Thrombose veineuse profonde : une thrombolyse est-elle efficace ? : revue cochrane pour le praticien

Scénario: Une patiente de 45 ans vous consulte car sa jambe droite est bleue, cyanosée, avec une tension dans le mollet depuis cinq jours, qui s'est étendue progressivement jusqu'au haut de la cuisse. La circonférence du mollet droit est 4 cm plus grande que celle du mollet gauche. La patiente est en surpoids (IMC à 35 kg/m2) et suit depuis quelques années un traitement oestro-progestatif. Elle n'a pas d'anamnèse familiale ou d'antécédent de maladie thromboembolique. Un ultrason montre une thrombose veineuse profonde (TVP) avec un thrombus s'étendant de la veine poplitée à la veine iliaque externe. Question: La patiente pourrait-elle bénéficier d'une thrombolyse? Contexte: Les complications de la TVP comprennent l'embolie pulmonaire et le syndrome post-thrombotique. Un syndrome post-thrombotique léger à modéré peut survenir chez 30-50% des patients malgré un traitement anticoagulant, qui prévient principalement l'embolie pulmonaire et la récidive de TVP. Cette mise à jour de revue systématique compare l'efficacité du traitement anticoagulant à celui combinant les anticoagulants et la thrombolyse (par streptokinase, urokinase ou activateur tissulaire du plasminogène)

Thrombolyse bei tiefer Venenthrombose? [Thrombolytic therapy in deep venous thrombosis?]

Sie sehen eine 45-jährige Patientin mit einem bläulich-zyanotischen rechten Bein. Vor fünf Tagen habe ein Spannungsschmerz in der Wade begonnen und sich zunehmend in den Oberschenkel hochgezogen. Die rechte Wade misst im Umfang 4 cm mehr als die linke. Die Anamnese ergibt keine familiäre oder persönliche Vorgeschichte einer thromboembolischen Erkrankung. Die Patientin ist übergewichtig ( BMI 35 kg/m2) und nimmt seit einigen Jahren eine Östrogen-Progesteron-Kombination. Der Ultraschall zeigt eine Thrombose der tiefen Beinvenen, die bis in die äussere Beckenvene reicht

Shifting sowing of camelina from spring to autumn enhances the oil quality for bio-based applications in response to temperature and seed carbon stock

Camelina [Camelina sativa (L.)Crantz]is an emerging oilseed crop that is attracting the interest of farmers in relation to its high environmental adaptability and low-input request. Camelina oil is an outstanding feedstock for the bio-based industry, since its unique composition allows multiple applications. Being spring camelina biotypes able to grow as both an autumn and spring crop in mild climates, and sowing date directly influences the temperature occurring during the seed filling stage, which likewise influences the final seed quality in terms of seed weight, oil and fatty acid (FA)content. A detailed study on the response of spring camelina to the effects of autumn and spring sowing is reported herein. The spring variety Midas was sown at six different sowing dates at the experimental farm of Bologna University (Italy)during two consecutive growing seasons (2015-16 and 2016-17). In parallel, three experiments were also carried out in a growth chamber with different ranges of temperatures during the seed filling period. Samplings of immature seeds over time, in both controlled environment and open field trials, allowed identification of a \u201ctime frame\u201d in which the main variations in FA kinetics occurred. A \u201ccritical period\u201d, from 350 to 540 growing degree day after the start of flowering (GDD-AF)was identified as that in which the closest relation between the final camelina FA composition and temperature, during the seed filling stage, occurred. The adoption of this empirical model permitted early evaluation (about 10 d before harvest)of the final camelina oil composition with relevant implications for the bio-based industry. Autumn sowing dates were associated with increased plant aboveground biomass, seed yield, seed oil content, seed weight (TKW), and content of linolenic and eicosenoic acid. Since eicosenoic acid is a valuable feedstock for the bio-based industry, growing spring camelina, as an autumn crop, in the Mediterranean region allows significantly increase the quantity of this infrequent FA

Relaxation of Vibrational Excitons in Molecular-Ionic Crystal s Measured by Picosecond Time-Resolved CARS

The decay times of the internal vibrations in K2S04, KCl04, NaN03 and CaC03 single crystals have been measured at different temperature s by picosecond time-resolved CARS. The low temperature experimental data and their temperature dependence are interpreted on the basis of an energy relaxation mechanism, involving two-phonon and higher order decay processes

FBQS J1644+2619: multiwavelength properties and its place in the class of gamma-ray emitting Narrow Line Seyfert 1s

A small fraction of Narrow Line Seyfert 1s (NLSy1s) are observed to be gamma-ray emitters. Understanding the properties of these sources is of interest since the majority of NLSy1s are very different from typical blazars. Here, we present a multi-frequency analysis of FBQS J1644+2619, one of the most recently discovered gamma-ray emitting NLSy1s. We analyse an ~80 ks XMM-Newton observation obtained in 2017, as well as quasi-simultaneous multi-wavelength observations covering the radio - gamma-ray range. The spectral energy distribution of the source is similar to the other gamma-ray NLSy1s, confirming its blazar-like nature. The X-ray spectrum is characterised by a hard photon index (Gamma = 1.66) above 2 keV and a soft excess at lower energies.The hard photon index provides clear evidence that inverse Compton emission from the jet dominates the spectrum, while the soft excess can be explained by a contribution from the underlying Seyfert emission. This contribution can be fitted by reflection of emission from the base of the jet, as well as by Comptonisation in a warm, optically thick corona. We discuss our results in the context of the other gamma-ray NLSy1s and note that the majority of them have similar X-ray spectra, with properties intermediate between blazars and radio-quiet NLSy1s.Comment: Accepted for publication in MNRA

Magnetodielectric coupling of a polar organic-inorganic hybrid Cr(II) phosphonate

Cr[(H(3)N-(CH(2))(2)-PO(3))(Cl)(H(2)O)] represents a rare example of a polar organic-inorganic hybrid material that exhibits a canted antiferromagnetic order below T(N)=5.5 K. The unusual coexistence of a polar crystal structure and magnetic order triggered our investigation of the magnetodielectric coupling. The coupling is evidenced by an anomaly in the temperature dependence of the dielectric constant epsilon below the Neel temperature. The magnetocapacitance is enhanced by one order of magnitude below T(N). The main characteristics of the magnetodielectic response are interpreted by Landau theoretical coupling terms

New insight on tomato seed priming with Anabaena minutissima phycobiliproteins in relation to Rhizoctonia solani root rot resistance and seedling growth promotion

Cyanobacteria phycobiliproteins (PBPs) are already exploited in the food industries and for biotechnological applications but not in the agricultural field. Different concentrations (0.6 - 4.8 mg/mL) of Anabaena minutissima PBPs were applied to tomato seed to study their priming effect against the soil-borne fungal pathogen Rhizoctonia solani and in promoting plant growth. PBPs increased seedling emergence and vigour, showed activity against root rot disease (67%), and enhanced plant dry weight, length, and height. Generally, no dose effect has been observed except for dry weight (55% at 4.8 mg/mL). Seed treatment primed seeds and seedlings by leading to the activation of defence responses raising phenol (26% in hypocotyls) and flavonoid (26 and 45% in hypocotyls and epicotyls, respectively) contents and chitinase (4-fold at 2.4 and 4.8 mg/mL in hypocotyls) and beta-1,3-D-glucanase (up to about 2-fold at all doses in epicotyls) activities. Micro-Attenuated Total Reflection Fourier Transform Infrared revealed changes in functional groups of primed seeds, hypocotyls and exudates released into the agar because of treatment. Protein extract from PBP-primed seedlings inhibited mycelial growth (67% for epicotyl proteins) and caused morphological alterations in hyphae. This research emphasizes the potential priming role of PBPs applied by seed treatment against soil-borne pathogens

Medullary sponge kidney: unusual finding in kidney transplant recipient

Background: Medullary sponge kidney is generally considered a benign condition, gold standard for the diagnosis is urography but it has almost been replaced by UroCT that did not present the same sensibility. Although it is really rare, our sonography's findings were consistent with medullary sponge kidney in the transplanted kidneys.Case presentation: A 45-year-old woman with a long history of double-kidney transplantation complained of frequent urinary tract infections, a history of vague loin pain and came to our attention for sonography follow-up. Her kidney function was normal, we did not find signs of infections in the transplanted kidneys and urinary findings were normal. Curiously, the transplanted kidneys came from a newborn and the patient received a double-kidney transplantation in order to guarantee a satisfactory renal function.Conclusions: Despite a long history of kidney transplantation, genetic disease should not be forgotten when symptoms and images recall to specific inherited alterations. Sonography has to be considered in diagnostic path of kidney cystic disease

Antibiotic resistance, virulence factors, phenotyping, and genotyping of non\u2013escherichia coli enterobacterales from the gut microbiota of healthy subjects

Non-Escherichia coli Enterobacterales (NECE) can colonize the human gut and may present virulence determinants and phenotypes that represent severe heath concerns. Most information is available for virulent NECE strains, isolated from patients with an ongoing infection, while the commensal NECE population of healthy subjects is understudied. In this study, 32 NECE strains were isolated from the feces of 20 healthy adults. 16S rRNA gene sequencing and mass spectrometry attributed the isolates to Klebsiella pneumoniae, Klebsiella oxytoca, Enterobacter cloacae, Enterobacter aerogenes, Enterobacter kobei, Citrobacter freundii, Citrobacter amalonaticus, Cronobacter sp., and Hafnia alvei, Morganella morganii, and Serratia liquefaciens. Multiplex PCR revealed that K. pneumoniae harbored virulence genes for adhesins (mrkD, ycfM, and kpn) and enterobactin (entB) and, in one case, also for yersiniabactin (ybtS, irp1, irp2, and fyuA). Virulence genes were less numerous in the other NECE species. Biofilm formation was spread across all the species, while curli and cellulose were mainly produced by Citrobacter and Enterobacter. Among the most common antibiotics, amoxicillin-clavulanic acid was the sole against which resistance was observed, only Klebsiella strains being susceptible. The NECE inhabiting the intestine of healthy subjects have traits that may pose a health threat, taking into account the possibility of horizontal gene transfer