New insights into the electronic structure ofα-U andδ-Pu.

This work presents the results of a theoretical study of the electronic structure of two actinide metals,α-U andδ-Pu. We compare ourab-initioresults obtained with the recently developed self-consistent Vertex corrected GW approach with previously published experimental measurements such as photo-electron spectroscopy, for the occupied density of states, and bremsstralung isochromat spectroscopy (BIS) and inverse photo-electron spectroscopy (IPES), for the unoccupied density of states. Ourab-initioapproach includes all important relativistic effects (it is based on Dirac's equation) and it represents the first application of the Vertex corrected GW approach in the physics of actinides. Overall, our theoretical results are in good agreement with the experimental data, which supports the level of approximations which our theoretical method is based upon. By comparing our vertex corrected GW results with our results obtained with less sophisticated approaches (local density approximation and self-consistent GW) we differentiate the strength of correlation effects in Uranium and Plutonium. Also, our theoretical results allow us to elucidate the subtle differences between the previously published experimental BIS and IPES data on the unoccupied density of states inα-U.

Anhydrous Phase B: Transmission Electron Microscope Characterization and Elastic Properties.

Anhydrous phase B and stishovite formed directly from olivine in experiments at 14 GPa and 1400 °CThe structure of anhydrous phase B is determined ab initio from precession electron diffraction tomography in transmission electron microscopyElastic and seismic properties of anhydrous phase B are calculated.

We have performed an extensive characterization by transmission electron microscopy (including precession electron diffraction tomography and ab initio electron diffraction refinement as well as electron energy loss spectroscopy) of anhydrous phase B (Anh­B) formed directly from olivine at 14 GPa, 1400 °C. We show that Anh­B, which can be considered as a superstructure of olivine, exhibits strong topotactic relationships with it. This lowers the interfacial energy between the two phases and the energy barrier for nucleation of Anh­B, which can form as a metastable phase. We have calculated the elastic and seismic properties of Anh­B. From the elastic point of view, Anh­B appears to be more isotropic than olivine. Anh­B displays only a moderate seismic anisotropy quite similar to the one of wadsleyite.

Anhydrous phase B (Anh­B) is a dense magnesium silicate with composition (Mg, Fe)14Si5O24, which is expected to form in Mg­rich or Si­depleted regions of the mantle. We show that due to strong crystallographic similarities with the crystal structure of olivine, it can form directly from it as a metastable phase. We show that Anh­B exhibits a moderate seismic anisotropy, which makes its detection difficult in the mantle.

Positive non-linear capacitance: the origin of the steep subthreshold-slope in ferroelectric FETs.

We show that the non-linear positive capacitance (PC) of ferroelectrics (FE) can explain the steep subthreshold-slope (SS) observed in FE based MOSFETs and often attributed to the existence of a negative capacitance in FE capacitors. Physically attainable and unattainable regions of the S-shape curve used in the negative capacitance theory are investigated by self-consistently solving Landau-Khalatnikov and Maxwell equations and by experimental validation. Finally, the conditions for attaining a steep SS in FE based MOSFETs assuming only positive capacitances are discussed.

Synthesis and structural characterization of the first neptunium based metal-organic frameworks incorporating {Np6O8} hexanuclear clusters.

Successful synthesis of the first transuranium metal-organic frameworks (TRU-MOFs) involving tetravalent Np4+ is reported. These compounds were obtained from the controlled hydrolysis of Np4+ in the presence of dicarboxylate ligands. The final structures contain the [Np6O4(OH)4(H2O)6]12+ unit, which were never crystallized before with tetravalent neptunium, associated with ditopic ligands.

Design of a multi-well plate for high-throughput characterization of heterogeneous catalysts by XRD, FT-IR, Raman and XRF spectroscopies.

For powder catalyst characterization, Fourier Transform Infrared (FTIR), Raman, and X-Ray Fluorescence (XRF) spectrometers and X-Ray Diffraction (XRD) are available in high-throughput (HT) configurations, for example at the REALCAT platform to sequentially analyse multiple sets of samples. To remove the bottleneck resulting from the use of different sample holders for each equipment, a unique multi-well plate was developed. This paper details the design of such a plate including the selection of the fabrication material and the plate dimensioning based on the study of the 4 different physical interactions between matter and electromagnetic radiations for the aforementioned techniques. This new plate consists of a holder for removable wells enabling the avoidance of cross-contamination between samples. Raman, a focusing technique, has no strict constraint on the plate design. The number of wells, their geometry, spacing and dimensions were adjusted to deal with the constraints of IR optics. The well depth was set according to the XRF maximum penetration depth in the sample. The well diameter was optimized in order to obtain from the X-ray spot size the maximum achievable intensity. Poly-methyl-methacrylate (PMMA) was chosen as the material for the new plate due to its amorphous structure (no peak in XRD analysis) and ease with which it can be cut by a laser. Finally, the flatness of the multi-well plate was validated on the most challenging instrument: XRD. This new plate allows fast sample filling/preparation, requires small quantities of catalyst (50 to 80 mg) in each well and is compatible and convenient for HT experimentation.

[Neurological symptoms due to Mycoplasma pneumoniae infection in nine children]. / Formes neurologiques des infections à Mycoplasma pneumoniae : à propos de neuf cas pédiatriques.

Mycoplasma pneumoniae infection is common in children. Extrapulmonary symptoms usually reveal as neurological symptoms, mainly as encephalitis with significant morbidity and mortality. Various other neurological presentations have also been reported. We describe a cohort of nine children with neurological manifestations due to M. pneumoniae infection, including five cases of encephalitis, one of polyradiculoneuritis, one of ophthalmoplegia, one of optic neuritis, and one of myositis. Progression was variable from ad integrum recovery to severe brain damage. Diagnosis is usually confirmed by PCR and/or serological follow-up, but the latter is still insufficiently used in practice to systematically affirm the diagnosis. Therapeutic management is not clearly defined and long-term progression can be uncertain despite early antibiotic and/or anti-inflammatory treatments.

Structural analysis of strained LaVO3 thin films.

While structure refinement is routinely achieved for simple bulk materials, the accurate structural determination still poses challenges for thin films due on the one hand to the small amount of material deposited on the thicker substrate and, on the other hand, to the intricate epitaxial relationships that substantially complicate standard x-ray diffraction analysis. Using both electron and x-ray diffraction, we analyze the crystal structure of epitaxial LaVO3 thin films grown on (1 0 0)-oriented SrTiO3. Transmission electron microscopy study reveals that the thin films are epitaxially grown on SrTiO3 and points to the presence of 90° oriented domains. The mapping of the reciprocal space obtained by high resolution x-ray diffraction permits refinement of the lattice parameters. We finally deduce that strain accommodation imposes a monoclinic structure onto the LaVO3 film. The reciprocal space maps are numerically processed and the extracted data computed to refine the atomic positions, which are compared to those obtained using precession electron diffraction tomography.

Labile degree of disorder in bismuth-oxophosphate compounds: illustration through three new structural types.

Here, we analyze the crystal structures of three new Bi/M oxophosphates, focusing on the ambiguity between order and disorder in different structural subunits. The three structures are original but systematically built on the assembly of O(Bi,M)4 tetrahedra into various 1D-oxocenterd units, separated by PO4 groups that create cationic channels. Two main subunits show versatile degrees of disorder, i.e., the cationic channels and some of the terminal O(Bi,M)4 entities. (a) In the compound [Bi2(Bi1.56K0.44)(dis)O3]K0.88(dis)(PO4)2, the K/K and K/Bi disorder is total on both nano- and micro-sized domains. (b) In the incommensurately modulated [Bi10(Bi∼0.5Cd∼0.5)8(dis)O16](Bi0.6Cd0.8)2(ord)(PO4)8, only the cationic channels show an ordered Bi/Cd arrangement which can be modified by minor stoichiometric changes between domains. (c) In [Bi18Zn10O21](ord)Zn5(ord)(PO4)14, both subunits are almost perfectly ordered (complex Bi/Zn sequence) into a 7-fold supercell, but this order strongly depends on the observation scale and is mainly lost in micronic-grains also due to slight compositional changes. However, the refined noncentrosymmetric organization is maintained (SHG tests) in the bulk. The relative stability of ordered versus disordered sites is discussed on the basis of the existence of two possible mixed sites and probably depends on the M chemical nature. Disorder was characterized by use of solid-state (31)P NMR probing for the first two cases. Finally, the observed disordered or long periodicities along the infinite dimension suggest the sketch of a periodic/rigid skeleton of O(Bi,M)4 units with counterions filling the interspace in more or less disordered arrangements.

A simple method to score digital dermatitis in dairy cows in the milking parlor.

The diagnosis of digital dermatitis (DD) in cows is crucial for researchers to evaluate the effectiveness of control measures. The objective of this study was to evaluate intra- and inter-observer agreement and accuracy of a simple method to score DD lesions that is based on the inspection of cleaned feet in the milking parlor with a swiveling mirror and a powerful headlamp. The hind feet of 242 Holstein cows from 4 farms were inspected concurrently by 5 observers (to assess inter-observer agreement) during 2 consecutive milkings (to assess intra-observer agreement). This inspection was followed by an inspection of the feet in a trimming chute, considered to be the gold standard test, to test for accuracy. The reliability of the method was assessed using both the 5 M-stages scoring system (M0 to M4, M standing for Mortellaro) and a simplified M-stages scoring system in which the M3 and M4 stages are merged. As most disagreements concerned the M3 and M4 stages, performance was improved with the simplified M-stages scoring system. With this simplified system, the method had good intra-observer agreement [percent of overall raw agreement (PA)=80%, weighted kappa (κ(w))=0.71, and good inter-observer agreement (PA=77%, κ(w)=0.66)]. The agreement with the gold standard test was moderate (PA=69%, κ(w)=0.58). Considering absence versus presence of a DD lesion on a foot, the method had good sensitivity (0.90) and specificity (0.80). The time spent for inspection varied from 30 to 60s per cow. Inspection of cleaned feet with a swiveling mirror and a powerful headlamp in the milking parlor is a reliable, cost- and time-friendly method, which may be useful for both farmers and researchers, especially when the DD status of many dairy cows has to be evaluated concomitantly. The reliability of this method might be improved by using more precise descriptive criteria for the discrimination of each M-stage.

[Reversible metalation of a bis-disulfide analogue of the Cys*-X-Cys* hepcidin binding site: structural characterisation of the related copper complex]. / Métallation réversible d'un analogue bis-disulfure du site de liaison Cys*-X-Cys* de l'hepcidine: caractérisation structurale du complexe de cuivre associé.

Hepcidin, a 25-amino-acid peptide secreted by the liver, distributed in the plasma and excreted in urine, is a key central regulator of body iron homeostasis. This hormone decreases export of cellular iron by binding to ferroportin, an iron exporter present at the basolateral surface of enterocytes and macrophages (the sites of dietary iron absorption and iron recycling, respectively), inducing its internalization and degradation. Hepcidin contains eight cysteine residues that form four disulfide bridges, which stabilize a hairpin-shaped structure with two beta sheets. We noticed in the sequence of hepcidin a Cys*-X-Cys* motif which can act as a metal binding site able to trap iron and/or copper. We have tested this hypothesis using a pseudopeptidic synthetic bis-disulfide analogue and we have shown that direct metalation of such ligand leads to the formation of a copper(III) complex with the typical N(2)S(2) donor set. This compound crystallizes in the orthorhombic system, space group Imma. The Cu(III) configuration is square planar, built up from two carboximado-N and two thiolato-S donors. This complex is converted back to the bis-disulfide, with release of the copper salt, upon oxidation with iodine.

[Quality and safety about hemapheresis practicing: from a self-evaluation of medical practices to a systematic risk management process]. / Qualité et sécurité des pratiques en hémaphérèse : d'un référentiel d'évaluation des pratiques professionnelles vers une démarche systématique de gestion des risques.

Hemapheresis is made up of a set of essential methods for modern medical practices. Applicated to donors, they allow production of labile blood products as well as raw material for plasma products industrial manufacturing; applicated to patients, they are indispensable for the treatment of many pathologies. Conditions for their implementation are very variable according to the teams who have few tools at their disposal to access, standardize and make reliable their activity. Therefore, an approach has been initiated by the Institut National de la Transfusion Sanguine and the Hemapheresis French Society to develop a guide which primary goal is to help teams evaluate themselves in different areas of their responsibilities. The generalization of the evaluation of professional practices in all activities and specialties required recently by the third iteration of the certification procedure of health institutions and a new law about French health system reinforce us in our approach. Finally, hemapheresis is not without risks, neither for donors nor for patients, which now encourages us to analyze sharply our procedures, to identify risk situations and develop means of prevention. This second step is already a current news for us.

[How to manage analysis and feedback of adverse events in transfusion]. / Analyse d'un incident de la chaîne transfusionnelle et gestion du retour d'expérience.

Analysing adverse events is part of the medical practice in so far as the part it plays is outstanding in terms of feedback and improved healthcare safety. The integrated implementation of this practice is based on a four-dimensional system: strategic (corporate policies), cultural (safety-oriented cultural mindset), structural (dedicated organization and resources) and technical (methodologies and utilities). Two case studies illustrate the sequencing process from selecting the to-be-analyzed event down to figuring out the appropriate action plan. Beyond the visible and obvious origin, thanks to the implemented methods such as causal tree or ALARM method, far-fetched analysis elements and identified factors likely to explain events can be discovered. Comments on the role and terms of feedback are also hereto expressed.

[Radiosurgery in trigeminal neuralgia: long-term results and influence of operative nuances]. / La radiochirurgie dans le traitement de la névralgie trigéminale : résultats à long terme et influence des nuances techniques.

Stereotactic radiosurgery is an alternative to conventional surgery for the treatment of trigeminal neuralgia. To better define the safety of radiosurgery and optimal technical choices, we reviewed our patient records and the literature. A total of 334 patients presenting with trigeminal neuralgia were treated between December 1992 and September 2005. A minimum of 1 year of follow-up was available for 262 patients. The mean age was 68 years (range: 30-90); 128 patients were male and 134 female. A neurovascular conflict was clearly visualized on MRI in 167 patients. Twenty-one had a past history of multiple sclerosis and 110 had already received conventional surgical treatment for trigeminal neuralgia. The intervention consisted of gamma knife radiosurgery (GKS) to the retrogasserian cisternal portion of the Vth cranial nerve. The median maximal dose used was 85Gy (range: 70-90). Actuarial curves show a plateau at 5 years for both the risk of hypoesthesia and recurrence. At 5 years, 58% of the patients remain pain-free and 83% have no trigeminal nerve disturbance. The median delay for pain cessation was 15 days. The initial pain-relief rate was 89%. None of the complications reported for the other techniques were observed. Patient selection (typical versus atypical, age, past surgery, multiple sclerosis) and details of operative technique (maximum dose, volume of nerve treated, target location, etc.) had a major influence on the probability of pain relief and toxicity risk. The details of operative technique are turning out to have a major influence on the clinical results. In our experience, high-dose (80-90Gy) retrogasserian (7-8mm from the brainstem) GKS provides the patient with a better chance of long-term pain relief and a lower risk of trigeminal nerve functional disturbance. GKS applied to the cisternal anterior trigeminal nerve using high doses provided safe and effective treatment for trigeminal neuralgia over the long term.

[How to analyze an incident of the transfusion chain]. / Comment analyser un incident de la chaîne transfusionnelle.

Incidents and accidents analysis is one part of risk management in healthcare organisations. It is based on methods such as healthcare process analysis and the Association of Litigation and Risk Management (ALARM) method, to understand not only immediate causes but also root causes. The goal is to implement relevant remedial and preventive actions to secure healthcare processes. The hospital's risk management unit has to be involved in the methodological analysis of every grade zero transfusion incident. The system is based on a retrospective analysis process in compliance with the French National Authority for Health's ongoing requirements for risk reactive approach, allowing to identify failures and start relevant actions. Healthcare teams should overcome difficulties in order to be totally involved in the process. Human factors recognition, establishment of clear and effective communication between individuals and critical points of control should provide optimum quality care services that are safe and free of unnecessary risks.

[Methods and tools for risk management in healthcare organisations]. / Méthodes et outils de la gestion des risques dans les organisations de santé.

Risk management is a major stake for healthcare organisations. In a systemic approach, the process is based on methods and tools, of which the main ones are mentioned, for general application by clinical or technical teams, for some of them with quality and risk management support.

Risk factors for new intramammary infections during the dry period in untreated dairy cows from herds using selective dry cow therapy.

This study aimed at investigating risk factors for new intramammary infections (IMI) during the dry period in untreated cows from herds using selective dry cow antibiotic therapy (DCT). A total of 980 uninfected quarters in 347 untreated cows from 28 herds using selective DCT were included in a prospective survey. A herd-level questionnaire and an individual cow-level recording sheet were implemented to collect data on putative risk factors. Quarter milk samples were taken at drying-off and on day 3 after calving to assess the occurrence of new IMI during the dry period. A multivariate model including a herd effect as random and a cow effect as repeated was run at the quarter level. Interactions between risk factors and the cow infection status at drying-off (cow infected in at least one quarter v. uninfected) were checked. Three risk factors were found significantly associated with the risk for new IMI without interaction (P < 0.05): cows infected in at least one quarter at drying-off (v. uninfected cows) (relative risks (RR) = 1.58); long preceding lactation (>355 days v. shorter length) (RR = 1.62); long dry period (>65 days v. shorter length) (RR = 1.46). One risk factor acted only in interaction with the cow infection status at drying-off: in cows uninfected at drying-off, the risk for new IMI was significantly higher in cows with short teats (RR = 1.21) when compared with cows with long or normal teats, while the reverse relationship was observed in cows infected at drying-off. Risk factors can be translated in recommendations, for instance to have dry periods not longer than 2 months. Moreover, as suggested by our results, the efficacy of selective DCT towards the prevention of new IMI would be improved if all infected cows were detected and treated. Criteria to accurately identify these infected cows should be therefore further investigated.

[National neonatal screening program for cystic fibrosis: management and organization]. / Le programme national de dépistage néonatal de la mucoviscidose: mise en place et organisation.

France has decided to add to the national neonatal screening program (Phenylketonuria, Hypothyroidism, Congenital Adrenal Hyperplasia, Sickle cell disease) the screening of cystic fibrosis (CF). The screening of CF will be implemented in all regions of France by the end of 2002 and will cover all newborn (near 800,000/year). Based on the recommendation of the French Screening Foundation, the project has been approved by the Health Ministry and will be financed by the social security. CF neonatal screening is now technically feasible and reliable. The proposed methodology includes: immunoreactive trypsin (IRT) dosage on all newborns at day 3 (by radioimmunology "Cis Bio" or immunofluorescence "Delfia") followed by genotype CFTR analysis if IRT level is above 60 micrograms/L. Screening for 29 mutations is planned. If genotype is negative, control of IRT at day 21 will be obtained. Several requirements are included in the program: a protocol of care for the newly diagnosed CF in a specialised CF center; information to all parents of newborns; results of CFTR genotype has to be given during a clinical visit, even if negative. This screening program should allow to screen 98% of the cystic fibrosis patients before the age of 1 month. In order to ensure perfect efficacy, the CF screening program will be evaluated and modified if necessary.

[To improve the quality of requisitions for radiologic examinations]. / Améliorer la qualité des prescriptions d'examens d'imagerie médicale.

PURPOSE: This article presents the different steps implemented in order to improve the quality of requisitions for radiologic examinations in a hospital. MATERIAL: and methods. The radiology requests sent from clinical units are periodically analyzed using criteria about tracking, prescription and security required for a good examination. Results are discussed with the clinical units in order to achieve improvements. RESULTS: The periodical analysis of nonconformities shows a gradual improvement of practices. This action contributes to the realization of a single document for every request of examination or analysis in the hospital. CONCLUSION: The described action is in the context of French regulations, first about the practice of radiology, second about the obligation of quality improvement that health care facilities now have to implement for their accreditation.

Influence of deep hypothermia on the tolerance of the isolated cardiomyocyte to ischemia-reperfusion.

The influence of deep hypothermia (4 degrees C) during a substrate-free, hypoxia-reoxygenation treatment was investigated on cardiomyocytes (CM) prepared from newborn rat heart in culture in an in vitro, substrate-free model of ischemia-reperfusion. The transmembranous potentials were recorded with standard microelectrodes. The contractions were monitored photometrically. The RNA messenger (mRNA) and protein expression for protein (HSP70) were analysed by RT-PCR (reverse transcriptase-polymerase chain reaction) and Western blotting, respectively. Simulated ischemia (SI) caused a gradual decrease and then a cessation of the spontaneous electromechanical activity. During the reoxygenation, the CM recovered normal function, provided that SI did not exceed 2.5 h. When SI duration was increased up to 4 h, reoxygenation failed to restore the spontaneous electromechanical activity. Conversely, the exposure of the CM to SI together with deep hypothermia decreased the functional alterations observed, and provided a complete electromechanical recovery after 2.5 h as well as after 4 h of SI. Deep hypothermia alone failed to induce HSP70 mRNA and protein production. On the contrary, HSP70 mRNA production increased after 2.5 and 4 h of deep hypothermia followed by 1 h of rewarming, proportionally to the duration of the cooling period. This augmentation in mRNA was associated with a rise in HSP70 protein content. In summary, it appeared that deep hypothermia exerts a strong cytoprotective action during SI only, whereas cooling CM before SI has no beneficial effect on subsequent SI. Moreover, these results suggested the persistence of a signaling system and/or transduction in deeply cooled, functionally depressed cells. Finally, CM in culture appeared to be a model of interest for studying heart graft protection against ischemia-reperfusion and contributed to clarifying the molecular and cellular mechanisms of deep hypothermia on myocardium.

[Methologic contribution to blood transfusion materials surveillance]. / Contribution méthodologique aux pratiques de matériovigilance en transfusion sanguine.

To reduce seriousness and frequency of iatrogenic risk implies prevention policies and efficient operational systems for vigilance. This risk management implies definition of precise organizations and procedures able to locate and to notify quickly undesirable events. This is the case about single use medical devices (SUMD) used in blood transfusion. This article is a contribution to the organisation of the implemented material vigilance in blood transfusion, collectively carried out with actors concerned (users, manufacturers, National Commission for Material Vigilance). It presents a lot of tools and methods to favour practices harmonization, as well as preventive a curative (specifications before purchase, main part of the quality contract between customer and supplier; internal control plan; index for medical device used in transfusion; illustrated glossaries for three main families of medical devices; index about symptomatic events; definitions of seriousness levels with their operational consequences; methods to manage a single use medical device judged as defective; tool for the review of incidents according to reference and batch). Then, the management of incidents about SUMD is presented within a material vigilance system integrated into the quality system of the institution, for user as for manufacturer. This is done in a chronological order with successively description of the incident, the assessment of the impact, the management of the associated risk, the periodical review of incidents and management of matters in dispute.