 more
    Publisher: Springer Science and Business Media LLC
    Country: Germany

    Multiple sclerosis (MS) is the most common chronic inflammatory neurologic disorder diagnosed in young adults and, due to its chronic course, is responsible for a substantial economic burden. MS is considered to be a multifactorial disease in which both genetic and environmental factors intervene. The well-established human leukocyte antigen (HLA) association does not completely explain the genetic impact on disease susceptibility. However, identification and validation of non-HLA-genes conferring susceptibility to MS has proven to be difficult probably because of the small individual contribution of each of these genes. Recently, associations with two single nucleotide polymorphisms (SNPs) in the IL2RA gene (rs12722489, rs2104286) and one SNP in the IL7RA gene (rs6897932) have been reported by several groups. These three SNPs were genotyped in a French and a German population of MS patients using the hME assay by the matrix-assisted laser desorption/ionization time of flight technology (Sequenom, San Diego, CA, USA). We show that these SNPs do contribute to the risk of MS in these two unrelated European MS patient populations with odds ratios varying from 1.1 to 1.5. The discovery and validation of new genetic risk factors in independent populations may help toward the understanding of MS pathogenesis by providing valuable information on biological pathways to be investigated.

  • Open Access
    Authors: 
    Imen Ben-Cheikh; Roberto Beneduce; Jaswant Guzder; Sushrut Jadhav; Azaad Kassam; Myrna Lashley; Malika Mansouri; Marie Rose Moro; Don Quang Tran;
    Publisher: SAGE Publications
    Country: Italy
  • Publication . Part of book or chapter of book . 1990
    Open Access
    Authors: 
    Tawfik Jelassi; Gregory E. Kersten; Stanley Zionts;
    Publisher: Springer Berlin Heidelberg

    Group decision making and negotiation are important managerial activities, yet difficult to understand and support. The associated complexity is due to the multi-person, dynamic, and ill- structured environment in which these activities take place. Recent advances in information technology create new opportunities for supporting group decision and negotiation processes.

  • Open Access
    Authors: 
    Li Wang; Chun Gao; Shu-Kun Yao; Bu-Shan Xie;
    Publisher: MDPI AG

    Autophagy, a self-defense mechanism, has been found to be associated with drug resistance in hepatocellular carcinoma (HCC). Our study was designed to investigate the role and related mechanisms of autophagy in matrine-induced apoptosis in hepatoma cells of HepG2 and Bel7402. Cell apoptosis was detected by flow cytometry analysis (Annexin V–FITC/PI double-staining assay), the activity and activating cleavages of caspase-3, -8, and -9. MTT assay and colony forming assay were used to assess the effect of matrine on growth and proliferation of HCC cells. Autophagic flux in HCC cells was analyzed using the expression of LC3BI/II and p62/SQSTM1, GFP-LC3 transfection, and transmission electron microscopy. Moreover, regarding to the associated mechanisms, the effects of matrine on the phosphoinositide 3-kinase/AKT/mTOR pathway and beclin-1 were studied. Our results showed that: (1) both autophagy and apoptosis could be induced by treatment with matrine; (2) using the autophagic inhibitor chloroquine and beclin-1 small-interfering RNA, cell apoptosis induced by matrine could be enhanced in a caspase-dependent manner; and (3) autophagy was induced via inhibition of PI3K/AKT/mTOR pathway and up-regulation of beclin-1. In conclusion, inhibition of autophagy could enhance matrine-induced apoptosis in human hepatoma cells.

  • Publication . Conference object . Other literature type . 2017
    Open Access
    Authors: 
    Xavier Bultel; Sébastien Gambs; David Gérault; pascal lafourcade; Cristina Onete; Jean-Marc Robert;
    Country: France
    Project: NSERC

    International audience; Les communications sans contact sont omniprésentes dans notre quotidien, allant des badges de contrôle d'accès au passeport électronique. Ces systèmes sont sensibles aux attaques par relais, dans lesquelles un adversaire transfère simplement les messages entre le prouveur et le vérifieur pour usurper l'identité du prouveur. Les protocoles délimiteurs de distance (distance-bounding) ont été ont ntroduits pour contrer ces attaques en assurant une borne sur la distance entre le prouveur et le vérifieur grâcè a la mesure du temps des communications. Par la suite de nombreux travaux ont amélioré la sécurité de ces protocoles, mais ont aussi cherché à assurer le respect de la vie privée face à des adversaires actifs et également face à des vérifieurs malicieux. En particulier, une menace difficile à prévenir est la fraude terroriste, où un prouveur lointain coopère avec un complice proche pour tromper le vérifieur. La contre-mesure usuelle pour cette menace est de rendre impossible l'action du complice sans l'aide du prouveur lointain, à moins que le prouveur ne lui donne suffisamment d'information pour qu'il retrouve sa clef privée et puisse ainsi toujours se faire passer pour le prouveur. Dans cet article, nous proposons une nouvelle approche où le prouveur ne révèle pas sa clef privée mais utilise une clef de session avec une signature de groupe, la rendant ainsi utilisable plusieurs fois. Ceci permet à un adversaire d'usurper l'identité du prouveur sans même connaître sa clef de signature. Grâce à cette approche nous proposons SPADE le premier protocole de délimiteur de distance qui est anonyme, révocable et formellement prouvé sûr. Mots-clefs : Protocole délimiteur de distance (Distance Bounding), Sécurité, résitance à la fraude terroriste.

  • Publication . Article . 2010
    Open Access
    Authors: 
    Rosanna W. Peeling; Harvey Artsob; José L. Pelegrino; Philippe Buchy; Mary Jane Cardosa; Shamala Devi; Delia Enria; Jeremy Farrar; Duane J. Gubler; María G. Guzmán; +9 more
    Publisher: Springer Science and Business Media LLC

    Dengue is an arthropod-borne flavivirus that comprises four distinct serotypes (DEN-1, DEN-2, DEN-3 and DEN-4) that constitute an antigenic complex of the genus flavivirus, family Flaviviridae. Infection by one serotype induces life-long immunity against reinfection by the same serotype, but only transient and partial protection against infection with the other serotypes1,2. Dengue virus infections can result in a range of clinical manifestations from asymp tomatic infection to dengue fever (DF) and the severe disease dengue haemorrhagic fever/dengue shock syndrome (DHF/ DSS). Most dengue infections are asymptomatic or cause mild symptoms, which are characterized by undifferentiated fever with or without rash. Typical DF is characterized by high fever, severe headache, myalgia, arthralgia, retro-orbital pain and maculopapular rash. Some patients show petechiae, bruising or thrombocytopenia. The clinical presentation of acute dengue infection is non-specific but 5–10% of patients progress to severe DHF/DSS, which can result in death if it is not managed appropriately. Plasma extravasation is the main pathophysiological finding of DHF/ DSS, which differentiates it from DF. DHF/ DSS is characterized by high fever, bleeding, thrombocytopenia and haemoconcentration (an increase in the concentration of blood cells as a result of fluid loss). Approximately 3–4 days after the onset of fever, patients can present with petechiae, rash, epistaxis, and gingival and gastrointestinal bleeding. Pleural effusion and ascites are common. Some patients develop circulatory failure (DSS), presenting with a weak and fast pulse, narrowing of pulse pressure or hypotension, cold and moist skin and altered mental state. Although there are no specific antiviral treatments for dengue infection, patients usually recover when the need for fluid management is identified early and electrolytes are administered3. It has been proposed that the classification of dengue disease should be simplified as severe and non-severe dengue. This simplified classification would make patient management and surveillance easier4. There is a need for specific, inexpensive dengue diagnostic tests that can be used for clinical management, surveillance and outbreak investigations and would permit early intervention to treat patients and prevent or control epidemics. Progress is being made in primary prevention, with several candidate dengue vaccines in late phases of development as well as improved vector control measures. Additionally, new techniques for the early detection of severe disease such as the use of biomarkers have the potential to decrease morbidity and