Improved modeling of the solid-to-plasma transition of polystyrene ablator for laser direct-drive inertial confinement fusion hydrocodes.

The target performance of laser direct-drive inertial confinement fusion (ICF) can be limited by the development of hydrodynamic instabilities resulting from the nonhomegeneous laser absorption at the target surface, i.e., the laser imprint on the ablator. To understand and describe the formation of these instabilities, the early ablator evolution during the laser irradiation should be considered. In this work, an improved modeling of the solid-to-plasma transition of a polystyrene ablator for laser direct-drive ICF is proposed. This model is devoted to be implemented in hydrocodes dedicated to ICF which generally assume an initial plasma state. The present approach consists of the two-temperature model coupled to the electron, ion and neutral dynamics including the chemical fragmentation of polystyrene. The solid-to-plasma transition is shown to significantly influence the temporal evolution of both free electron density and temperatures, which can lead to different shock formation and propagation compared with an initial plasma state. The influence of the solid-to-plasma transition on the shock dynamics is evidenced by considering the scaling law of the pressure with respect to the laser intensity. The ablator transition is shown to modify the scaling law exponent compared with an initial plasma state.

[The role of written action plans in the management of asthma]. / Apports du plan d'action écrit dans la prise en charge de l'asthme.

The Written Action Plan is a tool designed to help people with asthma to manage their condition when they experience an exacerbation. Asthma guidelines are consistent in their recommendation that action plans are useful for all people with asthma, but implementation is not systematic. The evidence base for such plans is limited because of methodological biases, but does support their effectiveness. The recommended action plan involves different color-coded zones which advise patients to adjust their management, such as increasing the level of daily treatment, or introducing oral corticosteroids based on symptoms and peak expiratory flow measurements. Recommendations are much less clear as to how to encourage patients to adopt and take ownership of their plan, although they all recommend that written action plans be incorporated into therapeutic education programs. The published literature shows that those caring for people with asthma may not support action plans because they are uncomfortable with the necessary educational posture and as a consequence of this they are under-utilized by patients. Patient-centered therapeutic education principles help us understand both how to encourage the patient want to have a written action plan and how to co-create it with them so that it is useful and meaningful in their life in order to make it more than just a disconnected tool.

Intubation decision criteria in adult epiglottitis.

OBJECTIVES: To identify contributive criteria in decision-making for intubation in acute epiglottitis, based on clinical and endoscopic data in adult patients, and to study clinical and biological characteristics and management. MATERIALS AND METHODS: Diagnosis was established by flexible endoscopy showing epiglottic edema in association with general signs of sepsis in 28 patients consulting into two French hospitals between 2005 and 2016. Retrospective univariate and multivariate analysis between patients managed by intubation (Group I) or surveillance (Group S) was performed on clinical and endoscopic data. RESULTS: Ten patients were intubated (36%). On univariate analysis, 4 variables were suggestively associated with intubation. On multivariate analysis, associations remained suggestive for dyspnea (OR=50.6; 95% CI=[2.7; 940.1]) and supraglottic edema extension (OR=42.2; 95% CI=[2.2; 799.5]). The area under the curve identifying intubated patients on these 2 criteria was 90.8%, testifying to high discrimination. CONCLUSION: Intubation must always be considered in epiglottitis. Dyspnea and supraglottic extension of the edema seem to be the two main criteria to be considered in airway control decision-making.

Immediate activation after cochlear implantation: Preliminary Study.

OBJECTIVE: To assess the feasibility of immediate activation of cochlear implants. MATERIAL AND METHODS: A retrospective study compared speech audiometry results at 6 months post-implantation, implant fitting data and complications, on Student test, between 19 patients receiving day-1 implant activation (immediate activation: IA) and 10 patients with activation at 2 weeks (classical activation: CA). RESULTS: Mean speech comprehension, using Fournier bisyllabic word lists at 60dB 6 months after implantation, was 61.58% in IA and 71% in CA (P>0.05). Mean intelligibility thresholds for 50% word-recognition were respectively 39.74dB and 36.5dB (P>0.05). Speech audiometry results at 6 months were not affected by immediate versus classical activation. Comfort-level settings at 1 month in IA were not significantly different (Student test: P>005) from intraoperative neural response thresholds: i.e., were practically stable. One IA patient required delayed activation at 1 month because of hematoma interfering between the external and internal parts of the implant. There were no other complications. The mean number of fitting sessions during the first year was 6.05 in the IA group and 6.55 in the CA group (P>0.05). CONCLUSION: Given certain precautions during follow-up, immediate activation after cochlear implantation was feasible, and did not impair audiometric results.

Modeling the solid-to-plasma transition for laser imprinting in direct-drive inertial confinement fusion.

Laser imprinting possesses a potential danger for low-adiabat and high-convergence implosions in direct-drive inertial confinement fusion (ICF). Within certain direct-drive ICF schemes, a laser picket (prepulse) is used to condition the target to increase the interaction efficiency with the main pulse. Whereas initially the target is in a solid state (of ablators such as polystyrene) with specific electronic and optical properties, the current state-of-the-art hydrocodes assume an initial plasma state, which ignores the detailed plasma formation process. To overcome this strong assumption, a model describing the solid-to-plasma transition, eventually aiming at being implemented in hydrocodes, is developed. It describes the evolution of main physical quantities of interest, including the free electron density, collision frequency, absorbed laser energy, temperatures, and pressure, during the first stage of the laser-matter interaction. The results show that a time about 100 ps is required for the matter to undergo the phase transition, the initial solid state thus having a notable impact on the subsequent plasma dynamics. The nonlinear absorption processes (associated to the solid state) are also shown to have an influence on the thermodynamic quantities after the phase transition, leading to target deformations depending on the initial solid state. The negative consequences for the ICF schemes consist in shearing of the ablator and possibly preliminary heating of the deuterium-tritium fuel.

Low serum selenium concentrations in French patients with measles.

OBJECTIVE: Selenium deficiency adversely affects the clinical outcome of measles in the tropics. In developed countries, serum selenium level has never been investigated during acute measles. The aim of this study was to determine serum selenium concentrations in French patients with acute measles and to seek correlations with clinical and virological findings. PATIENTS AND METHODS: We studied serum selenium concentrations in 94 French patients with acute measles and in 99 healthy controls matched for age and sex. RESULTS: The mean of selenium concentration was significantly lower in the patients than in the controls (46.4±14.1µg/L versus 86.5±13.9µg/L, P<0.0001). In the patients, selenium concentrations were not associated with age, sex, vaccination status, clinical signs or specific antibody responses. Selenium levels did not differ significantly between patients with uncomplicated measles (45.8±14.2µg/L) and patients with complications (52.7±13.2µg/L) (P=0.15). CONCLUSION: Acute measles is associated with significant reduction of selenium level that did not seem to negatively affect the course of the disease suggesting compensating mechanisms in patients from developed countries against the disease.

Folding of the anterior cingulate cortex partially explains inhibitory control during childhood: a longitudinal study.

Difficulties in cognitive control including inhibitory control (IC) are related to the pathophysiology of several psychiatric conditions. In healthy subjects, IC efficiency in childhood is a strong predictor of academic and professional successes later in life. The dorsal anterior cingulate cortex (ACC) is one of the core structures responsible for IC. Although quantitative structural characteristics of the ACC contribute to IC efficiency, the qualitative structural brain characteristics contributing to IC development are less-understood. Using anatomical magnetic resonance imaging, we investigated whether the ACC sulcal pattern at age 5, a stable qualitative characteristic of the brain determined in utero, explains IC at age 9. 18 children performed Stroop tasks at age 5 and age 9. Children with asymmetrical ACC sulcal patterns (n=7) had better IC efficiency at age 5 and age 9 than children with symmetrical ACC sulcal patterns (n=11). The ACC sulcal patterns appear to affect specifically IC efficiency given that the ACC sulcal patterns had no effect on verbal working memory. Our study provides the first evidence that the ACC sulcal pattern - a qualitative structural characteristic of the brain not affected by maturation and learning after birth - partially explains IC efficiency during childhood.

Inhibitory control efficiency in a Piaget-like class-inclusion task in school-age children and adults: a developmental negative priming study.

Most children under 7 years of age presented with 10 daisies and 2 roses fail to indicate that there are more flowers than daisies. Instead of the appropriate comparison of the relative numerosities of the superordinate class (flowers) to its subordinate class (daisies), they perform a direct perceptual comparison of the extensions of the 2 subordinate classes (daisies vs. roses). In our experiment, we investigated whether increasing efficiency in solving the Piagetian class-inclusion task is related to increasing efficiency in the ability to resist (inhibit) this direct comparison of the subordinate classes' extensions. Ten-year-old and young adult participants performed a computerized priming version of a Piaget-like class-inclusion task. The experimental design was such that the misleading perceptual strategy to inhibit on the prime (in which a superordinate class had to be compared with a subordinate class) became a congruent strategy to activate on the probe (in which the two subordinate classes' extensions were directly compared). We found a negative priming effect of 291 ms in children and 129 ms in adults. These results provide evidence for the first time (a) that adults still need to inhibit the comparison of the subordinate classes' extensions in class-inclusion tasks and (b) that the ability to inhibit this heuristic increases with age (resulting in a lower executive cost). Taken together, these findings provide additional support for the neo-Piagetian approach of cognitive development that suggests that the acquisition of increasingly complex knowledge is based on the ability to resist (inhibit) heuristics and previously acquired knowledge.

Counterfactually mediated emotions: a developmental study of regret and relief in a probabilistic gambling task.

Regret and relief are related to counterfactual thinking and rely on comparison processes between what has been and what might have been. In this article, we study the development of regret and relief from late childhood to adulthood (11.2-20.2 years), and we examine how these two emotions affect individuals' willingness to retrospectively reconsider their choice in a computerized monetary gambling task. We asked participants to choose between two "wheels of fortune" that differed in the amount of gain and loss expected and the probability of winning. We manipulated the outcome of the wheel of fortune that was not selected by participants to induce regret or relief. For each trial, participants rated how they felt about the outcome and their willingness to modify their choice. Participants' ratings suggest that regret and relief are stronger in adults than in children and adolescents. Regret affects participants' willingness to modify their initial choice, but this desire is stronger for adults than for children. In children, the experience of regret seems to be dissociated from the willingness to reconsider a choice. This study provides the first evidence that the ability to experience counterfactually mediated emotions, such as regret and relief, and the ability to take them into consideration continue to develop during late childhood and adolescence.

Implicit identification of irrelevant local objects interacts with global/local processing of hierarchical stimuli.

This work aimed at studying interactions between automatic object identification and global/local perceptual processing. We designed a paradigm in which participants were presented with pairs of hierarchically organized items, composed of global forms made up of local forms. Both global and local forms could represent either objects or non-objects. Subjects were instructed to detect whether the two hierarchical items composing a pair were identical or different. In a dissimilar pair, items differed at one level (target level), the other level, made of similar forms on both sides, was irrelevant to perform the task. We hypothesized that the automatic identification of object could affect the global precedence principle defined by Navon. In agreement with our hypothesis, we found that when the irrelevant level was made of objects, the global precedence effect was reversed. In contrast, the irrelevant level had no effect when the target level included only objects, or when the irrelevant level was made of non-object, the global precedence principle was being preserved in these cases. This interaction is compatible with the existence of two distinct processes working in parallel, namely automatic identification and structural analysis, that could either interfere or act together for the detection of differences.

Toxic and essential trace metals in muscle, liver and kidney of bovines from a polluted area of Morocco.

Toxic and essential trace metals were measured in muscle, bone, liver and kidney of bovine grazing on the municipal wastewater spreading field of Marrakech City (Morocco). Bovines were found to be seriously contaminated by toxic metals, for metal bioaccumulation. The high cadmium content seemed to contribute to a reduction in zinc and copper levels. The arithmetic mean concentrations of zinc, especially cadmium, and levels were higher in liver and kidney, specific target organs copper and cadmium in liver and kidney, were respectively: 126, 112 and 5.1 microg/g in liver; 89, 33 and 10.3 microg/g in kidney.

[Atractylis gummifera L. poisoning: a case report]. / L'intoxication par le chardon à glu (Atractylis gummifera L.); à propos d'un cas clinique.

Intoxication by Atractylis gummifera L. frequently happens in Morocco. It's often accidental and mortal if no precocious and effective treatment. In order to take stock of this intoxication of which diagnosis is clinical and treatment symptomatic, we suggest to analyze one clinical case of the intoxication by Atractylis gummifera L. on a 12 year old child who accidentally ingested this plant.

Access to deductive logic depends on a right ventromedial prefrontal area devoted to emotion and feeling: evidence from a training paradigm.

Does the human capacity for access to deductive logic depend on emotion and feeling? With positron emission tomography, we compared the brain networks recruited by two groups of subjects who were either able or not able to shift from errors to logical responses in a deductive reasoning task. They were scanned twice while performing the same task, before and after a training session. The error-to-logical shift occurred in a group that underwent logicoemotional training but not in the other group, trained in logic only-a "cold" kind of training. The intergroup comparison pointed out that access to deductive logic involved a right ventromedial prefrontal area known to be devoted to emotion and feeling.

Minerals, trace elements and related biological variables in athletes and during physical activity.

This review concerns various minerals (sodium, potassium, calcium, magnesium, phosphorus), trace elements (zinc, manganese, selenium, copper, iron, cobalt, iodine, chromium, fluorine, lead, cadmium) and other biological variables (nitric oxide, L-carnitine, glutamine, serum transferrin receptor, biopyrrins) in relation to hemorheologic effects, stress, immune response and infections during physical and sports activities. In athletes, macroelements in the ionized form contribute to heart and muscle contractions, oxidative phosphorylation and the synthesis and activation of enzymatic systems. Zinc (Zn) protects against the effects of increased free reactive oxygen species such as copper (Cu) and manganese (Mn) (Cu-Zn superoxide dismutases; Mn superoxide dismutase). Selenium in glutathione peroxidase protects the cardiovascular system and the muscles, and helps combat allergic and inflammatory diseases. Copper and iron are involved in many aspects of energy metabolism and are important components in the synthesis of hemoglobin, myoglobin and cytochromes. Fluorine and Cu protect the ligaments and tendons. Physical activity appears to be beneficial to urban residents who are exposed to metal pollution (lead, cadmium). The data cited in this review are often contradictory and incomplete. It is still unclear in many cases how minerals are involved in physiological changes, and much work remains.

Shifting from the perceptual brain to the logical brain: the neural impact of cognitive inhibition training.

What happens in the human brain when the mind has to inhibit a perceptual process in order to activate a logical reasoning process? Here, we use functional imaging to show the networks of brain areas involved in a deductive logic task performed twice by the same subjects, first with a perceptual bias and then with a logical response following bias-inhibition training. The main finding is a striking shift in the cortical anatomy of reasoning from the posterior part of the brain (the ventral and dorsal pathways) to a left-prefrontal network including the middle-frontal gyrus, Broca's area, the anterior insula, and the pre-SMA. This result indicates that such brain shifting is an essential element for human access to logical thinking.

[Use of the CD-ROM "Tox-Didact" for teaching of toxicology and pharmacology]. / Application du CD-ROM 'Tox-Didact' à l'enseignement de la toxicologie et de la pharmacologie.

Tox-Didact is a multimedia teaching software package for initial training, continuing training and self-learning of toxicology and pharmacology. This software covers a large part of toxicology in its acute and chronic pathology using several approaches: drugs (salicylics, paracetamol, lithium ...); toxins (lead, methanol, carbon monoxide ...); drug addiction and doping (cocaine, heroin, LSD, amphetamines ...); systemic targets (kidneys, skin, liver ...). Tox-Didact is currently composed of 39 modules in validation, each tackling the diagnosis, biological surveillance, treatment, prevention and documentation of a real clinical case. Each module is organized around four types of questions, requiring a choice either (drug, symptom, formula ...) or an open response. Each validated answer is analysed by software which then comments on or corrects it. The essential points which characterize this software are: its multidisciplinarity (toxicology, pharmacology, semiology ...), its reliability (validated by experts), its simplicity of use. It is modular and offers an interactive teaching approach. The objective is to create a portable multimedia tool operational with all computer systems (IBM PC, Macintosh). This program is sustained by the Région des Pays de la Loire and by the Multimedia Resource Office of the French Ministry of National Education.

Thiopurine methyl transferase activity: new extraction conditions for high-performance liquid chromatographic assay.

A new liquid-liquid extraction is described for thiopurine methyl transferase (TPMT, EC 2.1.1.67) activity determination: the use of a pH 9.5 NH4Cl buffer solution, before adding the solvent mixture, allows more rapid extraction, avoiding a centrifugation step, and reduces the global cost of analysis. After the extraction step, 6-methylmercaptopurine, synthesised during the enzymatic reaction, is determined by a liquid chromatographic assay. Analytical performance of the assay was tested on spiked erythrocyte lysates. The linear concentration range was 5-250 ng ml(-1) (r> or =0.997, slope=1.497, intercept=-0.367). The recoveries were 82.8, 89.9 and 82.2% for 75, 125 and 225 ng ml(-1), respectively. The coefficients of variation were < or =6.1% for within-day assay (n=6) and < or =9.5% for between-day assay precision (n=6; 14 days). TPMT activity was determined in a French adult Caucasian population (7 =70). The results ranged from 7.8 to 27.8 nmol h(-1) ml(-1) packed red blood cells and the frequency distribution histogram is similar to that previously published.

[Tox-Didact:CD-ROM for toxicology education. Value in hospital toxicology]. / Tox-Didact: CD-ROM de formation en toxicologie. Intérêt en toxicologie hospitalière.

New teaching techniques should allow students more independence in their training, particularly in learning from problems and using clinical reasoning. We designed Tox-Didact, a modular multimedia educational software program, which is suitable for both students and professionals, regardless of their orientation (pharmacy or medicine) or level. Each module concerns four domains: diagnosis, biological monitoring, curative treatment and prevention. Tox-Didact is multidisciplinary, interactive, simple to use and reliable. Nineteen modules are now being prepared. In final form, Tox-Didact will cover all the acute and chronic pathologies of toxicology.

Trace elements in children's hair, as related exposure in wastewater spreading field of Marrakesh (Morocco).

Lead and cadmium concentration was determined in the hair of 327 school children living in a wastewater spreading field of Marrakesh (Morocco). The influence of age, sex, food habits and family occupation on the children's hair Pb and Cd concentration was also evaluated. Girls had more metal in their hair than boys (16.5 +/- 5.4 micrograms/g and 12.5 +/- 3.5 micrograms/g, respectively). However, for Cd the boys had more metal (2.9 +/- 0.6 and 2.2 +/- 0.4, respectively) but the difference was not statistically significant and metal levels decreased with age. Family occupation, direct contact with wastewater, customs and food habits were the most significant factors influencing the metal content of children's hair. The average Pb and Cd content were higher in the exposed children (14.8 +/- 4.5 micrograms/g and 2.5 +/- 0.5 micrograms/g, respectively) than in the non-exposed children (4.6 +/- 2.2 micrograms/g and 0.6 +/- 0.2, respectively), but the difference was not statistically significant. This study shows that in this area all the population (especially children) was extremely exposed to the danger caused by potentially toxic metals.

[Tools of the Internet in maxillofacial surgery and oral medicine. Practical applications]. / Les outils de l'Internet en chirurgie maxillo-faciale et stomatologie. Applications pratiques.

Internet has a wide range of functions applicable in the medical domain. Its use has had a clear impact on routine medical practice. The user can consult colleagues, send and receive multimedia files, order books from the library, access specialized reviews or worldwide scientific data on-line as well as publish results, and participate in forums, telephone or organize teleconferences in real time. Faced with the abundance of the available information flow and the methodological difficulty in extracting precisely useful data, the ordinary user can wander a long time in cyber-space before learning the skills required for efficient navigation. We recall here the fundamental principles of the Internet and describe the types of information the maxillofacial surgeon can use in his everyday practice. Certain unanswered questions are debated as well as certain difficulties related to the use of the Internet in its present state of development.