Tabagisme et système digestif: une relation complexe. Partie 1: Maladies inflammatoires chroniques de l'intestin et consommation de tabac [Smoking and digestive tract: a complex relationship. Part 1: Inflammatory bowel disease and cigarette smoking].

La méconnaissance des maladies rares, définies par une prévalence inférieure à 1/2000, a été à l'origine de situations parfois très invalidantes pour les patients. Les développements de ces dernières années, tant sur le plan de la clinique que de la biologie moléculaire et de la génétique, permettent de jeter un regard neuf sur ces pathologies et d'aborder leur prise en charge en se basant sur une approche multidisciplinaire. L'angiologie n'y fait pas exception et la collaboration entre l'angiologue et les autres spécialistes concernés est essentielle pour une démarche évolutive visant à optimaliser la prise en charge de ces pathologies Little is known about the effects of smoking on inflammatory bowel diseases (IBD). However the co-occurrence of smoking and IBD often happens in ambulatory care. Smokers have a doubled risk of developing a Crohn's disease with a more active disease course. After quitting, a decrease in risk can be observed after only one year. An inverse relationship is found between smoking and ulcerative colitis. Smoking seems protective for the development of the disease and its course is less active among smokers. Smoking cessation transitorily increases the risk of developing ulcerative colitis. Nevertheless, continuing smoking cannot be justified among those patients given the risks of long-term extra-digestive effects. It is thus important to counsel all smokers with an IBD to quit smoking.

Fosfomycin plus β-Lactams as Synergistic Bactericidal Combinations for Experimental Endocarditis Due to Methicillin-Resistant and Glycopeptide-Intermediate Staphylococcus aureus.

The urgent need of effective therapies for methicillin-resistant Staphylococcus aureus (MRSA) infective endocarditis (IE) is a cause of concern. We aimed to ascertain the in vitro and in vivo activity of the older antibiotic fosfomycin combined with different beta-lactams against MRSA and glycopeptide-intermediate-resistant S. aureus (GISA) strains. Time-kill tests with 10 isolates showed that fosfomycin plus imipenem (FOF+IPM) was the most active evaluated combination. In an aortic valve IE model with two strains (MRSA-277H and GISA-ATCC 700788), the following intravenous regimens were compared: fosfomycin (2 g every 8 h [q8h]) plus imipenem (1 g q6h) or ceftriaxone (2 g q12h) (FOF+CRO) and vancomycin at a standard dose (VAN-SD) (1 g q12h) and a high dose (VAN-HD) (1 g q6h). Whereas a significant reduction of MRSA-227H load in the vegetations (veg) was observed with FOF+IPM compared with VAN-SD (0 [interquartile range [IQR], 0 to 1] versus 2 [IQR, 0 to 5.1] log CFU/g veg; P = 0.01), no statistical differences were found with VAN-HD. In addition, FOF+IPM sterilized more vegetations than VAN-SD (11/15 [73%] versus 5/16 [31%]; P = 0.02). The GISA-ATCC 700788 load in the vegetations was significantly lower after FOF+IPM or FOF+CRO treatment than with VAN-SD (2 [IQR, 0 to 2] and 0 [IQR, 0 to 2] versus 6.5 [IQR, 2 to 6.9] log CFU/g veg; P < 0.01). The number of sterilized vegetations after treatment with FOF+CRO was higher than after treatment with VAN-SD or VAN-HD (8/15 [53%] versus 4/20 [20%] or 4/20 [20%]; P = 0.03). To assess the effect of FOF+IPM on penicillin binding protein (PBP) synthesis, molecular studies were performed, with results showing that FOF+IPM treatment significantly decreased PBP1, PBP2 (but not PBP2a), and PBP3 synthesis. These results allow clinicians to consider the use of FOF+IPM or FOF+CRO to treat MRSA or GISA IE.

Value of renal cortical thickness as a predictor of renal function impairment in chronic renal disease patients

Objective: To determine the presence of linear relationship between renal cortical thickness, bipolar length, and parenchymal thickness in chronic kidney disease patients presenting with different estimated glomerular filtration rates (GFRs) and to assess the reproducibility of these measurements using ultrasonography. Materials and Methods: Ultrasonography was performed in 54 chronic renal failure patients. The scans were performed by two independent and blinded radiologists. The estimated GFR was calculated using the Cockcroft-Gault equation. Interobserver agreement was calculated and a linear correlation coefficient (r) was determined in order to establish the relationship between the different renal measurements and estimated GFR. Results: The correlation between GFR and measurements of renal cortical thickness, bipolar length, and parenchymal thickness was, respectively, moderate (r = 0.478; p < 0.001), poor (r = 0.380; p = 0.004), and poor (r = 0.277; p = 0.116). The interobserver agreement was considered excellent (0.754) for measurements of cortical thickness and bipolar length (0.833), and satisfactory for parenchymal thickness (0.523). Conclusion: The interobserver reproducibility for renal measurements obtained was good. A moderate correlation was observed between estimated GFR and cortical thickness, but bipolar length and parenchymal thickness were poorly correlated.

Immunotherapeutic targeting of LIGHT/LTβR/HVEM pathway fully recapitulates the reduced cytotoxic phenotype of LIGHT-deficient T cells.

Tumor necrosis factor (TNF)/TNF receptor (TNFR) superfamily members play essential roles in the development of the different phases of the immune response. Mouse LIGHT (TNFSF14) is a type II transmembrane protein with a C-terminus extracellular TNF homology domain (THD) that assembles in homotrimers and regulates the course of the immune responses by signaling through 2 receptors, the herpes virus entry mediator (HVEM, TNFSFR14) and the lymphotoxin β receptor (LTβR, TNFSFR3). LIGHT is a membrane-bound protein transiently expressed on activated T cells, natural killer (NK) cells and immature dendritic cells that can be proteolytically cleaved by a metalloprotease and released to the extracellular milieu. The immunotherapeutic potential of LIGHT blockade was evaluated in vivo. Administration of an antagonist of LIGHT interaction with its receptors attenuated the course of graft-versus-host reaction and recapitulated the reduced cytotoxic activity of LIGHT-deficient T cells adoptively transferred into non-irradiated semiallogeneic recipients. The lack of LIGHT expression on donor T cells or blockade of LIGHT interaction with its receptors slowed down the rate of T cell proliferation and decreased the frequency of precursor alloreactive T cells, retarding T cell differentiation toward effector T cells. The blockade of LIGHT/LTβR/HVEM pathway was associated with delayed downregulation of interleukin-7Rα and delayed upregulation of inducible costimulatory molecule expression on donor alloreactive CD8 T cells that are typical features of impaired T cell differentiation. These results expose the relevance of LIGHT/LTβR/HVEM interaction for the potential therapeutic control of the allogeneic immune responses mediated by alloreactive CD8 T cells that can contribute to prolong allograft survival.

De religiosis quibusdam pacta confirmandi modis

Invocatio: A.S.N.

Desenvolvimento e validação de método analítico para determinação de benzoato, sorbato, metil e propilparabenos em produtos alimentícios utilizando a eletroforese capilar

In this work, a rapid and simple method using capillary electrophoresis (CE) was developed for the determination of the benzoate, sorbate, methyl and propylparaben in foodstuffs. A running buffer consisting of 20 mmol L-1 (pH = 9.3) tetraborate enabled separation of the analytes in less than 5 min. The detector wavelength was set at 220 nm. The method was successfully applied to the analysis of sodas, sweeteners, sauces and juices. The range of preservatives found were from 478.5-466.6 mg kg-1 for methylparaben , 83.7-231.3 mg kg-1 for sorbate and 336.7-428.3 mg kg-1 for benzoate.

Progress of soybean charcoal rot under tillage and no-tillage systems in Brazil

The increase in incidence of charcoal rot caused by Macrophomina phaseolina on soybeans (Glycine max) was followed four seasons in conventional and no-till cropping systems. In the 1997/98 and 2000/01 seasons, total precipitation between sowing and harvest reached 876.3 and 846.9 mm, respectively. For these seasons, disease incidence did not differ significantly between the no-till and conventional systems. In 1998/99 and 1999/00 precipitation totaled 689.9 and 478.3 mm, respectively. In 1998/99, in the no-till system, the disease incidence was 43.7% and 53.1% in the conventional system. In 1999/00 the final incidence was 68.7% and 81.2% for the no-till and conventional systems, respectively. For these two seasons, precipitation was lower than that required for soybean crops (840 mm), and the averages of disease incidence were significantly higher in the conventional system. The concentration of microsclerotia in soil samples was higher in samples collected in conventional system at 0 - 10 cm depth. However, analysis of microsclerotia in roots showed that in years with adequate rain no difference was detected. In dry years, however, roots from plants developed under the conventional system had significantly more microsclerotia. Because of the wide host range of M. phaseolina and the long survival times of the microsclerotia, crop rotation would probably have little benefit in reducing charcoal rot. Under these study conditions it may be a better alternative to suppress charcoal rot by using the no-till cropping system to conserve soil moisture and reduce disease progress.

Solsang

Soitinnus: lauluääni, orkesteri.

Images of imagination : an aesthetic approach to education

Visual art practice has generally been described as a lonely affair, thinking about what an artist has experienced in the outside world. This study is an inquiry into a visual art practice of another kind: the relational one. The research purpose is twofold. The first purpose is to shed light on a visual artist’s conceptions of art, education and scholarship. The second purpose is to by reasoning on imagination and a rhizomatic formation interpret the relations created between art, multimodality and literacy learning as an aesthetic approach to education. By inquiry into a specific collaborated long-term art practice, the study conveys how the meaning making elements of an arts based learning practice gradually transform an artist’s and a teacher’s concepts of art education to an aesthetic approach to education. In the art practice examined the typical Finnish rye bread and a poem have represented a cultural theme that has been elaborated through art conventions. The poem and the rye bread have in the art practice been articulated as cultural representations of as well as symbolic projections on the Swedishspeaking minority culture in Finland. The study connects art informed inquiry to a hermeneutic research rationale where the research reasoning is generated through a rhizomatic alliance between empiric data and theories. The reasoning is constructed as an interpretation pattern that expands throughout the study. The study arguments that the rhizome as an aesthetic formation can be appropriate to refer to when articulating arts based meaning making and when creating arts based educational strategies, dialogues, aesthetic learning and multimodal literacy in education. The study investigates an aesthetic approach to research in education, which means that the art practice surveyed is interpreted through articulation appropriate to poetic aspects of art, education and research.

L'Univers

1868/08/14 (Numéro 478).

Viabilidade técnica e econômica da substituição de fontes convencionais de energia por biogás em assentamento rural do Estado de São Paulo

O objetivo deste estudo foi avaliar a viabilidade econômica da implantação de dois biodigestores com uso de dejetos animais em área do Assentamento de Trabalhadores Rurais no município de Itaberá - SP, no ano de 2005; um deles para o fornecimento de energia para os domicílios e outro para as atividades produtivas. Foram avaliados os benefícios referentes ao fornecimento de energia elétrica e térmica, a partir do biogás, para cinco domicílios da agrovila do assentamento e para as atividades produtivas, comparativamente aos custos de construção e operação para produção de biogás. Os resultados mostraram a viabilidade econômica da produção de gás em ambos os biodigestores. Foram gerados benefícios no valor de R$ 3.698,00 por ano e R$ 9.080,57 por ano, nos biodigestores para os domicílios e produção, respectivamente; bem como o equivalente a R$ 1.478,28 por ano referentes à produção de biofertilizante. O custo anual do processo é de R$ 1.218,50 em cada biodigestor. O prazo de recuperação do investimento é de 2,5 anos e 11 meses, para a produção de biogás nos domicílios e na produção, respectivamente. Os resultados podem ser utilizados para subsidiar políticas públicas direcionadas ao aproveitamento de biomassa para a produção de energia a baixos custos no segmento da agricultura familiar.

Turun seudun alueellinen vesihuollon kehittämissuunnitelma 2011 - 2035 :Tiivistelmä

Turun seudun alueellinen vesihuollon kehittämissuunnitelma koskee Kaarinan, Naantalin, Paimion, Paraisten, Raision ja Turun kaupunkien sekä Auran, Liedon, Maskun, Mynämäen, Nousiaisten, Ruskon ja Sauvon kuntien aluetta. Tavoitteena on ollut löytää parhaat mahdolliset ratkaisut vedenhankintaan ja jätevesien käsittelyyn. Suunnittelutyön toimeksiantajana ovat olleet edellä mainitut kunnat, Varsinais-Suomen ELY-keskus ja Varsinais-Suomen liitto. Suunnitelman on laatinut AIRIX Ympäristö Oy. Suunnittelutyön aikana kävi ilmeiseksi, että vedenhankinnan kehittämisen tulee painottua jakeluyhteyksien varmistamiseen. Suunnittelualueelle tullaan rakentamaan useita vedenhankintaa varmistavia yhteyksiä. Lisäksi jo olemassa olevia vedenottamoita ja varalaitoksia saneerataan. Tekopohjavesilaitoksen varalaitokseksi saneerataan Halisten pintavesilaitos. Maskuun, Nousiaisiin ja Mynämäelle rakennetaan suunnitelman mukaan yhteys, joka mahdollistaa osittaisen siirtymisen tekopohjaveden käyttöön. Mynämäelle rakennetaan myös uusi pohjavedenottamo. Paraisten kaupungin keskustaajama ympäristöineen siirtyy kokonaan tekopohjaveden käyttöön, mutta Houtskarin, Korppoon ja Nauvon taajamat jäävät edelleen paikallisten vedenottamoiden varaan. Vesihuollon erityistilanteisiin varautumiseen tullaan panostamaan lisääntyvän yhteistyön avulla. Varautumisessa tullaan kartoittamaan mm. varavoimalaitteiden ja desinfiointivalmiuden yhteistä järjestämistä. Kunnallinen jätevesien puhdistus tulee suunnitelman mukaan siirtymään lähes kokonaan Kakolan jätevedenpuhdistamolle vuoteen 2035 mennessä. Tästä syystä puhdistamoa tullaan myös laajentamaan. Ainoastaan Paraisten kaupungin Houtskarin, Korppoon ja Nauvon taajamien puhdistamot jäävät edelleen käyttöön. Runsaiden vuotovesimäärien vuoksi koko suunnittelualueelle esitetään laajamittaista viemäriverkostojen saneerausta. Myös haja-asutuksen jätevesilietteiden vastaanottoa tullaan kehittämään alueellisesti. Suunnitelmassa esitettyjen hankkeiden rakennuskustannukset ovat vedenhankinnan osalta noin 40 M€ ja jätevesihuollon osalta noin 31 M€ vuoteen 2035 mennessä. Kehittämissuunnitelma sisältää nykyisessä laajuudessaan hankkeiden mitoitusperusteet ja tekniset perusratkaisut sekä alustavat kustannusarviot. Hankkeiden jatkovalmistelu vaatii hankekohtaisen yleis- ja rakennussuunnittelun ennen toteutusta. Samalla on selvitettävä kunnallisen päätöksenteon eteneminen, hankkeiden rahoitus ja kustannusten jako. Alueellisen kehittämissuunnitelman ehdotukset otetaan huomioon myös kunnallisia vesihuollon kehittämissuunnitelmia laadittaessa.

Voiko ihmettä selittää? : Suomen PISA-menestyksen taustoitusta

Teema: akateeminen opettajankoulutus.

Journal des huissiers

1850 (T31).