Impact du changement climatique et l’acidification des océans sur le cycle océanique de l’azote

The marine nitrogen cycle is responsible for two climate feedbacks in the Earth System. Firstly, it modulates thefixed nitrogen pool available for phytoplankton growth and hence it modulates in part the strength of thebiological pump, one of the mechanisms contributing to the oceanic uptake of anthropogenic CO2. Secondly, thenitrogen cycle produces a powerful greenhouse gas and ozone (O3) depletion agent called nitrous oxide (N2O).Future changes of the nitrogen cycle in response to global warming, ocean deoxygenation and oceanacidification are largely unknown. Processes such as N2-fixation, nitrification, denitrification and N2Oproduction will experience changes under the simultaneous effect of these three stressors. Global oceanbiogeochemical models allow us to study such interactions. Using NEMO-PISCES and the CMIP5 modelensemble we project changes in year 2100 under the business-as-usual high CO2 emissions scenario in globalscale N2-fixation rates, nitrification rates, N2O production and N2O sea-to-air fluxes adding CO2 sensitivefunctions into the model parameterizations. Second order effects due to the combination of global warming intandem with ocean acidification on the fixed nitrogen pool, primary productivity and N2O radiative forcingfeedbacks are also evaluated in this thesis.Le cycle océanique de l'azote est à l'origine de deux rétro-actions climatiques au sein du système terre. D'unepart, il participe au contrôle du réservoir d'azote fixé disponible au développement du phytoplancton et à lamodulation de la pompe biologique, un des mécanismes de séquestration du carbone anthropique. D'autre part,le cycle de l'azote produit un gaz à effet de serre et destructuer d'ozone, le protoxyde d'azote (N2O). L'évolutionfuture du cycle de l'azote sous l'influence du rechauffement climatique, de la déoxygénation et de l'acidificationdes océans reste une question ouverte. Les processus tels que la fixation d'azote, la dénitrification et laproduction de protoxyde d'azote seront modifiés sous l'influence conjuguée des ces trois stresseurs. Cesinteractions peuvent être évaluées grâce aux modèles globaux de biogéochimie marine. Nous utilisons NEMOPISCESet l'ensemble des modèles CMIP5 pour projeter les modifications des taux de fixation d'azote, denitrification, de production et des flux air-mer de N2O à l'horizon de 2100 en réponse au scénario 'business-asusual'.Les effets liés à l'action combinée du rechauffement climatique et de l'acidification des océans sur leréservoir d'azote fixé, la production primaire et la rétro-action sur le bilan radiatif sont également évalués danscette thèse.

Exploración posturográfica de pacientes simuladores

Introduction: An aphysiological pattern in computerized dynamic posturography (CDP) may be produced by numerous causes. We analyze the results obtained in this test by a group of malingering patients. Patients and method: This study analyzes a particular group of 7 malingerers, ie patients simulating a false and unreal equilibrium disorder, without any a priori awareness of the gain expected from a pathological report. The condition can only be identified with the very complex postural disorder known as “continuous imbalance.” We analyze the results of the dynamic posturography test following the diagnostic criteria described by other authors. Results: Of the criteria analyzed, we found Cevette’s to be the most frequently positive for our study group. Conclusions: The wide diversity in the criteria used makes it necessary to apply them together, assuming a high level of suspicion and great care in the diagnostic process

Enhanced Vestibulo-Ocular Reflex Responses on vHIT. Is It a Casual Finding or a Sign of Vestibular Dysfunction?

In current clinical practice, when in response to vHIT testing the observed slow-phase eye-velocity responses are significantly higher than head velocity, the most probable cause is considered to be an inadequate collection method or a recording artifact. We present two cases with clinical diagnoses of Menière's Disease: for both cases, enhanced eye velocity responses were measured with a rigorous vHIT testing protocol. In the first case we measured these enhanced responses on each test performed during a 5 year time series; in the second case multiple measurements were obtained from a patient after the radiologic diagnosis of vestibulo-cochlear hydrops. The two cases presented and the new evidence reported by other researchers suggest that owing to the low probability of artifact and the high consistency of the vHIT measurements, we should consider the hypothesis of a physio-pathologic cause for the enhanced eye responses to vHIT testing of some patients with vestibular dysfunction

Sialoendoscopia: una nueva alternativa en el tratamiento de la patología salival. Nuestra experiencia

Objectives: Sialoendoscopy is a procedure used to visualize the salivary ducts and their pathology. It can be used either as a diagnostic method to rule out inflammatory processes in the parotid and submandibular glands (diagnostic sialoendoscopy) or to treat pathological areas (stenosis, extract foreign bodies or sialolithiasis) through the use of appropriate instruments (interventionist sialoendoscopy). We attempt to prove a declining rate of salivary gland excision. Patients and method: Sialoendoscopy was performed in 8 patients. Results: Of these, 50 % of patients were diagnosed as having sialolithiasis and the other 50 % had chronic sialoadenitis. In patients with sialolithiasis, sialoendoscopy allowed the extraction of the calculus in two patients (50 %). In the remainder, sialoendoscopy provided confirmation of the diagnosis in all cases. Conclusions: Sialoendoscopy is a new technique for use in the diagnosis, treatment and post-operative management of sialolithiasis, sialoadenitis and other salivary gland pathologies

Host-Guest and Guest-Guest Interactions of P- and N-Containing Structure Directing Agents Entrapped inside MFI-Type Zeolite by Multinuclear NMR Spectroscopy

"This document is the Accepted Manuscript version of a Published Work that appeared in final form in The Journal of Physical Chemistry C, copyright © American Chemical Society after peer review and technical editing by the publisher. To access the final edited and published work see https://pubs.acs.org/doi/10.1021/acs.jpcc.9b05689".[EN] Highly crystalline pure silica MFI zeolites have been synthesized using tetraethylammonium (TEA), tetraethylphosphonium (TEP), or a mixture of both cations in different proportions as organic structure directing agents (OSDAs). The zeolites have been deeply characterized in order to get insight about the guest guest interactions involving the OSDAs and the guest host interactions involving the OSDAs and the inorganic framework, as well as the main features of the resulting materials. The results show that the average size of the MFI crystals decreases when TEP is present within the zeolite and that this cation is homogeneously distributed throughout the crystallites. The multinuclear NMR investigation (H-1, C-13, N-14, F-19, Si-29, P-31) indicates that TEP interacts with the zeolite host creating higher heterogeneity of the SiO4 crystallographic sites and a diminution on the mobility of fluorine atoms incorporated into the zeolite. Moreover, the presence of TEP influences the dynamics of the nitrogen atoms of the TEA molecules, and 2D heteronuclear correlation experiments give evidence on the spatial proximity of the TEA and TEP molecules in the MFI zeolites. Then, it is concluded that TEA and TEP are intimately mixed within the zeolite voids of the pure silica MFI samples synthesized by the dual template route.Financial support by the MINECO of Spain through the Severo Ochoa (SEV-2016-0683) and RTI2018-101784-B-I00 projects is gratefully acknowledged. The authors also thank the Microscopy Service of the Universitat Politecnica de Valencia for its assistance in microscopy characterization (FESEM equipment preparation). J.M.-O. (SEV-2012-0267-02) is grateful to the Severo Ochoa Program for a predoctoral fellowship.Martinez-Ortigosa, J.; Simancas-Coloma, J.; Vidal Moya, JA.; Gaveau, P.; Rey Garcia, F.; Alonso, B.; Blasco Lanzuela, T. (2019). Host-Guest and Guest-Guest Interactions of P- and N-Containing Structure Directing Agents Entrapped inside MFI-Type Zeolite by Multinuclear NMR Spectroscopy. The Journal of Physical Chemistry C. 123(36):22324-22334. https://doi.org/10.1021/acs.jpcc.9b05689S223242233412336Davis, M. E., & Lobo, R. F. (1992). Zeolite and molecular sieve synthesis. Chemistry of Materials, 4(4), 756-768. doi:10.1021/cm00022a005Cundy, C. S., & Cox, P. A. (2003). The Hydrothermal Synthesis of Zeolites:  History and Development from the Earliest Days to the Present Time. 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Association between speech reception threshold in noise and multimorbidity: The UK Biobank Study

Objective. To investigate the association between hearing function, as approached with the functional auditory capacity, and multimorbidity. Study Design. Cross-sectional study. Setting. The UK Biobank was established from 2006 to 2010 in the United Kingdom. This cross-sectional analysis included 165,524 participants who provided baseline information on hearing function. Methods. Functional auditory capacity was measured with a digit triplet test. Three categories were defined according to the speech reception threshold in noise (SRTn): normal (SRTn < −5.5 dB signal-to-noise ratio [SNR]), insufficient (SRTn ≥ −5.5 to ≤ −3.5 dB SNR) and poor hearing function (SRTn > −3.5 dB SNR). To define multimorbidity, 9 chronic diseases were considered, including chronic obstructive pulmonary disease, dementia, Parkinson's disease, stroke, cancer, depression, osteoarthritis, coronary heart disease, and diabetes; multimorbidity was defined as the coexistence of 2 or more in the same individual. Analyses were conducted using logistic models adjusted for relevant confounders. Results. Among the study participants, 54.5% were women, and the mean (range) age was 56.7 (39-72) years. The prevalence of insufficient and poor hearing function and multimorbidity was 13% and 13.2%, respectively. In comparison with having a normal SRTn, the odds ratio (95% confidence interval) of multimorbidity associated with insufficient SRTn was 1.13 (1.08- 1.18), and with poor SRTn was 1.25 (1.14-1.37). Conclusion. Insufficient and poor hearing function was associated with multimorbidity. This association suggests common biological pathways for many of the considered morbiditiesThis work was supported by Instituto de Salud Carlos III through the FIS project 20/01040 (Instituto de Salud Carlos III, State Secretary of R + D + I), and co‐funded by a European Regional Development Fund, “A way of shaping Europe.” Ellen A. Struijk holds a Ramón y Cajal contract (RYC‐ 2021‐031146‐I) from the Ministry of Science, Innovation and Universities and FEDER/FS

Voz esofágica

El diagnóstico y tratamiento de los trastornos de la voz habitualmente se lleva a cabo en los laboratorios de voz mediante el empleo de técnicas instrumentales, visuales, acústicas y aerodinámicas. La voz se ha convertido en una subespecialidad multidisciplinar, sin embargo el grupo de pacientes que padece el trastorno de voz más radical, es decir, los que se han sometido a una laringuectomía total habitualmente por un cáncer de laringe son el colectivo con problemas de voz menos estudiado y peor comprendido en cuanto a los aspectos fisiológicos y fisiopatológicos. Se revisan las opciones que tienen los pacientes laringuectomizados para restituir su capacidad vocal: el desarrollo de voz esofágica o erigmofonía; la realización de fistuloplastia fonatoria; el empleo de la electrolaringe. Se desarrollan las bases fisiológicas y las características acústicas y aerodinámicas de la voz esofágica y se plantean posibles estrategias que ayuden a los pacientes a adquirir una voz esofágica más eficaz

Técnicas digitales para la valoración laringoscópica

En 1854 con el descubrimiento del espejito laríngeo por Manuel García, profesor de canto español, nació la laringología como especialidad. Desde entonces han sido numerosos los avances en el terreno de la valoración visual de la dinámica laríngea durante la fonación. En los últimos años la tecnología digital ha permitido no sólo la obtención y registro de imágenes de manera precisa y fiable sino que permite realizar mediciones de fenómenos extremadamente rápidos y delicados, como son el desplazamiento de la mucosa de las cuerdas vocales, los cambios del área glótica durante el ciclo vocal, etc. Se revisa la historia de la estroboscopia, los protocolos de valoración, las técnicas de la estroboscopia digital y sus posibilidades diagnósticas así como sus limitaciones. Se propone así mismo dos nuevas técnicas que han irrumpido recientemente en el panorama otorrinolaringológico que son la videokimografía digital y la grabación en vídeo de alta velocidad que superan las limitaciones de la estroboscopia y probablemente se convertirán en un medio de exploración rutinario en un futuro próximo

Estado de la docencia universitaria en inglés y herramientas para facilitar su implantación

El inglés es la lengua vehicular de la ciencia y con el establecimiento del Espacio Europeo de Educación Superior su relevancia en el ámbito docente va a ir en aumento. Con el fin de conocer el nivel de inglés y las opiniones respecto a la enseñanza en este idioma, se realizaron unas encuestas a alumnos de la facultad de Ciencias en la Universidad de Alicante. A partir de los datos recopilados se obtuvo una estima del nivel de inglés del alumnado y sus principales inquietudes en esta materia. Los resultados de las encuestas fueron usados para diseñar propuestas que promuevan una mayor aceptación del inglés en las aulas y su integración progresiva en el ámbito académico. Las propuestas de este estudio se espera que ayuden a facilitar la implantación de la docencia en inglés en las universidades españolas y, en consecuencia, a la integración de éstas en el Espacio Europeo de Educación Superior

Aprendizaje de idiomas en el aula: cómo promover la docencia universitaria en lengua extranjera

El inglés es la lingua franca en el ámbito universitario. Por una parte, en investigación, el inglés es la lengua vehicular de la ciencia. Desde el punto de vista de la docencia, el inglés cada vez está adquiriendo mayor importancia con la globalización e internacionalización de las universidades españolas, como por ejemplo, con el establecimiento del Espacio Europeo de Educación Superior. El objetivo de este estudio es conocer el nivel de inglés de los estudiantes de la facultad de Ciencias en la Universidad de Alicante con distinto grado de inmersión lingüística en este idioma y las opiniones respecto a la enseñanza en este idioma. Los resultados obtenidos nos sirvieron para saber la situación actual de la implementación del inglés en dicha Universidad. A partir de estos resultados, se diseñaron propuestas dirigidas a promover una mayor aceptación del inglés en las aulas y su integración progresiva en el ámbito académico. Se pretende que dichas propuestas faciliten la implantación de la docencia en inglés en las universidades, lo que ayudará a la internacionalización de éstas