Apports de la géologie et de la géomorphologie à l’étude du mégalithisme : identifier,interpréter,dater

The contribution of geology and geomorphology to architectural and technological study of the Atlantic coast of France megaliths is important and can be grouped into three main axes: to identify, interpret and dating. Identification refers to the sourcing of the megalithic materiel from 0 to 7 km, sometimes around 10 km, or even exceptionally around 30 km. It is never the entire supply that is affected by such long distances but only a few blocks, some of them are remarkably well staged in the megalithic architecture. Another contribution lies in a fresh look at the management of stone recognized through the modes of acquisition, transformation and use of the raw material. More particularly, the geomorphology associated with technological reading offers tools for recognizing ancient standing stones. In the context of the interpretation of funerary chambers, the two sciences open a large window on the modalities of the internal structuring of monuments. From the entrance to the end of the chamber, the organization and use of the space is documented, sometimes a symbolic coding emerges from the mineral walls. This symbolic coding is based on particular petrography, on surface conditions operating a subdivision of space, on granulometries and homogeneities of differentiated surfaces. The internal organization can also be marked with natural “patterns”, which refer to a completely new aspect of Neolithic thought. Finally, the last axis concerns relative dating, by recognizing forms of postmegalithic fossil erosion, geomorphology makes it possible to identify reused stelae. A very important tool in a current research context where an important episode of reuse of standing stones at the end of the middle Neolithic is anticipated in the construction of dolmens in the south of France.     

Essai d’archéologie expérimentale pour la production de perles à perforation double aurignaciennes

The small double perforated ivory beads are an important category of finds in the southwestern Germany during the Aurignacian. Thanks to his long experience in working with prehistoric lithic tools, the author tried to produce experimentally these tiny jewels being as close as possible to the archaeological pieces.     

Hommage à rené delépine à l'occasion de son départ à la retraite

A tribute to René Delépine on the occasion of his retirement. The career of René Delépine is reviewed on the occasion of his retirement. When he was a student, a meeting with Jean Feldmann led to a lifelong inclination towards phycology. Eventually appointed to the position of assistant professor at the University of Paris-VI (University Pierre-et-Marie-Curie), René Delépine worked and published primarily on the taxonomy of antarctic and subantarctic marine algae but he was also interested in seaweed aquaculture and utilizations. After organizing the national colloque ValVA (Valorisation des végétaux aquatiques), he became increasingly involved in the commercial application of seaweeds. His main activity, however, remained university teaching for which he was always enthusiastic, especially for teaching in the field and on the subject of the utilizations of algae. A list of his publications is given at the end of this article.     

Cancer différencié de la thyroïde métastatique à propos de 70 cas : impact des nouvelles recommandations de 2017

IntroductionMetastatic differentiated thyroid carcinoma (MDT) represents an average of 10% of patients with CDT. Metastases are prognostic factors. Their care is multidisciplinary.ObjectiveTo study the epidemiological, clinical, histological, therapeutic and evolutionary aspects of metastatic CDT and to study the impact of new recommendations.Patients and methodsRetrospective study of 70 patients followed for a metastatic CDT collected between June 2007 and June 2017, in the nuclear medicine department of Hassan II University Hospital of Fez.ResultsMean age 51.34 ± 15.96 years, sex ratio F:H: 2.5. Age > 45 years old at 65.7% of whom 42.8% > 55 years old. Circumstances of discovery: nodule 15.8%, multi-hetero-nodular goiter 17.1%, metastases 65.7%. Multivariate analysis shows a significant correlation of age greater than 45 years (P: 0,001) and revealing metastasis. Histology: papillary carcinoma 72.9%, vesicular carcinoma 22.8% and carcinoma poorly differentiated 4.3%. Tumor > 4 cm in 45.7%, the TNM classification (2010) vs. TNM classification (2017): 31.4% vs. 48.6% in stage I, 12.9% vs. 28.6% in stage II, the stage III in 17.1% vs. 0% and 38.6% vs. 22.8% in stage IV. Complementary investigations: localization of metastases: 40% at the bone level, 31.4% lung, 14.3% ganglionnaires and others 9.9%. Hormonal braking treatment was administered in all patients and the « irathérapie » (ATA vs. French recommendation 2017).EvolutionSeven cases of cure, 1 case of recurrence, 4.3% refractory to iodine.ConclusionThe presence of metastases, worsens the prognosis. Therapeutic de-escalation with French recommendations. Bone localization was predominant, its management is multidisciplinary, and radioactive iodine as a complementary treatment does not allow their healing.     

Mammouth et comportements de subsistance à l’Épigravettien : analyse archéozoologique du secteur de la fosse no 7 associée à l’habitation no 1 de Mezhyrich (Ukraine)

Zooarchaeological analyses were carried on new large mammal bone materials, from the Epigravettian (Late Upper Palaeolithic) site Mezhyrich (Ukraine), in the pit n^o 7 area associated with the mammoth bone dwelling n^o 1. The results exhibit a usage of the pit as a dump area of food and technical remains from mainly mammoth, hare and fox processing, and bone fuels. The information about mammoth procurement by the last Palaeolithic hunter–gatherers in Eastern Europe allows to document the hunting activities on the mammoth populations, which were probably already weakened at the end of the Pleistocene.     

Le cancer différencié de la thyroïde chez les patients de moins de 20 ans : à propos de 20 cas

Papillary thyroid cancer is rare in patients under 20 years and has a good prognosis, although it is often found at the stage of lung metastases. Our multicenter study included 20 patients aged between 5 and 18 years, female predominance, followed for differentiated thyroid cancer with lung metastases. All these patients underwent a whole body scan with I-131, serum thyroglobulin, chest radiography in 4 cases and cervico-thoracic (CT) in 5 cases. Only scintigraphic imaging has shown miliary pulmonary among all patients. The therapeutic efficacy was observed in all patients after treatment with iodine-131, which proves the high sensitivity of these metastases to irathérapie. The differentiated thyroid cancer in child and adolescent is characterized by local aggressiveness and a higher frequency of distant metastases than in the adult. Prognosis does not seem to be influenced by histology alone, but by its association with other prognostic factors: age, metastases and surgery.     

Contribution à l'étude de la bryoflore Lorraine

Contribution to the knowledge of the bryophyte flora of Lorraine (France). The bryophyte flora of Lorraine (France), which was not extensively studied during the second half of this century, has been visited again over the last four years. Seligeria acutifolia Lindb. has been collected for the first time in that region. New localities of several rare or poorly known bryophytes are given. A perspective view is proposed as to the future of bryological research in Lorraine.     

Les tumeurs testiculaires à cellules de Leydig: à propos de quatre cas et revue de la littérature

Introduction

Leydig cell tumors of the testis are uncommon, and represent 1 to 3% of all testicular tumors, it’s the most common of sex cord stromal tumors. They can be found in all age groups, but they mainly occur in subjects aged 15 to 50 years (50%), 25% occurring in older men and a little less than 20% in children aged 5 to 9 years. The most common revealing symptom is gynecomastia in adults, whereas in children it is isosexual pseudo-precocious puberty. They pose a problem during diagnosis, nonpalpable tumors, and during the choice of surgical treatment, because it is difficult to make a clear distinction between benign and malignant tumors.

Material and methods

We describe four different presentations of this disease. The parameters studied were: age, revealing symptom, hormonal profile, type of treatment, and mode of evolution.

Results

The average age of our patients was 37.5 years. The first revealing symptom was a unilateral increasing size of purse in two cases, a bilateral increasing size of purse in one case, and gynecomastia in the last one. In all cases testosterone was normal or low, and oestradiol was normal or elevated. Our four patients underwent an orchidectomy, associated with an enucleation of the contralateral testis in only one case. A favorable evolution was observed in every case for a mean follow-up of 15 months.

Conclusion

On the basis of four different clinical observations and the analysis of the literature, the aim of this review is to present the various clinical, biological, radiological, pathological and therapeutic aspects of Leydig cell tumors of the testis.     

Modèle géométrique de l'œuf de Ver à soie

Résumé L'uf de ver à soie qui se prête à de nombreuses recherches génétiques et physiologiques a été assimilé à un volume géométrique simple afin qu'on puisse calculer aisément l'aire de sa surface totale et son volume. On a d'abord cherché à justifier le modèle géométrique proposé grâce à une étude expérimentale et statistique. On a ensuite établi les formules mathématiques utiles. Enfin on a discuté de l'approximation donnée par ces formules et de leur signification biologique.

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Summary The egg of the silkworm which permits a lot of genetical and physiological researches has been assimilated to a simple geometric volume, so that the area of its total surface and its volume might be easily calculated. First we have tried to justify the geometrical model which is proposed by means of an experimental and statistical study. We have then demonstrated the useful mathematical formulas. Finally we have discussed the approximation given by these formulas and their biological significance.

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Zusammenfassung Das Seidenraupenei, das viele genetische und physiologische Forschungen ermöglicht, hat man mit einem einfachen geometrischen Modell verglichen, um seine ganze Fläche und sein Volumen leicht rechnen zu können. Zuerst hat man versucht, das vorgeschlagene geometrische Modell dank einer experimentalen und statistischen Arbeit zu rechtfertigen. Dann sind die nötigen mathematischen Formeln festgesetzt worden. Zuletzt hat man die durch diese Formeln gegebenen Annäherungen und ihre biologischen Bedeutung erörtert.

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Avec la collaboration technique de Mme.Donas     

Etude de la reponse à un stress hydrique de quelques varietés de riz pluvial et de riz irrigué

Résumé La transpiration de plants de riz cultivés sur sol en chambre de culture, est suivie en continu pendant une séquence déssèchement-irrigation. Les cycles jouraliers de transpiration sont présentés avant et pendant le stress hydrique. Quatre variétés montrent une augmentation de la transpiration nocturne qui disparait lors du stress hydrique. Il apparait que la régulation stomatique est indépendante du potentiel hydrique du sol jusqu'à une valeur seuil au-delà de laquelle la baisse de transpiration est proportionnelle à la baisse du potentiel hydrique. Cette valuer seuil est plus basse pour les variétés de type irrigué.

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Water stress response for some cultivars of upland- and lowland riceI. Effects on transpiration

Summary The transpiration of rice seedlings grown on soil in a growth chamber was observed during a soil drying/rewetting sequence. The diurnal cycles of transpiration are shown before and during the water stress period. Four cultivars showed an increase of transpiration during the night. This increase disappeared during the water stress period. The stomatal regulation appeared not to depend on the soil water potential until a certain value. Below this soil-water threshold, the decrease of transpiration was proportion to the decrease of water potential. This threshold value is lower for the rain-fed cultivars than for the irrigated cultivars.

     

Face à une suspicion de cancer ou de récidive de cancer : pratiques,communication et difficultés des médecins nucléaires français

Nuclear imaging techniques have been occupying an increasingly large place in the study of potentially cancerous morphological abnormalities. A National French survey was conducted among members of the French Society of Nuclear Medicine (Société française de médecine nucléaire) to study the usual practices of nuclear medicine physicians regarding information and communication during the “pre-announcement” stage of a cancer diagnosis. Sixty-six doctors (with an average of 44.7 years of age and 16.3 years of experience) working in mainland France responded to the online survey between November 2013 and February 2014. Most physicians said that they were uncomfortable in this kind of situation. Half of the doctors interviewed faced that situation at least 5 times a month. Communication habits were varied: 20% of them adopted a systematic approach (chose ‘always’ or ‘never’ to communicate information regardless of the patients’ demands) and 80% adapted their approach to the situations and to the patients (communication ‘on case by case basis’ and ‘upon request’). The survey also showed that professionals have contrasting views on the relevance, interest and risks of informing patients about the results of the tests in this kind of situation. Our study shows that it is necessary to discuss the position of nuclear medicine physicians in the pre-announcement procedure set out in the French Cancer Plan so as to reduce the challenges facing them while at the same time organizing and defining their roles.     

Endémie bilharzienne à Schistosoma mansoni à la vallée du Kou : caractérisation du système de transmission et impact socioéconomique

Schistosomiasis is one of the waterborne diseases which benefit from environmental and behavioral changes induced by the mobilization of surface water resources in Sahelian countries, such as Burkina Faso. Studies have established the existence of human schistosomiasis in the Kou valley, one of the oldest hydro-agricultural zones in the country. However, the role of population behavior in the transmission pattern of this disease and its socioeconomic impact in this valley are poorly understood. It is in response to these questions that this study was undertaken. The objectives of this study were to identify activities that exposed most of the Valley's population to infection by schistosomiasis, and to contribute knowledge on the consequences of this disease. The study was conducted in the cold dry season at the Kou Valley, located in the South Sudanese area of Burkina Faso. It has adopted the strategy of direct observation to examine host–parasites interactions. The study of the socioeconomic consequences of the infection has been first to identify subjects that actually carry the parasite by screening the population by the Kato–Katz method. These were then subjected to a questionnaire. Data were analyzed using Epi Info 6.4. This work has revealed six activities at risk of infection for the residents of the Valley with an increased risk of factor for rice farming, household activities and swimming. In view of these activities, women and young people seem to be most vulnerable to infection. This disease causes significant economic losses as a function of socio-professional categories of infected persons.     

Mensurations échographiques de la thyroïde chez des enfants de zéro à 15 ans de la ville de Ouagadougou

Among the methods used to carry out measurements of thyroid, echography is the best because it is noninvasive and more specific. The goals of this study were to determine the normal thyroid volume of the Burkinabe child; to study the parameters which induce a variation of thyroid volume and to compare our values with those from other localities. Through a cross-sectional study, 240 children from the town of Ouagadougou benefited from a thyroid echography. Thus the height (h), the transverse diameter (dt) and the thickness (e) were measured. Volume (vl) of each lobe was estimated by: vl = h × dt × e × 3.14/6. The total volume (VT) is the sum of the volumes of each lobe, the isthmus being neglected. A correlation set at the threshold p < 0.001 has been carried out between VT and some anthropometric parameters. The following averages were observed: before one year, the average volume is of 0.51 L ± 0.21; from one to three years, it is of 0.95 mL ± 0.33; from four to six years, the average volume is of 1.35 mL ± 0.43; from seven to nine years, it is of 1.95 mL ± 0.62. From 10 to 12 years, the average volume is of 3.01 mL ± 1.08 and it is of 5.32 mL ± 2.07 from 13 to 15 years. It stands out that the VT is positively associated with the age (r = 0.82), with the size (r = 0.73), with the weight (r = 0.81) and with body surface (r = 0.78). Moreover, the VT is higher among boys than in girls beyond one year of age. This parameter varies according to the area of origin. Lastly, compared with the American, European and Asian averages, our values are smaller. This study enabled us to establish our own standards which we will be able from now on to use in daily practice. However, multicentric studies associated with thyroid and sexual hormones blood levels measurements must be undertaken to ascertain these data.     

Radioprotection de l’entourage des patients traités à l’iode 131 pour des cancers différenciés de la thyroïde : comparaison de deux méthodes d’estimation des temps de restriction de contact

In France, it is required to give patients some written radiation safety advice following an iodine-131 therapy of thyroid. However, there is no regulatory methodology proposed to assess the restriction times required to limit radiation dose received by their family and by third persons. In this study, we compared two methods to perform the calculation of restriction times for differentiated thyroid cancer: the first one, called Global method, follows general recommendations and the second one, called PaDe method, provides customized recommendations based on the effective half-life measured for each patient during the 48 h of hospitalization. For these simulations, the input parameters for both methods were dose constraints, contact patterns, final dose rate measurement at discharge of the patient, effective half-life and dose rate variation with distance. For the Global method, these parameters were set and were not changed. For the PaDe method, the effective half-life and the final dose rate were adjusted for each patient. Comparison between the two methods was carried out for 103 patients. For 68.0 % of the patients, no restrictions were necessary according to the PaDe method whereas the Global method required restrictions to be applied during up to 2 days. For almost 16.5 % of them, restriction times estimated with the PaDe method were systematically lower. For the remaining 15.5 %, at least one contact pattern restriction had to be increased according to the PaDe method. Furthermore, with the Global method, the same instructions were given to 97.0 % of the patients. These results showed the limits of the Global method which does not consider individually tailored biological data. Eventually, the use of the personalized PaDe method optimizes the radiation protection by improving the well being of the patient or reinforcing the family and third person's protection.     

Aspects originaux de la trichinose domestique à partir d'une infestation familiale découverte à Montréal

An outbreak of domestic trichinosis occurred in an Italian family living in Montreal. All patients had a fever, facial edema and extreme eosinophilia, and results of serologic tests were positive. Larvae of Trichinella spiralis were seen in a muscle biopsy from one of the patients. The discussion emphasizes some characteristic clinical, serologic and histopathological aspects.     

Le psychothérapeute psychanalyste « à <Emphasis Type="Italic">l’école de la phénoménologie</Emphasis> »

The mixing of psychoanalysis and phenomenology fosters the development of psychotherapy, psychoanalysis drawing on phenomenology to offer a method of studying and understanding the human being; this creates a genuine form of “anthropology”. Phenomenology’s contributions to psychoanalysis revolve around the three notions of épochè, the understanding of others and transference. On the one hand, épochè (a suspension of natural states of mind, obviousness and knowledge; an eidetic reduction; and an opening to the world and others) ensures better comprehension (“to take with yourself”) of others and their existential projects. On the other hand, épochè prevents falling into the transference and countertransference traps and sets the distance necessary for the hermeneutic act, that is, the interpretation of what is no longer there, what is absent, yet said and indicated by language in psychoanalytic therapy. Through its humanist, anthropological perspective and its overall understanding of the human being, phenomenology leads the way to rethinking clinical psychotherapy to create a more unified discipline.