Thermal and solutal convection with conduction effects inside a rectangular enclosure

We numerically investigate the effects of various boundary conditions on the flow field characteristics of the physical vapor transport process. We use a prescribed temperature profile as boundary condition on the enclosure walls, and we consider parametric variations applicable to ground-based and space microgravity conditions. For ground-based applications, density gradients in the fluid phase generate buoyancy-driven convection which in turn disrupts the uniformity of the mass flux at the interface depending on the orientation. Heat conduction in the crystal can affect the fluid flow near the interface of the crystal. When considering isothermal source and sink at the interfaces, we observe a diffusive mode and three modes (i.e., thermal, solutal, and thermo-solutal). The convective modes show opposing flow field trends between thermal and solutal convection; theoretically, these trends can be used to achieve a uniform mass flux near the crystal. However, under the physical conditions chosen, the mathematical condition necessary for uniform mass flux cannot be satisfied because of thermodynamic restrictions. When a longitudinal thermal gradient is prescribed on the boundary of the crystal, a non-uniform interface temperature results, which induces a symmetrical fluid flow near the interface for the vertical case. For space microgravity applications, we show that the flow field is dominated by the Stefan wind and a uniform mass flux results at the interface

Factors associated with lamotrigine concentration/dose ratio in individuals with bipolar disorders

International audienceMonitoring of lamotrigine levels is recommended in epilepsy. However, in bipolar disorders (BD), no study has described the therapeutic range in daily practice and factors being associated to it. We used retrospective data of individuals with BD, treated with lamotrigine, and included in the FondaMental Advanced Centers of Expertise for Bipolar Disorders cohort. We extracted clinical and biological data and explored associations between these variables and lamotrigine concentration/dose (C/D) ratio. The database included 675 individuals who received lamotrigine at inclusion, whose main characteristics were female sex (68.3%) and BD type 2 (52.1%). Data about lamotrigine C/D ratio were available for 205 individuals. Lamotrigine C/D ratio was significantly associated with: Body Mass Index (BMI) (r=-0.159), estimated GFR (glomerular filtration rate) (r=-0.228), total bilirubin (r = 0.241) and at a trend level, antidepressant co-prescription (U = 3169). The model obtained was: lamotrigine C/D ratio = 1.736 - 0.013*BMI + 0.095*total bilirubin (UI/L) - 0.007*eGFR (ml/min) + 0.210*AST/ALT – 0.004*GGT (UI/L) + 0.014*age (year) + 0.303*currently smoking (yes or no) – 0.588*antidepressant co-prescription (yes or no) – 0.357*gender (F = 1.899, p = 0.057, adjusted R2 = 0.11) Information about plasma lamotrigine C/D ratio were available for only 205 out of the 675 individuals in the database and has been obtained from different laboratories. The representativeness of the included sample may be questionable. This is the first study providing information on a large sample of individuals with BD regarding factors associated with lamotrigine C/D ratio. This study allows to propose a model of lamotrigine C/D ratio that would deserve further replication

Decreased telomere length in a subgroup of young individuals with bipolar disorders: replication in the FACE-BD cohort and association with the shelterin component POT1

International audienceBipolar disorder (BD) has been associated with premature cellular aging with shortened telomere length (TL) as compared to the general population. We recently identified a subgroup of young individuals with prematurely shortened TL. The aims of the present study were to replicate this observation in a larger sample and analyze the expression levels of genes associated with age or TL in a subsample of these individuals. TL was measured on peripheral blood DNA using quantitative polymerase chain reaction in a sample of 542 individuals with BD and clustering analyses were performed. Gene expression level of 29 genes, associated with aging or with telomere maintenance, was analyzed in RNA samples from a subsample of 129 individuals. Clustering analyses identified a group of young individuals (mean age 29.64 years), with shorter TL. None of the tested clinical variables were significantly associated with this subgroup. Gene expression level analyses showed significant downregulation of MYC, POT1, and CD27 in the prematurely aged young individuals compared to the young individuals with longer TL. After adjustment only POT1 remained significantly differentially expressed between the two groups of young individuals. This study confirms the existence of a subgroup of young individuals with BD with shortened TL. The observed decrease of POT1 expression level suggests a newly described cellular mechanism in individuals with BD, that may contribute to telomere shortening