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The mineral and chemical composition of green glauconitic grains from ODP Site 959 (2100 m water depth) located on the northern flank of the Ivory Coast—Ghana Marginal Ridge was studied. Recurrent winnowing of a 20 m thick Pleistocene succession resulted in a low accumulation rate and stratigraphic hiatuses. The green clay material typically occurs as fillings in the chambers of pelagic foraminifers. The amount of green clay present in sediments older than 1 Ma is small, and greater in younger material. Mud composed of smectite, kaolinite, traces of mica, calcite and quartz was the precursor material that filled the chambers of the foraminifers. Processes at the water-sediment interface slowly modified this composition. Kaolinite was dissolved; smectite lost Al but gained Fe, K and layer charge. In that matrix, the nanocrystals of neoformed smectite are observed. The infrared (IR) spectra showed OH-stretching and bending vibrations due to groups incorporating Fe3+. The spectra are in agreement with the crystallochemical formulae of Fe3+-rich montmorillonite as determined by point-by-point analyses on the neoformed crystallites and on the surrounding matrix. The layer charge in this Fe3+-rich montmorillonite is almost wholly octahedral as shown in crystallochemical formulae and documented independently by a new IR method. The tetrahedral charge appeared when the Fe content increased by > 1.2 Fe per formula unit. With the maturation process, the increased role of the closed layers is observed, with the color of grains becoming greener. We have documented for the first time glauconitization proceeding at a depth of 2100 m at a temperature near 3°C. The most important factors of the process are: accumulation of terrigenous clayey material in the foraminiferal chambers, Fe supply from a nearby continent, and a lengthy residence at the water-sediment interface in the zone of the winnowing and low sediment accumulation rate.
Using 2D hydrodynamical simulations, we show that in a low viscosity protoplanetary disc, Jupiter and Saturn get locked in the 2:1 mean motion resonance and migrate slowly inwards, unlike cases at higher viscosities. We conclude that in such discs the scenario of the Grand-Tack is not possible. Additionally, we investigate how the migration of the four (potentially five) giant planets in low viscous discs may affect the initial conditions of another important model for the formation history of our Solar System: the Nice Model. Adding ice giants in our hydrodynamical simulations, we find different possible resonant chains induced by migration. We then let the disc evolve until the gas phase dissipates and study the dynamical stability of the system. We find it possible to recreate the Solar System from such resonant chains, however the likelihood of this outcome remains low.
We summarize a series of numerical experiments of collisional dynamics in dense stellar systems such as globular clusters (GCs) and in weakly collisional plasmas using a novel simulation technique, the so-calledMulti-particle collision (MPC) method, alternative to Fokker-Planck and Monte Carlo approaches. MPC is related to particle-mesh approaches for the computation of self consistent long-range fields, ensuring that simulation time scales with N log N in the number of particles, as opposed to N2 for direct N-body. The collisional relaxation effects are modelled by computing particle interactions based on a collision operator approach that ensures rigorous conservation of energy and momenta and depends only on particles velocities and cell-based integrated quantities.
The stability of symptomatology and of eleven schizophrenic diagnostic systems was studied in patients initially in an acute phase (group 1) compared to patients in a residual phase (group 2). The patients were evaluated over a period of 1 year with a standardized checklist and PANSS in both groups. The number of patients included by the Carpenter, Calego, 1CD9, New-Haven, Schneider and Vienne systems decreased significantly between admission and discharge in group 1, whereas no variation was observed in group 1 between discharge and one year later, or in group 2 over a period of 1 year. The instability of schizophrenic diagnostic systems such as New-Haven, Schneider and Vienne could be due to the variation of positive or general symptomatology. The number of patients included by Feighner or Langfeldt did not vary significantly between admission and discbarge in group 1, in spite of a significant decrease in symptomatology, probably because certain criteria, such as duration of illness, hindered the systems from changing. The results showed the importance of specifying in every study on schizophrenia the time of inclusion (admission, discharge) or the phase of illness (acute or residual phase).
Des données nombreuses mais contradictoires existent à l’heure actuelle sur l’implication du récepteur 2A à la sérotonine (5-HT2AR), codé par le gène HTR2A, dans le trouble dépressif majeur unipolaire [1,3]. Dans notre étude, nous combinons des données cliniques et précliniques pour déterminer l’impact d’une diminution de la transmission sérotoninergique dépendante du 5-HT2AR sur le développement et les caractéristiques des épisodes dépressifs caractérisés. Deux polymorphismes du gène HTR2A (His452Tyr et 102C/T), dont certains allèles entraîneraient une baisse de l’activité fonctionnelle du 5-HT2AR [3], ont été étudiés sur une population de 485 patients caucasiens présentant un épisode dépressif majeur (EDM) dans le cadre d’un trouble dépressif majeur unipolaire. D’autre part, une étude préclinique comparant l’effet d’une administration chronique de corticostérone sur l’apparition d’un phénotype de type dépressif [2] chez des souris mutées pour le Htr2a (Htr2a-/-) et des souris sauvages a été réalisée. Chez les patients, le variant TT du polymorphisme His452Tyr, particulièrement peu fréquent, a été détecté chez deux patients souffrant d’un EDM de type mélancolique. D’autre part, l’allèle C du polymorphisme 102C/T est plus fréquemment retrouvé chez les patients déprimés (p = 0,019) que dans la population générale et les génotypes CC et CT sont associés à des EDM plus sévères à l’HAMD-17 (p = 0,008). D’autre part, les tests comportementaux effectués chez les souris Htr2a-/- montrent que ces dernières développent un phénotype de type dépressif plus marqué par rapport aux souris sauvages (p < 0,01) en réponse à l’administration chronique de corticostérone. Cette étude translationnelle suggère qu’une diminution de la transmission sérotoninergique au niveau du 5-HT2AR pourrait favoriser le développement d’un trouble dépressif majeur unipolaire et entraîner une sévérité plus importante des épisodes dépressifs caractérisés.
The aim of this study was to test whether a positive and a negative component could be found in broadly defined schizophrenic patients. Therefore, 70 patients either in an exacerbated or in a stabilized phase were selected according to the criteria of at least 1 of the 4 following diagnostic systems: DSM III-R, Schneider, Carpenter, Langfeldt; principal component analyses (PCA) were carried out with the 9 global ratings of the Scales for Assessment of Negative and Positive Symptoms (SANS and SAPS) and with the Positive and Negative Syndrome Scale (PANSS). The PCA of the SANS-SAPS global ratings yielded a 3-factor solution explaining 72.14% of the total variance, depicting a negative, a positive and a disorganization component. The PCA of the PANSS provided a 5-factor solution with a total explained variance of 55.98%. The first 3 factors were similar to those of the SANS-SAPS global rating analysis. The results showed that the positive and negative components described in a homogeneous schizophrenic population could be replicated in a larger and more heterogeneous group of schizophrenic patients. The question regarding the sufficiency of the positive-negative dichotomy was strengthened by the presence of a third disorganization component which explained as much of the variance as the positive component.
The concordance and degree of overlap between 13 diagnostic systems for schizophrenia, including the five European systems of Berner, Bleuler, Langfeldt, Pull and Schneider, were evaluated in a cross-sectional study (N = 51) taking the phase of illness (acute or residual) into account. The diagnostic assessments were processed by computer using a 183-item standardised checklist and a data-processing program in GW-Basic language. The inter-rater reliability, as assessed by Kappa coefficient, was good to excellent for each diagnostic system established by this method (K from 0.5 to 1). When comparing the concordance between pairs of 13 diagnostic systems for schizophrenia in acute and residual phase groups, results showed that only two significant relationships were not influenced by the phase of illness (Carpenter x RDC; Catego x Schneider), while 24 were. These included only two relationships in the acute group (Carpenter Catego; Carpenter Schneider) and 22 links between pairs of systems in the residual group. In the acute group, no diagnosis of schizophrenia, including duration criteria such as those of DSM III-R, Feighner, Langfeldt, Pull and RDC, was linked to other systems. In the residual group, the operational systems such as Catego, DSM III-R, Feighner, Newhaven, Pull and RDC had more than five relationships with the other systems whereas the non-operational systems of Bleuler, ICD9, Langfeldt and Schneider had less than four relationships with the others. Except Pull's criteria, the European diagnostic systems, in particular Berner's and Bleuler's, seemed to differ from the others because of the few relationships displayed. The results underline the importance of taking the phase of illness into account when comparing between studies utilizing different diagnostic systems for schizophrenia. They also show the relationships between European and international diagnostic systems, insufficiently established so far.
In order to test the hypothesis that an excess of summer births is a risk factor for deficit syndrome, the month of birth was studied in 53 deficit schizophrenic patients compared to 158 non-deficit patients. No significant difference in terms of month of birth or season of birth was observed between deficit and non-deficit patients, suggesting that summer births might not be a risk factor for deficit schizophrenia.
Because of the heterogeneity of schizophrenia, this study researched different cognitive patterns in distinct subtypes of schizophrenic patients.
Methods
Thirty-five Diagnostic and Statistical Manual IV (DSM IV) schizophrenic patients and 35 healthy controls were included. Patients were categorized into deficit, disorganized and positive subtypes with the schedule for the deficit syndrome (SDS) and the positive and negative syndrome scale (PANSS). Executive/attentional functions were assessed with the modified card sorting test (MCST), a test of verbal fluency, the trail making test (TMT) and the Stroop color-word test (Stroop test). Episodic memory was explored through the California verbal learning test (CVLT).
Results
The positive subtype had some executive/attentional (fluency and Stroop tests) and mnesic performances in the normal range, suggesting the preservation of good cognitive skills. In contrast, the deficit and disorganized subtypes had major mnesic and executive/attentional dysfunctions compared to healthy subjects. The deficit subtype compared to the control group performed predominantly worse on the MCST and fluency, whereas the disorganized subtype had the lowest scores on the TMT and the Stroop test.
Conclusion
This study showed distinct cognitive patterns in deficit, disorganized and positive patients in comparison with the controls, suggesting a heterogeneous cognitive dysfunction in schizophrenia.
Acute lithium intoxication is potentially lethal. Compared to conventional lithium preparations, sustained-release lithium formulations present specific problems for medical practice in the case of overdose. We report a case of intoxication with 8000 mg of sustained-release lithium carbonate preparation (Teralithe 400 LP®). Twenty-five hours after the ingestion, the patient was still asymptomatic, despite a serum level in the toxic range. After comparison of this case with reports found in the Medline database, we consider the clinical management of such cases.
The aim of this study was to test that deficit (D) schizophrenic patients as defined by Carpenter et al had a higher prevalence of family history of schizophrenia but less obstetric complications than non-deficit (ND) patients. A lower rate of obstetric complications but an excess of schizophrenic and a higher rate of alcoholism family antecedents in 18 D patients compared to 23 ND patients were found. These results could suggest that there is a different weight of genetic and early environmental factors in D and ND patients.
Les approches centrées sur l’autorégulation ainsi que sur l’acceptation des émotions et des sensations désagréables inspirées des programme MBSR et MBCT, représentent une voie intéressante dans la prise en charge des troubles du comportement alimentaire dans lesquels le contrôle et l’évitement sont au premier plan. Ces programmes permettent de travailler les aspects obsessionnels (comme les ruminations) et compulsifs (sur l’alimentation, la réactivité avec perte de contrôle) associés à ces troubles alimentaires. La clinique des maladies mentales et de l’encéphale (CMME), hôpital Sainte-Anne a mis en place un protocole « MBCT Boulimie » en huit séances. Le programme MBCT a été modifié, notamment au niveau des outils cognitifs et de la durée des pratiques de méditation pour des patients présentant un TCA. La recherche s’est réalisée sur vingt-quatre sujets de l’hôpital de jour de la CMME et avait pour objet d’évaluer l’impact du programme MBCT dans une population de sujets souffrant de boulimie et de Binge Eating Disorder.
Outils d’évaluation
BMI, EDI-2, EAT, BDI-13, BITE, STAI Ya/Yb, le Ruminative Response Scale for Eating Disorder (RRSED), l’Acceptance and Action Questionnaire-II (AAQ-II), le Five Facets Mindfulness Questionnaire (FFMQ), le Mindfulness Attention Awareness Scale (MAAS), le Kentucky Inventory of Mindfulness Skills (KIMS), le Body Shape Questionnaire (BSQ), l’Impulsive Behavior Scale : Urgency, Premeditation, Perseverance, and Sensation Seeking (UPPS), le Cambridge Exeter Repetitive Thinking Scale (CERTS) et le Three Factor Eating Questionnaire (TFEQ). Nous présenterons les résultats préliminaires de cette recherche ainsi que le projet de suite de ce travail de recherche clinique.
Interest in tactical medicine, the provision of medical support to law enforcement and military special operations teams, continues to grow. The majority of tactical physicians are emergency physicians with additional training and experience in tactical operations. A 2005 survey found that 18% of responding Emergency Medicine (EM) residencies offered their resident physicians structured exposure to tactical medicine at that time.
Methods:
This study sought to assess interval changes in tactical medicine exposure during EM residency and Emergency Medical Services (EMS) fellowship training. A secure online survey was distributed electronically to all 212 EM residency programs and 44 EMS fellowship programs in the United States.
Results:
Responses were received from 99 (46%) EM residency and 40 (91%) EMS fellowship programs. Results showed that 52 (53%) of the responding residencies offered physician trainees formal exposure to tactical medicine as part of their training (P < .0001 compared to 18% in 2005). In addition, 32 (72%) of the 40 responding EMS fellowships (newly established since the initial survey) offered this opportunity. Experiences ranged from observation to active participation during tactical training and call-outs. The EM residents and EMS fellows provide support to local, state, and federal law enforcement agencies. A small number of programs (six residencies and four fellowships) allowed a subset of qualified trainees to be armed during tactical operations.
Conclusion:
Overall, training opportunities in tactical medicine have grown significantly over the last decade from 18% to 53% of responding EM residencies. In addition, 72% of responding EMS fellowships incorporate tactical medicine in their training program.
Petit NP, Stopyra JP, Padilla RA, Bozeman WP. Resident involvement in tactical medicine: 12 years later. Prehosp Disaster Med. 2019;34(2):217–219
A near infrared (NIR) spectroscopy approach was undertaken to collect information on the Al cationic distribution in tetrahedral and octahedral sites in natural chlorite (clinochlore) samples. Structural formulae were established using electron microprobe and Mössbauer spectroscopy. A band located near 7115 cm–1 was attributed to the overtone of OH fundamental stretching mode of Mg2AlOH and increases with the total Al amount. Good correlation was obtained between the (SiAl)O–OH vibration band area and tetrahedral Al content, making it easy to partition Al (and thus Fe3+) between octahedral and tetrahedral sites.
Deuteration (H/D substitution at 200ºC) was performed on powders of two ground talcs of different particle shapes (different basal/lateral surface ratios). Results indicate that the deuteration process is only efficient on lateral talc surfaces, and suggest that the hydrogens located in the hexagonal ring of the talc basal surfaces are not exchanged. The FTIR spectra collected from the two talc samples show that it is possible to discriminate between particles with the same specific surface area but with different basal/lateral surface ratios using the deuteration process.
The deuteration technique was used to assign unknown infrared (IR) bands of Ge-bearing talcs. Procedures to achieve partial or complete H/D replacement in synthetic Ge-bearing (Mg, Ni and Co)-talcs have been investigated. From the spectral shift of IR absorption bands in the 4000–300 cm-1 region resulting from the H-D substitution, the IR bands of vibrations of Ge-bearing talcs could be identified and synthetic Ge-bearing talcs showed significantly different IR spectra from those for Si-talcs. After deuteration of synthetic Ge-bearing talcs, the unknown bands were attributed either to hydroxyl groups or to Ge–O vibrations of the clay skeleton, and the spectra were interpreted fully.
Diffuse reflectance spectra in the near-infrared region are presented for Li-saturated smectites heated up to 200°C. The smectites included three montmorillonites, an Fe-beidellite and a ferruginous smectite. Unheated samples showed a complex band near 7060 cm-1 assigned to the first overtone of the OH-stretching mode of structural hydroxyl groups and bound H2O. The OH combination bands appeared in the 4600-4300 cm-1 region. Spectra of heated montmorillonites showed an upward shift and splitting of the OH-overtone band into two components near 7170 and 7110 cm-1. The presence of a band near 7170 cm-1, assigned to the overtone of the AlMgLiOH-stretching vibration, implied that local trioctahedral domains were created upon Li(I) fixation in the previously vacant octahedral positions of montmorillonites. The OH combination bands were shifted to higher frequencies and a new band appeared near 4472 cm-1 in the spectra of montmorillonites heated to temperatures in excess of 130°C. No features indicating Li(I) in the structure of Fe-beidellite or ferruginous smectite were observed in the NIR spectra.
The reaction of a Wyoming-type bentonite with pH 13.5 solutions was investigated experimentally at 35 and 60°C for periods of 1 to 730 days. Some crystal properties of the starting montmorillonitic clay remain unchanged, i.e. stability of the octahedral sheet, total cation exchange capacity (CEC) and CEC after neutralization of the octahedral charge, full expandability in the Casaturated state, and size distribution. Other properties are changed, e.g. there is an increase in the expandability after octahedral charge neutralization; a slight increase in the average layer charge; a decrease of the total surface area; and a particle morphological change from flakes to hexagonal shape.
The composition and the structure of the smectite layers did not change significantly during the reaction. The increasing number of expandable layers after octahedral charge neutralization is attributed to modifications in the stacking sequence. The number of interlayers surrounded by two charged tetrahedral sheets increases with reaction time.