¿Carcinoma de mama o carcinoma de glándula sudorípara? Presentación de dos casos y análisis de la literatura

Primary apocrine carcinoma of the sweat gland is a neoplasm with a very low incidence that may represent a clinical and histological diagnostic challenge, as well as for adequate local, adjuvant, and advanced disease management. The average age of patients is around 67 years with no gender preference. This cancer develops primarily at the axillary and scalp levels and is clinically characterized by slow growth, but can progress aggressively with local, nodal, and metastatic involvement (primarily lung, liver, and bone). The recommended management, once the histology is established, consists of a wide local resection with a clear margin of 1 to 2 cm and regional lymphadenectomy if clinically positive nodes are detected. The adjuvant treatment (radiotherapy or chemotherapy) and for the advanced disease is not established.We report here the cases of two female patients initially diagnosed with breast cancer who were finally diagnosed with apocrine carcinoma of the sweat gland.     

Unraveling the mechanism of octenidine and chlorhexidine on membranes: Does electrostatics matter?

The increasing problem of antibiotic resistance in bacteria requires the development of new antimicrobial candidates. There are several well-known substances with commercial use, but their molecular mode of action is not fully understood. In this work, we focus on two commonly used antimicrobial agents from the detergent family—octenidine dichloride (OCT) and chlorhexidine digluconate (CHX). Both of them are reported to be agents selectively attacking the cell membrane through interaction inducing membrane disruption by emulsification. They are believed to present electrostatic selectivity toward charged lipids. In this study, we tested this hypothesis and revised previously proposed molecular mechanisms of action. Employing a variety of techniques such as molecular dynamics, ζ potential with dynamic light scattering, vesicle fluctuation spectroscopy, carboxyfluorescein leakage measurement, and fluorescence trimethylammonium-diphenylhexatriene- and diphenylhexatriene-based studies for determination of OCT and CHX membrane location, we performed experimental studies using two model membrane systems—zwitterionic PC and negatively charged PG (18:1/18:1):PC (16:0/18:1) 3:7, respectively. These studies were extended by molecular dynamics simulations performed on a three-component bacterial membrane model system to further test interactions with another negatively charged lipid, cardiolipin. In summary, our study demonstrated that detergent selectivity is far more complicated than supposed simple electrostatic interactions. Although OCT does disrupt the membrane, our results suggest that its primary selectivity was more linked to mechanical properties of the membrane. On the other hand, CHX did not disrupt membranes as a primary activity, nor did it show any sign of electrostatic selectivity toward negatively charged membranes at any stage of interactions, which suggests membrane disruption by influencing more discrete membrane properties.     

Les premiers comportements funéraires auraient-ils pris place à Atapuerca, il y a 350 000 ans ?

A lithic tool has appeared for the first time at Sima de los Huesos (Atapuerca, Spain). It is a finely flaked quartzite handaxe, which is associated with the hominid assemblage of a MNI of 27 Homo heidelbergensis, dated more than 350,000 years ago. The particular nature of the deposit involving its taphonomy, paleontology, and technology points to a symbolic meaning both of the tool and the human accumulation.     

·荒漠草地植物多样性对草食动物采食的响应机制

草食动物采食对草地植物多样性和生态系统功能的影响机制是放牧生态学研究的核心问题。该研究以内蒙古锡林郭勒盟苏尼特右旗荒漠草原的长期放牧控制实验为平台, 从既有草地植物多样性和动物偏食性两个层面系统地研究了荒漠草地植物多样性对草食动物采食的响应机制。结果显示: 1)荒漠草地植物对草食动物采食呈现4种响应模式: 放牧“隐没种”、放牧“敏感种”、放牧“无感种”、“绝对优势种”; 2)在群落尺度上, 物种多样性指数随放牧强度增加而减少, 与不放牧小区相比, 重度放牧(HG)与适度放牧(MG)小区植物多样性均下降, 且这一规律同样适用于功能群多样性, 灌木半灌木这一功能群内物种多样性对放牧干扰较敏感; 3)在草地既有植物的基础上, 以不放牧小区为参考系, 草食动物对植物功能群偏食性的排序为: 一二年生草本(AB) >多年生杂类草(PF) >灌木半灌木(SS) >多年生禾草(PG), 且偏食性物种主要分布于AB和PF中; 4)植物多样性与动物偏食性基本呈显著负相关关系(p < 0.05)。     

毛报春(Primula × pubescens)腋芽再生组织培养体系的建立

以毛报春(Primula × pubescens)无菌腋芽为外植体, 分析不同浓度激素配比对愈伤组织诱导和分化以及不定芽增殖和生根的影响, 筛选出不同阶段的最适培养基, 优化毛报春的组织培养再生体系。结果表明, 毛报春腋芽愈伤组织诱导及分化的最适培养基为MS+0.2 mg∙L^-1 NAA+1.0 mg∙L^-1 6-BA, 诱导率达84%, 出芽率达67%; 不定芽增殖最适培养基为MS+0.5 mg∙L^-1 NAA+0.2 mg∙L^-1 6-BA, 增殖率可达67%, 苗绿且健壮; MS+0.2 mg∙L^-1 NAA培养基最有利于组培苗的生根及伸长, 平均单株生根数为9条, 生根率高达70%。该研究建立了毛报春的组织培养再生体系, 可为报春属其它植物的遗传研究及种质创新提供参考。     

Centenarians – a useful model for healthy aging? A 29‐year follow‐up of hospitalizations among 40 000 Danes born in 1905

Centenarians surpass the current human life expectancy with about 20–25 years. However, whether centenarians represent healthy aging still remains an open question. Previous studies have been hampered by a number of methodological shortcomings such as a cross-sectional design and lack of an appropriate control group. In a longitudinal population-based cohort, it was examined whether the centenarian phenotype may be a useful model for healthy aging. The study was based on a complete follow up of 39 945 individuals alive in the Danish 1905 birth cohort on January 1, 1977 identified through the Danish Civil Registration System (DCRS). Data from the Danish Demographic Database and The Danish National Patient Register (in existence since 1977) were used. The 1905 cohort was followed up from 1977 through 2004 with respect to hospitalizations and number of hospital days. Survival status was available until December 2006. Danish centenarians from the 1905 cohort were hospitalized substantially less than their shorter-lived contemporaries at the same point in time during the years 1977 through 2004. For example, at age 71–74, the proportion of nonhospitalized centenarians was 80.5% compared with 68.4% among individuals who died in their early 80s. This trend was evident in both sexes. As a result of their lower hospitalization rates and length of stay in hospital compared with their contemporaries, who died at younger ages, Danish centenarians represent healthy agers. Centenarians constitute a useful study population in the search for fixed traits associated with exceptional longevity, such as genotype.     

Un débitage lamellaire au Proche-Orient vers 40 000 ans cal BP. Le site d’Umm el Tlel,Syrie centrale

Across the Near-East and particularly in Syria, a number of archaeological sites have delivered new industries which can be linked to the intermediate Palaeolithic, more commonly qualified as “Transition industry” Due to the apparition of several facies with new technical orientations, the term of intermediate Palaeolithic seems most appropriate. The bladelets production is one of those innovations. Among the four facies identified in the Palmyra and the El Kowm basins (central Syria), facies 3 and 4 are the most frequent and the best documented in terms of chrono-stratigraphical sequence. Here we present the facies 3 discovered in stratigraphy on the site of Umm el Tlel. This facies has been dated and the industries have been submitted to a micro use-wear analysis. The levels III2a’ and II base’, selected for analysis and dated around 36,000 ± 2500 years (T.L.), are characterized by different modes of production and by various predetermined removals. Among these productions, the bladelets represent more than a third of the predetermined removals. These bladelets have various morphologies and dimensions and result from two modes of production. The first mode consists in alternating Levallois products and bladelets and the second mode utilizes specifics cores. The presence, on all types of bladelets, of micro use-wear corroborates the intentionality of these productions. The use-wear show that the bladelets have been used for various actions in and on different materials worked and that they were maintained according to different modes of prehension. Across the Levant, a technical continuity clearly appears between the facies of the intermediate Palaeolithic and the industries of the upper Palaeolithic: the Ahmarian and the Aurignacian. Nevertheless this technical innovation is integrated in a distinct way according to the considered period. During the intermediate Palaeolithic the lithics productions are different according to the facies and the use of the bladelets is varied. While during the upper Palaeolithic there is a technical normalization of the blanks but also functions of bladelets.     

Observations Préliminaires Sur Les Pali#x000E9;oenvironnements De L'ilerdien De Coustouge (Corbières,France)

The classic section of Ilerdian at Coustouge (Corbières, France) is analysed at an sedimentological and paleoecological angle. This study shows the deltaic character of sedimentation. The authors describe the distribution of faunas in prodelta, deltafront, beach ridges, tidal flats, bays, distributary channels and brackish marshes environments.     

Is a five‐category reporting scheme for thyroid fine needle aspiration cytology accurate? Experience of over 18 000 FNAs reported at the same institution during 1998–2007

S. Piana, A. Frasoldati, M. Ferrari, R. Valcavi, E. Froio, V. Barbieri, C. Pedroni and G. Gardini Is a five‐category reporting scheme for thyroid fine needle aspiration cytology accurate? Experience of over 18 000 FNAs reported at the same institution during 1998–2007 Objective: Fine needle aspiration (FNA) has long been recognized as an essential technique for the evaluation of thyroid nodules. Although specific cytological patterns have been recognized, a wide variety of reporting schemes for thyroid FNA results have been adopted. This study reports our experience with a five‐category reporting scheme developed in‐house based on a numeric score and applied to a large series of consecutive thyroid FNAs. It focuses mainly on the accuracy of thyroid FNA as a preoperative test in a large subset of histologically distinct thyroid lesions. Methods: During the 1998–2007 period, 18 359 thyroid ultrasound‐guided FNAs were performed on 15 269 patients; FNA reports were classified according to a C1–C5 reporting scheme: non‐diagnostic (C1), benign (C2), indeterminate (C3), suspicious (C4), and malignant (C5). Results: Non‐diagnostic (C1) and indeterminate (C3) FNA results totalled 2 230 (12.1%) and 1 461 (7.9%), respectively, while suspicious (C4) and malignant (C5) results totalled 238 (1.3%) and 531 (2.9%), respectively. Histological results were available in 2 047 patients, with thyroid malignancy detected in 840. Positive predictive value of FNA was 98.1% with a 49.0 likelihood ratio (LR) of malignancy in patients with a C4/C5 FNA report. Conclusions: This five‐category scheme for thyroid FNA is accurate in discriminating between the virtual certainty of malignancy associated with C5, a high rate (92%) of malignancy associated with C4, and a 98% probability of a histological benign diagnosis associated with C2. Further sub‐classifications of C3 may improve the accuracy of the diagnostic scheme and may help in recognizing patients eligible for a ‘wait and see’ management.     

Identification of ectoproteins of human platelets: II. Proteins of low molecular weight (10 000–43 000)

The surface exposed proteins in the range of 43 to 10 kDa were studied with a combination of radiolabelling and two-dimensional electrophoresis. Nineteen proteins were found after reduction, nine of which were linked to other polypeptides in the non-reduced state.     

Australopithecus afarensis : bipédie stricte ou associée à une composante arboricole ? Critiques et révision du matériel fémoral

Although much research has been carried out on Australopithecus afarensis locomotion, no consensus has yet been reached. Our new critic study on femoral material brings to the fore a strictly bipedal behaviour within this taxon. Our results are based on the pertinence of human anatomical characteristics among A. afarensis and on the absence of characteristics revealing arboreal displacement. These results have emerged from our different observation and interpretation of some preceding authors concerning the anatomy of these fossil hominids. It is important to underline that apomorphic characteristics of this species are difficult to interpret. They must not however be used to support the idea of arboreal displacement simply based on the fact of a no totally human morphe. We believe that present day humans do not necessarily reflect the earliest strict bipedal anatomic model. An the other hand, it appears that the disagreement between the two locomotor hypothesis for A. afarensis that are bipedalism and arboreal displacement, facing the possibility of bipedalism associated with negligible arboreal displacement, results more from an evolutionary fact than from a real scientific conflict.     

&#183;遗传咨询&#183;

1．多囊肾的遗传 问：我有家族多囊肾遗传史,自己双肾有囊肿,现在怀孕29周,胎儿彩超双肾大,有回声,医生判定为多囊肾,我如果不要这胎,再怀孕,有不遗传的可能吗？     

最近12 000年来青藏高原植被的时空分布

青藏高原30个点湖泊的孢粉记录综合研究显示: 在进入全新世之前(12 ka BP以前),除最东南部外,高原从东到西均发育为荒漠草原植被.全新世早期(12.0-9.0 ka BP)高原东南部(104°-98° E)为落叶阔叶林/针阔叶混交林; 中部(98°-92° E)为草甸或灌丛草甸,再向西至80° E左右为草原植被; 全新世中期(9.0-3.2 ka BP)高原由东向西古植被依次发育为针阔混交林和硬叶阔叶林(104°-98° E)→针阔混交林(98°-94° E)→灌丛草甸(94°-92° E)→草原(92°-80° E);全新世晚期(3.2 ka BP以后)由东向西古植被依次为硬叶阔叶林→针阔混交林→草甸→草原→荒漠.