Rapid quantification and validation of lipid concentrations within liposomes

Quantification of the lipid content in liposomal adjuvants for subunit vaccine formulation is of extreme importance, since this concentration impacts both efficacy and stability. In this paper, we outline a high performance liquid chromatography-evaporative light scattering detector (HPLC-ELSD) method that allows for the rapid and simultaneous quantification of lipid concentrations within liposomal systems prepared by three liposomal manufacturing techniques (lipid film hydration, high shear mixing, and microfluidics). The ELSD system was used to quantify four lipids: 1,2-dimyristoyl-sn-glycero-3-phosphocholine (DMPC), cholesterol, dimethyldioctadecylammonium (DDA) bromide, and D-(+)-trehalose 6,6′-dibehenate (TDB). The developed method offers rapidity, high sensitivity, direct linearity, and a good consistency on the responses (R2 > 0.993 for the four lipids tested). The corresponding limit of detection (LOD) and limit of quantification (LOQ) were 0.11 and 0.36 mg/mL (DMPC), 0.02 and 0.80 mg/mL (cholesterol), 0.06 and 0.20 mg/mL (DDA), and 0.05 and 0.16 mg/mL (TDB), respectively. HPLC-ELSD was shown to be a rapid and effective method for the quantification of lipids within liposome formulations without the need for lipid extraction processes.

An investigation into the techniques for detecting hedgehogs in a rural landscape

Various techniques and devices have been developed for the purpose of detecting wildlife but many only provide optimum results in particular habitats, for certain species or under ideal weather conditions. It is therefore advantageous to understand the efficiency and suitability of techniques under different scenarios. The effectiveness of methods for detecting rural Irish hedgehogs was investigated as part of a larger study in April 2008. Road kill sightings and questionnaires were employed to locate possible hedgehog sites. Six sites were subsequently selected, and in these areas trapping, spotlighting and foot print tunnels were employed to investigate whether hedgehogs were indeed in the surrounding landscape. Infrared thermal imagery was examined as a detection device. Trapping and infrared imagery failed to detect hedgehogs in areas where they had previously been recorded. Footprint tunnels proved to be unsuccessful in providing absolute proof of hedgehogs in an area. No single method of detection technique could be relied upon to conclude the presence of hedgehogs in an area. A combination of methods is therefore recommended. However, spotlighting was the most effective method, taking a mean of 4 nights to detect a hedgehog, in comparison to 48 nights if footprint tunnels were used as a sole method of detection. This was also suggested by rarefaction curves of these two detection techniques, where over a 48 night period hedgehogs were expected to be recorded 27 times through spotlighting and just 5 times in an equivalent period of footprint tunnel nights.

Analysis of White Latex Paints using Laser Induced Breakdown Spectroscopy for Forensic Applications

The analysis of white latex paint is a problem for forensic laboratories because of difficulty in differentiation between samples. Current methods provide limited information that is not suitable for discrimination. Elemental analysis of white latex paints has resulted in 99% discriminating power when using LA-ICP-MS; however, mass spectrometers can be prohibitively expensive and require a skilled operator. A quick, inexpensive, effective method is needed for the differentiation of white latex paints. In this study, LIBS is used to analyze 24 white latex paint samples. LIBS is fast, easy to operate, and has a low cost. Results show that 98.1% of variation can be accounted for via principle component analysis, while Tukey pairwise comparisons differentiated 95.6% with potassium as the elemental ratio, showing that the discrimination capabilities of LIBS are comparable to those of LA-ICP-MS. Due to the many advantages of LIBS, this instrument should be considered a necessity for forensic laboratories.

Welcome to the Occupation: Patterns in the Management of the Fourteenth-Century English Landscape

Occupation of the landscape took many different forms and is one of the predominant ways of viewing settlement within the medieval world. Buildings are the most effective method of occupying space, both physically and psychologically. This paper will draw on current research into fourteenth century manorial buildings in England and explore how they were used to occupy both the landscape and the communities associated with them.

Assessing microvascular function with breathing maneuvers : an oxygenation-sensitive CMR study

Ce projet illustre cinq études, mettant l'emphase sur le développement d'une nouvelle approche diagnostique cardiovasculaire afin d'évaluer le niveau d’oxygène contenu dans le myocarde ainsi que sa fonction microvasculaire. En combinant une séquence de résonance magnétique cardiovasculaire (RMC) pouvant détecter le niveau d’oxygène (OS), des manœuvres respiratoires ainsi que des analyses de gaz artériels peuvent être utilisés comme procédure non invasive destinée à induire une réponse vasoactive afin d’évaluer la réserve d'oxygénation, une mesure clé de la fonction vasculaire. Le nombre de tests diagnostiques cardiaques prescrits ainsi que les interventions, sont en pleine expansion. L'imagerie et tests non invasifs sont souvent effectués avant l’utilisation de procédures invasives. L'imagerie cardiaque permet d’évaluer la présence ou absence de sténoses coronaires, un important facteur économique dans notre système de soins de santé. Les techniques d'imagerie non invasives fournissent de l’information précise afin d’identifier la présence et l’emplacement du déficit de perfusion chez les patients présentant des symptômes d'ischémie myocardique. Néanmoins, plusieurs techniques actuelles requièrent la nécessité de radiation, d’agents de contraste ou traceurs, sans oublier des protocoles de stress pharmacologiques ou physiques. L’imagerie RMC peut identifier une sténose coronaire significative sans radiation. De nouvelles tendances d’utilisation de RMC visent à développer des techniques diagnostiques qui ne requièrent aucun facteur de stress pharmacologiques ou d’agents de contraste. L'objectif principal de ce projet était de développer et tester une nouvelle technique diagnostique afin d’évaluer la fonction vasculaire coronarienne en utilisant l' OS-RMC, en combinaison avec des manœuvres respiratoires comme stimulus vasoactif. Ensuite, les objectifs, secondaires étaient d’utilisés l’OS-RMC pour évaluer l'oxygénation du myocarde et la réponse coronaire en présence de gaz artériels altérés. Suite aux manœuvres respiratoires la réponse vasculaire a été validée chez un modèle animal pour ensuite être utilisé chez deux volontaires sains et finalement dans une population de patients atteints de maladies cardiovasculaires. Chez le modèle animal, les manœuvres respiratoires ont pu induire un changement significatif, mesuré intrusivement par débit sanguin coronaire. Il a été démontré qu’en présence d'une sténose coronarienne hémodynamiquement significative, l’OS-RMC pouvait détecter un déficit en oxygène du myocarde. Chez l’homme sain, l'application de cette technique en comparaison avec l'adénosine (l’agent standard) pour induire une vasodilatation coronarienne et les manœuvres respiratoires ont pu induire une réponse plus significative en oxygénation dans un myocarde sain. Finalement, nous avons utilisé les manœuvres respiratoires parmi un groupe de patients atteint de maladies coronariennes. Leurs myocardes étant altérées par une sténose coronaire, en conséquence modifiant ainsi leur réponse en oxygénation. Par la suite nous avons évalué les effets des gaz artériels sanguins sur l'oxygénation du myocarde. Ils démontrent que la réponse coronarienne est atténuée au cours de l’hyperoxie, suite à un stimuli d’apnée. Ce phénomène provoque une réduction globale du débit sanguin coronaire et un déficit d'oxygénation dans le modèle animal ayant une sténose lorsqu’un supplément en oxygène est donné. En conclusion, ce travail a permis d'améliorer notre compréhension des nouvelles techniques diagnostiques en imagerie cardiovasculaire. Par ailleurs, nous avons démontré que la combinaison de manœuvres respiratoires et l’imagerie OS-RMC peut fournir une méthode non-invasive et rentable pour évaluer la fonction vasculaire coronarienne régionale et globale.

A Anatomia da Gestão Estratégica: neuroeconomia, gestão de recursos humanos e sistema de gestão de qualidade

Contexto: O trabalho que a seguir se apresenta foi elaborado no âmbito de um novo conceito na gestão do desempenho organizacional, a gestão estratégica multidimensional, onde a neuroeconomia foi associada à perspetiva teórica da gestão estratégica de recursos humanos (Dessler, 2005) e à aplicação do sistema de gestão da qualidade (SGQ), da NP 9001: 2008 (Saraiva e tal, 2009), para formar um método eficaz de conceção dos percursos de operacionalização da organização Objetivos: Pretendeu-se construir uma forma anatómica de gestão de desempenho organizacional através dos três conceitos mencionados, num contexto de gestão estratégica multidimensional, possibilitando a sua quantificação pelo nível de implementação dos requisitos para um sistema de gestão de qualidade, com o intuito de verificar sua viabilidade, sendo a resiliência organizacional dependente em grande medida dos recursos humanos, Método: Pelo conjunto das três áreas mencionadas foi criado um guia de atuação abrangendo as bases fundamentais para o desenvolvimento de uma estrutura organizacional: verificação dos níveis de incidência da gestão do desempenho organizacional; caracterização de diferentes tipos de estratégias de intervenção; implementação de estratégias preventivas e estratégias corretivas; utilização das quatro dimensões PIPE – performance, inovação, processos e empenhamento – como estratégias corretivas; integração das estratégias preventivas com as estratégias corretivas; diagnóstico contínuo de situações problema na gestão do desempenho organizacional; conceção de percursos de intervenção na gestão do desempenho organizacional; conceção de um projeto de gestão estratégica. A amostra final é constituída por uma organização do 3ºsetor, nomeadamente uma IPSS, a Associação Recreativa Cultural e Social das Gândaras, na Lousã, no distrito de Coimbra. Resultados: Com efeito, acredita-se que com este trabalho seja possível quantificar o nível de implementação dos requisitos para um SGQ num contexto de gestão estratégica multidimensional. / Context: The work presented below was prepared as part of a new concept in the management of organizational performance, the multidimensional strategic management, which was associated the neuroeconomics perspetive with the human resourses strategic management (Dessler, 2005) and the application of the quality management system (QMS), NP 9001: 2008 (and such Saraiva, 2009), to form an effective method of conception paths of operation of the organization Objetives: It was intended to build an anatomical shape organizational performance management across the three concepts mentioned in the context of multidimensional strategic management, enabling to quantify the level of implementation of the requirements for a quality management system, in order to verify their viability , and the organizational resilience largely dependent on human resources. Method: For all the three areas mentioned has created an action guide covering the fundamentals for developing an organizational structure: the verification of the incidence levels of organizational performance management; characterization of different types of intervention strategies; implementation of preventive strategies and corrective strategies, using the four dimensions PIPE - performance, innovation, processes and commitment - as corrective strategies; integration of preventive strategies with remedial strategies; diagnosis of problem situations in the ongoing management of organizational performance; conception pathways of intervention in the management of organizational performance; conception of a project of strategic management. The final sample consists of an organization of the 3rd setor, an IPSS, the Associação Recreativa Cultural e Social das Gândaras, in Lousã, in the district of Coimbra. Results: In fact, it is believed that this work is possible to quantify the level of implementation of the requirements for a QMS in a multidimensional context of strategic management.

Biomassaperäisen liuoksen fraktiointi membraanisuodatuksella

Työn tavoitteena oli hiilihydraattien ja aminohappojen talteenotto biomassaperäisistä liuoksista erilaisina fraktioina ultra- ja nanosuodattamalla niitä erilaisilla membraaneilla. Työ tehtiin selvitystyönä Senson Oy:lle syystalven 2015 ja kevään 2016 välisenä aikana. Teoriaosassa perehdyttiin nanosuodatukseen ja sen erilaisiin sovelluksiin teollisuudessa, sekä lyhyesti muihin paineavusteisiin membraanisuodatusprosesseihin. Teoriaosassa myös keskityttiin erityisesti nanosuodatuksessa käytettyihin membraaneihin sekä niiden likaantumismekanismeihin. Kokeellisessa osassa keskityttiin hiilihydraattien ja aminohappojen talteenottoon kolmesta biomassaperäisestä liuoksesta. Tutkimuksen osa-alueita olivat ultrasuodatus, ultrasuodatuksen konsentraatin kirkastaminen sekä ultrasuodatuksen permeaatin fraktiointi nanosuodatuksella. Tutkimuksessa kiinnitettiin myös erityistä huomiota suodatuskalvojen likaantumiseen ja peseytyvyyteen sekä kalvojen käytettävyyteen pesujen jälkeen. Ultrasuodatuksessa kaikkien kolmen liuoksen kohdalla tutkittavien hiilihydraattien saanto permeaattiin oli hyvä, noin 90 %. Ultrasuodatuksissa käytettyjen membraanien osalta ei myöskään ollut havaittavissa merkittävää likaantumista. Ultrasuodatuksen konsentraattien kirkastamiskokeissa sameutta aiheuttavat komponentit saatiin poistettua kaikista liuoksista yli 94 %:in tehokkuudella. Nanosuodatuksissa monosakkaridit saatiin erotettua suuremmista hiilihydraattikomponenteista joko täysin tai lähes täysin (97 - 100 %). Nanosuodatuksissa käytettyjen membraanien osalta huomattavaa likaantumista oli havaittavissa vain membraanilla 2. Tulosten perusteella nanosuodatuksen voidaan sanoa olevan tehokas tapa erottaa pienet monosakkaridit suuremmista hiilihydraattiyhdisteistä.

Dual stimulation of antigen presenting cells using carbon nanotube-based vaccine delivery system for cancer immunotherapy

Although anti−cancer immuno−based combinatorial therapeutic approaches have shown promising results, efficient tumour eradication demands further intensification of anti−tumour immune response. With the emerging field of nanovaccinology, multi−walled carbon nanotubes (MWNTs) have manifested prominent potentials as tumour antigen nanocarriers. Nevertheless, the utilization of MWNTs in co−delivering antigen along with different types of immunoadjuvants to antigen presenting cells (APCs) has not been investigated yet. We hypothesized that harnessing MWNT for concurrent delivery of cytosine−phosphate−guanine oligodeoxynucleotide (CpG) and anti-CD40 Ig (αCD40), as immunoadjuvants, along with the model antigen ovalbumin (OVA) could potentiate immune response induced against OVA−expressing tumour cells. We initially investigated the effective method to co−deliver OVA and CpG using MWNT to the APC. Covalent conjugation of OVA and CpG prior to loading onto MWNTs markedly augmented the CpG−mediated adjuvanticity, as demonstrated by the significantly increased OVA−specific T cell responses in vitro and in C57BL/6 mice. αCD40 was then included as a second immunoadjuvant to further intensify the immune response. Immune response elicited in vitro and in vivo by OVA, CpG and αCD40 was significantly potentiated by their co−incorporation onto the MWNTs. Furthermore, MWNT remarkably improved the ability of co−loaded OVA, CpG and αCD40 in inhibiting the growth of OVA−expressing B16F10 melanoma cells in subcutaneous or lung pseudo−metastatic tumour models. Therefore, this study suggests that the utilization of MWNTs for the co−delivery of tumour−derived antigen, CpG and αCD40 could be a competent approach for efficient tumours eradication.

Using Surface Spectroscopy to Help Interpret STM Images of Chemisorbed Molecules: Application to the Study of the Hydrogenation of Ketones and a-Ketoesters on Pt

Depuis que la haute énantiopureté est nécessaire dans l’industrie pharmaceutique, les études visant à découvrir les mécanismes pour l’hydrogénation énantiosélective de cétones ou céto-esters sur les surfaces, et à rechercher de nouveaux et plus performants catalyseurs asymétriques, sont d’une grande importance. La microscopie à effet tunnel (STM), la spectroscopie infrarouge de réflexion-absorption, la spectroscopie de désorption à température programmée et la spectrométrie de photoélectrons induits par rayons X sont des méthodes performantes facilitant la compréhension des mécanismes de réaction. En plus de nous permettre de comprendre les mécanismes réactionnels, les études peuvent fournir des informations sur la dynamique des réactions en catalyse hétérogène ainsi que sur le développement de la théorie de la fonctionnelle de la densité (DFT) afin de calculer des interactions faibles dans les processus de surface. D’autres parts, les calculs DFT fournissent une aide essentielle à l’interprétation des données de STM et spectroscopie de surface. Dans cette thèse, certains cétones et céto-esters sur la surface de platine sont étudiées par les techniques sophistiquées mentionnées ci-dessus. Mes études démontrent que la combinaison de l’utilisation de la spectroscopie de routine, des nanotechnologies et de nombreux calculs élaborés, est une méthode efficace pour étudier les réactions à la surface car ces techniques explorent les différents aspects de la surface ainsi que s’entraident mutuellement lors de certaines interprétations.

Tratamentos de superfície em rolhas de cortiça

Este trabalho foi desenvolvido na empresa Amorim & Irmãos, SA e teve dois objectivos fundamentais. O primeiro centrou-se na análise do processo de tratamento de superfície das rolhas, procurando um produto alternativo ao actualmente implementado na empresa e a sua optimização. O segundo objectivo foi a elaboração de um novo método de determinação da absorção em garrafa, que permitisse a sua determinação sem o conhecimento da massa inicial da rolha. Para a concretização do primeiro objectivo foram estudados doze produtos químicos em comparação com o actualmente utilizado, em que o objectivo foi obter-se forças de extracção entre 15 e 20 daN. Após realização do tratamento de superfície para cada produto foram realizados vários testes laboratoriais, nomeadamente: forças de extracção, vedação em tubo, absorção em garrafa, capilaridade, análise de risco à quantidade de produto adicionado e análise de risco ao tempo de distribuição do tratamento. Após análise global dos resultados obtidos verificou-se que o produto T13, embora apresente forças de extracção no limite inferior ao desejado possui uma boa estabilização. Os produtos T5 e T6 são bons alternativos ao produto actualmente implementado (T8), embora seja necessário ter alguns cuidados no seu manuseamento. O produto T5 como foi considerado mau no teste da absorção em garrafa não poderá ser utilizado para mercados mais distantes (EUA, Austrália e África do Sul) devido ao risco de ocorrência de migração de vinho através da rolha de cortiça. O produto T6 como apresentou um comportamento irregular na análise de risco à quantidade de produto adicionado, e na análise de risco à distribuição de produto, deve-se ter muita atenção à quantidade inserida no tambor assim como o tempo de distribuição. Para a concretização do segundo objectivo foi determinada a absorção em garrafa pelo método actual e comparou-se com o novo método. Apesar do desvio padrão ser de aproximadamente 0,85, pode-se afirmar que o novo método de determinação da absorção em garrafa é um método eficaz que pode ser aprovado pela empresa. Desta forma, foi possível solucionar esta questão e permitir ao laboratório de controlo de qualidade determinar a absorção em garrafa de garrafas de vinho provenientes de clientes.

Optimization of flocculation process and continuous filtration for sea water primary treatment filtration to reduce SDI for entree to reverse osmosis system

Today , Providing drinking water and process water is one of the major problems in most countries ; the surface water often need to be treated to achieve necessary quality, and in this way, technological and also financial difficulties cause great restrictions in operating the treatment units. Although water supply by simple and cheap systems has been one of the important objectives in most scientific and research centers in the world, still a great percent of population in developing countries, especially in rural areas, don't benefit well quality water. One of the big and available sources for providing acceptable water is sea water. There are two ways to treat sea water first evaporation and second reverse osmosis system. Nowadays R.O system has been used for desalination because of low budget price and easily to operate and maintenance. The sea water should be pretreated before R.O plants, because there is some difficulties in raw sea water that can decrease yield point of membranes in R.O system. The subject of this research may be useful in this way, and we hope to be able to achieve complete success in design and construction of useful pretreatment systems for R.O plant. One of the most important units in the sea water pretreatment plant is filtration, the conventional method for filtration is pressurized sand filters, and the subject of this research is about new filtration which is called continuous back wash sand filtration (CBWSF). The CBWSF designed and tested in this research may be used more economically with less difficulty. It consists two main parts first shell body and second central part comprising of airlift pump, raw water feeding pipe, air supply hose, backwash chamber and sand washer as well as inlet and outlet connections. The CBWSF is a continuously operating filter, i.e. the filter does not have to be taken out of operation for backwashing or cleaning. Inlet water is fed through the sand bed while the sand bed is moving downwards. The water gets filtered while the sand becomes dirty. Simultaneously, the dirty sand is cleaned in the sand washer and the suspended solids are discharged in backwash water. We analyze the behavior of CBWSF in pretreatment of sea water instead of pressurized sand filter. There is one important factor which is not suitable for R.O membranes, it is bio-fouling. This factor is defined by Silt Density Index (SDI).measured by SDI. In this research has been focused on decreasing of SDI and NTU. Based on this goal, the prototype of pretreatment had been designed and manufactured to test. The system design was done mainly by using the design fundamentals of CBWSF. The automatic backwash sand filter can be used in small and also big water supply schemes. In big water treatment plants, the units of filters perform the filtration and backwash stages separately, and in small treatment plants, the unit is usually compacted to achieve less energy consumption. The analysis of the system showed that it may be used feasibly for water treating, especially for limited population. The construction is rapid, simple and economic, and its performance is high enough because no mobile mechanical part is used in it, so it may be proposed as an effective method to improve the water quality and consequently the hygiene level in the remote places of the country.

Gamma radiation preserves chemical and bioactive properties of Boletus edulis wild mushrooms

Boletus edulis Bull: Fr. is an edible mushroom quite appreciated for its organoleptic and nutritional properties. However, the seasonality and perishability cause some difficulties in its distribution and marketing in fresh form; losses associated with this type of food during marketing can reach 40% [1]. Irradiation is recognized as a safe and effective method for food preservation, being used worldwide to increase shelf life of fresh and dehydrated products (e.g. fruits, vegetables and spices) [2]. In particular, gamma irradiation has already been applied to cultivated mushrooms (especially Agaricus, Lentinula and Pleurotus Genus) and proved to be an interesting conservation technology [3]. However, the studies with added-value wild species are scarce. In this work, the effects of gamma irradiation on chemical and antioxidant properties of wild B. edulis, were evaluated. Fruiting bodies were obtained in Trás-os-Montes, in the Northeast of Portugal, in November 2012. The irradiation was performed in experimental equipment with 60Co sources at 1 and 2 kGy. All the results were compared with nonirradiated samples (control). Macronutrients and energy value were determined following official procedures of food analysis; fatty acids were analyzed by gas-chromatography coupled to flame ionization detection (GC-FID), while sugars and tocopherols were determined by high performance liquid chromatography (HPLC) coupled to refraction index (RI) and fluorescence detectors, respectively. Antioxidant activity was evaluated in the methanolic extracts by in vitro assays measuring DPPH (1,1-diphenyl-2-picrylhydrazyl) radical scavenging activity, reducing power, inhibition of β- carotene bleaching and inhibition of lipid peroxidation using thiobarbituric acid reactive substances (TBARS) assay. Total phenolics were also determined by the Folin-Ciocalteu assay. The nutritional profiles were not affected in high extension. Fatty acids and sugars were slightly affected, decreasing with the increasing doses. The performed assays for antioxidant activity, indicate that irradiated samples tended to have lower scavenging activity and reducing power, but higher lipid peroxidation inhibition. Despite the detected differences in individual compounds, the results of nutritional parameters, the most relevant in terms of mushroom acceptability by consumers, were less affected, indicating an interesting potential of gamma-irradiation to be used as an effective conservation technology for the studied mushrooms.

Speculative document evaluation

Optimisation of real world Variable Data printing (VDP) documents is a dicult problem because the interdependencies between layout functions may drastically reduce the number of invariant blocks that can be factored out for pre-rasterisation. This paper examines how speculative evaluation at an early stage in a document-preparation pipeline, provides a generic and effective method of optimising VDP documents that contain such interdependencies. Speculative evaluation will be at its most effective in speeding up print runs if sets of layout invariances can either be discovered automatically, or designed into the document at an early stage. In either case the expertise of the layout designer needs to be supplemented by expertise in exploiting potential invariances and also in predicting the effects of speculative evaluation on the caches used at various stages in the print production pipeline.

Assessing microvascular function with breathing maneuvers : an oxygenation-sensitive CMR study

Ce projet illustre cinq études, mettant l'emphase sur le développement d'une nouvelle approche diagnostique cardiovasculaire afin d'évaluer le niveau d’oxygène contenu dans le myocarde ainsi que sa fonction microvasculaire. En combinant une séquence de résonance magnétique cardiovasculaire (RMC) pouvant détecter le niveau d’oxygène (OS), des manœuvres respiratoires ainsi que des analyses de gaz artériels peuvent être utilisés comme procédure non invasive destinée à induire une réponse vasoactive afin d’évaluer la réserve d'oxygénation, une mesure clé de la fonction vasculaire. Le nombre de tests diagnostiques cardiaques prescrits ainsi que les interventions, sont en pleine expansion. L'imagerie et tests non invasifs sont souvent effectués avant l’utilisation de procédures invasives. L'imagerie cardiaque permet d’évaluer la présence ou absence de sténoses coronaires, un important facteur économique dans notre système de soins de santé. Les techniques d'imagerie non invasives fournissent de l’information précise afin d’identifier la présence et l’emplacement du déficit de perfusion chez les patients présentant des symptômes d'ischémie myocardique. Néanmoins, plusieurs techniques actuelles requièrent la nécessité de radiation, d’agents de contraste ou traceurs, sans oublier des protocoles de stress pharmacologiques ou physiques. L’imagerie RMC peut identifier une sténose coronaire significative sans radiation. De nouvelles tendances d’utilisation de RMC visent à développer des techniques diagnostiques qui ne requièrent aucun facteur de stress pharmacologiques ou d’agents de contraste. L'objectif principal de ce projet était de développer et tester une nouvelle technique diagnostique afin d’évaluer la fonction vasculaire coronarienne en utilisant l' OS-RMC, en combinaison avec des manœuvres respiratoires comme stimulus vasoactif. Ensuite, les objectifs, secondaires étaient d’utilisés l’OS-RMC pour évaluer l'oxygénation du myocarde et la réponse coronaire en présence de gaz artériels altérés. Suite aux manœuvres respiratoires la réponse vasculaire a été validée chez un modèle animal pour ensuite être utilisé chez deux volontaires sains et finalement dans une population de patients atteints de maladies cardiovasculaires. Chez le modèle animal, les manœuvres respiratoires ont pu induire un changement significatif, mesuré intrusivement par débit sanguin coronaire. Il a été démontré qu’en présence d'une sténose coronarienne hémodynamiquement significative, l’OS-RMC pouvait détecter un déficit en oxygène du myocarde. Chez l’homme sain, l'application de cette technique en comparaison avec l'adénosine (l’agent standard) pour induire une vasodilatation coronarienne et les manœuvres respiratoires ont pu induire une réponse plus significative en oxygénation dans un myocarde sain. Finalement, nous avons utilisé les manœuvres respiratoires parmi un groupe de patients atteint de maladies coronariennes. Leurs myocardes étant altérées par une sténose coronaire, en conséquence modifiant ainsi leur réponse en oxygénation. Par la suite nous avons évalué les effets des gaz artériels sanguins sur l'oxygénation du myocarde. Ils démontrent que la réponse coronarienne est atténuée au cours de l’hyperoxie, suite à un stimuli d’apnée. Ce phénomène provoque une réduction globale du débit sanguin coronaire et un déficit d'oxygénation dans le modèle animal ayant une sténose lorsqu’un supplément en oxygène est donné. En conclusion, ce travail a permis d'améliorer notre compréhension des nouvelles techniques diagnostiques en imagerie cardiovasculaire. Par ailleurs, nous avons démontré que la combinaison de manœuvres respiratoires et l’imagerie OS-RMC peut fournir une méthode non-invasive et rentable pour évaluer la fonction vasculaire coronarienne régionale et globale.

Systematic review and meta-analysis of interventions relevant for young offenders with mood disorders, anxiety disorders, or self-harm

Background: Mood and anxiety disorders, and problems with self harm are significant and serious issues that are common in young people in the Criminal Justice System. Aims: To examine whether interventions relevant to young offenders with mood or anxiety disorders, or problems with self harm are effective. Method: Systematic review and meta-analysis of data from randomised controlled trials relevant to young offenders experiencing these problems. Results: An exhaustive search of the worldwide literature (published and unpublished)yielded 10 studies suitable for inclusion in this review. Meta-analysis of data from three studies (with a total population of 171 individuals) revealed that group-based Cognitive Behaviour Therapy (CBT) may help to reduce symptoms of depression in young offenders. Conclusions: These preliminary findings suggest that group-based CBT may be useful for young offenders with such mental health problems, but larger high quality RCTs are now needed to bolster the evidence-base.