Chez les patients souffrant d'insuffisance rénale chronique, les calcifications vasculaires représentent la première cause de mortalité. Elles résultent de la trans-différenciation des cellules musculaires lisses (CMLs) en cellules de type ostéoblastique et/ou chondrocytaire, en réponse à des cytokines inflammatoires ou à une hyperphosphatémie. Les CMLs forment alors des cristaux par l'activité de la phosphatase alcaline non-spécifique du tissu (TNAP). A la lumière de résultats récents, nous avons émis l'hypothèse que la TNAP module la trans différenciation des CMLs. Nos objectifs étaient donc de déterminer l'effet de la TNAP dans la trans-différenciation des CMLs, et d'étudier les mécanismes impliqués dans son induction, avec un intérêt particulier pour les microRNAs. Nous avons observé que l'ajout de phosphatase alcaline purifiée ou la surexpression de TNAP stimule l'expression de marqueurs chondrocytaires en culture de CMLs et de cellules souches mésenchymateuses. De plus, l'inhibition de la TNAP bloque la maturation de chondrocytes primaires. Nous excluons un rôle des cristaux formés par la TNAP, puisque l'ajout de cristaux seuls ou associés à une matrice collagénique n'a pas reproduit les effets de la TNAP. Nous suspectons que la TNAP agit en hydrolysant le pyrophosphate inorganique (PPi). En effet, c'est la TNAP qui hydrolyse le PPi en culture de CMLs et de chondrocytes, et le PPi mime les effets de l'inhibition de TNAP en culture de chondrocytes. Enfin, nous rapportons le profil de microRNA des artères cultivées en conditions hyperphosphatémiques. Ces résultats pourraient être particulièrement importants dans le développement de nouvelles approches thérapeutiques / In patients with chronic kidney disease (CKD), vascular calcification represents the main cause of mortality. Vascular calcification results from the trans-differentiation of vascular smooth muscle cells (VSMCs) into cells similar to osteoblasts and/or chondrocytes, in response to inflammatory cytokines or hyperphosphatemia. Calcifying VSMCs form calcium phosphate crystals through the activity of tissue nonspecific alkaline phosphatase (TNAP). In light of recent findings, we hypothesized that TNAP also modulates VSMC trans-differentiation. Our objectives were therefore to determine the effect of TNAP activity on VSMC trans-differentiation, and secondly to investigate the molecular mechanisms involved in TNAP expression in aortas, with a particular interest in microRNAs. We first observed that addition of purified alkaline phosphatase or TNAP over-expression stimulates the expression of chondrocyte markers in culture of the mouse and rat VSMC lines, and of mesenchymal stem cells. Moreover, TNAP inhibition blocks the maturation of mouse primary chondrocytes and reduces mineralization. We exclude a role for crystals in TNAP effects, since addition of crystals alone or associated to a collagenous matrix fails to mimic TNAP effects. We rather suspect that TNAP acts through the hydrolysis of inorganic pyrophosphate (PPi). Indeed, PPi is hydrolyzed by TNAP in VSMCs and chondrocytes and addition of PPi mimics the effects of TNAP inhibition on chondrocyte maturation. Finally, we report microRNA signature of aortic explants treated under hyperphosphatemic conditions that induce vascular calcification. These results could be of particular importance in patients with CKD

Biomedicine has recently exploited many nanotechnology platforms for the detection and treatment of disease as well as for the fundamental study of cellular biology. A prime example of these successes is the implementation of semiconductor quantum dots in a wide range of biological and medical applications, from in vitro biosensing to in vivo cancer imaging. Quantum dots are nearly spherical nanocrystals composed of semiconductor materials that can emit fluorescent light with high intensity and a strong resistance to degradation. The aim of this thesis is to understand the fundamental physics of colloidal quantum dots, to engineer their optical and structural properties for applications in biology and medicine, and to examine the interaction of these particles with biomolecules and living cells. Toward these goals, new synthetic strategies for colloidal nanocrystals have been developed, implementing a cation exchange method for independent tuning of size and fluorescence, and a bandgap engineering technique that utilizes mechanical strain imposed by coherent shell growth. In addition, stable nanocrystals have been prepared with ultrathin coatings (< 2 nm), 'amphibious' solubility, and broadly tunable bioaffinity, induced by self-assembly with polyhistidine-sequences on recombinant proteins. Finally, colloidal quantum dots have been studied in biological fluids and living cells in order to elucidate their interactions with biological systems. It was found that these interactions are strongly dependent on the size of the nanocrystal, and cytotoxic effects of these particles are largely independent of their composition of heavy metal atoms, demonstrating that the rule book for toxicology must be rewritten for nanomaterials.

Title: Effect comparison of educational-movement therapy "stabilization function"of a trunk and traditional rehabilitation therapeutic approach for patients with nonspecific low back pain. Nonspecific low back pain is a main cause of disability and the principal cause for injury-related lost work-days. The various therapies for nonspecific low back pain have been elaborated in many studies. The recommended therapeutic guideline for primary care of patients with nonspecific low back pain is early mobilization combined with a specific rehabilitation therapeutic approach. One such specific rehabilitation therapeutic approach is "trunk stabilization" therapy. The objective of this dissertation is to compare a therapeutic approach involving "stabilization exercises" with the traditional clinical approach that has been clinically proven to be most efficacious for patients with acute nonspecific low back pain. This study compares the effects of the prescribed therapies on 24 patients with non- specific acute low back pain. The test subjects (men and women with an average age 41.2 years) were allocated into two simple randomized subgroups. The test subjects received 2 outpatient therapy sessions per week for 4 weeks. Pre-test and post-test spine shape and range of motion examination were determined using...

Submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic, Durban University of Technology, Durban, South Africa, 2018. / Background: Chronic non-specific low back pain (CNSLBP) is a common ailment treated by chiropractors. Most chiropractors focus on the localised lumbar area of pain. Other chiropractors focus on restoring function to compensating articulations in the ‗full kinematic chain‘ by assessing and treating the lower extremity in conjunction to the low back. Patients with LBP often exhibit decreased hip-related ranges of motion that may result in future LBP, relapse and a prolonged recovery time. Studies investigating the effect of treating the kinematic chain in relation to LBP are limited and the literature, although widely taught and practiced, is largely anecdotal. Chiropractic manipulation has shown to be effective in the treatment of LBP and many lower extremity conditions. Objectives: This study set out to determine if a combination of low back and hip manipulation would result in a more beneficial outcome for the participant, suffering with CNSLBP, than low back manipulation alone in terms of objective and subjective outcomes. Method: The study was a randomised controlled clinical trial which, through purposive sampling, consisted of 50 participants with CNSLBP and hip joint dysfunction. The participants were randomly divided into two groups of 25 each [A and B]. Group A received low back manipulation alone and Group B received combined low back and hip manipulation. Subjective data was obtained through the Oswestry Low Back Pain Disability Index (ODI) and the Numerical Pain Rating Scale (NPRS). Objective data was obtained through the use of a Force Dial Algometer and an Inclinometer. Data collection occurred at the first, third and fifth consultations and was coded and analysed using IBM SPSS version 24.0. A p-value value of less than 0.05 was considered to be statistically relevant. Results: Intra-group testing showed that there was a significant difference over time, within both groups, with regards to internal rotation and external rotation of the hip, flexion of the lumbar spine, increased pain tolerance in Algometer tests, decreased NPRS values and decreased ODI scores. Within Group A, the mean scores for hip flexion reflected a more significant increase over time than those of Group B. Within Group B, the mean scores for left and right rotation of the lumbar spine reflected a more significant change over time than those of Group A. Inter-group testing showed no significantly differential treatment effect for any of the subjective and objective outcomes. This means that both treatments were equally effective and the hypothesis, that suggested that Group B would improve more than Group A, was incorrect. Conclusion: Both treatment groups improved subjectively and objectively with regards to CNSLBP. Inter-group testing showed that statistically, and for all outcome measurements, there were no significant differences between the two treatment group‘s results. This suggested that there was no additional benefit in combining hip joint manipulation with low back manipulation in the treatment of CNSLBP. / M

No description available.

Title: Effect comparison of educational-movement therapy "stabilization function"of a trunk and traditional rehabilitation therapeutic approach for patients with nonspecific low back pain. Nonspecific low back pain is a main cause of disability and the principal cause for injury-related lost work-days. The various therapies for nonspecific low back pain have been elaborated in many studies. The recommended therapeutic guideline for primary care of patients with nonspecific low back pain is early mobilization combined with a specific rehabilitation therapeutic approach. One such specific rehabilitation therapeutic approach is "trunk stabilization" therapy. The objective of this dissertation is to compare a therapeutic approach involving "stabilization exercises" with the traditional clinical approach that has been clinically proven to be most efficacious for patients with acute nonspecific low back pain. This study compares the effects of the prescribed therapies on 24 patients with non- specific acute low back pain. The test subjects (men and women with an average age 41.2 years) were allocated into two simple randomized subgroups. The test subjects received 2 outpatient therapy sessions per week for 4 weeks. Pre-test and post-test spine shape and range of motion examination were determined using...

7 Annotation Graduation thesis deal with problems of behavioral disturbances about children and adolescents. First part describes professional notions about behavioral disturbances in next chapters describes particular behavioral disturbances it's etiology and diagnosis. Final parts focus on kinds of primary prevention predominantly in elementary school and in non-for- profit organization. Thesis deal with specific and nonspecific prevention of behavioral disturbances.

Title: Speed possibilities and their relative independence in older school age. Goals: Examination of dependence speed ability and technical skills players with ball, comparison league football team youth and teams from lower competes namely on the part of high - speed and technical skill, inquest rate and technical skill in bullpen load and seasonal interval, proposition procuration for improvement results near surveyed sets. Methods: Correlation coefficient, arithmetic average, t-test, probability, canonical correlation. Results: All results are present in result parts work, check set hypotheses, be of consequence source for comparison speed abilities and skills football youth. Key words: Football, practice cycle, particularity, practice training, level, correlation coefficient, arithmetic average, speed, specific tests, nonspecific tests.

No description available.

Ces travaux visent à étendre les applications de la résonance de plasmons de surface (SPR) L’objectif est d’offrir des outils diagnostics plus rapides, efficaces et simple d’utilisation pour diagnostiquer ou effectuer le suivi de conditions cliniques. Pour se faire, un nouveau type d’instrumentation SPR basé sur l’utilisation d’un prisme d’inversion (dove) a permis d’atteindre une limite de détection (LOD) de 10-6 unité d’indice de réfraction (RIU), une valeur comparable aux instruments commerciaux complexes tout en demeurant peu dispendieux, robuste et simple d’utilisation. Les travaux présentés dans cet ouvrage visent, dans un second temps, à réduire les interactions nonspécifiques (NSB) entre la surface des biocapteurs SPR et les composants de la matrice biologique complexe telles que: l’urine, le lysat cellulaire, le sérum et le sang. Ces dernières induisent des réponses empêchant l’utilisation de biocapteurs SPR en milieux complexes. Les acides aminés (AA) offrent une grande variété de propriétés physico-chimiques permettant la mise au point de monocouches auto-assemblées (SAM) aux propriétés diverses. Initialement, 19 des 20 acides aminés naturels ont été attachés à l’acide 3-mercaptopropionique (3-MPA) formant des SAMs peptidomimétiques. La quantité d’interactions nonspécifiques engendrées par ces différentes surfaces a été mesurée en exposant ces surfaces au sérum sanguin bovin complet variant de 400 ng/cm² jusqu’à 800 ng/cm². La détection à l’aide de ces surfaces de la β-lactamase (une enzyme responsable de la résistance aux antibiotiques au niveau μM) a démontré la possibilité d’employer ces surfaces pour bâtir des biocapteurs SPR. Des peptides de longueur allant de 2 à 5 résidus attachés à 3-MPA ont été synthétisés sur support solide. Cette étude a démontré que l’augmentation de la longueur des peptides formés d’AA résistants aux NBS accroit leur résistance jusqu’à 5 résidus. Le composé le plus performant de ce type (3-MPA-(Ser)5-OH) a permis d’atteindre 180 ng/cm². Cette valeur est similaire à celle des meilleures surfaces disponibles commercialement, notamment les surfaces de polyethylène glycol (PEG) à 100 ng/cm². Des surfaces de 3-MPA-(Ser)5-OH ont permis l’étalonnage de la β-lactamase et sa quantification directe dans un lysat cellulaire. La LOD pour ces biocapteurs est de 10 nM. Une troisième génération de surfaces peptidiques binaires a permis la réduction de la NSB jusqu’à un niveau de 23±10 ng/cm² une valeur comparable aux meilleures surfaces disponibles. Ces surfaces ont permis l’étalonnage d’un indicateur potentiel du cancer la metalloprotéinase-3 de matrice (MMP-3). Les surfaces formées de peptides binaires (3-MPA-H3D2-OH) ont permis la quantification directe de la MMP-3 dans le sérum sanguin complet. Une quatrième génération de surfaces peptidiques a permis de réduire davantage le niveau de NSB jusqu’à une valeur de 12 ± 11 ng/cm². Ces surfaces ont été modifiées en y attachant une terminaison de type acide nitriloacétique (NTA) afin d’y attacher des biomolécules marquées par six résidus histidines terminaux. Ces surfaces ont permis le développement d’une méthode rapide de balayage des ligands ciblant le « cluster of differenciation-36 » (CD36). L’étude d’électroformation des monocouches de peptide a permis de déterminer les conditions de formation optimales d’une couche de 3-MPA-HHHDD-OH permettant ainsi la formation de monocouches résistantes au NSB en moins de 6 minutes en appliquant un potentiel de formation de 200mV vs Ag/AgCl. / The work presented in this thesis aims to extend the use of surface plasmon resonance (SPR) biosensors to generate more rapid, cost efficient and simple to use diagnostic tools to diagnose or follow serious medical conditions. This task required the development of a new SPR instrument that relies on an inversion prism (dove) and is able to reach a limit of detection (LOD) in the 10-6 refractive index unit (RIU) range, a value comparable to more complex commercial instruments. The developed SPR instrumentation is inexpensive, robust and very simple to manipulate. The other work presented in this thesis is based on reducing nonspecific interactions between the surface of SPR sensors and components in biological matrices such as urine, cell lysate, serum and whole blood. These nonspecific interactions induce SPR responses that have typically prohibited the use of SPR in these complex matrices. Amino acidshavebeen investigated for reduction of nonspecific binding (NSB) because they offer a wide variety of physico-chemical properties capable of tuning the physical properties of surfaces in a self-assembled monolayer (SAM) format. Initially, the attachment of one of 19 physiological 20 amino acids to 3-mercaptopropionic acid (3-MPA) allowed the formation of amino acid SAMs. Exposure of these surfaces to bovine serum revealed nonspecific interactions ranging from 400 ng/cm² to 800 ng/cm². Detection assays for β-lactamase (an enzyme produced by drug resistant bacteria at a micromolar level) demonstrated that the amino acid SAM is suitable for SPR biosensing. By using a solid phase approach, peptides were of 2 to 5 residues were synthesized to investigate NSB properties. The result of this study showed that adding amino acids decreased nonspecific interactions up to a peptide length of 5 amino acids. The best performing peptide, 3-MPA-(Serine)5-OH, resulted in low nonspecific adsorption of bovine serum proteins to a level of 180 ng/cm². This value is similar to nonspecific adsorption obtained under identical conditions for one of the best reported surfaces: polyethylene glycol-based SAMs at 100 ng/cm². The 3-MPA-(Serine)5-OH based SAM was used to calibrate β-lactamase, leading to its direct quantification in crude cell lysate. The detection limit for this analyte was 10 nM. A third generation of peptide, which is binary patterned, decreased significantly nonspecific adsorption to a level as low as 23 ± 10 ng/cm², a value comparable to the best surfaces known. This surface SAM allowed the calibration of matrix metalloproteinase-3 (MMP-3), a potential indicator of cancer. Direct quantification assays of MMP-3 in whole blood serum were achieved with the binary patterned peptides developed. The LOD for MMP-3 was 0.2nM over a 50 nM linear domain. A fourth generation of peptide based surfaces was developed, reducing the level of nonspecific adsorption of blood serum proteins to 12 ± 11 ng/cm2. These new surfaces were modified to attach His-tagged biomolecules enabling rapid screening of small ligands targeting the Cluster of differentiation-36 (CD36). Finally, the electroformation of peptide monolayers was studied to determine the optimal conditions needed to form an ultralow biofouling surface. It was demonstrated that the difference in potential applied during the formation of a peptide based layer influences the kinetics of formation and the arrangement of this layer. An optimal layer of 3-MPA-HHHDD-OH could be obtained in less than 6 min by applying a potential of 200mV vs Ag/AgCl to the SPR sensor.