Chez qui effectuer un dépistage de l’anévrisme de l’aorte abdominale ? [Who do you screen for an abdominal aortic aneurysm ?]

Abdominal aortic aneurysm (AAA) represents an important public health problem. The early detection and treatment as well as follow-up of an AAA are important to reduce the high mortality rate associated with its rupture. Despite the decline of the prevalence of AAA in the last decades, the latest international recommendations have reaffirmed that screening in men remains cost-effective. In contrast, the data and recommendations for women are unclear. The best method for AAA screening is abdominal ultrasound. The aim of this paper is to present an up-to-date review of the indications for AAA screening based on the latest recommendations

State based model of long-term potentiation and synaptic tagging and capture

Recent data indicate that plasticity protocols have not only synapse-specific but also more widespread effects. In particular, in synaptic tagging and capture (STC), tagged synapses can capture plasticity-related proteins, synthesized in response to strong stimulation of other synapses. This leads to long-lasting modification of only weakly stimulated synapses. Here we present a biophysical model of synaptic plasticity in the hippocampus that incorporates several key results from experiments on STC. The model specifies a set of physical states in which a synapse can exist, together with transition rates that are affected by high- and low-frequency stimulation protocols. In contrast to most standard plasticity models, the model exhibits both early- and late-phase LTP/D, de-potentiation, and STC. As such, it provides a useful starting point for further theoretical work on the role of STC in learning and memory

Long-Term Potentiation: One Kind or Many?

Do neurobiologists aim to discover natural kinds? I address this question in this chapter via a critical analysis of classification practices operative across the 43-year history of research on long-term potentiation (LTP). I argue that this 43-year history supports the idea that the structure of scientific practice surrounding LTP research has remained an obstacle to the discovery of natural kinds

Management of patients at the hepatopancreatobiliary unit of a London teaching hospital during the COVID-19 pandemic

To mitigate COVID-19-related shortage of treatment capacity, the hepatopancreatobiliary (HPB) unit of the Royal Free Hospital London (RFHL) transferred its practice to independent hospitals in Central London through the North Central London Cancer Alliance. The aim of this study was to critically assess this strategy and evaluate perioperative outcomes. Prospectively collected data were reviewed on all patients who were treated under the RFHL HPB unit in six hospitals between November 2020 and October 2021. A total of 1541 patients were included, as follows: 1246 (81%) at the RFHL, 41 (3%) at the Chase Farm Hospital, 23 (2%) at the Whittington Hospital, 207 (13%) at the Princess Grace Hospital, 12 (1%) at the Wellington Hospital and 12 (1%) at the Lister Hospital, Chelsea. Across all institutions, overall complication rate were 40%, major complication (Clavien-Dindo grade ≥ 3a) rate were 11% and mortality rates were 1.4%, respectively. In COVID-19-positive patients (n = 28), compared with negative patients, complication rate and mortality rates were increased tenfold. Outsourcing HPB patients, including their specialist care, to surrounding institutions was safe and ensured ongoing treatment with comparable outcomes among the institutions during the COVID-19 pandemic. Due to the lack of direct comparison with a non-pandemic cohort, these results can strictly only be applied within a pandemic setting

The attachments of the anteromedial and posterolateral fibre bundles of the anterior cruciate ligament: Part 1: tibial attachment.

Accepted versio

Standardizing Patient-Derived Organoid Generation Workflow to Avoid Microbial Contamination From Colorectal Cancer Tissues.

The use of patient-derived organoids (PDO) as a valuable alternative to in vivo models significantly increased over the last years in cancer research. The ability of PDOs to genetically resemble tumor heterogeneity makes them a powerful tool for personalized drug screening. Despite the extensive optimization of protocols for the generation of PDOs from colorectal tissue, there is still a lack of standardization of tissue handling prior to processing, leading to microbial contamination of the organoid culture. Here, using a cohort of 16 patients diagnosed with colorectal carcinoma (CRC), we aimed to test the efficacy of phosphate-buffered saline (PBS), penicillin/streptomycin (P/S), and Primocin, alone or in combination, in preventing organoid cultures contamination when used in washing steps prior to tissue processing. Each CRC tissue was divided into 5 tissue pieces, and treated with each different washing solution, or none. After the washing steps, all samples were processed for organoid generation following the same standard protocol. We detected contamination in 62.5% of the non-washed samples, while the use of PBS or P/S-containing PBS reduced the contamination rate to 50% and 25%, respectively. Notably, none of the organoid cultures washed with PBS/Primocin-containing solution were contaminated. Interestingly, addition of P/S to the washing solution reduced the percentage of living cells compared to Primocin. Taken together, our results demonstrate that, prior to tissue processing, adding Primocin to the tissue washing solution is able to eliminate the risk of microbial contamination in PDO cultures, and that the use of P/S negatively impacts organoids growth. We believe that our easy-to-apply protocol might help increase the success rate of organoid generation from CRC patients

Broadband random optoelectronic oscillator

[EN] Random scattering of light in transmission media has attracted a great deal of attention in the field of photonics over the past few decades. An optoelectronic oscillator (OEO) is a microwave photonic system offering unbeatable features for the generation of microwave oscillations with ultra-low phase noise. Here, we combine the unique features of random scattering and OEO technologies by proposing an OEO structure based on random distributed feedback. Thanks to the random distribution of Rayleigh scattering caused by inhomogeneities within the glass structure of the fiber, we demonstrate the generation of ultra-wideband (up to 40¿GHz from DC) random microwave signals in an open cavity OEO. The generated signals enjoy random characteristics, and their frequencies are not limited by a fixed cavity length figure. The proposed device has potential in many fields such as random bit generation, radar systems, electronic interference and countermeasures, and telecommunications.Thanks N. Shi and Y. Yang for comments and discussion. This work was supported by the National Key Research and Development Program of China under 2018YFB2201902 and the National Natural Science Foundation of China under 61925505. This work was also partly supported by the National Key Research and Development Program of China under 2018YFB2201901, 2018YFB2201903, and the National Natural Science Foundation of China under 61535012 and 61705217.Ge, Z.; Hao, T.; Capmany Francoy, J.; Li, W.; Zhu, N.; Li, M. (2020). Broadband random optoelectronic oscillator. Nature Communications. 11(1):1-8. https://doi.org/10.1038/s41467-020-19596-xS18111Feng, S., Kane, C., Lee, P. A. & Stone, A. D. Correlations and fluctuations of coherent wave transmission through disordered media. Phys. Rev. Lett. 61, 834 (1988).Wiersma, D. S. & Cavalieri, S. Light emission: a temperature-tunable random laser. Nature 414, 708 (2001).Wiersma, D. S. The physics and applications of random lasers. Nat. Phys. 4, 359 (2008).Turitsyn, S. K. et al. Random distributed feedback fibre laser. Nat. Photonics 4, 231–235 (2010).Babin, S. A., El-Taher, A. E., Harper, P., Podivilov, E. V. & Turitsyn, S. K. Tunable random fiber laser. Phys. Rev. A 84, 021805 (2011).Turitsyn, S. K. et al. Random distributed feedback fibre lasers. Phys. Rep. 542, 133–193 (2014).Barnoski, M., Rourke, M., Jensen, S. M. & Melville, R. T. Optical time domain reflectometer. Appl. Opt. 16, 2375–2379 (1977).Yao, X. S. & Maleki, L. Optoelectronic microwave oscillator. JOSA B 13, 1725–1735 (1996).Maleki, L. Sources: the optoelectronic oscillator. Nat. Photonics 5, 728 (2011).Yao, X. S. & Maleki, L. Multiloop optoelectronic oscillator. IEEE J. Quantum Electron 36, 79–84 (2000).Hao, T. et al. Breaking the limitation of mode building time in an optoelectronic oscillator. Nat. Commun. 9, 1839 (2018).Zhang, W. & Yao, J. Silicon photonic integrated optoelectronic oscillator for frequency-tunable microwave generation. J. Lightwave Technol. 36, 4655–4663 (2018).Hao, T. et al. Toward Monolithic Integration of OEOs: from systems to chips. J. Lightwave Technol. 36, 4565–4582 (2018).Zhang, J. & Yao, J. Parity-time–symmetric optoelectronic oscillator. Sci. Adv. 4, eaar6782 (2018).Liu, Y. et al. Observation of parity-time symmetry in microwave photonics. Light Sci. Appl. 7, 38 (2018).Nakazawa, M. Rayleigh backscattering theory for single-mode optical fibers. JOSA 73, 1175–1180 (1983).Hartog, A. & Gold, M. On the theory of backscattering in single-mode optical fibers. J. Lightwave Technol. 2, 76–82 (1984).Eickhoff, W., & Ulrich, R. Statistics of backscattering in single-mode fiber. In Optical Fiber Communication Conference. Optical Society of America (1981).Alekseev, A. E., Tezadov, Y. A. & Potapov, V. T. Statistical properties of backscattered semiconductor laser radiation with different degrees of coherence. Quantum Electron 42, 76–81 (2012).Gysel, P. & Staubli, R. K. Statistical properties of Rayleigh backscattering in single-mode fibers. J. Lightwave Technol. 8, 561–567 (1990).Staubli, R. K. & Gysel, P. Statistical properties of single-mode fiber rayleigh backscattered intensity and resulting detector current. IEEE Trans. Commun. 40, 1091–1097 (1992).Levy, E. C., Horowitz, M. & Menyuk, C. R. Modeling optoelectronic oscillators. JOSA B 26, 148–159 (2009).Yariv, A. Introduction to Optical Electronics 2nd edn. (Holt, Rinehart and Winston, New York, 1976).Aoki, Y., Tajima, K. & Mito, I. Input power limits of single-mode optical fibers due to stimulated Brillouin scattering in optical communication systems. J. Lightwave Technol. 6, 710–719 (1988).Song, H. J., Shimizu, N., Kukutsu, N., Nagatsuma, T. & Kado, Y. Microwave photonic noise source from microwave to sub-terahertz wave bands and its applications to noise characterization. IEEE Trans. Microw. Theory Tech. 56, 2989–2997 (2008).Chembo, Y. K., et al. Optoelectronic oscillators with time-delayed feedback. Rev. Mod. Phys. 91, 035006 (2019).Callan, K. E. et al. Broadband chaos generated by an optoelectronic oscillator. Phys. Rev. Lett. 104, 113901 (2010).Lavrov, R. et al. Electro-optic delay oscillator with nonlocal nonlinearity: Optical phase dynamics, chaos, and synchronization. Phys. Rev. E. 80, 026207 (2009).Wolf, A., Swift, J. B., Swinney, H. L. & Vastano, J. A. Determining Lyapunov exponents from a time series. Phys. D. 16, 285–317 (1985).Grassberger, P. & Procaccia, I. Characterization of strange attractors. Phys. Rev. Lett. 50, 346 (1983).Grassberger, P. & Procaccia, I. Measuring the strangeness of strange attractors. Phys. D. 9, 189–208 (1983).Romeira, B. et al. Broadband chaotic signals and breather oscillations in an optoelectronic oscillator incorporating a microwave photonic filter. J. Lightwave Technol. 32, 3933–3942 (2014)

Computer-Assisted Anatomical Placement of a Double-Bundle ACL through 3D-Fitting of a Statistically Generated Femoral Template into Individual Knee Geometry

Femoral graft placement is an important factor in the success of ACL-reconstruction. Besides improving the accuracy of femoral tunnel placement, Computer Assisted Surgery (CAS) can be used to determine the anatomical Location. This requires a 3D femoral template with the position of the anatomical ACL-center, based on endoscopical measurable landmarks. This study describes the development and application of this method. The template is generated through statistical shape analysis of the ACL-insertion, with respect to the anteromedial- (AMB) and posterolateral bundle (PLB). The data is mapped onto a cylinder and related to the intercondylar notch surface and the cartilage border on the lateral notch wall (n=33). The template was programmed in a computer-assisted system for ACL-replacement and validated. The program allows real-time tracking of the femur and interactive digitization under endoscopic control. In a wizard-like fashion the surgeon is guided through steps of acquiring the landmarks for the template alignment. The AMB-and PLB-center are accurate positioned within 1-3 mm of the anatomic insertion-centers in individual knee