Influence of anthropometric parameters and biochemical markers of bone metabolism on quantitative ultrasound of bone in the institutionalized elderly

The assessment of bone quality by quantitative ultrasound (QUS), a transportable and relatively cheap method, shows some correlations with bone mineral density (BMD) as measured by dual-energy X-ray absorptiometry (DXA) and with fracture risk. To examine its correlation with bone metabolism in a population of institutionalized elderly people known to be at high risk for vitamin D deficiency and secondary hyperparathyroidism, QUS of the calcaneus and biochemical parameters were measured in 264 women aged 85±7 (SD) years and in 103 men aged 81±8 years living in 19 nursing homes. Vitamin D deficiency was frequent in this population: 41.9% of the women and 31.4% of the men had a serum 25-hydroxyvitamin (25OHD) level below the 2.5th percentile level of 3276 normal Swiss adults (6.2 µg/l or 15.5 mmol/l). Hyperparathyroidism was less frequent: serum parathyroid hormone (PTH) levels were above the 97.5th percentile level of normal adults (70 pg/l) in 18.9% of women and 9.8% of men. In women, QUS data correlated significantly with age (r=−0.297), body mass index (BMI) (r=0.403), calcium (r=0.220), PTH (r=−0.296), 25OHD (r=0.298) and alkaline phosphatase (AP) (r=−0.170) for broadband ultrasound attenuation (BUA), and with age (r=−0.195), BMI (r=0.208), PTH (r=−0.174), 25OHD (r=0.140) and AP (r=−0.130) for speed of sound (SOS). In men, ultrasound data correlated with BMI (r=0.326), calcium (r=0.199), 25OHD (r=0.258) and AP (r=−0.311) for BUA, and with AP (r=−0.196) for SOS. In women, but not in men because of their smaller number, a multivariate analysis was performed to examine relationships between age, BMI, biochemical markers and QUS. Age, BMI, PTH and phosphate explained 30% of the variance of BUA and 10% for SOS. In conclusion, QUS of bone evaluates characteristics of bone that are influenced, at least partially, by age, BMI and the secondary hyperparathyroidism due to vitamin D deficienc

Analyse et optimisation du comportement en fatigue des réservoirs d'hydrogène gazeux de type III = Analysis and optimisation of the fatigue lifetime of hydrogen high pressure tanks

National audienceLa présente étude explicite une méthode de dimensionnement d'un réservoir d'hydrogène haute pression soit 700 bar. Ce type de réservoir est composé d'un liner métallique et d'un renfort en composite. Un bon dimensionnement est nécessaire pour l'utilisation de ce type de réservoir en toute sécurité dans la mesure où des problèmes de fatigue apparaissent lorsque la structure est soumise à des hautes pressions de façon répétée

Amoeboid motion in confined geometry

International audienceMany eukaryotic cells undergo frequent shape changes (described as amoeboid motion) that enable them to move forward. We investigate the effect of confinement on a minimal model of amoeboid swimmer. A complex picture emerges: (i) The swimmer's nature (i.e., either pusher or puller) can be modified by confinement, thus suggesting that this is not an intrinsic property of the swimmer. This swimming nature transition stems from intricate internal degrees of freedom of membrane deformation. (ii) The swimming speed might increase with increasing confinement before decreasing again for stronger confinements. (iii) A straight amoeoboid swimmer's trajectory in the channel can become unstable, and ample lateral excursions of the swimmer prevail. This happens for both pusher- and puller-type swimmers. For weak confinement, these excursions are symmetric, while they become asymmetric at stronger confinement, whereby the swimmer is located closer to one of the two walls. In this study, we combine numerical and theoretical analyses

Dose-response study of ibandronate in the treatment of cancer-associated hypercalcaemia.

Hypercalcaemia is an important cause of morbidity in malignant disease. We studied the efficacy and safety of intravenous ibandronate (a new, potent bisphosphonate) in a multicentre study of 147 patients with severe cancer-associated hypercalcaemia which had been resistant to treatment with rehydration alone. Of 131 randomized patients who were eligible for evaluation, 45 were allocated to receive 2 mg ibandronate, 44 patients to receive 4 mg and 42 patients to receive 6 mg. Serum calcium values fell progressively in each group from day 2, reaching a nadir at day 5, and in some patients normocalcaemia was maintained for up to 36 days after treatment. The 2-mg dose was significantly less effective than the 4-mg or 6-mg dose in correcting hypercalcaemia, as the number of patients who achieved serum calcium values below 2.7 mM after treatment was 50% in the 2-mg group compared with 75.6% in the 4-mg group and 77.4% in the 6-mg group (P < 0.05; 2 mg vs others). In a logistic regression analysis, three factors were found to predict response; ibandronate dose (higher doses were more effective), severity of presenting hypercalcaemia (severe hypercalcaemia was associated with less complete response) and tumour type (patients with breast carcinoma and haematological tumours responded better than those with other tumours). Ibandronate was generally well tolerated and no serious drug-related adverse events were observed. We conclude that ibandronate is a safe, well tolerated and effective treatment for cancer-associated hypercalcaemia, which should prove a useful addition to the current range of therapies available to treat this condition

LIF-Dependent Signaling: New Pieces in the Lego

LIF, a member of the IL6 family of cytokine, displays pleiotropic effects on various cell types and organs. Its critical role in stem cell models (e.g.: murine ES, human mesenchymal cells) and its essential non redundant function during the implantation process of embryos, in eutherian mammals, put this cytokine at the core of many studies aiming to understand its mechanisms of action, which could benefit to medical applications. In addition, its conservation upon evolution raised the challenging question concerning the function of LIF in species in which there is no implantation. We present the recent knowledge about the established and potential functions of LIF in different stem cell models, (embryonic, hematopoietic, mesenchymal, muscle, neural stem cells and iPSC). We will also discuss EVO-DEVO aspects of this multifaceted cytokine

Pédagogie pratique

Thiébaud M. Pédagogie pratique. In: Manuel général de l'instruction primaire : journal hebdomadaire des instituteurs. 75e année, tome 44, 1907. p. 99

Opinions de nos lecteurs

Thiébaud M. Opinions de nos lecteurs. In: Manuel général de l'instruction primaire : journal hebdomadaire des instituteurs. 71e année, tome 40, 1904. p. 258

L’art à l’école

Thiébaud M. L’art à l’école. In: Manuel général de l'instruction primaire : journal hebdomadaire des instituteurs. 66e année, tome 35, 1899. p. 4

Service lifetime, storage time, and disposal pathways of electronic equipment: a swiss case study product lifetime of electronics in Switzerland

Product lifetime is an essential aspect of dynamic material flow analyses and has been modeled using lifetime distribution functions, mostly average lifetimes. Existing data regarding the lifetime of electronic equipment (EE) are based on diverging definitions of lifetime as well as different temporal and regional scopes. After its active use, EE is often not disposed of immediately, but remains in storage for some time. Specific data on the share of EE that is stored and the time they remain in storage are scarce. This article investigates the service lifetime, storage time, and disposal pathways of ten electronic device types, based on data from an online survey complemented by structured interviews. We distinguish between new and secondhand devices and compute histograms, averages, and medians of the different lifetimes and their change over time. The average service lifetime varies from 3.3 years for mobile phones to 10.8 years for large loudspeakers, the average storage time from 0.8 years for flat panel display televisions to 3.6 years for large loudspeakers. Most service lifetime histograms are positively skewed and show substantial differences among device types. The storage time histograms, being more similar to one another, indicate that the storage behavior is similar for most device types. The data on disposal pathways show that a large proportion of devices are stored and reused before they reach the collection scheme