Variation de la plombemie en fonction de la contamination par le plomb de l'eau livree a la consommation: Variation of the blood lead level as a result of lead contamination of the subjects drinking water

The combination of the chemical aggressivity of water and lead piping, as is well known, can cause severe cases of lead poisoning in those who consume such water. After a great number of observations and epidemiological studies which have strongly incriminated this metal in a wide range of pathologic conditions, other materials have been gradually substituted for lead; however, the problem remains.In compliance with a European Directive to survey the risk of lead poisoning (Council Directive, 1977), a random sample of 321 residents was selected from the Vosgian Mountains of France. This region is noted for its high incidence of cases of lead poisoning: 150 reported during 8 months in 1983 (Barbier et al., 1983).During the course of a health evaluation, a blood sample was taken from each subject for lead analysis. At the same time, a sample of tap-water (after running for 5 s) was taken from each subject home. Both lead analyses (blood and water) were performed by electrothermal atomization-atomic absorption spectrophotometry. Because of the log-normality of the distributions of the blood lead levels and the concentrations of lead in the drinking water, a logarithmic transformation was performed so that the results are expressed as the geometric mean, which for the amount of lead in the drinking water of our sample was found to be 0.16 mg l^?1.Among the subjects of this study, 28% are served by water containing more than 0.10 mg l^?1 of lead (the standard for France) and 48% by water containing more than 0.05 mg l^?1 (the European and WHO standard). In concurrence with numerous authors, our study indicates that, among our subjects, the blood lead level is much higher in men than in women (geometric means 22.9 and 15.0 μg dl^?1 respectively); this difference is highly significant (t-test:P < 0.001). Table 1 summarizes the results, by sex, obtained in this region compared with those from a study (Huel, 1982) concerning an urban French population whose geometric mean blood lead levels were 15.9 μg dl^?1 for men and 11.4 μg dl^?1 for women. The irrespective of sex, is highly significant (P < 0.001). Table 2 shows the significance of the relation between these subjects, high blood lead levels and the concentration of lead in their drinking water, while Fig. 1 shows that for contamination levels up to 0.02 mg l^?1 of lead in water, the blood lead level remains relatively stable, while above this apparent “threshold” value, the blood lead level begins to increase finally reaching quite high values in response to high contamination levels, suggesting a direct translation of increases in the water above the 0.02 mg l^?1 level to increases in the blood.     

Peripheral nerve injury as a complication from orthopedic operation

We report a case of pulmonary carcinosarcoma. Surgery is required for this rare mixed type, biphasic tumor. It is generally considered to be a malignant formation issuing from a single cell line but with a two-way differentiation into epithelial and conjunctive components. There is a differentiation continuum between spindle-cell carcinomas (also called monophasic sarcomatoid carcinoma) and carcinosarcoma (or biphasic sarcomatoid carcinoma) leading to debate concerning the immunohistochemical and ultrastructural features.     

The new parameters of motor unit potential in the diagnosis of neurogenic lesions in spike-triggered averaging electromyography

The chronic Pseudomonas aeruginosa lung infection in cystic fibrosis (CF) is characterized by a pronounced antibody response and microcolonies surrounded by numerous polymorphonuclear neutrophils (PMN). Poor prognosis is correlated with a high antibody response to P. aeruginosa antigens. An animal model of this infection was established in two strains of mice: C3H/HeN and BALB/c, generally known as Th1 and Th2 responders, respectively, which were challenged with alginate-embedded P. aeruginosa. Mortality was significantly lower in C3H/HeN compared to BALB/c mice (p < 0.025). P. aeruginosa was cleared more efficiently in C3H/HeN mice and significantly more C3H/HeN mice showed normal lung histopathology (p < 0.02), and we found significantly fewer microabscesses in C3H/HeN mice than in BALB/c mice (p < 0.005). In supernatants from P. aeruginosa antigen and concanavalin A-stimulated spleen cells from the two strains of mice, the interferon-(IFN-) gamma levels were higher, whereas IL-4 levels were lower in C3H/HeN mice than in BALB/c mice. The implications of these findings for CF patients with chronic P. aeruginosa lung infection are discussed.     

A probabilistic method for the design of power grounding systems

An improved multivariable, probabilistic method for the safety analysis of power grounding systems is presented. The application of this method is demonstrated in four examples. The first three examples illustrate the practical evaluation of one new and two existing substation grounding grids when the substation is connected to an overhead distribution system. The fourth example ascertains the relative impact of a difference between the S curve of IEC Publication 479 and Dalziel's equation for the allowable body current used in ANSI/IEEE Std 80-1986 on the validity of an exposure model based on the requirements of Std 80. In this example, the statistical data on ground faults have been taken from actual system records. Further possible refinements of the exposure model are discussed     

Study of 18-cm long single-sided AC-coupled silicon microstripdetectors

The SSC GEM silicon Central Tracker design incorporated 18-cm long single-sided AC-coupled silicon microstrip ladders. Compared to the 12-cm long ladders considered in the preliminary stages of the tracker design, the 18-cm long ladders have the advantage of reduced cost, channel count and overall power consumption, and led to a simplified tracker assembly. However, such long ships also present the challenge of maintaining satisfactory performance. The increased capacitance and series resistance contribute to lower signal-to-noise ratios, longer time walk, higher power consumption per channel and increased probability of crosstalk to neighboring channels. In this paper, an accurate method to calculate the geometric capacitance of the AC-coupled microstrips is presented and the calculated results are compared with measurements, SPICE simulations are performed to predict the noise, the extent of interstrip capacitive coupling and the dispersion of the detector signal due to the finite series resistance of the metal strips and the long length of the detector. The influence of the preamplifier current and the shaping time on the signal and noise levels is also presented. The study concludes that the 18-cm long ladders can successfully satisfy the performance goals of the GEM silicon Central Tracker     

Dexamethasone perfusion of the labyrinth plus intravenous dexamethasone for Ménière's disease

Recent clinical and laboratory evidence indicates that Meniere's disease is an immune-mediated disease. Dexamethasone perfusion of the inner ear through the round window plus intravenous dexamethasone often will stop the dizzy spells, reduce the fullness and low-frequency tinnitus, and sometimes improve the hearing in patients with Meniere's disease. The dexamethasone must act mostly on the endolymphatic sac and, to a lesser extent, on the stria vascularis and spiral ligament, the known targets of immune response in the inner ear, to reduce the endolymphatic hydrops and restore the fluid dynamics of the endolymph. Despite the good results with streptomycin perfusion, the number of patients with further hearing loss is large, so dexamethasone perfusion with intravenous dexamethasone should be tried first. The initial response to dexamethasone perfusion plus intravenous dexamethasone has been very good, with very little risk of further hearing loss, and it holds great promise for the future.     

Singular value decomposition-based MA order determination ofnon-Gaussian ARMA models

Singular-value-decomposition (SVD)-based moving-average (MA) order determination of non-Gaussian processes using higher-order statistics is addressed. It is shown that the MA order determination of autoregressive moving-average (ARMA) models is equivalent to the rank determination of a certain error matrix, and a SVD approach is proposed. Its simplified form is applied to pure MA models. To improve the robustness of the order selection, a combination of the SVD and the product of diagonal entries (PODE) test is proposed. Some interesting applications of the two SVD approaches are presented, and simulations verify their performance