Diagnostic biologique des candidoses

Candidiasis is the most common fungal infection in humans. Conventional techniques are usually sufficient for the diagnosis of superficial candidiasis. For deep-seated or systemic candidiasis, blood cultures still represent the “gold standard”, although their sensitivity can be overtaken. In recent decades, numerous alternative tests have been developed to overcome this lack of sensitivity. These techniques allow the detection of antibodies, antigens, metabolites or nucleic acids. In most cases, serological results have to be interpretated according to the immune status of patients. Detection of antibodies alone is often poorly contributive to the diagnosis, except when this is associated with the detection of circulating antigens. Thus, the detection of circulating mannans is useful in the diagnosis of infections caused by the most frequent Candida species; the sensitivity of this test increases with the repetition of samplings and the joint detection of anti-mannan antibodies. Besides, detection of β(1.3)-D glucans, alone or in association with the detection of mannans, may be useful for early diagnosis of deep-seated candidiasis. Molecular biology helps us to diagnose deep-seated candidiasis without referring to the patient\u27s immune status. With the newly commercialized kits, molecular detection of Candida should expand in laboratories. In the same way, proteomic analysis by MALDI-TOF allows to substantially shorten the time for identification of isolated yeasts. Modern methods of molecular typing, which are based on the analysis of genome variability, replaced phenotypic techniques. Although insufficiently standardized, they represent a powerful tool to better understand the epidemiology of Candida infections

Pure hydrogen low-temperature plasma exposure of HOPG and graphene: Graphane formation?

Single- and multilayer graphene and highly ordered pyrolytic graphite (HOPG) were exposed to a pure hydrogen low-temperature plasma (LTP). Characterizations include various experimental techniques such as photoelectron spectroscopy, Raman spectroscopy and scanning probe microscopy. Our photoemission measurement shows that hydrogen LTP exposed HOPG has a diamond-like valence-band structure, which suggests double-sided hydrogenation. With the scanning tunneling microscopy technique, various atomic-scale charge-density patterns were observed, which may be associated with different C-H conformers. Hydrogen-LTP-exposed graphene on SiO₂ has a Raman spectrum in which the D peak to G peak ratio is over 4, associated with hydrogenation on both sides. A very low defect density was observed in the scanning probe microscopy measurements, which enables a reverse transformation to graphene. Hydrogen-LTP-exposed HOPG possesses a high thermal stability, and therefore, this transformation requires annealing at over 1000 °C

Constitutive association of BRCA1 and c-Abl and its ATM-dependent disruption after irradiation

BRCA1 plays an important role in mechanisms of response to double-strand breaks, participating in genome surveillance, DNA repair, and cell cycle checkpoint arrests. Here, we identify a constitutive BRCA1-c-Abl complex and provide evidence for a direct interaction between the PXXP motif in the C terminus of BRCA1 and the SH3 domain of c-Abl. Following exposure to ionizing radiation (IR), the BRCA1-c-Abl complex is disrupted in an ATM-dependent manner, which correlates temporally with ATM-dependent phosphorylation of BRCA1 and ATM-dependent enhancement of the tyrosine kinase activity of c-Abl. The BRCA1-c-Abl interaction is affected by radiation-induced modification to both BRCA1 and c-Abl. We show that the C terminus of BRCA1 is phosphorylated by c-Abl in vitro. In vivo, BRCA1 is phosphorylated at tyrosine residues in an ATM-dependent, radiation-dependent manner. Tyrosine phosphorylation of BRCA1, however, is not required for the disruption of the BRCA1-c-Abl complex. BRCA1-mutated cells exhibit constitutively high c-Abl kinase activity that is not further increased on exposure to IR. We suggest a model in which BRCA1 acts in concert with ATM to regulate c-Abl tyrosine kinase activity

Anisotropic Etching of Graphite and Graphene in a Remote Hydrogen Plasma

We investigate the etching of a pure hydrogen plasma on graphite samples and graphene flakes on SiO$_2$ and hexagonal Boron-Nitride (hBN) substrates. The pressure and distance dependence of the graphite exposure experiments reveals the existence of two distinct plasma regimes: the direct and the remote plasma regime. Graphite surfaces exposed directly to the hydrogen plasma exhibit numerous etch pits of various size and depth, indicating continuous defect creation throughout the etching process. In contrast, anisotropic etching forming regular and symmetric hexagons starting only from preexisting defects and edges is seen in the remote plasma regime, where the sample is located downstream, outside of the glowing plasma. This regime is possible in a narrow window of parameters where essentially all ions have already recombined, yet a flux of H-radicals performing anisotropic etching is still present. At the required process pressures, the radicals can recombine only on surfaces, not in the gas itself. Thus, the tube material needs to exhibit a sufficiently low H radical recombination coefficient, such a found for quartz or pyrex. In the remote regime, we investigate the etching of single layer and bilayer graphene on SiO$_2$ and hBN substrates. We find isotropic etching for single layer graphene on SiO$_2$, whereas we observe highly anisotropic etching for graphene on a hBN substrate. For bilayer graphene, anisotropic etching is observed on both substrates. Finally, we demonstrate the use of artificial defects to create well defined graphene nanostructures with clean crystallographic edges.Comment: 7 pages, 4 color figure

Towards a standardized test for serodiagnosis of scedosporiosis

International audienc

Marqueurs diagnostics des scédosporioses : Catalase cytosolique et/ou excrétée

National audienc

Observed-predicted length of stay for an acute psychiatric department, as an indicator of inpatient care inefficiencies. Retrospective case-series study.

BACKGROUND: Length of stay (LOS) is an important indicator of efficiency for inpatient care but it does not achieve an adequate performance if it is not adjusted for the case mix of the patients hospitalized during the period considered. After two similar studies for Internal Medicine and Surgery respectively, the aims of the present study were to search for Length of Stay (LOS) predictors in an acute psychiatric department and to assess the performance of the difference: observed-predicted length of stay, as an indicator of inpatient care inefficiencies. METHODS: Retrospective case-series of patients discharged during 1999 from the Psychiatric Department from General Hospital "Hermanos Ameijeiras" in Havana, Cuba. The 374 eligible medical records were randomly split into two groups of 187 each. We derived the function for estimating the predicted LOS within the first group. Possible predictors were: age; sex; place of residence; diagnosis, use of electroconvulsive therapy; co morbidities; symptoms at admission, medications, marital status, and response to treatment. LOS was the dependent variable. A thorough exam of the patients' records was the basis to assess the capacity of the function for detecting inefficiency problems, within the second group. RESULTS: The function explained 37% of LOS variation. The strongest influence on LOS came from: age (p = 0.002), response to treatment (p < 0.0001), the dummy for personality disorders (p = 0.01), ECT therapy (p = 0.003), factor for sexual and/or eating symptoms (p = 0.003) and factor for psychotic symptoms (p = 0.025). Mean observed LOS is 2 days higher than predicted for the group of records with inefficient care, whereas for the group with acceptable efficiency, observed mean LOS was 4 days lower than predicted. The area under the ROC curve for detecting inefficiencies was 69% CONCLUSIONS: This study demonstrates the importance of possible predictors of LOS, in an acute care Psychiatric department. The proposed indicator can be readily used to detect inefficiencies

Reducing the hydrogen content in liquid helium

Helium has the lowest boiling point of any element in nature at normal atmospheric pressure. Therefore, any unwanted substance like impurities present in liquid helium will be frozen and will be in solid form. Even if these solid impurities can be easily eliminated by filtering, liquid helium may contain a non negligible quantity of molecular hydrogen. These traces of molecular hydrogen are the causes of a known problem worldwide: the blocking of fine capillary tubes used as flow resistors in helium evaporation cryostats to achieve temperatures below 4.2 K. This problem seriously affects a wide range of cryogenic equipment used in low temperature physics research and leads to a dramatic loss of time and costs due to the high price of helium. Here, we present first the measurement of molecular hydrogen content in helium gas. Three measures to decrease this molecular hydrogen are afterward proposed; (i)improving the helium quality, (ii) release of helium gas in the atmosphere during purge time for the regeneration cycle of the helium liquefierâEurotms internal purifier, and (iii) installation of two catalytic converters in a closed helium circuit. These actions have eliminated all blockages of capillaries at low temperatures now for more than two years

Production de protéines recombinantes de Scedosporium apiospermum, Cu,Zn superoxide dismutase et catalase, pour l’amélioration et la standardisation du sérodiagnostic des infections à Scedosporium apiospermum chez les patients atteints de mucoviscidose

National audienc