Gonadotropic status in adult women with pituitary stalk interruption syndrome.

OBJECTIVE: Pituitary stalk interruption syndrome (PSIS) is a rare cause of congenital hypopituitarism. Limited data exist on the gonadotropic status and fertility of adult women with PSIS. Our study aims to describe pubertal development and the evolution of gonadotropic function and fertility in adult women with PSIS. DESIGN: Retrospective multicentric French study. METHODS: We described gonadotropic function in 56 adult women with PSIS from puberty onwards. We compared live birth rates per woman with PSIS to age-matched controls from the large French epidemiological cohort (CONSTANCES). Additionally, we assessed height, BMI, blood pressure, other metabolic parameters, and socio-economic status. RESULTS AND CONCLUSIONS: Among 56 women with PSIS, 36 did not experience spontaneous puberty. Of these, 13 underwent ovarian stimulation resulting in 7 women having a total of 11 children. In the subgroup with spontaneous puberty (n = 20), 4 had a total of 8 pregnancies while 6 developed secondary gonadotropic deficiency. Women with PSIS had fewer children than controls (0.33 versus 0.63, p = 0.04). Median height was also lower (160.5 cm versus 165.0 cm, p < 0.0001). Although mean blood pressure was lower in women with PSIS compared to controls, (111.3/65.9 ± 11.2/8.1 mmHg vs 118.7/72.1 ± 10.1/7.7 mmHg, p < 0.001), there were no significant differences in other metabolic parameters, notably BMI and lipid profile. Employment/academic status was not different in the two groups but fewer women with PSIS were in relationships (42% versus 57.6% in controls, p = 0.02). The fertility prognosis in patients with PSIS needs optimization. Patients should be informed about the likelihood of declining gonadotropic function over time.

Unilateral or bilateral adrenalectomy in PPNAD: six cases from a single family followed up over 40 years.

The most frequent endocrine Carney complex manifestation is a bilateral primary pigmented nodular adrenocortical disease and bilateral adrenalectomy (BA) is therefore its main treatment. In this study, a 40 years follow-up of six members of the same family with heterozygous PRKAR1A germline mutation, is reported over two generations. The first cases, two sisters with severe hyperandrogenism and Cushing syndrome (CS) diagnosed in 1972 at age 14 and 25, were successfully treated with unilateral adrenalectomy (UA). Their two brothers were then diagnosed, one with a CS-related severe osteoporosis treated with BA and the other with CS treated with UA. The second generation was diagnosed with CS signs at 7 and 21 years of age and were treated with BA and UA respectively. Out of the four patients treated with UA, the only event possibly related to CS was spontaneous episode of pulmonary embolism, 30 years after surgery. Hormonal evaluation revealed either eucortisolism in one patient or partial adrenal deficiency in two and mild hypercortisolism in one patient. For the two patients with BA, one of them accidentally died. The second one, surprisingly, recovered progressively normal cortisol secretion and circadian variation. Steroid substitution was stopped 6 years after her surgery and we demonstrated by iodocholesterol scintigraphy the presence of bilateral adrenal remnants. In conclusion, our results of long term evolution of PPNAD patients show that UA in this subset of patients could be considered to treat CS.

First case of cyproterone acetate induced multiple meningiomas in identical female twins: A case report.

Meningiomas are the most common tumors of the central nervous system. Most meningiomas are benign and occur mainly in middle-aged women. Only a few cases of meningiomas in identical twins have been reported. Cyproterone acetate (Androcur® Bayer Healthcare SAS) (CPA) is an antiandrogenic progestin used to treat female hirsutism in some countries including France. We report a case of identical twin sisters who developed multiple, atypically located meningiomas in the setting of long-term CPA use. Eighteen-month follow-up showed spontaneous decrease of meningiomas after cessation of CPA. This case illustrates CPA's ability to induce development of atypically located meningiomas that differ even between identical twins, confirms benefit of surgical abstention, and raises questions regarding security of use of CPA.

Fast Gate-Based Readout of Silicon Quantum Dots Using Josephson Parametric Amplification.

Spins in silicon quantum devices are promising candidates for large-scale quantum computing. Gate-based sensing of spin qubits offers a compact and scalable readout with high fidelity, however, further improvements in sensitivity are required to meet the fidelity thresholds and measurement timescales needed for the implementation of fast feedback in error correction protocols. Here, we combine radio-frequency gate-based sensing at 622 MHz with a Josephson parametric amplifier, that operates in the 500-800 MHz band, to reduce the integration time required to read the state of a silicon double quantum dot formed in a nanowire transistor. Based on our achieved signal-to-noise ratio, we estimate that singlet-triplet single-shot readout with an average fidelity of 99.7% could be performed in 1 µs, well below the requirements for fault-tolerant readout and 30 times faster than without the Josephson parametric amplifier. Additionally, the Josephson parametric amplifier allows operation at a lower radio-frequency power while maintaining identical signal-to-noise ratio. We determine a noise temperature of 200 mK with a contribution from the Josephson parametric amplifier (25%), cryogenic amplifier (25%) and the resonator (50%), showing routes to further increase the readout speed.

Strongly Correlated Charge Transport in Silicon Metal-Oxide-Semiconductor Field-Effect Transistor Quantum Dots.

Quantum shot noise probes the dynamics of charge transfers through a quantum conductor, reflecting whether quasiparticles flow across the conductor in a steady stream, or in syncopated bursts. We have performed high-sensitivity shot noise measurements in a quantum dot obtained in a silicon metal-oxide-semiconductor field-effect transistor. The quality of our device allows us to precisely associate the different transport regimes and their statistics with the internal state of the quantum dot. In particular, we report on large current fluctuations in the inelastic cotunneling regime, corresponding to different highly correlated, non-Markovian charge transfer processes. We have also observed unusually large current fluctuations at low energy in the elastic cotunneling regime, the origin of which remains to be fully investigated.

A CMOS silicon spin qubit.

Silicon, the main constituent of microprocessor chips, is emerging as a promising material for the realization of future quantum processors. Leveraging its well-established complementary metal-oxide-semiconductor (CMOS) technology would be a clear asset to the development of scalable quantum computing architectures and to their co-integration with classical control hardware. Here we report a silicon quantum bit (qubit) device made with an industry-standard fabrication process. The device consists of a two-gate, p-type transistor with an undoped channel. At low temperature, the first gate defines a quantum dot encoding a hole spin qubit, the second one a quantum dot used for the qubit read-out. All electrical, two-axis control of the spin qubit is achieved by applying a phase-tunable microwave modulation to the first gate. The demonstrated qubit functionality in a basic transistor-like device constitutes a promising step towards the elaboration of scalable spin qubit geometries in a readily exploitable CMOS platform.

Electrical Control of g-Factor in a Few-Hole Silicon Nanowire MOSFET.

Hole spins in silicon represent a promising yet barely explored direction for solid-state quantum computation, possibly combining long spin coherence, resulting from a reduced hyperfine interaction, and fast electrically driven qubit manipulation. Here we show that a silicon-nanowire field-effect transistor based on state-of-the-art silicon-on-insulator technology can be operated as a few-hole quantum dot. A detailed magnetotransport study of the first accessible hole reveals a g-factor with unexpectedly strong anisotropy and gate dependence. We infer that these two characteristics could enable an electrically driven g-tensor-modulation spin resonance with Rabi frequencies exceeding several hundred mega-Hertz.

Event-based quantification of emerging pollutant removal for an open stormwater retention basin - loads, efficiency and importance of uncertainties.

Up to now, emerging contaminants have not been further-studied in in-situ stormwater best management practices and especially in detention basins. In this article, the efficiency of a dry stormwater detention basin was investigated regarding the removal of 7 alkylphenols and alkylphenol ethoxylates, 9 polybrominated diphenyl ethers, 45 pesticides and bisphenol A. Concentrations of contaminants were obtained by chemical analysis on dissolved and particulate phase distinctly. The removal efficiency was assessed on total, dissolved and particulate phase accounting for the global chain of uncertainty with a 95% confidence interval. Results showed that pesticides (rather hydrophilic) are not trapped in the detention basin but are released contrarily to B209 which is mostly in particulate phase. Alkylphenols and alkylphenol ethoxylates are present in both phases and the efficiency is storm event-dependent. Uncertainty consideration in efficiency determination revealed efficiency data, usually presented by raw values are not relevant to conclude on the performance of a detention basin. In this case study, efficiency data with a 95% confidence interval indicate that only 35%, 50% and 41% of campaigns showed an impact (in trapping or releasing) of the detention basin on alkylphenols and ethoxylates, polybrominated diphenyl ethers and pesticides respectively.

Probing the limits of gate-based charge sensing.

Quantum computation requires a qubit-specific measurement capability to readout the final state of individual qubits. Promising solid-state architectures use external readout electrometers but these can be replaced by a more compact readout element, an in situ gate sensor. Gate-sensing couples the qubit to a resonant circuit via a gate and probes the qubit's radiofrequency polarizability. Here we investigate the ultimate performance of such a resonant readout scheme and the noise sources that limit its operation. We find a charge sensitivity of 37 µe Hz(-1/2), the best value reported for this technique, using the example of a gate sensor strongly coupled to a double quantum dot at the corner states of a silicon nanowire transistor. We discuss the experimental factors limiting gate detection and highlight ways to optimize its sensitivity. In total, resonant gate-based readout has advantages over external electrometers both in terms of reduction of circuit elements as well as absolute charge sensitivity.

Ecotoxicological characterisation of sediments from stormwater retention basins.

Retention-detention basins are important structures for managing stormwater. However, their long-term operation raises the problem of managing the sediments they accumulate. Potential uses for such sediments have been envisaged, but each sediment must be characterised beforehand to verify its harmlessness. In this paper we address this issue through the development of a battery of bioassays specifically adapted to such sediments. We tested the method on samples taken from four retention basins in the region of Lyon (France). This battery focuses on the toxic effects linked to both the solid phase (ostracod and Microtox(®) solid-phase tests) and the liquid-phase (interstitial water) of sediments (rotifer and Microtox(®) liquid-phase tests). The results obtained permit the sorting of sediments presenting little toxicity, and which could therefore be potentially exploitable, from those from more polluted areas presenting higher toxicity that limits their use.

A method for evaluating the evolution of clogging: application to the Pampulha Campus infiltration system (Brazil).

In order to evaluate the hydraulic performance of stormwater infiltration trenches, a study was undertaken to assess clogging and its distribution between the bottom and the sides. The method used was based on the calibration of the hydraulic resistance event by event according to Bouwer's model and applied to a demonstration trench in Belo-Horizonte monitored in the framework of the European Project Switch. The calibration was performed by minimizing the distance between measured and modeled infiltration flow rates and by using continuous measurements of rainfall, inflow, water temperature and depth in the trench. The study showed that the methodology and particularly Bouwer's model was able to produce satisfactory results. It revealed a significant clogging evolution within a year, with global resistance increasing by a factor of 9. A significant difference between the bottom and the sides was observed; the bottom being more rapidly prone to clogging. Sudden fluctuations of the hydraulic resistance of the bottom were found that could be explained by very high concentrations of total suspended solids from inflows (about 2,000 mg/L). Clogging of the sides evolves over the time but with a very low rate.

Accumulated sediments in a detention basin: chemical and microbial hazard assessment linked to hydrological processes.

Accumulated sediments in a 32,000-m(3) detention basin linked to a separate stormwater system were characterized in order to infer their health hazards. A sampling scheme of 15 points was defined according to the hydrological behaviour of the basin. Physical parameters (particle size and volatile organic matter content) were in the range of those previously reported for stormwater sediments. Chemical analyses on hydrocarbons, PAHs, PCBs and heavy metals showed high pollutant concentrations. Microbiological analyses of these points highlighted the presence of faecal indicator bacteria (Escherichia coli and intestinal enterococci) and actinomycetes of the genus Nocardia. These are indicative of the presence of human pathogens. E. coli and enterococcal numbers in the sediments were higher at the proximity of the low-flow gutter receiving waters from the catchment. These bacteria appeared to persist over time among urban sediments. Samples highly contaminated by hydrocarbons were also shown to be heavily contaminated by these bacteria. These results demonstrated for the first time the presence of Nocardial actinomycetes in such an urban context with concentrations as high as 11,400 cfu g(-1).

Micropollutants in urban stormwater: occurrence, concentrations, and atmospheric contributions for a wide range of contaminants in three French catchments.

This study aimed at: (a) providing information on the occurrence and concentration ranges in urban stormwater for a wide array of pollutants (n = 77); (b) assessing whether despite the differences between various catchments (land use, climatic conditions, etc.), the trends in terms of contamination level are similar; and (c) analyzing the contribution of total atmospheric fallout (TAF) with respect to sources endogenous to this contamination. The studied contaminants include conventional stormwater contaminants (polycyclic aromatic hydrocarbons (PAHs), Zn, Cu, Pb, etc.), in addition to poorly or undocumented pollutants such as nonylphenol and octylphenol ethoxylates (NPnEO and OPnEO), bisphenol A (BPA), polybrominated diphenyl ethers (PBDEs), a wide variety of pesticides, and various metals of relevance (As, Ti, Sr, V). Sampling and analysis were performed using homogeneous methods on three urban catchments with different land use patterns located in three distinct French towns. For many of these pollutants, the results do not allow highlighting a significant difference in stormwater quality at the scale of the three urban catchments considered. Significant differences were, however, observed for several metals (As, Cr, Cu, Ni, Sr and Zn), PAHs, and PBDEs, though this assessment would need to be confirmed by further experiments. The pollutant distributions between dissolved and particulate phases were found to be similar across the three experimental sites, thus suggesting no site dependence. Lastly, the contributions of TAF to stormwater contamination for micropollutants were quite low. This finding held true not only for PAHs, as previously demonstrated in the literature, but also for a broader range of molecules such as BPA, NPnEO, OPnEO, and PBDEs, whose high local production is correlated with the leaching of urban surfaces, buildings, and vehicles.

3D analysis of advanced nano-devices using electron and atom probe tomography.

The structural and chemical properties of advanced nano-devices with a three-dimensional (3D) architecture have been studied at the nanometre scale. An original method has been used to characterize gate-all-around and tri-gate silicon nanowire transistor by combining electron tomography and atom probe tomography (APT). Results show that electron tomography is a well suited method to determine the morphological structure and the dimension variations of devices provided that the atomic number contrast is sufficient but without an absolute chemical identification. APT can map the 3D chemical distribution of the atoms in devices but suffers from strong distortions in the dimensions of the reconstructed volume. These may be corrected using a simple method based on atomic density correction and electron tomography data. Moreover, this combination is particularly useful in helping to understand the evaporation mechanisms and improve APT reconstructions. This paper demonstrated that a full 3D characterization of nano-devices requires the combination of both tomography techniques.

Multicriteria decision-aid method to evaluate the performance of stormwater infiltration systems over the time.

Nowadays, stormwater infiltration systems are frequently used because of their ability to reduce flows and volumes in downstream sewers, decrease overflows in surface waters and make it possible to recharge groundwater. Moreover, they come in various forms with different uses. Despite these advantages the long term sustainability of these systems is questionable and their real performances have to be assessed taking into account various and sometimes conflicting aspects. To address this problem a decision support system is proposed. It is based on a multicriteria method built to help managers to evaluate the performance of an existing infiltration system at different stages of its lifespan and identify whether it performs correctly or not, according to environmental, socio-economic, technical and sanitary aspects. The paper presents successively: the performance indicators and the way they were built, the multicriteria method to identify if the system works properly and a case study.

Hydraulic performance of biofilters for stormwater management: first lessons from both laboratory and field studies.

In order to improve knowledge on stormwater biofiltration systems, the Facility for Advancing Water Biofiltration (FAWB) was created at Monash University in Melbourne, Australia. One of the aims of FAWB is to improve hydraulic performance of biofilters, given that there are numerous cases of infiltration devices failing after a few years of operation. Experiments were conducted in the field to evaluate the performance of existing systems, and in the lab to understand the factors that influence hydraulic behavior over time. The field experiments show that 43% of tested systems are below nominal Australian guidelines for hydraulic conductivity. The preliminary lab results show a decrease in hydraulic conductivity during the first weeks of operation (mu=66% reduction), although most remain within acceptable limits. Influences of the size of the biofilter relative to its catchment and the importance of the type of media, on the evolution of hydraulic conductivity, are examined.

Temporal evolution and spatial distribution of heavy metals in a stormwater infiltration basin--estimation of the mass of trapped pollutants.

Infiltration systems are widely used to manage stormwater in urban areas but questions about their long term sustainability need to be addressed. The possible pollution of the groundwater and the concentration of pollutant trapped in the soil are of major interest. This article focuses on the concentration of heavy metals found in the top layer of an infiltration basin. Two sampling campaigns have been undertaken 10 months apart and 200 samples were collected and analysed for lead (Pb), zinc (Zn) and copper (Cu). High concentrations were measured at the surface of the system; pollutant build up over time is clearly evident, especially in the lower lying areas, as well as higher concentrations in the oldest part of the system. Finally, the total mass of heavy metals trapped in the top layer of the systems are evaluated.

Multicriteria procedure for the design and the management of infiltration systems.

Infiltration systems are frequently used as an option to manage urban storm drainage. By reducing flows and volumes in downstream sewers or in surface waters, they decrease the overflows and make it possible to recharge groundwater. They come in various forms with different uses; therefore, their performance is diverse and integrates multiple aspects. Consequently, a multicriteria approach was developed in order to quantify the performance of these systems and to help in decision making problems. For that purpose, a list of performance indicators integrating technical, economical, environmental and social aspects was developed. The performances were defined with the help of a working group composed of engineers from different technical or strategic departments from Greater Lyon and researchers from different fields. The paper presents the last version of the performance indicators tested according to a set of quality requirements: availability of data, relevance, fidelity, precision, sensitivity/robustness. This critical review of the set of indicators has led us to redefine a certain number of indicators, identify numerous biases and allow putting forward general instructions for criterion or indicator construction. The last phase is to propose multicriteria decision aid methods; a procedure using ELECTRE methods should be used.

Long-term hydraulic and pollution retention performance of infiltration systems.

Infiltration techniques are now widely used to manage stormwater in urban areas. These techniques are used and recognized around the world for their many advantages, such as decreasing stormwater flow in sewer systems and recharging groundwater. But numerous cases of infiltration devices that failed after a few years of operation are still being reported. This study, which is based on site-monitoring of operational infiltration systems, is part of the Field Observatory for Urban Water Management (OTHU). The main goals of this study are to improve knowledge of long-term hydraulic behaviour, especially as concerns the clogging speed and the quality of the runoff. This article will present the site, the monitoring process and the model that will be used to assess the hydraulic behaviour. First results of the calibration of the model show that the model is able to assess the hydraulic behaviour of the basin when it is clogged (average value of hydraulic resistance 17.1 h) and when it has been scraped (hydraulic resistance less than 3.8 h). However, further data are needed in order to validate the model. We also show that the experimental setup is well designed to assess the water volume and the sediment brought to the basin with low uncertainties.

Comparison between two methodologies for urban drainage decision aid.

The objective of the present work is to compare two methodologies based on multicriteria analysis for the evaluation of stormwater systems. The first methodology was developed in Brazil and is based on performance-cost analysis, the second one is ELECTRE III. Both methodologies were applied to a case study. Sensitivity and robustness analyses were then carried out. These analyses demonstrate that both methodologies have equivalent results, and present low sensitivity and high robustness. These results prove that the Brazilian methodology is consistent and can be used safely in order to select a good solution or a small set of good solutions that could be compared with more detailed methods afterwards.