Molindone and haloperidol in tardive dyskinesia.

PubMed

Glazer, W M; Hafez, H M; Benarroche, C L

1985-08-01

Preliminary results are described from a study of 11 outpatients manifesting exacerbated tardive dyskinesia after tapering and withdrawal of neuroleptic medications. Patients were randomly assigned to molindone or haloperidol under double-blind placebo-controlled conditions to compare the masking effects of the two drugs. Haloperidol treatment masked withdrawal-exacerbated tardive dyskinesia more than molindone did; this difference (measured by percent change in AIMS scores) was significant (p = .04) when the dose was 200% but not 100% of the prestudy neuroleptic dose. Despite several limitations to the study, the results suggest that molindone may have less dyskinetogenic potential than haloperidol. Further research in the area of site-specificity of molindone is indicated.

Incidence of tardive dyskinesia with atypical versus conventional antipsychotic medications: a prospective cohort study.

PubMed

Woods, Scott W; Morgenstern, Hal; Saksa, John R; Walsh, Barbara C; Sullivan, Michelle C; Money, Roy; Hawkins, Keith A; Gueorguieva, Ralitza V; Glazer, William M

2010-04-01

Most previous studies of the incidence of tardive dyskinesia with atypical antipsychotics compared with conventional antipsychotics have not had tardive dyskinesia as their primary focus. The current study aimed to compare the incidence of tardive dyskinesia with atypical vs conventional antipsychotics using methods similar to those from a previous prospective cohort study at our site in the 1980s. Three hundred fifty-two initially tardive dyskinesia-free psychiatric outpatients (diagnosed at baseline using the Structured Clinical Interview for DSM-IV) were examined for a new diagnosis of tardive dyskinesia (using the Abnormal Involuntary Movement Scale and Glazer-Morgenstern criteria) every 6 months for up to 4 years at a community mental health center. At baseline, subjects were receiving conventional antipsychotics only (23%), atypicals only (64%), or both (14%). Only 26 subjects had never received conventional antipsychotics. Baseline evaluations were conducted from November 2000 through May 2003. Follow-ups were conducted through February 2005. Compared with subjects treated with conventional antipsychotics alone since the previous visit, the adjusted tardive dyskinesia incidence rate-ratio for subjects treated with atypical antipsychotics alone was 0.68 (95% CI, 0.29-1.64). The incidence and prevalence of tardive dyskinesia was similar to previous findings at this site in the 1980s. The incidence of tardive dyskinesia with recent exposure to atypical antipsychotics alone was more similar to that for conventional antipsychotics than in most previous studies. Despite high penetration of atypical antipsychotics into clinical practice, the incidence and prevalence of tardive dyskinesia appeared relatively unchanged since the 1980s. Clinicians should continue to monitor for tardive dyskinesia, and researchers should continue to pursue efforts to treat or prevent it. Copyright 2010 Physicians Postgraduate Press, Inc.

Plasma HVA, tardive dyskinesia and psychotic symptoms in long-term drug-free inpatients with schizophrenia.

PubMed

Muscettola, G; Barbato, G; de Bartolomeis, A; Monteleone, P; Pickar, D

1990-09-01

Plasma homovanillic acid (pHVA) levels were measured in 16 chronically ill patients with schizophrenia who also suffered from tardive dyskinesia, and in a group of 14 chronically ill patients with schizophrenia who did not have tardive dyskinesia. All patients were studied following an extensive drug-free period (mean = 32.9 months). Patients with orofacial dyskinesia had significantly lower levels of pHVA than did controls. In patients without tardive dyskinesia, pHVA levels were significantly correlated with both positive and negative symptomatology. In contrast, pHVA levels from patients with tardive dyskinesia bore neither a significant nor a nearly significant relationship to symptomatology. The implications of these findings for dopaminergic models of tardive dyskinesia are discussed.

A Review of Differences in Clinical Characteristics between Tardive Syndrome Induced or Improved by Aripiprazole Treatment.

PubMed

Chen, Yen-Wen; Tseng, Ping-Tao

2016-09-15

Tardive syndrome is a troublesome complication secondary to the long-term usage of antipsychotic medication. At present, there is a lack of effective treatment for tardive syndrome. Aripiprazole has been used in the treatment of tardive syndrome, with some reports of a good response. However, other reports have suggested that tardive syndrome can actually be induced by aripiprazole. The aim of current study was to investigate whether aripiprazole is beneficial or harmful for the treatment of tardive syndrome in specific patients. We performed a thorough literature search via PubMed. We included all of the studies discussing the relationship between tardive syndrome and aripiprazole, either with regards to "inducing" or "improving" the disease. None of the included studies were well-designed clinical trials, and all were case reports or case series. A total of 26 articles were included in which aripiprazole induced tardive syndrome, and another 24 in which tardive syndrome was improved by aripiprazole treatment. In the "improved" group, there were significantly more cases of schizophrenia than in the "induced" group (p=0.002). However, there were significantly more cases with other miscellaneous diagnoses in the "induced" group than in the "improved" group (p=0.003). In addition, the cases in the "induced" group had a significantly longer duration of aripiprazole usage than those in the "improved" group (p=0.001). Current study is important for clinicians to pay attention to the risk of tardive syndrome when prescribing aripiprazole in patients with a diagnosis other than a psychiatric illness or in the long-term administration of aripiprazole.

CMHC practices related to tardive dyskinesia screening and informed consent for neuroleptic drugs.

PubMed

Benjamin, S; Munetz, M R

1994-04-01

The authors conducted a national survey of community mental health centers to determine their policies and practices about screening patients for tardive dyskinesia and obtaining informed consent for use of neuroleptic drugs. Clinical directors of 235 centers in the United States, selected by geographic region and population, were surveyed through a nine-item questionnaire. Although nearly all the 160 respondents reported that they screened patients for tardive dyskinesia, only about two-fifths had formal screening policies, and about two-fifths had screening programs. The Abnormal Involuntary Movement Scale examination was used by almost two-thirds of respondents who screened patients, and about one-fifth relied on unstructured observation. Slightly more than half of respondents specified a frequency for screening examinations, at a modal interval of six months. Seventy percent used nonpsychiatric clinicians for screening. Almost three-quarters of the respondents had informed consent policies for use of neuroleptics. Urban centers tended to be more aware than rural centers of the American Psychiatric Association's tardive dyskinesia screening guidelines. They also used fewer nonmedical practitioners for screening and were more likely to obtain informed consent for neuroleptics. Despite the existence of APA guidelines and state policies and regulations about tardive dyskinesia screening, a national effort to educate clinicians about prevention of tardive dyskinesia is still needed.

Hémophilie B mineure révélée par une hémorragie cérébrale: à propos d'un cas

PubMed Central

Naji, Abdelhalim; Rkain, Maria; Amrani, Rim; Benajiba, Noufissa

2015-01-01

L'hémorragie intracrânienne (HIC) du nouveau-né à terme est une pathologie rare, leur prévalence est estimée à 2% des naissances vivantes. Les manifestations cliniques sont variables et non spécifique. Les causes d'HIC sont multiples et souvent intriquées, les mécanismes physiopathologiques principaux sont la dysrégulation du débit cérébral, une obstruction des vaisseaux ou une coagulation intravasculaire; ou une lésion directe par traumatisme. Nous rapportons le cas d'un nourrisson d'un mois qui a été admis dans notre service pour prendre en charge des convulsions associées à une pâleur cutanéomuqueuse, suite à laquelle l'examen biologique a mis fortuitement en faveur une hémophilie mineure sur une maladie hémorragique tardive. PMID:26491519

Ineffectiveness of deanol in tardive dyskinesia: a placebo controlled study.

PubMed

de Montigny, C; Chouinard, G; Annable, L

1979-11-01

In a double-blind placebo-controlled study, deanol acetamidobenzoate, administered in doses up to 1.5 g q.d. for three weeks to chronic schizophrenic patients presenting moderate to severe tardive dyskinesia, failed to alleviate the dyskinetic movements. However, there was a tendency for a significant increase in the schizophrenic symptoms of the deanol-treated group relative to the control group. The ineffectiveness of deanol in alleviating tardive dyskinesia is consistent with its inability to enhance brain acetylcholine synthesis. The worsening of the schizophrenic symptoms may possibly result from an interference by deanol with central cholinergic function.

Ostéogenèse imparfaite type III de découverte tardive: à propos d'un cas

PubMed Central

Rachidi, Wafae; Nassar, Kawtar; Janani, Saadia; Mkinsi, Ouafa

2015-01-01

Patient âgé de 52 ans, était admis dans notre établissement pour des polyarthralgies chroniques, plutôt mécaniques, touchant spécialement les articulations du membre inférieur. L'interrogatoire retrouvait l'antécédent de fractures répétées depuis l'enfance, pour des traumatismes minimes, suite à des chutes par glissement. Les signes cliniques et radiologiques, notamment, les fractures récurrentes, sclérotiques bleues, hyperlaxité ligamentaire, dentinogenèse imparfaite, syndrome dysmorphique, ostéoporose densitométrique importante, plaidaient tous en faveur d'une ostéogénèse imparfaite type III. Le patient a initié le traitement, par prise régulière du calcium (1g/jour), supplémentation en vitamine D, et il est programmé pour perfusion de Bisphosphonate (Pamidronate 60mg). Ce cas illustre une forme rare de découverte tardive d'ostéogénèse imparfaite type III. PMID:25995811

An Update on Tardive Dyskinesia: From Phenomenology to Treatment

PubMed Central

Waln, Olga; Jankovic, Joseph

2013-01-01

Tardive dyskinesia (TD), characterized by oro-buccal-lingual stereotypy, can manifest in the form of akathisia, dystonia, tics, tremor, chorea, or as a combination of different types of abnormal movements. In addition to movement disorders (including involuntary vocalizations), patients with TD may have a variety of sensory symptoms, such as urge to move (as in akathisia), paresthesias, and pain. TD is a form of tardive syndrome—a group of iatrogenic hyperkinetic and hypokinetic movement disorders caused by dopamine receptor-blocking agents. The pathophysiology of TD remains poorly understood, and treatment of this condition is often challenging. In this update, we provide the most current information on the history, nomenclature, etiology, pathophysiology, epidemiology, phenomenology, differential diagnosis, and treatment of TD. PMID:23858394

Deanol, lithium and placebo in the treatment of tardive dyskinesia. A double-blind crossover study.

PubMed

Jus, A; Villeneuve, A; Gautier, J; Jus, K; Villeneuve, C; Pires, P; Villeneuve, R

1978-01-01

A double-blind crossover study on the effects of deanol and lithium carbonate was conducted on a sample of 29 chronic schizophrenic patients with tardive dyskinesia. In addition to his usual treatment with different neuroleptics, each patient received during an 8-week period either deanol, lithium carbonate or placebo. A 4-week wash-out period was inserted between each of the 8-week periods of experimental treatment of the tardive dyskinesia. The administration of either deanol, lithium carbonate or placebo added to the neuroleptic treatment did not produce a statistically significant improvement of tardive dyskinesia in our patient population as a whole. Favorable and unfavorable responses are discussed.

Cancer métaplasique du sein: à propos d'un cas

PubMed Central

Babahabib, Moulay Abdellah; Chennana, Adil; Hachi, Aymen; Kouach, Jaoud; Moussaoui, Driss; Dhayni, Mohammed

2014-01-01

Les carcinomes métaplasiques du sein sont des tumeurs rares. Ils constituent un groupe hétérogène de tumeurs définis selon l'organisation mondiale de la santé comme étant un carcinome canalaire infiltrant mais comportant des zones de remaniements métaplasiques (de type épidermoïde, à cellules fusiformes, chondroïde et osseux ou mixte), qui varient de quelques foyers microscopiques à un remplacement glandulaire complet. Les aspects cliniques et radiologiques ne sont pas spécifiques. Le traitement associe la chirurgie, la radiothérapie et la chimiothérapie. L'hormonothérapie n'a pas de place. Le pronostic est sombre. L'histopathologie combinée à l'immunohistochimie permet de poser un diagnostic sure. Etant donné que la prise en charge thérapeutique est limitée, une nouvelle approche moléculaire pourrait modifier cette contribution faible et mal cernée des traitements systémiques classiques. Les patientes atteintes de carcinome métaplasique mammaire pourraient bénéficier de traitements ciblés, ce qui reste à confirmer par des essais cliniques. PMID:25870723

Arm Tremor, Tardive Dyskinesia, and Mental Retardation.

ERIC Educational Resources Information Center

van Emmerik, R. E. A.; And Others

1993-01-01

The arm tremor of adults (n=32) diagnosed as having mental retardation and/or tardive dyskinesia was examined through an analysis of the acceleration properties of several arm postures. The degree of arm acceleration was increased in all subjects compared to a control group without mental retardation. Effects of neuroleptic medication were noted.…

KINECT 3: A Phase 3 Randomized, Double-Blind, Placebo-Controlled Trial of Valbenazine for Tardive Dyskinesia.

PubMed

Hauser, Robert A; Factor, Stewart A; Marder, Stephen R; Knesevich, Mary Ann; Ramirez, Paul M; Jimenez, Roland; Burke, Joshua; Liang, Grace S; O'Brien, Christopher F

2017-05-01

Tardive dyskinesia is a persistent movement disorder induced by dopamine receptor blockers, including antipsychotics. Valbenazine (NBI-98854) is a novel, highly selective vesicular monoamine transporter 2 inhibitor that demonstrated favorable efficacy and tolerability in the treatment of tardive dyskinesia in phase 2 studies. This phase 3 study further evaluated the efficacy, safety, and tolerability of valbenazine as a treatment for tardive dyskinesia. This 6-week, randomized, double-blind, placebo-controlled trial included patients with schizophrenia, schizoaffective disorder, or a mood disorder who had moderate or severe tardive dyskinesia. Participants were randomly assigned in a 1:1:1 ratio to once-daily placebo, valbenazine at 40 mg/day, or valbenazine at 80 mg/day. The primary efficacy endpoint was change from baseline to week 6 in the 80 mg/day group compared with the placebo group on the Abnormal Involuntary Movement Scale (AIMS) dyskinesia score (items 1-7), as assessed by blinded central AIMS video raters. Safety assessments included adverse event monitoring, laboratory tests, ECG, and psychiatric measures. The intent-to-treat population included 225 participants, of whom 205 completed the study. Approximately 65% of participants had schizophrenia or schizoaffective disorder, and 85.5% were receiving concomitant antipsychotics. Least squares mean change from baseline to week 6 in AIMS dyskinesia score was -3.2 for the 80 mg/day group, compared with -0.1 for the placebo group, a significant difference. AIMS dyskinesia score was also reduced in the 40 mg/day group (-1.9 compared with -0.1). The incidence of adverse events was consistent with previous studies. Once-daily valbenazine significantly improved tardive dyskinesia in participants with underlying schizophrenia, schizoaffective disorder, or mood disorder. Valbenazine was generally well tolerated, and psychiatric status remained stable. Longer trials are necessary to understand the long-term effects

Deanol in the treatment of tardive dyskinesia.

PubMed

Casey, D E; Denny, D

1975-08-01

A patient who developed severe tardive dyskinesia after the termination of long-term phenothiazine therapy was successfully treated with deanol, a possible precursor of acetylcholine. Physiological measurements were obtained to quantify the clinical course. The authors discuss the practical and heuristic implications of these observations and suggest further consideration of therapy directed toward enhancement of cholinergic activity in the central nervous system.

Efficacy of piracetam in the treatment of tardive dyskinesia in schizophrenic patients: a randomized, double-blind, placebo-controlled crossover study.

PubMed

Libov, Igor; Miodownik, Chanoch; Bersudsky, Yuly; Dwolatzky, Tzvi; Lerner, Vladimir

2007-07-01

Piracetam is a potent antioxidant, a cerebral neuroprotector, a neuronal metabolic enhancer, and a brain integrative agent. More than 20 years ago, an intravenous preparation of piracetam demonstrated an improvement in the symptoms of tardive dyskinesia. The aim of our study was to reexamine the efficacy of piracetam in the treatment of tardive dyskinesia using an oral preparation. The study was conducted at the Be'er Sheva Mental Health Center from May 2003 to December 2004 and involved a 9-week, double-blind, crossover, placebo-controlled trial assessing 40 DSM-IV schizophrenic and schizo-affective patients with DSM-IV-TR tardive dyskinesia. All study subjects received their usual antipsychotic treatment. Initially, subjects were randomly assigned to receive 4 weeks of treatment with either piracetam (4800 mg/day) or placebo. Thereafter, following a washout period of 1 week, they entered the crossover phase of the study for a further 4 weeks. The change in score of the Extrapyramidal Symptom Rating Scale from baseline to the study endpoint was the primary outcome measure. The mean decrease in score from baseline to endpoint in the clinical global impression subscale in patients treated with piracetam was 1.1 points compared to 0.1 points in the placebo group (p = .004). The mean decrease in the tardive parkinsonism subscale was 8.7 points in patients treated with piracetam and 0.6 points in those on placebo (p = .001). The mean decrease in the tardive dyskinesia subscale was 3.0 points in the piracetam group in contrast to deterioration of condition in the placebo group by -0.2 points (p = .003). Piracetam appears to be effective in reducing symptoms of tardive dyskinesia. The specific mechanism by which piracetam may attenuate symptoms of tardive dyskinesia needs to be further evaluated. ClinicalTrials.gov identifier NCT00190008.

Double-blind evaluation of deanol in tardive dyskinesia.

PubMed

Penovich, P; Morgan, J P; Kerzner, B; Karch, F; Goldblatt, D

1978-05-12

We administered deanol acetamidobenzoate, 2.0 g/day for four weeks, a double-blind, placebo-controlled crossover trial, to 14 patients with tardive dyskineasia. The patient population included both inpatients and outpatients. The response was evaluated by subjective clinical impression and scoring of filmed sequences. Patients' conditions improved significantly from baseline scores while receiving both deanol and placebo, but there was no distinction between the two treatments.

NBI‐98854, a selective monoamine transport inhibitor for the treatment of tardive dyskinesia: A randomized, double‐blind, placebo‐controlled study

PubMed Central

Jimenez, Roland; Hauser, Robert A.; Factor, Stewart A.; Burke, Joshua; Mandri, Daniel; Castro‐Gayol, Julio C.

2015-01-01

ABSTRACT Background Tardive dyskinesia is a persistent movement disorder induced by chronic neuroleptic exposure. NBI‐98854 is a novel, highly selective, vesicular monoamine transporter 2 inhibitor. We present results of a randomized, 6‐week, double‐blind, placebo‐controlled, dose‐titration study evaluating the safety, tolerability, and efficacy of NBI‐98854 for the treatment of tardive dyskinesia. Methods Male and female adult subjects with moderate or severe tardive dyskinesia were included. NBI‐98854 or placebo was given once per day starting at 25 mg and then escalated by 25 mg to a maximum of 75 mg based on dyskinesia and tolerability assessment. The primary efficacy endpoint was the change in Abnormal Involuntary Movement Scale from baseline at week 6 scored by blinded, central video raters. The secondary endpoint was the Clinical Global Impression of Change—Tardive Dyskinesia score assessed by the blinded investigator. Results Two hundred five potential subjects were screened, and 102 were randomized; 76% of NBI‐98854 subjects and 80% of placebo subjects reached the maximum allowed dose. Abnormal Involuntary Movement Scale scores for NBI‐98854 compared with placebo were significantly reduced (p = 0.0005). Active drug was also superior on the Clinical Global Impression of Change—Tardive Dyskinesia (p < 0.0001). Treatment‐emergent adverse event rates were 49% in the NBI‐98854 and 33% in the placebo subjects. The most common adverse events (active vs. placebo) were fatigue and headache (9.8% vs. 4.1%) and constipation and urinary tract infection (3.9% vs. 6.1%). No clinically relevant changes in safety assessments were noted. Conclusion NBI‐98854 significantly improved tardive dyskinesia and was well tolerated in patients. These results support the phase 3 clinical trials of NBI‐98854 now underway. © 2015 The Authors. Movement Disorders published by Wiley Periodicals, Inc. on behalf of International Parkinson and Movement Disorder

NBI-98854, a selective monoamine transport inhibitor for the treatment of tardive dyskinesia: A randomized, double-blind, placebo-controlled study.

PubMed

O'Brien, Christopher F; Jimenez, Roland; Hauser, Robert A; Factor, Stewart A; Burke, Joshua; Mandri, Daniel; Castro-Gayol, Julio C

2015-10-01

Tardive dyskinesia is a persistent movement disorder induced by chronic neuroleptic exposure. NBI-98854 is a novel, highly selective, vesicular monoamine transporter 2 inhibitor. We present results of a randomized, 6-week, double-blind, placebo-controlled, dose-titration study evaluating the safety, tolerability, and efficacy of NBI-98854 for the treatment of tardive dyskinesia. Male and female adult subjects with moderate or severe tardive dyskinesia were included. NBI-98854 or placebo was given once per day starting at 25 mg and then escalated by 25 mg to a maximum of 75 mg based on dyskinesia and tolerability assessment. The primary efficacy endpoint was the change in Abnormal Involuntary Movement Scale from baseline at week 6 scored by blinded, central video raters. The secondary endpoint was the Clinical Global Impression of Change-Tardive Dyskinesia score assessed by the blinded investigator. Two hundred five potential subjects were screened, and 102 were randomized; 76% of NBI-98854 subjects and 80% of placebo subjects reached the maximum allowed dose. Abnormal Involuntary Movement Scale scores for NBI-98854 compared with placebo were significantly reduced (p = 0.0005). Active drug was also superior on the Clinical Global Impression of Change-Tardive Dyskinesia (p < 0.0001). Treatment-emergent adverse event rates were 49% in the NBI-98854 and 33% in the placebo subjects. The most common adverse events (active vs. placebo) were fatigue and headache (9.8% vs. 4.1%) and constipation and urinary tract infection (3.9% vs. 6.1%). No clinically relevant changes in safety assessments were noted. NBI-98854 significantly improved tardive dyskinesia and was well tolerated in patients. These results support the phase 3 clinical trials of NBI-98854 now underway. © 2015 The Authors. Movement Disorders published by Wiley Periodicals, Inc. on behalf of International Parkinson and Movement Disorder Society.

Molindone compared to haloperidol in a guinea-pig model of tardive dyskinesia.

PubMed

Koller, W; Curtin, J; Fields, J

1984-10-01

Molindone was compared with haloperidol in animal models of tardive dyskinesia. Treatment with molindone for 14 days at 3, 6, 20 and 40 mg/kg, enhanced the stereotyped behavioral response induced by apomorphine and increased the numbered of D-2 dopamine receptors in the striatum (Bmax) labelled by high affinity (Kd = 40 pmol) binding or [3H] spiroperidol in the guinea-pig. Molindone at 1 mg/kg, caused no behavioral supersensitivity or change in the binding of dopamine receptors. Chronic administration of haloperidol (0.1, 0.5 and 5.0 mg/kg) also increased both the behavioral response to apomorphine and the number of dopamine receptors. Haloperidol, at 0.02 and 0.004 mg/kg, had no effect. Molindone potentiated dopaminergic activity in animal models in a similar way to other neuroleptics, suggesting that its use may also result in tardive dyskinesia.

Deanol in the treatment of tardive dyskinesia.

PubMed

Simpson, G M; Voitashevsky, A; Young, M A; Lee, J H

1977-05-09

Ten hospitalized chronic psychotic patients with symptoms of tardive dyskinesia were given deanol and placebo, each for 8 weeks following a double-bline, crossover design. No psychotropic agents were administered during the trial. Improvement occurred in all patients during the first treatment phase regardless of which drug the patients received; seven patients were on deanol and three on placebo during this time. The possible reasons for this decrease were discussed. It was concluded that deanol may have contributed to the decline but that its effect on the disorder was not dramatic.

Tardive or Atypical Tourette's Disorder in a Population with Down Syndrome?

ERIC Educational Resources Information Center

Myers, Beverly; Pueschel, Siegfried M.

1995-01-01

In a population of 425 individuals with Down's syndrome, 5 persons (1.2%) were identified as having Tourette's disorder. The lack of interrelationship between Down's syndrome and Tourette's disorder argues against an atypical Tourette's disorder. Diagnoses of tardive Tourette's disorder were based on absence of family history of Tourette's, late…

VMAT2 Inhibitors: New Drugs for the Treatment of Tardive Dyskinesia.

PubMed

Kim, Anne P; Baker, Danial E; Levien, Terri L

2018-04-01

To provide a review of tardive dyskinesia (TD) symptoms, etiology, pathophysiology, and treatments. PubMed, Web of Science, ClinicalTrials. gov, and Google Scholar were searched for relevant literature using a combination of the following terms: tardive dyskinesia, treatment, management, guidelines, tetrabenazine, deutetrabenazine, and valbenazine. Sources were limited to human data. Articles were reviewed for relevance to TD therapy. Reference lists were manually searched for other relevant articles. Selected literature was published between 1968 and 2017. This article reviews treatment options available for patients with TD. Many agents have been tried off-label to manage symptoms, with limited evidence of benefit. The Food and Drug Administration approved the first drug to treat TD valbenazine on April 11, 2017. TD is largely iatrogenic. Valbenazine's approval by the Food and Drug Administration was followed by the approval of deutetrabenazine, a drug with similar mechanism of action. Further data from postmarketing studies will be needed to verify that valbenazine's adverse effect profile is different from the profiles of tetrabenazine and deutetrabenazine.

A quantitative measure of handwriting dysfluency for assessing tardive dyskinesia.

PubMed

Caligiuri, Michael P; Teulings, Hans-Leo; Dean, Charles E; Lohr, James B

2015-04-01

Tardive dyskinesia (TD) is a movement disorder commonly associated with chronic exposure to antidopaminergic medications, which may be in some cases disfiguring and socially disabling. The consensus from a growing body of research on the incidence and prevalence of TD in the modern era of antipsychotics indicates that this disorder has not disappeared continues to challenge the effective management of psychotic symptoms in patients with schizophrenia. A fundamental component in an effective strategy for managing TD is its reliable and accurate assessment. In the present study, we examined the clinical utility of a brief handwriting dysfluency measure for quantifying TD. Digitized samples of handwritten circles and loops were obtained from 62 psychosis patients with or without TD and from 50 healthy subjects. Two measures of dysfluent pen movements were extracted from each vertical pen stroke, including normalized jerk and the number of acceleration peaks. Tardive dyskinesia patients exhibited significantly higher dysfluency scores than non-TD patients and controls. Severity of handwriting movement dysfluency was correlated with Abnormal Involuntary Movement Scale severity ratings for some tasks. The procedure yielded high degrees of test-retest reliability. These results suggest that measures of handwriting movement dysfluency may be particularly useful for objectively evaluating the efficacy of pharmacotherapeutic strategies for treating TD.

[Treatment with dimethylaminoethanol (deanol) in neuroleptic induced tardive dyskinesia].

PubMed

Kocher, R; Hobi, V; Linder, M; Studer, K

1980-01-01

A double blind cross-over study of 20 patients wiht tardive dyskinesia due to chronic use of neuroleptics showed no difference between efficacity of Deanol (Deaner) and placebo. Several patients improved with Deanol (Deaner), whereas several other patients showed increasing dyskinesia. The same phenomenon could be observed in the placebo group. Tolerance of the compound was very good. Results of an additional open study however suggest that the administration of Deanol (Deaner) may be tried as long as no other means are available to define those patients who will react favorably to this medication.

Double blind controlled trial of deanol in tardive dyskinesia.

PubMed

George, J; Pridmore, S; Aldous, D

1981-03-01

Thirty three chronic psychiatric hospital subjects with oral tardive dyskinesia were divided into three groups. The subjects were matched for severity of symptoms then randomly assigned to treatment with a placebo, 1 g deanol or 2 g deanol per day. Statistical analysis showed that after 30 days treatment, there was a significant reduction in the mean rating of the movements of the group of 11 subjects on 2 g deanol per day. Six of these subjects showed substantial reduction in movement. Further studies using this dosage of deanol are unwarranted.

Tardive Dyskinesia, Oral Parafunction, and Implant-Supported Rehabilitation.

PubMed

Lumetti, S; Ghiacci, G; Macaluso, G M; Amore, M; Galli, C; Calciolari, E; Manfredi, E

2016-01-01

Oral movement disorders may lead to prosthesis and implant failure due to excessive loading. We report on an edentulous patient suffering from drug-induced tardive dyskinesia (TD) and oral parafunction (OP) rehabilitated with implant-supported screw-retained prostheses. The frequency and intensity of the movements were high, and no pharmacological intervention was possible. Moreover, the patient refused night-time splint therapy. A series of implant and prosthetic failures were experienced. Implant failures were all in the maxilla and stopped when a rigid titanium structure was placed to connect implants. Ad hoc designed studies are desirable to elucidate the mutual influence between oral movement disorders and implant-supported rehabilitation.

Tardive Dyskinesia, Oral Parafunction, and Implant-Supported Rehabilitation

PubMed Central

Amore, M.

2016-01-01

Oral movement disorders may lead to prosthesis and implant failure due to excessive loading. We report on an edentulous patient suffering from drug-induced tardive dyskinesia (TD) and oral parafunction (OP) rehabilitated with implant-supported screw-retained prostheses. The frequency and intensity of the movements were high, and no pharmacological intervention was possible. Moreover, the patient refused night-time splint therapy. A series of implant and prosthetic failures were experienced. Implant failures were all in the maxilla and stopped when a rigid titanium structure was placed to connect implants. Ad hoc designed studies are desirable to elucidate the mutual influence between oral movement disorders and implant-supported rehabilitation. PMID:28050290

[Deanol in tardive dyskinesia: a double-blind study (author's transl)].

PubMed

Bockenheimer, S; Lucius, G

1976-09-17

Tardive dyskinesia following long-term application of neuroleptics is resistant to treatment. According to the hypothesis of a relative central nervous system acetylcholine lack as the underlying mechanism 20 patients were treated with dimethylaminoethanol (Deanol) in a double-blind study. Deanol is known to be a direct precursor of intracerebral acetylcholine. For several reasons (which are discussed) the data of but 11 patients were statistically evaluated. The results suggest some therapeutic effect in some of the patients only (significant improvement of oral hyperkinesia).

Valbenazine for Tardive Dyskinesia.

PubMed

Freudenreich, Oliver; Remington, Gary

Tardive dyskinesia (TD) remains a clinical concern for any patient who receives an antipsychotic. While the overall risk of developing TD is lower with newer antipsychotics compared to older agents, a significant number of patients who require long-term treatment will develop TD. Recently, valbenazine (brand name Ingrezza) became the first drug to be approved by the FDA specifically for the treatment of TD. In this New Drug Review, we summarize the basic pharmacology and clinical trial results for valbenazine. Valbenazine is a modified metabolite of the vesicular monoamine transporter 2 (VMAT-2) inhibitor tetrabenazine, which is approved for the treatment of the hyperkinetic movement disorder, Huntington's disease. In short-term clinical trials, valbenazine at a dose of 80 mg/day improved TD, with an effect size that is clinically significant (d=0.90). The effect size for the 40-mg/day dose was lower (d=0.52). Compared to tetrabenazine, valbenazine has better clinical characteristics (i.e., once-a-day dosing, better short-term side effect profile). However, only long-term experience in routine clinical populations can delineate valbenazine's full benefits, optimal dosing, and risks not identified during short-term registration trials.

The Effects of Valbenazine in Participants with Tardive Dyskinesia: Results of the 1-Year KINECT 3 Extension Study.

PubMed

Factor, Stewart A; Remington, Gary; Comella, Cynthia L; Correll, Christoph U; Burke, Joshua; Jimenez, Roland; Liang, Grace S; O'Brien, Christopher F

Valbenazine, a highly selective vesicular monoamine transporter 2 inhibitor, is approved for the treatment of tardive dyskinesia. This is the first report of long-term effects in adults with tardive dyskinesia. Participants with a DSM-IV diagnosis of schizophrenia, schizoaffective disorder, or a mood disorder who completed the 6-week, double-blind, placebo-controlled period of KINECT 3 were eligible to enter the 42-week valbenazine extension (VE) period and subsequent 4-week washout period. The extension phase was conducted from December 16, 2014, to August 3, 2016. Participants who received placebo and entered the VE period were re-randomized 1:1 to valbenazine 80 or 40 mg while others continued valbenazine at the KINECT 3 dose. Safety assessments included treatment-emergent adverse events (TEAEs) and scales for suicidal ideation/behavior, treatment-emergent akathisia or parkinsonism, and psychiatric symptoms. Efficacy assessments included the Abnormal Involuntary Movement Scale (AIMS) and Clinical Global Impression of Change-Tardive Dyskinesia (CGI-TD). 198 participants entered the VE period, 124 (62.6%) completed treatment (week 48), and 121 (61.1%) completed the follow-up visit after washout (week 52). During the VE period, 69.2% of participants had ≥ 1 TEAE, 14.6% had a serious TEAE, and 15.7% discontinued due to a TEAE. During washout, 13.1% of participants experienced a TEAE. No apparent risk for suicidal ideation or behavior was found. Long-term valbenazine treatment did not appear to induce or worsen akathisia or parkinsonism. Participants generally remained psychiatrically stable during the study. AIMS and CGI-TD measures indicated sustained tardive dyskinesia improvement, with scores returning toward baseline after 4 weeks of valbenazine washout. The long-term safety and tolerability of valbenazine were generally favorable, and maintenance of treatment effect was apparent with both doses during this long-term study. ClinicalTrials.gov identifier: NCT

Updating the recommendations for treatment of tardive syndromes: A systematic review of new evidence and practical treatment algorithm.

PubMed

Bhidayasiri, Roongroj; Jitkritsadakul, Onanong; Friedman, Joseph H; Fahn, Stanley

2018-06-15

Management of tardive syndromes (TS) is challenging, with only a few evidence-based therapeutic algorithms reported in the American Academy of Neurology (AAN) guideline in 2013. To update the evidence-based recommendations and provide a practical treatment algorithm for management of TS by addressing 5 questions: 1) Is withdrawal of dopamine receptor blocking agents (DRBAs) an effective TS treatment? 2) Does switching from typical to atypical DRBAs reduce TS symptoms? 3) What is the efficacy of pharmacologic agents in treating TS? 4) Do patients with TS benefit from chemodenervation with botulinum toxin? 5) Do patients with TS benefit from surgical therapy? Systematic reviews were conducted by searching PsycINFO, Ovid MEDLINE, PubMed, EMBASE, Web of Science and Cochrane for articles published between 2012 and 2017 to identify new evidence published after the 2013 AAN guidelines. Articles were classified according to an AAN 4-tiered evidence-rating scheme. To the extent possible, for each study we attempted to categorize results based on the description of the population enrolled (tardive dyskinesia [TD], tardive dystonia, tardive tremor, etc.). Recommendations were based on the evidence. New evidence was combined with the existing guideline evidence to inform our recommendations. Deutetrabenazine and valbenazine are established as effective treatments of TD (Level A) and must be recommended as treatment. Clonazepam and Ginkgo biloba probably improve TD (Level B) and should be considered as treatment. Amantadine and tetrabenazine might be considered as TD treatment (Level C). Pallidal deep brain stimulation possibly improves TD and might be considered as a treatment for intractable TD (Level C). There is insufficient evidence to support or refute TS treatment by withdrawing causative agents or switching from typical to atypical DRBA (Level U). Copyright © 2018 Elsevier B.V. All rights reserved.

48 CFR 204.7202-2 - DUNS numbers.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false DUNS numbers. 204.7202-2..., DEPARTMENT OF DEFENSE GENERAL ADMINISTRATIVE MATTERS Contractor Identification 204.7202-2 DUNS numbers. Requirements for use of DUNS numbers are in FAR 4.605(b) and 4.607(a). [74 FR 34265, July 15, 2009] ...

48 CFR 204.7202-2 - DUNS numbers.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 48 Federal Acquisition Regulations System 3 2012-10-01 2012-10-01 false DUNS numbers. 204.7202-2..., DEPARTMENT OF DEFENSE GENERAL ADMINISTRATIVE MATTERS Contractor Identification 204.7202-2 DUNS numbers. Requirements for use of DUNS numbers are in FAR 4.605(b) and 4.607(a). [74 FR 34265, July 15, 2009] ...

48 CFR 204.7202-2 - DUNS numbers.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false DUNS numbers. 204.7202-2..., DEPARTMENT OF DEFENSE GENERAL ADMINISTRATIVE MATTERS Contractor Identification 204.7202-2 DUNS numbers. Requirements for use of DUNS numbers are in FAR 4.605(b) and 4.607(a). [74 FR 34265, July 15, 2009] ...

48 CFR 204.7202-2 - DUNS numbers.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 48 Federal Acquisition Regulations System 3 2013-10-01 2013-10-01 false DUNS numbers. 204.7202-2..., DEPARTMENT OF DEFENSE GENERAL ADMINISTRATIVE MATTERS Contractor Identification 204.7202-2 DUNS numbers. Requirements for use of DUNS numbers are in FAR 4.605(b) and 4.607(a). [74 FR 34265, July 15, 2009] ...

48 CFR 204.7202-2 - DUNS numbers.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false DUNS numbers. 204.7202-2..., DEPARTMENT OF DEFENSE GENERAL ADMINISTRATIVE MATTERS Contractor Identification 204.7202-2 DUNS numbers. Requirements for use of DUNS numbers are in FAR 4.605(b) and 4.607(a). [74 FR 34265, July 15, 2009] ...

Valbenazine for the treatment of tardive dyskinesia.

PubMed

Barquero, N

2016-12-01

Valbenazine (NBI-98854, Ingrezza) is a highly selective vesicular monoamine transporter 2 (VMAT2) inhibitor that modulates dopamine release during nerve communication. The pharmacological target VMAT2 may play an important role in the treatment of tardive dyskinesia (TD), an iatrogenic condition associated with the administration of antipsychotic medication for long periods and characterized by rapid, repetitive, stereotypic, involuntary movements of the face and extremities. There are currently no Food and Drug Administration (FDA)-approved drugs for the treatment of TD. Results of clinical trials have shown a distinctive improvement in TD symptoms during valbenazine administration and a new drug application submitted to the FDA in August 2016 is undergoing priority review with a decision expected in April 2017. Copyright 2016 Prous Science, S.A.U. or its licensors. All rights reserved.

Current cannabis use and tardive dyskinesia.

PubMed

Zaretsky, A; Rector, N A; Seeman, M V; Fornazzari, X

1993-12-01

The aim of this study was to examine the relationship between substance abuse and tardive dyskinesia (TD) in 51 chronic, neuroleptic-treated, community outpatients with a DSM-III-R diagnosis of schizophrenia. In the presence of a clinical researcher, subjects completed a questionnaire on past and current alcohol and drug use, and provided information pertaining to variables which have, in the past, been implicated in the development of TD: smoking habits, caffeine consumption, and current neuroleptic dose. Subjects were also administered the Abnormal Involuntary Movement Scale (AIMS) in an interview format with either two or three trained raters present in the room. Consistent with previous reports, our results indicated a trend for females and older patients with a longer duration of illness to show elevated scores on the AIMS. In a hierarchical multiple regression analysis, however, cannabis use was found to correlate best with the presence of TD, out-ranking other putative factors.

Genetics of tardive dyskinesia: Promising leads and ways forward.

PubMed

Zai, Clement C; Maes, Miriam S; Tiwari, Arun K; Zai, Gwyneth C; Remington, Gary; Kennedy, James L

2018-06-15

Tardive dyskinesia (TD) is a potentially irreversible and often debilitating movement disorder secondary to chronic use of dopamine receptor blocking medications. Genetic factors have been implicated in the etiology of TD. We therefore have reviewed the most promising genes associated with TD, including DRD2, DRD3, VMAT2, HSPG2, HTR2A, HTR2C, and SOD2. In addition, we present evidence supporting a role for these genes from preclinical models of TD. The current understanding of the etiogenesis of TD is discussed in the light of the recent approvals of valbenazine and deutetrabenazine, VMAT2 inhibitors, for treating TD. Copyright © 2018 Elsevier B.V. All rights reserved.

Beneficial effect of candesartan and lisinopril against haloperidol-induced tardive dyskinesia in rat.

PubMed

Thakur, Kuldeep Singh; Prakash, Atish; Bisht, Rohit; Bansal, Puneet Kumar

2015-12-01

Tardive dyskinesia is a serious motor disorder of the orofacial region, resulting from chronic neuroleptic treatment of schizophrenia. Candesartan (AT1 antagonist) and lisinopril (ACE inhibitor) has been reported to possess antioxidant and neuroprotective effects. The present study is designed to investigate the effect of candesartan and lisinopril on haloperidol-induced orofacial dyskinesia and oxidative damage in rats. Tardive dyskinesia was induced by administering haloperidol (1 mg/kg i.p.) and concomitantly treated with candesartan (3 and 5 mg/kg p.o.) and lisinopril (10 and 15 mg/kg p.o.) for 3 weeks in male Wistar rats. Various behavioral parameters were assessed on days 0, 7, 14 and 21 and biochemical parameters were estimated at day 22. Chronic administration of haloperidol significantly increased stereotypic behaviors in rats, which were significantly improved by administration of candesartan and lisinopril. Chronic administration of haloperidol significantly increased oxidative stress and neuro-inflammation in the striatum region of the rat's brain. Co-administration of candesartan and lisinopril significantly attenuated the oxidative damage and neuro-inflammation in the haloperidol-treated rat. The present study supports the therapeutic use of candesartan and lisinopril in the treatment of typical antipsychotic-induced orofacial dyskinesia and possible antioxidant and neuro-inflammatory mechanisms. © The Author(s) 2014.

Faisabilitité d'un separateur spectral integre: étude de filtres optiques localisés et d'un diaphragme absorbant

NASA Astrophysics Data System (ADS)

Robic, J.-Y.; Baume, F.; Berger, M.; Boudet, T.; Calvat, C.; Chaton, P.; Lartigue, O.; Quesnel, E.; Ravel, G.; Margail, J.; Fournier, A.; Bodin, Pierre; Laubier, D.

2018-04-01

This paper, "Faisabilitité d'un separateur spectral integre: étude de filtres optiques localisés et d'un diaphragme absorbant," was presented as part of International Conference on Space Optics—ICSO 1997, held in Toulouse, France.

Successful Treatment of Severe Tardive Dyskinesia with Valbenazine, Including a Patient’s Perspective

PubMed Central

Josiassen, Richard C.; Filmyer, Dawn M.; Gillean, Jack; Shah, Syed Sikandar; Dietterich, Tyler E.; Shaughnessy, Rita A.

2017-01-01

Patient: Female, 49 Final Diagnosis: Tardive dyskinesia Symptoms: Dyskinesia • dystonia Medication: — Clinical Procedure: Oral valbenazine Specialty: Psychiatry Objective: Unusual clinical course Background: Tardive dyskinesia (TD) is a chronic involuntary movement disorder frequently induced by dopamine receptor blockers, particularly first-generation antipsychotics. Until recently, management of TD was restricted to lowering the dose of the current medication, switching to another medication, or using off-label treatments with insufficient evidence of efficacy. Valbenazine, a vesicular monoamine transporter-2 (VMAT2) inhibitor, became the first drug to be approved by the FDA specifically for the treatment of TD. Case Report: We describe the case of a 49-year-old African-American woman who was diagnosed with bipolar disorder at the age of 34 and treated with lithium carbonate (900 mg daily) and citalopram (10 mg daily). She also received low doses of second-generation antipsychotics for weeks at a time, but these were always discontinued due to severe sedation. Over a decade later, at the age of 45, she experienced rapid onset of severe TD symptoms. She enrolled in a phase III double-blind clinical trial and received valbenazine 80 mg, with encouraging results. Conclusions: Once-daily dosing of valbenazine (80 mg) was effective and safe over a long period, even in this atypical case of severe and rapid-onset TD. PMID:29114100

Navigation d'un vehicule autonome autour d'un asteroide

NASA Astrophysics Data System (ADS)

Dionne, Karine

Les missions d'exploration planetaire utilisent des vehicules spatiaux pour acquerir les donnees scientifiques qui font avancer notre connaissance du systeme solaire. Depuis les annees 90, ces missions ciblent non seulement les planetes, mais aussi les corps celestes de plus petite taille comme les asteroides. Ces astres representent un defi particulier du point de vue des systemes de navigation, car leur environnement dynamique est complexe. Une sonde spatiale doit reagir rapidement face aux perturbations gravitationnelles en presence, sans quoi sa securite pourrait etre compromise. Les delais de communication avec la Terre pouvant souvent atteindre plusieurs dizaines de minutes, il est necessaire de developper des logiciels permettant une plus grande autonomie d'operation pour ce type de mission. Ce memoire presente un systeme de navigation autonome qui determine la position et la vitesse d'un satellite en orbite autour d'un asteroide. Il s'agit d'un filtre de Kalman etendu adaptatif a trois degres de liberte. Le systeme propose se base sur l'imagerie optique pour detecter des " points de reperes " qui ont ete prealablement cartographies. Il peut s'agir de crateres, de rochers ou de n'importe quel trait physique discernable a la camera. Les travaux de recherche realises se concentrent sur les techniques d'estimation d'etat propres a la navigation autonome. Ainsi, on suppose l'existence d'un logiciel approprie qui realise les fonctions de traitement d'image. La principale contribution de recherche consiste en l'inclusion, a chaque cycle d'estimation, d'une mesure de distance afin d'ameliorer les performances de navigation. Un estimateur d'etat de type adaptatif est necessaire pour le traitement de ces mesures, car leur precision varie dans le temps en raison de l'erreur de pointage. Les contributions secondaires de recherche sont liees a l'analyse de l'observabilite du systeme ainsi qu'a une analyse de sensibilite pour six parametres principaux de conception. Les

Syndrome d'interruption de la tige pituitaire à révélation tardive

PubMed Central

Marmouch, Héla; Graja, Samah; Arfa, Sondes; Boubaker, Fadia; Khochtali, Ines

2016-01-01

Le syndrome d'interruption de la tige pituitaire est une cause assez fréquente de déficit en hormone de croissance et d'hypopituitarisme souvent révélé pendant la période néonatale et l'enfance. Cette observation illustre les particularités d'une révélation tardive de ce syndrome. Il s'agit d'une patiente âgée de 17ans hospitalisée pour aménorrhée primaire et impubérisme. Elle n'a pas d'antécédent d'incident néonatal. L'examen clinique révèle un retard de croissance sévère. L'hypophysiogramme a montré un hypopituitarisme complet sans diabète insipide. L'imagerie par résonnance magnétique a montré une interruption de la tige pituitaire avec une post hypophyse ectopique. Une malformation rénale a été objectivée, ce qui est en faveur d'une origine congénitale malformative de ce syndrome. Une substitution hormonale a été administrée à cette patiente. Cette forme clinique tardive souligne la nécessité de diagnostic précoce d'impubérisme et/ou de retard de croissance révélant une pathologie à potentiel de gravité important. PMID:27231511

Treatment of tardive dyskinesia with tetrabenazine or valbenazine: a systematic review.

PubMed

Caroff, Stanley N; Aggarwal, Saurabh; Yonan, Charles

2018-02-01

Up to 30% of patients taking antipsychotics may develop tardive dyskinesia (TD). Recent evidence-based recommendations demonstrate an unmet need for effective TD management. This systematic review was designed to update the evidence for TD treatment, comparing two vesicular monoamine transporter 2 (VMAT2) inhibitors, tetrabenazine and valbenazine. Of 487 PubMed/Embase search results, 11 studies met the review criteria. Valbenazine efficacy was demonstrated in rigorously designed clinical trials that meet the guidelines for AAN Class I evidence. Due to differences in study designs and a lack of standardized and controlled trials with tetrabenazine, a formal meta-analysis comparing the agents was not possible. However, valbenazine appears to have fewer side effects and a more favorable once-daily dosing regimen for the treatment of TD.

Disaster Threat and The Dunning-Kruger Effect

DTIC Science & Technology

2016-12-01

Personality and Social Psychology 77, no. 6 (1999): 1121–1134, doi:10.1037/0022- 3514.77.6.1121. 4 Ibid. xvi A. RESEARCH QUESTION This thesis answers the...Recognizing One’s Own Incompetence Lead to Inflated Self-Assessments,” Journal of Personality and Social Psychology 77, no. 6 (1999): 1123–1124, doi...10.1037/0022- 3514.77.6.1121. 7 Ibid., 1125–1126. 8 David Dunning, “The Dunning-Kruger Effect,” in Advances in Experimental Social Psychology , vol

Tardive Dyskinesia Prevalence in the Period of Second-Generation Antipsychotic Use: A Meta-Analysis.

PubMed

Carbon, Maren; Hsieh, Cheng-Hsi; Kane, John M; Correll, Christoph U

2017-03-01

Comparison of tardive dyskinesia (TD) prevalence during contemporaneous treatment with first-generation antipsychotics (FGAs) and/or second-generation antipsychotics (SGAs). PubMed/MEDLINE/Google Scholar search (January 1, 2000-September 30, 2015) without language restriction using (tardive dyskinesia OR tardive) AND (antipsychotic*) plus specific names of SGAs. Of 8,895 hits, we screened 203 full-text articles for cross-sectional, rating scale-based TD rates during SGA, FGA, or FGA+SGA treatment. Forty-one studies were used for random effects meta-analysis and meta-regression. Two authors independently extracted data on overall and antipsychotic class-wise TD rates and on TD moderators. The global mean TD prevalence was 25.3% (95% CI = 22.7%-28.1%) across all 41 studies (N = 11,493, mean age = 42.8 years, male = 66.4%, schizophrenia-spectrum disorders = 77.1%). TD prevalence varied greatly: Rates were lower with current SGA treatment (20.7%; 95% CI = 16.6%-25.4%, N = 5,103) vs current FGA treatment (30.0%; 95% CI = 26.4%-33.8%, N = 5,062; Q = 9.17, P = .002). This difference remained significant after controlling for moderators: higher age (Z = 2.85, P = .004; number of studies = 39 ) and region (39 studies; Asia vs Europe, Z = 1.55, P = .12; Asia lower than United States, Z = 2.6, P = .009; Asia lower than other regions, Z = 2.42, P = .015). Additional moderators of TD prevalence included longer illness duration (R² = 0.15; P = .03; 21 studies) and frequency of parkinsonism (R² = 0.23, P = .017; number of studies = 19). Particularly low TD prevalence (7.2%; number of studies = 4) was found in the treatment arms with FGA-naive subjects relative to SGA-treated cohorts with likely prior FGA exposure (23.4%; P < .001; 28 studies). Lower TD prevalence of SGA relative to FGA was also confirmed in the subgroup of studies reporting on ≥ 2 antipsychotic classes/combinations; this was found for both SGAs vs FGAs (risk ratio = 0.80; 95% CI = 0.67-0.95, Z = -2.55, P

Valbenazine for the treatment of tardive dyskinesia.

PubMed

Seeberger, Lauren C; Hauser, Robert A

2017-08-01

Tardive dyskinesia (TD) is a hyperkinetic movement disorder that may result from treatment with antipsychotics or other dopamine receptor blocking agents. Underlying pathophysiology is incompletely understood but since the 1970s dopamine depleting agents have been used to reduce involuntary movements. The search for safe, effective treatments for TD is ongoing. Valbenazine, a novel VMAT2 inhibitor, has recently been FDA approved for treatment of TD. Areas covered: An overview of TD, unmet medical needs and current treatment guidelines are presented. The background, chemistry and clinical development of valbenazine to treat TD is detailed. A competitive market is developing as the treatment gap is identified and potential therapies are discussed in context of a broader market overview. Expert opinion: Antipsychotic use is growing among adults and children in the U.S. Consequently, prevalence of TD is expected to rise. Cessation of antipsychotics is often not possible as the psychiatric condition may deteriorate. Increasing doses of an antipsychotic to suppress involuntary movements is not sustainable long term as underlying TD worsens and movements typically recur. There were no FDA approved treatments for TD. The approval of valbenazine to treat TD is a critical step in addressing this gap in neurologic care.

Regulatory mutations in TBX3 disrupt asymmetric hair pigmentation that underlies Dun camouflage color in horses

PubMed Central

Imsland, Freyja; McGowan, Kelly; Rubin, Carl-Johan; Henegar, Corneliu; Sundström, Elisabeth; Berglund, Jonas; Schwochow, Doreen; Gustafson, Ulla; Imsland, Páll; Lindblad-Toh, Kerstin; Lindgren, Gabriella; Mikko, Sofia; Millon, Lee; Wade, Claire; Schubert, Mikkel; Orlando, Ludovic; Penedo, Maria Cecilia T; Barsh, Gregory S; Andersson, Leif

2016-01-01

Dun is a wild-type coat color in horses characterized by pigment dilution with a striking pattern of dark areas termed primitive markings. Here we show that pigment dilution in Dun horses is due to radially asymmetric deposition of pigment in the growing hair caused by localized expression of the T-box 3 (TBX3) transcription factor in hair follicles, which in turn determines the distribution of hair follicle melanocytes. Most domestic horses are non-dun, a more intensely pigmented phenotype caused by regulatory mutations impairing TBX3 expression in the hair follicle, resulting in a more circumferential distribution of melanocytes and pigment granules in individual hairs. We identified two different alleles (non-dun1 and non-dun2) causing non-dun color. non-dun2 is a recently derived allele, whereas the Dun and non-dun1 alleles are found in ancient horse DNA, demonstrating that this polymorphism predates horse domestication. These findings uncover a new developmental role for T-box genes and new aspects of hair follicle biology and pigmentation. PMID:26691985

Carcinome épidermoïde de l’urètre masculin révélé par une rupture spontanée de l’urètre

PubMed Central

Ghorbel, Jilani; Hafsia, Ghassen; Derouiche, Amine; Jrad, Anis; Chebil, Mohamed

2011-01-01

Résumé Le carcinome épidermoïde de l’urètre masculin est une tumeur rare, les tumeurs de l’urètre tous types confondus représentant moins de 1 % des tumeurs de l’appareil urinaire. Le pronostic reste défavorable malgré un traitement chirurgical énergique. La radiochimiothérapie semble être un traitement prometteur, mais son rôle doit être défini par d’autres études. Nous rapportons un cas rare de carcinome épidermoïde de l’urètre bulbo-membraneux découvert à un stade localement avancé après observation d’une rupture urétrale transtumorale chez un homme âgé de 70 ans. Le patient a été traité, après drainage vésical, par une irradiation externe associée à une chimiothérapie par cisplatine, et est décédé après progression de la maladie sur un an. La rupture spontanée de l’urètre transtumorale est un mode de découverte exceptionnel témoignant d’une évolution locale défavorable, ce qui rend ces tumeurs difficilement opérables. Cependant, l’espoir actuel réside dans des protocoles thérapeutiques associant radiothérapie et chimiothérapie. PMID:21672490

A comparison of masking effects of haloperidol versus molindone in tardive dyskinesia.

PubMed

Glazer, W M; Hafez, H

1990-01-01

An experimental method was utilized to compare the masking effects of two neuroleptic agents--molindone and haloperidol--on 18 neuroleptic-treated schizophrenic patients exhibiting operationally defined withdrawal-exacerbated tardive dyskinesia. After a week on one of these two medications at preestablished doses equivalent to that of the pre-study neuroleptic, molindone-masked total AIMS scores by significantly less (12%) than haloperidol (27%). Similarly, during a second week when the dose of these neuroleptics was equivalent to 200% that of the pre-study dose, molindone masked the total AIMS score significantly less (23%) as compared to haloperidol (53%). Several interpretations of this finding are considered. This study demonstrates the feasibility of a method that may offer a model for understanding pharmacological differences among neuroleptic medications.

Deanol acetamidobenzoate (Deaner) in tardive dyskinesia.

PubMed

Stafford, J R; Fann, W E

1977-12-01

A total of twenty-nine patients have thus far been treated with deanol in various dosage levels for periods ranging from five to thirty days. Clinical response has been pronounced, even dramatic, in seven patients, moderate but significant in nine patients, and slight to insignificant in thirteen others. Videotape rating and quantitative accelerometry, to the extent that they constitute novel and stress-inducing experiences may not be representative of global clinical changes. Deanol did not produce the anticipated elevation in choline levels postulated to be one mechanism of its action. The failure of deanol to achieve this effect may most probably be attributed to interval after last dose, to inadequate level of deanol or to some alteration in choline metabolism in the presence of deanol. The etiology of tardive dyskinesia at biochemical and structural levels is complex. For some patients improvement has been dramatic and clearly associated with deanol. Others appear to exhibit minimal response which cannot be differentiated from placebo or environmental effects. Our present strategy, in common with that of other authors includes the administration of a "challenge" dose of rapid acting injectable cholinomimetic agents (e.g. physostigmine) and dopamine-blocking agents (e.g. haloperidol) with placebo controls. In this manner therapy may be more rationally selected for long-term use and may logically include deanol. The correlation of such predictive challenges with response to long-term treatment is an area for much more well controlled study.

Valbenazine as the first and only approved treatment for adults with tardive dyskinesia.

PubMed

Sarva, Harini; Henchcliffe, Claire

2018-03-01

Valbenazine is a selective VMAT2 inhibitor that the FDA approved in April 2017 for the specific treatment of tardive dyskinesia (TD), a movement disorder commonly caused by dopamine blocking agents. Valbenazine acts to decrease dopamine release, reducing excessive movement found in TD. Areas covered: This drug profile reviews the development of valbenazine and the clinical trials that led to its approval as the first treatment specific to TD. The literature search was performed with the PubMed online database. Expert commentary: Two clinical trials assessing the efficacy of valbenazine have shown the reduction of antipsychotic-induced involuntary movement. No life threatening adverse effects were found. Data from a 42-week extension study demonstrated sustained response.

Clinical management of tardive dyskinesia: Five steps to success.

PubMed

Citrome, Leslie

2017-12-15

Tardive dyskinesia (TD) has long been thought to be a generally irreversible consequence of the use of dopamine receptor blocking agents. There is now an opportunity to successfully manage this condition with agents approved by the US Food and Drug Administration. This is important because TD has not been eliminated with the use of second-generation antipsychotics, and the expansion of antipsychotics to treat conditions other than schizophrenia has resulted in millions of additional individuals at risk for developing TD. Recognition of TD requires careful observation; a structured approach using the Abnormal Involuntary Movement Scale is encouraged. Harm reduction can be achieved by using antipsychotics judiciously when possible and by paying attention to other modifiable risk factors such as drug-induced parkinsonian symptoms and the use of anticholinergic medication. Once TD has emerged and is associated with dysfunction or distress, treatment with a VMAT2 inhibitor such as deutetrabenazine or valbenazine is well supported by several controlled clinical trials. Copyright © 2017 Elsevier B.V. All rights reserved.

Medication-Induced Tardive Dyskinesia: A Review and Update

PubMed Central

Novitch, Matthew; Kaye, Alan David; Kata, Vijay; Kaye, Adam M.

2017-01-01

Background: Tardive dyskinesia (TD) is a movement disorder that causes involuntary, repetitive body movements and is commonly seen in patients who are on long-term treatment with antipsychotic medications. However, several other classes of medications with different mechanisms are also associated with TD. Methods: We conducted a PubMed search using keywords and combined word searches that involved medication-induced TD, as well as agents that are associated with causing or are used to treat medication-induced TD. We attempted to include as many recent (publication date of 2015 and later) articles as possible. Results: The reported incidence of TD seems to be reduced with the use of atypical antipsychotic drugs, yet the risk of developing TD remains with these medications. Furthermore, several other medication classes have a high prevalence of TD and yet are not commonly considered to be TD-inducing. This review highlights the need for a prevention-based focus of TD treatment that starts with a clinical consideration of pharmacologic choices related to each individual patient's history. Conclusion: This review offers the information current as of 2016 on the pathophysiology, etiology, and epidemiology of TD, as well as the medications associated with TD, mechanisms of medication-induced TD, and treatments for medication-induced TD. PMID:28638290

Epidemiology, Prevention, and Assessment of Tardive Dyskinesia and Advances in Treatment.

PubMed

Correll, Christoph U; Kane, John M; Citrome, Leslie L

​​ Tardive dyskinesia (TD) is a disorder characterized by involuntary movements, typically of the orofacial muscles and also of the extremities and other muscle groups. The condition is associated with exposure to dopamine receptor blocking agents, including antipsychotics. Because the indications and off-label uses for these agents have expanded over the last 2 decades, a larger number of patients are receiving antipsychotic medications than in the past. While evidence suggests that patients being treated with second-generation antipsychotics have less risk for developing TD than those treated with first-generation antipsychotics, the decreased risk is not as great as was originally expected. In addition, patients with chronic psychiatric conditions often require long-term use of antipsychotics, putting them at risk for TD. This article addresses the prevalence, risk factors, and prevention of TD; assessment strategies including diagnostic criteria and rating scales; and evidence for TD treatments, including 2 newly approved medications: deutetrabenazine and valbenazine. ​​​. © Copyright 2017 Physicians Postgraduate Press, Inc.

Pharmacotherapy for the treatment of tardive dyskinesia in schizophrenia patients.

PubMed

Witter, Daniel P; Holbert, Richard C; Suryadevara, Uma

2017-07-01

Tardive dyskinesia (TD) is an iatrogenic movement disorder most commonly observed in patients with psychotic disorders who are treated with dopamine blocking antipsychotic medications. Treatment options are limited, and recommendations for treatment are based on a relative scarcity of evidence. Areas covered: After briefly highlighting current mechanistic theories of TD, this review will discuss the evidence for a number of medications of several different classes that have been studied for the treatment of TD since the 1970s with an emphasis on placebo controlled trials when possible. We used a Pubmed search of primary studies, reviews, and metaanalyses on the topic of TD treatment in order to cover this topic. Expert opinion: Treatment of TD is difficult given limited data and incomplete understanding of the mechanism. Treatment of TD must be evaluated on an individual basis with careful weight given to severity of symptoms. We suggest the use of atypical versus conventional antipsychotics whenever possible and would recommend trials with one or more of a number of additional agents starting with valbenazine.

Textilome abdominal, à propos d'un cas

PubMed Central

Erguibi, Driss; Hassan, Robleh; Ajbal, Mohamed; Kadiri, Bouchaib

2015-01-01

Le textilome, également appelé gossybipomas, est une complication postopératoire très rare. Il peut s'agir d'un corps étranger composé de compresse(s) ou champ(s) chirurgicaux oubliés au niveau d'un foyer opératoire. Ils sont plus souvent asymptomatiques, et difficile à diagnostiquer. En particulier, les cas chroniques ne présentent pas de signes cliniques et radiologiques spécifiques pour le diagnostic différentiel. L'anamnèse est donc indispensable pour le diagnostic vu que les signes cliniques ne sont pas concluants. Le cliché d'abdomen sans préparation est peu contributif, l’échographie est fiable. La tomodensitométrie permet un diagnostic topographique précis, mais ce n'est pas toujours le cas. Certaines équipes proposent des explorations par IRM. Nous rapportons un cas de textilome intra abdominal, chez une patiente de 31 ans opérée il y a 8 ans pour grossesse extra-utérine, chez qui la TDM abdomino-pelvienne a évoqué un kyste hydatique péritonéale sans localisation du foie. Traitée par extrait d'un petit champ de 25x15cm et adhérant au sigmoïde. Le but de ce travail est de mettre en évidence le problème de diagnostic de cette pathologie et l'importance de la laparotomie exploratrice. PMID:26523184

Clinical risk factors for the development of tardive dyskinesia.

PubMed

Solmi, Marco; Pigato, Giorgio; Kane, John M; Correll, Christoph U

2018-06-15

Tardive dyskinesia (TD) is a severe condition that can affect almost 1 out of 4 patients on current or previous antipsychotic treatment, including both first-generation antipsychotics (FGAs) and second-generation antipsychotics (SGAs). While two novel vesicular monoamine transporter inhibitors, deutetrabenazine and valbenazine, have shown acute efficacy for TD, the majority of patients do not remit, and TD appears to recur once treatment is withdrawn. Hence, prevention of TD remains a crucial goal. We provide a clinically oriented overview of risk factors for TD, dividing them into patient-, illness- and treatment-related variables, as well as nonmodifiable and modifiable factors. Unmodifiable patient-related and illness-related risk factors for TD include older age, female sex, white and African descent, longer illness duration, intellectual disability and brain damage, negative symptoms in schizophrenia, mood disorders, cognitive symptoms in mood disorders, and gene polymorphisms involving antipsychotic metabolism and dopamine functioning. Modifiable comorbidity-related and treatment-related factors include diabetes, smoking, and alcohol and substance abuse, FGA vs SGA treatment, higher cumulative and current antipsychotic dose or antipsychotic plasma levels, early parkinsonian side effects, anticholinergic co-treatment, akathisia, and emergent dyskinesia. Clinicians using dopamine antagonists need to consider risk factors for TD to minimize TD and its consequences. Copyright © 2018 Elsevier B.V. All rights reserved.

VMAT2 inhibitors for the treatment of tardive dyskinesia.

PubMed

Scorr, Laura M; Factor, Stewart A

2018-06-15

Tardive dyskinesia (TD) is an often disabling hyperkinetic movement disorder caused by exposure to dopamine receptor blocking agents. Although initially thought to most commonly occur with typical antipsychotics, the incidence is likely similar with atypical antipsychotics and antiemetics such as metoclopramide. Increased prescribing of these agents as well as low rates of remission have contributed to a rising prevalence of TD. Although this condition was described nearly 60 years ago, it is only within the past year that two novel therapeutic agents were FDA approved. Characterization of the VMAT2 inhibitor tetrabenazine, which was identified as a therapeutic agent for TD in older clinical trials, has yielded two distinct pharmacologic strategies to optimize response. The first strategy, used to create deutetrabenazine, employed deuterization of tetrabenazine to stabilize the pharmacokinetics and eliminate high peak plasma levels. The second strategy was the creation of a prodrug, valbenazine, for the two most active isoforms of tetrabenazine that also resulted in more stable pharmacokinetics and eliminated peak plasma levels. Both agents have been demonstrated to be effective and safe for the treatment of TD in multicenter, controlled trials and their development has led to a resurgence of interest in the characterization and treatment of this movement disorder. Copyright © 2018 Elsevier B.V. All rights reserved.

Reprint of: Clinical management of tardive dyskinesia: Five steps to success.

PubMed

Citrome, Leslie

2018-06-15

Tardive dyskinesia (TD) has long been thought to be a generally irreversible consequence of the use of dopamine receptor blocking agents. There is now an opportunity to successfully manage this condition with agents approved by the US Food and Drug Administration. This is important because TD has not been eliminated with the use of second-generation antipsychotics, and the expansion of antipsychotics to treat conditions other than schizophrenia has resulted in millions of additional individuals at risk for developing TD. Recognition of TD requires careful observation; a structured approach using the Abnormal Involuntary Movement Scale is encouraged. Harm reduction can be achieved by using antipsychotics judiciously when possible and by paying attention to other modifiable risk factors such as drug-induced parkinsonian symptoms and the use of anticholinergic medication. Once TD has emerged and is associated with dysfunction or distress, treatment with a VMAT2 inhibitor such as deutetrabenazine or valbenazine is well supported by several controlled clinical trials. Copyright © 2017 Elsevier B.V. All rights reserved.

Cancer développé sur dilatation kystique de la voie biliaire: à propos d’un cas

PubMed Central

Soufi, Mehdi; Lahlou, Mohammed Khalid; Chad, Bouziane

2014-01-01

Les auteurs rapportent un cas de dilatation kystique du cholédoque intra- pancréatique découvert chez une femme de 46 ans et compliqué d'un carcinome tubulo-papillaire n'envahissant pas le pancréas. Le traitement a consisté en une duodénopancréatectomie céphalique avec un curage ganglionnaire et anastomose hépatico-jéjunale; la survie était de 30 mois; les auteurs abordent les aspects radiologiques, anatomopathologiques, thérapeutiques et pronostiques de ces cancers développé sur dilatation kystique de la voie biliaire et discutent la place d'une radiothérapie complémentaire de la chirurgie susceptible d'améliorer la survie. PMID:25922635

Tardive dyskinesia: 21st century may bring new treatments to a forgotten disorder.

PubMed

Rakesh, Gopalkumar; Muzyk, Andrew; Szabo, Steven T; Gupta, Sanjay; Pae, Chi-Un; Masand, Prakash

2017-05-01

Tardive dyskinesia (TD) is a condition that was first described nearly 60 years ago. Despite the tremendous amount of research on pathophysiology and numerous follow-up studies to understand the course and prognosis of TD, effective treatment of the condition continued to elude us until recently. We review and summarize clinical literature on TD, as well as provide an update on new treatments available. The emergence of tetrabenazine as a treatment modality decreased suffering and improved quality of life for patients. New agents such as valbenazine, deutetrabenazine, and branched-chain amino acids continue to provide relief to patients, without the troublesome side effects of tetrabenazine. There continues to be a substantial prevalence rate for the condition with the use of first-generation and second-generation antipsychotics. Because of the potential irreversible nature, legal implication, and high prevalence of TD, we advocate for more research on new treatments for the disorder.

Cross-reactivity of a new food ingredient, dun pea, with legumes, and risk of anaphylaxis in legume allergic children.

PubMed

Richard, C; Jacquenet, S; Sergeant, P; Moneret-Vautrin, D A

2015-07-01

Legume allergy is the fifth food allergy in Europe. The dun pea (Pisum sativum sativum var. arvense), a pea belonging to the same subspecies as green pea, has been recently introduced as an ingredient in the human food industry. The aims of this study were to evaluate the cross-reactivity between dun pea and other legumes and to search for modification of allergenicity induced by food technologies. A series of 36 patients with legume and/or peanut allergy was studied. They underwent skin tests to peanut and a panel of legumes including dun pea. Specific IgE to dun pea and cross-reactivity to peanut allergens, particularly to Ara h 1, were evaluated by ELISA. Proteins and allergens of different pea extracts were studied by SDS-PAGE and immunoblots. In France and Belgium, 7.7% of severe food anaphylaxis cases were due to legumes. Patients with isolated legume allergy had positive prick tests to dun pea, whereas patients with isolated peanut allergy had negative prick tests. Cross-reactivity between sIgE to peanut and dun pea was observed, and more frequently than expected (96%) peanut-allergic patients with legume sensitization or allergy had sIgE to Ara h 1. Analysis of dun pea allergens suggested that protein epitopes were presented differently in dun pea seeds, isolate and flour. This study identifies, for the first time, a risk of dun pea allergy in legume-allergic patients and in a subset of peanut-allergic patients.

Evidence-based guideline: treatment of tardive syndromes: report of the Guideline Development Subcommittee of the American Academy of Neurology.

PubMed

Bhidayasiri, Roongroj; Fahn, Stanley; Weiner, William J; Gronseth, Gary S; Sullivan, Kelly L; Zesiewicz, Theresa A

2013-07-30

To make evidence-based recommendations regarding management of tardive syndromes (TDS), including tardive dyskinesias (TDD), by addressing 5 questions: 1) Is withdrawal of dopamine receptor blocking agents (DRBAs) an effective TDS treatment? 2) Does switching from typical to atypical DRBAs reduce TDS symptoms? 3) What is the efficacy of pharmacologic agents in treating TDS? 4) Do patients with TDS benefit from chemodenervation with botulinum toxin? 5) Do patients with TDS benefit from surgical therapy? PsycINFO, Ovid MEDLINE, EMBASE, Web of Science, and Cochrane were searched (1966-2011). Articles were classified according to a 4-tiered evidence-rating scheme; recommendations were tied to the evidence. Clonazepam probably improves TDD and ginkgo biloba probably improves TDS (both Level B); both should be considered as treatment. Risperidone may improve TDS but cannot be recommended as treatment because neuroleptics may cause TDS despite masking symptoms. Amantadine and tetrabenazine might be considered as TDS treatment (Level C). Diltiazem should not be considered as TDD treatment (Level B); galantamine and eicosapentaenoic acid may not be considered as treatment (Level C). Data are insufficient to support or refute use of acetazolamide, bromocriptine, thiamine, baclofen, vitamin E, vitamin B6, selegiline, clozapine, olanzapine, melatonin, nifedipine, fluperlapine, sulpiride, flupenthixol, thiopropazate, haloperidol, levetiracetam, quetiapine, ziprasidone, sertindole, aripiprazole, buspirone, yi-gan san, biperiden discontinuation, botulinum toxin type A, electroconvulsive therapy, α-methyldopa, reserpine, and pallidal deep brain stimulation as TDS treatments (Level U). Data are insufficient to support or refute TDS treatment by withdrawing causative agents or switching from typical to atypical DRBA (Level U).

A Quantitative Measure of Handwriting Dysfluency for Assessing Tardive Dyskinesia

PubMed Central

Caligiuri, Michael P.; Teulings, Hans-Leo; Dean, Charles E.; Lohr, James B.

2015-01-01

Tardive dyskinesia (TD) is movement disorder commonly associated with chronic exposure to antidopaminergic medications which may be in some cases disfiguring and socially disabling. The consensus from a growing body of research on the incidence and prevalence of TD in the modern era of antipsychotics indicates that this disorder has not disappeared continues to challenge the effective management of psychotic symptoms in patients with schizophrenia. A fundamental component in an effective strategy for managing TD is its reliable and accurate assessment. In the present study, we examined the clinical utility of a brief handwriting dysfluency measure for quantifying TD. Digitized samples of handwritten circles and loops were obtained from 62 psychosis patients with or without TD and from 50 healthy subjects. Two measures of dysfluent pen movements were extracted from each vertical pen stroke, including normalized jerk and the number of acceleration peaks. TD patients exhibited significantly higher dysfluency scores than non-TD patients and controls. Severity of handwriting movement dysfluency was correlated with AIMS severity ratings for some tasks. The procedure yielded high degrees of test-retest reliability. These results suggest that measures of handwriting movement dysfluency may be particularly useful for objectively evaluating the efficacy of pharmacotherapeutic strategies for treating TD. PMID:25679121

Co-treatment with imipramine averted haloperidol-instigated tardive dyskinesia: Association with serotonin in brain regions.

PubMed

Samad, Noreen; Yasmin, Farzana; Haleem, Darakhshan Jabeen

2016-11-01

Outcome of imipramine (IMI) treatment was scrutinized on progression of haloperidol instigated tardive dyskinesia (TD). 0.2 mg/kg/rat dosage of haloperidol provided orally to rats for 2 weeks enhanced vacuous chewing movements that escalated when the process proceeded for 5 weeks. Following 2 weeks co-injection 5 mg/kg dosage of IMI was diminished haloperidol-instigated VCMs and fully averted following five weeks. The potency of 8-OH-DPAT-instigated locomotor activity exhibited higher in saline+haloperidol treated rats while not observed in IMI+ haloperidol treated rats. 8-OH-DPAT-instigated low 5-hydroxytryptamine (5-HT; serotonin) metabolism was higher in saline+ haloperidol treated rats when compare to IMI+ haloperidol treated rats in both regions of brain (striatum and midbrain). It is recommended that IMI possibly competent in averting TD, in cases receiving treatment to antipsychotics.

Prolongation anormale d'un bloc fémoral analgésique: cas Clinique

PubMed Central

Koné, Joseph; Bensghir, Mustapha; Boutayeb, El Houcine; Haimeur, Charki

2015-01-01

La prolongation anormale d'un bloc nerveux peut être définie comme un dépassement du délai habituel de récupération sensitive ou motrice. A travers un cas clinique d'une prolongation anormale d'un bloc analgésique et une revue de la littérature, les auteurs discutent les facteurs de risque et les moyens de prévention de cette complication. PMID:26918085

Pemphigoïde bulleuse révélant un carcinome bronchique

PubMed Central

Janah, Hicham; Mahhou, Meryem; Souhi, Hicham; Zegmout, Adil; Naji-Amrani, Hicham; Raoufi, Mohamed; Elouazzani, Hanane; Rhorfi, Ismail Abderrahmani; Abid, Ahmed

2014-01-01

La pemphigoïde bulleuse (PB) est la plus fréquente des dermatoses bulleuses auto-immunes, touchants préférentiellement le sujet âgé de plus de 70 ans. L'origine paranéoplasique de La PB est rarement rapportée. Cette lésion peut apparaitre de manière synchrone ou parfois être une manifestation révélatrice de la tumeur. Nous rapportons l'observation d'un jeune patient présentant un cancer bronchique métastatique révélé par une PB. Chez le sujet jeune fumeur, toute pemphigoïde bulleuse justifie la recherche d'une néoplasie. PMID:25667707

Successful Treatment of Severe Tardive Dyskinesia with Valbenazine, Including a Patient's Perspective.

PubMed

Josiassen, Richard C; Filmyer, Dawn M; Gillean, Jack; Shah, Syed Sikandar; Dietterich, Tyler E; Shaughnessy, Rita A

2017-11-08

BACKGROUND Tardive dyskinesia (TD) is a chronic involuntary movement disorder frequently induced by dopamine receptor blockers, particularly first-generation antipsychotics. Until recently, management of TD was restricted to lowering the dose of the current medication, switching to another medication, or using off-label treatments with insufficient evidence of efficacy. Valbenazine, a vesicular monoamine transporter-2 (VMAT2) inhibitor, became the first drug to be approved by the FDA specifically for the treatment of TD. CASE REPORT We describe the case of a 49-year-old African-American woman who was diagnosed with bipolar disorder at the age of 34 and treated with lithium carbonate (900 mg daily) and citalopram (10 mg daily). She also received low doses of second-generation antipsychotics for weeks at a time, but these were always discontinued due to severe sedation. Over a decade later, at the age of 45, she experienced rapid onset of severe TD symptoms. She enrolled in a phase III double-blind clinical trial and received valbenazine 80 mg, with encouraging results. CONCLUSIONS Once-daily dosing of valbenazine (80 mg) was effective and safe over a long period, even in this atypical case of severe and rapid-onset TD.

Les complications tardives de prothèse totale de la hanche: à propos de 42 cas

PubMed Central

Azarkane, Mohamed; Boussakri, Hassan; Shimi, Mohamed; Elibrahimi, Abdlehalim; Elmrini, Abdlemeji

2013-01-01

L'arthroplastie de la hanche est un moyen fiable dans le traitement des affections de la hanche. En lui rendant sa mobilité sa stabilité et son indolence. Cependant cette chirurgie prothétique expose au risque de la survenue des complications qui peuvent engager le pronostic fonctionnel. Nous avons réalisé une étude rétrospective sur une durée de 8 ans de janvier 2004 au janvier 2012 au service de traumatologie-orthopédie de CHU HASSAN II FEZ. Pendant cette période nous avons opéré 240 patients pour PTH. Après un recul moyen de 5 ans nous avons noté chez 42 (17,4%) patients une complication tardive. Nous noté 13 cas de descellement aseptique soit 5,4%. Cette complication a été survenue dans notre série sur une prothèse cimentée dans 8 cas et non cimentée dans 5 cas. Le traitement que nous avons adopté dans notre série a été une reprise de PTH sans greffe osseuse ni anneau de reconstruction dans 4 cas, reprise avec mise en place d'anneau de Kerboull dans 7 cas et reprise avec greffe osseuse et anneau de kerboull dans 2 cas. Nous avons trouvé 11 cas de sepsis tardive soit 4,6% des cas. Nous avons le diabète comme facteur de risque chez 3 malades. L'agent causal a été staphylococcus épdermidis dans 5 cas, colibacille dans 2 cas et association staphylococcus-BGN dans 1 cas. Les différentes modalités que nous avons utilisé pour traiter l'infection dans notre ont été un lavage simple, système d'irrigation-drainage et réimplantation simple en un seul temps ou en 2 temps avec couverture systématique par une antibiothérapie adaptée selon l'antibiogramme. Nous avons noté également 11 cas de fracture sur PTH intéressant dans tous les cas le fémur, nous avons traité ce type de fracture dans notre série par une tige fémorale prothétique longue dans 4 cas, une plaque vissée cerclée dans 3 cas et cerclage simple dans 4 cas. La consolidation a été obtenue chez 9 patients avec 2 cas de pseudarthrose. Nous avons noté 7 cas de

Etude de faisabilite d'un systeme eolien diesel avec stockage d'air comprime

NASA Astrophysics Data System (ADS)

Benchaabane, Youssef

Le Systeme Hybride Eolien-Diesel avec Stockage d'Air Comprime (SHEDAC) utilise l'hybridation pneumatique pour remplacer la consommation des combustibles fossiles par de l'energie renouvelable, plus particulierement de l'energie eolienne. Le surplus de l'energie eolienne est utilise pour comprimer et stocker de l'air qui est utilise ensuite pour suralimenter le moteur diesel. Le memoire de maitrise est constitue de deux articles scientifiques. Le premier article presente le developpement d'un logiciel dedie a l'etude de faisabilite d'un systeme eolien-diesel avec stockage d'air comprime. Cette etude est basee sur l'analyse des couts et des revenus, des couts des equipements (eolienne, moteur diesel, systeme de stockage d'air). Elle est completee par une analyse de sensibilite aux differents parametres, une analyse des risques et des emissions des gaz a effet de serre (GES). Le deuxieme article est une application de ce logiciel pour l'installation d'un systeme SHEDAC au camp minier Esker au Quebec en remplacement des sources actuelles de production d'energie. L'utilisation du stockage d'air comprime a l'aide d'un systeme SHEDAC est le plus rentable par rapport a l'utilisation de l'energie eolienne seule ou d'une centrale thermique au diesel seule ou des deux combinees. Avec une valeur actuelle nette et un taux de rendement interne plus eleves, cette solution permet d'obtenir le plus bas cout de l'energie pour cette region eloignee. None None None

Tardive dyskinesia: placing vesicular monoamine transporter type 2 (VMAT2) inhibitors into clinical perspective.

PubMed

Citrome, Leslie

2018-04-01

Tardive dyskinesia (TD) is an iatrogenic movement disorder caused by exposure to dopamine receptor blocking agents. Two vesicular monoamine transporter type 2 (VMAT2) inhibitors for the treatment of TD were approved by the US Food and Drug Administration in 2017: valbenazine and deutetrabenazine. Areas covered: A brief review of TD and its identification, as well as a review of older treatment interventions is provided, followed by a detailed synthesis regarding the clinical utility of valbenazine and deutetrabenazine. Expert commentary: As evidenced from well-designed clinical trials, both valbenazine and deutetrabenazine are efficacious and tolerable. They differ in terms of labeled instructions for frequency of administration (twice daily for deutetrabenazine vs. once daily for valbenazine), titration requirements (dose to efficacy/tolerability for deutetrabenazine vs. titrate to target dose of 80 mg/day for valbenazine), need for food (administer deutetrabenazine with food), drug-drug interactions (consider CYP2D6 modulators for deutetrabenazine vs. both CYP2D6 and CYP3A4 for valbenazine), contraindications (hepatic impairment for deutetrabenazine), and minor differences in adverse event profile.

Miscellaneous treatments for antipsychotic-induced tardive dyskinesia.

PubMed

Soares-Weiser, Karla; Rathbone, John; Ogawa, Yusuke; Shinohara, Kiyomi; Bergman, Hanna

2018-03-19

Antipsychotic (neuroleptic) medication is used extensively to treat people with chronic mental illnesses. Its use, however, is associated with adverse effects, including movement disorders such as tardive dyskinesia (TD) - a problem often seen as repetitive involuntary movements around the mouth and face. This review, one in a series examining the treatment of TD, covers miscellaneous treatments not covered elsewhere. To determine whether drugs, hormone-, dietary-, or herb-supplements not covered in other Cochrane reviews on TD treatments, surgical interventions, electroconvulsive therapy, and mind-body therapies were effective and safe for people with antipsychotic-induced TD. We searched the Cochrane Schizophrenia Group's Study-Based Register of Trials including trial registers (16 July 2015 and 26 April 2017), inspected references of all identified studies for further trials and contacted authors of trials for additional information. We included reports if they were randomised controlled trials (RCTs) dealing with people with antipsychotic-induced TD and schizophrenia or other chronic mental illnesses who remained on their antipsychotic medication and had been randomly allocated to the interventions listed above versus placebo, no intervention, or any other intervention. We independently extracted data from these trials and we estimated risk ratios (RR) or mean differences (MD), with 95% confidence intervals (CIs). We assumed that people who left early had no improvement. We assessed risk of bias and created 'Summary of findings' tables using GRADE. We included 31 RCTs of 24 interventions with 1278 participants; 22 of these trials were newly included in this 2017 update. Five trials are awaiting classification and seven trials are ongoing. All participants were adults with chronic psychiatric disorders, mostly schizophrenia, and antipsychotic-induced TD. Studies were primarily of short (three to six6 weeks) duration with small samples size (10 to 157

Tuberculose orbitaire: à propos d'un cas

PubMed Central

Khrifi, Zineb; Abdellaoui, Meriem; Alaoui, Abdellah; Benatiya, Idriss Andaloussi; Tahri, Hicham

2014-01-01

La tuberculose sévit à l’état endémique au Maroc, l'atteinte orbitaire est rare et peut se faire par voie hématogène ou par contigüité à partir d'un foyer de voisinage. Nous rapportons le cas d'une patiente de 42 ans qui présente une exophtalmie droite dont l'enquête étiologique révèle une tuberculose orbitaire. PMID:25018814

2 CFR 25.315 - Data Universal Numbering System (DUNS) Number.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 2 Grants and Agreements 1 2014-01-01 2014-01-01 false Data Universal Numbering System (DUNS) Number. 25.315 Section 25.315 Grants and Agreements Office of Management and Budget Guidance for Grants... paragraph C.2 of the award term in Appendix A to this part. ...

The effect of chronic administration of sarizotan, 5-HT1A agonist/D3/D4 ligand, on haloperidol-induced repetitive jaw movements in rat model of tardive dyskinesia.

PubMed

Rosengarten, Helen; Bartoszyk, Gerd D; Quartermain, David; Lin, Yan

2006-03-01

Dyskinesia is the most troublesome side effect in long-term treatment of both Parkinson's disease (PD) and schizophrenia. The 5-HT1A agonist and D3/D4 ligand sarizotan [Bartoszyk, G.D., van Amsterdam, C., Greiner, H.E., Rautenberg, W., Russ, H., Seyfried, C.A., 2004. Sarizotan, a serotonin 5-HT1A receptor agonist and dopamine receptor ligand. 1. Neurochemical profile. J. Neural Transm. 111, 113-126.] is in clinical development for the treatment of PD-associated dyskinesia. Because 5-HT1A agonists are known to counteract antipsychotic-induced motor side effects, sarizotan was investigated for its effects in two rat models of tardive dyskinesia (TD). The acute administration of sarizotan (0.17-13.5 mg/kg i.p.) reduced episodes of SKF 38393-induced repetitive jaw movements (RJM) in rats with a maximal effect at 1.5 mg/kg. In a chronic study, sarizotan (0.04-9 mg/kg/day), administered in the drinking water for 7 weeks during withdrawal from chronic haloperidol treatment (1.5 mg/kg/day), dose-dependently reversed haloperidol-induced RJM, significant at the doses of 1.5 and 9 mg/kg. Agonism at 5-HT1A receptors may be mediating the inhibitory effect of sarizotan on RJM in rat models of tardive dyskinesia.

48 CFR 52.204-6 - Data Universal Numbering System (DUNS) Number.

Code of Federal Regulations, 2011 CFR

2011-10-01

...) Via the Internet at http://fedgov.dnb.com/webform or if the offeror does not have internet access, it...) accounts (see Subpart 32.11) for the same concern. (b) If the offeror does not have a DUNS number, it...

Atrophie cérébrale diffuse au cours d'un syndrome de Goldenhar: à propos d'un cas

PubMed Central

Asani, Yogolelo; Mulenga, Cilundika; Ngombe, Léon Kabamba; Mbuyi-Musansayi; Muenze, Kalenga; Borasisi, Chenge; Speeg-Schatz

2014-01-01

Les auteurs rapportent un cas d'un syndrome de Goldenhar non décris dans la littérature chez un nourrisson de 3 mois, de sexe féminin présentant une atrophie cérébrale diffuse. Cette observation permet de décrire cette malformation rare et d'attirer l'attention de l'opinion scientifique à mettre en marche des études poussées afin de comprendre la survenue de cette pathologie. PMID:25767659

Fièvre bilieuse hémoglobinurique (FBH) de révélation tardive: à propos d'un cas au CHU de Dakar

PubMed Central

Thiongane, Aliou; Ndongo, Aliou Abdoulaye; Faye, Papa Moctar; Sylla, Assane; Kéïta, Younoussa; Boiro, Djibril; Basse, Idrissa; Guèye, Ndèye Ramatoulaye Diagne; Ndiaye, Ousmane

2015-01-01

La fièvre bilieuse hémoglobinurique (FBH) est une forme grave du paludisme; caractérisée par la survenue d'une hémolyse intravasculaire aiguë se traduisant par une anémie hémolytique, une insuffisance rénale aiguë et une hypovolémie. Son diagnostic repose essentiellement sur la clinique notamment la couleur des urines d'aspect rouge porto. Nous rapportons un cas de fièvre bilieuse hémoglobinurique chez un jeune garçon de 10 ans originaire et vivant dans une zone d'endémie palustre, colligé dans un CHU de Dakar (Sénégal). V.G est un garçon de 10 ans qui était hospitalisé pendant 2 jours au service des urgences dans un centre de santé de proximité pour une fièvre associée à des vomissements qui évoluaient depuis 3 jours. Le test de diagnostic rapide (TDR) au paludisme était positif à la présence d'antigènes de Plasmodium falciparum dans le sang. Un traitement à base de quinine injectable (25 mg/kg/j), a été entrepris pendant 03 jours. Au quatrième jour, sont apparues une hémolyse intravasculaire aiguë et une hémoglobinurie avec une insuffisance rénale aiguë anurique. La goutte épaisse était revenue négative et le traitement par la quinine injectable arrêté. Le relais a été fait avec les dérivés de l'artémisinine. Trois (03) séances d'hémodialyse ont été réalisées. L’évolution était favorable, par la reprise de la diurèse et la normalisation de la fonction rénale. La FBH existe encore dans notre pratique quotidienne. Il faut y penser devant l'apparition brutale d'une hémolyse avec insuffisance rénale aiguë et urines rouges porto au cours du traitement d'un paludisme. PMID:26966497

Histopathologic findings in Unna's nevus suggest it is a tardive congenital nevus.

PubMed

Sowa, Junko; Kobayashi, Hiromi; Ishii, Masamitsu; Kimura, Tetsunori

2008-12-01

According to A. Bernard Ackerman's clinical histopathologic classification of nevi, the essential histopathologic finding of an Unna's nevus is localization of melanocytic nevus cells to a markedly thickened papillary dermis of an exophytic lesion. In this study, we examined 94 completely resected Unna's nevi in which several sections of the same lesion could be examined. We examined that melanocytic nevus cells were not just localized to the exophytic portion but were also commonly distributed below it (81 lesions, 86.2%). Melanocytic nevus cells were found in a periadnexal distribution in most of the lesions in which they extended below the exophytic part and were most frequently noted around hair follicles (60 lesions, 63.8%), then around eccrine ducts (43 lesions, 45.7%), and least frequently around sebaceous glands or ducts (36 lesions, 38.3%). Nests of melanocytic nevus cells were present in follicular epithelium in 7 lesions, sebaceous ducts in 1 lesion, and eccrine ducts in 1 lesion. Moreover, type A nevus cells containing melanin granules were observed in 16 lesions (17.0%) when they were distributed around hair follicles, in 8 lesions (8.5%) when distributed around sebaceous glands or ducts, and in 1 lesion (1.1%) when distributed around eccrine ducts. Although Unna's nevus is clinically an acquired nevus, it has many histopathologic characteristics of a congenital melanocytic nevus and is therefore likely a tardive congenital lesion.

2 CFR 25.315 - Data Universal Numbering System (DUNS) Number.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 2 Grants and Agreements 1 2012-01-01 2012-01-01 false Data Universal Numbering System (DUNS) Number. 25.315 Section 25.315 Grants and Agreements Office of Management and Budget Guidance for Grants... meaning given in paragraph C.2 of the award term in Appendix A to this part. ...

2 CFR 25.315 - Data Universal Numbering System (DUNS) Number.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 2 Grants and Agreements 1 2013-01-01 2013-01-01 false Data Universal Numbering System (DUNS) Number. 25.315 Section 25.315 Grants and Agreements Office of Management and Budget Guidance for Grants... meaning given in paragraph C.2 of the award term in Appendix A to this part. ...

2 CFR 25.315 - Data Universal Numbering System (DUNS) Number.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 2 Grants and Agreements 1 2011-01-01 2011-01-01 false Data Universal Numbering System (DUNS) Number. 25.315 Section 25.315 Grants and Agreements Office of Management and Budget Guidance for Grants... meaning given in paragraph C.2 of the award term in appendix A to this part. ...

Prevalence and risk factors associated with tardive dyskinesia among Indian patients with schizophrenia.

PubMed

Achalia, Rashmin M; Chaturvedi, Santosh K; Desai, Geetha; Rao, Girish N; Prakash, Om

2014-06-01

Tardive dyskinesia (TD) is one of the most distressing side effects of antipsychotic treatment. As prevalence studies of TD in Asian population are scarce, a cross-sectional study was performed to assess the frequency of TD in Indian patients with schizophrenia and risk factors of TD. Cross-sectional study of 160 Indian patients fulfilling the DSM-IV TR criteria for schizophrenia and who received antipsychotics for at least one year, were examined with two validated scales for TD. Logistic regression analyses were used to examine the relationship between TD and clinical risk factors. The frequency of probable TD in the total sample was 26.4%. The logistic regression yielded significant odds ratios between TD and age, intermittent treatment, and total cumulative antipsychotic dose. The difference of TD between SGA and FGA disappeared after adjusting for important co-variables in regression analysis. Indian patients with schizophrenia and long-term antipsychotic treatment have a high risk of TD, and TD is associated with older age, intermittent antipsychotic treatment, and a high total cumulative antipsychotic dose. Our study findings suggest that there is no significant difference between SGAs with regards to the risk of causing TD as compared to FGAs. Copyright © 2014 Elsevier B.V. All rights reserved.

Syndrome de larva migrans cutanée sur pied malformé (à propos d'un cas)

PubMed Central

Benbella, Imane; Khalki, Hanane; Lahmadi, Khalid; Kouara, Sara; Abbadi, Abderrahim; Er-rami, Mohammed

2016-01-01

Le syndrome de larva migrans cutanée est une dermite sous cutanée causée par des larves d'ankylostomes d'animaux en impasse parasitaire chez l'homme. L'infestation transcutanée est favorisée par le contact avec le sol contaminé par les larves du parasite. Nous rapportons le cas d'un nourrisson de 15 mois, originaire de Guinée-Bissau, atteint d'un syndrome de larva migrans cutanée sur un pied malformé. Cette malformation sous forme d'une syndactylie associée à une tuméfaction du pied, était à l'origine d'un retard d'acquisition de la station debout. De même, on a rapporté une notion de pieds nus, vue la difficulté de chausser le pied malformé du patient. Tous ces facteurs auraient contribués à favoriser l'infestation du malade par les larves du nématode. PMID:27217876

Vitamin E for neuroleptic-induced tardive dyskinesia.

PubMed

Soares-Weiser, Karla; Maayan, Nicola; McGrath, John

2011-02-16

Antipsychotic (neuroleptic) medication is used extensively to treat people with chronic mental illnesses. Its use, however, is associated with adverse effects, including movement disorders such as tardive dyskinesia (TD) - a problem often seen as repetitive involuntary movements around the mouth and face. Vitamin E has been proposed as a treatment to prevent or decrease TD. To determine the effects of vitamin E for people with schizophrenia or other chronic mental illnesses who also developed neuroleptic-induced TD. We searched the Cochrane Schizophrenia Group Trials Register (March 2010), inspected references of all identified studies for further trials and contacted authors of trials for additional information. We included reports if they were controlled trials dealing with people with neuroleptic-induced TD and schizophrenia who had been randomly allocated to either vitamin E or to a placebo or no intervention. We independently extracted data from these trials and we estimated risk ratios (RR) or mean differences (MD), with 95% confidence intervals (CI). We assumed that people who dropped out had no improvement. The review now includes 11 poorly reported randomised trials (total 427 people). There was no clear difference between vitamin E and placebo for the outcome of 'clinically relevant improvement in TD' (6 trials, 256 people, RR 0.95 CI 0.89 to 1.02). For the outcome of 'any improvement in TD symptoms', again, we found no clear difference between groups (7 trials, 311 people, RR 0.86 CI 0.75 to 1.00). However, people allocated to placebo showed more deterioration of their symptoms compared with those given vitamin E (5 trials, 98 people, RR 0.38 CI 0.16 to 0.9). There was no difference in the incidence of adverse effects (9 trials, 203 people, RR 1.29 CI 0.51 to 3.24) or leaving the study early (medium term 6 trials, 173 people, RR 1.29 CI 0.72 to 2.3). There is no trial-based information regarding the effect of vitamin E for those with early onset of TD

The History of the Duns Scotus Library at Lourdes College.

ERIC Educational Resources Information Center

Czerniejewski, Marilyn

This project is a historical study of the Duns Scotus Library in Sylvania, Ohio. The library serves Lourdes College, a four-year, co-ed liberal arts college run by the Sylvania Sisters of St. Francis on the grounds of their motherhouse. The library originally served the sisters of the convent and the postulants who studied there as high school…

Sir Patrick Dun and the Complete School of Physic in eighteenth-century Dublin.

PubMed

Mullaney, S

2015-03-01

2013 is the tercentenary of the death of Sir Patrick Dun. When Dun died in 1713, he left the proceeds of his estate to enhance medical education in Dublin by funding chairs in medicine. He showed remarkable innovation, but it took 95 years, five Acts of Parliament, two House of Commons enquiries and a House of Lords enquiry before Dun's wishes were brought to fruition and systematic clinical education was available for Dublin medical students. The passage of the final School of Physic Act in 1800 insured that a hospital would open in his name and regular clinical education was provided. The physician, Richard Steevens, who died 3 years earlier in 1710, left the proceeds of his estate to found a hospital, which opened, in his name, in 1733. The contemporary primary sources have been analysed and material from relevant secondary sources has been included where appropriate. Dublin was the beneficiary of these bequests and if circumstances had been more favourable, and the proceeds had been used more efficiently at the start of the eighteenth-century, Dublin could well have rivalled Edinburgh as the seat of medical education in the eighteenth century. In the early nineteenth century, it would fulfil that role and equal Edinburgh as one of the primary centres of medical education in Europe.

Tardive dyskinesia in schizophrenia is associated with prolactin-related sexual disturbances.

PubMed

Tenback, Diederik E; van Harten, Peter N; Slooff, Cees J; van Os, Jim

2006-08-01

Tardive dyskinesia (TD) may occur in never-medicated patients with psychotic illness, indicating the existence of non-medication, possibly disease-related, causes. We tested the hypothesis that, independent of the antipsychotic-induced rise in prolactin, the incidence of TD would be associated with the incidence of prolactin-related sexual disturbances (PRSD), which would be suggestive of a common pathology involving multiple dopamine tracts. Simple, global measures of TD and PRSD (loss of libido, amenorrhea, gynaecomastia, impotence, and galactorrhea) were rated in a prospective, observational European Health Outcomes Study (SOHO). New onset of TD and new onset of PRSD at 3, 6, and 12 months was analyzed in a risk set of 4263 patients using a Cox proportional hazard model yielding adjusted hazard ratios (aHR). Incidence of TD was significantly and linearly comorbid with the incidence of PRSD in both men and women. Compared to those with no PRSD, the risk for TD was 2.0 (95% CI: 1.1, 3.7) with one PRSD, 2.4 (95% CI: 1.3, 4.5) with two PRSD, and 3.6 (95% CI: 1.1, 11.8) with three PRSD. Associations were stronger in those who only had received prolactin-sparing medications (aHR per unit PRSD increase=2.0, 95% CI: 1.2, 3.3) than in those who only had received prolactin-raising medications (aHR=1.3, 95% CI: 0.9, 1.9). In people with schizophrenia, TD and PRSD show comorbidities that are independent of antipsychotic-induced alterations in plasma prolactin. This may suggest a shared, pandopaminergic pathological mechanism associated with schizophrenia itself, rather than only a medication effect.

Forgotten but not gone: new developments in the understanding and treatment of tardive dyskinesia.

PubMed

Meyer, Jonathan M

2016-12-01

The broad use of atypical antipsychotics was expected to dramatically reduce the prevalence and incidence of tardive dyskinesia (TD), but data show that TD remains an important challenge due the persistent nature of its symptoms and resistance to numerous treatment modalities, including antipsychotic discontinuation. Recent insights on genetic risk factors and new concepts surrounding pathophysiology have spurred interest in the possibility of targeted treatment for TD. As will be reviewed in this article, the number of evidence-based strategies for TD treatment is small: only clonazepam, amantadine, ginkgo biloba extract, and the vesicular monoamine transporter 2 (VMAT2) inhibitor tetrabenazine have compelling data. Using new insights into the metabolism of tetrabenazine and the properties of its active metabolites, 2 modifications of tetrabenazine have been synthesized to improve the kinetic profile, and are currently involved in double-blind placebo controlled studies aimed at U.S. Food and Drug Administration (FDA) regulatory approval. The possible availability of these new agents, deuterated tetrabenazine and valbenazine, significantly widens the range of treatment choices for patients with TD. For clinicians with patients at risk for TD due to dopamine antagonist exposure, experience has shown that the problem of TD will be an ongoing issue in modern psychiatry, and that an appreciation of new developments in the pathophysiology of, risk factors for, and treatment of TD is crucial to managing this condition.

Rétraction: plagiat aggravé dans l'article Aspergillose broncho-pulmonaire allergique lors d'un asthme réfractaire: à propos d'un cas clinique. Khalid Lahmadi, Hind El Youssi, Jawad Rochdi, BoughrineNawal, Er-Rami Mohammed. The Pan African Medical Journal. 2015;20:350. (doi:10.11604/pamj.2015.20.350.6572)

PubMed Central

2015-01-01

Cet article retracte l'article "Aspergillose broncho-pulmonaire allergique lors d'un asthme réfractaire: à propos d'un cas clinique. Khalid Lahmadi, Hind El Youssi, Jawad Rochdi, BoughrineNawal, Er-Rami Mohammed. The Pan African Medical Journal. 2015;20:350. (doi:10.11604/pamj.2015.20.350.6572)" PMID:26401219

Antioxidant effects of rice bran oil mitigate repeated haloperidol-induced tardive dyskinesia in male rats.

PubMed

Samad, Noreen; Haleem, Darakhshan Jabeen

2017-08-01

Tardive dyskinesia (TD) is associated with the use of antipsychotic drugs such as D2 antagonist haloperidol (HP). The chronic use of HP is involved in the causation of free radicals and/or oxidative stress. In view of the nootropic, anti-anxiety, anti-inflammatory-like effects of rice bran oil (RBO) in a variety of investigations, we assessed the protective properties of RBO on HP-induced TD and neurochemical alteration. Rats treated with HP orally at a dose of 0.2 mg/kg/day for a period of 5 weeks developed VCMs which increased progressively as the treatment continued for 5 weeks. Co-administration of RBO by oral tubes at a dose of 0.4 ml/day prevented the induction of HP-induced VCMs. Repeated administration of HP increases the turnover of dopamine metabolism in the striatum. Conversely animals treated with HP + RBO decrease the metabolism of DA than water + HP treated animals. Striatal, malondieldehyde (MDA), hydrogen peroxide (H 2 O 2 ) and antioxidant enzyme superoxide dismutase (SOD), catalase (CAT) and glutathione peroxidase (GPx) were also determined. It is suggested that beneficial role of RBO in attenuation of HP-induced TD. The results therefore recommended that supplementation of RBO may be useful in the HP-induced TD. The findings have also potential implication in the treatment of schizophrenia and motor disorders.

The metoclopramide black box warning for tardive dyskinesia: effect on clinical practice, adverse event reporting, and prescription drug lawsuits.

PubMed

Ehrenpreis, Eli D; Deepak, Parakkal; Sifuentes, Humberto; Devi, Radha; Du, Hongyan; Leikin, Jerrold B

2013-06-01

We examined the effects of the black box warning about the risk of tardive dyskinesia (TD) with chronic use of metoclopramide on management of gastroparesis within a single clinical practice, and on reporting of adverse events. Medical records of gastroparesis patients were evaluated for physician management choices. The FDA Adverse Event Reporting System (FAERS) was analyzed for event reports, and for lawyer-initiated reports, with metoclopramide from 2004 to 2010. Google Scholar was searched for court opinions against metoclopramide manufacturers. Before the black box warning, 69.8% of patients received metoclopramide for gastroparesis, compared with 23.7% after the warning. Gastroenterologists prescribed domperidone more often after than before the warning. Metoclopramide prescriptions decreased after 2008. Adverse event reporting increased after the warning. Only 3.6% of all FAERS reports but 70% of TD reports were filed by lawyers, suggesting a distortion in signal. Forty-seven legal opinions were identified, 33 from 2009-2010. The black box warning for metoclopramide has decreased its usage and increased its rate of adverse event reporting. Lawyer-initiated reports of TD hinder pharmacovigilance.

Choc hémorragique suite à une ponction biopsie rénale (PBR): à propos d'un cas

PubMed Central

El Hammoumi, Jalal; Boukatta, Brahim; Houari, Nawfal; Elbouazzaoui, Abderrahim; Sbai, Hicham; Kanjaa, Nabil

2015-01-01

La ponction biopsie rénale (PBR) est un examen indispensable en néphrologie mais à risque de complications graves surtout hémorragique. Nous rapportons l'observation d'un patient âgé de 27 ans ayant bénéficié d'une PBR pour un diagnostic étiologique d'une insuffisance rénale aigue, l’évolution après la biopsie a été marquée par l'installation d'un choc hémorragique d'où la prise en charge en réanimation avec une néphrectomie d'hémostase. PMID:26848362

Effect of Antipsychotic Type and Dose Changes on Tardive Dyskinesia and Parkinsonism Severity in Patients With a Serious Mental Illness: The Curaçao Extrapyramidal Syndromes Study XII.

PubMed

Mentzel, Charlotte L; Bakker, P Roberto; van Os, Jim; Drukker, Marjan; Matroos, Glenn E; Hoek, Hans W; Tijssen, Marina A J; van Harten, Peter N

2017-03-01

To test the efficacy of current treatment recommendations for parkinsonism and tardive dyskinesia (TD) severity in patients with severe mental illness (SMI). We present an 18-year prospective study including all 223 patients with SMI (as defined by the 1987 US National Institute of Mental Health, which were based on DSM-III-R diagnostic criteria) receiving care from the only psychiatric hospital of the former Netherlands Antilles. Eight clinical assessments (1992-2009) focused on movement disorders and medication use. Tardive dyskinesia was measured by the Abnormal Involuntary Movement Scale and parkinsonism by the Unified Parkinson's Disease Rating Scale. Antipsychotics were classified into first-generation antipsychotic (FGA) versus second-generation antipsychotic (SGA) and high versus low dopamine 2 (D₂) affinity categories. The effect that switching has within each category on subsequent movement scores was calculated separately by using time-lagged multilevel logistic regression models. There was a significant association between reduction in TD severity and starting/switching to an FGA (B = -3.54, P < .001) and starting/switching to a high D₂ affinity antipsychotic (B = -2.49, P < .01). Adding an SGA to existing FGA treatment was associated with reduction in TD severity (B = -2.43, P < .01). For parkinsonism, stopping antipsychotics predicted symptom reduction (B = -7.76, P < .01 in FGA/SGA-switch model; B = -7.74, P < .01 in D₂ affinity switch model), while starting a high D₂ affinity antipsychotic predicted an increase in symptoms (B = 3.29, P < .05 in D₂ affinity switch model). The results show that switching from an FGA to an SGA does not necessarily result in a reduction of TD or parkinsonism. Only stopping all antipsychotics reduces the severity of parkinsonism, and starting an FGA or a high D₂ affinity antipsychotic may reduce the severity of TD. © Copyright 2017 Physicians Postgraduate Press, Inc.

Report: Protective effects of rice bran oil in haloperidol-induced tardive dyskinesia and serotonergic responses in rats.

PubMed

Samad, Noreen; Haleem, Muhammad Abdul; Haleem, Darakhshan Jabeen

2016-07-01

Effect of administration of Rice bran oil (RBO) was evaluated on haloperidol elicited tardive dyskinesia in rats. Albino Wistar rats treated with haloperidol in drinking water at a dose of 0.2mg/kg/day and RBO by oral tubes at a dose of 0.4 mL/day for 5 weeks. Motor coordination, VCMs and 8-hydroxy-2-(di-n-propylamino) tetraline)[8-OH-DPAT] _syndrome were monitored. Striatal serotonin (5-hydroxytryptamine; 5-HT) and 5-hydroxyindolacetic acid (5-HIAA) levels were determined by high performance liquid chromatography (HPLC-EC). Rats treated with haloperidol orally at a dose of for a period of 5 weeks developed VCMs, which increased progressively as the treatment continued for 5 weeks. Motor coordination impairment started after the 1st week and was maximally impaired after 3 weeks and gradually returned to the 1st week value. Co-administration of RBO prevented haloperidol_induced VCMs as well impairment of motor coordination. The intensity of 8-OH-DPAT_induced syndrome and decreased 5-HT metabolism were greater in water + haloperidol treated animals than RBO + haloperidol treated animals. The present study suggested that involvement of free radical in the development of TD and point to RBO as a possible therapeutic option to treat this hyperkinetic motor disorder.

Prevalence of extrapyramidal syndromes in psychiatric inpatients and the relationship of clozapine treatment to tardive dyskinesia.

PubMed

Modestin, J; Stephan, P L; Erni, T; Umari, T

2000-05-05

In 200 inpatients on regular neuroleptics, point prevalence of extrapyramidal syndromes, including Parkinson syndrome, akathisia and tardive dyskinesia (TD), was studied and found to be 20, 11 and 22%, respectively. A total of 46 patients have currently, and for a longer time, (average about 3years, median over 1year) been treated with clozapine, and 127 with typical neuroleptics (NLs). Comparing both groups, higher TD scores were found in the clozapine sample. Investigating the influence of a set of seven clinical variables on the TD score with the help of multiple regression analysis, the influence of the treatment modality disappeared, whereas the age proved to be the only significant variable. Studying the role of past clozapine therapy in patients currently on typical NLs and comparing 10 matched pairs of chronic patients with and without TD in whom a complete life-time cumulative dose of NLs was identified, a relationship between TD and length of current typical NL therapy and life-time typical NL dosage could be demonstrated. On the whole, long-term relatively extensive use of clozapine has not markedly reduced the prevalence of extrapyramidal syndromes in our psychiatric inpatient population. In particular, we failed to demonstrate a beneficial effect of clozapine on prevalence of TD. There are certainly patients who suffer from TD in spite of a long-term intensive clozapine treatment.

32 CFR 21.565 - Must DoD Components' electronic systems accept Data Universal Numbering System (DUNS) numbers?

Code of Federal Regulations, 2012 CFR

2012-07-01

... DUNS numbers with a copy to: Director for Basic Sciences, ODDR&E, 3040 Defense Pentagon, Washington, DC 20301-3040. 6 This OMB policy directive is available at the Internet site http://www.whitehouse.gov/omb...

32 CFR 21.565 - Must DoD Components' electronic systems accept Data Universal Numbering System (DUNS) numbers?

Code of Federal Regulations, 2010 CFR

2010-07-01

... DUNS numbers with a copy to: Director for Basic Sciences, ODDR&E, 3040 Defense Pentagon, Washington, DC 20301-3040. 6 This OMB policy directive is available at the Internet site http://www.whitehouse.gov/omb...

32 CFR 21.565 - Must DoD Components' electronic systems accept Data Universal Numbering System (DUNS) numbers?

Code of Federal Regulations, 2013 CFR

2013-07-01

... DUNS numbers with a copy to: Director for Basic Sciences, ODDR&E, 3040 Defense Pentagon, Washington, DC 20301-3040. 6 This OMB policy directive is available at the Internet site http://www.whitehouse.gov/omb...

32 CFR 21.565 - Must DoD Components' electronic systems accept Data Universal Numbering System (DUNS) numbers?

Code of Federal Regulations, 2011 CFR

2011-07-01

... DUNS numbers with a copy to: Director for Basic Sciences, ODDR&E, 3040 Defense Pentagon, Washington, DC 20301-3040. 6 This OMB policy directive is available at the Internet site http://www.whitehouse.gov/omb...

32 CFR 21.565 - Must DoD Components' electronic systems accept Data Universal Numbering System (DUNS) numbers?

Code of Federal Regulations, 2014 CFR

2014-07-01

... DUNS numbers with a copy to: Director for Basic Sciences, ODDR&E, 3040 Defense Pentagon, Washington, DC 20301-3040. 6 This OMB policy directive is available at the Internet site http://www.whitehouse.gov/omb...

Vitamin E for antipsychotic-induced tardive dyskinesia.

PubMed

Soares-Weiser, Karla; Maayan, Nicola; Bergman, Hanna

2018-01-17

Antipsychotic (neuroleptic) medication is used extensively to treat people with chronic mental illnesses. Its use, however, is associated with adverse effects, including movement disorders such as tardive dyskinesia (TD) - a problem often seen as repetitive involuntary movements around the mouth and face. Vitamin E has been proposed as a treatment to prevent or decrease TD. The primary objective was to determine the clinical effects of vitamin E in people with schizophrenia or other chronic mental illness who had developed antipsychotic-induced TD.The secondary objectives were:1. to examine whether the effect of vitamin E was maintained as duration of follow-up increased;2. to test the hypothesis that the use of vitamin E is most effective for those with early onset TD (less than five years) SEARCH METHODS: We searched the Cochrane Schizophrenia Group Trials Register (July 2015 and April 2017), inspected references of all identified studies for further trials and contacted authors of trials for additional information. We included reports if they were controlled trials dealing with people with antipsychotic-induced TD and schizophrenia who remained on their antipsychotic medication and had been randomly allocated to either vitamin E or to a placebo, no intervention, or any other intervention. We independently extracted data from these trials and we estimated risk ratios (RR) or mean differences (MD), with 95% confidence intervals (CI). We assumed that people who left early had no improvement. We assessed risk of bias and created a 'Summary of findings' table using GRADE. The review now includes 13 poorly reported randomised trials (total 478 people), all participants were adults with chronic psychiatric disorders, mostly schizophrenia, and antipsychotic-induced TD. There was no clear difference between vitamin E and placebo for the outcome of TD: not improved to a clinically important extent (6 RCTs, N = 264, RR 0.95, 95% CI 0.89 to 1.01, low-quality evidence

Mise au point du rheometre a cisaillement annulaire pour l'etude de rheologie d'un mastic bitumineux avec verre incorpore =

NASA Astrophysics Data System (ADS)

El Mansouri, Souleimane

Dans le domaine viscoelastique lineaire (VEL, domaine des petites deformations), le comportement thermomecanique du bitume et du mastic bitumineux (melange uniforme de bitume et de fillers) a ete caracterise au Laboratoire des Chaussees et Materiaux Bitumineux (LCMB) de l'Ecole de technologie superieure (ETS) avec l'appui de nos partenaires externes : la Societe des Alcools du Quebec (SAQ) et Eco Entreprises Quebec (EEQ). Les proprietes rheologiques des bitumes et des mastics ont ete mesurees grâce a un nouvel outil d'investigation appele, Rheometre a Cisaillement Annulaire (RCA), sous differentes conditions de chargement. Cet appareil permet non seulement de solliciter des eprouvettes de tailles importantes par rapport a celles utilisees lors des essais classiques, mais aussi d'effectuer des essais en conditions quasi-homogenes, ce qui permet de donner acces a la loi de comportement des materiaux. Les essais sont realises sur une large gamme de temperatures et de frequences (de -15 °C a 45°C et de 0,03Hz a 10 Hz). Cette etude a ete menee principalement pour comparer le comportement d'un bitume avec celui d'un mastic bitumineux dans le domaine des petites deformations. neanmoins, dans une seconde perspective, on s'interesse a l'influence des fillers de verre de post-consommation sur le comportement d'un mastic a faibles niveaux de deformations en comparant l'evolution des modules complexes de cisaillements (G*) d'un mastic avec fillers de verre et un mastic avec fillers conventionnels (calcaire). Enfin, le modele analogique 2S2P1D est utilise pour simuler le comportement viscoelastique lineaire des bitumes et des mastics bitumineux testes lors de la campagne experimentale.

Success of tardive electroconvulsive therapy sessions after loxapine-induced malignant syndrome in the context of very poor metabolisation.

PubMed

Descoeur, Juliette; Philibert, Laurent; Chalard, Kevin; Attal, Jérôme; Petit, Pierre; Klouche, Kada; Olivier, Mathieu

2017-12-01

We report the success of tardive electroconvulsive therapy in a case of loxapine malignant syndrome with catatonia. Loxapine and its metabolites were measured in biological samples by liquid chromatography coupled to tandem mass spectrometry. Genes were studied by sequencing and quantitative polymerase chain reaction (PCR). Plasmatic drug concentrations showed a supratherapeutic concentration of loxapine with a very low 8-hydroxyloxapine/loxapine ratio (range from 0.32 to 0.66, normal value>2 for 100mg) and a very long elimination half-life of loxapine (half-life>140h, normal value from 1 to 4hours). We tried to explain this kinetics by exploring the main pharmacogenes implicated in the metabolism of loxapine. No genetic abnormality for CYP1A2 was observed. The study of associated treatments showed the potential contribution of valproate. Pharmacokinetics and pharmacogenetics investigations revealed a blockade of the CYP1A2 metabolic pathway without genetic abnormalities, probably due to valproate co-medication. Toxicological monitoring of loxapine and its metabolites helped to explain the persistence of symptoms and to adapt the therapeutic management. Copyright © 2017 Société française de pharmacologie et de thérapeutique. Published by Elsevier Masson SAS. All rights reserved.

Haloperidol-induced striatal Nur77 expression in a non-human primate model of tardive dyskinesia

PubMed Central

Mahmoudi, Souha; Blanchet, Pierre J.; Lévesque, Daniel

2015-01-01

Tardive dyskinesia (TD) is a delayed and potentially irreversible motor complication arising in patients chronically exposed to antipsychotic drugs. As several modern (so-called atypical) antipsychotic drugs are common offenders, the widening clinical indications for prescription as well as exposure of vulnerable individuals, TD will remain a significant drug-induced unwanted side effect. In addition, the pathophysiology of TD remains elusive and therapeutics difficult. Based on rodent experiments, we have previously shown that the transcriptional factor Nur77 (also known as NGFI-B or Nr4a1) is induced in the striatum following antipsychotic drug exposure as part of a long-term neuroadaptive process. To confirm this, we exposed adult capuchin (Cebus apella) monkeys to prolonged treatments with haloperidol (median 18.5 months, N=11) or clozapine (median 6 months, N=6). Six untreated animals were used as controls. Six haloperidol-treated animals developed mild TD movements similar to those found in humans. No TD was observed in the clozapine group. Postmortem analysis of Nur77 expression measured by in situ hybridization revealed a stark contrast between the two drugs, as Nur77 mRNA levels in the caudate-putamen were strongly upregulated in animals exposed to haloperidol while spared following clozapine treatment. Interestingly, within the haloperidol-treated group, TD-free animals showed higher Nur77 expression in putamen subterritories compared to dyskinetic animals. This suggests that Nur77 expression might be associated with a reduced risk to TD in this experimental model and could provide a novel target for drug intervention. PMID:23551242

Développement d'un capteur optique de pression pour la mesure in-situ des moteurs cryogéniques

NASA Astrophysics Data System (ADS)

Girault, Marc; Graindorge, Philippe; Laloux, Bernard; Desforges, Francois-Xavier; Martin, Philippe; Lefevre, Herve; Rouhet, Jacky

2018-04-01

This paper, "Développement d'un capteur optique de pression pour la mesure in-situ des moteurs cryogéniques," was presented as part of International Conference on Space Optics—ICSO 1997, held in Toulouse, France.

Cholinergic medication for antipsychotic-induced tardive dyskinesia.

PubMed

Tammenmaa-Aho, Irina; Asher, Rosie; Soares-Weiser, Karla; Bergman, Hanna

2018-03-19

Tardive dyskinesia (TD) remains a troublesome adverse effect of conventional antipsychotic (neuroleptic) medication. It has been proposed that TD could have a component of central cholinergic deficiency. Cholinergic drugs have been used to treat TD. To determine the effects of cholinergic drugs (arecoline, choline, deanol, lecithin, meclofenoxate, physostigmine, RS 86, tacrine, metoxytacrine, galantamine, ipidacrine, donepezil, rivastigmine, eptastigmine, metrifonate, xanomeline, cevimeline) for treating antipsychotic-induced TD in people with schizophrenia or other chronic mental illness. An electronic search of the Cochrane Schizophrenia Group's Study-Based Register of Trials (16 July 2015 and April 2017) was undertaken. This register is assembled by extensive searches for randomised controlled trials in many electronic databases, registers of trials, conference proceedings and dissertations. References of all identified studies were searched for further trial citations. We included reports identified by the search if they were of controlled trials involving people with antipsychotic-induced TD and chronic mental illness, who had been randomly allocated to either a cholinergic agent or to a placebo or no intervention. Two review authors independently assessed the methodological quality of the trials. Two review authors extracted data and, where possible, estimated risk ratios (RR) or mean differences (MD), with 95% confidence intervals (CI). We analysed data on an intention-to-treat basis, with the assumption that people who left early had no improvement. We assessed risk of bias and created a 'Summary of findings' table using GRADE. We included 14 studies investigating the use of cholinergic drugs compared with placebo published between 1976 and 2014. All studies involved small numbers of participants (five to 60 people). Three studies that investigated the new cholinergic Alzheimer drugs for the treatment of TD are new to this update. Overall, the risk of bias

Evaluation d'un scenario d'apprentissage favorisant la mobilisation des habiletes reliees au processus d'enquete

NASA Astrophysics Data System (ADS)

Blanchard, Samuel F. J.

Les resultats au Programme international pour le suivi des acquis des eleves (PISA) demontrent que les jeunes neobrunswickois francophones se classent b un niveau significativement inferieur comparaiivement aux eleves anglophones du Nouveau-Brunswick, aux eleves des autres provinces canadiennes et se classent sous la moyenne internationale de tous les pays participants quant b la culture scientifique. L'evaluation de cette culture scientifique est basee sur une serie de savoirs, de savoir-faire et de savoir-etre reliee au processus d'enquete scolaire. Le processus d'enquete scolaire est une approche b l'apprentissage ou les eleves effectuent des recherches d'informations, discutent d'idees et entreprennent des investigations pour augmenter leur comprehension d'un probleme ou d'un sujet. Les recherches demontrent que le processus d'enquete scolaire est rarement une composante pedagogique importante de la salle de classe et les recherches portant sur l'implantation du processus d'enquete scolaire recommandent de rendre ce dernier plus accessible aux enseignantes et aux enseignants. Afin de rendre le processus d'enquete plus accessible aux enseignantes et aux enseignants, notre recherche porte sur l'evaluation de la valeur pedagogique d'un scenario d'apprentissage (PhaRoboS) concu specialement pour creer un environnement dans lequel les eleves auront plusieurs occasions a mobiliser les habiletes reliees au processus d'enquete. Les retombees de cette evaluation nous permettront d'offrir des pistes de remediations afin d'aider plus d'enseignantes et d'enseignants b creer un environnement dans lequel les eleves auront plusieurs occasions b mobiliser les habiletes reliees au processus d'enquete. Cette evaluation s'est faite a partir d'une methodologie inspiree de l'evaluation pour fin d'amelioration d'un objet pedagogique. L'analyse des donnees qualitatives recueillies aupres des eleves et de leur enseignante d'une ecole francophone du Nouveau-Brunswick semble montrer que

The Pinjaur dun (intermontane longitudinal valley) and associated active mountain fronts, NW Himalaya: Tectonic geomorphology and morphotectonic evolution

NASA Astrophysics Data System (ADS)

Singh, Vimal; Tandon, S. K.

2008-12-01

The Himalayan orogenic belt, formed as a result of collision tectonic processes, shows abundant evidence of neotectonic activity, active tectonics, and the occurrence of historical earthquakes. Its frontal deformation zone is characterized, in some segments, by intermontane longitudinal valleys (duns). Such frontal segments of the Himalaya are marked by the occurrence of multiple mountain fronts. In one such segment of the foothills of the NW Himalaya, the Pinjaur dun is developed and marked by three mountain fronts: MF1A and MF1B associated with the southernmost Himalayan Frontal Thrust (HFT), MF2 associated with the Sirsa fault, and MF3 associated with the Barsar thrust along the southern margin of the relatively higher main part of the sub-Himalaya. Geomorphic responses to the tectonic activity of these and related structural features have been analyzed through the use of geomorphic indices, drainage density, stream longitudinal profiles, drainage anomalies, and hypsometric analysis. Also, fault and fold growth and their expression on landform development was studied using a combination of surface profiles and field observations. The values of valley floor width to height ratio ( Vf) for valleys associated with MF1 ranged between 0.07 and 0.74, and for valleys associated with MF2 ranged from 1.02-5.12. Vf for the four major valleys associated with MF1B ranged from 1.1-1.7. The asymmetry factor for 26 drainage basins related to MF1A indicate these have developed under the influence of a transverse structure. These results taken together with those obtained from the Hack profiles and SL index values, hypsometry, drainage density, and drainage anomalies suggest that the faults associated with the mountain fronts and related structures are active. Active tectonics and neotectonic activity have led to the formation of four surfaces in the Pinjaur dun. In addition, an important drainage divide separating the Sirsa and Jhajara drainage networks also developed in the

Structure post-flambée pour la locomotion d'un microrobot intratubulaire: comparaison modèle-expérience de l'effort de serrage dans le tube

NASA Astrophysics Data System (ADS)

Libersa, C.; Arsicault, M.; Lallemand, J.-P.

2002-12-01

Ces travaux entrent dans le cadre des études nécessaires à la mise au point d'une structure déformable actionnée par fils en alliage à mémoire de forme. L'application visée est son utilisation comme module de locomotion d'un microrobot intratubulaire autonome de type “ lombric ”. Un module est constitué d'un cadre élastique carré forcé en post-flambement sur un squelette rigide, de manière à obtenir deux configurations symétriques d'équilibre stable correspondant au premier mode de flambage. Le passage d'un état d'équilibre à l'autre est obtenu par la contraction de fils AMF éduqués disposés sur le cadre post-flambé. Un assemblage par juxtaposition de cinq modules identiques compose le corps du microrobot. Suivant un cycle de locomotion adéquat, chacun de ces actionneurs “ tout ou rien ” permet la prise d'appui sur les parois du tube ou l'allongement local nécessaire à l'avance du microrobot. Nous présentons ici les résultats obtenus lors d'un chargement transversal d'un module, et en particulier les courbes reliant l'effort de réaction et le déplacement du point en contact avec le tube. L'influence du serrage subit par le module sur le maintien du microrobot dans un tube vertical est déterminée. Les résultats expérimentaux obtenus sont comparés avec les résultats numériques.

Activation of Dun1 in response to nuclear DNA instability accounts for the increase in mitochondrial point mutations in Rad27/FEN1 deficient S. cerevisiae.

PubMed

Kaniak-Golik, Aneta; Kuberska, Renata; Dzierzbicki, Piotr; Sledziewska-Gojska, Ewa

2017-01-01

Rad27/FEN1 nuclease that plays important roles in the maintenance of DNA stability in the nucleus has recently been shown to reside in mitochondria. Accordingly, it has been established that Rad27 deficiency causes increased mutagenesis, but decreased microsatellite instability and homologous recombination in mitochondria. Our current analysis of mutations leading to erythromycin resistance indicates that only some of them arise in mitochondrial DNA and that the GC→AT transition is a hallmark of the mitochondrial mutagenesis in rad27 null background. We also show that the mitochondrial mutator phenotype resulting from Rad27 deficiency entirely depends on the DNA damage checkpoint kinase Dun1. DUN1 inactivation suppresses the mitochondrial mutator phenotype caused by Rad27 deficiency and this suppression is eliminated at least in part by subsequent deletion of SML1 encoding a repressor of ribonucleotide reductase. We conclude that Rad27 deficiency causes a mitochondrial mutator phenotype via activation of DNA damage checkpoint kinase Dun1 and that a Dun1-mediated increase of dNTP pools contributes to this phenomenon. These results point to the nuclear DNA instability as the source of mitochondrial mutagenesis. Consistently, we show that mitochondrial mutations occurring more frequently in yeast devoid of Rrm3, a DNA helicase involved in rDNA replication, are also dependent on Dun1. In addition, we have established that overproduction of Exo1, which suppresses DNA damage sensitivity and replication stress in nuclei of Rad27 deficient cells, but does not enter mitochondria, suppresses the mitochondrial mutagenesis. Exo1 overproduction restores also a great part of allelic recombination and microsatellite instability in mitochondria of Rad27 deficient cells. In contrast, the overproduction of Exo1 does not influence mitochondrial direct-repeat mediated deletions in rad27 null background, pointing to this homologous recombination pathway as the direct target of Rad27

Délire dermatozoïque: à propos d'un cas

PubMed Central

Jawaher, Masmoudi; Ines, Feki; Rim, Sallemi; Imen, Baati; Abdellaziz, Jaoua

2013-01-01

Le délire dermatozoïque est un délire particulier survenant chez les personnes âgées et caractérisé par la présence d'un délire hallucinatoire essentiellement cénesthésique, avec la conviction d’être infesté par des petites bêtes. Ce délire aboutit à des lésions de grattage pouvant être graves, mais sans aucune étiologie organique, et leurrant souvent le dermatologue. Notre observation est originale, par le fait que le patient a été adressé par un ophtalmologue, et faisant étendre le champ du diagnostic à plusieurs spécialités, s'occupant des patients âgés. il s'agit d'un patient âgé de 67 ans, ayant présenté da façon concomitante à une intervention chirurgicale et au mariage de son dernier fils, un délire hallucinatoire avec une conviction d’être attaqué par des moustiques lui suçant le sang. Des lésions d'excoriation cutanée ont été secondaires à ce délire, et ont été à l'origine d'une consultation psychiatrique. L’évolution après six mois de traitement a été marquée par l'enkystement du délire et l'amélioration des lésions cutanées. Réputé rare, le délire dermatozoïque pourrait être déroutant si on ne fait pas le diagnostic positif. Tout clinicien peut être confronté dans sa pratique à ce type de syndrome. Sa compréhension facilite une prise en charge adéquate, basée essentiellement sur un soutien psychologique et un traitement neuroleptique. PMID:24570786

The Experience of Staging Nijinsky's "L'Apres-Midi d'un Faune" in a Higher Education Dance Program

ERIC Educational Resources Information Center

Curran, Tina

2010-01-01

This study documented the experiences of staging Vaslav Nijinsky's "L'Apres-midi d'un Faune" in a higher education dance program. The ballet was staged from Labanotation. Research questions focused on teaching and learning pedagogy, characterization of the process over time, experiences of the participants and teaching approaches. The project…

Mise en oeuvre d'un amplificateur paramétrique d'impulsions à dérive en fréquence (OPCPA)

NASA Astrophysics Data System (ADS)

Hugonnot, E.; Villate, D.; Salin, F.; Freysz, E.

2004-11-01

L'amplification paramétrique d'impulsions à dérive de fréquence (OPCPA) est une méthode originale permettant un transfert d'énergie d'une onde pompe de forte énergie à spectre étroit vers une onde signal de faible énergie à spectre large. Un amplificateur basé sur un cristal non linéaire de BBO a été réalisé et a permis d'amplifier à l'aide d'un laser de pompe Nd :Yag à 532 nm des impulsions femtosecondes à 800 nm issues d'un oscillateur Ti :Sa et étirées à 200 ps. Les premiers résultats de l'application de l'OPCPA à la mise en forme spectrale d'impulsions sont montrés.

Amelioration de l'efficacite energetique du procede d'electrolyse de l'aluminium conception d'un nouveau bloc cathodique

NASA Astrophysics Data System (ADS)

Blais, Mathieu

Au Quebec, les alumineries sont de grandes consommatrices d'energie electrique, soit pres de 14 % de la puissance installee d'Hydro-Quebec. Dans ce contexte, des petits gains en efficacite energetique des cuves d'electrolyse pourraient avoir un impact important sur la reduction globale de la consommation d'electricite. Le projet de maitrise decrit dans cette etude repond a la problematique suivante : comment l'optimisation de la geometrie d'un bloc cathodique en vue d'uniformiser la densite de courant peut augmenter l'efficacite energetique et la duree de vie de la cuve d'aluminium? Le but premier du projet est de modifier la geometrie en vue d'ameliorer le comportement thermoelectrique des blocs cathodiques et d'accroitre par le fait meme l'efficacite energetique du procede de production d'aluminium. La mauvaise distribution de la densite de courant dans la cuve est responsable de certains problemes energetiques ayant des impacts negatifs sur l'economie et l'environnement. Cette non-uniformite de la distribution du courant induit une usure prematuree de la surface de la cathode et contribue a reduire la stabilite magnetohydrodynamique de la nappe de metal liquide. Afin de quantifier les impacts que peut avoir l'uniformisation de la densite de courant a travers le bloc cathodique, un modele d'un bloc cathodique d'une cuve de la technologie AP-30 a ete concu et analyse par elements finis. A partir de son comportement thermoelectrique et de donnees experimentales d'une cuve AP-30 tirees de la litterature, une correlation entre le profil de densite de courant a la surface du bloc et le taux d'erosion local au meme endroit a ete creee. Cette relation correspond au modele predictif de la duree de vie de tout bloc du meme materiau a partir de son profil de densite de courant. Ensuite, une programmation a ete faite incorporant dans une meme fonction cout les impacts economiques de la duree de vie, de la chute de voltage cathodique et de l'utilisation de nouveaux materiaux

Eléments-clés de la conception d'un instrument spatial à synthése d'ouverture optique

NASA Astrophysics Data System (ADS)

Cassaing, Frédéric; Mugnier, Laurent; Rousset, Gérard; Sorrente, Béatrice

2018-04-01

This paper, "Eléments-clés de la conception d'un instrument spatial à synthése d'ouverture optique," was presented as part of International Conference on Space Optics—ICSO 1997, held in Toulouse, France.

Activation of Dun1 in response to nuclear DNA instability accounts for the increase in mitochondrial point mutations in Rad27/FEN1 deficient S. cerevisiae

PubMed Central

Dzierzbicki, Piotr

2017-01-01

Rad27/FEN1 nuclease that plays important roles in the maintenance of DNA stability in the nucleus has recently been shown to reside in mitochondria. Accordingly, it has been established that Rad27 deficiency causes increased mutagenesis, but decreased microsatellite instability and homologous recombination in mitochondria. Our current analysis of mutations leading to erythromycin resistance indicates that only some of them arise in mitochondrial DNA and that the GC→AT transition is a hallmark of the mitochondrial mutagenesis in rad27 null background. We also show that the mitochondrial mutator phenotype resulting from Rad27 deficiency entirely depends on the DNA damage checkpoint kinase Dun1. DUN1 inactivation suppresses the mitochondrial mutator phenotype caused by Rad27 deficiency and this suppression is eliminated at least in part by subsequent deletion of SML1 encoding a repressor of ribonucleotide reductase. We conclude that Rad27 deficiency causes a mitochondrial mutator phenotype via activation of DNA damage checkpoint kinase Dun1 and that a Dun1-mediated increase of dNTP pools contributes to this phenomenon. These results point to the nuclear DNA instability as the source of mitochondrial mutagenesis. Consistently, we show that mitochondrial mutations occurring more frequently in yeast devoid of Rrm3, a DNA helicase involved in rDNA replication, are also dependent on Dun1. In addition, we have established that overproduction of Exo1, which suppresses DNA damage sensitivity and replication stress in nuclei of Rad27 deficient cells, but does not enter mitochondria, suppresses the mitochondrial mutagenesis. Exo1 overproduction restores also a great part of allelic recombination and microsatellite instability in mitochondria of Rad27 deficient cells. In contrast, the overproduction of Exo1 does not influence mitochondrial direct-repeat mediated deletions in rad27 null background, pointing to this homologous recombination pathway as the direct target of Rad27

Striatal cholinergic interneurons and D2 receptor-expressing GABAergic medium spiny neurons regulate tardive dyskinesia.

PubMed

Bordia, Tanuja; Zhang, Danhui; Perez, Xiomara A; Quik, Maryka

2016-12-01

Tardive dyskinesia (TD) is a drug-induced movement disorder that arises with antipsychotics. These drugs are the mainstay of treatment for schizophrenia and bipolar disorder, and are also prescribed for major depression, autism, attention deficit hyperactivity, obsessive compulsive and post-traumatic stress disorder. There is thus a need for therapies to reduce TD. The present studies and our previous work show that nicotine administration decreases haloperidol-induced vacuous chewing movements (VCMs) in rodent TD models, suggesting a role for the nicotinic cholinergic system. Extensive studies also show that D2 dopamine receptors are critical to TD. However, the precise involvement of striatal cholinergic interneurons and D2 medium spiny neurons (MSNs) in TD is uncertain. To elucidate their role, we used optogenetics with a focus on the striatum because of its close links to TD. Optical stimulation of striatal cholinergic interneurons using cholineacetyltransferase (ChAT)-Cre mice expressing channelrhodopsin2-eYFP decreased haloperidol-induced VCMs (~50%), with no effect in control-eYFP mice. Activation of striatal D2 MSNs using Adora2a-Cre mice expressing channelrhodopsin2-eYFP also diminished antipsychotic-induced VCMs, with no change in control-eYFP mice. In both ChAT-Cre and Adora2a-Cre mice, stimulation or mecamylamine alone similarly decreased VCMs with no further decline with combined treatment, suggesting nAChRs are involved. Striatal D2 MSN activation in haloperidol-treated Adora2a-Cre mice increased c-Fos + D2 MSNs and decreased c-Fos + non-D2 MSNs, suggesting a role for c-Fos. These studies provide the first evidence that optogenetic stimulation of striatal cholinergic interneurons and GABAergic MSNs modulates VCMs, and thus possibly TD. Moreover, they suggest nicotinic receptor drugs may reduce antipsychotic-induced TD. Copyright © 2016 Elsevier Inc. All rights reserved.

Striatal cholinergic interneurons and D2 receptor-expressing GABAergic medium spiny neurons regulate tardive dyskinesia

PubMed Central

Bordia, Tanuja; Zhang, Danhui; Perez, Xiomara A.; Quik, Maryka

2016-01-01

Tardive dyskinesia (TD) is a drug-induced movement disorder that arises with antipsychotics. These drugs are the mainstay of treatment for schizophrenia and bipolar disorder, and are also prescribed for major depression, autism, attention deficit hyperactivity, obsessive compulsive and post-traumatic stress disorder. There is thus a need for therapies to reduce TD. The present studies and our previous work show that nicotine administration decreases haloperidol-induced vacuous chewing movements (VCMs) in rodent TD models, suggesting a role for the nicotinic cholinergic system. Extensive studies also show that D2 dopamine receptors are critical to TD. However, the precise involvement of striatal cholinergic interneurons and D2 medium spiny neurons (MSNs) in TD is uncertain. To elucidate their role, we used optogenetics with a focus on the striatum because of its close links to TD. Optical stimulation of striatal cholinergic interneurons using cholineacetyltransferase (ChAT)-Cre mice expressing channelrhodopsin2-eYFP decreased haloperidol-induced VCMs (~50%), with no effect in control-eYFP mice. Activation of striatal D2 MSNs using Adora2a-Cre mice expressing channelrhodopsin2-eYFP also diminished antipsychotic-induced VCMs, with no change in control-eYFP mice. In both ChAT-Cre and Adora2a-Cre mice, stimulation or mecamylamine alone similarly decreased VCMs with no further decline with combined treatment, suggesting nAChRs are involved. Striatal D2 MSN activation in haloperidol-treated Adora2a-Cre mice increased c-Fos+ D2 MSNs and decreased c-Fos+ non-D2 MSNs, suggesting a role for c-Fos. These studies provide the first evidence that optogenetic stimulation of striatal cholinergic interneurons and GABAergic MSNs modulates VCMs, and thus possibly TD. Moreover, they suggest nicotinic receptor drugs may reduce antipsychotic-induced TD. PMID:27658674

Do People Overestimate Their Information Literacy Skills? A Systematic Review of Empirical Evidence on the Dunning-Kruger Effect

ERIC Educational Resources Information Center

Mahmood, Khalid

2016-01-01

This systematic review has analyzed 53 English language studies that assessed and compared peoples' self-reported and demonstrated information literacy (IL) skills. The objective was to collect empirical evidence on the existence of Dunning-Kruger Effect in the area of information literacy. The findings clearly show that this theory works in this…

Etude energetique et modelisation d'un Systeme Hybride Eolien-Diesel avec stockage d'Air Comprime (SHEDAC)

NASA Astrophysics Data System (ADS)

Martinez, Nicolas

Actuellement le Canada et plus specialement le Quebec, comptent une multitude de sites isoles dont !'electrification est assuree essentiellement par des generatrices diesel a cause, principalement, de l'eloignement du reseau central de disuibution electrique. Bien que consideree comme une source fiable et continue, 1 'utilisation des generatrices diesel devient de plus en plus problematique d'un point de vue energetique, economique et environnemental. Dans le but d'y resoudre et de proposer une methode d'approvisionnement plus performante, mains onereuse et plus respectueuse de l'environnement, l'usage des energies renouvelables est devenu indispensable. Differents travaux ont alors demontre que le couplage de ces energies avec des generauices diesel, formant des systemes hybrides, semble etre une des meilleures solutions. Parmi elles, le systeme hybride eolien-diesel avec stockage par air comprime (SHEDAC) se presente comme une configuration optimale pour 1 'electrification des sites isoles. En effet, differentes etudes ont permis de mettre en avant l'efficacite du stockage par air comprime, par rapport a d'autres technologies de stockage, en complement d'un systeme hybride eolien-diesel. Plus precisement, ce systeme se compose de sous-systemes qui sont: des eoliennes, des generatrices diesel et une chaine de compression et de stockage d'air comprime qui est ensuite utilisee pour suralimenter les generatrices. Ce processus permet ainsi de reduire Ia consommation en carburant tout en agrandissant la part d'energie renouvelable dans Ia production electrique. A ce jour, divers travaux de recherche ont pennis de demontrer I' efficacite d 'un tel systeme et de presenter une variete de configurations possibles. A travers ce memoire, un logiciel de dimensionnement energetique y est elabore dans le but d'unifom1iser !'approche energetique de cette technologie. Cet outil se veut etre une innovation dans le domaine puisqu'il est actuellement impossible de dimensionner un

Behavioral and neurochemical effects of alpha lipoic acid associated with omega-3 in tardive dyskinesia induced by chronic haloperidol in rats.

PubMed

de Araújo, Dayane Pessoa; Camboim, Thaisa Gracielle Martins; Silva, Ana Patrícia Magalhães; Silva, Caio da Fonseca; de Sousa, Rebeca Canuto; Barbosa, Mabson Delâno Alves; Oliveira, Lucidio Clebeson; Cavalcanti, José Rodolfo Lopes de Paiva; Lucena, Eudes Euler de Souza; Guzen, Fausto Pierdoná

2017-07-01

Tardive dyskinesia (TD) is characterized by involuntary movements of the lower portion of the face being related to typical antipsychotic therapy. TD is associated with the oxidative imbalance in the basal ganglia. Lipoic acid (LA) and omega-3 (ω-3) are antioxidants acting as enzyme cofactors, regenerating antioxidant enzymes. This study aimed to investigate behavioral and neurochemical effects of supplementation with LA (100 mg/kg) and ω-3 (1 g/kg) in the treatment of TD induced by chronic use of haloperidol (HAL) (1 mg/kg) in rats. Wistar male rats were used, weighing between 180-200 g. The animals were treated chronically (31 days) with LA alone or associated with HAL or ω-3. Motor behavior was assessed by open-field test, the catalepsy test, and evaluation of orofacial dyskinesia. Oxidative stress was accessed by determination of lipid peroxidation and concentration of nitrite. LA and ω-3 alone or associated caused an improvement in motor performance by increasing locomotor activity in the open-field test and decreased the permanence time on the bar in the catalepsy test and decreased the orofacial dyskinesia. LA and ω-3 showed antioxidant effects, decreasing lipid peroxidation and nitrite levels. Thus, the use of LA associated with ω-3 reduced the extrapyramidal effects produced by chronic use of HAL.

Amélioration de la brillance d'un OPO nanoseconde par le profilage spatio-temporel du faisceau de pompage

NASA Astrophysics Data System (ADS)

Kermène, V.; Chabanol, M.; Mugnier, A.; Barthélémy, A.

2002-06-01

Nous présentons une nouvelle méthode de pompage pour augmenter la brillance d'un Oscillateur Paramétrique Optique nanoseconde. Cette méthode est basée sur le profilage spatio-temporel du faisceau de pompage conduisant POPO à ce comporter comme une source auto-injectée.

Developpement D'un Modele Climatique Regional: Fizr Simulation des Conditions de Janvier de la Cote Ouest Nord Americaine

NASA Astrophysics Data System (ADS)

Goyette, Stephane

1995-11-01

Le sujet de cette these concerne la modelisation numerique du climat regional. L'objectif principal de l'exercice est de developper un modele climatique regional ayant les capacites de simuler des phenomenes de meso-echelle spatiale. Notre domaine d'etude se situe sur la Cote Ouest nord americaine. Ce dernier a retenu notre attention a cause de la complexite du relief et de son controle sur le climat. Les raisons qui motivent cette etude sont multiples: d'une part, nous ne pouvons pas augmenter, en pratique, la faible resolution spatiale des modeles de la circulation generale de l'atmosphere (MCG) sans augmenter a outrance les couts d'integration et, d'autre part, la gestion de l'environnement exige de plus en plus de donnees climatiques regionales determinees avec une meilleure resolution spatiale. Jusqu'alors, les MCG constituaient les modeles les plus estimes pour leurs aptitudes a simuler le climat ainsi que les changements climatiques mondiaux. Toutefois, les phenomenes climatiques de fine echelle echappent encore aux MCG a cause de leur faible resolution spatiale. De plus, les repercussions socio-economiques des modifications possibles des climats sont etroitement liees a des phenomenes imperceptibles par les MCG actuels. Afin de circonvenir certains problemes inherents a la resolution, une approche pratique vise a prendre un domaine spatial limite d'un MCG et a y imbriquer un autre modele numerique possedant, lui, un maillage de haute resolution spatiale. Ce processus d'imbrication implique alors une nouvelle simulation numerique. Cette "retro-simulation" est guidee dans le domaine restreint a partir de pieces d'informations fournies par le MCG et forcee par des mecanismes pris en charge uniquement par le modele imbrique. Ainsi, afin de raffiner la precision spatiale des previsions climatiques de grande echelle, nous developpons ici un modele numerique appele FIZR, permettant d'obtenir de l'information climatique regionale valide a la fine echelle spatiale

Mesure optimale de tilt et déplacement d'un faisceau gaussien

NASA Astrophysics Data System (ADS)

Delaubert, V.; Treps, N.; Fabre, C.; Harb, C.; Lam, P. K.; Bachor, H.

2006-10-01

Nous réalisons une expérience de mesure optimale de petits déplacements d'un faisceau gaussien TEM{00}, basée sur une détection homodyne employant un oscillateur local TEM{10}. Nous montrons une amélioration de 56% du signal détecté par rapport à une détection à deux zones. Ce nouveau dispositif permet également de mesurer de façon optimale de petites valeurs de tilt, la quantité conjuguée du déplacement. Enfin, nous montrons que la compression du mode TEM{10} du faisceau incident permet une mesure de déplacement au delà de la limite quantique standard.

Contracted or uncontracted polarization functions? Comment on Dunning's correlation-consistent basis sets

NASA Astrophysics Data System (ADS)

Hashimoto, Tomohiro; Hirao, Kimihiko; Tatewaki, Hiroshi

1997-07-01

For the sake of computational economy, the polarization functions given by Dunning are contracted by multiconfigurational SCF calculations for H, B, C, N, O, F and Ne atoms. For the first-row atoms, B through Ne, the generated contracted polarization functions are ( 2 d/1 d) and ( 3 d/2 d) and for H they are ( 2 p/1 p), ( 3 p/1 p), and ( 3 p/2 p) where the numbers before and after the slash are the numbers of uncontracted and contracted polarization functions. Numerical examples on some diatomic molecules and benzene illustrate a large improvement in going from ( 1 d/1 dto ( 2 d/1 d) for various molecular properties.

M16. Valbenazine (NBI-98854) for the Treatment of Tardive Dyskinesia: Analysis by Underlying Psychiatric Diagnosis in Phase III KINECT 3 Study

PubMed Central

Josiassen, Richard; Kane, John; Burke, Joshua; Jimenez, Roland; Siegert, Scott; Liang, Grace

2017-01-01

Abstract Background: Valbenazine is a novel and highly selective vesicular monoamine transporter 2 (VMAT2) inhibitor that is being evaluated for the treatment of tardive dyskinesia (TD), a persistent movement disorder resulting from exposure to antipsychotics or other dopamine receptor blocking agents (DRBAs). The efficacy of valbenazine in treating TD was demonstrated in a Phase 3 clinical trial (KINECT 3; NCT02274558), which included subjects with underlying schizophrenia/schizoaffective disorder or mood disorder. Further analyses of data from that trial were conducted to explore the efficacy of valbenazine across diagnostic subgroups. Methods: Subjects in this 6-week, double-blind, placebo-controlled trial were randomized 1:1:1 to once-daily valbenazine 80 mg, valbenazine 40 mg, or placebo. The primary endpoint was change from baseline to Week 6 on the Abnormal Involuntary Movement Scale (AIMS) total score (items 1–7) for valbenazine 80 mg vs placebo in the intent-to-treat (ITT) population. AIMs were videotaped and ratings were conducted by central raters blind to study visit and group. Additional outcomes included AIMS total score change (40 mg vs placebo) and Clinical Global Impression of Change-Tardive Dyskinesia (CGI TD) score (80 and 40 mg vs placebo) at Week 6. In addition to being evaluated in the ITT population, these outcomes were analyzed in subgroups categorized by underlying psychiatric diagnosis (schizophrenia/schizoaffective disorder or mood disorder). Results: At Week 6 in the ITT population (N = 225), AIMS score improvement was significantly greater with valbenazine 80 mg than placebo (least squares [LS] mean change from baseline: 80 mg, 3.2; placebo, −0.1; P < .0001). AIMS score change at Week 6 for valbenazine 40 mg (1.9) was also greater than placebo (P = .0021). Statistical testing was not conducted in the subgroups, but the magnitude of AIMS improvement in these patients was comparable to results in the overall ITT

Stabilisation de l'etat de polarisation d'un laser par la conception et fabrication d'un miroir polarisant fait de couches minces nanostructurees

NASA Astrophysics Data System (ADS)

Doucet, Alexandre

Ce manuscrit presente la conception et la fabrication d'un miroir polarisant fabrique avec la methode de deposition par incidence oblique communement appelee en anglais GLAD (GLancing Angle Deposition). Cette methode de deposition par GLAD permet de changer la nanostructure des revetements avec l'inclinaison et la rotation du substrat par rapport au flux de materiau evapore. Ceci nous permet d'ajuster l'indice de refraction et d'obtenir des revetements birefringents avec un materiau intrinsequement isotrope. Puisque l'indice de refraction peut etre change, les miroirs sont fabriques avec un seul materiau contrairement aux methodes usuelles qui necessite deux materiaux. Les proprietes optiques des echantillons sont mesurees avec l'aide de l'ellipsometrie. Des images avec un microscope electronique a balayage par transmission permettent de verifier Ia structure des revetements deposes. Les miroirs sont utilises comme coupleurs de sortie du resonateur d'un laser avec un milieu actif d'(Yb3+0.1 Y 0.9)3Al5O12, ou plus simplement Yb: YAG, pompe optiquement avec une diode laser. Ces cristaux presentent des proprietes optiques interessantes pour leur utilisation comme milieu actif, mais avec une structure cristalline cubique, ils donnent lieu a des faisceaux polarises aleatoirement. Les miroirs que nous fabriquons permettent d'obtenir une emission polarisee lineairement sans avoir a ajouter d'autres elements au resonateur. Les tests sont faits en regime continu et pulse avec un absorbant saturable de Cr : Y AG. Deux materiaux sont etudies, soit le WO3 et le TiO2, et ils nous permettent d'obtenir une emission polarisee lineairement dans le mode TEM 00 avec un rapport d'extinction de 1000 (30 dB), mais seuls les miroirs de TiO2 permettent une emission pulsee periodique avec une densite de puissance crete pres de 700+/-80 MW/cm2. En etudiant le rapport d'extinction en fonction du temps de pompage, nous remarquons que l'etat de polarisation est beaucoup plus stable que celui

[Process of meiosis in interspecific hybrid F1 Lycopersicon esculentum Mill. x Lycopersicon chilense Dun].

PubMed

Montvid, P Iu; Samovol, O P; Miroshnychenko, V P

2011-01-01

The investigation concerns meiosis behaviour in embryo-culture-obtained Lycopersicon esculentum Mill. (mutant seedline Mo 638) x L. chilense Dun. F1 hybrid and its parental forms. It was determined that chiasma frequency decreased while univalent and meiotic disorder frequencies increased in F1 plants in comparison with parents forms. Univalent number and the percent of main disorders lowered with bud tier increasing. The conclusion was made about meiosis regularity connection with the influence of environment factors and heterozygous genotype of F1 plants Lycopersicon esculentum x L. chilense.

2 CFR 25.205 - Effect of noncompliance with a requirement to obtain a DUNS number or register in the CCR.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 2 Grants and Agreements 1 2014-01-01 2014-01-01 false Effect of noncompliance with a requirement to obtain a DUNS number or register in the CCR. 25.205 Section 25.205 Grants and Agreements Office of...; and (2) May use that determination as a basis for making an award to another applicant. ...

Investigations of Sediment Transportation, Middle Loup River at Dunning, Nebraska: With Application of Data from Turbulence Flume

USGS Publications Warehouse

Hubbell, David Wellington; Matejka, Donald Quintin

1959-01-01

An investigation of fluvial sediments of the Middle Loup River at Dunning, Nebr., was begun in 1946 and expanded in 1949 to provide information on sediment transportation. Construction of an artificial turbulence flume at which the total sediment discharge of the Middle Loup River at Dunning, Nebr., could be measured with suspended-sediment sampling equipment was completed in 1949. Since that time. measurements have been made at the turbulence flume and at several selected sections in a reach upstream and downstream from the flume. The Middle Loup River upstream from Dunning traverses the sandhills region of north-central Nebraska and has a drainage area of approximately 1,760 square miles. The sandhills are underlain by the Ogallala formation of Tertiary age and are mantled by loess and dune sand. The topography is characterized by northwest-trending sand dunes, which are stabilized by grass cover. The valley floor upstream from Dunning is generally about half a mile wide, is about 80 feet lower than the uplands, and is composed of sand that was mostly stream deposited. The channel is defined by low banks. Bank erosion is prevalent and is the source of most of the sediment load. The flow originates mostly from ground-water accretion and varies between about 200 and 600 cfs (cubic feet per second). Measured suspended-sediment loads vary from about 200 to 2,000 tons per day, of which about 20 percent is finer than 0.062 millimeter and 100 percent is finer than 0.50 millimeter. Total sediment discharges vary from about 500 to 3,500 tons per day, of which about 10 percent is finer than 0.062 millimeter, about 90 percent is finer than 0.50 millimeter, and about 98 percent is finer than 2.0 millimeters. The measured suspended-sediment discharge in the reach near Dunning averages about one-half of the total sediment discharge as measured at the turbulence flume. This report contains information collected during the period October 1, 1948, to September 30, 1952. The

T7. PHARMACOGENETIC OF TARDIVE DYSKINESIA -- A FOLLOW-UP ON THE VALBENAZINE TARGET VMAT2/SLC18A2

PubMed Central

Zai, Clement; Tiwari, Arun; Mueller, Daniel; Voineskos, Aristotle; Potkin, Steven G; Lieberman, Jeffrey; Meltzer, Herbert; Remington, Gary; Kennedy, James

2018-01-01

Abstract Background Tardive dyskinesia (TD) is a motor side effect that may arise after long-term treatment of antipsychotic drugs. Its etiology is not well understood, but a number of risk factors have been associated with TD. TD occurrence appears to be familial, thus suggesting a genetic component. We previously reported on an association between the SLC18A2 gene that codes for the vesicular monoamine transporter 2 (VMAT2) that packages monoamines including dopamine from the cytoplasm into synaptic vesicles (Zai et al, 2013). In the present study, we examined the dopamine transporter gene SLC6A3 by itself and in conjunction with SLC18A2 for possible association with TD. Methods We genotyped and analyzed the variable-number tandem repeat (VNTR) polymorphism in the 3’ untranslated region of the SLC6A3 gene in our European sample of 187 schizophrenia/schizoaffective disorder patients assessed for TD occurrence based on the Abnormal Involuntary Movement Scale (AIMS). We also explored the interaction between the VNTR and the TD-associated SLC18A2 marker rs363224. Results Our preliminary analysis did not show the SLC6A3 VNTR to be associated with TD occurrence or severity. There also appeared to be no significant interaction between SLC6A3 VNTR and SLC18A2 rs363224 in TD occurrence or severity (p>0.05). Discussion Our findings did not support a major role of the dopamine transporter gene in TD risk or severity, but we will examine additional putative functional markers in this gene.

Association of tardive dyskinesia with variation in CYP2D6: Is there a role for active metabolites?

PubMed Central

Koola, Maju M; Tsapakis, Evangelia M; Wright, Padraig; Smith, Shubulade; Kerwin, Robert W(RIP); Nugent, Katie L; Aitchison, Katherine J

2018-01-01

Background The aim of this study was to examine whether there was an association between tardive dyskinesia (TD) and number of functional CYP2D6 genes. Methods A Caucasian sample of 70 patients was recruited in 1996–1997 from South London and Maudsley National Health Service (NHS) Foundation Trust, UK. Subjects had a DSM-IIIR diagnosis of schizophrenia and were treated with typical antipsychotics at doses equivalent to at least 100 mg chlorpromazine daily for at least 12 months prior to assessment. All patients were genotyped for CYP2D6 alleles*3–5, *41, and for amplifications of the gene. Results There were 13 patients with TD. The mean (standard deviation (SD)) years of duration of antipsychotic treatment in TD-positive was 15.8 (7.9) vs TD-negative 11.1 (7.4) (p=0.04). Increased odds of experiencing TD were associated with increased ability to metabolize CYP2D6, as measured by genotypic category (odds ratio (OR)=4.2), increasing duration in treatment (OR=1.0), and having drug-induced Parkinsonism (OR=9.7). Discussion We found a significant association between CYP2D6 genotypic category and TD with the direction of effect being an increase in the number of functional CYP2D6 genes being associated with an increased risk of TD. This is the first study to examine the association between TD and CYP2D6 in Caucasians with this number of genotypic categories. In the future, metabolomics may be utilized in the discovery of biomarkers and novel drug targets. PMID:24595968

2 CFR 25.205 - Effect of noncompliance with a requirement to obtain a DUNS number or register in the CCR.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 2 Grants and Agreements 1 2012-01-01 2012-01-01 false Effect of noncompliance with a requirement to obtain a DUNS number or register in the CCR. 25.205 Section 25.205 Grants and Agreements Office of... an award; and (2) May use that determination as a basis for making an award to another applicant. ...

2 CFR 25.205 - Effect of noncompliance with a requirement to obtain a DUNS number or register in the CCR.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 2 Grants and Agreements 1 2013-01-01 2013-01-01 false Effect of noncompliance with a requirement to obtain a DUNS number or register in the CCR. 25.205 Section 25.205 Grants and Agreements Office of... an award; and (2) May use that determination as a basis for making an award to another applicant. ...

2 CFR 25.205 - Effect of noncompliance with a requirement to obtain a DUNS number or register in the CCR.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 2 Grants and Agreements 1 2011-01-01 2011-01-01 false Effect of noncompliance with a requirement to obtain a DUNS number or register in the CCR. 25.205 Section 25.205 Grants and Agreements Office of... an award; and (2) May use that determination as a basis for making an award to another applicant. ...

Séchage d'un enduit pigmenté avec application à l'étude d'une couche papetière

NASA Astrophysics Data System (ADS)

Bernada, P.; Bruneau, D.

1996-07-01

Paper color coating drying is investigated from several experimental view points which include drying kinetics and time evolution of moisture content profiles, pore size distribution in the dried coating, and natural binder (starch) distribution in the dried coating. A study of the effects of drying conditions on those experimental parameters is carried out. Furthermore, gelification and consolidation characteristic moisture contents of the coating are determined using a graphical approach. Le séchage d'un enduit pigmenté à l'usage d'une couche papetière est absorbé sous diverts aspects : cinétiques de séchage et évolution temporelle des profils de teneur en eau, profils de répartition de la taille des pores dans la couche séchée, et répartition finale d'un liant hydrophile de la sauce de couchage (amidon). Les conséquences des conditions de séchage sur ces paramètres expérimentaux sont mises en évidence. De plus, les teneurs en eau caractéristiques de gélification et consolidation de la sauce de couchage sont obtenues par une approche graphique.

Pneumomédiastin compliquant une crise d’éclampsie: à propos d'un cas

PubMed Central

Doumiri, Mouhssine; Motiaa, Youssef; Oudghiri, Nezha; Saoud, Anas Tazi

2014-01-01

Le pneumomédiastin associé à l'emphysème sous cutané et le pneumothorax, sont des complications rares de la grossesse et surviennent au cours du travail obstétrical. Nous rapportons l'observation d'une parturiente de 25ans, sans antécédent pathologique particulier, admise pour une crise d’éclampsie à 36 semaines d'aménorrhées avec une mort fœtale et trouble de la conscience. L'examen clinique a montré un emphysème sous cutané étendu du visage jusqu’à l'abdomen sans notion de traumatisme et un score de Glasgow à 10. Après mise en condition, traitement de la crise d’éclampsie, stabilisation de la tension artérielle et retour à l’état de conscience, une TDM cervico-thoraco-abdominale a été demandée et a révélé la présence d'un pneumomédiastin important avec un discret pneumothorax droit postérieur et un pneumopéritoine important qui n'ont pas nécessité de drainage pleural. Deux jours après son admission, la patiente a expulsé un mort-né d'un poids de 1800 grammes avec forceps et sans efforts d'expulsions sous analgésie péridurale. Le contrôle radiologique à une semaine a noté une nette diminution de l'emphysème sous cutané et du pneumomédiastin. La patiente a quitté l'hôpital après dix jours. PMID:25838864

Treatment of Tardive Dyskinesia: A General Overview with Focus on the Vesicular Monoamine Transporter 2 Inhibitors.

PubMed

Niemann, Nicki; Jankovic, Joseph

2018-04-01

Tardive dyskinesia (TD) encompasses the spectrum of iatrogenic hyperkinetic movement disorders following exposure to dopamine receptor-blocking agents (DRBAs). Despite the advent of atypical or second- and third-generation antipsychotics with a presumably lower risk of complications, TD remains a persistent and challenging problem. Prevention is the first step in mitigating the risk of TD, but early recognition, gradual withdrawal of offending medications, and appropriate treatment are also critical. As TD is often a persistent and troublesome disorder, specific antidyskinetic therapies are often needed for symptomatic relief. The vesicular monoamine transporter 2 (VMAT2) inhibitors, which include tetrabenazine, deutetrabenazine, and valbenazine, are considered the treatment of choice for most patients with TD. Deutetrabenazine-a deuterated version of tetrabenazine-and valbenazine, the purified parent product of one of the main tetrabenazine metabolites, are novel VMAT2 inhibitors and the only drugs to receive approval from the US FDA for the treatment of TD. VMAT2 inhibitors deplete presynaptic dopamine and reduce involuntary movements in many hyperkinetic movement disorders, particularly TD, Huntington disease, and Tourette syndrome. The active metabolites of the VMAT2 inhibitors have high affinity for VMAT2 and minimal off-target binding. Compared with tetrabenazine, deutetrabenazine and valbenazine have pharmacokinetic advantages that translate into less frequent dosing and better tolerability. However, no head-to-head studies have compared the various VMAT2 inhibitors. One of the major advantages of VMAT2 inhibitors over DRBAs, which are still being used by some clinicians in the treatment of some hyperkinetic disorders, including TD, is that they are not associated with the development of TD. We also briefly discuss other treatment options for TD, including amantadine, clonazepam, Gingko biloba, zolpidem, botulinum toxin, and deep brain stimulation. Treatment

MSBIS: A Multi-Step Biomedical Informatics Screening Approach for Identifying Medications that Mitigate the Risks of Metoclopramide-Induced Tardive Dyskinesia.

PubMed

Xu, Dong; Ham, Alexandrea G; Tivis, Rickey D; Caylor, Matthew L; Tao, Aoxiang; Flynn, Steve T; Economen, Peter J; Dang, Hung K; Johnson, Royal W; Culbertson, Vaughn L

2017-12-01

In 2009 the U.S. Food and Drug Administration (FDA) placed a black box warning on metoclopramide (MCP) due to the increased risks and prevalence of tardive dyskinesia (TD). In this study, we developed a multi-step biomedical informatics screening (MSBIS) approach leveraging publicly available bioactivity and drug safety data to identify concomitant drugs that mitigate the risks of MCP-induced TD. MSBIS includes (1) TargetSearch (http://dxulab.org/software) bioinformatics scoring for drug anticholinergic activity using CHEMBL bioactivity data; (2) unadjusted odds ratio (UOR) scoring for indications of TD-mitigating effects using the FDA Adverse Event Reporting System (FAERS); (3) adjusted odds ratio (AOR) re-scoring by removing the effect of cofounding factors (age, gender, reporting year); (4) logistic regression (LR) coefficient scoring for confirming the best TD-mitigating drug candidates. Drugs with increasing TD protective potential and statistical significance were obtained at each screening step. Fentanyl is identified as the most promising drug against MCP-induced TD (coefficient: -2.68; p-value<0.01). The discovery is supported by clinical reports that patients fully recovered from MCP-induced TD after fentanyl-induced general anesthesia. Loperamide is identified as a potent mitigating drug against a broader range of drug-induced movement disorders through pharmacokinetic modifications. Using drug-induced TD as an example, we demonstrated that MSBIS is an efficient in silico tool for unknown drug-drug interaction detection, drug repurposing, and combination therapy design. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

Switching antipsychotic treatment to aripiprazole in psychotic patients with neuroleptic-induced tardive dyskinesia: a 24-week follow-up study.

PubMed

Chan, Chia-Hsiang; Chan, Hung-Yu; Chen, Yen-Ching

2018-05-01

Aripiprazole is a second-generation antipsychotics, acting as a partial dopamine D2 receptor agonist. Previous studies on aripiprazole for tardive dyskinesia (TD) treatment were limited and inconclusive. This study was aimed to examine the effectiveness of aripiprazole in psychotic patients with a pre-existing TD. This was an open-label 24-week prospective cohort study conducted in a public mental hospital in Northern Taiwan from January 2009 to February 2010. Psychotic patients were cross-titrated of prior antipsychotics with aripiprazole, and the severity of TD was assessed at baseline and at weeks 2, 4, 8, 12, 16, 20, and 24. The primary study outcome was the change of TD severity, assessed by Abnormal Involuntary Movement Scale (AIMS) total score. Responder was defined as the reduction of AIMS total scores of no less than 50% from baseline to the study endpoint (24 weeks). Thirty psychotic patients with neuroleptic-induced TD were recruited. The AIMS total scores significantly decreased from baseline to the study endpoint (-7.17±5.55). The significant decrease of AIMS total scores started at week 2 (P<0.0001), and the change remained significant throughout the entire study period (P<0.0001). A greater severity of TD (adjusted odds ratio: 1.35, 95% confidence interval: 1.04-1.76, P=0.03) or a lower severity of parkinsonism (adjusted odds ratio: 0.78, 95% confidence interval: 0.61-0.99, P=0.04) at baseline was significantly associated with treatment responders. Our findings implicated that aripiprazole can be a promising treatment for clinicians considering drug switch in psychotic patients with TD. Further large randomized, controlled trials are warranted to confirm our findings.

Methodes de caracterisation des proprietes thermomecaniques d'un acier martensitique =

NASA Astrophysics Data System (ADS)

Ausseil, Lucas

Le but de l'etude est de developper des methodes permettant de mesurer les proprietes thermomecaniques d'un acier martensitique lors de chauffe rapide. Ces donnees permettent d'alimenter les modeles d'elements finis existant avec des donnees experimentales. Pour cela, l'acier 4340 est utilise. Cet acier est notamment utilise dans les roues d'engrenage, il a des proprietes mecaniques tres interessantes. Il est possible de modifier ses proprietes grâce a des traitements thermiques. Le simulateur thermomecanique Gleeble 3800 est utilise. Il permet de tester theoriquement toutes les conditions presentes dans les procedes de fabrication. Avec les tests de dilatation realises dans ce projet, les temperatures exactes de changement de phases austenitiques et martensitiques sont obtenues. Des tests de traction ont aussi permis de deduire la limite d'elasticite du materiau dans le domaine austenitique allant de 850 °C a 1100 °C. L'effet des deformations sur la temperature de debut de transformation est montre qualitativement. Une simulation numerique est aussi realisee pour comprendre les phenomenes intervenant pendant les essais.

Le pronostic statural après une pseudo-puberté précoce par déficit en 11ß hydroxylase chez une fille de 7 ans: à propos d'un cas avec revue de la literature

PubMed Central

Latrech, Hanane; Gaouzi, Ahmed

2015-01-01

L'hyperplasie congénitale des surrénales par déficit en 11ß hydroxylase se voit dans 5 à 10% des cas et est diagnostiquée, habituellement, devant des signes de virilisation d'un nouveau né ou d'un fœtus 46 XX et plus tard devant une HTA avec une hypokaliémie. Le pronostic de taille chez ces patients est très souvent compromis. Nous rapportons le cas d'un déficit en 11ß hydroxylase chez une enfant âgée de 7 ans révélé par une pseudo- puberté précoce traitée par hydrocortisone. La survenue d'une puberté précoce centrale complique encore plus la situation par la mise en jeu du pronostic de taille finale et nécessitant une prise en charge thérapeutique particulière. PMID:26113905

Caracterisation environnementale des emissions atmospheriques d'une source fixe et creation d'un outil de gestion dynamique =

NASA Astrophysics Data System (ADS)

Fournier, Marie-Claude

Une caracterisation des emissions atmospheriques provenant des sources fixes en operation, alimentees au gaz et a l'huile legere, a ete conduite aux installations visees des sites no.1 et no.2. La caracterisation et les calculs theoriques des emissions atmospheriques aux installations des sites no.1 et no.2 presentent des resultats qui sont en dessous des valeurs reglementaires pour des conditions d'operation normales en periode hivernale et par consequent, a de plus fortes demandes energetiques. Ainsi, pour une demande energetique plus basse, le taux de contaminants dans les emissions atmospheriques pourrait egalement etre en dessous des reglementations municipales et provinciales en vigueur. Dans la perspective d'une nouvelle reglementation provinciale, dont les termes sont discutes depuis 2005, il serait souhaitable que le proprietaire des infrastructures visees participe aux echanges avec le Ministere du Developpement Durable, de l'Environnement et des Parcs (MDDEP) du Quebec. En effet, meme si le principe de droit acquis permettrait d'eviter d'etre assujetti a la nouvelle reglementation, l'application de ce type de principe ne s'inscrit pas dans ceux d'un developpement durable. L'âge avance des installations etudiees implique la planification d'un entretien rigoureux afin d'assurer les conditions optimales de combustion en fonction du type de combustible. Des tests de combustion sur une base reguliere sont donc recommandes. Afin de supporter le processus de suivi et d'evaluation de la performance environnementale des sources fixes, un outil d'aide a la gestion de l'information environnementale a ete developpe. Dans ce contexte, la poursuite du developpement d'un outil d'aide a la gestion de l'information environnementale faciliterait non seulement le travail des personnes affectees aux inventaires annuels mais egalement le processus de communication entre les differents acteurs concernes tant intra- qu'inter-etablissement. Cet outil serait egalement un bon

Diffusion thermique et de porteurs de courant au voisinage d'un joint de grain

NASA Astrophysics Data System (ADS)

Lepoutre, F.

1993-07-01

The photothermal methods (indirect detection of the temperature increase of a sample after absorption of a pulsed or modulated light beam) allow to measure the thermal and electronic diffusions that follow the optical absorption. We report the main applications of a photothermal microscope that we have built to provide informations about these diffusion phenomena at a micronic scale. Comparisons between the photothermal observations and microanalysis data associated with electronic microscopy have been achieved to get qualitative informations. In the case of a purely thermal diffusion this apparatus is able to detect the resistances which may appear at grain boundaries or inside the grains themselves. We present some interesting experimental features which seem to be closely related to the physical origins of these resistances (crystal orientation, dislocation, segregation, secondary phases, cracks). Using a theoretical model developed by other authors we also report quantitative values of the detected thermal resistances that we relate to macroscopic thermal diffusivities measurements of the inspected materials. When electronic carriers are photogenerated by the light excitation, the photothermal microscope can be used to follow the diffusion and the recombination of these carriers. A competition between plasma and heat diffusions is then observed. Such a competition is illustrated in the case of silicon bicristals containing metallic impurities. Les méthodes phototherrniques (détection indirecte de l'accroissement de température d'un échantillon après absorption d'un flux lumineux modulé ou pulsé de lumière) permettent d'étudier les diffusions thermique et électronique qui suivent l'absorption optique. Nous présentons dans cet article les principales applications d'un microscope photothermique que nous avons construit pour suivre les phénomènes de diffusion à l'échelle du micromètre. Des comparaisons entre les observations photothermiques et des r

Profil anatomopathologique du cancer du sein dans le cap bon tunisien

PubMed Central

Sahraoui, Ghada; Khanchel, Fatma; Chelbi, Emna

2017-01-01

Le cancer du sein est le cancer le plus fréquent de la femme en Tunisie et dans le monde. Dans le Cap Bon tunisien, les particularités anatomopathologiques de ce cancer n'ont pas été précisées auparavant. Leur connaissance est nécessaire pour l'adaptation des systèmes de prévention et de soins dans la région. Le but de notre étude était de déterminer le profil anatomopathologique des carcinomes mammaires dans l'unique laboratoire d'anatomie pathologique publique de la région. Il s'agissait d'une étude descriptive rétrospective des carcinomes mammaires diagnostiqués chez 116 malades dans notre laboratoire sur une période de 5 ans de Juillet 2010 à Juillet 2015. Notre étude a inclus 116 patientes. L'âge moyen était de 51 ans. La taille tumorale histologique moyenne était de 31 mm. Le diagnostic initial était posé sur pièce de tumorectomie dans 83% des cas. Le carcinome infiltrant de type non spécifique était le type histologique le plus fréquent. Le grade SBR III était majoritaire. L'invasion lympho-vasculaire était présente dans 33% des cas. Le curage axillaire était positif dans 72% des cas. Les récepteurs hormonaux étaient positifs dans 73% des cas. Les récepteurs de l'Her2-Neu étaient surexprimés dans 19% des cas. Le ki67 était ≥ 14% dans 38%. Le sous-type moléculaire le plus fréquent était le luminal A. Le carcinome mammaire dans la région du Cap Bon se caractérise par sa survenue à un âge jeune, son importante taille tumorale et la fréquence de facteurs histopronostiques péjoratifs. PMID:28450990

Implantation des sites de soins communautaires en République Démocratique du Congo: consécration d'un double standard dans l'accès aux soins

PubMed Central

Dunia, Gisèle Mawazo Binti

2013-01-01

Depuis 2005, la République Démocratique du Congo a amorcé l'implantation des sites de soins communautaires. Cette stratégie a pour objectif de rapprocher les services de santé des populations éloignées. Bien que cela parte d'une bonne intention, elle résulte, à notre sens, en une consécration d'un système de santé à deux vitesses. En effet, les populations vivant en ville ont accès à des soins prestés par des agents de santé formés alors que celles vivant en milieu rural reculé ont pour prestataires de soins des relais communautaires. Cette situation marginalise encore plus des populations dont la situation géographique est déjà préoccupante. Pourtant, la population est prête à parcourir des kilomètres en échange d'un service qu'elle estime de qualité. PMID:23785563

[Tardive dyskinesia induced by classical antipsychotic drugs: a Tunisian sample of schizophrenics].

PubMed

Sejil, I; Oumaya, A; Bouguerra, C; Mehdi, F; Bellaaj, R; Gallali, S

2013-05-01

The term tardive dyskinesia (TD) is used to describe abnormal movement, primarily associated with typical antipsychotic drugs, which are used to treat psychotic states such as schizophrenia. TD is characterised by repetitive involuntary purposeless muscle contractions that force parts of the body into abnormal, and sometimes painful, movements or postures. These movements are involuntary and are difficult or impossible to control. TD usually begins with the face, mouth, lips and tongue, and includes grimacing, lip-smacking, tongue movements and rapid blinking. It may also involve the rest of the body and produce involuntary gestures, tics and writhing movements. TD is severe physically and socially disabling. Schizophrenia is thought to be the psychiatric diagnosis the most frequently associated with TD. The purpose of this article is to study the characteristics of TD in a Tunisian sample of 157 schizophrenics. A variety of demographic and clinical information was obtained by a questionnaire. Diagnoses of schizophrenia and TD were determined by using DSM-VI-R criteria. TD was assessed using the Abnormal Involuntary Movements Scale (AIMS). The average age in this sample was 37 ± 6 years. The intermediate duration of evolution of the disease was 8 ± 3 years with a medium full number of hospitalizations of 4 ± 3. We found 58% of the paranoid sub-type. The intermediate duration of exposure to classical neuroleptics was 7 ± 3 years. The average of daily neuroleptic amount was 572.9 ± 145.3 equivalent milligrams of chlorpromazine. Extended release antipsychotics were used in 64.3% of cases, with fluphenazine deaconate in 90% and haloperidol deaconate in 10%. Anticholinergics were used by 74.5% of patients, with use of biperidene in 96% of cases. Therapeutic observance was good in 89.2% of patients. The prevalence of TD was an estimated 35%. The average of AIMS score was 17 ± 9, with a minimal score of 3 and a maximal one of 34. The distribution of patients

Malformations congénitales à Lubumbashi (République Démocratique du Congo): à propos de 72 cas observés et plaidoyer en faveur du développement d'un Registre National des Malformations Congénitales et d'un Centre National de Référence de Génétique Humaine

PubMed Central

Lubala, Toni Kasole; Shongo, Mick Yapongombo; Munkana, Arthur Ndundula; Mutombo, Augustin Mulangu; Mbuyi, Sébastien Musanzayi; wa Momat, Félix Kitenge

2012-01-01

En République Démocratique du Congo, les malformations congénitales constituent un véritable problème de santé publique. En effet, elles relancent le débat sur les effets de l'intensification de l'activité minière sur la santé de la reproduction. De 2009 à 2010, nous avons calculé une prévalence de 5.84 pour 1000 naissances. Les malformations du système nerveux central étaient les plus fréquentes (2.029 pour 1000) suivies des malformations des membres (1.055 pour 1000), et des fentes oro-faciales (0.811 pour 1000). Ces données sont certainement largement sous-estimées et les causes y relatives en République Démocratique du Congo ne sont ni surveillées, ni prévenues dans le cadre d'une politique gouvernementale. La mise en place d'un registre national et d'un centre national de génétique humaine de référence pourrait constituer un cadre rigoureux, organisé et structuré de surveillance et de prévention des malformations congénitales. PMID:23396951

Determining Whether a Definitive Causal Relationship Exists Between Aripiprazole and Tardive Dyskinesia and/or Dystonia in Patients With Major Depressive Disorder, Part 2: Preclinical and Early Phase Human Proof of Concept Studies.

PubMed

Macaluso, Matthew; Flynn, Alexandra; Preskorn, Sheldon

2016-01-01

This series of columns has 3 main goals: (1) to explain class warnings as used by the United States Food and Drug Administration, (2) to increase awareness of movement disorders that may occur in patients treated with antipsychotic medications, and (3) to understand why clinicians should refrain from immediately assuming a diagnosis of tardive dyskinesia/dystonia (TD) in patients treated with antipsychotics. The first column in this series began with the case of a 76-year-old man with major depressive disorder who developed orofacial dyskinesias while being treated with aripiprazole as an antidepressant augmentation strategy. It was alleged that a higher than intended dose of aripiprazole (ie, 20 mg/d for 2 wk followed by 10 mg/d for 4 wk instead of the intended dose of 2 mg/d) was the cause of the dyskinetic movements in this man, and the authors were asked to review the case and give their opinion. The principal basis for this theory of causation was the class warning about TD in the package insert for aripiprazole. The rationale for concluding aripiprazole caused TD in the 76-year-old man led to this series of columns about aripiprazole, its potential--if any--to cause TD, and the presence of a class warning about TD in its package insert. The central point is to illustrate why class warnings exist and their implications for practice. The first column in this series focused on the historical background, incidence, prevalence, risk factors, and clinical presentations of tardive and spontaneous dyskinesias and concluded with a discussion of diagnostic considerations explaining why clinicians should avoid making a diagnosis of TD until a thorough differential diagnosis has been considered. This second column in the series reviews the pharmacology of aripiprazole and the preclinical and phase I translational human studies that suggest aripiprazole should have a low to nonexistent risk of causing TD compared with other antipsychotics. The third column in the series

Envenimation scorpionique compliqué d'un accident vasculaire cérébral ischemique

PubMed Central

Bibiche, Youssef; Berdai, Adnan; Labib, Smael; Harandou, Mustapha

2015-01-01

Les piqûres de scorpion sont dans un certain nombre de pays, un accident fréquemment rencontré, et un risque grave. Au Maroc, les données épidémiologiques établies par le centre anti-poison (CAPM) montrent que les piqûres scorpioniques se placent en tête de toutes les intoxications relevées par le centre (60%). Les envenimations scorpioniques posent un grand problème de santé publique. L'apparition de signes neurologiques lors d'une envenimation scorpionique témoigne d'une envenimation grave et correspond au stade III de l’échelle de sévérité. Nous rapportons le cas d'une envenimation scorpionique compliqué d'un Accident vasculaire cérébral ischémique (AVCI) chez un enfant. PMID:26175806

Gamma-aminobutyric acid agonists for antipsychotic-induced tardive dyskinesia.

PubMed

Alabed, Samer; Latifeh, Youssef; Mohammad, Husam Aldeen; Bergman, Hanna

2018-04-17

Chronic antipsychotic drug treatment may cause tardive dyskinesia (TD), a long-term movement disorder. Gamma-aminobutyric acid (GABA) agonist drugs, which have intense sedative properties and may exacerbate psychotic symptoms, have been used to treat TD. 1. Primary objectiveThe primary objective was to determine whether using non-benzodiazepine GABA agonist drugs for at least six weeks was clinically effective for the treatment of antipsychotic-induced TD in people with schizophrenia, schizoaffective disorder or other chronic mental illnesses.2. Secondary objectivesThe secondary objectives were as follows.To examine whether any improvement occurred with short periods of intervention (less than six weeks) and, if this did occur, whether this effect was maintained at longer periods of follow-up.To examine whether there was a differential effect between the various compounds.To test the hypothesis that GABA agonist drugs are most effective for a younger age group (less than 40 years old). We searched the Cochrane Schizophrenia Group Trials Register (last searched April 2017), inspected references of all identified studies for further trials, and, when necessary, contacted authors of trials for additional information. We included randomised controlled trials of non-benzodiazepine GABA agonist drugs in people with antipsychotic-induced TD and schizophrenia or other chronic mental illness. Two review authors independently selected and critically appraised studies, extracted and analysed data on an intention-to-treat basis. Where possible and appropriate we calculated risk ratios (RRs) and their 95% confidence intervals (CIs). For continuous data we calculated mean differences (MD). We assumed that people who left early had no improvement. We contacted investigators to obtain missing information. We assessed risk of bias for included studies and created a 'Summary of findings' table using GRADE. We included 11 studies that randomised 343 people. Overall, the risk of bias

Determining Whether a Definitive Causal Relationship Exists Between Aripiprazole and Tardive Dyskinesia and/or Dystonia in Patients With Major Depressive Disorder, Part 4: Case Report Data.

PubMed

Macaluso, Matthew; Flynn, Alexandra; Preskorn, Sheldon

2016-05-01

This series of columns has 3 main goals: (1) to explain class warnings as used by the United States Food and Drug Administration, (2) to increase awareness of movement disorders that may occur in patients treated with antipsychotic medications, and (3) to understand why clinicians should refrain from immediately assuming a diagnosis of tardive dyskinesia/dystonia (TD) in patients who develop abnormal movements during treatment with antipsychotics. The first column in the series presented a patient who developed abnormal movements while being treated with aripiprazole as an augmentation strategy for major depressive disorder and reviewed data concerning the historical background, incidence, prevalence, and risk factors for tardive and spontaneous dyskinesias, the clinical presentations of which closely resemble each other. The second column in the series reviewed the unique mechanism of action of aripiprazole and reviewed preclinical studies and an early-phase human translational study that suggest a low, if not absent, risk of TD with aripiprazole. The third column in this series reviewed the registration trial data for aripiprazole across all of its indications and found a raw incidence of TD ranging from 0.004 (4 out of 987) in long-term studies of the drug as an augmentation strategy for major depressive disorder to 0.0016 (19 out of 11,897) based on all short-term (ie, weeks to <6 mo) and long-term (6 mo to 1 y) studies combined. This fourth column in the series reviews the "real-world" data on aripiprazole and assesses whether these data also support the conclusion that aripiprazole has a low to absent risk of causing TD. The "real-world" data consist of case reports from the medical literature and the United States Food and Drug Administration Adverse Event Reporting System (FAERS). We found 37 cases in the medical literature reporting what was termed TD in association with aripiprazole treatment as well as 27 case reports suggesting improvement in

Lung-MAP Launches: First Precision Medicine Trial From National Clinical Trials Network

Cancer.gov

A unique public-private collaboration today announced the initiation of the Lung Cancer Master Protocol (Lung-MAP) trial, a multi-drug, multi-arm, biomarker-driven clinical trial for patients with advanced squamous cell lung cancer. Squamous cell carcinom

NiP black: vers l'utilisation d'un traitement plus noir que noir contre la lumière parasite

NASA Astrophysics Data System (ADS)

Mazuray, L.; Petilon, JF.

2017-11-01

Le NiP black est un alliage de Nickel-Phosphore poreux présentant un coefficient d'absorption exceptionnel de 0.998, permettant un gain en diffusion d'un facteur 10 à 20 par rapport à la meilleure des peintures noires utilisée sur les baffles et montures des instruments d'optique. L'industrialisation de ce procédé fait l'objet d'une collaboration entre le CNES, SODERN et MMS afin de répondre au mieux aux exigences des différents instruments spatiaux. Le faible niveau de diffusion des baffles et des montures des instruments optiques est un élément clé d'un faible niveau de lumière parasite et par voie de conséquence, des performances en détection, imagerie et d'analyse. Les essais réalisés en 98 et 99 sur des visières de senseurs solaires haute précision implantés sur les plate-formes telecom MMS ont confirmé les excellentes performances du senseur obtenues grâce à ce traitement. NiP Black s'incrit dans une démarche générale MMS d'amélioration des performances en lumière parasite des instruments optiques. Il est proposé de présenter le NiP Black et les performances réalisées sur des visières de senseurs implantés sur les plate-formes MMS, ainsi que son potentiel à venir.

Adaptogenic activity of a novel, withanolide-free aqueous fraction from the roots of Withania somnifera Dun.

PubMed

Singh, B; Saxena, A K; Chandan, B K; Gupta, D K; Bhutani, K K; Anand, K K

2001-06-01

The practitioners of the traditional Indian system of medicine regard Withania somnifera Dun. as the 'Indian ginseng'. A new withanolide-free aqueous fraction was isolated from the roots of this plant and was evaluated for putative antistress activity against a battery of tests such as hypoxia time, antifatigue effect, swimming performance time, swimming induced gastric ulceration and hypothermia, immobilization induced gastric ulceration, autoanalgesia and biochemical changes in the adrenal glands. This bioactive fraction exhibited significant antistress activity in a dose-related manner in all the parameters studied. The extract of Withania somnifera root (a commercial preparation available locally) was used to compare the results. A preliminary acute toxicity study in mice showed a good margin of safety. Copyright 2001 John Wiley & Sons, Ltd.

Resting-state Brain Activity Changes Associated with Tardive Dyskinesia in Patients with Schizophrenia: Fractional Amplitude of Low-frequency Fluctuation Decreased in the Occipital Lobe.

PubMed

Zhang, Ping; Li, Yanli; Fan, Fengmei; Li, Chiang-Shan R; Luo, Xingguang; Yang, Fude; Yao, Yin; Tan, Yunlong

2018-06-19

We explored resting-state brain activity and its potential links to clinical parameters in schizophrenic patients with tardive dyskinesia (TD) using fractional amplitude of low-frequency fluctuations (fALFF). Resting-state functional magnetic resonance imaging data were acquired from 32 schizophrenic patients with TD (TD group), 31 without TD (NTD group), and 32 healthy controls (HC group). Clinical parameters including psychopathological symptoms, severity of TD, and cognitive function were assessed using the Positive and Negative Syndrome Scale, Abnormal Involuntary Movement Scale (AIMS), and Repeatable Battery for the Assessment of Neuropsychological Status, respectively. Pearson correlation analyses were performed to determine the relationship between the regions with altered fALFF values and clinical parameters in TD patients. The TD group showed decreased fALFF in the left middle occipital gyrus (MOG) and the right calcarine sulcus (CAL) compared to the HC group, and decreased fALFF in the left cuneus compared to the NTD group. In the TD group, fALFF values in the left MOG and the right CAL were correlated separately with the delayed memory score (r = 0.44, p = 0.027; r = 0.43, p = 0.028, respectively). The AIMS total score was negatively correlated to the visuospatial/constructional score (r = -0.53, p = 0.005). Our findings suggested that resting-state brain activity changes were associated with TD in schizophrenic patients. There was an association between the decreased brain activity in the occipital lobe and the delayed memory cognition impairment in this population. Copyright © 2018 IBRO. Published by Elsevier Ltd. All rights reserved.

Pseudo-HELLP syndrome par carence en folates et/ou en vitamine B12: à propos d'un cas

PubMed Central

Benali, Mechaal; Bouassida, Mahdi; Dhouib, Firas; Bouzeidi, Kaled

2014-01-01

Plusieurs pathologies médicales peuvent interférer avec la grossesse et mimer le tableau biologique de HELLP syndrome. L’évolution naturelle de ce syndrome est d'une particulière gravité pour la mère et le fœtus, il convient d’éliminer rapidement les autres diagnostics afin d’éviter une extraction fœtale prématurée injustifiée. Nous rapportons le cas d'une parturiente qui s'est présentée avec un tableau évocateur d'un HELLP syndrome, rapporté finalement à une carence en folates et en vitamine B12. PMID:25404961

Determining Whether a Definitive Causal Relationship Exists Between Aripiprazole and Tardive Dyskinesia and/or Dystonia in Patients With Major Depressive Disorder, Part 3: Clinical Trial Data.

PubMed

Preskorn, Sheldon H; Macaluso, Matthew

2016-03-01

This series of columns has 3 main goals: (1) to explain class warnings as used by the United States Food and Drug Administration, (2) to increase awareness of movement disorders that may occur in patients treated with antipsychotic medications, and (3) to understand why clinicians should refrain from immediately assuming a diagnosis of tardive dyskinesia/dystonia (TD) in patients who develop abnormal movements during treatment with antipsychotics. The first column in the series presented a patient who developed abnormal movements while being treated with aripiprazole as an augmentation strategy for major depressive disorder (MDD) and reviewed data concerning the historical background, incidence, prevalence, and risk factors for tardive and spontaneous dyskinesias, the clinical presentations of which closely resemble each other. The second column in the series reviewed the unique mechanism of action of aripiprazole and preclinical studies and an early-phase human translational study that suggest a low, if not absent, risk of TD with aripiprazole. This column reviews clinical trial data to assess whether those data support the conclusion that aripiprazole has a low to absent risk of causing TD when used as an augmentation strategy to treat MDD. To date, no randomized, placebo-controlled trials have established a definitive link between exposure to aripiprazole and TD in patients with MDD. One long-term, open-label, safety trial examined aripiprazole as an augmentation strategy in individuals with MDD and found a rare occurrence (4/987, 0.4%, the confidence interval of which overlaps with zero) of an adverse event termed TD. In all 4 cases, the observed movements resolved within weeks of aripiprazole discontinuation, suggesting that they were either amenable to treatment or represented an acute syndrome rather than TD. No cases of TD were reported in the registration trials for the MDD indication for aripiprazole. These data were presented in a pooled analysis of

Tics and other stereotyped movements as side effects of pharmacological treatment.

PubMed

Madruga-Garrido, Marcos; Mir, Pablo

2013-01-01

Tics and other stereotyped abnormal movements can be seen as adverse effects of some pharmacologic drugs. Among these drugs, antipsychotics may provoke tardive syndromes after a chronic exposure, primarily in the case of typical antipsychotics. These syndromes include tardive tics, tardive dyskinesia, or tardive akathisia, which present with tics or stereotyped movements as a clinical phenomenon. Psychostimulants (mainly methylphenidate) have traditionally been associated with the appearance of tics due to the increased dopamine activity caused by stimulants. Nevertheless, in recent years, several studies have concluded not only that methylphenidate does not exacerbate or reactivate tics but also that tics can improve with its use in patients with associated attention deficit and hyperactivity disorder and tic disorder. Antiepileptic drugs, although infrequently, can also induce tics, with carbamazepine and lamotrigine described as tic inducers. Other antiepileptics, including levetiracetam and topiramate, have been proposed as a potential treatment for tic disorders due to a positive effect on tics, especially in those with associated epileptic disorder. Clinical and therapeutic approaches to tics and stereotyped movements after exposure to antipsychotics, stimulants, and antiepileptic drugs will be reviewed in this chapter. © 2013 Elsevier Inc. All rights reserved.

New findings in pharmacogenetics of schizophrenia.

PubMed

Zai, Clement C; Tiwari, Arun K; Zai, Gwyneth C; Maes, Miriam S; Kennedy, James L

2018-05-01

This review highlights recent advances in the investigation of genetic factors for antipsychotic response and side effects. Antipsychotics prescribed to treat psychotic symptoms are variable in efficacy and propensity for causing side effects. The major side effects include tardive dyskinesia, antipsychotic-induced weight gain (AIWG), and clozapine-induced agranulocytosis (CIA). Several promising associations of polymorphisms in genes including HSPG2, CNR1, and DPP6 with tardive dyskinesia have been reported. In particular, a functional genetic polymorphism in SLC18A2, which is a target of recently approved tardive dyskinesia medication valbenazine, was associated with tardive dyskinesia. Similarly, several consistent findings primarily from genes modulating energy homeostasis have also been reported (e.g. MC4R, HTR2C). CIA has been consistently associated with polymorphisms in the HLA genes (HLA-DQB1 and HLA-B). The association findings between glutamate system genes and antipsychotic response require additional replications. The findings to date are promising and provide us a better understanding of the development of side effects and response to antipsychotics. However, more comprehensive investigations in large, well characterized samples will bring us closer to clinically actionable findings.

Tardive dyskinesia

MedlinePlus

... as levodopa Antiseizure drugs such as phenobarbital and phenytoin Symptoms Symptoms of TD may include: Facial grimacing ... ncbi.nlm.nih.gov/pubmed/23897874 . Jankovic J. Parkinson disease and other movement disorders. In: Daroff RB, ...

Tardive Dyskinesia

MedlinePlus

... Search form Sorry, we didn't find an account with that username and password. Please try again. Close Sign In to myNAMI signin form Forgot Sign In Create an Account Logging in... Learn More Find Support Get Involved ...

Tardive Dyskinesia

MedlinePlus

... Supplements Peer Review Process Review Committees Application Support Library Clinical Research Next Steps Pre-Funding: After Review Terms of ... Supplements Peer Review Process Review Committees Application Support Library Clinical Research Next Steps Pre-Funding: After Review Terms of ...

Efficacy of Valbenazine (NBI-98854) in Treating Subjects with Tardive Dyskinesia and Mood Disorder.

PubMed

Correll, Christoph U; Josiassen, Richard C; Liang, Grace S; Burke, Joshua; O'Brien, Christopher F

2017-08-01

Valbenazine (VBZ, NBI-98854) is a novel vesicular monoamine transporter 2 (VMAT2) inhibitor approved for the treatment of tardive dyskinesia (TD). The KINECT 3 study (NCT02274558) evaluated the effects of VBZ on TD in subjects with mood disorder or schizophrenia/schizoaffective disorder (SCHZ, presented separately) who received up to 48 weeks of treatment. KINECT 3 included: 6-week, double-blind, placebo (PBO)-controlled (DBPC) period (205 completers); 42-week VBZ extension (VE) period (124 completers); 4-week washout period (121 completers). Subjects entering the DBPC were randomized 1:1:1 to once-daily VBZ 80 mg, VBZ 40 mg, or PBO; stable concomitant antipsychotic medication regimens were allowed. Subjects completing the DBPC and entering the VE period were re-randomized (blinded) from PBO to VBZ (80 or 40 mg) or continued VBZ treatment at the same dose. Efficacy assessments included: mean changes from baseline in Abnormal Involuntary Movement Scale (AIMS) total score (items 1-7); mean Clinical Global Impression of Change (CGI-TD) scores; AIMS responders (subjects with ≥50% score reduction from baseline); and CGI-TD responders (subjects with score ≤2 ["much improved" or "very much improved"]). Treatment effect sizes (Cohen's d) and numbers needed to treat (NNTs) were analyzed for DBPC outcomes. Efficacy analyses were conducted in 77 subjects (DBPC) and 73 subjects (VE) with a mood disorder. At Week 6 (end of DBPC), AIMS mean score improvements were greater in the VBZ groups (in a dose-related pattern) than in the PBO group (80 mg, -3.6, d = 0.94; 40 mg, -2.4, d = 0.55; PBO, -0.7). AIMS mean score changes at Week 48 (end of VE) showed continued TD improvement during long-term VBZ treatment (80 mg, -5.8; 40 mg, -4.2). By Week 52 (end of washout), AIMS mean scores in both dose groups were returning toward baseline levels, indicating re-emergence of TD. CGI-TD scores showed a similar pattern: Week 6 (80 mg, 2.7, d = 0.64; 40 mg, 2.9, d = 0.39; PBO, 3.2), Week 48

SA17. Response to Treatment With Valbenazine (NBI-98854) in Subjects With Tardive Dyskinesia

PubMed Central

Kane, John; Josiassen, Richard; Burke, Joshua; Jimenez, Roland; Siegert, Scott; Liang, Grace

2017-01-01

Abstract Background: Tardive dyskinesia (TD) is a persistent and potentially disabling movement disorder resulting from exposure to dopamine receptor-blocking agents (DRBAs), such as antipsychotics. Valbenazine is a novel and highly selective vesicular monoamine transporter 2 (VMAT2) inhibitor that is being evaluated for the treatment of TD and other movement disorders. Clinical studies include a Phase 3 trial of valbenazine in adults who had TD and underlying schizophrenia/schizoaffective disorder or mood disorder (KINECT 3; NCT02274558). The primary end point of this trial was met as demonstrated by a significant difference between valbenazine 80 mg/day and placebo for the Abnormal Involuntary Movement Scale (AIMS) dyskinesia total score (Items 1–7) change from baseline. Additional analyses of AIMS data from this trial were conducted to assess treatment response in subjects with TD. Methods: In this 6-week, double-blind, placebo-controlled trial, subjects were randomized 1:1:1 to once-daily treatment with valbenazine 80 mg, valbenazine 40 mg, or placebo. Treatment response was defined as ≥50% reduction in the AIMS total score. AIMS responders were analyzed by study visit (Weeks 2, 4, and 6) in the intent-to-treat (ITT) population and in subgroups categorized by underlying psychiatric diagnosis (schizophrenia/schizoaffective disorder or mood disorder). Numbers needed to treat (NNTs) were calculated for AIMS responders (valbenazine vs placebo) at Week 6. Significance testing was not conducted in the subgroups. Results: At Week 6 in the ITT population (N = 225), AIMS responder rates were significantly higher with valbenazine than with placebo: 80 mg, 40.0% (P < .0001; NNT = 4); 40 mg, 23.8% (P = .0200; NNT=7); placebo, 8.7%. Treatment with valbenazine 80 mg versus placebo also resulted in significantly higher responder rates at Week 2 (23.4% vs 5.3%, P = .0016) and Week 4 (28.8% vs 9.7%, P = 0.0039). Subjects treated with valbenazine 40�

Mucocèle appendiculaire: à propos d'un cas observé à Lubumbashi

PubMed Central

Wakunga, Eric; Mukuku, Olivier; Bugeme, Marcellin; Tshiband, Moïse; Kipili, Audifax; Mobambo, Pitchou; Arung, Willy; Wakunga, Warach

2014-01-01

La mucocèle appendiculaire est une entité pathologique rare, mais potentiellement dangereuse, elle se présente sous différentes formes cliniques. Nous rapportons ici un cas d'une patiente âgée de 49 ans sans antécédents chirurgicaux chez qui nous avons découvert d'une façon fortuite cette affection. La clinique était celle d'un syndrome appendiculaire aigu patent et elle révélait une masse dans la fosse iliaque droite. Les examens de laboratoire ont montré une hyperleucocytose et une vitesse de sédimentation augmentée. L’échographie a démontré une masse kystique péricaecal. La patiente a subi une appendicectomie avec cæcectomie partielle et la pièce opératoire appendiculaire mesurait 153 mm de longueur et 64 mm de diamètre. L'analyse anatomopathologique de celle-ci a confirmé le diagnostic de mucocèle appendiculaire sans cellules de malignité. Les suites opératoires ont été simples et la patiente est sortie au cinquième jour postopératoire. PMID:25368725

Application d'une technique de modelisation aerodynamique conceptuelle sur la simulation d'un pilote automatique a commande optimale pour un avion d'affaires

NASA Astrophysics Data System (ADS)

Pollender-Moreau, Olivier

Ce document présente, dans le cadre d'un contexte conceptuel, une méthode d'enchaînement servant à faire le lien entre les différentes étapes qui permettent de réaliser la simulation d'un aéronef à partir de ses données géométriques et de ses propriétés massiques. En utilisant le cas de l'avion d'affaires Hawker 800XP de la compagnie Hawker Beechcraft, on démontre, via des données, un processus de traitement par lots et une plate-forme de simulation, comment (1) modéliser la géométrie d'un aéronef en plusieurs surfaces, (2) calculer les forces aérodynamiques selon une technique connue sous le nom de Vortex Lattice Method, (3) construire un modèle de vol servant à la simulation des aéronefs pour leur enveloppe de vol en ajoutant des fonctions supplémentaires, (4) construire un modèle de turbosoufflante simplifié, (5) développer un algorithme d'équilibre (trim) du mouvement longitudinal, (6) développer des algorithmes de contrôle à commande moderne, (7) développer certaines fonctions d'un système de pilotage automatique, et (8) rassembler le tout sous une même plate-forme de simulation. Afin de supporter ce travail, une application publique Matlab, connue sous le nom de Tornado, est utilisée conjointement avec d'autres fonctions pour la conception du modèle de vol aérodynamique. D'ailleurs, il sera démontré que le modèle de vol, quoiqu'il soit quand même crédible, ne concorde pas tout à fait avec les données de référence. Par contre, puisque le modèle des moteurs fonctionne bien, que l'algorithme d'équilibrage du mouvement longitudinal fonctionne bien et que les pôles des systèmes dynamiques concordent avec la littérature, les tests dynamiques effectués au sein de la plate-forme de simulation permettent d'obtenir des résultats fonctionnels et crédibles. D'ailleurs, deux systèmes d'augmentation de la stabilité basés sur la méthode de contrôle moderne LQR et couvrant l

Receptors for luteinizing hormone-releasing hormone (LHRH) in Dunning R3327 prostate cancers and rat anterior pituitaries after treatment with a sustained delivery system of LHRH antagonist SB-75.

PubMed

Srkalovic, G; Bokser, L; Radulovic, S; Korkut, E; Schally, A V

1990-12-01

Membrane receptors for LHRH were evaluated in Dunning R3327 prostate cancers and rat anterior pituitaries. The receptors were characterized both in untreated animals and after in vivo treatment with microcapsules of the agonist D-Trp6-LHRH and a sustained delivery system releasing different doses (23.8, 47.6, 71.4 micrograms/day) of LHRH antagonist [Ac-D-Nal(2)1-D-Phe(4Cl)2-D-Pal(3)3,D-Cit6, D-Ala10]-LHRH (SB-75). The therapy, which lasted 8 weeks, strongly inhibited tumor growth. A group of normal Sprague-Dawley male rats was also treated for 6 weeks with microcapsules of SB-75 releasing 25 micrograms/day. In the Dunning tumors from the control group, ligand [125I, D-Trp6]-LHRH was bound to two classes of binding sites [dissociation constant, class a (Kda) = 1.01 +/- 0.30 x 10(-9) M; Kdb = 1.71 +/- 0.41 x 10(-6) M; maximal binding capacity of receptors, class a (Bmaxa) = 48.66 +/- 22.13 fmol/mg of protein; Bmaxb = 92.10 +/- 29.40 pmol/mg of protein] in both kinetic and equilibrium studies. Treatment with D-Trp6-LHRH produced down-regulation of membrane receptors for LHRH in Dunning tumors. Microcapsules of SB-75 resulted in dose-dependent up-regulation of binding sites for LHRH in Dunning tumors. Analysis of the binding data showed that interaction of labeled D-Trp6-LHRH with binding sites in anterior pituitaries was consistent with the presence of a single class of noncooperative receptors (Kd = 43.75 x 10(-9) M; Bmax = 5.25 pmol/mg membrane proteins). Prolonged treatment with microcapsules of D-Trp6-LHRH reduced both Bmax and Kd. Lower doses of SB-75 (23.8 and 47.6 micrograms/day) produced up-regulation, whereas the highest dose (71.4 micrograms/day) resulted in down-regulation of binding sites for LHRH in rat pituitaries. In normal Sprague-Dawley rats, treatment with microcapsules of SB-75 (25 micrograms/day) for 6 weeks produced a slight increase in the number of available binding sites (Bmax = 2.35 +/- 0.82 pmol/mg membrane protein) and a moderate decrease in

Efficacy of Valbenazine (NBI-98854) in Treating Subjects with Tardive Dyskinesia and Mood Disorder

PubMed Central

Correll, Christoph U.; Josiassen, Richard C.; Liang, Grace S.; Burke, Joshua; O’Brien, Christopher F.

2017-01-01

Background Valbenazine (VBZ, NBI-98854) is a novel vesicular monoamine transporter 2 (VMAT2) inhibitor approved for the treatment of tardive dyskinesia (TD). The KINECT 3 study (NCT02274558) evaluated the effects of VBZ on TD in subjects with mood disorder or schizophrenia/schizoaffective disorder (SCHZ, presented separately) who received up to 48 weeks of treatment. Methods KINECT 3 included: 6-week, double-blind, placebo (PBO)-controlled (DBPC) period (205 completers); 42-week VBZ extension (VE) period (124 completers); 4-week washout period (121 completers). Subjects entering the DBPC were randomized 1:1:1 to once-daily VBZ 80 mg, VBZ 40 mg, or PBO; stable concomitant antipsychotic medication regimens were allowed. Subjects completing the DBPC and entering the VE period were re-randomized (blinded) from PBO to VBZ (80 or 40 mg) or continued VBZ treatment at the same dose. Efficacy assessments included: mean changes from baseline in Abnormal Involuntary Movement Scale (AIMS) total score (items 1–7); mean Clinical Global Impression of Change (CGI-TD) scores; AIMS responders (subjects with ≥50% score reduction from baseline); and CGI-TD responders (subjects with score ≤2 [“much improved” or “very much improved”]). Treatment effect sizes (Cohen’s d) and numbers needed to treat (NNTs) were analyzed for DBPC outcomes. Results Efficacy analyses were conducted in 77 subjects (DBPC) and 73 subjects (VE) with a mood disorder. At Week 6 (end of DBPC), AIMS mean score improvements were greater in the VBZ groups (in a dose-related pattern) than in the PBO group (80 mg, -3.6, d = 0.94; 40 mg, -2.4, d = 0.55; PBO, -0.7). AIMS mean score changes at Week 48 (end of VE) showed continued TD improvement during long-term VBZ treatment (80 mg, -5.8; 40 mg, -4.2). By Week 52 (end of washout), AIMS mean scores in both dose groups were returning toward baseline levels, indicating re-emergence of TD. CGI-TD scores showed a similar pattern: Week 6 (80 mg, 2.7, d = 0.64; 40

Conception d'un outil d'aide a la decision de technologies de fabrication additive en milieu aeronautique

NASA Astrophysics Data System (ADS)

Buvat, Gael

La fabrication additive offre une opportunite d'amelioration des methodes de productions de pieces. Cependant, les technologies de fabrication additive sont diverses, les fournisseurs de services sont multiples et peu de personnel est forme pour operer sur ces technologies. L'objectif de cette etude est d'emettre une suggestion de concepts d'outils d'aide a la decision de technologies, de materiaux et de post-traitements de fabrication additive en milieu aeronautique. Trois sous-objectifs sont employes. Premierement, la definition des criteres de decision de technologies, de materiaux et de post-traitements de fabrication additive. Ensuite, l'elaboration d'un cahier des charges de l'outil d'aide a la decision en accord avec les besoins industriels du secteur aeronautique. Et enfin, la suggestion de trois concepts d'outils d'aide a la decision et leur evaluation par comparaison au cahier des charges etabli. Les criteres captures aupres de 11 industriels concernent des criteres de couts, de qualite, de conception et de delai d'obtention. Ensuite, nous avons elabore un cahier des charges permettant de reunir les besoins des industriels du secteur aeronautique selon trois axes qui constituent la colonne vertebrale des outils d'aide a la decision : une suggestion d'interface utilisateur, une suggestion de bases de donnees et un moteur de selection des technologies, des materiaux et des post-traitements de fabrication additive. La convivialite de l'interface utilisateur, l'evaluation de la qualite souhaitee par l'utilisateur et la prise en compte des etudes de cas realisees par le moteur de selection sont exemples de besoins que nous avons identifie au sein de cette etude. Nous avons ensuite transcrit ces besoins en specifications techniques pour permettre une evaluation du niveau de satisfaction des industriels au travers d'un pointage des trois concepts suggeres. Ces trois concepts d'outils d'aide a la decision ont ete realises respectivement grâce a Microsoft Excel

Deanol acetamidobenzoate treatment in choreiform movement disorders.

PubMed

Tarsy, D; Bralower, M

1977-12-01

Deanol acetamidobenzoate was administered in double-blind, crossover fashion with placebo to five patients with tardive dyskinesia, three patients with Huntington's chorea, and one patient with posthemiplegic chorea. No significant effect on dyskinesia was observed. Preliminary administration of physostigmine salicylate to patients with tardive dyskinesia had a variable effect, while benztropine mesylate produced no change. Since the status of deanol as an effective precursor of acetylcholine is uncertain, further trials with putative cholinergic agents remain warranted in choreiform syndromes.

Acute Cervical Dystonia Induced by Clebopride.

PubMed

Choi, Jin Kyo; Hong, Jin Yong

2017-01-01

Antidopaminergic drugs are known to induce extrapyramidal symptoms. Clebopride, a dopamine antagonist, also can produce parkinsonism, tardive dyskinesia, tardive dystonia, hemifacial dystonia, or oculogyric crisis; however, acute dystonic reaction caused by clebopride has not been reported in adults. We report two young men who experienced acute cervical dystonia within a few days of taking clebopride. The patients recovered after discontinuation of the drug. Physicians prescribing clebopride should be aware of the adverse effects of this drug.

Acute Cervical Dystonia Induced by Clebopride

PubMed Central

2017-01-01

Antidopaminergic drugs are known to induce extrapyramidal symptoms. Clebopride, a dopamine antagonist, also can produce parkinsonism, tardive dyskinesia, tardive dystonia, hemifacial dystonia, or oculogyric crisis; however, acute dystonic reaction caused by clebopride has not been reported in adults. We report two young men who experienced acute cervical dystonia within a few days of taking clebopride. The patients recovered after discontinuation of the drug. Physicians prescribing clebopride should be aware of the adverse effects of this drug. PMID:29333306

Fistules carotido-caverneuses post-traumatiques à propos d'un cas et revue de la littérature

PubMed Central

Oumellal, Jamal; Bekaert, Olivier; Gallas, Sophie; Leguerinel, Caroline; Palfi, Stéphane; Derkaoui, Fahd; Fatemi, Nizar El; Gana, Rachid; Elmaquili, Moulay Rachid; Elabbadi, Najia

2015-01-01

Les auteurs rapportent une observation clinique d'une fistule carotidocaverneuse survenue à la suite d'un traumatisme craniofaciale grave. Une exophtalmie unilatérale pulsatile et asymétrie des 2 sinus caverneux au scanner ont permis de suspecter le diagnostic. Une artériographie a permis de confirmer ce diagnostic, avec embolisation couronnée de succès chez ce malade, mais l’évolution est défavorable sur le plan neurologique avec apparition d'une HTIC réfractaire au traitement médical maximal. La fistule carotido-caverneuse est une complication rare mais grave pouvant engager le pronostic fonctionnel (cécité) et vital (hémorragie méningée et intracérébrale).L'artériographie et l'embolisation en un seul temps ont considérablement amélioré le pronostic. PMID:26587139

Persistance de la veine cave supérieure gauche: à propos d'un cas

PubMed Central

Abidi, Kamel; Jellouli, Manel; Hammi, Yousra; Gargah, Tahar

2015-01-01

La persistance de la veine cave supérieure gauche (PVCSG) est une malformation congénitale rare et bénigne. Elle est souvent asymptomatique et sa découverte est dans la majorité des cas fortuite. Nous rapportons le cas d'un enfant chez lequel on découvre cette anomalie suite à une perte de connaissance. S.M, âgé de 9 ans, sans antécédents pathologiques notables, admis pour perte de connaissance de durée brève, sans mouvements anormaux toniques ou cloniques. L'examen physique à son admission est normal. L’électrocardiogramme est sans anomalies. La radiographie du thorax a montré un arc moyen gauche en double contour. Le Holter rythmique a montré des signes d'hyperréactivité vagale. L’échocardiographie trans-thoracique (ETT) a mis en évidence une dilatation nette du sinus coronaire et a éliminé la présence d'une cardiopathie. Une angio- IRM cardiaque a confirmé le diagnostic de PVCSG. Par ailleurs l'aorte thoracique a été normale dans ces différents segments. PMID:26664537

Etude vibroacoustique d'un systeme coque-plancher-cavite avec application a un fuselage simplifie

NASA Astrophysics Data System (ADS)

Missaoui, Jemai

L'objectif de ce travail est de developper des modeles semi-analytiques pour etudier le comportement structural, acoustique et vibro-acoustique d'un systeme coque-plancher-cavite. La connection entre la coque et le plancher est assuree en utilisant le concept de rigidite artificielle. Ce concept de modelisation flexible facilite le choix des fonctions de decomposition du mouvement de chaque sous-structure. Les resultats issus de cette etude vont permettre la comprehension des phenomenes physiques de base rencontres dans une structure d'avion. Une approche integro-modale est developpee pour calculer les caracteristiques modales acoustiques. Elle utilise une discretisation de la cavite irreguliere en sous-cavites acoustiques dont les bases de developpement sont connues a priori. Cette approche, a caractere physique, presente l'avantage d'etre efficace et precise. La validite de celle-ci a ete demontree en utilisant des resultats disponibles dans la litterature. Un modele vibro-acoustique est developpe dans un but d'analyser et de comprendre les effets structuraux et acoustiques du plancher dans la configuration. La validite des resultats, en termes de resonance et de fonction de transfert, est verifiee a l'aide des mesures experimentales realisees au laboratoire.

Proposition d'un modèle expérimental pour la caractérisation de la réponse mécanique d'un composite (tissu de verre / résine époxyde)

NASA Astrophysics Data System (ADS)

Naceri, A.; Vautrin, A.

2005-05-01

L'objet de cet article est de proposer une géométrie d'éprouvette pour la caractérisation de la réponse mécanique d'un composite constitué de 12 plis de tissus de fibres de verre noyé dans une résine époxyde. Des essais de traction uniaxiale en rampe monotone réalisés sur différentes configurations géométriques d'éprouvettes avec différentes vitesses d'essais et le calcul numérique par éléments finis de la répartition des contraintes dans la zone centrale du modèle expérimental proposé, nous ont permis de justifier le choix d'une éprouvette profilée avec un rayon de 1000 mm qui présente une section réduite au centre et pour laquelle la rupture survient dans la zone centrale sans chute notable des caractéristiques mécaniques ultimes par rapport à l'éprouvette de forme parallélépipédique.

Lupus érythémateux systémique à début pédiatrique: à propos d'un cas

PubMed Central

Khlif, Sana; Hachicha, Hend; Frikha, Faten; Feki, Sawsan; Ben Ayed, Mourad; Bahloul, Zouhir; Masmoudi, Hatem

2015-01-01

Le lupus érythémateux systémique (LES) est une maladie systémique auto-immune d’étiologie inconnue qui touche essentiellement les femmes à l’âge adulte. Le lupus pédiatrique est une entité rare. Nous rapportons une nouvelle observation. Il s'agissait d'un nourrisson âgé de 7 mois qui présentait des lésions cutanées purpuriques, une polyarthrite fébrile. Le bilan immunologique était positif (AAN et anti-ADN). Une amélioration clinique et biologique a été notée sous corticothérapie générale avec une récidive lors de la dégression du traitement. PMID:26015845

L'ethique de l'environnement comme dimension transversale de l'education en sciences et en technologies: Proposition d'un modele educationnel

NASA Astrophysics Data System (ADS)

Chavez, Milagros

Cette these presente la trajectoire et les resultats d'une recherche dont l'objectif global est de developper un modele educationnel integrant l'ethique de l'environnement comme dimension transversale de l'education en sciences et en technologies. Face au paradigme positiviste toujours dominant dans l'enseignement des sciences, il a semble utile d'ouvrir un espace de reflexion et de proposer, sous forme d'un modele formel, une orientation pedagogique qui soit plus en resonance avec quelques-unes des preoccupations fondamentales de notre epoque: en particulier celle qui concerne la relation de humain avec son environnement et plus specifiquement, le role de la science dans le faconnement d'une telle relation, par sa contribution a la transformation des conditions de vie, au point de compromettre les equilibres naturels. En fonction de cette problematique generale, les objectifs de la recherche sont les suivants: (1) definir les elements paradigmatiques, theoriques et axiologiques du modele educationnel a construire et (2) definir ses composantes strategiques. De caractere theorico-speculatif, cette recherche a adopte la demarche de l'anasynthese, en la situant dans la perspective critique de la recherche en education. Le cadre theorique de cette these s'est construit autour de quatre concepts pivots: modele educationnel, education en sciences et en technologies, transversalite educative et ethique de l'environnement. Ces concepts ont ete clarifies a partir d'un corpus textuel, puis, sur cette base, des choix theoriques ont ete faits, a partir desquels un prototype du modele a ete elabore. Ce prototype a ensuite ete soumis a une double validation (par des experts et par une mise a l'essai), dans le but d'y apporter des ameliorations et, a partir de la, de construire un modele optimal. Ce dernier comporte deux dimensions: theorico-axiologique et strategique. La premiere s'appuie sur une conception de l'education en sciences et en technologies comme appropriation d'un

Aspects technologiques d'un alternateur synchrone entièrement supraconducteur de 18 kVA

NASA Astrophysics Data System (ADS)

Védrine, P.; Brunet, Y.; Tixador, P.; Bonnet, P.; Laumond, Y.; Sabrié, J. L.

1991-02-01

Taking advantage of the recent development of low loss a.c. superconducting conductors, the realization of a fully superconducting generator is now possible. In collaboration with GEC-ALSTHOM we have first, in the CRTBT-LEG lab, defined the main characteristics of the machine and the technological problems induced by the use of superconducting wires both at the armature and the field windings. We have now constructed the first fully superconducting generator with separated cryostats, for the stator and rotor windings. Le faible niveau de pertes en régime alternatif obtenu dans des brins multifilamentaires NbTi produits par GEC-ALSTHOM, a permis à partir de 1984 d'envisager la réalisation d'un alternateur synchrone dont les deux enroulements, inducteur et induit, seraient supraconducteurs. Le travail entrepris au CRTBT-LEG en collaboration avec GEC-ALSTHOM a eu pour objectif de définir les caractéristiques de la machine, d'identifier puis de résoudre les problèmes technologiques liés aux conditions d'utilisation de ces supraconducteurs, afin de réaliser maintenant, le premier alternateur entièrement supraconducteur à axe horizontal avec des cryostats statorique et rotorique séparés.

La forme pseudo tumorale de la tuberculose primitive du nasopharynx: à propos de deux nouvelles observations et revue de la littérature

PubMed Central

Touati, Mohammed; Aljalil, Abdelfettah; Chihani, Mehdi; Bouchentouf, Rachid; Bouaity, Brahim; Ammar, Haddou

2013-01-01

La tuberculose primitive du nasopharynx est rare, nous présentons deux observations révélées par un aspect pseudo tumoral et à travers lesquelles nous soulevons le problème de diagnostic différentiel avec les lésions malignes du nasopharynx. La première observation concerne un jeune patient de 22 ans hospitalisé pour obstruction nasale bilatérale évoluant dans un contexte d'apyrexie et de conservation de l’état général. La nasofibrosopie et le scanner ont monté un processus tumoral évoquant une hypertrophie des végétations adénoïdes. Le deuxième cas est celui d'un homme de 45 ans tabagique chronique qui a présenté une adénopathie latérocervicale droite, une obstruction nasale et une otite séromuqueuse homolatérale. La nasophibroscopie et le scanner on montré un bourgeon tumoral postéro latéral droit du nasopharynx évoquant un carcinome nasopharyngé. Les biopsies du nasopharynx et les études histologiques, chez les deux patients, ont confirmé le diagnostic de tuberculose. La recherche d'autres localisations était négative. Le pronostic était favorable après 6 mois de traitement antibacillaire. La tuberculose primitive du cavum est rare, elle revêt le plus souvent des formes pseudotumorales et pose des problèmes de diagnostic différentiel avec les tumeurs nasopharyngées, son pronostic sous traitement antibacillaire est. PMID:23565310

Efficacy of Valbenazine (NBI-98854) in Treating Subjects with Tardive Dyskinesia and Schizophrenia or Schizoaffective Disorder

PubMed Central

Kane, John M.; Correll, Christoph U.; Liang, Grace S.; Burke, Joshua; O’Brien, Christopher F.

2017-01-01

Background Valbenazine (VBZ, NBI-98854) is a novel vesicular monoamine transporter 2 (VMAT2) inhibitor approved for the treatment of tardive dyskinesia (TD). The KINECT 3 study (NCT02274558) evaluated the effects of VBZ on TD in subjects with schizophrenia/schizoaffective disorder (SCHZ) or mood disorder (mood disorder presented separately) who received up to 48 weeks of treatment. Methods KINECT 3 included: 6-week, double-blind, placebo (PBO)-controlled (DBPC) period (205 completers); 42-week VBZ extension (VE) period (124 completers): 4-week washout period (121 completers). Subjects entering the DBPC were randomized 1:1:1 to once-daily VBZ 80 mg, VBZ 40 mg, or PBO; stable concomitant antipsychotic medication regimens were allowed. Subjects completing the DBPC and entering the VE period were re-randomized (blinded) 1:1 from PBO to VBZ (80 or 40 mg) or continued VBZ treatment at the same dose. Efficacy assessments included: mean changes from baseline in Abnormal Involuntary Movement Scale (AIMS) total score (items 1–7); mean Clinical Global Impression of Change (CGI-TD) scores; AIMS responders (subjects with ≥50% score reduction from baseline): and CGI-TD responders (subjects with score ≤2 [“much improved” or “very much improved”]). Treatment effect sizes (Cohen’s d) and numbers needed to treat (NNTs) were analyzed for DBPC outcomes. Results Efficacy analyses were conducted in 148 subjects (DBPC) and 125 subjects (VE) with SCHZ. At Week 6 (end of DBPC), AIMS mean score improvements were greater in the VBZ groups (in a dose-related pattern) than in the PBO group (80 mg, -2.9, d = 0.88; 40 mg, -1.6, d = 0.52; PBO, +0.3). AIMS score changes at Week 48 (end of VE) showed continued TD improvement during long-term VBZ treatment (80 mg, -4.2; 40 mg, -2.5). By Week 52 (end of washout), AIMS scores were returning toward baseline levels, indicating re-emergence of TD. CGI-TD mean scores were as follows: Week 6 (80 mg, 3.0, d = 0.11; 40 mg, 2.9, d = 0.23; PBO

Efficacy of Valbenazine (NBI-98854) in Treating Subjects with Tardive Dyskinesia and Schizophrenia or Schizoaffective Disorder.

PubMed

Kane, John M; Correll, Christoph U; Liang, Grace S; Burke, Joshua; O'Brien, Christopher F

2017-08-01

Valbenazine (VBZ, NBI-98854) is a novel vesicular monoamine transporter 2 (VMAT2) inhibitor approved for the treatment of tardive dyskinesia (TD). The KINECT 3 study (NCT02274558) evaluated the effects of VBZ on TD in subjects with schizophrenia/schizoaffective disorder (SCHZ) or mood disorder (mood disorder presented separately) who received up to 48 weeks of treatment. KINECT 3 included: 6-week, double-blind, placebo (PBO)-controlled (DBPC) period (205 completers); 42-week VBZ extension (VE) period (124 completers): 4-week washout period (121 completers). Subjects entering the DBPC were randomized 1:1:1 to once-daily VBZ 80 mg, VBZ 40 mg, or PBO; stable concomitant antipsychotic medication regimens were allowed. Subjects completing the DBPC and entering the VE period were re-randomized (blinded) 1:1 from PBO to VBZ (80 or 40 mg) or continued VBZ treatment at the same dose. Efficacy assessments included: mean changes from baseline in Abnormal Involuntary Movement Scale (AIMS) total score (items 1-7); mean Clinical Global Impression of Change (CGI-TD) scores; AIMS responders (subjects with ≥50% score reduction from baseline): and CGI-TD responders (subjects with score ≤2 ["much improved" or "very much improved"]). Treatment effect sizes (Cohen's d) and numbers needed to treat (NNTs) were analyzed for DBPC outcomes. Efficacy analyses were conducted in 148 subjects (DBPC) and 125 subjects (VE) with SCHZ. At Week 6 (end of DBPC), AIMS mean score improvements were greater in the VBZ groups (in a dose-related pattern) than in the PBO group (80 mg, -2.9, d = 0.88; 40 mg, -1.6, d = 0.52; PBO, +0.3). AIMS score changes at Week 48 (end of VE) showed continued TD improvement during long-term VBZ treatment (80 mg, -4.2; 40 mg, -2.5). By Week 52 (end of washout), AIMS scores were returning toward baseline levels, indicating re-emergence of TD. CGI-TD mean scores were as follows: Week 6 (80 mg, 3.0, d = 0.11; 40 mg, 2.9, d = 0.23; PBO, 3.2), Week 48 (80 mg, 2.2; 40 mg, 2

Ulcere de Marjolin: complication redoutable des sequelles de brûlures

PubMed Central

Ouahbi, S.; Droussi, H.; Boukind, S.; Dlimi, M.; Elatiqi, O.K.; Elamrani, M.D.; Benchamkha, Y.; Ettalbi, S.

2013-01-01

Summary L’ulcère de Marjolin désigne la transformation maligne d’une cicatrice de brûlure ou de toute autre plaie ou ulcération chronique. Le type histologique prédominant reste le carcinome épidermoïde, et il est caractérisé par son agressivité locale, des métastases plus fréquentes, un risque de récurrence et une mortalité plus importante que les carcinomes épidermoïdes classiques. Notre travail est une étude rétrospective portant sur 21 cas d’ulcère de Marjolin, colligés au service de chirurgie plastique du CHU Mohammed VI de Marrakech, avec pour but de relever les aspects épidémiologiques, thérapeutiques et évolutifs de cette pathologie. L’amélioration du pronostic nécessite non seulement un diagnostic et un traitement précoce, mais surtout une attitude préventive qui consiste en des greffes cutanées précoces et des soins réguliers de toute cicatrice de brûlure. PMID:24799850

Étude spectrale d'un micro-plasma d'implosion X-pinch

NASA Astrophysics Data System (ADS)

Aranchuk, L. E.

2006-12-01

Le pincement magnétique de type X-pinch permet de réaliser un micro-plasma chaud et dense bien positionné dans l'espace qui présente une applicabilité pour la radiographie X d'objets peu denses de petite taille. Une batterie de diagnostics ayant tous une résolution spectrale a été installée autour d'un X-pinch alimenté par un banc de condensateurs rapide. Les résultats présentés portent sur la taille de la source intégrée en temps, sur la durée d'impulsion et sur le spectre d'émission X. Des exemples de radiographie confortent la détermination de la taille. Des spectres à haute résolution spectrale intégrés en temps (1 à 3 keV) montrent que les ions multichargés présents dans le plasma (Al hydrogénoïde et héliumoïde, Cu et Mo néonoïdes) sont les mêmes que dans les X-pinches alimentés par des générateurs pulsés bien plus puissants. Une spectroscopie large bande à haute résolution temporelle, basée sur des détecteurs innovants, a permis de mettre en évidence une émission dure sub-nanoseconde et de chiffrer la puissance spectrale instantanée et l'énergie X émise entre 20eV et 8keV. La puissance maximale peut dépasser 1GW pendant 0,4-0,7ns. La source émet 10 à 30J pendant 100-150ns en dessous de 400eV.

Diagnostics différentiels d'images d'hypofixations sur une scintigraphie du squelette: à propos d'un cas de leucémie aigue lymphoblastique

PubMed Central

Bahadi, Nisrine; Biyi, Abdelhamid; Oueriagli, Salah Nabih; Doudouh, Abderrahim

2016-01-01

Si les hyperfixations sont la traduction scintigraphique habituelle de nombreuses pathologies osseuses, les hypofixations sont un événement rare et suscitent souvent analyse minutieuse afin d’éviter des interprétations erronés. Nous rapportons ici l'observation d'un adolescent de 17 ans admis pour douleurs osseuses diffuses, une hypercalcémie et une thrombopénie. La scintigraphie du squelette a montré des foyers d'hypofixations. L’étude de la moelle osseuse a conclu au diagnostic de leucémie aigue lymphoblastique. A travers ce cas clinique, nous discutons les principaux diagnostics différentiels soulevés par de telles anomalies scintigraphiques. PMID:27642484

Autre cause de mort subite du nourrisson: à propos d'un cas clinique de syndrome du QT long congenital

PubMed Central

Seka, Zena; Mols, Pierre; Gobin, Eric; Ngatchou, William

2014-01-01

Le syndrome du QT long congénital est une maladie rythmique liée à une mutation génétique et caractérisée par un espace QT allongé sur l’électrocardiogramme, des arythmies malignes type torsade de pointe et fibrillation ventriculaire entraînant une mort subite. Les gènes impliqués dans ces mutations codent pour des sous unités des canaux ioniques responsables de l'activité électrique cardiaque. Le diagnostic est basé sur l’électrocardiogramme, une enquête familiale et l’étude génétique. Le traitement repose sur les bêtabloquants, la sympathectomie et le stimulateur cardiaque. Nous rapportons le cas d'un nourrisson de 2 ans retrouvé en état de mort apparente. Nous discutons de sa prise en charge initiale, de l'enquête familiale et de son suivi ultérieur. PMID:25667708

Rupture utérine sur utérus bicorne à 12 semaines d'aménorrhée: à propos d'un cas

PubMed Central

Itchimouh, Sanaa; Khabtou, Karima; Mahdaoui, Sakher; Boufettal, Houssine; Samouh, Naima

2016-01-01

La fréquence des malformations utérines ayant un impact sur la reproduction est difficile à apprécier. Leur mise en évidence nécessite un bilan spécifique (hystérosalpingographie, hystéroscopie, cœlioscopie). La fertilité spontanée peut être altérée en fonction du type d'anomalie utérine. Toutes ces anomalies peuvent avoir des répercussions sur l’évolution de la conception à type de fausses couches précoces et tardives, de grossesse extra utérine, de menace d'accouchement prématuré, d'accouchement prématuré, de pathologies vasculaires gravidiques et de retard de croissance intra-utérin. L'utérus bicorne est la plus connue des malformations et représente environ la moitié des anomalies de l'utérus. La survenue d'une telle grossesse constitue une situation à risque pouvant entraîner une mort maternelle, mais le diagnostic précoce et un bon suivi peut mener des grossesses à terme sur des utérus malformé. Le dépistage échographique devrait permettre la détection systématique de ce genre de cas afin de prendre préventivement les mesures qui s'imposent. Nous rapportons un cas de rupture utérine sur utérus bicorne unicervical sur grossesse à 12 semaines d'aménorrhée. PMID:27642490

Caractérisation aérodynamique d'un rotor éolien en site naturel

NASA Astrophysics Data System (ADS)

Fabre, B.; Coudeville, H.

1991-03-01

The C_p/V_s curve (aerodynamic power coefficient versus tip-speed ratio) may be obtained in the field, therefore with different windspeeds, and to varying rotor speed, whithout selection of measures by steady state criterion. Experimentation is made on a small windmill with a straight blades Darrieus turbine and an eddy current converter. It allows us to display the conditions for a satisfying characterisation. So, the histogram of tip-speed ratio's instantaneous values must be as flat as it is possible, this on both sides of the tip-speed ratio's value for which the power coefficient is maximum. La courbe du coefficient de puissance aérodynamique (C_p) en fonction de la vitesse spécifique (V_s) peut être obtenue en champ libre, à vitesse de rotation variable et sans sélection des mesures par des critères de stabilité. L'expérimentation sur un système éolien composé d'un rotor Darrieus à pales droites associé à un convertisseur mécano-thermique nous a permis de mettre en évidence les conditions d'une caractérisation correcte. Notamment, l'histogramme des valeurs instantanées, acquises et traitées, de la vitesse spécifique doit être le plus plat possibie sur une large zone de part et d'autre de la valeur donnant le coefficient de puissance maximal.

Anomalie d’émergence radiculaire par racine conjointe S1: à propos d'un cas

PubMed Central

Kessely, Yannick Canton; Sakho, Maguette Gaye; Fondo, Alidji; Daisy, Akerey Diop; Thiam, Aley; Sakho, Youssoupha

2015-01-01

De découverte per-opératoire pour hernie discale, les anomalies d’émergence radiculaires constituent une entité rare. La présentation clinique est généralement identique à celle d'une radiculopathie. Nous rapportons le cas d'un patient âgé de 35 ans présentant une sciatique droite S1 hyperalgique rebelle aux multiples médications. L'IRM du rachis lombo-sacré avait mis en évidence une discopathie protrusive de petit volume en L5 S1 droite et un aspect de grosse racine ou de kyste de Tarlov au niveau de l’émergence droite de S1. Une fenestration inter lamaire L5-S1 droite avec une ablation du ligament jaune a montré une émergence radiculaire double au niveau de l'espace retro-discal. Un geste de foraminostomie a été réalisé sans discectomie. L’évolution a très favorable avec une rétrocession dès le lendemain. L'analyse pré-opératoire fine et rigoureuse de l'imagerie est indispensable. Une bonne libération améliore l’état clinique du patient. Y penser en cas de sciatique hyperalgique sans Lasègue. PMID:26113909

Traitements didactiques preventifs d'un type de conceptions erronees en sciences physiques chez des eleves du secondaire

NASA Astrophysics Data System (ADS)

Blondin, Andre

Dans un contexte constructiviste, les connaissances anterieures d'un individu sont essentielles a la construction de nouvelles connaissances. Quelle qu'en soit la source (certaines de ces connaissances ont ete elaborees en classe, d'autres ont ete elaborees par interaction personnelle de l'individu avec son environnement physique et social), ces connaissances, une fois acquises, constituent les matieres premieres de l'elaboration des nouvelles conceptions de cet individu. Generalement, cette influence est consideree comme positive. Cependant, dans un milieu scolaire ou l'apprentissage de certaines conceptions enchassees dans un programme d'etudes et enterinees par l'ensemble d'une communaute est obligatoire, certaines connaissances anterieures peuvent entraver la construction des conceptions exigees par la communaute. La litterature abonde de tels exemples. Cependant, certaines connaissances anterieures, en soi tout a fait conformes a l'Heritage, peuvent aussi, parce qu'utilisees de facon non pertinente, entraver la construction d'une conception exigee par la communaute. Ici, la litterature nous donne peu d'exemples de ce type, mais nous en fournirons quelques-uns dans le cadre theorique, et ce sera un d'entre eux qui servira de base a nos propos. En effet, une grande proportion d'eleves inscrits a un cours de sciences physiques de la quatrieme secondaire, en reponse a un probleme deja solutionne durant l'annee et redonne lors d'un examen sommatif, "Pourquoi la Lune nous montre-t-elle toujours la meme face?", attribue principalement la cause de ce phenomene a la rotation de la Terre sur son axe. En tant que responsable de l'enseignement de ce programme d'etudes, plusieurs questions nous sont venues a l'esprit, entre autres, comment, dans un contexte constructiviste, est-il possible de reduire chez un eleve, l'impact de cette connaissance anterieure dans l'elaboration de la solution et ainsi prevenir la construction d'une conception erronee? Nous avons teste nos

Torsion d'annexe en cours de grossesse: à propos d'un cas à l'Hôpital Central de Yaoundé, Cameroun

PubMed Central

Fouedjio, Jeanne Hortence; Fouogue, Jovanny Tsuala; Fouelifack, Florent Ymele; Nangue, Charlette; Sando, Zacharie; Enow Mbu, Robinson

2014-01-01

Les kystes ovariens sont dans la majorité des cas asymptomatiques et peuvent être de découverte fortuite lors d'une échographie. Ils ne deviennent symptomatiques que lorsque survient une complication. Nous présentons un cas de torsion d'annexe gauche diagnostiqué à 8 semaines et 4 jours de grossesse. Nous avons réalisé une annexectomie Suivie de l'administration de progestérone retard à la dose 500 mg par jour. L'évolution a été marquée par la survenue d'un avortement au cinquième jour post opératoire. L'analyse anatomopathologique de la masse chirurgicale a conclu à une apoplexie ovarienne. L'ablation chirurgicale du corps jaune au premier trimestre de la grossesse pose le problème du maintien de celle - ci et devrait être présente à l'esprit des praticiens avant toute chirurgie pelvienne pendant cette période. PMID:24932350

Nicotine Reduces Antipsychotic-Induced Orofacial Dyskinesia in Rats

PubMed Central

Bordia, Tanuja; McIntosh, J. Michael

2012-01-01

Antipsychotics are an important class of drugs for the management of schizophrenia and other psychotic disorders. They act by blocking dopamine receptors; however, because these receptors are present throughout the brain, prolonged antipsychotic use also leads to serious side effects. These include tardive dyskinesia, repetitive abnormal involuntary movements of the face and limbs for which there is little treatment. In this study, we investigated whether nicotine administration could reduce tardive dyskinesia because nicotine attenuates other drug-induced abnormal movements. We used a well established model of tardive dyskinesia in which rats injected with the commonly used antipsychotic haloperidol develop vacuous chewing movements (VCMs) that resemble human orofacial dyskinesias. Rats were first administered nicotine (minipump; 2 mg/kg per day). Two weeks later, they were given haloperidol (1 mg/kg s.c.) once daily. Nicotine treatment reduced haloperidol-induced VCMs by ∼20% after 5 weeks, with a significant ∼60% decline after 13 weeks. There was no worsening of haloperidol-induced catalepsy. To understand the molecular basis for this improvement, we measured the striatal dopamine transporter and nicotinic acetylcholine receptors (nAChRs). Both haloperidol and nicotine treatment decreased the transporter and α6β2* nAChRs (the asterisk indicates the possible presence of other nicotinic subunits in the receptor complex) when given alone, with no further decline with combined drug treatment. By contrast, nicotine alone increased, while haloperidol reduced α4β2* nAChRs in both vehicle and haloperidol-treated rats. These data suggest that molecular mechanisms other than those directly linked to the transporter and nAChRs underlie the nicotine-mediated improvement in haloperidol-induced VCMs in rats. The present results are the first to suggest that nicotine may be useful for improving the tardive dyskinesia associated with antipsychotic use. PMID:22144565

HIFU and Chemotherapy Synergistic Inhibitory Effect on Dunning AT2 Tumour-Bearing Rats

NASA Astrophysics Data System (ADS)

Curiel, Laura; Paparel, Philipe; Chesnais, Sabrina; Gelet, Albert; Chapelon, Jean-Yves

2005-03-01

Since there is no 100% satisfactory treatment for localized prostate cancer in patients presenting symptoms representing a poor prognosis (stage T3, high Gleason score, PSA level greater than 15 ng/ml, etc.), this study aimed to evaluate the therapeutic and synergistic inhibition effects of using High Intensity Focused Ultrasound (HIFU) in combination with chemotherapy (Taxane + Estramustine). Forty-one Dunning AT2 tumour-bearing Copenhagen rats receiving HIFU and/or chemotherapy were divided into four groups: control group; chemotherapy group; HIFU group; and HIFU-chemotherapy combined group. Increase in the tumour volume was observed over 3 weeks and the tumour volume doubling time was evaluated. Growth curves for each group were then plotted and statistically evaluated. HIFU treatment combined with Taxane + Estramusine was found to have a significant synergistic effect; on day 30, the distribution of tumour volume relative to the treatment group was significantly different (p = 0.0007). The control group volumes were significantly greater than those of the chemotherapy-only (p = 0.006) or HIFU-only group (p = 0.006). The greatest difference was observed between the chemotherapy plus HIFU combined group and the control group. Additionally, tumour-doubling times were 7.7 days for the control group, 13.2 days for the HIFU-only group, and 31.2 days for the chemotherapy plus HIFU group. The differences in tumour growth rates between the chemotherapy plus HIFU combined group and a chemotherapy-only + HIFU-only grouping was 3.8% (p = 0.0020). Thus, the combined chemotherapy plus HIFU treatment was clearly more effective in reducing the tumour size than HIFU only or chemotherapy only, which indicates a synergy between the two types of treatment. Our results suggest that this combined therapy could be useful for the treatment of high-risk prostate cancer.

Cancer du sein au Cameroun, profil histo-épidémiologique: à propos de 3044 cas

PubMed Central

Engbang, Jean Paul Ndamba; Essome, Henri; Koh, Valère Mve; Simo, Godefroy; Essam, Jean Daniel Sime; Mouelle, Albert Sone; Essame, Jean Louis Oyono

2015-01-01

Décrire les caractéristiques épidémiologiques et histo-pathologiques des tumeurs malignes du sein au Cameroun. Il s'agissait d'une étude rétrospective descriptive portant sur les tumeurs malignes du sein, colligées, dans les registres des différents laboratoires d'Anatomie Pathologique publiques et privés repartis dans cinq régions (centre, littoral, Ouest, Nord-ouest, Sud-ouest), pendant une période de 10 ans (2004-2013). Les paramètres étudiés étaient la fréquence, l’âge, le sexe, la localisation, le type et le grade histologique, et les récepteurs hormonaux. Un total de 3044 cas de cancers du sein a été recensé, soit une fréquence annuelle de 304,4 cas en moyenne. Le sexe féminin était le plus représenté avec 2971 cas (97,60%) et les hommes avec 73 cas (2,40%), soit un sexe ratio (H/F) de 0,02. L’âge moyen des patients était de 46±15,87 ans, avec des extrêmes de 13 et 95 ans. Selon la localisation, le sein gauche était atteint dans 1244 cas (52%) et le sein droit dans 1115 cas (47%). Au plan histologique, on retrouvait essentiellement des carcinomes avec 96,50% des cas, des sarcomes 1,39%, des lymphomes 1,07% et la maladie de Paget du mamelon, 1,03%. Les tumeurs épithéliales étaient infiltrantes dans 2049 cas (84,46%), avec une prédominance du carcinome canalaire infiltrant (1870 cas) et non infiltrantes dans 377 cas (15,54%). Le grade histo-pronostic de SBR avait révélé une prédominance du grade II dans 66% des cas. Les cancers du sein restent une pathologie fréquente au Cameroun et atteignent principalement la population féminine en âge de procréer. Ils sont caractérisés par la prédominance du carcinome canalaire infiltrant. PMID:26523182

Reflux gastro œsophagiens du prématuré: à propos d'un cas

PubMed Central

Ndour, Daouda

2016-01-01

Le reflux gastro-œsophagien (RGO) est un problème fréquent en néonatologie. Le RGO est souvent incriminé dans diverses manifestations cliniques survenant chez le prématuré. Diverses réponses reflexes physiologiques fournissent un lien biologique possible entre le reflux gastro-œsophagien; l'apnée et les bradycardies du prématuré sans que lien de causalité ne soit clairement établi. En outre les explorations et le traitement proposés chez le prématuré présentant un reflux sont très discutés. Nous rapportons le cas d'un nouveau-né prématuré admis en soins intensifs néonatals et présentant des épisodes d'apnées et de bradycardies. L'examen clinique et les résultats des explorations étaient normaux. Le diagnostic de reflux gastro œsophagien compliqué d'apnée et de bradycardie a été retenu. Le diagnostic de RGO est difficile à confirmer malgré l'arsenal des examens complémentaires. Le traitement médicamenteux n'a pas montré de réel intérêt pour l'amélioration des symptômes et devrait être réservé aux formes sévères. Nous nous proposons à partir de ce cas clinique de faire une revue de la littérature pour une mise au point sur les différents aspects du problème. PMID:28293359

Pharmaceutical Approval Update.

PubMed

Kaufman, Michele B

2017-09-01

Sarilumab (Kevzara) for moderately to severely active rheumatoid arthritis; valbenazine (Ingrezza), the first approval for tardive dyskinesia; and cerliponase alpha (Brineura) for late infantile neuronal ceroid lipofuscinosis type-2 disease.

Schwannome benin primitif retrovesical: une tumeur très rare à propos d'un cas

PubMed Central

Beddouche, Ali; Fahsi, Othemane; Kallat, Adil; El Bote, Hicham; Ziani, Idriss; El Sayegh, Hachem; Iken, Ali; Benslimane, Lounis; Nouini, Yassine

2016-01-01

Le schwannome est une tumeur le plus souvent bénigne, d'origine nerveuse se développant à partir des cellules de la gaine de Schwann. C'est une tumeur très rare tant par sa fréquence que par sa localisation rétrovésicale. L'examen anatomopathologique et immunohistochimique confirme le type histologique ainsi que le caractère bénin ou malin du schwannome. En raison des récidives, et du risque de transformation maligne, l'exérèse doit être complète. Nous rapportons le cas d'un patient âgé de 39 ans, admis pour une douleur pelvienne chronique à type de pesanteur, des signes irritatifs du bas appareil urinaire, et des troubles de transit. L'imagerie (échographie, TDM, IRM) a révélé la présence d'une masse pelvienne rétrovésicale, à paroi fine, latéralisée à gauche, mesurant 68x70x70 mm, exerçant un effet de masse sur la vessie et le sigmoïde. L'intervention chirurgicale menée par une laparotomie médiane a permis l'exérèse d'une masse retrovésicale bien encapsulée. L'examen anatomopathologique et immunohistochimique ont conclu à un schwannome bénin. La récidive et la transformation maligne bien que rare après chirurgie impose une surveillance post opératoire clinique et tomodensitométrique annuelle. PMID:27217902

Modélisation du champ magnétique d'un propulseur M.H.D. annulaire

NASA Astrophysics Data System (ADS)

Kom, C. H.; Brunet, Y.

1995-01-01

Stray fields have to be as small as possible to reduce the magnetic signature of the vessel in M.H.D. propulsion where the magnetic field has to be very high. The calculation of the magnetic field of an angular M.H.D. thruster is presented. The field is produced by a distribution of superconducting magnets in the shape of sectors. An analytical formulation of the field can be used in the active zone, outside the coil ends. An analytical method using a Fourier development of the current sheets is employed for an inductor in cylindrical sectors, and a direct method is used for a massive inductor. Numerical and analytical results are compared. Pour des raisons de discrétion, les champs de fuite doivent être minimisés en propulsion M.H.D. où les champs magnétiques doivent être intenses. Le calcul du champ magnétique d'un propulseur M.H.D. naval annulaire, constitué de secteurs inducteurs supraconducteurs est représenté. Dans la zone active, hors des têtes de bobines, une formulation analytique peut être utilisée. Une méthode analytique utilisant le développemment en série de Fourier du courant est adoptée pour les industeurs cylindriques, et une méthode directe pour les inducteurs massifs. Les résultats numériques sont comparés à ceux obtenus avec un logiciel d'éléments finis 2D.

L’érysipèle sur cicatrice post opératoire en traumatologie: à propos d'un cas et revue de la littérature

PubMed Central

Abid, Hatim; El Idrissi, Mohamed; Shimi, Mohamed; El Ibrahimi, Abdelhalim; El Mrini, Abdelmajid; Amraoui, Nissrine; Mernissi, Fatima Zohra

2015-01-01

L’érysipèle sur cicatrice post opératoire est une entité rare, décrite principalement chez des patients présentant les facteurs de risque classiques de la maladie au niveau des sites de veinectomie pour pontage coronarien. En traumatologie orthopédie, nous n'avons que les 3 cas rapportés dans le travail de Dhrif survenus au décours d'une implantation prothétique chez des malades à risque. Nous présentons à travers cet article, le cas d'un érysipèle post opératoire sur une cicatrice d'ostéosynthèse d'une fracture fermée du pilon tibial, ayant la particularité du terrain et des circonstances de survenues, pour enfin conclure aux principes de la prévention primaire à adopter. PMID:26401204

Long-Term Safety and Tolerability of Valbenazine (NBI-98854) in Subjects with Tardive Dyskinesia and a Diagnosis of Schizophrenia or Mood Disorder

PubMed Central

Josiassen, Richard C.; Kane, John M.; Liang, Grace S.; Burke, Joshua; O’Brien, Christopher F.

2017-01-01

Background The short-term safety profile of once-daily valbenazine (NBI-98854) has been evaluated in several double-blind, placebo-controlled (DBPC) trials in adults with tardive dyskinesia (TD) who had a diagnosis of schizophrenia/schizoaffective (SCHZ) disorder or mood disorder. Studies with longer treatment duration (up to 48 weeks) were conducted to evaluate the long-term safety of this novel drug in subjects with TD. Methods The pooled long-term exposure (LTE) population included valbenazine-treated subjects from 3 studies: KINECT (NCT01688037: 6-week DBPC, 6-week open-label); KINECT 3 (NCT02274558: 6-week DBPC, 42-week blinded extension, 4-week drug-free follow-up); KINECT 4 (NCT02405091: 48-week open-label, 4-week drug-free follow-up). Safety assessments included adverse events (AEs), laboratory tests, vital signs, electrocardiograms (ECGs), and extrapyramidal symptom (EPS) scales. Psychiatric stability was monitored using the Positive and Negative Syndrome Scale (PANSS) and Calgary Depression Scale for Schizophrenia (CDSS) (SCHZ subgroup), as well as the Montgomery-Åsberg Depression Rating Scale (MADRS) and Young Mania Rating Scale (YMRS) (mood subgroup). All data were analyzed descriptively. Results The LTE population included 430 subjects (KINECT, n = 46; KINECT 3, n = 220; KINECT 4, n = 164), 71.7% with SCHZ and 28.3% with a mood disorder; 85.5% were taking an antipsychotic (atypical only, 69.8%; typical only or typical + atypical, 15.7%). In the LTE population, treatment-emergent AEs (TEAEs) and discontinuations due to AEs were reported in 66.5% and 14.7% of subjects, respectively. The TEAE incidence was lower in the SCHZ subgroup (64.4%) than in the mood subgroup (71.9%). The 3 most common TEAEs in the SCHZ subgroup were urinary tract infection (UTI, 6.1%), headache (5.8%), and somnolence (5.2%). The 3 most common TEAEs in the mood subgroup were headache (12.4%), UTI (10.7%), and somnolence (9.1%). Mean score changes from baseline to end of treatment

Long-Term Safety and Tolerability of Valbenazine (NBI-98854) in Subjects with Tardive Dyskinesia and a Diagnosis of Schizophrenia or Mood Disorder.

PubMed

Josiassen, Richard C; Kane, John M; Liang, Grace S; Burke, Joshua; O'Brien, Christopher F

2017-08-01

The short-term safety profile of once-daily valbenazine (NBI-98854) has been evaluated in several double-blind, placebo-controlled (DBPC) trials in adults with tardive dyskinesia (TD) who had a diagnosis of schizophrenia/schizoaffective (SCHZ) disorder or mood disorder. Studies with longer treatment duration (up to 48 weeks) were conducted to evaluate the long-term safety of this novel drug in subjects with TD. The pooled long-term exposure (LTE) population included valbenazine-treated subjects from 3 studies: KINECT (NCT01688037: 6-week DBPC, 6-week open-label); KINECT 3 (NCT02274558: 6-week DBPC, 42-week blinded extension, 4-week drug-free follow-up); KINECT 4 (NCT02405091: 48-week open-label, 4-week drug-free follow-up). Safety assessments included adverse events (AEs), laboratory tests, vital signs, electrocardiograms (ECGs), and extrapyramidal symptom (EPS) scales. Psychiatric stability was monitored using the Positive and Negative Syndrome Scale (PANSS) and Calgary Depression Scale for Schizophrenia (CDSS) (SCHZ subgroup), as well as the Montgomery-Åsberg Depression Rating Scale (MADRS) and Young Mania Rating Scale (YMRS) (mood subgroup). All data were analyzed descriptively. The LTE population included 430 subjects (KINECT, n = 46; KINECT 3, n = 220; KINECT 4, n = 164), 71.7% with SCHZ and 28.3% with a mood disorder; 85.5% were taking an antipsychotic (atypical only, 69.8%; typical only or typical + atypical, 15.7%). In the LTE population, treatment-emergent AEs (TEAEs) and discontinuations due to AEs were reported in 66.5% and 14.7% of subjects, respectively. The TEAE incidence was lower in the SCHZ subgroup (64.4%) than in the mood subgroup (71.9%). The 3 most common TEAEs in the SCHZ subgroup were urinary tract infection (UTI, 6.1%), headache (5.8%), and somnolence (5.2%). The 3 most common TEAEs in the mood subgroup were headache (12.4%), UTI (10.7%), and somnolence (9.1%). Mean score changes from baseline to end of treatment (Week 48) indicated that

L'influence d'un stage d'enseignement dans un musee de sciences naturelles sur le sentiment d'autoefficacite en sciences de futurs enseignants

NASA Astrophysics Data System (ADS)

Deblois, Annick

Cette etude qualitative multicas est ancree dans l'approche sociale-cognitive de la theorie de l'autoefficacite de Bandura (1977). Elle s'interesse a quatre stages a l'enseignement qui se sont deroules au Musee canadien de la nature a Ottawa, Canada, en 2009. L'utilisation de donnees secondaires issues du questionnaire STEBI-B traduit et modifie (Dionne et Couture, 2010) ainsi que des entrevues semi-dirigees ont permis une analyse du changement du sentiment d'autoefficacite en sciences chez les stagiaires. Les elements les plus interessants de cette recherche sont l'apprentissage vicariant et la possibilite de repetition qui favorise une meilleure connaissance de soi et une pratique reflexive. Les resultats, dans l'ensemble positifs, illustrent bien le potentiel d'un tel stage afin de rehausser le sentiment d'autoefficacite en sciences chez des stagiaires en enseignement, particulierement chez ceux qui se destinent a enseigner a l'elementaire puisque ceux-ci ont souvent une formation academique dans un domaine autre que les sciences.

Diagnostic et traitement de la Maladie du charbon à localisation palpébrale: à propos d'un cas et revue de littérature

PubMed Central

Hafidi, Zouheir; Handor, Hanan; Laghmari, Mina; Handor, Najat; Cherkaoui, Lalla Ouafae; Tachfouti, Samira; Seffar, Myriame; Daoudi, Rajae

2013-01-01

L′anthrax est une zoonose causée par le Bacillus anthracis. les humains contractent généralement cette maladie dans des régions endémiques, par contact direct avec des animaux infectés ou avec leurs produits contaminés. Les localisations palpébrales sont rares dans la pratique clinique et posent des problèmes de diagnostic différentiel. Les auteurs rapportent l'observation d'un patient admis dans un tableau de cellulite préseptale, avec escarre noirâtre étendue de la paupière supérieure et œdème extensif de l′hémiface, faisant suspecter une localisation palpébrale de la maladie du charbon. L'examen bactériologique a permis de confirmer le diagnostic. Le patient a bénéficié d′une antibiothérapie à base de pénicilline G avec une bonne évolution. PMID:24171070

77 FR 56212 - Federal Acquisition Regulation; Information Collection; Use of Data Universal Numbering System...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-12

...; Information Collection; Use of Data Universal Numbering System (DUNS) as Primary Contractor Identification... Numbering System (DUNS) as primary contractor identification. The DUNS number is the nine-digit... System (DUNS) as Primary Contractor Identification, by any of the following methods: Regulations.gov...

Modélisation d'un choc thermique doux d'un verre S.S.C en utilisant l'approche thermomécanique

NASA Astrophysics Data System (ADS)

Malou, Z.; Hamidouche, M.; Madjoubi, M. A.; Bousbaa, C.; Bouaouadja, N.

2005-05-01

Dans ce travail, nous avons étudié l'endommagement du verre silico-sodo-calcique (trois différentes épaisseurs : 2mm, 4mm, et 8mm) par choc thermique descendant. Nous avons utilisé l'approche thermomécanique en terme de facteur d'intensité de contrainte en se basant sur un calcul numérique. Le choc thermique descendant, est la mise en contact brutal d'un échantillon, préalablement chauffé à une température Ti, avec un milieu dont la température Tf est inférieure à Ti. Le gradient thermique engendré induit des contraintes de tension dans les couches superficielles du corps. Ces contraintes peuvent conduire à la rupture du matériau. Les hypothèses prises en compte lors de la simulation sont comme suit : Le refroidissement des échantillons en verre chauffés à différentes températures, inférieures à sa température de transition, est fait par jet d'air à 20° C pendant 6 secondes. Ce temps est suffisant pour que la température des échantillons atteigne l'ambiante. Le coefficient de transfert de chaleur est de 600 W/°C.m2. Les températures chaudes ont été variées entre 100° C et 450° C. Lors des calculs, nous avons intégré, l'évolutions en fonction de la température des propriétés thermoélastiques du verre. Dans un premier temps, nous avons déterminé les températures et les contraintes transitoires dans l'échantillon à tout instant du choc thermique. Ensuite, nous avons déterminé l'évolution du facteur d'intensité de contrainte (FIC) durant le refroidissement. Enfin, les FIC calculés sont comparés à la ténacité (K1c) du matériau. Cette dernière a été mesurée en utilisant la mécanique linéaire de la rupture. Nous avons vérifié que quand le facteur FIC atteint la valeur de la ténacité dans la zone des défauts critiques, ces derniers se propagent d'une manière brutale causant ainsi la dégradation de l'échantillon. Par cette technique, nous avons directement accès à l'écart de température critique

Génération de faisceaux EPR à l'aide d'un oscillateur paramétrique optique à auto-verrouillage de phase

NASA Astrophysics Data System (ADS)

Laurat, J.; Longchambon, L.; Coudreau, T.; Fabre, C.

2004-11-01

Les faisceaux continus orthogonalement polarisés émis par les Oscillateurs Paramétriques Optiques (OPO) de type II pompés au-dessus du seuil présentent au niveau quantique de fortes corrélations d'intensité et anti-corrélations de phase. Ils sont donc de très bons candidats pour générer des faisceaux intriqués en quadrature. Cependant, un phénomène de diffusion de phase rend difficile la mesure des propriétés sur la phase. Nous avons étudié théoriquement le régime stationnaire et les propriétés quantiques d'un OPO contenant une lame biréfringente. Le couplage linéaire qui en résulte entraîne un verrouillage en phase ainsi qu'un fonctionnement à dégénérescence en fréquence à l'intérieur d'une zone d'accrochage. L'expérience en cours au laboratoire a permis d'observer ce phénomène de verrouillage.

Application de l'A.D.L, pour la mesure du champ de vitesses instationnaires de llecoulement a Ilechappement d'un moteur a combustion interne

NASA Astrophysics Data System (ADS)

Boutrif, M. S.; Thelliez, M.

1993-01-01

We present experimental results of instantaneous velocity measurement, which were obtained by application of the laser Doppler anemometry (L.D.A.) at the exhaust pipe of a reciprocating engine under real working conditions. First of all, we show that the instantaneous velocity is monodimensional along a straight exhaust pipe, and that the boundary layer develops within a 2mm thickness. We also show that the cylinder discharges in two phases : the blow down period and the final part of exhaust stroke. We also make obvious, that the flow escapes very quickly : its velocity varies between - 100m/s and 200m/s within a period shorter than 1ms ; thereby, we do record the acoustic resonance phenomenon, when the engine speed is greater than 3 000rpm. Finally, we show that in the exhaust pipe the apparent fluctuation - i.e. the cyclic dispersion and the actual turbulence - may reach 15%. Nous présentons des résultats expérimentaux du champ de vitesses instationnaires, obtenus par adaptation et application de la vélocimétrie laser interférentielle communément appelée à effet Doppler (L.D.A.), à l'échappement d'un moteur altematif à combustion inteme en fonctionnement nominal. Tout d'abord, nous montrons que dans un tube d'échappement long et droit, la vitesse instantanée est bien monodimensionnelle et que l'écoulement occupe la quasitotalité de la section droite géométrique du tube (une couche limite d'épaisseur inférieure à 2mm se développe très près de la paroi du tube). Nous pouvons également décrire la vidange du cylindre du moteur étudié en deux phases principales : bouffée d'échappement et refoulement des gaz brûlés par le piston. Nous mettons de même en évidence l'état très pulsé de l'écoulement, puisqu'en un intervalle de temps inférieur à 1ms, la vitesse de l'écoulement varie de - 100m/s à 200m/s ; nous enregistrons ainsi l'apparition du phénomène de résonance acoustique à des vitesses de rotation supérieures à 3 500

Reconstruction de la surface de Fermi dans l'etat normal d'un supraconducteur a haute Tc: Une etude du transport electrique en champ magnetique intense

NASA Astrophysics Data System (ADS)

Le Boeuf, David

Des mesures de resistance longitudinale et de resistance de Hall en champ magnetique intense transverse (perpendiculaire aux plans CuO2) ont ete effectuees au sein de monocristaux de YBa2Cu3Oy (YBCO) demacles, ordonnes et de grande purete, afin d'etudier l'etat fondamental des supraconducteurs a haute Tc dans le regime sous-dope. Cette etude a ete realisee en fonction du dopage et de l'orientation du courant d'excitation J par rapport a l'axe orthorhombique b de la structure cristalline. Les mesures en champ magnetique intense revelent par suppression de la supraconductivite des oscillations magnetiques des resistances longitudinale et de Hall dans YBa2Cu 3O6.51 et YBa2Cu4O8. La conformite du comportement de ces oscillations quantiques au formalisme de Lifshitz-Kosevich, apporte la preuve de l'existence d'une surface de Fermi fermee a caractere quasi-2D, abritant des quasiparticules coherentes respectant la statistique de Fermi-Dirac, dans la phase pseudogap d'YBCO. La faible frequence des oscillations quantiques, combinee avec l'etude de la partie monotone de la resistance de Hall en fonction de la temperature indique que la surface de Fermi d'YBCO sous-dope comprend une petite poche de Fermi occupee par des porteurs de charge negative. Cette particularite de la surface de Fermi dans le regime sous-dope incompatible avec les calculs de structure de bande est en fort contraste avec la structure electronique presente dans le regime surdope. Cette observation implique ainsi l'existence d'un point critique quantique dans le diagramme de phase d'YBCO, au voisinage duquel la surface de Fermi doit subir une reconstruction induite par l'etablissement d'une brisure de la symetrie de translation du reseau cristallin sous-jacent. Enfin, l'etude en fonction du dopage de la resistance de Hall et de la resistance longitudinale en champ magnetique intense suggere qu'un ordre du type onde de densite (DW) est responsable de la reconstruction de la surface de Fermi. L'analogie de

The Role of Novel Substituted Diindolyl Methane Analogues in the Treatment of Triple-Negative and ErbB2-Positive Breast Cancer

DTIC Science & Technology

2015-05-01

studies show differential expression of NR4A receptors [181,182] and studies on dopamine neurons showed that in the ventral tegmental area, haloperidol ...Blanchet, D. Levesque, Haloperidol -induced striatal Nur77 expression in a non-human primate model of tardive dyskinesia, Eur. J. Neurosci. 38 (2013

Exploring a Link Between NF-KB and G2/M Cell Cycle Arrest in Breast Cancer Cells

DTIC Science & Technology

2005-04-01

studies with esophageal squamous cell carcinom a lines have shown that IR induced p21waf1/ ciP ’ and a G2 cell cycle arrest that could als o be...i AD Award Number : DAMD17-02-1-062 3 TITLE : Exploring a Link Between NF-KB and G 2 /M Cell Cycle Arres t in Breast Cancer Cell s PRINCIPAL...Mar 2005 ) 4 . TITLE AND SUBTITL E Exploring a Link Between NF-kB and G 2 /M Cell Cycle Arres t in Breast Cancer Cells 5. FUND/NG NUMBERS DAMD17-02-1

Fistule vésico-vaginale néoplasique secondaire à une tumeur de vessie: une entité rare

PubMed Central

Bagayogo, Tidiani; Jakhal, Nabil; Slaoui, Amine; Ziouziou, Imad; Karmouni, Tariq; El Khader, Khalid; Koutani, Abdelatif; Andaloussi, AhmedI bn Attya

2016-01-01

La fistule vésico-vaginale sur tumeur de vessie est extrêmement rare. Nous rapportons un cas de fistule vésico-vaginale (FVV) néoplasique chez une patiente de 54 ans, ménopausée, sans antécédent chirurgical ou de traumatisme obstétrical récent. La biopsie des berges de la fistule est revenue en faveur d’un carcinome urothélial. A la lumière de cette observation, nous discutons les formes étiologiques ainsi que les différentes stratégies thérapeutiques respectives des FVV. PMID:28250883

Les fractures luxations du cotyle: prise en charge et pronostic à long terme; étude rétrospective portant sur 40 cas

PubMed Central

Chagou, Aniss; Hmouri, Ismail; Rhanim, Abdelkarim; Lahlou, Abdou; Berrada, Mohammed Saleh; Yaacoubi, Moradh

2014-01-01

Les fractures luxations du cotyle sont le plus souvent dues à des traumatismes de haute énergie. Elles constituent une urgence thérapeutique, l'association de la luxation à une fracture du cotyle fait apparaître la question du choix thérapeutique entre traitement orthopédique et traitement médical. L'objectif de l’étude est de mettre le point sur l'aspect thérapeutique dans ces lésions mais aussi leurs pronostics à long terme. Nous rapportons une étude rétrospective portant sur 40 cas colligés au service d'orthopédie du centre hospitalier universitaire de Rabat. Nous avons évalué les résultats de notre prise en charge mais aussi le pronostic à court et à long terme. Dans notre série, vingt cinq patients ont bénéficié d'un traitement orthopédique alors que les quinze restants ont été opérés, la voie d'abord la plus utilisée est la voie postérieure. Les résultats fonctionnels ont été évalués, après un recul de 3 à 8 ans, selon la cotation de Merle d'Aubigné. Nous avons obtenu 90% de résultats satisfaisants. La comparaison de nos résultats à ceux de la littérature montre que le résultat des traitements orthopédiques et chirurgicaux dépend essentiellement du type de fracture. Le pronostic à long terme reste imprévisible. La survenue des complications tardives telle que la nécrose céphalique et de l'arthrose reste toujours imprévisible, ce qui impose un suivi régulier et prolongé des patients. PMID:25722763

76 FR 2091 - Indian Education Formula Grants to Local Educational Agencies; Office of Elementary and Secondary...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-12

... System (DUNS) number and a Taxpayer Identification Number (TIN); b. Register both your DUNS number and TIN with the Central Contractor Registry (CCR), the Government's primary registrant database; c. Provide your DUNS number and TIN on your application; and d. Maintain an active CCR registration with...

78 FR 55689 - Applications for Fiscal Year 2014 Awards; Impact Aid Section 8002 Grant Program

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-11

... System (DUNS) number and a Taxpayer Identification Number (TIN); b. Register both your DUNS number and TIN with the System for Award Management (SAM) (formerly the Central Contractor Registry (CCR)), the Government's primary registrant database; c. Provide your DUNS number and TIN on your application; and d...

76 FR 80351 - Application for New Awards; Indian Education Formula Grants to Local Educational Agencies

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-23

... Numbering System (DUNS) number and a Taxpayer Identification Number (TIN); b. Register both your DUNS number and TIN with the Central Contractor Registry (CCR), the Government's primary registrant database; c. Provide your DUNS number and TIN on your application; and d. Maintain an active CCR registration with...

76 FR 780 - Office of Special Education and Rehabilitative Services Overview Information; National Institute...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-06

... Numbering System (DUNS) number and a Taxpayer Identification Number (TIN); b. Register both your DUNS number and TIN with the Central Contractor Registry (CCR), the Government's primary registrant database; c. Provide your DUNS number and TIN on your application; and d. Maintain an active CCR registration with...

78 FR 22855 - Applications for New Awards; Fulbright-Hays Group Projects Abroad Program-Short-Term Projects

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-17

... (DUNS) number and a Taxpayer Identification Number (TIN); b. Register both your DUNS number and TIN with... (SAM), the Government's primary registrant database; c. Provide your DUNS number and TIN on your... you are a corporate entity, agency, institution, or organization, you can obtain a TIN from the...

78 FR 22860 - Applications for New Awards; National Institute on Disability and Rehabilitation Research...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-17

... Data Universal Numbering System (DUNS) number and a Taxpayer Identification Number (TIN); b. Register both your DUNS number and TIN with the Central Contractor Registry (CCR)--and, after July 24, 2012... your DUNS number and TIN on your application; and d. Maintain an active CRR or SAM registration with...

78 FR 29349 - Applications for New Awards; National Institute on Disability and Rehabilitation Research...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-20

... System (DUNS) number and a Taxpayer Identification Number (TIN); b. Register both your DUNS number and TIN with the Central Contractor Registry (CCR)--and, after July 24, 2012, with the System for Award Management (SAM), the Government's primary registrant database; c. Provide your DUNS number and TIN on your...

78 FR 29344 - Applications for New Awards; National Institute on Disability and Rehabilitation Research...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-20

... Data Universal Numbering System (DUNS) number and a Taxpayer Identification Number (TIN); b. Register both your DUNS number and TIN with the Central Contractor Registry (CCR)--and, after July 24, 2012... your DUNS number and TIN on your application; and d. Maintain an active CRR or SAM registration with...

The Convergent and Divergent Validity of the Matson Evaluation of Drug Side-Effects (MEDS) and the Dyskinesia Identification System: Condensed User Scale (DISCUS)

ERIC Educational Resources Information Center

Matson, Johnny L.; Fodstad, Jill C.; Rivet, Tessa T.

2008-01-01

Background: Medication side-effects such as tardive dyskinesia (TD) are known to occur in individuals with a history of psychotropic drug use. This study aimed to contribute to the development of measures for assessing TD by examining the validity of the "Matson Evaluation of Drug Side-effects" (MEDS) with the "Dyskinesia…

Tumeur stromale du mésentère: à propos d'un cas rare et revue de la littérature

PubMed Central

Seck, Mamadou; Ka, Ibrahima; Cissé, Mamadou; Touré, Alpha Oumar; Thiam, Ousmane; Gueye, Mohamadou Lamine; Dieng, Madieng; Touré, Cheikh Tidiane

2015-01-01

Les tumeurs stromales du mésentère sont des sarcomes rares du tube digestif. Nous rapportons un cas rare de tumeur stromale dans sa localisation mésentérique. Il s'agit d'un patient admis aux urgences pour abdomen aigu. La tomodensitométrie a objectivé un kyste abcédé du mésentère. L'exploration chirurgicale a retrouvé une tumeur du mésentère. Une exérèse monobloc de la tumeur a été réalisée. L'histologie avec immunohistochimie de la pièce opératoire a mis en évidence une tumeur stromale à risque intermédiaire de malignité. Un traitement adjuvant à base d'imatinib a été ensuite instauré. L’évolution a été simple, sans récidive, avec un recul de 8 mois. Au plan pronostique, selon les critères de Fletcher et de l'AFIP (Armed Forces Institute of Pathology), la tumeur était classée à un risque élevé de récidive. Les tumeurs stromales du mésentère sont exceptionnelles surtout dans leur présentation clinique d'abdomen aigu. Le diagnostic repose sur l'immunohistochimie et le traitement des formes localisées sur la chirurgie, associée à l'imatinib en traitement adjuvant. PMID:26587154

Decrease in the AgNOR number in Dunning R3327 prostate cancers after treatment with an agonist and antagonist of luteinizing hormone-releasing hormone.

PubMed Central

Szepeshazi, K.; Korkut, E.; Schally, A. V.

1991-01-01

The argyrophilic staining of the nucleolar organizer region (AgNOR) in cells of Dunning R3327 rat prostate tumors was studied and the effect of hormonal treatments on their appearance was analyzed. The nuclei of the control tumor cells contained 4.1 +/- 0.17 AgNOR granules. Treatment of rats for 8 weeks with luteinizing hormone-releasing hormone (LH-RH) agonist (D-Trp-6-LH-RH) and antagonist SB-75 induced a marked inhibition of tumor growth and decreased significantly (P less than 0.01) the number of Ag-NORs in the tumors to 2.89 +/- 0.10 AgNOR granules/cell in the group given the agonist and to 2.82 +/- 0.10 after therapy with the highest dose of the antagonist. A reduced AgNOR number (3.14 +/- 0.16) also was found after 3 days of treatment with SB-75 (P less than 0.05), but the AgNORs returned to near control values 1 week after the short-term therapy, showing the reversibility of these changes. These results suggest that the AgNOR method, which was widely tested on human tumors in the past few years, can be a valuable technique in experimental tumor pathology and useful in the evaluation of the effects of various treatments. Images Figure 1 PMID:1827237

76 FR 28426 - Applications for New Awards; Assistive Technology Act of 1998, as Amended (AT Act)-National...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-17

... (DUNS) number and a Taxpayer Identification Number (TIN); b. Register both your DUNS number and TIN with... DUNS number and TIN on your application; and d. Maintain an active CCR registration with current... obtain a TIN from the Internal Revenue Service. If you are an individual, you can obtain a TIN from the...

75 FR 27737 - Office of Special Education and Rehabilitative Services; Overview Information; National Institute...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-18

... Information 1. Address To Request Application Package: ED Pubs, U.S. Department of Education, P.O. Box 22207....133B-3. Individuals with disabilities can obtain a copy of the application package in an accessible... those same numbers on your application. You can obtain a DUNS number from Dun and Bradstreet. A DUNS...

75 FR 36239 - Office of Special Education and Rehabilitative Services; Overview Information; National Institute...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-24

... Submission Information 1. Address to Request Application Package: ED Pubs, U.S. Department of Education, P.O...: CFDA number 84.133B-5. Individuals with disabilities can obtain a copy of the application package in an... those same numbers on your application. You can obtain a DUNS number from Dun and Bradstreet. A DUNS...

75 FR 39426 - Office of Special Education and Rehabilitative Services; Overview Information; National Institute...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-08

... disabilities can obtain a copy of the application package in an accessible format (e.g., braille, large print... your application. You can obtain a DUNS number from Dun and Bradstreet. A DUNS number can be created...- Grants help desk at 1-888-336-8930. If e-Application is unavailable due to technical problems with the...

Dopamine depleters in the treatment of hyperkinetic movement disorders.

PubMed

Jankovic, Joseph

2016-12-01

Abnormal involuntary movements often improve in response to anti-dopaminergic drugs. In contrast to classic neuroleptics that block dopamine receptors, drugs that deplete presynaptic dopamine by blocking vesicular monoamine transporter type 2 (VMAT2) seem to be safer and have little or no risk of tardive dyskinesia. This is one reason why there has been a recent emergence of novel VMAT2 inhibitors. Areas covered: Since the approval of tetrabenazine, the classic VMAT2 inhibitor, in the treatment of chorea associated with Huntington disease (HD), other VMAT2 inhibitors (e.g. deutetrabenazine and valbenazine) have been studied in the treatment of HD-related chorea, tardive dyskinesia and tics associated with Tourette syndrome. This review, based largely on a detailed search of PubMed, will summarize the pharmacology and clinical experience with the various VMAT2 inhibitors. Expert commentary: Because of differences in pharmacology and pharmacokinetics these new VMAT2 inhibitors promise to be at least as effective as tetrabenazine but with a lower risk of adverse effects, such as sedation, insomnia, depression, parkinsonism, and akathisia.

[A case of respiratory dyskinesia due to clebopride malate].

PubMed

Kawasaki, H; Yamamoto, M; Okayasu, H; Wakayama, Y

1991-08-01

Clebopride malate is therapeutically used for the treatment of peptic ulcer. This drug has potent antidopaminergic activity that causes acute dystonic reaction, parkinsonism and tardive dyskinesia as adverse effects. Here, we have reported an 86-year-old man who developed abnormal involuntary movement of respiratory muscles and lower limb muscles after this drug had been given for four months. This involuntary movement appeared spontaneously at resting state and disappeared during sleep. Surface EMG demonstrated a synchronous grouping discharge in m. orbicularis oris, m. sternocleidomastoideus and m. interstales which synchronized with diaphragmatic movement on cinefluorography. Involuntary movement of the lower limbs was synchronous bilaterally and had little relationship with diaphragmatic movement. This involuntary movement was irregular not only in rhythm but also in duration. According to this irregular nature, we diagnosed this involuntary movement as respiratory dyskinesia with limb dyskinesia that belongs to tardive dyskinesia. After cessation of clebopride malate limb dyskinesia disappeared rapidly and respiratory dyskinesia markedly decreased. We emphasize that respiratory dyskinesia should be differentiated from psychogenic hyperventilation as easily misdiagnosed on initial examination.

Tuberculose pulmonaire révélée par un purpura thrombopénique chez l'enfant-à propos d'un cas clinique observé au service de pédiatrie des Cliniques Universitaires de Lubumbashi

PubMed Central

Lubala, Toni Kasole; Mutombo, Augustin Mulangu; Munkana, Arthur Ndundula; Manika, Michel Muteya

2012-01-01

Nous rapportons le cas d'un enfant de 7 ans, de sexe masculin ayant présenté un purpura thrombopénique avec épistaxis, hématémèse, otorragies et pétéchies généralisées. Durant la même hospitalisation, nous avons mis en évidence une tuberculose pulmonaire documentée par la présence de bacilles acido-alcoolo résistants à l'examen des crachats. Nous avons observé une majoration du taux de plaquettes en une semaine de corticothérapie intraveineuse à haute dose, avant l'instauration d'une poly chimiothérapie antituberculeuse. Nous rappelons également la controverse que suscite la prise en charge de cette association rarement rapportée. PMID:23077696

Conception, elaboration et mise a l'essai d'un simulateur interactif permettant une approche modelisante: Application aux lois de la genetique mendelienne

NASA Astrophysics Data System (ADS)

Lasri, Abdel-Halim

Dans cette recherche-developpement, nous avons concu, developpe et mis a l'essai un simulateur interactif pour favoriser l'apprentissage des lois probabilistes impliqees dans la genetique mendelienne. Cet environnement informatise devra permettre aux etudiants de mener des experiences simulees, utilisant les statistiques et les probebilites comme outils mathematiques pour modeliser le phenomene de la transmission des caracteres hereditaires. L'approche didactique est essentiellement orientee vers l'utilisation des methodes quantitatives impliquees dans l'experimentation des facteurs hereditaires. En incorporant au simulateur le principe de la "Lunette cognitive" de Nonnon (1986), l'etudiant fut place dans une situation ou il a pu synchroniser la perception de la representation iconique (concrete) et symbolique (abstraite) des lois probabilistes de Mendel. A l'aide de cet environnement, nous avons amene l'etudiant a identifier le(s) caractere(s) hereditaire(s) des parents a croiser, a predire les frequences phenotypiques probables de la descendance issue du croisement, a observer les resultats statistiques et leur fluctuation au niveau de l'histogramme des frequences, a comparer ces resultats aux predictions anticipees, a interpreter les donnees et a selectionner en consequence d'autres experiences a realiser. Les etapes de l'approche inductive sont privilegiees du debut a la fin des activites proposees. L'elaboration, du simulateur et des documents d'accompagnement, a ete concue a partir d'une vingtaine de principes directeurs et d'un modele d'action. Ces principes directeurs et le modele d'action decoulent de considerations theoriques psychologiques, didactiques et technologiques. La recherche decrit la structure des differentes parties composant le simulateur. L'architecture de celui-ci est construite autour d'une unite centrale, la "Principale", dont les liens et les ramifications avec les autres unites confere a l'ensemble du simulateur sa souplesse et sa

dNTP pool levels modulate mutator phenotypes of error-prone DNA polymerase ε variants.

PubMed

Williams, Lindsey N; Marjavaara, Lisette; Knowels, Gary M; Schultz, Eric M; Fox, Edward J; Chabes, Andrei; Herr, Alan J

2015-05-12

Mutator phenotypes create genetic diversity that fuels tumor evolution. DNA polymerase (Pol) ε mediates leading strand DNA replication. Proofreading defects in this enzyme drive a number of human malignancies. Here, using budding yeast, we show that mutator variants of Pol ε depend on damage uninducible (Dun)1, an S-phase checkpoint kinase that maintains dNTP levels during a normal cell cycle and up-regulates dNTP synthesis upon checkpoint activation. Deletion of DUN1 (dun1Δ) suppresses the mutator phenotype of pol2-4 (encoding Pol ε proofreading deficiency) and is synthetically lethal with pol2-M644G (encoding altered Pol ε base selectivity). Although pol2-4 cells cycle normally, pol2-M644G cells progress slowly through S-phase. The pol2-M644G cells tolerate deletions of mediator of the replication checkpoint (MRC) 1 (mrc1Δ) and radiation sensitive (Rad) 9 (rad9Δ), which encode mediators of checkpoint responses to replication stress and DNA damage, respectively. The pol2-M644G mutator phenotype is partially suppressed by mrc1Δ but not rad9Δ; neither deletion suppresses the pol2-4 mutator phenotype. Thus, checkpoint activation augments the Dun1 effect on replication fidelity but is not required for it. Deletions of genes encoding key Dun1 targets that negatively regulate dNTP synthesis, suppress the dun1Δ pol2-M644G synthetic lethality and restore the mutator phenotype of pol2-4 in dun1Δ cells. DUN1 pol2-M644G cells have constitutively high dNTP levels, consistent with checkpoint activation. In contrast, pol2-4 and POL2 cells have similar dNTP levels, which decline in the absence of Dun1 and rise in the absence of the negative regulators of dNTP synthesis. Thus, dNTP pool levels correlate with Pol ε mutator severity, suggesting that treatments targeting dNTP pools could modulate mutator phenotypes for therapy.

Conception et calibration d'un sonoreacteur pour l'oxydation de la cellulose par le systeme TEMPO/NaOCl/NaBr

NASA Astrophysics Data System (ADS)

Paquin, Michel

grande consommation d'energie et de reactif qui rend le procede difficilement accessible au milieu industriel. L'utilisation des ultrasons lors de la reaction d'oxydation permet de reduire de 50% le temps de reaction et d'autant la consommation de produits chimiques. Actuellement le processus d'oxydation s'effectue en mode discontinu pour une quantite de 20 grammes de pate dans un reacteur en verre dans un bain a ultrason. L'objectif principal de ce travail est d'elaborer un sonoreacteur en mode semi-continu afin d'etre en mesure de transferer une reaction d'oxydation du mode discontinu en mode semi-continu. Le transfert de reaction sera effectue en realisant la calibration de l'activite acoustique des deux differents reacteurs, discontinu et semi-continu, par la methode de Weissler. La methode de Weissler quantifie le taux de production radicalaire en mesurant la formation d'iode moleculaire d'une solution aqueuse d'iodure de potassium sous ultrason. Suite a sa calibration, le sonoreacteur pilote (mode semi-continu) a demontre une augmentation de la production radicalaire de 683 % a 170 kHz en comparaison avec l'utilisation d'un bain a ultrason a la meme frequence. Lors de la reaction d'oxydation, la puissance optimale utilisee dans le bain a ultrason a 170 kHz est de 1000 W. La puissance utilisee selon les resultats de calibration obtenue dans le sonoreacteur pilote est de 125 W soit une diminution de l'energie appliquee de 87,5 %. Lors de la reaction d'oxydation, le taux de production des groupements carboxylates est de 2,6 mmol COOH kg/min dans le bain a ultrason et de 6,87 mmol COOH kg/min dans le sonoreacteur pilote soit une augmentation de 164% du taux de formation. Selon les resultats obtenus, l'utilisation d'un sonoreacteur en mode continu peut etre envisageable pour la reaction d'oxydation de la cellulose par le systeme TEMPO-NaOCl-NaBr en industrie au niveau industriel.

Pseudarthrose de l'extrémité inférieure du fémur traitée par mégaprothèse: à propos d'un cas et revue de la littérature

PubMed Central

Elidrissi, Mohammed; Hammou, Nassereddine; Shimi, Mohammed; Elibrahimi, Abdelhalim; Elmrini, Abdelmajid

2013-01-01

Les pseudarthroses de l'extrémité distale du fémur sont relativement rares du fait de la qualité de la vascularisation de cette région. La prise en charge d'une telle complication pose un certain nombre de difficultés. Le traitement chirurgical fait appel à plusieurs techniques conservatrices, le traitement par prothèse peut s'avérer utile quand la perte de substance est importante chez le sujet âgé. L'objectif de ce travail est de discuter l'intérêt de la mégaprothèse du genou dans le traitement de la pseudarthrose de l'extrémité distale du fémur, à travers l’étude de l'observation d'une patiente et revue de la littérature. Il s'agit d'une patiente âgée de 62 ans qui présente une pseudarthrose de l'extrémité distale du fémur gauche. Sur le plan clinique la patiente présente des douleurs du genou gauche, avec gène fonctionnelle importante. Le score de l'IKS préopératoire était de 60. Elle a bénéficié d'un remplacement prothétique par une mégaprothèse du genou. En postopératoire la flexion du genou était à 90°, le score de l'IKS était de 130. A travers l’étude de cette observation, et la revue de la littérature, nous pensons que l'utilisation de mégaprothèse du genou, constitue une solution efficace et durable pour le traitement des pseudarthroses du fémur distal et particulièrement chez le sujet âgé. Cette technique permet de répondre aux impératifs d'un tel aléa de la consolidation: lutter contre la douleur et garantir une mobilité satisfaisante permettant de répondre aux besoins de la vie quotidienne du patient et ainsi améliorer sa qualité de vie. PMID:24396555

75 FR 73059 - Discretionary Grant Programs

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-29

... Universal Numbering System (DUNS) Number and its Taxpayer Identification Number (TIN) with the Central... include requirements governing an applicant's DUNS Number and TIN and specify that to do business with the...

Enduring sexual dysfunction after treatment with antidepressants, 5α-reductase inhibitors and isotretinoin: 300 cases.

PubMed

Healy, David; Le Noury, Joanna; Mangin, Derelie

2018-05-01

To investigate clinical reports of post-SSRI sexual dysfunction (PSSD), post-finasteride syndrome (PFS) and enduring sexual dysfunction following isotretinoin. Data from RxISK.org, a global adverse event reporting website, have been used to establish the clinical features, demographic details and clinical trajectories of syndromes of persistent sexual difficulties following three superficially different treatment modalities.RESULTSWe report on 300 cases of enduring sexual dysfunction from 37 countries following 14 different drugs comprised of serotonin reuptake inhibiting antidepressants, 5α-reductase inhibitors and isotretinoin. While reports of certain issues were unique to the antidepressants, such as the onset of premature ejaculation and persistent genital arousal disorder (PGAD), there was also a significant overlap in symptom profile between the drug groups, with common features including genital anaesthesia, pleasureless or weak orgasm, loss of libido and impotence. Secondary consequences included relationship breakdown and impaired quality of life.CONCLUSIONSThese data point to a legacy syndrome or syndromes comprising a range of disturbances to sexual function. More detailed studies will require developments in coding systems that recognise the condition(s). Further exploration of these tardive sexual syndromes may yield greater understanding of tardive syndromes in general.

Enduring sexual dysfunction after treatment with antidepressants, 5α-reductase inhibitors and isotretinoin: 300 cases

PubMed Central

Healy, David; Le Noury, Joanna; Mangin, Derelie

2018-01-01

OBJECTIVE: To investigate clinical reports of post-SSRI sexual dysfunction (PSSD), post-finasteride syndrome (PFS) and enduring sexual dysfunction following isotretinoin. METHODS: Data from RxISK.org, a global adverse event reporting website, have been used to establish the clinical features, demographic details and clinical trajectories of syndromes of persistent sexual difficulties following three superficially different treatment modalities. RESULTS We report on 300 cases of enduring sexual dysfunction from 37 countries following 14 different drugs comprised of serotonin reuptake inhibiting antidepressants, 5α-reductase inhibitors and isotretinoin. While reports of certain issues were unique to the antidepressants, such as the onset of premature ejaculation and persistent genital arousal disorder (PGAD), there was also a significant overlap in symptom profile between the drug groups, with common features including genital anaesthesia, pleasureless or weak orgasm, loss of libido and impotence. Secondary consequences included relationship breakdown and impaired quality of life. CONCLUSIONS These data point to a legacy syndrome or syndromes comprising a range of disturbances to sexual function. More detailed studies will require developments in coding systems that recognise the condition(s). Further exploration of these tardive sexual syndromes may yield greater understanding of tardive syndromes in general. PMID:29733030

Metabolic syndrome and adverse clinical outcomes in patients with bipolar disorder.

PubMed

Bai, Ya-Mei; Li, Cheng-Ta; Tsai, Shih-Jen; Tu, Pei-Chi; Chen, Mu-Hong; Su, Tung-Ping

2016-12-15

Metabolic syndrome (MetS) is highly prevalent among patients with bipolar disorder. MetS may cause complications in the brain, but studies investigating MetS-associated clinical psychiatric outcomes remain scant. We enrolled clinically stable outpatients with bipolar disorder aged 18-65 years and performed anthropometric and fasting biochemical assessments to investigate MetS prevalence. We then performed clinical assessments by using the Young Mania Rating Scale for manic symptoms, the Montgomery-Åsberg Depression Rating Scale for depressive symptoms, the Positive and Negative Symptom Scale for psychotic symptoms, the Involuntary Movement Scale for tardive dyskinesia, the Barnes Akathisia Rating Scale for akathisia, the Udvalg for Kliniske Undersogelser for general side effects, the Schedule for Assessment of Insight for insight, the Global Assessment of Functioning scale for global functioning, and the Wisconsin Card Sorting Test (WCST) for cognitive executive function. In total, 143 patients were enrolled and had a MetS prevalence of 29.4%. The patients treated with atypical antipsychotics plus mood stabilizers (36.3%) and atypical antipsychotics alone (36.0%) had a significantly higher prevalence of MetS than did those treated with mood stabilizers alone (10.5%; p = 0.012). According to multivariate regression analyses adjusted for age, sex, smoking status, bipolar disorder subtype (I or II), pharmacological treatment duration, and psychiatric medication, compared with patients without MetS, those with MetS had significantly more previous hospitalizations (p = 0.036), severer tardive dyskinesia (p = 0.030), poorer insight (p = 0.036), poorer global function (p = 0.046), and more impaired executive function (conceptual level response on the WCST; p = 0.042). Our results indicated that patients with comorbid bipolar disorder and MetS have more adverse clinical outcomes than those without, with more hospitalizations, severer tardive

48 CFR 4.1103 - Procedures.

Code of Federal Regulations, 2012 CFR

2012-10-01

... use the DUNS number or, if applicable, the DUNS+4 number, to verify registration— (i) Via the Internet at https://www.acquisition.gov; (ii) By calling toll-free: 1-888-227-2423, commercial: (269) 961-5757...

48 CFR 4.1103 - Procedures.

Code of Federal Regulations, 2011 CFR

2011-10-01

... use the DUNS number or, if applicable, the DUNS+4 number, to verify registration— (i) Via the Internet at http://www.ccr.gov; (ii) By calling toll-free: 1-888-227-2423, commercial: (269) 961-5757, or...

48 CFR 4.1103 - Procedures.

Code of Federal Regulations, 2010 CFR

2010-10-01

... use the DUNS number or, if applicable, the DUNS+4 number, to verify registration— (i) Via the Internet at http://www.ccr.gov; (ii) By calling toll-free: 1-888-227-2423, commercial: (269) 961-5757, or...

L'effet Peltier appliqué à la conception et la réalisation d'un nouveau capteur de débit massique

NASA Astrophysics Data System (ADS)

Wattiau, F.; Gaviot, E.; Thery, P.

1993-08-01

éalisation d'un nouveau capteur de débit massique basé sur l'effet Peltier. Le capteur en forme de circuit imprimé bimétallique, comporte plusieurs pistes métalliques continues parallèles entre elles et partiellement recouvertes par un grand nombre de dépôts électrolytiques de nature différente. Un tel circuit se comporte comme un circuit thermoélectrique classique dans lequel les parties homogènes non recouvertes par le dépôt électrolytique constituent le premier conducteur du couple, les parties plaquées constituant le second conducteur. La méthode de mesure consiste à faire passer un courant électrique dans une ou plusieurs pistes constituant le circuit émetteur de façon à générer par effet Peltier des gradients thermiques qui seront détectés par un circuit détecteur identique placé à proximité. Dans le cas particulier d'un fluide au repos, la f.e.m. détectée par le circuit détecteur dépend de la conductivité thermique du fluide. Lorsque le fluide est en mouvement relatif par rapport au circuit, il est possible de détecter une f.e.m. dépendant en grandeur et en signe de la vitesse d'écoulement du fluide. A titre d'application un capteur de débit massique a été réalisé en plaçant les circuits thermoélectriques dans une canalisation parcourue par le fluide en mouvement.

La replantation digitale, résultats et complications: étude d’une série de 18 cas

PubMed Central

Idrissi, Mohammed El; Elibrahimi, Abdelhalim; Shimi, Mohammed; Elmrini, Abdelmajid

2016-01-01

Les amputations digitales sont des lésions fréquentes, la majorité étant provoquée par des accidents de travail. Les techniques microchirurgicales représentent une alternative pour réparer ces amputations. L'objectif de ce travail est de rapporter notre expérience dans la replantation digitale à travers l'étude de 18 cas. Nous avons mené une étude rétrospective, étalée entre Juin 2013 et Janvier 2015, incluant 14 patients présentant une amputation totale ou subtotale des doigts. Nous avons inclus dans notre série toutes les replantations unidigitales et multidigitales réalisées en aval de l'insertion distale du tendon fléchisseur superficiel ainsi que les replantations digitales réalisées en amont de l'insertion distale du tendon fléchisseur superficiel. Nous avons opéré ces patients selon le procédé classique de réimplantation digitale. Cinq replantations ont été secondairement régularisées. Parmi les 18 replantations, huit replantions digitales ont favorablement évolué puisque la replantation a permis de restituer un secteur complet de mobilité passive et active du doigt opéré sans chirurgie de reprise et sans complication secondaire précoce et tardive. Dans notre étude nous avons noté des résultats satisfaisants, malgré les conditions difficiles notamment le conditionnement initial du doigt amputé, et le délai de prise en charge retardé. Le développement et la maîtrise de la microchirurgie a permis de changer le pronostic de ces amputations à retentissement fonctionnel et psychologique difficile, les résultats de notre série sont encourageants pour a mise en place d'un service SOS main au Maroc. PMID:27795781

Epidémiologie du cancer gastrique: expérience d'un centre hospitalier marocain

PubMed Central

Mellouki, Ihsane; laazar, Nawal; Benyachou, Bahija; Aqodad, Nouredine; Ibrahimi, Adil

2014-01-01

Le cancer de l'estomac est représenté essentiellement par Les adénocarcinomes gastriques, ces derniers demeurent l'une des dix premières causes mondiales de mortalité avec un pronostic qui est péjoratif. Son incidence reste variable à travers le monde, elle est caractérisée par une importante disparité géographique. Le but de notre travail est de décrire les caractéristiques épidémiologiques de l'adénocarcinome gastrique dans notre contexte à travers une étude rétrospective, observationnelle étalée sur une période de 10 ans (Janvier 2001- Janvier 2011), incluant tous les malades admis au service d'hépato-gastroentérologie du CHU Hassan II de Fès pour prise en charge d'un adénocarcinome gastrique. Durant cette période, 343 patients étaient admis pour prise en charge d'une tumeur gastrique, dont 170 patients avaient un adénocarcinome gastrique (49.5%). L’âge moyen de ces patients était de 58±13.4 ans [16 ans-0 ans]. Dans 43.7% des cas, les patients provenaient de la région de Fès, souvent du milieu rurale. On note une nette prédominance masculine, avec une différence significative entre les 2 sexes (p < ;0.05). Les patients âgés de moins de 60ans représentaient la tranche d’âge prédominante (63%) par rapports aux patients âgés de plus de 60ans (p = 0.02). 61% des patients consultaient dans un délai allant de 1 mois à 6 mois, 30.4% des patients étaient tabagiques, ce facteur avait une relation statistiquement significative avec l'adénocarcinome gastrique (p = 0.02). la non consommation de l'alcool est inversement liée et de façon significative à l'apparition de l'adénocarcinome gastrique (p = 0.03) dans notre contexte. L'infection par Hélicobacter pylori n’était mentionnée que chez peu de malades. Les formes métastatiques au moment du diagnostic dépassaient 50% avec un taux de décès au cours de l'hospitalisation de 2.6%. Sur le plan endoscopique, la localisation antropylorique, et la forme ulc

Use of a Universal Identifier by Grant Applicants

EPA Pesticide Factsheets

OMB has issued a policy directive to implement the requirement for grant applicants to provide a Dun & Bradstreet (D&B) Data Universal NNumbering System (DUNS) number when applying for FedFederal grants or cooperative agreements on or after October 1,2003.

Manual for the Extrapyramidal Symptom Rating Scale (ESRS).

PubMed

Chouinard, Guy; Margolese, Howard C

2005-07-15

The Extrapyramidal Symptom Rating Scale (ESRS) was developed to assess four types of drug-induced movement disorders (DIMD): Parkinsonism, akathisia, dystonia, and tardive dyskinesia (TD). Comprehensive ESRS definitions and basic instructions are given. Factor analysis provided six ESRS factors: 1) hypokinetic Parkinsonism; 2) orofacial dyskinesia; 3) trunk/limb dyskinesia; 4) akathisia; 5) tremor; and 6) tardive dystonia. Two pivotal studies found high inter-rater reliability correlations in both antipsychotic-induced movement disorders and idiopathic Parkinson disease. For inter-rater reliability and certification of raters, >or=80% of item ratings of the complete scale should be +/-1 point of expert ratings and >or=70% of ratings on individual items of each ESRS subscale should be +/-1 point of expert ratings. During a cross-scale comparison, AIMS and ESRS were found to have a 96% (359/374) agreement between TD-defined cases by DSM-IV TD criteria. Two recent international studies using the ESRS included over 3000 patients worldwide and showed an incidence of TD ranging from 10.2% (2000) to 12% (1998). ESRS specificity was investigated through two different approaches, path analyses and ANCOVA PANSS factors changes, which found that ESRS measurement of drug-induced EPS is valid and discriminative from psychiatric symptoms.

Prevalence of neuroleptic-induced movement disorders in chronic schizophrenia inpatients.

PubMed

Janno, Sven; Holi, Matti; Tuisku, Katinka; Wahlbeck, Kristian

2004-01-01

Since most of the world's schizophrenia patients are treated with conventional antipsychotics, the authors evaluated various methods for establishing the prevalence of neuroleptic-induced movement disorders in these patients. DSM-IV criteria and established score thresholds on a movement disorder rating scale were used to identify cases of neuroleptic-induced movement disorder in a representative Estonian patient sample of 99 chronic institutionalized schizophrenia patients, 18-65 years old, treated with conventional neuroleptics (79.8%) or clozapine (20.2%). Neuroleptic-induced movement disorders according to DSM-IV criteria were found in 61.6% of the group: 31.3% had neuroleptic-induced akathisia, 23.2% had neuroleptic-induced parkinsonism, and 32.3% had neuroleptic-induced tardive dyskinesia. Prevalence rates for akathisia and tardive dyskinesia were similar when either DSM-IV criteria or rating scale scores were used, but the prevalence rate for parkinsonism was much lower per DSM-IV criteria than according to rating scale score. Nearly two-thirds of chronic schizophrenia patients suffered from a neuroleptic-induced movement disorder. Globally, extrapyramidal adverse effects still impose a huge burden on the majority of neuroleptic-treated individuals with schizophrenia. The discrepancy between the standard identification methods for neuroleptic-induced movement disorder indicate the need for further research.

Anticholinergics in the era of atypical antipsychotics: short-term or long-term treatment?

PubMed

Desmarais, Julie Eve; Beauclair, Linda; Margolese, Howard C

2012-09-01

Anticholinergic agents are usually prescribed to prevent or treat antipsychotic-induced extrapyramidal symptoms. Their long-term benefits are questionable and they carry diverse adverse effects, including cognitive impairment and worsening of tardive dyskinesia. This literature review explores the impact of anticholinergic medication discontinuation on movement disorders, cognition and psychopathology in patients receiving antipsychotics. Medline, Embase and PsycInfo were searched from 1950 to July 2011 using "cessation /withdrawal /discontinuation /stopping" with "anticholinergic*" or "antiparkinson*" and "neuroleptic*" or "antipsychotic*". Additional articles were obtained by searching the bibliographies of relevant references. Earlier studies of anticholinergic agent discontinuation in patients receiving first-generation antipsychotics reported relapse rates of extrapyramidal symptoms between 4% and 80%, reflecting the heterogeneity of the studies. Two recent studies of patients prescribed second-generation antipsychotics obtained relapse rates of 4% and 33%. Some studies suggest improvement in tardive dyskinesia with cessation of anticholinergics. Four studies examined the effects of anticholinergic agent discontinuation on cognition and all observed an improvement post-discontinuation. Changes in symptoms of schizophrenia with anticholinergic discontinuation are conflicting, with more recent studies suggesting an improvement. Given their questionable benefit with continued use, clinicians should consider a gradual withdrawal of anticholinergic agents in stable patients receiving antipsychotics.

Movement Disorders Induced by the "Atypical" Antipsychotic Aripiprazole.

PubMed

Selfani, Karim; Soland, Valérie L; Chouinard, Sylvain; Huot, Philippe

2017-01-01

Aripiprazole is an antipsychotic that acts as a partial agonist at dopamine D2 receptors. Because of its partial agonist activity, it was believed that aripiprazole would be less susceptible than typical antipsychotics to induce extrapyramidal side effects. However, a few case-reports and case-series detailing aripiprazole-induced movement disorders have been published, suggesting that aripiprazole-induced movement disorders may arise. Here, we seek to report further cases of aripiprazole-induced movement disorders to raise the awareness of clinicians on this adverse effect. Patients referred to the André-Barbeau Movement Disorder clinic treated with aripiprazole were enrolled in this study. Their charts were retrospectively reviewed and data regarding past psychiatric history, past antipsychotic medication, duration of aripiprazole treatment, daily dose of aripiprazole administered, and resulting movement disorders were collected. We report 14 cases of parkinsonism, tardive dyskinesia and akathisia induced by aripiprazole. Some of these, mostly the parkinsonian phenotype, abated spontaneously following drug discontinuation, whereas others, mostly related to tardive phenomena, persisted after aripiprazole was discontinued, and required treatment. This case-series adds to the existing literature that suggests that movement disorders may arise following treatment with aripiprazole. Clinicians should be aware of this potential side effect when prescribing aripiprazole to patients.

Experimental treatment of antipsychotic-induced movement disorders

PubMed Central

Shireen, Erum

2016-01-01

Antipsychotic drugs are extensively prescribed for the treatment of schizophrenia and other related psychiatric disorders. These drugs produced their action by blocking dopamine (DA) receptors, and these receptors are widely present throughout the brain. Therefore, extended antipsychotic use also leads to severe extrapyramidal side effects. The short-term effects include parkinsonism and the later appearing tardive dyskinesia. Currently available treatments for these disorders are mostly symptomatic and insufficient, and are often linked with a number of detrimental side effects. Antipsychotic-drug-induced tardive dyskinesia prompted researchers to explore novel drugs with fewer undesirable extrapyramidal side effects. Preclinical studies suggest a role of 5-hydroxytryptamine (serotonin)-1A and 2A/2C receptors in the modulation of dopaminergic neurotransmission and motivating a search for better therapeutic strategies for schizophrenia and related disorders. In addition, adjunctive treatment with antioxidants such as vitamin E, red rice bran oil, and curcumin in the early phases of illness may prevent additional oxidative injury, and thus improve and prevent further possible worsening of related neurological and behavioral deficits in schizophrenia. This review explains the role of serotonergic receptors and oxidative stress, with the aim of providing principles for prospect development of compounds to improve therapeutic effects of antischizophrenic drugs. PMID:27540314

Interventions et techniques de diagnostic prénatal visant l'obtention d'un prélèvement fœtal à des fins diagnostiques : Risques et avantages pour la mère et le fœtus.

PubMed

Wilson, R Douglas; Gagnon, Alain; Audibert, François; Campagnolo, Carla; Carroll, June

2016-12-01

Offrir aux fournisseurs de soins de maternité et à leurs patientes des lignes directrices factuelles contemporaines en ce qui concerne les services de counseling traitant des risques et des avantages maternels propres à la tenue des interventions diagnostiques prénatales orientées par échographie (et/ou des techniques permettant l'établissement d'un diagnostic génétique) nécessaires dans les cas où il a été établi pendant la période prénatale que la grossesse serait exposée à des risques, ainsi qu'en ce qui concerne la prise de décisions subséquentes quant à la prise en charge de la grossesse (questions abordant des aspects tels que le niveau du fournisseur de soins obstétricaux, la surveillance prénatale, le lieu où devraient se dérouler les soins et l'accouchement, et la décision de poursuivre ou d'interrompre la grossesse). La présente directive clinique se limite aux services de counseling traitant des risques et des avantages maternels, et aux décisions en matière de prise en charge de la grossesse pour les femmes qui nécessitent (ou qui envisagent) la mise en œuvre d'une intervention ou d'une technique effractive orientée par échographie aux fins de l'établissement d'un diagnostic prénatal. Femmes enceintes identifiées, à la suite de la mise en œuvre de protocoles établis de dépistage prénatal (taux sériques maternels ± imagerie, résultats d'analyse de l'ADN acellulaire indiquant des risques élevés, résultats anormaux au moment de l'imagerie fœtale diagnostique ou antécédents familiaux de troubles héréditaires), comme étant exposées à un risque accru d'anomalie génétique fœtale. Ces femmes pourraient nécessiter ou demander des services de counseling au sujet des risques et des avantages pour la grossesse de la tenue d'une intervention effractive orientée par échographie visant à déterminer l'étiologie, le diagnostic, et/ou la pathologie de possibles anomalies fœtales. RéSULTATS: La litt

Ten Most Searched Databases by a Business Generalist--Part 1 or A Day in the Life of....

ERIC Educational Resources Information Center

Meredith, Meri

1986-01-01

Describes databases frequently used in Business Information Center, Cummins Engine Company (Columbus, Indiana): Dun and Bradstreet Business Information Report System, Newsearch, Dun and Bradstreet Market Identifiers, Trade and Industry Index, PTS PROMT, Bureau of Labor Statistics files, ABI/INFORM, Magazine Index, NEXIS, Dow Jones News/Retrieval.…

Tumeurs sub-mandibulaires: profils épidémiologiques et histologiques

PubMed Central

Essobozou, Pegbessou Plaodezina; Malick, Ndiaye; Evelyne, Diom; Amadou, Thiam; Sanou, Diouf Mame; Djafarou, Boube; Cire, Ndiaye; Abdourhamane, Tall; Karim, Diallo Bay; Cheikh, Ndiaye Issa; Raymond, Diouf; Malick, Diop

2014-01-01

Introduction Il s'agit de déterminer les profils épidémiologiques et histologiques des tumeurs submandibulaires. Méthodes Il s'agissait d'une étude rétrospective et descriptive de 10 ans (1er janvier 2000 au 31 décembre 2009), réalisée dans le service universitaire d'ORL de l'hôpital de Fann. Etaient inclus dans cette étude tous patients porteurs d'une tumeur submandibulaire (opéré ou non), confirmée par un document histologique. Résultats Vingt-une tumeurs submandibulaires ont été colligées. L’âge moyen des patients était de 34,42 ans (± 14,10), avec des extrêmes de 2 et 55 ans. Quinze patients (71,4%) étaient de sexe féminin, soit un sex-ratio de 0,4. Les résultats histologiques étaient obtenus à partir de 4 biopsies et de 17 pièces opératoires. Dans 13 cas (61,9%) la tumeur était bénigne et dans 8 cas (38,1%) la tumeur était maligne. L'adénome pléomorphe dans 12 cas (57,1%), le carcinome épidermoïde dans 4 cas (19%) et l'adénocarcinome dans 2 cas (9,5%) étaient les types histologiques fréquents. Treize (13) patients étaient porteurs d'une tumeur bénigne, dont huit (8) patients étaient de sexe féminin. Huit (8) patients étaient porteurs d'une tumeur maligne. Sept patients étaient de sexe féminin. Conclusion Cette étude sur les tumeurs submandibulaires est marquée par une prédominance féminine et une fréquence élevée des adénomes pléomorphes et des carcinomes épidermoïdes. PMID:25400831

77 FR 66449 - Applications for New Awards; National Institute on Disability and Rehabilitation Research...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-05

...) number and a Taxpayer Identification Number (TIN); b. Register both your DUNS number and TIN with the...), the Government's primary registrant database; c. Provide your DUNS number and TIN on your application... you are a corporate entity, agency, institution, or organization, you can obtain a TIN from the...

78 FR 6083 - Application for New Awards; Indian Education Formula Grants to Local Educational Agencies

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-29

... Universal Numbering System (DUNS) number and a Taxpayer Identification Number (TIN); b. Register both your DUNS number and TIN with the Central Contractor Registry (CCR)--and, after July 24, 2012, with the... number and TIN on your application; and d. Maintain an active CCR or SAM registration with current...

48 CFR 52.204-7 - System for Award Management.

Code of Federal Regulations, 2013 CFR

2013-10-01

... for Award Manangement (JUL 2013) (a) Definitions. As used in this provision— Data Universal Numbering... information, including the DUNS number or the DUNS+4 number, the Contractor and Government Entity (CAGE) code... Zip Code. (iv) Company Mailing Address, City, State and Zip Code (if separate from physical). (v...

48 CFR 52.204-7 - System for Award Management.

Code of Federal Regulations, 2014 CFR

2014-10-01

... for Award Manangement (JUL 2013) (a) Definitions. As used in this provision— Data Universal Numbering... information, including the DUNS number or the DUNS+4 number, the Contractor and Government Entity (CAGE) code... Zip Code. (iv) Company Mailing Address, City, State and Zip Code (if separate from physical). (v...

48 CFR 52.204-7 - Central Contractor Registration.

Code of Federal Regulations, 2011 CFR

2011-10-01

... (CCR) database means the primary Government repository for Contractor information required for the...) for the same concern. Registered in the CCR database means that— (1) The Contractor has entered all mandatory information, including the DUNS number or the DUNS+4 number, into the CCR database; and (2) The...

Evolution des quasiparticules nodales du cuprate supraconducteur YBa2Cu3Oy en conductivite thermique

NASA Astrophysics Data System (ADS)

Rene de Cotret, Samuel

Ce memoire presente des mesures de conductivite thermique sur les supraconducteurs YBCO et Tl-2201 afin de statuer sur la presence possible d'un point critique quantique (QCP) dans le diagramme de phase de cuprates. Ce point critique quantique serait a l'origine de la reconstruction de la surface de Fermi, d'un large cylindre de trous en de petites poches de trous et d'electrons. La conductivite thermique dans le regime T → 0 permet d'extraire une quantite purement electronique liee aux vitesses de Fermi et du gap, au noeud. Une discontinuite dans cette quantite pourrait signaler la traversee du dopage critique qui reconstruit la surface de Fermi. Plusieurs sondes experimentales distinguent une transition de phase ou un crossover a T* a temperature finie. D'autres sondes mettent en evidence une transition de phase sous l'effet d'un champ magnetique. La presence ou non de cet ordre, a temperature et champ magnetique nul questionne la communaute depuis plusieurs annees. Dans cette etude, nous detectons une variation brusque de kappa0/T a p = 0.18 dans YBCO et a p = 0.20 dans Tl-2201. Ces sauts sont interpretes comme un signe de la transition a temperature nulle et sont en faveur d'un QCP. Le manque de donnees d'un meme materiau a ces dopages ne permet pas de valider hors de tout doute l'existence d'un point critique quantique. Le modele theorique YRZ decrit aussi bien les donnees de conductivite thermique. Des pistes de travaux experimentaux a poursuivre sont proposees pour determiner la presence ou non du QCP de facon franche. Mots-cles : Supraconducteurs, cuprates, conductivite thermique, point critique quantique.

76 FR 17391 - Applications for New Awards; United States-Brazil Higher Education Consortia Program

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-29

... Number (TIN); b. Register both your DUNS number and TIN with the Central Contractor Registry (CCR), the Government's primary registrant database; c. Provide your DUNS number and TIN on your application; and d..., agency, institution, or organization, you can obtain a TIN from the Internal Revenue Service. If you are...

77 FR 27031 - Applications for New Awards; Centers for Independent Living

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-08

... Number (TIN); b. Register both your DUNS number and TIN with the Central Contractor Registry (CCR), the Government's primary registrant database; c. Provide your DUNS number and TIN on your application; and d..., agency, institution, or organization, you can obtain a TIN from the Internal Revenue Service. If you are...

77 FR 37012 - Applications for New Awards: Disability and Rehabilitation Research Projects and Centers Program...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-20

... Number (TIN); b. Register both your DUNS number and TIN with the Central Contractor Registry (CCR), the Government's primary registrant database; c. Provide your DUNS number and TIN on your application; and d..., agency, institution, or organization, you can obtain a TIN from the Internal Revenue Service. If you are...

40 CFR 68.160 - Registration.

Code of Federal Regulations, 2014 CFR

2014-07-01

... stationary source Dun and Bradstreet number; (3) Name and Dun and Bradstreet number of the corporate parent company; (4) The name, telephone number, and mailing address of the owner or operator; (5) The name and...) Stationary source name, street, city, county, state, zip code, latitude and longitude, method for obtaining...

75 FR 34990 - Office of Special Education and Rehabilitative Services Overview Information; National Institute...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-21

... Application Package: ED Pubs, U.S. Department of Education, P.O. Box 22207, Alexandria, VA 22304. Telephone... with disabilities can obtain a copy of the application package in an accessible format (e.g., braille... must provide those same numbers on your application. You can obtain a DUNS number from Dun and...

Valbenazine for tardive dyskinesia: A systematic review of the efficacy and safety profile for this newly approved novel medication-What is the number needed to treat, number needed to harm and likelihood to be helped or harmed?

PubMed

Citrome, Leslie

2017-07-01

The objective of this systematic review was to describe the efficacy, tolerability, and safety of valbenazine for the treatment of tardive dyskinesia (TD). The pivotal registration trials were accessed by querying http://www.ncbi.nlm.nih.gov/pubmed/ and http://www.clinicaltrials.gov, for the search terms 'valbenazine' OR 'NBI-98854', and by also querying the EMBASE (Elsevier) commercial database for clinical poster abstracts, and by asking the manufacturer for copies of posters presented at congresses. Product labeling provided additional information. All available clinical reports of studies were identified. Descriptions of the principal results and calculation of number needed to treat (NNT) and number needed to harm (NNH) for relevant dichotomous outcomes were extracted from the available study reports and other sources of information. Valbenazine, a reversible inhibitor of Vesicular Monoamine Transporter Type 2 (VMAT2), received approval for the treatment of TD in adults based on a clinical trial development programme that included three 6-week parallel group, randomised, placebo-controlled studies, including one Phase III trial described in product labeling. The recommended dose for valbenazine is 80 mg/d. The percentage of responders in the Phase III acute study, as defined by ≥50% reduction from baseline in the Abnormal Involuntary Movement Scale dyskinesia score was 40.0% for valbenazine 80 mg/d vs 8.7% for placebo, yielding a NNT of 4 (95% CI 3-6). As pooled from available data, discontinuation rates because of an adverse event were 2.9% for valbenazine-treated patients vs 1.6% for placebo-treated patients, resulting in a NNH of 76 (ns). The only adverse event that met the threshold of incidence ≥5% for valbenazine and a rate of ≥2 times than that observed with placebo was somnolence (somnolence, fatigue, sedation), with rates of 10.9% for valbenazine (all doses) vs 4.2% for placebo, resulting in a NNH of 15 (95% CI 9-52). An additional warning and

Circum-Pacific accretion of oceanic terranes to continental blocks: accretion of the Early Permian Dun Mountain ophiolite to the E Gondwana continental margin, South Island, New Zealand

NASA Astrophysics Data System (ADS)

Robertson, Alastair

2016-04-01

Accretionary orogens, in part, grow as a result of the accretion of oceanic terranes to pre-existing continental blocks, as in the circum-Pacific and central Asian regions. However, the accretionary processes involved remain poorly understood. Here, we consider settings in which oceanic crust formed in a supra-subduction zone setting and later accreted to continental terranes (some, themselves of accretionary origin). Good examples include some Late Cretaceous ophiolites in SE Turkey, the Jurassic Coast Range ophiolite, W USA and the Early Permian Dun Mountain ophiolite of South Island, New Zealand. In the last two cases, the ophiolites are depositionally overlain by coarse clastic sedimentary rocks (e.g. Permian Upukerora Formation of South Island, NZ) that then pass upwards into very thick continental margin fore-arc basin sequences (Great Valley sequence, California; Matai sequence, South Island, NZ). Field observations, together with petrographical and geochemical studies in South Island, NZ, summarised here, provide evidence of terrane accretion processes. In a proposed tectonic model, the Early Permian Dun Mountain ophiolite was created by supra-subduction zone spreading above a W-dipping subduction zone (comparable to the present-day Izu-Bonin arc and fore arc, W Pacific). The SSZ oceanic crust in the New Zealand example is inferred to have included an intra-oceanic magmatic arc, which is no longer exposed (other than within a melange unit in Southland), but which is documented by petrographic and geochemical evidence. An additional subduction zone is likely to have dipped westwards beneath the E Gondwana margin during the Permian. As a result, relatively buoyant Early Permian supra-subduction zone oceanic crust was able to dock with the E Gondwana continental margin, terminating intra-oceanic subduction (although the exact timing is debatable). The amalgamation ('soft collision') was accompanied by crustal extension of the newly accreted oceanic slab, and

114.1 What is New in the Treatment of Schizophrenia?

PubMed Central

Correll, Christoph

2017-01-01

Abstract Background: Despite psychopharmacological advances, the evidence-based pharmacologic treatment of schizophrenia is still restricted to antidopaminergic compounds that predominantly address positive symptoms and agitation as well as aggression. Rational augmentation strategies to enhance effects in treatment resistant cases and to address relevant negative and cognitive symptoms are needed. Methods: Systematic review and critical appraisal of (1) meta-analytic evidence of augmentation and combination treatments, as well as (2) agents that are in phase III development for different domains on schizophrenia. Results: Out of 3397 publications, 29 meta-analyses testing 42 combination strategies in 381 individual trials and 19 833 participants were included. For total symptom reduction, 32 strategies augmenting any antipsychotic and 5 strategies augmenting clozapine were examined. Fourteen combination treatments outperformed control (SMD/Hedges’ g= −1.27 to −0.23). No combination strategies with clozapine outperformed control. Methodological quality of the meta-analyses was generally high (mean score = 9.4/11). However, content quality of the meta-analyzed studies was low (mean score = 2.8/8). Poorer content quality was significantly related to higher effect sizes in total psychopathology. We also identified 253 recent phase III clinical trials in schizophrenia that included 16 investigational compounds. Encenicline and valbenazine are first-in-class candidates for treatment of cognitive deficits and tardive dyskinesia, respectively, but recent encenicline data were negative. Eleven add-on compounds were previously approved for other therapeutic indications; they are for the most part being studied at academic medical centers and smaller pharmaceutical companies for new therapeutic targets (negative symptoms and cognitive deficits) or for specific populations with comorbidities and adverse effects (e.g., tardive dyskinesia and weight gain

Effets non lineaires transversaux dans les guides d'ondes plans

NASA Astrophysics Data System (ADS)

Dumais, Patrick

Les effets non lineaires transversaux dus a l'effet Kerr optique non resonant sont etudies dans deux types de guides a geometrie plane. D'abord (au chapitre 2), l'emission de solitons spatiaux d'un guide de type canal est etudie historiquement, analytiquement et numeriquement dans le but d'en faire la conception et la fabrication, en AlGaAs, dans la region spectrale en deca de la moitie de la bande interdite de ce materiau, soit autour de 1,5 microns. Le composant, tel que concu, comporte une structure de multipuits quantiques. Le desordonnement local de cette structure permet une variation locale du coefficient Kerr dans le guide, ce qui mene a l'emission d'un soliton spatial au-dela d'une puissance optique de seuil. L'observation experimentale d'un changement en fonction de l'intensite du profil de champ a la sortie du guide realise est presentee. Deuxiemement (au chapitre 3) une technique de mesure du coefficient Kerr dans un guide plan est presentee. Cette technique consiste a mesurer le changement de transmission au travers d'un cache place a la sortie du guide en fonction de l'intensite crete a l'entree du guide plan. Une methode pour determiner les conditions optimales pour la sensibilite de la mesure est presentee, illustree de plusieurs exemples. Finalement, la realisation d'un oscillateur parametrique optique basee sur un cristal de niobate de lithium a domaines periodiquement inverses est presentee. La theorie des oscillateurs parametriques optiques est exposee avec une emphase sur la generation d'impulsions intenses a des longueurs d'onde autour de 1,5 microns a partir d'un laser Ti:saphir, dans le but d'obtenir une source pour faire les experiences sur l'emission solitonique.

78 FR 42937 - Applications for New Awards; National Institute on Disability and Rehabilitation Research...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-18

... Number (TIN); b. Register both your DUNS number and TIN with the System for Award Management (SAM... your DUNS number and TIN on your application; and d. Maintain an active SAM registration with current... obtain a TIN from the Internal Revenue Service. If you are an individual, you can obtain a TIN from the...

78 FR 36755 - Applications for New Awards; National Institute on Disability and Rehabilitation Research...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-19

... Identification Number (TIN); b. Register both your DUNS number and TIN with the System for Award Management (SAM... your DUNS number and TIN on your application; and d. Maintain an active SAM registration with current... obtain a TIN from the Internal Revenue Service. If you are an individual, you can obtain a TIN from the...

78 FR 34355 - Applications for New Awards; National Institute on Disability and Rehabilitation Research...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-07

... (TIN); b. Register both your DUNS number and TIN with the Central Contractor Registry (CCR)--and, after...; c. Provide your DUNS number and TIN on your application; and d. Maintain an active CRR or SAM... organization, you can obtain a TIN from the Internal Revenue Service. If you are an individual, you can obtain...

78 FR 38958 - Applications for New Awards; National Institute on Disability and Rehabilitation Research...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-28

... Number (TIN); b. Register both your DUNS number and TIN with the System for Award Management (SAM... your DUNS number and TIN on your application; and d. Maintain an active SAM registration with current... obtain a TIN from the Internal Revenue Service. If you are an individual, you can obtain a TIN from the...

75 FR 38510 - Office of Postsecondary Education; Overview Information Training for Realtime Writers; Notice...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-02

.... Address to Request Application Package: You can obtain an application package via the Internet or from the... disabilities can obtain a copy of the application package in an accessible format (e.g., braille, large print...; and (3) you must provide those same numbers on your application. You can obtain a DUNS number from Dun...

Cannabidiol Prevents Motor and Cognitive Impairments Induced by Reserpine in Rats.

PubMed

Peres, Fernanda F; Levin, Raquel; Suiama, Mayra A; Diana, Mariana C; Gouvêa, Douglas A; Almeida, Valéria; Santos, Camila M; Lungato, Lisandro; Zuardi, Antônio W; Hallak, Jaime E C; Crippa, José A; Vânia, D'Almeida; Silva, Regina H; Abílio, Vanessa C

2016-01-01

Cannabidiol (CBD) is a non-psychotomimetic compound from Cannabis sativa that presents antipsychotic, anxiolytic, anti-inflammatory, and neuroprotective effects. In Parkinson's disease patients, CBD is able to attenuate the psychotic symptoms induced by L-DOPA and to improve quality of life. Repeated administration of reserpine in rodents induces motor impairments that are accompanied by cognitive deficits, and has been applied to model both tardive dyskinesia and Parkinson's disease. The present study investigated whether CBD administration would attenuate reserpine-induced motor and cognitive impairments in rats. Male Wistar rats received four injections of CBD (0.5 or 5 mg/kg) or vehicle (days 2-5). On days 3 and 5, animals received also one injection of 1 mg/kg reserpine or vehicle. Locomotor activity, vacuous chewing movements, and catalepsy were assessed from day 1 to day 7. On days 8 and 9, we evaluated animals' performance on the plus-maze discriminative avoidance task, for learning/memory assessment. CBD (0.5 and 5 mg/kg) attenuated the increase in catalepsy behavior and in oral movements - but not the decrease in locomotion - induced by reserpine. CBD (0.5 mg/kg) also ameliorated the reserpine-induced memory deficit in the discriminative avoidance task. Our data show that CBD is able to attenuate motor and cognitive impairments induced by reserpine, suggesting the use of this compound in the pharmacotherapy of Parkinson's disease and tardive dyskinesia.

Estimating site index of ponderosa pine in Northern California...standard curves, soil series, stem analysis

Treesearch

Robert F. Powers

1972-01-01

Four sets of standard site index curves based on statewide or regionwide averages were compared with data on natural growth from nine young stands of ponderosa pine in northern California. The curves tested were by Meyer; Dunning; Dunning and Reineke; and Arvanitis, Lindquist, and Palley. The effects of soils on height growth were also studied. Among the curves tested...

Profil épidémiologique des tumeurs malignes primitives des glandes salivaires : à propos de 154 cas

PubMed Central

Setti, Khadija; Mouanis, Mohamed; Moumni, Abdelmounim; Maher, Mostafa; Harmouch, Amal

2014-01-01

Introduction Les tumeurs des glandes salivaires sont des tumeurs rares représentant 3à 5% des tumeurs de la tête et du cou. La classification de l'OMS 2005 distingue les tumeurs épithéliales, les tumeurs mésenchymateuses, les tumeurs hématologiques et les tumeurs secondaires. Méthodes Notre travail consiste en une étude rétrospective réalisée sur une période de 10 ans allant de janvier 2002 à janvier 2012. Les critères d'inclusion étaient: l'âge, le sexe, le siège de la tumeur et le type histologique. Résultats L'incidence annuelle des tumeurs malignes primitives des glandes salivaires dans notre série était de 15 cas par an. Cent cinquante quatre cas de tumeurs malignes primitives des glandes salivaires ont été colligés sans prédominance de sexe (78 femmes (50,6%) et 76 hommes (49,4%)). La moyenne d'âge était de 60 ans avec des extrêmes de 4 et 83 ans et un pic de fréquence entre 51et 70 ans. Deux tiers des cas (65%) avaient une localisation au niveau des glandes principales avec 66 cas au niveau de la parotide (43%) et 34 cas au niveau de la glande sous maxillaire (22%). Cinquante quatre patients avaient une tumeur maligne des glandes salivaires accessoires (35%) dont 61% au niveau du palais. Aucun cas de tumeur maligne de la glande sublinguale n'a été recensé dans notre étude. Le type histologique prédominant dans notre série était le carcinome adénoïde kystique et retrouvé chez 43 patients (27,9%), suivi de l'adénocarcinome sans autre indication chez 37 patients (24%) puis du carcinome mucoépidermoïde chez 16 patients (10,4%) et de l'adénocarcinome polymorphe de bas grade également chez 16 patients (10. 4%). Conclusion Les tumeurs malignes des glandes salivaires représentent un ensemble hétérogène de maladies de caractérisation complexe et de fréquence variable. PMID:25120861

Protective effects of aqueous fruit extract from Sea Buckthorn (Hippophae rhamnoides L. Spp. Turkestanica) on haloperidol-induced orofacial dyskinesia and neuronal alterations in the striatum.

PubMed

Batool, Farhat; Shah, Asad Hussain; Ahmed, Syed Dilnawaz; Saify, Zafar Saeid; Haleem, Darakhshan Jabeen

2010-08-01

Long-term treatment of haloperidol, a neuroleptic, induces neurodegeneration specifically in the striatum (caudate and putamen), which plays an important role in the development of orofacial dyskinesia, a putative model of tardive dyskinesia (TD). This study investigated the protective effects of a concomitant treatment of aqueous fruit extract of Sea buckthorn (Hippophae rhamnoides L. spp. Turkestanica) (SBT-FE) (40 mg/kg, orally) plus haloperidol (3.0 mg/kg, ip) administration on an animal model of TD and on striatal neuronal alterations. Rats received daily haloperidol (3.0 mg/kg ip) and saline injections for 15 days. Seven-day posttreatment, aqueous SBT-FE (40 mg/kg) was administered daily via a feeding tube. Hypolocomotive effects (home cage activity, exploratory activity, catalepsy, and vacuous chewing movements) were monitored consecutively in each group. On the last day of the experiments, changes in extracellular levels of striatal dopamine (DA), dihydroxyphenyl acetic acid (DOPAC) and homovanillic acid (HVA) were determined by HPLC-EC. Aqueous SBT-FE attenuated haloperidol-induced VCMs after second week of treatment and locomotor activity was greater in rats treated with SBT-FE compared with the controls. The results indicate that DA and HVA levels in the striatum were significantly (P <.01) altered in rats given SBT-FE before injections of haloperidol. Hippophae rhamnoides fruit extract has a protective role against haloperidol-induced orofacial dyskinesia. Consequently, use of Hippophae rhamnoides as a possible therapeutic agent for the treatment of tardive dyskinesia should be considered.

SRI’s Tipster 2 Project

DTIC Science & Technology

1996-05-01

Marketing Research USA, a unit of Dun & Bradstreet Corp. He succeeds John H. Costello, who re- signed in March. 1. The N arne Recognizer recognizes the...Information Servicesco operation, will become president and chief operating officer of Nielsen Marketing Research USAco, a unit of Dun...European Information Services operation)NG, [will become)vG [president)NG [and)canj [chief operating officer)NG [of)p [Nielsen Marketing Research USA)NG

Décision d'amputation dans la prise en charge initiale d'une luxation ouverte grave de la cheville à propos d'un cas observé à l'Hôpital Laquintinie de Douala suite à un accident par moto-taxi

PubMed Central

Tsatedem, Faustin Atemkeng; Tsiagadigui, Jean Gustave; Ndando, Richard Polle; Arabo, Mohamadou Saidou; Bayiha, Alphonse; Kenfack, Bruno

2012-01-01

La décision d'amputation pour traumatisme grave de membre n'est pas toujours facile à prendre. Les auteurs rapportent le cas d'un traumatisme ouvert de la cheville gauche avec luxation tibiotalienne complète, référé pour amputation. Il s'agit d'une passagère d'une moto-taxi percutée par une voiture. A l'admission, le pouls tibial postérieur était présent et le score dit MESS (Mangled Extremity Severity Score) côté à 5, ce qui a permis et d'éviter l'amputation. Après débridement et réduction, une broche transplantaire a permis d'immobiliser la cheville et de faire les pansements. L'amputation a été évitée. La cicatrisation dirigée de la peau a été suivie par la kinésithérapie. La mobilité de la cheville autorise une marche avec cannes au quatrième mois post-opératoire. Les auteurs recommandent l'utilisation du MESS dans la décision d'amputation après traumatisme grave de membre. PMID:23396997

Scheduling for Multifunction Radar via Two-Slope Benefit Functions

DTIC Science & Technology

2010-12-01

planification des visées de suivi et de surveillance pour un radar multifonc- tion. Une technique séquentielle est proposée, selon laquelle on planifie...toutes les demandes de visées. On examine la planification des visées de suivi et de surveillance. Ces travaux proposent une méthode de planification ... planification anticipée et tardive. La méthode proposée pour établir l’ordre de priorité des visées de surveillance permet de réobserver des

Valbenazine: First Global Approval.

PubMed

Kim, Esther S

2017-07-01

Valbenazine (Ingrezza™) is an orally bioavailable, selective, vesicular monoamine transporter 2 (VMAT2) inhibitor being developed by Neurocrine Biosciences for the treatment of various central nervous system disorders. Valbenazine has been approved in the USA for the treatment of adults with tardive dyskinesia (TD), is at various stages of development in other countries for TD and is in phase 2 development in the USA for Tourette syndrome. This article summarizes the milestones in the development of valbenazine leading to its first global approval in the USA for the treatment of adults with TD.

Conception d'un capteur intelligent pour la détection des vapeurs de styrène dans l'industrie

NASA Astrophysics Data System (ADS)

Agbossou, Kodjo; Agbebavi, T. James; Koffi, Demagna; Elhiri, Mohammed

1994-10-01

The techniques of measurement of toxic gases are nowadays based on the semiconductor type sensors. The modelling and the electronic processing of their signals can be used to improve the accuracy and the efficiency of the measurement. In this paper, an intelligent system using a semiconductor sensor has been designed for the detection of the styrene vapors. A set of the environmental parameters sensors such as the temperature, the pressure and the humidity, is added to the basic sensor and allows a precise detection of the styrene vapors in air. A microcontroller and a communication interface, that are included in the control system and in the data processing system, provide the local intelligence. The linearization routines of the differents sensors are in the memory of the microcontroller. The system made of the sensors, of the amplification circuits, of the microcontroller and of the communication network between the smart sensor and the computer is analysed. A laboratory test of the device is presented and the accuracies and efficiencies of the differents sensors are given. Les techniques fiables de quantification des gaz polluants sont aujourd'hui basées sur l'utilisation des détecteurs à récepteurs chimiques et sur des capteurs à semiconducteurs. La modélisation et le traitement numérique des signaux résultants sont importants pour une mesure efficace et précise dans un milieu donné. Dans cet article, un capteur intelligent, utilisant un détecteur de gaz type semiconducteur a été réalisé pour la détection des vapeurs de styrène. Un ensemble de détecteurs des paramètres environnementaux, tels que la température, la pression et l'humidité, ajoutés au capteur de styrène, permettent de mesurer avec un bon contrôle les vapeurs de styrène dans l'air. Le système de contrôle et de gestion local des données est constitué d'un microcontrôleur et d'une interface de communication. Le microcontrôleur contient dans sa mémoire toutes les

Epithelial Plasticity in Castration-Resistant Prostate Cancer: Biology of the Lethal Phenotype

DTIC Science & Technology

2011-07-01

Sorg BS, Albrecht T et al. Alternative inclusion of fibroblast growth factor receptor 2 exon IIIc in Dunning prostate tumors reveals unexpected... exon 658IIIc in Dunning prostate tumors reveals unexpected epithelial 659mesenchymal plasticity. Proc Natl Acad Sci U S A 2006;103: 66014116–21. 24...variant isoforms (such as, for example FGFR2 that includes or excludes either exon IIIc or exon IIIb), or CD133, or any combination of two or more

Laser sans mode et étoile laser

NASA Astrophysics Data System (ADS)

Pique, J.-P.; Farinotti, S.; Fesquet, V.

2004-11-01

Nous décrivons la chaîne laser étudiée dans le cadre du projet Etoile-Laser-Polychromatique pour l'Optique-Adaptative (ELP-OA). Cette chaîne est constituée d'un oscillateur sans-mode, d'un préamplificateur intra-cavité et d'un amplificateur. L'objectif fixé est : 20 W de puissance moyenne, avec un taux de répétition de 15 kHz et une largeur d'impulsion de 40 ns. Nous montrons que l'aspect sans-mode de cette chaîne permet de s'affranchir du phénomène de saturation de l'atome de sodium. Nous avons mesuré un gain de 5 sur l'intensité de l'étoile monochromatique D{2}. Un facteur 30 est attendu sur l'intensité de la composante UV de l'étoile polychromatique.

Who Dun It? Mysteries.

ERIC Educational Resources Information Center

Zanarini, Anna

2001-01-01

Offers brief descriptions of 23 mysteries that will appeal to adolescent readers. Notes that further lists of excellent titles in the category of juvenile and young adult mystery are available on the Edgar Allen Poe website at http://www.mysterywriters.org/awards.html. (SR)

Opération multimode transverse des OPOs: des structures classiques aux corrélations quantiques

NASA Astrophysics Data System (ADS)

Martinelli, M.; Ducci, S.; Gigan, S.; Treps, N.; Maître, A.; Fabre, C.

2002-06-01

Nous démontrons la formation de structures transverses sur les faisceaux émis par un oscillateur paramétrique optique (OPO) de type II en configuration confocale. D'un point de vue classique nous mettons en évidence le caractère multimode transverse de telles structures. A travers l'étude des corrélations spatiales des faisceaux générés nous montrons que ces structures sont également multimodes d'un point de vue quantique.

Oral health impacts of medications used to treat mental illness.

PubMed

Cockburn, N; Pradhan, A; Taing, M W; Kisely, S; Ford, P J

2017-12-01

Many psychotropic medications affect oral health. This review identified oral side effects for antidepressant, antipsychotic, anticonvulsant, antianxiety and sedative drugs that are recommended in Australia for the management of common mental illnesses and provides recommendations to manage these side-effects. The Australian Therapeutic Guidelines and the Australian Medicines Handbook were searched for medications used to treat common mental health conditions. For each medication, the generic name, class, and drug company reported side-effects were extracted from the online Monthly Index of Medical Specialties (eMIMs) and UpToDate databases. Meyler's Side Effect of Drugs Encyclopaedia was used to identify additional oral adverse reactions to these medications. Fifty-seven drugs were identified: 23 antidepressants, 22 antipsychotics or mood stabilisers, and 12 anxiolytic or sedative medications. Xerostomia (91%) the most commonly reported side effect among all classes of medications of the 28 identified symptoms. Other commonly reported adverse effects included dysguesia (65%) for antidepressants, and tardive dyskinesia (94%) or increased salivation (78%) for antipsychotic medications. While xerostomia has often been reported as a common adverse effect of psychotropic drugs, this review has identified additional side effects including dysguesia from antidepressants and tardive dyskinesia and increased salivation from antipsychotics. Clinicians should consider oral consequences of psychotropic medication in addition to other side-effects when prescribing. For antidepressants, this would mean choosing duloxetine, agomelatine and any of the serotonin re-uptake inhibitors except sertraline. In the case of antipsychotics and mood stabilisers, atypical agents have less oral side effects than older alternatives. Copyright © 2017 Elsevier B.V. All rights reserved.

VMAT2 Inhibitors and the Path to Ingrezza (Valbenazine).

PubMed

Harriott, Nicole D; Williams, John P; Smith, Evan B; Bozigian, Haig P; Grigoriadis, Dimitri E

2018-01-01

The dopaminergic system plays a key role in the central nervous system, regulating executive function, arousal, reward, and motor control. Dysregulation of this critical monoaminergic system has been associated with diseases of the central nervous system including schizophrenia, Parkinson's disease, and disorders such as attention deficit hyperactivity disorders and addiction. Drugs that modify the dopaminergic system by modulating the activity of dopamine have been successful in demonstrating clinical efficacy by providing treatments for these diseases. Specifically, antipsychotics, both typical and atypical, while acting on a number of monoaminergic systems in the brain, primarily target the dopamine system via inhibition of postsynaptic dopamine receptors. The vesicular monoamine transporter 2 (VMAT2) is an integral presynaptic protein that regulates the packaging and subsequent release of dopamine and other monoamines from neuronal vesicles into the synapse. Despite acting on opposing sides of the synapse, both antipsychotics and VMAT2 inhibitors act to decrease the activity of central dopaminergic systems. Tardive dyskinesia is a disorder characterized by involuntary repetitive movements and thought to be a result of a hyperdopaminergic state precipitated by the use of antipsychotics. Valbenazine (NBI-98854), a novel compound that selectively inhibits VMAT2 through an active metabolite, has been developed for the treatment of tardive dyskinesia and is the first drug approved for the treatment of this disorder. This chapter describes the process leading to the discovery of valbenazine, its pharmacological characteristics, along with preclinical and clinical evidence of its efficacy. © 2018 Elsevier B.V. All rights reserved.

Review of clinical and laboratory experiences with molindone hydrochloride.

PubMed

Claghorn, J L

1985-08-01

The literature concerning the pharmacokinetics, pharmacodynamics, receptor physiology, and clinical use of molindone is reviewed. Unanswered questions about the drug are addressed. Although molindone is reputed to have a short half-life (1.5 hours), clinical observations report a prolonged effect from a once-daily dose. Early in treatment, some patients show intolerance due to akathisia or extrapyramidal symptoms. This may be withdrawal dyskinesia due to discontinuation of another drug or an early adverse effect of molindone. Different effects on dopamine receptors have been described, but the significance of these properties for the development of tardive dyskinesia remains unclear.

Hallucination: A rare complication of levetiracetam theraphy.

PubMed

Erdogan, Seher; Bosnak, Mehmet

2017-01-01

Levetiracetam is a new antiepileptic drug. In addition to epilepsy, it is also used for treating anxiety disorders and dystonia as well as tardive dyskinesia associated with the use of levodopa and neuroleptic drugs. Phenytoin therapy in a 10-year-old boy with convulsions was discontinued following cardiac rhythm impairment. The patient was then started on levetiracetam. However, visual and auditory hallucinations were observed on the 1st day of levetiracetam therapy. Levetiracetam was discontinued and replaced with sodium valproate, and the hallucinations resolved. The purpose of this report was to remind physicians that hallucinations are one of the rare complications of levetiracetam.

Developpement et application d'un systeme mobile de laser terrestre pour quantifier le bilan sedimentaire des plages

NASA Astrophysics Data System (ADS)

Van-Wierts, Stefanie

Au Québec maritime, l'érosion côtière est une problématique d'envergure, notamment sur les côtes de formations meubles. Les plages ont un rôle de zone tampon ayant comme fonction naturelle d'absorber l'énergie des vagues et donc d'assurer l'équilibre de certains écosystèmes et le maintien de l'écoumène en réduisant l'érosion de la côte. Les méthodes d'acquisition conventionnelles ne permettent pas de quantifier convenablement les changements morphosédimentaires d'une plage à l'échelle des cellules hydrosédimentaires. Le manque de méthode d'acquisition fiable et de données quantitatives mène à une surestimation ou à une sous-estimation de la disponibilité sédimentaire d'un système côtier. Pour contrer ces lacunes et afin de minimiser les coûts d'acquisition, un nouveau système mobile de LiDAR terrestre a été mis en place, permettant d'acquérir des données topographiques de l'estran, de la haute plage et des falaises. Le système multicapteurs comprend un LiDAR, un système de navigation à haute précision (IMU et D-GPS) et une caméra. L'ensemble des instruments et capteurs sont montés sur un véhicule de type tout-terrain. Le système a été évalué sur la zone côtière de la péninsule de Manicouagan. La comparaison des données LiDAR avec 1 050 points de référence géopositionnés au D-GPS montre une erreur verticale moyenne de 0,1 m sur les secteurs de plage. Les résultats montrent que le volume sédimentaire moyen des plages devant les zones où la ligne de rivage présente un ouvrage de protection en enrochement (12 m 3/m) est plus de trois fois plus faible que devant les secteurs à l'état naturel (35,5 m3/m). La moyenne des secteurs en transition, constituant les segments où une zone artificielle et une zone naturelle se chevauchent présentent un volume moyen de 28 m3/m. Aussi, les plages devant les secteurs anthropisés sont en moyenne près de 2 fois plus étroites (12,7 m) que devant les secteurs naturels (25

Les recommandations thérapeutiques relatives aux effets secondaires extrapyramidaux associés à l’utilisation d’antipsychotiques de deuxième génération chez les enfants et les adolescents

PubMed Central

Pringsheim, Tamara; Doja, Asif; Belanger, Stacey; Patten, Scott

2012-01-01

HISTORIQUE ET OBJECTIF : L’utilisation d’antipsychotiques augmente chez les enfants. Le présent article visait à orienter les cliniciens quant à la prise en charge clinique des effets secondaires extrapyramidaux des antipsychotiques de deuxième génération. MÉTHODOLOGIE : Les publications, les entrevues avec des informateurs clés et des échanges avec les membres d’un groupe de discussion et les partenaires ont permis de déterminer les principaux secteurs cliniques d’orientation et les préférences quant à la structure des présentes recommandations. Les membres responsables des lignes directrices ont reçu le projet de recommandations, ont évalué l’information recueillie grâce à une analyse bibliographique systématique et ont utilisé un processus de groupe nominal pour parvenir à un consensus quant aux recommandations thérapeutiques. Les lignes directrices contiennent une description des anomalies neurologiques souvent observées avec l’utilisation d’antipsychotiques ainsi que les recommandations sur le moyen d’examiner et de quantifier ces anomalies. Une démarche séquentielle sur la prise en charge des anomalies neurologiques est présentée. RÉSULTATS : On peut observer plusieurs types de symptômes extrapyramidaux attribuables à l’utilisation d’antipsychotiques chez les enfants, y compris la dystonie aiguë, l’akathisie, le parkinsonisme et la dyskinésie tardive, toutes induites par les neuroleptiques, de même que la dystonie tardive, l’akathisie tardive et les dyskinésies de sevrage. La forte majorité des données probantes sur le traitement des troubles du mouvement induits par les antipsychotiques proviennent de patients adultes atteints de schizophrénie. Étant donné le peu de données pédiatriques, les recommandations découlent de publications portant tant sur des adultes que sur des enfants. Compte tenu des limites de généralisation des données provenant de sujets adultes pour des enfants, il

Le cancer différencié de la thyroïde chez l’enfant et l’adolescent: à propos de 22 cas

PubMed Central

Anajar, Said; Tatari, Mohammed; Lakhbal, Adil; Abada, Reda; Rouadi, Sami; Roubal, Mohammed; Mahtar, Mohammed

2017-01-01

L’obectif était de mettre en relief les particularités du cancer de la thyroïde chez l’enfant et l’adolescent, et d’évaluer nos résultats par rapport à la littérature internationale a travers une série de cas la plus représentatif au Maroc: 22 cas. C'est une étude rétrospective descriptive des patients atteints de cancer différencié de la thyroïde, hospitalisés au service d’ORL et de Chirurgie Cervico-faciale de L’hopital 20 Août de Casablanca-Maroc, sur la période qui s’étend de Janvier 1995 à Mars 2015. Nous avons recueilli les données relatives à 22 cas, qui répondaient à nos critères d’inclusion. L’âge moyen de nos patients était de 14 ans, avec une sex-ratio 3,4, la plupart de nos patients ont consulté pour un nodule thyroïdien, associé dans 22,7% des cas à une adénopathie cervicale, et dans 9,1% à des signes de compression. L’ensemble des patients ont bénéficié d’une thyroïdectomie totale, suivie d’un curage ganglionnaire dans 31,82%. Le diagnostic de cancer thyroïdien a reposé sur l’examen anatomopathologique de la pièce opératoire, qui a objectivé un carcinome papillaire dans 95,4% des cas, et un carcinome vésiculaire dans 4,5%. Le traitement par l’iode radioactif 131 a été réalisé dans 100% des cas. Par la suite tous nos patients ont été mis sous hormonothérapie thyroïdienne. Une surveillance étroite et régulière a permis de détecter des métastases ganglionnaires chez 3 patients, et les métastases à distance chez 4 patients. Le cancer différencié de la thyroïde de l’enfant et l’adolescent est une entité rare mais agressive, son traitement se base sur la chirurgie, associée à l’irathérapie donnant un pronostic excellent. PMID:29255541

Connaissances des médecins généralistes de Mohammedia (Maroc) concernant le dépistage du cancer du sein

PubMed Central

Zine, Karima; Nani, Samira; Lahmadi, Imad Ait; Maaroufi, Abderrahmane

2016-01-01

Introduction Le cancer du sein représente un problème de santé publique majeur au Maroc. C'est le premier cancer chez la femme. L'objectif de ce travail était d'évaluer les connaissances des médecins généralistes (MG) en matière de dépistage du cancer du sein dans la préfecture de Mohammedia Maroc. Méthodes Nous avons mené une étude transversale, descriptive, exhaustive incluant les 97 MG exerçant dans les établissements de soins de santé de base du secteur public et privé de la province de Mohammedia. Résultats Le taux de participation était de 87%. L'âge moyen des MG était de 49,6 ± 8,1. Quatre-vingt pour cent (n=55) des MG ont donné une incidence incorrecte, 77,6% (n=85) ont reconnu l'existence d'un plan national de prévention et de contrôle du cancer (PNPCC) au Maroc, et 67,1 des MG ont rapporté l'existence d'un registre du cancer au Maroc. Le secteur d'activité était associé significativement avec les connaissances des MG sur le PNPCC et sur l'existence d'un guide de détection précoce du cancer du sein avec respectivement (p=0,003 et p=0,001). Une association significative entre l'ancienneté et l'existence d'un guide de détection précoce du cancer du sein et d'un registre du cancer du sein a été retrouvée avec (respectivement p=0,005 et p=0.002). Conclusion À la lumière de ces résultats il faudra renforcer les connaissances et les pratiques des MG par la promotion de la formation initiale et continue sur le dépistage. PMID:27800098

Systemes Fermioniques a Basse Dimension D'espace: Supraconductivite, Effet Hall Quantique et Statistique Fractionnaire

NASA Astrophysics Data System (ADS)

Sakhi, Said

Cette these est constituee de trois sujets de recherche distincts. Les deux premiers articles traitent du phenomene de supraconductivite dans un modele bidimensionnel, dans le troisieme article on etudie l'action effective d'un systeme electronique soumis a l'effet d'un champ magnetique (systeme de Hall) et le dernier article examine la quantification d'un systeme de particules identiques en deux dimensions d'espace et la possibilite des anyons. Le modele qu'on analyse dans les deux premiers articles est un systeme fermionique dont les particules chargees et de masse nulle interagissent entre elles avcc un couplage attractif et fort. L'analyse de l'action effective decrivant la physique a basse energie nous permet d'examiner la structure de l'espace de phase. A temperature nulle, le parametre d'ordre du systeme prend une valeur moyenne non nulle. Consequemment, la symetrie continue U(1) du modele est spontanement brisee et il en resulte l'apparition d'un mode de Goldstone. En presence d'un champ electromagnetique externe, ce mode disparait et le champ de jauge acquiert une masse donc l'effet Meissner caracteristique d'un supraconducteur. Bien que le modele ne soit pas renormalisable dans le sens perturbatif, on montre qu'il l'est dans le cadre du developpement en 1/N ou N est le nombre d'especes fermioniques. En outre, on montre que l'inclusion des effets thermiques change radicalement le mecanisme de supraconductivite. En effet, on montre que la brisure spontanee de la symetrie U(1) n'est plus possible a temperature finie a cause de tres severes divergences infrarouges. Par contre, la dynamique des tourbillons (vortex) existant dans le plan devient essentielle. On montre que le phenomene de supraconductivite resulte du confinement de ces objets topologiques et que la temperature critique s'identifie a celle de Kosterlitz -Thouless. Ce mecanisme de supraconductivite presente l'avantage d'aboutir a un rapport gap a la temperature critique plus eleve que celui du

Lasers solides pompés par diode émettant des impulsions picosecondes à haute cadence dans l'ultraviolet

NASA Astrophysics Data System (ADS)

Balembois, F.; Forget, S.; Papadopoulos, D.; Druon, F.; Georges, P.; Devilder, P.-J.; Lefort, L.

2005-06-01

De nombreuses applications requièrent des sources lasers impulsionnelles ultraviolettes, présentant des durées d'impulsion et des cadences spécifiques. Grâce à l'utilisation de structures d'oscillateurs et d'amplificateurs originales il est possible de réaliser de telles sources à partir de lasers solides pompés par diodes et de profiter ainsi de la compacité, de l'efficacité et de la robustesse de ces sources. Nous présentons ici la réalisation d'un laser à verrouillage de modes et d'un microlaser déclenché permettant d'obtenir des impulsions ultraviolettes picosecondes à une cadence de quelques MHz en vue d'application à la microscopie de fluorescence résolue en temps, ainsi que la mise en œuvre pour le traitement des matériaux d'un système oscillateur-amplificateur produisant plus de 600 mW de rayonnement UV à 266 ou 355 nm avec des impulsions sub-nanosecondes.

Le satellite Encelade source d'ions N+ dans la magnétosphère de Saturne

NASA Astrophysics Data System (ADS)

Bouhram, Mehdi; Berthelier, Jean-Jacques; Illiano, Jean-Marie; Smith, Howard T.; Sittler, Edward C.; Crary, Frank J.; Young, Dave T.

2005-12-01

xml:lang="fr">RésuméLe premier passage de la sonde Cassini dans l'environnement de Saturne, au dessus de l'anneau E, a mis en évidence l'existence d'un plasma composé d'un mélange d'ions issus des produits de l'eau (H+, O+, OH+, H2O+) avec une faible composante en ions N+ (3 %). A partir d'un modèle simple du transport des ions dans la magnétosphère, nous montrons que la source de ces ions N+ coïncide avec le satellite Encelade. Un tel résultat peut s'expliquer par la présence de composés volatiles tels que l'ammoniac NH3 sur ce satellite de glace, supposé encore actif géologiquement, ou par la présence d'ions N+ d'origine externe préalablement implantés sur sa surface. Pour citer cet article : M. Bouhram et al., C. R. Physique 6 (2005).

Elaboration d'un plan de transition et de mise en oeuvre pour ameliorer la gestion de l'obsolescence dans une entreprise du secteur aeronautique =

NASA Astrophysics Data System (ADS)

Conrad, Heloise

employes et des conseils d'un industriel expert en obsolescence des composants avioniques, le plan de transition et de mise en oeuvre cree se divise en trois (3) phases : 1) amelioration de la gestion de l'obsolescence, 2) amelioration de la prevision de l'obsolescence et 3) gestion des fournisseurs. Meme si le plan de transition n'a pas ete applique dans l'entreprise partenaire, la methode et le plan cree ont ete approuves par les employes et utilisateurs.

Hallucination: A rare complication of levetiracetam theraphy

PubMed Central

Erdogan, Seher; Bosnak, Mehmet

2017-01-01

Levetiracetam is a new antiepileptic drug. In addition to epilepsy, it is also used for treating anxiety disorders and dystonia as well as tardive dyskinesia associated with the use of levodopa and neuroleptic drugs. Phenytoin therapy in a 10-year-old boy with convulsions was discontinued following cardiac rhythm impairment. The patient was then started on levetiracetam. However, visual and auditory hallucinations were observed on the 1st day of levetiracetam therapy. Levetiracetam was discontinued and replaced with sodium valproate, and the hallucinations resolved. The purpose of this report was to remind physicians that hallucinations are one of the rare complications of levetiracetam. PMID:29270577

Dynamique d'une frontière libre : un siège fascinant de morphogénèse

NASA Astrophysics Data System (ADS)

Misbah, Chaouqi; Müller-Kurmbhaar, Heiner

Un front de solidification, dont le mouvement est limité par une simple diffusion, est le siège d'une myriade de morphogénèses statiques et dynamiques, allant d'une dendrite aux fractals, et d'un front cellulaire stationnaire au chaos spatio-temporel. Plusieurs de ces caractéristiques sont communes à une vaste liste de systèmes hors équilibre. Même l'organisation spatio-temporelle d'une population d'entités vivantes, telles que les bactéries, présente une forte similarité avec celle d'un front de croissance.

Dispositifs semi-conducteurs pour biodetection photonique et imagerie hyperspectrale

NASA Astrophysics Data System (ADS)

Lepage, Dominic

La creation d'un microsysteme d'analyse biochimique, capable de livrer des diagnostics preliminaires sur la quantification d'elements pathogenes, est un defi multidisciplinaire ayant un impact potentiel important sur la majorite des activites humaines en sante et securite. En effet, un dispositif integre, peu dispendieux et livrant des resultats facilement interpretables, permettrait une vulgarisation des capacites de biodetection a travers differents domaines d'applications societaires et industriels. Le present document se concentre sur l'integration monolithique d'une methode de biocaracterisation dans le but de generer un transducteur miniaturise et efficace, element central d'un microsysteme de detection. Le projet de recherche ici presente vise l'etude de l'applicabilite d'un capteur plasmonique integre par l'entremise de nanostructures semi-conductrices aux proprietes quantiques et luminescentes. L'approche presentee est globale; c'est-a-dire qu'on vise a repondre aux questions fondamentales impliquant la comprehension des phenomenes photoniques, le developpement et la fabrication des dispositifs, les methodes de caracterisations possibles ainsi que l'application d'un transducteur SPR integre a la biodetection. En d'autres termes : dans quelles circonstances et comment un transducteur plasmonique integre doit-il etre realise pour l'application a la detection delocalisee d'elements pathogenes? Dans le but d'engendrer un instrument simple a l'echelle de l'usager, l'integration de la connaissance a l'echelle du design est donc effectuee. Ainsi, des capteurs plasmoniques monolithiques sont concus a l'aide de modeles theoriques ici presentes. Un instrument de mesure hyperspectrale conjuguee permettant de cartographier directement la relation de dispersion des plasmons diffractes a ete construit et teste. Cet instrument est employe a la cartographie d'elements de diffusion. Finalement, une demonstration du fonctionnement du dispositif, appliquee a la

New cation-exchange material based on a sulfonated 3,4-ethylenedioxythiophene monomer

NASA Astrophysics Data System (ADS)

Stéphan, O.; Schottland, P.; Le Gall, P.-Y.; Chevrot, C.

1998-06-01

The electrochemical oxidation, in aqueous medium, of a 3,4-ethylenedioxythiophene monomer functionalized by a sulfonate group exhibiting cation-exchange properties, allows the synthesis of a new type of water-soluble material. In order to synthesize in water, by oxidative electropolymerization, polymer films of controlled thickness containing attached sulfonate groups, we have investigated the polymerization of the functionalized monomer in the presence of the unsubstituted one without supporting electrolyte. Using an equimolar mixture (0.01 mol/l) of both monomers, copolymers exhibiting cation exchange abilities have been synthesized. As an example, th easy incorporation of hexaamine-ruthenium(III) into one of these copolymers is briefly reported. L'oxydation électrochimique en milieu aqueux d'un monomère de type 3,4- éthylènedioxythiophène fonctionnalisé par un groupement sulfonate permet d'envisager la synthèse d'un nouveau type de polymère hydrosoluble. Afin d'obtenir électrochimiquement en milieu aqueux, un film de polymère d'épaisseur contrôlée contenant des groupements sulfonates, nous avons evisagé de polymériser ce monomère en présence de son homologue non substitué. En partant d'un mélange équimolaire (0.01 mol/l) des deux monomères et en l'absence d'électrolyte support, nous avons synthétisé un matériau possédant des propriétés d'échange de cations. A titre d'exemple, nous présentons brièvement l'incorporation d'un complexe hexaaminé du ruthénium(III) dans un de ces copolymères.

Implication of the ERK/MAPK pathway in antipsychotics-induced dopamine D2 receptor upregulation and in the preventive effects of (±)-α-lipoic acid in SH-SY5Y neuroblastoma cells.

PubMed

Deslauriers, Jessica; Desmarais, Christian; Sarret, Philippe; Grignon, Sylvain

2014-03-01

Chronic administration of antipsychotics (APs) has been associated with dopamine D2 receptor (D2R) upregulation and tardive dyskinesia. We previously showed that haloperidol, a first-generation AP, exerted a more robust increase in D2R expression than amisulpride, a second-generation AP and that (±)-α-lipoic acid pre-treatment reversed the AP-induced D2R upregulation. We also demonstrated that the Akt/GSK-3β/β-catenin pathway is involved in the control of D2R expression levels, but is unlikely implicated in the preventive effects of (±)-α-lipoic acid since co-treatment with haloperidol and (±)-α-lipoic acid exerts synergistic effects on Akt/GSK-3β activation. These findings led us to examine whether the ERK/MAPK signaling pathway may be involved in D2R upregulation elicited by APs, and in its reversal by (±)-α-lipoic acid, in SH-SY5Y human neuroblastoma cells. Our results revealed that haloperidol, in parallel with an elevation in D2R mRNA levels, induced a larger increase of ERK (p42/p44) phosphorylation than amisulpride. Pre-treatment with the selective ERK inhibitor U0126 attenuated haloperidol-induced increase in D2R upregulation. Furthermore, (±)-α-lipoic acid prevented AP-induced ERK activation. These results show that (1) the ERK/MAPK pathway is involved in haloperidol-induced D2R upregulation; (2) the preventive effect of (±)-α-lipoic acid on haloperidol-induced D2R upregulation is in part mediated by an ERK/MAPK-dependent signaling cascade. Taken together, our data suggest that (±)-α-lipoic acid exerts synergistic effects with haloperidol on the Akt/GSK-3β pathway, potentially involved in the therapeutic effects of APs, and antagonism of ERK activation and D2R upregulation, potentially involved in tardive dyskinesia and treatment resistance.

Evaluation des résultats après traitement des lésions intra épithéliales du col utérin par la cryothérapie: étude préliminaire au Centre Hospitalier Universitaire de Yaoundé: A propos de 21 cas

PubMed Central

Ndoua, Claude Cyrille Noa; Tebeu, Pierre Marie; Kemfang, Jean Dupont; Kasia, Jean Marie

2015-01-01

Nous rapportons les résultats d'une série de 21 cas de prise en charge par cryothérapie de lésions intra-épithéliales cervicales au Centre Hospitalier et Universitaire (CHU) de Yaoundé. Notre objectif principal était d’évaluer les résultats préliminaires de la prise en charge des lésions précancéreuses éligibles pour la cryothérapie. Il s'agissait d'une étude transversale descriptive qui s'est étalée sur 24 mois. Etaient inclus dans l’étude toutes les femmes traitées par cryothérapie. Nous avons exclu les patientes traitées par une autre méthode, les patientes perdues de vue et les dossiers incomplets. Le statut cervical a été déterminé à 6 semaines, 6 mois et 12 mois. Les complications précoces et tardives ont également été répertoriées. Au total 95.2% des lésions étaient cicatrisées à 6 semaines. A 6 mois, toutes les lésions avaient disparu et au 12ème mois, la guérison était effective chez 95.2% des patientes. Les saignements et l'hydrorrhée étaient les principales complications tardives avec des fréquences respectives de 66.7% et 95.2%. Aucun cas de sténose cervicale n'a été répertorié. La cryothérapie peut être utilisée comme méthode de traitement pour des lésions précancéreuses du col. PMID:26140068

Differences in Dihydrotetrabenazine Isomer Concentrations Following Administration of Tetrabenazine and Valbenazine.

PubMed

Skor, Heather; Smith, Evan B; Loewen, Gordon; O'Brien, Christopher F; Grigoriadis, Dimitri E; Bozigian, Haig

2017-09-01

Tetrabenazine (TBZ) activity is thought to result from four isomeric dihydrotetrabenazine (HTBZ) metabolites ([+]-α-HTBZ, [-]-α-HTBZ, [+]-β-HTBZ, [-]-β-HTBZ). Each isomer has a unique profile of vesicular monoamine transporter 2 (VMAT2) inhibition and off-target binding. Previously published data only report total isomer (α) and (β) concentrations. We developed a method to quantify the individual HTBZ isomers in samples from patients with Huntington's disease receiving TBZ. For comparison, concentrations of [+]-α-HTBZ, the single active metabolite shared by valbenazine (VBZ) and TBZ, were determined in samples from patients with tardive dyskinesia receiving VBZ. A liquid chromatography-tandem mass spectrometry (LC-MS/MS) method was developed and validated for quantitation of the four individual HTBZ isomers. Concentrations were determined in serum from patients with Huntington's disease administered TBZ and plasma from patients with tardive dyskinesia administered VBZ once daily. In patients administered TBZ, [-]-α-HTBZ and [+]-β-HTBZ were the most abundant HTBZ isomers while [-]-β-HTBZ and [+]-α-HTBZ were present as minor metabolites. Only [+]-α-HTBZ was observed in patients administered VBZ. Based on relative abundance and potency, [+]-β-HTBZ appears to be the primary contributor to VMAT2 inhibition by TBZ, a finding in contrast with the generally held assertion that [+]-α-HTBZ is the major contributor. [-]-α-HTBZ, the other abundant TBZ metabolite, has much lower VMAT2 inhibitory potency than [+]-β-HTBZ, but increased affinity for other CNS targets, which may contribute to off-target effects of TBZ. In contrast, pharmacological activity for VBZ is derived primarily from [+]-α-HTBZ. Individual HTBZ isomer concentrations provide a more clinically relevant endpoint for assessing on- and off-target effects of TBZ than total isomer concentrations.

2018 New Drug Update.

PubMed

Hussar, Daniel A; Finn, Laura A

2018-04-01

Five new drugs marketed within the last year, which are used for medical problems often experienced by the elderly, have been selected for consideration in this review. The uses and most important properties of these agents are discussed, and a rating for each new drug is determined using the New Drug Comparison Rating system developed by the author (DAH). Advantages, disadvantages, and other important information regarding each new drug are identified and used as the basis for determining the rating. The drugs include an anticoagulant, an antiparkinson agent, an agent for tardive dyskinesia, an agent for psoriasis, and an agent for constipation. The drugs reviewed are betrixaban, safinamide mesylate, valbenazine tosylate, guselkumab, and plecanatide.

Deep brain stimulation as a functional scalpel.

PubMed

Broggi, G; Franzini, A; Tringali, G; Ferroli, P; Marras, C; Romito, L; Maccagnano, E

2006-01-01

Since 1995, at the Istituto Nazionale Neurologico "Carlo Besta" in Milan (INNCB,) 401 deep brain electrodes were implanted to treat several drug-resistant neurological syndromes (Fig. 1). More than 200 patients are still available for follow-up and therapeutical considerations. In this paper our experience is reviewed and pioneered fields are highlighted. The reported series of patients extends the use of deep brain stimulation beyond the field of Parkinson's disease to new fields such as cluster headache, disruptive behaviour, SUNCt, epilepsy and tardive dystonia. The low complication rate, the reversibility of the procedure and the available image guided surgery tools will further increase the therapeutic applications of DBS. New therapeutical applications are expected for this functional scalpel.

Une colite à CMV révélant un lupus érythémateux systémique

PubMed Central

Ben Ghorbel, Imed; Boussetta, Najeh; Boubaker, Jalel; Zehani, Alia; Lamloum, Mounir; Houman, Mohamed Habib

2014-01-01

Le cytomégalovirus (CMV) est responsable d'infections souvent asymptomatiques chez les immunocompétents mais également d'infections graves chez les immunodéprimés notamment chez les patients lupiques. La réactivation du CMV au cours du lupus est une complication fréquente mais rarement inaugurale. Nous rapportons l'observation d'un patient ayant présenté une colite à CMV révélatrice d'un lupus érythémateux systémique. Le diagnostic a été retenu sur les données sérologiques, de la biopsie colique et la bonne évolution après un traitement par ganciclovir. PMID:25977743

Des furoncles résistants aux antibiotiques: penser à la myiase !!

PubMed Central

Ajili, Faida; Abid, Rim; Bousseta, Najeh; Mrabet, Ali; Karoui, Ghazi; Louzir, Bassem; Battikh, Riadh; Othmani, Salah

2013-01-01

Les myiases sont des infections parasitaires par des larves de mouches. La localisation cutanée doit être évoquée de retour d'un pays tropical devant une évolution inhabituelle de lésions cutanées. Nous rapportons une observation d'un militaire tunisien, ayant séjourné en République Démocratique du Congo. Il était atteint de myiase cutanée simulatrice d'une furonculose résistante aux antibiotiques. L'intérêt de cette observation est de souligner l'importance d’évoquer la myiase dont le traitement est simple et rapide chez un patient de retour de zone d'endémie. PMID:24106569

Orofacial and respiratory tardive dyskinesia: potential side effects of 2-dimethylaminoethanol (deanol)?

PubMed

Haug, B A; Holzgraefe, M

1991-01-01

A case of essential tremor since early adultness is presented, which has been treated successfully with the acetylcholine precursor 2-dimethylaminoethanol (deanol) for 10 years. Development of a marked dyskinesia syndrome affecting predominantly orofacial and respiratory musculature has been noticed with this medication. Partial remission after discontinuation and a favorable response to anticholinergics are suggestive of an adverse drug effect.

Carcinome neuroendocrine thymique: à propos d’un cas et revue de la littérature

PubMed Central

Ramahandrisoa, Andriatsihoarana Voahary Nasandratriniavo; Hasiniatsy, Nomeharisoa Rodrigue Emile; Refeno, Valéry; Vololonantenaina, Clairette Raharisolo; Rakotoarisoa, Andriamihaja Jean Claude; Rakotovao, Hanitrala Jean Louis; Rafaramino, Florine

2017-01-01

Les tumeurs neuroendocrines thymiques (TNET) sont rares, de pronostic mal connu. L'objectif est de rapporter un cas de TNET et discuter la difficulté diagnostique et thérapeutique en milieu à faibles ressources. Un homme de 60 ans présentait une douleur thoracique, une toux grasse et un amaigrissement récent. Le scanner thoracique révélait une masse tissulaire médiastinale antérieure. L'histologie définitive obtenue quatre mois après la biopsie par médiastinotomie antérieure montrait une TNET bien différenciée, avec marquage intense à la chromogranine et à la synaptophysine. La recherche d'autres tumeurs neuroendocrines et le bilan d'extension étaient négatifs. La tumeur était inextirpable d'emblée et la radiothérapie indisponible. Le patient a reçu deux lignes de chimiothérapie première. Avec un recul de 16 mois, le patient était asymptomatique, mais en progression tumorale. Le diagnostic de TNET peut être retardé quand l'examen immunohistochimique n'est pas réalisé en routine. La chimiothérapie apporte une amélioration des symptômes en situation palliative. PMID:28451004

Clinical features of movement disorders.

PubMed

Yung, C Y

1983-08-01

The descriptive aspects of all types of movement disorders and their related syndromes and terminologies used in the literature are reviewed and described. This comprises the features of (a) movement disorders secondary to neurological diseases affecting the extrapyramidal motor system, such as: athetosis, chorea, dystonia, hemiballismus, myoclonus, tremor, tics and spasm, (b) drug induced movement disorders, such as: akathisia, akinesia, hyperkinesia, dyskinesias, extrapyramidal syndrome, and tardive dyskinesia, and (c) abnormal movements in psychiatric disorders, such as: mannerism, stereotyped behaviour and psychomotor retardation. It is intended to bring about a more comprehensive overview of these movement disorders from a phenomenological perspective, so that clinicians can familiarize with these features for diagnosis. Some general statements are made in regard to some of the characteristics of movement disorders.

Plasma prolactin and homovanillic acid as markers for psychopathology and abnormal movements after neuroleptic dose decrease.

PubMed

Newcomer, J W; Riney, S J; Vinogradov, S; Csernansky, J G

1992-01-01

Plasma prolactin concentration (pPRL), plasma homovanillic acid concentration (pHVA), and symptomatology were measured in 24 male subjects with schizophrenia during maintenance haloperidol treatment. Fourteen subjects subsequently underwent 50 percent dose decreases under placebo-controlled, double-blind conditions. At baseline, a significant inverse correlation was found between pPRL and both tardive dyskinesia (TD) and "thinking disorder"; pPRL was directly correlated with negative symptoms. No such relationship was found with pHVA. In the patients who underwent a dose decrease, no relationship was found between baseline pPRL or pHVA and any clinical variable after the decrease. These data do not support the use of baseline pPRL or pHVA as markers of central dopamine function subsequent to a neuroleptic dose decrease.

VizieR Online Data Catalog: Protonated oxirane characterization (Puzzarini+, 2014)

NASA Astrophysics Data System (ADS)

Puzzarini, C.; Ali, A.; Biczysko, M.; Barone, V.

2017-04-01

The coupled-cluster (CC) singles and doubles approximation augmented by a perturbative treatment of triple excitations (CCSD(T); Raghavachari et al., 1989, ChPhL, 157, 479) was employed in molecular structure and anharmonic force-field calculations. Harmonic force fields were also computed using the less expensive and less accurate second-order Moller-Plesset perturbation theory (MP2; Moller & Plesset, 1934, PhRv, 46, 618). CCSD(T) and MP2 calculations were carried out in conjunction with the correlation-consistent basis sets, (aug)-cc-p(C)VnZ (n = T, Q) (Dunning, 1989, JChPh, 90, 1007; Kendall et al., 1992, JChPh, 96, 6796; Woon & Dunning, 1995, JChPh, 103, 4572), with the quantum-chemical CFour program package employed throughout. (4 data files).

Spectroscopie pompe-sonde pour la détection de bioaérosols

NASA Astrophysics Data System (ADS)

Guyon, L.; Courvoisier, F.; Wood, V.; Boutou, V.; Bartelt, A.; Roth, M.; Rabitz, H.; Wolf, J. P.

2006-10-01

La fluorescence du Tryptophane excité par une impulsion ultra-brève à 270 nm peut être diminuée d'un facteur deux par une seconde impulsion à 800 nm, à l'aide d'un dispositif pompe-sonde. Cette décroissance est aussi observée pour les bactéries vivantes, dont le Tryptophane est l'un des fluorophores, tandis qu'aucune décroissance n'est observée pour d'autres molécules organiques comme le naphtalène ou le gazole, malgré des spectres d'absorption et de fluorescence similaires. Cette différence remarquable est très prometteuse pour la distinction d'aérosols biologiques et organiques.

Le syndrome d’Usher: à propos d’une observation

PubMed Central

Daoudi, Chama; boutimzine, Noureddine; Haouzi, Samia El; Lezrek, Omar; Tachfouti, Samira; Lezrek, Mounir; Laghmari, Mina; Daoudi, Rajae

2017-01-01

Résumé Le syndrome d'Usher est une maladie génétique comportant une double atteinte sensorielle (auditive et visuelle) appelée surdicécité. Nous rapportons l'observation d'un patient de 50 ans, issue d'un mariage consanguin présentant une surdité congénitale avec une fonction vestibulaire normale et une rétinopathie pigmentaire responsable d'une baisse bilatérale de l'acuité visuelle apparue vers l'âge de 16 ans. Cette association compose le type 2 du syndrome d'Usher, affection rare de transmission autosomique récessive. La chirurgie de la cataracte a permis une amélioration de l'acuité visuelle chez ce patient. PMID:28979619

Developpement d'un estimateur d'etat energetique d'un chauffe-eau pour un controle par champ moyen

NASA Astrophysics Data System (ADS)

Solis, Jerome

Domestic electric water heaters (EWH) provide an interesting energy storage potential that can be exploited in the context of smart grids. For example, a variation of 1 °C of the water temperature of an EWH of 270 liters corresponds to 0.313 kWh of energy. For utilities like Hydro-Quebec, which has about 2 million EWH connected to its grid, this represents a strong storage potential. This storage source already present on the network could allow, using an adequate control strategy, to smooth the electricity consumption curve by moving some of the load occurring during peak periods to trough periods. This thesis position itself in the context of developing a simulation platform to implement a mean field control strategy of water heaters on the grid. This innovative approach enables control of all water heaters to meet a global objective while respecting local constraints of each. To be functional, the strategy requires several components to be integrated into the simulation platform. Specifically, this thesis focuses on the development of a numerical model and the estimation of the state in temperature and energy of an EWH. The proposed model for predicting the behavior of a EWH is a multi-nodal model. This approach allows discretizing the tank of an EWH into smaller volumes. The energy conservation equation is solved for each of these sub-volumes and it is possible to predict changes in the output mean temperature with an average error of 2.4 °C. The results from the multi-nodal model compare favorably with numerical reference models, found in the TRNSYS thermal simulation software, as well as experimental measurements of temperature of an electric water heater. In this model, the temperature is assumed to be uniform for each sub-volume and the standby losses are considered constants. Although the model is linear, a correction routine allows redistributing adequately heat within the tank while respecting the thermal dynamics of the heater, including the presence of temperature stratification at the heating elements, hence breaking the linearity. The multi-nodal model is used primarily to simulate the load of a large water heater population on the power grid. It is also useful to the scheduler, which generates the desired temperature for the whole population, as well as by mean field controller, which generates the optimal control for this same group. The estimation process takes place in two distinct steps: estimating the sequence of hot water draw (discrete state of the system) and the reconstruction of the temperature inside the tank (continuous system state). To perform the estimation of the drawing sequence, a maximum likelihood test is used with a set of measurements of the average temperature of the system. Under the assumption that the statistics of random events, modeled by a two state Markov chain (active and inactive) are known a priori, a set of possible drawing scenarios is generated. By comparing the prediction for each scenario with the actions of the system, the one minimizing the error between the predicted and measured temperature is retained. This method predicts the discrete state of the system correctly 93.7 % of the time. Then, based on the multi-nodal model, a routine for estimating the continuous state of an EWH is developed. This model should be simplified by removing the temperature correction routine in order to keep it linear. This is required in order to build more easily a state observer, a tool that allows the full reconstruction of the temperature state from measurements. This simplification results in limiting the use of the observer to periods of drawing, because without drawing, there is no heat exchange in the system, resulting in aberrations in the simplified model. Those aberrations are corrected under the assumption that the power of the heating elements is distributed in all layers of the system in proportion to their respective volume. Each node is hence heated by an intermediate element. To realize the reconstruction of the continuous state of temperature, two different approaches are considered: the multivariate observer and the Kalman filter. With at most 3 temperature measurements, either in the highest layer of the tank, near the top heating element and the latter at the bottom of the tank of the water heater, a global average error of -440 Wh on all estimated components of the water heater state is obtained by using the multivariate observer, which translates into a global mean percentage error (MPE) of -2.9 % on the energy stocking capacity. Taking advantage of an independent use of the discrete state of the system, the Kalman filter was able to reconstruct the continuous state with a global MPE of -2.0 %, or -270 Wh. For these reasons, the Kalman filter is preferred to the multivariate observer to complete the process of estimating the complete state of the water heater. Moreover, the estimation made by the Kalman filter or the multivariate observer may deviate around +/-10-15 % compared to the total energy stored in the water heater. This thesis presents innovative tools allowing the use of a mean field control strategy in a context of smart grids. This brand new approach presents many challenges and significant improvements can be envisioned, especially for estimating the state of the water heater. Mainly, a more accurate description of the process of extracting hot water, integrating several types of different drawing intensity, allow a more accurate and robust estimation of the hot water drawing sequence.

48 CFR 509.406-3 - Procedures.

Code of Federal Regulations, 2010 CFR

2010-10-01

..., Reporting Waste, Fraud, Abuse, and Corruption. If, after investigation, the OIG believes a cause for... last known home and business addresses, zip codes, and DUNS Numbers. (3) A statement of facts. (4...

Tératome immature de l’ovaire: à propos d’un cas

PubMed Central

Bouzoubaa, Wail; Jayi, Sofia; Alaoui, Fatima Zohra Fdili; Chaara, Hikmat; Melhouf, Moulay Abdelilah

2017-01-01

Les tératomes ovariens sont des tumeurs issues des cellules germinales pluripotentes, on décrit 3 types de tératomes: tératome mature, immature et monodermique. Le tératome immature constitue moins de 1% des cancers ovariens, et touche préférentiellement les sujets jeunes. Nous rapportons le cas d'une patiente de 25 ans, admise pour prise en charge d'une masse abdomino-pelvienne pour laquelle elle a bénéficiée d'une échographie et d'un scanner pelvien suivie d'un traitement conservateur a base d'une annexectomie gauche, avec multiples biopsies, dont le résultat anatomo-pathologique était en faveur d'un tératome ovarien immature. Par la suite le traitement a été complété par une hystérectomie avec curage lombo-aortique et omentectomie. Nous insistons à travers cette observation et sous la lumière d'une revue de la littérature sur les terrains particuliers prédisposant à ce type de tumeur rare et grave et sur les différents critères radiologiques orientant vers ce type histologique rare des tumeurs ovariennes, afin d'améliorer le pronostic et la prise en charge de cette pathologie qui reste multidisciplinaires. PMID:29187932

Considérations nosographiques sur le délire d'infestation parasitaire à travers trois observations cliniques

PubMed Central

Berhili, Nabil; Bout, Amine; Hlal, Hayat; Aarab, Chadya; Aalouane, Rachid; Rammouz, Ismail

2016-01-01

Le syndrome d'Ekbom, ou délire d'infestation parasitaire, est une pathologie rare, caractérisée par la conviction inébranlable d'avoir une peau infestée d'insectes ou de parasites. Il s'agit d'un délire monothématique à mécanisme hallucinatoire qui touche typiquement les femmes d’âge avancé. Nous rapportons les cas de trois patients qui présentent un délire d'infestation parasitaire dans des contextes cliniques différents. Le premier patient souffre d'un délire d'infestation isolé correspondant à la forme décrite par Karl Ekbom. Le deuxième cas présente un délire d'infestation secondaire, s'inscrivant dans le cadre d'une leuco-encéphalopathie de type CADASIL. Enfin, le troisième patient se présente dans un tableau évocateur d'un épisode dépressif avec une caractéristique psychotique qui intègre le délire d'infestation. Ces trois vignettes cliniques illustrent parfaitement le caractère trans-nosographique de ce syndrome ainsi que les difficultés de prise en charge de ces patients, tant au niveau de l'alliance thérapeutique que sur le plan des choix en matière de traitement pharmacologiques. PMID:27642468

Developpement d'outils quantitatifs pour le suivi par imagerie TEP/TDM de la reponse a la chimiotherapie et de sa toxicite

NASA Astrophysics Data System (ADS)

Croteau, Etienne

L'objectif de ce projet de doctorat est de developper des outils quantitatifs pour le suivi des traitements de chimiotherapie pour le cancer du sein et de leurs effets cardiotoxiques a l'aide de l'imagerie TEP dynamique. L'analyse cinetique en TEP dynamique permet l'evaluation de parametres biologiques in vivo. Cette analyse peut etre utilise pour caracteriser la reponse tumorale a la chimiotherapie et les effets secondaires nefastes qui peuvent en resulter. Le premier article de cette these decrit la mise au point des techniques d'analyse cinetique qui utilisent la fonction d'entree d'un radiotraceur derive de l'image dynamique. Des corrections de contamination radioactive externe (epanchement) et de l'effet de volume partiel ont ete necessaires pour standardiser l'analyse cinetique et la rendre quantitative. Le deuxieme article porte sur l'evaluation d'un nouveau radiotraceur myocardique. Le 11C-acetoacetate, un nouveau radiotraceur base sur un corps cetonique, a ete compare au 11C-acetate, couramment utilise en imagerie cardiaque TEP. L'utilisation de 3H-acetate et 14C-acetoacetate ont permis d'elucider la cinetique de ces traceurs depuis la fonction d'entree et la captation par les mitochondries cardiaques qui reflete la consommation en oxygene, jusqu'a la liberation de leurs principaux metabolites reciproques (3H20 et 14CO2). Le troisieme et dernier article de cette these presente l'integration d'un modele qui evalue la reserve cardiaque de perfusion et de consommation en oxygene. Un modele de cardiomyopathie a ete etabli a l'aide d'un agent chimiotherapeutique contre le cancer du sein, la doxorubicine, reconnu comme etant cardiotoxique. Un protocole de repos/effort a permis d'evaluer la capacite d'augmentation de perfusion et de consommation en oxygene par le coeur. La demonstration d'une reserve cardiaque reduite caracterise la cardiotoxicite. La derniere contribution de cette these porte sur la mise au point de methodes peu invasives pour mesurer la

Kyste épidermoide de la selle turcique: à propos d’un cas

PubMed Central

El Mghari, Ghizlane; Rafiq, Bouchra; El Ansari, Nawal

2017-01-01

Le kyste épidermoïde (KE) ou cholestéatome est une tumeur bénigne d'origine souvent congénitale, survenant dans les espaces sous-arachnoïdiens, son traitement est principalement chirurgical. Nous rapportons le cas d'un patient, âgé de 38 ans, qui a présenté d'une façon progressive, un syndrome d'hypertension intracrânienne, associé à des signes d'insuffisance antéhypophysaire des axe corticotrope, thyréotrope et gonadotrope installés depuis 1an et chez qui l'IRM cérébrale a été en faveur d'un craniopharyngiome, avec révélation de kyste épidermoide sur pièce anatomo-pathologique. PMID:29158862

Effet de l'énergie du faisceau d'ions servant à l'assistance du dépôt de matériaux organiques utilisés pour réaliser des diodes électroluminescentes

NASA Astrophysics Data System (ADS)

Antony, R.; Moliton, A.; Ratier, B.

1998-06-01

Light emitting diode based on the structure ITO/Alq3/Ca-Al lead to enhanced quantum efficiency when the Alq3 active layer is obtained by IBAD (Ion Beam Assisted Deposition): with Iodine ions, the optimization (quantum efficiency multiplied by a factor10) is obtained for an ion energy equal to 100eV. La réalisation de diodes électroluminescentes basées sur la structure ITO/Alq3/Ca-Al conduit à des performances améliorées lorsque le dépôt de la couche active Alq3 est effectué avec l'assistance d'un faisceau d'ions; l'optimisation (rendement quantique interne accru d'un ordre de grandeur) correspond à des ions Iode d'énergie 100eV.

Mesures experimentales de l'impact des revetements hydrophobeset superhydrophobes sur la trainee et la portance d'un profil aerodynamique propre et glace

NASA Astrophysics Data System (ADS)

Villeneuve, Eric

Ce projet, realise a la demande du Laboratoire International des Materiaux Antigivre, a pour but de mesurer et definir experimentalement l'impact de revetements hydrophobes sur les coefficients de trainee et de portance d'un profil NACA 0012. Pour ce faire, la balance aerodynamique du LIMA devait tout d'abord etre amelioree afin d'offrir une sensibilite suffisante pour realiser le projet. Plusieurs ameliorations ont ete faites, comme le changement des cellules de charge, la diminution du nombre de cellules de charge, le changement du cadre de la balance, etc. Une fois ces ameliorations terminees, la reproductibilite, l'exactitude et la sensibilite ont ete valides afin de s'assurer de la fiabilite des resultats offerts par la balance. Pour les angles d'attaque etudies avec les revetements, soient -6° et 0°, la balance a une reproductibilite de +/-2,06% a 360 000 de nombre de Reynolds. Pour valider la sensibilite, des essais a -6° et 0° d'angle d'attaque et des nombres de Reynolds de 360 000 et 500 000 ont ete faits avec des papiers sables. Les resultats de ces essais ont permis de, tracer des courbes de tendances du coefficient de trainee du NACA 0012 en fonction de la rugosite de surface et d'etablir la valeur de la sensibilite de la balance a +/-8 mu m. Cinq revetements populaires ont ete choisis pour l'experimentation, soient le Wearlon, le Staclean, le Hirec, le Phasebreak ainsi que le Nusil. Les revetements sont soumis aux memes conditions experimentales que les papiers sables, et une rugosite equivalente est trouvee par extrapolation des resultats. Cependant, les rugosites equivalentes de surfaces different entre -6° et 0°. Les essais avec le Staclean et le Hirec donnent des coefficients de trainee equivalent a ceux avec l'aluminium, alors que le Wearlon, le Nusil et le Phasebreak donnent une augmentation du coefficient de trainee de 13%, 17% et 25% respectivement par rapport a l'aluminium. Pour les coefficients de portance, la balance ne detecte pas l

Cardiovascular Profile of Valbenazine: Analysis of Pooled Data from Three Randomized, Double-Blind, Placebo-Controlled Trials.

PubMed

Thai-Cuarto, Dao; O'Brien, Christopher F; Jimenez, Roland; Liang, Grace S; Burke, Joshua

2018-04-01

Valbenazine is a novel vesicular monoamine transporter 2 inhibitor approved for the treatment of tardive dyskinesia in adults. Using data from double-blind, placebo-controlled trials, analyses were conducted to evaluate the cardiovascular effects of once-daily valbenazine in patients with a psychiatric disorder who developed tardive dyskinesia after exposure to a dopamine-blocking medication. Data were pooled from three 6-week, double-blind, placebo-controlled trials: KINECT (NCT01688037), KINECT 2 (NCT01733121), and KINECT 3 (NCT02274558). Data from the 42-week valbenazine extension period of KINECT 3 were also analyzed. Outcomes of interest included cardiovascular-related treatment-emergent adverse events, vital sign measurements, and electrocardiogram parameters. The pooled safety population included 400 participants (placebo, n = 178; valbenazine 40 mg/day, n = 110; valbenazine 80 mg/day, n = 112). A history of cardiac disorders was present in 11.8% of participants, and 74.3% were taking a concomitant medication with known potential for QT prolongation. Mean changes from baseline to week 6 in supine vital signs and QTcF (Fridericia correction) were as follows for placebo, valbenazine 40 mg/day, and valbenazine 80 mg/day, respectively: systolic blood pressure (0.2, - 2.1, - 1.8 mmHg), diastolic blood pressure (- 0.1, - 1.6, - 1.2 mmHg), heart rate (- 1.7, - 2.2, - 1.7 bpm), QTcF interval (1.2, 1.1, 2.1 ms); all p > 0.05 for valbenazine vs. placebo. No statistically significant differences were observed between placebo and valbenazine in cardiovascular-related, treatment-emergent adverse events. No notable additional effects on cardiovascular outcomes were found with up to 48 weeks of valbenazine treatment. Results from double-blind, placebo-controlled trials showed no apparent difference between valbenazine and placebo on cardiovascular outcomes. No additional cardiovascular risk was detected during a longer extension study with

Psychotic states arising in late life (late paraphrenia). The role of risk factors.

PubMed

Almeida, O P; Howard, R J; Levy, R; David, A S

1995-02-01

This study explored the association between 'late paraphrenia' and various risk factors such as female gender, sensory impairment, marital status, positive family history of psychoses, and the presence of abnormal neurological signs. It was hypothesised that patients would show significantly more abnormal neurological signs than controls. Inclusion criteria for the diagnosis of late paraphrenia were fulfilled by 47 patients, including in-patients, out-patients, day-patients, and those living in the community. Thirty-three age-, sex-, education-, and premorbid IQ-matched elderly controls were recruited from luncheon clubs in Southwark and Lambeth (London, UK). A scale for the assessment of neurological soft and hard signs was developed for this study. The Abnormal Involuntary Movement Scale (AIMS) and the Tardive Dyskinesia Rating Scale (TDRS) were also used. There was a high female-to-male ratio (42:5), and a fourfold increase in the risk of patients having hearing impairment (odds ratio = 4.15, Clodds = 1.36 to 12.63). There was no difference between the two groups in visual difficulties nor in marital status. Patients were approximately ten times more likely to be living on their own (odds ratio = 10.61; Clodds = 3.59 to 31.33) and 16 times more likely to be considered socially isolated (odds ratio = 16.65; Clodds = 5.39 to 51.40). There was no difference between patients and controls in frequency of schizophrenia-like family history. Patients were more likely than controls to exhibit neurological soft signs (z = 4.70; P < 0.001; Cld = 4.61 to 9.63). The presence of abnormal involuntary and tardive dyskinesia movements was associated with the use of antipsychotic medication. Women appear to run a greater risk of developing late paraphrenia, especially those who are socially isolated and present with associated hearing impairment. The increased presence of neurological soft signs among patients indicates that brain disease may be a critical factor in the

14 CFR 1274.211 - Award procedures.

Code of Federal Regulations, 2011 CFR

2011-01-01

... number or, if applicable, the DUNS+4 number, via the Internet at http://www.ccr2000.com or by calling toll free: 888-227-2423, commercial: 616-961-5757. (d) Certifications, Disclosures, and Assurances. (1...

14 CFR § 1274.211 - Award procedures.

Code of Federal Regulations, 2014 CFR

2014-01-01

... number or, if applicable, the DUNS+4 number, via the Internet at http://www.ccr2000.com or by calling toll free: 888-227-2423, commercial: 616-961-5757. (d) Certifications, Disclosures, and Assurances. (1...

14 CFR 1274.211 - Award procedures.

Code of Federal Regulations, 2012 CFR

2012-01-01

... number or, if applicable, the DUNS+4 number, via the Internet at http://www.ccr2000.com or by calling toll free: 888-227-2423, commercial: 616-961-5757. (d) Certifications, Disclosures, and Assurances. (1...

14 CFR 1274.211 - Award procedures.

Code of Federal Regulations, 2010 CFR

2010-01-01

... number or, if applicable, the DUNS+4 number, via the Internet at http://www.ccr2000.com or by calling toll free: 888-227-2423, commercial: 616-961-5757. (d) Certifications, Disclosures, and Assurances. (1...

14 CFR 1274.211 - Award procedures.

Code of Federal Regulations, 2013 CFR

2013-01-01

... number or, if applicable, the DUNS+4 number, via the Internet at http://www.ccr2000.com or by calling toll free: 888-227-2423, commercial: 616-961-5757. (d) Certifications, Disclosures, and Assurances. (1...

78 FR 21379 - Agency Information Collection Activities; Proposed Collection; Comment Request; Tobacco Health...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-10

... report: Submitter identification: Submitter type, company name, address, country, company headquarters Dun and Bradstreet number, and company headquarters Facility Establishment Identifier number.... Confirmation statement (with identification and signature of submitter including name, company name, address...

Controle de l'alignement des nanotubes de carbone multiparois a l'interieur d'un polymere et d''un materiau composite multi-echelles a l'aide d'un champ electrique

NASA Astrophysics Data System (ADS)

Arguin, Maxime

Composite materials are lightweight and have very good mechanical properties which make them a good alternative to metallic structures traditionally used in aircraft. However, these materials have a very low electrical conductivity compared to metal which limits their use for electrical application such as current return network. For example, carbon fiber composites have relatively good in-plane conductivity but a resistance between each ply, generated by the epoxy, reduced the conductivity through the thickness of the material by a thousand. The anisotropy results in a poor current diffusion through each layer of the composite and heat generation at surface when an electric current is applied on a composite panel. For this reason, the electrical conductivity of carbon fibers composite must be improved to be used for electrical applications. This thesis shows a new procedure to enhance the electrical conductivity of composite material in a preferential way (i.e., through the thickness). Multi-walled carbon nanotubes (MWCNTs) were added to the epoxy matrix of a composite to create multiscale composite. An electric field was also used to control the global distribution of the NTCs. Alignment results made on a UV epoxy reinforced with 0.01wt.% of MWCNTs showed a decrease of the resistivity by four orders of magnitude. This decrease of resistivity was also associated with formation of a filamentary microstructure that goes from one electrode to the others creating preferential conduction pathways. Afterwards, a hand lay-up process was modified to incorporate electric field alignment during the manufacturing of the composite. An improvement of the conductivity of 36% and 99% were obtained when an electric of 60V/mm were used to align the nanoparticles in multiscale composites containing 0.01wt.% and 0.1wt.% of MWCNTs, respectively. However, these modest improvements were still not enough to reach a complete current diffusion through the thickness but this technique is still a potential way to achieve it. Finally, the project shows the potential of using electric field induced alignment of the MWCNTs to improve the conductivity of multiscale composite. Furthermore, this technique has the advantage to be suitable to other common manufacturing processes using in the industry.

Involuntary movements in the elderly. Parkinson's disease and other causes.

PubMed

Miller, J Q

1986-03-01

Dyskinesia is usually lifelong and progressive; therefore, physicians generally see the disorder in elderly patients. Medical treatment must be carefully selected on the basis of the cause of the dyskinesia. Parkinsonian dyskinesia is well controlled by drug therapy. However, patients can become less responsive to a drug after years of use and may experience unwelcome side effects. Cerebellar tremor is extremely disabling because it worsens with activity, but no satisfactory therapy is available. Senile, essential, and familial tremors are also intensified by action, but they can often be suppressed with a mild tranquilizer or a beta blocker. Drug treatment of blepharospasm and spastic dysphonia has been disappointing: Facial or laryngeal surgery is sometimes required. Tardive dyskinesia is caused by neuroleptic drugs, so the only therapy for the disorder is withdrawal of the offending drug.

Mucuna pruriens attenuates haloperidol-induced orofacial dyskinesia in rats.

PubMed

Pathan, Amjadkhan A; Mohan, Mahalaxmi; Kasture, Ameya S; Kasture, Sanjay B

2011-04-01

Neuroleptic-induced tardive dyskinesia (TD) is a motor disorder of the orofacial region resulting from chronic neuroleptic treatment. The agents improving dopaminergic transmission improve TD. Mucuna pruriens seed contains levodopa and amino acids. The effect of methanolic extract of M. pruriens seeds (MEMP) was studied on haloperidol-induced TD, alongside the changes in lipid peroxidation, reduced glutathione, superoxide dismutase (SOD) and catalase levels. The effect of MEMP was also evaluated in terms of the generation of hydroxyl and 1,1-diphenyl,2-picrylhydrazyl (DPPH) radical. MEMP (100 and 200 mg kg⁻¹) inhibited haloperidol-induced vacuous chewing movements, orofacial bursts and biochemical changes. MEMP also inhibited hydroxyl radical generation and DPPH. The results of the present study suggest that MEMP by virtue of its free radical scavenging activity prevents neuroleptic-induced TD.

A rubber tube in the bladder as a complication of autoerotic stimulation of the urethra.

PubMed

Stamatiou, Konstantinos; Moschouris, Hippocrates

2016-10-05

Self-insertion of foreign bodies in the urethra is most commonly associated with sexual or erotic arousal of adolescents with mental health disorders. Rarely it may practiced by healthy adults for masturbation. Migration of foreign bodies used for the abovementioned purpose from the urethra to adjacent organs is a relatively uncommon urologic problem that may cause serious complications which arose tardive. Presentation includes a variety of acute or chronic symptoms that depend of the underlying complications. The method of extraction depends on the shape, size and nature of the object and should be tailored according to the condition of the patient. In the present article we present a case of a rubber tube inserted to the urethra for erotic arousal purposes which migrated to the bladder during masturbation.

Décontamination nucléaire par laser UV

NASA Astrophysics Data System (ADS)

Delaporte, Ph.; Gastaud, M.; Marine, W.; Sentis, M.; Uteza, O.; Thouvenot, P.; Alcaraz, J. L.; Le Samedy, J. M.; Blin, D.

2003-06-01

Le développement et l'utilisation de procédés propres pour le nettoyage ou la préparation de surfaces est l'une des priorités du milieu industriel. Cet intérêt est d'autant plus grand dans le domaine du nucléaire pour lequel la réduction des déchets est un axe de recherche important. Un dispositif de décontamination nucléaire par laser UV impulsionnel a été développé et testé. Il est composé. d'un laser à excimères de 1kW, d'un faisceau de fibres optiques et d'un dispositif de récupération des particules. Les essais réalisés en milieu actif ont démontré sa capacité à nettoyer des surfaces métalliques polluées par différents radioéléments avec des facteurs de décontamination généralement supérieurs à 10. Ce dispositif permet de décontaminer de grandes surfaces de géométrie simple en réduisant fortement la génération de déchets secondaires. Il est, à ce jour et dans ces conditions d'utilisations, le procédé de décontamination par voie sèche le plus efficace.

Magnétochiralité et résonances stochastiques dans les lasers

NASA Astrophysics Data System (ADS)

Bonnet, C.; Bretenaker, F.; Brunel, M.; Chauvat, D.; Emile, O.; Lai, N. D.; Le Floch, A.; Ropars, G.; Ruchon, T.; Singh, K.; Thépot, J.-Y.; Vallet, M.

2002-06-01

Les états propres d'un laser constituent un outil de choix pour étudier les différents rôles joués par le bruit dans un système. D'une part, si on veut isoler un effet petit difficilement accessible par les méthodes classiques, ces états propres permettent de réaliser des mesures différentielles de haute précision, à condition de pouvoir éliminer les bruits mécaniques, optiques, électroniques. A titre d'exemple, nous avons utilisé les états propageant et contrapropageant d'un laser ionique en anneau pour mesurer une interaction fondamentale faible: la biréfringence magnétochirale. Cette "biréfringence" se manifeste en effet par une petite variation d'indice selon le sens de parcours de l'anneau, de l'ordre de Δ n.10^{-11}, indépendante de la polarisation. A l'opposé, les deux états propres d'un laser du type Fabry-Perot constituent un système idéal pour explorer les résonances stochastiques à deux dimensions. Les résonances stochastiques par inhibition et par rotation sont isolées en présence de bruits blancs gaussiens tant pour les bruits optiques que magnétiques. L'utilisation possible de l'émission spontanée comme bruit actif est démontrée.

78 FR 9447 - Reporting and Recordkeeping Requirements; 8(a) Annual Update

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-08

... Participants in the 8(a) Mentor-Prot[eacute]g[eacute] program, to report on services (by category and hours) received from the Mentor. SBA also revised, deleted, or added certain terms (e.g., SAM and DUNS) to conform...

78 FR 49527 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-14

...: Submitter type, company name, address, country, company headquarters Dun and Bradstreet number, and company headquarters Facility Establishment Identifier number; Submitter point of contact: Contact name, title... and signature of submitter including name, company name, address, position title, email, telephone...

76 FR 73564 - Federal Acquisition Regulation; Updates to Contract Reporting and Central Contractor Registration

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-29

... Federal Acquisition Regulation; Updates to Contract Reporting and Central Contractor Registration AGENCIES... Procurement Data System (FPDS). Additionally, changes are proposed for the clauses requiring contractor registration in the Central Contractor Registration (CCR) database and DUNS number reporting. DATES: Interested...

Flexible Learning in Action: Case Studies in Higher Education. Staff and Educational Development Series.

ERIC Educational Resources Information Center

Hudson, Rachel, Ed.; Maslin-Prothero, Sian, Ed.; Oates, Lyn, Ed.

Following an introduction (Hudson, Maslin-Prothero, Oates), the following 31 case studies describe flexible learning developments in the United Kingdom, Australia, and the United States: "Teaching Business Writing Online" (Fulkerth); "Don't Lecture Me about Flexible Learning!" (Dunning); "Improving Independent Learning…

Optimisation des trajectoires verticales par la methode de la recherche de l'harmonie =

NASA Astrophysics Data System (ADS)

Ruby, Margaux

Face au rechauffement climatique, les besoins de trouver des solutions pour reduire les emissions de CO2 sont urgentes. L'optimisation des trajectoires est un des moyens pour reduire la consommation de carburant lors d'un vol. Afin de determiner la trajectoire optimale de l'avion, differents algorithmes ont ete developpes. Le but de ces algorithmes est de reduire au maximum le cout total d'un vol d'un avion qui est directement lie a la consommation de carburant et au temps de vol. Un autre parametre, nomme l'indice de cout est considere dans la definition du cout de vol. La consommation de carburant est fournie via des donnees de performances pour chaque phase de vol. Dans le cas de ce memoire, les phases d'un vol complet, soit, une phase de montee, une phase de croisiere et une phase de descente, sont etudies. Des " marches de montee " etaient definies comme des montees de 2 000ft lors de la phase de croisiere sont egalement etudiees. L'algorithme developpe lors de ce memoire est un metaheuristique, nomme la recherche de l'harmonie, qui, concilie deux types de recherches : la recherche locale et la recherche basee sur une population. Cet algorithme se base sur l'observation des musiciens lors d'un concert, ou plus exactement sur la capacite de la musique a trouver sa meilleure harmonie, soit, en termes d'optimisation, le plus bas cout. Differentes donnees d'entrees comme le poids de l'avion, la destination, la vitesse de l'avion initiale et le nombre d'iterations doivent etre, entre autre, fournies a l'algorithme pour qu'il soit capable de determiner la solution optimale qui est definie comme : [Vitesse de montee, Altitude, Vitesse de croisiere, Vitesse de descente]. L'algorithme a ete developpe a l'aide du logiciel MATLAB et teste pour plusieurs destinations et plusieurs poids pour un seul type d'avion. Pour la validation, les resultats obtenus par cet algorithme ont ete compares dans un premier temps aux resultats obtenus suite a une recherche exhaustive qui a

The General Formulation and Practical Calculation of the Diffusion Coefficient in a Lattice Containing Cavities; FORMULATION GENERALE ET CALCUL PRATIQUE DU COEFFICIENT DE DIFFUSION DANS UN RESEAU COMPORTANT DES CAVITES (in French)

DOE Office of Scientific and Technical Information (OSTI.GOV)

Benoist, P.

The calculation of diffusion coefficients in a lattice necessitates the knowledge of a correct method of weighting the free paths of the different constituents. An unambiguous definition of this weighting method is given here, based on the calculation of leakages from a zone of a reactor. The formulation obtained, which is both simple and general, reduces the calculation of diffusion coefficients to that of collision probabilities in the different media; it reveals in the expression for the radial coefficient the series of the terms of angular correlation (cross terms) recently shown by several authors. This formulation is then used tomore » calculate the practical case of a classical type of lattice composed of a moderator and a fuel element surrounded by an empty space. Analytical and numerical comparison of the expressions obtained with those inferred from the theory of BEHRENS shows up the importance of several new terms some of which are linked with the transparency of the fuel element. Cross terms up to the second order are evaluated. A practical formulary is given at the end of the paper. (author) [French] Le calcul des coefficients de diffusion dans un reseau suppose la connaissance d'un mode de ponderation correct des libres parcours des differents constituants. On definit ici sans ambiguite ce mode de ponderation a partir du calcul des fuites hors d'une zone de reacteur. La formulation obtenue, simple et generale, ramene le calcul des coefficients de diffusion a celui des probabilites de collision dans les differents milieux; elle fait apparaitre dans l'expression du coefficient radial la serie des termes de correlation angulaire (termes rectangles), mis en evidence recemment par plusieurs auteurs. Cette formulation est ensuite appliquee au calcul pratique d'un reseau classique, compose d'un moderateur et d'un element combustible entoure d'une cavite; la comparaison analytique et numerique des expressions obtenues avec celles deduites de la theorie de

The effect of first chromosome long arm duplication on survival of endometrial carcinoma.

PubMed

Sever, Erman; Doğer, Emek; Çakıroğlu, Yiğit; Sünnetçi, Deniz; Çine, Naci; Savlı, Hakan; Yücesoy, İzzet

2014-12-01

The aim of this study is to investigate the effect of first chromosome long arm duplication (dup(1q)) in cases with endometrial carcinoma detected with array based comperative genomic hybridization (aCGH) on survival from the cancer. A total of 53 patients with the diagnosis of endometrial carcinom due to endometrial biopsy and who have been operated for this reason have been allocated in the study. Frozen section biopsy and staging surgery have been performed for all the cases. Samples obtained from the tumoral mass have been investigated for chromosomal aberrations with aCGH method. Kaplan-Meier and Cox-regression analysis have been performed for survival analysis. Among 53 cases with endometrial carcinomas, dup(1q) was diagnosed in 14 (26.4%) of the cases. For the patient group that has been followed-up for 24 months (3-33 months), dup(1q) (p=.01), optimal cytoreduction (p<.001), lymph node positivity (p=.006), tumor stage >1 (p=.006) and presence of high risk tumor were the factors that were associated with survival. Cox-regression analysis has revealed that optimal cytoreduction was the most important prognostic factor (p=.02). Presence of 1q duplication can be used as a prognostic factor in the preoperative period.

The effect of first chromosome long arm duplication on survival of endometrial carcinoma

PubMed Central

Sever, Erman; Doğer, Emek; Çakıroğlu, Yiğit; Sünnetçi, Deniz; Çine, Naci; Savlı, Hakan; Yücesoy, İzzet

2014-01-01

Objective: The aim of this study is to investigate the effect of first chromosome long arm duplication (dup(1q)) in cases with endometrial carcinoma detected with array based comperative genomic hybridization (aCGH) on survival from the cancer. Materials and Methods: A total of 53 patients with the diagnosis of endometrial carcinom due to endometrial biopsy and who have been operated for this reason have been allocated in the study. Frozen section biopsy and staging surgery have been performed for all the cases. Samples obtained from the tumoral mass have been investigated for chromosomal aberrations with aCGH method. Kaplan-Meier and Cox-regression analysis have been performed for survival analysis. Results: Among 53 cases with endometrial carcinomas, dup(1q) was diagnosed in 14 (26.4%) of the cases. For the patient group that has been followed-up for 24 months (3-33 months), dup(1q) (p=.01), optimal cytoreduction (p<.001), lymph node positivity (p=.006), tumor stage >1 (p=.006) and presence of high risk tumor were the factors that were associated with survival. Cox-regression analysis has revealed that optimal cytoreduction was the most important prognostic factor (p=.02). Conclusion: Presence of 1q duplication can be used as a prognostic factor in the preoperative period. PMID:28913021

Radiation doses and neutron irridation effects on human cells based on calculations

NASA Astrophysics Data System (ADS)

Radojevic, B. B.; Cukavac, M.; Jovanovic, D.

In general, main aim of our paper is to follow influence of neutron's radiation on materials, but one of possible applications of fast neutrons in therapeutical reasons i.e. their influence on carcinom cells of difficuilt geometries in human bodies too. Interactions between neutrons and human cells of tissue are analysed here. We know that the light nuclei of hydrogen, nitrogen, carbon, and oxygen are main constituents of human cells, and that different nuclear models are usually used to present interactions of nuclear particles with mentioned elements. Some of most widely used pre-equilibrium nuclear models are: intranuclear cascade model (ICN), Harp-Miller-Berne (HMB), geometry-dependent hybrid (GDH) and exciton models (EM). In this paper is studied and calculated the primary energetic spectra of the secundary particles (neutrons, protons, and gamas) emitted from this interactions, and followed by corresponding integral cross sections, based on exciton model (EM). The total emission cross-section is the sum of emissions in all stages of energies. Obtained spectra for interactions type of (n, n'), (n, p), and (n, ?), for various incident neutron energies in the interval from 3 MeV up to 30 MeV are analysed too. Some results of calculations are presented here.

Molindone hydrochloride: a review of laboratory and clinical findings.

PubMed

Owen, R R; Cole, J O

1989-08-01

Molindone hydrochloride, a dihydroindolone neuroleptic, is structurally distinct from other classes of neuroleptics. Molindone exhibits many similarities to other neuroleptics, including dopamine receptor blockade, antipsychotic efficacy, and extrapyramidal side effects. Despite these similarities, molindone also has atypical properties and inhibits the enzyme monoamine oxidase in vitro and in vivo. Several studies have shown that molindone causes less dopamine receptor supersensitivity than other neuroleptics and thus may be less likely to cause tardive dyskinesia. It also appears to have a greater effect on mesolimbic and mesocortical dopamine neurons than on those in the nigrostriatal dopamine system. Clinically, molindone has a tendency to cause weight loss and may have less effect on seizure threshold than conventional antipsychotic agents. The authors review the laboratory and clinical data on molindone and discuss the relevance of atypical research findings to the clinical characteristics of this antipsychotic agent.

Meige's Syndrome: Rare Neurological Disorder Presenting as Conversion Disorder.

PubMed

Debadatta, Mohapatra; Mishra, Ajay K

2013-07-01

Meige's syndrome is a rare neurological syndrome characterized by oromandibular dystonia and blepharospasm. Its pathophysiology is not clearly determined. A 35-year-old female presented to psychiatric department with blepharospasm and oromandibular dystonia with clinical provisional diagnosis of psychiatric disorder (Conversion Disorder). After thorough physical examination including detailed neurological exam and psychiatric evaluation no formal medical or psychiatric diagnosis could be made. The other differential diagnoses of extra pyramidal symptom, tardive dyskinesia, conversion disorder, anxiety disorder were ruled out by formal diagnostic criteria. Consequently with suspicion of Meige's syndrome she was referred to the department of Neurology and the diagnosis was confirmed. Hence, Meige's syndrome could be misdiagnosed as a psychiatric disorder such as conversion disorder or anxiety disorder because clinical features of Meige's syndrome are highly variable and affected by psychological factors and also can be inhibited voluntarily to some extent.

Adult-onset stereotypical motor behaviors.

PubMed

Maltête, D

Stereotypies have been defined as non-goal-directed movement patterns repeated continuously for a period of time in the same form and on multiple occasions, and which are typically distractible. Stereotypical motor behaviors are a common clinical feature of a variety of neurological conditions that affect cortical and subcortical functions, including autism, tardive dyskinesia, excessive dopaminergic treatment of Parkinson's disease and frontotemporal dementia. The main differential diagnosis of stereotypies includes tic disorders, motor mannerisms, compulsion and habit. The pathophysiology of stereotypies may involve the corticostriatal pathways, especially the orbitofrontal and anterior cingulated cortices. Because antipsychotics have long been used to manage stereotypical behaviours in mental retardation, stereotypies that present in isolation tend not to warrant pharmacological intervention, as the benefit-to-risk ratio is not great enough. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

7 CFR 4279.161 - Filing preapplications and applications.

Code of Federal Regulations, 2014 CFR

2014-01-01

... loss statement not more than 90 days old and financial statements for the borrower and any parent... list of assumptions showing the basis for the projections. (8) Lender's complete written analysis... statements, with appropriate ratios and comparisons with industrial standards (such as Dun & Bradstreet or...

7 CFR 4279.161 - Filing preapplications and applications.

Code of Federal Regulations, 2012 CFR

2012-01-01

... loss statement not more than 90 days old and financial statements for the borrower and any parent... list of assumptions showing the basis for the projections. (8) Lender's complete written analysis... statements, with appropriate ratios and comparisons with industrial standards (such as Dun & Bradstreet or...

7 CFR 4279.161 - Filing preapplications and applications.

Code of Federal Regulations, 2011 CFR

2011-01-01

... loss statement not more than 90 days old and financial statements for the borrower and any parent... list of assumptions showing the basis for the projections. (8) Lender's complete written analysis... statements, with appropriate ratios and comparisons with industrial standards (such as Dun & Bradstreet or...

7 CFR 4279.161 - Filing preapplications and applications.

Code of Federal Regulations, 2013 CFR

2013-01-01

... loss statement not more than 90 days old and financial statements for the borrower and any parent... list of assumptions showing the basis for the projections. (8) Lender's complete written analysis... statements, with appropriate ratios and comparisons with industrial standards (such as Dun & Bradstreet or...

Travaux Neuchatelois de Linguistique (TRANEL) (Neuchatel Working Papers in Linguistics), Volume 14.

ERIC Educational Resources Information Center

Py, Bernard, Ed.; Rubattel, Christian, Ed.

1989-01-01

Three papers in linguistics, all in French, are presented. "La delocutivite lexicale en francais standard: esquisse d'un modele derivationnel" ("Lexical Delocutivity in Standard French: Sketch of a Derivational Model"), by Marc Bonhomme, examines the process by which certain expressions become neologisms. "La terminologie…

48 CFR 52.204-13 - System for Award Management Maintenance.

Code of Federal Regulations, 2013 CFR

2013-10-01

... (SAM) database means that— (1) The Contractor has entered all mandatory information, including the DUNS... database; (2) The Contractor has completed the Core, Assertions, Representations and Certifications, and Points of Contact sections of the registration in the SAM database; (3) The Government has validated all...

Analysis of the Small Business Administration 8(a) Business Development Program

DTIC Science & Technology

2015-06-01

Parent DUNS Number: Address, line 1: 9656 E Empress Ave Address, line 2: City: Mesa State: AZ Zip: 85208-3156 Phone Number: 480-220-9226 Fax...products): https://www.imgnetworks.com Contact Person: RAY RODRIGUEZ County Code (3 digit): 073 Congressional District: 51 Metropolitan

Dimethylaminoethanol (deanol): effect on apomorphine-induced stereotypy and an animal model of tardive dyskinesia.

PubMed

Davis, K L; Hollister, L E; Vento, A L; Beilstein, B A; Rosekind, G R

1979-05-25

Dimethylaminoethanol (DMAE) was administered acutely to rats subsequently injected with spomorphine. A dose of 80 mg of DMAE had no effect on the severity of apomorphine-induced stereotypy. However, 160 mg of DMAE significantly diminished the severity of apomorphine-induced stereotypy. This dose of DMAE did not significantly alter spontaneous locomotor activity. DMAE did not reduced apomorphine-induced stereotypy in animals previously exposed to haloperidol and presumed to have postsynaptic dopamine receptor supersensitivity. These results with DMAE are contrasted with the effects of choline chloride, and suggest that choline chloride may be more effective than DMAE at augmenting striatal cholinergic activity.

Side effects in preventive maintenance therapy with neuroleptics with special emphasis on tardive dyskinesia.

PubMed

Logothetis, J; Paraschos, A; Frangos, E

1981-01-01

Neuroleptics induce hypersensitivity reactions, and toxic, systemic and extrapyramidal manifestations. The latter mainly include acute dystonic reactions, other early dyskinesias, akathisia, parkinsonism and TD. These drugs have been implicated for DA antagonism exerted by an adenylate cyclase inhibition. Prolonged blockade of DA receptors is considered as the motivation for a counterbalancing mechanism inducing the DA supersensitivity from which TD results. Recent reports suggest cholinergic and GABA ergic insufficiency as secondary participants. The increasing frequency of TD calls for prevention by modifying treatment practices and searching for effective measures to combat the symptoms.

The Defense and Veterans Brain Injury Center Care Coordination Program: Assessment of Program Structure, Activities, and Implementation

DTIC Science & Technology

2013-01-01

referrals from other sources will need to grow . After LRMC, the second most common referral source is other MTFs (16 percent in 2011). As part of...Christine Walker, Leonie Segal, Patricia Dunning, James Best, Irene Blackberry , Ralph Audehm, Nabil Sulaiman, James Dunbar, and Patty Chondros

Les professions langagieres a l'aube de l'an 2000: Recherches pedagogiques et linguistiques en traduction, redaction et terminologie (The Language Professions at the Dawn of the Year 2000: Pedagogical and Linguistic Research in Translation, Editing and Terminology). Publication B-217.

ERIC Educational Resources Information Center

Guevel, Zelie, Ed.; Clerc, Isabelle, Ed.

Essays, all in French, address issues in language teacher and translator training. They include: "Les competences linguistiques et discursives du redacteur professionel: un ensemble a circonscrire" ("Linguistic and Discourse Competencies of the Professional Editor: A Unity To Define") (Celine Beaudet); "Les composantes d'un enseignement systemique…

Un nouveau cristal laser largement accordable le BOYS dopé à l'ytterbium

NASA Astrophysics Data System (ADS)

Chénais, S.; Druon, F.; Balembois, F.; Georges, P.; Gaumé, R.; Aka, G.; Viana, B.; Vivien, D.

2002-06-01

Nous avons étudié les performances laser en pompage par diode de puissance d'un nouveau cristal : le Sr3Y(BO3)3 (acronyme : BOYS), dopé à l'ytterbium. Son spectre d'émission particulièrement large en fait un matériau particulièrement prometteur pour la réalisation de lasers femtosecondes directement pompés par diode. Ses performances ont été comparées à celles d'un verre phosphate ainsi qu'à celles du cristal d' Yb:GdCOB dans les mêmes conditions. Nous démontrons que, tant du point de vue de l'efficacité laser que de la tenue aux fortes puissances, GdCOB et BOYS sont supérieurs au verre ; le BOYS est de surcroît plus accordable (sur 50 nm), mais son comportement thermique limite a priori son usage à des puissances de pompe modérées.

D'une ouverture de la voyelle /epsilon/ en finale absolue en francais quebecois : analyse acoustique et perceptive

NASA Astrophysics Data System (ADS)

Riverin-Coutlee, Josiane

Cette contribution est consacree a l'ouverture du /epsilon/ en finale absolue, un phenomene phonetique repute etre en declin en francais quebecois et caracteristique de locuteurs âges, peu scolarises, issus de milieux populaires et s'exprimant en situation de communication informelle. Une analyse acoustique de 480 voyelles /epsilon/ issues de la parole formelle de 40 jeunes etudiants universitaires originaires des centres urbains de Saguenay et de Quebec revele toutefois que le phenomene est encore bien vivant en francais quebecois et qu'il est plus frequent chez les locuteurs de Saguenay, une tendance validee auditivement par accord inter-juges. Les resultats d'un test de discrimination et d'identification mene aupres de 26 etudiants universitaires originaires de ces deux memes villes indiquent que les auditeurs naifs de Saguenay semblent moins sensibles a la variation et moins enclins a juger de l'origine geographique d'un locuteur a partir de sa prononciation de la voyelle /epsilon/ en fin de mot.

78 FR 73825 - Frontseating Service Valves From the People's Republic of China; Final Results of Antidumping...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-09

... brokerage and handling on the per-unit costs identified in Doing Business 2013, Economy Profile: Philippines.... Cash Deposit Requirements The following cash deposit requirements will be effective for all shipments... the Act: (1) For DunAn, which claimed no shipments, the cash deposit rate will remain unchanged from...

Characterizing Illusions of Competence in Introductory Chemistry Students

ERIC Educational Resources Information Center

Pazicni, Samuel; Bauer, Christopher F.

2014-01-01

The Dunning-Kruger effect is a cognitive bias that plagues a particular population of students--the unskilled. This population suffers from illusory competence, as determined by inaccurate ratings of their own ability/performance. These mistakenly high self-ratings (i.e. ''illusions of competence'') are typically explained by a metacognitive…

The Utility of An Evaluative Model in Judging the Relationship Between Classroom Verbal Behavior and Student Achievement in Three Selected Physics Curricula, Final Report.

ERIC Educational Resources Information Center

Smith, T. C., Jr.

The purpose of the 1968-69 investigation was to determine the applicability of a curriculum evaluation model to investigate high school students' achievement in three physics courses (traditional physics, Physical Science Study Curriculum, and Harvard Project Physics). Three tests were used to measure student progress: The Dunning-Abeles Physics…

48 CFR 204.1103 - Procedures.

Code of Federal Regulations, 2014 CFR

2014-10-01

...) database. (1) On contract award documents, use the contractor's legal or “doing business as” name and physical address information as recorded in the (SAM) database at the time of award. (2) When making a... database; and (ii) The contractor's Data Universal Numbering System (DUNS) number, Commercial and...

48 CFR 204.1103 - Procedures.

Code of Federal Regulations, 2013 CFR

2013-10-01

...) database. (1) On contract award documents, use the contractor's legal or “doing business as” name and physical address information as recorded in the (SAM) database at the time of award. (2) When making a... database; and (ii) The contractor's Data Universal Numbering System (DUNS) number, Commercial and...

48 CFR 204.1103 - Procedures.

Code of Federal Regulations, 2012 CFR

2012-10-01

... information as recorded in the Central Contractor Registration (CCR) database at the time of award. (2) When... record is active in the CCR database; and (ii) The contractor's Data Universal Numbering System (DUNS... database, the contracting officer shall process a novation or change-of-name agreement, or an address...

48 CFR 204.1103 - Procedures.

Code of Federal Regulations, 2010 CFR

2010-10-01

... information as recorded in the Central Contractor Registration (CCR) database at the time of award. (2) When... record is active in the CCR database; and (ii) The contractor's Data Universal Numbering System (DUNS... database, the contracting officer shall process a novation or change-of-name agreement, or an address...

48 CFR 204.1103 - Procedures.

Code of Federal Regulations, 2011 CFR

2011-10-01

... information as recorded in the Central Contractor Registration (CCR) database at the time of award. (2) When... record is active in the CCR database; and (ii) The contractor's Data Universal Numbering System (DUNS... database, the contracting officer shall process a novation or change-of-name agreement, or an address...

48 CFR 4.607 - Solicitation Provisions.

Code of Federal Regulations, 2010 CFR

2010-10-01

..., Central Contractor Registration. (b) Insert the provision at 52.204-5, Women-Owned Business (Other Than Small Business), in all solicitations that— (1) Are not set aside for small business concerns; (2..., Data Universal Numbering System (DUNS) Number, in solicitations that— (1) Are expected to result in a...

48 CFR 4.607 - Solicitation Provisions.

Code of Federal Regulations, 2012 CFR

2012-10-01

..., Central Contractor Registration. (b) Insert the provision at 52.204-5, Women-Owned Business (Other Than Small Business), in all solicitations that— (1) Are not set aside for small business concerns; (2..., Data Universal Numbering System (DUNS) Number, in solicitations that— (1) Are expected to result in a...

48 CFR 4.607 - Solicitation Provisions.

Code of Federal Regulations, 2011 CFR

2011-10-01

..., Central Contractor Registration. (b) Insert the provision at 52.204-5, Women-Owned Business (Other Than Small Business), in all solicitations that— (1) Are not set aside for small business concerns; (2..., Data Universal Numbering System (DUNS) Number, in solicitations that— (1) Are expected to result in a...

Integrating basic research and long-term management: a case study using avian research at the Savannah River Site

Treesearch

John B. Dunning; John C. Kilgo

2000-01-01

In this introduction to Avian Research at the Savannah River Site: A Model for Integrating Basic Research and Long-term Management, editors Dunning and Kilgo discuss the interrelationship between research and management at the Savannah River Site. They emphasize the increasing need for collaboration between scientists and land managers....

Radionécrose cérébrale chez des patients irradiés pour cancers du nasopharynx: à propos de 3 cas

PubMed Central

El Mazghi, Abderrahman; Lalya, Issam; Loukili, Kaoutar; El Kacemi, Hanan; Kebdani, Taieb; Hassouni, Khalid

2014-01-01

La radionécrose cérébrale est une complication tardive, iatrogène, relativement rare de la radiothérapie qui survient après plus de six mois suivant le début du traitement. Elle pourrait s'expliquer par la conjonction de lésions vasculaires, gliales et d'ordre immunologiques. Elle peut mettre en jeu le pronostic fonctionnel et vital du malade. La prévention de cette affection redoutable est fondamentale vu l'absence de traitement potentiellement efficace. Nous rapportons 03 nouveaux cas, chez des patients traités par chimiothérapie d'induction puis radio- chimiothérapie concomitante pour des cancers localement avancés du nasopharynx. Le diagnostic a été orienté par l'IRM spectroscopique et l’évolution était favorable sous corticothérapie dans les 03 cas. PMID:25722784

Clinical assessment of adventitious movements.

PubMed

Brasić, J R; Barnett, J Y; Sheitman, B B; Lafargue, R T; Ahn, S C

1998-12-01

Many procedures with variable validity and reliability have been developed in research settings to evaluate adventitious movements and related phenomena in specific populations, e.g., people with schizophrenia treated with dopamine antagonists, but these only provide global assessments or rate specific movements. A battery for rating individuals with possible movements disorders in a comprehensive way in clinical settings is needed so a protocol to assess briefly and thoroughly potential movement disorders was videotaped for five prepubertal boys with autistic disorder and severe mental retardation in a clinical trial. Utilizing a Movement Assessment Battery, four raters independently scored videotapes of 10-16 movements assessments of each of the five subjects. Experienced raters attained agreement of 59% to 100% on ratings of tardive dyskinesia and 48% to 100% on tics. Hindrances to reliability included poor quality of some tapes, high activity of subjects, and fatigue of raters.

Natural Medicines for Psychotic Disorders

PubMed Central

Hoenders, H.J. Rogier; Bartels-Velthuis, Agna A.; Vollbehr, Nina K.; Bruggeman, Richard; Knegtering, Henderikus; de Jong, Joop T.V.M.

2018-01-01

Abstract Patients with psychotic disorders regularly use natural medicines, although it is unclear whether these are effective and safe. The aim of this study was to provide an overview of evidence for improved outcomes by natural medicines. A systematic literature search was performed through Medline, PsycINFO, CINAHL, and Cochrane until May 2015. In 110 randomized controlled trials, evidence was found for glycine, sarcosine, N-acetylcysteine, some Chinese and ayurvedic herbs, ginkgo biloba, estradiol, and vitamin B6 to improve psychotic symptoms when added to antipsychotics. Ginkgo biloba and vitamin B6 seemed to reduce tardive dyskinesia and akathisia. Results on other compounds were negative or inconclusive. All natural agents, except reserpine, were well tolerated. Most study samples were small, study periods were generally short, and most results need replication. However, there is some evidence for beneficial effects of certain natural medicines. PMID:29373456

[Movement disorders is psychiatric diseases].

PubMed

Hidasi, Zoltan; Salacz, Pal; Csibri, Eva

2014-12-01

Movement disorders are common in psychiatry. The movement disorder can either be the symptom of a psychiatric disorder, can share a common aetiological factor with it, or can be the consequence of psychopharmacological therapy. Most common features include tic, stereotypy, compulsion, akathisia, dyskinesias, tremor, hypokinesia and disturbances of posture and gait. We discuss characteristics and clinical importance of these features. Movement disorders are frequently present in mood disorders, anxiety disorders, schizophrenia, catatonia, Tourette-disorder and psychogenic movement disorder, leading to differential-diagnostic and therapeutical difficulties in everyday practice. Movement disorders due to psychopharmacotherapy can be classified as early-onset, late-onset and tardive. Frequent psychiatric comorbidity is found in primary movement disorders, such as Parkinson's disease, Wilson's disease, Huntington's disease, diffuse Lewy-body disorder. Complex neuropsychiatric approach is effective concerning overlapping clinical features and spectrums of disorders in terms of movement disorders and psychiatric diseases.

A machine learning model to predict the risk of 30-day readmissions in patients with heart failure: a retrospective analysis of electronic medical records data.

PubMed

Golas, Sara Bersche; Shibahara, Takuma; Agboola, Stephen; Otaki, Hiroko; Sato, Jumpei; Nakae, Tatsuya; Hisamitsu, Toru; Kojima, Go; Felsted, Jennifer; Kakarmath, Sujay; Kvedar, Joseph; Jethwani, Kamal

2018-06-22

Heart failure is one of the leading causes of hospitalization in the United States. Advances in big data solutions allow for storage, management, and mining of large volumes of structured and semi-structured data, such as complex healthcare data. Applying these advances to complex healthcare data has led to the development of risk prediction models to help identify patients who would benefit most from disease management programs in an effort to reduce readmissions and healthcare cost, but the results of these efforts have been varied. The primary aim of this study was to develop a 30-day readmission risk prediction model for heart failure patients discharged from a hospital admission. We used longitudinal electronic medical record data of heart failure patients admitted within a large healthcare system. Feature vectors included structured demographic, utilization, and clinical data, as well as selected extracts of un-structured data from clinician-authored notes. The risk prediction model was developed using deep unified networks (DUNs), a new mesh-like network structure of deep learning designed to avoid over-fitting. The model was validated with 10-fold cross-validation and results compared to models based on logistic regression, gradient boosting, and maxout networks. Overall model performance was assessed using concordance statistic. We also selected a discrimination threshold based on maximum projected cost saving to the Partners Healthcare system. Data from 11,510 patients with 27,334 admissions and 6369 30-day readmissions were used to train the model. After data processing, the final model included 3512 variables. The DUNs model had the best performance after 10-fold cross-validation. AUCs for prediction models were 0.664 ± 0.015, 0.650 ± 0.011, 0.695 ± 0.016 and 0.705 ± 0.015 for logistic regression, gradient boosting, maxout networks, and DUNs respectively. The DUNs model had an accuracy of 76.4% at the classification threshold that

Caracterisation des proprietes acoustiques des materiaux poreux a cellules ouvertes et a matrice rigide ou souple

NASA Astrophysics Data System (ADS)

Salissou, Yacoubou

L'objectif global vise par les travaux de cette these est d'ameliorer la caracterisation des proprietes macroscopiques des materiaux poreux a structure rigide ou souple par des approches inverses et indirectes basees sur des mesures acoustiques faites en tube d'impedance. La precision des approches inverses et indirectes utilisees aujourd'hui est principalement limitee par la qualite des mesures acoustiques obtenues en tube d'impedance. En consequence, cette these se penche sur quatre problemes qui aideront a l'atteinte de l'objectif global precite. Le premier probleme porte sur une caracterisation precise de la porosite ouverte des materiaux poreux. Cette propriete en est une de passage permettant de lier la mesure des proprietes dynamiques acoustiques d'un materiau poreux aux proprietes effectives de sa phase fluide decrite par les modeles semi-phenomenologiques. Le deuxieme probleme traite de l'hypothese de symetrie des materiaux poreux selon leur epaisseur ou un index et un critere sont proposes pour quantifier l'asymetrie d'un materiau. Cette hypothese est souvent source d'imprecision des methodes de caracterisation inverses et indirectes en tube d'impedance. Le critere d'asymetrie propose permet ainsi de s'assurer de l'applicabilite et de la precision de ces methodes pour un materiau donne. Le troisieme probleme vise a mieux comprendre le probleme de transmission sonore en tube d'impedance en presentant pour la premiere fois un developpement exact du probleme par decomposition d'ondes. Ce developpement permet d'etablir clairement les limites des nombreuses methodes existantes basees sur des tubes de transmission a 2, 3 ou 4 microphones. La meilleure comprehension de ce probleme de transmission est importante puisque c'est par ce type de mesures que des methodes permettent d'extraire successivement la matrice de transfert d'un materiau poreux et ses proprietes dynamiques intrinseques comme son impedance caracteristique et son nombre d'onde complexe. Enfin, le

48 CFR 4.605 - Procedures.

Code of Federal Regulations, 2010 CFR

2010-10-01

... unique identifiers on the FPDS website, and must validate their use in all transactions. The PIID shall... Registration (CCR) database in accordance with the clause at 52.204-7, Central Contractor Registration. The...)(2) of this section, the contracting officer shall use one of the generic DUNS numbers identified in...

Varia. (Miscellany).

ERIC Educational Resources Information Center

Matthey, Marinette

1996-01-01

This collection of diverse research papers in linguistics includes: "La notion de tour de parole dans une perspective syntaxique" ("The Notion of Turn Taking from a Syntactic Perspective") (Jean-Marc Luscher, Sandrine Piaget, Christian Rubattel); "'Si tu me fais honneur d'un p'tit telephone demain matin ben je suis…

2 CFR 176.50 - Award term-Reporting and registration requirements under section 1512 of the Recovery Act.

Code of Federal Regulations, 2010 CFR

2010-01-01

... registrations in the Central Contractor Registration (http://www.ccr.gov) at all times during which they have... System (DUNS) Number (http://www.dnb.com) is one of the requirements for registration in the Central... Recovery Act using the reporting instructions and data elements that will be provided online at http://www...

The Role of Student Major in Grade Perception in Chemistry Courses

ERIC Educational Resources Information Center

Karatjas, Andrew; Webb, Jeffrey

2017-01-01

The Kruger-Dunning effect was studied as it related to performance in chemistry courses based on student differences in academic background. Student major was chosen as the classification to look at the effect of students with different interests/specializations. Chemistry majors tended to predict lower performance than biology majors, while…

Information Liability--New Interpretations for Electronic Publishing.

ERIC Educational Resources Information Center

Tarter, Blodwen

1986-01-01

Defines the issue of information liability as it applies to electronic information and suggests ways in which the issue can be addressed and resolved. Discussion of the marketing and legal aspects of the question includes impact of the Dun & Bradstreet Inc. vs. Greenmoss Builders Inc. ruling on libel litigation. (EM)

Computer Experiments in Transformational Grammar; French I. Department of Computer and Communication Sciences Natural Language Studies No. 3.

ERIC Educational Resources Information Center

Morin, Yves Ch.

Described in this paper is the implementation of Querido's French grammar ("Grammaire I, Description transformationelle d'un sous-ensemble du Francais," 1969) on the computer system for transformational grammar at the University of Michigan (Friedman 1969). The purpose was to demonstrate the ease of transcribing a relative formal grammar into the…

40 CFR 370.41 - What is Tier I inventory information?

Code of Federal Regulations, 2014 CFR

2014-07-01

... the box marked N/A, not applicable. (g) The phone number of your facility (optional). (h) The North... address, phone number and email address of the owner or operator of the facility. (n) The name, mailing address, phone number, Dun & Bradstreet number and email address of the facility's parent company. These...

Problemes en enseignement fonctionnel des langues (Problems in the Functional Teaching of Languages). Publication B-103.

ERIC Educational Resources Information Center

Alvarez, Gerardo, Ed.; Huot, Diane, Ed.

Articles include: (1) "L'elaboration du materiel pedagogique pour des publics adultes" (The Elaboration of Teaching Materials for the Adult Public) by G. Painchaud-Leblanc, (2) "L'elaboration d'un programme d'etudes en francais langue seconde a partir des donnees recentes en didactique des langues" (The Elaboration of a Program…

40 CFR 280.92 - Definition of terms.

Code of Federal Regulations, 2014 CFR

2014-07-01

... to the SEC; (2) an annual report of tangible net worth submitted to Dun and Bradstreet; or (3) annual... or refined and all facilities from which petroleum is sold or transferred to other petroleum.... Tangible net worth means the tangible assets that remain after deducting liabilities; such assets do not...

40 CFR 280.92 - Definition of terms.

Code of Federal Regulations, 2011 CFR

2011-07-01

... to the SEC; (2) an annual report of tangible net worth submitted to Dun and Bradstreet; or (3) annual... or refined and all facilities from which petroleum is sold or transferred to other petroleum.... Tangible net worth means the tangible assets that remain after deducting liabilities; such assets do not...

40 CFR 280.92 - Definition of terms.

Code of Federal Regulations, 2013 CFR

2013-07-01

... to the SEC; (2) an annual report of tangible net worth submitted to Dun and Bradstreet; or (3) annual... or refined and all facilities from which petroleum is sold or transferred to other petroleum.... Tangible net worth means the tangible assets that remain after deducting liabilities; such assets do not...

Hydrodynamic Coating of a Fiber

NASA Astrophysics Data System (ADS)

Quéré, D.; de Ryck, A.

We discuss how a solid (especially a fiber) is coated when drawn out of a bath of liquid. 1. For slow withdrawals out of pure viscous liquids, the data are found to be fitted by the famous Landau law: then, the coating results from a balance between viscosity and capillarity. For quicker withdrawals, the thickness of the entrained film suddenly diverges, at a velocity on order 1 m/s. Inertia is shown to be responsible for this effect. At still higher velocities, the thickness decreases with the velocity because the solid can only entrain the viscous boundary layer. 2. For complex fluids, surface effects are found in the low velocity regime: out of a surfactant solution, films are thicker than predicted by Landau, by a factor of order 2. The thickening factor is shown to be fixed by the Marangoni flow due to the presence of surfactants; out of an emulsion, the film can be enriched with oil , which can be understood by a simple model of capture; out of a polymer solution, a strong swelling of the film is observed if normal stresses are present. Hence, the problem has two families of solution: (i) at low velocity, the thickness of the layer is fixed by a balance between viscous and surface forces and thus is sensitive to the presence of surfactants, or other heterogeneities; (ii) at high velocity, inertia must be considered and the film thickness is fixed by the bulk properties of the liquid (density and viscosity). In these regimes, it is not affected by the presence of surfactants in the bath. Nous décrivons le dépôt de liquide sur un solide (le plus souvent une fibre) qui advient quand on tire ce solide d'un bain. 1. Si le retrait se fait lentement hors d'un liquide pur et visqueux, les données expérimentales suivent la loi de Landau : le dépôt résulte d'un compromis entre forces visqueuses et forces capillaires. Pour des retraits plus rapides, on observe que l'épaisseur du dépôt diverge, pour une vitesse de l'ordre du mètre par seconde. Nous montrons

Integrated Activities for a Who-Dun-It Unit.

ERIC Educational Resources Information Center

Teaching PreK-8, 1996

1996-01-01

Describes how the Rogers Elementary School initiates student-created activities. Includes 33 activities chosen from a total of 60 suggestions from these students. These activities are grouped under two major themes, "Fingerprints" and "Detectives." Explains strategies of which these activities can help students in learning…

76 FR 38129 - Applications for New Awards; Americans With Disabilities Act (ADA) National Network Knowledge...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-29

...) number and a Taxpayer Identification Number (TIN); b. Register both your DUNS number and TIN with the... number and TIN on your application; and d. Maintain an active CCR registration with current information... a TIN from the Internal Revenue Service. If you are an individual, you can obtain a TIN from the...

76 FR 66949 - Privacy Act of 1974; Notification of the Establishment of a Privacy Act System of Records, HUD...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-28

... collect and store vendor Taxpayer Identification Numbers (TINs), vendor names, and associated point-of-contacts information: such as names, Social Security numbers when used in lieu of TINs, Dun and Bradstreet... government to supply TINs under 31 U.S.C. 7701(c). Vendor SSNs are supplied under Clause 52.222-8, Payrolls...

77 FR 40596 - Applications for New Awards: Disability and Rehabilitation Research Projects and Centers Program...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-10

...) number and a Taxpayer Identification Number (TIN); b. Register both your DUNS number and TIN with the... number and TIN on your application; and d. Maintain an active CCR registration with current information... a TIN from the Internal Revenue Service. If you are an individual, you can obtain a TIN from the...

Caracterisation pratique des systemes quantiques et memoires quantiques auto-correctrices 2D

NASA Astrophysics Data System (ADS)

Landon-Cardinal, Olivier

Cette these s'attaque a deux problemes majeurs de l'information quantique: - Comment caracteriser efficacement un systeme quantique? - Comment stocker de l'information quantique? Elle se divise done en deux parties distinctes reliees par des elements techniques communs. Chacune est toutefois d'un interet propre et se suffit a elle-meme. Caracterisation pratique des systemes quantiques. Le calcul quantique exige un tres grand controle des systemes quantiques composes de plusieurs particules, par exemple des atomes confines dans un piege electromagnetique ou des electrons dans un dispositif semi-conducteur. Caracteriser un tel systeme quantique consiste a obtenir de l'information sur l'etat grace a des mesures experimentales. Or, chaque mesure sur le systeme quantique le perturbe et doit done etre effectuee apres avoir reprepare le systeme de facon identique. L'information recherchee est ensuite reconstruite numeriquement a partir de l'ensemble des donnees experimentales. Les experiences effectuees jusqu'a present visaient a reconstruire l'etat quantique complet du systeme, en particulier pour demontrer la capacite de preparer des etats intriques, dans lesquels les particules presentent des correlations non-locales. Or, la procedure de tomographie utilisee actuellement n'est envisageable que pour des systemes composes d'un petit nombre de particules. Il est donc urgent de trouver des methodes de caracterisation pour les systemes de grande taille. Dans cette these, nous proposons deux approches theoriques plus ciblees afin de caracteriser un systeme quantique en n'utilisant qu'un effort experimental et numerique raisonnable. - La premiere consiste a estimer la distance entre l'etat realise en laboratoire et l'etat cible que l'experimentateur voulait preparer. Nous presentons un protocole, dit de certification, demandant moins de ressources que la tomographie et tres efficace pour plusieurs classes d'etats importantes pour l'informatique quantique. - La seconde

Evaluation de l'effet structurel de l'impact d'un micrometeorite ou d'un debris orbital sur le bras Canadien 2

NASA Astrophysics Data System (ADS)

Lanouette, Anne-Marie

Space structures are more and more likely to be impacted at hypervelocities, velocities greater than 3km/s, as the number of orbital debris has rapidly grown in the last two decades. These debris are mostly composed of pieces jettisoned from a launcher or a satellite during the deployment of a structure, dead spacecrafts and fragmentation debris. Collision between two debris, generating many smaller new debris, are more likely to happen. Large space debris (diameter over 10cm) are tracked by different space organizations and their position at all time is known. It is however impossible to track the smaller debris while several studies have already demonstrated that they can also cause significant damage to structures. It is now more and more common to add a kind of protection against collisions to the space structures, but the great majority of space structures currently in orbit, as the Canadarm2, are not protected against hypervelocity impacts. Damage caused by such impacts to different space materials such as aluminum, sandwich panels and laminates has already been characterized during different studies since the end of the 1980s while no study, dedicated to the experimental evaluation of the mechanical properties of a space structure after an impact, relevant to the case of the Canadarm2, has been published. It is only possible to find, in the literature, studies determining the residual mechanical properties after an impact at much lower velocities; the energy of impact is generally three orders of magnitude smaller. The Canadarm2, or Space Station Remote Manipulator System (SSRMS), is installed on the International Space Station (ISS) since 2001. It had an initial 10-year lifespan, but it is still very useful today for maintenance operations and to capture and release incoming space capsules. Understanding the effects of an orbital debris impact on the Canadarm2 structure is now primordial in order to adequately redefine the load levels that can be applied on the arm as a function of the observable damage on the thermal blankets. The main objectives of this study are: first, to obtain a correlation between the visible damage on the booms and the corresponding internal damage of the structure, second to study the cracks caused by the impact growth under different cyclic loads, and finally to provide considerations on the load levels to be applied on the robotic arm as a function of the observable damage. To achieve these objectives, samples representative of the Canadarm2 structure, four cylindrical samples of carbon fibers IM7/PEEK with an external diameter of 35cm and a thickness of 2.7mm, were obtained and covered by pieces of thermal blankets also representative of the Canadarm2. These four samples were impacted at the University of New Brunswick hypervelocity facility, HIT Dynamics. Two samples were impacted by projectiles 5.556mm in diameter and the two remaining samples were impacted with 7.938mm in diameter projectiles. All projectiles were aluminum spheres travelling at ˜7km/s. The samples underwent ultrasonic scanning thereafter to obtain images of their internal damage. In the case of the 5.556mm diameter projectiles, the damage left on the front side was an entry crater 6.2cm in diameter on the thermal blanket and a crater 14.8mm in diameter on the composite wall accompanied by no visual damage on the opposite side of the cylinder. In the case of the 7.938mm diameter projectiles, the damage left on the front side was an entry crater 9.2cm in diameter on the thermal blanket and a crater 17.0mm in diameter on the composite wall accompanied by visible damage on the opposite side in a zone 25.5cm in diameter. The suggestions given for the utilization of the Canadarm2 after an impact are thus the followings. If a crater ≤ 14mm on the composite wall is visible on one side accompanied by no damage on the opposite side of the structure, then the flight and emergency load levels can be maintained. However, if a crater ≤ 17.0mm on the composite wall is visible on one side accompanied by damage in a zone ≤ 25.5cm on the opposite side of the cylinder, only the flight load level can still be used for any position of the damaged zones. If the emergency level must be used, then the damaged zones must absolutely be positioned close to the bending neutral plan, otherwise the applied loads will aggravate the damage caused by the orbital debris impact. (Abstract shortened by ProQuest.).

Geochemistry, geochronology, and tectonic setting of Early Cretaceous volcanic rocks in the northern segment of the Tan-Lu Fault region, northeast China

NASA Astrophysics Data System (ADS)

Ling, Yi-Yun; Zhang, Jin-Jiang; Liu, Kai; Ge, Mao-Hui; Wang, Meng; Wang, Jia-Min

2017-08-01

We present new geochemical and geochronological data for volcanic and related rocks in the regions of the Jia-Yi and Dun-Mi faults, in order to constrain the late Mesozoic tectonic evolution of the northern segment of the Tan-Lu Fault. Zircon U-Pb dating shows that rhyolite and intermediate-mafic rocks along the southern part of the Jia-Yi Fault formed at 124 and 113 Ma, respectively, whereas the volcanic rocks along the northern parts of the Jia-Yi and Dun-Mi faults formed at 100 Ma. The rhyolite has an A-type granitoid affinity, with high alkalis, low MgO, Ti, and P contents, high rare earth element (REE) contents and Ga/Al ratios, enrichments in large-ion lithophile (LILEs; e.g., Rb, Th, and U) and high-field-strength element (HFSEs; e.g., Nb, Ta, Zr, and Y), and marked negative Eu anomalies. These features indicate that the rhyolites were derived from partial melting of crustal material in an extensional environment. The basaltic rocks are enriched in light REEs and LILEs (e.g., Rb, K, Th, and U), and depleted in heavy REEs, HFSEs (e.g., Nb, Ta, Ti, and P), and Sr. These geochemical characteristics indicate that these rocks are calc-alkaline basalts that formed in an intraplate extensional tectonic setting. The dacite is a medium- to high-K, calc-alkaline, I-type granite that was derived from a mixed source involving both crustal and mantle components in a magmatic arc. Therefore, the volcanic rocks along the Jia-Yi and Dun-Mi faults were formed in an extensional regime at 124-100 Ma (Early Cretaceous), and these faults were extensional strike-slip faults at this time.

The Internet as a Tool for Informal Education: A Case of Uyghur Language Websites

ERIC Educational Resources Information Center

Clothey, Rebecca A.

2017-01-01

The 200th year since Jullien published his influential book "Esquisse et vues preliminaries d'un ouvrage sur l'éducation comparée" (Preliminary plan and views of a work of comparative education) is an opportunity to reflect on the field of comparative education and potential new research and theoretical directions. This paper will…

Travelling Researchers, Colonial Difference: Comparative Education in an Age of Exploration

ERIC Educational Resources Information Center

Sobe, Noah W.

2017-01-01

Much existing scholarship takes Marc-Antoine Jullien's 1816/17 "Esquisse et Vues Préliminaries d'un ouvrage sur L'Éducation Comparée" ["Sketch and Preliminary Views for a work on Comparative Education"] as an epochal moment in the establishment of comparative education as a scientific field of academic study. Yet, Jullien's…

Hackneyed, Acned, or Just Plain Good: Perceiving Quality in Young Adult Fiction.

ERIC Educational Resources Information Center

Agee, Hugh

A rating scale was developed by Stephen Dunning for evaluating adolescent literature objectively. The distinguishing features of the scale's five categories are designed to produce a numerical score between 5 and 25 (each category a 1-to-5 ranking for poor/excellent quality), indicating the relative worth of a specific literary work. The first…

Small Community Trends: A Fifty-Year Perspective on Socio-Economic Change in Thirteen New York Communities.

ERIC Educational Resources Information Center

Richardson, Joseph L.; Larson, Olaf F.

Based on Edumund Brunner's three studies of 140 U.S. agricultural villages (1924, 1930, and 1936, 13 of Brunner's New York communities were examined in 1974 to determined in 1974 to determine changes in: (1) population between 1920 and 1970, (2) Dun and Bradstreet business listings between 1921 and 1970 (employment opportunities); (3) community…

The effect of age on the pharmacological management of ambulatory patients treated with depot neuroleptic medications for schizophrenia and related psychotic disorders.

PubMed

Mamo, David C; Sweet, Robert A; Chengappa, K N Roy; Reddy, Ravinder R; Jeste, Dilip V

2002-11-01

Cross-sectional studies indicate that, in comparison to younger patients, older schizophrenic patients have a higher risk for neuroleptic-induced Parkinsonism and tardive dyskinesia (TD). It has been suggested, therefore, that older patients with schizophrenia could be maintained on reduced doses of conventional neuroleptics. We examined the effect of age on psychopharmacological management in a naturalistic study of a group of 165 patients with a clinical diagnosis of schizophrenia or a related psychotic disorder (age range = 21-84 years; subjects > or = 1;45 years n = 86) treated with either haloperidol decanoate or fluphenazine decanoate. Increasing age was not correlated with total daily dose of neuroleptics or anticholinergic medication. However, a modest negative correlation of age with daily neuroleptic dose was found in patients aged 45 years and older. The results of this study highlight the need for prospective assessments of depot neuroleptic dose requirements in older patients suffering from primary psychotic disorders. Copyright 2002 John Wiley & Sons, Ltd.

Utilisation of psychotropic drugs in patients of the long stay ward.

PubMed

El Hefny, F; Al Haddad, M K; Mathur, V

1992-03-01

A survey of the prescribing of psychotropic drugs was carried out at the Psychiatric Hospital of Bahrain. This retrospective study on 60 inpatients of the Long Stay Ward revealed a man:woman ratio of 2.7. 91% of the men and 88% of the women were over 40 years old. 44 of the 60 patients had a diagnosis of schizophrenia, the rest had dementia, depression, schizoaffective disorders, drug-induced psychosis, general paralysis or Huntington's chorea. 95% of patients received antipsychotic drugs. Thioridazine was the most common drug followed by chlorpromazine. The mean number of drugs/patient was 1.7, with 41.7% of patients receiving only 1 drug. Tardive dyskinesia was observed in 11 patients and 9 experienced varying degrees of tremor. The findings confirm that psychiatric illness treated by psychiatrists need not lead to polypharmacy. As a consequence, its treatment may be less likely to result in adverse reactions than when patients are treated by general practitioners.

Manifestations neuropsychiatriques révélant une hémorragie cérébro-méningée causée par un accident d’électrisation: à propos d'une observation et revue de la literature

PubMed Central

Bugeme, Marcellin; Mukuku, Olivier

2014-01-01

Le courant électrique est susceptible de léser tout tissu de l'organisme rencontré lors de son passage, de manière transitoire ou définitive. Les hémorragies cérébro-méningées secondaires à un accident d’électrisation par courant électrique à haute tension sont très rarement rapportées dans la littérature. Nous rapportons un cas d'hémorragie cérébro-méningée révélée par des manifestations neuropsychiatriques causée par un AE par courant électrique à haute tension observée chez un enfant âgé de 6 ans à Lubumbashi, en République Démocratique du Congo. La particularité que présente notre observation est les manifestations neuropsychiatriques observées tardivement. PMID:25419328

Neurobehavioral assessment of children and adolescents attending a developmental disabilities clinic.

PubMed

Brasić, James Robert; Barnett, Jacqueline Y; Kowalik, S; Tsaltas, Margaret Owen; Ahmad, Raheela

2004-12-01

Although the risk of the eventual development of tardive dyskinesia and other persistent adverse effects of neuroleptics is high, among adults with mental retardation and other developmental disabilities, neuroleptics may ameliorate dyskinesias, aggression, and inattention. The effects of traditional neuroleptics on a comparable population of children and adolescents with mental retardation and other developmental disabilities are unknown. The objective of this study was to develop an assessment battery to describe the effects of traditional neuroleptics on the behavior and movements of a small sample of children and adolescents with mental retardation and other developmental disabilities. 13 children and adolescents aged 6 to 16 years attending a developmental disabilities clinic were evaluated utilizing a Movement Assessment Battery to measure behavior and motions. Five subjects took traditional neuroleptic medications. Trained raters can reliably assess the movements and behaviors of children and adolescents with multiple handicaps. Children and adolescents with developmental disabilities may be vulnerable to experience functional impairment and akathisia, tics, and other dyskinesias when administered traditional neuroleptic medications.

Occlusion veineuse rétinienne et syndrome d'hyperviscosité

PubMed Central

Younes, Samar; Abdellaoui, Meriem; Zahir, Fadoua; Benatiya, Idriss A; Tahri, Hicham

2015-01-01

Les occlusions veineuses rétiniennes secondaires aux syndromes d'hyperviscosité sont rares. Plusieurs cas d'occlusion de la veine centrale de la rétine [OVCR] compliquant une hémopathie ont été décrits, principalement au cours des polycythémies primitives ou secondaires, des lymphomes ou des leucémies. A travers cette observation, nous rapportons le cas d'un patient qui présente une OVCR de l’œil droit survenant dans le cadre d'un myélome multiple. La rétinopathie du syndrome d'hyperviscosité est liée au ralentissement circulatoire qui affecte de manière prépondérante le secteur veineux et donne un aspect de rétinopathie de stase bilatérale, avec dilatation et tortuosité de l'ensemble des veines rétiniennes. A un certain degré d'hyperviscosité, une occlusion veineuse véritable peut survenir. Le traitement comprend la réhydratation, phlébotomie, et plasmaphérèse. PMID:25995806

Etude de l'affaiblissement du comportement mecanique du pergelisol du au rechauffement climatique

NASA Astrophysics Data System (ADS)

Buteau, Sylvie

Le rechauffement climatique predit pour les prochaines decennies, aura des impacts majeurs sur le pergelisol qui sont tres peu documentes pour l'instant. La presente etude a pour but d'evaluer ces impacts sur les proprietes mecaniques du pergelisol et sa stabilite a long terme. Une nouvelle technique d'essai de penetration au cone a taux de deformation controle, a ete developpee pour caracteriser en place le pergelisol. Ces essais geotechniques et la mesure de differentes proprietes physiques ont ete effectues sur une butte de pergelisol au cours du printemps 2000. Le developpement et l'utilisation d'un modele geothermique 1D tenant compte de la thermodependance du comportement mecanique ont permis d'evaluer que les etendues de pergelisol chaud deviendraient instables a la suite d'un rechauffement de l'ordre de 5°C sur cent ans. En effet, la resistance mecanique du pergelisol diminuera alors rapidement jusqu'a 11,6 MPa, ce qui correspond a une perte relative de 98% de la resistance par rapport a un scenario sans rechauffement.

Ionization of Rydberg atoms colliding with a metal surface

DOE Office of Scientific and Technical Information (OSTI.GOV)

Sjakste, J.; Borisov, A. G.; Gauyacq, J. P.

2006-04-15

We report on a theoretical study of the ionization process of Xe* Rydberg atoms colliding with a metal surface, in the presence of an external electric field. The evolution of the Xe* outer electron is studied by a wave packet propagation approach, allowing to include all dynamical aspects of the collision, in particular nonadiabatic inter-Rydberg transitions. We investigate how the different Xe* Stark states formed in the external field couple together and ionize on the surface and how the different polarizations of the electronic cloud in the Xe* states are reflected in their ionization properties. We show that the presencemore » of the external electric field can significantly perturb the dynamics of the ionization process. Our results account for recent results from Dunning et al. [Nucl. Inst. Meth. B 203, 69 (2003)]. In particular, it is explained how the external electric field present in the experimental procedure of Dunning et al. leads to the apparent absence of a polarization effect in the ionization process.« less

Low field scaling properties of high Tc superconductor glasses

NASA Astrophysics Data System (ADS)

Giovannella, C.; Fruchter, L.; Chappert, C.

We show that the zero field cooling (ZFC) M/H curves of both the YBaCuO and the LaSrCuO granular superconductor glasses (SuG) are subjected to scaling when plotted against the reduced variable t/H1/ψ . The breaking of the scaling for too weak or too strong magnetic fields is discussed and justified by the introduction of a phenomenological fractal picture, describing the behaviour of the disordered intergranular junction network. Nous montrons que les courbes M/H caractéristiques des verres de supraconducteurs granulaires sont sujettes à une loi d'échelle lorsqu'elles sont tracées en fonction de la variable réduite t/H1/ψ. La brisure de la loi d'échelle pour des champs trop forts ou trop faibles est justifiée par l'introduction d'un modèle phénoménologique fractal capable de décrire le comportement d'un réseau désordonné des jonctions.

Le kyste hydatique du cordon spermatique: une localisation exceptionnelle

PubMed Central

Hamdane, Mohamed Moncef; Bougrine, Fethi; Msakni, Issam; Dhaoui-Ghozzi, Amen; Bouziani, Ammar

2011-01-01

L’ hydatidose est une anthropo-zoonose due au développement chez l'homme de la forme larvaire du taenia Echinococcus granulosis. La plupart des kystes hydatiques se localisent dans le foie et les poumons. Le kyste hydatique du cordon spermatique est extrêmement rare avec seulement 4 cas rapportés dans la littérature. Les auteurs rapportent dans cet article un nouveau cas d'hydatidose du cordon spermatique. Il s'agissait d'un homme de 40 ans qui consultait pour des douleurs scrotales évoluant depuis huit mois. L'examen clinique a mis en évidence une tuméfaction mobile, inguino-scrotale, droite. L’échographie testiculaire a objectivé une hernie inguinale droite associée à deux kystes épididymaires bilatéraux. Le patient a été opéré pour cure de son hernie avec découverte en per-opératoire d'un kyste du cordon spermatique qui a été réséqué. L'examen anatomopathologique a conclu à une hydatidose du cordon spermatique. PMID:22384304

Nouvelles approches en theorie du champ moyen dynamique: le cas du pouvoir thermoelectrique et celui de l'effet orbital d'un champ magnetique

NASA Astrophysics Data System (ADS)

Arsenault, Louis-Francois

. Nous avons aussi developpe la methode pour le cas d'un empilement de plans bidimensionnels selon z, ce qui permet d'etudier l'effet orbital du champ dans des nanostructures et meme dans les materiaux massifs, si le nombre de plans est suffisant pour obtenir la limite tridimensionnelle. Mots cles : Pouvoir thermoelectrique, Theorie du Champ Moyen Dynamique, Modele de Hubbard, Effet orbital du champ magnetique, Electrons fortement correles, Materiaux quantiques, Theorie des perturbations iterees

A long view of polluting industry and environmental justice in Baltimore

Treesearch

Christopher G. Boone; Michail Fragkias; Geoffrey L. Buckley; J. Morgan Grove

2014-01-01

This study examines the density of polluting industry by neighborhoods in Baltimore over the long term, from 1950 to 2010, to determine if high pollution burdens correspond spatially with expected demographic and housing variables predicted in the environmental justice literature. For 1960-1980 we use data on heavy industry from Dun and Bradstreet directories and for...

The New Face in Leadership: Emotional Intelligence

ERIC Educational Resources Information Center

Greenockle, Karen M.

2010-01-01

In the new millennium we are witnessing the shifts in the global economy, competition, and human resource needs thus, requiring a leader who must have more than a vision that inspires others but be able to execute it successfully to ensure the vision becomes a reality (Dunning, 2000). This emphasis on execution requires a reliance on teamwork and…

Unit area control--its development and application

Treesearch

William E. Hallin

1954-01-01

Thirty years of research in the ponderosa pine and mixed conifer forests of the Sierra of California by Dunning and his associates have shown that previous methods of silviculture were not providing adequate restocking of pine. Analysis of records indicated a new approach was necessary. From this work, new procedures that gave most promise of success were formulated...

48 CFR 246.710-70 - Warranty attachment.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Enterprise Identifier Code Type 0-9—GS1 Company Prefix. D—CAGE. LB—ATIS-0322000. LH—EHIBCC. RH—HIBCC. UN—DUNS... Guarantor Enterprise Identifier Code Type 0-9—GS1 Company Prefix. D—CAGE. LB—ATIS-0322000. LH—EHIBCC. RH... returns Name ** Address line 1 ** Address line 2 ** City/county ** State/province ** Postal code...

Science and Society

ScienceCinema

None

2017-12-09

Dans une période d'un mois, 2me conférence sur le contrôle d'armes. Le conférencier Drell, américain, parle comme son collègue Worden (AUDIO-1985-005) des problèmes de défense stratégique.

Is Marc-Antoine Jullien De Paris the "Father" of Comparative Education?

ERIC Educational Resources Information Center

Epstein, Erwin H.

2017-01-01

More than any other historical figure, Marc-Antoine Jullien of Paris has been considered the "Father" of Comparative Education, and his "Esquisse d'un ouvrage sur l'éducation compare", appearing in 1816-17, has been viewed as that field's originating source. Yet, the view that Jullien is the first in his field, and that his…

Developpement des betons semi autoplacants a rheologie adaptee pour des infrastructures

NASA Astrophysics Data System (ADS)

Sotomayor Cruz, Cristian Daniel

Au cours des dernières décennies, les infrastructures canadiennes et québécoises comportent plusieurs structures en béton armé présentant des problèmes de durabilité dus aux conditions climatiques sévères, à la mauvaise conception des structures, à la qualité des matériaux, aux types des bétons choisis, aux systèmes de construction ou à l'existence d'événements incontrôlables. En ce qui concerne le choix du béton pour la construction des infrastructures, une vaste gamme de béton divisée en deux principaux types peut être utilisée: le béton conventionnel vibré (BCV) et le béton autoplaçant (BAP). Dans le cas d'un BCV, la consolidation inadéquate par vibration a été un problème récurrent, occasionnant des dommages structuraux. Ceci a conduit à une réduction de la durabilité et à une augmentation du coût d'entretien et de réparation des infrastructures. Rien que l'utilisation d'un BAP a des avantages tels que l'élimination de la vibration, la réduction des coûts de main d'oeuvre et l'amélioration de la qualité des structures, néanmoins, le coût initial d'un BAP par rapport à un BCV ne permet pas encore de généraliser son utilisation dans l'industrie de la construction. Ce mémoire présente la conception d'une nouvelle gamme de béton semi-autoplaçant pour la construction des infrastructures (BSAP-I) exigeant une vibration minimale. Il s'agit de trouver un équilibre optimal entre la rhéologie et le coût initial du nouveau béton pour conférer une bonne performance structurale et économique aux structures. Le programme expérimental établi a premièrement permis d'évaluer la faisabilité d'utilisation des BSAP-I pour la mise en place des piliers d'une infrastructure de pont à Sherbrooke. En plus, l'utilisation d'un plan d'expériences a permis l'évaluation de trois paramètres de formulation sur les propriétés des mélanges de BSAP-I à l'état frais et durci. Finalement, l'évaluation de la performance des

Contributions à l'Interférométrie spatiale. Astrométrie globale et Détection de Planètes extra-solaires.

NASA Astrophysics Data System (ADS)

Thomas, Eric

2000-03-01

En 1992, L'Agence Spatiale Européenne chargeait un comité d'experts d'établir les priorités scientifiques de ses futures grandes missions spatiales. En réponse, ce comité recommandait à l'ESA l'initiation d'un programme en interférométrie avec deux objectifs. Le premier est la réalisation d'observations astrométriques avec des précisions de l'ordre de 10 micro-secondes d'arc et le second, la détection de planètes extra-solaires en interférométrie infrarouge. Dans ce mémoire, après un rappel des grands principes de l'interférométrie, je présente les études de concepts d'interféromètres adaptés à chacun des types de mission identifiés précédemment. Dans une première partie, plusieurs configurations d'interféromètres sont présentées, compatibles avec la mission d'astrométrie globale GAIA et permettant la détection directe des franges dans un plan image. Ces configurations font l'objet d'une analyse comparative, suivie d'une proposition d'architecture pour la configuration retenue. Dans une deuxième partie, je présente l'étude, dans la cadre de la mission DARWIN de l'ESA, d'un concept d'interféromètre dédié à la détection de planètes extra-solaires dans le domaine spectral de l'infrarouge thermique. Les principes de l'interférométrie à frange noire sont rappelés, et les performances en termes de temps d'intégration du concept retenu, composé de 6 télescopes collecteurs de 1.5 m de diamètre en orbite à 1 u.a. du Soleil, sont estimées. La dernière partie de ce mémoire est consacrée à l'étude de l'implantation d'un mode imagerie sur le concept d'instrument identifié pour le mode détection de planètes de la mission DARWIN. L'utilisation d'un seul banc de recombinaison des faisceaux pour réaliser les deux missions est proposée, en ayant rajouté les fonctionnalités propres à l'imagerie par synthèse d'ouverture. Cette partie est complétée par une estimation des performances de la mission imagerie.

Energy levels and exchange interactions of spin clusters

NASA Astrophysics Data System (ADS)

Belorizky, E.

1993-02-01

We first describe a simple method for diagonalizing the isotropic exchange Hamiltonian of a cluster of N spins in the most general case where all the exchange constants are different. The technique, based on the rotation invariance of the system, leads to a considerable reduction of the total matrix. Simple expressions of the magnetization and susceptibility are provided and an example of the determination of the exchange constants of a complex with five Cu^{2+} ions is given. It is also shown that for a large variety of spin configurations occuring in metal complexes, it is possible to diagonalize the dominant isotropic exchange spin hamiltonian in a straightforward way by using recoupling techniques. This allows to solve problems up to a nine spin cluster with spins having different g values. This survey is pursued by the theoretical approach of the magnetic properties of interacting spins on a finite ring with a detailed study of an oligonuclear metal nitroxide complex formed by six Mn^{2+}(S = 5/2) and six free radicals (s = 1/2). The temperature behaviour of the susceptibility is interpreted with a semi-classical model of a cyclic alternate finite chain. Finally we give a procedure for determining the three exchange constants of three spin 1/2 coupled by isotropic exchange constants in the unsolved case where these constants are all dilferent. Nous décrivons d'abord une méthode simple pour diagonaliser l'Hamiltonien d'échange isotrope d'un cluster de N spins dans le cas le plus général où toutes les constantes d'échange sont différentes. La technique, basée sur l'invariance rotationnelle du système, conduit à une réduction considérable de la matrice totale. On donne des expressions simples de l'aimantation et de la susceptibilité et la méthode est appliquée à la détermination des interactions d'échange d'un complexe comprenant cinq ions Cu^{2+}. On montre également que pour une assez grande variété de configurations de spins pr

Presentation of Marc-Antoine Jullien's Work in Bulgarian Comparative Education Textbooks

ERIC Educational Resources Information Center

Genova, Teodora; Popov, Nikolay

2016-01-01

This paper is dedicated to Marc-Antoine Jullien's bicentennial work, which first appeared as a series of three articles under the main title "Éducation comparée" with a subtitle "Esquisse et vues préliminaires d'un ouvrage sur l'éducation comparée" published in "Journal d'éducation" from October 1816 to March 1817 and…

2 CFR Appendix A to Part 25 - Award Term

Code of Federal Regulations, 2012 CFR

2012-01-01

... 2 Grants and Agreements 1 2012-01-01 2012-01-01 false Award Term A Appendix A to Part 25 Grants... Registration (CCR) Unless you are exempted from this requirement under 2 CFR 25.110, you as the recipient must... subaward from you unless the entity has provided its DUNS number to you. 2. May not make a subaward to an...

2 CFR Appendix A to Part 25 - Award Term

Code of Federal Regulations, 2013 CFR

2013-01-01

... 2 Grants and Agreements 1 2013-01-01 2013-01-01 false Award Term A Appendix A to Part 25 Grants... Registration (CCR) Unless you are exempted from this requirement under 2 CFR 25.110, you as the recipient must... subaward from you unless the entity has provided its DUNS number to you. 2. May not make a subaward to an...

2 CFR Appendix A to Part 25 - Award Term

Code of Federal Regulations, 2014 CFR

2014-01-01

... 2 Grants and Agreements 1 2014-01-01 2014-01-01 false Award Term A Appendix A to Part 25 Grants... you are exempted from this requirement under 2 CFR 25.110, you as the recipient must maintain the... unless the entity has provided its DUNS number to you. 2. May not make a subaward to an entity unless the...

2 CFR Appendix A to Part 25 - Award Term

Code of Federal Regulations, 2011 CFR

2011-01-01

... 2 Grants and Agreements 1 2011-01-01 2011-01-01 false Award Term A Appendix A to Part 25 Grants...) Unless you are exempted from this requirement under 2 CFR 25.110, you as the recipient must maintain the... unless the entity has provided its DUNS number to you. 2. May not make a subaward to an entity unless the...

Effets de l'interaction avec l'oxygène sur le comportement de couches semi-conductrices de ZnO, SnO{2} et CdSe

NASA Astrophysics Data System (ADS)

Ain-Souya, A.; Ghers, M.; Haddad, A.; Tebib, W.; Rehamnia, R.; Messsalhi, A.; Bounouala, M.; Djouama, M. C.

2005-05-01

Les propriétés superficielles des matériaux solides diffèrent de celles du volume. A la surface, des défauts de différentes natures peuvent être présents. Ils permettent à la surface d'être interactive avec le milieu ambiant. Les multiples interactions entre les états de surface et des éléments du milieu extérieur peuvent modifier les propriétés superficielles. Ce travail étudie la régénération de couches semi-conductrices après adsorption isotherme d'oxygène à différentes températures effectuées entre 20 ° C et 300 ° C. Les matériaux qui ont servi à l'étude sont des couches de ZnO, SnO{2} et CdSe. Celles de CdSe ont été obtenues par co-évaporation, sous vide, de cadmium et de sélénium. Les échantillons de ZnO et SnO{2} ont été élaborés par oxydation, à des températures respectives de 450 ° C et 200 ° , de Zn et Sn déposés par électrolyse et par évaporation sous vide. Les matériaux évaporés ont été déposés sur des plaquettes en verre, les autres ont été électrodéposés sur des substrats métalliques. Les variations des propriétés électriques des couches ont été suivies par mesure de leur résistance électrique superficielle R. Les courbes LogR = f (103 /T (K)), relevées sous vide à différentes températures, sont caractéristiques d'un comportement de semi-conducteur. Des essais d'adsorption d'O{2} à différentes températures montrent des variations considérables de R. En effet, la chimisorption forte d'un gaz par une surface semi-conductrice est telle que l'échange électronique entre adsorbant et adsorbat provoque la formation d'une zone de charge d'espace modifiant la conduction superficielle. Les résultats mettent en évidence des domaines de température de plus haute sensibilité à l'oxygène. Pour le CdSe, certaines désorptions isothermes ont été suffisantes pour une régénération totale des échantillons. Les couches de ZnO ont souvent nécessité des désorptions programm

[Becoming parents. Factors related to the feeling of competence].

PubMed

Léonard, N; Paul, D

1996-01-01

In recent years, priority measures have been established within the health field in Québec for raising parents' self-esteem in regard to their role, and ensuring that their parenting skills improve. The study Perceptions de la relation conjugale, du fonctionnement familial et du sentiment de compétence parentale chez des pères et des mères d'un premier enfant âgé d'un an was conducted in keeping with these measures. Nathalie Léonard conducted the research as part of her studies toward a master's degree in nursing science; her thesis advisor was Denise Paul. One goal of her correlative descriptive study was to describe perceptions of the feeling of parental competence among couples with a first child one year of age. A survey of the literature enabled listing of the factors that influence the feeling of parental competence in three categories, according to whether it is linked to the parents, to the child or to their surroundings. Awareness of these factors enables nurses in hospital and community settings to provide more effective support to parents of a first child in their process of adapting to parenthood.

Consequences experimentales des effets des fluctuations du vide sur la fluorescence parametrique et la generation du second harmonique en milieu confine

NASA Astrophysics Data System (ADS)

Robichaud, Luc

Les fluctuations du vide, qui consistent en l'apparition momentanee de particules, ce qui est permit par le principe d'incertitude de Heisenberg, joue un role primordial dans les processus photoniques, en particulier les processus non-lineaires. Par la manipulation de ces fluctuations du vide a l'aide de confinement optique, on retrouve deux phenomenes particuliers : l'intensification de la fluorescence parametrique (Walker, 2008) et l'inhibition de la generation du second harmonique (Collette, 2013). Dans ce travail, on presente les resultats dans le cas classique ; c'est-a-dire sans fluctuations du vide et confinement. Par la suite, on presente les effets des fluctuations du vide et du confinement, ce qui mene aux deux effets mentionnes. Dans le cas de la fluorescence parametrique, le bruit quantique sur le champ interne et externe est calcule, le role du desaccord de phase dans le modele est expose et une generalisation tridimensionnelle est etudiee afin de generaliser la conception du modele d'un cas unidimensionnel a un cas tridimensionnel planaire. Dans le cas de la generation du second harmonique, les difficultes d'un modele purement tridimensionnel sont exposees et ensuite le cas limite planaire est etudie.

Myélome multiple survenant au cours d'une Fièvre Méditerranéenne Familiale

PubMed Central

Salem, Bouomrani; Afef, Farah; Nadia, Bouassida; Nabil, Ayadi; Zouhir, Bahloul; Maher, Béji

2013-01-01

L'objectif de ce travail est de rapporter une observation particulière de myélome multiple survenant au cours d'une maladie périodique. Il s'agit d'un patient tunisien de 53 ans suivi depuis le jeune âge pour maladie périodique dont le diagnostic était confirmé par l’étude génétique montrant l'homozygotie pour la mutation M694V du gène MEFV, fut admis pour exploration d'une douleur avec tuméfaction fessière droite récente. Les explorations biologiques et radiologiques ont permis de retenir le diagnostic d'un myélome multiple de type IgA à chaînes légères kappa stade III B, associé à une volumineuse localisation plasmocytaire très agressive de l'aile iliaque droite envahissant les structures musculaires avoisinantes. Notre observation, qui à notre connaissance est la deuxième signalant une telle association, se distingue par sa survenue brutale, sa progression rapide et le caractère très agressif de l'hémopathie. PMID:24255729

Des schémas équivalents pour les circuits couplés multi-enroulements

NASA Astrophysics Data System (ADS)

Keradec, J. P.; Cogitore, B.; Laveuve, E.; Bensoam, M.

1994-04-01

The aim of this paper is to represent the electrical behaviour of any number of magnetically coupled windings with couplers and inductors. Two methods, mathematicaly justified, are proposed. The second one introduces only positive inductances. As an exemple, it is applied to the representation of a three column three phase transformer. The obtained circuits supply the requisite guide to design more complete circuits which allow the high frequency behaviour of wound components to be taken into account, especialy in electronics simulation softwares. Le but de cet article est de traduire le comportement électrique d'un nombre quelconque d'enroulements magnétiquement couplés, par des coupleurs et des inductances. Deux méthodes, établies mathématiquement, sont proposées. La seconde n'introduit que des inductances positives. A titre d'exemple, elle est appliquée à la représentation d'un transformateur triphasé à trois colonnes. Les schémas obtenus fournissent l'indispensable ossature de schémas plus complets, aptes à représenter le comportement haute fréquence des composants bobinés, notamment dans un logiciel de simulation électronique.

Détermination de l'énergie de surface d'alumines et de titanates de baryum utilisés pour la préparation de céramiques : influence d'un traitement thermique

NASA Astrophysics Data System (ADS)

Papirer, E.; Perrin, J. M.; Siffert, B.; Philipponneau, G.

1991-05-01

Surface characteristics of powders used for the preparation of ceramics determine the physical interactions potential between constituents and condition, in particular, the stability of slurries. Inverse Gas Chromatography (I.G.C.) applied to aluminas and barium titanates, appears to be a well suited method for the measurement, on the one hand, of the dispersive component (γ^D_S) of the surface energy and, on the other hand, of a specific interaction parameter (I_{sp}) which accounts for all possible interactions, except London interactions. It is shown that, firstly, the chemical surface composition (presence of impurities or Ba/Ti ratios) influences strongly the values of γ^D_S and I_{sp} and, secondly, the heat treatment of certain aluminas (below 500 °C) modifies in an unexpected way the same values. In that case, the results may be explained supposing the existence, on the alumina surfaces, of a thin hydrated oxide layer which is formed during ageing in humid atmosphere. This layer, of the boehmite type, transforms into γ alumina around 350-400 °C, a transformation accompanied by important variations of γ^D_S This study underlines the importance of a thorough physico-chemical control of the ceramic powders and of their conditioning. Les caractéristiques de surface des poudres entrant dans la préparation des céramiques déterminent les capacités d'interactions physiques entre constituants et conditionnent, en particulier, la stabilité des barbotines. La chromatographie gazeuse inverse (C.G.I.), appliquée aux alumines et aux titanates de baryum, s'avère comme une méthode de choix pour la mesure d'une part, de la composante dispersive (γ^D_S) de l'énergie de surface et d'autre part, d'un paramètre d'interaction spécifique (I_{sp}) qui rend compte de toutes les possibilités d'interactions à l'exception de celles de London. On montre, premièrement, que la composition chimique de surface (présence d'impuretés, ou rapport Ba/Ti) influe

A mutation causing Alport syndrome with tardive hearing loss is common in the western United States

DOE Office of Scientific and Technical Information (OSTI.GOV)

Barker, D.F.; Denison, J.C.; Atkin, C.L.

1996-06-01

Mutations in the COL4A5 gene, located at Xq22, cause Alport syndrome (AS), a nephritis characterized by progressive deterioration of the glomerular basement membrane and usually associated with progressive hearing loss. We have identified a novel mutation, L1649R, present in 9 of 121 independently ascertained families. Affected males shared the same haplotype of eight polymorphic markers tightly linked to COL4A5, indicating common ancestry. Genealogical studies place the birth of this ancestor >200 years ago. The L1649R mutation is a relatively common cause of Alport syndrome in the western United States, in part because of the rapid growth and migratory expansion ofmore » mid-nineteenth-century pioneer populations carrying the gene. L1649R affects a highly conserved residue in the NC1 domain, which is involved in key inter- and intramolecular interactions, but results in a relatively mild disease phenotype. Renal failure in an L1649R male typically occurs in the 4th or 5th decade and precedes the onset of significant hearing loss by {approximately}10 years. 45 refs., 5 figs.« less

La tuberculose nasosinusienne primaire: à propos d'un cas

PubMed Central

Bouchentouf, Rachid; Bouaity, Brahim; Touati, Mohamed; Benjelloun, Amine; Aitbenasser, Moulay Ali

2013-01-01

La localisation nasosinusienne de la tuberculose est rare. Elle est caractérisée par une présentation clinique polymorphe et non spécifique, posant souvent un problème de diagnostic différentiel. Le diagnostic repose sur l'examen anatomopathologique et bactériologique avec examen direct et culture. Le traitement est essentiellement médical à base d'antibacillaires. PMID:23503658

Mise au point d'un bouchon d'oreille "intelligent"

NASA Astrophysics Data System (ADS)

Voix, Jeremie

Many workers are exposed to noise levels high enough to put them at risk of losing their hearing. However, noise reduction at the source, when technically feasible, is often difficult to implement for economical reasons. Therefore, individual hearing protection remains the most widespread solution in practice. Unfortunately, the hearing protectors currently available on the market are seldom worn continuously as they should be (because they are not very comfortable or must be removed to communicate) and do not match the worker's need for protection (because their actual attenuation is generally unknown). This doctorate thesis work, carried out in close collaboration with SONOMAX HEARING HEALTHCARE I NC., had the general objective to develop a smart earplug that would solve the problems associated with current hearing protection devices thereby effectively preventing noise induced hearing loss in the industrial environment. The issues associated to this development have been formulated in details under the Health and Safety aspect (non-continuous wearing of the hearing protector and un-adapted protection), technical aspects (development of an earplug that is comfortable both from the physical and sound perception points of view and whose performances are measurable) and scientific aspects (modeling of physical systems, signal processing, instrumentation and measurement techniques). The technical developments have resulted in a custom earplug that is instantly fitted to the wearer's ear by silicone injection. Its acoustical performance can be measured using a microphone probe while the attenuation can be adapted to the user's need by the insertion through the earplug of passive acoustical filters. The scientific developments have resulted in the prediction of the attenuation of the earplug from the Noise Reduction measurement and in the prediction of the filtered earplug attenuation.

Maladie de Horton révélée par une dyspnée

PubMed Central

Mahfoudhi, Madiha; Mamlouk, Habiba; Turki, Sami; Kheder, Adel

2015-01-01

Les manifestations pleuro-pulmonaires de la maladie de Horton sont rares et peu connues. Elles peuvent être inaugurales, à l'origine d'un retard à la prise en charge si elles sont méconnues. Il s'agissait d'un patient âgé de 75 ans, admis pour une dyspnée, une toux chronique et une fièvre. Il a reçu une antibiothérapie et a bénéficié d'une fibroscopie bronchique avec lavage broncho-alvéolaire à la recherche d'un germe, qui a révélé plutôt, une alvéolite lymphocytaire. L’évolution était marquée par la persistance des signes cliniques et du syndrome inflammatoire biologique. Un angio-scanner thoracique et une échographie cardiaque étaient sans anomalies. Une origine cardiaque, musculaire, hématologique, néoplasique, vasculaire ou métabolique de la dyspnée a été éliminée. Une maladie de Horton a été évoquée. La biopsie de l'artère temporale a confirmé le diagnostic d'une maladie de Horton. L’évolution sous corticothérapie était marquée par la disparition des signes cliniques et biologiques. Les manifestations pleuro-pulmonaires au cours de la maladie de Horton sont rares, et classiquement, rarement révélatrices de la maladie. La dyspnée peut initialement égarer le diagnostic vers d'autres étiologies notamment infectieuses. Le but de ce travail est d'insister sur le fait que la connaissance de ces différentes manifestations respiratoires au cours de la maladie de Horton (toux persistante, dyspnée, épanchement pleural) est utile au clinicien afin de prescrire une corticothérapie, chez un sujet le plus souvent âgé ayant un état fébrile et inflammatoire prolongé, permettant ainsi d’éviter l'apparition de complications. PMID:26161171

Forme particulière de Pemphigoide cicatricielle à dépôt unique d'IgA

PubMed Central

Aounallah, Amina; Jrad, Mariem; Ksiaa, Mehdi; Mokni, Sana; Saidi, Wafa; Boussofara, Lobna; Sriha, Badreddine; Denguezli, Mohamed; Ghariani, Najet; Belajouza, Colandane; Nouira, Rafia

2017-01-01

La Pemphigoide cicatricielle est une dermatose bulleuse sous épithéliale qui atteint essentiellement les muqueuses avec une évolution cicatricielle. Il s'agit d'un homme de 66 ans hospitalisé pour gingivite érosive avec dysphagie, dyspnée et flou visuel. L'examen dermatologique retrouvait des lésions érosives du palais et du pharynx. L'examen ophtalmologique notait des symblépharons, un ectropion et une cataracte bilatérale. La biopsie gingivale avait montré un décollement nécrotique de l'épithélium buccal. L'immunofluorescence directe notait un dépôt linéaire d'Immunoglobuline A à la jonction dermo-épidermique. L'Immunofluorescence indirecte était revenue négative. Le diagnostic de pemphigoide cicatricielle était confirmé. Le Transit oeso-gastro-duodénal a objectivé une double sténose de l'œsophage. L'endoscopie nasale, pharyngée et bronchique retrouvait des ulcérations de l'épiglotte, de l'hypopharynx, du pharynx et de l'arbre bronchique. Le patient a bénéficié d'un bolus de Solumedrol relayé par la Prednisone à la dose de 0.5mg/Kg/j associé à la Disulone à la dose de 100mg/j. L'évolution était favorable au début mais s'est compliquée après 2 mois d'une aggravation de la dysphagie et de la sténose oesophagienne. Notre observation est très particulière par la survenue d'une Pemphigoide cicatricielle chez un sujet de sexe masculin ayant un tableau grave en rapport avec l'extension des lésions à toutes les muqueuses conjonctivale, buccale, nasale, œsophagienne et même bronchique associée à une immunofluorescence directe faite d'un dépôt d'IgA uniquement. PMID:28533859

Biostereometrics In Art

NASA Astrophysics Data System (ADS)

Ferenc, Kovats

1986-07-01

Desuis mon enfance je suis un type soidisant visuel. Cette deviation etait toujours profitable pour moi, pour le clinicien , ainsi que pour le rechercheur scientifique.I1 y a trente ans, que dans l'Atlas Radioanatomique du Thorax nous avons deja utilis6 la conception de trois dimensions. Dans les derni6res edition de cet ouvrage nous avons travaille mke avec la guatrieme, le temps facteur. DePuis cette 6poque-la je me suis ori-en-be vers les quatre dimensions, vers les mouvements dans l'espace et le temps. -:tudiant les mouvements,les mouvements ventilatoires mesure par photogrammetrie le tronc humain.En projetant sur la surface du tronc un reseau quadratique, on pent compter de 3oo-400 points d'information, si un carre est 2 This 2 cm. Simultanement on pent ainsi contraler les deplacement relatifs des differents points. Travaillant avec seriophotographie et ces dernieres annees avec Video, nous avons des documents cDntinuellement en trois dimensions sun la position actuelle en espace de notre modele.On pent mesurer, reproduire la position momentan6e du sujet d'une frequence et dans la quantite desiree. Par exemple on peut les reproduire, une a une, comme une sculpture, en domontrant les changements d'un tronc humain pendant les mouvements respiratoires, comme nous avions fait en 1969 avec le sculpteur Istvan Bencsik en realisant nos differents modeles en inspiration et expiration.flais thooriquement on pent construire tant de sculptures qu'on vent entre les deux positions extremes.La methode est tres utilisable pour l'observation des mouvements sportifs on artistiques, comme le ballet par exemple. / Figure 1./ En etudiant en plusieures series la morphometrie des mouvements respiratoires on pent acquerir une certain experience, qui concerne la phase de respiration, on se trouve un corps humain sculpte, dessine on peint. Come le mimique d'un visage explkue toujours l'6tat affectif d'un individu, le corps humain peut expliquer tart des chases entre les mains d'un

Microgenerateurs electriques a base d'oscillateurs thermiques

NASA Astrophysics Data System (ADS)

Leveille, Etienne

Dans un contexte de developpement durable et d'automatisation de notre environnement, l'utilisation de capteurs sans-fil distribues est croissante. Hors l'usage et le remplacement de piles s'avere couteux. La consommation energetique de plus en plus faible de l'electronique rend l'extraction energetique de l'energie ambiante envisageable. La chaleur residuelle est une source d'energie interessante puisqu'elle est la forme finale de la majeure partie de l'energie utilisee par l'humain. Cependant, a petite echelle, seuls les elements thermoelectriques sont disponibles. Les presents travaux s'interessent donc a explorer et comparer des mecanismes de generation alternatifs. Puisque la majorite des mecanismes de transduction alternatifs sont dynamiques, leur utilisation requiert une transformation de l'energie thermique continue en oscillations. Les mecanismes etudies ont donc tous en commun de posseder un oscillateur thermique en plus d'un mecanisme de transduction vers la forme d'energie electrique. Parmi les divers mecanismes identifies, deux sont etudies en details pour comprendre leurs comportements ainsi que connaitre leur efficacite et leur puissance potentielle. Le premier generateur etudie theoriquement est base sur le changement de ferromagnetisme d'une masse suspendue par des ressorts au-dessus d'un aimant. Les comportements du modele developpe correspondent aux comportements reportes dans la litterature. Deux parametres de conception principaux ont ete identifies, permettant un controle de la frequence, de la plage de temperatures d'operation. De plus le mecanisme peut operer avec de faibles differences de temperature et des temperatures proches de l'ambiant, ouvrant la porte a des applications utilisant la chaleur du corps humain. L'utilisation de materiau pyroelectrique comme mecanisme de transduction pourrait offrir des densites de puissance electrique envisageables de l'ordre de 1mW/cm3. Le second generateur etudie experimentalement est base sur l

Deanol acetamidobenzoate inhibits the blood-brain barrier transport of choline.

PubMed

Millington, W R; McCall, A L; Wurtman, R J

1978-10-01

Competition by deanol (dimethylaminoethanol) with choline for uptake from the bloodstream into the brain was demonstrated by simultaneous intracarotid administration of carbon 14-labeled choline with deanol (plus tritiated water and indium 113m, to calculate a brain uptake index) and by measuring the brain uptake of 14C-labeled choline mixed with sera from rats pretreated with deanol (300 or 500 mg/kg 8 or 30 minutes earlier). The inhibition constant for inhibition of choline uptake by deanol (159 micrograms) was actually lower than the Michaelis constant for choline itself (442 micrograms); hence, the affinity of the carrier mechanism for deanol is at least as great as it is for choline. Deanol administration also elevated blood choline levels; thus, the effect of the drug on brain choline (and acetylcholine) levels is the result of the increase it produces in blood choline and the suppression it causes in choline uptake. These findings may explain discrepant results from laboratories seeking increases in brain acetylcholine or clinical improvement in patients with tardive dyskinesia after deanol treatment.

N-acetylcysteine (NAC) in neurological disorders: mechanisms of action and therapeutic opportunities

PubMed Central

Bavarsad Shahripour, Reza; Harrigan, Mark R; Alexandrov, Andrei V

2014-01-01

Background There is an expanding field of research investigating the benefits of medicines with multiple mechanisms of action across neurological disorders. N-acetylcysteine (NAC), widely known as an antidote to acetaminophen overdose, is now emerging as treatment of vascular and nonvascular neurological disorders. NAC as a precursor to the antioxidant glutathione modulates glutamatergic, neurotrophic, and inflammatory pathways. Aim and discussion Most NAC studies up to date have been carried out in animal models of various neurological disorders with only a few studies completed in humans. In psychiatry, NAC has been tested in over 20 clinical trials as an adjunctive treatment; however, this topic is beyond the scope of this review. Herein, we discuss NAC molecular, intracellular, and systemic effects, focusing on its potential applications in neurodegenerative diseases including spinocerebellar ataxia, Parkinson's disease, tardive dyskinesia, myoclonus epilepsy of the Unverricht–Lundbor type as well as multiple sclerosis, amyotrophic lateral sclerosis, and Alzheimer's disease. Conclusion Finally, we review the potential applications of NAC to facilitate recovery after traumatic brain injury, cerebral ischemia, and in treatment of cerebrovascular vasospasm after subarachnoid hemorrhage. PMID:24683506

Dyskinesias subside off all medication in a boy with autistic disorder and severe mental retardation.

PubMed

Brasić, J R; Barnett, J Y; Aisemberg, P; Ahn, S C; Nadrich, R H; Kaplan, D; Ahmad, R; Mendonça, M de F

1997-12-01

A boy with autistic disorder and severe mental retardation developed severe dyskinesias, including objective akathisia (probable) and tics, a month after discontinuation of at least two years of treatment with drugs block dopamine receptors. These dyskinesias greatly subsided during a 17-wk. open-label nonblind clinical trial of clomipramine, and returned transiently when the parents abruptly discontinued clomipramine. However, the dyskinesias gradually subsided during two and a half years of follow-up with the boy being off all medication. A few stereotypies remain. We believe this suggests the hypothesis that movement disorders, such as withdrawal and tardive akathisia and tics, occurring in boys with autistic disorder treated with dopamine receptor-blocking drugs may subside months or years after discontinuation of the agents and that clomipramine may facilitate this process. We also hypothesize that some boys with autistic disorder and mental retardation exhibit fewer movement disorders, fewer psychiatric symptoms, and better over-all functioning after they have received no dopamine receptor-blocking drugs for several months, and this improvement continues years after the medication has ceased.

Thoughts on selected movement disorder terminology and a plea for clarity.

PubMed

Walker, Ruth H

2013-01-01

Description of the phenomenology of movement disorders requires precise and accurate terminology. Many of the terms that have been widely used in the literature are imprecise and open to interpretation. An examination of these terms and the assumptions implicit in their usage is important to improve communication and hence the definition, diagnosis, and treatment of movement disorders. I recommend that the term dyskinesia should be used primarily in the settings of Parkinson's disease and tardive dyskinesia, in which its clinical implications are relatively clear; it should not be used in other situations where a precise description could more usefully facilitate diagnosis and treatment. In general dyskinesia should be used in the singular form. Extrapyramidal is based upon obsolete anatomical concepts, is uninformative, and should be discarded. The term abnormal involuntary movements (AIMs) is similarly vague and uninformative, although is unlikely to be eliminated from the psychiatric literature. Movement disorder neurologists as teachers, clinicians, article reviewers, and journal editors have the responsibility to educate our colleagues regarding appropriate usage and the importance of employing correct descriptors.

Tolerability of outpatient antipsychotic treatment: 36-month results from the European Schizophrenia Outpatient Health Outcomes (SOHO) study.

PubMed

Novick, Diego; Haro, Josep Maria; Perrin, Elena; Suarez, David; Texeira, João Marques

2009-08-01

SOHO is a 3-year, prospective, observational study of schizophrenia patients who started a new antipsychotic in 10 European countries. Cohorts of patients were defined according to the antipsychotic started at baseline: olanzapine, risperidone, quetiapine, amisulpride, clozapine, oral typical and depot typical antipsychotics. Tolerability in terms of rates of extrapyramidal symptoms (EPS), tardive dyskinesia (TD), anticholinergic use, loss of libido/impotence, amenorrhoea/galactorrhoea/gynaecomastia, and weight change was assessed in 4939 patients who started monotherapy. Logistic regression models related medication initiated at study entry to adverse events over follow-up, adjusting by baseline differences among treatment cohorts. Patients taking typical antipsychotics or risperidone were more likely to experience EPS and TD during follow-up than patients taking olanzapine. Patients taking olanzapine were less likely to have loss of libido/impotence during follow-up than patients in the risperidone, amisulpride, clozapine, oral typical and depot typical cohorts. Weight gain occurred in all groups, but was greater with olanzapine. In conclusion, antipsychotics have different tolerability profiles in terms of the adverse events we monitored. Results should be interpreted conservatively due to the observational study design.

Effects of consumption of choline and lecithin on neurological and cardiovascular systems.

PubMed

Wood, J L; Allison, R G

1982-12-01

This report concerns possible adverse health effects and benefits that might result from consumption of large amounts of choline, lecithin, or phosphatidylcholine. Indications from preliminary investigations that administration of choline or lecithin might alleviate some neurological disturbances, prevent hypercholesteremia and atherosclerosis, and restore memory and cognition have resulted in much research and public interest. Symptoms of tardive dyskinesia and Alzheimer's disease have been ameliorated in some patients and varied responses have been observed in the treatment of Gilles de la Tourette's disease, Friedreich's ataxia, levodopa-induced dyskinesia, mania, Huntington's disease, and myasthenic syndrome. Further clinical trials, especially in conjunction with cholinergic drugs, are considered worthwhile but will require sufficient amounts of pure phosphatidylcholine. The public has access to large amounts of commercial lecithin. Because high intakes of lecithin or choline produce acute gastrointestinal distress, sweating, salivation, and anorexia, it is improbable that individuals will incur lasting health hazards from self-administration of either compound. Development of depression or supersensitivity of dopamine receptors and disturbance of the cholinergic-dopaminergic-serotinergic balance is a concern with prolonged, repeated intakes of large amounts of lecithin.

Emerging pharmacological therapies in schizophrenia: what's new, what's different, what's next?

PubMed

Citrome, Leslie

2016-12-01

There are several new and emerging medication interventions for both the acute and maintenance treatment phases of schizophrenia. Recently approved are 2 new dopamine receptor partial agonists, brexpiprazole and cariprazine, as well as 2 new long-acting injectable antipsychotic formulations, aripiprazole lauroxil and 3-month paliperidone palmitate. Although differences in efficacy compared to other available choices are not expected, the new oral options offer different tolerability profiles that may be attractive for individual patients who have had difficulties with older medications. The new long-acting injectable options provide additional flexibility in terms of increasing the time interval between injections. In Phase III of clinical development is a novel antipsychotic, lumateperone (ITI-007), that appears to have little in the way of significant adverse effects. Deutetrabenazine and valbenazine are agents in Phase III for the treatment of tardive dyskinesia, a condition that can be found among persons receiving chronic antipsychotic therapy. On the horizon are additional injectable formulations of familiar antipsychotics, aripiprazole and risperidone, that may be more convenient than what is presently available.

Extrapyramidal side effects of antipsychotic treatment: scope of problem and impact on outcome.

PubMed

Tandon, Rajiv; Jibson, Michael D

2002-06-01

Previously, clinicians worked with antipsychotic drugs (conventional or typical) that almost invariably caused extrapyramidal symptoms (EPS) at clinically effective doses. This led to the false impression that all antipsychotics were the same, and that EPS were an unavoidable consequence of effective antipsychotic therapy. EPS adversely impact several aspects of antipsychotic efficacy and tolerability, thereby worsening outcome of afflicted individuals. EPS reduce beneficial effects of antipsychotic treatment on the negative, cognitive, and mood symptom domains, while increasing the risk of tardive dyskinesia and reducing compliance. By definition, the newer generation of "atypical" antipsychotic agents are significantly better than conventional agents with regard to EPS (i.e., they are clinically effective at doses at which they do not cause EPS). Pharmacologically, this difference is expressed in the greater degree of separation between respective dose response curves for antipsychotic and EPS effects observed for "atypical" in contrast to conventional agents. Clinically, this EPS advantage of atypical antipsychotics translates into several important benefits, including better negative symptom efficacy, less dysphoria, less impaired cognition, a lower risk of TD, and better overall outcome.

[The doctrine of free and informed consent: its ethical and legal foundations and its applications in research and practice of psychiatry].

PubMed

Grunberg, F

1990-06-01

This article briefly examines the ethical and legal foundations for the doctrine of informed consent in medical research and practice. The doctrine is based upon the importance of respecting the individual's autonomy and his right to self-determination. The article also reviews the development of the doctrine of informed consent based on its recent application. The authors cite the Nuremburg Code and the Helsinki Declarations and particularly the media denunication of several scandals in the United States during the late 1960s, when Henri Beecher's name figured prominently. The effects of informed consent in psychiatry are examined specifically, as well as the consequences for psychiatric research, on subjects who are able to give their consent, as well as those who are unable to do so. As for its effects on clinical practice, the paper discusses the right of the hospitalized patient to refuse treatment, and informed consent and the risks for patients treated with neuroleptics of developing tardive dyskinesia. The authors conclude that in psychotherapy the concept of informed consent cannot be taken for granted.

Annual West Coast Theoretical Chemistry/Statistical Mechanics Conference (14th), held at Los Angeles, California on 17-19 June 1993

DTIC Science & Technology

1993-06-19

of California, Los Angles, CA AB-INITIO STUDIES OF WATER CLUSTERSt Sotris S. Xantheas and Thorn H. Dunning Jr. Molecular Theory Group, Molecular...mechanics, of the solvation properties of a chlorine ion in polarizable water . In these studies , we employed the polarizable water model developed recently by...acetaldehyde, hydrogen sulfide with 2-hydroxy-3-methylbutan-2-yl, and lithium hydride with methyl isopropyl ketone . The largest system studied . 1. contains

Glass Particulate Contamination from Medications Aspirated from Glass Ampules: Comparison of Filtered Versus Non-Filtered Needles

DTIC Science & Technology

1994-09-01

with giant cells found in the spleen and lungs. A second experiment 3 (Brewer & Dunning, 1947) was conducted where 1,089 mice were injected...crystals, or starch. They conducted experiments where rabbits received I I.V. normal saline via the ear vein. Each rabbit received a different volume...conducted a similar experiment examining the incidence of drug contamination with particles from the external surface of glass ampules. Methylene blue

Ancrage des vortex dans les supraconducteurs Description phénoménologique de la réponse linéaire d'un de vortex ancré

NASA Astrophysics Data System (ADS)

Lütke-Entrup, N.; Plaçais, B.; Mathieu, P.; Simon, Y.

énétration complexe dans l'état mixte sur une variété d'échantillons qui va des supraconducteurs classiques (Nb, V, PbIn), aux composés de fermions lourds non-conventionnels (UPt3), en passant par les cuprates à haute température critique (YBaCuO). La large gamme des fréquences explorées (1 kHz 10 MHz) permet de couvrir le changement de régime entre la réponse quasistatique dominée par l'interaction élastique des vortex avec les défauts, et la réponse haute fréquence amortie par la friction visqueuse du réseau de vortex au cristal ionique. Pour décrire quantitativement le spectre de fréquence, nous nous appuyons sur une théorie phénoménologique qui fait une distinction explicite et rigoureuse entre lignes de vortex, décrites par un champ omega, et lignes de champ magnétique B. On prédit ainsi l'existence d'un second mode électrodynamique, évanescent et de courte portée, lié à la tension de ligne des vortex. On montre que la réponse aux petits mouvements, amplitude et phase, est réglée par une condition limite supplémentaire sur le réseau de vortex à la surface ; elle prend la forme d'une condition de glissement avec une longueur phénoménologique contrôlée par la rugosité de l'échantillon. Le spectre de fréquence associé à ce mécanisme se distingue nettement du spectre de Campbell, générique des modèles d'ancrage en volume. Nos mesures sur des échantillons PbIn, Nb, V et YBaCuO confirment entièrement notre modèle, y compris des effets de taille peu intuitifs qui se produisent à basse fréquence quand l'échantillon devient transparent au mode flux flow. En revanche, l'étude des vortex dans les phases B et C d'UPt3 montre une contribution importante du volume à l'ancrage des vortex.

Excitations Élémentaires au Voisinage de la Surface de Séparation d'un Métal Normal et d'un Métal Supraconducteur

NASA Astrophysics Data System (ADS)

Saint-James, Par D.

On étudie le spectre d'excitation pour une couche de métal normal déposée sur un supraconducteur. On montre que si l'interaction attractive électron-électron est négligeable dans le métal normal, il n'y a pas de gap d'énergie dans le spectre d'excitation, même si l'épaisseur de la couche normale est petite. Une étude analogue, conduisant à une conclusion similaire, est menée pour deux supraconducteurs accolés et pour des sphères de métal normal baignant dans un supraconducteur. L'effet prévu pourrait expliquer quelques résultats particuliers observés dans des mesures d'effet tunnel dans des supraconducteurs durs. The excitation spectrum of a layer of normal metal (N) deposited on a superconducting substrate (S) is discussed. It is shown that if the electron-electron attractive interaction is negligibly small in (N) there is no energy gap in the excitation spectrum even if the thickness of the layer (N) is small. A similar study, with equivalent conclusions, has been carried out for two superconductors and for normal metal spheres embedded in a superconductor. The effect may possibly explain some peculiar results of tunnelling experiments on hard superconductors.

Repenser ensemble le concept d'autonomie alimentaire.

PubMed

Bélisle, Micheline; Labarthe, Jenni; Moreau, Cynthia; Landry, Elise; Adam, Gracia; Bourque Bouliane, Mijanou; Dupéré, Sophie

2017-03-01

C'est au cœur du projet de recherche-action participative « Vers une autonomie alimentaire pour tou-te-s : agir et vivre ensemble le changement » (VAATAVEC) que s'est élaborée une définition nouvelle et évolutive de l'autonomie alimentaire. De ce projet regroupant des personnes en situation de pauvreté, chercheurs et intervenants, a émergé une conceptualisation résultant à la fois d'une méthode de réflexion collective et d'un processus d'analyse collective, inspiré de la théorisation ancrée et de l'analyse conceptualisante de Paillé et Mucchielli (2003). Le recours à l'expertise des personnes en situation de pauvreté, expertes du vécu de l'insécurité alimentaire, a contribué à ancrer cette définition dans les causes structurelles de l'insécurité alimentaire dans une perspective de développement d'un pouvoir d'agir collectif, de toutes les personnes concernées. Il en résulte une définition de l'autonomie alimentaire d'où ressort une contribution surtout méthodologique et théorique.

Antisuperconductors: Properties of Layered Compounds with Coupling

NASA Astrophysics Data System (ADS)

Carton, J.-P.; Lammert, P. E.; Prost, J.

1995-11-01

In this note, we consider properties of a hypothetical superconductor composed of Josephson-coupled microscopic layers with tunneling energy minimized at a phase difference of π. The non-zero phase offset in the ground state engenders an intriguing interplay between the superconductive ordering and structural lattice defects. Unusual magnetic properties are expected in the case of highly disordered crystals, which are consistent with observations of a “paramagnetic Meissner” or “Wohlleben” effect in high-T_c cuprate superconductors. Dans cette note, nous considérons les propriétés d'un supraconducteur hypothétique composé de couches microscopiques, couplées par effet Josephson, mais dont l'énergie de couplage est minimisée pour une différence de phase de π. L'état de base a des propriétés fascinantes dues à l'effet combiné de l'ordre supraconducteur et des défauts structuraux du cristal. Dans le cas de cristaux très désordonnés, on attend des propriétés magnétiques exceptionnelles, qui sont compatibles avec les observations dans quelques supraconducteurs cuprate haute-T_c d'un effet “Meissner paramagnétique” ou “Wohlleben”.

Cause rare d’insuffisance rénale aigue: géant calcul de vessie chez une jeune femme

PubMed Central

Mohammed, Bounoual; Mustapha, Ahsaini; Karim, Tazi; Hamid, Azelmad; Mohammed, Alila; Soufiane, Mellas; eddine, El Ammari Jalal; Fadl, Tazi Mohammed; Jamal, El Fassi Mohammed; Hassan, Farih Moulay

2018-01-01

Géant calcul de vessie se définit par un poids supérieur à 100 g, c'est une pathologie rare chez la femme, environ 2%. La localisation vésicale ne dépasse pas 5% de l'ensemble des voies urinaires. Chez la femme l'apparition de calcul de vessie est souvent secondaire à un facteur prédisposant notamment un corps étranger intra vésical, vessie neurogene, les infections urinaires à répétition, ATCDS de chirurgie de l'incontinence urinaire d'effort. Mais on retrouve des calculs de vessie sans causes évidentes dits calculs primaires idiopathiques. On rapporte un cas d'une jeune patiente de 31 ans avec un géant calcul de vessie qui a retenti sur le haut appareil urinaire entrainant une insuffisance rénale aigue. La patiente a bénéficié initialement d'un drainage de haut appareil urinaire par des néphrostomies bilatérales puis elle a bénéficié d'une cystolithotomie à ciel ouvert d'un gros calcul de vessie. Un bilan étiologique a été demandé pourtant n'a pas identifié de cause évidente. PMID:29632626

Spectrometre de masse a ionisation Penning selective: Elimination des corrections necessaires a la determination du rapport isotopique de l'hydrogene

NASA Astrophysics Data System (ADS)

Letarte, Sylvain

Dans le but d'ameliorer la precision avec laquelle le rapport isotopique de l'hydrogene peut etre determine, un spectrometre de masse a ionisation Penning a ete construit pour provoquer l'ionisation selective de l'hydrogene moleculaire et de l'hydrure de deuterium a partir d'un melange gazeux. L'utilisation d'atomes dans des etats d'excitation metastable s'est averee une solution adequate pour reponde a cette attente. L'emploi de l'helium, a l'interieur d'une source d'atomes metastables construit specifiquement pour ce travail, ne permet pas d'obtenir un spectre de masse compose uniquement des deux molecules d'interet. L'ionisation de ces dernieres provient de deux processus distincts, soient l'ionisation Penning et l'ionisation par bombardement electronique. Contrairement a l'helium, il a ete demontre que le neon metastable est un candidat ideal pour produire l'ionisation selective de type Penning. Le nombre d'ions produits est directement proportionnel au courant de la decharge electrique et de la pression d'operation de la source d'atomes metastables. Ces resultats demontrent le potentiel d'un tel spectrometre de masse pour ameliorer la precision a laquelle le rapport isotopique peut etre determine comparativement aux autres techniques existantes.

Mise à jour sur la vaccination contre la méningococcie invasive chez les enfants et les adolescents canadiens.

PubMed

Robinson, Joan L

2018-02-01

La méningococcie invasive (MI) est une maladie grave qui est souvent à l'origine d'un sepsis fulminant ou d'une méningite. Au Canada, elle est surtout attribuable aux sérogroupes B et C. Des programmes de vaccination systématique contre le méningocoque du sérogroupe C sont prévus à l'âge de 12 mois, et dans certaines régions sociosanitaires, le calendrier comprend l'administration de doses supplémentaires aux enfants plus jeunes. Les adolescents reçoivent systématiquement une dose de rappel du vaccin contre le sérogroupe C ou d'un vaccin quadrivalent (sérogroupes A, C, W et Y). L'utilisation systématique des vaccins contre le sérogroupe B n'est pas recommandée tant qu'on n'aura pas recueilli de données supplémentaires sur l'efficacité des vaccins sur le marché et la durée de la protection qu'ils confèrent. Cependant, les enfants d'au moins deux mois qui courent un risque accru de MI devraient être vaccinés contre les sérogroupes B et C dans les plus brefs délais.

Geoffrey Burbidge : L'art de la critique

NASA Astrophysics Data System (ADS)

Bonnet-Bidaud, J. M.

1997-06-01

Avec pres de cinquante ans de carriere derriere lui, Geoffrey Burbidge n'a rien perdu de son gout du débat et de la controverse. Mondialement reconnu pour ses travaux sur les quasars, il en agace aujourd'hui plus d'un en venant deranger le bel ordonnancement de la cosmologie. Il porte sur le monde scientifique un regard tres critique, condamnant notamment ces chercheurs qui acceptent trop volontiers d'emprunter les chemins tout traces.

Stress Corrosion of Ceramic Materials.

DTIC Science & Technology

1983-10-01

ACCESSION NO. 3 RECIPIENT’S CATALOG NUMBER £ TITLE (and Subilie) S. TYPE OF REPORT & PERIOD COVERED Annual Stress Corrosion of Ceramic Materials 1 Nov...ener- behavior. This type of interaction is quite different from the chemi- gies for deuterium and protium which, in barn, results in different cal...Scientifique Continentale du Verre , Charleroi, Belgium, 1962. Dunning, J.M., Effects of Aqueous Chemical Environments on Crack Propagation in Quartz, this volume

Visibility-Based Goal Oriented Metrics and Application to Navigation and Path Planning Problems

DTIC Science & Technology

2017-12-14

Suite 5.300 Austin , TX 78712 -1532 Agency Code: Proposal Number: 62381MA Address: 101 East 27th Street, Austin , TX 787121532 Country: USA DUNS...University of Texas at Austin , USA Research supported by NSF, ARO Points sampled from imaging devices What are the total length of the cables? The...by other documentation. 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS (ES) U.S. Army Research Office P.O. Box 12211 Research Triangle Park

Hermann Carl Vogel's report on a tour to England, Scotland and Ireland in the year 1875. (German Title: Hermann Carl Vogels Bericht über eine Reise nach England, Schottland und Irland im Jahr 1875)

NASA Astrophysics Data System (ADS)

Vogel, Hermann Carl; Gußmann, Ernst-August; Dick, Wolfgang R.

In the summer of 1875 Hermann Carl Vogel made a tour to Great Britain with regard to the founded but not yet erected Astrophysical Observatory at Potsdam. A report on this tour written by him is published here for the first time. It contains Vogel's impressions of observatories and other institutions in London (including Greenwich and Kew), Gateshead near Newcastle on Tyne, Edinburgh, Dun Echt near Aberdeen, Glasgow, Dublin, Birr Castle near Parsonstown, and Oxford.

A Genome-Wide Breast Cancer Scan in African Americans

DTIC Science & Technology

2011-06-01

cancer in women of African ancestry. 13 References 1. Easton DF, P.K., Dunning AM, Pharoah PDP, Thompson D, Ballinger DG, et al . Genome...M, Hankinson, SE, et al . A genome-wide association study identifies alleles in FGFR2 associated with risk of sporadic postmenopausal breast cancer...Millikan, R.C. Race, breast cancer subtypes, and survival in the Carolina Breast Cancer Study. Jama 295, 2492-502 ( 2006 ). 16 17. Huo, D., Ikpatt

JPRS Report, Science & Technology. China: Energy.

DTIC Science & Technology

1992-12-24

desulfurization tech- nology at the present time. The wet method technology accounts for 86 percent of all of the world’s flue gas desulfurization facilities...Limestone-gypsum wet method desulfurization tech- nology Huaneng’s Luohuang Power Plant has already imported two sets of 360MW generator boiler flue gas ...Circulating Fluidized-Bed Technology Development [LinZhaokui, Wang Dun’en, et al; DONGLIGONGCHENG, 15 Oct 92] 27 Selection of Flue

Réseaux minces de diffraction en régime de Bragg

NASA Astrophysics Data System (ADS)

Moreau, A.; Zaquine, I.; Maruani, A.; Frey, R.

2006-10-01

Le régime de diffraction d'un réseau infiniment mince inséré dans une cavité Fabry-Pérot est étudié, en particulier en fonction de la longueur de la cavité. Un régime de Bragg très efficace est possible même en utilisant des cavités micrométriques, ce qui peut être utile pour le traitement optique de l'information.

Compressed air injection technique to standardize block injection pressures : [La technique d'injection d'air comprimé pour normaliser les pressions d'injection d'un blocage nerveux].

PubMed

Tsui, Ban C H; Li, Lisa X Y; Pillay, Jennifer J

2006-11-01

pressions d'injection sous les 1293 mmHg, pression associée à une lésion nerveuse cliniquement significative. MéTHODE: Les pressions d'injection pour des seringues de 20 et 30 mL et diverses tailles d'aiguilles (18G, 20G, 21G, 22G et 24G) ont été mesurées dans un système fermé. Un volume défini d'air a été aspiré dans une seringue rempli de solution saline, puis comprimé et maintenu à des pourcentages variés pendant la mesure de la pression. L'aiguille a été insérée dans l'ouverture à injection d'un détecteur de pression muni d'une extension avec un bouchon d'injection en position fermée. La valeur de la pression et l'intervalle de confiance de 99 % (IC) pour une compression d'air à 50 % ont été évalués en utilisant une régression linéaire avec tous les points de données. RéSULTATS: La linéarité de la loi de Boyle a été démontrée avec une forte corrélation, r = 0,99 et une pente de 0,984 (IC de 99 % : 0,967-1,001) La pression nette générée sous une compression de 50% a été de 744,8 mmHg avec un IC de 99 % entre 729,6 et 760,0 mmHg. Les diverses combinaisons de seringues et d'aiguilles ont présenté des résultats similaires. En créant et en maintenant dans la seringue une compression d'air à 50% ou moins, les pressions d'injection seront dans l'ensemble sous le seuil des 1293 mmHg associé à un facteur de risque de lésion nerveuse cliniquement significative. Cette technique peut permettre une surveillance simple, objective et en temps réel pendant les injections d'anesthésiques locaux tout en réduisant fondamentalement la vitesse d'injection.

Developpement d'une methode calorimetrique de mesure des pertes ac pour des rubans supraconducteurs a haute temperature critique

NASA Astrophysics Data System (ADS)

Dolez, Patricia

Le travail de recherche effectue dans le cadre de ce projet de doctorat a permis la mise au point d'une methode de mesure des pertes ac destinee a l'etude des supraconducteurs a haute temperature critique. Pour le choix des principes de cette methode, nous nous sommes inspires de travaux anterieurs realises sur les supraconducteurs conventionnels, afin de proposer une alternative a la technique electrique, presentant lors du debut de cette these des problemes lies a la variation du resultat des mesures selon la position des contacts de tension sur la surface de l'echantillon, et de pouvoir mesurer les pertes ac dans des conditions simulant la realite des futures applications industrielles des rubans supraconducteurs: en particulier, cette methode utilise la technique calorimetrique, associee a une calibration simultanee et in situ. La validite de la methode a ete verifiee de maniere theorique et experimentale: d'une part, des mesures ont ete realisees sur des echantillons de Bi-2223 recouverts d'argent ou d'alliage d'argent-or et comparees avec les predictions theoriques donnees par Norris, nous indiquant la nature majoritairement hysteretique des pertes ac dans nos echantillons; d'autre part, une mesure electrique a ete realisee in situ dont les resultats correspondent parfaitement a ceux donnes par notre methode calorimetrique. Par ailleurs, nous avons compare la dependance en courant et en frequence des pertes ac d'un echantillon avant et apres qu'il ait ete endommage. Ces mesures semblent indiquer une relation entre la valeur du coefficient de la loi de puissance modelisant la dependance des pertes avec le courant, et les inhomogeneites longitudinales du courant critique induites par l'endommagement. De plus, la variation en frequence montre qu'au niveau des grosses fractures transverses creees par l'endommagement dans le coeur supraconducteur, le courant se partage localement de maniere a peu pres equivalente entre les quelques grains de matiere

Etude aerodynamique d'un jet turbulent impactant une paroi concave

NASA Astrophysics Data System (ADS)

LeBlanc, Benoit

Etant donne la demande croissante de temperatures elevees dans des chambres de combustion de systemes de propulsions en aerospatiale (turbomoteurs, moteur a reaction, etc.), l'interet dans le refroidissement par jets impactant s'est vu croitre. Le refroidissement des aubes de turbine permet une augmentation de temperature de combustion, ce qui se traduit en une augmentation de l'efficacite de combustion et donc une meilleure economie de carburant. Le transfert de chaleur dans les au bages est influence par les aspects aerodynamiques du refroidissement a jet, particulierement dans le cas d'ecoulements turbulents. Un manque de comprehension de l'aerodynamique a l'interieur de ces espaces confinees peut mener a des changements de transfert thermique qui sont inattendus, ce qui augmente le risque de fluage. Il est donc d'interet pour l'industrie aerospatiale et l'academie de poursuivre la recherche dans l'aerodynamique des jets turbulents impactant les parois courbes. Les jets impactant les surfaces courbes ont deja fait l'objet de nombreuses etudes. Par contre des conditions oscillatoires observees en laboratoire se sont averees difficiles a reproduire en numerique, puisque les structures d'ecoulements impactants des parois concaves sont fortement dependantes de la turbulence et des effets instationnaires. Une etude experimentale fut realisee a l'institut PPRIME a l'Universite de Poitiers afin d'observer le phenomene d'oscillation dans le jet. Une serie d'essais ont verifie les conditions d'ecoulement laminaires et turbulentes, toutefois le cout des essais experimentaux a seulement permis d'avoir un apercu du phenomene global. Une deuxieme serie d'essais fut realisee numeriquement a l'Universite de Moncton avec l'outil OpenFOAM pour des conditions d'ecoulement laminaire et bidimensionnel. Cette etude a donc comme but de poursuivre l'enquete de l'aerodynamique oscillatoire des jets impactant des parois courbes, mais pour un regime d'ecoulement transitoire, turbulent, tridimensionnel. Les nombres de Reynolds utilises dans l'etude numerique, bases sur le diametre du jet lineaire observe, sont de Red = 3333 et 6667, consideres comme etant en transition vers la turbulence. Dans cette etude, un montage numerique est construit. Le maillage, le schema numerique, les conditions frontiere et la discretisation sont discutes et choisis. Les resultats sont ensuite valides avec des donnees turbulentes experimentales. En modelisation numerique de turbulence, les modeles de Moyennage Reynolds des Equations Naviers Stokes (RANS) presentent des difficultes avec des ecoulements instationnaires en regime transitionnel. La Simulation des Grandes Echelles (LES) presente une solution plus precise, mais au cout encore hors de portee pour cette etude. La methode employee pour cette etude est la Simulation des Tourbillons Detaches (DES), qui est un hybride des deux methodes (RANS et LES). Pour analyser la topologie de l'ecoulement, la decomposition des modes propres (POD) a ete egalement ete effectuee sur les resultats numeriques. L'etude a demontre d'abord le temps de calcul relativement eleve associe a des essais DES pour garder le nombre de Courant faible. Les resultats numeriques ont cependant reussi a reproduire correctement le basculement asynchrone observe dans les essais experimentaux. Le basculement observe semble etre cause par des effets transitionnels, ce qui expliquerait la difficulte des modeles RANS a correctement reproduire l'aerodynamique de l'ecoulement. L'ecoulement du jet, a son tour, est pour la plupart du temps tridimensionnel et turbulent sauf pour de courtes periodes de temps stable et independant de la troisieme dimension. L'etude topologique de l'ecoulement a egalement permit la reconaissances de structures principales sousjacentes qui etaient brouillees par la turbulence. Mots cles : jet impactant, paroi concave, turbulence, transitionnel, simulation des tourbillons detaches (DES), OpenFOAM.

Modélisation morphodynamique cross-shore d'un estran vaseux

NASA Astrophysics Data System (ADS)

Waeles, Benoı̂t; Le Hir, Pierre; Silva Jacinto, Ricardo

2004-08-01

Numerical experiments were performed to simulate the profile evolution of an intertidal mudflat with a 1D cross-shore morphodynamical model. First, the hydrodynamical forcing is a cross-shore tidal current due to semi-diurnal variations of the free surface elevation at the open boundary. Further, considering the conservation of the action density of surface gravity waves, a wave height (and resulting bottom shear stress) calculation is added to the morphodynamical model. Results of the numerical experiments show that the shape of the profile reaches equilibrium. The mudflat progrades continually when the forcing is tide only, whereas it can be steady under the simultaneous action of tide and waves. To cite this article: B. Waeles et al., C. R. Geoscience 336 (2004).

Les résonances d'un trou noir de Schwarzschild.

NASA Astrophysics Data System (ADS)

Bachelot, A.; Motet-Bachelot, A.

1993-09-01

This paper is devoted to the theoretical and computational investigations of the scattering frequencies of scalar, electromagnetic, gravitational waves around a spherical black hole. The authors adopt a time dependent approach: construction of wave operators for the hyperbolic Regge-Wheeler equation; asymptotic completeness; outgoing and incoming spectral representations; meromorphic continuation of the Heisenberg matrix; approximation by dumping and cut-off of the potentials and interpretation of the semi group Z(t) in the framework of the membrane paradigma. They develop a new procedure for the computation of the resonances by the spectral analysis of the transient scattered wave, based on Prony's algorithm.

Formability Extension of Aerospace Alloys for Tube Hydroforming Applications =

NASA Astrophysics Data System (ADS)

Anderson, Melissa

L'hydroformage de tube est un procede novateur de mise en forme du metal qui utilise la pression d'un fluide, generalement de l'eau, dans une matrice fermee pour deformer plastiquement des pieces d'epaisseur faible et fabriquer ainsi des composants tubulaires de geometries complexes. Ce procede possede de nombreux avantages tels que la reduction du poids des pieces, la diminution des couts lies a l'outillage et l'assemblage, la reduction du nombre d'etapes de fabrication et l'excellent etat de surface des pieces hydroformees. Cependant, malgre tous ces atouts, l'hydroformage reste un procede marginal dans le domaine aerospatial a cause de plusieurs facteurs dont la formabilite limitee des alliages aeronautiques. L'objectif principal de la recherche conduite dans le cadre de cette these est d'etudier une methode pour augmenter la formabilite de deux alliages aeronautiques designes par l'utilisation d'un procede de mise en forme multi-etapes qui inclue des cycles de mise en forme suivis d'etapes de traitement thermique intermediaires. Une revue de litterature exhaustive sur les methodes existantes pour ameliorer la formabilite des materiaux vises ainsi que les traitements thermiques d'adoucissement disponibles a permis d'etablir une procedure experimentale appropriee. Ce procede comprend plusieurs sequences de mise en forme suivie de traitement thermique successives jusqu'a l'obtention de la piece finale. L'insertion d'etapes de traitements thermiques intermediaires ainsi que la combinaison " deformation + traitement thermique " influencent le comportement mecanique et metallurgique des alliages. De ce fait, une caracterisation complete des materiaux a ete conduite a chaque etape du procede. D'un point de vue mecanique, l'effet des traitements thermiques et plus generalement du procede multi-etapes sur les proprietes mecaniques et lois constitutives des alliages a ete etudie en detail. Au niveau metallurgique, l'influence du procede sur les caracteristiques

Fabrication par injection flexible de pieces coniques pour des applications aerospatiales

NASA Astrophysics Data System (ADS)

Shebib Loiselle, Vincent

Les materiaux composites sont presents dans les tuyeres de moteurs spatiaux depuis les annees soixante. Aujourd'hui, l'avenement des tissus tridimensionnels apporte une solution innovatrice au probleme de delamination qui limitait les proprietes mecaniques de ces composites. L'utilisation de ces tissus necessite toutefois la conception de procedes de fabrication mieux adaptes. Une nouvelle methode de fabrication de pieces composites pour des applications aerospatiales a ete etudiee tout au long de ce travail. Celle-ci applique les principes de l'injection flexible (procede Polyflex) a la fabrication de pieces coniques de fortes epaisseurs. La piece de validation a fabriquer represente un modele reduit de piece de tuyere de moteur spatial. Elle est composee d'un renfort tridimensionnel en fibres de carbone et d'une resine phenolique. La reussite du projet est definie par plusieurs criteres sur la compaction et la formation de plis du renfort et sur la formation de porosites de la piece fabriquee. Un grand nombre d'etapes ont ete necessaires avant la fabrication de deux pieces de validation. Premierement, pour repondre au critere sur la compaction du renfort, la conception d'un outil de caracterisation a ete entreprise. L'etude de la compaction a ete effectuee afin d'obtenir les informations necessaires a la comprehension de la deformation d'un renfort 3D axisymetrique. Ensuite, le principe d'injection de la piece a ete defini pour ce nouveau procede. Pour en valider les concepts proposes, la permeabilite du renfort fibreux ainsi que la viscosite de la resine ont du etre caracterisees. A l'aide de ces donnees, une serie de simulations de l'ecoulement pendant l'injection de la piece ont ete realisees et une approximation du temps de remplissage calculee. Apres cette etape, la conception du moule de tuyere a ete entamee et appuyee par une simulation mecanique de la resistance aux conditions de fabrication. Egalement, plusieurs outillages necessaires pour la fabrication

The Role of Fatty Acid Metabolism in Estrogen Receptor Negative Breast Cancer

DTIC Science & Technology

2015-11-01

6):529-541. 10 5. Curtis C, Shah SP, Chin S-F, Turashvili G, Rueda OM, Dunning MJ, Speed D, Lynch AG, Samarajiwa S, Yuan Y et al: The genomic and...triacylglycerol synthesis [45]. Deletion of the human ACSL4 gene has been associated with Alport syndrome , ellipto- cytosis, and mental retardation [46], and a...synthetase 4, is deleted in a family with Alport syndrome , elliptocytosis, and mental retardation. Genomics 47, 350–358. [47] Meloni I, Muscettola M

Exfoliative cytologic findings of primary pulmonary adenoid cystic carcinom: a report of 2 cases with a review of the cytologic features.

PubMed

Daneshbod, Yahya; Modjtahedi, Ebrahim; Atefi, Sohrab; Bedayat, Gholam Reza; Daneshbod, Khosrow

2007-01-01

Adenoid cystic carcinoma is a very rare primary pulmonary neoplasm. Cytologic findings of pulmonary washing and brushing in 2 cases of primary bronchial adenoid cystic carcinoma with special histologic features are described, with an emphasis on some points that have not been reported previously, together with the diagnostic pitfalls. Two cases of primary adenoid cystic carcinoma of the lung were diagnosed on exfoliative cytology. The patients' ages were 55 and 65 years old. Cytologic findings included large and small clusters of small cells in both 2 and 3 dimensions with occasional cystlike spaces containing mucoid material. The cells were arranged in spherical, cylindrical, basaloid and rosettelike arrangements. There were also abundant small and large mucoid globules, cylinders of homogeneous, acellular, mucous material and "cannon balls." Cytoplasmic and intranuclear round inclusions were noted in case 1. Rare findings of nuclear molding were noted. In case 2, chondromyxoid material and a bimorphic population of tumor cells caused diagnostic confusion with other salivary gland-type tumors of the lung. These cases showed characteristic cytologic findings of adenoid cystic carcinoma together with rare findings of intracellular and extracellular inclusionlike bodies, myxochondroid material, bimorphic populations and nuclear molding, which can cause diagnostic confusion with other lung tumors.

Impaired mitochondrial Fe-S cluster biogenesis activates the DNA damage response through different signaling mediators.

PubMed

Pijuan, Jordi; María, Carlos; Herrero, Enrique; Bellí, Gemma

2015-12-15

Fe-S cluster biogenesis machinery is required for multiple DNA metabolism processes. In this work, we show that, in Saccharomyces cerevisiae, defects at different stages of the mitochondrial Fe-S cluster assembly machinery (ISC) result in increased spontaneous mutation rate and hyper-recombination, accompanied by an increment in Rad52-associated DNA repair foci and a higher phosphorylated state of γH2A histone, altogether supporting the presence of constitutive DNA lesions. Furthermore, ISC assembly machinery deficiency elicits a DNA damage response that upregulates ribonucleotide reductase activity by promoting the reduction of Sml1 levels and the cytosolic redistribution of Rnr2 and Rnr4 enzyme subunits. Depending on the impaired stage of the ISC machinery, different signaling pathway mediators contribute to such a response, converging on Dun1. Thus, cells lacking the glutaredoxin Grx5, which are compromised at the core ISC system, show Mec1- and Rad53-independent Dun1 activation, whereas both Mec1 and Chk1 are required when the non-core ISC member Iba57 is absent. Grx5-null cells exhibit a strong dependence on the error-free post-replication repair and the homologous recombination pathways, demonstrating that a DNA damage response needs to be activated upon ISC impairment to preserve cell viability. © 2015. Published by The Company of Biologists Ltd.