Stroke Thrombectomy in Patients with COVID-19: Initial Experience in 13 Cases.

We performed a retrospective review in both comprehensive stroke units of a region affected early by the coronavirus disease 2019 (COVID-19) pandemic, between March 1 and April 26, 2020, including patients with COVID-19 who underwent mechanical thrombectomy for ischemic stroke. We identified 13 cases, representing 38.2% of 34 thrombectomies performed during this period. We observed increased mortality and a high incidence of thrombotic complications during hospitalization. Given the high rate of infected patients, systematic use of full personal protection measures seems justified.

Components and variations in daily energy expenditure of athletic and non-athletic adolescents in free-living conditions.

The objectives of the study were to determine: (1) daily energy expenditure (EE) of athletic and non-athletic adolescents of both sexes in free-living conditions; (2) day-to-day variations in daily EE during 1 week; (3) energy costs of the main activities; and (4) the effect of usual activity on EE during sleep, seated and miscellaneous activities. Fifty adolescents (four groups of eleven to fifteen boys or girls aged 16-19 years) participated in the study. Body composition was measured by the skinfold-thickness method, and VO2max and external mechanical power (EMP) by a direct method (respiratory gas exchanges) on a cycloergometer. Daily EE and partial EE in free-living conditions were computed from heart-rate (HR) recordings during seven consecutive days using individual prediction equations established from the data obtained during a 24 h period spent in whole-body calorimeters with similar activities. Fat-free mass (FFM), VO2max, EMP, daily EE and EE during sleep were significantly higher in athletic than in non-athletic subjects. After adjustment for FFM, VO2max, EMP, daily EE and EE during exercise were still higher in athletic than in non-athletic adolescents (P < 0.001). However, adjusted sleeping EE was not significantly different between athletic and non-athletic adolescents. Increases in exercise EE were partly compensated for by significant reductions in EE during schoolwork and miscellaneous activities. Thus, the differences in daily EE between athletic and non-athletic subjects resulted mainly from increases in FFM and EE during exercise (duration and energy cost).

Daily energy expenditure and its main components as measured by whole-body indirect calorimetry in athletic and non-athletic adolescents.

The objectives of the present study were to determine whether differences in usual physical activity affect BMR, sleeping energy expenditure (EE), and EE during seated activities between athletic and non-athletic adolescents, and to establish individual relationships between heart rate and EE. Adolescents (n 49, four groups of eleven to fifteen boys or girls aged 16-19 years) participated in the study. Body composition was measured by the skinfold-thickness method and maximum O2 consumption (VO2max) by a direct method (respiratory gas exchange) on a cycloergometer. The subjects each spent 36 h in one of two large whole-body calorimeters. They followed a standardized activity programme including two periods of exercise simulating their mean weekly physical activities. Fat-free mass (FFM), VO2max, daily EE and EE during sleep and seated activities were significantly higher in athletic than in non-athletic subjects of both sexes. VO2max, daily EE and EE during exercise adjusted for FFM were higher in athletic than in non-athletic adolescents (P < 0.001), whereas sleeping EE, BMR and EE during seated activities and adjusted for FFM were not significantly different between athletic and non-athletic adolescents. However, sex differences in EE remained significant. Thus, differences in EE between athletic and non-athletic adolescents resulted mainly from differences in FFM and physical exercise. Usual activity did not significantly affect energy utilization of substrates. Finally, individual relationships were computed between heart rate and EE with activity programmes simulating the usual activities of athletic and non-athletic adolescents with the goal of predicting EE of the same subjects in free-living conditions.

Intracellular hyperhydration induced by a 7-day endurance race.

To test the hypothesis that a chronic expansion of extracellular water (ECW), usually observed during prolonged endurance exercise, is associated with an increase in intracellular water space (ICW), total body water (TBW) and ECW were estimated before (within a week, day C-7) and after (on the 1st day of recovery, R + 1) a competition lasting 7 consecutive days in nine healthy sportsmen. The competition involved running, cycling and cross-country skiing over 620 km. Between days C-7 and R + 1, the following increases occurred - mean TBW by 4.2 (SEM 1.1) l (i.e. +10%, P = 0.01, bioelectrical impedance analysis, BIA, at 100 kHz) and by 4.1 (SEM 0.7) l (P = 0.01, dilution of 18O); mean ECW by 2.2 (SEM 0.5) l (i.e. +14%, P = 0.01, BIA at 5 kHz), and mean plasma volume (PV) by 0.7 (SEM 0.1) l (i.e. +22%, Evans blue dye dilution, P = 0.008). Consequently, mean ICW had been expanded by 2.1 (SEM 0.6) l (i.e. +8%, P = 0.01). The intensity of daily exercise evaluated from recordings of heart rate varied between 49.0% to 57.8% of maximal oxygen consumption VO2max. Water retention was highly correlated with relative exercise intensity VO2max (ICW, r = 0.86; ECW, r = 0.93; TBW, r = 0.94). Total mean plasma content of sodium increased by 104 (SEM 17) mmol (P = 0.008) while albumin and total protein contents were unchanged. We concluded that prolonged and repeated exercise induced a chronic hyperhydration at both extracellular and intracellular levels, which was related to exercise intensity. Sodium retention was the major factor in the increase of PV.

Interrelationships between plasma insulin-like growth factor-I (IGF-I) concentrations and plasma sex hormone levels in the growing male guinea-pig.

The aim of the present study was to determine the influence of androgens on Insulin-like Growth Factor-I (IGF-I) release at puberty in male guinea-pigs. After the animals were orchiectomised (CX) or sham-operated (SO) at the end of weaning, plasma testosterone (T), dihydrotestosterone (DHT) and IGF-I levels were measured by RIA at the 4th (W4), 8th (W8) and 12th (W12) week after delivery. Body weight (BW) was recorded before sampling at each stage of the experiment. Body growth was maximal between W4 and W8 for both SO (+97%) and CX (+84%). However SO were heavier than CX at W8 and W12. In SO, a surge of plasma IGF-I levels was observed between W4 and W8, concomitantly to the increase of androgen levels (IGF-I: +86%, P less than 0.01; T: +190%, P less than 0.001; DHT: +18%; P less than 0.01). Significant correlations between IGF-I, T, DHT and BW were found only from W4 to W8 but not from W8 to W12. In CX, IGF-I levels were higher than in SO at W4 (+72%, P less than 0.01) and at W12 (+39%, P less than 0.01). A surge of IGF-I levels (+47%, P less than 0.01) was also observed but was delayed compared to SO (between W8 and W12 vs W4 and W8). BW and IGF-I levels were significantly correlated during this period. Because the surge of IGF-I levels may occur even in absence of gonads, these results give evidence that the increases in IGF-I and androgens at puberty were independent in guinea-pigs during this period.(ABSTRACT TRUNCATED AT 250 WORDS)