Anévrisme de l’artère fémorale superficielle lié à une infection à salmonelle

Les anévrismes infectieux de l'axe fémoro-poplité sont rares et d'évolution silencieuse. Ils surviennent surtout chez les sujets immunodéprimés. Leur traitement fait appel souvent à l'exclusion chirurgicale associée ou non à un geste de revascularisation. Nous rapportons le cas d'un patient opéré pour un anévrisme de l'artère fémorale superficielle, lié à une infection à salmonelle, il a eu une résection de l'anévrysme et une  revascularisation par greffe veineuse. Ce patient a été repris par la suite à deux reprise pour rupture du greffon veineux. Pour cette raison, nous étions contraints à une explantation du pontage et une ligature des 2 bouts de l'artère sans revascularisation. Malgré l'absence de revascularisation, l'évolution a été favorable sous couverture d'une une antibiothérapie adaptée. En cas d'anévrysme infectieux de l'axe fémoropoplité par infection à salmonelle, le rétablissement de la continuité artérielle, même avec un greffon veineux, peut exposer au risque de rupture artérielle.Key words: Anévrisme mycotique, artère fémorale superficielle, salmonell

Effet d'un champ magnétique transversal sur la stabilité de l'écoulement de Hartmann : les modes tridimensionnels

International audienc

Chronic obstructive pulmonary disease and associated healthcare resource consumption in the Middle East and North Africa: The BREATHE study

SummaryData on COPD-related healthcare resources use are rarely documented in developing countries. This article presents data on COPD-related healthcare resource consumption in the Middle East, North Africa and Pakistan and addresses the association of this variable with illness severity. A large survey of COPD was conducted in eleven countries of the region, namely Algeria, Egypt, Jordan, Lebanon, Morocco, Pakistan, Saudi-Arabia, Syria, Tunisia, Turkey and United Arab Emirates, using a standardised methodology. A total of 62,086 subjects were screened. This identified 2,187 subjects fulfilling the “epidemiological” definition of COPD. A detailed questionnaire was administered to document data on COPD-related healthcare consumption. Symptom severity was assessed using the COPD Assessment Test (CAT). 1,392 subjects were analysable. Physician consultations were the most frequently used healthcare resource, ranging from 43,118 [95% CI: 755–85,548] consultations in UAE to 4,276,800 [95% CI: 2,320,164–6,230,763] in Pakistan, followed by emergency room visits, ranging from 15,917 [95% CI: 0–34,807] visits in UAE to 683,697 [95% CI: 496,993–869,737] in Turkey and hospitalisations, ranging from 15,563 [95% CI: 7,911–23,215] in UAE to 476,674 [95% CI: 301,258–652,090] in Turkey. The use of each resource increased proportionally with the GOLD 2011 severity groups and was significantly (p < 0.0001) higher in subjects with more symptoms compared to those with lower symptoms and in subjects with exacerbations to those without exacerbations. The occurrence of exacerbations and the CAT score were independently associated with use of each healthcare resource. In conclusion, the BREATHE study revealed that physician consultation is the most frequently COPD-related healthcare resource used in the region. It showed that the deterioration of COPD symptoms and the frequency of exacerbations raised healthcare resource consumption

A battery health monitoring method using machine learning: A data-driven approach

Batteries are combinations of electrochemical cells that generate electricity to power electrical devices. Batteries are continuously converting chemical energy to electrical energy, and require appropriate maintenance to provide maximum efficiency. Management systems having specialized monitoring features; such as charge controlling mechanisms and temperature regulation are used to prevent health, safety, and property hazards that complement the use of batteries. These systems utilize measures of merit to regulate battery performances. Figures such as the state-of-health (SOH) and state-of-charge (SOC) are used to estimate the performance and state of the battery. In this paper, we propose an intelligent method to investigate the aforementioned parameters using a data-driven approach. We use a machine learning algorithm that extracts significant features from the discharge curves to estimate these parameters. Extensive simulations have been carried out to evaluate the performance of the proposed method under different currents and temperatures

Anaesthetic Considerations in Gastrointestinal Endoscopies

Gastrointestinal endoscopy has become fundamental procedure for diagnosis and treatment of gastrointestinal tract diseases. Generally, the gastrointestinal endoscopy is minimally invasive procedure. However, it can cause considerable amount of discomfort and pain which make the procedure unsafe, complicated and refusal of follow up procedures if done without safe sedation. The sedation is required to alleviate anxiety, provide analgesia, amnesia and to improve endoscopic performance specifically in therapeutic procedures. The safe administration of sedative and analgesic medications, irrespective of the regimen used, requires knowledge of the individual needs of patients. The combination of benzodiazepines and opioids is now the most widely used sedation regimen for sedation in gastrointestinal endoscopic procedures. Generally, sedation for gastrointestinal endoscopy is considered safe, however, it has the potential for serious complications. Therefore, endoscopist should assess the patients properly before the endoscopy as well as should be aware of all possible complications and the risk factors. Furthermore, skilled staff and emergency equipment should be available in endoscopy suit. This chapter discuss in details all the aspects of safe procedural sedation during GI endoscopies

Plant mediated synthesis of flower-like Cu2O microbeads from Artimisia campestris L. extract for the catalyzed synthesis of 1,4-disubstituted 1,2,3-triazole derivatives

This study presents a novel method for synthesizing 1,4-disubstituted 1,2,3-triazole derivatives through a one-pot, multi-component addition reaction using flower-like Cu2O microbeads as a catalyst. The flower-like Cu2O microbeads were synthesized using an aqueous extract of Artimisia Campestris L. This extract demonstrated the capability to reduce and stabilize Cu2O particles during their initial formation, resulting in the formation of a porous flower-like morphology. These Cu2O microbeads exhibit distinctive features, including a cubic close-packed (ccp) crystal structure with an average crystallite size of 22.8 nm, bandgap energy of 2.7 eV and a particle size of 6 µm. Their catalytic activity in synthesizing 1,4-disubstituted 1,2,3-triazole derivatives was investigated through systematic exploration of key parameters such as catalyst quantity (1, 5, 10, 15, 20, and 30 mg/mL), solvent type (dimethylformamide/H2O, ethanol/H2O, dichloromethane/H2O, chloroform, acetone, and dimethyl sulfoxide), and catalyst reusability (four cycles). The Cu2O microbeads significantly increased the product yield from 20% to 85.3%. The green synthesis and outstanding catalytic attributes make these flower-like Cu2O microbeads promising, efficient, and recyclable catalysts for sustainable and effective chemical transformations

Culex pipiens, an Experimental Efficient Vector of West Nile and Rift Valley Fever Viruses in the Maghreb Region

West Nile fever (WNF) and Rift Valley fever (RVF) are emerging diseases causing epidemics outside their natural range of distribution. West Nile virus (WNV) circulates widely and harmlessly in the old world among birds as amplifying hosts, and horses and humans as accidental dead-end hosts. Rift Valley fever virus (RVFV) re-emerges periodically in Africa causing massive outbreaks. In the Maghreb, eco-climatic and entomologic conditions are favourable for WNV and RVFV emergence. Both viruses are transmitted by mosquitoes belonging to the Culex pipiens complex. We evaluated the ability of different populations of Cx. pipiens from North Africa to transmit WNV and the avirulent RVFV Clone 13 strain. Mosquitoes collected in Algeria, Morocco, and Tunisia during the summer 2010 were experimentally infected with WNV and RVFV Clone 13 strain at titers of 107.8 and 108.5 plaque forming units/mL, respectively. Disseminated infection and transmission rates were estimated 14–21 days following the exposure to the infectious blood-meal. We show that 14 days after exposure to WNV, all mosquito st developed a high disseminated infection and were able to excrete infectious saliva. However, only 69.2% of mosquito strains developed a disseminated infection with RVFV Clone 13 strain, and among them, 77.8% were able to deliver virus through saliva. Thus, Cx. pipiens from the Maghreb are efficient experimental vectors to transmit WNV and to a lesser extent, RVFV Clone 13 strain. The epidemiologic importance of our findings should be considered in the light of other parameters related to mosquito ecology and biology

Flavor changing neutral current processes in BB and KK decays in the supergravity model

Flavor changing neutral current processes such as $b \to s \gamma$, $b \to s l^+ l^-$, $b \to s \nu \bar{\nu}$, $\epsilon_K$, $\Delta m_B$, $K^+ \to \pi^+ \nu \bar{\nu}$ and \K_L \to \pi^0 \nu \bar{\nu} are calculated in the supersymmetric standard model based on supergravity. We consider two assumptions for the soft supersymmetry breaking terms. In the minimal case soft breaking terms for all scalar fields are taken to be universal at the GUT scale whereas those terms are different for the squark/slepton sector and the Higgs sector in the nonminimal case. In the calculation we have taken into account the next-to-leading order QCD correction to the $b \to s \gamma$ branching ratio, the results from the LEP II superparticles search, and the condition of the radiative electroweak symmetry breaking. We show that $\Delta m_B$ and $\epsilon_K$ can be enhanced up to 40% compared to the Standard Model values in the nonminimal case. In the same parameter region the $b \to s \nu \bar{\nu}$, $K^+ \to \pi^+ \nu \bar{\nu}$ and \K_L \to \pi^0 \nu \bar{\nu} branching ratios are reduced up to 10%. The corresponding deviation in the minimal case is 20% for $\Delta m_B$ and $\epsilon_K$ and within 3% for the $b \to s \nu \bar{\nu}$, $K^+ \to \pi^+ \nu \bar{\nu}$ and \K_L \to \pi^0 \nu \bar{\nu}. For the $b \to s l^+ l^-$ process the significant deviation from the Standard Model is realized only when the $b \to s \gamma$ amplitude has an opposite sign to the Standard Model prediction. Significance on these results from possible future improvements of the $b \to s \gamma$ branching ratio measurement and top squark search is discussed.Comment: 45 pages, 20 EPS figures included. Figures are corrected; references are added and updated (Jul 23, 1998