Desquamative interstitial pneumonia: Risk factors, laboratory and bronchoalveolar lavage findings, radiological and histopathological examination, clinical features, treatment and prognosis

Desquamative interstitial pneumonia is a type of smoking-associated major idiopathic interstitial pneumonia, which is characterized by accumulation of alveolar macrophages in alveolar lumens and septa and develops secondary to mainly active or passive exposure to cigarette smoke. Desquamative interstitial pneumonia mostly occurs in male smokers in association with non-specific symptoms responsive to steroid therapy and has a better prognosis than usual interstitial pneumonia. To date, no large-scale clinical studies have been performed on desquamative interstitial pneumonia patients. Factors responsible for the scarcity of data on the clinical course of this condition include the retrospective nature of the available information as well as its rare occurrence. Despite this, a general consensus exists as to the nature of its symptoms, association with smoking, age and gender distribution, findings of respiratory function tests, steroid responsivity and mortality. The objective of the present review article was to report on desquamative interstitial pneumonia and to describe its etiology, risk factors and clinical features, as well as the laboratory, bronchoalveolar lavage, radiological and histopathological findings, and the treatment and prognosis of affected patients

Marmara Seawater Desalination by Membrane Distillation: Direct Consumption Assessment of Produced Drinking Water

Drinking water was produced from Marmara seawater by membrane distillation (MD). The best operating conditions were determined by batch experiments as: 0.45 μm PTFE, 30°C distillate temperature and temperature difference, and 270–360 L/h cross‐flow rates in feed‐distillate. Seawater desalination was carried out with 99.93% solute rejection and 17.2 L/m2h permeate flux in 66% concentration ratio by lab‐scale pilot system. Since the desalinated water contained no organic carbon, turbidity, and nitrate, it seemed to be very suitable for immediate service with quality of 7.3 pH, clear, odor‐free, 76.0 µS/cm, 47.1 mg TDS/L, <0.001 color, and 0.01 mg boron/L. The product water lacked of vital cations, especially Na+, K+, Ca2+, Mg2+ that are essentials for promoting osmotic balanced body liquid and healthy development. A holistic management approach towards satisfying specific water quality requirements in direct service of MD effluents to human consumption was proposed that jointly included in injecting into urban potable water, adding appropriate chemicals into the effluent, and mixing effluents with raw or concentrated seawater (1:250/1:1000 for Marmara seawater) or brackish natural waters under hygienic precautions

Atlas neuroanatomique de la substance blanche cérébrale en imagerie par résonance magnétique du tenseur de diffusion

CAEN-BU Médecine pharmacie (141182102) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

re-perfusion in rats

The brain is highly sensitive to hypoxia; this is true particularly of parts that are crucial for cognitive function. The effects of hypoxia are especially dramatic in the hippocampus. We evaluated the potential protective effects of poppy seed oil on the number of hippocampus cells and the serum antioxidant/oxidant status after cerebral ischemia and re-perfusion (CIR). Eighteen rats were divided into three equal groups. Group 1 served as the control group without CIR. Group 2 received poppy seed oil daily by oral gavage at a dose of 0.4 ml/kg, while group 3 was given 0.4 ml/kg saline solution by oral gavage per day; these treatments were continued for one month. Groups 2 and 3 were subjected to CIR induced by clamps on two points of both of the carotid arteries for 45 min followed by 45 min re-perfusion. There were significant decreases in the number of hippocampus cells between groups 1 and 2, and between groups 1 and 3. The mean cell number in group 2 was not significantly different from that of group 3. The serum nitric oxide levels in CIR groups were elevated significantly compared to controls, and were significantly higher in group 2 than in group 3. The glutathione levels were increased significantly in the poppy seed oil treated group compared to the saline CIR groups. The malondialdehyde levels were markedly increased in group 3 compared to both groups 1 and 2. Our study suggests that poppy seed oil can improve antioxidant defense capacity after CIR, although this treatment did not alter significantly the frequency of cell death

Determination of protein degradability of alfalfa hay via buffer or protease

This study was conducted to determine the effect of different vegetative periods on protein fractions of alfalfa hay and to compare two different methods for estimation of its protein degradability. In this study, 44 alfalfa hay samples cut in late vegetative, late bud, early bloom and late bloom were used. Crude protein decreased with advancing maturity (p < .05), but neutral detergent insoluble nitrogen and acid detergent insoluble nitrogen were similar. Protein degradability of the samples was estimated using Streptomyces griseus protease or borate–phosphate buffer, kinetic model, as described in Cornell Net Carbohydrate Protein System (CNCPS). Alfalfa hay samples were subjected to proteolysis for 30 h with 0.115 U/mL or 0.230 U/mL of the protease at pH 6.8. There was a moderate correlation (0.66, 0.72) between enzymatic and buffer method estimates with protein degradation. As vegetation progresses, rapidly degradable fraction (A) decreased (p < .05) and undegradable fraction (C) increased (p < .05), while potentially degradable fraction (B) was unchanged. Rumen degradable protein content decreased (p < .05) with advancing maturity. The enzyme/duration limits should be standardised and investigated whether the protease enzyme alone is sufficient for all forages

Comparison of Alfalfa (Medicago sativa) Energy Values Estimated by Using the NRC-2001, Hohenheim and UC Davis Equations

In this study, our aim was to compare estimated metabolizable energy (ME) and net energy lactation (NEL) contents in dried alfalfa samples in their different growth stages, using models such as NRC-2001, Hohenheim(Menke) and University of California at Davis (UC Davis). A total of 73 alfalfa hay samples obtained during three different growth stages (Vegetative, Bud and Bloom) were used. Chemical analyses were performed for each sample. Energy values of the alfalfa hay samples were calculated with NRC-2001 equations from chemical analysis results, and with HohenheimMenke and UC Davis equations from in vitro gas production volumes. Gas production in alfalfa samples in vegetative period (S1) was higher than other periods (P<0.001). Again, ME values calculated with all three methods in the alfalfa hay samples of this period were significantly higher than the samples in bud and bloom periods (P<0.001). In addition, energy values obtained with HohenheimMenke equation in all periods were found to be higher than the averages obtained with NRC-2001 and UC Davis equations. It is concluded that, for the alfalfas in vegetative period, a correlation of 85.6% between energy values obtained with NRC-2001 and HohenheimMenke equations, a correlation of 81.8% between energy values obtained with UC Davis and NRC-2001 equations, and over 99% correlation between energy values obtained with HohenheimMenke and UC Davis equations were determined (P<0.000)

Fatal Cryptococcal Meningitis in a Patient With Chronic Lymphocytic Leukemia

&lt;p&gt;Patients with chronic lymphocytic leukemia (CLL) are susceptible to infections, especially opportunistic infections. We have described a patient with CLL who had cryptococcal meningitis. Despite lack of previous immunosuppressive treatment history, the patient experienced serious and fatal fungal infection. Physicians should be alert for a diagnosis of cryptococcal meningitis in patient with CLL who developed fever and headache.&lt;/p&gt

Acute ischemic stroke treated with mechanical thrombectomy and fungal endocarditis: A case report and systematic review of the literature

International audienceFungal endocarditis is a rare clinical form of infective endocarditis. The main etiology of FE is Candida albicans but also Candida parapsilosis and the overall mortality is high. We report a case of an acute ischemic stroke treated by mechanical thrombectomy, with the histopathological analysis of the retrieved clot followed by the confirmation of fungal endocarditis. An extensive review of the literature has been proposed and three key points concerning the fungal endocarditis predisposing factors, the relation between thrombolysis and hemorrhagic risk and, finally, the importance of clot analysis have been discussed

Angiographic collateral venous phase: a novel landmark for leptomeningeal collaterals evaluation in acute ischemic stroke

International audienceBackground Although recanalization rates constantly increase (>80%), a favorable clinical outcome is achieved in only 45–55% of patients undergoing mechanical thrombectomy (MT) for anterior circulation stroke. Collateral circulation seems to play a major role in determining this discrepancy. The aim of the study was to investigate a novel angiographic landmark assessing the collateral venous phase (CVP) compared with the American Society of Interventional and Therapeutic Neuroradiology/Society of Interventional Radiology (ASITN/SIR) score, based on the arterial collateral assessment. Methods Two hundred patients with anterior circulation stroke treated by MT between 2016 and 2021 were included. The ASITN/SIR score and the presence of CVP were blindly evaluated by expert neuroradiologists. Three subanalyses were performed comparing patients with good versus poor collaterals, CVP presence versus absence, and a composite analysis including both ASITN/SIR and CVP grading results. results Good collateral circulation (ASITN >2) was observed in 113 patients (56.5%) whereas CVP was present in 90 patients (45%) and mostly in patients with good collaterals. Favorable clinical and neuroradiological outcomes were more likely observed in patients with both good collaterals and the presence of CVP than in those with good collaterals and absence of CVP (modified Rankin Scale score 0–2: 77.3% vs 7.9%, p<0.0001; mortality: 9.3% vs 26.3%, p=0.02; 24-hour Alberta Stroke Program Early CT Score: 8 vs 6, p<0.0001), while ASITN/SIR score alone was not significantly associated with clinical outcomes. Conclusions The presence of CVP improves the angiographic assessment of collateral circulation. CVP could be proposed as a new imaging landmark to better understand the functionality of collaterals