23 research outputs found

    Coronary angiography using spectral detector dual-energy CT:is it the time to assess myocardial first-pass perfusion?

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    Coronary computed tomography angiography (CCTA) represents a common approach to the diagnostic workup of patients with suspected coronary artery disease. Technological development has recently allowed the integration of conventional CCTA information with spectral data. Spectral CCTA used in clinical routine may allow for improving CCTA diagnostic performance by measuring myocardial iodine distribution as a marker of first-pass perfusion, thus providing additional functional information about coronary artery disease

    ÉVALUATION DE L'ENSEIGNEMENT AU PREMIER CYCLE DE L'INSA LYON -- Un chantier de taille, qui demeure ouvert

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    Dans le cadre de la mise en place de l'évaluation des enseignements au premier cycle de l'INSA Lyon, le principal problème a été de permettre un passage à l'échelle de la démarche, tout en respectant le droit des enseignants à la confidentialité des résultats. Il était également nécessaire d'informer les étudiants et les collègues sur l'intérêt de la démarche, tout en sensibilisant dès le départ sur au temps nécessaire. Cependant, des problèmes demeurent et le groupe de travail continue ses réflexions et sa recherche d'outils pour progresser.Dans le cadre de la mise en place de l'évaluation des enseignements au premier cycle de l'INSA Lyon, le principal problème a été de permettre un passage à l'échelle de la démarche, tout en respectant le droit des enseignants à la confidentialité des résultats. Il était également nécessaire d'informer les étudiants et les collègues sur l'intérêt de la démarche, tout en sensibilisant dès le départ sur au temps nécessaire. Cependant, des problèmes demeurent et le groupe de travail continue ses réflexions et sa recherche d'outils pour progresser

    Computed tomography–based pericoronary adipose tissue attenuation in patients undergoing TAVR: a novel method for risk assessment

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    Objectives This study aims to assess the attenuation of pericoronary adipose tissue (PCAT) surrounding the proximal right coronary artery (RCA) in patients with aortic stenosis (AS) and undergoing transcatheter aortic valve replacement (TAVR). RCA PCAT attenuation is a novel computed tomography (CT)–based marker for evaluating coronary inflammation. Coronary artery disease (CAD) in TAVR patients is common and usually evaluated prior to intervention. The most sensible screening method and consequential treatment approach are unclear and remain a matter of ceaseless discussion. Thus, interest remains for safe and low-demand predictive markers to identify patients at risk for adverse outcomes postaortic valve replacement. Methods This single-center retrospective study included patients receiving a standard planning CT scan prior to TAVR. Conventional CAD diagnostic tools, such as coronary artery calcium score and significant stenosis via invasive coronary angiography and coronary computed tomography angiography, were determined in addition to RCA PCAT attenuation using semiautomated software. These were assessed for their relationship with major adverse cardiovascular events (MACE) during a 24-month follow-up period. Results From a total of 62 patients (mean age: 82 ± 6.7 years), 15 (24.2%) patients experienced an event within the observation period, 10 of which were attributed to cardiovascular death. The mean RCA PCAT attenuation was higher in patients enduring MACE than that in those without an endpoint (−69.8 ± 7.5 vs. −74.6 ± 6.2, P = 0.02). Using a predefined cutoff of >−70.5 HU, 20 patients (32.3%) with high RCA PCAT attenuation were identified, nine (45%) of which met the endpoint within 2 years after TAVR. In a multivariate Cox regression model including conventional CAD diagnostic tools, RCA PCAT attenuation prevailed as the only marker with significant association with MACE (P = 0.02). After dichotomization of patients into high- and low-RCA PCAT attenuation groups, high attenuation was related to greater risk of MACE (hazard ration: 3.82, P = 0.011). Conclusion RCA PCAT attenuation appears to have predictive value also in a setting of concomitant AS in patients receiving TAVR. RCA PCAT attenuation was more reliable than conventional CAD diagnostic tools in identifying patients at risk for MACE

    Photography-based taxonomy is inadequate, unnecessary, and potentially harmful for biological sciences

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    The question whether taxonomic descriptions naming new animal species without type specimen(s) deposited in collections should be accepted for publication by scientific journals and allowed by the Code has already been discussed in Zootaxa (Dubois & Nemésio 2007; Donegan 2008, 2009; Nemésio 2009a–b; Dubois 2009; Gentile & Snell 2009; Minelli 2009; Cianferoni & Bartolozzi 2016; Amorim et al. 2016). This question was again raised in a letter supported by 35 signatories published in the journal Nature (Pape et al. 2016) on 15 September 2016. On 25 September 2016, the following rebuttal (strictly limited to 300 words as per the editorial rules of Nature) was submitted to Nature, which on 18 October 2016 refused to publish it. As we think this problem is a very important one for zoological taxonomy, this text is published here exactly as submitted to Nature, followed by the list of the 493 taxonomists and collection-based researchers who signed it in the short time span from 20 September to 6 October 2016

    A Droplet Microfluidic Platform for High-Throughput Photochemical Reactions

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    We report the development of a droplet microfluidic/mass spectrometry platform for performing high-throughput photochemical reaction discovery on picomole scale. We also describe the successful translation of picomole scale flow screening conditions to millimole scale flow operations, highlighting the utility of this platform for discovery chemistry applications. </div

    Chlorellaceae Feedstock Selection under Balanced Nutrient Limitation

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    International audienceMicroalgae are an attractive source of biomass for fossil fuel alternatives and renewable energy sources. Regardless of their potential, the development of microalgal biofuels has been limited due to the associated economic and environmental costs. We followed and compared the biomass properties of six Chlorellaceae strains with a specific interest in lipid-based biofuels. The strains were cultivated under balanced nutrient limitation inducing a gradual limitation of nutrients that triggered reserve accumulation. The final biomass of each strain was characterized by its elemental and biochemical composition. Due to its high lipid content and overall composition, Chlorella vulgaris NIES 227 was identified as an ideal feedstock for biofuels with the best energy-content biomass. Its fatty acid profile also showed superior qualities for biodiesel production. Balanced nutrient limitation promoted not only the accumulation of storage compounds in all strains, but also resulted in a low content of heteroatom precursors and ashes for biofuel applications

    High-Throughput Optimization of Photochemical Reactions using Segmented Flow Nanoelectrospray Ionization Mass Spectrometry

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    Within the realm of drug discovery, high-throughput experimentation techniques enable the rapid optimization of reactions and expedited generation of drug compound libraries for biological and pharmacokinetic evaluation. Herein we report the development of a segmented flow mass spectrometry-based platform to enable the rapid exploration of photoredox reactions for early-stage drug discovery. Specifically, microwell plate-based photochemical reaction screens were reformatted to segmented flow format to enable delivery to nanoelectrospray ionization-mass spectrometry analysis. This approach was demonstrated for the late-stage modification of complex drug scaffolds, as well as the subsequent structure-activity relationship (SAR) evaluation of synthesized analogs. This technology is anticipated to expand the robust capabilities of photoredox catalysis in drug discovery by enabling high-throughput library diversification
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