The incidence of hepatocellular carcinoma (HCC) is increasing in developed countries and the general status of HCC patients is now by far better than a few years ago, allowing physicians to propose some different treatments of these patients. Among these treatments, intra-arterial injection of 131-iodine-labelled Lipiodol could be used in palliative, curative or adjuvant settings. After a brief summary of the modalities of this treatment, requiring the collaboration of Gastro-enterologists, Oncologists, Radiologists and Nuclear Medicine physicians, the different possibilities of therapeutic uses of this new approach are described and an outlook of these developments is proposed. (author)
ResumeLa convergence des solutions faibles du systeme de Navier-Stokes-Fourier-Poisson compressible avec un terme de frottement est etudiee dans la limite dun frottement infini, la loi de pression incluant, comme cas particulier, celle correspondant aux particules de Fermi-Dirac. La limite se trouve etre une solution faible dun systeme de Smoluchowski-Poisson non isotherme, la temperature ne dependant que de la variable temporelle et etant determinee par la conservation de lenergie totale.
A mathematical model describing the behavior of a gas of any density released into a turbulent atmosphere was developed. A numerical treatment was established for two dimensional flow. An understanding of the effects of accidental or continuous release wa...
ResumeObjectif determiner dans une etude randomisee l'impact d'un enregistrement continu du glucose sous-cutane pendant 48 heures sur le controle glycemique trois mois plus tard chez des patients presentant un diabete de type 1 (DT1) ou de type 2 (DT2). Methodes Quarante-huit patients avec un mauvais equilibre glycemique (HbA1c : 8-10,5 %) ont beneficie d'un enregistrement continu du glucose sous-cutane pendant 48 heures avec le systeme GlucoDay (A. Menarini Diagnostics) et ont ete randomises en deux groupes : ajustement de traitement en fonction de l'autosurveillance glycemique capillaire (groupe ASG) ou du profil d'enregistrement continu du glucose sous-cutane (groupe CGM). Le dosage d'HbA1c et le port du GlucoDay ont ete renouveles trois mois plus tard. Resultats Trente-quatre patients ...
The use of POE solid polymer electrolytes in negative lithium electrode batteries allows to reach energy density values close to 150 Wh/kg. The functioning of Li/POE/V{sub 2}O{sub 5} elements has been studied on small capacity elementary cells (about 26 mAh) and the results obtained were confirmed using coiled elements of 1.4 to 1.8 Ah capacity. This work has been carried out for Bollore Technologies (BT) and Electricite de France (EdF) companies. (J.S.)
Introduction: The orofacial clefts include 30 variant according to Tessier classification: the number 30 contain mandibular arc damage isolated or associated with damage of surrounding soft tissue. Case report: Our patient was a newborn with median mandibular cleft associated with ankyloglossia, bifid tongue and a top cervical fistula. We have not found polymalformative syndrome. The early surgical management included one time and after-effect were simple within 11months. Discussion: We point up difficulties for antenatal diagnosis and controversy about appropriate time for management of bone defect. The last physiopathologic hypotheses were explicated.
This paper is dedicated to the numerical study of natural ventilation in a room through a large external opening using the CFD code Fluent. Bidimensional numerical simulations are performed for wind speeds up to 5.55 m-s{sup -1} (20 km-h{sup -1}). We propose a two-step solution procedure with grid refinement. When combined with appropriate thermal boundary conditions, this technique appears very efficient at limiting local convergence problems. Through an analysis of the flow pattern in the cavity, we qualitatively explain those results and define a critical Archimedes number. Calculated air change rates are compared to values deduced from empirical correlations of the literature. Agreement is in general poor, which can be explained by the differences between the conditions of our simulations and those of the experiments that lead to those correlations. However, from our simulations, we derived very clear correlations between the air change coefficient and the Archimedes number. In the ...
R?sum? La rate baladeuse est une anomalie rare chez l?enfant. Elle est souvent d?crite chez l?adulte, particuli?rement la femme enceinte. Elle est due ? un d?faut de fixit? anatomique de la rate avec les organes de voisinage. Ses manifestations cliniques sont variables, mais la complication la plus redoutable est la survenue d?une torsion du p?dicule spl?nique. Nous rapportons le cas d?une fille de 11 ans qui s?est pr?sent?e avec des douleurs abdominales aigu?s et des vomissements. Les examens radiologiques ont montr? une absence de la vascularisation spl?nique. ? l?exploration chirurgicale, on a d?couvert une torsion du p?dicule spl?nique avec une isch?mie tissulaire avanc?e. La rate ?tait d?pourvue d?attaches ligamentaires. La d?torsion n?a pas permis de sauvegarder la rate, et une spl?n...
The lithium battery, also called `lithium-carbon` or `lithium ion`, is today the most promising candidate that can reach the expected minimum traction performances of electric powered vehicles. Thanks to a more than 20 years experience on lithium generators and to a specific research program on lithium batteries, the SAFT company has developed a 100 Ah electrochemical system, and full-scale prototypes have been manufactured for this application. These prototypes use the Li{sub x}NiO{sub 2} lithiated graphite electrochemical pair and were tested in terms of their electrical performances. Energy characteristics of 125 Wh/kg and 265 Wh/dm{sup 3} could be obtained. The possibility of supplying a power greater than 200 W/kg, even at low temperature (-10 deg. C) has been demonstrated with these elements. A full battery set of about 20 kWh was built and its evaluation is in progress. It comprises the electronic control systems for the optimum power management during charge and output. (J.S.) ...
The confocal Raman micro-spectroscopy has been used for the study of a Lithium/polymer electrolyte-LiTFSI/V{sub 2}O{sub 5} type battery in which the polymer electrolyte thickness is of about 80 {mu}m. The analysis is performed on the side of the battery thanks to a specially designed cell which preserves all the characteristics of the real system. The analysis is performed on 20 points aligned between the anode and the cathode and with a depth of several tenth of {mu}m. The analysis of data obtained during charging/output cycles allows to evaluate the gradients of salt concentration inside the electrolyte, the pollutions of LiOH, Li{sub 2}CO{sub 3}, Li{sub 2}O and Li{sub 3}N -type at the lithium interface, but also the structural modifications of the cathode material. The in-situ study of concentration gradients inside the electrolyte is of prime importance for the understanding of dendrites growth. (J.S.) 11 refs.
The aim of this work is to develop an industrial process for the synthesis of an extrusible electrolyte polymer for lithium batteries. From literature data and precise specifications the high molar mass EO/OP copolymers synthesis by coordinative catalysis has been studied in order to reach a high productivity and to minimize the treatment steps. Two catalytic systems have been studied: the aluminium alkoxide-based Vandenberg-type catalysis and the calcium alcoholate amides catalysis. The first catalysis performed in solution gives excellent results. Its adaptation to silicon supported catalysis leads to a directly usable polymer in suspension but the productivity falls down and remains to be optimized. The calcium amide catalysis in heptane suspension generates acceptable productivities but also a too high proportion of low molar masses. Various approaches have been studied to minimize this proportion due to the presence of secondary sites that generate a cationic mechanism. The two ...
The main objective of this dissertation is to build a numerical 3D geological model of a turbidite reservoir using well and seismic data. For the, the first step was to elaborate a depositional model using a high-resolution genetic stratigraphy approach. Simultaneously, the stratigraphic inversion over the seismic data resulted in an optimal acoustic impedance model. Both models, were used to build, by geostatistical methods, a 3-D geological model, which represents the spatial distribution of the reservoir facies. The studied case is the late Cretaceous Namorado turbidite system in the Campos basin, which is the reservoir of the Namorado oil field, located 80 km from the Brazilian coast, under a bathymetry between 110 and 250 m. The reservoir is a turbidite succession with 90 to 180 m thickness. It is composed by sand-supported conglomerates, matrix-supported conglomerate, massive sandstones, shales, marls and limestones. Four lithotypes characterise the main deposits of the turbidite ...