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This study investigates the effects of two blended learning strategies on improving tacking technique in Optimist sailing among children aged 11–13. Specifically, it compares video feedback with online written instructions (BLIV) and online written instructions only (BLI). Thirty-one children aged 11–13 years old were randomly divided into three groups with different learning strategies: BLIV, BLI, and a control group (CONT). Each participant completed a pre-test (T0) and a post-test (T1) following a four-session learning unit. Evaluations focused on (i) tacking technique, rated by three sailing coaches, (ii) execution time measured using Kinovea software, and (iii) theoretical knowledge, assessed through a test involving error detection in a novice’s video. Statistical analyses revealed that the BLIV group demonstrated significant improvements at T1 in technical performance ( p  < 0.001, Hedges’ g = 2.71), execution time ( p  = 0.006, Hedges’ g = 1.14), and theoretical knowledge ( p  < 0.001, Hedges’ g = 1.98), outperforming the BLI and CONT groups in tacking performance. These findings underscore the effectiveness of the BLIV strategy in enhancing learning outcomes in environments with high levels of sensory distractions. By facilitating a deeper understanding of technique and error correction, this technology-enhanced instructional approach shows promise as a valuable tool for teaching complex motor skills in sports. The research findings suggest that BLIV demonstrates significant improvements in sailing skills, execution time, and theoretical understanding among young sailors compared to other methods. The study advocates for the integration of blended learning approaches that combine in-class activities with delayed video-based feedback delivered online to enhance skill acquisition young sailors.

One of the most important components of sepsis management is hemodynamic restoration. If the target mean arterial pressure (MAP) is not obtained, the first recommendation is for volume expansion, and the second is for norepinephrine (NE). We describe the methodology of a randomized multicenter trial aiming to assess the hypothesis that low-dose NE given early in adult patients with sepsis will provide better control of shock within 6 hours from therapy starting compared to standard care. This trial includes ICU septic patients in whom MAP decrease below 65 mmHg to be randomized into 2 groups: early NE-group versus standard care-group. The patient’s attending clinician will determine how much volume expansion is necessary to meet the target of a MAP > 65 mm Hg. If this target not achieved, after at least 30 ml/kg and guided by the available indices of fluid responsiveness, NE will be used in a usual way. The latter must follow a consensual schedule elaborated by the investigating centers. Parameters to be taken at inclusion and at H6 are: lactates, cardiac ultrasound parameters (stroke volume (SV), cardiac output (CO), E/E’ ratio), and P/F ratio. MAP and diuresis are recorded hourly. Our primary outcome is the shock control defined as a composite criterion (MAP > 65 mm Hg for 2 consecutive measurements and urinary output > 0.5 ml/kg/h for 2 consecutive hours) within 6 hours. Secondary outcomes: Decrease in serum lactate> 10% from baseline within 6 hours, the received fluid volume within 6 hours, variation of CO and E/E’, and 28 days-Mortality. The study is ongoing and aims to include at least 100 patients per arm. This study is likely to contribute to support the indication of early initiation of NE with the aim to restrict fluid intake in septic patients. (ClinicalTrials.gov ID: NCT05836272 ).

One of the most important components of sepsis management is hemodynamic restoration. If the target mean arterial pressure (MAP) is not obtained, the first recommendation is for volume expansion, and the second is for norepinephrine (NE). We describe the methodology of a randomized multicenter trial aiming to assess the hypothesis that low-dose NE given early in adult patients with sepsis will provide better control of shock within 6 hours from therapy starting compared to standard care. This trial includes ICU septic patients in whom MAP decrease below 65 mmHg to be randomized into 2 groups: early NE-group versus standard care-group. The patient's attending clinician will determine how much volume expansion is necessary to meet the target of a MAP > 65 mm Hg. If this target not achieved, after at least 30 ml/kg and guided by the available indices of fluid responsiveness, NE will be used in a usual way. The latter must follow a consensual schedule elaborated by the investigating centers. Parameters to be taken at inclusion and at H6 are: lactates, cardiac ultrasound parameters (stroke volume (SV), cardiac output (CO), E/E' ratio), and P/F ratio. MAP and diuresis are recorded hourly. Our primary outcome is the shock control defined as a composite criterion (MAP > 65 mm Hg for 2 consecutive measurements and urinary output > 0.5 ml/kg/h for 2 consecutive hours) within 6 hours. Secondary outcomes: Decrease in serum lactate> 10% from baseline within 6 hours, the received fluid volume within 6 hours, variation of CO and E/E', and 28 days-Mortality. The study is ongoing and aims to include at least 100 patients per arm. This study is likely to contribute to support the indication of early initiation of NE with the aim to restrict fluid intake in septic patients. (ClinicalTrials.gov ID: NCT05836272).

La transformation digitale a pour but d'intégrer de nouveaux outils et pratiques autrefois ignorés par les entreprises, chose qu'a faite l'entreprise de télécommunication DJEZZY. Cependant, en consacrant son temps à l'application de cette stratégie, DJEZZY n'a pas réalisé un suivi de cette dernière, ce qui pourrait causer problème pour la continuité de son exécution. Pour connaitre où en est l'entreprise avec sa transformation digitale nous avons déterminé; à partir d'une étude quantitative et qualitative; les principaux changements effectués ainsi que les impacts engendrés par ces nouvelles pratiques afin de mener à bien sa digitalisation et trouver de nouvelles valeurs ajoutées.