[Evaluation of a new portable analyzer, HemoCue® Hb801, for hemoglobin point-of-care testing]. / Évaluation d'un nouvel automate de biologie délocalisée pour doser l'hémoglobine, l'HemoCue® Hb801.

The use of portable hemoglobin measuring devices is widespread. In this context, the company HemoCue® has put on the market a new device, the Hb801. It uses a whole blood absorbance measurement method and not the azidmethemoglobin measurement method used by HemoCue's older devices. We evaluated this new equipment on EDTA venous blood. Hb801 is lightweight, compact, requires a volume of 10 µL of blood and renders its result in less than a second. The repeatability and intermediate precision are close to the values expected according to Ricos, with coefficients of variation respectively for a low level of hemoglobin: 2.1% and 1.9%, for an average level: 0.8% and 1.5% and for a high level: 1.5% and 1.3%. Comparison to our laboratory reference method (XN-10 Sysmex®) and HemoCue® Hb201+ was performed on 96 samples. Bias (SD) found were: XN-10: +0.42 g/dL (0.17), HemoCue® Hb201+: +0.17 g/dL (0.41). Clinically acceptable performance (within ± 1 g/dL of reference hemoglobin) was high: 93.8%. In the end, this device seems to us to be suitable for hemoglobin point-of-care testing.

Skill trade-offs promote persistent individual differences and specialized tactics.

Individuals generally differ in their ability to perform challenging behaviours, but the causes of such variability remain incompletely understood. Because animals can usually use different behavioural tactics to achieve their goals, we might expect individual differences in skill to be maintained when the available tactics require different abilities to perform well. To explore this idea, I used the producer-scrounger (PS) paradigm, which considers interactions between foragers that may either invest effort in searching for resources (i.e. produce) or exploit others' discoveries (i.e. scrounge). Specifically, I tested whether individual differences in cognitive traits (i.e. the ability to find food) might result from a trade-off with competitiveness (i.e. the ability to steal food) that would exert disruptive selection pressure and, as such, might explain the coexistence of condition-dependent foraging tactics. If individuals differ in their competitiveness, with strong contestants being better able to monopolize food resources (and hence to scrounge), the model predicts that strong and weak competitors should rely more on scrounging and producing, respectively, especially when the finder's advantage is low. These findings indicate that the existence of individual differences in competitive abilities may be sufficient to explain short-term individual foraging tactic specialization. Yet, the degree of behavioural specialization is expected to depend on both the social and ecological context. Furthermore, persistent phenotypic differences, that are necessary for stable individual specialization, require the existence of a trade-off between competitive abilities that enable greater success as scroungers and cognitive abilities that are associated with better efficiency to detect and/or capture prey and, as such, enable greater success as producers. Therefore, this study further highlights the importance of considering the existence of alternative tactics to measure and predict the evolution of traits, including cognitive traits, within populations.

Challenge and difficulty of diagnosing hemoglobinopathies in newborns: about a case / Enjeu et difficulté du diagnostic des hémoglobinopathies chez le nouveau-né : à propos d'un cas

The diagnosis of hemoglobinopathy is based on a range of arguments: clinic, results of a blood count, the haemoglobin study and possibly a genetic study of the globin chains. The interpretation of these profiles can be complicated, especially in newborns due to the ontogenesis of globin genes. The clinical impact can range from simple microcytosis without anemia to severe anemia requiring iterative transfusions and various clinical symptoms depending on the number and type of chains produced. Knowledge of a hemoglobin pathology remains essential because of the possible transmission and combination of these anomalies to offspring.

Le diagnostic d'une hémoglobinopathie repose sur un faisceau d'arguments : la clinique, les résultats d'une numération formule sanguine, l'étude de l'hémoglobine et éventuellement une étude génétique des chaînes de globines. L'interprétation de ces profils obtenus peut être compliquée, en particulier chez le nouveau-né du fait de l'ontogénèse des gènes de globines. Le retentissement clinique peut aller de la simple microcytose sans anémie à une anémie sévère nécessitant des transfusions itératives et divers symptômes cliniques selon le nombre et le type de chaînes produites. La connaissance d'une pathologie de l'hémoglobine reste néanmoins essentielle du fait de la transmission et de la combinaison possible des anomalies à la descendance.

Exploring the interplay between natural and intersexual selection on the evolution of a cognitive trait.

There has been an increased focus on the role of natural and sexual selection in shaping cognitive abilities, but the importance of the interaction between both forces remains largely unknown. Intersexual selection through female mate choice might be an important driver of the evolution of cognitive traits, especially in monogamous species, where females may obtain direct fitness benefits by choosing mates with better cognitive abilities. However, the importance given by female to male cognitive traits might vary among species and/or populations according to their life-history traits and ecology. To disentangle the effects of natural and sexual selection, here we use an agent-based simulation model and compare the model's predictions when females mate with the first randomly encountered male (i.e., under natural selection) versus when they choose among males based on their cognitive trait values (i.e., under natural and intersexual selection). Males and females are characterized, respectively, by their problem-solving ability and assessment strategy. At each generation, agents go through (1) a choosing phase during which females assess the cognitive abilities of potential mates until eventually finding an acceptable one and (2) a reproductive phase during which all males compete for limited resources that are exploited at a rate, which depends on their cognitive abilities. Because males provide paternal care, the foraging success of mated males determines the breeding success of the pair through its effect on nestling provisioning efficiency. The model predicts that intersexual selection plays a major role in most ecological conditions, by either reinforcing or acting against the effect of natural selection. The latter case occurs under harsh environmental conditions, where intersexual selection contributes to maintaining cognitive diversity. Our findings thus demonstrate the importance of considering the interaction between both selective forces and highlight the need to build a conceptual framework to target relevant cognitive traits.

Predation and parasitism as determinants of animal personalities.

Within the same population, proactive (i.e. bolder, more exploratory, active and aggressive) and reactive (i.e. more timid, less exploratory, less active and more passive) individuals could be hypothetically maintained due a trade-off between foraging and vigilance behaviours, provided that both phenotypes differ in their state (e.g. metabolic rates, body condition or energetic needs). Yet, recent findings indicate that among-individual variation in intrinsic state can explain only a small proportion of variation in behaviour, meaning that other mechanisms, such as the presence of trophically transmitted parasites, might contribute to maintaining inter-individual behavioural differences. Empirical evidence, indeed, suggests strong relationships between certain animal personality traits and parasitic load within host populations. However, the direction of causation between these traits remains unclear: are different behaviours in infected hosts in contrast to uninfected ones the result of manipulation by parasites to increase host predation, or are some personalities inherently more susceptible to infection than others? To better understand the role of parasites in shaping behavioural differences within host populations and examine to what extent parasite manipulation and/or intrinsic differences in parasite susceptibility contribute to maintaining behavioural differences, we used a simulation approach and analysed the change in the frequencies of proactive and reactive individuals over time under different predation and starvation scenarios, when individual phenotype either affected a host's risk of infection or not. We found that in the absence of parasites, predation pressure strongly affected the expression of host personality, but the trade-off between foraging and vigilance behaviours alone could not explain the maintenance of inter-individual behavioural differences without temporal variation in predation pressure. By contrast, in the presence of parasites, the two host phenotypes could coexist within populations even when individuals experienced no temporal variations in predation risk, but only when proactive and reactive hosts were equally susceptible to parasitism. Our findings, thus, indicate that parasites can play an important role in maintaining genetic diversity in their host populations in addition to generating behavioural differences though manipulation.

Games researchers play: conceptual advancement versus validation strategies.

Conceptual advances and validation are critical to research, yet at odds. Using a game theoretical perspective, we show that a mixed strategy combining advances and validation, leads to increases in both individual researchers' and societal gains. This win-win outcome can be used to design new research strategies, funding, and recognition standards.

Managing the risk of shortages and medication errors with curares during the COVID-19 pandemic: a hospital pharmacy experience.

BACKGROUND: Coronavirus disease 2019 (COVID-19) has spread rapidly around the world. Like many clinical teams, hospital pharmacies have widely contributed in preventing and containing the COVID-19 pandemic. Pharmacies were thus involved in the management of overuse of specific drugs, medication shortages and risk of medication errors. OBJECTIVES: To assess the use of curares during the COVID-19 crisis and to highlight the lessons to be learnt from this overuse. METHODS: The use of curares (Atracurium, Cisatracurium and Rocuronium) was compared with the usual use levels in our hospital. Supply issues have been identified and investigated. The risk of medication errors was clearly established and considered. RESULTS: Despite an increased demand, our hospital has not experienced any disruption in the supply of curare medications. But the risk of curare shortages has led to the registration of new pharmaceutical forms and dosages never used before. We also observed necessary switches between different curares. All of this has contributed to an increased risk of medication errors. CONCLUSIONS: During the COVID-19 pandemic, the pharmaceutical management of curare medications has been particularly critical. The risk of medication errors and unsafe medication practices was high. This analysis must lead to a high level of vigilance in the next few months.

Consequences of multiple simultaneous opportunities to exploit others' efforts on free riding.

Individuals within a group do not all act in the same way: Typically, the investors (or producers) put efforts into producing resources while the free riders (or scroungers) benefit from these resources without contributing. In behavioral ecology, the prevalence of free riders can be predicted by a well-known game-theoretical model-the producer-scrounger (PS) model-where group members have the options to either search for resources (producers) or exploit the efforts of others (scroungers). The PS model has received some empirical support, but its predictions, surprisingly, are based on the strict assumption that only one resource can be exploited at a time. Yet, multiple simultaneous opportunities to exploit others' efforts should frequently occur in nature. Here, we combine analytic and simulation approaches to explore the effect of multiple simultaneous scrounging opportunities on tactic use. Our analyses demonstrate that scrounging rates should increase with the number of simultaneous opportunities. As such, the amount and spatial distribution (i.e., clumped vs. dispersed) of resources as well as the risk of predation are key predictors of scrounging behavior. Because scroungers contribute to reducing the speed of resource exploitation, the model proposed here has direct relevance to the exploitation and sustainability of renewable resources.

Why are some personalities less plastic?

Individuals from the same population typically show consistent differences in behavioural traits that are frequently associated with differences in contextual plasticity. Yet such a correlation might arise either because some individuals are better able than others to detect environmental changes or because the benefits of being plastic are condition-dependent. To discriminate between these two competing hypotheses, I developed an individual-based model that simulates a population in which individuals of varying fighting ability compete by pairwise interactions using either the fixed hawk (aggressive) or dove (peaceful) strategies or a conditional assessment strategy. As anticipated, the model predicts that only individuals with low (and/or intermediate) fighting ability should use the assessment strategy, giving rise to a negative (or dome-shaped) relationship between aggressiveness and plasticity. The proportion of plastic individuals, however, should be affected not only by the environmental conditions in which individuals live but also by the mechanism that would maintain variation in the traits that determine the benefits of plasticity. In particular, if individual differences in fighting ability may be eroded by natural selection, it predicts that ecological conditions that cause assortative interactions (e.g. high predation risks) would contribute in maintaining variation among individuals in their fighting ability, thereby favouring greater plasticity.

Adaptation of a microbead assay for the easy evaluation of traditional anti-sickling medicines: application to DREPANOSTAT and FACA.

CONTEXT: Sickle cell disease is a common inherited blood disorder affecting millions of people worldwide. Due to lack of progress in drug discovery for a suitable treatment, sufferers often turn to traditional medicines that take advantage of the plant extracts activity used by traditional healers. OBJECTIVE: This study optimizes an anti-sickling screening test to identify preparations capable of reverting sickle cells back to the morphology of normal red blood cells. We focused on the miniaturization and practicability of the assay, so that it can be adapted to the laboratory conditions commonly found in less developed countries. MATERIALS AND METHODS: We tested two traditional anti-sickling herbal medicines, FACA® and DREPANOSTAT®, composed of Zanthoxylum zanthoxyloides (Lam.) Zepern. & Timler (Rutaceae) and Calotropis procera (Aiton) Dryand. (Apocynaceae) at screening concentrations of hydroethanol extracts from 0.2 to 1 mg/mL. Potential bioactive molecules present in the extracts were profiled using Ultra High Performance Liquid Chromatography coupled with High Resolution Mass Spectrometry (UHPLC-HRMS/MS) method, identified through HRMS, MS/MS spectra and in silico fragmentation tools. RESULTS: Hydroethanol extracts of FACA® and DREPANOSTAT® showed low anti-sickling activity, inhibiting less than 10% of the sickling process. The UHPLC-HRMS/MS profiles identified 28 compounds (18 in FACA® and 15 in DREPANOSTAT®, including common compounds) among which l-phenylalanine is already described as potential anti-sickling agent. When used as positive control, 7 mg/mL phenylalanine reduced the sickled RBC to 52%. DISCUSSION AND CONCLUSIONS: This assay has been optimized for the easy screening of plant extracts or extracted compounds from bioassay guided fractionation, valuable to laboratories from less developed countries.

Are some individuals generally more behaviorally plastic than others? An experiment with sailfin mollies.

Individuals within the same population generally differ among each other not only in their behavioral traits but also in their level of behavioral plasticity (i.e., in their propensity to modify their behavior in response to changing conditions). If the proximate factors underlying individual differences in behavioral plasticity were the same for any measure of plasticity, as commonly assumed, one would expect plasticity to be repeatable across behaviors and contexts. However, this assumption remains largely untested. Here, we conducted an experiment with sailfin mollies (Poecilia latipinna) whose behavioral plasticity was estimated both as the change in their personality traits or mating behavior across a social gradient and using their performance on a reversal-learning task. We found that the correlations between pairwise measures of plasticity were weak and non-significant, thus indicating that the most plastic individuals were not the same in all the tests. This finding might arise because either individuals adjust the magnitude of their behavioral responses depending on the benefits of plasticity, and/or individuals expressing high behavioral plasticity in one context are limited by neural and/or physiological constraints in the amount of plasticity they can express in other contexts. Because the repeatability of behavioral plasticity may have important evolutionary consequences, additional studies are needed to assess the importance of trade-offs between conflicting selection pressures on the maintenance of intra-individual variation in behavioral plasticity.

A new approach for diagnosing chronic myelomonocytic leukemia using structural parameters of Sysmex XNTM analyzers in routine laboratory practice.

According to WHO recommendations, diagnosis of chronic myelomonocytic leukemia (CMML) beforehand requires microscopic examination of peripheral blood to identify dysplasia and/or blasts when monocytes are greater or equal to 1.0 × 109/L and 10% of leucocytes. We analyzed parameters derived from SysmexTM XN analyzers to improve the management of microscopic examination for monocytosis. We analyzed results of the complete blood count and the positioning and dispersion parameters of polymorphonuclear neutrophils and monocytes in 61 patients presenting with CMML and 635 control patients presenting with a reactive monocytosis. We used logistic regression and multivariate analysis to define a score for smear review. Three parameters were selected: neutrophil/monocyte ratio, structural neutrophil dispersion (Ne-WX) and monocyte absolute value. We established an equation in which the threshold of 0.160 guided microscopic examination in the search for CMML abnormalities with a sensitivity of 0.967 and a specificity of 0.978 in the learning cohort (696 samples) and 0.923 and 0.936 in the validation cohort (1809 samples) respectively. We created a score for microscopic smear examination of patients presenting with a monocytosis greater or equal to 1.0 × 109/L and 10% of leucocytes, improving efficiency in laboratory routine practice.

Impulsiveness does not prevent cooperation from emerging but reduces its occurrence: an experiment with zebra finches.

Reciprocal altruism, the most probable mechanism for cooperation among unrelated individuals, can be modelled as a Prisoner's Dilemma. This game predicts that cooperation should evolve whenever the players, who expect to interact repeatedly, make choices contingent to their partner's behaviour. Experimental evidence, however, indicates that reciprocity is rare among animals. One reason for this would be that animals are very impulsive compared to humans. Several studies have reported that temporal discounting (that is, strong preferences for immediate benefits) has indeed a negative impact on the occurrence of cooperation. Yet, the role of impulsive action, another facet of impulsiveness, remains unexplored. Here, we conducted a laboratory experiment in which male and female zebra finches (Taenyopigia guttata) were paired assortatively with respect to their level of impulsive action and then played an alternating Prisoner's Dilemma. As anticipated, we found that self-controlled pairs achieved high levels of cooperation by using a Generous Tit-for-Tat strategy, while impulsive birds that cooperated at a lower level, chose to cooperate with a fixed probability. If the inability of impulsive individuals to use reactive strategies are due to their reduced working memory capacity, thus our findings might contribute to explaining interspecific differences in cooperative behaviour.

Male foraging efficiency, but not male problem-solving performance, influences female mating preferences in zebra finches.

Experimental evidence suggests that females would prefer males with better cognitive abilities as mates. However, little is known about the traits reflecting enhanced cognitive skills on which females might base their mate-choice decisions. In particular, it has been suggested that male foraging performance could be used as an indicator of cognitive capacity, but convincing evidence for this hypothesis is still lacking. In the present study, we investigated whether female zebra finches (Taeniopygia guttata) modify their mating preferences after having observed the performance of males on a problem-solving task. Specifically, we measured the females' preferences between two males once before and once after an observation period, during which their initially preferred male was incapable of solving the task contrary to their initially less-preferred male. We also conducted a control treatment to test whether the shift in female preferences was attributable to differences between the two stimulus males in their foraging efficiency. Finally, we assessed each bird's performance in a color associative task to check whether females can discriminate among males based on their learning speed. We found that females significantly increased their preference toward the most efficient male in both treatments. Yet, there was no difference between the two treatments and we found no evidence that females assess male cognitive ability indirectly via morphological traits. Thus, our results suggest that females would not use the males' problem-solving performance as an indicator of general cognitive ability to gain indirect fitness benefits (i.e., good genes) but rather to assess their foraging efficiency and gain direct benefits.

How the cascading effects of a single behavioral trait can generate personality.

INDIVIDUALS FROM THE SAME POPULATION GENERALLY VARY IN SUITES OF CORRELATED BEHAVIORAL TRAITS: personality. Yet, the strength of the behavioral correlations sometimes differs among populations and environmental conditions, suggesting that single underlying mechanisms, such as genetic constraints, cannot account for them. We propose, instead, that such suites of correlated traits may arise when a single key behavior has multiple cascading effects on several other behaviors through affecting the range of options available. For instance, an individual's shyness can constrain its habitat choice, which, in turn, could restrict the expression of other behavioral traits. We hypothesize that shy individuals should be especially restrained in their choice of habitat when the risk of predation is high, which then canalizes them into different behavioral options making them appear behaviorally distinct from bolder individuals. We test this idea using an individual-based simulation model. Our results show that individual differences in boldness can be sufficient, under high predation pressure, to generate behavioral correlations between boldness and both the tendency to aggregate and the propensity to use social information. Thus, our findings support the idea that some behavioral syndromes can be, at least to some extent, labile. Our model further predicts that such cascading effects should be more pronounced in populations with a long history of predation, which are expected to exhibit a low average boldness level, compared with predator-naïve populations.

Audience effect alters male mating preferences in zebra finches (Taeniopygia guttata).

The social environment of animals strongly influences the mating preferences of both the choosing and the observing individuals. Notably, there is recent evidence that polygamous males decrease their selectivity when being observed by competitors in order to direct their rivals' attention away from their true interest and, consequently, reduce sperm competition risk. Yet, other mechanisms, whose importance remains unexplored, could induce similar effects. In monogamous species with mutual choice, particularly, if males adjust their selectivity according to the risk of being rejected by their preferred mate, they should as well become less selective when potential rivals are present. Here, we investigated whether the presence of bystanders modifies male mating preferences when the risk of sperm competition is low, by carrying out mate-choice experiments with male zebra finches (Taeniopygia guttata) whose preferences for two females were measured twice: with and without an audience. We found that the presence of potential rivals had no effect on the males' choosiness. However, with an audience, they spent more time with the female that was considered as the less attractive one in the control condition. These findings support the hypothesis that monogamous males alter their mate choice decisions in the presence of a male audience to reduce the risk of remaining unpaired. Thus, our results indicate that several explanations can account for the changes in male preferences due to the presence of competitors and highlight the importance of assessing the relative role of each mechanism potentially involved, to be able to make conclusions about the effect of an audience on signal evolution.

Frequency-dependent payoffs and sequential decision-making favour consistent tactic use.

Although natural selection should have favoured individuals capable of adjusting the weight they give to personal and social information according to circumstances, individuals generally differ consistently in their individual weighting of both types of information. Such individual differences are correlated with personality traits, suggesting that personality could directly affect individuals' ability to collect personal or social information. Alternatively, the link between personality and information use could simply emerge as a by-product of the sequential decision-making process in a frequency-dependent context. Indeed, when the gains associated with behavioural options depend on the choices of others, an individual's sequence of arrival could constrain its choice of options leading to the emergence of correlated behaviours. Any factor such as personality that affects decision order could thus be correlated with information use. To test this new explanation, we developed an individual-based model that simulates a group of animals engaged in a game of sequential frequency-dependent decision: a producer-scrounger game. Our results confirm that the sequence of decision, in this case enforced by the order in which animals enter a foraging area, consistently influences their mean tactic use and their individual plasticity, an outcome reminiscent of the correlation reported between personality and social information use.

Neighbours' breeding success and the sex ratio of their offspring affect the mate preferences of female zebra finches.

Several hypotheses on divorce predict that monogamous pairs should split up more frequently after a breeding failure. Yet, deviations from the expected pattern "success-stay, failure-leave" have been reported in several species. One possible explanation for these deviations would be that individuals do not use only their own breeding performance (i.e., private information) but also that of others (i.e., public information) to decide whether or not to divorce. To test this hypothesis, we investigated the relative importance of private and public information for mate choice decisions in female zebra finches (Taeniopygia guttata).We manipulated the reproductive performance of breeding pairs and measured females' preferences for their mate and the neighbouring male first following pair formation and then seven weeks later when all females had laid eggs and the young were independent. Although all females reduced their preference for their mate after a breeding failure, the decrease was significant only when the neighbouring pair had reproduced successfully. Furthermore, there was no evidence that females biased the sex ratio of their offspring according to their mate's attractiveness. On the other hand, after reproduction, both successful and unsuccessful females increased their preferences for males who had produced a larger proportion of sons. Despite the fact that other mechanisms may have also contributed to our findings, we suggest that females changed their mate preferences based on the proportion of sons produced by successful males, because offspring sex ratio reflects the male's testosterone level at the moment of fertilization and hence is an indicator of his immune condition.

Learning in a game context: strategy choice by some keeps learning from evolving in others.

Behavioural decisions in a social context commonly have frequency-dependent outcomes and so require analysis using evolutionary game theory. Learning provides a mechanism for tracking changing conditions and it has frequently been predicted to supplant fixed behaviour in shifting environments; yet few studies have examined the evolution of learning specifically in a game-theoretic context. We present a model that examines the evolution of learning in a frequency-dependent context created by a producer-scrounger game, where producers search for their own resources and scroungers usurp the discoveries of producers. We ask whether a learning mutant that can optimize its use of producer and scrounger to local conditions can invade a population of non-learning individuals that play producer and scrounger with fixed probabilities. We find that learning provides an initial advantage but never evolves to fixation. Once a stable equilibrium is attained, the population is always made up of a majority of fixed players and a minority of learning individuals. This result is robust to variation in the initial proportion of fixed individuals, the rate of within- and between-generation environmental change, and population size. Such learning polymorphisms will manifest themselves in a wide range of contexts, providing an important element leading to behavioural syndromes.

Long-term social bonds promote cooperation in the iterated Prisoner's Dilemma.

Reciprocal altruism, one of the most probable explanations for cooperation among non-kin, has been modelled as a Prisoner's Dilemma. According to this game, cooperation could evolve when individuals, who expect to play again, use conditional strategies like tit-for-tat or Pavlov. There is evidence that humans use such strategies to achieve mutual cooperation, but most controlled experiments with non-human animals have failed to find cooperation. One reason for this could be that subjects fail to cooperate because they behave as if they were to play only once. To assess this hypothesis, we conducted an experiment with monogamous zebra finches (Taeniopygia guttata) that were tested in a two-choice apparatus, with either their social partner or an experimental opponent of the opposite sex. We found that zebra finches maintained high levels of cooperation in an iterated Prisoner's Dilemma game only when interacting with their social partner. Although other mechanisms may have contributed to the observed difference between the two treatments, our results support the hypothesis that animals do not systematically give in to the short-term temptation of cheating when long-term benefits exist. Thus, our findings contradict the commonly accepted idea that reciprocal altruism will be rare in non-human animals.