Assessment of left ventricular recovery in Tako-Tsubo cardiomyopathy using 2D strain echocardiography

Contre la désertification De la convention internationale à l'élaboration participative des programmes d'action nationaux Comme toutes les conventions internationales, la convention sur la désertification est un texte consensuel qui n'indique pas de façon explicite comment mettre en oeuvre toutes ses dispositions. Pourtant, chaque pays affecté est tenu d'élaborer et d'appliquer des programmes d'action nationaux qui doivent être appliqués par les acteurs les plus concernés, les communautés locales. Cet ouvrage propose une démarche pour l'élaboration participative de ces programmes d'action. Il est la synthèse des résultats et des recommandations de la Conférence sous-régionale de vulgarisation de la Convention de lutte contre la désertification et de mise en oeuvre du Plan d'action du RIOD (Réseau international des ONG sur la désertification) en mai 1996. Cette conférence s'inscrivait dans une série de quatre rencontres sous-régionales préconisées afin de faire connaître la convention à un plus grand nombre d'acteurs. Masse Lo - Yacine Diagne - Emmanuel Seck - Série Etudes et recherches n° 190-191 ISBN : 92-9130-0187 - Enda-Editions - Boîte Postale 3370 - Dakar - SENEGAL Tél.: (221) 22-42-29 Télécopie : (221) 23-51-57 E-mail : [email protected]. Prix : 100 FF frais de port inclus pour les pays du Nord - 2 000 FCFA (frais de port : 800 FCFA) pour les pays du SudDe la convention international

A generalization of Snoek's law to ferromagnetic films and composites

The present paper establishes characteristics of the relative magnetic permeability spectrum $\mu$(f) of magnetic materials at microwave frequencies. The integral of the imaginary part of $\mu$(f) multiplied with the frequency f gives remarkable properties. A generalisation of Snoek's law consists in this quantity being bounded by the square of the saturation magnetization multiplied with a constant. While previous results have been obtained in the case of non-conductive materials, this work is a generalization to ferromagnetic materials and ferromagnetic-based composites with significant skin effect. The influence of truncating the summation to finite upper frequencies is investigated, and estimates associated to the finite summation are provided. It is established that, in practice, the integral does not depend on the damping model under consideration. Numerical experiments are performed in the exactly solvable case of ferromagnetic thin films with uniform magnetization, and these numerical experiments are found to confirm our theoretical results. Microwave permeability measurements on soft amorphous films are reported. The relation between the integral and the saturation magnetization is verified experimentally, and some practical applications of the theoretical results are introduced. The integral can be used to determine the average magnetization orientation in materials with complex configurations of the magnetization, and furthermore to demonstrate the accuracy of microwave measurement systems. For certain applications, such as electromagnetic compatibility or radar absorbing materials, the relations established herein provide useful indications for the design of efficient materials, and simple figures of merit to compare the properties measured on various materials

The usefulness of contrast during exercise echocardiography for the assessment of systolic pulmonary pressure

<p>Abstract</p> <p>Background</p> <p>The systolic pulmonary artery pressure (PAPs) can be accurately estimated, non-invasively, using continuous-wave Doppler (CWD) ultrasound measurement of the peak velocity of a tricuspid regurgitant (TR) jet.</p> <p>However, it is often difficult to obtain adequate tricuspid regurgitation signals for measurement of PAPs, what could lead to its underestimation. Therefore, utilization of air-blood-saline contrast has been implemented for the improvement of Doppler signal in several clinical contexts.</p> <p>It is now recommended in the evaluation of patients with pulmonary hypertension. Physical activity is severely restricted in patients with PAH, being exertional dypnea the most typical symptom. Exercise stress echo-Doppler imaging allows assessment of the response to exercise. It is an excellent screening test for patients with suspected PAH. Our purpose was to evaluate the value and accuracy of agitated saline with blood contrast echocardiography, in the improvement of the Doppler signal, to quantify PAPs during treadmill exercise-echocardiography.</p> <p>Purpose</p> <p>To evaluate the value of contrast echocardiography, using agitated saline with blood, in the improvement of the Doppler signal used to quantify the pulmonary artery systolic pressure during exercise.</p> <p>Methods</p> <p>From a total of 41 patients (pts), we studied 38 pts (93%), 35 women, aged 54 ± 12 years-old. 27 with the diagnosis of systemic sclerosis, 10 with history of pulmonary embolism and one patient with a suspected idiopathic PAH, who were referred to the Unity of Heart Failure and Pulmonary Hypertension for screening of PAH. According to the Unity protocol, a transthoracic echocardiogram was made, in left decubitus (LD), with evaluation of right ventricle-right atria gradient (RV/RAg). A peripheral venous access was obtained, with a 3-way stopcock and the patients were placed in orthostatism (O), with a new evaluation of RV/RAg. Exercise echocardiography (EE) was begun, with evaluation of RV/RAg at peak exercise (P) and afterwards agitated saline (8 cc with 1 cc of air and 1 cc of blood) was injected, followed by a new evaluation of RV/RAg (PC) and then the interruption of the EE. Pulmonary Hypertension was diagnosed when RV/RAg at the end of the exercise was superior to 40 mmHg.</p> <p>Results</p> <p>The quality of Doppler signal was deteriorated in 5 pts, maintained in 6 pts and improved in 26 pts, with the use of contrast. In one patient, an interventricular septal defect was diagnosed. In 6 pts, a Doppler signal was only obtained with the use of contrast. In 15 pts, a RV/RAg superior to 40 mmHg was only obtained with the use of contrast. Of these, 9 have already been submitted to right heart cathetherism, that confirmed the diagnosis of pulmonary hypertension in 5 of them (56%). RV/RAg (P) was 44 ± 11 mmHg and RV/RAg (PC) was 54 ± 11 mmHg, p < 0,001.</p> <p>Conclusion</p> <p>1. The method is applicable in a large number of patients. 2. RV/RA gradients obtained at peak exercise are higher with the use of contrast, and the clinical meaning of this difference should be evaluated in a larger number of pts submitted to right heart cathetherism. The high number of false positives should lead to a higher diagnostic threshold. 3. This method seems to have relevant clinical value in the diagnosis of pulmonary arterial hypertension.</p

Hereditary sensory neuropathy type I

Hereditary sensory neuropathy type I (HSN I) is a slowly progressive neurological disorder characterised by prominent predominantly distal sensory loss, autonomic disturbances, autosomal dominant inheritance, and juvenile or adulthood disease onset. The exact prevalence is unknown, but is estimated as very low. Disease onset varies between the 2nd and 5th decade of life. The main clinical feature of HSN I is the reduction of sensation sense mainly distributed to the distal parts of the upper and lower limbs. Variable distal muscle weakness and wasting, and chronic skin ulcers are characteristic. Autonomic features (usually sweating disturbances) are invariably observed. Serious and common complications are spontaneous fractures, osteomyelitis and necrosis, as well as neuropathic arthropathy which may even necessitate amputations. Some patients suffer from severe pain attacks. Hypacusis or deafness, or cough and gastrooesophageal reflux have been observed in rare cases. HSN I is a genetically heterogenous condition with three loci and mutations in two genes (SPTLC1 and RAB7) identified so far. Diagnosis is based on the clinical observation and is supported by a family history. Nerve conduction studies confirm a sensory and motor neuropathy predominantly affecting the lower limbs. Radiological studies, including magnetic resonance imaging, are useful when bone infections or necrosis are suspected. Definitive diagnosis is based on the detection of mutations by direct sequencing of the SPTLC1 and RAB7 genes. Correct clinical assessment and genetic confirmation of the diagnosis are important for appropriate genetic counselling and prognosis. Differential diagnosis includes the other hereditary sensory and autonomic neuropathies (HSAN), especially HSAN II, as well as diabetic foot syndrome, alcoholic neuropathy, neuropathies caused by other neurotoxins/drugs, immune mediated neuropathy, amyloidosis, spinal cord diseases, tabes dorsalis, lepra neuropathy, or decaying skin tumours like amelanotic melanoma. Management of HSN I follows the guidelines given for diabetic foot care (removal of pressure to the ulcer and eradication of infection, followed by the use of specific protective footwear) and starts with early and accurate counselling of patients about risk factors for developing foot ulcerations. The disorder is slowly progressive and does not influence life expectancy but is often severely disabling after a long duration of the disease

Structural Relationships between Highly Conserved Elements and Genes in Vertebrate Genomes

Large numbers of sequence elements have been identified to be highly conserved among vertebrate genomes. These highly conserved elements (HCEs) are often located in or around genes that are involved in transcription regulation and early development. They have been shown to be involved in cis-regulatory activities through both in vivo and additional computational studies. We have investigated the structural relationships between such elements and genes in six vertebrate genomes human, mouse, rat, chicken, zebrafish and tetraodon and detected several thousand cases of conserved HCE-gene associations, and also cases of HCEs with no common target genes. A few examples underscore the potential significance of our findings about several individual genes. We found that the conserved association between HCE/HCEs and gene/genes are not restricted to elements by their absolute distance on the genome. Notably, long-range associations were identified and the molecular functions of the associated genes do not show any particular overrepresentation of the functional categories previously reported. HCEs in close proximity are found to be linked with different set of gene/genes. The results reflect the highly complex correlation between HCEs and their putative target genes