11 research outputs found

    Fatal Enterovirus-related Myocarditis in a Patient with Devic’s Syndrome Treated with Rituximab

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    Enteroviruses are a frequent source of infection and among the most common central nervous system viral pathogens. Enteroviruses – in particular, the Coxsackie B viruses – are a known cause of myocarditis. Rituximab is a genetically engineered chimeric anti-CD20 monoclonal antibody. Many reports in the literature suggest a higher risk of infection following repeated rituximab therapy, including viral infection. However, observations of enterovirus-related myocarditis in the context of rituximab treatment are scarce. The authors describe the case of a patient with neuromyelitis optica spectrum disorder who developed severe and fatal enterovirus-related myocarditis after rituximab therapy with a difficult differential diagnosis of autoimmune or giant-cell myocarditis. This case highlights the importance of complete diagnostic workup in difficult cases of myocarditis, including endomyocardial biopsies

    CCQM-K55.b (Aldrin) : Final report: october 2012. CCQM-K55.b key comparison on the characterization of organic substances for chemical purity

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    Under the auspices of the Organic Analysis Working Group (OAWG) of the ComitĂ© Consultatif pour la QuantitĂ© de MatiĂšre (CCQM) a key comparison, CCQM K55.b, was coordinated by the Bureau International des Poids et Mesures (BIPM) in 2010/2011. Nineteen national measurement institutes and the BIPM participated. Participants were required to assign the mass fraction of aldrin present as the main component in the comparison sample for CCQM-K55.b which consisted of technical grade aldrin obtained from the National Measurement Institute Australia that had been subject to serial recrystallization and drying prior to sub-division into the units supplied for the comparison. Aldrin was selected to be representative of the performance of a laboratory's measurement capability for the purity assignment of organic compounds of medium structural complexity [molar mass range 300 Da to 500 Da] and low polarity (pKOW < −2) for which related structure impurities can be quantified by capillary gas phase chromatography (GC). The key comparison reference value (KCRV) for the aldrin content of the material was 950.8 mg/g with a combined standard uncertainty of 0.85 mg/g. The KCRV was assigned by combination of KCRVs assigned by consensus from participant results for each orthogonal impurity class. The relative expanded uncertainties reported by laboratories having results consistent with the KCRV ranged from 0.3% to 0.6% using a mass balance approach and 0.5% to 1% using a qNMR method. The major analytical challenge posed by the material proved to be the detection and quantification of a significant amount of oligomeric organic material within the sample and most participants relying on a mass balance approach displayed a positive bias relative to the KCRV (overestimation of aldrin content) in excess of 10 mg/g due to not having adequate procedures in place to detect and quantify the non-volatile content—specifically the non-volatile organics content—of the comparison sample. There was in general excellent agreement between participants in the identification and the quantification of the total and individual related structure impurities, water content and the residual solvent content of the sample. The comparison demonstrated the utility of 1H NMR as an independent method for quantitative analysis of high purity compounds. In discussion of the participant results it was noted that while several had access to qNMR estimates for the aldrin content that were inconsistent with their mass balance determination they decided to accept the mass balance result and assumed a hidden bias in their NMR data. By contrast, laboratories that placed greater confidence in their qNMR result were able to resolve the discrepancy through additional studies that provided evidence of the presence of non-volatile organic impurity at the requisite level to bring their mass balance and qNMR estimates into agreement.Fil: Westwood, Steven. Bureau International des Poids et Mesures (BIPM); FranciaFil: Josephs, Ralf. Bureau International des Poids et Mesures (BIPM); FranciaFil: Choteau, Tiphaine. Bureau International des Poids et Mesures (BIPM); FranciaFil: Daireaux, Adeline. Bureau International des Poids et Mesures (BIPM); FranciaFil: Mesquida, Charline. Bureau International des Poids et Mesures (BIPM); FranciaFil: Wielgosz, Robert. Bureau International des Poids et Mesures (BIPM); FranciaFil: Rosso, Adriana. Instituto Nacional de TecnologĂ­a Industrial (INTI); ArgentinaFil: Ruiz de Arechavaleta, Mariana. Instituto Nacional de TecnologĂ­a Industrial (INTI); ArgentinaFil: Davies, Stephen. National Measurement Institute (NMIA); AustraliaFil: Wang, Hongjie. National Measurement Institute (NMIA); AustraliaFil: Pires do Rego, Eliane Cristina. Instituto Nacional de Metrologia, Qualidade e Tecnologia (INMetro); BrasilFil: Marques Rodrigues, JanaĂ­na. Instituto Nacional de Metrologia, Qualidade e Tecnologia (INMetro); BrasilFil: de Freitas GuimarĂŁes, Evelyn. Instituto Nacional de Metrologia, Qualidade e Tecnologia (INMetro); BrasilFil: Barreto Sousa, Marcus Vinicius. Instituto Nacional de Metrologia, Qualidade e Tecnologia (INMetro); BrasilFil: Monteiro, TĂąnia Maria. Instituto Nacional de Metrologia, Qualidade e Tecnologia (INMetro); BrasilFil: Alves das Neves Valente, Laura. Instituto Nacional de Metrologia, Qualidade e Tecnologia (INMetro); BrasilFil: Marques Violante, Fernando Gustavo. Instituto Nacional de Metrologia, Qualidade e Tecnologia (INMetro); BrasilFil: Rubim, Renato. Instituto Nacional de Metrologia, Qualidade e Tecnologia (INMetro); BrasilFil: Almeida, Ribeiro. Instituto Nacional de Metrologia, Qualidade e Tecnologia (INMetro); BrasilFil: Baptista Quaresma, Maria Cristina. Instituto Nacional de Metrologia, Qualidade e Tecnologia (INMetro); BrasilFil: Nogueira, Raquel. Instituto Nacional de Metrologia, Qualidade e Tecnologia (INMetro); BrasilFil: Windust, Anthony. Institute for National Measurement Standards. National Research Council Canada (NRC-INMS); CanadĂĄFil: Dai, Xinhua. National Institute of Metrology (NIM); ChinaFil: Li, Xiaomin. National Institute of Metrology (NIM); ChinaFil: Zhang, Wei. National Institute of Metrology (NIM); ChinaFil: Li, Ming. National Institute of Metrology (NIM); ChinaFil: Shao, Mingwu. National Institute of Metrology (NIM); ChinaFil: Wei, Chao. National Institute of Metrology (NIM); ChinaFil: Wong, Siu-kay. Government Laboratory of Hong Kong SAR (GLHK); ChinaFil: Cabillic, Julie. Laboratoire National de MĂ©trologie et d’Essais (LNE); FranciaFil: Gantois, Fanny. Laboratoire National de MĂ©trologie et d’Essais (LNE); FranciaFil: Philipp, Rosemarie. Bundesanstalt fĂŒr Materialforschung (BAM); AlemaniaFil: Pfeifer, Dietmar. Bundesanstalt fĂŒr Materialforschung (BAM); AlemaniaFil: Hein, Sebastian. Bundesanstalt fĂŒr Materialforschung (BAM); AlemaniaFil: Klyk-Seitz, Urszula-Anna. Bundesanstalt fĂŒr Materialforschung (BAM); AlemaniaFil: Ishikawa, Keiichiro. National Metrology Institute of Japan (NMIJ); JapĂłnFil: Castro, Esther. Centro Nacional de MetrologĂ­a (CENAM); MĂ©xicoFil: Gonzalez, Norma. Centro Nacional de MetrologĂ­a (CENAM); MĂ©xicoFil: Krylov, Anatoly. D. I. Mendeleev Institute for Metrology (VNIIM); RusiaFil: Lin, Teo Tang. Health Sciences Authority (HSA); SingapurFil: Kooi, Lee Tong. Health Sciences Authority (HSA); SingapurFil: Fernandes-Whaley, M. National Metrology Institute of South Africa (NMISA); SudĂĄfricaFil: PrĂ©voo, D. National Metrology Institute of South Africa (NMISA); SudĂĄfricaFil: Archer, M. National Metrology Institute of South Africa (NMISA); SudĂĄfricaFil: Visser, R. National Metrology Institute of South Africa (NMISA); SudĂĄfricaFil: Nlhapo, N. National Metrology Institute of South Africa (NMISA); SudĂĄfricaFil: de Vos, B. National Metrology Institute of South Africa (NMISA); SudĂĄfricaFil: Ahn, Seonghee. Korea Research Institute of Standards and Science (KRISS); Corea del SurFil: Pookrod, Preeyaporn. National Institute of Metrology of Thailand (NIMT); TailandiaFil: Wiangnon, Kanjana. National Institute of Metrology of Thailand (NIMT); TailandiaFil: Sudsiri, Nittaya. National Institute of Metrology of Thailand (NIMT); TailandiaFil: Muaksang, Kittiya. National Institute of Metrology of Thailand (NIMT); TailandiaFil: Cherdchu, Chainarong. National Institute of Metrology of Thailand (NIMT); TailandiaFil: Gören, Ahmet Ceyhan. National Metrology Institute (TUBITAK UME); TurquĂ­aFil: Bilsel, Mine. National Metrology Institute (TUBITAK UME); TurquĂ­aFil: LeGoff, Thierry. LGC Limited; Reino UnidoFil: Bearden, Dan. National Institute of Standards and Technology (NIST); Estados UnidosFil: Bedner, Mary. National Institute of Standards and Technology (NIST); Estados UnidosFil: Duewer, David. National Institute of Standards and Technology (NIST); Estados UnidosFil: Hancock, Diane. National Institute of Standards and Technology (NIST); Estados UnidosFil: Lang, Brian. National Institute of Standards and Technology (NIST); Estados UnidosFil: Lippa, Katrice. National Institute of Standards and Technology (NIST); Estados UnidosFil: Schantz, Michele. National Institute of Standards and Technology (NIST); Estados UnidosFil: Sieber, John. National Institute of Standards and Technology (NIST); Estados Unido

    Effet de la compression et de l ajout d additifs sur l amélioration des performances d un accumulateur au plomb

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    Les travaux de cette thÚse visent le développement d un accumulateur au plomb-acide aux propriétés améliorées en combinant l utilisation d additifs et la mise en compression des cellules. L utilisation d additifs poreux vise à favoriser la diffusion de l électrolyte au sein de la matiÚre active positive et l utilisation d additifs de conductivité tend à optimiser le réseau de conduction des matériaux actifs. Le maintien de la cohésion des matiÚres en cyclage est assuré par la mise en compression des électrodes. Dans cet objectif, un protocole de fabrication d électrodes positives a été développé au laboratoire. Un comportement de référence a ensuite été définit en déterminant les performances électriques et les caractéristiques des électrodes témoins soumises à des pressions allant de 0 à 1bar. Puis les effets des additifs ont été évalués lors d applications en compression. Notre but étant également une meilleure compréhension du systÚme plomb-acide et du mode de fonctionnement des additifs, des mécanismes pour expliquer l évolution texturale des matériaux actifs positifs en compression et l interaction entre les additifs et l application d une pression ont été proposésPARIS-BIUSJ-ThÚses (751052125) / SudocPARIS-BIUSJ-Physique recherche (751052113) / SudocSudocFranceF

    Certified reference materials for breath alcohol control - the ALCOREF project

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    The Joint Research Project Alcoref “Certified forensic alcohol reference materials” is a multi-partner trans-national project within the targeted call “Research Potential” of the European Metrology Programme for Innovation and Research (EMPIR) launched in 2016. The European Commission has estimated that about one quarter of road traffic deaths are due to alcohol. The European status report on road safety of the World Health Organization Regional Office for Europe therefore stated that, among other measures, better legislation and enforcement of alcohol control is needed in several countries. In particular, the report demands that unrestricted access to alcohol breath testing, using breath analysers of equivalent and agreed standard, should be implemented throughout Europe. These high standards for tests, verification and calibration of breath alcohol analysers should meet some requirements of the recommendation R 126 defined by the International Organization of Legal Metrology (OIML) and European standards (EN 16280 and EN 15964). The specific objective of this project is to establish regional research and metrological capacity for the development of certified forensic alcohol reference materials for the law enforcement of drink-driving regulations

    Interaction of 15 priority substances for water monitoring at ng L-1 levels with glass-, aluminium- and fluorinated polyethylene bottles for the containment of water reference materials

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    Certified water reference materials (CRMs) are currently not available for most of the hydrophobic organic pollutants listed in the EU Water Framework Directive (WFD). To find the most suitable container type for subsequent reference material productions, feasibility studies for the preparation of waters with polycyclic aromatic hydrocarbons (PAHs), polybrominated diphenyl ethers (PBDEs) and tributyltin (TBT) close to Environmental Quality Standards (EQS) in water have been performed. Due to the hydrophobic nature of these compounds and their tendency to adsorb onto container-walls, an adequate selection of the most appropriate material for containment, storage and transport of water reference materials is crucial. Three different materials (aluminium, amber glass and fluorinated polyethylene, FPE) and three volume ranges (500/600 mL, 1000/1200 mL and 2000/3000 mL) were tested at ng L-1 level of the target compounds. FPE shows by far the highest loss of analytes due to adsorption onto the container walls for all compounds studied. Aluminium and glass are equally suited for PAHs and PBDEs, but aluminium is unsuitable as container material for TBT due to acid cleaning requirements. The volume of the containers had no dramatic effect on the adsorption behaviour of target compounds for the different volumes tested.JRC.D.2-Standards for Innovation and sustainable Developmen

    Novel concepts for preparation of reference materials as whole water samples for priority substances at nanogram-per- liter level using model suspended particulate matter and humic acids

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    One of the unresolved issues of the European Water Framework Directive is the unavailability of realistic water reference materials for the organic priority pollutants at low ng L-1 concentrations. In the present study three different types of ready-to-use water test materials were developed for polycyclic aromatic hydrocarbons (PAHs), poly brominated diphenyl ethers (PBDEs) and tributyltin (TBT) at ng L-1 levels. The first type simulated the dissolved phase in the water and comprised of a solution of humic acids (HA) at 5 mg/L dissolved organic carbon (DOC) and a spike of the target compounds. The second type of water sample incorporated the particulate phase in water. To this end model suspended particulate matter (SPM) with a realistic particle size was produced by jet milling soil and sediments containing known amounts of PAHs, PBDEs and TBT and added as slurry to mineral water. The most complex test materials mimicked “whole water” consequently containing both phases, the model SPM and the HA solution with the target analytes strongly bound to the SPM. In this paper the development of concepts, processing of the starting materials, characterization of the HA and model SPMs as well as results for homogeneity and stability testing of the ready-to-use test materials are described in detail.JRC.D.2-Standards for Innovation and sustainable Developmen

    An interlaboratory comparison on whole water samples

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    The European Water Framework Directive 2000/60/EC requires monitoring of organic priority pollutants in so called “whole water” samples, i.e. in aqueous non-filtered samples that contain natural colloidal and suspended particulate matter. Colloids and suspended particles in the liquid phase constitute a challenge for sample homogeneity and stability. Within the joint research project ENV08 “Traceable measurements for monitoring critical pollutants under the European Water Framework Directive 2000/60/EC” whole water test materials were developed by spiking defined amounts of aqueous slurries of ultra-finely milled contaminated soil or sediment and aqueous solutions of humic acid into a natural mineral water matrix. This paper presents the results of an European-wide interlaboratory comparison (ILC) using this type of test materials. Target analytes were tributyl tin, polybrominated diphenyl ethers and polycyclic aromatic hydrocarbons in the ng/L concentration range. Results of the ILC indicate that the produced materials are sufficiently homogeneous and stable to serve as samples for e.g. proficiency testing or method validation. To our knowledge, this is the first time that ready to use water materials with a defined amount of suspended particulate and colloidal matter have been applied as test samples in an interlaboratory exercise. These samples meet the requirements of the European Water Framework Directive. Previous proficiency testing schemes mainly employed filtered water samples fortified with a spike of the target analyte in a water-miscible organic solvent.JRC.D.2-Standards for Innovation and sustainable Developmen
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