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The use of colloidal particles to prepare and stabilize emulsions, known as "Pickering emulsions “, has aroused growing interest in recent years. Pickering and Ramsden demonstrated at the beginning of the last century the feasibility of surfactant-free emulsions, in presence of these emulsions is called "Pickering Emulsions". This concept of emulsions stabilized by solid particles is experiencing renewed interest nowadays given the many advantages it offers good stability, environmental protection, user safety, and particle varieties. The first part is devoted to the synthesis of Eudragit RSPO and pol epsilon-caprolactone nanoparticles and their characterization. The characterization of the nanoparticles is performed by dynamic light scattering and geometry. The understanding of the interfacial behavior of these nanoparticles and their associated stabilization mechanisms for emulsions was carried out. The second part of the study investigated the formulation and stabilization of the emulsion using the washed suspension containing the nanoparticles as the only stabilizer. The objective of this part is to stabilize and characterize the formulated emulsions. Droplet size determination and microscopy were performed using a Zeiss optical microscope. The direction of the formulated emulsions was determined by conductimetry. In conclusion, Pickering emulsions stabilized solely by Eudragit RSPO and Poly-epsilon Caprolactone nanoparticles appear to be highly effective innovative drug carriers, opening new doors as potential drug delivery systems.

This study investigates the formulation of surfactant-free Pickering emulsions that release a drug at a specific pH to improve its oral bioavailability. The stabilizing particles composed of magnesium carbonate particles. Pickering oil-in-water emulsions stabilized with magnesium carbonate particles and encapsulating a hydrophobic drug model (ibuprofen) were formulated using a high-energy process with rotor-stator turbo mixer (IKA® T25 digital ultra-Turrax). The experimental approach explored the impact of all formulation parameters, dispersed phase and amount of magnesium carbonate particles on the physicochemical properties of Pickering emulsions. The O/W Pickering emulsion was characterized by a methylene blue test, pH and conductivity measurements, and droplet size determination. In addition, Pickering emulsions stabilized by magnesium carbonate particles have the advantage of being destabilized in acidic medium leading to the release of the active principle via the droplets. The acidic medium release study (pH equal to 1.2) showed ibuprofen release as a function of initial droplet loading and saturation concentration. In the simulated intestinal medium at pH equal to 6.8, we found a better release of ibuprofen from emulsions that already had saturation in an acid medium. Thus, the interest of these Pickering emulsions lies on the fact that their non-toxicity and magnesium carbonate particles allow destabilization of the emulsions and release of the drug. These emulsions not only protect patients from the side effects of acid-based drugs, but also contribute to increase the bioavailability of these acidic drugs. Keywords: emulsion -Pickering-magnesium carbonate- ibuprofen-oral bioavailability

Les rhumatismes inflammatoires chroniques sont une cause importante d'invalidité dans le monde entier. De ce fait, les affections rhumatismales chroniques font peser une lourde charge sociale et économique sur toutes les sociétés, pas seulement sur celles où l’espérance de vie est élevée. L’objectif principal de ce travail était d’étudier le profil de libération pH-dépendante de principes actifs hydrophobes à partir d’oléogels oraux et/ou cutanés. La formulation des oléogels a été réalisée selon une méthode sol-gel, reproductible à grande échelle. La caractérisation et le suivi dans le temps ont montré une bonne stabilité des oléogels. Les valeurs de pH des oléogels étaient globalement acides (entre 4,3 et 5,8) et dépendaient de la quantité de gélifiant utilisée. Les études de libération du kétoprofène, principe actif hydrophobe, en fonction du pH des milieux de dissolution ont montré des profils de libération d’une cinétique du premier ordre d’équation 𝑷𝒕=𝑷𝟎+𝑨.𝒆𝒙𝒑𝑲𝒕 avec des coefficients de détermination proches de 1 (milieux à pH égal à 1,2 et 5,5). Une meilleure libération du kétoprofène a été obtenue dans un milieu intestinal simulé (pH égal à 6,8) pour les formulations qui présentaient déjà une saturation en milieu gastrique simulé (pH égal à 1,2). Cette étude qui a permis de formuler, d’évaluer et de modéliser le profil de libération du kétoprofène à partir d’oléogels peut constituer une étape importante dans un objectif de souveraineté thérapeutique des pays d’Afrique subsaharienne notamment le Sénégal.Mots clés : Oléogels, rhumatismes inflammatoires chroniques, kétoprofène, libération contrôlée, pH-dépendant. English Title: pH-dependent controlled release systems of hydrophobic active pharmaceutical ingredients from oleogels Chronic inflammatory rheumatism is a major cause of disability around the world. As a result, chronic rheumatic diseases place a heavy social and economic burden on all societies, not just those with high life expectancy. The main objective of this work was to control the pH-dependent release of hydrophobic active pharmaceutical ingredients from oral and / or skin oleogels. The formulation of the oleogels was carried out using a sol-gel large-scale reproducible method. Characterization and monitoring over time have shown good stability of the oleogels. The pH values of the oleogels were overall acid (between 4.3 and 5.8) and depended on the amount of gelling agent used. The release studies of ketoprofen, a hydrophobic active pharmaceutical ingredient, as a function of the pH of the dissolution media have shown release profiles of first-order kinetics of equation 𝑷𝒕=𝑷𝟎+𝑨.𝒆𝒙𝒑𝑲𝒕 with coefficients of determination close to 1 (media at pH equal to 1.2 and 5.5). Better release of ketoprofen was obtained in simulated intestinal medium (pH equal to 6.8) for formulations which already exhibited saturation in simulated gastric medium (pH equal to 1.2). This study, which made it possible to formulate, evaluate and model the release profile of ketoprofen from oleogels, may constitute an important step in an objective of therapeutic sovereignty of the countries of sub-Saharan Africa, particularly Senegal.Keywords: oleogels - chronic inflammatory rheumatism - ketoprofen - controlled release – pH-dependent.

Nanomedicine has been a booming industry with the development of nanovectors to encapsulate water-soluble or amphiphilic molecules for drug delivery. As the new therapeutic agents synthesized are increasingly lipophilic, the development of new nanoparticulate vectors allowing their transport and targeting is now a major challenge. These particles are lipid nanoparticles, a few hundred nanometers in diameter, stabilized by a layer of surfactants composed of castor oil and stealth agents. Solid lipid nanoparticles based on shea butter, stabilized by cremophor® ELP, encapsulating griseofulvin, were formulated by the temperature phase inversion method. The shea butter nanoparticles thus obtained were the subject of characterization relating to: determination of the morphology, size, polydispersity index, pH and zeta potential. The results confirm the stability of our preparations. The anti-inflammatory activity of shea butter being known, the tests were carried out on mice. The inflammation was induced by a solution of croton oil acetone. There is a very big improvement in anti-inflammatory activity. This is due to better penetration of the preparation through the different layers of the skin. Griseofulvin release studies have been carried out on our various preparations. Systems designed as reservoirs of active ingredients and intended for a priori controlled release obey kinetics of the order of one-half (½) corresponding to a proportionality between the quantity released and the square root of time. Shea butter in nanoparticulate forms has thus enabled us to considerably prolong the release of griseofulvin. Keywords: Nanoparticles; Shea Butter; Inflammation; Griseofulvin.

Introduction: Fatigue fractures are secondary to excessive, unusual, repeated mechanical stress, occurring on healthy bone. Bone scintigraphy (BS) with 99mTc-HMDP is an excellent means of diagnosis. We report a case of stress fracture of the calcaneus with scintigraphic diagnosis, in a marathon runner. Patient and Methods: He is a 40-year-old athlete in overtraining with right calcaneal pain on running, intense at first, moderate in the middle and then persistent after exercise. The interrogation found no trauma to the right foot and the x-ray of the foot was without abnormality. The so 3 phases were performed following an injection of 564 MBq of 99mTc-HMDP, with a SPECT gamma camera. Results: Bone scintigraphy found in the early phase, hyper-perfusion and hyper-fixation of the right calcaneal region compared to its left counterpart and in the bone phase persistence of focal hyperfixation opposite the right calcaneus. This scintigraphic aspect of the right calcaneus in an overtrained marathon runner, in a painful context and in front of a normal X-ray, made us evoke a fracture of fatigue. A complementary CT scan performed two days after the BS was without abnormality. Conclusion: Fatigue fractures are micro-fractures generally not noticed on radiography and CT. BS due to its high sensitivity is an excellent or the best tool for the early diagnosis of stress fractures.

Multiple emulsions are of great therapeutic interest especially in the administration of medicines which can be inactivated by digestive enzymes; moreover the researches of formulation not being often easy, a control of the different phases physicochemical parameters would be of great interest in rapid formulations and at low cost. When formulating emulsions, the preliminary tests, also known as formulation tests, constitute a step which can be long and expensive because of the quantity of reagents that can be used. A rigorous methodology could thus be of great interest, which is at the aim of our study which consists of evaluating the physico-chemical parameters of different phases used to make thus multiple emulsions. In our study, physico-chemical parameters such as conductivity, pH, density, viscosity, and surface tension have been studied by direct measurement using equipment and also by means of suitable mounting. The results showed that the pH and the surface tension have an important role in the prediction of the stability of emulsions, these latter must be of the same order of magnitude. For all phases conductivity does not have too much interest apart from helping to determine the type of the emulsion.

International audience; The purpose of this study was to develop Pickering water-in-oil nano-emulsions only stabilized by Eudragit RL100 nanoparticles (NPs), in order to increase the nano-emulsion stability and create a barrier to improve the drug encapsulation and better control the drug release. The first part of this study was dedicated to investigating the nano-emulsion formulation by ultrasonication and understanding the interfacial behavior and role of NPs in the stabilization of the water/oil interface. The focus was on the surface coverage in the function of the formulation parameters (volume fractions) to disclose the extents and limitations of the process. The main physicochemical analysis of the Pickering nano-emulsions was performed by dynamic light scattering and transmission electron microscopy. On the other hand, the second experimental approach was dedicated to understanding the interfacial behavior of the Eudragit RL100 NPs toward a model water/oil interface, using a dynamic tensiometer with axisymmetric drop shape analysis. The study investigated the NPs’ adsorption, as well as their rheological behavior. The aim of this part was to reveal the main phenomena that govern the interactions between NPs and the interface in order to understand the origin of Pickering nano-emulsions’ stability. The last part of the study was concerned with the stability and in vitro release of a model encapsulated drug (ketoprofen) in a gastric and simulated intestinal environment. The results showed that Pickering nano-emulsions significantly improved the resistance to gastric pH, inducing a significantly slower drug release compared to classical nano-emulsions’ stabilized surfactants. These Pickering nano-emulsions appear as a promising technology to modify the delivery of a therapeutic agent, in the function of the pH, and can be, for instance, applied to the oral drug delivery of poorly soluble drugs.

International audience; This study investigates the formulation of surfactant-free Pickering nano-emulsions able to release a drug at specific pH, in order to enhance its oral bioavailability. The stabilizing nanoparticles composed of magnesium hydroxide, were obtained by nano-precipitation method. The oil-in-water Pickering nano-emulsions stabilized with Mg(OH)2 nanoparticles, and encapsulating a model of hydrophobic drug (ibuprofen) were formulated following a high-energy process, using a sonication probe. The experimental approach explored the impact of all formulation parameters, composition and size of Mg(OH)2 nanoparticles, on the physico-chemical properties of the Pickering nano-emulsions. The system was characterized by DLS and transmission electron microscopy. In addition, Mg(OH)2 has the advantage of being solubilized in an acid medium leading to the destabilization of the nano-emulsion and the release of the active ingredient orally. The acid release study (pH = 1.2) showed cumulative release as a function of initial nanodroplet loading and saturation concentration. In basic media (pH = 6.8), we found a significant release of ibuprofen from the nano-emulsions that already had saturation in an acid medium. These nano-emulsions can not only protect patients from the side effects of acid medicines through the basic properties of hydroxides but also can contribute to the increase of the bioavailability of these drugs. In addition, once in the stomach pH is increased by hydroxides and promotes the release of active ingredients such as ibuprofen whose solubility is strongly influenced by pH.

Pickering emulsions are systems without surfactants, stabilized by solid particles. These emulsions are experiencing a renewed interest, on the one hand, because it is preferable to limit the use of synthetic surfactants for toxicological and environmental reasons and, on the other hand, the need to make new formulations in order to control the drug release patterns by encapsulation or controlled release. Thus, we were interested in the formulation and evaluation of W / O Pickering emulsions stabilized by particles of magnesium oxide with tramadol hydrochloride in the internal phase. The Bancroft rule served as a model for the formulation. The emulsification was carried out by progressively adding an aqueous phase dispersed in an oil-dispersing phase using a turbo rotor stator mixer. The stability of these emulsions was studied using several parameters (droplet size, pH, viscosity, conductivity...) and the qualitative and quantitative analysis of the active ingredient by UV-visible spectrophotometry. The results obtained showed that the dye test and the conductivity measurement confirmed the W / O nature of these emulsions. Some parameters such as droplet size, pH and viscosity were strongly influenced by the amounts of Magnesium oxide particles and the active ingredient. The qualitative and quantitative analysis of the active ingredient confirmed the presence of tramadol in the internal aqueous phase. Thus, we have succeeded in developing a stable W / O Pickering emulsion with magnesium oxide particles. In addition, we were able to encapsulate tramadol in the dispersed aqueous phase.

The aim of the study was to evaluate the contribution to moscintigraphy of myocardial perfusion (TSMP) with 99mTc-sestamibi in the management of suspected or known coronary patients’s population. It included 42 patients with an average age of 57.02 ± 9.77 years with extremes ranging from 36 to 77 years. The pre-test probability in 38 patients was high in 7 patients (18.42%), intermediate in 29 patients (76.31%) and low in 2 patients (5.26%). Patients with a high pre-test probability had a positive scintigraphy. Among the 26 patients who underwent transthoracic ultrasound (TTU), 10 with normal kinetics on trans-thoracic ultrasound (TTU) had positive scintigraphy. For 16 patients with TTU abnormalities, 6 had negative scintigraphy and 10 had positive scintigraphy. The TSMP was positive for 28 patients (66.66%). Among these patients, 16 had pure ischemia, 57.14% (16/28), 7 pure necrosis (25%), and 5 both necrosis and ischemia. Myocardial perfusion scintigraphy remains a very contributory consideration in the management of coronary disease. This is synchronized with the electrocardiogram (ECG) and is an important diagnostic and prognostic tool for coronary artery disease. It also provides a good indication of coronary angiography.

The problems of agriculture in Senegal result in a low yield per hectare and poor seed quality contributing strongly to the decline in productivity. Mutagenesis by X- or Y-ray irradiation makes it possible to obtain genetic mutants necessary to improve production. It is in this context that we undertook this study to evaluate the effects induced on the cultivation of peanut seeds irradiated by X-rays at low doses applied in radiotherapy. X-ray irradiation of four (2, 3, 4, 5) lots of peanuts are performed with respectively 0.5, 1.5, 2 and 4 Gray using the cobalt 60 therapy device (Alcyon II). The seeding of the seeds and then the following-up of the crops during 35 days allowed us to study the parameters of germination, growth and yield. The results obtained after monitoring revealed that the irradiation did not have any significant impact on germination and would appear to temporarily inhibit the growth rate compared to the control batch. However, the decrease in weight of the harvested seeds can be explained by the absence of fertilizer during the cultivation.

The development of biomaterials with low environmental impact has seen increased interest in recent years. In this field, lipid nanoparticles have found a privileged place in research and industry. The purpose of this study was to develop Pickering O/W nano-emulsions only stabilized by solid lipid nanoparticles (SLNs), as a new generation of safe, non-toxic, biocompatible, and temperature-sensitive lipid nano-carriers. The first part is dedicated to understanding the interfacial behavior of SLNs and their related stabilization mechanisms onto nano-emulsions formulated by ultrasonication. Investigations were focused on the surface coverage as a function of the SLN size and volume fraction of dispersed oil, in order to prove that the droplet stabilization is effectively performed by the nanoparticles, and to disclose the limitations of this formulation. Characterization is performed by dynamic light scattering and transmission electron microscopy. The second part of the study investigated SLN adsorption on a model oil/water interface (surface tension and rheology) through an axisymmetrical drop shape analysis (drop tensiometer), following the interfacial tension and the rheological behavior. The objective of this part is to characterize the phenomenon governing the droplet/interface interactions, and disclose the rheological behavior of the interfacial SLN monolayer. The effect of temperature was also investigated, proving a real destabilization of the nano-suspension when the sample is heated above a temperature threshold, impacting on the integrity of the SLNs, which partially melt, and strongly enhancing the release of a model drug (ketoprofen) encapsulated in the nano-emulsion oil core. To conclude, Pickering nano-emulsions only stabilized by SLNs appear to be a very efficient innovative drug nano-carrier, opening new doors as a potential temperature-sensitive drug delivery system.

The purpose of this study was to develop a pH-thermosensitive oral chitosan-based hydrogels, able to release phenobarbital in the small intestine of the newborn. Phenobarbital is an active drug used in neonatal treatment of epilepsy. pH-thermosensitive hydrogels will improve its bioavailability and therapeutic efficiency with less side effects. This study allowed us to understand the free energy variation at the interface between chitosan chains themselves and the surrounding available molecules with its interactions behavour. Indeed, inverted tube method was used to prepare hydrogels containing 2.45 and 2.55% of chitosan, eudragitE100 and phenobarbital at 37+/-1°C via sol-gel transition. The characterization of their morphology was done by using XL SIRION 200 FEG SEM. In addition, conductivity, refractive index and density’s values were determinated. The phenobarbital release mechanism from hydrogels at different pH values, simulating the gastrointestinal tract of the newborn was also studed. UV / visible spectrophotometer SHIMADZU from the UV-2400PC series was used to determine the phenobarbital released amount as a function of time. The results showed that sol-gel transition time decreases when the chitosan concentration increases. In addition, it showed that the hydrogels structure was heterogeneous and the phenobarbital released amount were more important at pH simulating the small intestine at 2.45% of chitosan, final solution’s pH6.85 and with the presence of eudragitE100. These results were confirmed by conductivity’s values. The sols and hydrogels had a comparable refractive index and density’s values. The Korsmeyer-Peppas model was used to fit the phenobarbital release profiles. In short, the hydrogels formulated lend themselves to a phenobarbital pulsatile release usable in the newborn. The phenobarbital release profiles fitting makes possible to predict the phenobarbital amounts, which will be released at the action sites according to the need.

This study investigates the formulation of surfactant-free Pickering emulsions that release a drug at a specific pH to improve its oral bioavailability. The stabilizing nanoparticles composed of hydroxyapatite were obtained by a process of nanoprecipitation. Pickering oil-in-water emulsions stabilized with hydroxyapatite nanoparticles and encapsulating a hydrophobic drug model (ibuprofen) were formulated using a high-energy process with rotor-stator turbo mixer (IKA® T25 digital ultra-Turrax). The experimental approach explored the impact of all formulation parameters, dispersed phase and amount of hydroxyapatite nanoparticles on the physicochemical properties of Pickering emulsions. The system was characterized by a methylene blue test, pH and conductivity measurements, and droplet size determination. In addition, Pickering emulsions stabilized by hydroxyapatite nanoparticles have the advantage of being destabilized in acidic medium leading to the release of the active principle via the droplets. The acidic medium release study (pH equal to 1.2) showed ibuprofen release as a function of initial droplet loading and saturation concentration. In the simulated intestinal medium at pH equal to 6.8, we found a better release of ibuprofen from emulsions that already had saturation in an acid medium. Thus, the interest of these Pickering emulsions lies on the fact that their non-toxicity and hydroxyapatite nanoparticles have advantage of being biocompatible because having the same mineral composition as bones and teeth. In addition, they allow destabilization of the emulsions and release of the drug. These emulsions not only protect patients from the side effects of acid-based drugs, but also contribute to increase the bioavailability of these acidic drugs.

There are two problems that hinder the use of double emulsions in pharmacies: large-scale equipment not available for one-step emulsification and obtaining a double emulsion and limited ingredients available to replace the tension-active agents as primary emulsifier because these surfactants are toxic. To overcome these difficulties, a two-stage emulsification strategy has been developed, first generating a water-in-oil Pickering emulsion stabilized by magnesium oxide particles and then the double W/O/W emulsion, thereby reducing significantly the amount of voltage-active. Pickering emulsions are surfactant-free emulsions, stabilized by colloidal particles. These systems are experiencing renewed interest on the one hand, because it is preferable to limit the use of synthetic surfactants for ecological reasons, and on the other hand, because the functionalization of particles has undergone recent advances. It is possible to make very simple calibrated emulsions of controlled size, exploiting a phenomenon called "limited coalescence". The Bancroft rule served as a model for the formulation. The emulsification was carried out using a rotor stator mixer. The stability of these emulsions has been studied using several parameters (pH, conductivity, droplet size, dye test). The dye test and the conductivity measurement confirmed the W/O nature of the emulsion and W/O/W nature of the double emulsion. This study showed that we were able to develop a saturated double W/O/W emulsion.

This review work focuses mainly on the formulation, characterization, physicochemical properties and parameters of stability of emulsions stabilized by solid particles (Pickering emulsions). This concept of emulsions stabilized by particles strong knows a renewed interest in our days saw the benefits they present: good stability, protection of the environment, safety of users, types of particles etc. The adsorption of the solid particles at the oil-water interface is almost irreversible and strong, leading to the formation of a dense film, creating a barrier around the droplets and thus making the droplets very resistant to coalescence. Recently, the possibilities of application of emulsions stabilized by particles are considered in the pharmaceutical industry. This type of formulation may be a potential system of encapsulation of the active ingredients, allowing controlled and targeted release of the active ingredient from the internal phase.

L’insuffisance renale chronique est un des problemes majeurs de la sante publique dans le monde. Au Senegal, une etude recente realisee dans la population generale adulte avait retrouve une prevalence de l’ordre de 6,1%. «L’eau pour dilution de concentrees d’hemodialyse» est produite en continue et utilisee en grande quantite chez l’hemodialyse chronique, donc il apparait primordial de veiller a sa bonne qualite. Au Senegal, aucune etude n’a ete faite a ce jour pour evaluer l’efficacite du systeme de traitement de l’eau pour dilution des concentres de dialyse dans les differents centres de dialyse du pays. L’objectif de ce travail est de controler l’efficacite du systeme de traitement de l’eau pour dilution de concentrees d’hemodialyse afin de s’assurer de son innocuite. Les prelevements ont ete effectues au niveau de trois points cles du circuit de traitement de l’eau pour hemodialyse. A l’entree et a la sortie de l’osmoseur, a la sortie de la boucle de distribution. Les analyses ont ete effectuees a l’aide d’electrodes specifiques. Les valeurs de potentiels ont permis de tracer les courbes d’etalonnage. La determination par regression des pentes et des ordonnees a l’origine de la relation de Nernst donne E(mV ) = B - A Log Cm avec des coefficients de correlation variant entre 0,988 et 0,999 prouvant que 98% au moins des variations de tensions mesurees (E) sont attribuables a la concentration. L’analyse physico-chimique des teneurs en chlorures, nitrates et fluorures revele des teneurs plus elevees a l’entree de l’osmoseur qu’a la sortie. Ces basses valeurs decoulent du role de l’osmoseur qui filtre une grande partie des electrolytes. Par contre, a la sortie de la boucle de distribution les teneurs en electrolytes des differents echantillons etaient plus importantes que celles a la sortie de l’osmoseur. Cette forte concentration en electrolytes atteste d’une pollution par la boucle de distribution de l’eau deja filtree par l’osmoseur. L’interet de cette etude reside dans le fait qu’elle met en lumiere l’importance du controle de la qualite de l’eau pour l’hemodialyse et la necessite d’un bon planning de maintenance preventive efficace de l’ensemble de la boucle de traitement d’eau au sein de chaque centre. © 2016 International Formulae Group. All rights reserved. Mots cles: Hemodialyse, eau, chlorures, fluorures, nitrates, electrodes specifiques English Title: Physicochemical analysis of Saint–Louis regional hospital’s hemodialysis unit’s water (Senegal) English Abstract Chronic kidney disease is a major public health problem worldwide. In Senegal, a recent study in the general adult population found a prevalence of about 6,1%. "Water for diluting concentrated hemodialysis" is produced and used continuously at high levels in hemodialysis chronic. It is therefore essential to ensure its quality. In Senegal, no study has been done to assess the effectiveness of water treatment system for dialysis concentrates dilution in different dialysis centers of the country. The objective of this work is to monitor the effectiveness of the water treatment system for hemodialysis concentrated dilution to ensure its safety. The samples were taken on key issues of hemodialysis water’s treatment circuit. Three levels of sampling were selected. At the entrance and at the outlet of the reverse osmosis unit at the outlet of the distribution loop. Analyses were performed using specific electrodes. Potential values allowed us to map the calibration curves. Determination by regression of slopes and intercepts of the Nernst relation gives with correlation coefficients ranging from 0.988 to 0.999 showing that at least 98% of the measured voltages fluctuations (E) are attributable to the concentration. Physicochemical analysis of the levels of chlorides, nitrates and fluorides reveals higher levels at the entrance of the reverse osmosis unit than at the outlet. These low values resulting of the role of reverse osmosis which filter much of the electrolytes. For against, at the outlet of the distribution loop the electrolyte content of the different samples were greater than those at the outlet of the reverse osmosis unit. This high electrolyte concentration attests to pollution of the water distribution loop already filtered by reverse osmosis. The interest of this study lies in the fact that it highlights the importance of monitoring the quality of water for hemodialysis and the need for good planning for effective preventive maintenance throughout the water treatment loop within each center. © 2016 International Formulae Group. All rights reserved. Keywords: Hemodialysis, water, nitrates, fluoride, chloride, specific electrodes

Le cancer du col de l’uterus est actuellement le deuxieme cancer gynecologique apres celui de l’endometre. Pres de 50% des cas diagnostiques a travers le monde pourraient profiter de la radiotherapie dont l’efficacite depend en partie du taux d’hemoglobine. Ainsi, nous avons entrepris d’evaluer l’influence du taux d’hemoglobine sur la reponse a la radiotherapie des cancers du col de l’uterus. Il s’agit d’une etude retrospective de janvier 2006 a janvier 2009 portant sur 31 dossiers de patientes admises pour un cancer du col de l’uterus et ayant beneficie d’une radiotherapie exclusive. L’âge moyen des patientes etait de 53 ans. Les tranches d’âge les plus representees etaient celles de 44 a 55 ans et de 55 a 66 ans avec respectivement 16 et 12 patientes. Plus de la moitie des patientes 61,29% etaient anemiees en debut de traitement. Des doses elevees de radiations etaient retrouvees chez les patientes anemiees. En effet, certains auteurs ont montre que les patientes anemiees avant de subir une radiotherapie developpaient une radioresistance tumorale liee a l’hypoxie tissulaire expliquant ces doses elevees. Ces resultats suggerent une collaboration entre radiotherapeutes et biologistes pour un diagnostic precoce (clinique, biologique) de l’anemie et un suivi biologique des patientes pendant leur traitement afin d’eviter les radioresistances tumorales et les effets radio-induits tardifs. Mots cles : Anemie, cancer, col uterin, radiotherapie.