Sodium/proton exchanger 3 (NHE3) and sudden infant death syndrome (SIDS)

The sodium/proton exchanger protein 3 (NHE3) is located in chemosensitive areas of the medulla oblongata and plays an important role in the central control of respiration. Overexpression of NHE3 is correlated with lower respiration and might therefore contribute to the vulnerability of infants dying suddenly and unexpected (sudden infant death syndrome, SIDS). Our aim in this study was to verify already reported genetic variations in the NHE3 gene in an independent SIDS cohort from Switzerland. Two single nucleotide polymorphisms (SNPs) in the promoter region (G1131A and C1197T) and one variation in the coding sequence of exon 16 (C2405T) in the NHE3 gene were analyzed in 160 Caucasian SIDS infants and 192 Swiss adult controls by using a single base extension method (SNaPshot multiplex). No significant differences were detected in the allelic frequencies of the three NHE3 polymorphisms between SIDS cases and controls. We conclude that the three investigated NHE3 SNPs are unlikely to play a major role in the pathogenesis of SIDS in Caucasian infants. However, further genetic investigations in different ethnicities are required to determine whether variations in NHE3 are associated with an increased SIDS risk

The sensitivity of an interferon-γ release assay in microbiologically confirmed pediatric tuberculosis

This study aimed at determining the sensitivity of a whole blood interferon-γ release assay (IGRA) among children with microbiologically confirmed tuberculosis in a high-burden country. Children with a diagnosis of tuberculosis based on clinical and radiographic assessment were tested with an IGRA in addition to microbiologic examination of appropriate specimens for acid-fast bacilli, mycobacterial rRNA, and observation for growth of Mycobacterium tuberculosis on appropriate culture media. Of the 405 children with a clinical diagnosis of tuberculosis, 91 (22.5%) had microbiologically confirmed tuberculosis, of whom 81 were tested with an IGRA. A positive result was obtained in 43 (sensitivity 53.1%, 95% confidence interval 42.3 to 63.6%), uninfluenced by age, sex, or disease manifestation. Conclusions: The sensitivity of a whole blood interferon-γ release assay in microbiologically confirmed pediatric tuberculosis was low. An IGRA cannot, thus, be used as rule-in test, but it might be useful to rule in tuberculosis among children in whom tuberculosis is notoriously difficult to confirm microbiologically

Report on the Fourth Excavation Season (2011) of the Madâ'in Sâlih Archaeological Project

This volume is the report on the results of the fourth excavation season of the Saudi-French Archaeological Project at Madâ'in Sâlih, ancient Hegra in the Nabataean kingdom, in north-west Saudi Arabia (MAEE, SCTA, CNRS, Univ Paris 1, IFPO). Apart from the results obtained in the different excavation areas (both in the residential area and in tomb IGN 117), the reader will find a study on the cairns/tumuli of the site (W. Abu-Azizeh) as well as intermediary reports on the geophysical detection (Chr. Benech), the fauna (J. Studer) and the pottery (C. Durand).Ce volume constitue le rapport sur les résultats de la quatrième campagne de fouilles de la mission archéologique franco-saoudienne de Madâ'in Sâlih, l'ancienne Hégra des Nabatéens, dans le nord-ouest de l'Arabie Saoudite (MAEE, SCTA, CNRS, Univ. Paris 1, IFPO). Outre les résultats obtenus dans les différents chantiers (dans la zone résidentielle et dans le tombeau IGN 117), le lecteur trouvera une étude synthétique sur les cairns/tumuli du site (W. Abu-Azizeh) ainsi que des rapports intermédiaires sur la détection géophysique (Chr. Benech), la faune (J. Studer) et la céramique (C. Durand)

The mark of captivity: plastic responses in the ankle bone of a wild ungulate (Sus scrofa)

International audienceDeciphering the plastic (non-heritable) changes induced by human control over wild animals in the archaeological record is challenging. We hypothesized that changes in locomotor behaviour in a wild ungulate due to mobility control could be quantified in the bone anatomy. To test this, we experimented with the effect of mobility reduction on the skeleton of wild boar (Sus scrofa), using the calcaneus shape as a possible © 2020 The Authors. Published by the Royal Society under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/, which permits unrestricted use, provided the original author and source are credited. phenotypic marker. We first assessed differences in shape variation and covariation in captive-reared and wild-caught wild boars, taking into account differences in sex, body mass, available space for movement and muscle force. This plastic signal was then contrasted with the phenotypic changes induced by selective breeding in domestic pigs. We found that mobility reduction induces a plastic response beyond the shape variation of wild boars in their natural habitat, associated with a reduction in the range of locomotor behaviours and muscle loads. This plastic signal of captivity in the calcaneus shape differs from the main changes induced by selective breeding for larger muscle and earlier development that impacted the pigs' calcaneus shape in a much greater extent than the mobility reduction during the domestication process of their wild ancestors

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

Les animaux et l’industrie en matière animale d’al-Hadir (Qinnasrin)

Studer Jacqueline. Les animaux et l’industrie en matière animale d’al-Hadir (Qinnasrin). In: Al-Hadir. Étude archéologique d’un hameau de Qinnasrin (Syrie du Nord, VIIe-XIIe siècles) Lyon : Maison de l'Orient et de la Méditerranée Jean Pouilloux, 2012. pp. 171-204. (Travaux de la Maison de l'Orient et de la Méditerranée. Série recherches archéologiques, 59

Les animaux et l’industrie en matière animale d’al-Hadir (Qinnasrin)

Studer Jacqueline. Les animaux et l’industrie en matière animale d’al-Hadir (Qinnasrin). In: Al-Hadir. Étude archéologique d’un hameau de Qinnasrin (Syrie du Nord, VIIe-XIIe siècles) Lyon : Maison de l'Orient et de la Méditerranée Jean Pouilloux, 2012. pp. 171-204. (Travaux de la Maison de l'Orient et de la Méditerranée. Série recherches archéologiques, 59

Camel use in the Petra region, Jordan: 1st century BC to 4th century AD

From antiquity onwards, the camel has played an important role in human exploitation of desert regions in the Levant. In this paper, different aspects of camel use at the site of ez Zantur in the Petra region (southern Jordan) will be discussed with reference to the osteological and iconographic evidence of the 1st century BC (Nabataean), which marks the earliest occupation of the city of Petra, through to the 4th century AD (Late Roman period). The several uses of the camel are examined as a dietary element, a beast of burden, a source of raw material for artefact manufacture and a cultural symbol.Dès l’Antiquité, le dromadaire a joué un rôle important dans l’exploitation humaine des régions désertiques du Levant. Cet article présente les différents aspects de l’utilisation du dromadaire par les habitants d’ez Zantur, dans la ville de Pétra (au sud de la Jordanie), à partir des données ostéologiques et iconographiques datées du Ier s. av. J.-C. (période nabatéenne), qui marque l’occupation la plus ancienne de la ville, jusqu’au IVe siècle de notre ère (période romaine tardive). Les multiples utilisations du dromadaire comme part du régime alimentaire, comme bête de somme, comme source de matière brute pour l’artisanat et comme symbole culturel sont examinées.Studer Jacqueline, Schneider Annegret. Camel use in the Petra region, Jordan: 1st century BC to 4th century AD. In: Archaeozoology of the Near East VIII. Actes des huitièmes Rencontres internationales d'Archéozoologie de l'Asie du Sud-Ouest et des régions adjacentes. Lyon : Maison de l'Orient et de la Méditerranée Jean Pouilloux, 2008. pp. 581-596. (Travaux de la Maison de l'Orient et de la Méditerranée, 49