L'épilepsie bénigne à pointes centrotemporales : investigation cognitive et études en imagerie fonctionnelle et structurelle.

L’épilepsie bénigne à pointes centrotemporales (EPCT) est la forme la plus fréquente des épilepsies idiopathiques chez l’enfant (Fastenau et al., 2009). Le pronostic de ces patients est bon, notamment en raison de la rémission spontanée de cette épilepsie à l’adolescence; toutefois plusieurs études suggèrent la présence de troubles cognitifs et de spécificités neuroanatomiques. Il n’existe pas actuellement de consensus sur les liens entre leurs troubles cognitifs et leurs particularités neuroanatomiques et neurofonctionnelles. Dans cette thèse, notre but est de préciser le profil des enfants ayant une épilepsie bénigne à pointes centro-temporales, en investiguant les caractéristiques des patients à plusieurs niveaux: cognitif, fonctionnel, structurel. La thèse est composée de quatre articles, dont deux articles empiriques. Notre premier article a pour objectif de recenser les difficultés cognitives et affectives rapportées par les études s’intéressant aux caractéristiques des enfants ayant une épilepsie bénigne. Bien qu’une certaine variabilité soit retrouvée dans la littérature, cette revue démontre qu’une histoire d’épilepsie, même bénigne, peut être un facteur de risque pour le développement cognitif et socio-affectif des enfants. Notre revue de littérature a indiqué des troubles particuliers du langage chez ces enfants, mais aucune étude n’avait auparavant investigué spécifiquement la compréhension de lecture chez les enfants ayant une EPCT, une compétence essentielle dans le cheminement scolaire des enfants. Ainsi, nous avons développé une tâche novatrice de compréhension de lecture de phrases en imagerie par résonnance magnétique fonctionnelle (IRMf), adaptée à la population pédiatrique. Dans notre second article, nous avons validé cette tâche auprès d’enfants sains et nous avons mis en évidence une mobilisation des régions cérébrales généralement engagées dans des tâches langagières chez l’enfant sain, y compris les régions impliquées dans le traitement sémantique (Berl et al., 2010; Blumenfeld, Booth et Burman, 2006). Le troisième article de cette thèse rapporte notre investigation du réseau cérébral activé durant cette nouvelle tâche de compréhension de lecture de phrases en IRMf chez les enfants ayant une EPCT. Nos résultats suggèrent que ces derniers ont recours à l’activation d’un réseau cérébral plus large, présentant des similarités avec celui retrouvé chez les enfants dyslexiques. Par ailleurs, l’activation du striatum gauche, structure généralement associée à la réalisation de processus cognitifs complexes est uniquement retrouvée chez les enfants épileptiques. Étant donné que les enfants ayant une EPCT obtiennent des performances à la tâche d’IRMf équivalentes à celles des enfants sains, il est possible d’émettre l’hypothèse que ces différences d’activations cérébrales soient adaptatives. L’étude des relations entre les résultats neuropsychologiques, la performance à la tâche et les activations cérébrales a mis en évidence des prédicteurs différents entre les deux groupes d’enfants, suggérant qu’ils ne s’appuient pas exactement sur les mêmes processus cognitifs pour réussir la tâche. De plus, nous avons réalisé un travail d’intégration des diverses méthodologies utilisées dans les études en imagerie pondérée en diffusion chez l’enfant épileptique, ce qui constitue le quatrième article de cette thèse. Nous rapportons les diverses applications de cette méthode dans la caractérisation des anomalies structurelles subtiles de la matière blanche chez les enfants épileptiques en général. Les différentes méthodologies employées, les enjeux, et les biais potentiels relatifs aux traitements des données de diffusion y sont discutés. Enfin, pour mieux comprendre l’origine et les marqueurs de cette épilepsie, nous avons étudié les spécificités structurelles des cerveaux des enfants ayant une EPCT à l’aide d’analyses sur les données d’imagerie par résonnance magnétique. Aucune différence n’a été mise en évidence au niveau de la matière grise entre les cerveaux d’enfants sains et ceux ayant une EPCT. À l’inverse, nous rapportons des différences subtiles au niveau de la matière blanche dans notre population d’enfants épileptiques, avec une diminution de l’anisotropie fractionnelle (FA) au niveau temporal inférieur/moyen de l’hémisphère gauche, ainsi que dans l’hémisphère droit dans les régions frontales moyennes et occipitales inférieures. Ces résultats suggèrent la présence d’altérations de la matière blanche subtiles et diffuses dans le cerveau des enfants ayant une EPCT et concordent avec ceux d’autres études récentes (Ciumas et al., 2014).

L’effet de la prothèse totale du genou sur la cinématique 3D : vers le développement de biomarqueurs mécaniques de la douleur

La prothèse totale du genou (PTG) est une chirurgie couramment pratiquée pour traiter les patients souffrant d’arthrose sévère du genou. Bien que cette technique chirurgicale soit efficace pour diminuer la douleur, améliorer la fonction du genou et rentable d’un point de vue socio-économique, un pourcentage non négligeable de patients n’est pas satisfait suite à la chirurgie, principalement due à une douleur persistante ou due à une perception d’avoir une mauvaise fonction articulaire, sans cause identifiée. Cependant, l’impact de cette chirurgie sur la cinématique tridimensionnelle (3D) du genou demeure mal compris. Dans le but de mieux comprendre pourquoi certains patients ressentent toujours de la douleur suite à cette chirurgie, cette étude analysera, dans un premier temps, l’effet prospectif de la chirurgie sur la cinématique 3D du genou. Puis dans un second temps, comparera la cinématique 3D de sujet souffrant de douleur à celle de sujets asymptomatiques suite à la prothèse. Pour parvenir à ces deux objectifs, deux études distinctes ont été entreprises. Une première étude prospective a porté sur l’évolution de la cinématique 3D du genou d’un groupe de 19 sujets, recrutés sur la liste d’attente pour prothèse totale du genou de deux chirurgiens du CHUM, hôpital Notre-Dame, puis la cinématique a été comparée avec un groupe contrôle de 17 sujets avec des genoux sains. Une seconde étude a comparé la cinématique 3D de 20 sujets souffrant de douleur post-PTG avec 20 sujets avec des genoux asymptomatiques suite à leur chirurgie. La première étude a permis de montrer que la cinématique dans le plan frontal suite à la prothèse totale du genou était corrigée vers celle des sujets sains. Contrairement à celle mesurée dans les autres plans (sagittal et axial) qui, malgré de petites corrections, demeure différente de la cinématique des sujets sains. La seconde étude a permis d’identifier un marqueur biomécanique de la douleur chez les sujets souffrant de douleur post-PTG. Effectivement, contrairement aux sujets asymptomatiques, suite à leur chirurgie, les patients souffrants de douleur marchent avec une contracture en flexion plus importante tout au long de la phase d’appui. Les résultats de ces deux études tendent à montrer que la prothèse totale du genou modifie la cinématique 3D du genou, sans toutefois redevenir semblable à celle d’un genou normal. De plus, certains marqueurs biomécaniques peuvent être associés à de la douleur suite à la chirurgie. Une meilleure compréhension de l’impact de la PTG sur la cinématique 3D du genou permettra d’offrir de meilleurs traitements en préparation et après la chirurgie et pourrait mener à de nouveaux designs de prothèses.

Reliability of a quantitative clinical posture assessment tool among persons with idiopathic scoliosis

Objective To determine overall, test–retest and inter-rater reliability of posture indices among persons with idiopathic scoliosis. Design A reliability study using two raters and two test sessions. Setting Tertiary care paediatric centre. Participants Seventy participants aged between 10 and 20 years with different types of idiopathic scoliosis (Cobb angle 15 to 60°) were recruited from the scoliosis clinic. Main outcome measures Based on the XY co-ordinates of natural reference points (e.g. eyes) as well as markers placed on several anatomical landmarks, 32 angular and linear posture indices taken from digital photographs in the standing position were calculated from a specially developed software program. Generalisability theory served to estimate the reliability and standard error of measurement (SEM) for the overall, test–retest and inter-rater designs. Bland and Altman's method was also used to document agreement between sessions and raters. Results In the random design, dependability coefficients demonstrated a moderate level of reliability for six posture indices (ϕ = 0.51 to 0.72) and a good level of reliability for 26 posture indices out of 32 (ϕ ≥ 0.79). Error attributable to marker placement was negligible for most indices. Limits of agreement and SEM values were larger for shoulder protraction, trunk list, Q angle, cervical lordosis and scoliosis angles. The most reproducible indices were waist angles and knee valgus and varus. Conclusions Posture can be assessed in a global fashion from photographs in persons with idiopathic scoliosis. Despite the good reliability of marker placement, other studies are needed to minimise measurement errors in order to provide a suitable tool for monitoring change in posture over time.

Sexual and relationship intimacy among women with provoked vestibulodynia and their partners : associations with sexual satisfaction, sexual function, and pain self-efficacy

Introduction Provoked vestibulodynia (PVD) is the most frequent subtype of vulvodynia. Women report negative consequences of PVD on their sexual and romantic relationships. Researchers have recently highlighted the importance of examining interpersonal factors such as intimacy, and of including both women and their partners in study designs. Aim The aim of this study was to investigate sexual and relationship intimacy as defined by the Interpersonal Process Model of Intimacy and their associations with sexual satisfaction, sexual function, pain self-efficacy, and pain intensity among women with PVD and their partners. Methods Ninety-one heterosexual women (M age = 27.38, SD = 6.04) diagnosed with PVD and their partners (M age = 29.37, SD = 7.79) completed measures of sexual and relationship intimacy, sexual satisfaction, sexual function, pain self-efficacy, and pain intensity. Main Outcome Measures Dependent measures were the (i) Global Measure of Sexual Satisfaction Scale; (ii) Female Sexual Function Index; (iii) Painful Intercourse Self-Efficacy Scale; and (iv) visual analog scale of pain intensity during intercourse. Results After controlling for women's age, women's greater sexual intimacy (β = 0.49, P < 0.001) was associated with women's greater sexual satisfaction and higher pain self-efficacy (β = 0.39, P = 0.001), beyond the effects of partners’ sexual intimacy. Also, women's greater sexual intimacy (β = 0.24, P = 0.05) and women's greater relationship intimacy (β = 0.54, P = 0.003) were associated with greater women's sexual function, beyond the effects of partners’ sexual and relationship intimacy. Conclusions Women's self-reported sexual and relationship intimacy in the couple relationship may promote higher sexual satisfaction, sexual function, and pain self-efficacy, as well as possibly foster greater sexual well-being among women with PVD. The authors discuss implications for the inclusion of emotional and interpersonal aspects of the couple's dynamic in clinical interventions and future research in PVD.

Development of Bioreactors for Nitrifying Water In Closed System Hatcheries Of Penaeid And Non-Penaeid Prawns

In the present study the development of bioreactors for nitrifying water in closed system hatcheries of penaeid and non-penaeid prawns. This work is an attempt in this direction to cater to the needs of aquaculture industry for treatment and remediation of ammonia and nitrate in penaeid and non-penaeid hatcheries, by developing nitrifying bacteria allochthonous to the particular environment under consideration, and immobilizing them on an appropriately designed support materials configured as reactors. Ammonia toxicity is the major limiting factors in penaeid and non-penaeid hatchery systems causing lethal and sublethal effects on larvae depending on the pH values. Pressing need of the aquaculture industry to have a user friendly and economically viable technology for the removal of ammonia, which can be easily integrated to the existing hatchery designs without any major changes or modifications. Only option available now is to have biological filters through which water can be circulated for the oxidation of ammonia to nitrate through nitrite by a group of chemolithotrophs known as nitrifying bacteria. Two types of bioreactors have been designed and developed. The first category named as in situ stringed bed suspended bioreactor(SBSBR) was designed for use in the larval rearing tanks to remove ammonia and nitrite during larval rearing on a continuous basis, and the other to be used for nitrifying freshly collected seawater and spent water named as ex situ packed bed bioreactior(PBBR). On employing the two reactors together , both penaeid and non-penaeid larval rearing systems can be made a closed recirculating system at least for a season. A survey of literature revealed that the in situ stringed bed suspended reactor developed here is unique in its design, fabrication and mode of application.

Slot-Loaded Compact Microstrip Antenna for Dual-Frequency Operation

Dual frequency operation is achieved from a compact microstrip antenna by loading a pair of narrow slots close to its radiating edges. The two frequencies have parallel polarization planes and similar radiation characteristics. The ratio between the two operating frequencies can be tuned in the range (1.14-1. 24), which is much smaller than that of similar designs. The above excellent radiation characteristics are achieved along with an area reduction of - 75% compared to the standard rectangular patch

Dual-frequency dual-polarized slot -coupled compact microstrip antenna for communication system

A new design of' a dual-frequency dual-polarized square microsh'ip antenna fed along the diagonal, embedded with a square slot having three extended stubs for frequency tuning, is introduced. The proposed antenna was fabricated using a standard photolithographic method and the antenna was tested using the HP 3510(:; Vector Network Analyser. The antenna is capable of generating dual resonant frequencies with mutually perpendicular polarizations and broad radiation pattern characteristics. Such dual-frequency designs find wide applications in personal mobile handsets combining GSM and CDS 1800 modes, and applications in which different frequencies are used for emission and reception such as personal satellite communications and cellular network systems.

A new method for load matching in multimode microwave feating applicators based on the use of dielectric layer superposition

Usage of a dielectric multilayer around a dielectric Sample is studied as a means for improving the efficiency in multimode microwave- heating cavities. The results show that by using additional dielectric constant layers the appearance of undesired reflections at the sample-air interface is avoided and higher power -absorption rates within the sample and high -efficiency designs are obtained

DESIGN AND DEVELOPMENT OF COMPACT ASYMMETRIC COPLANAR STRIP FED ANTENNAS

Antennas are indispensable component of any wireless communication device. An antenna is a transducer between the transmitter and the free space waves and vice versa. They efficiently transfer electromagnetic energy from a transmission line into free space. But the present day communication applications require compact and ultra wide band designs which cannot be catered by simple microstrip based designs. PIFAs have solved the problem to some extend, but the field of antennas needs more innovative designs In this thesis the design and development of compact planner antenna are presented. Emphasis is given to the design of the feed as well as the radiator resulting in simple compact uniplanar geometries. The Asymmetric coplanar feed used to excite the antennas is found to be a suitable choice for feeding compact antennas.The main objectives of the study are the design of compact single, dual and multi band antennas with uniplanar structure and extension of the design for practical GSM/WLAN applications and Ultra compact antennas using the above techniques and extension of the design to antennas for practical applications like RFID/DVB-H. All the above objectives are thoroughly studied. Antennas with ultra compact dimensions are obtained as a result of the study. Simple equations are provided to design antennas with the required characteristics. The design equations are verified by designing different antennas for different applications.

Investigations on broadband planar monopole and slot radiators and their suitability for UWB applications

In recent years, there is a visible trend for products/services which demand seamless integration of cellular networks, WLANs and WPANs. This is a strong indication for the inclusion of high speed short range wireless technology in future applications. In this context UWB radio has a significant role to play as an extension/complement to existing cellular/access technology. In the present work, we have investigated two major types of wide band planar antennas: Monopole and Slot. Four novel compact broadband antennas, suitable for poratble applications, are designed and characterized, namely 1. Elliptical monopole 2. Inverted cone monopole 3. Koch fractal slot 4. Wide band slot The performance of these designs have been studied using standard simulation tools used in industry/academia and they have been experimentally verified. Antenna design guidelines are also deduced by accounting the resonances in each structure. In addition to having compact sized, high efficiency and broad bandwidth antennas, one of the major criterion in the design of impulse-UWB systems have been the transmission of narrow band pulses with minimum distortion. The key challenge is not only to design a broad band antenna with constant and stable gain but to maintain a flat group delay or linear phase response in the frequency domain or excellent transient response in time domain. One of the major contributions of the thesis lies in the analysis of the frequency and time-domain response of the designed UWB antennas to confirm their suitability for portable pulsed-UWB systems. Techniques to avoid narrowband interference by engraving narrow slot resonators on the antenna is also proposed and their effect on a nano-second pulse have been investigated.

Production of Alkaline Protease by Free and Immobilised Cells of VIBRIO sp. Under Different Fermentation Systems and Its Application on Deproteinisation of Prawn Shell Waste for Chitin Recovery

This thesis presents a detailed account of a cost - effective approach towards enhanced production of alkaline protease at profitable levels using different fermentation designs employing cheap agro-industrial residues. It involves the optimisation of process parameters for the production of a thermostable alkaline protease by Vibrio sp. V26 under solid state, submerged and biphasic fermentations, production of the enzyme using cell immobilisation technology and the application of the crude enzyme on the deproteinisation of crustacean waste.The present investigation suggests an economic move towards Improved production of alkaline protease at gainful altitudes employing different fermentation designs utilising inexpensive agro-industrial residues. Moreover, the use of agro-industrial and other solid waste substrates for fermentation helps to provide a substitute in conserving the already dwindling global energy resources. Another alternative for accomplishing economically feasible production is by the use of immobilisation technique. This method avoids the wasteful expense of continually growing microorganisms. The high protease producing potential of the organism under study ascertains their exploitation in the utilisation and management of wastes. However, strain improvement studies for the production of high yielding variants using mutagens or by gene transfer are required before recommending them to Industries.Industries, all over the world, have made several attempts to exploit the microbial diversity of this planet. For sustainable development, it is essential to discover, develop and defend this natural prosperity. The Industrial development of any country is critically dependent on the intellectual and financial investment in this area. The need of the hour is to harness the beneficial uses of microbes for maximum utilisation of natural resources and technological yields. Owing to the multitude of applications in a variety of industrial sectors, there has always been an increasing demand for novel producers and resources of alkaline proteases as well as for innovative methods of production at a commercial altitude. This investigation forms a humble endeavour towards this perspective and bequeaths hope and inspiration for inventions to follow.

Microbent optical fibers as evanescent wave sensors

Microbent optical fibers are potential candidates for evanescent wave sensing. We investigate the behavior of a permanently microbent fiber optic sensor when it is immersed in an absorbing medium. Two distinct detection schemes, namely, bright-field and dark-field detection configuration, are employed for the measurements. The optical power propagating through the sensor is found to vary in a logarithmic fashion with the concentration of the absorbing species in the surrounding medium. We observe that the sensitivity of the setup is dependent on the bending amplitude and length of the microbend region for the bright-field detection scheme, while it is relatively independent of both for the dark-field detection configuration. This feature can be exploited in compact sensor designs where reduction of the sensing region length is possible without sacrificing sensitivity.

Investigations on the Radiation Characteristics of Planar Printed UWB Antennas With Modified Ground Planes

A major challenge in the transmission of narrow pulses is the radiation characteristics of the antenna. Designing the front ends for UWB systems pose challenges compared to their narrow and wide band counterparts because in addition to having electrically small size, high efficiency and band width, the antenna has to have excellent transient response. The present work deals with the design of four novel antenna designs- Square Monopole, Semi-Elliptic Slot, Step and Linear Tapered slot - and an assay on their suitability in UWB Systems. Multiple resonances in the geometry are matched to UWB by redesigning the ground-patch interfaces. Techniques to avoid narrow band interference is proposed in the antenna level and their effect on a nano second pulse have also been investigated. The thesis proposes design guidelines to design the antenna on laminates of any permittivity and the analyzes are complete with results in the frequency and time domains.

Compact dual-polarised square microstrip antenna with triangular slots for wireless communication

Design of a dual linearly-polarised microstrip patch antenna, excited by two orthogonal microstrip feed lines, is presented. A reduction in patch size of 35% is obtained when compared to a square patch operating at the same frequency. The polarisations are oriented at +45 and - 45 with an isolation of more than 36 dB between the ports. Unlike earlier designs, the proposed structure provides better gain.

Development and Analysis of Compact AMicrostrip Antennas

The practical applications of microstrip antennas for mobile systems are in portable or pocket-size equipment and in vehicles. Antennas for VHFIUHF handheld portable equipment, such as pagers, portable telephones and transceivers, must naturally be small in size, light in weight and compact in structure. There is a growing tendency for portable equipment to be made smaller and smaller as the demand for personal communication rapidly increases, and the development of very compact hand-held units has become urgent.In this thesis work, main aim is to develop a more and more reduced sized microstrip patch antenna. It is well known that the smaller the antenna size, the lower the antenna efficiency. During the period of work, three different compact circular sided microstrip patches are developed and analysed, which have a significant size reduction compared to standard circular disk antenna (the most compact one of the basic microstrip patch configurations), without much deterioration of its properties like gain, bandwidth and efficiency. In addition to this the interesting results, dual port operation and circular polarization are also observed for some typical designs of these patches. These make the patches suitable for satellite and mobile communication systems.The theoretical investigations are carried out on these compact patches. The empirical relations are developed by modifying the standard equations of rectangular and circular disk microstrip patches, which helps to predict the resonant frequencies easily.