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Alumina ceramics were prepared by gelcasting, based on an in-situ polymerization that promotes the formation of homogeneous green ceramic parts and allows the preparation of complex shapes and/or large-size ceramics. The influence of the monomer on the sintering behaviour of alumina pellets has been studied by considering three acrylamide-based monomers, i.e. acrylamide (AM), methacrylamide (MAM) and dimethylacrylamide (DMAA). Slurries with an alumina solid content of 50 vol% have been cast and pre-sintered pellets (1000 °C) with relative densities around 55% were obtained. These presintered pellets exhibit different granular packing, depending on the initial monomer used, as demonstrated by X-ray tomography, SEM and Hg porosimetry analyses. This results in significant differences in sintering behaviour, giving rise to very different final densities after 1 h sintering at 1530 °C: from 88% to 98%. This behaviour is described in terms of shrinkage rate, linked to the granular packing induced by the gelation process.

Robust predictions of ecosystem responses to climate change are challenging. To achieve such predictions, ecology has extensively relied on the assumption that community states and dynamics are at equilibrium with climate. However, empirical evidence from Quaternary and contemporary data suggest that species communities rarely follow equilibrium dynamics with climate change. This discrepancy between the conceptual foundation of many predictive models and observed community dynamics casts doubts on our ability to successfully predict future community states. Here we used community response diagrams (CRDs) to empirically investigate the occurrence of different classes of disequilibrium responses in plant communities during the Late Quaternary, and bird communities during modern climate warming in North America. We documented a large variability in types of responses including alternate states, suggesting that equilibrium dynamics are not the most common type of response to climate change. Bird responses appeared less predictable to modern climate warming than plant responses to Late Quaternary climate warming. Furthermore, we showed that baseline climate gradients were a strong predictor of disequilibrium states, while ecological factors such as species' traits had a substantial, but inconsistent effect on the deviation from equilibrium. We conclude that (1) complex temporal community dynamics including stochastic responses, lags, and alternate states are common; (2) assuming equilibrium dynamics to predict biodiversity responses to future climate changes may lead to unsuccessful predictions.

Mother-to-child transmission of chikungunya virus was reported during the 2005–2006 outbreak on Réunion Island, France. To determine the effects of this virus on pregnancy outcomes, we conducted a study of pregnant women in Réunion in 2006. The study population was composed of 1,400 pregnant women (628 uninfected, 658 infected during pregnancy, 27 infected before pregnancy, and 87 infected on unknown dates). We compared pregnancy outcomes for 655 (628 + 27) women not infected during pregnancy with 658 who were infected during pregnancy. Infection occurred during the first trimester for 15% of the infected women, the second for 59%, and the third for 26%. Only hospital admission during pregnancy differed between infected and uninfected women (40% vs. 29%). Other outcomes (cesarean deliveries, obstetric hemorrhaging, preterm births, stillbirths after 22 weeks, birthweight, congenital malformations, and newborn admissions) were similar. This virus had no observable effect on pregnancy outcomes.

BACKGROUND:Since 2003, the tropical arthritogenic chikungunya (CHIK) virus has become an increasingly medical and economic burden in affected areas as it can often result in long-term disabilities. The clinical spectrum of post-CHIK (pCHIK) rheumatic disorders is wide. Evidence-based recommendations are needed to help physicians manage the treatment of afflicted patients. PATIENTS AND METHODS:We conducted a 6-year case series retrospective study in Reunion Island of patients referred to a rheumatologist due to continuous rheumatic or musculoskeletal pains that persisted following CHIK infection. These various disorders were documented in terms of their clinical and therapeutic courses. Post-CHIK de novo chronic inflammatory rheumatisms (CIRs) were identified according to validated criteria. RESULTS:We reviewed 159 patient medical files. Ninety-four patients (59%) who were free of any articular disorder prior to CHIK met the CIR criteria: rheumatoid arthritis (n=40), spondyloarthritis (n=33), undifferentiated polyarthritis (n=21). Bone lesions detectable by radiography occurred in half of the patients (median time: 3.5 years pCHIK). A positive therapeutic response was achieved in 54 out of the 72 patients (75%) who were treated with methotrexate (MTX). Twelve out of the 92 patients (13%) received immunomodulatory biologic agents due to failure of contra-indication of MTX treatment. Other patients mainly presented with mechanical shoulder or knee disorders, bilateral distal polyarthralgia that was frequently associated with oedema at the extremities and tunnel syndromes. These pCHIK musculoskeletal disorders (MSDs) were managed with pain-killers, local and/or general anti-inflammatory drugs, and physiotherapy. CONCLUSION:Rheumatologists in Reunion Island managed CHIK rheumatic disorders in a pragmatic manner following the outbreak in 2006. This retrospective study describes the common mechanical and inflammatory pCHIK disorders. We provide a diagnostic and therapeutic algorithm to help physicians deal with chronic patients, and to limit both functional and economic impacts. The therapeutic indication of MTX in pCHIK CIR could be approved in future efficacy trials.

Species responses to climate change depend on environment, genetics, and interactions among these factors. Intraspecific cytotype (ploidy level) variation is a common type of genetic variation in many species. However, the importance of intraspecific cytotype variation in determining demography across environments is poorly known. We studied quaking aspen (Populus tremuloides), which occurs in diploid and triploid cytotypes. This widespread tree species is experiencing contractions in its western range, which could potentially be linked to cytotype‐dependent drought tolerance. We found that interactions between cytotype and environment drive mortality and recruitment across 503 plots in Colorado. Triploids were more vulnerable to mortality relative to diploids and had reduced recruitment on more drought‐prone and disturbed plots relative to diploids. Furthermore, there was substantial genotype‐dependent variation in demography. Thus, cytotype and genotype variation are associated with decline in this foundation species. Future assessment of demographic responses to climate change will benefit from knowledge of how genetic and environmental mosaics interact to determine species' ecophysiology and demography. [ABSTRACT FROM AUTHOR]

The aim of the present study was to assess the post-pandemic mortality of influenza in patients receiving venovenous extracorporeal membrane oxygenation (VV-ECMO) in Reunion Island, France, by comparing the incidence with other patients undergoing VV-ECMO. Retrospective, descriptive, and single-center cohort study. The primary outcome was the standardized mortality ratio for influenza based on the quartiles of the Respiratory Extracorporeal Membrane Oxygenation Survival Prediction score (RESP Score) in the reference population of patients undergoing VV-ECMO. Intensive care unit (ICU), Felix Guyon Hospital, University Teaching Hospital of La Réunion, La Réunion, France. Consecutive patients on ECMO with positive polymerase chain reaction for influenza. None. One hundred twenty-seven consecutive patients were hospitalized in the ICU with a positive influenza polymerase chain reaction from January 2013 to December 2017. Twenty-four influenza patients underwent ECMO including 18 patients with VV-ECMO. During this period, 72 patients requiring VV-ECMO were hospitalized in the ICU. The overall mortality rate of influenza patients on VV-ECMO was 61% versus 46% for non-influenza patients. The standardized mortality ratio per quartile of RESP Score was 1.28 (95% confidence interval 0.61-2.35). In Reunion, the mortality of patients undergoing VV-ECMO for severe influenza is not lower than the expected mortality of all patients undergoing VV-ECMO. [ABSTRACT FROM AUTHOR]