Primary versus delayed repair for bile duct injuries sustained during cholecystectomy: results of a survey of the Association Francaise de Chirurgie

BACKGROUND: Bile duct injuries (BDIs) sustained during a cholecystectomy still remain a major surgical problem, and it is still not clear whether the injury should be repaired immediately or a delayed repair is preferred. METHODS: A retrospective national French survey was conducted to compare the results of immediate (at time of cholecystectomy), early (within 45 days after a cholecystectomy) and late (beyond 45 days after a cholecystectomy) surgical repair for BDI sustained during a cholecystectomy. RESULTS: Forty-seven surgical centres provided 640 cases of bile duct injury sustained during a cholecystectomy of which 543 were analysed for the purpose of the present study. The timing of repair was immediate in 194 cases (35.7%), early in 216 cases (39.8%) and late in 133 cases (24.5%). The type of repair was a suture repair in 157 cases (81%), and a bilio-digestive reconstruction in 37 cases (19%) for immediate repair; a suture repair in 119 cases (55.1%) and a bilio-digestive anastomosis in 96 cases (44.9%) for the early repair; and a bilio-digestive reconstruction in 129 cases (97%) and a suture repair in 4 cases (3%) for late repair. A second procedure was required in 110 cases (56.7%) for immediate repair, 80 cases (40.7%) for early repair (P < 0.05) and in 9 cases (6.8%) for late repair (P < 0.001). CONCLUSION: The timing of surgical repair for a bile duct injury sustained during a cholecystectomy influences significantly the rate of a second procedure and a late repair should be preferred option

Photonic titanium dioxide film obtained from hard template with chiral nematic structure for environmental application

International audienceIn the present work, mesoporous TiO 2 with a photonic structure was elaborated using cellulose nanocrystals (CNCs) as a biotemplate by two-step hard template methods. This strategy enables to replicate the chiral nematic (CN) structure of the photonic films (biotemplate) in TiO 2 films. A series of iridescent CNCs films with different weight ratios of silica/CNCs composite photonic films were prepared via evaporation induced self-assembly (EISA) method. The films showed iridescent color and tuneable Bragg reflection wavelengths by solely changing the ratio between the silica and the CNCs biotemplate. Polarized optical microscopy (POM) performed on hydride SiO 2 /CNCs films showed a birefringence and typical fingerprint of chiral nematic structure. This birefringence was also observed for TiO 2 films obtained using SiO 2 films as a hard template, which suggested the transfer of the chiral nematic structure in TiO 2 materials. Afterwards, their optical, morphological and electronic properties were studied by scanning electron microscope (SEM), POM, energy-dispersive X-ray spectroscope (EDX) and time resolved microwave conductivity (TRMC). The photocatalytic activities were evaluated by following the phenol degradation using high performance liquid chromatography (HPLC). The results showed that the structuration of the TiO 2 film using a chiral nematic SiO 2 film as hard template enhances the photocatalytic performance compared to non-structured mesoporous TiO 2

A liquid-crystalline hexagonal columnar phase in highly-dilute suspensions of imogolite nanotubes

International audienceLiquid crystals have found wide applications in many fields ranging from detergents to information displays and they are also increasingly being used in the 'bottom-up' self-assembly approach of material nano-structuration. Moreover, liquid-crystalline organizations are frequently observed by biologists. Here we show that one of the four major lyotropic liquid-crystal phases, the columnar one, is much more stable on dilution than reported so far in literature. Indeed, aqueous suspensions of imogolite nanotubes, at low ionic strength, display the columnar liquid-crystal phase at volume fractions as low as B0.2%. Consequently, due to its low visco-elasticity, this columnar phase is easily aligned in an alternating current electric field, in contrast with usual columnar liquid-crystal phases. These findings should have important implications for the statistical physics of the suspensions of charged rods and could also be exploited in materials science to prepare ordered nanocomposites and in biophysics to better understand solutions of rod-like biopolymers

1D-confinement of polyiodides inside single-wall carbon nanotubes

International audience1D-confinement of polyiodides inside single-wall carbon nanotubes (SWCNT) is investigated. Structural arrangement of iodine species as a function of the SWCNT diameters is studied. Evidence for long range one dimensional ordering of the iodine species is shown by X-ray and electron diffraction experiments independently of the tube diameter. The structure of the confined polyiodides is investigated by X-ray absorption spectroscopy. The confinement influences the local arrangement of the chains. Below a critical diameter Fc of 1 nm, long linear polyiodides are evidenced leading to a weaker charge transfer than for nanotube diameter above Fc. A shortening of the polyiodides is exhibited with the increase of the nanotube diameter leading to a more efficient charge transfer. This point reflects the 1D-confinement of the polyiodides inside the nanotubes

A compact photoreactor for automated H2 photoproduction: Revisiting the (Pd, Pt, Au)/TiO2 (P25) Schottky junctions

The configuration and geometry of chemical reactors underpins the accuracy of performance evaluation for photocatalytic materials and, accordingly, the development and validation of thermodynamic and kinetic model reactions. The lack of accurate photonic, mass, and heat transport profiles for photochemical reactors hinder standardization, scale-up, and ultimately comparison between different experiments. This work proposes two contributions at the interface between engineering of chemical process and materials science: (A) an automated compact stainless-steel photoreactor with 40 cm3 and 65 cm2 of volume and area, respectively, for hydrogen photoproduction as a model reaction and (B) the synthesis, characterization, and performance of TiO2 Schottky junctions, using Pd, Pt, or Au nanoparticles (ca. 0.5, 1, 2 wt% loadings each) to validate the operation of the reactor. A photonic profile methodology is implemented to the studied reactor to obtain the local light absorption profile, opening up for evaluation of the local quantum yield calculation for the selected materials. A combination of transmission electron microscopy, (X-ray/ultraviolet) photoelectron/electron, energy loss/infrared spectroscopies, X-ray scattering, inductively coupled plasma atomic emission spectroscopy, and ultraviolet–visible spectrophotometry is employed to determine the distinctive surface and bulk properties to build structure–function correlations. The (Pd, Pt, Au)/TiO2 Schottky junction exhibits H2 production rates slightly higher than previous studies, with quantum yields almost 2-fold higher than reported values. These results, demonstrate that the proposed novel geometry of the photoreactor improves the photonic, heat, and mass profiles. An in-depth analysis of the Au plasmon was investigated coupling electron energy loss spectroscopy, UV–vis, and transmission electron microscope, resulting in insightful information about the Au NP mode at the TiO2 interface

Imogolite nanotubes: a 2D x-ray scattering study of films of oriented samples

International audienceInorganic nanotubes represent an emerging class of nanobuilding blocks. Among them, imogolites are alumino-silicate or alumino-germanate nanotubes with well controlled diameter and helicity. As such, they constitute a model platform for the study of molecular interactions and confinement at the nanoscale, complementing the one constituted by carbon nanotubes. We focus here on double-walled alumino-germanate nanotubes, discovered very recently [1]. They are formed of two concentric tubes (figure inset), with respective internal diameters of 1.6 and 3.1nm and up to 1 micron in length [2]. We report the first experimental study, using wide angle x-ray scattering, performed on films of oriented nanotubes (figure). Structural changes of the nanotubes and behavior of the confined water under heating are investigated in-situ. The study of oriented samples gives new information that is not available with powder diffraction. Above all, the contribution to the scattering signal of internal and external tubes can be separated as well as the translational/rotational correlations. The use of wide image plate detectors allows one to access large area of the reciprocal space in a single image. Simulations of the two-dimensionnal scattering diagrams will be presented. A key question, the correlation between internal and external tube, which is of great interest for understanding friction properties at the nanoscale, will be discussed

Modulation of vaccine response by concomitant probiotic administration

Evidence suggests that probiotic bacteria modulate both innate and adaptive immunity in the host, and in some situations can result in reduced severity of common illnesses, such as acute rotavirus infection and respiratory infections. Responses to vaccination are increasingly being used to provide high quality information on the immunomodulatory effects of dietary components in humans. The present review focuses on the effect of probiotic administration upon vaccination response. The majority of studies investigating the impact of probiotics on responses to vaccination have been conducted in healthy adults, and at best they show modest effects of probiotics on serum or salivary IgA titres. Studies in infants and in elderly subjects are very limited, and it is too early to draw any firm conclusions regarding the potential for probiotics to act as adjuvants in vaccination. Although some studies are comparable in terms of duration of the intervention and age and characteristics of the subjects, most differ in terms of the probiotic selected. Further well designed, randomized, placebo-controlled studies are needed to fully understand the immunomodulatory properties of probiotics, whether the effects exerted are strain-dependent and age-dependent, and their clinical relevance in enhancing immune protection following vaccination

Interferon-γ induced expression of MHC antigens facilitates identification of donor cells in chimeric transplant recipients

After whole organ transplantation, donor bone marrow-derived cells migrate out of the graft into the recipient, leading to establishment of chimerism, which is the first step towards the subsequent induction of donor-specific tolerance. In routine immunohistochemical staining, monoclonal antibodies specific for heterotopic MHC alleles are used to identify donor and recipient cells. However, it is difficult to detect these cells using this technique in long-term allograft recipients who have a persistently low donor cell population (microchimerism). Because Interferon-gamma (IFN-γ) is known to induce expression of MHC class I and class II cell surface molecules, we used this cytokine 12-48 h before sacrifice, to facilitate the identification of donor and recipient cells in the tissues of animals transplanted with either liver (B10 → C3H) or bone marrow (LEW → BN). In long-term allograft recipients, the use of IFN-γ for as briefly as 12 h prior to sacrifice, results in marked upregulation of class I and class II antigens, leading to easy identification of ubiquitously distributed low numbers of donor cells. © 1994

Effect of a prebiotic galactooligosaccharide mixture (B-GOS®) on gastrointestinal symptoms in adults selected from a general population who suffer with bloating, abdominal pain, or flatulence

Background Prebiotics exert beneficial effects upon gastrointestinal (GI) environment, but this is not always accompanied with a positive effect on GI symptoms. B‐GOS® is a prebiotic with high selectivity toward bifidobacteria and a variety of other beneficial effects in humans. Here, we investigated its effect on GI symptoms in adults who suffer with bloating, abdominal pain, and flatulence. Methods In a double‐blind, placebo‐controlled, crossover study, 83 subjects from the general population who presented with GI symptoms during screening period and had a predicted probability of functional bowel disorder of more than 75% were randomized to receive either a placebo or the B‐GOS® treatment (2.75 g/d). Subjects were screened for the presence of GI symptoms for 1 week, they consumed the treatments for 2 weeks, and then went through a 2‐week washout period, before switching to the other treatment for the final 2 weeks. GI symptoms, bowel movements, and stool consistency were assessed in daily and weekly questionnaires. Quality of life was assessed weekly and depression and anxiety at the end of each treatment period. Results B‐GOS® resulted in significantly (P < 0.001) lower scores for bloating, flatulence, and abdominal pain both from baseline and placebo at the end of first week. The effect was sustained at the end of second week. It had no effect on the number of bowel movements, consistency of stools, quality of life, or mood throughout the study. Conclusion Results suggest that B‐GOS® could possibly be used in the management of bloating, flatulence, or abdominal pain and warrant further investigation