5

La réflexion de ce chapitre explicite, à partir d'observations et d'entretiens conduits auprès des différentes salles de prière, associations ou communautés religieuses musulmanes du canton de Vaud, deux niveaux du paradoxe suivant: être invisibles pour éviter la stigmatisation sociale et être visibles pour se faire entendre et reconnaître à leur juste valeur. L'invisibilité concerne plus spécialement l'échelon local, l'impact et les interactions que peuvent avoir les associations avec leur environnement proche. La visibilité se caractérise par la volonté de l'UVAM de faire sortir les musulmans de l'ombre. Elle touche le niveau supra-local : les objectifs et stratégies communs que la grande majorité des groupes se sont choisis à travers une représentation cantonale fédérative. Le dispositif que l'UVAM met en place vise à poser concrètement la question de la gestion publique de l'islam sur le plan vaudois.

Hippocampal sparing whole brain radiotherapy and simultaneously integrated boost with helical tomotherapy in patients with brain metastases

Materials/Methods: Four patients who underwent whole-brain radiotherapy (WBRT) and simultaneous integrated boost (SIB) between August 2010 and February 2011 were included to this study. Their age were 60, 61, 65, and 70 years. Primary diagnosis was infiltrative ductal breast cancer in two patients, sigmoid adenocarcinoma in one, and transitional bladder cancer in the other patient. All patients underwent cranial surgery but not all of the metastases were operated in 2 patients. All but one (five metastases) patient presented with single brain metastasis. In 2 of the 4 patients, hippocampus was spared contralaterally due to vicinity of the lesions to unilateral hippocampus. Planning irradiation dose was 30 Gy in 10 fractions for WBRT and 40 Gy in 10 fractions for SIB over two weeks in three patients. In one patient, WBRT and boost doses were 36Gy and 50.4 Gy in 18 fractions. Our maximum dose constraints for hippocampus and eyes were 10 and 20 Gy, respectively. All organs were contoured manually. Hippocampi were contoured according to published guidelines, and 5-mm margin expansion was used for hippocampal avoidance volume. All plans utilized a field width of 2.5 cm. Modulation factors ranged between 2 and 3.5. A pitch of 0,287 was used for all patients. All plans were evaluated according to conformity index (CI), homogeneity index (HI), target coverage (TC), and mean normalized total dose (NTDmean). An alpha/beta ratio of 2 was assumed for the hippocampus.Results: Median planning target volume (PTV) for metastases was 17.47 cc.Median hippocampal avoidance volume was 14.73 cc (range, 9.25-16.18 cc). Median average hippocampaldose was 11.84 Gy (range, 10.14-21.01 Gy). PTVs were fully covered with more than 95% of the prescribed dose for all patients. With a median follow-up time of 6 months (range, 3-9 months), all patients were alive without recurrent intracranial disease. To date, no neurocognitive decline reported in any of the patients.Conclusions: Preclinical evidence suggests that hippocampal sparing during cranial irradiation may mitigate neurocognitive decline. Using HT, we significantly reduced the mean dose to the hippocampus without jeopardizing coverage of metastases and whole brain.

5

The nervous system is a frequent target of industrial chemicals, pharmaceuticals, and environmental pollutants. To screen large numbers of compounds for their neurotoxic potential, in vitro systems are required which combine organ-specific traits with robustness and high reproducibility. These requirements are met by serum-free aggregating brain cell cultures derived from mechanically dissociated embryonic rat brain. The initial cell suspension, composed of neural stem cells, neural progenitor cells, immature postmitotic neurons, glioblasts, and microglial cells, is kept under continuous gyratory agitation. Spherical aggregates form spontaneously and are maintained in suspension culture for several weeks. Within the aggregates, the cells rearrange and mature, reproducing critical morphogenic events such as migration, proliferation, differentiation, synaptogenesis, and myelination. In addition to the spontaneous reconstitution of histotypic brain architecture, the cultures acquire organ-specific functionality as indicated by activity-dependent glucose consumption, spontaneous electrical activity, and brain-specific inflammatory responses. These three-dimensional primary cell cultures offer therefore a unique model for neurotoxicity testing both during development and at advanced cellular differentiation. The high number of aggregates available and the excellent reproducibility of the cultures facilitate routine test procedures. This chapter presents a detailed description of the preparation and maintenance of these cultures as well as their use for routine toxicity testing.

Jean-Charles-François Aved-Magnac, capitaine des vaisseaux de la République, accusé dans les affaires du 29 prairial et 5 messidor dernier, à ses juges et aux amis de la patrie

Comprend : Eustache Bruix, capitaine de vaisseau, major-général de l'armée navale, à ses concitoyens

Projecte d'instal·lació de caldera de vapor de 5.000 kg/h i serveis auxiliars per [a] una empresa situada a Vic

L’empresa RUSCALLEDA, S.L., ubicada a la localitat de Vic, es dedica a l’elaboració deproductes alimentaris. La instal·lació actual de generació de calor utilitza una caldera antiga de combustible líquid i té una capacitat de producció de vapor de 1.500 kg/h. A causa de la demanda creixent de productes semielaborats, l'empresa vol instal·lar tres unitats noves de la línia final de productes semielaborats. Aquestes noves unitats tindrien un considerable consum d’energia calorífica en forma de vapor i requeririen actualitzar la instal·lació actual de producció i distribució de calor. L’objecte del projecte és la instal·lació d’un segon generador de vapor que sigui capaç d’alimentar la instal·lació actual més l’ampliació, quedant el generador actual en paral·lel per ser utilitzat en cas d’emergència

Catalogue des livres précieux... faisant partie de la bibliothèque de M. Ambroise Firmin-Didot.... Vol. 5 / Introduction par M. Paulin Paris,...

[Collection. Livres. Firmin-Didot, Ambroise. 1878-1884]

Cotxe de ràdio control basat en un Fórmula 1 a escala 1/5

L’objecte d’aquest projecte és dissenyar un Renault R26 de Fórmula 1 a escala 1/5 capaç de córrer i realitzar les accions pròpies d’un cotxe, de forma teledirigida. La carrosseria, el tipus de suspensions i xassís seran el més semblant possible al cotxe real i estarà propulsat amb un motor de combustió interna de 2 temps

Ulcerative colitis impairs the acylethanolamide-based anti-inflammatory system reversal by 5-aminosalicylic acid and glucocorticoids

Studies in animal models and humans suggest anti-inflammatory roles on the N acylethanolamide (NAE)-peroxisome proliferators activated receptor alpha (PPARα) system in inflammatory bowel diseases. However, the presence and function of NAE-PPARα signaling system in the ulcerative colitis (UC) of humans remain unknown as well as its response to active anti-inflammatory therapies such as 5-aminosalicylic acid (5-ASA) and glucocorticoids. Expression of PPARα receptor and PPARα ligands-biosynthetic (NAPE-PLD) and -degrading (FAAH and NAAA) enzymes were analyzed in untreated active and 5-ASA/glucocorticoids/immunomodulators-treated quiescent UC patients compared to healthy human colonic tissue by RT-PCR and immunohistochemical analyses. PPARα, NAAA, NAPE-PLD and FAAH showed differential distributions in the colonic epithelium, lamina propria, smooth muscle and enteric plexus. Gene expression analysis indicated a decrease of PPARα, PPARγ and NAAA, and an increase of FAAH and iNOS in the active colitis mucosa. Immunohistochemical expression in active colitis epithelium confirmed a PPARα decrease, but showed a sharp NAAA increase and a NAPE-PLD decrease, which were partially restored to control levels after treatment. We also characterized the immune cells of the UC mucosa infiltrate. We detected a decreased number of NAAA-positive and an increased number of FAAH-positive immune cells in active UC, which were partially restored to control levels after treatment. NAE-PPARα signaling system is impaired during active UC and 5-ASA/glucocorticoids treatment restored its normal expression. Since 5-ASA actions may work through PPARα and glucocorticoids through NAE-producing/degrading enzymes, the use of PPARα agonists or FAAH/NAAA blockers that increases endogenous PPARα ligands may yield similar therapeutics advantages.