Les masques trompeurs de la bipolarité: étude de 100 cas

Le trouble bipolaire (TB) est une pathologie dont la prévalence est estimée à 1-2 %. Le diagnostic précoce du trouble constitue un enjeu thérapeutique majeur. L'objectif de ce travail est de déterminer les différents diagnostiques attribués aux patients bipolaires avant de recevoir le diagnostic adéquat et de préciser le délai moyen du retard diagnostique. C'est une étude descriptive transversale portant sur 100 patients atteintsde TB, inclus selon les critères du DSM V, qui ont été vus en consultation ou bien hospitalisés dans le service de psychiatrie de l'hôpital Militaire Avicenne de Marrakech, durant une période de deux ans. L'âge moyen des patients était de 29,5 ans avec une prédominance masculine (80%). 40% de nos patients ont reçu au début un autre diagnostic que celui du TB et le premier diagnostic retenu était celui de l'épisode dépressif majeur dans 36% des cas, suivi de l'accès psychotique aigu dans 28% des cas, la schizophrénie dans 16,8% et le trouble de personnalité dans 10,2%. Le délai moyen du retard diagnostic était de 64 mois. 50% des patients ayant reçu un autre diagnostic avaient consulté au moins un psychiatre et 60% des patients avaient été hospitalisés au moins une fois avant le diagnostic du TB.Les errances diagnostiques du TB sont bien établies, conduisant forcément à un retard de prise en charge adéquate .Ces données devraient alerter les psychiatres pour favoriser un meilleur dépistage de la manie et de l'hypomanie qui restent les éléments clé du diagnostic du TB

Effect of annealing temperature on structural, morphology and dielectric properties of La0.75Ba0.25FeO3 perovskite

The effect of annealing temperature on the structure, morphology and dielectric properties of La0.75Ba0.25FeO3 compound prepared by the sol-gel method was investigated. The increase of the annealing temperature from 900 to 1100 °C, promotes an increase of the average grain size value. Two dielectric relaxations are detected using the dielectric modulus formalism, attributed to grain and grain boundary relaxations. This behavior was confirmed by both Nyquist and Argand's plots of dielectric impedance and Modulus results at different measuring temperatures. The ac conductivity could be described by Jonscher's power law revealing the presence of both overlapping large polaron tunneling and non-overlapping small polaron tunneling mechanisms.publishe

Longitudinal changes in functional connectivity of cortico-basal ganglia networks in manifests and premanifest huntington's disease

Huntington's disease (HD) is a genetic neurological disorder resulting in cognitive and motor impairments. We evaluated the longitudinal changes of functional connectivity in sensorimotor, associative and limbic cortico-basal ganglia networks. We acquired structural MRI and resting-state fMRI in three visits one year apart, in 18 adult HD patients, 24 asymptomatic mutation carriers (preHD) and 18 gender- and age-matched healthy volunteers from the TRACK-HD study. We inferred topological changes in functional connectivity between 182 regions within cortico-basal ganglia networks using graph theory measures. We found significant differences for global graph theory measures in HD but not in preHD. The average shortest path length (L) decreased, which indicated a change toward the random network topology. HD patients also demonstrated increases in degree k, reduced betweeness centrality bc and reduced clustering C. Changes predominated in the sensorimotor network for bc and C and were observed in all circuits for k. Hubs were reduced in preHD and no longer detectable in HD in the sensorimotor and associative networks. Changes in graph theory metrics (L, k, C and bc) correlated with four clinical and cognitive measures (symbol digit modalities test, Stroop, Burden and UHDRS). There were no changes in graph theory metrics across sessions, which suggests that these measures are not reliable biomarkers of longitudinal changes in HD. preHD is characterized by progressive decreasing hub organization, and these changes aggravate in HD patients with changes in local metrics. HD is characterized by progressive changes in global network interconnectivity, whose network topology becomes more random over time. Hum Brain Mapp, 2016. © 2016 Wiley Periodicals, Inc

Spectrometric Analyses, Structure and Voltammetric Study of Nickel(II) with N[(1E) Phenylmethylene N2[2(2Hydroxyphenylmethylene]Amino ethyl) Imidazolidin-1-yl Ethylamine

The reaction of N[(1E) phenylmethylene N2[2(2hydroxyphenylmethylene]amino ethyl) imidazolidin -1-yl ethylamine ligand (H 3 L) with nickel(II) salt, by heating at 40°C and addition of NaOH in excess, was made by eliminating of the phenol substituted imidazolidine ring, giving the mononuclear nickel(II) complex of the deprotonated bis-salicylaldehyde-triethylenetetramine (L −2 ). UV-Vis, FTIR and structural resolution show an octahedral geometry for [NiL]·6H 2 O complex. This compound has been characterized by single crystal X-ray diffraction study. This technique reveals that Ni-H 2 L involves a high-spin nickel(II) ion within a pseudo-octahedral geometry. The Ni(II) complex has NiN 4 O 2 coordination sphere as established from a crystal structure determination. The crystals of Ni(II) complex are tetragonal, space group P4/ncc, a = b = 19.348 A; c = 13.201 A. R(F) value (0.0528) found shows a very good precision of the determined geometrical parameters. Cyclic voltammetry of nickel complex is indicative of electronic communication between the nickel center via Schiff base ligand. The results obtained confirm the imidazolidine ring-cleavage reaction and the elimination of the substituted phenol on this ring and show that the presence of H 3 L ligand around the metallic center stabilizes the oxidation of the Ni(II) to Ni(III)

The Portuguese Large Wildfire Spread database (PT-FireSprd)

Wildfire behaviour depends on complex interactions between fuels, topography, and weather over a wide range of scales, being important for fire research and management applications. To allow for significant progress towards better fire management, the operational and research communities require detailed open data on observed wildfire behaviour. Here, we present the Portuguese Large Wildfire Spread database (PT-FireSprd) that includes the reconstruction of the spread of 80 large wildfires that occurred in Portugal between 2015 and 2021. It includes a detailed set of fire behaviour descriptors, such as rate of spread (ROS), fire growth rate (FGR), and fire radiative energy (FRE). The wildfires were reconstructed by converging evidence from complementary data sources, such as satellite imagery and products, airborne and ground data collected by fire personnel, and official fire data and information in external reports. We then implemented a digraph-based algorithm to estimate the fire behaviour descriptors and combined it with the Meteosat Second Generation (MSG) Spinning Enhanced Visible and Infrared Imager (SEVIRI) fire radiative power estimates. A total of 1197 ROS and FGR estimates were calculated along with 609 FRE estimates. The extreme fires of 2017 were responsible for the maximum observed values of ROS (8900 m h−1) and FGR (4400 ha h−1). Combining both descriptors, we describe the fire behaviour distribution using six percentile intervals that can be easily communicated to both research and management communities. Analysis of the database showed that burned extent is mostly determined by FGR rather than by ROS. Finally, we explored a practical example to show how the PT-FireSprd database can be used to study the dynamics of individual wildfires and to build robust case studies for training and capacity building. The PT-FireSprd is the first open-access fire progression and behaviour database in Mediterranean Europe, dramatically expanding the extant information. Updating the PT-FireSprd database will require a continuous joint effort by researchers and fire personnel. PT-FireSprd data are publicly available through https://doi.org/10.5281/zenodo.7495506 (Benali et al., 2022) and have large potential to improve current knowledge on wildfire behaviour and to support better decision making.</p

Awareness of cognitive decline trajectories in asymptomatic individuals at risk for AD

Background: Lack of awareness of cognitive decline (ACD) is common in late-stage Alzheimer’s disease (AD). Recent studies showed that ACD can also be reduced in the early stages. Methods: We described different trends of evolution of ACD over 3 years in a cohort of memory-complainers and their association to amyloid burden and brain metabolism. We studied the impact of ACD at baseline on cognitive scores’ evolution and the association between longitudinal changes in ACD and in cognitive score. Results: 76.8% of subjects constantly had an accurate ACD (reference class). 18.95% showed a steadily heightened ACD and were comparable to those with accurate ACD in terms of demographic characteristics and AD biomarkers. 4.25% constantly showed low ACD, had significantly higher amyloid burden than the reference class, and were mostly men. We found no overall effect of baseline ACD on cognitive scores’ evolution and no association between longitudinal changes in ACD and in cognitive scores. Conclusions: ACD begins to decrease during the preclinical phase in a group of individuals, who are of great interest and need to be further characterized. Trial registration: The present study was conducted as part of the INSIGHT-PreAD study. The identification number of INSIGHT-PreAD study (ID-RCB) is 2012-A01731-42

Low Cognitive Awareness, but Not Complaint, is a Good Marker of Preclinical Alzheimer's Disease

Subjective cognitive decline (SCD) may result from many conditions, including Alzheimer's disease (AD)