To identify known genes or expressed sequence tags (ESTs) which are expressed specifically or preferentially in the chicken hypothalamus and pituitary gland related to highly reproductive performance, two reciprocal cDNA libraries were constructed using a subtractive hybridization strategy. Two different strains, L2 (dam line; n=12) and B (sire line; n=12) of Taiwan Country Chickens (TCCs), which were originated from one single strain and further subjected to 40-wk egg production and comb size, body weight, respectively since 1982, were used in our study. A total of 324 and 370 clones were identified from L2-subtract-B and B-subtract-L2 hypothalamus/pituitary cDNA libraries. 311 and 360 single inserted sequences from each cDNA library, 53 and 23 non-redundant candidate genes were identified. Quantitative reverse-transcription (RT)-PCR were used to validate the association of mRNA expression profiles of the identified candidate genes and high-egg yield trait in another 118 hypothalamuses and pituitary glands that were dissected from seven different chicken stocks, including B-, L2-, Black-, Red-feather TCCs, commercial Single-Comb White Leghorn (WL) layer at National Chung-Hsing University (NCHU) and Red-feather TCCs grouped into high eggs (Red-high) & low eggs (Red-low) to 40 wks of age at National Chiayi University (NCYU). Among identified genes including known genes and novel genes, involving 33 screened genes, Inhibitor-1 of protein phosphatase type 2A (ANP32A), 3-hydroxybutyrate dehydrogenase (BDH), Contactin (CNTN1), Deiodinase iodothyronine type II (DIO2), Inhibitor of growth family, member 3 (ING3), Lysosomal-associated transmembrane protein 4 beta (LAPTM4B), Neural cell adhesion molecule 1 (NCAM1), DJ-1 protein (PARK7), Prostaglandin D2 synthase (PGDS), Prolactin (PRL), Protocadherin 1 (PCDH1), Pleiomorphic adenoma gene 1 (PLAG1), GTP-binding protein SAR1a (SAR1A), Secretogranin II (SCG2), Stathmin 2 (STMN2), T-box protein 2 (TBX2) were up-regulated in B-subtract-L2 cDNA library. Among above-mentioned 16 identified genes, there were 9 genes related to high-egg yield in chickens., including BDH, NCAM1, PCDH1, PGDS, PLAG1, PRL, SAR1A, SCG2, STMN2.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal

No description available.

L'être humain utilise trois systèmes sensoriels distincts pour réguler le maintien de la station debout: la somesthésie, le système vestibulaire, et le système visuel. Le rôle de la vision dans la régulation posturale demeure peu connu, notamment sa variabilité en fonction de l'âge, du type développemental, et des atteintes neurologiques. Dans notre travail, la régulation posturale induite visuellement a été évaluée chez des participants au développement et vieillissement normaux âgés de 5-85 ans, chez des individus autistes (développement atypique) âgés de 12-33 ans, ainsi que chez des enfants entre 9-18 ans ayant subi un TCC léger. À cet effet, la réactivité posturale des participants en réponse à un tunnel virtuel entièrement immersif, se mouvant à trois niveaux de vélocité, a été mesurée; des conditions contrôles, où le tunnel était statique ou absent, ont été incluses. Les résultats montrent que la réactivité (i.e. instabilité) posturale induite visuellement est plus élevée chez les jeunes enfants; ensuite, elle s'atténue pour rejoindre des valeurs adultes vers 16-19 ans et augmente de façon linéaire en fonction de l'âge après 45 ans jusqu'à redevenir élevée vers 60 ans. De plus, à la plus haute vélocité du tunnel, les plus jeunes participants autistes ont manifesté significativement moins de réactivité posturale comparativement à leurs contrôles; cette différence n'était pas présente chez des participants plus âgés (16-33 ans). Enfin, les enfants ayant subi un TCC léger, et qui étaient initialement modérément symptomatiques, ont montré un niveau plus élevé d'instabilité posturale induite visuellement que les contrôles, et ce jusqu'à 12 semaines post-trauma malgré le fait que la majorité d'entre eux (89%) n'étaient plus symptomatiques à ce stade. En somme, cela suggère la présence d'une importante période de transition dans la maturation des systèmes sous-tendant l'intégration sensorimotrice impliquée dans le contrôle postural vers l'âge de 16 ans, et d'autres changements sensorimoteurs vers l'âge de 60 ans; cette sur-dépendance visuelle pour la régulation posturale chez les enfants et les aînés pourrait guider l'aménagement d'espaces et l'élaboration d'activités ajustés à l'âge des individus. De plus, le fait que l'hypo-réactivité posturale aux informations visuelles chez les autistes dépende des caractéristiques de l'environnement visuel et de l'âge chronologique, affine notre compréhension des anomalies sensorielles propres à l'autisme. Par ailleurs, le fait que les enfants ayant subi un TCC léger montrent des anomalies posturales jusqu'à 3 mois post-trauma, malgré une diminution significative des symptômes rapportés, pourrait être relié à une altération du traitement de l'information visuelle dynamique et pourrait avoir des implications quant à la gestion clinique des patients aux prises avec un TCC léger, puisque la résolution des symptômes est actuellement le principal critère utilisé pour la prise de décision quant au retour aux activités. Enfin, les résultats obtenus chez une population à développement atypique (autisme) et une population avec atteinte neurologique dite transitoire (TCC léger), contribuent non seulement à une meilleure compréhension des mécanismes d'intégration sensorimotrice sous-tendant le contrôle postural mais pourraient aussi servir comme marqueurs sensibles et spécifiques de dysfonction chez ces populations. Mots-clés : posture, équilibre, vision, développement/vieillissement sensorimoteur, autisme, TCC léger symptomatique, réalité virtuelle. / Maintaining upright stance is essential for the accomplishment of several goal-directed behaviors, such as walking. Humans use three distinct sensory systems to regulate their posture: the somatosensory, the vestibular and the visual systems. The role of vision in postural regulation remains poorly understood, notably its variability across the life-span, developmental type and neurological insult. Hence, visually-driven postural regulation was examined in typically developing and aging participants (5-85 years-old), as well as in atypically developing individuals with autism (12-33 years-old) and in children having sustained mTBI (9-18 years-old). In order to do so, participants' postural reactivity was assessed in response to a fully immersive virtual tunnel moving at 3 different velocities; control conditions were also included wherein the tunnel was either static or absent. Results show that visually-induced postural reactivity was strongest in young children, then attenuated to become adult-like between 16-19 years of age, and started increasing again linearly with age after 45 years until becoming strong again around 60 years. Moreover, at the highest tunnel velocity, younger autistic participants showed significantly less postural reactivity compared to age-matched controls and young adults (16-33 years-old). Finally, children having sustained mTBI, who were initially moderately symptomatic, exhibited increased visually-induced instability compared to their matched controls up to 12 weeks post-injury, although most of them (89%) were no longer highly symptomatic. Altogether, this suggests the presence of an important transition period for the maturation of the systems underlying sensorimotor integration in postural control at around 16 years of age, and further sensorimotor changes after 60 years of age; this over-reliance on vision for postural regulation in childhood and late adulthood could guide the design of age-appropriate facilities/ activities. Furthermore, the fact that postural hypo-reactivity to visual information present in autism is contingent on both the visual environment and on chronological age, enhances our understanding of autism-specific sensory anomalies. Additionally, the fact that children with mTBI show balance anomalies up to 3 months post-injury, even when they are no longer highly symptomatic may be related to altered processing of dynamic visual information and could have implications for the clinical management of mTBI patients, since symptoms resolution is commonly used as a criterion for return to activities. Finally, results stemming from populations with atypical development (autism) and with so-called transient neurological insult (mild TBI) not only contribute to enhance our understanding of sensorimotor integration mechanisms underlying postural control, but could also consist of sensitive and specific markers of dysfunction in these populations. Keywords : posture, balance, vision, sensorimotor development/ aging, autism, symptomatic mTBI, virtual reality.

L'être humain utilise trois systèmes sensoriels distincts pour réguler le maintien de la station debout: la somesthésie, le système vestibulaire, et le système visuel. Le rôle de la vision dans la régulation posturale demeure peu connu, notamment sa variabilité en fonction de l'âge, du type développemental, et des atteintes neurologiques. Dans notre travail, la régulation posturale induite visuellement a été évaluée chez des participants au développement et vieillissement normaux âgés de 5-85 ans, chez des individus autistes (développement atypique) âgés de 12-33 ans, ainsi que chez des enfants entre 9-18 ans ayant subi un TCC léger. À cet effet, la réactivité posturale des participants en réponse à un tunnel virtuel entièrement immersif, se mouvant à trois niveaux de vélocité, a été mesurée; des conditions contrôles, où le tunnel était statique ou absent, ont été incluses. Les résultats montrent que la réactivité (i.e. instabilité) posturale induite visuellement est plus élevée chez les jeunes enfants; ensuite, elle s'atténue pour rejoindre des valeurs adultes vers 16-19 ans et augmente de façon linéaire en fonction de l'âge après 45 ans jusqu'à redevenir élevée vers 60 ans. De plus, à la plus haute vélocité du tunnel, les plus jeunes participants autistes ont manifesté significativement moins de réactivité posturale comparativement à leurs contrôles; cette différence n'était pas présente chez des participants plus âgés (16-33 ans). Enfin, les enfants ayant subi un TCC léger, et qui étaient initialement modérément symptomatiques, ont montré un niveau plus élevé d'instabilité posturale induite visuellement que les contrôles, et ce jusqu'à 12 semaines post-trauma malgré le fait que la majorité d'entre eux (89%) n'étaient plus symptomatiques à ce stade. En somme, cela suggère la présence d'une importante période de transition dans la maturation des systèmes sous-tendant l'intégration sensorimotrice impliquée dans le contrôle postural vers l'âge de 16 ans, et d'autres changements sensorimoteurs vers l'âge de 60 ans; cette sur-dépendance visuelle pour la régulation posturale chez les enfants et les aînés pourrait guider l'aménagement d'espaces et l'élaboration d'activités ajustés à l'âge des individus. De plus, le fait que l'hypo-réactivité posturale aux informations visuelles chez les autistes dépende des caractéristiques de l'environnement visuel et de l'âge chronologique, affine notre compréhension des anomalies sensorielles propres à l'autisme. Par ailleurs, le fait que les enfants ayant subi un TCC léger montrent des anomalies posturales jusqu'à 3 mois post-trauma, malgré une diminution significative des symptômes rapportés, pourrait être relié à une altération du traitement de l'information visuelle dynamique et pourrait avoir des implications quant à la gestion clinique des patients aux prises avec un TCC léger, puisque la résolution des symptômes est actuellement le principal critère utilisé pour la prise de décision quant au retour aux activités. Enfin, les résultats obtenus chez une population à développement atypique (autisme) et une population avec atteinte neurologique dite transitoire (TCC léger), contribuent non seulement à une meilleure compréhension des mécanismes d'intégration sensorimotrice sous-tendant le contrôle postural mais pourraient aussi servir comme marqueurs sensibles et spécifiques de dysfonction chez ces populations. Mots-clés : posture, équilibre, vision, développement/vieillissement sensorimoteur, autisme, TCC léger symptomatique, réalité virtuelle. / Maintaining upright stance is essential for the accomplishment of several goal-directed behaviors, such as walking. Humans use three distinct sensory systems to regulate their posture: the somatosensory, the vestibular and the visual systems. The role of vision in postural regulation remains poorly understood, notably its variability across the life-span, developmental type and neurological insult. Hence, visually-driven postural regulation was examined in typically developing and aging participants (5-85 years-old), as well as in atypically developing individuals with autism (12-33 years-old) and in children having sustained mTBI (9-18 years-old). In order to do so, participants' postural reactivity was assessed in response to a fully immersive virtual tunnel moving at 3 different velocities; control conditions were also included wherein the tunnel was either static or absent. Results show that visually-induced postural reactivity was strongest in young children, then attenuated to become adult-like between 16-19 years of age, and started increasing again linearly with age after 45 years until becoming strong again around 60 years. Moreover, at the highest tunnel velocity, younger autistic participants showed significantly less postural reactivity compared to age-matched controls and young adults (16-33 years-old). Finally, children having sustained mTBI, who were initially moderately symptomatic, exhibited increased visually-induced instability compared to their matched controls up to 12 weeks post-injury, although most of them (89%) were no longer highly symptomatic. Altogether, this suggests the presence of an important transition period for the maturation of the systems underlying sensorimotor integration in postural control at around 16 years of age, and further sensorimotor changes after 60 years of age; this over-reliance on vision for postural regulation in childhood and late adulthood could guide the design of age-appropriate facilities/ activities. Furthermore, the fact that postural hypo-reactivity to visual information present in autism is contingent on both the visual environment and on chronological age, enhances our understanding of autism-specific sensory anomalies. Additionally, the fact that children with mTBI show balance anomalies up to 3 months post-injury, even when they are no longer highly symptomatic may be related to altered processing of dynamic visual information and could have implications for the clinical management of mTBI patients, since symptoms resolution is commonly used as a criterion for return to activities. Finally, results stemming from populations with atypical development (autism) and with so-called transient neurological insult (mild TBI) not only contribute to enhance our understanding of sensorimotor integration mechanisms underlying postural control, but could also consist of sensitive and specific markers of dysfunction in these populations. Keywords : posture, balance, vision, sensorimotor development/ aging, autism, symptomatic mTBI, virtual reality.

Submitted by Rosina Valeria Lanzellotti Mattiussi Teixeira (rosina.teixeira@unisantos.br) on 2016-09-15T12:44:03Z No. of bitstreams: 1 Maristela de carvalho Gamba.pdf: 1898698 bytes, checksum: a5a47fe14f05ce4ebbb39206109acce0 (MD5) / Made available in DSpace on 2016-09-15T12:44:03Z (GMT). No. of bitstreams: 1 Maristela de carvalho Gamba.pdf: 1898698 bytes, checksum: a5a47fe14f05ce4ebbb39206109acce0 (MD5) Previous issue date: 2016-06-16 / This research has had its concern from my professional experience as a technical school professor and as a Final Paper advisor for Computing, Internet Computing and Digital Games Coding courses in a technical school in Santos that has the Final Paper as its graduating proposal as seen in the Political Pedagogical Project. The research meant to discover if the institution¿s graduates perceived the Final Paper as an activity that contributed to their professional development. In order to do so, the research¿s main question was elaborated: How do graduates perceive the contributions the Final Paper had in their professional practice? The theoretical grounding of this project is based on the works of Demo, Schön, Freire, and others who pointed out the importance of the graduating subject to build its own knowledge, valuing the experience as a learning source and developing its ability to think critically and assign meaning to what is being taught. The research, with a quantitative approach, was achieved by the focus group method with graduates from Computing and Internet Computing classes from a technical school from Santos. The focus group was meant to investigate group members¿ perceptions of the researched theme and the building of the scientific paper. The results obtained from the focus group show that the graduates perceive the Final Paper as an important practice for the development of their autonomy since they have had the opportunity to experience research techniques which are fundamental for project development. Besides, they pointed out the group project as one of their main difficulties claiming that not everyone has the same commitment to the project and its deadlines. They claimed that, to overcome this difficulty, they had to learn how to first of all organize the group and mainly how to properly communicate. To these graduates the Final Paper development was a rough path, even though it brought satisfaction seen that they had to overcome several difficulties on the way. However, they also said that seeing the final project was a reason to be proud. The results of the research showed that even though the Final Paper is a practice with difficulties in the beginning since the biggest part of the work come from individual efforts, after the first rough steps most of the graduates get involved with the project and start to understand the value of searching for knowledge and turning it into concrete actions that can solve problems they might face along the way. / A pesquisa teve sua problemática levantada a partir de minha experiência profissional como docente no ensino técnico - e, como orientadora de trabalhos de conclusão de curso (TCC), nos cursos de Informática, Informática para Internet e Programação de Jogos Digitas, em uma instituição de ensino técnico em Santos, que tem o TCC como proposta de formação expressa no Projeto Político Pedagógico. A pesquisa buscou conhecer se os egressos da instituição perceberam o TCC como uma atividade que contribuiu para o desenvolvimento profissional. Para tal, foi elaborada a questão da pesquisa: como os egressos do ensino técnico percebem as contribuições da realização do TCC para a sua prática profissional? A fundamentação teórica do trabalho teve como base os estudos de Demo, Schön, Freire, entre outros, que apontaram a importância do sujeito em formação de construir o seu saber, valorizando a experiência como fonte de aprendizagem e desenvolvendo a capacidade de refletir e pensar de forma crítica e de atribuir sentido ao que está sendo ensinado. A pesquisa, de abordagem qualitativa, foi realizada por meio da técnica de grupo focal, com egressos do curso de Informática e Informática para Internet, de uma escola técnica na cidade de Santos. O grupo focal teve por objetivo investigar as percepções dos participantes sobre o desenvolvimento do TCC e a prática de construção do trabalho científico. Os dados obtidos com o grupo focal mostraram que os alunos percebem o TCC como uma prática importante no desenvolvimento de sua autonomia, uma vez que tiveram oportunidade de conhecer práticas de pesquisa para futuro desenvolvimento de projetos. Os resultados do grupo focal indicaram, como uma das maiores dificuldades, a realização do trabalho em grupo, visto que nem todos os estudantes têm o mesmo comprometimento com o projeto e com cumprimento dos prazos. Os participantes relataram que, para superar essa dificuldade, foi necessário primeiramente aprender a se organizar e, principalmente, a se comunicar de forma adequada. Para esses egressos o desenvolvimento do TCC foi um caminho difícil, embora tenha trazido satisfação, posto que tiveram que superar as dificuldades encontradas. No entanto, relataram que ver o projeto pronto foi motivo de muito orgulho. Os dados da pesquisa mostraram que, embora o TCC seja uma prática na qual inicialmente encontraram dificuldades, uma vez que a maior parte do trabalho vem do esforço pessoal de cada um, passado o primeiro período de estranheza, boa parte dos alunos se envolveu com o projeto e passaram a compreender o valor de buscar o conhecimento e transformá-lo em ações concretas que possam solucionar os problemas encontrados.

Contact resistance is the most important and universal characteristic of all types of electrical and thermal contacts. Accurate measurement of contact resistance is important, because it serves as a measure for judging the performance and operational life span of contacts. Rise in contact temperature is one of the major factors that pose a big threat to the stability of electrical contacts. Dissipation of heat by solid conduction through a contact interface is governed by its thermal contact conductance (TCC). This emphasizes the need to study the TCC of an electrical contact along with its electrical contact resistance (ECR). Simultaneous measurement of ECR and TCC is important for understanding the interconnection between these two quantities and the possible influence of one over another. Real time experimental data and analytical correlations can be extremely helpful in developing electrical contacts with improved thermal management capabilities. As a part of the experimental investigation, a test facility has been developed for making simultaneous measurement of ECR and TCC across flat contacts. The facility has the capability of measuring ECR and TCC over a wide range of operating parameters, such as contact pressure, contact temperature, interstitial gaseous media, ambient pressure, etc. It is also capable of determining the electrical resistivity and thermal conductivity of materials as a function of temperature, which is very helpful in analyzing the generated contact resistance data. Using this facility, simultaneous ECR and TCC measurements are made across bare and gold plated contacts of OFHC Cu (oxygen free high conductivity copper) and brass. Simultaneous ECR and TCC measurements are made on nominally flat contacts in the contact pressure range of 0 – 1 MPa and the interface temperature range of 20 – 120 °C. Effect of contact pressure and interface temperature on ECR and TCC is studied on bare and gold coated contacts in vacuum, N2, Ar, and SF6 environments. TCC strongly depends on the thermophysical properties of the interstitial media and shows a significant enhancement in gaseous media, because of the increased interfacial gap conductance compared to vacuum. The gas pressure is varied in the range of 1 – 2.6 bar to study its effect on the gap conductance at different contact pressures and interface temperatures. Minor increase in the ECR observed in gaseous media is found to be independent of the properties of the media. Experimental results indicated that ECR depends on the gas pressure as well as on the applied contact load. Effect of gold coating and its thickness on the ECR and TCC across OFHC Cu and brass contacts is studied. Measurements on electroplated gold specimens having different gold layer thicknesses (0.1, 0.3, and 0.5 µm) indicated that ECR decreases and TCC increases with increasing gold coating thickness. Effect of gold coating on the substrate properties, contact surface tomography, and microhardness is analyzed and correlated to the observed behavior of ECR and thermal gap conductance. An attempt is made to understand and quantify the changes in the contact surface characteristics due to contact loading and heating, by measuring various surface topography parameters before and after the experimentation. Effect of thermal stresses (generated due to temperature variations) on ECR and TCC is studied and inclusion of an experimentally measured temperature dependent load correction factor is suggested in the theoretical models to take into account the effect of thermal stresses in contact assemblies.

Purpose: The purpose of this study was to investigate whether timber-concrete composite (TCC) floors made of a CLT-deck and casted concrete could be used as a method for increasing the use of wood as a building material. Method: The methods used in this degree project were a literature study, in which a number of laws of construction and different connector systems were studied, as well as an experiment consisting of bending tests on CLT-decks with casted concrete where SFS VB-screws were used as shear connectors. Results: The TCC-beams in the experiment behaved as expected and went to bending failure. The beams displayed an almost invisible slip between the materials despite the low composite action of 40,2 %. In addition, the beams had a higher bending stiffness on average than CLT-beams of the same height would have. Conclusions: Compared to floors made entirely of wood, TCC-floors with CLT add extra mass, stiffness, and better acoustic properties to the construction while maintaining a low floor height. The three main types of connectors used in TCC floors are mechanical, notched and glued-in connectors, where the latter two generates higher composite action and stiffness. Adhesive connection is another method with great potential, but there is still more research needed for this type of connection to be used.

TCC (Transitions of care clinic) is a specialized clinic visit where patients present to their primary clinic after a hospital stay. TCC deploys an interprofessional team to address a gamult of patient concerns. Traditionally, TCC interprofessional team includes a nurse and a doctor. The nurse calls the patient’s house within 2 days to check up on the patient and then they schedule a clinic visit, usually within 7-14 days. However it has been proposed that addition of team members from other disciplines could contribute to better health outcomes for patients seen in TCC. We studied a TCC model with an interprofessional team of not only physicians and nurses but also pharmacists and behavioral therapists for two months. Our aim was to uncover the utility of having a behavioral health team member in TCC visits. This was a prospective study of patients who attended a TCC clinic in a residency setting. An observer collected data on the time the behavioral health provider was in the patient room and the interventions/consultations he/she provided. Data collection is ongoing. We expect to find the following: the percentage of patients within TCC who utilized some form of behavioral therapy in their TCC visits; the percentage of common interventions that were used; average time spent in each visit; average age of patients; and average number of hospitalizations per patient. We expect that these results will demonstrate how behavioral health providers function on interprofessional TCC teams.

Contexte : Les benzodiazépines (BZD) et substances apparentées sont consommées de façon chronique par une large proportion de la population de personnes âgées souffrant d’insomnie chronique. Cet usage dans cette population est cependant critiqué, pour le risque d’effets indésirables associés. La thérapie cognitivo-comportementale pour insomnie (TCC-I) constitue le traitement de première ligne pour lutter contre l’insomnie, en raison de son efficacité et de son innocuité. Objectif : L’objectif de ce projet de recherche est d’évaluer les changements de la qualité du sommeil, de la macroarchitecture et de la microarchitecture du sommeil après un sevrage de BZD chez la personne âgée souffrant d’insomnie chronique. Nous étudierons par la suite l’effet de la TCC-I couplé au sevrage sur les mêmes variables d’intérêts. Nous faisons l’hypothèse que le sevrage s’accompagnera d’une amélioration de la qualité subjective du sommeil (diminution de l’Index de Sévérité de l’Insomnie (ISI) et augmentation de l’efficacité de sommeil (SE)) et d’une modification de certaines variables distinctes : fuseau de sommeil et stade N3 (augmentation du pourcentage au stade N3 et diminution de la densité des fuseaux de sommeil). De plus, nous faisons l’hypothèse que ces changements seront plus prononcés avec la TCC-I couplée au sevrage. Méthodes : 41 participants (âge moyen : 69.39±6.88 ans) ont été randomisés en 2 groupes, stratifiés pour l’âge, la durée et la dose de BZD et apparentés consommés : le groupe sevrage+TCC-I (N=23) et le groupe sevrage (N=18). L’ensemble des participants complètent un plan de sevrage avec suivi de 16 semaines, et dans le même temps, uniquement le groupe sevrage+TCC-I reçoit la TCC-I. L’acquisition des données est réalisée avant et après sevrage à partir de questionnaire (ISI), agenda de sommeil (SE) sur une période de 14 jours, et par enregistrements polysomnographiques (stade N3 et densité des fuseaux de sommeil). Résultats : 60.98% des participants (groupe sevrage+TCC-I: 60.87% ; groupe sevrage: 61.11%) ont réussi une cessation complète de leurs médications après sevrage. Il a été constaté une diminution de l’ISI (F(1,40)=4.36, p=0.01) et de la densité des fuseaux de sommeil (F(1,36)=7.18, p=0.01) après sevrage. Enfin, la TCC-I couplée au sevrage a montré une augmentation plus importante de la SE (F(1,35)=6.75, p=0.01) par rapport au groupe sevrage. Conclusion : Le plan de sevrage avec suivi permet d’obtenir un sevrage complet chez une majorité de participants, sans qu’il ne soit observé d’aggravations significatives de leur qualité de sommeil. L’ajout d’une TCC-I lors d’un sevrage de BZD et apparentés a permis une amélioration plus importante de la qualité du sommeil auto-rapportée (Agenda de sommeil : SE). / Background: Benzodiazepines (BZD) and related drugs are consumed chronically by a large part of the elderly population with chronic insomnia. However, this use in this population is criticized for the risk of associated side effects. Cognitive behavioral therapy for insomnia (CBT-I) is the first-line treatment for insomnia because of its efficacy and safety. Objective: The objective of this project is to assess changes in sleep quality, macroarchitecture and sleep microarchitecture after withdrawal from BZD in the elderly with chronic insomnia. Then, we study the effect of CBT-I coupled with withdrawal on the same variables of interest. We hypothesize that weaning will be accompanied by an improvement in the subjective sleep quality (decrease in Insomnia Severity Index (ISI) and increase in sleep efficiency (SE)) and a modification of certain distinct variables: sleep spindle and stage N3 (increase in the percentage at stage N3 and decrease in the density of sleep spindles). In addition, we hypothesize that these changes will be more pronounced with CBT-I coupled with weaning. Methods: 41 participants (mean age: 69.39 ± 6.88 years) were randomized into 2 groups; stratified for age, duration and dose of BZD and relatives consumed: the weaning+CBT-I group (N = 23) and the weaning group (N = 18). All participants complete a 16-week weaning plan with follow-up, and at the same time, only the therapy group receives CBT-I. Data acquisition is carried out before and after weaning from questionnaire (ISI), sleep diary (SE) over a period of 14 days, and by polysomnographic recordings (stage N3 and density of sleep spindles). Results: 60.98% of participants (weaning+CBT-I group: 60.87%; weaning group: 61.11%) succeeded in completely stopping their medication after withdrawal. A decrease in ISI (F(1.40) = 4.36, p = 0.04) and in sleep spindle density (F(1.36) = 7.18, p = 0.01) was observed after weaning. Finally, CBT-I coupled with weaning showed a greater increase in SE (Sleep Diary; F(1.35) = 6.75, p = 0.01) compared to the control group. Conclusion: The weaning plan with follow-up makes it possible to obtain complete weaning in a majority of participants, without any significant worsening of their quality of sleep being observed. The addition of CBT-I during withdrawal from BZD and related products resulted in a greater improvement in self-reported sleep quality (Sleep Diary: SE).