Damage investigation in CFRP composites using full-field measurement techniques: combination of digital image stereo-correlation, infrared thermography and X-ray tomography

The present work is devoted to damaging process in carbon–fiber reinforced laminated composites. An original experimental approach combining three optical measurement techniques is presented. Image stereo-correlation and infrared thermography, that respectively provide the kinematic and thermal fields on the surface of the composites, are used in live recording during axis and off-axis tensile tests. Special attention is paid to simultaneously conduct these two techniques while avoiding their respective influence. On the other hand, X-ray tomography allows a post-failure analysis of the degradation patterns within the laminates volume. All these techniques are non-destructive (without contact) and offer an interesting full-field investigation of the material response. Their combination allows a coupled analysis of different demonstrations of same degradation mechanisms. For instance, thermal events and densimetric fields show a random location of damage in the early stages of testing. The influence of the material initial anisotropy on damage growth, localization and failure mode can also be clearly put in evidence through various data. In addition to such characterization, this study illustrates at the same time the capabilities of the different full-field techniques and the damage features they can best capture respectively

Rheumatoid arthritis seropositive for the rheumatoid factor is linked to the protein tyrosine phosphatase nonreceptor 22-620W allele

The protein tyrosine phosphatase nonreceptor type 22 (PTPN22) gene encodes for lymphoid tyrosine phosphatase LYP, involved in the negative regulation of early T-cell activation. An association has recently been reported between the PTPN22-620W functional allele and rheumatoid factor-positive (RF(+)) rheumatoid arthritis (RA), among other autoimmune diseases. Expected linkage proof for consistency cannot be definitely produced by an affected sib-pair (ASP) analysis. Our aim was therefore to search for linkage evidence with the transmission disequilibrium test. DNA from the French Caucasian population was available for two samples of 100 families with one RA patient and both parents, and for 88 RA index cases from RA ASP families. Genotyping was carried out by PCR-restriction fragment length polymorphism. The analysis was performed using the transmission disequilibrium test, genotype relative risk and ASP-based analysis. The transmission disequilibrium test of the PTPN22-620W allele revealed linkage and association for RF(+ )RA (61% of transmission, P = 0.037). The genotype relative risk showed the risk allele in 34% of RF(+ )RA patients and in 24% of controls derived from nontransmitted parental chromosomes (P = 0.047, odds ratio = 1.69, 95% confidence interval = 1.03–2.78). The ASP investigation showed no enriched risk allele in RA multiplex families, resulting in a lack of power of ASP analysis, explaining the published negative results. This study is the first to show linkage of PTPN22 to RF(+ )RA, consistent with PTPN22 as a new RA gene

Surface gas geochemistry above the natural CO2 reservoir of Montmiral (Drôme, France), source tracking and gas exchange between the soil, biosphere and atmosphere

International audienceOne of the options considered to mitigate greenhouse gas concentrations in the atmosphere is underground storage of CO2. There is a strong need for enhancing and developing methods that would help throughout the duration life of such underground storage, to ensure the safety and able to monitor the evolution of the injected CO2 plume. Among these, geochemical methods can play an important role. Here, we describe results acquired under the research programme “Géocarbone-Monitoring”, partially funded by the French National Research Agency, on the Montmiral natural analogue in South-Eastern France. Other results obtained under the same research programme in the French Massif Central are reported elsewhere in this volume.Spot sampling methods allowing a great geographical coverage and continuous measurements on selected points were undertaken in 2006 and 2007, in order to determine soil gas concentrations and fluxes as well as carbon isotope ratio determinations. One important result is that without any evidence of deep CO2 leakage, both CO2 concentrations and fluxes appear to be higher than can be explained only by biological activities. Further investigations are thus needed to understand the gas evolution better throughout the year

Soil organic carbon models need independent time-series validation for reliable prediction

Numerical models are crucial to understand and/or predict past and future soil organic carbon dynamics. For those models aiming at prediction, validation is a critical step to gain confidence in projections. With a comprehensive review of ~250 models, we assess how models are validated depending on their objectives and features, discuss how validation of predictive models can be improved. We find a critical lack of independent validation using observed time series. Conducting such validations should be a priority to improve the model reliability. Approximately 60% of the models we analysed are not designed for predictions, but rather for conceptual understanding of soil processes. These models provide important insights by identifying key processes and alternative formalisms that can be relevant for predictive models. We argue that combining independent validation based on observed time series and improved information flow between predictive and conceptual models will increase reliability in predictions

Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome associated with COVID-19: An Emulated Target Trial Analysis.

RATIONALE: Whether COVID patients may benefit from extracorporeal membrane oxygenation (ECMO) compared with conventional invasive mechanical ventilation (IMV) remains unknown. OBJECTIVES: To estimate the effect of ECMO on 90-Day mortality vs IMV only Methods: Among 4,244 critically ill adult patients with COVID-19 included in a multicenter cohort study, we emulated a target trial comparing the treatment strategies of initiating ECMO vs. no ECMO within 7 days of IMV in patients with severe acute respiratory distress syndrome (PaO2/FiO2 <80 or PaCO2 ≥60 mmHg). We controlled for confounding using a multivariable Cox model based on predefined variables. MAIN RESULTS: 1,235 patients met the full eligibility criteria for the emulated trial, among whom 164 patients initiated ECMO. The ECMO strategy had a higher survival probability at Day-7 from the onset of eligibility criteria (87% vs 83%, risk difference: 4%, 95% CI 0;9%) which decreased during follow-up (survival at Day-90: 63% vs 65%, risk difference: -2%, 95% CI -10;5%). However, ECMO was associated with higher survival when performed in high-volume ECMO centers or in regions where a specific ECMO network organization was set up to handle high demand, and when initiated within the first 4 days of MV and in profoundly hypoxemic patients. CONCLUSIONS: In an emulated trial based on a nationwide COVID-19 cohort, we found differential survival over time of an ECMO compared with a no-ECMO strategy. However, ECMO was consistently associated with better outcomes when performed in high-volume centers and in regions with ECMO capacities specifically organized to handle high demand. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/)

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Le Chien de race griffon nivernais (étude bibliographique)

LYON1-BU Santé (693882101) / SudocSudocFranceF

Variability of the South Atlantic upper ocean circulation: a data assimilation experiment with 5 years of Topex/Poseidon altimeter observations

Dynamical interpolation of five years of TOPEX/POSEIDON altimeter data (October 1992-September 1997) is performed in the South Atlantic basin, through the use of a simple quasigeostrophic model and a simple nudging data assimilation technique. The resulting data set is analysed in order to evidence the role of mesoscale eddies on the interannual variability of the South Atlantic ocean circulations. The annual mean circulations and the eddy fields reveal some significant interannual variability in the Brazil-Malvinas confluence region and in the Aghulas Retroflection region. But this interannual variability spreads out also in large extensions of those previous regions as well as in other areas of the South Atlantic basin. In particular, significant variability shows up in the upper return branch of the subtropical gyre that is interpreted in relation with the drift of some Aghulas rings. The role of those latter rings which are crucial for the Indian-Atlantic interocean exchange processes, is further investigated in the paper, and the fate of five specific rings analysed in detail. The overall influence of topography on the circulation is clearly evidenced, especially through its interaction with eddies

Entrepreuneuriat institutionnel, programmes scientifiques et chimie "doublement verte"

International audienc