[Sensory system development and the physical environment of infants born very preterm]

The sensory systems develop in several sequences, with a process specific to each system and with a transnatal continuum. This development is based partly on interactions between the fetus and the newborn and their physical and human environments. These interactions are key drivers of the child development. The adaptation of the newborn's environment is crucial for his survival, his well-being and his development, especially if he is born prematurely. The physical environment of the hospital where immature infants are immersed differs greatly from the uterine environment from which they were extracted prematurely. There are discrepancies between their sensory expectations originating in the antenatal period and the atypical stimuli that newborns encounter in their postnatal nosocomial environment. These assertions are valid for all sensory modalities. Many studies have proven that very preterm infants are highly sensitive to this environment which can affect their physiological and behavioural well being. Moreover, it can alter their perception of important human sensory signals, particularly the ones coming from their mother. The long term impacts of this environment are more difficult to identify due to the multi-sensory nature of these stimuli and the multifactorial origin of the neurological disorders that these children may develop. However, the adaptation of their physical environment is one of the corner stones of specific developmental care programs, like the NIDCAP program that has been shown to be successful to improve their short and medium term outcomes. The architectural design, technical equipment and used health-care products, and the strategies and organizations of care are the main determinants of the physical environment of these children. Recommendations for the hospital environment, integrating a newborn's developmental perspective, have been made available. They should be applied more widely and should be completed. Technological equipment advances are also expected to allow better compliance to them. All these evolutions are completely in accordance with the concept of humane neonatal care.

Activated carbons prepared from wood particleboard wastes: characterisation and phenol adsorption capacities

The problems of valorisation of particleboard wastes on one hand, and contamination of aqueous effluents by phenolic compounds on the other hand, are simultaneously considered in this work. Preparation of activated carbons from a two steps thermo-chemical process, formerly designed for generating combustible gases, is suggested. The resultant carbonaceous residue is activated with steam at 800 degrees C. Depending on the preparation conditions, surface areas within the range 800-1300 m(2)/g are obtained, close to that of a commercial activated carbon (CAC) specially designed for water treatment and used as a reference material. The present work shows that particleboard waste-derived activated carbons (WAC) are efficient adsorbents for the removal of phenol from aqueous solutions, with maximum measured capacities close to 500 mg/g. However, most of times, the adsorption capacities are slightly lower than that of the commercial material in the same conditions, i.e., at equilibrium phenol concentrations below 300 ppm. Given the extremely low cost of activated carbons prepared from particleboard waste, it should not be a problem to use it in somewhat higher amounts than what is required with a more expensive commercial material. Phenol adsorption isotherms at 298 K were correctly fitted by various equations modelling type I and type II isotherms for CAC and WAC, respectively. Phenol adsorption isotherms of type II were justified by a 3-stages adsorption mechanism.

Enhanced self-localization by auditory cues in blind humans

PURPOSE

Investigate the involvement of auditory spatial compensation, which is observed in blind humans, in self-localization processes.

METHOD

Sighted and early-blind subjects had to indicate, on a two-dimensional view of the experimental room, the position where they previously sat and had passively listened to auditory spatial cues. Two different environments were distinguished. In a first session, auditory cues (i.e., white broadband sounds) were displayed successively in a dark anechoic room. This condition was defined as a simple acoustic environment. In a second session, four different auditory cues were displayed simultaneously at regular intervals in an experimental room, where echo cues were salient. This condition, which is more reminiscent of the natural situation, was described as a complex acoustic environment.

RESULTS

Self-localization capacities were significantly better in early-blind individuals than in sighted subjects, whatever the type of acoustic environment.

CONCLUSIONS

Auditory compensation leads to improved self-localization capacities in early-blind humans and indicates that prior visual experience is not essential for the development of spatial competence.

Trends in child overweight rates and energy intake in France from 1999 to 2007: relationships with socioeconomic status

Our objectives were (i) to assess the current prevalence of childhood overweight (including obesity) (OWOB) in France and its relationship with comprehensive socioeconomic status (SES) indicators and (ii) to examine trends in OWOB prevalence and changes in energy intake (EI) and sedentary behavior (SED) based on the previous INCA 1 (Individuelle Nationale des Consommations Alimentaires) data (1998-1999). A representative sample of children aged 3-14 (n = 1,030) was taken from the 2006-2007 cross-sectional INCA 2 food consumption survey. Weight and height were measured. The prevalence of OWOB was estimated according to the IOTF (International Obesity Task Force) definition. Average daily EI was evaluated using a 7-day food record. SED (screen time) and SES were reported by answering questionnaires. SES indicators included the occupation and level of education of the head of the household (HH), and variables describing household wealth. Composite indices of SES were computed by correspondence analysis, and relationships with OWOB were explored by logistic regression analysis. In total, 14.5% (95% CI: 12.1-17.0) of the children were OWOB. All SES indicators were inversely correlated to OWOB. Average EI was equal to 1,739 kcal/day. Daily, children spent 113.5 min watching television, and 38.5 min playing video games or using a computer. Compared to the INCA 1 study, OWOB prevalence was not significantly different, EI was lower, and SED was higher. These trends were the same across all occupational categories of heads of household. Although overall rates of childhood OWOB are currently stabilizing, no change was observed in the strong inverse socioeconomic gradient of OWOB between the two studies.

Thermal removal of nitrogen species from wood waste containing urea formaldehyde and melamine formaldehyde resins

The removal of nitrogen from wood board waste through a low temperature pyrolysis (523-573 K) is investigated with two analytical methods. The kinetic study of the thermal behaviour of wood board and of its components (wood, UF and MF resins) shows the feasibility of removing thermally nitrogen from wood board waste. Indeed, the range of temperatures associated with the degradation of wood is different from the one obtained for the degradation of UF and MF resin. Isothermal conditions enable the determination of a kinetic model for degradation of wood board and of its components and demonstrate that the thermal behaviour of wood board is not the reflection of the sum of its components' behaviour. FTIR analysis of gas products confirms the feasibility removing nitrogen thermally and enables the evaluation of the optimum treatment conditions (temperature/duration). Elementary analysis of the treated samples and study of their low heating value (LHV) enable to quantify the efficiency of the thermal treatment in terms of nitrogen removal and of energy recovery. Results show that around 70% of the initial nitrogen can be removed from the waste, and that the temperature of treatment (between 523 K and 573 K) does not influence the efficiency in terms of nitrogen removal. Nevertheless, the ratio Residual energy/Initial energy (between 76% and 90%) is improved with the lowest temperature of treatment.

Differential expression of Nk1 and NK3 neurokinin receptors in neurons of the nucleus tractus solitarius and the dorsal vagal motor nucleus of the rat and mouse

Tachykinins (substance P, neurokinin A and neurokinin B) influence autonomic functions by modulating neuron activity in nucleus tractus solitarius (NTS) and dorsal motor nucleus of the vagus (DMV) through activation of neurokinin receptors NK1 and NK3. Our purpose was to identify and define by neurochemical markers, the subpopulations of NK1 and NK3 expressing neurons in NTS and DMV of rat and mouse. Because the distribution of the NK1 and NK3 expressing neurons overlaps, co-expression for both receptors was tested. By double labeling, we show that NK1 and NK3 were not co-expressed in NTS neurons. In the DMV, most of neurons (87%) were immunoreactive for only one of the receptors and 34% of NK1 neurons, 7% of NK3 neurons and 12% of NK1-NK3 neurons were cholinergic neurons. None of the neurons immunoreactive for NK1 or NK3 were positive for tyrosine hydroxylase, suggesting that catecholaminergic cells of the NTS (A2 and C2 groups) did not express neurokinin receptors. The presence of NK1 and NK3 was examined in GABAergic interneurons of the NTS and DMV by using GAD65-EGFP transgenic mouse. Immunoreactivity for NK1 or NK3 was found in a subpopulation of GAD65-EGFP cells. A majority (60%) of NK3 cells, but only 11% of the NK1 cells, were GAD65-EGFP cells. In conclusion, tachykinins, through differential expression of neurokinin receptors, may influence the central regulation of vital functions by acting on separate neuron subpopulations in NTS and DMV. Of particular interest, tachykinins may be involved in inhibitory mechanisms by acting directly on local GABAergic interneurons. Our results support a larger contribution of NK3 compared with NK1 in mediating inhibition in NTS and DMV.

Comparison of two methods of measuring wood pyrolysis tar

Two methods for the sampling and analysis of tar produced from wood pyrolysis were compared. The first method used a conventional cold-trapping technique in solvent-filled impingers followed by liquid injection. The second one is a new application of multibed solid-phase adsorbent (SPA) tubes followed by thermal desorption (TD). Both methods are based on gas chromatography (GC) coupled with mass spectrometry (MS). Quantification was performed with a well reproducible GC-MS method with three internal deuterated standards. The SPA/TD method offers several advantages. No solvent is required, the detection levels are improved, and gas chromatography separation is easier. Moreover, sampling time is reduced from about 1h (for the conventional cold-trapping technique in impingers) to a few seconds. No discrimination was observed between the two sampling methods for the 10 quantified compounds (aromatic compounds from benzene to phenanthrene and phenols) except for benzene.

Rightward shift of the auditory subjective straight ahead in right- and left-handed subjects

While spatial asymmetries have been extensively investigated in the visual modality and to a lesser degree in the tactile modality, there are no reports on auditory spatial asymmetries in neurologically normal subjects. The subjects in this study performed an auditory midline task in which they had to adjust the level of two sounds that were presented simultaneously in different hemispaces so as to make the perceived fused sound appear to emanate from the midsagittal plane. The results showed that subjects reported a sound to be central when it was lateralized to the left (i.e., more intense at the left ear), as if there were a rightward shift in the perceived location. This rightward shift was more pronounced in left-handed than in right-handed subjects, even though all the subjects had to use both hands to adjust the sound level. Gaze direction significantly modulated the shift of the perceived auditory midline: the rightward shift was maximal when the subjects' gaze direction was central and 30 degrees to the right, while it disappeared when the gaze was directed 30 degrees to the left side. These results are compared with data obtained from neglect patients in previous studies and are discussed in terms of the interaction between asymmetrical hemispheric activations in auditory spatial tasks and an asymmetrical allocation of attention between the left and right hemispaces.

Auditory compensation in myopic humans: involvement of binaural, monaural, or echo cues?

The purpose of this paper is to investigate the involvement of various auditory localization mechanisms in the improvement of auditory spatial sensitivity in the case of partial visual deprivation. We compared sensitivity to binaural, monaural, and echo cues between normal-sighted and myopic subjects. In an auditory task, which depended solely upon binaural processing, myopic and normal-sighted subjects showed an almost equal localization performance. We also found that myopic subjects were no more disturbed than normal-sighted subjects when spectral shape cues were removed. On the other hand, near-sighted subjects exhibited better echolocation skills and a higher sensitivity to echo cues than normal-sighted subjects. We can therefore conclude that an improved auditory spatial sensitivity in myopic subjects may result from the increased use of echo information.

Anterior and non-anterior ruptured aneurysms: Memory and frontal lobe function performance following coiling

Our aim was to compare memory and frontal function performance between two groups of patients treated with Guglielmi detachable coil (GDC) following intracranial ruptured aneurysm. The subgroups drawn following the localization of the aneurysm consisted of 19 patients presenting with anterior communicating artery aneurysms and 16 patients exhibiting middle cerebral artery and posterior communicating artery aneurysms. The 35 patients and 35 normal controls were administered extensive neuropsychological assessment. Additionally, a scale of qualitative changes of mood was presented to the patients and patients' relatives. The patients showed a better general performance on memory compared with the executive function performance, which was similarly impaired in both groups. We suggest that executive functions are more vulnerable to differently located lesions than memory functions.

Report on the Belgian consensus meeting on colorectal cancer screening

Screening and prevention of colorectal cancer must be a public health priority. It is the most frequent malignancy in Europe, the second leading cause of cancer death, including Belgium where more than 6000 new cases occur per year. Various screening modalities, from non invasive to invasive are available and currently in use and they are all cost-effective in comparison with no screening. The decision as to which screening test to use should be made by the patient and clinician. Consensus documents prepared by the Belgian scientific community appear in this issue of Acta Gastroenterologica Belgica, summarizing the scientific evidence in favour as well as the limitations of fecal occult blood tests, flexible sigmoidoscopy, videocolonoscopy and virtual colonoscopy.

Spatial auditory compensation in early-blind humans: Involvement of eye movements and/or attention orienting?

Several studies have reported that the early-blind displays higher auditory spatial abilities than the sighted. Although many studies have attempted to delineate the cortical structures that undergo functional reorganization in blind people, few have tried to determine which auditory or non-auditory processes mediate these increased auditory spatial abilities. The aim of this paper is to investigate the role of eye movements and orientation of attention in auditory localization in blind humans. Although we found, in a first experiment, that the influence of eye movements on auditory spatial localization is preserved in spite of congenital visual deprivation, the saccade influence on spatial hearing is not more pronounced in the blind than in the sighted. In a second experiment, early-blind and sighted subjects undertook a task involving discrimination of sound elevation in which auditory targets followed uninformative auditory cues on either side with an intermediate elevation. When sounds were emitted from the frontal hemifield, both groups showed similar auditory localization performance. Although the auditory cue did not affect discrimination accuracy in both groups, early-blind subjects exhibited shorter reaction times than sighted subjects when sound sources were placed at far-lateral locations. Attentional cues, however, had similar effects on both groups of subjects, suggesting that improved auditory spatial abilities are not mediated by attention orienting mechanisms.

Estimating the distribution of usual dietary intake by short-term measurements

OBJECTIVE

To estimate the habitual dietary intake distribution in a population on the basis of repeated short-term measurements, especially of multiple 24 h diet recalls.

METHODS

Six different statistical methods were evaluated and compared. The comparison referred to theoretical assumptions, admitted data transformations, statistical foundations, available software packages, and applications to real data of dietary intake.

RESULTS

The Nusser method and a simplified version of it proposed in the paper have proved to be universally applicable methods for estimating the usual intake distribution for food groups and nutrients. Also, the Buck method seemed to be a robust estimation procedure suitable for the description of food consumption data, whereas the other considered methods were only applicable for log-normally distributed intake data or required a comprehensive data simulation. Characteristics of the estimated usual intake distribution were a decreased standard deviation, increased lower percentiles, and decreased upper percentiles compared to the observed sample distribution of individual means. Empirical results concerning total fat and vegetable intake in three different European consumption surveys showed that the estimated percentiles of the usual intake distribution did not depend markedly on the number of sampling days.

CONCLUSIONS

Repeated short-term measurements like 24 h diet recalls can be used to describe the habitual dietary intake distribution in food consumption surveys. Recommended is a sampling design of two non-consecutive sampling days. The sampling days of all participants should be selected in such a way that they cover all seasons and days of the week.