Décès liés au monoxyde de carbone : à propos de Trois cas

L'incidence et la mortalité cumulées mondiales de l'empoisonnement au CO sont actuellement estimées à 137 cas et 4,6 décès par million. En Algérie, ce tueur silencieux, a fait 175 victimes en 2022 selon les données de la protection civil L’objectif est de faire une revue de la littérature sur l’intoxication au CO sur le plan étiologique, clinique ainsi que l'aspect analytique, de rapporter les 3 cas de décès dû au CO qui ont fait l'objet d'une enquête par le service de médecine légale de CHU Mustapha dont le dosage a été réalisée par RAPIDpoint 500ede la marque siemen

The stepwise oxidation of indolino[2,1-b]oxazolidine derivatives

This work presents an original strategy to modulate the electrochemical properties of the indolino[2,1-b]oxazolidine core appropriately substituted in position 5 (para-substitution of the phenyl ring) by acceptor or donor groups (CHO, OMe, Me, F, H, Cl, Br). Supported by spectroelectrochemical experiments and confronted to electrochemical simulations, the stepwise oxidation of indolino[2,1-b]oxazolidine derivatives involves an electrochemical mechanism which depends on the para-substitution of the phenyl ring and leads to either the formation of a stable radical cation, the opening of the oxazolidine ring or an irreversible aryl C-C coupling

Optical observations for energetic characterization of in-orbit explosion: the FREGAT-SB case

Over the past years, the constant increase of space debris and inactive satellites is the root cause of catastrophic events, such as collision between a debris and active satellites. One of the events that might generate a large number of debris is the in-orbit explosion. Within this complex framework, it is of paramount importance to use a monitoring and surveillance system in order to understand the number and the distribution of fragments, in an area around the Earth extremely populated by man-made object. This entails a growing international interest in Space Surveillance and Tracking (SST), where optical observation reaches an interesting method to obtain information of orbital objects. In this paper, the Sapienza Space Systems and Space Surveillance Laboratory (S5Lab) presents the results of an observative campaign focused on the energetical characterization of the explosion and the monitoring of the fragments, which have been generated by a low orbit explosion of the third Russian stage rocket FREGAT-SB (ID 37756). The event occurred on 08.05.2020 between 04:00 and 06:00 UTC time. Through the observatory system Sapienza Coupled University Debris Observatory (SCUDO) located in Collepardo (FR, Italy), a certain number of images have been collected. The observation strategy was focused on the orbital plane to try to estimate the number of these fragments and their distribution. Once the astrometry phase to retrieve the measures in terms of right ascension and declination was performed, a first analysis is carried on to understand whether or not the fragments are already present in the North American Aerospace Defense Command (NORAD) catalogue. The ones that are not catalogued could be FREGAT’s fragments. The next energetic characterization method is based on a tangential impulse assignment in agreement with isotropic explosion and the evolution of fragments’ cloud, where the important variations, to a first approximation, are on semiaxes and eccentricity. As a result of this procedure, an association between the impulse and the measure takes place. The analysis of the angular distance between original body and the fragments over the time is carried out, in order to validate this method. Moreover, a magnitude estimation procedure is shown. All these results are compared with those obtained with the NORAD assignment

Huge Electro-/photo-/acidoinduced Second-order Nonlinear Contrasts from Multiaddressable Indolinooxazolodine

In this work, linear and nonlinear optical properties of electro-/acido-/photoswitchable indolino[2,1-b]oxazolidine derivatives were investigated. The linear optical properties of the closed and open forms have been characterized by UV–visible and IR spectroscopies associated with DFT calculations. Nonlinear optical properties of the compounds have been obtained by ex situ and in situ hyper-Rayleigh experiments in solution. We show that protonated, oxidized, and irradiated open forms exhibit the same visible absorption and NLO features. In particular, the closed and open forms exhibit a huge contrast of the first hyperpolarizability with an enhancement factor of 40–45. Additionally, we have designed an original electrochemical cell that allows to monitor in situ the hyper-Rayleigh response upon electrical stimulus. We report notably a partial but good and reversible NLO contrast in situ during oxidation/reduction cycles. Thereby, indolinooxazolidine moieties are versatile trimodal switchable units which are very promising for applications in devices

Near-field interactions between a subwavelength tip and a small-volume photonic-crystal nanocavity

International audienceThe fundamentals of the near-field interaction between a subwavelength metallic tip and a photonic-crystal nanocavity are investigated experimentally and theoretically. It is shown experimentally that the cavity resonance is tuned without any degradation by the presence of the tip and that the reported near-field interaction is strongly related to the field distribution within the nanostructure. Then, in light of a perturbation theory, we show that this interaction is selectively related to the electric field or magnetic field distribution within the cavity, depending on the tip properties

Long-Wavelength Instability in Surface-Tension-Driven Benard Convection

Laboratory studies reveal a deformational instability that leads to a drained region (dry spot) in an initially flat liquid layer (with a free upper surface) heated uniformly from below. This long-wavelength instability supplants hexagonal convection cells as the primary instability in viscous liquid layers that are sufficiently thin or are in microgravity. The instability occurs at a temperature gradient 34% smaller than predicted by linear stability theory. Numerical simulations show a drained region qualitatively similar to that seen in the experiment.Comment: 4 pages. The RevTeX file has a macro allowing various styles. The appropriate style is "mypprint" which is the defaul

In vitro culture with gemcitabine augments death receptor and NKG2D ligand expression on tumour cells

Much effort has been made to try to understand the relationship between chemotherapeutic treatment of cancer and the immune system. Whereas much of that focus has been on the direct effect of chemotherapy drugs on immune cells and the release of antigens and danger signals by malignant cells killed by chemotherapy, the effect of chemotherapy on cells surviving treatment has often been overlooked. In the present study, tumour cell lines: A549 (lung), HCT116 (colon) and MCF-7 (breast), were treated with various concentrations of the chemotherapeutic drugs cyclophosphamide, gemcitabine (GEM) and oxaliplatin (OXP) for 24 hours in vitro. In line with other reports, GEM and OXP upregulated expression of the death receptor CD95 (fas) on live cells even at sub-cytotoxic concentrations. Further investigation revealed that the increase in CD95 in response to GEM sensitised the cells to fas ligand treatment, was associated with increased phosphorylation of stress activated protein kinase/c-Jun N-terminal kinase and that other death receptors and activatory immune receptors were co-ordinately upregulated with CD95 in certain cell lines. The upregulation of death receptors and NKG2D ligands together on cells after chemotherapy suggest that although the cells have survived preliminary treatment with chemotherapy they may now be more susceptible to immune cell-mediated challenge. This re-enforces the idea that chemotherapy-immunotherapy combinations may be useful clinically and has implications for the make-up and scheduling of such treatments

Indolinooxazolidine: A Versatile Switchable Unit

The design of multiresponsive systems continues to arouse a lot of interest. In such multistate/multifunctional systems, it is possible to isomerize a molecular system from one metastable state to another by application of different stimulation such as light, heat, proton, or electron. In this context, some researches deal with the design of multimode switch where a same interconversion between two states could be induced by using indifferently two or more different kind of stimuli. Herein, we demonstrate that the association of an indolinooxazolidine moiety with a bithiophene unit allows the development of a new trimode switch. A reversible conversion between a colorless closed form and a colorful open form can be equally performed by light, proton, or electrical stimulation. In addition, the oxidation of this system allows the generation of a third metastable state

What the percentage of births in facilities does not measure: readiness for emergency obstetric care and referral in Senegal.

Introduction: Increases in facility deliveries in sub-Saharan Africa have not yielded expected declines in maternal mortality, raising concerns about the quality of care provided in facilities. The readiness of facilities at different health system levels to provide both emergency obstetric and newborn care (EmONC) as well as referral is unknown. We describe this combined readiness by facility level and region in Senegal. Methods: For this cross-sectional study, we used data from nine Demographic and Health Surveys between 1992 and 2017 in Senegal to describe trends in location of births over time. We used data from the 2017 Service Provision Assessment to describe EmONC and emergency referral readiness across facility levels in the public system, where 94% of facility births occur. A national global positioning system facility census was used to map access from lower-level facilities to the nearest facility performing caesareans. Results: Births in facilities increased from 47% in 1992 to 80% in 2016, driven by births in lower-level health posts, where half of facility births now occur. Caesarean rates in rural areas more than doubled but only to 3.7%, indicating minor improvements in EmONC access. Only 9% of health posts had full readiness for basic EmONC, and 62% had adequate referral readiness (vehicle on-site or telephone and vehicle access elsewhere). Although public facilities accounted for three-quarters of all births in 2016, only 16% of such births occurred in facilities able to provide adequate combined readiness for EmONC and referral. Conclusions: Our findings imply that many lower-level public facilities-the most common place of birth in Senegal-are unable to treat or refer women with obstetric complications, especially in rural areas. In light of rising lower-level facility births in Senegal and elsewhere, improvements in EmONC and referral readiness are urgently needed to accelerate reductions in maternal and perinatal mortality

Guidance on the use of bisphosphonates in solid tumours: recommendations of an international expert panel

Bisphosphonates (BP) prevent, reduce, and delay cancer-related skeletal complications in patients, and have substantially decreased the prevalence of such events since their introduction. Today, a broad range of BP with differences in potency, efficacy, dosing, and administration as well as approved indications is available. In addition, results of clinical trials investigating the efficacy of BP in cancer treatment-induced bone loss (CTIBL) have been recently published. The purpose of this paper is to review the current evidence on the use of BP in solid tumours and provide clinical recommendations. An interdisciplinary expert panel of clinical oncologists and of specialists in metabolic bone diseases assessed the widespread evidence and information on the efficacy of BP in the metastatic and nonmetastatic setting, as well as ongoing research on the adjuvant use of BP. Based on available evidence, the panel recommends amino-bisphosphonates for patients with metastatic bone disease from breast cancer and zoledronic acid for patients with other solid tumours as primary disease. Dosing of BP should follow approved indications with adjustments if necessary. While i.v. administration is most often preferable, oral administration (clodronate, IBA) may be considered for breast cancer patients who cannot or do not need to attend regular hospital care. Early-stage cancer patients at risk of developing CTIBL should be considered for preventative BP treatment. The strongest evidence in this setting is now available for ZOL. Overall, BP are well-tolerated, and most common adverse events are influenza-like syndrome, arthralgia, and when used orally, gastrointestinal symptoms. The dose of BP may need to be adapted to renal function and initial creatinine clearance calculation is mandatory according to the panel for use of any BP. Subsequent monitoring is recommended for ZOL and PAM, as described by the regulatory authority guidelines. Patients scheduled to receive BP (mainly every 3-4 weeks i.v.) should have a dental examination and be advised on appropriate measures for reducing the risk of jaw osteonecrosis. BP are well established as supportive therapy to reduce the frequency and severity of skeletal complications in patients with bone metastases from different cancer