Canal de Provence

Presented at the 2002 USCID/EWRI conference, Energy, climate, environment and water - issues and opportunities for irrigation and drainage on July 9-12 in San Luis Obispo, California.Includes bibliographical references.Measurement network on hydraulic system includes many sensors subject to failure or deviation, and spread over a huge area. In addition discharge and volume measurements in open channel hydraulic networks are characterized by large uncertainties. To overcome this kind of problem, in process control industrial applications, data reconciliation is more and more used. The objective of the data reconciliation is to take advantage of information redundancy on a system to make a cross-checking of real-time measurements. Using this information redundancy, a data reconciliation module allows to detect inconsistent measurements, measurement deviations and provides corrected values whether the initial measurements are valid, biased or invalid. A derived consequence is to better schedule the maintenance of sensors. A data reconciliation module, based on the measurements from the hydraulic network, has been recently developed and implemented in the SCP's supervisory system. The software has initially been used on a daily basis to check the measured flow on the main canal. It has then been adapted in order to run every 15 minutes on a distribution network including pipes, canals, and tanks. The paper presents first the theory of the Canal de Provence data reconciliation application. The basic model is an hydraulic network with a series of nodes corresponding to balance equations (inflows, outflows, and storage). Constrained data reconciliation is used in order to satisfy the non-negativity of the hydraulic variables and the mass balance relations. The results are corrected values for measured variables and proposed values for non-measured quantities. A statistical analysis of the results is performed. This analysis allows to evaluate the uncertainties attached to the estimated flows and volume values. It allows also to detect invalid measurements, drift of sensors and to decide which maintenance operations to perform. Secondly, field examples are presented: measured and re-estimated flow values with their standard deviations, detection of invalid sensors, performed maintenance operation. The data reconciliation is situated just after the measurement process and takes place in the decision process for diagnosis, identification and control

Icodextrin-induced peritonitis: Study of five cases and comparison with bacterial peritonitis

Icodextrin-induced peritonitis: Study of five cases and comparison with bacterial peritonitis.BackgroundAn epidemic of aseptic peritonitis related to the presence of peptidoglycan contaminant in some batches of icodextrin solution (Extraneal®, Baxter Healthcare Corporation) occurred in Europe in the first six months of 2002.MethodsBy case-control study we examined the clinical and biologic features of 5 patients with icodextrin-induced peritonitis (group AP) and compared them with 7 patients with bacterial peritonitis (group BP) recruited in our clinical center between January and June 2002.ResultsDiagnosis of icodextrin-induced peritonitis was confirmed in all cases by a positive reintroduction test with contaminated batches of icodextrin. No recurrence was observed on re-exposure to icodextrin free of peptidoglycan. Skin tests were positive with contaminated icodextrin in 2 of 5 patients, while they were negative with icodextrin solution free of peptidoglycan (<0.6ng/mL). During peritonitis, serum level of C-reactive protein (CRP) was lower in group AP (42.4 ± 34mg/L) than in group BP (135 ± 59mg/L) (P = 0.01). Leukocyte number in peritoneal dialysis effluent was lower in group AP (284 ± 101/mm3), with a lower neutrophil/monocyte ratio (N/M = 0.67) than in group BP (1410 ± 973/mm3; N/M = 4) (P < 0.05). A low number of peritoneal fluid eosinophilia (11 ± 8%) was detected in group AP.ConclusionIcodextrin-induced peritonitis was associated with a burst of intraperitoneal cytokines. The phenotype of peritoneal neutrophils was different between aseptic and bacterial peritonitis, indicating that inflammatory stimuli that activate neutrophils in both types of peritonitis are clearly distinct. Finally, peritoneal injury measured by weight gain, peritoneal permeability, and CA125 concentration seemed to be less severe during icodextrin-induced peritonitis than during bacterial peritonitis

Le circuit du thermomètre au C.H.U. de Caen (évaluation du risque infectieux)

CAEN-BU Médecine pharmacie (141182102) / SudocLYON1-BU Santé (693882101) / SudocSudocFranceF

Regiospecificity in Ligand-Free Pd-Catalyzed C–H Arylation of Indoles: LiHMDS as Base and Transient Directing Group

International audienceA highly efficient catalyst-base pair for the C-H arylation of free (NH)-indoles in the C-3 position is reported. Ligand-free palladium acetate coupled with lithium hexamethyldisilazide (LiHMDS) catalyzed the regiospecific, i.e. 100% regioselective, C-3 arylation of indoles with high turnover numbers. This catalytic system has been successfully applied to a wide range of substrates including various functional aryl halides and indolic cores. The unique role of LiHMDS as both a base and unexpected transient directing group has been revealed experimentally and elucidated computationally, in line with a Heck-type insertion-elimination mechanism

Rapid induction of apoptosis in human myeloid leukemic cells as a result of sonochemical effects generated by low energy ultrasonics: A promising tool

SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Extracorporeal membrane oxygenation (ECMO) in ICU patients suffering from cardiogenic shock, refactory hypoxemia or cardiac arrest

peer reviewe

ExtraCorporeal Membrane Oxygenation (EC MO) in ICU patients suffering from cardiogenic shock, refractory

peer reviewedExtraCorporeal Membrane Oxygenation (ECMO) is a cardiopulmonary assistance device able to support patients in cardiac arrest, refractory cardiogenic shock or refractory hypoxemia otherwise sentenced to death. Recent technical progresses, early indication decision, bedside multidisciplinary implant, specific complications screening and echocardiographic weaning testing are crucial points to allow success of this exceptional technique

Ultrasonic low-energy treatment: a novel approach to induce apoptosis in human leukemic cells.

OBJECTIVE: We evaluated the cytotoxic effect of ultrasonic irradiation at low energy on the viability of normal and leukemic cells and the potential mechanisms of action inducing this cytotoxicity. MATERIALS AND METHODS: Human leukemia cell lines (K562, HL-60, KG1a, and Nalm-6), primary leukemic cells, and normal mononuclear cells are treated by ultrasound at a frequency of 1.8 MHz during various exposure times (acoustical power of 7 mW/mL) and immediately tested for cell viability by the trypan blue exclusion assay. Apoptosis is evaluated by cell morphology, phosphatidylserine exposure, and DNA fragmentation. The mitochondrial potential, glutathione content, caspase-3 activation, PARP cleavage, and bcl-2/bax ratio are tested by flow cytometry. Cloning efficiency is evaluated by assays in methylcellulose. RESULTS: The technique we describe here, using minute amounts of energy and in the absence of any chemical synergy, specifically triggers apoptosis in leukemic cells while necrosis is significantly reduced. Ultrasonic treatment of 20 seconds' duration induces a series of successive phases showing the characteristic features of apoptosis: mitochondrial transmembrane potential disturbances, loss of phosphatidylserine asymmetry, morphological changes, and, finally, DNA fragmentation. In contrast to K562 cells, for which a significant reduction of cloning efficiency is observed, the growth of hematopoietic progenitors is totally unaffected. Ultrasound treatment is also associated with depletion of cellular glutathione content, suggesting a link with the oxidative stress. Moreover, the fact that active oxygen scavengers reduce ultrasonic-induced apoptosis suggests a sonochemical mechanism. CONCLUSION: The cell damage observed after exposure of leukemic cells to ultrasound is associated with the apoptotic process and may be a promising tool for a smooth, specific, and effective ex vivo purging of leukemic cells.Journal ArticleSCOPUS: ar.jinfo:eu-repo/semantics/publishe

A New Score to Predict the Resectability of Pancreatic Adenocarcinoma: The BACAP Score

International audienceSurgery remains the only curative treatment for pancreatic ductal adenocarcinoma (PDAC). Therefore, a predictive score for resectability on diagnosis is needed. A total of 814 patients were included between 2014 and 2017 from 15 centers included in the BACAP (the national Anatomo-Clinical Database on Pancreatic Adenocarcinoma) prospective cohort. Three groups were defined: resectable (Res), locally advanced (LA), and metastatic (Met). Variables were analyzed and a predictive score was devised. Of the 814 patients included, 703 could be evaluated: 164 Res, 266 LA, and 273 Met. The median ages of the patients were 69, 71, and 69, respectively. The median survival times were 21, 15, and nine months, respectively. Six criteria were significantly associated with a lower probability of resectability in multivariate analysis: venous/arterial thrombosis (p = 0.017), performance status 1 (p = 0.032) or ≥ 2 (p = 0.010), pain (p = 0.003), weight loss ≥ 8% (p = 0.019), topography of the tumor (body/tail) (p = 0.005), and maximal tumor size 20–33 mm (p 33 mm (p < 0.001). The BACAP score was devised using these criteria with an accuracy of 81.17% and an area under the receive operating characteristic (ROC) curve of 0.82 (95% confidence interval (CI): 0.78; 0.86). The presence of pejorative criteria or a BACAP score < 50% indicates that further investigations and even neoadjuvant treatment might be warranted. Trial registration: NCT02818829