The NanoSIMS-HR: The Next Generation of High Spatial Resolution Dynamic SIMS.

The high lateral resolution and sensitivity of the NanoSIMS 50 and 50L series of dynamic SIMS instruments have enabled numerous scientific advances over the past 25 years. Here, we report on the NanoSIMS-HR, the first major upgrade to the series, and analytical tests in a suite of sample types, including an aluminum sample containing silicon crystals, microalgae, and plant roots colonized with a symbiotic fungus. Significant improvements have been made in the Cs ion source, high voltage (HV) control, stage reproducibility, and other aspects of the instrument that affect performance.

Impact of a Very Short-Stay Post-Emergency Geriatric Unit on Early Readmissions.

Background And Objectives: In 2017, our French 1671-bed university hospital opened a 12-bed unit for very short stays, post-emergency (unit of transitory admission in geriatric [UTAG] area), dedicated to frail patients older than 75 years requiring short-term care. We sought to investigate whether this new organization's shortened length of stay (LOS) was associated or not with a higher rate of readmission.

Methods: We conducted a retrospective descriptive study based on the daily activity of the UTAG over 6 months including all patients consecutively hospitalized in the unit via the computerized medical file of the hospital.

Oxygen isotope systematics of chondrules in the Paris CM2 chondrite: indication for a single large formation region across snow line.

In-situ oxygen three-isotope analyses of chondrules and isolated olivine grains in the Paris (CM) chondrite were conducted by secondary ion mass spectrometry (SIMS). Multiple analyses of olivine and/or pyroxene in each chondrule show indistinguishable ΔO values, except for minor occurrences of relict olivine grains (and one low-Ca pyroxene). A mean ΔO value of these homogeneous multiple analyses was obtained for each chondrule, which represent oxygen isotope ratios of the chondrule melt.

Chondrules reveal large-scale outward transport of inner Solar System materials in the protoplanetary disk.

Dynamic models of the protoplanetary disk indicate there should be large-scale material transport in and out of the inner Solar System, but direct evidence for such transport is scarce. Here we show that the εTi-εCr-ΔO systematics of large individual chondrules, which typically formed 2 to 3 My after the formation of the first solids in the Solar System, indicate certain meteorites (CV and CK chondrites) that formed in the outer Solar System accreted an assortment of both inner and outer Solar System materials, as well as material previously unidentified through the analysis of bulk meteorites. Mixing with primordial refractory components reveals a "missing reservoir" that bridges the gap between inner and outer Solar System materials.

Oxygen isotope systematics of chondrule olivine, pyroxene, and plagioclase in one of the most pristine CV3 chondrites (Northwest Africa 8613).

We performed in situ oxygen three-isotope measurements of chondrule olivine, pyroxenes, and plagioclase from the newly described CV chondrite NWA 8613. Additionally, oxygen isotope ratios of plagioclase in chondrules from the Kaba CV3 chondrite were determined to enable comparisons of isotope ratios and degree of alteration of chondrules in both CV lithologies. NWA 8613 was affected by only mild thermal metamorphism.

The Al-Mg systematics of FeO-rich chondrules from Acfer 094: two chondrule generations distinct in age and oxygen isotope ratios.

The Al-Mg ages of FeO-rich (type II) chondrules from Acfer 094, one of the least thermally metamorphosed carbonaceous chondrites, were determined by SIMS analysis of plagioclase and olivine/pyroxene using a radio frequency (RF) plasma oxygen ion source. In combination with preexisting Al-Mg ages of FeO-poor (type I) chondrules, the maximum range of formation ages recorded in chondrules from a single meteorite is determined to help provide constraints on models of material transport in the proto-planetary disk. We also report new SIMS oxygen three-isotope analyses of type II chondrules in Acfer 094.

Oxygen isotope systematics of chondrules in the Murchison CM2 chondrite and implications for the CO-CM relationship.

High-precision oxygen three-isotope measurements of olivine and pyroxene were performed on 29 chondrules in the Murchison CM2 chondrite by secondary ion mass spectrometry (SIMS). The oxygen isotope ratios of analyzed chondrules all plot very close to the primitive chondrule minerals (PCM) line. In each of 24 chondrules, the olivine and/or pyroxene grains analyzed show indistinguishable oxygen isotope ratios.

Formation of chondrules in a moderately high dust enriched disk: evidence from oxygen isotopes of chondrules from the Kaba CV3 chondrite.

Oxygen three-isotope analysis by secondary ion mass spectrometry of chondrule olivine and pyroxene in combination with electron microprobe analysis were carried out to investigate 24 FeO-poor (type I) and 2 FeO-rich (type II) chondrules from the Kaba (CV) chondrite. The Mg#'s of olivine and pyroxene in individual chondrules are uniform, which confirms that Kaba is one of the least thermally metamorphosed CV3 chondrites. The majority of chondrules in Kaba contain olivine and pyroxene that show indistinguishable ΔO values (= δO - 0.

Tolerability of Midazolam to treat acute agitation in elderly demented patients: A systematic review.

What Is Known And Objective: Behavioural disorders are difficult to manage in elderly demented patients because of the lack of appropriate drugs or difficulties surrounding the route of administration. The tolerability of Midazolam is well described in the emergency management of agitation for young patients, when administered intramuscularly or intravenously. However, very little data are available on the use of oral Midazolam for this indication and in the elderly population.

Origin of crystalline silicates from Comet 81P/Wild 2: Combined study on their oxygen isotopes and mineral chemistry.

In order to explore the link between comet 81P/Wild 2 and materials in primitive meteorites, seven particles 5 to 15 μm in diameter from comet 81P/Wild 2 have been analyzed for their oxygen isotope ratios using a secondary ion mass spectrometer. Most particles are single minerals consisting of olivine or pyroxene with Mg# higher than 85, which are relatively minor in 81P/Wild 2 particles (~1/3 of the O-poor cluster). Four particles extracted from Track 149 are O-poor and show ΔO (= δO - 0.

[Effectiveness of histopathologic examination in a series of 400 forensic autopsies].

Objectives: To assess the usefulness of histopathologic examination in forensic autopsies.

Material And Methods: All consecutive pathological reports and slides from forensic autopsies performed in our department since 2006 have been reviewed.

Results: Four hundred forensic necropsies were reviewed.

Sudden death caused by aortic dissection in a patient with polycystic kidney disease.

A 43-year-old man presented at the emergency medical unit with chest pain. The results of a clinical examination were normal, apart from sternum pain (without radiation) on palpation. The patient had no respiratory problems and the pain was relieved by paracetamol.

[Intensive care anaesthesia practice in the prison environment. Can a prisoner benefit from ambulatory anaesthesia].

Ambulatory anaesthesia is an anesthesia allowing the return of the patient home the same day. Even if the ambulatory hospitalization can, in theory, be applied to a prisoner as to every patient, caution is essential in such approach. Every anaesthetist reanimator doctor practicing in public hospitals may give care to patient prisoners while he is far from dominating all features of the prison world and while he must put down his therapeutic indications.

[Obstructive lung diseases in a French prison: results of systematic screening].

Background: French prisoners have health problems that have been inadequately treated before imprisonment. This population has insufficient access to the healthcare system. Addictive behaviours, particularly smoking, are widespread.

Adult Hirschsprung's disease diagnosed during forensic autopsy.

We report a case of fatal Hirschsprung's disease (HD) discovered at autopsy. A 20-year-old man collapsed at home. Emergency medical personnel found him in cardiac arrest and all resuscitative efforts failed.

Increased erythropoietin synthesis in patients with COLD or left heart failure is related to alterations in renal haemodynamics.

The mechanisms controlling erythropoietin (EPO) synthesis by the kidney in patients with chronic obstructive lung disease (COLD) or congestive left heart failure (CLHF) remain incompletely understood. Renal dysfunction occurs as a consequence of decreased renal blood flow (RBF) in these diseases. Because alterations in renal haemodynamics may affect EPO synthesis and red blood cell production, we investigated the potential relationships between renal function and plasma EPO synthesis in patients with COLD or CLHF.

Polycythemia impairs vasodilator response to acetylcholine in patients with chronic hypoxemic lung disease.

To investigate whether polycythemia associated with chronic hypoxemic lung disease (CHLD) increases vascular resistance by altering endothelium-derived nitric oxide (NO), we examined the responses to acetylcholine (ACh) infusions (5, 10, and 15 mg/min) on hemodynamics and gas exchange in 21 patients with CHLD of varying severity. Patients were classified into two groups based on whether their hemoglobin (Hb) level was less or greater than 15.5 g/dl.

Intrapericardial fibrinolysis: a useful treatment in the management of purulent pericarditis.

Since the introduction of antibiotics into clinical practice, purulent pericarditis has become a rare disease. The major complication of the standard management for this condition is constrictive pericarditis. We report two cases of purulent pericarditis in which intrapericardial fibrinolysis was performed in order to minimize this complication.

Lack of a relationship of elastin peptide level to emphysema assessed by CT scans.

Clinical reports suggest that peptide (EP) concentration may be used as a subclinical marker of pulmonary emphysema. This hypothesis was tested in a clinical study by comparing EP concentration in male emphysematous patients with the level in two control groups, and by exploring the relation of elastin peptide level to high-resolution computed tomography (HRCT) scan emphysema score among emphysematous patients. Serum EP level was determined among male emphysematous patients with at least 20% of emphysema (n = 27) and in two populations of male workers, drawn from epidemiologic studies (227 coal miners and 310 policemen).