La production scientifique issue de la formation initiale à la faculté de médecine d’Angers entre 2002 et 2008 : de bonne qualité mais insuffisante

IntroductionL’activité de publication scientifique issue de la formation initiale est mal connue. Nous avons évalué la proportion des thèses et des mémoires de spécialité aboutissant à une publication, leur impact en termes de points SIGAPS et les principaux obstacles à la publication de ces travaux. Méthodes Les thèses de doctorat en médecine soutenues de 2002 à 2008 à la faculté de médecine d’Angers ont été recensées à partir du système universitaire de documentation (SUDOC), et les mémoires de spécialité directement auprès des diplômés. Les publications ont été recherchées dans Medline via Pubmed, ISI Web of Knowledge et dans les trois rapports SIGAPS de 2002 à 2008. Une enquête cherchant à connaître les obstacles à la publication a été lancée auprès de tous les directeurs de thèses et responsables de discipline impliqués. Résultats Cinq cent quatre-vingt-dix-huit thèses ont été soutenues, 311 (52 %) en médecine générale et 287 (48 %) en spécialités. Cent soixante-cinq thèses ont donné lieu à publication (28 %) dont 97 (16 %) indexés dans Medline via Pubmed (soit 11 % en médecine générale et 22 % en spécialité). Trente-trois de ces 97 articles (35 %) ont été publiés dans des journaux de haute qualité classés A, B ou C de la classification SIGAPS. Ces articles issus des thèses ont représenté 4,17 % du score SIGAPS du CHU calculé sur un total de 2088 articles au cours de cette période. Deux cent quatre mémoires de spécialités ont donné lieu à 69 articles (33,8 %), dont 50 (24,5 %) indexés dans Medline. Les taux de publication des mémoires de DES et de DESC ont été respectivement de 31 % (45/145) et de 40,7 % (24/59). Ils ont représenté 1,9 % (432 points) du score total SIGAPS. Les principaux obstacles ressentis pour la publication ont été le manque de temps des directeurs, l’éloignement des étudiants après la soutenance et le manque de moyens logistiques. Conclusion La production scientifique issue de la formation initiale à la faculté de médecine d’Angers a été de bonne qualité mais insuffisante quantitativement et peu contributive au financement du CHU malgré un nombre important de diplômés. Un soutien logistique mérite d’être envisagé afin de valoriser la production scientifique issue de la formation initiale

Continuous non-perturbative regularization of QED

We regularize in a continuous manner the path integral of QED by construction of a non-local version of its action by means of a regularized form of Dirac's $\delta$ functions. Since the action and the measure are both invariant under the gauge group, this regularization scheme is intrinsically non-perturbative. Despite the fact that the non-local action converges formally to the local one as the cutoff goes to infinity, the regularized theory keeps trace of the non-locality through the appearance of a quadratic divergence in the transverse part of the polarization operator. This term which is uniquely defined by the choice of the cutoff functions can be removed by a redefinition of the regularized action. We notice that as for chiral fermions on the lattice, there is an obstruction to construct a continuous and non ambiguous regularization in four dimensions. With the help of the regularized equations of motion, we calculate the one particle irreducible functions which are known to be divergent by naive power counting at the one loop order.Comment: 23 pages, LaTeX, 5 Encapsulated Postscript figures. Improved and revised version, to appear in Phys. Rev.

Trends in Metal Oxide Stability for Nanorods, Nanotubes, and Surfaces

The formation energies of nanostructures play an important role in determining their properties, including the catalytic activity. For the case of 15 different rutile and 8 different perovskite metal oxides, we find that the density functional theory (DFT) calculated formation energies of (2,2) nanorods, (3,3) nanotubes, and the (110) and (100) surfaces may be described semi-quantitatively by the fraction of metal--oxygen bonds broken and the bonding band centers in the bulk metal oxide

Effects of sildenafil on maximum walking time in patients with arterial claudication: The ARTERIOFIL study

BACKGROUND: Patients with lower extremity peripheral artery disease (PAD) frequently experience claudication, a clinical symptom indicative of reduced walking capacity. Recommended care consists of exercise rehabilitation combined with optimal medical treatment and surgery. The effects of a single oral dose of sildenafil, a phosphodiesterase type-5 inhibitor, on patients with claudication are discussed. The aim of this study was to test the efficacy of a single 100 mg dose of sildenafil compared to placebo in terms of maximal walking time (MWT) in patients with claudication. METHODS: The ARTERIOFIL study is a crossover, double-blind, prospective, randomized, single-center study conducted at Angers University Hospital in France. MWT (primary endpoint) was assessed using a treadmill test (10% incline; 3.2 km/h). Secondary endpoints (pain-free walking time (PFWT), transcutaneous oximetry during exercise and redox cycle parameters and safety) were also studied. RESULTS: Fourteen patients were included of whom two were ultimately excluded. In the 12 remaining patients, the MWT was significantly improved during the sildenafil period compared with the placebo period (300 s [95% CI 172 s-428 s] vs 402 s [95% CI 274 s-529 s] p < 0.01). Sildenafil had no significant effect on pain-free walking time or skin tissue oxygenation during exercise. According to redox cycle parameters, sildenafil significantly reduced blood glucose and pyruvate levels and the 3-hydroxybutyrate/acetoacetate ratio, while there was no significant effect on lactate, 3-hydroxybutyrate, acetoacetate and free fatty acid levels. Symptomatic transient hypotension was observed in two women. CONCLUSIONS: The ARTERIOFIL study has shown that a single 100 mg oral dose of sildenafil had a significant effect on increase in MWT but had no significant effects on PFWT and oxygenation parameters in patients with claudication. A double-blind, prospective, randomized, multicenter study (VIRTUOSE©) is ongoing to evaluate the chronic effect of six month-long sildenafil treatment on MWT in PAD patients with claudication. CLINICAL TRIAL REGISTRATION: This clinical trial was registered at clinicaltrials.gov, registration. number: NCT02832570, (https://clinicaltrials.gov/ct2/show/NCT02832570)

The exceptionally powerful TeV gamma-ray emitters in the Large Magellanic Cloud

The Large Magellanic Cloud, a satellite galaxy of the Milky Way, has been observed with the High Energy Stereoscopic System (H.E.S.S.) above an energy of 100 billion electron volts for a deep exposure of 210 hours. Three sources of different types were detected: the pulsar wind nebula of the most energetic pulsar known N 157B, the radio-loud supernova remnant N 132D and the largest non-thermal X-ray shell - the superbubble 30 Dor C. The unique object SN 1987A is, surprisingly, not detected, which constrains the theoretical framework of particle acceleration in very young supernova remnants. These detections reveal the most energetic tip of a gamma-ray source population in an external galaxy, and provide via 30 Dor C the unambiguous detection of gamma-ray emission from a superbubble.Comment: Published in Science Magazine (Jan. 23, 2015). This ArXiv version has the supplementary online material incorporated as an appendix to the main pape

Mechanochemical modeling of dynamic microtubule growth involving sheet-to-tube transition

Microtubule dynamics is largely influenced by nucleotide hydrolysis and the resultant tubulin configuration changes. The GTP cap model has been proposed to interpret the stabilizing mechanism of microtubule growth from the view of hydrolysis effects. Besides, the microtubule growth involves the closure of a curved sheet at its growing end. The curvature conversion also helps to stabilize the successive growth, and the curved sheet is referred to as the conformational cap. However, there still lacks theoretical investigation on the mechanical-chemical coupling growth process of microtubules. In this paper, we study the growth mechanisms of microtubules by using a coarse-grained molecular method. Firstly, the closure process involving a sheet-to-tube transition is simulated. The results verify the stabilizing effect of the sheet structure, and the minimum conformational cap length that can stabilize the growth is demonstrated to be two dimers. Then, we show that the conformational cap can function independently of the GTP cap, signifying the pivotal role of mechanical factors. Furthermore, based on our theoretical results, we describe a Tetris-like growth style of microtubules: the stochastic tubulin assembly is regulated by energy and harmonized with the seam zipping such that the sheet keeps a practically constant length during growth.Comment: 23 pages, 7 figures. 2 supporting movies have not been uploaded due to the file type restriction

A Functional Integral Equation for the Complete Effective Action in Quantum Field Theory

Based on a methodological analysis of the effective action approach certain conceptual foundations of quantum field theory are reconsidered to establish a quest for an equation for the effective action. Relying on the functional integral formulation of Lagrangian quantum field theory a functional integral equation for the complete effective action is proposed which can be understood as a certain fixed point condition. This is motivated by a critical attitude towards the distinction artificial from an experimental point of view between classical and effective action. While for free field theories nothing new is accomplished, for interacting theories the concept differs from the established paradigm. The analysis of this new concept is concentrated on gauge field theories treating QED as the prototype model. An approximative approach to the functional integral equation for the complete effective action of QED is exploited to obtain certain nonperturbative information about the quadratic kernels of the action. As particular application the approximative calculation of the QED coupling constant $\alpha$ is explicitly studied. It is understood as one of the characteristics of a fixed point given as a solution of the functional integral equation proposed. Finally, within the present approach the vacuum energy problem is considered and possible implications on the induced gravity concept are contemplated.Comment: 88 pages, LATEX, 9 figures (not included, available from the author upon request via conventional mail), University of Leipzig preprint NTZ 16/199

Tubulin isoform composition tunes microtubule dynamics

Microtubules polymerize and depolymerize stochastically, a behavior essential for cell division, motility and differentiation. While many studies advanced our understanding of how microtubule-associated proteins tune microtubule dynamics in trans, we have yet to understand how tubulin genetic diversity regulates microtubule functions. The majority of in vitro dynamics studies are performed with tubulin purified from brain tissue. This preparation is not representative of tubulin found in many cell types. Here we report the 4.2Å cryo-EM structure and in vitro dynamics parameters of α1B/βI+βIVb microtubules assembled from tubulin purified from a human embryonic kidney cell line with isoform composition characteristic of fibroblasts and many immortalized cell lines. We find that these microtubules grow faster and transition to depolymerization less frequently compared to brain microtubules. Cryo-EM reveals that the dynamic ends of α1B/βI+βIVb microtubules are less tapered and that these tubulin heterodimers display lower curvatures. Interestingly, analysis of EB1 distributions at dynamic ends suggests no differences in GTP cap sizes. Lastly, we show that the addition of recombinant α1A/βIII tubulin, a neuronal isotype overexpressed in many tumors, proportionally tunes the dynamics of α1B/βI+βIVb microtubules. Our study is an important step towards understanding how tubulin isoform composition tunes microtubule dynamics