Effets de la perfusion pulsatile durant une circulation extra-corporelle

INTRODUCTION : L’utilisation de la circulation extracorporelle durant la chirurgie cardiaque est associée à des problèmes pulmonaires chez certains patients. L’utilisation d’une pression pulsatile induite par un ballon intra-aortique (BIA) pourrait diminuer la dysfonction endothéliale et la survenue de tels événements. MATÉRIEL ET MÉTHODE : 12 porcs Landrace-Yorkshire ont subi une circulation extracorporelle et ont été divisés en deux groupes et 4 porcs ont servi de contrôles sans CEC. Le premier groupe (n=6) a bénéficié d’un flot pulsatile créé par un BIA en mode interne à 80 battements par minute durant les 90 minutes de l’opération alors que le second groupe (n=6) a subi une CEC standard. Après 60 minutes de reperfusion suivant la CEC, les valeurs hémodynamiques ont été évaluées dont les pressions artérielles, les pressions pulmonaires, l’index cardiaque et la concentration de glucose et de lactate. Les artères pulmonaires sont ensuite montées en chambre d’organe pour évaluer la fonction endothéliale. RÉSULTATS : Les porcs avec pression pulsatile ont tendance à produire moins de lactate sanguin après 60 minutes de reperfusion. Les autres valeurs hémodynamiques sont semblables. Finalement, la relaxation à la bradykinine est significativement meilleure dans le groupe pression pulsatile alors que la relaxation à l’acétylcholine n’est pas significativement différente. CONCLUSION : Ces résultats démontrent que la perfusion pulsatile produite par un BIA protège l’endothélium pulmonaire lors d'une CEC. Cet effet pourrait être dû à une augmentation du flot bronchique qui diminuerait l’ischémie pulmonaire ou à une diminution de la libération de cytokines et de bradykinine qui réduirait les dommages de reperfusion.

Réduction d'expansion volumique au cours de la gestation : conséquence sur la circulation utéro-placentaire.

La grossesse est caractérisée par une augmentation du volume circulant maternel et du débit sanguin afin de subvenir aux besoins croissants du foetus. En diminuant l'expansion volumique maternelle, nous avons développé un modèle de restriction de croissance intra-utérine (RCIU) chez la rate dans lequel on observe une diminution du diamètre des artères utérines arquées ainsi qu'une diminution de la réponse à l'angiotensine II. Nous avons émis l'hypothèse que comparativement aux rates normales, les vaisseaux utérins des rates RCIU présentent une dysfonction des mécanismes de relaxation dépendant de l'endothélium lors de la réponse à des agents vasoactifs. Notre objectif était de caractériser l'influence de l'endothélium sur la régulation de la réactivité des artères utérines radiales dans notre modèle RCIU. À l'aide d'un myographe pressurisé, des courbes de concentration-réponse à des agents vasoactifs (Phényléphrine (Pe), Carbachol (Cbc) et Nitroprussiate de sodium (SNP)) ont été effectuées, en présence ou en absence d'inhibiteurs des voies principales de la relaxation dépendante de l'endothélium (monoxyde d'azote (NO), prostacycline (PGI2) et facteurs hyperpolarisants dépendant de l'endothélium (EDHF)). Nous avons ainsi démontré que les artères utérines radiales des rates RCIU ont un diamètre plus petit que celles des rates contrôles. Une utilisation plus grande du NO dans la réponse dilatatrice au Cbc a été observée chez les rates RCIU. De plus, l'inhibition de la voie de l'EDHF par l'ajout de KCl aux inhibiteurs de la voie du NO (L-NAME) et des PGI2 (Ibuprofène) bloque presque complètement la relaxation au Cbc chez les deux groupes. En conclusion, dans les artères utérines radiales des deux groupes, il y a une participation importante de l'EDHF lors de la dilatation au Cbc. De plus, dans notre modèle RCIU, la voie du NO est activée, probablement afin de compenser la diminution du diamètre des artères et la réduction de la perfusion utérine.

South-West Monsoon Rainfall of Kerala and Its Variability

This study focuses on the south –west monsoon rainfall over Kerala and its variability both on the spatial and temporal scales. The main objectives of the study are, interanual, long-term and decadal variabilities in MRF(monsoon rain fall),relationship between antecedent global circulation parameters, diurnal variability using data of a large number of stations in Kerala and the spatial distribution of rainfall under two large scale synoptic. Kerala gets nearly 190cm of rainfall during the south-west monsoon season 1st June to 30th September. This is more than twice the monsoon rainfall of India. A good part of kerala’s rainfall is caused by the orography of the Western Ghats Mountain ranges. The state receives 286cm of annual rainfall of which 68%is during the south-west monsoon season. The summer monsoon rainfall of Kerala shows a decreasing trend of 12.0%in 96 years. The study shows that the Intra Seasonal Oscillations(ISO) of the monsoon season has large interanual variability,some years having long period and other years having short period ISO. It is seen that Western Ghats has a strong control on the east west profile on the monsoon rainfall.

STUDIES ON THE CHARACTERISTICS OF TROPOSPHERE AND LOWER STRATOSPHERE ASSOCIATED WITH THE PASSAGE OF TROPICAL CYCLONES

In the present thesis, an attempt has been made to study the characteristics of troposphere and lower stratosphere during the passage of tropical cyclones from a tropical station in India using MST radar. MST radar is an excellent tool for studying various features of the atmosphere from ground to mesospheric heights, as it can be operated continuously with good time and altitude resolution. The major objectives are to identify the multiple layers of reflectivity observed in the atmosphere during cyclones, to study the troposphere characteristics during these cyclones and its dependence on cyclone position and intensity, to detect the waves present in the atmosphere, to study the transport of momentum fluxes and to understand stratosphere. The winds in the troposphere and lower stratosphere are greatly affected by the passage of cyclones; the presence of high reflectivity layers below the tropopause suggests the passage of severe weather systems etc. are some of the major findings of the study. The study can be extended further to understand the circulation and dynamics of the atmosphere associated with the passage of tropical cyclones. The gravity wave generation and its characteristics during the passage of storms is another important aspect to be studied in detail.

Surface Circulation in the Tropical Indian Ocean Using Multi-Mission Altimeter Data

In the present study the availability of satellite altimeter sea level data with good spatial and temporal resolution is explored to describe and understand circulation of the tropical Indian Ocean. The derived geostrophic circulations showed large variability in all scales. The seasonal cycle described using monthly climatology generated using 12 years SSH data from 1993 to 2004 revealed several new aspects of tropical Indian Ocean circulation. The interannual variability presented in this study using monthly means of SSH data for 12 years have shown large year-to-year variability. The EOF analysis has shown the influence of several periodic signals in the annual and interannual scales where the relative strengths of the signals also varied from year to year. Since one of the reasons for this kind of variability in circulation is the presence of planetary waves. This study discussed the influence of such waves on circulation by presenting two cases one in the Arabian Sea and other in the Bay of Bengal.

A Study on the Transport and Distribution of Atmospheric Aerosols and its Influence on Regional Meteorological Parameters over the Indian Subcontinent

This doctoral thesis addresses the growing concern about the significant changes in the climatic and weather patterns due to the aerosol loading that have taken place in the Indo Gangetic Plain(IGP)which includes most of the Northern Indian region. The study region comprises of major industrial cities in India (New Delhi, Kanpur, Allahabad, Jamshedpur and Kolkata). Northern and central parts of India are one of the most thickly populated areas in the world and have the most intensely farmed areas. Rapid increase in population and urbanization has resulted in an abrupt increase in aerosol concentrations in recent years. The IGP has a major source of coal; therefore most of the industries including numerous thermal power plants that run on coal are located around this region. They inject copious amount of aerosols into the atmosphere. Moreover, the transport of dust aerosols from arid locations is prevalent during the dry months which increase the aerosol loading in theatmosphere. The topography of the place is also ideal for the congregation of aerosols. It is bounded by the Himalayas in the north, Thar Desert in the west, the Vindhyan range in the south and Brahmaputra ridge in the east. During the non‐monsoon months (October to May) the weather in the location is dry with very little rainfall. Surface winds are weak during most of the time in this dry season. The aerosols that reach the location by means of long distance transport and from regional sources get accumulated under these favourable conditions. The increase in aerosol concentration due to the complex combination of aerosol transport and anthropogenic factors mixed with the contribution from the natural sources alters the optical properties and the life time of clouds in the region. The associated perturbations in radiative balance have a significant impact on the meteorological parameters and this in turn determines the precipitation forming process. Therefore, any change in weather which disturbs the normal hydrological pattern is alarming in the socio‐economic point of view. Hence, the main focus of this work is to determine the variation in transport and distribution of aerosols in the region and to understand the interaction of these aerosols with meteorological parameters and cloud properties.

Studies on ocean surface layer responses to atmospheric forcing in the North Indian Ocean

The present study on upper ocean responses to atmospheric forcing (associated with cyclone passage) in North Indian Ocean revealed significant variability between AS and BoB. The analysis of cyclone frequency during 1947 to 2006 exhibited lesser frequency of cyclones in AS than that of BoB. The analysis also revealed significant reduction in cyclone frequency after the year 1976 with substantial reduction during monsoon season. The long term SST data at selected points in AS and BoB could not reveal any relation with reduction in cyclone frequency. However the SLP at same locations exhibited considerable increase during mid 1970’s, which could have contributed to the observed reduction in cyclone frequency after the year 1976.The response in waves during cyclone passage exhibited significant asymmetry on either side of the track in AS and BoB and the response is observed at 100’s of kilometers away from the track. The significant clockwise rotation in wave direction is observed on the right side of the track starting from near the track to far away locations, which existed for a longer duration. However, the anticlockwise rotation in wave direction is observed over a shorter distance on the left side of the track and dissipated immediately.Inertial oscillation is observed in surface current and in the mixed layer temperature associated with cyclone passage, which revealed the role of relative location(s) on either side of the track. The inertial peak closer to the local inertial period indicates maximum transfer of energy during the cyclone passage in both AS and BoB. The absence of strong inertial oscillation even with clockwise rotation in surface current and wind indicates the dominant role of duration of strong wind in generating inertial oscillation.The oceanic response associated with cyclone passage reveal the variable response(s) which depends on cyclone intensity, the proximity to track and cyclone translation speed. It is observed that resonance with wind generates higher response in surface current, wave and SST on the right side of the track and it lasts for a longer duration. The maximum oceanic response is observed at a few kilometers away on right side of the track. However lesser rightward bias in the location of maximum cooling is observed for cyclones with low cyclone translation speed. The response on the left side of the track is less and is limited over a shorter distance and dissipates immediately. It is observed that the ocean response, in general, increases with intensity of cyclones. However the differential cooling produced by the same intensity cyclones in AS and in BoB indicates the dominant role of low cyclone translation speed in oceanic response.The surface cooling exhibited strikingly differential responses between AS and BoB. The TMI-SST and buoy observations exhibited significant cooling for a longer duration in AS compared to that of BoB. The spatial extent of cooling is also much higher in AS than that of BoB. The wide spread cooling associated with cyclone passage in AS indicates the dominant role of thermal structure in oceanic response in AS than that of BoB.

Studies on rainfall variability and the influence of orography and land use on the climate of Peninsular India

The present study helped to understand the trend in rainfall patterns at smaller spatial scales and the large regional differences in the variability of rainfall. The effect of land use and orography on the diurnal variability is also understood. But a better understanding on the long term variation in rainfall is possible by using a longer dataset,which may provide insight into the rainfall variation over country during the past century. The basic mechanism behind the interannual rainfall variability would be possible with numerical studies using coupled Ocean-Atmosphere models. The regional difference in the active-break conditions points to the significance of regional studies than considering India as a single unit. The underlying dynamics of diurnal variability need to be studied by making use of a high resolution model as the present study could not simulate the local onshore circulation. Also the land use modification in this study, selected a region, which is surrounded by crop land. This implies the high possibility for the conversion of the remaining region to agricultural land. Therefore the study is useful than considering idealized conditions, but the adverse effect of irrigated crop is more than non-irrigated crop. Therefore, such studies would help to understand the climate changes occurred in the recent period. The large accumulation of rainfall between 300-600 m height of western Ghats has been found but the reason behind this need to be studied, which is possible by utilizing datasets that would better represent the orography and landuse over the region in high resolution model. Similarly a detailed analysis is needed to clearly identify the causative relations of the predictors identified with the predictant and the physical reasons behind them. New approaches that include nonlinear relationships and dynamical variables from model simulations can be included in the existing statistical models to improve the skill of the models. Also the statistical models for the forecasts of monsoon have to be continually updated.

Southern Hemispheric Features and their Teleconnection with Indian Summer Monsoon

This thesis entitled southern hemispheric features and their Teleconnection with indian summer monsoon.Southern hemisphere is entirely distinct from the northern hemisphere in many aspects, which is well reflected in atmospheric and oceanic properties.The thesis consists of eight chapters, in which the first chapter contains an overview of southern hemisphere. In this chapter, variability in southern hemisphere is described along with Indian summer monsoon and its teleconnection. The different types of data sets used and various methodologies adopted in the present thesis were described in Chapter 2. The period of climate shift and the magnitude of anomalies after the climate shift, which extended from troposphere to stratopause level, were investigated in detail and presented in chapter 3. Chapter 4 depicts the recent trend and variability in southern stratosphere. The higher order variability during various months and the frequency of extremity is included in this chapter.Climatology of divergence and convergence after the documented shift is reported in chapter 5.Southern extratropical connection to Indian summer monsoon through the modulation of SAM is presented in Chapter 6.Chapter 7 deals with the modulation of SAM‐Monsoon link through North Atlantic Oscillation.

Studies On Oxygen Minimum Layer In The Arabian Sea In Relation To The Oceanic Circulation

The thesis is divided into six chapters, with Further subdivisions.’ Chapter one has two sections. Section one deals with a general introduction, and section two,with the material and treatment of data For the present investigation. The second chapter concerns with the distribution of oxyty in the oxygen minimum layer and its topography during the southwest and northeast monsoons. The distribution of oxyty at various isanosteric surfaces within which the oxygen minimum layer lies during southwest and northeast monsoons and their topographies Form chapter three. In the fourth chapter the Flow pattern and its influence on the oxygen minimum layer are discussed. The fifth chapter presents the scatter diagrams of oxyty against temperature at the various isanosteric surfaces. The sixth chapter summarises the results of the investigation and presents the conclusions drawn therefrom