Search

The acylcarnitine (AC) profile has been shown to be altered in survivors of a prolonged stay in intensive care unit (ICU), with higher short-chain derivates compared to reference ranges. The present study aimed at describing the AC profile of patients surviving a short ICU stay versus patients surviving a >7-day multiple organ dysfunction. Patients discharged from ICU after an elective and non-complicated cardiac surgery (CS) were recruited. For each CS, one to two adults, matched for gender and age, were recruited among patients enrolled in our post-ICU follow-up program after an ICU stay ≥7 days (PS). In both groups, the AC profile was determined during the week following ICU discharge. A total of 50 CS patients (SAPS II 23 (18–27)) survived an ICU stay of 2 (2–3) days and were matched to 85 PS patients (SAPS II 36 (28–51), p < 0.001) who survived an ICU stay of 11 (8–15.5) days. No carnitine deficiency was observed in either group. Their total AC/C0 ratio was similar: 0.355 (0.268–0.415) and 0.358 (0.289–0.417), respectively (p = 0.391). A ratio >0.4 representing a disturbed mitochondrial metabolism was observed in 26/85 (30.6%) PS patients and in 15/50 (30%) CS patients (p > 0.999). The long-chain ACs were elevated in both groups, with a greater increase in the CS group. The short-chain ACs were higher in the PS group: 1.520 (1.178–1.974) vs. 1.185 (0.932–1.895) μmol/L (p < 0.001). The role of the AC profile as potential marker of catabolism and/or mitochondrial dysfunction during the critical illness trajectory should be further investigated.

Background: Thoracic aortic dissection (TAD) is a life-threatening condition which usually occurs on an aneurysmal aortic wall. Although increasing data have shown that inflammation and oxidative stress play an important role in the patho-physiology of dissection, systemic oxidative stress status (OSS) has not been clearly determined in patients suffering from TAD. Methods: A cohort of 115 patients presenting type A or B TAD were admitted to our center from 2013 to 2017. Out of this cohort, 46 patients were included in a study on dissected aorta (LIege study on DIssected Aorta: LIDIA). In 18 out of the 46 patients, systemic OSS parameters were evaluated after TAD diagnosis by determination of eight different antioxidants, four trace elements, two markers of oxidative lipid damage and two inflammatory markers. Results: The 18 TAD patients included 10 men and 8 women (median age: 62 years; interquartile range: 55–68) diagnosed with type A (N = 8) or B (N = 10) TAD. Low plasma levels of vitamin C, β-carotene, γ-tocopherol, thiol proteins, paraoxonase and selenium were observed in these 18 patients. By contrast, the concentration of copper and total hydroperoxides, copper/zinc ratio, as well as inflammatory markers, were higher than the reference intervals. No difference was observed in oxidative stress biomarker concentrations between type A and B TAD patients. Conclusions: This pilot study, limited to 18 TAD patients, revealed a heightened systemic OSS, determined at 15.5 days (median) after the initial diagnosis, in those TAD patients without complications (malperfusion syndrome and aneurysm formation). Larger studies on biological fluids are needed to better characterize the oxidative stress and interpret its consequence in TAD disease.

Abstract Background There are limited data on Coronavirus disease 2019 (COVID-19) in solid organ transplant patients, especially in heart transplant recipients, with only a few case reports and case series described so far. Heart transplant recipients may be at particular high risk due to their comorbidities and immunosuppressed state. Case presentation This report describes the clinical course and the challenging management of early COVID-19 infection in two heart transplant recipients who tested positive for the SARS-CoV-2 virus in the perioperative period of the transplant procedure. The two patients developed a severe form of the disease and ultimately died despite the initiation of an antiviral monotherapy with hydroxychloroquine coupled with the interruption of mycophenolate mofetil. Conclusions These two cases illustrate the severity and poor prognosis of COVID-19 in the perioperative period of a heart transplant. Thorough screening of donors and recipients is mandatory, and the issue of asymptomatic carriers needs to be addressed.

Background: Staphylococcus capitis (S. capitis) is a subtype of coagulase-negative staphylococci and a commensal of the skin of the human scalp and forehead. S. capitis has been occasionally reported in infective endocarditis and rarely in prosthetic valve endocarditis (PVE). The purpose of this report is to present the clinical course and the surgical management of a series of four patients with S. capitis PVE. Methods: The medical records of 190 adult patients with a definite diagnosis of infective endocarditis by the Duke modified criteria and who underwent surgery at our center between January 2008 and December 2018 were retrospectively reviewed. Results: There were four cases of S. capitis infective endocarditis among 190 patients. All were male with an average age of 70.25 years (range, 58–80 years). The four cases were PVE: 3 aortic (1 mechanical and 2 biological bioprostheses) and 1 mitral (bioprosthesis). Their mean Euroscore II was 32.43 (range, 9.19–50.8). Three patients had underlying diseases (diabetes mellitus = 2, chronic obstructive pulmonary disease = 3, chronic kidney disease = 1, peripheral arterial disease = 2, ischemic heart disease = 1, dilated cardiomyopathy = 1). Preoperative clinical presentation was characterized by the occurrence of sepsis in three patients and heart failure and sepsis in one patient. Two patients presented with vegetation (mitral bioprosthesis, aortic bioprosthesis). A prosthetic dehiscence was present in all patients, and two presented with a localized annular abscess. All but one patient received triple antibiotic treatment with vancomycin plus rifampicin plus gentamycin. Surgery was performed on an urgent basis in all patients, and the in-hospital mortality rate was 50%. Conclusions: While limited by the small number of patients, our series highlights the aggressive clinical course of S. capitis PVE with a mortality rate close to that of Staphylococcus aureus PVE. Therefore, early surgical management is recommended to improve the clinical outcome of this serious disease.

Background and Objectives: Since 2015, platelet products have been pathogen-inactivated (PI) at the Luxemburgish Red Cross (LRC) using Riboflavin and UV light (RF-PI). As the LRC should respond to hospital needs at any time, platelet production exceeds the demand, generating a discard rate of 18%. To reduce this, we consider the extension of storage time from 5 to 7 days. This study’s objective was to evaluate the in vitro 7-day platelet-storage quality, comparing two PI technologies, RF-PI and amotosalen/UVA light (AM-PI), for platelet pools from whole-blood donations (PPCs) and apheresis platelets collected from single apheresis donation (APCs). Materials and Methods: For each product type, 6 double-platelet concentrates were prepared and divided into 2 units; one was treated with RF-PI and the other by AM-PI. In vitro platelet-quality parameters were tested pre- and post-PI, at days 5 and 7. Results: Treatment and storage lesions were observed in PPCs and APCs with both PI methods. We found a higher rate of lactate increase and glucose depletion, suggesting a stronger stimulation of the glycolytic pathway, a higher Annexin V binding, and a loss of swirling in the RF-PI-treated units from day 5. The platelet loss was significantly higher in the AM-PI compared with the RF-PI units. Conclusions: Results suggest that RF-PI treatment has a higher deleterious impact on in vitro platelet quality compared to AM-PI, but we observed higher loss of platelets with AM-PI due to the post-illumination amotosalen adsorption step. If 7-day storage is needed, it can only be achieved with AM-PI, based on our quality criteria.

Background: In support of claims that their products have antioxidant properties, the food industry and dietary supplement manufacturers rely solely on the in vitro determination of the ORAC (oxygen radical antioxidant capacity) value, despite its acknowledged lack of any in vivo relevance. It thus appears necessary to use tests exploiting biological materials (blood, white blood cells) capable of producing physiological free radicals, in order to evaluate more adequately the antioxidant capacities of foods such as fruit and vegetable juices. Materials: Two approaches to assessing the antioxidant capacities of 21 commercial fruit and vegetable juices were compared: the ORAC assay and the “PMA–whole blood assay,” which uses whole blood stimulated by phorbol myristate acetate to produce the superoxide anion. We described in another paper the total polyphenol contents (TPCs) and individual phenolic compound contents of all the juices were investigated. Results: Ranking of the juices from highest to lowest antioxidant capacity differed considerably according to the test used, so there was no correlation (r = 0.33, p = 0.13) between the two assays when considering all juices. Although the results of the ORAC assay correlated positively with TPC (r = 0.50, p = 0.02), a much stronger correlation (r = 0.70, p = 0.004) emerged between TPC and % superoxide anion inhibition. In the PMA–whole blood assay, peonidin-3-O-glucoside, epigallocatechin gallate, catechin, and quercetin present in juices were found to inhibit superoxide anion production at concentrations below 1 µM, with a strong positive correlation. Conclusions: Associated with the determination of total and individual phenolic compounds contained in fruit and vegetable juices, the PMA–whole blood assay appears better than the ORAC assay for evaluating juice antioxidant capacity.

Acquiring reliable estimates of the Antarctic Ice Sheet surface mass balance is essential for trustworthy predictions of its evolution and future contribution to sea level rise. Snow height variations, i.e., the net change of the surface elevation resulting from a combination of surface processes such as snowfall, ablation, and wind redistribution, can provide a unique tool to constrain the uncertainty on mass budget estimations. In this study, GNSS Interferometric Reflectometry (GNSS-IR) is exploited to assess the long-term variations of snow accumulation and ablation processes. Eight antennas belonging to the Polar Earth Observing Network (POLENET) network are considered, together with the ROB1 antenna, deployed in the east part of Antarctica by the Royal Observatory of Belgium. For ROB1, which is located on an ice rise, we highlight an annual variation of snow accumulation in April–May (~30–50 cm) and ablation during spring/summer period. A snow surface elevation velocity of +0.08 ± 0.01 ma−1 is observed in the 2013–2016 period, statistically rejecting the “no trend” null hypothesis. As the POLENET stations are all located on moving glaciers, their associated downhill motion must be corrected for using an elevation model. This induces an increased uncertainty on the snow surface elevation change determined from GNSS-IR. Among the eight stations analyzed, only three of them show a long-term snow height variation larger than the uncertainties. One is located on the Flask Galcier in the Antarctic Peninsula, with a decrease of more than 4 m between 2012 and 2014, with an uncertainty of 2.5 m. The second one is located on the Lower Thwaites Glacier where we observe, between 2010 and 2020, a snow surface drop of 10 m, with a conservative uncertainty of 1 m. The third station, located on the West Antarctic Ice Sheet (WAIS) divide, shows on the opposite an upward motion from 2005 to 2019, of 1.2 m with an uncertainty of 0.4 m. The snow surface change of the other POLENET stations analyzed is smaller than the uncertainty associated with the glacier slope.

Background: A key role of oxidative stress has been highlighted in the pathogenesis of COVID-19. However, little has been said about oxidative stress status (OSS) of COVID-19 patients hospitalized in intensive care unit (ICU). Material and Methods: Biomarkers of the systemic OSS included antioxidants (9 assays), trace elements (3 assays), inflammation markers (4 assays) and oxidative damage to lipids (3 assays). Results: Blood samples were drawn after 9 (7–11) and 41 (39–43) days of ICU stay, respectively in 3 and 6 patients. Vitamin C, thiol proteins, reduced glutathione, γ-tocopherol, β-carotene and PAOT® score were significantly decreased compared to laboratory reference values. Selenium concentration was at the limit of the lower reference value. By contrast, the copper/zinc ratio (as a source of oxidative stress) was higher than reference values in 55% of patients while copper was significantly correlated with lipid peroxides (r = 0.95, p < 0.001). Inflammatory biomarkers (C-reactive protein and myeloperoxidase) were significantly increased when compared to normals. Conclusions: The systemic OSS was strongly altered in critically ill COVID-19 patients as evidenced by increased lipid peroxidation but also by deficits in some antioxidants (vitamin C, glutathione, thiol proteins) and trace elements (selenium).

The real impact of polyphenol-rich vegetable and fruit juice intake on cardiovascular health remains a matter of controversy. In the present study, rat aorta segments immersed in an organ bath (OB) were used to explore whether the total polyphenol content and/or individual phenolic compound contents of 22 commercial vegetable (n = 3) and fruit juices [(citrus (n = 5), berries (n = 10), apple (n = 2), pineapple (n = 2)] might be associated with vascular tone. Red juices (particularly blackcurrant) and lemon juice caused the most marked vasorelaxation, its amplitude being endothelium dependent or not according to the volume ratio of juice to initial OB solution Vjuice/VOBS). At volume ratios 5% and 10%, both the juice and OB total polyphenol for all juices and total anthocyanin contents for berry juices significantly correlated with aorta vasorelaxation intensity. This was not the case for total or individual flavonols (except kaempferol) or for total or individual flavanols (except epigallocatechin gallate). If one relates our measured concentrations of individual phenolic compounds in OB to what is known about their physiological concentrations, and given our evidenced correlations between compound concentrations and vasorelaxation intensity, kaempferol, epigallocatechin gallate and peonidin-3-O-glucoside seem to emerge as the interesting phenolic compounds likely to be responsible for the potent vasorelaxation observed with fruit juices, and more particularly blackcurrant ones. Clinical investigation is required, however, to confirm our observations.

The H2020 DEMETRA project provides short latency clock monitoring services to the time users using the Atomium precise point positioning (PPP) software developed by the Royal Observatory of Belgium. In this paper, three recent updates of the current Atomium software are introduced: adding Galileo signals in the PPP computation; the option to constrain the receiver clock; PPP with integer ambiguity resolution. The advantages of these updates are demonstrated: Combining the Galileo and global positioning system (GPS) signals for PPP time transfer will further improve the frequency stability inside the computation batch; PPP with receiver clock constraint is not only used to reduce the short-term noise of the clock measurements but can also be used for some specific applications to a keep continuous clock solution in the computation batch or retrieve correct clock measurements from extremely noisy environments; the integer PPP allows a continuous clock solution, and improves the mid-term and long-term stability of the frequency transfer compared to the current PPP frequency transfer techniques.

For the purpose of human disease prevention, several methods have been developed, and are still developing, to assess the oxidative stress status (OSS) of individuals. In the present paper, we describe an approach based on electrochemical detection able to evaluate skin oxidative stress status (SOSS) as a PAOT (Pouvoir AntiOxydant Total)-Skin Score®. Normal reference values for the PAOT-Skin Score® were: 0−62.94 (n = 263). Intra- and inter-assay coefficients of variation were, respectively, 12.47 ± 4.29% and 7.0 ± 2.5%. Our technology showed increased skin antioxidant activity following topical application of reduced coeznyme Q10 cream or vitamin C intake as orange juice or supplements. Moreover, we found significant correlations between some blood oxidative stress biomarkers and the PAOT-Skin Score® (γ-tocopherol/α-tocopherol ratio (r = 0.43, p = 0.020); copper (r = −0.42, p = 0.022); copper/zinc ratio (r = −0.49, p = 0.006), and lipid peroxides (r = −0.43, p = 0.002)). In addition to being non−invasive, the present electrochemical methodology is also not expensive, fast, and easy to use.

BACKGROUND:Ischemia/reperfusion (I/R) is the most common cause of acute kidney injury (AKI). Its pathophysiology remains unclear. Metabolomics is dedicated to identify metabolites involved in (patho)physiological changes of integrated living systems. Here, we performed 1H-Nuclear Magnetic Resonance metabolomics using urine, serum and kidney samples from a mouse model of renal I/R. METHODS:Renal 30-min ischemia was induced in 12-week-old C57BL/6J male mice by bilaterally clamping vascular pedicles, and was followed by 6, 24 or 48-hour reperfusion (n = 12/group). Sham-operated mice were used as controls. Statistical discriminant analyses, i.e. principal component analysis and orthogonal projections to latent structures (OPLS-DA), were performed on urine, serum and kidney lysates at each time-point. Multivariate receiver operating characteristic (ROC) curves were drawn, and sensitivity and specificity were calculated from ROC confusion matrix (with averaged class probabilities across 100 cross-validations). RESULTS:Urine OPLS-DA analysis showed a net separation between I/R and sham groups, with significant variations in levels of taurine, di- and tri-methylamine, creatine and lactate. Such changes were observed as early as 6 hours post reperfusion. Major metabolome modifications occurred at 24h post reperfusion. At this time-point, correlation coefficients between urine spectra and conventional AKI biomarkers, i.e. serum creatinine and urea levels, reached 0.94 and 0.95, respectively. The area under ROC curve at 6h, 24h and 48h post surgery were 0.73, 0.98 and 0.97, respectively. Similar discriminations were found in kidney samples, with changes in levels of lactate, fatty acids, choline and taurine. By contrast, serum OPLS-DA analysis could not discriminate sham-operated from I/R-exposed animals. CONCLUSIONS:Our study demonstrates that renal I/R in mouse causes early and sustained metabolomic changes in urine and kidney composition. The most implicated pathways at 6h and 24h post reperfusion include gluconeogenesis, taurine and hypotaurine metabolism, whereas protein biosynthesis, glycolysis, and galactose and arginine metabolism are key at 48h post reperfusion.

This article aims at analysing the insertion of the Chinese firms into the East Asian development process known as the “flying geese” pattern. Its main objective is to assess the capacity of the Chinese industrial champions to transform themselves into global competitive multinational enterprises and, therefore, the capacity of the Chinese economy to catch up with the most advanced East Asian economies like Japan or South Korea. It shows that Japanese and Korean firms are still the uncontested technological leaders of Asia and that the largest Chinese firms are far less capital intensive and profitable than their Japanese and South Korean competitors. Finally, this article looks into the global changes that have made extremely difficult for the Chinese industrial champions to follow the successful development path of their Japanese and South Korean competitors.

Various scientific applications and services increasingly demand real-time information on the effects of space weather on Earth’s atmosphere. In this frame, the Royal Observatory of Belgium (ROB) takes advantage of the dense EUREF Permanent GNSS Network (EPN) to monitor the ionosphere over Europe from the measured delays in the GNSS signals, and provides publicly several derived products. The main ROB products consist of ionospheric vertical Total Electron Content (TEC) maps over Europe and their variability estimated in near real-time every 15 min on 0.5° × 0.5° grids using GPS observations. The maps are available online with a latency of ~3 min in IONEX format at ftp://gnss.oma.be and as interactive web pages at www.gnss.be. This paper presents the method used in the ROB-IONO software to generate the maps. The ROB-TEC maps show a good agreement with widely used post-processed products such as IGS and ESA with mean differences of 1.3 ± 0.9 and 0.4 ± 1.6 TECu respectively for the period 2012 to mid-2013. In addition, we tested the reliability of the ROB-IONO software to detect abnormal ionospheric activity during the Halloween 2003 ionospheric storm. For this period, the mean differences with IGS and ESA maps are 0.9 ± 2.2 and 0.6 ± 6.8 TECu respectively with maximum differences (>38 TECu) occurring during the major phase of the storm. These differences are due to the lower resolution in time and space of both IGS and ESA maps compared to the ROB-TEC maps. A description of two recent events, one on March 17, 2013 and one on February 27, 2014 also highlights the capability of the method adopted in the ROB-IONO software to detect in near real-time abnormal ionospheric behaviour over Europe. In that frame, ROB maintains a data base publicly available with identified ionospheric events since 2012.

This paper presents a new empirical model for predicting the daily mean ionospheric Total Electron Content (TEC) at a given latitude from only one solar index as input. For the development of the model we take advantage of the availability of 15 years of global GNSS-based TEC information and solar indices (Sunspot Number, F10.7 and derived F10.7P) including the 23rd solar cycle. Among all the tests, our preferred ionospheric climatological model to predict daily mean TEC presents yearly median differences with observed values of 1.4 ± 0.9 TECu (11.5 ± 2.9% for the relative differences) with no significant degradation during the different phases of the solar cycle. To realize this empirical model we used a least-square adjustment with (1) a combination of linear, annual and semi-annual terms between the TEC and F10.7P; (2) a discretization with respect to the phases of the solar cycle. The main differences between the modelled and the observed TEC occur during identified geomagnetic storms: the maximum differences (−3.2 ± 1.5 TECu) and relative differences (−19.6 ± 15.0%) occur one day after the storm onset. The typical time to retrieve the pre-storm conditions is 3–4 days after the onset. These results show a global picture of the effect of extreme Space Weather events on the Earth’s upper atmosphere.