CONDUITE A TENIR DEVANT UN ETAT D’AGITATION MANAGEMENT OF AGITATED PATIENTS IN EMERGENCY DEPARTMENTS

Agitated patients require immediate emergency care in order to quickly calm patients and to confirm the diagnosis. In the emergency care, the physician should try to establish verbal communication to reassure the patient and to propose oral medication. In some cases the need for more forceful restraint may be required and specific guidelines must be followed. Although the use of neuroleptics is preferred by most clinicians in this situation, the interest of rapid action benzodiazepines should be considered particularly because this sedative and anticonvulsant agent has a specific receptor antagonist.L’état d’agitation est une urgence absolue. Elle nécessite une prise en charge immédiate avec deux objectifs qui sont de maîtriser la situation et de réaliser le diagnostic étiologique. Afin de calmer le patient, si une contention est mise en œuvre, celle-ci doit respecter plusieurs règles qui permettent de prévenir les complications qui y sont associées. Tandis que les neuroleptiques sont actuellement les plus utilisés pour sédater les patients agités, l’intérêt des benzodiazépines d’action rapide doit être souligné. Du fait de la dangerosité du patient pour lui-même et pour autrui, du risque de fugue et de désorganisation immédiate de l'activité médicale et paramédicale, l'état d'agitation préoccupe tous les intervenants. Il est donc essentiel que l’ensemble des médecins s’approprient cette prise en charge qui est n’est psychiatrique que dans un deuxième temps le plus souvent

Surface Optical Waves at Air/Metal Interfaces: Surface Plasmon Polaritons

The surface plasmon resonance (SPR) phenomenon has been known for nearly five decades now; since then this method has made great advances in terms of instrumentation development and applications, and it still attracts researchers because of certain subtle issues that could benefit from it mainly detection and analysis of chemical and biochemical substances in different areas including medicine, environmental monitoring, biotechnology and drug and food monitoring. Our interest is focused on the use of this technique for studying thin coating and some application in nanophotonics. In this paper, we discuss the configuration of surface plasmons at air/metal interface by Atenuated total reflection (ATR) technique in the Kretchman configuration, and we present preliminary experimental results on surface plasmons at a Ag/air interface that we obtained in our laboratory.The surface plasmon resonance (SPR) phenomenon has been known for nearly five decades now; since then this method has made great advances in terms of instrumentation development and applications, and it still attracts researchers because of certain subtle issues that could benefit from it mainly detection and analysis of chemical and biochemical substances in different areas including medicine, environmental monitoring, biotechnology and drug and food monitoring. Our interest is focused on the use of this technique for studying thin coating and some application in nanophotonics. In this paper, we discuss the configuration of surface plasmons at air/metal interface by Atenuated total reflection (ATR) technique in the Kretchman configuration, and we present preliminary experimental results on surface plasmons at a Ag/air interface that we obtained in our laboratory

Solution-based synthesis of kesterite thin film semiconductors

Large-scale deployment of photovoltaic modules is required to power our renewable energy future. Kesterite, Cu2ZnSn(S, Se)4, is a p-type semiconductor absorber layer with a tunable bandgap consisting of earth abundant elements, and is seen as a potential 'drop-in' replacement to Cu(In,Ga)Se2 in thin film solar cells. Currently, the record light-to-electrical power conversion efficiency (PCE) of kesterite-based devices is 12.6%, for which the absorber layer has been solution-processed. This efficiency must be increased if kesterite technology is to help power the future. Therefore two questions arise: what is the best way to synthesize the film? And how to improve the device efficiency? Here, we focus on the first question from a solution-based synthesis perspective. The main strategy is to mix all the elements together initially and coat them on a surface, followed by annealing in a reactive chalcogen atmosphere to react, grow grains and sinter the film. The main difference between the methods presented here is how easily the solvent, ligands, and anions are removed. Impurities impair the ability to achieve high performance (>∼10% PCE) in kesterite devices. Hydrazine routes offer the least impurities, but have environmental and safety concerns associated with hydrazine. Aprotic and protic based molecular inks are environmentally friendlier and less toxic, but they require the removal of organic and halogen species associated with the solvent and precursors, which is challenging but possible. Nanoparticle routes consisting of kesterite (or binary chalcogenides) particles require the removal of stabilizing ligands from their surfaces. Electrodeposited layers contain few impurities but are sometimes difficult to make compositionally uniform over large areas, and for metal deposited layers, they have to go through several solid-state reaction steps to form kesterite. Hence, each method has distinct advantages and disadvantages. We review the state-of-the art of each and provide perspective on the different strategies.Fil: Todorov, I. T.. IBM Research. Thomas J. Watson Research Center; Estados UnidosFil: Hillhouse, H. W.. University of Washington; Estados UnidosFil: Aazou, S.. Mohammed V University; MarruecosFil: Sekkat, Z.. Mohammed V University; MarruecosFil: Vigil Galán, O.. National Polytechnic Institute; MéxicoFil: Deshmukh, S. D.. Purdue University; Estados UnidosFil: Agrawal, R.. Purdue University; Estados UnidosFil: Bourdais, S.. No especifíca;Fil: Valdes, Matias Hernan. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones en Ciencia y Tecnología de Materiales. Universidad Nacional de Mar del Plata. Facultad de Ingeniería. Instituto de Investigaciones en Ciencia y Tecnología de Materiales; ArgentinaFil: Arnou, P.. University Of Luxembourg; LuxemburgoFil: Mitzi, D.B.. University of Duke; Estados UnidosFil: Dale, P.. University Of Luxembourg; Luxemburg

Light to Shape the Future: From Photolithography to 4D Printing

Over the last few decades, the demand of polymeric structures with well-defined features of different size, dimension, and functionality has increased from various application areas, including microelectronics, biotechnology, tissue engineering, and photonics, among others. The ability of light to control over space and time physicochemical processes is a unique tool for the structuring of polymeric materials, opening new avenues for technological progress in different fields of application. This article gives an overview of various photochemical reactions in polymers, photosensitive materials, and structuring techniques making use of light, and highlights most recent advances, emerging opportunities, and relevant applications

X-ray-Induced Reversible Switching of an Azobenzene Derivative Adsorbed on Bi(111)

We report on the adsorption of a submonolayer of di-m-cyanoazobenzene (DMC) on Bi(111) and on the reversible switching of these molecules induced by resonant X-ray illumination. DMC adsorbs in at least two configurations, the flat trans and the nonflat cis isomer. We find that in 0.8 monolayers at least 26% of the molecules change their configuration at 110 K by excitation of the N1s → LUMO transition at the azo group, and by a thermally induced back reaction at 120 K. Nonresonant excitation with X-ray light does not induce any reversible changes