High-Resolution Mapping and Successful Ablation of Purkinje Ectopy–Triggered Ventricular Fibrillation Storm

Catheter ablation is recognized as a central therapeutic option in treating patients with drug-refractory, scar-related monomorphic ventricular tachycardia (VT). Catheter ablation also has a role in selected cases of polymorphic VT (PMVT) and/or ventricular fibrillation (VF). Rarely, premature ventricular contractions (PVCs) originating from the Purkinje network can induce PMVT/VF. Although not completely elucidated, the electrophysiologic mechanisms behind this lethal arrhythmia have generally been thought to be related to abnormal automaticity and triggered activity. Ablation of the triggering PVCs can prevent VF recurrence and is potentially lifesavin

Effet du chlore sur la colonisation bactérienne d'un réseau expérimental de distribution d'eau

La contamination bactérienne de la phase eau d'un réseau de distribution résulte d'une multiplication des bactéries sur les parois des canalisations d'eau (biofilms) suivie de leur arrachage et de leur transport dans le flux circulant. Ce travail met en évidence l'effet du chlore, d'une part, sur la formation des biofilms et, d'autre part, sur des biofilms déjà constitués. Des éprouvettes de matériaux neufs introduites dans des eaux présentant des concentrations en chlore total variant de 2,4 à 0,02 mg/l et véhiculant entre 0,5 x 106 et 5 x 105 cellules bactériennes/mi (dont 1 à 10 % de bactéries cultivables) sont rapidement colonisées (106 à 108 cellules/cm2). L'effet du chlore est sensible sur les cellules totales pour des concentrations de l'ordre de 1 à 2,4 mg/l. Sur les bactéries cultivables, un ralentissement de la croissance du biofilm est observé dès 0,3 mg/1 de chlore total. Par contre, des résiduels de 0,02 ou 0,05 mg/l sont sans effet sur la cinétique de formation des biofilms. Des résiduels moyens de chlore total compris entre 2,3 et 3,4 mg/l appliqués en continu pendant 14 jours sur un biofilm constitué d'environ 8,7 x 106 cellules par cm2 (1,7 % de bactéries cultivables), entraînent l'élimination d'environ 90 % des bactéries fixées (abattement d'1 logarithme) durant les premiers jours d'exposition. L'altération du biofilm exposé à un résiduel de chlore total de l'ordre de 1,3 mg/l est identique, mais toutefois plus étalée dans le temps. Ces essais réalisés sur des éprouvettes de PVC, PE et mortier de ciment n'ont pas permis la mise en évidence de comportements différents de ces 3 supports..Bacterial accumulation in drinking water systems results both of cell deposition on the pipe walls and attached bacteria growth. The presence of a complex biofilm (cells embedded in a matrix of exopolymers) leads to a continuous contamination of the water phase resulting from the erosion of the attached growing biomass. Then, many tentatives to lmit the formation of such a biofilm have been suggested as the removal of biodegradable organic matter fram water or as the application of disinfectant. However, the efficiency of chlorination of the distribution system is debatable. Indeed, adhesion is often described as a factor of protection of attached bacteria which counterbalances the expected effect of disinfectant. Then, the aim of this experimental work is using a model distribution system to evaluate (i) the kinetics of biofilm accumulation on coupons of new materials (Polyvinyl chlorure : PVC, polyethylene : PE, cement) disposed in a constantly chlorinated system (residual total chlorine from 0.021o 2.4 mg. l-1), (ii) the effect of chlorination on previously accumulated biofilms.The industrial pilot plant used in this study is comprised of five loops serially disposed (fig. 1). From previous study of simulation, one may assume that each loop works like a perfectly mixed reactor when the whole pilot plant is equivalent to an infinite tubular reactor with high axial dispersion coefficient. During the experiment, the pilot was continuously fed with finished drinking water front the surface water treatment plant of city of Nancy (i.e. natural finished water with its own chlorine demand, organic nutrients and heterotrophic bacteria).Total number of cells (epifluorescence counts) and heterotrophic plate count bacteria (15 days of incubation at 20 °C) were enumerated both in the water and, after sonication, on the surface of the coupons of tested materials.The first experimentations show that chlorine slows clown the kinetic of deposition of bacteria onto the pipe wall but never prohibits biofilm formation. When the drinking waters carried from 2.4 to 0.02 mg.1-1 of chlorine and from 0.5 to 5 x 105 ml-1 bacterial cells, biofilm is observed after 24 hours of immersion of the coupons with at least 101 to 106 bacteria/cm2. Respectively, the deposition or/and growth rates of total cells are drastically affected only for chlorine residual as high as 1 to 2.4 mg. 1-1. The number of heterotrophic plate count of the biofilm is affected with lower chlorine residual (around 0.3 mg.1-1) but residual concentration as low as 0.05 mg.1-1 are ineffective.The tentatives carried out in the second experience on preformed biofilms (2 months old biofilms, 8.7 x 106 cells/cm2) show that the continuous application of 2.3 to 3.4 mg. 1-1 of residual chlorine for 14 days, leads to the removal of only 90 % of attached total cells without modifications of the proportion of attached alive bacteria (around 1.7 %) into the biofitm. In other wards, a highly chlorinated networks shows at minima 106 attached cells/cm2. Its generally takes several days to reply to the chlorine demand of the system and to have a quasi steady state reactor in terms of residual chlorine.These assays carried out with three types of coupons (PVC, PE, cement lined cast iron) did not show any difference between the tested materials.The limited efficiency of chlorine against the biofilm can be explained by transfert limitations within the visquous layer, high consumption of chlorine by the biopolymers of the attached matrix (proteins...) or low sensitivity to the disinfectant of the slow growing attached bacteria. Then chlorination is really not a panacea in biofilm war but has to be applied in combination with other methods as biodegradable organic matter removal, hydraulic regime improvement..

Dynamic MAIT cell response with progressively enhanced innateness during acute HIV-1 infection.

Mucosa-associated invariant T (MAIT) cell loss in chronic HIV-1 infection is a significant insult to antimicrobial immune defenses. Here we investigate the response of MAIT cells during acute HIV-1 infection utilizing the RV217 cohort with paired longitudinal pre- and post-infection samples. MAIT cells are activated and expand in blood and mucosa coincident with peak HIV-1 viremia, in a manner associated with emerging microbial translocation. This is followed by a phase with elevated function as viral replication is controlled to a set-point level, and later by their functional decline at the onset of chronic infection. Interestingly, enhanced innate-like pathways and characteristics develop progressively in MAIT cells during infection, in parallel with TCR repertoire alterations. These findings delineate the dynamic MAIT cell response to acute HIV-1 infection, and show how the MAIT compartment initially responds and expands with enhanced function, followed by progressive reprogramming away from TCR-dependent antibacterial responses towards innate-like functionality

In Situ mechanical effects of a specific neurodynamic mobilization of the superficial fibular nerve: A cadaveric study

Context: A specific neurodynamic mobilization for the superficial fibular nerve (SFN) has been suggested in the reference literature for manual therapists to evaluate nerve mechanosensitivity in patients. However, no biomechanical studies examined the ability of this technique to produce nerve strain. Therefore, mechanical specificity of this technique is not yet established. Objective: The aim of our study was to test whether this examination and treatment technique was producing nerve strain in the fresh frozen cadaver and the contribution of each motion to total longitudinal strain. Design: Quantitative original research, controlled laboratory study Methods: A differential variable reluctance transducer was inserted in ten SFN from six fresh cadavers to measure strain during the mobilization. A specific sequence of plantar flexion (PF), ankle inversion (INV), straight leg raise (SLR) position and 30{degree sign} of hip adduction (ADD) was applied to the lower limb. The mobilization was repeated at 0°, 30°, 60° and 90° of Straight Leg Raise (SLR) position to measure the impact of hip flexion position. Findings: Compared to a resting position, this neurodynamic mobilization produced a significant amount of strain in the SFN (7.93% ± 0.51 P < 0.001). PF (59.34% ± 25.82) and INV (32.80% ± 21.41) accounted for the biggest proportion of total strain during the mobilization. No significant difference was reported between different hip flexion positions. Hip ADD did not significantly contribute to final strain (0.39% ± 10.42 P> 0,05) although high subject variability exists. Conclusion: Ankle motions should be considered the most important during neurodynamic assessment of the SFN for distal entrapment. These results suggest that this technique produces sufficient strain in the SFN and could therefore be evaluated In Vivo for correlation with mechanosensitivit

Scale-free memory model for multiagent reinforcement learning. Mean field approximation and rock-paper-scissors dynamics

A continuous time model for multiagent systems governed by reinforcement learning with scale-free memory is developed. The agents are assumed to act independently of one another in optimizing their choice of possible actions via trial-and-error search. To gain awareness about the action value the agents accumulate in their memory the rewards obtained from taking a specific action at each moment of time. The contribution of the rewards in the past to the agent current perception of action value is described by an integral operator with a power-law kernel. Finally a fractional differential equation governing the system dynamics is obtained. The agents are considered to interact with one another implicitly via the reward of one agent depending on the choice of the other agents. The pairwise interaction model is adopted to describe this effect. As a specific example of systems with non-transitive interactions, a two agent and three agent systems of the rock-paper-scissors type are analyzed in detail, including the stability analysis and numerical simulation. Scale-free memory is demonstrated to cause complex dynamics of the systems at hand. In particular, it is shown that there can be simultaneously two modes of the system instability undergoing subcritical and supercritical bifurcation, with the latter one exhibiting anomalous oscillations with the amplitude and period growing with time. Besides, the instability onset via this supercritical mode may be regarded as "altruism self-organization". For the three agent system the instability dynamics is found to be rather irregular and can be composed of alternate fragments of oscillations different in their properties.Comment: 17 pages, 7 figur

A Cytoplasmic Complex Mediates Specific mRNA Recognition and Localization in Yeast

The localization of ash mRNA in yeast requires the binding of She2p and the myosin adaptor protein She3p to its localization element, which is highly specific and leads to the assembly of stable transport complexes

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In the last years many populations of anurans have declined and extinctions have been recorded. They were related to environmental pollution, changes of land use and emerging diseases. The main objective of this study was to determine copper sensitivity of the anuran of the Amazon Rhinella granulosa and Scinax ruber tadpoles at stage 25 and Scinax ruber eggs exposed for 96 h to copper concentrations ranging from 15 µg Cu L-1 to 94 µg Cu L-1. LC50 at 96 h of Rhinella granulosa Gosner 25, Scinax ruber Gosner 25 and Scinax ruber eggs in black water of the Amazon were 23.48, 36.37 and 50.02 µg Cu L-1, respectively. The Biotic Ligand Model was used to predict the LC50 values for these species and it can be considered a promising tool for these tropical species and water conditions. Copper toxicity depends on water physical-chemical composition and on the larval stage of the tadpoles. The Gosner stage 19-21 (related to the appearance of external gills) is the most vulnerable and the egg stage is the most resistant. In case of contamination by copper, the natural streams must have special attention, since copper is more bioavailable.Nos últimos anos foram registrados muitas extinções e declínios de populações de anuros. Eles estavam relacionados com a poluição do ambiente, a mudanças no uso da terra e ao surgimento de doenças. O principal objetivo deste estudo foi determinar a sensibilidade dos anuros amazônicos ao cobre. Os girinos de Scinax ruber e Rhinella granulosa no estadio 25 e os ovos de Scinax ruber foram expostos por 96 horas a concentrações de cobre entre 15 µg Cu L-1 a 94 µg Cu L-1. A CL50 -96 h dos girinos de Rhinella granulosa, dos girinos de Scinax ruber e dos ovos de Scinax ruber em águas pretas da Amazônia foram 23,48; 36,37 e 50,02 µg Cu L-1, respectivamente. O modelo do ligante biótico foi usado para prever os valores de CL50 para essas duas espécies e pode ser considerado uma ferramenta promissora para essas espécies tropicais e para essas condições de água. A Toxicidade de cobre depende da composição físico-química da água e do estagio larval dos girinos. O estadio 19-21 de Gosner (relacionados ao aparecimento das brânquias externas) são os mais vulnerável e o estagio de ovo é o mais resistente. Em caso de contaminação por cobre, os igarapés naturais devem ter uma atenção especial, uma vez que o cobre é mais biodisponível nesse ambiente

Hunger Artists: Yeast Adapted to Carbon Limitation Show Trade-Offs under Carbon Sufficiency

As organisms adaptively evolve to a new environment, selection results in the improvement of certain traits, bringing about an increase in fitness. Trade-offs may result from this process if function in other traits is reduced in alternative environments either by the adaptive mutations themselves or by the accumulation of neutral mutations elsewhere in the genome. Though the cost of adaptation has long been a fundamental premise in evolutionary biology, the existence of and molecular basis for trade-offs in alternative environments are not well-established. Here, we show that yeast evolved under aerobic glucose limitation show surprisingly few trade-offs when cultured in other carbon-limited environments, under either aerobic or anaerobic conditions. However, while adaptive clones consistently outperform their common ancestor under carbon limiting conditions, in some cases they perform less well than their ancestor in aerobic, carbon-rich environments, indicating that trade-offs can appear when resources are non-limiting. To more deeply understand how adaptation to one condition affects performance in others, we determined steady-state transcript abundance of adaptive clones grown under diverse conditions and performed whole-genome sequencing to identify mutations that distinguish them from one another and from their common ancestor. We identified mutations in genes involved in glucose sensing, signaling, and transport, which, when considered in the context of the expression data, help explain their adaptation to carbon poor environments. However, different sets of mutations in each independently evolved clone indicate that multiple mutational paths lead to the adaptive phenotype. We conclude that yeasts that evolve high fitness under one resource-limiting condition also become more fit under other resource-limiting conditions, but may pay a fitness cost when those same resources are abundant