Benefits of short inspiratory muscle training on exercise capacity, dyspnea, and inspiratory fraction in COPD patients

Static lung hyperinflation has important clinical consequences in patients with chronic obstructive pulmonary disease (COPD). Given that most of these patients have respiratory and peripheral muscle weakness, dyspnea and functional exercise capacity may improve as a result of inspiratory muscle training (IMT). The present study is designed to investigate the benefits of a short outpatient program of IMT on inspiratory muscle performance, exercise capacity, perception of dyspnea, and the inspiratory fraction (IF). Thirty patients (24 males, 6 females) with significant COPD (forced expiratory volume in one second [FEV1] = 46.21% ± 6.7% predicted, FEV1 = 33.6% ± 8.04% predicted) were recruited for this study and had 3 months of IMT (30 minutes/day for 6 days/week) in an outpatient clinic. Following IMT, there was a statistically significant increase in inspiratory muscle performance (an increase of the maximal inspiratory pressure from 59% ± 19.1% to 79% ± 21.85% predicted; p = 0.0342), a decrease in dyspnea (from 5.8 ± 0.78 to 1.9 ± 0.57; p = 0.0001), an increase in the distance walked during the 6 minute walk test, from 245 ± 52.37 m to 302 ± 41.30 m, and finally an increase in the IF (the new prognostic factor in COPD) from 27.6 ± 9.7% to 31.4% ± 9.8%. The present study concludes that in patients with significant COPD, IMT results in improvement in performance, exercise capacity, sensation of dyspnea, and moreover an improvement in the IF prognostic factor

Sources of Bias in Synchronization Measures and how to Minimize Their Effects on the Estimation of Synchronicity: Application to the Uterine Electromyogram

Non

Preterm labour detection by use of a biophysical marker: the uterine electrical activity

<p>Abstract</p> <p>Background</p> <p>The electrical activity of the uterine muscle is representative of uterine contractility. Its characterization may be used to detect a potential risk of preterm delivery in women, even at an early gestational stage.</p> <p>Methods</p> <p>We have investigated the effect of the recording electrode position on the spectral content of the signal by using a mathematical model of the women's abdomen. We have then compared the simulated results to actual recordings. On signals with noise reduced with a dedicated algorithm, we have characterized the main frequency components of the signal spectrum in order to compute parameters indicative of different situations: preterm contractions resulting nonetheless in term delivery (i.e. normal contractions) and preterm contractions leading to preterm delivery (i.e. high-risk contractions). A diagnosis system permitted us to discriminate between these different categories of contractions. As the position of the placenta seems to affect the frequency content of electrical activity, we have also investigated in monkeys, with internal electrodes attached on the uterus, the effect of the placenta on the spectral content of the electrical signals.</p> <p>Results</p> <p>In women, the best electrode position was the median vertical axis of the abdomen. The discrimination between high risk and normal contractions showed that it was possible to detect a risk of preterm labour as early as at the 27th week of pregnancy (Misclassification Rate range: 11–19.5%). Placental influence on electrical signals was evidenced in animal recordings, with higher energy content in high frequency bands, for signals recorded away from the placenta when compared to signals recorded above the placental insertion. However, we noticed, from pregnancy to labour, a similar evolution of the frequency content of the signal towards high frequencies, whatever the relative position of electrodes and placenta.</p> <p>Conclusion</p> <p>On human recordings, this study has proved that it is possible to detect, by non-invasive abdominal recordings, a risk of preterm birth as early as the 27th week of pregnancy. On animal signals, we have evidenced that the placenta exerts a local influence on the characteristics of the electrical activity of the uterus. However, these differences have a small influence on premature delivery risk diagnosis when using proper diagnosis tools.</p

Performances Économiques Comparées Des Unités De Pêche En Lagune Et Des Alternatives Agricoles Et Aquacoles À Grand-Lahou (Côte d’Ivoire)

The lagoons are high biological and economic potential areas exploited by thousands of fishermen. Otherwise, the persistent use of pesticides in fisheries may be perceived as a response of fishermen to lower yields and, consequently, to reduced income from fishing activities. In this context, the hypothesis of a lack of profitability concerning the activity of professional fishermen was therefore raised. To reach this goal, a market survey, investments and fish landings were carried out in order to analyze the profitability and economic performance of this activity. It recorded 5227 catch exits from a sample of 35 fixed fishermen in 7 villages. These were followed 15 times a month for 12 months whenever possible. In practice, approximately 60% of the suspected activity of professional fishermen has been observed. After elaborating the annual operating accounts and calculating the performance ratios, it appears that the lagoon fishing activity of Grand-Lahou is profitable and competitive compared to the alternative economic activities of the study area. However, performance is not homogeneous between villages. This suggests a fishing-related effect on fishers' performance. In addition, it is the Liza falcipinnis and Chrysichthys nigrodigitatus species that significantly influence the value of production and hence income

The pro-region of the Kex2 endoprotease of Saccharomyces cerevisiae is removed by self-processing

AbstractWe have produced in the baculovirus/insect cells expression system a soluble secreted form of the Saccharomyces cerevisiae Kex2 endoprotease. This secreted enzyme was purified and its NH2-terminal sequence determined. The NH2-terminal sequence started at residue Leu109 of the sequence deduced from the KEX2 gene nucleotide sequence, showing that the Kex2 enzyme is produced as a proenzyme. Residue Leu109 is preceded by a pair of basic amino acid residues (Lys107-Arg108) which is a potential processing site for the Kex2 endopeptidase. Futhermore, expression of an inactive form of this truncated enzyme resulted in the production of a protein with a higher molecular weight. These observations suggest that the pro-region of Kex2 endoprotease is removed by a self-processing event

Guide de lutilisation pédagogique des médias sociaux

Titre de l'écran-titre (visionné le 24 jan. 2013)Cette publication est mise à disposition selon les termes de la licence "Créative Commons". Vous êtes libres de l'utiliser, en tout ou en partie en citant l'auteur, vous ne pouvez pas l'utiliser pour un usage commercial et vous n'êtes pas autorisés à la modifier

AIDS Patient Death Caused by Novel Cryptococcus neoformans × C. gattii Hybrid

Interspecies hybrids of Cryptococcus neoformans and C. gattii have only recently been reported. We describe a novel C. neoformans × C. gattii hybrid strain (serotype AB) that was previously described as C. gattii and that caused a lethal infection in an AIDS patient from Canada