Validation of diagnosis criteria for acquired sensory neuronopathy. a francophone multicenter study

Recently published criteria using clinical (ataxia or asymmetrical distribution at onset or full development, and sensory loss not restricted to the lower limbs) and electrophysiological items (less than two abnormal lower limb motor nerves and at least an abolished SAP or three SAP below 30% of lower limit of normal in the upper limbs) were sensitive and specific for the diagnosis of sensory neuronopathy (SNN) (Camdessanche et al., Brain, 2009). However, these criteria need to be validated on a large multicenter population. For this, a database collecting cases from fifteen Reference Centers for Neuromuscular diseases in France and Switzerland is currently developed. So far, data from 120 patients with clinically pure sensory neuropathy have been collected. Cases were classified independently from the evaluated criteria as SNN (53), non-SNN (46) or suspected SNN (21) according to the expert's diagnosis. Using the criteria, SNN was possible in 83% (44/53), 23.9% (11/46) and 71.4% (15/21) of cases, respectively. In the non-SSN group, half of the patients with a diagnosis of possible SSN had an ataxic form of inflammatory demyelinating neuropathy. In the SNN group, half of those not retained as possible SNN had CANOMAD, paraneoplasia, or B12 deficiency. In a second step, after application of the items necessary to reach the level of probable SNN (no biological or electrophysiological abnormalities excluding SNN; presence of onconeural antibody, cisplatin treatment, Sj ¨ ogren's syndrome or spinal cord MRI high signal in the posterior column), a final diagnosis of possible or probable SNN was obtained in, respectively, 90.6% (48/53), 8.8% (4/45), and 71.4% (15/21) of patients in the three groups. Among the 5 patients with a final non-SNN but initial SNN diagnosis, 3 had motor conduction abnormalities (one with CANOMAD) and among the 4 patients with a final SNN but initial non-SSN diagnosis, one had anti-Hu antibody and one was discussed as a possible ataxic CIDP. These preliminary results confirm the sensitivity and specificity of the proposed criteria for the diagnosis of SNN.

Cytotoxic effects of FGF2-saporin on bovine epithelial lens cells in vitro.

PURPOSE: To test the ability of two preparations of FGF2-saporin, either FGF2 chemically conjugated to saporin (FGF2-SAP) or genetically engineered FGF2-saporin (rFGF2-SAP) to inhibit the growth of bovine epithelial lens (BEL) cells in vitro when in solution and when immobilized on heparin surface-modified (HSM) polymethylmethacrylate (PMMA) intraocular lenses (IOLs). METHOD: Bovine epithelial lens cells were incubated with various concentrations FGF2-saporin for as long as 4 days. The number of surviving cells was determined by counting the number of nuclei. Because FGF2 binds to heparin, FGF2-saporin was incubated with HSM PMMA IOLs; excess toxin was washed off, and the BEL cells were grown on the FGF2-saporin-treated IOLs (HSM and non-HSM) for 4 days. Cell density was determined by image analysis. RESULTS: Both FGF2-SAP and rFGF2-SAP were highly cytotoxic (nM range), with rFGF2-SAP 10 times less active than FGF2-SAP. FGF2-saporin bound to the surface of HSM IOLs and eluted by 2M NaCl retained its activity. Toxin bound to HSM IOLs killed more than 90% of the BEL cells placed on the IOL surface within 4 days. The ability of FGF2-saporin to prevent the growth of cells on the IOL surface was strictly dependent on the presence of heparin on the IOL. CONCLUSIONS: FGF2-saporin is bound to HSM PMMA IOLs and prevents the growth of epithelial cells on the surface of the lens.

Recollida selectiva porta a porta

Sap la gent quin és el model de recollida selectiva porta a porta? Ajuda aquest sistema a la preservació del medi ambient o es tracta simplement d’un mite? Això és el que ens vam preguntar nosaltres a l’inici del treball. Aquest model s’aplica des del mes de novembre del 2008 a Palau-solità i Plegamans, un municipi del Vallès Occidental. A partir de l’estudi d’aquest cas pràctic hem volgut analitzar la viabilitat d’aquest sistema i la seva acceptació social. Comprovarem que aquest sistema és deficitari i que els impostos juguen un paper molt important en el finançament del sistema actual.Un altre objectiu és comparar el sistema porta a porta que hi ha actualment amb el que es va proposar en l’anterior legislatura, basat en la divisió del poble en dues zones amb models de recollida diferents. Concretament, ens interessa saber si va ser una bona idea canviar de sistema i, tal com veurem més endavant, la resposta és afirmativa.També volem saber si aquest model es podria aplicar a altres municipis amb densitat i poblacions diferents. A través d’aquest treball, veurem que la densitat de la població és un dels factors més importants, malgrat que influeixen altres elements (per exemple, l’acceptació social).

Creació d'una discoteca: Amber Club

El món de l’oci nocturn és un món que molta gent disfruta però que ningú acaba de conèixer. Tothom sap per on van els trets principals, però ningú es preocupa profundament per saber realment com funciona, quins són els costos, si els beneficis són elevats, o si és difícil aconseguir que un negoci sigui viable. Aquest, doncs, ha estat el pilar sobre del qual s'ha construït el nostre treball.A través de la creació d’una discoteca i el seu anàlisi cost-benefici hem intentat esbrinar quina és la viabilitat d’un projecte d’aquestes característiques, analitzant tots els costs que s’han d’incórrer, i realitzant un supòsit a la baixa dels ingressos que s’obtindrien.Per dur a terme aquest anàlisi hem realitzat 200 enquestes repartides per les diferents universitats de la província de Barcelona. D’aquesta manera hem pogut analitzar si hi ha demanda per una nova discoteca i quines són les preferències del consumidor.Una vegada fet aquest anàlisi, hem procedit a la recerca d'un local que s'adapti a les nostres necessitats i a les mostrades pel públic enquestat. Al no voler entretenir-nos en qüestions com la decoració del local, o l’adaptació d’aquest a tota la normativa vigent, hem partit del supòsit que un local que actualment funciona estigués disponible pel lloguer, concretament Opium Mar. Hem introduït un seguit de reformes que creiem necessàries pel millor funcionament, i a continuació hem començat amb les estratègies de màrqueting i la determinació dels serveis oferts.Dos punts seran claus per tal que la discoteca funcioni correctament. Primer de tot, el fet que sigui coneguda per un gran públic, i llavors que aquest públic en qüestió estigui content amb el serveis oferts. És per això que hem destinat un gran nombre de recursos en màrqueting (pàgina web, mailing , SMS...) i ens hem centrat també amb tots els serveis que podem oferir (guarda-roba, sales VIP...). La reputació, ens han dit molts responsables, pot ser l’eina que pot fer del teu projecte una gran font d’ingressos, o el contrari, una gran pèrdua de diners.També ens hem centrat en el personal i el subministrament de begudes, calculant així quin és el nombre de treballadors necessaris per tirar endavant el projecte, i quin és l’estoc de begudes òptim que hem de tenir per cobrir tota la demanda.Finalment, hem tingut en compte els impostos que hem d'incórrer a un projecte d'aquest tipus, ja sigui impost de societats, el cost de la llicència per exercir l'activitat, IVA, etc.Una conclusió és clara després de la realització d’aquest projecte: la nostra discoteca és rendible, i per extensió qualsevol altre amb un nombre considerable d’assistència. El valor afegit que crea un projecte d’aquestes magnituds és tan gran, i la despesa mitjana de la gent en oci nocturn tan considerable, que un projecte capaç de portar un nombre de clients relativament petit en funció del local, pot presentar beneficis

Comparative resilience of clinical perimetric tests to induced levels of intraocular straylight.

PURPOSE: To investigate the effect of intraocular straylight (IOS) induced by white opacity filters (WOF) on threshold measurements for stimuli employed in three perimeters: standard automated perimetry (SAP), pulsar perimetry (PP) and the Moorfields motion displacement test (MDT).¦METHODS: Four healthy young (24-28 years old) observers were tested six times with each perimeter, each time with one of five different WOFs and once without, inducing various levels of IOS (from 10% to 200%). An increase in IOS was measured with a straylight meter. The change in sensitivity from baseline was normalized, allowing comparison of standardized (z) scores (change divided by the SD of normative values) for each instrument.¦RESULTS: SAP and PP thresholds were significantly affected (P < 0.001) by moderate to large increases in IOS (50%-200%). The drop in motion displacement (MD) from baseline with WOF 5, was approximately 5 dB, in both SAP and PP which represents a clinically significant loss; in contrast the change in MD with MDT was on average 1 minute of arc, which is not likely to indicate a clinically significant loss.¦CONCLUSIONS: The Moorfields MDT is more robust to the effects of additional straylight in comparison with SAP or PP.

Les nàiades i altres bivalves d'aigua dolça del Baix Ter

Treball de recerca realitzat per un alumne d’ensenyament secundari i guardonat amb un Premi CIRIT per fomentar l'esperit científic del Jovent l’any 2010. L’objectiu del treball han estat tres. Primerament, conèixer les diferents espècies de nàiades i altres bivalves d'aigua dolça en general i, especialment, les que poden trobar-se al Baix Ter. Posteriorment, assenyalar la seva distribució i avaluar l'estat de les poblacions. I, finalment, comprovar que en sap la població de Torroella de Montgrí d'aquests mol•luscs.

Hipotecats a la crisi: passat, present i futur de la crisi

Treball de recerca realitzat per un alumne d’ensenyament secundari i guardonat amb un Premi CIRIT per fomentar l'esperit científic del Jovent l’any 2010. Els objectius del treball són, entre d'altres, una explicació de la crisi actual, juntament amb les causes tant llunyanes com pròximes i els detonants. Alhora un comparació de crisis, sobretot amb el Crac del 29. També hi ha una intenció de previsió dels propers anys de crisi, i alhora a llarg termini. A partir de la part explicada anteriorment, creació d'un projecte de futur per a la previsió de futures crisis econòmiques. Finalment, diverses enquestes per a saber què i quan en sap la gent del tema i diferents entrevistes a coneguts economistes per tenir punts de vista experts.

Tenofovir use is associated with an increase in serum alkaline phosphatase in the Swiss HIV Cohort Study.

BACKGROUND: Tenofovir (TDF) use has been associated with proximal renal tubulopathy, reduced calculated glomerular filtration rates (cGFR) and losses in bone mineral density. Bone resorption could result in a compensatory osteoblast activation indicated by an increase in serum alkaline phosphatase (sAP). A few small studies have reported a positive correlation between renal phosphate losses, increased bone turnover and sAP. METHODS: We analysed sAP dynamics in patients initiating (n = 657), reinitiating (n = 361) and discontinuing (n = 73) combined antiretroviral therapy with and without TDF and assessed correlations with clinical and epidemiological parameters. RESULTS: TDF use was associated with a significant increase of sAP from a median of 74 U/I (interquartile range 60-98) to a plateau of 99 U/I (82-123) after 6 months (P < 0.0001), with a prompt return to baseline upon TDF discontinuation. No change occurred in TDF-sparing regimes. Univariable and multivariable linear regression analyses revealed a positive correlation between sAP and TDF use (P < or = 0.003), but no correlation with baseline cGFR, TDF-related cGFR reduction, changes in serum alanine aminotransferase (sALT) or active hepatitis C. CONCLUSIONS: We document a highly significant association between TDF use and increased sAP in a large observational cohort. The lack of correlation between TDF use and sALT suggests that the increase in sAP is because of the bone isoenzyme and indicates stimulated bone turnover. This finding, together with published data on TDF-related renal phosphate losses, this finding raises concerns that TDF use could result in osteomalacia with a loss in bone mineral density at least in a subset of patients. This potentially severe long-term toxicity should be addressed in future studies.

Current status of the whitefly Aleurodicus dispersus as an invasive pest in the CapeVerte Islands

In the last three decades, the spiralling whitefly (Aleurodicus dispersus) has become an important international pest. The movement of plants and parts of plants (such as fruits) in international trade and tourism, and by natural dispersal, has favoured its introduction to new areas. In common with others whiteflies of economic importance, the immature and adult stages cause direct feeding damage by piercing and sucking of sap from foliage, and indirect damage following the accumulation all over host plants of honeydew and waxy flocculent material produced by the insects. Spiralling whitefly is a pest of tropical and subtropical crops, and highly polyphagous. Up to the 1970s, it had been recorded on 44 genera of plants, belonging to 26 botanical families (Mound & Halsey, 1978). This situation changed with the dispersal of the pest to new areas. Nowadays, the spiralling whitefly is one of the major pest of vegetable, ornamental and fruit crops around the globe (Lambkin, 1999). Important host crops include: banana (Musa sapientum), Citrus spp., coconut (Cocos nocifera), eggplant (Solanum melanogena), guava (Psidium guajava), Hibiscus rosa sinensis, Indian almond (Terminalia catappa), papya (Carica papaya), Rosa sp. and tomato (Lycopersicon esculentum) (Saminathan & Jayaraj, 2001). Spiralling whitefly has its origin in the tropical Americas, including Brazil. Although the pest has been recorded only once in Brasil, in the 1920s in the state of Bahia (Bondar, 1923), it now has official quarantine status because of its economic importance. In the Cape Verte Islands, on the West African coast, the pest was initially introduced in the first half of 2000; it has since become established, reaching urban, natural and agricultural areas of the islands that constitute the archipelago. Since then, the pest has been causing damage to many native plants, ornamentals and cultivated food crops (Anon., 2001; Monteiro, 2004). The present study was done in order to produce an inventory of the most common host plants of spiralling whitefly in this new habitat.

Scar asymmetry after abdominoplasty: the unexpected role of seroma.

Achievement of symmetry remains one of the goals of cosmetic procedures. Interestingly, scar asymmetry after abdominoplasty has been rarely considered a complication. However, this can have a significant impact on patient and surgeon satisfaction. This study identifies silent seromas as a potential cause of scar asymmetry.Among abdominoplasty procedures in a university hospital institution over a 30 months' period (October 1, 2007 to April 1, 2010), we retrospectively identified 6 patients who developed abdominal scar asymmetry only 3 months postoperatively and without any early warning complications (hematoma, seroma, or infection). Clinical examination was completed by abdominal diagnostic ultrasonography. Seroma capsulectomy under local anesthesia was performed in all cases.In all patients clinically presenting late abdominal scar asymmetry, ultrasonography confirmed the presence of an encapsulated chronic seroma. Surgical capsulectomy under local anesthesia resulted in reestablishment of former symmetry and high patient satisfaction. No complications such as wound infection, dehiscence, hematoma, or recurrence of seroma were detected after revision surgery.In our experience, fibrous capsule due to chronic seromas resulted in abdominal scar deviation and asymmetry. Surgical capsulectomy followed by wearing of compressive garments resulted to be an effective treatment with pleasant aesthetic outcome and no seroma recurrence. Silent seromas should be considered as a possible etiologic factor of scar asymmetries appearing during late follow-up after abdominoplasty.

Phloem mobility of Boron in two eucalypt clones

Boron deficiency causes large productivity losses in eucalypt stands in extensive areas of the Brazilian Cerrado region, thus understanding B mobility is a key step in selecting genetic materials that will better withstand B limitation. Thus, in this study B mobility was evaluated in two eucalypt clones (68 and 129), under B sufficiency or B deficiency, after foliar application of the 10B isotope tracer to a single mature leaf. Samples of young tissue, mature leaves and roots were collected 0, 1, 5, 12 and 17 days after 10B application. The 10B:11B isotope ratio was determined by HR-ICP-MS. Samples of leaves and xylem sap were collected for the determination of soluble sugars and polyalcohols by ion chromatography. Boron was translocated within eucalypt. Translocation of foliar-applied 10B to the young tissues, mature leaves and roots was higher in clone 129 than in 68. Seventeen days after 10B application to a single mature leaf, between 14 and 18 % of B in the young tissue was originated from foliar B application. In plants with adequate B supply the element was not translocated out of the labeled leaf.

La vente des terres dans le Département de Gaya : dynamiques et acteurs

Pendant des années, la marchandisation de la terre au Niger a été soumise à une censure sociale. Elle est maintenant largement acceptée dans les régions rurales. Dans le Département de Gaya, cette pratique a été étendue pour une grande part depuis l'année 2000. Le revenu généré par le processus des petites irrigations a été un fort conducteur pour une demande croissante de la terre. L'établissement graduel d'institutions dans le Code Rural a aussi fourni une structure administrative pour les transactions de terre. Les très riches fermiers, mais aussi les acteurs externes à agriculture (fonctionnaires, hommes d'affaires) ont bénéficié considérablement de ces nouvelles occasions. Au contraire, la marchandisation soudaine de la terre a sapé la situation de fermiers, en particulier les emprunteurs qui tenaient des droits de terre faibles. Pendant que le Code Rural a fourni un cadre obligatoire générale assez sécurisé pour obtenir tous les droits de la propriété à travers des lois modernes, l'augmentation de la circulation monétaire a réduit grandement l'éventail d'arrangements des acteurs titulaires des faibles droits de terre. Il a conduit finalement à accroître les risques de paupérisation et à des inégalités grandissantes.

In vivo inhibition of lens regrowth by fibroblast growth factor 2-saporin.

PURPOSE: To investigate the ability of fibroblast growth factor (FGF) 2-saporin to prevent lens regrowth in the rabbit. METHODS: Chemically conjugated and genetically fused FGF2-saporin (made in Escherichia coli) were used. Extracapsular extraction of the lens was performed on the rabbit, and the cytotoxin either was injected directly into the capsule bag or was administered by FGF2-saporin-coated, heparin surface-modified (HSM) polymethylmethacrylate intraocular lenses. The potential of the conjugate was checked by slit lamp evaluation of capsular opacification and by measuring crystallin synthesis. Toxin diffusion and sites of toxin binding were assessed by immunohistochemistry. Possible toxicity was determined by histologic analysis of ocular tissues. RESULTS: FGF2-saporin effectively inhibited lens regrowth when it was injected directly into the capsular bag. However, high concentration of the toxin induced transient corneal edema and loss of pigment in the iris. Intraocular lenses coated with FGF2-saporin reduced lens regrowth and crystallin synthesis without any detectable clinical side effect. After implantation, FGF2-saporin was shown to have bound to the capsules and, to a lesser extent, to the iris; no histologic damage was found on ocular tissues as a result of implantation of drug-loaded HSM intraocular lenses. CONCLUSIONS: Chemically conjugated (FGF2-SAP) and genetically fused FGF2-saporin (rFGF2-SAP) bound to HSM intraocular lenses can prevent lens regrowth in the rabbit.

Actualizaciones en psicopatología infantil (0-5 años)

Aquest manual pretèn ser una obra introductòria a la psicopatologia infantil, disciplina força recent però d'evolució molt ràpida. L'objectiu és delimitar les etapes d'estudi en aquesta disciplina i fer una aportació introductòria a la temàtica. És per tant una obra que se sap parcial i lacunar.