University of Lorraine

About: University of Lorraine is a education organization based out in Nancy, France. It is known for research contribution in the topics: Population & Context (language use). The organization has 11942 authors who have published 25010 publications receiving 425227 citations. The organization is also known as: Lorraine University.

The potential role and rationale for treatment of heart failure with sodium-glucose co-transporter 2 inhibitors.

Abstract: Heart failure (HF) and type 2 diabetes mellitus (T2DM) are both growing public health concerns contributing to major medical and economic burdens to society. T2DM increases the risk of HF, frequently occurs concomitantly with HF, and worsens the prognosis of HF. Several anti-hyperglycaemic medications have been associated with a concern for worse HF outcomes. More recently, the results of the EMPA-REG OUTCOME trial showed that the sodium-glucose co-transporter 2 (SGLT2) inhibitor empagliflozin was associated with a pronounced and precocious 38% reduction in cardiovascular mortality in subjects with T2DM and established cardiovascular disease [Correction added on 8 September 2017, after first online publication: "32%" in the previous sentence was corrected to "38%"]. These benefits were more related to a reduction in incident HF events rather than to ischaemic vascular endpoints. Several mechanisms have been put forward to explain these benefits, which also raise the possibility of using these drugs as therapies not only in the prevention of HF, but also for the treatment of patients with established HF regardless of the presence or absence of diabetes. Several large trials are currently exploring this postulate.

Cardiac and Kidney Benefits of Empagliflozin in Heart Failure Across the Spectrum of Kidney Function: Insights From EMPEROR-Reduced.

Abstract: Background: In EMPEROR-Reduced (Empagliflozin Outcome Trial in Patients With Chronic Heart Failure With Reduced Ejection Fraction), empagliflozin reduced cardiovascular death or heart failure (HF) ...

Microbial community dynamics in replicate anaerobic digesters exposed sequentially to increasing organic loading rate, acidosis, and process recovery

Abstract: Volatile fatty acid intoxication (acidosis), a common process failure recorded in anaerobic reactors, leads to drastic losses in methane production. Unfortunately, little is known about the microbial mechanisms underlining acidosis and the potential to recover the process. In this study, triplicate mesophilic anaerobic reactors of 100 L were exposed to acidosis resulting from an excessive feeding with sugar beet pulp and were compared to a steady-state reactor. Stable operational conditions at the beginning of the experiment initially led to similar microbial populations in the four reactors, as revealed by 16S rRNA gene T-RFLP and high-throughput amplicon sequencing. Bacteroidetes and Firmicutes were the two dominant phyla, and although they were represented by a high number of operational taxonomic units, only a few were dominant. Once the environment became deterministic (selective pressure from an increased substrate feeding), microbial populations started to diverge between the overfed reactors. Interestingly, most of bacteria and archaea showed redundant functional adaptation to the changing environmental conditions. However, the dominant Bacteroidales were resistant to high volatile fatty acids content and low pH. The severe acidosis did not eradicate archaea and a clear shift in archaeal populations from acetotrophic to hydrogenotrophic methanogenesis occurred in the overfed reactors. After 11 days of severe acidosis (pH 5.2 ± 0.4), the process was quickly recovered (restoration of the biogas production with methane content above 50 %) in the overfed reactors, by adjusting the pH to around 7 using NaOH and NaHCO3. In this study we show that once the replicate reactors are confronted with sub-optimal conditions, their microbial populations start to evolve differentially. Furthermore the alterations of commonly used microbial parameters to monitor the process, such as richness, evenness and diversity indices were unsuccessful to predict the process failure. At the same time, we tentatively propose the replacement of the dominant Methanosaeta sp. in this case by Methanoculleus sp., to be a potential warning indicator of acidosis.

Dendritic Crystallization: A Single Process for all the Textures of Olivine in Basalts?

Abstract: The olivine macrocrysts found in oceanites, picrites and magnesian basalts erupted at hotspot volcanoes are generally interpreted either as phenocrysts crystallized from the magma or as xenocrysts extracted from a deforming cumulate. To constrain the origin of these crystals we studied their texture and composition at Piton de la Fournaise volcano, La Reunion. We show that macrocrysts are organized and subdivided into parallel units; this suggests a crystallization by dendritic growth and ripening rather than by a complex combination of paired nucleation, crystal aggregation or synneusis. Dendritic growth is also evidenced by the occurrence of hollow faces, P-rich zones, melt and Cr-spinel inclusions formed from the accumulation of slow diffusing impurities (P, Cr, Al) in the liquid at the contact with rapid-growing olivine. We suggest that early dendritic crystallization may even cause branch misorientations and lattice mismatches, yielding subgrain boundaries, dislocation lamellae and to a certain extent undulose extinction, which have all been formerly interpreted in terms of plastic intracrystalline deformation. We interpret olivine macrocrysts as phenocrysts crystallized under a strong degree of undercooling (-ΔT > 60°C), and derived from a harrisitic mush formed on the cold walls of the magma reservoir. Given the growth shapes indicated by P zoning patterns and external faces, the olivine macrocrysts (which consist of groups of several subcrystals) have grown in suspension within the liquid and were neither aggregated into a dense cumulate nor corroded, shocked or deformed before or during their transport to the surface. The major consequence of our study is that most olivine macrocrysts are not xenocrysts, and very few of them, if any, have experienced intracrystalline deformation. The importance of deforming (creeping) cumulate bodies, thought to accommodate the spreading of basaltic volcanoes in La Reunion and Hawaii, may hence have been overestimated.