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Showing papers by "University of Paris published in 1994"


Journal ArticleDOI
TL;DR: A preoperative computed tomography scan grading muscular fatty degeneration in five stages was done in 63 patients scheduled for repair of a torn rotator cuff, finding that infraspinatus degeneration had a highly negative influence on the outcome of suprasp inatus repairs.
Abstract: A preoperative computed tomography (CT) scan grading muscular fatty degeneration in five stages was done in 63 patients scheduled for repair of a torn rotator cuff. The results were compared with postoperative evaluation done after a mean of 17.7 months in 57 patients. Postoperative arthrographies were also performed in 56 patients. Preoperative CT scans demonstrated that infraspinatus fatty degeneration can occur in the presence of large anterosuperior tears even when the infraspinatus tendon is not torn; it worsens with time. The subscapularis rarely degenerates, and when it does it degenerates moderately, even when its tendon is not torn. After an effective surgical repair, moderate supraspinatus degeneration regressed in six of 14 patients; that of the infraspinatus never regressed but rather, increased, in three patients. One of these deteriorations, involving both supra- and infraspinatus, could probably be attributed to a partial subscapular nerve injury. Infraspinatus degeneration was correlated with functional pre- and postoperative impairment of active external rotation. Recurrence of infraspinatus tear was never observed, but recurrence occurred in 25% of supraspinatus repairs. Infraspinatus degeneration had a highly negative influence on the outcome of supraspinatus repairs. It seems preferable to operate on wide tears before irreversible muscular damage takes place.

2,484 citations


Proceedings Article
01 Jan 1994
TL;DR: The main focus in MUCKE is on cleaning large scale Web image corpora and on proposing image representations which are closer to the human interpretation of images.
Abstract: MUCKE aims to mine a large volume of images, to structure them conceptually and to use this conceptual structuring in order to improve large-scale image retrieval. The last decade witnessed important progress concerning low-level image representations. However, there are a number problems which need to be solved in order to unleash the full potential of image mining in applications. The central problem with low-level representations is the mismatch between them and the human interpretation of image content. This problem can be instantiated, for instance, by the incapability of existing descriptors to capture spatial relationships between the concepts represented or by their incapability to convey an explanation of why two images are similar in a content-based image retrieval framework. We start by assessing existing local descriptors for image classification and by proposing to use co-occurrence matrices to better capture spatial relationships in images. The main focus in MUCKE is on cleaning large scale Web image corpora and on proposing image representations which are closer to the human interpretation of images. Consequently, we introduce methods which tackle these two problems and compare results to state of the art methods. Note: some aspects of this deliverable are withheld at this time as they are pending review. Please contact the authors for a preview.

2,134 citations


Journal ArticleDOI
TL;DR: Adverse cutaneous reactions to drugs are frequent, affecting 2 to 3 percent of hospitalized patients, and prompt withdrawal of the offending drug is often the most important action to minimize morbidity.
Abstract: Although the rate of acute severe adverse cutaneous reactions to medications is low, these reactions can affect anyone who takes medications and can result in death or disability1. Even a small number of cases associated with a particular drug may alter the recommendations for its use2–4. Prompt differentiation of severe adverse cutaneous reactions from less serious skin disorders may be difficult. Rapid recognition of severe reactions is essential. Prompt withdrawal of the offending drug is often the most important action to minimize morbidity. Adverse cutaneous reactions to drugs are frequent, affecting 2 to 3 percent of hospitalized . . .

1,425 citations


Book ChapterDOI
TL;DR: Tangent spaces of a sub-Riemannian manifold are themselves sub-riemannians as mentioned in this paper, and they come with an algebraic structure: nilpotent Lie groups with dilations.
Abstract: Tangent spaces of a sub-Riemannian manifold are themselves sub-Riemannian manifolds. They can be defined as metric spaces, using Gromov’s definition of tangent spaces to a metric space, and they turn out to be sub-Riemannian manifolds. Moreover, they come with an algebraic structure: nilpotent Lie groups with dilations. In the classical, Riemannian, case, they are indeed vector spaces, that is, abelian groups with dilations. Actually, the above is true only for regular points. At singular points, instead of nilpotent Lie groups one gets quotient spaces G/H of such groups G.

749 citations



Journal ArticleDOI
TL;DR: In this paper, the major methods and techniques used to examine the likely effects of elevated CO2 on woody plants, as well as the major physiological responses of trees to elevated CO 2 are described.
Abstract: summary Because of their prominent role in the global carbon balance and their possible carbon sequestration, trees are very important organisms in relation to global climatic changes. Knowledge of these processes is the key to understanding the functioning of the whole forest ecosystem which can he modelled and predicted based on the physiological process information. This paper reviews the major methods and techniques used to examine the likely effects of elevated CO2 on woody plants, as well as the major physiological responses of trees to elevated CO2. The available exposure techniques and approaches are described. An overview table with all relevant literature data over the period 1989-93 summarizes the percent changes in biomass, root/shoot ratio, photosynthesis, leaf area and water use efficiency under elevated CO2. Interaction between growth, photosynthesis and nutrition is discussed with a special emphasis on downward regulation of photosynthesis. The stimulation or reduction found in the respiratory processes of woody plants are reviewed, as well as the effect of elevated CO2 on stomatal density, conductance and water use efficiency. Changes in plant quality and their consequences are examined. Changes in underground processes under elevated CO2 are especially emphasized and related to the functioning of the ecosystem. Some directions for future research are put forward.

708 citations


Proceedings ArticleDOI
28 Apr 1994
TL;DR: Toolglass widgets are new user interface tools that can appear, as though on a transparent sheet of glass, between an application and a traditional cursor, and form a see-through interface that offers many advantages over traditional controls.
Abstract: Toolglass widgets are new user interface tools that can appear, as though on a transparent sheet of glass, between an application and a traditional cursor. They can be positioned with one hand while the other positions the cursor. The widgets provide a rich and concise vocabulary for operating on application objects. These widgets may incorporate visual filters, called Magic Lens filters, that modify the presentation of application objects to reveal hidden information, to enhance data of interest, or to suppress distracting information. Together, these tools form a see-through interface that offers many advantages over traditional controls. They provide a new style of interaction that better exploits the user’s everyday skills. They can reduce steps, cursor motion, and errors. Many widgets can be provided in a user interface, by designers and by users, without requiring dedicated screen space. In addition, lenses provide rich context-dependent feedback and the ability to view details and context simultaneously. Our widgets and lenses can be combined to form operation and viewing macros, and can be used over multiple applications. CR

699 citations


Journal ArticleDOI
TL;DR: Measurement of the combined local synthesis of antibodies against measles, rubella, and/or varicella zoster could represent a significant advance if it offers higher specificity (not sensitivity) for identifying chronic rather than acute inflammation.
Abstract: The Committee of the European Concerted Action for Multiple Sclerosis (Charcot Foundation) organised five workshops to discuss CSF analytical standards in the diagnosis of multiple sclerosis. This consensus report from 12 European countries summarises the results of those workshops. It is hoped that neurologists will confer with their colleagues in clinical chemistry to arrange the best possible local practice. The most sensitive method for the detection of oligoclonal immunoglobulin bands is isoelectric focusing. The same amounts of IgG in parallel CSF and serum samples are used and oligoclonal bands are revealed with IgG specific antibody staining. All laboratories performing isoelectric focusing should check their technique at least annually using "blind" standards for the five different CSF and serum patterns. Quantitative measurements of IgG production in the CNS are less sensitive than isoelectric focusing. The preferred method for detection of blood-CSF barrier dysfunction is the albumin quotient. The CSF albumin or total protein concentrations are less satisfactory. These results must be interpreted with reference to the age of the patient and the local method of determination. Cells should be counted. The normal value is no more than 4 cells/microliters. Among evolving optional tests, measurement of the combined local synthesis of antibodies against measles, rubella, and/or varicella zoster could represent a significant advance if it offers higher specificity (not sensitivity) for identifying chronic rather than acute inflammation. Other tests that may have useful correlations with clinical indices include those for oligoclonal free light chains, IgM, IgA, or myelin basic protein concentrations.

617 citations


Journal ArticleDOI
18 Nov 1994-Cell
TL;DR: The introduction of a null mutation of the vimentin gene into the germ line of mice shows that a conspicuous developmental and cell-specific structure that is an integral part of the cytoskeleton can be eliminated without apparent effect on mouse reproduction and development.

593 citations


Journal ArticleDOI
TL;DR: The respiratory burst oxidase catalyzes the production of O2− by activated phagocytes and B lymphocytes, and involves protein kinase C, MAP kinase, or both, and perhaps lipid‐mediated pathways.

576 citations


Journal ArticleDOI
TL;DR: It is shown that this method provides a natural generalization of the classical box-counting techniques to fractal functions (the wavelets actually play the role of “generalized boxes”).
Abstract: The multifractal formalism originally introduced for singular measures is revisited using the wavelet transform. This new approach is based on the definition of partition functions from the wavelet transform modulus maxima. We demonstrate that the f(α) singularity spectrum can be readily determined from the scaling behavior of these partition functions. We show that this method provides a natural generalization of the classical box-counting techniques to fractal functions (the wavelets actually play the role of “generalized boxes”). We report on a systematic comparison between this alternative method and the structure function approach which is commonly used in the context of fully developed turbulence. We comment on the intrinsic limitations of the structure functions which possess fundamental drawbacks and do not provide a full characterization of the singularities of a signal in many cases. We show that our method based on the wavelet transform modulus maxima decomposition works in most situations and ...

Journal ArticleDOI
TL;DR: The prevalences of cryoglobulinemia, rheumatoid factor and antitissue antibodies were significantly higher than those in the control group and patients with chronic hepatitis B, and can be classified into several categories.

Journal ArticleDOI
TL;DR: An extensive study of the dry-friction dynamics of a paper-on-paper system and proposes a heuristic model of low-velocity friction based on two main ingredients, which assumes that the dynamics is controlled by the Brownian motion of an effective creeping volume in a pinning potential, the strength of which increases with age.
Abstract: We perform an extensive study of the dry-friction dynamics of a paper-on-paper system. We explore the dynamical phase diagram by systematically varying the relevant control parameters (driving velocity V, slider mass M, and loading machine stiffness k). A set of experimental results gives strong proof that the low-velocity dynamics is controlled by a creep process, in agreement with previous results from rock mechanics and metals [C. H. Scholz, The Mechanics of Earthquakes and Faulting (Cambridge University Press, Cambridge, 1990), Chap. 2 and references therein; E. Rabinowicz, Proc. Phys. Soc. 71, 668 (1958) and references therein]. At higher velocities, a crossover to inertial dynamics is observed. In each regime, when k is increased, the system bifurcates from periodic stick-slip to steady sliding: in the creep regime, the bifucation is a direct Hopf one; in the inertial regime it becomes subcritical. We identify, from comparison of the time dependence of the static friction coefficient ${\mathrm{\ensuremath{\mu}}}_{\mathit{s}}$(t) and of the velocity dependence of the stationary dynamic one, ${\mathrm{\ensuremath{\mu}}}_{\mathit{d}}$(V), a memory length of the order of 1 \ensuremath{\mu}m. The V dependence of ${\mathrm{\ensuremath{\mu}}}_{\mathit{d}}$(V) changes from V weakening to V strengthening at the creep-inertial crossover. We propose a heuristic model of low-velocity friction based on two main ingredients: (i) following and extending the ideas of Ruina [J. Geophys. Res. 88, 10 359 (1983)], we define a phenomenological contact age accounting for the renewal of physical contacts on the scale of the memory length, and (ii) we assume that the dynamics is controlled by the Brownian motion of an effective creeping volume in a pinning potential, the strength of which increases with age.The crossover from creep to inertial motion then naturally appears as the runaway threshold between thermally activated and free motion. The bifurcation analysis in the creep regime is compared in detail with experimental results, yielding a very satisfactory agreement. When confronted with rock mechanics results, this study strongly suggests that low-velocity creep is quite generic; further studies of this process should in particular bear on models of earthquake dynamics.


Journal ArticleDOI
TL;DR: In this paper, a new proof of convergence of Adomian's method applied to differential equations is presented, along with new formulae and properties, and a simple computational form for adomian polynomials.
Abstract: This paper deals with a new proof of convergence of Adomian's method applied to differential equations. We also give new formulae and properties, and we suggest a simple computational form for Adomian's polynomials.

Journal ArticleDOI
TL;DR: The precise timing of MAP kinase activation versus MPF activation is studied during mouse oocyte maturation and, in parallel, morphological events such as changes in microtubule organization and chromatin condensation are studied.
Abstract: Oocyte meiotic maturation is triggered by different stimuli (hormones, unknown signals through cell interactions) in different species. These stimuli indirectly lead to the activation of a major cell cycle regulating activity, the maturation promoting factor (MPF). Other factors, such as the product of the proto-oncogene c-mos or enzymes of the MAP kinase family, are also involved in the process of maturation. MAP kinase activation occurs during meiotic maturation in oocytes from different species with different kinetics. The relationships between MPF activation and MAP kinase activation have been well studied in species such as clam and Xenopus. In this paper, we study the precise timing of MAP kinase activation (as measured by phosphorylation of exogenous myelin basic protein and shifts in mobility of ERK 1 and ERK 2) versus MPF activation (as measured by phosphorylation of exogenous histone H1) during mouse oocyte maturation and, in parallel, morphological events such as changes in microtubule organization and chromatin condensation. We observed that MAP kinase activation was delayed after MPF activation and that this activity persisted throughout maturation whereas MPF activity dropped between the two meiotic metaphases. After parthenogenetic activation of ovulated eggs, MAP kinase inactivation was very slow compared to MPF inactivation. During the first mitotic cell cycle, a rise in myelin basic protein kinase activity at M-phase was observed but it was not related to MAP kinase activation. Furthermore, microtubules and chromatin remained in a metaphase-like state during the complete period of maturation (including the period between the two meiotic metaphases) and a few hours after activation.(ABSTRACT TRUNCATED AT 250 WORDS)

Journal ArticleDOI
TL;DR: A survey of existing methods of communication in usual networks, particularly the complete network, the ring, the torus, the grid, the hypercube, the cube connected cycles, the undirected de Bruijn graph, the stargraph, the shuffle-exchange graph, and the butterfly graph.

Journal ArticleDOI
TL;DR: In this paper, a method to focus on the other targets is presented, derived from a theoretical study of the iterative time reversal process, which is described at each frequency by a time reversal operator which can be diagonalized.

Journal ArticleDOI
Bernard Dujon1, Despina Alexandraki2, Bruno André3, W. Ansorge, Victoriano Baladrón4, Juan P. G. Ballesta5, Andrea Banrevi, P. A. Bolle, Monique Bolotin-Fukuhara6, Peter Bossier7, Germán Bou5, J. Boyer1, M. J. Buitrago4, Geneviève Chéret, Laurence Colleaux1, B. Dalgnan-Fornier6, F. del Rey4, Caroline Dion, H. Domdey, A. Düsterhöft, S. Düsterhus8, K. D. Entian8, Holger Erfle, Pedro F. Esteban4, Heidi Feldmann9, L. Fernandes7, G. M. Fobo, C. Fritz, Hiroshi Fukuhara, C. Gabel, L. Gaillon1, J. M. Carcia-Cantalejo5, José J. García-Ramírez4, Manda E. Gent10, Marjan Ghazvini11, Marjan Ghazvini1, André Goffeau12, A. Gonzaléz4, Dietmar Grothues, Paulo Guerreiro7, Johannes H. Hegemann, N. Hewitt, François Hilger, Cornelis P. Hollenberg, O. Horaitis2, O. Horaitis13, Keith J. Indge10, Alain Jacquier1, C. M. James10, J. C. Jauniaux3, J. C. Jauniaux14, A. Jimenez5, H. Keuchel, L. Kirchrath, K. Kleine, Peter Kötter8, Pierre Legrain1, S. Liebl, Edward J. Louis15, A. Maia e Silva7, Christian Marck, A.-L. Monnier1, D. Mostl, Sylke Müller, B. Obermaier, Stephen G. Oliver10, C. Pallier6, Steve Pascolo1, Steve Pascolo11, Friedhelm Pfeiffer, Peter Philippsen, Rudi J. Planta16, Fritz M. Pohl17, Thomas Pohl, Regina Pohlmann, Daniel Portetelle, Bénédicte Purnelle12, V. Puzos6, M. Ramezani Rad, S. W. Rasmussen18, Miguel Remacha5, José L. Revuelta4, Guy-Franck Richard1, Martin Rieger, Claudina Rodrigues-Pousada7, Matthias Rose8, Thomas Rupp, Maria A. Santos4, Christian Schwager, Christoph Wilhelm Sensen, J. Skala12, J. Skala19, Helena Soares7, Frédéric Sor, J. Stegemann, Hervé Tettelin12, Alain R. Thierry1, M. Tzermia2, L. A. Urrestarazu3, L Van Dyck12, J. C. van Vliet-Reedijk16, Michèle Valens6, M. Vandenbo, C. Vilela7, Stephan Vissers3, D. von Wettstein18, H. Voss, Stefan Wiemann, G. Xu, Jürgen Zimmermann, M. Haasemann6, I. Becker, Hans-Werner Mewes 
02 Jun 1994-Nature
TL;DR: The complete DNA sequence of the yeast Saccharomyces cerevisiae chromosome XI has been determined, and the 666,448-base-pair sequence has revealed general chromosome patterns.
Abstract: The complete DNA sequence of the yeast Saccharomyces cerevisiae chromosome XI has been determined. In addition to a compact arrangement of potential protein coding sequences, the 666,448-base-pair sequence has revealed general chromosome patterns; in particular, alternating regional variations in average base composition correlate with variations in local gene density along the chromosome. Significant discrepancies with the previously published genetic map demonstrate the need for using independent physical mapping criteria.

Book ChapterDOI
01 Jan 1994
TL;DR: The field of complex dynamics in higher dimensions was initiated in the 1920s by Fa-tou as discussed by the authors, who was motivated by studies in Newton's method, celestial mechanics and functional equations.
Abstract: The field of complex dynamics in higher dimension was initiated in the 1920’s by Fa-tou. It was motivated by studies in Newton’s method, celestial mechanics and functional equations. Recently, new methods from pluripotential theory have been introduced to the subject. These techniques have produced many new interesting results. We give an introduction to this subject and a summary of the most relevant developments.

Journal ArticleDOI
TL;DR: It is concluded that IUGR is accompanied by a nephron deficit which may not be fully compensated for within the first weeks after birth.
Abstract: Intrauterine growth retardation (IUGR) was induced in Sprague-Dawley rats by partial artery ligation of one uterine horn in the mother on day 17 of gestation or by feeding the mother a 5% protein diet from day 8 of gestation. The controls were pups of the contralateral uterine horn or pups born to mothers fed a normal (22%) protein diet. The number of nephrons present at birth and the final number of nephrons in 2-week-old rats were counted throughout the entire kidney. The number of nephrons present at birth and the final number of nephrons were significantly correlated with birth weight for growth-retarded rats of both groups and their corresponding controls (P<0.02 for the poorest correlation). Clearance experiments and morphometric studies of 2-week-old rats born to mothers with uterine artery ligation indicated that, despite a large compensatory hypertrophy of the nephrons in those animals born with a nephron deficit of about 30%, the overal renal function was impaired. We conclude that IUGR is accompanied by a nephron deficit which may not be fully compensated for within the first weeks after birth.

Journal ArticleDOI
TL;DR: In this paper, the p-system is reformulated as a kinetic equation, using an additional kinetic variable, and the advection velocity is now a combination of the macroscopic and kinetic velocities.
Abstract: We consider the 2 x 2 hyperbolic system of isentropic gas dynamics, in both Eulerian or Lagrangian variables (also called the p-system). We show that they can be reformulated as a kinetic equation, using an additional kinetic variable. Such a formulation was first obtained by the authors in the case of multidimensio nal scalar conservation laws. A new phenomenon occurs here, namely that the advection velocity is now a combination of the macroscopic and kinetic velocities. Various applications are given: we recover the invariant regions, deduce new L°° estimates using moments lemma and prove L°° — w* stability for 7 > 3.

Journal ArticleDOI
TL;DR: In this paper, the authors extend the classical Gurson analysis of a hollow rigid ideal-plastic sphere loaded axisymmetrically to an ellipsoidal volume containing a confocal oblate ellipseidal cavity, and derive a two-field estimate of the overall yield criterion.
Abstract: The aim of this paper is to extend the classical Gurson (1977) analysis of a hollow rigid ideal-plastic sphere loaded axisymmetrically to an ellipsoidal volume containing a confocal oblate ellipsoidal cavity. An “expansion” velocity field satisfying conditions of homogeneous boundary strain rate is used to derive a two-field estimate of the overall yield criterion. The latter is shown to be reducible, with a few approximations, to a Gurson-like criterion depending on the “shape parameter” of the cavity. The accuracy of this estimate is assessed through comparison with some results derived from a numerical minimization procedure. An approximate evolution equation for the shape parameter is also presented; comparison with some finite element simulations suggests a slight modification of the theoretical formula leading to considerably enhanced agreement.

Journal ArticleDOI
TL;DR: Rat brain microvessel endothelial cells immortalized by transfection with a plasmid containing the E1A adenovirus gene remain sensitive to angiogenic and astroglial factors for the expression of the blood‐brain barrier‐related γCTP activity, as well as for ALP activity, and could constitute the basis of a valuable in vitro model of theBlood‐ brain barrier.
Abstract: Rat brain microvessel endothelial cells were immortalized by transfection with a plasmid containing the E1A adenovirus gene. One clone, called RBE4, was further characterized. These cells display a nontransformed phenotype and express typical endothelial markers, Factor VIII-related antigen and Bandeiraea simplicifolia binding sites. When RBE4 cells were grown in the presence of bFGF and on collagen-coated dishes, confluent cultures developed sprouts that extend above the monolayer and organized into three-dimensional structures. The activity of the blood-brain barrier-associated enzyme, gamma-glutamyl transpeptidase (gamma GTP), was expressed in these structures, not in the surrounding monolayer. Similar results were obtained with the microvessel-related enzyme alkaline phosphatase (ALP). Addition of agents that elevate intracellular cAMP reduced the formation of three-dimensional structures, but every cell inside the aggregates still expressed gamma GTP and ALP activities. Such structures, associated with high levels of gamma GTP and ALP activities, were also induced by astroglial factors, including (1) plasma membranes from newborn rat primary astrocytes or rat glioma C6 cells, (2) C6 conditioned media, or (3) diffusible factors produced by primary astrocytes grown in the presence of, but not in contact with RBE4 cells. RBE4 cells thus remain sensitive to angiogenic and astroglial factors for the expression of the blood-brain barrier-related gamma GTP activity, as well as for ALP activity, and could constitute the basis of a valuable in vitro model of the blood-brain barrier.

Journal ArticleDOI
TL;DR: Pregnant women recited a short child's rhyme, “the target”, aloud each day between the thirty third and thirty seventh weeks of their fetuses' gestation, which suggests that third trimester fetuses become familiar with recurrent, maternal speech sounds.
Abstract: Pregnant women recited a short child's rhyme, “the target”, aloud each day between the thirty third and thirty seventh weeks of their fetuses' gestation. Then their fetuses were stimulated with tape recordings of the target and a control rhyme. The target elicited a decrease in fetal heartrate whereas the control did not. Thus, fetuses' exposure to specific speech sounds can affect their subsequent reactions to those sounds. More generally, the result suggests that third trimester fetuses become familiar with recurrent, maternal speech sounds.

Book ChapterDOI
01 Jan 1994
TL;DR: This work applies an algorithm to chose a best basis subset, tailored to fit a specific signal or class of signals, to two signal processing tasks: acoustic signal compression, and feature extraction in certain images.
Abstract: Wavelet packets are a versatile collection of functions generalizing the compactly supported wavelets of Daubechies. They are used to analyze and manipulate signals such as sound and images. We describe a library of such waveforms and demonstrate a few of their analytic properties. We also describe an algorithm to chose a best basis subset, tailored to fit a specific signal or class of signals. We apply this algorithm to two signal processing tasks: acoustic signal compression, and feature extraction in certain images.

Journal ArticleDOI
TL;DR: The combination of the mutation at codon 178 and the polymorphism atcodon 129 determines the disease phenotype by producing two altered conformations of the prion protein.
Abstract: Fatal familial insomnia and a subtype of Creutzfeldt-Jakob disease, two clinically and pathologically distinct diseases, are linked to the same mutation at codon 178 (Asp-178-->Asn) but segregate with different genotypes determined by this mutation and the methionine-valine polymorphism at codon 129 of the prion protein gene. The abnormal isoforms of the prion protein in these two diseases were found to differ both in the relative abundance of glycosylated forms and in the size of the protease-resistant fragments. The size difference was consistent with a different protease cleavage site, suggesting a different conformation of the protease-resistant prion protein present in the two diseases. These differences are likely to be responsible for the type and location of the lesions that characterize these two diseases. Therefore, the combination of the mutation at codon 178 and the polymorphism at codon 129 determines the disease phenotype by producing two altered conformations of the prion protein.

Journal ArticleDOI
TL;DR: The incidence of infectious maxillary sinusitis and its clinical relevance was prospectively studied in 162 consecutive critically ill patients who were mechanically ventilated for a period longer than 7 d and risk factors for RMS were nasal placement and duration of endotracheal and gastric intubation.
Abstract: The incidence of infectious maxillary sinusitis (IMS) and its clinical relevance was prospectively studied in 162 consecutive critically ill patients who were mechanically ventilated for a period longer than 7 d. All had a paranasal computed tomographic (CT) scan within 48 h of admission and were divided into three groups according to the radiologic aspect of their maxillary sinuses: Group 1 = normal maxillary sinuses (n = 40), Group 2 = maxillary mucosal thickening (n = 26), Group 3 = radiologic maxillary sinusitis (RMS) defined as the presence of an air fluid level and/or opacification of maxillary sinuses (n = 96). Group 1 patients were randomized between nasal and oral endotracheal intubation with a gastric intubation performed via the same route and had a second paranasal CT scan 7 d later. Endotracheal and gastric tubes were left in their original position in Group 2 patients and a second paranasal CT scan was performed 7 d later. All patients of Group 3 underwent a transnasal puncture for bacteriologic analysis of maxillary sinus content. Forty-five spontaneously breathing patients served as a control group. In all patients with RMS, the occurrence of bronchopneumonia (BPN) was prospectively assessed for 7 d following the initial CT scan. Upon inclusion, only 25% of the patients had normal maxillary sinuses whereas all patients in the control group had normal paranasal CT scans. After 7 d, 46% of Group 2 patients had evidence of RMS. Risk factors for RMS were nasal placement and duration of endotracheal and gastric intubation.(ABSTRACT TRUNCATED AT 250 WORDS)


Journal ArticleDOI
TL;DR: In this article, the diffraction of light by periodic gratings is analyzed with a characteristic-matrix formalism based on a rigorous coupled-wave approach, and a new algorithm that remains stable for gratings of any thickness is proposed.
Abstract: Diffraction of light by periodic gratings is analyzed with a characteristic-matrix formalism based on a rigorous coupled-wave approach. This formalism is particularly convenient for modeling the diffraction by nonuniform periodic structures. In order to overcome numerical difficulties that are due to inhomogeneous eigenmodes, we propose a new algorithm that remains stable for gratings of any thickness. We obtain the stability by distinguishing in the computation the growing and the decaying inhomogeneous modes. Numerical examples and comparisons with previous results are given.