Qualités psychométriques de la version française de la TAS-20 et prévalence de l'alexithymie chez 264 adolescents tout-venant [The 20-item Toronto alexithymia scale: structural validity, internal consistency and prevalence of alexithymia in a Swiss adolescent sample]

L'objectif de cette étude est d'examiner la structure factorielle et la consistance interne de la TAS-20 sur un échantillon d'adolescents (n = 264), ainsi que de décrire la distribution des caractéristiques alexithymiques dans cet échantillon. La structure à trois facteurs de la TAS-20 a été confirmée par notre analyse factorielle confirmatoire. La consistance interne, mesurée à l'aide d'alpha de Cronbach, est acceptable pour le premier facteur (difficulté à identifier les sentiments (DIF)), bonne pour le second (difficulté à verbaliser les sentiments (DDF)), mais en revanche, faible pour le troisième facteur (pensées orientées vers l'extérieur (EOT)). Les résultats d'une Anova mettent en évidence une tendance linéaire indiquant que plus l'âge augmente plus le niveau d'alexithymie (score total TAS-20), la difficulté à identifier les sentiments et les pensées orientées vers l'extérieur diminuent. En ce qui concerne la prévalence de l'alexithymie, on remarque en effet que 38,5 % des adolescents de moins de 16 ans sont considérés comme alexithymiques, contre 30,1 % des 16-17 ans et 22 % des plus de 17 ans. Notre étude indique donc que la TAS-20 est un instrument adéquat pour évaluer l'alexithymie à l'adolescence, tout en suggérant quelques précautions étant donné l'aspect développemental de cette période.

A fatal overdose of cocaine associated with coingestion of marijuana, buprenorphine, and fluoxetine. Body fluid and tissue distribution of cocaine and its metabolites determined by hydrophilic interaction chromatography-mass spectrometry(HILIC-MS).

Chromatographic separation of highly polar basic drugs with ideal ionspray mass spectrometry volatile mobile phases is a difficult challenge. A new quantification procedure was developed using hydrophilic interaction chromatography-mass spectrometry with turbo-ionspray ionization in the positive mode. After addition of deuterated internal standards and simple clean-up liquid extraction, the dried extracts were reconstituted in 500 microL pure acetonitrile and 5 microL was directly injected onto a Waters Atlantis HILIC 150- x 2.1-mm, 3-microm column. Chromatographic separations of cocaine, seven metabolites, and anhydroecgonine were obtained by linear gradient-elution with decreasing high concentrations of acetonitrile (80-56% in 18 min). This high proportion of organic solvent makes it easier to be coupled with MS. The eluent was buffered with 2 mM ammonium acetate at pH 4.5. Except for m-hydroxy-benzoylecgonine, the within-day and between-day precisions at 20, 100, and 500 ng/mL were below 7 and 19.1%, respectively. Accuracy was also below +/- 13.5% at all tested concentrations. The limit of quantification was 5 ng/mL (%Diff < 16.1, %RSD < 4.3) and the limit of detection below 0.5 ng/mL. This method was successfully applied to a fatal overdose. In Switzerland, cocaine abuse has dramatically increased in the last few years. A 45-year-old man, a known HIV-positive drug user, was found dead at home. According to relatives, cocaine was self-injected about 10 times during the evening before death. A low amount of cocaine (0.45 mg) was detected in the bloody fluid taken from a syringe discovered near the corpse. Besides injection marks, no significant lesions were detected during the forensic autopsy. Toxicological investigations showed high cocaine concentrations in all body fluids and tissues. The peripheral blood concentrations of cocaine, benzoylecgonine, and methylecgonine were 5.0, 10.4, and 4.1 mg/L, respectively. The brain concentrations of cocaine, benzoylecgonine, and methylecgonine were 21.2, 3.8, and 3.3 mg/kg, respectively. The highest concentrations of norcocaine (about 1 mg/L) were measured in bile and urine. Very high levels of cocaine were determined in hair (160 ng/mg), indicating chronic cocaine use. A low concentration of anhydroecgonine methylester was also found in urine (0.65 mg/L) suggesting recent cocaine inhalation. Therapeutic blood concentrations of fluoxetine (0.15 mg/L) and buprenorphine (0.1 microg/L) were also discovered. A relatively high concentration of Delta(9)-THC was measured both in peripheral blood (8.2 microg/L) and brain cortex (13.5 microg/kg), suggesting that the victim was under the influence of cannabis at the time of death. In addition, fluoxetine might have enhanced the toxic effects of cocaine because of its weak pro-arrhythmogenic properties. Likewise, combination of cannabinoids and cocaine might have increase detrimental cardiovascular effects. Altogether, these results indicate a lethal cocaine overdose with a minor contribution of fluoxetine and cannabinoids.

The effect of sodium tetrathionate stabilization on the distribution of three nuclear matrix proteins in human K562 erythroleukemia cells.

Using both conventional fluorescence and confocal laser scanning microscopy we have investigated whether or not stabilization of isolated human erythroleukemic nuclei with sodium tetrathionate can maintain in the nuclear matrix the same spatial distribution of three polypeptides (M(r) 160 kDa and 125 kDa, previously shown to be components of the internal nuclear matrix plus the 180-kDa nucleolar isoform of DNA topoisomerase II) as seen in permeabilized cells. The incubation of isolated nuclei in the presence of 2 mM sodium tetrathionate was performed at 0 degrees C or 37 degrees C. The matrix fraction retained 20-40% of nuclear protein, depending on the temperature at which the chemical stabilization was executed. Western blot analysis revealed that the proteins studied were completely retained in the high-salt resistant matrix. Indirect immunofluorescence experiments showed that the distribution of the three antigens in the final matrix closely resembled that detected in permeabilized cells, particularly when the stabilization was performed at 37 degrees C. This conclusion was also strengthened by analysis of cells, isolated nuclei and the nuclear matrix by means of confocal laser scanning microscopy. We conclude that sodium tetrathionate stabilization of isolated nuclei does not alter the spatial distribution of some nuclear matrix proteins.

Are niche-based species distribution models transferable in space?

Aim To assess the geographical transferability of niche-based species distribution models fitted with two modelling techniques. Location Two distinct geographical study areas in Switzerland and Austria, in the subalpine and alpine belts. Methods Generalized linear and generalized additive models (GLM and GAM) with a binomial probability distribution and a logit link were fitted for 54 plant species, based on topoclimatic predictor variables. These models were then evaluated quantitatively and used for spatially explicit predictions within (internal evaluation and prediction) and between (external evaluation and prediction) the two regions. Comparisons of evaluations and spatial predictions between regions and models were conducted in order to test if species and methods meet the criteria of full transferability. By full transferability, we mean that: (1) the internal evaluation of models fitted in region A and B must be similar; (2) a model fitted in region A must at least retain a comparable external evaluation when projected into region B, and vice-versa; and (3) internal and external spatial predictions have to match within both regions. Results The measures of model fit are, on average, 24% higher for GAMs than for GLMs in both regions. However, the differences between internal and external evaluations (AUC coefficient) are also higher for GAMs than for GLMs (a difference of 30% for models fitted in Switzerland and 54% for models fitted in Austria). Transferability, as measured with the AUC evaluation, fails for 68% of the species in Switzerland and 55% in Austria for GLMs (respectively for 67% and 53% of the species for GAMs). For both GAMs and GLMs, the agreement between internal and external predictions is rather weak on average (Kulczynski's coefficient in the range 0.3-0.4), but varies widely among individual species. The dominant pattern is an asymmetrical transferability between the two study regions (a mean decrease of 20% for the AUC coefficient when the models are transferred from Switzerland and 13% when they are transferred from Austria). Main conclusions The large inter-specific variability observed among the 54 study species underlines the need to consider more than a few species to test properly the transferability of species distribution models. The pronounced asymmetry in transferability between the two study regions may be due to peculiarities of these regions, such as differences in the ranges of environmental predictors or the varied impact of land-use history, or to species-specific reasons like differential phenotypic plasticity, existence of ecotypes or varied dependence on biotic interactions that are not properly incorporated into niche-based models. The lower variation between internal and external evaluation of GLMs compared to GAMs further suggests that overfitting may reduce transferability. Overall, a limited geographical transferability calls for caution when projecting niche-based models for assessing the fate of species in future environments.

Le pergélisol dans les terrains sédimentaires à forte déclivité: distribution, régime thermique et instabilités

Résumé: Dans le contexte d'un climat de plus en plus chaud, la localisation du pergélisol dans les terrains sédimentaires à forte déclivité et l'évaluation des mouvements de terrain qui y ont cours s'avèrent primordiales. S'insérant dans cette problématique, ce travail de thèse s'articule autour de deux axes de recherche différents. D'un point de vue statique, cette recherche propose une étude de la distribution et des caractéristiques du pergélisol dans les éboulis de la zone périglaciaire alpine. D'un point de vue dynamique, une analyse de l'influence des caractéristiques du pergélisol (teneur en glace, température du pergélisol, etc.) et des variations des températures de l'air et du sol sur les vitesses de fluage des corps sédimentaires gelés est effectuée. Afin de répondre à ce double objectif, l'approche "terrain" a été privilégiée. Pour déterminer la répartition et les caractéristiques du pergélisol, les méthodes traditionnelles de prospection du pergélisol ont été utilisées, à savoir la mesure de la température du sol à la base du manteau neigeux (BTS), la mesure de la température du sol en continu ainsi que la méthode géoélectrique. Les mouvements de terrain ont pour leur part été mesurés à l'aide d'un GPS différentiel. L'étude de la distribution du pergélisol a été effectuée dans une quinzaine d'éboulis situés dans les régions du Mont Gelé (Verbier-Nendaz) et d'Arolla principalement. Dans la plupart des cas, un pergélisol a pu être mis en évidence dans la partie inférieure des accumulations sédimentaires, alors que la partie médiane des éboulis n'est, le plus souvent, pas gelée. Si cette absence de pergélisol se prolonge parfois dans les portions sommitales des pentes, les mesures réalisées montrent que dans d'autres cas des sédiments gelés y sont à nouveau présents. Les résistivités électriques mesurées dans les portions gelées des éboulis étudiés sont dans la plupart des cas nettement inférieures à celles mesurées sur les glaciers rocheux. Des études préalables ont montré que des circulations d'air internes sont responsables de l'anomalie thermique négative et, lorsqu'il existe, du pergélisol que l'on trouve dans la partie inférieure d'éboulis situés plus de 1000 m plus bas que la limite inférieure régionale du pergélisol discontinu. L'étude de quatre sites de basse altitude (1400-1900 m), et notamment l'équipement du site de Dreveneuse (Préalpes Valaisannes) avec deux forages, des capteurs de température de surface et un anémomètre a permis de vérifier et de préciser le mécanisme de ventilation actif au sein des éboulis froids de basse altitude. Ce mécanisme fonctionne de la manière suivante: en hiver, l'air contenu dans l'éboulis, plus chaud et plus léger que l'air extérieur, monte à l'intérieur de l'accumulation sédimentaire et est expulsé dans ses parties sommitales. Cet effet de cheminée provoque une aspiration d'air froid à l'intérieur de la partie inférieure de l'éboulis, causant ainsi un sur-refroidissement marqué du terrain. En été, le mécanisme s'inverse, l'éboulis étant plus froid que l'air environnant. De l'air froid est alors expulsé au bas de la pente. Une ventilation ascendante hivernale a pu être mise en évidence dans certains des éboulis de haute altitude étudiés. Elle est probablement en grande partie responsable de la configuration particulière des zones gelées observées. Même si l'existence d'un effet de cheminée n'a pu être démontrée dans tous les cas, du fait notamment de la glace interstitielle qui entrave le cheminement de l'air, des indices laissant présager son possible fonctionnement existent dans la quasi totalité des éboulis étudiés. L'absence de pergélisol à des altitudes qui lui sont favorables pourrait en tous les cas s'expliquer par un réchauffement du terrain lié à des expulsions d'air relativement chaud. L'étude des mouvements de terrain a été effectuée sur une dizaine de sites, principalement sur des glaciers rocheux, mais également sur une moraine de poussée et - II - Résumé ? abstract quelques éboulis. Plusieurs glaciers rocheux présentent des formes de déstabilisation récente (niches d'arrachement, blocs basculés, apparition de la matrice fine à la surface, etc.), ce qui témoigne d'une récente accélération des vitesses de déplacement. Ce phénomène, qui semble général à l'échelle alpine, est probablement à mettre sur le compte du réchauffement du pergélisol depuis une vingtaine d'années. Les vitesses mesurées sur ces formations sont souvent plus élevées que les valeurs habituellement proposées dans la littérature. On note par ailleurs une forte variabilité inter-annuelle des vitesses, qui semblent dépendre de la variation de la température moyenne annuelle de surface. Abstract: In the context of a warmer climate, the localisation of permafrost in steep sedimentary terrain and the measurement of terrain movements that occur in these areas is of great importance. With respect to these problems, this PhD thesis follows two different research axes. From a static point of view, the research presents a study of the permafrost distribution and characteristics in the talus slopes of the alpine periglacial belt. From a dynamic point of view, an analysis of the influence of the permafrost characteristics (ice content, permafrost temperature, etc.) and air and soil temperature variations on the creep velocities of frozen sedimentary bodies is carried out. In order to attain this double objective, the "field" approach was favoured. To determine the distribution and the characteristics of permafrost, the traditional methods of permafrost prospecting were used, i.e. ground surface temperature measurements at the base of the snow cover (BTS), year-round ground temperature measurements and DC-resistivity prospecting. The terrain movements were measured using a differential GPS. The permafrost distribution study was carried out on 15 talus slopes located mainly in the Mont Gelé (Verbier-Nendaz) and Arolla areas (Swiss Alps). In most cases, permafrost was found in the lower part of the talus slope, whereas the medium part was free of ice. In some cases, the upper part of the talus is also free of permafrost, whereas in other cases permafrost is present. Electrical resistivities measured in the frozen parts of the studied talus are in most cases clearly lower than those measured on rock glaciers. Former studies have shown that internal air circulation is responsible for the negative thermal anomaly and, when it exists, the permafrost present in the lower part of talus slopes located more than 1000 m below the regional lower limit of discontinuous permafrost. The study of four low-altitude talus slopes (1400-1900 m), and notably the equipment of Dreveneuse field site (Valais Prealps) with two boreholes, surface temperature sensors and an anemometer permitted to verify and to detail the ventilation mechanism active in low altitude talus slopes. This mechanism works in the following way: in winter, the air contained in the block accumulation is warmer and lighter than the surrounding air and therefore moves upward in the talus and is expelled in its upper part. This chimney effect induces an aspiration of cold air in the interior of the lower part of talus, that causes a strong overcooling of the ground. In summer, the mechanism is reversed because the talus slope is colder than the surrounding air. Cold air is then expelled in the lower part of the slope. Evidence of ascending ventilation in wintertime could also be found in some of the studied high-altitude talus slopes. It is probably mainly responsible for the particular configuration of the observed frozen areas. Even if the existence of a chimney effect could not be demonstrated in all cases, notably because of interstitial ice that obstructs Résumé ? abstract - III - the air circulation, indices of its presence exist in nearly all the studied talus. The absence of permafrost at altitudes favourable to its presence could be explained, for example, by the terrain warming caused by expulsion of relatively warm air. Terrain movements were measured at about ten sites, mainly on rock glaciers, but also on a push moraine and some talus slopes. Field observations reveal that many rock glaciers display recent destabilization features (landslide scars, tilted blocks, presence of fine grained sediments at the surface, etc.) that indicate a probable recent acceleration of the creep velocities. This phenomenon, which seems to be widespread at the alpine scale, is probably linked to the permafrost warming during the last decades. The measured velocities are often higher than values usually proposed in the literature. In addition, strong inter-annual variations of the velocities were observed, which seems to depend on the mean annual ground temperature variations.

Prevalence and Distribution of Leishmania RNA Virus 1 in Leishmania Parasites from French Guiana.

In South America, the presence of the Leishmania RNA virus type 1 (LRV1) was described in Leishmania guyanensis and Leishmania braziliensis strains. The aim of this study was to determine the prevalence distribution of LRV1 in Leishmania isolates in French Guiana given that, in this French overseas department, most Leishmania infections are due to these parasite species. The presence of the virus was observed in 74% of Leishmania spp. isolates, with a highest presence in the internal areas of the country.

Challenges to patient-centred care in a general internal medicine context: findings from an exploratory study

Introduction. If we are to promote more patient-centred approaches in care delivery, we have to better characterize the situations in which being patient-centred is difficult to achieve. Data from professionals in health and social care are important because they are the people charged with operationalizing patient-centred care (PCC) in their daily practice. However, empirical accounts from frontline care providers are still lacking, and it is important to gather experiences not only from doctors but also from the other care providers. Indeed, experiences from different professions can help inform our understanding of patient care, which is expected to be both patient-centred and collaborative. Methods. This study was based on the following research question: What factors make the provision of PCC difficult to achieve? Sample and setting. A purposeful sampling technique was used, allowing for a series of choices about the participants and their professional affiliation. Because patient-centredness is the focus, 3 professions appeared to be of special interest: general internists, nurses and social workers. The study was undertaken in the General Internal Medicine Division of a teaching hospital located in a North American context. Data Collection. To answer the research question, a methodological approach based on a theory called phenomenology was chosen. Accordingly, semi-structured interviews were used since they generate understanding of the meanings different individuals have of their lived world. Interviews with 8 physicians, 10 nurses and 10 social workers were eventually conducted. Data analysis. An inductive thematic analysis was employed to make sense of the interview data. Results. The thematic analysis allowed identifying various types of challenges to PCC. Although most of the challenges were perceived by all three groups of professionals, they were perceived to a different degree across the professions, which likely reflected the scope of practice of each profession. The challenges and their distribution across the professions are illustrated in Table 1. Examples of challenges are provided in Table 2. Discussion. There is a tension between what is supposed to be done - what stands in the philosophy of patient -centredness - and what is currently done - the real life with all the challenges to PCC. According to some participants' accounts, PCC clearly risks becoming a mere illusion for health care professionals on which too great pressures are imposed.

Distribution of the human intracellular serpin protease inhibitor 8 in human tissues.

Ovalbumin-like serine protease inhibitors are mainly localized intracellularly and their in vivo functions are largely unknown. To elucidate their physiological role(s), we studied the expression of one of these inhibitors, protease inhibitor 8 (PI-8), in normal human tissues by immunohistochemistry using a PI-8-specific monoclonal antibody. PI-8 was strongly expressed in the nuclei of squamous epithelium of mouth, pharynx, esophagus, and epidermis, and by the epithelial layer of skin appendages, particularly by more differentiated epithelial cells. PI-8 was also expressed by monocytes and by neuroendocrine cells in the pituitary gland, pancreas, and digestive tract. Monocytes showed nuclear and cytoplasmic localization of PI-8, whereas neuroendocrine cells showed only cytoplasmic staining. In vitro nuclear localization of PI-8 was confirmed by confocal analysis using serpin-transfected HeLa cells. Furthermore, mutation of the P(1) residue did not affect the subcellular distribution pattern of PI-8, indicating that its nuclear localization is independent of the interaction with its target protease. We conclude that PI-8 has a unique distribution pattern in human tissues compared to the distribution patterns of other intracellular serpins. Additional studies must be performed to elucidate its physiological role.

Species distribution models reveal apparent competitive and facilitative effects of a dominant species on the distribution of tundra plants

Abiotic factors are considered strong drivers of species distribution and assemblages. Yet these spatial patterns are also influenced by biotic interactions. Accounting for competitors or facilitators may improve both the fit and the predictive power of species distribution models (SDMs). We investigated the influence of a dominant species, Empetrum nigrum ssp. hermaphroditum, on the distribution of 34 subordinate species in the tundra of northern Norway. We related SDM parameters of those subordinate species to their functional traits and their co-occurrence patterns with E. hermaphroditum across three spatial scales. By combining both approaches, we sought to understand whether these species may be limited by competitive interactions and/or benefit from habitat conditions created by the dominant species. The model fit and predictive power increased for most species when the frequency of occurrence of E. hermaphroditum was included in the SDMs as a predictor. The largest increase was found for species that 1) co-occur most of the time with E. hermaphroditum, both at large (i.e. 750 m) and small spatial scale (i.e. 2 m) or co-occur with E. hermaphroditum at large scale but not at small scale and 2) have particularly low or high leaf dry matter content (LDMC). Species that do not co-occur with E. hermaphroditum at the smallest scale are generally palatable herbaceous species with low LDMC, thus showing a weak ability to tolerate resource depletion that is directly or indirectly induced by E. hermaphroditum. Species with high LDMC, showing a better aptitude to face resource depletion and grazing, are often found in the proximity of E. hermaphroditum. Our results are consistent with previous findings that both competition and facilitation structure plant distribution and assemblages in the Arctic tundra. The functional and co-occurrence approaches used were complementary and provided a deeper understanding of the observed patterns by refinement of the pool of potential direct and indirect ecological effects of E. hermaphroditum on the distribution of subordinate species. Our correlative study would benefit being complemented by experimental approaches.

Low-Dose Vascular Photodynamic Therapy Decreases Tumor Interstitial Fluid Pressure, which Promotes Liposomal Doxorubicin Distribution in a Murine Sarcoma Metastasis Model.

INTRODUCTION: Solid tumors are known to have an abnormal vasculature that limits the distribution of chemotherapy. We have recently shown that tumor vessel modulation by low-dose photodynamic therapy (L-PDT) could improve the uptake of macromolecular chemotherapeutic agents such as liposomal doxorubicin (Liporubicin) administered subsequently. However, how this occurs is unknown. Convection, the main mechanism for drug transport between the intravascular and extravascular spaces, is mostly related to interstitial fluid pressure (IFP) and tumor blood flow (TBF). Here, we determined the changes of tumor and surrounding lung IFP and TBF before, during, and after vascular L-PDT. We also evaluated the effect of these changes on the distribution of Liporubicin administered intravenously (IV) in a lung sarcoma metastasis model. MATERIALS AND METHODS: A syngeneic methylcholanthrene-induced sarcoma cell line was implanted subpleurally in the lung of Fischer rats. Tumor/surrounding lung IFP and TBF changes induced by L-PDT were determined using the wick-in-needle technique and laser Doppler flowmetry, respectively. The spatial distribution of Liporubicin in tumor and lung tissues following IV drug administration was then assessed in L-PDT-pretreated animals and controls (no L-PDT) by epifluorescence microscopy. RESULTS: L-PDT significantly decreased tumor but not lung IFP compared to controls (no L-PDT) without affecting TBF. These conditions were associated with a significant improvement in Liporubicin distribution in tumor tissues compared to controls (P < .05). DISCUSSION: L-PDT specifically enhanced convection in blood vessels of tumor but not of normal lung tissue, which was associated with a significant improvement of Liporubicin distribution in tumors compared to controls.

Nest distribution varies with dispersal method and familiarity-mediated aggression for two sympatric ants

Dispersal mechanisms and competition together play a key role in the spatial distribution of a population. Species that disperse via fission are likely to experience high levels of localized competitive pressure from conspecifics relative to species that disperse in other ways. Although fission dispersal occurs in many species, its ecological and behavioural effects remain unclear. We compared foraging effort, nest spatial distribution and aggression of two sympatric ant species that differ in reproductive dispersal: Streblognathus peetersi, which disperse by group fission, and Plectroctena mandibularis, which disperse by solitary wingless queens. We found that although both species share space and have similar foraging strategies, they differ in nest distribution and aggressive behaviour. The spatial distribution of S. peetersi nests was extremely aggregated, and workers were less aggressive towards conspecifics from nearby nests than towards distant conspecifics and all heterospecific workers. By contrast, the spatial distribution of P. mandibularis nests was overdispersed, and workers were equally aggressive towards conspecific and heterospecific competitors regardless of nest distance. Finally, laboratory experiments showed that familiarity led to the positive relationship between aggression and nest distance in S. peetersi. While unfamiliar individuals were initially aggressive, the level of aggression decreased within 1 h of contact, and continued to decrease over 24 h. Furthermore, individuals from near nests that were not aggressive could be induced to aggression after prolonged isolation. Overall, these results suggest that low aggression mediated by familiarity could provide benefits for a species with fission reproduction and an aggregated spatial distribution.