We examined the quality of care provided to older persons with frailty in five Canadian provinces, using administrative health data. In each province, we identified two cohorts of older persons with frailty: decedents and living persons. Using decision rules, we considered individuals to be frail if they were long-term care residents, terminally ill, or met at least two of seven domains, which were based on frailty scales, geriatrician discussions, and health service utilization indicators. We assessed quality of care using selected quality indicators: decrease in length of hospital stay, decrease in the number of in-patient readmissions, decrease in the number of emergency department visits, increase in the level of family physician continuity of care, decrease in the use of mechanical ventilation, and decrease in the number of admissions to intensive care. Using regression analyses, we also found male sex and older age were associated with poorer quality of care in both cohorts. This study provides baseline data for evaluating future efforts to improve the quality of care provided to older persons with frailty.

Distributed models and a good knowledge of the catchment studied are required to assess mitigation measures for nitrogen (N) pollution. A set of alternative scenarios (change of crop management practices and different strategies of landscape management, especially different sizes and distribution of set-aside areas) were simulated with a fully distributed model in a small agricultural catchment. The results show that current practices are close to complying with current regulations, which results in a limited effect of the implementation of best crop management practices. The location of set-aside zones is more important than their size in decreasing nitrate fluxes in stream water. The most efficient location is the lower parts of hillslopes, combining the dilution effect due to the decrease of N input per unit of land and the interception of nitrate transferred by sub-surface flows. The main process responsible for the interception effect is probably uptake by grassland and retention in soils since the denitrification load tends to decrease proportionally to N input and, for the scenarios considered, is lower in the interception scenarios than in the corresponding dilution zones.

The Neolithic transition is a particularly favorable field of research for the study of the emergence and evolution of cultures and cultural phenomena. In this framework, high-precision chronologies are essential for decrypting the rhythms of emergence of new techno-economic traits. As part of a project exploring the conditions underlying the emergence and dynamics of the development of the first agro-pastoral societies in the Western Mediterranean, this paper proposes a new chronological modeling. Based on 45 new radiocarbon (14C) dates and on a Bayesian statistical framework, this work examines the rhythms and dispersal paths of the Neolithic economy both on coastal and continental areas. These new data highlight a complex and far less unidirectional dissemination process than that envisaged so far.

Quantitative assessment of mitigation measures for nitrogen (N) pollution requires adequate models, good knowledge of catchment functioning and a thorough understanding of agricultural systems and stakeholder constraints. The current paper analyses a set of results from simulations, with two models, of agricultural changes in two catchments in different contexts with different constraints. The results show that reducing N inputs and increasing grassland areas are the most efficient measures, not only because they reduce N fluxes in streams but also because they enhance N use by agriculture and the whole catchment system. Introducing catch crops, hedgerows and riparian buffers are interesting complementary measures but of limited impact when implemented alone. These results are sensitive to the way mitigation measures are translated into model inputs, and their operational implications are discussed.

The nitrogen efficiency is the ratio between the output of nitrogen in the animal products and the input required for the livestock production. This ratio is a driver of the economic profitability and can be calculated at various levels of the production system: animal, field or farm. Calculated at the scale of the animal, it is generally low with less than half-ingested nitrogen remaining in the milk, the eggs or the meat in the form of proteins; the major part of the nitrogen being rejected in the environment. Significant gains were achieved in the past via the genetic improvement and the adjustment of feed supply. At the farm level, the efficiency increases to 45% to 50%, thanks to the recycling of animal excreta as fertilisers. From excretion to land application of manure, the losses of nitrogen are very variable depending on the animal species and the manure management system. Considering the risks of pollution swapping, all management and handling steps need to be considered. Collective initiatives or local rules on agricultural practices allow new opportunities to restore nitrogen balances on local territory.

This study aimed to investigate the impact of repeated acidosis challenges (ACs) and the effect of live yeast supplementation (Saccharomyces cerevisiae I-1077, SC) on rumen fermentation, microbial ecosystem and inflammatory response. The experimental design involved two groups (SC, n=6; Control, n=6) of rumen fistulated wethers that were successively exposed to three ACs of 5 days each, preceded and followed by resting periods (RPs) of 23 days. AC diets consisted of 60% wheat-based concentrate and 40% hay, whereas RPs diets consisted of 20% concentrate and 80% hay. ACs induced changes in rumen fermentative parameters (pH, lactate and volatile fatty-acid concentrations and proportions) as well as in microbiota composition and diversity. The first challenge drove the fermentation pattern towards propionate. During successive challenges, rumen pH measures worsened in the control group and the fermentation profile was characterised by a higher butyrate proportion and changes in the microbiota. The first AC induced a strong release of rumen histamine and lipopolysaccharide that triggered the increase of acute-phase proteins in the plasma. This inflammatory status was maintained during all AC repetitions. Our study suggests that the response of sheep to an acidosis diet is greatly influenced by the feeding history of individuals. In live yeast-supplemented animals, the first AC was as drastic as in control sheep. However, during subsequent challenges, yeast supplementation contributed to stabilise fermentative parameters, promoted protozoal numbers and decreased lactate producing bacteria. At the systemic level, yeast helped normalising the inflammatory status of the animals.

The role of Campylobacter jejuni as the triggering agent of Guillain–Barré syndrome (GBS) has not been reassessed since the end of the 1990s in France. We report that the number of C. jejuni-related GBS cases increased continuously between 1996 and 2007 in the Paris region (mean annual increment: 7%, P = 0·007).

PILOT (the Pathfinder for an International Large Optical Telescope) is a proposed 2.5-m optical/infrared telescope to be located at Dome C on the Antarctic plateau. Conditions at Dome C are known to be exceptional for astronomy. The seeing (above ∼30 m height), coherence time, and isoplanatic angle are all twice as good as at typical mid-latitude sites, while the water-vapour column, and the atmosphere and telescope thermal emission are all an order of magnitude better. These conditions enable a unique scientific capability for PILOT, which is addressed in this series of papers. The current paper presents an overview of the optical and instrumentation suite for PILOT and its expected performance, a summary of the key science goals and observational approach for the facility, a discussion of the synergies between the science goals for PILOT and other telescopes, and a discussion of the future of Antarctic astronomy. Paper II and Paper III present details of the science projects divided, respectively, between the distant Universe (i.e. studies of first light, and the assembly and evolution of structure) and the nearby Universe (i.e. studies of Local Group galaxies, the Milky Way, and the Solar System).

We report the first large-scale serosurvey for West Nile virus (WNV) conducted in the equine population in Iran. Blood samples were obtained in 2008–2009 from 1054 equines collected from 260 districts located in 27 provinces. The overall seroprevalence rate for WNV neutralizing antibodies was 23·7%. Marked geographical variations were observed as province-specific seroprevalence rates ranged from 1% to 88%, the highest values being observed in the southern and western parts of the country. The presence of IgM-positive animals (n=9) indicated a recent circulation of WNV in several provinces. Logistic modelling confirmed this result with a significant effect of age on seropositivity. This study revealed extensive circulation of WNV in Iran particularly in southwestern provinces where the virus probably circulates every year.

Compact linear collider (CLIC) is a study for a future electron–positron collider that would allow physicists to explore a new energy region beyond the capabilities of today's particle accelerators. The demanding transverse and vertical beam sizes and emittance specifications are resulting in stringent alignment and a nanometre stability requirement. In the current feasibility study, the main beam quadrupole magnets have to be actively pre-aligned with a precision of 1 µm in five degrees of freedom before being mechanically stabilized to the nanometre scale above 1 Hz. This contribution describes the approach of performing this active pre-alignment based on an eccentric cam system. In order to limit the amplification of the vibration sources at resonant frequencies, a sufficiently high eigenfrequency is required. Therefore, the contact region between cam and support was optimized for adequate stiffness based on the Hertzian theory. Furthermore, practical tests performed on a single-degree-of-freedom mockup will show the limitation factors and further improvements required for successful integration in a full-scale quadrupole mockup presently under design.