Thermo-active building systems and sound absorbers: Thermal comfort under real operation conditions

Radiant systems are established today and have a high ecological potential in buildings while ensuring thermal comfort. Free-hanging sound absorbers are commonly used for room acoustic control, but can reduce the heat exchange when suspended under an active slab. The aim of this study is to evaluate the impact on thermal comfort of horizontal and vertical free-hanging porous sound absorbers placed in rooms of a building cooled by Thermo-Active Building System (TABS), under real operation conditions. A design comparing five different ceiling coverage ratios and two room types has been implemented during three measurement periods. A clear correlation between increase of ceiling coverage ratio and reduction of thermal comfort could not be derived systematically for each measurement period and room type, contrarily to what was expected from literature. In the first two monitoring periods in the larger office rooms, rooms with higher coverage ratios reported higher operative temperatures. This correlation was however not clear from the monitoring in the smaller offices and other measurement periods. In all monitored rooms, a strong influence of the user behaviour on thermal comfort has been observed. A higher temporal offset between ceiling and operative temperature was also observed in rooms equipped with absorbers

Renal arterial resistive index is associated with severe histological changes and poor renal outcome during chronic kidney disease.

International audienceUNLABELLED: ABSTRACT: BACKGROUND: Chronic kidney disease (CKD) is a growing public health problem and end stage renal disease (ESRD) represents a large human and economic burden. It is important to identify patients at high risk of ESRD. In order to determine whether renal Doppler resistive index (RI) may discriminate those patients, we analyzed whether RI was associated with identified prognosis factors of CKD, in particular histological findings, and with renal outcome. METHODS: RI was measured in the 48 hours before renal biopsy in 58 CKD patients. Clinical and biological data were collected prospectively at inclusion. Arteriosclerosis, interstitial fibrosis and glomerulosclerosis were quantitatively assessed on renal biopsy in a blinded fashion. MDRD eGFR at 18 months was collected for 35 (60%) patients. Renal function decline was defined as a decrease in eGFR from baseline of at least 5 mL/min/ 1.73 m2/year or need for chronic renal replacement therapy. Pearson's correlation, Mann-Whitney and Chi-square tests were used for analysis of quantitative and qualitative variables respectively. Kaplan Meier analysis was realized to determine renal survival according to RI value using the log-rank test. Multiple logistic regression was performed including variables with p 20% (p = 0.014) and renal function decline (p = 0.0023) had higher RI. Patients with baseline RI ≥ 0.65 had a poorer renal outcome than those with baseline RI < 0.65 (p = 0.0005). In multiple logistic regression, RI≥0.65 was associated with accelerated renal function decline independently of baseline eGFR and proteinuria/creatininuria ratio (OR=13.04 [1.984-85.727], p = 0.0075). Sensitivity, specificity, predictive positive and predictive negative values of RI ≥ 0.65 for renal function decline at 18 months were respectively 77%, 86%, 71% and 82%. CONCLUSIONS: Our results suggest that RI ≥ 0.65 is associated with severe interstitial fibrosis and arteriosclerosis and renal function decline. Thus, RI may contribute to identify patients at high risk of ESRD who may benefit from nephroprotective treatments

Sécuriser le diagnostic en anatomie et cytologie pathologiques en 2011. L’erreur diagnostique : entre discours et réalité

Issu des actes du Carrefour pathologie 2011, symposium organisé par la Société française de pathologie, 21-25 novembre 2011, Maison de la Chimie, Paris.International audienc