Levosimendan: a cardiovascular drug to prevent liver ischemia-reperfusion injury?

INTRODUCTION: Temporary occlusion of the hepatoduodenal ligament leads to an ischemic-reperfusion (IR) injury in the liver. Levosimendan is a new positive inotropic drug, which induces preconditioning-like adaptive mechanisms due to opening of mitochondrial KATP channels. The aim of this study was to examine possible protective effects of levosimendan in a rat model of hepatic IR injury. MATERIAL AND METHODS: Levosimendan was administered to male Wistar rats 1 hour (early pretreatment) or 24 hours (late pretreatment) before induction of 60-minute segmental liver ischemia. Microcirculation of the liver was monitored by laser Doppler flowmeter. After 24 hours of reperfusion, liver and blood samples were taken for histology, immuno- and enzyme-histochemistry (TUNEL; PARP; NADH-TR) as well as for laboratory tests. Furthermore, liver antioxidant status was assessed and HSP72 expression was measured. RESULTS: In both groups pretreated with levosimendan, significantly better hepatic microcirculation was observed compared to respective IR control groups. Similarly, histological damage was also reduced after levosimendan administration. This observation was supported by significantly lower activities of serum ALT (pearly = 0.02; plate = 0.005), AST (pearly = 0.02; plate = 0.004) and less DNA damage by TUNEL test (pearly = 0.05; plate = 0.034) and PAR positivity (pearly = 0.02; plate = 0.04). Levosimendan pretreatment resulted in significant improvement of liver redox homeostasis. Further, significantly better mitochondrial function was detected in animals receiving late pretreatment. Finally, HSP72 expression was increased by IR injury, but it was not affected by levosimendan pretreatment. CONCLUSION: Levosimendan pretreatment can be hepatoprotective and it could be useful before extensive liver resection

L'exploration électrophysiologique de la face basale du lobe temporal et du lobe frontal : intérêt des électrodes sphénoïdales et intraorbitaires

National audienceThe authors have evaluated the interest of sphenoidal electrodes in detection of internal temporal spikes, and intra-orbital electrodes in the detection of orbito-frontal spikes. From a study of 26 patients, 21 with sphenoidal electrodes, 3 with intra-orbital electrodes and 2 with both electrodes, they observed the sensitivity and specificity of such electrodes in detecting spikes with no traduction upon extra-cranial electrodes, or with an unsuspected traduction as spikes at a distance from deep electrodes, or spikes on 2 foci, or bisynchronous discharges. Sphenoidal and intra-orbital electrodes constitute a non-invasive method that provides excellent information in the exploration of the mesiobasal cerebral face. Indications for the use of such a method are complex absences without EEG traduction or with an unsuspected traduction and without abnormalities on CT scan, in the context of functional surgery of epilepsy.Les auteurs ont évalué l'intérêt des électrodes extracrâniennes sphénoïdales et intraorbitaires dans l'exploration des pointes temporales internes, et des pointes orbitofrontales. À partir d'une étude sur 26 malades, 21 avec électrodes sphénoïdales, trois avec électrodes intraorbitaires et deux avec les deux types d'électrodes, ils démontrent la sensibilité et la spécificité de ces électrodes, capables de détecter des pointes n'ayant aucune traduction sur les électrodes de surface ou ayant une traduction en surface tout à fait inattendue comme des pointes en surface à distance de l'électrode implantée, ou sur deux foyers, ou même sous forme de décharges bilatérales et synchrones. Les électrodes sphénoïdales et intraorbitaires réalisent une méthode peu invasive qui apporte des renseignements inaccessibles par les autres électrodes extracrâniennes, dans l'exploration de la face mésiobasale de l'encéphale. Les indications de ces deux types d'électrodes qui nous semblent les plus judicieuses sont les crises partielles complexes dont l'expression électroencéphalographique classique est soit absente, soit imprécise

‘LaDePa’ process for the drying and pasteurization of faecal sludge from VIP latrines using infrared radiation

This paper studies a faecal sludge treatment process, LaDePa (Latrine Dehydration and Pasteurization), which includes: (i) the characterization of the rheological and plastic behaviour of faecal sludge in the feeding section; (ii) the study of the drying and pasteurization performance of the process using a laboratory-scale prototype; and (iii) an evaluation of the processed faecal sludge for reuse in agriculture or as a biofuel.Experiments conducted using a rheometer show that the faecal sludge exhibits shear thinning behaviour, i.e. viscosity decrease with shear rate increase. Plasticity tests in a cone penetrometer showed that the faecal sludge has a more liquid than plastic behaviour, which may affect extrusion quality, unless a plasticizer is added, as sawdust in this study.The extent of drying and pasteurization of the samples was determined based on moisture content and the presence of viable Ascaris eggs respectively. As the intensity of infrared radiation was increased, drying was faster and more efficient in terms of energy consumption. However, the pellets were thermally degraded at temperatures above 200 °C. After processing in the LaDePa, Ascaris eggs were deactivated or severely damaged so that they would be not able to develop.The last part of the study was conducted by determining the content of nutrients (C, N, P, K) and calorific value. The results showed that the processed pellets have suitable characteristics for reuse in agriculture and as a biofuel: similar nutrient content to manure and compost, and similar calorific value to wood. Drying did not affect the nutrient content and calorific value of the dry bone of faecal sludge. Keywords: Faecal sludge, Rheology, Extrusion, Drying, Infrared, Pasteurization, Reus