[Corneal donation and anticipatory care in palliative care]. / Don de cornées et abord anticipé du patient en soins palliatifs.

Until now, the early approach of palliative care patients for corneal harvesting has been unheard of in France. At the Centre Hospitalier Intercommunal de Villeneuve-Saint-Georges Lucie-et-Raymond-Aubrac, in the Val-de-Marne region of France, we offer a rigorous and respectful procedure and organization for patients who have been carefully selected for an early approach to donation.

Long-Term Steady-State Dry Boreal Forest in the Face of Disturbance.

We used bioproxies from paleosoils buried within two aeolian dunes to test hypotheses concerning the origin of dry sandy boreal forests in Canada. These forests are dominated today by Pinus banksiana Lamb. One hypothesis is that too frequent Holocene stand-replacing fires would have transformed the original vegetation through extirpation of susceptible species to fire in water stress habitat. Alternatively, the ecosystem would have not changed since the dunes stabilized enough to support forest establishment. The vegetation composition and richness were determined by identification of charcoal and macroremains and radiocarbon dating for the chronology. Both sites revealed a similar history covering 6400 years. Half of the charcoal layers were less than 2500 years old in both sites, indicating that they had been subjected to the same fire history. Data indicated a stable plant composition and richness, although the percentage of Pinus decreased slightly over 4000 years (decreasing rate 1% per century). The fungus Cenococcum geophilum was consistently present, with a stochastic abundance. The vegetation grew under natural fire conditions and soil dryness since 6000 years. The ecosystem was probably not stressed by late-Holocene fires or climate changes, as the multi-millennial steady state reveals a resistant and resilient ecosystem.

Microsegregation Model Including Convection and Tip Undercooling: Application to Directional Solidification and Welding.

The microsegregation behavior of alloy filler metal 52 (FM 52) was studied using microprobe analysis on two different solidification processes. First, microsegregation was characterized in samples manufactured by directional solidification, and then by gas tungsten arc welding (GTAW). The experimental results were compared with Thermo-Calc calculations to verify their accuracy. It was confirmed that the thermodynamic database predicts most alloying elements well. Once this data had been determined, several tip undercooling calculations were carried out for different solidification conditions in terms of fluid flow and thermal gradient values. These calculations allowed the authors to develop a parametrization card for the constants of the microsegregation model, according to the process parameters (e.g., convection in melt pool, thermal gradient, and growth velocity). A new model of microsegregation, including convection and tip undercooling, is also proposed. The Tong⁻Beckermann microsegregation model was used individually and coupled with a modified Kurz-Giovanola-Trivedi (KGT) tip undercooling model, in order to take into account the convection in the fluid flow at the dendrite tip. Model predictions were compared to experimental results and showed the microsegregation evolution accurately.

Too early and too northerly: evidence of temperate trees in northern Central Europe during the Younger Dryas.

This paper presents highly unexpected paleobotanical data. Eight (14) C-accelerator mass spectrometry (AMS) dates of soil macrocharcoal pieces, identified taxonomically, indicate the presence of oak and beech in the Younger Dryas, and pine in the Allerød, in the northernmost low mountain range of Central Europe, the Harz Mountains, in Germany. If the presence of pine at such latitude and periods is not surprising, the presence of temperate-adapted trees is highly improbable, because they are assumed to have reached the area from a southern location several thousand years later. Two hypotheses are postulated to explain this record. Both are related to the warm periods of the Bølling and Allerød: the classically 'short' duration of this warm period makes the migration of the temperate trees from the identified refuge areas in the southern location implausible, and so the presence of intermediary microrefugia at a medium latitude in Central Europe is postulated; recent data reveal that the warm period of the Late Glacial phase was much longer than considered in the classical view and, thus, would be long enough for a northward migration of temperate-adapted trees. Although our dataset does not permit disentanglement of these hypotheses, it provides significant innovative insights for the biogeography of Central Europe.

Pulsed magnetohydrodynamic blood flow in a rigid vessel under physiological pressure gradient.

Blood flow in a steady magnetic field has been of great interest over recent years. Many researchers have examined the effects of magnetic fields on velocity profiles and arterial pressure, and major studies have focused on steady or sinusoidal flows. In this paper, we present a solution for pulsed magnetohydrodynamic blood flow with a somewhat realistic physiological pressure wave obtained using a Windkessel lumped model. A pressure gradient is derived along a rigid vessel placed at the output of a compliant module which receives the ventricle outflow. Then, velocity profile and flow rate expressions are derived in the rigid vessel in the presence of a steady transverse magnetic field. As expected, results showed flow retardation and flattening. The adaptability of our solution approach allowed a comparison with previously addressed flow cases and calculations presented a good coherence with those well established solutions.

Alterations in human ECG due to the MagnetoHydroDynamic effect: a method for accurate R peak detection in the presence of high MHD artifacts.

Blood flow in high static magnetic fields induces elevated voltages that contaminate the ECG signal which is recorded simultaneously during MRI scans for synchronization purposes. This is known as the magnetohydrodynamic (MHD) effect, it increases the amplitude of the T wave, thus hindering correct R peak detection. In this paper, we inspect the MHD induced alterations of human ECG signals recorded in a 1.5 Tesla steady magnetic field and establish a primary characterization of the induced changes using time and frequency domain analysis. We also reexamine our previously developed real time algorithm for MRI cardiac gating and determine that, with a minor modification, this algorithm is capable of achieving perfect detection even in the presence of strong MHD artifacts.

Cardiac and respiratory MRI gating using combined wavelet sub-band decomposition and adaptive filtering.

Cardiac Magnetic Resonance Imaging (MRI) requires synchronization to overcome motion related artifacts caused by the heart's contractions and the chest wall movements during respiration. Achieving good image quality necessitates combining cardiac and respiratory gating to produce, in real time, a trigger signal that sets off the consecutive image acquisitions. This guarantees that the data collection always starts at the same point of the cardiac cycle during the exhalation phase. In this paper, we present a real time algorithm for extracting a cardiac-respiratory trigger signal using only one, adequately placed, ECG sensor. First, an off-line calculation phase, based on wavelet decomposition, is run to compute an optimal QRS filter. This filter is used, afterwards, to accomplish R peak detection, while a low pass filtering process allows the retrieval of the respiration cycle. The algorithm's synchronization capabilities were assessed during mice cardiac MRI sessions employing three different imaging sequences, and three specific wavelet functions. The prominent image enhancement gave a good proof of correct triggering. QRS detection was almost flawless for all signals. As for the respiration cycle retrieval it was evaluated on contaminated simulated signals, which were artificially modulated to imitate respiration. The results were quite satisfactory.