Prévalence et déterminants de l'hypophosphatémie sévère dans un service de Médecine interne

L'hypophosphatémie sévère définie comme une phosphatémie plasmatique < 0.32 mmol/l (Norme : 0.8-1-4 mmol/l) est associé à une morbidité et mortalité accrues. Il s'agit d'un trouble électrolytique dont la prévalence a été évaluée entre 0.24-0.42 % dans une population d'un hôpital général. Un nombre considérable de maladies et de situations cliniques ont été identifiées comme étant associées à une hypophosphatémie. Méthodologie Etude rétrospective chez les patients du service de médecine interne du Centre Hospitalier Universitaire Vaudois (CHUV, Lausanne) au cours de la période 2008-2010 qui ont présenté au moins un épisode de hypophosphatémie sévère définie comme une phosphatémie ≤ 0.35 mmol/l. Nous avons obtenu les données sur l'âge, le sexe, et les taux plasmatiques de : calcium, albumine, créatinine, bicarbonate veineux, glucose et acide urique.Nous avons étudié la prévalence de l'hypophosphatémie sévère et les pathologies associées. Comparaisondans une analyse cas-contrôles des caractéristiques des patients avec hypophosphatémie sévère et ceux ayant des valeurs de phosphate plasmatiques normales(0.8-1.4 mmol/l). Résultats La prévalence des patients ayant présenté au moins une valeur de phosphatémie ≤0.35 mmol/l pendant l'hospitalisation est de 1.3% sur les trois années cumulées. Chez les 84 patients avec hypophosphatémie sévère, la majorité présente plusieurs causes concomitantes. Nous avons retrouvé les étiologies suivantes : dénutrition sévère, 59.5% ; dialyse, 34.5% ; diarrhées chroniques, 23.8% ; consommation chronique d'alcool, 21.4% ; syndrome de renutrition inappropriée (refeeding syndrome), 20.3% et hyperparathyroïdisme primaire, 4.8%. L'hypokaliémie, l'hypocalcémie et l'hypomagnésémie sont positivement et significativement associées à l'hypophosphatémie. Conclusion La prévalence est rare dans un service de médecine interne, mais reste très probablement sous- diagnostiquée. Les patients à risque de développer ce trouble électrolytique sont les patients souffrant de dénutrition avec son pendant le syndrome de renutritioninappropriée et la consommation chronique d'alcool, et les patients sous dialyse

Spatial Variation in Erosion Rates in Mars Equatorial Regions Inferred from Ejecta Retention of 1-3 Km Diameter Craters

The modification of impact craters has long been used to infer the geomorphic forcing on Mars [1], as well as estimate the spatial and temporal variability of this erosion and gradation [e.g., 2]. Here, we studied the population of small primary craters (1-3 km) to understand differences in ejecta retention across equatorial Mars. Specifically, we evaluated whether craters in our study population had observable ejecta deposits (defined on the basis of distinct tone or texture with respect to their surroundings).This is a proxy for the resurfacing rate because only relatively fresh craters retain their ejecta deposits. More broadly, this is part of a larger project we are undertaking [3] to examine crater morphometry and other characteristics from CTX-derived digital terrain models (DTMs), augmented by qualitative observations

Evaluation of Ca-Based Sorbents for Gaseous HCl Emissions Adsorption

The problem of acid gas exhaust emissions treatment has not been fully resolved at present. Dry adsorption of acid gases with alkaline sorbents is currently being investigated, to improve solid sorbents. In this study, 5 types of hydrated lime were characterised and tested. The sorption capacities were measured by means of a system consisting of a feed line (HCl/N2), a thermostatic reactor and a water absorber. The physical characteristics of sorbent samples were also compared. Analyses conducted with scanning electronic microscopy revealed that sample C1 showed uniform particle distribution. Samples C2 and C3 showed the co-presence of fine and coarse particles. Sample C4 showed very fine particles with agglomeration phenomena. In sample C5, fibrous elements were found. Energy dispersive spectrometry (EDS) analyses showed a similar composition of the samples, with the exception of the presence of Mg in some of them. After 30 min of testing, the following differences in sorption capacities with respect to C1 (3.59 mg g−1) were found: C2, −20%; C3, −13%; C4, −17%; C5, −3%. Higher sorption capacities were associated with more uniform particle size distributions. Conversely, agglomeration of fine particles may have adversely affected the performance of sorbents

Use of spectroscopic indicators for the monitoring of bromate generation in ozonated wastewater containing variable concentrations of bromide

Time-resolved monitoring of bromate and other by-products formed into effluents treated with ozone or advanced oxidation processes in wastewater treatment plants (WWTPs) is time-consuming and expensive. This study examined whether concentrations of bromate formed in wastewater after ozonation in the presence of widely varying bromide levels (from ca. 0.7–21.2 mg/L) can be quantified based on measurements of changes in optical properties (differential UV absorbance (ΔUVA), spectral slopes, total or regional fluorescence) of the ozonated samples. Batch ozonation was carried out using a secondary effluent produced at a major wastewater treatment plant located in the Metropolitan Seattle Area. The tests involved raw and bromide-spiked samples treated with ozone doses from 0.1 to 1 mg O3/mg DOC. Measurements of the absorbance at 254 nm (UVA254), fluorescence and bromate concentrations were performed on the treated samples. In the ozonated wastewater the concentration of bromate increased approximately linearly, from 10 mg/L) tended to inhibit the generation of bromate. Relative reduction of UVA254 and total fluorescence (TF) were found to be good predictors of bromate generation. Specifically, exponential curves could adequately fit the non-linear relationships found to exist between the concentrations of bromate and the relative reductions of the UV254 and TF, for any initial bromide concentrations used in this study. Little formation of bromate was found to occur for reduction ranges for UVA254 and TF of 30–40% and 70–80% respectively. Conversely, rapid increases in bromate generation were observed when the decrease of UVA254 or TF exceeded these threshold values

Comparison of the effects of transdermal and oral rivastigmine on cognitive function and EEG markers in patients with Alzheimer’s disease

Background: Alzheimer's disease (AD) is the most common cause of dementia in older patients. Rivastigmine (RV, Exelon®, Novartis), a reversible cholinesterase inhibitor, improves clinical manifestations of AD and may enhance ACh-modulated electroencephalogram (EEG) alpha frequency. This pilot study aimed to determine the effects of two formulations of RV (transdermal patch [TV-RDP] and oral capsules [TV-CP]) on alpha frequency, in particular the posterior dominant rhythm, and cognitive function (assessed by the Mini-Mental State Examination [MMSE]) in patients with AD.Methods: Subjects with AD were assigned to receive either RV-TDP 10 cm2 or RV-CP 12 mg/day. All patients underwent EEG recordings at the beginning and end of the 18-month study period using P3, P4, O1 and O2 electrodes, each at high (10.5–13.0 Hz) and low (8.0–10.5 Hz) frequency. MMSE scores were determined at the start of the study (T0) and at three successive 6-month intervals (T1, T2 and T3).Results: RV-TDP administration (n=10) maintained cognitive function as evidenced by stable MMSE scores from baseline to 18 months (21.07 ± 2.4 to 21.2 ± 3.1) compared with a decrease in MMSE score with RV-CP (n=10) over 18 months (18.3 ± 3.6 to 13.6 ± 5.06 [adjusted for covariates p=0.006]). MMSE scores were significantly different between treatment groups from 6 months (p=0.04). RV-TDP also increased the spectral power of alpha waves in the posterior region measured with electrode P3 in a significantly great percentage of patients than TV-CP from baseline to 18 months; 80% versus 30%, respectively (p=0.025 [χ2 test]).Conclusion: RV-TDP was associated with a greater proportion of patients with increased posterior region alpha wave spectral power and significantly higher cognitive function at 18 months, compared with RV-CP treatment. Our findings suggest that RV-TDP provides an effective long-term management option in patients with AD compared with oral RV-CP. This study is a pilot, open-label study with

Anatomical Substrate and Scalp EEG Markers are Correlated in Subjects with Cognitive Impairment and Alzheimer's Disease

Dementia is a syndromic diagnosis, encompassing various stage of severity and different anatomo-physiological substrates. The hippocampus is one of the first and most affected brain regions affected by both Alzheimer's disease (AD) and mild cognitive impairment (MCI). Moreover, chronic cerebrovascular disease (CVD) is one of the major risk factor for developing dementia. Recent studies have demonstrated different relationship between the anatomical substrate and scalp electroencephalography (EEG) markers. Indeed, modifications of EEG rhythmicity is not proportional to the hippocampal atrophy, whereas changes in EEG activity are directly proportional to the load of subcortical CVD. The computation of the EEG spectral power and the analysis of the functional coupling of brain areas, through linear coherence, are two of the most known processing methods in EEG research. Two specific EEG markers, theta/gamma and alpha3/alpha2 frequency ratio have been reliable associated to the atrophy of amygdalo–hippocampal complex. Moreover, theta/gamma ratio has been related to MCI conversion in dementia and alpha3/alpha2 ratio has been specifically related to MCI conversion in AD. The functional coupling of brain areas is also modulated by hippocampal atrophy. In the MCI subjects, hippocampal atrophy is linked to an increase of interhemispheric coherence seen on frontal and temporal regions whereas subcortical CVD is linked to a decrease of coherence in fronto-parietal regions. In the present study the most significant results of recent studies on correlation between scalp EEG, cognitive decline, and anatomical substrate have been reviewed, with particular attention to the relationships between EEG changes and hippocampal atrophy. The following review is not intended to provide a comprehensive summary of the literature. Rather it identifies and discusses selected studies that are designed to find the specific correlation between scalp EEG markers and anatomo-pathological substrate. The principal aim is to propose a plausible neurophysiological theoretical model of the cognitive decline as mirrored by both structural and functional tools of research

Development of microwave superconducting microresonators for neutrino mass measurement in the HOLMES framework

The European Research Council has recently funded HOLMES, a project with the aim of performing a calorimetric measurement of the electron neutrino mass measuring the energy released in the electron capture decay of 163Ho. The baseline for HOLMES are microcalorimeters coupled to Transition Edge Sensors (TESs) read out with rf-SQUIDs, for microwave multiplexing purposes. A promising alternative solution is based on superconducting microwave resonators, that have undergone rapid development in the last decade. These detectors, called Microwave Kinetic Inductance Detectors (MKIDs), are inherently multiplexed in the frequency domain and suitable for even larger-scale pixel arrays, with theoretical high energy resolution and fast response. The aim of our activity is to develop arrays of microresonator detectors for X-ray spectroscopy and suitable for the calorimetric measurement of the energy spectra of 163Ho. Superconductive multilayer films composed by a sequence of pure Titanium and stoichiometric TiN layers show many ideal properties for MKIDs, such as low loss, large sheet resistance, large kinetic inductance, and tunable critical temperature $T_c$. We developed Ti/TiN multilayer microresonators with $T_c$ within the range from 70 mK to 4.5 K and with good uniformity. In this contribution we present the design solutions adopted, the fabrication processes and the characterization results

Chemical characterization and reactivity of iron chelator-treated amphibole asbestos.

Iron in amphibole asbestos is implicated in the pathogenicity of inhaled fibers. Evidence includes the observation that iron chelators can suppress fiber-induced tissue damage. This is believed to occur via the diminished production of fiber-associated reactive oxygen species. The purpose of this study was to explore possible mechanisms for the reduction of fiber toxicity by iron chelator treatments. We studied changes in the amount and the oxidation states of bulk and surface iron in crocidolite and amosite asbestos that were treated with iron-chelating desferrioxamine, ferrozine, sodium ascorbate, and phosphate buffer solutions. The results have been compared with the ability of the fibers to produce free radicals and decompose hydrogen peroxide in a cell-free system in vitro. We found that chelators can affect the amount of iron at the surface of the asbestos fibers and its valence, and that they can modify the chemical reactivity of these surfaces. However, we found no obvious or direct correlations between fiber reactivity and the amount of iron removed, the amount of iron at the fiber surface, or the oxidation state of surface iron. Our results suggest that surface Fe3+ ions may play a role in fiber-related carboxylate radical formation, and that desferrioxamine and phosphate groups detected at treated fiber surfaces may play a role in diminishing and enhancing, respectively, fiber redox activity. It is proposed that iron mobility in the silicate structure may play a larger role in the chemical reactivity of asbestos than previously assumed