37 research outputs found

    Accuracy of citrulline, I-FABP and d-lactate in the diagnosis of acute mesenteric ischemia

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    Data availability: Research data are not shared.Supplementary Information oi available online at: https://www.nature.com/articles/s41598-021-98012-w#Sec14 .Early diagnosis of acute mesenteric ischemia (AMI) remains a clinical challenge, and no biomarker has been consistently validated. We aimed to assess the accuracy of three promising circulating biomarkers for diagnosing AMI—citrulline, intestinal fatty acid-binding protein (I-FABP), and D-lactate. A cross-sectional diagnostic study enrolled AMI patients admitted to the intestinal stroke center and controls with acute abdominal pain of another origin. We included 129 patients—50 AMI and 79 controls. Plasma citrulline concentrations were significantly lower in AMI patients compared to the controls [15.3 μmol/L (12.0–26.0) vs. 23.3 μmol/L (18.3–29.8), p = 0.001]. However, the area under the receiver operating curves (AUROC) for the diagnosis of AMI by Citrulline was low: 0.68 (95% confidence interval = 0.58–0.78). No statistical difference was found in plasma I-FABP and plasma D-lactate concentrations between the AMI and control groups, with an AUROC of 0.44, and 0.40, respectively. In this large cross-sectional study, citrulline, I-FABP, and D-lactate failed to differentiate patients with AMI from patients with acute abdominal pain of another origin. Further research should focus on the discovery of new biomarkers.Grants from MSD-Avenir and APHP funded the SURVIBIO study; Alexandre Nuzzo received Ph.D. Grants from “Fondation de l'Avenir” and the French Gastroenterology Society (SNFGE)

    Ca4_{4}YO(BO3_{3})3: Optical frame wavelength dependence, second harmonic generation and dispersion equations

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    We report that the optical frame orientation is wavelength independent over the entire transmission range of the nonlinear monoclinic crystal Ca4_{4}YO(BO3_{3})3_{3} (YCOB). We used a new method based on internal conical refraction associated with X-rays diffraction using a single crystal cut as a sphere. Direct measurements phase matching angles of second harmonic generation (SHG) were performed in the principal planes of the spherical crystal for fundamental wavelengths up to 3.5 μ\mum, while three absorption peaks have been measured above 2.4 μ\mum. By fitting all data simultaneously, we found new dispersion equations of the refractive indices of YCOB which are valid in its whole transmission domain

    Influence of ACE-inhibition on salt-mediated worsening of pulmonary gas exchange in heart failure

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    In congestive heart failure (CHF), pulmonary gas exchange, as evaluated by carbon monoxide diffusion (DLCO), is impaired. ACE-inhibition improves DLCO. Infusion of saline worsens DLCO, because of upregulated sodium and water transport to the alveolar interstitium, which thickens the alveolar-capillary interface and lengthens the diffusion path for gas exchange. We investigated whether enalapril can readjust the capillary permeability to sodium
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