72 research outputs found

    MĂ©mento pour la gestion des projets d'assainissement : fascicule 3 : les eaux pluviales

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    Ce fascicule aborde la gestion des eaux pluviales Ă  deux niveaux : celui de la planification, du fait de l’importance de cette rĂ©flexion amont (fiche « enjeux d’urbanisme et d’amĂ©nagement »), et celui du projet d'amĂ©nagement, public ou privĂ©, de type rĂ©novation urbaine, crĂ©ation de lotissement, de ZAC, de zone industrielle, 
 Il ne traite pas le projet pluvial "isolĂ©" du projet d'amĂ©nagement (crĂ©ation ou rĂ©habilitation de collecteur, dispositif de traitement des eaux pluviales, 
). Il insiste sur l’importance de prendre en compte la gestion des eaux pluviales trĂšs Ă  l’amont du projet et en associant trĂšs tĂŽt l’ensemble des acteurs de l’amĂ©nagement

    Advances in the treatment of prolactinomas

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    Prolactinomas account for approximately 40% of all pituitary adenomas and are an important cause of hypogonadism and infertility. The ultimate goal of therapy for prolactinomas is restoration or achievement of eugonadism through the normalization of hyperprolactinemia and control of tumor mass. Medical therapy with dopamine agonists is highly effective in the majority of cases and represents the mainstay of therapy. Recent data indicating successful withdrawal of these agents in a subset of patients challenge the previously held concept that medical therapy is a lifelong requirement. Complicated situations, such as those encountered in resistance to dopamine agonists, pregnancy, and giant or malignant prolactinomas, may require multimodal therapy involving surgery, radiotherapy, or both. Progress in elucidating the mechanisms underlying the pathogenesis of prolactinomas may enable future development of novel molecular therapies for treatment-resistant cases. This review provides a critical analysis of the efficacy and safety of the various modes of therapy available for the treatment of patients with prolactinomas with an emphasis on challenging situations, a discussion of the data regarding withdrawal of medical therapy, and a foreshadowing of novel approaches to therapy that may become available in the future

    Treatment of hyperprolactinemia: a systematic review and meta-analysis

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    RÎle des inhibiteurs de CDK dans la différenciation conjointe de l'ovocyte et des cellules du cumulus chez le bovin

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    Chez le bovin, l'ovocyte bloquĂ© en prophase mĂ©iotique acquiĂšre sĂ©quentiellement son aptitude Ă  reprendre la mĂ©iose, puis Ă  se dĂ©velopper. Cette pĂ©riode de diffĂ©renciation terminale permet le stockage d'ARN et de protĂ©ines, probablement nĂ©cessaires au dĂ©veloppement embryonnaire prĂ©coce. Les ovocytes sortis du follicule reprennent spontanĂ©ment la mĂ©iose. Une Ă©tape de prĂ©-culture, mimant le blocage mĂ©iotique, pourrait leur permettre d'achever cette diffĂ©renciation in vitro. Nous avons montrĂ© que l'utilisation de la roscovitine, inhibiteur spĂ©cifique du MPF, permet de cultiver des ovocytes en arrĂȘt mĂ©iotique sans dĂ©tĂ©riorer leur compĂ©tence au dĂ©veloppement, ni la fonctionnalitĂ© des cellules du cumulus. Cette molĂ©cule nous a aussi permis d'amĂ©liorer notre comprĂ©hension des rĂ©gulations du cycle cellulaire de l'ovocyte bovin et plus prĂ©cisĂ©ment de mettre en Ă©vidence l'existence d'au moins une voie de signalisation non directement liĂ©e Ă  l'activitĂ© du MPF. Ces connaissances devraient permettre de dĂ©finir des conditions de culture optimisĂ©es mais aussi la comprĂ©hension des mĂ©canismes de reprise de la mĂ©iose des ovocytes et le discernement des Ă©vĂ©nements liĂ©es Ă  l'activitĂ© du MPF durant cette reprise.In bovine, oocytes which are blocked in meiotic prophase acquire sequentially their competence to resume and complete meiosis and the potential for development. This period of oocyte terminal differentiation allows the storage of maternal RNA and proteins necessary for embryos development. In vitro, as son as extracted from their follicular environment, oocytes spontaneously resume meiosis. A preliminary culture allowing the maintenance of oocytes at meiotic prophase might allow them to complete this differentiation step in vitro. We showed that the use of roscovitine allowed maintaining oocytes in meiotic block without loss of developmental potential, nor cumulus cells functionalities. This work will allow improving the culture conditions of bovine oocytes in order to increase their final developmental competence and will allow a better understanding the mechanisms of meiosis resumption control in oocytes and to distinguish between the events that are related to MPF activation or not in this complex process.TOURS-BU Sciences Pharmacie (372612104) / SudocPARIS-BIUP (751062107) / SudocSudocFranceF

    Fifth DSRG symposium at CHU UCL Namur, 18/10/2019. “Centralization of injectables and robotization”

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    The physico-chemical stability of an injectable preparation (IV) is conditioned by different parameters. A collaboration between the pharmacy, the chemistry laboratory and the statisticians of the scientific support unit was established in 1996, in order to carry out long-term chemical stability studies of commonly used IVs and to be able to take charge of their preparation in pharmacy. In 24 years of activity, the Drug Stability Research Group (DSRG) tested 39 IV at different concentration and temperature of storage. The DSRG has organized an annual symposium since 2015. The theme of the 2019 edition was devoted to the robotization of injectable reconstitution operations, focused on their impact on the workplace and the existing equipment
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