L’endocardite à Bartonella en Tunisie: Particularités lésionnelles et évolutives

L'endocardite à Bartonalla est une infection ubiquitaire, son diagnostic est difficile vu qu'il s'agit souvent d'endocardite à hémoculture négative. Lebut de cette étude est d'analyser les particularités lésionnelles et  évolutives de cette entité dans un pays du nord d'Afrique, la Tunisie et dedémontrer la gravité de cette infection. Nous avons étudié  rétrospectivement les dossiers médicaux de 20 patients atteints  d'endocardite à Bartonella, confirmée selon les critères de Dukes modifiés. L'âge moyen de nos patients était 37 ans avec une prédominance  masculine (SR=3). Tous nos malades avaient un niveau socio-économique bas. Le motif essentiel de consultation était la dyspnée, 6 patients étaient admis dans un tableau d'insuffisance cardiaque congestive. Une  prédilection des lésions au niveau de la valve aortique a été notée (14 cas). Quatorze patients avaient des végétations endocarditiques avec une taille qui dépasse 10 mm chez 8 malades. La majorité des patients (18 patients) présentaient une régurgitation valvulaire massive en rapport principalement avec des mutilations importantes (6 cas de ruptures de cordages mitraux, 2 cas de déchirures des sigmoïdes aortiques, un cas de perforation valvulaire aortique, un cas de désinsertion de prothèse  mitrale). Quinze malades (3/4) avaient nécessité une chirurgie à la phase active de la maladie, l'indication majeure était l'insuffisance cardiaque. Une complication neurologique était notée chez 2 malades et une  complication rénale chez 3 malades. Treize patients étaient guéris, 5 malades étaient décédés et 2 malades opérés ont présenté une  réinfection à staphylococcus aureus et à candida albicans en  postopératoire. L'endocardite à Bartonella est une infection grave. Cette Bactérie possède un potentiel destructif important. Le recours à la chirurgie est quasi constant. La morbi-mortalité est élevée. La recherche de cette bactérie devrait être alors systématique chez nos malades suspects d'endocardite d'autant plus que la bartonellose est endémique sur nos terres

West Nile virus meningoencephalitis during pregnancy: Case report with MR imaging findings

AbstractMR imaging findings of West Nile virus meningoencephalitis during pregnancy are unknown. We report the first case of serologically proved West Nile virus meningoencephalitis complicating pregnancy with MRI findings. MR imaging of the brain revealed abnormal hyperintensity in the periventricular white matter near the left frontal horn and insular left lobe on fluid-attenuated inversion recovery and T2-weighted images. Evolution was favorable, and no obvious fetal consequences of infection were noted after birth. Recognition of the MR imaging appearance of this entity is important because of the expanding epidemic

Chemical composition, antibacterial and antioxidant activities of essential oils from flowers, leaves and aerial parts of Tunisian Dittrichia Viscosa

The objective of this work was to determine the chemical composition, the antioxidant and antibacterial activities of the essential oils (EOs) extracted by hydrodistillation from different organs of the D. viscosa: flowers, leaves and aerial parts. The main compounds identified by GC/MS are oxygenated sesquiterpenes. Among these compounds, (E)-nerolidol (40.7%) is the most abundant constituent of flowers’ essential oil while caryophyllene oxide (9.9%), isolongifolan-7-α-ol (10.3%) and α -eudesmol (9.1%) are the major constituents of the leaves’ essential oil. The presence of these compounds in the aerial parts’ essential oil is solely due to those of the flowers and leaves that constitute these aerial parts. The volatile extracts showed antioxidant effects with IC50 values ranging between 9.25 and 9.75 mg.mL−1. On the other hand, EOs showed antibacterial effects on both Gram-positive and Gram-negative bacteria. The highest activity was obtained with flowers’ essential oil against Enterococcus faecalis and Escherichia coli

Isokinetic muscle strengthening after acquired cerebral damage: A literature review

AbstractObjectiveIsokinetic strengthening is a rehabilitation technique rarely used in stroke patients. However, the potential benefits of force and endurance training in this population are strongly suspected.MethodThis literature review synthesizes the results of clinical trials on this topic. The research was conducted on PubMed, using “Stroke”, “rehabilitation”, “isokinetic”, “upper limb” and “training” as keywords.ResultsSeventeen studies focusing on the use of isokinetics in assessment or rehabilitation (six studies) following stroke were reviewed. For the lower limb, muscle strength and walking ability improved after isokinetic rehabilitation programs. For the upper limb, the only two studies found in the literature suggest improvement in the strength of the trained muscles, of grip force, of the Fugl-Meyer motor score and of global functional capacities. This review does not reveal any consensus on the protocols to be implemented: type of muscle contraction, velocities….ConclusionWhile isokinetic strengthening has not proven its efficiency in rehabilitation of the upper limb following stroke, its interest with regard to rehabilitation of the lower limbs has been recognized. Randomized controlled trials in this field are necessary to confirm its efficiency, especially concerning upper arm rehabilitation

Low-temperature rate constants for rotational excitation and de-excitation of C3 (X 1∑g +) by collisions with He (1S)

The low-temperature rotational (de-) excitation of C3 (X 1∑g 1) by collisions with He (1S) is studied using an ab initio potential energy surface (PES). This PES has been calculated using the single- and double-excitation coupled-cluster approach with noniterative perturbational treatment of triple excitations [CCSD(T)] and the augmented correlation-consistent triple-ζ basis set (aug-cc-pVTZ) with bond functions. This PES is then incorporated in full close-coupling quantum scattering calculations for collision energies between 0.1 and 50 cm -1 in order to deduce the rate constants for rotational levels of C3 up to j = 10, covering the temperature range 5-15 K. © 2008. The American Astronomical Society. All rights reserved.The Agencia Española de Cooperación Internacional (project A/8083/07, CSIC-Université Tunis El Manar) and the Spanish Ministerio de Educación y Ciencia (project AYA 2005-00702) are thanked for financial supportPeer Reviewe

Oil quality and aroma composition of 'Chemlali' olive trees (Olea europaea L.) under three irrigation regimes

The present work focused on the chemical composition of monovarietal virgin olive oil from the cultivar Chemlali cultivated in the South of Tunisia: sub-arid zone under three different irrigation regimes: stressed, moderate and well irrigation treatment with the restitution of 50, 75 and 100% of crop evapotranspiration (ETc), respectively. Quality characteristics (acidity and peroxide value) and chemical data (antioxidant compound, fatty acids volatile compounds and oxidative stability) were studied in addition to the pomological characteristic of olive fruit. Results show that there were significant differences observed in oil composition according to the irrigation regime applied. Total phenols, bitterness intensity and LOX products content showed the highest values for low irrigation regime, whereas polyunsaturated fatty acid and oxidative susceptibility values had highest values for olive oil from well irrigated trees. Analytic characteristic of fruits showed the highest values of pulp/stone ratios from olive trees irrigated by the highest amount of wate

Localisation automatique de champs de saisie sur des images de formulaires couleur par isomorphisme de sous-graphe

International audienceThis paper presents an approach for spotting textual fields in colored forms. We proceed by locating these fields thanks to their neighboring context which is modeled with a structural representation. First, informative zones are extracted. Second, forms are represented by graphs in which nodes represent colored rectangles while edges represent neighboring links. Finally, the context of the queried region of interest is modeled as a graph. Subgraph isomorphism is applied in order to locate this ROI in the structural representation of a whole document. Evaluated on a 130-document image dataset, experimental results show up that our approach is efficient and that the requested information is found even if its position is changed.Cet article présente une approche permettant la localisation de champs de saisie sur des images couleur de formulaires. Ces champs sont localisés grâce à une modélisation structurelle représentant leur contexte. Dans un premier temps, les zones informatives sont ex-traites. Les formulaires sont ensuite représentés par des graphes au sein desquels les noeuds représentent des rectangles de couleur uniforme tandis que les arcs modélisent les relations de voisinage. Finalement, le voisinage de la région d'intérêt à localiser est également représenté par un graphe. Une recherche d'isomorphisme de sous graphe vise à localiser le graphe modélisant le voisinage de la région d'intérêt au sein de la représentation structurelle du document cible. Une expérimentation est réalisée sur une base de 130 images de document. Les résultats montrent l'efficacité de la méthode même si la position de la région d'intérêt est variable

Developmental variations in plasma leptin, leptin soluble receptor and their molar ratio in healthy infants

<p>Abstract</p> <p>Background</p> <p>Leptin and its soluble receptor (sOB-R) are important to regulation of body composition but there are no data on the developmental variations in these plasma variables and their relationship with body composition measurements,</p> <p>Methods</p> <p>Weight, length, and body composition (bone, fat and lean mass) by dual energy absorptiometry, and plasma variables were measured in healthy infants at 2, 4, 8 and 12 months.</p> <p>Results</p> <p>15 whites and 29 African Americans (21 males and 23 females) with mean birth weight 3357 +/- 45 (SEM) g and gestation of 39.3 +/- 0.17 weeks were studied. The overall Z score for weight, length and weight for length during the study were 0.00 +/- 0.15, -0.08 +/- 0.11 and 0.12 +/- 0.14 respectively. With increasing age, plasma leptin (1.0 to 18.2, median 5.5 ng/mL) and sOB-R:leptin molar ratio (10.1 to 247.4, median 59.9) were lowered (r = -0.47, p < 0.01; and r = -0.37, p < 0.05 respectively), best predicted by weight Z score and percentage of fat mass, and higher in African American and female. Presence of body composition measurements eliminated the race and gender effect on the plasma variables. Plasma sOB-R (49.5 to 173.9, median 81.3 ng/mL) did not change significantly with age and was correlated and predicted only by body composition measurements.</p> <p>Conclusion</p> <p>In healthy growing infants, plasma leptin but not sOB-R decreases with age. Gender, race and anthropometric measurements are additional physiological determinants predictive of plasma leptin and the receptor:ligand ratio. However, body composition is the only variable that can predict plasma leptin and its soluble receptor and the receptor: ligand ratio; and body composition measurements eliminated the race and gender effect on these plasma variables.</p