ABSTRACT
The objective of this study was to evaluate the results of isolated ulnar shaft shortening osteotomy (USSO) in the treatment of idiopathic ulnocarpal impingement syndrome. This was a two-center retrospective study. All patients older than 18 years who underwent isolated USSO for idiopathic ulnocarpal impingement syndrome between 2006 and 2016 were included. The outcome measures were: patient satisfaction, decrease in pain intensity, change in occupation, QuickDASH and PRWE functional scores, secondary palliative surgery suggesting failure of the ulnar shaft shortening osteotomy, and postoperative ulnar variance. The main complications were analyzed. Thirty-one patients were included. Twenty-six (84%) were satisfied with the procedure. At an average follow-up of 62 months, there was no secondary palliative surgery. Mean pain intensity on VAS was 7/10 (range, 2-10) and 1.7/10 (range, 0-6) preoperatively and postoperatively, respectively, for a mean decrease of 5.3 ± 2.6 points; this decrease was statistically significant (p < 0.001). None of the manual workers had to alter their work. Mean postoperative QuickDASH score was 19.6/100 (range, 0-79.55) and mean postoperative PRWE score was 23/100 (range, 1-85). Mean postoperative ulnar variance was -0.5 mm. As for complications, 61% of patients (n = 19/31) had discomfort related to the plate; 9.7% (n = 3/31) had distal radioulnar osteoarthritis; 4% (n = 1/19) had a fracture after hardware removal; 13% (n = 4/31) had non-union. Despite a high rate of complications, the study confirmed the effectiveness, in terms of pain, of isolated USSO in the treatment of idiopathic ulnocarpal impingement syndrome. LEVEL OF EVIDENCE: IV; retrospective cohort.
Subject(s)
Osteotomy , Wrist Joint , Humans , Osteotomy/methods , Range of Motion, Articular , Retrospective Studies , Syndrome , Treatment Outcome , Wrist Joint/surgeryABSTRACT
INTRODUCTION: Virological diagnosis of anterior ocular herpetic disease (AOHD) is essential for the management of these often-chronic pathologies that may require long-term therapy. PCR has become the gold standard, but the type of sampling (tears, corneal scraping, aqueous tap) has not been standardized. In this study, we studied the technique of tear sampling for the diagnosis of AOHD. MATERIALS AND METHOD: We retrospectively analyzed the medical files of patients with a positive tear sample (Schirmer strip) for herpes simplex 1 virus (HSV-1) in the Department of Ophthalmology of Paris-Saclay Bicêtre Hospital between January 2018 and December 2020. We studied the clinical and virological characteristics (viral loads) of these cases of proven AOHD. RESULTS: Thirty-six samples (33 patients) were included: 12 epithelial keratitis, 9 stromal HSK with ulceration, 5 uveitis, 4 stromal HSK without ulceration, 3 blepharitis, 1 endothelial HSK, 1 neurotrophic keratitis, and 1 conjunctivitis. The mean viral load was 3.9×105 copies/mL. Viral load was higher in cases of corneal ulceration (5.2×105±9.4×105 versus 1.2×102±1.7×102 copies/mL, P<1×10-4). There was no significant difference between primary episodes and relapses. CONCLUSION: Tear sampling using Schirmer strips is a simple, non-invasive method that can be useful for the virological diagnosis of various clinical forms of AOHD.
Subject(s)
Epithelium, Corneal , Herpes Simplex , Keratitis, Herpetic , DNA, Viral/analysis , Epithelium, Corneal/chemistry , Humans , Keratitis, Herpetic/diagnosis , Retrospective StudiesABSTRACT
Whether it is for risk assessment or for remediation purpose, contaminant availability in polluted soils is a key parameter to determine. Two methods were recently standardized for the estimation of the environmental available fraction of non-polar organics but, in some cases, their application on real historically contaminated soils does not provide satisfactory results. The present study aimed at proposing an alternative method for the estimation of PAH availability in soils, based on analytical thermal desorption and molecular analyses with the hypothesis that the binding strength between PAH and the solid matrix is linked to the desorption temperature. This hypothesis was validated by comparing the thermodesorption molecular distribution of different contaminated soils and of their respective extractable organic matter. Then, comparing the thermodesorption profiles of each studied PAH to the efficiency of biological and chemical remediation treatments through principal component analysis allowed obtaining the desorption temperature corresponding to PAH fractions available towards both treatments. This method was proven to effectively estimate the PAH fraction available towards biological (microbial incubation) and chemical (KMnO4 oxidation) treatments and present multiple advantages such as being fast, easy to execute and solvent free.
ABSTRACT
BACKGROUND: Recent data demonstrated that an altered basal membrane, activated melanocytes and secreted factors from keratinocytes but also fibroblasts and endothelial cells are involved in the pathophysiology of melasma. OBJECTIVES: To evaluate the efficacy and tolerability on melasma of a new topical skin-lightening cosmetic product combination (CCP) targeting several factors identified to be involved in melasma pathogenesis compared to 4% hydroquinone (HQ). METHODS: Forty-three women with melasma were enrolled in a 12-week double-blind, randomized, parallel-group trial and treated with CCP or 4% HQ cream. Efficacy was evaluated with the modified Melasma Area Severity Index (mMASI) score and colorimetric change. Cutaneous tolerability and patient satisfaction were also investigated. RESULTS: The mMASI score decreased for both products from baseline and over the study period. At week 12, 90% of the subjects who received the combination products had an improvement in pigmentation vs. 79% with HQ. Similarly, both products significantly increased Individual Typological Angle parameters. For both measures, no statistically significant difference was observed between CCP and HQ in terms of change from baseline. CPP was very well tolerated. CONCLUSIONS: Cosmetic product combination is as effective as HQ in the management of facial dyspigmentation and represents a safe alternative.
Subject(s)
Cosmetics/administration & dosage , Melanosis/drug therapy , Melanosis/physiopathology , Administration, Topical , Adult , Double-Blind Method , Endothelial Cells/drug effects , Female , Fibroblasts/drug effects , Humans , Hydroquinones/administration & dosage , Melanocytes/drug effects , Middle Aged , Patient Satisfaction , Skin Pigmentation , Sunscreening Agents/administration & dosage , Surveys and QuestionnairesABSTRACT
We provide a first approach of the mechanisms of liquid imbibition in a porous medium from a wet paste in contact with this substrate. Through Magnetic Resonance Imaging (MRI) we first show that, in contrast with intuition, the liquid can invade the substrate even if it has a larger pore size than the paste, which induces a lower capillary pressure in the substrate. This phenomenon happens because the paste can easily shrink. We then show that the imbibition stops when the capillary pressure in the substrate balances the stress needed to further contract the paste. The dynamics of the process then mainly results from the competition of these two effects plus the pressure gradient associated with the liquid flow through the paste. This in particular shows that the liquid penetration in a porous medium, from a poultice in contact with this medium, may be controlled by adjusting the poultice characteristics.
ABSTRACT
BACKGROUND: Standard high-volume polyethylene glycol [PEG] bowel preparations [PEG-4L] are recommended for patients with inflammatory bowel disease [IBD] undergoing colonoscopy. However, low-volume preparations [≤2 L of active volume] are often used in clinical practice. The aim of this study was to evaluate the efficacy, tolerability, and safety of the various bowel preparations for patients with IBD, including low-volume preparations. METHODS: We conducted a French prospective multicentre observational study over a period of 1 month. Patients aged 18-75 years with IBD with an indication of colonoscopy independent of the study were enrolled. The choice of the preparation was left to the investigators, as per their usual protocol. The patients' characteristics, disease, and colonoscopy characteristics were recorded, and they were given self-reported questionnaires. RESULTS: Twenty-five public and private hospitals enrolled 278 patients. Among them, 46 had a disease flare and 41 had bowel stenoses. Bowel preparations for colonoscopy were as follows: 42% received PEG-2L, 29% received sodium picosulfate [Pico], 15% received PEG-4L, and 14% had other preparations. The preparation did not reach the Boston's score efficacy outcome in the PEG-4L group in 51.2% of the patients [p = 0.0011]. The preparation intake was complete for 59.5% in the PEG-4L group, compared with 82.9% in the PEG-2L group and 93.8% in the Pico group [p < 0.0001]. Tolerability, as assessed by the patients' VAS, was significantly better for both Pico and PEG-2L compared with PEG-4L, and better for Pico compared with PEG-2L [p = 0.008; p = 0.0003]. In multivariate analyses, low-volume preparations were independent factors of efficacy and tolerability. Adverse events occurred in 4.3% of the patients. CONCLUSIONS: Preparations with PEG-2L and Pico were equally safe, with better efficacy and tolerability outcomes compared with PEG-4L preparations. The best efficacy/tolerance/safety profile was achieved with the Pico preparation.
Subject(s)
Cathartics , Colonoscopy/methods , Inflammatory Bowel Diseases/diagnosis , Polyethylene Glycols , Adolescent , Adult , Aged , Aged, 80 and over , Cathartics/administration & dosage , Cathartics/adverse effects , Citrates/administration & dosage , Citrates/adverse effects , Colitis, Ulcerative/diagnosis , Colonoscopy/adverse effects , Crohn Disease/diagnosis , Female , Humans , Inflammatory Bowel Diseases/pathology , Male , Middle Aged , Organometallic Compounds/administration & dosage , Organometallic Compounds/adverse effects , Picolines/administration & dosage , Picolines/adverse effects , Polyethylene Glycols/administration & dosage , Polyethylene Glycols/adverse effects , Prospective Studies , Young AdultABSTRACT
INTRODUCTION: Cytotoxic drug exposure of hospital staff preparing intravenous chemotherapy is a major issue and related mutagenic risks should be more explored. The aim of this study was to assess the mutagenicity of several cytotoxic mixtures prepared at fixed concentrations, and the mutagenicity of environmental samples collected in a hospital centralized reconstitution unit. In parallel cytotoxic exposure in environmental samples was quantified. METHODS: Environmental samples were performed by wiping method using swabs in five critical production unit areas. Mutagenicity was assessed with a liquid microplate AMES test using two salmonella typhimurium strains (TA98 and TA100), in prepared cytotoxic mixtures containing 14 cytotoxic drugs (cyclophosphamide, cytarabine, dacarbazine, docetaxel, doxorubicin, epirubicin, etoposide, 5-fluorouracil, gemcitabine, ifosfamide, irinotecan, methotrexate, paclitaxel and pemetrexed) according a dichotomous strategy and in environmental samples. Cytotoxic drugs were quantified in samples using liquid chromatography coupled to mass tandem spectrometry. RESULTS: Mutagenesis was observed for the mix of 14 cytotoxic drugs with TA98 strain ±â¯S9 fraction but not TA100 strain. After dichotomous approach, only doxorubicin and epirubicin exposure were associated to mutagenesis. The mutagenesis observed was expressed at lower concentrations with the mix of the 14 drugs than with anthracyclins alone, assuming a synergistic effect. Despite measurable level of cytotoxic contamination in environmental samples, no mutagenesis was highlighted in Ames tests performed on these environmental samples. CONCLUSIONS: The analyses carried out show the conservation of the mutagenicity of cytotoxic drugs found in very low quantities in the environment. The traces of cytotoxic drugs found in our unit regularly exceed the limits given by some authors. This approach may be considered as a new tool to monitor environmental contamination by cytotoxic drugs.
Subject(s)
Anthracyclines/toxicity , Antineoplastic Agents/toxicity , Equipment Contamination , Hospitals , Mutagenicity Tests , Chromatography, Liquid , Cyclophosphamide/toxicity , Doxorubicin/toxicity , Environmental Monitoring , Environmental Pollution , Epirubicin/toxicity , Etoposide/toxicity , Irinotecan/toxicity , Salmonella typhimurium/drug effects , Tandem Mass SpectrometryABSTRACT
Individuality is a striking feature of animal behavior. Individual animals differ in traits and preferences which shape their interactions and their prospects for survival. However, the mechanisms underlying behavioral individuation are poorly understood and are generally considered to be genetic-based. Here, we devised a large environment, Souris City, in which mice live continuously in large groups. We observed the emergence of individual differences in social behavior, activity levels, and cognitive traits, even though the animals had low genetic diversity (inbred C57BL/6J strain). We further show that the phenotypic divergence in individual behaviors was mirrored by developing differences in midbrain dopamine neuron firing properties. Strikingly, modifying the social environment resulted in a fast re-adaptation of both the animal's traits and its dopamine firing pattern. Individuality can rapidly change upon social challenges, and does not just depend on the genetic status or the accumulation of small differences throughout development.
Subject(s)
Behavior, Animal , Dopamine/metabolism , Social Behavior , Animals , Decision Making , Exploratory Behavior/physiology , Genetic Variation , Male , Maze Learning , Mice , Mice, Inbred C57BL , Motor Activity , Neurons/metabolism , Pattern Recognition, Automated , Species SpecificityABSTRACT
BACKGROUND: Negativity is often observed in patients with irritable bowel syndrome (IBS). No study has examined their emotional expressiveness as a marker of emotional reactivity. We investigated IBS patients' vulnerability to an emotional load by associating their expressiveness with psychological and neurophysiological assessments. We hypothesized that IBS would be characterized by a lack of expressiveness coupled with high scores in psychological and neurophysiological parameters. METHODS: We assessed the emotional facial expressions (EMFACS), psychological (anxiety, depression, alexithymia), and neurophysiological (cortisol, heart rate variability (HRV)) parameters of 25 IBS patients and 26 healthy controls (HC) while they watched fear-eliciting movie extracts. KEY RESULTS: Overall, the task elicited an increase in state anxiety and consistent HRV responses. However, IBS patients differed from HC as they displayed more sadness and tended to display more rage. Contrary to HC, IBS patients showed an increase in heart rate and a decrease in parasympathetic regulation, reflecting an enhanced responsiveness corroborated by higher scores in depression and state anxiety. Consistent with their higher difficulty in identifying feelings, a component of alexithymia positively correlated with their expressions of rage, they were not aware of their increase in anxiety during the task, whereas HC were. No linear relationship between patients' expressions and their neurophysiological responses was found. CONCLUSIONS & INFERENCES: Irritable bowel syndrome patients displayed greater emotional expressiveness with negative prevalence. This reflects an emotional vulnerability potentially related to low regulation skills and underscores the importance of considering the central dysregulation hypothesis in IBS as a promising avenue of research.
Subject(s)
Emotions/physiology , Irritable Bowel Syndrome/psychology , Adult , Female , Humans , Male , Middle AgedABSTRACT
From observations of the progressive deposition of noncolloidal particles by geometrical exclusion effects inside a 3D model porous medium, we get a complete dynamic view of particle deposits over a full range of regimes from transport over a long distance to clogging and caking. We show that clogging essentially occurs in the form of an accumulation of elements in pore size clusters, which ultimately constitute regions avoided by the flow. The clusters are dispersed in the medium, and their concentration (number per volume) decreases with the distance from the entrance; caking is associated with the final stage of this effect (for a critical cluster concentration at the entrance). A simple probabilistic model, taking into account the impact of clogging on particle transport, allows us to quantitatively predict all these trends up to a large cluster concentration, based on a single parameter: the clogging probability, which is a function of the confinement ratio. This opens the route towards a unification of the different fields of particle transport, clogging, caking, and filtration.
ABSTRACT
Oil hydrocarbons are widespread pollutants in sub-surface sediments with serious threats to terrestrial and aquatic environment. However, very limited data is available about remediation of historically contaminated sediments. This study reports the use of magnetite-catalyzed chemical oxidation (H2O2 and Na2S2O8) to degrade oil hydrocarbons in aged contaminated sediments. For this purpose, oil contaminated sediments were sampled from three different locations in France including two harbors and one petroleum industrial channel. These sediments were characterized by different hydrocarbon index (HI) values (3.7-9.0gkg-1), total organic carbon contents (1.9%-8.4%) and textures (sand, slit loam and silt). Chemical oxidation was performed in batch system for one week at circumneutral pH by: H2O2 alone, H2O2/Fe(II), H2O2/magnetite, Na2S2O8 alone, Na2S2O8/Fe(II), and Na2S2O8/magnetite. Results obtained by GC-FID indicated substantial hydrocarbon degradation (40-70%) by H2O2/magnetite and Na2S2O8/magnetite. However, oxidants alone or with soluble Fe(II) caused small degradation (<5%). In the presence of H2O2/magnetite, degradation of extractable organic matter and that of HI were highly correlated. However, no such correlation was observed for Na2S2O8/magnetite which resulted in higher removal of HI indicating its selective oxidation behavior. Treatment efficiency was negatively influenced by organic carbon and carbonate contents. For being the first study to report chemical oxidation of oil hydrocarbons in real contaminated sediments, it may have practical implications to design a remediation strategy for target contaminants.
ABSTRACT
Human mutations of the GRID1 gene encoding the orphan delta1 glutamate receptor-channel (GluD1) are associated with schizophrenia but the explicit role of GluD1 in brain circuits is unknown. Based on the known function of its paralog GluD2 in cerebellum, we searched for a role of GluD1 in slow glutamatergic transmission mediated by metabotropic receptor mGlu1 in midbrain dopamine neurons, whose dysfunction is a hallmark of schizophrenia. We found that an mGlu1 agonist elicits a slow depolarizing current in HEK cells co-expressing mGlu1 and GluD1, but not in cells expressing mGlu1 or GluD1 alone. This current is abolished by additional co-expression of a dominant-negative GluD1 dead pore mutant. We then characterized mGlu1-dependent currents in dopamine neurons from midbrain slices. Both the agonist-evoked and the slow postsynaptic currents are abolished by expression of the dominant-negative GluD1 mutant, pointing to the involvement of native GluD1 channels in these currents. Likewise, both mGlu1-dependent currents are suppressed in GRID1 knockout mice, which reportedly display endophenotypes relevant for schizophrenia. It is known that mGlu1 activation triggers the transition from tonic to burst firing of dopamine neurons, which signals salient stimuli and encodes reward prediction. In vivo recordings of dopamine neurons showed that their spontaneous burst firing is abolished in GRID1 knockout mice or upon targeted expression of the dominant-negative GluD1 mutant in wild-type mice. Our results de-orphanize GluD1, unravel its key role in slow glutamatergic transmission and provide insights into how GRID1 gene alterations can lead to dopaminergic dysfunctions in schizophrenia.
Subject(s)
Dopaminergic Neurons/metabolism , Glutamate Dehydrogenase/genetics , Receptors, Glutamate/genetics , Animals , Cerebellum/metabolism , Dopamine/metabolism , Dopaminergic Neurons/physiology , Glutamate Dehydrogenase/physiology , HEK293 Cells , Humans , Mice , Mice, Inbred C57BL , Mice, Knockout , Receptors, Glutamate/physiology , Receptors, Metabotropic Glutamate/genetics , Receptors, Metabotropic Glutamate/metabolism , Schizophrenia/genetics , Single-Cell AnalysisABSTRACT
The terrorist attacks (fusillades and suicide attacks) in Paris on 13 November 2015 have had a major psychic impact on all individuals directly or secondarily exposed to them. Medico-psychological unit (CUMP) of the Paris Île-de-France region's immediate care services were immediately mobilized and rapidly strengthened by all regional medico-psychological units (CUMP) throughout the country. Psychological assistance has been provided in several key points of Paris and specifically in the 11th district City Hall of Paris where Lyon's Medico-psychological unit was located. These specific immediate psychological assistances, referred to as a "defusing process" by the medico-psychological unit (CUMP), are mostly devoted to provide the victims with an entry point to a psychological healthcare relationship and give them a first sense of soothing and relief even though they do not prevent further psychological care follow up for the victims. Nonetheless, the potential therapeutic effect of this "defusing process" has not yet been sufficiently established nor demonstrated by any scientific study. A phoning survey was carried out one-month post-terrorist attacks and interviewed the 129 victims who benefited from the "defusing process" conducted by Lyon's medico-psychological unit (CUMP) in order to collect data and assess its effects. These people, whether directly exposed, bereaved relatives or witnesses, whose average age is 35, are mostly living in the Île-de-France region. Most of them present a high score on the IES-R scale, whether they were directly exposed, bereaved relatives or witnesses. Almost all of them (96.5%) experienced at least one medical care contact within this one-month post-trauma period with psychotropic medication for 37% of them. Regarding the defusing conducted by Lyon's medico-psychological unit (CUMP) in the 11th district City Hall of Paris, it appears that 93% of the victims who were looked after indicated that they were satisfied and 87.4% of them stated that they were soothed afterwards.
Subject(s)
Psychotherapy/methods , Terrorism/psychology , Adolescent , Adult , Crime Victims , Emergency Services, Psychiatric , Female , Humans , Male , Middle Aged , Paris , Psychiatry , Psychology , Stress Disorders, Post-Traumatic/psychology , Stress Disorders, Post-Traumatic/therapy , Surveys and Questionnaires , Treatment Outcome , Young AdultABSTRACT
Epidemiological studies report strong association between mood disorders and tobacco addiction. This high comorbidity requires adequate treatment but the underlying mechanisms are unknown. We demonstrate that nicotine exposure, independent of drug withdrawal effects, increases stress sensitivity, a major risk factor in mood disorders. Nicotine and stress concur to induce long-lasting cellular adaptations within the dopamine (DA) system. This interplay is underpinned by marked remodeling of nicotinic systems, causing increased ventral tegmental area (VTA) DA neurons' activity and stress-related behaviors, such as social aversion. Blocking ß2 or α7 nicotinic acetylcholine receptors (nAChRs) prevents, respectively, the development and the expression of social stress-induced neuroadaptations; conversely, facilitating α7 nAChRs activation specifically in the VTA promotes stress-induced cellular and behavioral maladaptations. Our work unravels a complex nicotine-stress bidirectional interplay and identifies α7 nAChRs as a promising therapeutic target for stress-related psychiatric disorders.
Subject(s)
Dopaminergic Neurons/drug effects , Receptors, Nicotinic/physiology , Animals , Dopamine/metabolism , Male , Mice , Mice, Inbred C57BL , Mice, Knockout , Neurons/metabolism , Nicotine/pharmacology , Nicotinic Agonists/pharmacology , Receptors, Nicotinic/drug effects , Receptors, Nicotinic/metabolism , Stress, Psychological/metabolism , Tobacco Smoking/adverse effects , Tobacco Smoking/psychology , Ventral Tegmental Area/drug effects , alpha7 Nicotinic Acetylcholine Receptor/drug effectsABSTRACT
There has been a growing interest in the role played by antioxidant enzymes in the regulation of endometrial function in mammals. However, little is known about enzymatic antioxidative pathways involved in conditioning the cyclic and early pregnant endometrium for conceptus attachment and implantation in domestic ruminants. We aimed to investigate changes in activities of superoxide dismutase 1 and 2 (SOD1, SOD2), glutathione peroxidase (GPX), glutathione reductase (GR) and catalase (CAT) in sheep caruncles (CAR) and intercaruncles (ICAR) endometrial tissues of cyclic and early pregnant ewes. Irrespective of day of cycle or pregnancy, CAR demonstrated higher activities of SOD1 and SOD2 than in ICAR. On day 12 of the estrous cycle, ICAR demonstrated higher activity of GPX and GR than in CAR tissues. On days 12 and 16 the estrous cycle, ICAR demonstrated higher activity of CAT than in CAR. CAR demonstrated higher activity of GPX on day 18 than on days 4, 8, 12 and 16 of the estrous cycle. CAR demonstrated higher activity of CAT on day 18 than on days 4, 8, 12 and 16 of the estrous cycle. ICAR demonstrated higher activity of CAT on day 18 than on days 4, 8, and 16 of the estrous cycle. The activity of CAT in ICAR increased from days 4 and 8 to day 12 of the estrous cycle. The activity of SOD2 in CAR increased from day 16 to day 18 of pregnancy. On day 12 of pregnancy, CAR demonstrated higher activity of GPX than in ICAR. On day 16 of pregnancy, ICAR demonstrated higher activity of GPX than in CAR. The activity of GPX in ICAR increased from day 12 to day 16 of pregnancy. The activity of GPX in CAR increased from day 16 to day 18 of pregnancy. The activity of GR in CAR and ICAR increased from days 12 and 16 to day 18 of pregnancy. On days 16 and 18 of pregnancy, ICAR demonstrated higher activity of CAT than in CAR. The activity of CAT in CAR decreased from day 12 to days 16 and 18 of pregnancy. The activity of CAT in ICAR decreased from day 12 to day 16 of pregnancy and then increased from day 16 to day 18 of pregnancy. In conclusion, different antioxidant mechanisms operate within CAR and ICAR endometrium throughout the estrous cycle and during early pregnancy. This might be related to the different but important roles of CAR and ICAR endometrial tissues for the establishment of pregnancy.
Subject(s)
Endometrium/metabolism , Enzymes/metabolism , Pregnancy, Animal , Sheep/physiology , Animals , Female , Gene Expression Regulation, Enzymologic , Oxidative Stress , Pregnancy , Pregnancy, Animal/physiologySubject(s)
Biotin/adverse effects , Biotin/therapeutic use , Hyperthyroidism/diagnosis , Multiple Sclerosis, Relapsing-Remitting/drug therapy , Vitamin B Complex/adverse effects , Vitamin B Complex/therapeutic use , Adult , False Positive Reactions , Humans , JC Virus , Male , Multiple Sclerosis, Relapsing-Remitting/complications , Polyomavirus Infections/complications , Thyroid Function TestsABSTRACT
A method for polycyclic aromatic hydrocarbon (PAH) quantification, based on pyrolysis at 450°C combined with gas chromatography coupled with mass spectrometry and flame ionization detection (Py-GC-MS/FID), was developed and compared to a conventional PAH quantification method using accelerated solvent extraction and GC-MS analyses. The PAH contents of three coking plant soils, one gas plant soil, two wood-treating facility soils and one certified reference material (CRM - BCR 524) were determined using both methods. The results obtained with both methods showed a good match, especially in the case of the CRM. The other soil samples presented higher variability which was greatly reduced by crushing the samples to lower particle size (from <500 to <100µm). Higher contents of low molecular weight (LMW) PAHs were quantified with the Py-GC-MS/FID than with the conventional method, probably because of a slight cracking phenomenon occurring during the pyrolysis and/or a loss of the LMW compounds during the sample concentration required for the conventional method. Because of the limited sample preparation and the fact that no solvent was used, the pyrolysis-based method was proven to be a faster, less expensive and more environmentally friendly than the classical methods for PAH quantification in contaminated soils.
ABSTRACT
We measure the dispersion coefficient through homogeneous bead or sand packings at different flow rates from direct magnetic resonance imaging (MRI) visualizations of the transport characteristics of a pulse of paramagnetic nanoparticles. Through two-dimensional imaging we observe homogeneous dispersion inside the sample, but we show that entrance effects may induce significant radial heterogeneities, which would affect the interpretation of the breakthrough curve. Another MRI approach then provides quantitative measurements of the evolution in time of the longitudinal particle distribution in the sample. These data can be analyzed to deduce the coefficient of dispersion independently of entrance effects. The values obtained for this "effective" dispersion coefficient are almost ten times lower than the commonly accepted values.
ABSTRACT
Direct oral anticoagulants (DAOC) are indicated for the treatment of venous thromboembolism and the prevention of stroke or systemic embolism in patients with non-valvular atrial fibrillation. Given their advantages and friendly use for patient, the prescription of long term DOAC therapy has rapidly increased both as first line treatment while initiating anticoagulation and as a substitute to vitamins K antagonist (VKA) in poorly controlled patients. However, DOAC therapy can also be associated with significant bleeding complications, and in the absence of specific antidote at disposal, treatment of serious hemorrhagic complications under DOAC remains complex. We report and discuss herein five cases of major hemorrhagic complications under DOAC, which were reported to the pharmacological surveillance department over one year at Saint-Louis University Hospital (Paris, France). We further discuss the need for careful assessment of the risk/benefit ratio at time of starting DOAC therapy in daily clinical practice.
Subject(s)
Dabigatran/adverse effects , Factor Xa Inhibitors/adverse effects , Hemorrhage/chemically induced , Rivaroxaban/adverse effects , Administration, Oral , Aged , Aged, 80 and over , Amiodarone/adverse effects , Amiodarone/therapeutic use , Cardiovascular Diseases/complications , Dabigatran/administration & dosage , Erythrocyte Transfusion , Factor Xa Inhibitors/administration & dosage , Female , Gastrointestinal Hemorrhage/chemically induced , Hemorrhage/epidemiology , Hemorrhage/therapy , Hospitals, University , Humans , Intracranial Hemorrhages/chemically induced , Kidney Diseases/complications , Male , Paris/epidemiology , Pharmacovigilance , Risk Factors , Rivaroxaban/administration & dosageABSTRACT
Polymers suspended in granular packings have a significant impact on water retention, which is important for soil irrigation and the curing of building materials. Whereas the drying rate remains constant during a long period for pure water due to capillary flow providing liquid water to the evaporating surface, we show that it is not the case for a suspension made of soft polymeric particles called microgels: The drying rate decreases immediately and significantly. By measuring the spatial water saturation and concentration of suspended particles with magnetic resonance imaging, we can explain these original trends and model the process. In low-viscosity fluids, the accumulation of particles at the free surface induces a recession of the air-liquid interface. A simple model, assuming particle transport and accumulation below the sample free surface, is able to reproduce our observations without any fitting parameters. The high viscosity of the microgel suspension inhibits flow towards the free surface and a drying front appears. We show that water vapor diffusion over a defined and increasing length sets the drying rate. These results and model allow for better controlling the drying and water retention in granular porous materials.