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14 páginas.- 6 figuras.- 53 referencias, Understanding the chemical composition of our planet's crust was one of the biggest questions of the 20th century. More than 100 years later, we are still far from understanding the global patterns in the bioavailability and spatial coupling of elements in topsoils worldwide, despite their importance for the productivity and functioning of terrestrial ecosystems. Here, we measured the bioavailability and coupling of thirteen macro- and micronutrients and phytotoxic elements in topsoils (3–8 cm) from a range of terrestrial ecosystems across all continents (∼10,000 observations) and in response to global change manipulations (∼5,000 observations). For this, we incubated between 1 and 4 pairs of anionic and cationic exchange membranes per site for a mean period of 53 days. The most bioavailable elements (Ca, Mg, and K) were also amongst the most abundant in the crust. Patterns of bioavailability were biome-dependent and controlled by soil properties such as pH, organic matter content and texture, plant cover, and climate. However, global change simulations resulted in important alterations in the bioavailability of elements. Elements were highly coupled, and coupling was predictable by the atomic properties of elements, particularly mass, mass to charge ratio, and second ionization energy. Deviations from the predictable coupling-atomic mass relationship were attributed to global change and agriculture. Our work illustrates the tight links between the bioavailability and coupling of topsoil elements and environmental context, human activities, and atomic properties of elements, thus deeply enhancing our integrated understanding of the biogeochemical connections that underlie the productivity and functioning of terrestrial ecosystems in a changing world., We acknowledge the following people as additional data contributors: Drs. G. Blume-Werry, V. Bruckman, J. Buss, S. Collins, E. Dorrepaal, K.N. Egger, J. Fridley, Gibson-Roy, R. Harrison, J. Heberling, K. Helsen, E. Hinman, A. K olstad, N. Lemoine, M. Lesser, E. Li, S. E. Macdonald, E. Mallory, E. Massicotte, H.B. Massicotte, T. Moore, C. Morris, L. Nijs, M. Smith, Suojala-Ahlfors, E. Thiffault, K. Trepanier, R. Uusitalo, L. Van Langenhove, S. Vicca, F. Wang, M. Werner, K. White and S. Wilson. R.O.H. was funded by the Ramón y Cajal program of the MICINN (RYC-2017 22032), by the R&D Project of the Ministry of Science and Innovation PID2019-106004RA-I00 funded by MCIN/AEI/10.13039/501100011033, by the program José Castillejo” of the “Ministry of Universities” (CAS21/00125), by a project of the European Regional Development Fund (FEDER) and the Ministry of Economic Transformation, Industry, Knowledge and Universities of the Junta de Andalucía (ERDF Andalucía 2014–2020 Thematic objective “01—Reinforcement of research, technological development and innovation”): P20_00323 (FUTURE-VINES), by the European Agricultural Fund for Rural Development (EAFRD) through the “Aid to operational groups of the European Association of Innovation (AEI) in terms of agricultural productivity and sustainability,” Reference: GOPC-CA-20-0001, and from Fundación Biodiversidad (SOILBIO). M.D-B. was supported by a Ramón y Cajal Grant (RYC2018-025483-I), a project from the Spanish Ministry of Science and Innovation (PID2020-115813RA-I00), and a project PAIDI 2020 from the Junta de Andalucía (P20_00879). JP acknowl-edges funding from MICINN (RYC–2021–033454). S. Bridgham and P. Reed were supported from National Science Foundation Macrosystems Biology Grant 1340847. KVS acknowledges support from the Belgian American Educational Foundation (Paul Vernel Fellow), the Fulbright Program and the Fund for Scientific Research-Flanders. J. Pergl and M. Vítková were partly supported by 17-19025S, EXPRO Grant 19-28807X (Czech Science Foundation), BiodivClim Call 2019 (Grant TACR SS70010001) and long-term research development project RVO 67985939 (Czech Academy of Sciences). Natasja van Gestel was funded by the National Science Foundation Grant 1643871. Stevan Earl was partially supported by the National Science Foundation under Grant DEB-2224662, Central Arizona-Phoenix Long-Term Ecological Research Program (CAP LTER). Lilia Serrano-Grijalva has received funding from the European Union's Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement No 890874. Kevin van Sundert acknowledges support from the Fund for Scientific Research-Flanders. Yuriko Yano acknowledges USDA, National Institute of Food and Agriculture Grant, Award number 2015-67020-23454. A. Leeper, B. Lawrence, and J. LaMontagne acknowledge support from National Science Foundation Grant DEB-1745496, the University Research Council Collaborative Grant from DePaul University, and the Huron Mountain Wildlife Foundation.

The next generation Meteosat Third Generation sounding satellite (MTG-S) is expected to be launched at the end of 2024. MTG-S will carry a hyperspectral interferometer, namely InfraRed Sounder (IRS), to provide a four-dimensional look at the atmosphere from a geostationary orbit. IRS will measure the radiance emission from the earth at 1960 infrared spectral channels at two bands (2250 ~ 1600 cm-1 and 1210 ~ 680 cm-1), with a spectral resolution of around 0.60 cm-1.Satellite-based cloud information is essential for the subsequent retrievals of atmospheric and surface products or for data assimilation in numerical weather prediction (NWP) models. Our project aims at studying the feasibility of retrieving cloud properties from MTG/IRS simulated data, notably cloud mask, cloud classification, and cloud top pressure/temperature/height following NWC SAF threshold methodologies. In this poster, the radiative transfer modelling by RTTOV is carried out at various atmospheric and cloud conditions to study the IRS spectral behaviours, especially at window channels. We will also discuss our preliminary retrieval of a cloud mask by brightness temperature thresholds using the selected IRS channels.

National audience; OBJECTIVE: Neurogenic bladders can suffer from overactivity, underactivity or dyssynergia depending on the level of the initial lesion. These symptoms can lead to severe alterations of the upper urinary tract. One of the first-line treatments is the transcutaneous tibial posterior stimulation (TTNS), which was demonstrated to be efficient on urodynamics. But it is an invasive, expensive and sometimes not patient-accepted examination, contrary to the uroflowmetry. The aim of this study is to assess the feasibility of a follow-up with a uroflowmetry when treated by TTNS and show that the maximum flow rate increased after treatment, displaying a better detrusor contraction. METHODS: In total, 38 patients with neurogenic bladder undergoing a 12-weeks TTNS treatment and with 2 uroflowmetries interpretable before and after treatment were included. The maximum flow rate (Qmax), the urinated volume and the post-void residual (PVR) were retrieved from the uroflowmetry, and the USP-score and the urinary discomfort were asked at each appointment. RESULTS: Qmax is increased from 17,53ml/s to 18,26ml/s, as well as the PVR (from 76,97ml to 79,16ml). Urinated volume is decreased from 241,4ml to 193,66ml. Patients feel enhanced after TTNS according to the decrease in the USP-score and the urinary discomfort scale. CONCLUSION: The increase of the cystomanometric capacity and the delay of the detrusor overactivity due to TTNS explains the reduction of the urinated volume and the increase of PVR. Increased Qmax might show a better voluntary bladder contraction, with a restraint due to the lack of abdominal pressure measurement during voiding.

International audience; Aim: To compare transanal irrigation with conservative bowel management for the treatment of bowel dysfunction in Spina bifida (SB) patients.Methods: Patients with SB and bowel dysfunction were randomly assigned to receive either transanal irrigation or conservative bowel management. The effectiveness of the treatment was defined as a decrease of 4 points in the neurogenic bowel dysfunction (NBD) score at week 10. Data on incontinence (Cleveland scores; Jorge-Wexner [JW]) and constipation (Knowles-Eccersley-Scott Symptom Constipation Score [KESS]) were recorded at 10 and 24 weeks after inclusion. Data were analysed on an intention-to-treat basis.Results: A total of 34 patients were randomised: 16 patients to conservative bowel management and 18 patients to transanal irrigation. A total of 19/31 (61%) patients improved at week 10, 13 (76%) in the transanal irrigation group versus six (43%) in the conservative group (p = 0.056). In the irrigation group, the decrease in NBD score was -6.9 (-9.9 to -4.02) versus -1.9 (-6.5 to -2.8) in the conservative group (p = 0.049 in univariate and p = 0.004 in multivariate analysis). The NBD, Cleveland (JW and KESS) and Rosenberg scores were significantly lower in the transanal irrigation group than in the conservative bowel management group at week 10.Conclusions: This prospective, randomised, controlled, multicentre study in adult patients with SB suggests that transanal irrigation may be more effective than conservative bowel management.

Understanding the chemical composition of our planet's crust was one of the biggest questions of the 20th century. More than 100 years later, we are still far from understanding the global patterns in the bioavailability and spatial coupling of elements in topsoils worldwide, despite their importance for the productivity and functioning of terrestrial ecosystems. Here, we measured the bioavailability and coupling of thirteen macro- and micronutrients and phytotoxic elements in topsoils (3–8 cm) from a range of terrestrial ecosystems across all continents (∼10,000 observations) and in response to global change manipulations (∼5,000 observations). For this, we incubated between 1 and 4 pairs of anionic and cationic exchange membranes per site for a mean period of 53 days. The most bioavailable elements (Ca, Mg, and K) were also amongst the most abundant in the crust. Patterns of bioavailability were biome-dependent and controlled by soil properties such as pH, organic matter content and texture, plant cover, and climate. However, global change simulations resulted in important alterations in the bioavailability of elements. Elements were highly coupled, and coupling was predictable by the atomic properties of elements, particularly mass, mass to charge ratio, and second ionization energy. Deviations from the predictable coupling-atomic mass relationship were attributed to global change and agriculture. Our work illustrates the tight links between the bioavailability and coupling of topsoil elements and environmental context, human activities, and atomic properties of elements, thus deeply enhancing our integrated understanding of the biogeochemical connections that underlie the productivity and functioning of terrestrial ecosystems in a changing world.

Les huit annees du pontificat du pape Francois ont ete marquees par une serie de seuils qui sont reperables dans ses discours, dans sa pratique de gouvernement, dans son action pastorale. Le pape s’appuie sur la methode du « voir-juger-agir » et sur la reception de la notion de pastoralite de la doctrine qui est essentielle a Vatican II. Dix enseignants-chercheurs du Theologicum rendent compte, du point de vue de leur specialite, de certains aspects de ce pontificat, en soulignant l’importance de l’Ecriture, la dynamique synodale a tous les niveaux de la vie de l’Eglise, ainsi que la recherche de la fraternite universelle, qui reconnait l’histoire et la dignite de chacun. Pour l’enseignement de la theologie et pour la recherche, il convient alors de proceder par le dialogue et l’ecoute, en reseau et de maniere transdisciplinaire (cf. le preambule de Veritatis gaudium, n° 4).

Lynch syndrome (LS) is a condition which predisposes individuals primarily to early-onset colorectal and endometrial cancer. LS is characterized by a germline pathogenic variant in one of the MMR (MisMatch Repair) gene, inducing a phenotype of microsatellite instability in the tumor, which may be associated with a loss of expression of MMR proteins detected by standard immunohistochemistry on tumor tissue. Most of the time, LS is inherited from a parent in whom the condition may not be known due to incomplete penetrance, but de novo pathogenic variant is a rare occurrence. Here, we describe the case of a 52-year-old woman with no family history of LS, referred to the genetics department for colorectal cancer at the age of 50. Genetic analysis revealed a de novo germline pathogenic variant in the MSH6 gene. To date, this case is only the second report of a de novo pathogenic variant in the MSH6 gene in Lynch syndrome. De novo mutations have been extensively studied over the past years, but little is known about their origin and mechanism of occurrence in MMR genes. However, knowledge of mutation status allows better cancer risk management for the patient and an appropriate genetic testing and counseling for her family.

Lorsque la pandemie de Covid-19 est apparue en France, les Ehpad ont ete tout particulierement touches. Si la surmortalite qui y a alors ete constatee s’explique par la sante fragile de ses residents, leur difficulte a appliquer les gestes barrieres ou encore par le mode de vie collectif en ces etablissements, l’augmentation tout aussi importante des phenomenes de glissement alors observes a mis en evidence le caractere potentiellement deletere de la mesure d’endiguement mise en place pour juguler la propagation du virus. Ce qui visait a proteger les residents les a en realite arraches a ce qui leur donnait le gout de vivre et les a precipites vers la mort. Le dilemme moral ainsi manifeste met en evidence non seulement la vulnerabilite de l’existence humaine, mais aussi la beaute et la grandeur qui lui sont indissolublement associees des lors que nous nous mettons a l’ecole du Dieu vulnerable qui se revele en Jesus-Christ.

Dupilumab-associated ocular surface disease (DAOSD) is of particular relevance in patients with atopic dermatitis (AD). Guidance on DAOSD assessment and management in the Australian setting is needed to reduce its impact and minimise disruption to treatment.A systematic review of the literature was undertaken to identify data pertaining to the incidence, pathophysiology, risk factors and management of DAOSD. A critical review of this literature was used to inform a decision framework for dupilumab-prescribers and develop a graded severity scoring tool to guide appropriate management options.DAOSD typically emerges within 4 months of commencing dupilumab and the occurrence of new events diminishes over time. The reported incidence varies widely depending on the nature and source of the data: 8.6-22.1% (clinical trials programme), 0.5-70% (real-world data; differences in study size, duration of follow-up, ophthalmologist intervention, use of prophylaxis). Occurrence increases with AD severity and in patients with prior history of ocular disease; pathophysiology is still to be fully characterised. Management options have evolved over time and include lubricants/artificial tears, corticosteroids, calcineurin inhibitors, antihistamines, anti-inflammatory agents and antimicrobial agents. Current therapies aim to resolve symptoms or reduce severity to levels sufficiently tolerable to enable continuation of dupilumab therapy.Recommendations for DAOSD assessment and management include identification of high-risk patients, vigilance for red flags (keratoconus, herpetic and bacterial keratitis), regular assessment of symptom severity (before and during dupilumab therapy), conservative management of mild DAOSD by the prescribing physician and ophthalmologist referral for collaborative care of moderate-severe DAOSD and high-risk patients.

MS is characterized by chronic and immune-mediated inflammatory lesions of the brain white matter, disseminated in time and space. As the technology improved over the next three decades, MRI quickly grew to become the single most important paraclinical diagnostic and monitoring tool available. A lesion will be defined as having a high T2/FLAIR signal ≥ 3 millimeters in diameter. The purpose of this study, witch includes 95 patients, was to investigate the benefit of a computer assisted detection reading using combined automated co-registration and lesion color-coding method approach, over a conventional reading approach in follow-up examinations of patients with MS, especially regarding diagnostic accuracy, inter/intra-reader agreement and required reading time. The impact of the use of a structured report on these variables will also be evaluated. The main judgment criteria will be : diagnostic accuracy (effectiveness) to assess the progression-activity of the disease based on the appearance of a T2w-FLAIR hyperintensity or a T1w enhancement on the follow-up examination, compared between consensus corrected CADR and CR readings.The reading of the examinations will be made by radiologists and radiology technician.

We report the case of a 57-year-old woman who presented with local invasion of the anal canal by mucinous adenocarcinoma, the malignant transformation of a long-term preexisting retrorectal tailgut cyst. This progression is infrequent and justifies preemptive surgical treatment of retrorectal cysts.

Dynamic Velocity Prediction Programs are taking an increasingly prominent role in high performance yacht design, as they allow to deal with seakeeping abilities and stability issues. Their validation is however often neglected for lack of time and data. This paper presents an experimental campaign carried out in the towing tank of the Ecole Centrale de Nantes, France, to validate the hull modeling in use in a previously presented Dynamic Velocity Prediction Program. Even though with foils, hulls are less frequently immersed, a reliable hull modeling is necessary to properly simulate the critical transient phases such as touchdowns and takeoffs. The model is a multihull float with a waterline length of 2.5 m. Measurements were made in head waves in both captive and semi-captive conditions (free to heave and pitch), with the model towed at constant yaw and speed. To get as close as possible to real sailing conditions, experiments were made at both zero and non-zero leeway angles, sweeping a wide range of speed values, with Froude numbers up to 1.2. Both linear and nonlinear wave conditions were studied in order to test the limits of the modeling approach, with wave steepness reaching up to 7% in captive conditions and 3.5% in semi-captive ones. The paper presents the design and methodology of the experiments, as well as comparisons of measured loads and motions with simulations. Loads are shown to be consistent, with a good representation of the sustained non-linearities. Pitch and heave motions depict an encouraging correlation which confirms that the modeling approach is valid.

Soil organic matter (SOM) in tropical forests is an important store of carbon (C) and nutrients. Although SOM storage could be affected by global changes via altered plant productivity, we know relatively little about SOM stabilisation and turnover in tropical forests compared to temperate systems. Here, we investigated changes in soil C and N within particle size fractions representing particulate organic matter (POM) and mineral-associated organic matter (MAOM) after 13 years of experimental litter removal (L−) and litter addition (L+) treatments in a lowland tropical forest. We hypothesized that reduced nitrogen (N) availability in L− plots would result in N-mining of MAOM, whereas long-term litter addition would increase POM, without altering the C:N ratio of SOM fractions. Overall, SOM-N declined more than SOM-C with litter removal, providing evidence of N-mining in the L− plots, which increased the soil C:N ratio. However, contrary to expectations, the C:N ratio increased most in the largest POM fraction, whereas the C:N ratio of MAOM remained unchanged. We did not observe the expected increases in POM with litter addition, which we attribute to rapid turnover of unprotected SOM. Measurements of ion exchange rates to assess changes in N availability and soil chemistry revealed that litter removal increased the mobility of ammonium-N and aluminium, whereas litter addition increased the mobility of nitrate-N and iron, which could indicate SOM priming in both treatments. Our study suggests that altered litter inputs affect multiple processes contributing to SOM storage and we propose potential mechanisms to inform future work.

Injection of foams can be used to optimize different gas injection processes such as CCUS (Carbon Capture Use & Storage) and possibly to boost oil recovery kinetics in heterogenous or naturally fractured reservoirs (Enick R.M. 2012). In this case, foams, which are more viscous and dense than gases, aim at limiting early gas breakthrough during field operation by improving the sweeping efficiency of reservoirs and by blocking the most permeable areas of the latters (A. Al Sumaiti 2017, Chabert M. and D'Souza D. 2016). A large part of the world oil reservoirs that have already been operated by primary and secondary recovery methods are carbonate reservoirs and are mostly located in the Middle East (Talebian S.H. 2014). In these reservoirs, which are often operated by CO2 injection, the adsorption of surfactants on positively charged carbonates may be a major hindrance to foam injection (Pownall 1989, Cui L. and Ma K. 2014). That is why, cationic surfactants have been developed for these CO2 foam applications (Chen Y. 2016). However, these cationics are often hardly soluble at pH>6 (Jian G. 2019) and/or not industrially avalaible (Cui et Dubos 2018). For this study, we selected three different cationic surfactants. Using automated robotic platforms, we explored a large range of surfactant combination (combining each cationic surfactant with a whole co-surfactant portfolio) at high temperature and in a hard concentrated brine (120g/LTDS, [Ca2+]= 8100ppm). We show that adding co-surfactants to each of these cationics boosts their foaming properties in porous media as well as their solubility at high pH (pH=8) while maintaining low levels of adsorption on carbonates. While a high shear rate is required for cationic surfactants to generate foam in sandpacks, formulations combining cationics and co-surfactants form foams at much lower shear rates. Moreover, the fact that these formulations are soluble at pH=8 means that, on field, the water would no longer need to be acidified at the wellhead to solubilize the surfactant blend. Thus, pipe corrosion induced by the flow of acidified solutions in the surface facilities is prevented. Lastly, all the molecules that are tested in this study are industrially available.

Resume Nous rapportons le cas d’une jeune fille de 13 ans presentant une dermatose bulleuse recurrente depuis 1 an, pour laquelle l’hypothese diagnostique de dermatose factice, non soumise au pathologiste par le dermatologue, a pu etre proposee a la suite de l’observation de lesions histologiques singulieres, correspondant a une bulle cutanee associee a une necrose epidermique avec keratinocytes multinuclees. Lorsqu’une dermatose factice est suspectee, la biopsie cutanee sert habituellement a eliminer les diagnostics differentiels et notamment une dermatose bulleuse auto immune en cas de bulle cutanee. Il est rare d’obtenir l’« aveu » des patients. L’apport de signe histologique positif de dermatose factice serait utile pour conforter le diagnostic dans les cas difficiles.

Resume Objectifs Presenter les moyens disponibles pour affirmer l’obstruction sous-vesicale (OSV), leurs valeurs diagnostiques et pronostiques respectives et leurs indications. Methodes Une revue de la litterature a ete effectuee a l’aide de la base de donnees Medline/PubMed et SCOPUS recherchant les articles traitant de l’evaluation preoperatoire de l’obstruction sous-vesicale. Resultats L’indication d’une chirurgie de desobstruction est basee sur un faisceau d’arguments cliniques et selon les cas radiologiques, endoscopiques et urodynamiques. Outre l’examen clinique et la debitmetrie avec mesure du residu postmictionnel, l’echographie et l’endoscopie peuvent apporter des arguments en faveur d’une OSV. Bien que le bilan urodynamique ne soit pas systematique avant chirurgie de desobstruction (en particulier prostatique), l’etude pression debit reste le gold standard, l’OSV etant, en soi, un concept urodynamique. L’interpretation de l’etude pression debit se fait a l’aide du nomogramme de l’ICS chez l’homme avec calcul de l’index d’OSV (Bladder outlet obstruction index = PdetQmax−2 qmax). Chez la femme il n’existe pas de critere consensuel definissant l’OSV urodynamique. Bien que peu developpe en France, l’examen video-urodynamique qui associe la fluoroscopie au bilan urodynamique standard peut etre un outil d’interet dans la recherche preoperatoire d’une OSV. Plusieurs pistes d’alternatives non invasives a l’urodynamique ont ete evaluees au cours des dernieres annees comme le condom test, le penile cuff test ou les biomarqueurs urinaires mais restent tous du domaine de la recherche clinique. Conclusion L’affirmation de l’OSV en preoperatoire repose, stricto sensu, sur l’examen urodynamique avec etude pression debit, l’OSV etant en soi un concept urodynamique. Toutefois l’urodynamique n’est pas indique de maniere systematique avant chirurgie de desobstruction, notamment prostatique. L’examen clinique et la debitmetrie libre avec mesure du residu post-mictionnel restent les bases indispensables de l’evaluation d’une OSV a pratiquer de maniere systematique en preoperatoire.

Resume Introduction Cinq cas d’eruption induite a tropisme sebace (EITS) liee a la consommation d’extrait de kava-kava ont ete decrits dans la litterature medicale sous le nom de « sebotropic drug reaction ». Nous rapportons un cas apres consommation de pollen d’abeille. Observation Un homme de 37 ans consultait pour l’apparition de plaques erythematopapuleuses fixes du visage, de la partie superieure du tronc et des epaules. Le bilan biologique sanguin standard etait normal en dehors d’une hyperleucocytose a polynucleaires neutrophiles a 9,8G/l et d’une hypereosinophilie a 1,4G/L. L’examen histologique d’une biopsie d’une plaque du visage a montre des lesions folliculo-centriques caracterisees par une necrose elective des sebocytes des glandes sebacees, associee a un infiltrat riche en eosinophiles. Le patient avait commence a consommer des granules de pollen d’abeille 3 semaines avant le debut des symptomes. Apres avoir cesse la consommation du pollen, l’eruption regressait en 3 semaines. Des patchs tests (batterie ICDRG, propolis 1 % vaseline et pollen d’abeille apporte par le patient, pur et dilue a 30 % dans de la vaseline) etaient negatifs a 48 et 72 h. Discussion Nous avons retenu le diagnostic d’EITS suite a la consommation de pollen d’abeille. Le diagnostic repose sur un exantheme papuleux des zones riches en glandes sebacees survenant 2 a 3 semaines apres le debut de la prise de la substance incriminee, caracterise par une necrose inflammatoire des glandes sebacees a l’histologie. Conclusion Nous rapportons un cas d’EITS apres ingestion de pollen d’abeille.

The Triple Negative Breast Cancer (TNBC), despite a good initial response to conventional chemotherapy, relapses frequently and has a poor prognosis after the onset of metastases. It is therefore interesting to develop new relevant targets to establish a prognosis but also potentially to propose a targeted therapy for a theranostic approach. A high density of M2-type macrophages presence in the primary TNBC tumor predicted an unfavorable prognosis. The presence of activated M2-type macrophages can be evaluated by measuring the expression of a translocating protein (TSPO) with [18F]-DPA-714 PETCT. This proof-of-concept study with [18F]-DPA-714 PET-CT has a design to establish the correlation between immunohistochemistry tumor characterization and in vivo imaging. If a valid correlation will be established, [18F]-DPA-714 PET-CT could be a based image prognosis biomarker, apart from pathological data, which can be fragmented as biopsy or modified by previous treatments. It would allow adapting early the type/dose-intensity of treatment and considering developments of treatments targeting M2-type macrophages

In heavy oil reservoirs operated by steam injection, foam has a double benefit. By improving the steam sweep efficiency within the reservoir, foam increases oil recovery while reducing the amount of injected steam. However, in the field, this technology is not always very effective due to the fact that it is difficult to find foaming agents that can withstand temperatures above 200°C. Moreover, the agents that form stable foams at such temperatures are often insoluble at ambient temperature, and therefore difficult to solubilize in the field. Thus, a compromise between good solubility in surface conditions and high temperature foaming performances in the reservoir has to be found. In this study, we show that it is possible to boost chemicals that form foam at very high temperature with an additive to greatly improve their solubility at ambient temperature while maintaining their high foaming performance at high temperature. Two foaming agents of increasing degree of hydrophobicity (H and HH) were initially selected for this study. The first one shows high foaming performances in porous media and in a high-pressure cell at temperatures comprised in between 150 and 220°C. The second one, more hydrophobic, is particularly performant at temperatures comprised in between 220°C and at least 280°C. Using a robotic platform, the temperature at which the foaming solution for agents H and HH needs to be heated to be solubilized, was evaluated with an accuracy of 5°C in four brines (varying salinity and hardness). We found that the temperature at which both agents become soluble is above 60°C, still too high for a field application. In the second part of the study, these hydrophobic molecules were coupled to a pre-selected additive. The resulting mixtures were again qualified in terms of solubility and foaming performances. We show that by coupling these hydrophobic agents with an additive, we are able to maintain their excellent foaming performances while decreasing their solubilisation temperature down to room temperature. To the best of our knowledge, this is the first time that very high temperature foam stability assessment up to 280°C is combined to solubility measurements to design performant foaming solutions that will be easy to handle in the field for steam foam applications. Interestingly, we show that the hydrophobicity of agents that is required for high temperature foam generation can be balanced by a more hydrophilic agent without reducing their foaming performances.

Purpose To adapt the Moorong Self-Efficacy Scale (MSES) in the French language and determine its psychometric proprieties. Materials and methods After a back-translation process, an expert committee was solicited to develop the French Self Efficacy Scale, thanks to a Delphi method, regarding theoretical framework and concepts explored. A total of 201 patients with SCI were included to explore internal consistency, internal and external structure validity assessed with the General Self-Efficacy scale, MOS Health Survey Short-Form, Hospital Anxiety and Depression Scale, Way of Coping Check-list, Perceived Stress Scale, Social Support Questionnaire, Self-Esteem questionnaire, and Satisfaction With Life Scale. The retest was performed 4 days later with a randomized version of the MSES-Fr. Results The 16 items are distributed in 3 different dimensions: Interpersonal Self-Efficacy (4 items), Instrumental Self-Efficacy (4 items) and Participation Self-Efficacy (6 items). The internal consistency was excellent (Cronbach α = .87). Results evidenced significant correlations with the MSES-Fr and other related psychological constructs (self-esteem, mood, quality of life). Reproducibility was good for the total score of the MSES-Fr (ICC = .74) and for the 3 dimensions of the scale. Conclusions The MSES-Fr is a valid and reliable tool to assess self-efficacy in persons with spinal cord injury.Implications for rehabilitationThe Moorong Self-Efficacy Scale (MSES) is commonly used in persons with SCI for evaluating the level of perceived effectiveness in living with a disability.Validity and reliability studies of the MSES-Fr show good psychometrics properties in people with SCI.The French version of the MSES has been cross-culturally translated and is ready to be used clinically.

INTRODUCTION AND OBJECTIVE:Several studies have suggested that spina bifida patients may have a poorer response to intradetrusor botulinum toxin A (BTX-A) injections than other neurological populat...

STUDY DESIGN: Prospective, open label, observational. OBJECTIVES: To present results of the first clinical study on a newly developed robotic exoskeleton (Atalante®, Wandercraft, Paris, France) that enables individuals with spinal cord injury (SCI) to perform ambulatory functions without technical aids. SETTING: Two sites specialized in SCI rehabilitation, France. METHODS: Inclusion criteria were presence of chronic complete SCI (AIS A) ranging from T5 to T12. The study protocol included 12 one-hour training sessions during 3 weeks. Patients walked on floor with robotic assistance and wore a harness connected to a mobile suspension system (without weight-bearing) to prevent from falling. Main outcome was the ability to walk 10 meters unassisted, secondary outcomes were assessment of other ambulatory functions, bladder and bowel functions, pain and spasticity. RESULTS: Twelve patients were enrolled, and 11 completed the protocol, mean age 33,9 years. Six patients had T6 levels of lesion or above. Seven patients passed the 10mWT at the 12th session unassisted (mean walking speed 0.13 m/s) while four required some human help. All patients succeeded at the other ambulatory tests (stand-up, sit-down, balance, turn). There were no significant change for bladder (Qualiveen) or bowel (NBD) functions, neuropathic pain (NPSI, NPRS), yet five patients reported a subjective improvement of their bowel function. Impact on spasticity was variable depending on the muscle examined (Ashworth). Ischial skin erosion was seen in one patient that needed local dressing. CONCLUSION: The Atalante system is safe and enables to perform ambulatory functions in patients with complete SCI.

International audience; This study combined culture-dependent (strain isolation plus molecular identification) and culture-independent (metabarcoding) approaches to characterize the diversity of microbiota on wheat and oilseed rape residues. The goal was to develop a methodology to culture microorganisms with the aim of being able to establish synthetic crop residue microbial communities for further study, i.e., testing potential interactions within these communities and characterizing groups of beneficial taxa that could be used as biological control agents against plant pathogens. We generated community-based culture collections. We adapted the isolation strategy to the potential differences in the spatial and temporal distribution of diversity between bacteria and fungi. We performed (i) a high-throughput isolation from few samples with no a priori for bacteria and (ii) a low-throughput isolation from several samples with a priori—i.e., morphotype selection—for fungi. Although isolation using a single medium did not allow us to characterize the microbiome as precisely as metabarcoding, the bacterial diversity (158 ASVs, 36 genera) was relatively higher than the fungal diversity (131 ASVs, 17 genera) known to be limited by competition for growth on non-selective solid media. Isolation and metabarcoding provided consistent and complementary information: they revealed several common but also specific ASVs, leading to close microbial community profiles of the most abundant fungal and bacterial taxa in residues. Finally, by empirically comparing the different profiles, we assessed the cultivability of the most abundant fungal and bacterial taxa obtained in metabarcoding.

Purpose To report anti-viral therapy and outcomes for patients with herpes simplex keratitis (HSK) in a quaternary centre in Sydney, Australia. Methods A retrospective case review of patients who received anti-viral medications for any form of HSK was conducted. Cases were identified from pathology results, pharmacy records and hospital coding data from 2012 to 2013. Clinical details including initial anti-viral treatment and outcome were collated from the medical records. Outcome was determined from when initial anti-viral treatment was stopped or changed, and classified as either clinically resolved, partially resolved or worsened for therapeutic indication; or as either success or failure for prophylaxis. Results Anti-viral therapy was given for therapeutic and prophylactic indications at presentation in 252 (85%) and 44 patients (15%), respectively. Topical aciclovir five times daily and valaciclovir in doses ranging from 500 mg to 1 g, one to three times daily were the preferred anti-viral therapies. One hundred and fourteen patients (n = 114/296, 38.5%) also received topical corticosteroids. An outcome was determined for 210/296 (71%) patients. For therapeutic indication, half of the patients (90/174) partially resolved within 8 days, with best outcomes achieved for endothelial HSK (8/11, 73%) and keratouveitis (21/36, 58%). Adverse events, observed in 20% (35/174) of patients, included corneal perforation (n = 8) and secondary bacterial keratitis (n = 6). Prophylaxis with antiviral therapy was successful in two-thirds of patients after 6 months. Conclusions Clinical and visual outcomes varied with the type of HSK and prescribed therapies. Diverse initial anti-viral therapies were identified; standardising them may improve outcomes.

The aim of this study was to investigate the disease-specific urinary levels variations of neurotrophins (NGF, BDNF), mediators of inflammation (TGFβ-1, PGE-2) and markers of extracellular matrix alterations (TIMP-2) in patients with multiple sclerosis (MS) spinal cord injury (SCI), or spina bifida (SB), and neurogenic detrusor overactivity (NDO). A prospective single-center study was conducted between March 2015 and March 2017. Patients aged over 18 years old, with neurological disease, with a urodynamic diagnosis of NDO were included. The urinary levels of NGF, BDNF, TIMP-2, PGE 2, and TGF-β1 were measured using dedicated ELISA kits. Forty-one patients were included: 6 with MS, 20 with SCI, and 15 with spina bifida. The average urinary level of NGF/Cr was significantly higher in MS patients compared to other neurologic populations (8 vs. 0.56 vs. 1.25 pg/mg of creatinine; p = 0.001) as well for the average urinary level of BDNF (88.3 vs. 5 vs. 4.8 pg/mg of creatinine; p

Purpose We aimed to review the current knowledge on the epidemiology, diagnosis, and management of urinary and sexual dysfunction in patients with TTR amyloidosis (ATTR). Methods We performed a review of the literature, screening for randomized controlled trials, prospective and retrospective series, position papers, and guidelines on urinary and sexual dysfunction in ATTR patients published in PubMed and Embase. Results Lower urinary tract dysfunction is present in up to 83% of patients with ATTR. Voiding symptoms are the most common, reported in 34.8−87.5% of patients, while urinary tract infections are reported in up to 50%. Urinary incontinence is observed in 16.7−37.5% of the ATTR population, mostly due to decreased urethral resistance. Sexual dysfunction affects over 40% of ATTR patients, with erectile dysfunction and sexual arousal disorder being the most common symptoms in male and female patients, respectively. In addition to a thorough clinical examination, invasive pressure-flow urodynamic testing is a cornerstone in the assessment of ATTR lower urinary tract dysfunction. The most common finding is detrusor underactivity and intrinsic sphincter deficiency. Poor bladder compliance can also be observed in patients, due to amyloid deposits on the bladder wall. Urinary tract imaging may be of interest to rule out upper urinary tract deterioration. Given the paucity of data in the ATTR population, treatment should be tailored to the individual patient. Conclusion Urinary and sexual dysfunction are highly prevalent in ATTR patients. Comprehensive assessment and multidisciplinary management are keys to avoiding upper urinary tract damage and improving patients’ quality of life.

Resume Le cystadenome sereux dans sa variante microkystique du pancreas est une entite rare, caracterisee par son siege corporeocaudal et son association classique au syndrome de von Hippel-Lindau. Le patient est d’ordinaire asymptomatique et la decouverte de ces lesions est souvent fortuite. Habituellement, l’imagerie suffit a affirmer le diagnostic. A l’examen histologique, cette lesion est caracterisee par ses cellules a large cytoplasme clarifie pouvant etre confondues avec d’autres neoplasies a cellules claires. Une etude immunohistochimique permet d’eliminer les principaux diagnostics differentiels que sont la metastase d’un carcinome renal a cellules claires, la tumeur neuroendocrine bien differenciee ou la tumeur pseudo-papillaire et solide du pancreas. Enfin, ces tumeurs sont considerees comme benignes, au pronostic excellent. Nous rapportons ici deux cas de cystadenomes sereux microkystiques du pancreas decouverts fortuitement chez des patientes asymptomatiques, et proposons une revue de la litterature afin de rappeler les principales caracteristiques et causes d’erreurs diagnostiques.

To evaluate the determinants and prognostic value of post-operative maximum urethral closure pressure (MUCP) after AUS implantation in male patients. The charts of all male patients who had an AUS implantation between 2008 and 2018 at a single center were reviewed retrospectively for an exploratory study. A post-operative urethral profilometry was performed systematically as part of routine daily practice over the study period to assess the post-operative MUCP with the AUS consecutively closed (c-MUCP) and opened (o-MUCP). The difference between c-MUCP and the manufacturer’s theoretical pressure objective determined by the pressure regulating balloon (PRB) was calculated (diff-th-MUCP). The primary endpoint was social continence at 3 months defined as 0–1 protection/day. Ninety patients were included. The median age was 71 years, and the median follow-up was 50 months. The etiology of incontinence was radical prostatectomy in 84% of cases, and endoscopic prostate surgery in 6.6% of patients. There were 74.4% of patients who were socially continent at 3 months. The c-MCUP was significantly higher in the continent group (53 [42.2, 60.2] vs 62 [58, 70] p = 0.02). The diff-th-MUCP did not differ significantly between the two groups (18 [0, 23] vs 1 [− 2, 7.7] p = 0.29). The c-MUCP was not statistically associated with the risk of revision and/or explantation. The MUCP after AUS implantation in male patients often differs from the manufacturer’s pressure objective. The postoperative c-MUCP might be significantly associated with functional outcomes suggesting that it might be a valuable tool for treatment decision-making. This should be confirmed by larger studies.

Background: Heterogeneity and lack of targeted therapies represent the two main impediments to precision treatment of triple-negative breast cancer (TNBC), and therefore, molecular subtyping and identification of therapeutic pathways are required to optimize medical care. The aim of the present study was to define robust TNBC subtypes with clinical relevance. Methods: Gene expression profiling by means of DNA chips was conducted in an internal TNBC cohort composed of 238 patients. In addition, external data (n = 257), obtained by using the same DNA chip, were used for validation. Fuzzy clustering was followed by functional annotation of the clusters. Immunohistochemistry was used to confirm transcriptomics results: CD138 and CD20 were used to test for plasma cell and B lymphocyte infiltrations, respectively; MECA79 and CD31 for tertiary lymphoid structures; and UCHL1/PGP9.5 and S100 for neurogenesis. Results: We identified three molecular clusters within TNBC: one molecular apocrine (C1) and two basal-like-enriched (C2 and C3). C2 presented pro-tumorigenic immune response (immune suppressive), high neurogenesis (nerve infiltration), and high biological aggressiveness. In contrast, C3 exhibited adaptive immune response associated with complete B cell differentiation that occurs in tertiary lymphoid structures, and immune checkpoint upregulation. External cohort subtyping by means of the same approach proved the robustness of these results. Furthermore, plasma cell and B lymphocyte infiltrates, tertiary lymphoid structures, and neurogenesis were validated at the protein levels by means of histological evaluation and immunohistochemistry. Conclusion: Our work showed that TNBC can be subcategorized in three different subtypes characterized by marked biological features, some of which could be targeted by specific therapies., SCOPUS: ar.j, info:eu-repo/semantics/published

Background: We explored, within the EORTC10994 study, the outcomes for patients with molecular apocrine (MA) breast cancer, and defined immunohistochemistry (IHC) as androgen-receptor (AR) positive, oestrogen (ER) and progesterone (PR) negative. We also assessed the concordance between IHC and gene expression arrays (GEA) in the identification of MA cancers. Methods: Centrally assessed biopsies for AR, ER, PR, HER2 and Ki67 by IHC were classified into six subtypes: MA, triple-negative (TN) basal-like, luminal A, luminal B HER2 negative, luminal B HER2 positive and “other”. The two main objectives were the pCR rates and survival outcomes in the overall MA subtype (and further divided by HER2 status) and the remaining five subtypes. Results: IHC subtyping was obtained in 846 eligible patients. Ninety-three (11%) tumours were classified as the MA subtype. Both IHC and GEA data were available for 64 patients. In this subset, IHC concordance was 88.3% in identifying MA tumours compared with GEA. Within the MA subtype, pCR was observed in 33.3% of the patients (95% CI: 29.4–43.9) and the 5-year recurrence-free interval was 59.2% (95% CI: 48.2–68.6). Patients with MA and TN basal-like tumours have lower survival outcomes. Conclusions: Irrespective of their HER2 status, the prognosis for MA tumours remains poor and adjuvant trials evaluating anti-androgens should be considered., SCOPUS: ar.j, info:eu-repo/semantics/published

Resume Introduction Le present article constitue le rapport de la reunion de travail multi-disciplinaire organisee par le GRAPPPA (groupe de recherche appliquee a la pathologie pelvi-perineale des personnes âgees). L’objectif est de dresser une synthese de l’utilisation de la toxine botulinique A (TBA) dans la prise en charge des troubles pelvi-perineaux du sujet âge. Methodes Le present article a ete construit comme une revue comprehensive de la litterature, associant donnees issues de la litterature scientifique et avis d’experts. La revue systematique de la litterature a ete menee a partir de la base de donnees bibliographique MedLine (National Library of Medicine). Concernant les injections intra-detrusoriennes de TBA, seuls les articles rapportant des resultats specifiques chez les sujets âges (> 65 ans) etaient inclus. Concernant les autres localisations, compte-tenu du nombre restreint de donnees, tous les articles rapportant les resultats de la TBA etaient systematiquement inclus, quelle que soient la population etudiee. En cas de donnees manquantes ou insuffisantes, des avis d’expert etaient formules. Resultats Bien que les donnees issues de cette population specifique soient limitees, il semble que la TBA pourrait etre proposee chez le sujet âge sans critere de fragilite dans la prise en charge de l’HAV, avec taux de succes comparable aux patients jeunes a 3 mois (88,9 % vs 91,2 %), 6 mois (49,4 % vs 52,1 %) et 12 mois (23,1 % vs 22,3 %), et une diminution significative du nombre de mictions quotidiennes (11,4 vs 5,29 p Conclusion La TBA presente un interet dans la prise en charge de divers troubles pelvi-perineaux du sujet âge, et ses differentes applications devraient etre mieux evaluees au sein de cette population specifique tant en termes de securite que d’efficacite.

International audience; Selective inhibition of BCL-2 is expected to enhance therapeutic vulnerability in luminal estrogen receptor-positive breast cancers. We show here that the BCL-2 dependency of luminal tumor cells is nevertheless mitigated by breast cancer-associated fibroblasts (bCAFs) in a manner that defines MCL-1 as another critical therapeutic target. bCAFs favor MCL-1 expression and apoptotic resistance in luminal cancer cells in a IL-6 dependent manner while their own, robust, survival also relies on MCL-1. Studies based on ex vivo cultures of human luminal breast cancer tissues further argue that the contribution of stroma-derived signals to MCL-1 expression shapes BCL-2 dependency. Thus, MCL-1 inhibitors are beneficial for targeted apoptosis of breast tumor ecosystems, even in a subtype where MCL-1 dependency is not intrinsically driven by oncogenic pathways.

e12557 Background: Triple-negative breast cancer (TNBC) tends to exhibit aggressive behavior lacking from targeted therapies. Tumor-associated-macrophages (TAMs as M2 and M1 macrophages) are interest targets in TNBC to approach the tumor patient immunity. The mitochondrial translocator protein (TSPO), a sensitive marker for macrophages, could be interesting for TNBC micro-environment stratification. We performed a multicenter imaging pilot study (NCT04320030) using non-invasive [18F]DPA-714 (DPA), a TSPO PET radioligand, aiming at assessing immunity to define the immunotherapy possibilities in TNBC patients. Methods: All patients underwent TSPO genotyping (LAB: Low Affinity Binder, MAB: Mixed and HAB: High), [18F]FDG (FDG) and DPA PET-CT, macrophages immunochemistry and in vitro TSPO autoradiography using both tritiated PK11195 (PK) and DPA. Thorax PET-CT was acquired just after injection (DPA1) to 30 min, then from 45 min (DPA2) to 60 min, followed by a whole body PET-CT. Groups of interest (Macrophages immunochemistry and Genotype) were compared using Kruskal-Wallis test. Correlation between continuous parameters were determined using Spearman’s Rho. Results: A total of 13 TNBC patients were included. No adverse events occurred after DPA injection. For TSPO genotyping, 2/13 (15.5%) patients were LAB, 6/13 (46%) MAB and 5/13 (38.5%) HAB. All of them showed FDG and DPA uptake regardless of the patient's genotype without significant difference between the 3 groups. The DPA kinetics showed a tracer accumulation between DPA1 and DPA2, whatever patient genotypes, observed on SUVmax (p = 0.0015), SUVmean (p = 0.0015) and TL-DPA (p = 0.0024). A correlation between FDG and DPA1 either DPA2 tumor volume was shown, respectively (p = 0.0252 and 0.0067) as well as between the TLG (FDG) and the TL-DPA1 (p = 0.0346) regardless of the patient's genotype. Macrophages immunochemistry showed a tendency difference for M2 percentage (p = 0.09) between the 3 genotypes groups. In vitro binding ratio (PK/DPA), measured for both radioligands, on adjacent tumor slices, was 1.77 (1.35-2.21). A difference in this binding ratio was observed between MAB and HAB (Mean 1.68±0.36) compared to LAB 3.04±0.23 (p = 0.0367), suggesting that DPA binding is sensitive to TSPO genotype, unlike PK binding. Conclusions: Despite the limited population, all TNBC tumor patients were DPA positive with an accumulation over time. The total glycolysis and total DPA uptake in the tumor were correlated, which may link tumor aggressiveness and DPA uptake. These data were confirmed by a better sensitivity for HAB and MAB vs LAB. DPA seemed to be a promising tracer to explore non-invasively TNBC patient’s immunity. Clinical trial information: NCT04320030.