NCube/papyrus huggingface dataset:
Understanding the Intersectoral Collaboration of Rural Community Health
Workers and Teachers: The Example of Addressing Violence against Women
and Girls in Vulindlela, South Africa

Objectives: This study had for objective to document intersectoral collaboration (ISC) between community health workers (CHWs) and teachers aimed at addressing violence against women and girls (VAW/G) in Vulindlela, a rural South African community. The current collaborative paths bringing CHWs and teachers together, the factors that influence their collaboration and potential avenues for future improvement of this collaborative were explored. Methods: A total of six CHWs and five teachers took part in this participatory research which included the use of drawing as a visual methodology. Data collection was divided into four phases and included a total of eight group interviews. The analysis of group interviews utilized a directed approach to narrative data analysis, and a constant comparative approach was used in the analysis of the participants` drawings. Results: There are no well-defined collaborative systems that CHWs and teachers are able to make use of. Consequently teacher-CHW collaboration was found to be poorly developed, unplanned and informal. Numerous barriers were identified as impeding collaboration including the teachers’ lack of motivation to collaborate, the nature of the relationships between these groups of actors and the CHWs’ overall lack of individual capacity. Conclusion: Given the numerous challenges facing collaboration between these CHWs and teacher, it is not clear that such collaboration would necessarily lead to effective outcomes. In the absence of sufficient motivation and a realistic awareness of the challenges from the actors themselves, external initiatives to foster collaboration are unlikely to be successful.

Keyphrases: CHW, Teacher, Violence against women and girls, Intersectoral collaboration
Étude de la variante d’histone H2A.Z et du cycle de phosphorylation de l’ARN polymérase II chez Saccharomyces cerevisiae

Chromatin is more than just the eucaryotic DNA packaging system; it is the substrate of all reactions involving DNA in eukaryotic cells and actively regulates RNA Polymerase II (RNAPolII) access to DNA. Responsible for all mRNA transcription in eucaryotes, the RNAPolII must, following its recruitment to the pre-initiation complex, overcome the chromatin barrier in order to transcribe genes. The RNAPolII CTD allows for the co-transcriptional coordination of mRNA maturation and chromatin modifications. The work covered in this thesis addresses two aspects of transcription: the chromatin substrate, with the localization of H2A variant, H2A.Z, and the transcription complex with the phosphorylation cycle of the RNAPolII CTD. Following the introduction, chapter 2 constitutes a detailed and annotated Saccharomyces cerevisiae ChIP-chip protocol, from the culture to the hybridization of the array, with an emphasis on the proper controls required for chromatin study. This technique, extremely powerful for the in vivo study of all DNA transactions, leads to a better understanding of chromatin function in nuclear phenomena, thanks to the localization of histone variants and modifications. The third chapter maps the H2A.Z variant across the yeast genome at ~300 base pairs resolution using ChIP-chip. Our data shows that H2A.Z is incorporated into one or two promoter-bound nucleosomes at the majority of genes. H2A.Z enrichment is anticorrelated with transcription, and the results suggest that it configures chromatin structure to poise genes for transcriptional activation. Furthermore, we have shown that H2A.Z can regulate nucleosome positioning. The next chapter focuses on the transcription machinery and, more precisely, on the phosphorylation cycle of RNAPolII. The CTD contains repetitions of a heptapeptide (YSPTSPS) on which all serines are differentially phosphorylated along genes in a prescribed pattern during the transcription cycle. Here, we systematically profiled the location of the RNAPII phospho-isoforms in wild-type cells and mutants for most CTD modifying enzymes. The results provide evidence for a uniform CTD cycle across genes. Together with results from in vitro assays, these data reveal a complex interplay between the modifying enzymes, identify Ssu72 as the Ser7 phosphatase and show that proline isomerization is a key regulator of CTD dephosphorylation at the end of genes. Moreover, it reinforces the notion of variants of the phosphorylation marks, even though the exact nature of the variant is still difficult to identify. The discussion introduces the studies that followed this work, including new projects conceived in our lab.

Keyphrases: H2A.Z, Transcription, Chromatin Immunoprecipitation, Chromatin, RNA polymérase II, CTD, Ssu72
Le rôle biologique de l’interaction du CD40L avec l’intégrine α5β1 des lymphocytes T

CD40 ligand (CD40L) is a critical regulator of the immune response and a key contributor to autoimmune diseases. We have previously reported that CD40L binds to α5β1, albeit the functional consequences of this interaction remain elusive. T cells are central to the pathogenesis of autoimmune diseases and express high levels of β1 integrins in disease conditions, making the CD40L/α5β1 interaction a potential axis of significant importance in inflammatory complications. Here, we show that soluble CD40L (sCD40L) binds to freshly isolated primary T cells and to Jurkat E6.1 T cells in a α5β1-dependant manner. This leads to the activation of key survival proteins, including the mitogen-activated protein kinases (MAPKs) and the Akt PI3 kinase (PI3K). Binding of sCD40L to α5β1 does not induce its conformational change nor allow adherence to fibronectin. These results highlight the impact of the CD40L/α5β1 interaction in T-cell function and may explain the link between sCD40L and T-cell survival and persistence in inflammatory diseases.

Keyphrases: Integrins, Cell survival, costimulatory molecules
Prévention de l’asthme professionnel : nouvelles perspectives

Occupational asthma is a common disease, which affects young workers and is difficult to diagnose. It is a major financial burden and has important socioeconomic consequences. Prevention is central in the management of occupational asthma, in terms of public health. This thesis presents three articles reporting on recent developments in the prevention of occupational asthma. First, a review of the literature on sensitizing low-molecular- weight agents in occupational asthma between 2000 and 2010 reports 41 new agents and emphasizes the importance of regularly updating databases to improve primary prevention. Then, based on a clinical case, the second publication presents the potential utility of the model of risk analysis QSAR (Quantitative Structure-Activity Relationship) in the diagnostic workup for occupational asthma, especially in the case of multiple exposure to sensitizing agents. The third article presents the clinical performance of the first screening questionnaire specific to occupational asthma. A simple model consisting of 8 items of the questionnaire, age and exposure duration could discriminate 80% of the 169 subjects with and without OA in a clinical setting. Such a model could be integrated into medical surveillance programs, which are the basis of secondary prevention. These three publications emphasize the possibilities to explore new prevention tools in the field of occupational asthma, tools that provide opportunities for future developments, which could have major clinical and socio-economic implications.

Keyphrases: Pronostic, Occupational asthma, Prevention, Prognosis
Évaluation de la stabilité primaire d'une greffe ostéochondrale autologue stabilisée au moyen d'un ciment ostéoconducteur résorbable

The objective of this project is to compare the primary stability of osteochondral autografts stabilized with a resorbable osteoconductive bone cement to that of bottomed press fit grafts inserted according to the original mosaicplasty technique. Biomechanical testing was conducted on pairs of cadaveric bovine femurs. For each femoral pair, osteochondral grafts were inserted and stabilized with an osteoconductive bone cement (Kryptonite, DRG inc.) on one bone whereas on the controlateral femur, grafts were inserted in a press fit fashion. Grafts were inserted in 2 different configurations, single grafts as well as groups of 3 adjacent grafts, and submitted to biomechanical testing. Axial loads needed to sink the grafts to 1, 2 and 3 millimeters below cartilage level were recorded and compared according to the fixation technique, cement or press-fit impaction, for each graft configuration. According to those results, cemented osteochondral autografts appear more stable than press fit grafts for both single and 3-in-a-row configurations. Using such a cementation technique could potentially prevent the initial loss of stability that has been shown to occur with osteochondral grafts in the post-operative period, allowing patients to perform early weight bearing and rehabilitation.

Keyphrases: Genou, Ciment osseux, Articular cartilage, Knee, Osteochondral autografting, transplantation, Bone cement
Évaluation biomécanique de la locomotion à la suite d'une arthroplastie de la hanche

In recent years, the prevalence of people suffering from joint cartilage degeneration, called osteoarthritis (OA), still increases. The joint pain and muscle stiffness related to this pathology have an impact on patients’ quality of life by limiting their functional capacities, mobility and autonomy. In order to relieve these patients, hip arthroplasty is a frequently used surgical procedure. Even if there is an improvement in quality of life and a restoration of functional capacities in these patients, some impairment seem to persist during the post-operative period. The walking velocity is slower when compared to healthy subjects, a hip abductor muscle weakness is observed and trunk compensations lasted during the post-operative period. The aim of this thesis is to evaluate patients undergoing hip arthroplasty during locomotion. More specifically, gait pattern adaptations will be quantified pre and post-operatively to revise rehabilitation programs in order to promote a healthy gait pattern.  Three separate studies were conducted to meet this objective. The first study compared the effect of a large femoral head hip prosthesis and a hip resurfacing prosthesis to healthy subjects. During this study, the trunk control was analyzed using the distance between the body center of mass and the hip prosthetic joint center. The results obtained show no major difference between the two types of prosthesis and the healthy control one year post-operatively.  During the second study, biomechanics parameter symmetry of the lower limb of gait pattern in patients undergoing hip arthroplasty was characterized following a peri-operative (pre and post-operatively) exercise program. The exercise program was complementary to the medical center standard rehabilitation program. Based on the results of this exploratory study, the peri-operative exercise program seems to improve the symmetry of the muscular power and work of the hip, knee and ankle which promote a healthy gait pattern without compensations.   Finally, for the third study, the predictive and the functional approaches, used to locate the hip joint center, were compared to radiographic measurements in patients undergoing hip arthroplasty. The results of this study demonstrated that the functional approach was more appropriate for these patients. This individualized approach is more accurate which leads to quality improvement during biomechanical analysis of gait pattern.

Keyphrases: Locomotion, Hip arthroplasty, Total hip arthroplasty, Hip resurfacing, Peri-operative training, Hip joint center
Développement d'une échelle de mesure de la souffrance chez  les adolescents ayant le cancer

The complexity of cancer treatment has improved the survival rates among adolescents with cancer but has also increased their suffering. The purpose of this study was to develop a scale to measure suffering in this population. A pool of items associated with suffering was created after analysing the verbatim of semi-structured interviews conducted with 19 patients and 16 experts. The items were then presented to nine experts to determine their content validity. The analysis showed a high content validity of the scale with a content validity index (CVI) of 0.98 associated with an interrater agreement (IRA) of 0.88. The majority of the items were considered easy to understand and answer. The scale, called the “Suffering Scale of Adolescents with Cancer” (SSAC), is a likert type scale with four answer choices. It comprises 41 items about physical, psychological, social, spiritual, cognitive and global suffering.

Keyphrases: Cancer, Adolescents, Suffering, Measurement scale, Content Validity
Rôle du tissu adipeux dans l’effet cardioprotecteur du EP 80317,
un ligand sélectif du récepteur CD36

The CD36 receptor is involved in the transport of non-esterified fatty acids (NEFA) in cardiac and peripheral tissues. Tissue injury and cardiac dysfunction are in part due to acute internalization and oxidative metabolism of NEFA which concentration rises transiently in the blood following myocardial infarction, in opposition to what is observed in CD36-deficient mice. We hypothesized that EP 80317, a synthetic ligand of the CD36 receptor, provides cardioprotective effect against injuries induced by transient myocardial ischemia. Our objectives were 1) to verify the cardioprotective effect of EP 80317 and 2) to define its mechanism, more precisely to investigate the mechanisms of the treatment on lipid metabolism. For this purpose, wild-type mice were treated with EP 80317 (289 nmol/kg) subcutaneously for 14 days before being submitted to 30 minutes of ischemia following left anterior descending coronary artery ligature and reperfusion for a period of 6 or 48 hours. Heart and peripheral tissues (liver, skeletal muscle and adipose tissue) were harvested to determine the profile of selected genes involved in the regulation of lipid metabolism. Our work has shown that the cardioprotective effect of a pretreatment with EP 80317 is associated with a transient increase of triglycerides storage and reduced circulating NEFA.

Keyphrases: CD36, Coeur, Heart, Adipose tissue, Ischemia-reperfusion, Non-esterified fatty acids
Étude pilote des effets du Tandem Forsus Maxillary Corrector sur la croissance des maxillaires

Aim: Recently, a new appliance used to correct class III malocclusions, equipped with the Forsus™ technology, has been marketed and is gaining popularity in orthodontic practice: the Tandem Forsus Maxillary Corrector (TFMC). The purpose of the present study is to measure the skeletal and dento-alveolar effects, and the true influence on growth of the TFMC. Materials and Methods: A prospective study was done with 14 growing children (mean age of 9 years 6 months) who had a class III malocclusion and were treated with the TFMC by the same orthodontist. The group consisted of 10 boys and 4 girls. The «Tandem Forsus Maxillary Corrector» was worn 12 to 14 hours a day until a positive overjet and a class I dental relationship was obtained. For each patient, lateral cephalograms taken before (T1) and after (T2) the treatment were analyzed to determine skeletal and dental changes resulting from treatment. These results were compared to a control group randomly selected from the Growth Center of the University of Montreal. The cephalograms were traced and analyzed with the software Dolphin Imaging (ver 11.0, Patterson Dental, Chatsworth, California). Consistency and repeatability of measurements was evaluated with the intraclass correlation, the Dahlberg formula and the Bland-Altman test. The effect of treatment was evaluated with a paired T-test. The effect of growth for the control group was calculated with an unpaired T-test.  Results: Use of the TFMC results in an anterior movement and a counterclockwise rotation of the maxilla. The upper incisors proclined and the lower incisors retroclined. A counterclockwise rotation of the occlusal plane also contributed to the correction of the class III malocclusion. Furthermore, the TFMC does not seem to restrain mandibular growth.  Conclusion: The TFMC appliance seems to have a significant orthopedic and dento-alveolar effect when correcting a moderate class III malocclusion.

Keyphrases: malocclusion, forsus, Tandem Forsus Maxillary Corrector, class III, orthopedic, functional appliance
Caractérisation et délétion de tous les systèmes d'adhésion connus de Salmonella enterica sérovar Typhi

Fimbriae are extracellular proteinaceous appendages found in many bacteria. They are widely studied and believe to be implicated in several cellular functions such as adhesion, invasion of eukaryotic cells, and biofilm production. They are classified depending on their pathway of secretion: some, like type IV pili, use self-specific machinery, while others use the general secretory pathway followed by their own assembly pathway such as the Chaperon Usher Pathway (CUP fimbriae) and the nucleation precipitation pathway (curli). Despite everything that is known about these structures, little has been discovered regarding fimbrial systems of Salmonella enterica serovar Typhi (S. Typhi). This pathogen is a human restricted serovar and the etiological agent of typhoid fever. Since fimbriae have been implicated in host adaptation, we have decided to further study S. Typhi fimbrial arsenal in the hope of uncovering virulence factors unique to S. Typhi and implicated in host specificity. The S. Typhi ISP1820 strain carries 14 operons encoding for fimbrial structures, but many are believed pseudogenes or are not expressed in vitro. In order to study these different adhesion systems in S. Typhi, we have deleted each one individually and cumulatively by allelic exchange mutagenesis.  Hence, we have tested every individual mutation and the mutant strain deprived of all 14 operons in many different assays including epithelial cell and macrophage infection, mobility, and biofilm formation. We also evaluate expression during growth under laboratory conditions by RT-PCR. These experiments have allowed us to discover that many of S. Typhi fimbriae are functional, expressed, and used by the bacteria in many different processes.

Keyphrases: fimbriae, pili, Salmonella enterica serovar Typhi, adhesion system
Évaluation des intérêts sexuels auprès d’agresseurs sexuels d’enfants par la vidéo-oculographie et la présentation de stimuli générés par ordinateur

We propose that penile plethysmography could be improved by its combination with eye-tracking devices during the presentation of computer-generated stimuli (CGS). To date, the application of this combination has not been studied among child molesters. This dissertation includes three empirical articles supporting the development of an assessment instrument based on the joint measurement of ocular and penile responses during the presentation of CGS in order to evaluate the sexual interests of child molesters. To this end, men who had (n = 26) or had not (n = 36) engaged in sexual behaviors towards children were recruited. The first article consists of a preliminary exploration of the sociodemographic, sexual, and criminological characteristics of child molesters and nonoffenders as well as their respective ocular and penile responses to CGS and conventional auditory stimuli. This investigation provided a framework for the subsequent phases of the study. The second article compares the profiles of penile responses to CGS and conventional auditory stimuli and each presentation modality’s ability to classify individuals in terms of their history of sexual behaviors towards children. The third article identifies gaze patterns associated with sexual interest towards a given age group and provides support for the joint measurement of penile and ocular responses during the presentation of CGS.  To summarize, the results of these studies support the clinical application of penile plethysmography in conjunction with the presentation of CGS. These results enable the identification of the eye movement signature of sexual offenders in response to CGS. Additionally, the data demonstrate the added benefits of measuring both penile and ocular responses relative to measuring penile responses in isolation. These findings provide insights for the clinical use of eye tracking and CGS and suggest interesting possibilities for the study of deviant sexuality, as well as sexuality in general.

Keyphrases: Penile plethysmography, Eye-tracking, Eye pattern, Sexual arousal, Sexual interest, Child molester, Gaze
Between play and design : the emergence of hybrid-identity in single-player videogames

Abstract This dissertation examines the complex nature of identity in single-player videogames. It introduces the concept of hybrid-identity and proposes an analytical framework to deconstruct gameplay across genres to distinguish moments of identity emergence.  While identity research commonly focuses on the player or the player-character (or both), the concept of hybrid-identity is a fluid, at times fleeting form of identity that exists between the player and the player-character. Hybrid-identity develops during the networked process of videogame play and necessarily includes the player (experience, play-context, etc.), the game environment (design, mechanics, etc.), and the mediating technology (computer, console, etc.) that facilitates gameplay.   In order to delineate the different aspects of gameplay that contribute to the emergence of different types of identity, a multifaceted framework was devised to isolate specific interactions between the player/player-character, player-character/non-playing character, player/game environment, player-character/game environment, and player/player. This framework was coupled with a secondary frame which includes examining the specificities of the individual player and the mediating technologies that facilitate gameplay. A systematic analysis of gameplay and design elements of three different games; Mirror’s Edge (DICE, 2008), Alone in the Dark (Eden Games, 2008), and Fable 2 (Lionhead Studios, 2008) was performed to illustrate the varying degrees of identity emergence in different game structures.   The utility of the framework is demonstrated by comparing the three gameplay analyses and highlighting the elements that contribute to (and possibly hinder) identity development and more specifically, the emergence of hybrid-identity. These three examples form the foundation for a more in-depth discussion on the definition, context, and process of hybrid-identity in videogame play.

Keyphrases: Single-player, Identity, Play, Design, Video games, Structure, Research methods, Jouer