Postendovascular thoracic aortic repair subclavian steal syndrome revealed by severe headache

AbstractSubclavian steal syndrome (SCSS) has been known since 1960 in the medical literature. Its principal cause is atherosclerosis responsible of occlusion of the subclavian artery (SCA). It is the pathological process in which blood flows in reverse direction from the vertebral artery (VA) to the SCA. Usually asymptomatic, but a variety of symptoms may develop involving the vertebro-basilar and/or the carotid territories and may be precipitated by exercise of the upper extremity. In some circumstances it can be iatrogenic complicating the course of a thoracic endovascular aortic repair (TEVAR) when the left SCA is covered by the endoprosthesis, which is a necessity many times giving the frequent proximity of the acute thoracic pathologies to the origin of this vessel.We present a case of severe headache occurring after a TEVAR with intentional coverage of the origin of the left SCA. This headache was the only symptom from which the patient complained, and which disappeared immediately after carotid-SCA bypass. Other devastating complications can happen, which gave as a concern about the management of SCA when decision to practice a TEVAR is taken

Association of anthropometric qualities with vertical jump performance in elite male volleyball players

Aim: The objective of this study was to examine the association between physical and anthropometric profiles and vertical jump performance in elite volleyball players. Methods: Thirty-three elite male volleyball players (21±1 y, 76.9±5.2 kg, 186.5±5 cm) were studied. Several anthropometric measurements (body mass, stature, body mass index, lower limb length and sitting height) together with jumping height anaerobic power of counter movement jump with arm swing (CMJ arm)) were obtained from all subjects. Forward stepwise multiple linear regression analysis was performed to determine if any of the anthropometric parameters were predictive of CMJ arm. Results: Anaerobic power was significantly higher (P≤0.05) in the tallest players relative to their shorter counterparts. A significant relationship was observed between CMJ arm and lower limb length (r 2=0.69; P<0.001) and between the lower limb length and anaerobic power obtained with CM-J arm(r 2=0.57; P<0.01). While significantly correlated (P≤0.05) with CMJ arm performance, stature, lower limb length/stature and sitting height/stature ratios were not significant (P>0.05) predictors of CMJ arm performance. Conclusion. This study demonstrates that lower limb length is correlated with CMJ arm in elite male volleyball players. The players with longer lower limbs have the better vertical jump performances and their anaerobic power is higher. These results could be of importance for trained athletes in sports relying on jumping performance, such as basketball, handball or volleyball. Thus, the measurement of anthropometric characteristics, such as stature and lower limb length may assist coaches in the early phases of talent identification in volleyball

Cardiovascular Deconditioning and Venous Air Embolism in Simulated Microgravity in the Rat

Astronauts conducting extravehicular activities undergo decompression to a lower ambient pressure, potentially resulting in gas bubble formation within the tissues and venous circulation. Additionally, exposure to microgravity produces fluid shifts within the body leading to cardiovascular deconditioning. A lower incidence of decompression illness in actual spaceflight compared with that in ground-based altitude chamber flights suggests that there is a possible interaction between microgravity exposure and decompression illness. The purpose of this study was to evaluate the cardiovascular and pulmonary effects of simulated hypobaric decompression stress using a tail suspension (head-down tilt) model of microgravity to produce the fluid shifts associated with weightlessness in conscious, chronically instrumented rats. Venous bubble formation resulting from altitude decompression illness was simulated by a 3-h intravenous air infusion. Cardiovascular deconditioning was simulated by 96 h of head-down tilt. Heart rate, mean arterial blood pressure, central venous pressure, left ventricular wall thickening and cardiac output were continuously recorded. Lung studies were performed to evaluate edema formation and compliance measurement. Blood and pleural fluid were examined for changes in white cell counts and protein concentration. Our data demonstrated that in tail-suspended rats subjected to venous air infusions, there was a reduction in pulmonary edema formation and less of a decrease in cardiac output than occurred following venous air infusion alone. Mean arterial blood pressure and myocardial wall thickening fractions were unchanged with either tail-suspension or venous air infusion. Heart rate decreased in both conditions while systemic vascular resistance increased. These differences may be due in part to a change or redistribution of pulmonary blood flow or to a diminished cellular response to the microvascular insult of the venous air embolization

Cardiopulmonary Changes with Moderate Decompression in Rats

Sprague-Dawley rats were compressed to 616 kPa for 120 min then decompressed at 38 kPa/min to assess the cardiovascular and pulmonary responses to moderate decompression stress. In one series of experiments the rats were chronically instrumented with Doppler ultrasonic probes for simultaneous measurement of blood pressure, cardiac output, heart rate, left and right ventricular wall thickening fraction, and venous bubble detection. Data were collected at base-line, throughout the compression/decompression protocol, and for 120 min post decompression. In a second series of experiments the pulmonary responses to the decompression protocol were evaluated in non-instrumented rats. Analyses included blood gases, pleural and bronchoalveolar lavage (BAL) protein and hemoglobin concentration, pulmonary edema, BAL and lung tissue phospholipids, lung compliance, and cell counts. Venous bubbles were directly observed in 90% of the rats where immediate post-decompression autopsy was performed and in 37% using implanted Doppler monitors. Cardiac output, stroke volume, and right ventricular wall thickening fractions were significantly decreased post decompression, whereas systemic vascular resistance was increased suggesting a decrease in venous return. BAL Hb and total protein levels were increased 0 and 60 min post decompression, pleural and plasma levels were unchanged. BAL white blood cells and neutrophil percentages were increased 0 and 60 min post decompression and pulmonary edema was detected. Venous bubbles produced with moderate decompression profiles give detectable cardiovascular and pulmonary responses in the rat

Les carcinomes adénoïdes kystiques de la parotide a propos de 3 cas

Les carcinomes adénoïdes kystiques (CAK) représentent 2 à 4% des tumeurs de la parotide et 12% des tumeurs malignes. Ce sont des tumeurs à croissance lente qui sont caractérisées par leur capacité à infiltrer les gaines nerveuses. Les auteurs rapportent trois cas de CAK de la glande parotide diagnostiqués et traités entre l’année 2000 et 2007. Il s’agissait de 2 hommes et une femme qui ont consulté devant l’apparition d’une tuméfaction de la loge parotidienne associée à une paralysie faciale dans un cas. Les aires ganglionnaires étaient libres. Tous les patients ont bénéficié d’une exploration comportant une échographie, une TDM dans un cas et une IRM chez un patient. Le traitement a consisté en une parotidectomie totale associée à un curage ganglionnaire dans tous les cas et à une radiothérapie complémentaire. L’évolution a été favorable dans deux cas. Le carcinome adénoïde kystique de la parotide est une tumeur rare, caractérisée par une évolution très lente, une agressivité locale, un caractère fortement récidivant localement et un haut pouvoir métastatique à distance.Mots-clés : Carcinome adénoïde kystique, glande parotide, chirurgie, radiothérapie

Effects of high-intensity interval training and plyometric exercise on the physical fitness of junior male handball players

OBJECTIVE This study analyzed the effects of high intensity interval training (HIIT) combined with plyometric exercise on the physical fitness of junior male handball players. PATIENTS AND METHODS Subjects (age ~17 years) were randomly divided between experimental (n=17) and control (n=15) groups. During the 8-week intervention, the experimental group replaced a part of their regular regimen by HIIT, combined with plyometric exercise. Assessments in both groups before and after the intervention included: squat jump (SJ), countermovement jump (CMJ), sprint performance (5 m, 10 m, 20 m and 30 m), change of direction tests (Illinois modified test [Illinois-MT] and T-half test), 20-m shuttle run, and repeated sprint T-test. RESULTS The two-way analyses of variance revealed significant group-time interactions (all p<0.05), favoring the intervention group in 5 m, 10 m, 20 m and 30 m sprint (d=0.33, 8.3%; d=0.52, 7.6%; d=0.57, 6.8%; and d=0.58, 8.8%, respectively), T-half (d=0.25, 5.1%), Illinois-MT (d=0.47, 4.2%), SJ and CMJ (d=0.34-0.39, 34-4-34.9%), repeated sprint T-test best time, mean time and total time (d=0.83, 6.9%; d=0.62, 7.4%; and d=0.61, 7.2%, respectively), 20 meter shuttle run test aerobic maximum speed and predicted maximal oxygen intake (d=0.36, 7.5%; d=0.19, 9.4%, respectively). CONCLUSIONS HIIT combined with plyometrics can aid in the development of physical fitness abilities, which are extremely important to junior male handball players

Zigzag-shaped nickel nanowires via organometallic template-free route

In this manuscript, the formation of nickel nanowires (average size: several tens to hundreds of μm long and 1.0-1.5 μm wide) at low temperature is found to be driven by dewetting of liquid organometallic precursors during spin coating process and by self-assembly of Ni clusters. Elaboration of metallic thin films by low temperature deposition technique makes the preparation process compatible with most of the substrates. The use of iron and cobalt precursor shows that the process could be extended to other metallic systems. In this work, AFM and SEM are used to follow the assembly of Ni clusters into straight or zigzag lines. The formation of zigzag structure is specific to the Ni precursor at appropriate preparation parameters. This template free process allows a control of anisotropic structures with homogeneous sizes and angles on standard Si/SiO2 surface

Effects of plyometric and short sprint with change-of-direction training in male U17 soccer players

This project investigated the effect of adding 8 weeks of bi-weekly plyometric and short sprint with change-of-direction (PSSCoD) training into standard training for elite youth soccer players from Tunisia. A training group (n = 18; age: 16.6 ± 0.5 years; body mass: 63.2 ± 4.8 kg; stature: 1.73 ± 0.07 m; body fat: 11.2 ± 1.7%), and control group (n = 16; age: 16.6 ± 0.5 years; body mass: 63.6 ± 4.3 kg; height: 1.73 ± 0.06 m; body fat: 11.6 ± 1.5%) participated. The pre- and post-intervention measures were squat-jump (SJ), countermovement jump (CMJ), standing long jump (SLJ), 5 m and 20 m sprint, change-of-direction ability (4 × 5 m sprint test (S 4 × 5 m)), repeated sprint ability (RSA), and static balance (stork balance test). The training group displayed superior jump (all p &lt; 0.05; d &gt; 0.49), sprint (p &lt; 0.05; d &gt; 0.52), change-of-direction ability (p &lt; 0.01; d = 0.78), RSA (p &lt; 0.01; d &gt; 0.70), and static balance (p &lt; 0.05; d &gt; 0.49) improvements. Adding bi-weekly PSSCoD improves the athletic performance of young soccer players

A CENP-S/X complex assembles at the centromere in S and G2 phases of the human cell cycle

The functional identity of centromeres arises from a set of specific nucleoprotein particle subunits of the centromeric chromatin fibre. These include CENP-A and histone H3 nucleosomes and a novel nucleosome-like complex of CENPs -T,-W,-S and -X. Fluorescence cross-correlation spectroscopy and Forster resonance energy transfer (FRET) revealed that human CENP-S and -X exist principally in complex in soluble form and retain proximity when assembled at centromeres. Conditional labelling experiments show that they both assemble de novo during S phase and G2, increasing approximately three-to fourfold in abundance at centromeres. Fluorescence recovery after photobleaching (FRAP) measurements documented steady-state exchange between soluble and assembled pools, with CENP-X exchanging approximately 10 times faster than CENP-S (t(1/2) similar to 10 min versus 120 min). CENP-S binding to sites of DNA damage was quite distinct, with a FRAP half-time of approximately 160 s. Fluorescent two-hybrid analysis identified CENP-T as a uniquely strong CENP-S binding protein and this association was confirmed by FRET, revealing a centromere-bound complex containing CENP-S, CENP-X and CENP-T in proximity to histone H3 but not CENP-A. We propose that deposition of the CENP-T/W/S/X particle reveals a kinetochore-specific chromatin assembly pathway that functions to switch centromeric chromatin to a mitosis-competent state after DNA replication. Centromeres shuttle between CENP-A-rich, replication-competent and H3-CENP-T/W/S/X-rich mitosis-competent compositions in the cell cycle

Mild malformations of cortical development in sleep-related hypermotor epilepsy due to KCNT1 mutations

open14siMutations in the sodium-activated potassium channel gene KCNT1 have been associated with nonlesional sleep-related hypermotor epilepsy (SHE). We report the co-occurrence of mild malformation of cortical development (mMCD) and KCNT1 mutations in four patients with SHE. Focal cortical dysplasia type I was neuropathologically diagnosed after epilepsy surgery in three unrelated MRI-negative patients, periventricular nodular heterotopia was detected in one patient by MRI. Our findings suggest that KCNT1 epileptogenicity may result not only from dysregulated excitability by controlling Na+K+ transport, but also from mMCD. Therefore, pathogenic variants in KCNT1 may encompass both lesional and nonlesional epilepsies.openRubboli G.; Plazzi G.; Picard F.; Nobili L.; Hirsch E.; Chelly J.; Prayson R.A.; Boutonnat J.; Bramerio M.; Kahane P.; Dibbens L.M.; Gardella E.; Baulac S.; Moller R.S.Rubboli, G.; Plazzi, G.; Picard, F.; Nobili, L.; Hirsch, E.; Chelly, J.; Prayson, R. A.; Boutonnat, J.; Bramerio, M.; Kahane, P.; Dibbens, L. M.; Gardella, E.; Baulac, S.; Moller, R. S