Elimination de la matière organique biodégradable par ultrafiltration

Les installations de production de la Compagnie des Eaux de banlieue (CEB) au Mont Valérien traitent l'eau de Seine en aval de Paris sur 2 filières de potabilisation comprenant pour la première (50 000 m3/J) une préozonation, une coagulation au sels d'Aluminium (Aqualenc), une décantation (super pulsator Degrémont), une filtration sur sable, une ozonation, une filtration sur charbon actif en grains (CAG) et une désinfection finale au bioxyde de chlore, et pour la deuxième, une filtration lente sur sable (80 000 m3/j) dite filtration "Chabale".Dans le cadre du remplacement de la filière "Chabale", une unité de démonstration (8 m3/h) eomprenaut une addition de charbon actif en poudre (CAP) avant ultrafiltration sur membrane a été mise en route.Dans cette étude, une comparaison du traitement conventionnel physico-chimique de l'usine et du nouveau procédé d'ultrafiltration a été effectuée. Pour cela, un suivi du carbone organique total et une évaluation du potentiel de reviviscence ont été réalisés en différents points des chaînes de traitement. La matière organique biodégradable (MOB) a été mesurée par la méthode Werner (1980).Les premiers résultats montrent :- l'élimination des MOB est comparable pour les différents procédés;- toutefois, la nature des MOB est sensiblement affectée à chaque type de traitement (ozonation, addition de CAP, filtration sur sable ou sur CAG)."Compagnie des Eaux de Banlieue" water facilities located at the Mont-Valérien treat the Seine river water downstream Paris. A first facility (5000 m3/day) includes the following processes : preozonation, coagulation, settling, sand filtration, postozonalion, GAC filtration and a final desinfection (CIO2). A second one consists in a biological sand filtration (80000 m3/day). An ultrafiltration demonstration plant including a CAP addition into the recirculation loop is currently tested on a small scale (8 m3/h) to compare the conventional treatments with new ultrafiltration process.In this study, the TOC removal as well as the biodegradable organic matter (BOM) removal are evaluated on the different processes. The BOM has been assessed by the Werner methodology (1980).During the cool season (october-january) all the biodegradable organic matter were removed by the clarification process (preozonation + coagulation decantation + sand filtration). More than 90 % of the BOM were also removed by the ultrafiltration demonstration plant (including granular activated carbon) although the addition of preozonation slightly increases the effluent BOM concentrations and modifies its composition. 80 % of the dissolved organic compounds were removed by the preozonation + ultrafiltration + powder treatment line. This performance should be compared with the 70 % removal obtained with conventional treatments.This study demonstrate that the combination 03 + UF + CAP can advantageously replace traditional treatment such as preozonation + coagulation clarification + ozonation + granular activated carbon + desinfection

Production of Acacia auriculiformis A. Cunn. ex Benth. for reforestation in southern Benin

The viability of Acacia auriculiformis production system in southern Benin was studied from an analytical perspective combining the production techniques and the financial profitability. The driving research question was as follows: "Will the nurseries be able to supply the seedlings suited to successful reforestation programmes?" A survey was carried out among nursery holders in the Atlantique Department. The snowball sampling method enabled to survey 55 nursery holders, based on semi-structured interviews. Respondents provided data on the organisation of production, production techniques, production costs, and sales revenues. There were two types of nurseries: individual nurseries and collective nurseries. The stages of acacia seedlings production were as follows: seed collection, dormancy breaking, sowing, and cares for young seedlings. Overall, the production techniques used by nursery holders were effective. The net revenue for 1000 seedlings ranged between XOF 9000 and 26000. Collective nurseries had lower production costs, hence higher revenues, compared to individual nurseries. It is essential to support nursery holders through capacity strengthening training and the availability of good quality seeds

Nanostructured 3D Constructs Based on Chitosan and Chondroitin Sulphate Multilayers for Cartilage Tissue Engineering

Nanostructured three-dimensional constructs combining layer-by-layer technology (LbL) and template leaching were processed and evaluated as possible support structures for cartilage tissue engineering. Multilayered constructs were formed by depositing the polyelectrolytes chitosan (CHT) and chondroitin sulphate (CS) on either bidimensional glass surfaces or 3D packet of paraffin spheres. 2D CHT/CS multi-layered constructs proved to support the attachment and proliferation of bovine chondrocytes (BCH). The technology was transposed to 3D level and CHT/CS multi-layered hierarchical scaffolds were retrieved after paraffin leaching. The obtained nanostructured 3D constructs had a high porosity and water uptake capacity of about 300%. Dynamical mechanical analysis (DMA) showed the viscoelastic nature of the scaffolds. Cellular tests were performed with the culture of BCH and multipotent bone marrow derived stromal cells (hMSCs) up to 21 days in chondrogenic differentiation media. Together with scanning electronic microscopy analysis, viability tests and DNA quantification, our results clearly showed that cells attached, proliferated and were metabolically active over the entire scaffold. Cartilaginous extracellular matrix (ECM) formation was further assessed and results showed that GAG secretion occurred indicating the maintenance of the chondrogenic phenotype and the chondrogenic differentiation of hMSCs

Managing the complexity of doing it all : an exploratory study on students' experiences when trained stepwise in conducting consultations

Background: At most medical schools the components required to conduct a consultation, medical knowledge, communication, clinical reasoning and physical examination skills, are trained separately. Afterwards, all the knowledge and skills students acquired must be integrated into complete consultations, an art that lies at the heart of the medical profession. Inevitably, students experience conducting consultations as complex and challenging. Literature emphasizes the importance of three didactic course principles: moving from partial tasks to whole task learning, diminishing supervisors' support and gradually increasing students' responsibility. This study explores students' experiences of an integrated consultation course using these three didactic principles to support them in this difficult task. Methods: Six focus groups were conducted with 20 pre-clerkship and 19 clerkship students in total. Discussions were audiotaped, transcribed and analysed by Nvivo using the constant comparative strategy within a thematic analysis. Results: Conducting complete consultations motivated students in their learning process as future physician. Initially, students were very much focused on medical problem solving. Completing the whole task of a consultation obligated them to transfer their theoretical medical knowledge into applicable clinical knowledge on the spot. Furthermore, diminishing the support of a supervisor triggered students to reflect on their own actions but contrasted with their increased appreciation of critical feedback. Increasing students' responsibility stimulated their active learning but made some students feel overloaded. These students were anxious to miss patient information or not being able to take the right decisions or to answer patients' questions, which sometimes resulted in evasive coping techniques, such as talking faster to prevent the patient asking questions. Conclusion: The complex task of conducting complete consultations should be implemented early within medical curricula because students need time to organize their medical knowledge into applicable clinical knowledge. An integrated consultation course should comprise a step-by-step teaching strategy with a variety of supervisors' feedback modi, adapted to students' competence. Finally, students should be guided in formulating achievable standards to prevent them from feeling overloaded in practicing complete consultations with simulated or real patients

Surface Texturization of Breast Implants Impacts Extracellular Matrix and Inflammatory Gene Expression in Asymptomatic Capsules:

Background: Texturing processes have been designed to improve biocompatibility and mechanical anchoring of breast implants. However, a high degree of texturing has been associated with severe abnormalities. In this study, the authors aimed to determine whether implant surface topography could also affect physiology of asymptomatic capsules. Methods: The authors collected topographic measurements from 17 different breast implant devices by interferometry and radiographic microtomography. Morphologic structures were analyzed statistically to obtain a robust breast implant surface classification. The authors obtained three topographic categories of textured implants (i.e., “peak and valleys,” “open cavities,” and “semiopened cavities”) based on the cross-sectional aspects. The authors simultaneously collected 31 Baker grade I capsules, sorted them according to the new classification, established their molecular profile, and examined the tissue organization. Results: Each of the categories showed distinct expression patterns of genes associated with the extracellular matrix (Timp and Mmp members) and inflammatory response (Saa1, Tnsf11, and Il8), despite originating from healthy capsules. In addition, slight variations were observed in the organization of capsular tissues at the histologic level. Conclusions: The authors combined a novel surface implant classification system and gene profiling analysis to show that implant surface topography is a bioactive cue that can trigger gene expression changes in surrounding tissue, even in Baker grade I capsules. The authors’ new classification system avoids confusion regarding the word “texture,” and could be transposed to implant ranges of every manufacturer. This new classification could prove useful in studies on potential links between specific texturizations and the incidence of certain breast-implant associated complications

Impact of Type-2 Diabetes Mellitus on the Outcomes of Catheter Ablation of Atrial Fibrillation (European observational multicentre study)

Type-2 diabetes mellitus (DM) is associated with an increased risk of atrial fibrillation (AF). It is unclear whether DM is a risk factor for arrhythmia recurrence following catheter ablation of AF. We performed a nonrandomised, observational study in 7 high-volume European centres. A total of 2,504 patients who underwent catheter ablation of AF were included, and procedural outcomes were compared among patients with or without DM. Patients with DM (234) accounted for 9.3% of the sample, and were significantly older, had a higher BMI and suffered more frequently from persistent AF. Arrhythmia relapses at 12 months after AF ablation occurred more frequently in the DM group (32.0% vs 25.3%, p = 0.031). After adjusting for type of AF (i.e., paroxysmal vs persistent), during a median follow-up of 17 ± 16 months, atrial arrhythmia free-survival was lower in the diabetics with persistent AF (log-rank p = 0.003), and comparable for paroxysmal AF (log-rank p = 0.554). These results were confirmed in a propensity-matched analysis, and DM was also an independent predictor of AF recurrence on the multivariate analysis (hazard ratio 1.39; 95% confidence interval 95%1.07 to 1.88; p = 0.016). There was no significant difference in the rate of periprocedural complications among DM and non-DM patients (3.8% vs 6.3%, p = 0.128). Efficacy and safety of cryoballoon ablation were comparable to radiofrequency ablation in both DM and no-DM groups. In conclusion, catheter ablation of AF appears to be safe in patients with DM. However, DM is associated with higher rate of atrial arrhythmia relapse, particularly for patients with persistent AF

Comparative anatomy and angiography of the cardiac coronary venous system in four species: human, ovine, porcine, and canine.

INTRODUCTION: The coronary arterial system has been the subject of greater investigation than its venous system due to the importance of human coronary artery disease. With the advent of new percutaneous treatments, the anatomy of the coronary venous system has increasing relevancy. We compared the organization of the coronary venous circulation in three species commonly used in research and compared these to normal humans using both macroscopic anatomic and angiographic studies. ANIMALS: The anatomy of five explanted hearts from healthy dogs, pigs, and sheep were studied macroscopically, and 10 explanted hearts per animal species and 10 clinically normal human were examined by angiography. METHODS: Animal hearts were injected with latex and dissected macroscopically. The coronary venous system of humans was evaluated from clinical angiographic studies. In the animal hearts, a retrograde angiographic study was performed via a Foley catheter in the coronary sinus. RESULTS: The general organization of the coronary venous circulation was similar among humans, dogs, sheep, and pigs. Despite overall similarities to humans, animal hearts demonstrated the absence of the oblique vein of the left atrium and differences in position and organization of venous valves; venous diameters; number of tributary veins; and presence of an anastomosis between the left and right (human anterior and posterior) venous tree. The left azygos of the pig and sheep joined the coronary sinus. CONCLUSIONS: Anatomical differences must be considered when planning biomedical and veterinary studies incorporating cardiac veins. This study provides baseline data regarding structure and organization of the cardiac venous system