En France, la majorité des donneurs de spermatozoïdes souhaite le maintien de leur anonymat

So far in France, sperm donor anonymity, which was a fundamental principle and has been twice confirmed in the law in 1994 and 2004, is debated nowadays. In this context, the Cecos wanted to know the donors opinion on anonymity. In 2006, 193 semen donors recruited in 14 Cecos answered anonymously a questionnaire: 73% were in agreement with the principle of anonymity and less than 30% agreed that the future law should change to allow the children to know the donor identity. In case of anonymity disclosure, 60% would give up their sperm donation. The same proportion of donors would accept that non identifying information on them could be given on request to the parents and the child.     

Chirurgie cardiaque chez le nouveau-né et le nourrisson

During the past five years, 127 newborn infants with marked anoxia, severe cardiac failure or respiratory problems secondary to a cardiac lesion were operated upon at l''Hôpital Ste-Justine, Montreal, Quebec.Infants in cardiorespiratory distress from a cardiac lesion for which the surgical treatment is well established, such as complicated coarctation of the aorta, were either cured or improved in 78% of cases. The fatal outcome following medical treatment of patients suffering from lesions for which the surgical treatment is not yet well established, e.g. interruption of the aortic arch, led us to operate upon these infants with the hope of salvaging some of them despite the high surgical risk.The decision to operate was usually based on clinical grounds; however, cine-angiocardiography was at times required to establish the exact diagnosis. Light anesthesia was essential to the success of the operation. Postoperative care was facilitated by a team of nurses well experienced in the treatment of newborn subjects with heart lesions. Fluids were administered in a minimum quantity of 700 c.c./m.² for 24 hours, and potassium was the only electrolyte added to the replacement fluids. Respiratory problems were reduced to a minimum by active physiotherapy. However, intubation with aspiration of tracheobronchial secretions was carried out when necessary.     

La vitalité des spermatozoïdes

Most of the numerous techniques used to assess sperm viability only have research applications, while only two classical tests, i.e. eosin-Y and hypo-osmotic swelling test (HOST), are currently used in routine sperm analysis to determine the percentage of viable sperm. A viability rate below 50% of living sperm defines necrozoospermia, a condition whose clinical significance is fairly difficult to assess as the mechanisms of sperm cell death are still poorly understood. However, even when a precise cause for necrozoospermia cannot be identified, abnormal viability requires further andrological investigations with particular emphasis on clinical and laboratory signs of chronic infection of the male reproductive tract. Intracytoplasmic sperm injection (ICSI) can yield very good pregnancy rates, even in couples with the most severe forms of male infertility. However, when no motile sperm are available after sperm preparation, the outcome of ICSI is seriously impaired, probably because of a high risk of injecting dead sperm. In these patients, sperm viability could therefore be assessed by the hypo-osmotic swelling test in order to select only viable sperm for ICSI. However, the long incubation time of sperm in the hypo-osmotic solution, as recommended in the classical HOST procedure, has been shown to be detrimental to the spermatozoa. A single sperm test able to assess the viability of each individual spermatozoon within microdroplets covered by mineral oil therefore seems to be preferable. This selection procedure is less suitable in the case of immotile frozen-thawed sperm, as viability does not appear to be reliably predicted by HOST in cryopreserved sperm. Examination of sperm viability now also evaluates programmed cell death or apoptosis, as apoptotic alterations can be detected in spermatozoa by several techniques. The percentage of apoptotic sperm is correlated with deficient sperm parameters and poor outcome of assisted reproductive techniques. More effective selection procedures are therefore needed in order to identify spermatozoa not only with intact membranes but also with an intact genome to be used for ICSI.     

Variations du taux des ecdystéroïdes au cours des cycles de mue et de vitellogenèse chez le Crustacé Amphiphode,Orchestia gammarellus

Ecdysteroid titer in whole extracts of female O. gammarellus varies during the course of the moult cycle: it is minimal at the beginning of the intermoult cycle (stages A, B and C_a) and in D₀, and maximal in D₂. In hemolymph, the hormone content presents a single peak level in D₂; this peak is constituted by ecdysterone, as revealed by HPLC. Ovaries, at the end of vitellogenesis, contain ecdysterone and low polarity substances. Ecdysteroids are also present in eggs after laying.

Variations in ecdysteroid levels seem to influence oocyte growth; vitellogenin synthesis, however, is independent of hormonal fluctuations.     

Varicocèle et infertilité masculine

Introduction

Male responsibility in couple infertility has been established in several studies. The purpose of this research was to report varicocele clinical and spermatic aspects and assess the outcomes of open retroperitoneal varicocelectomy.

Patients and methods

Our study is a retrospective assessment of the outcomes of open retroperitoneal varicocelectomy at the urology department of Aristide Le Dantec teaching hospital (Senegal). Our focus is on patients with varicocelectomy facing couple infertility (inability for sexually active couples who are not using contraceptive methods to obtain a pregnancy over a year), patients among which no other infertility cause was revealed in their partner or partners in polygamist households. To assess the results, we compared the averages of preoperative and postoperative spermatic parameters by using the Z test (comparison test of two averages on two mated series). A difference was regarded as significant if P ?? 0.05.

Results

Five hundred and fourteen cases were examined over 6 years (January 2005?CDecember 2010). The average age of the patients was 36.5 ± 7.3 years. The infertility was primary in 62.4%. The analysis of the preoperative spermograms revealed that severe oligozoospermia (33.7%) was the most common abnormalities in the sperm cells concentrations. The abnormalities in the sperm cells concentrations were variously connected with an asthenozoospermia and to a theratozoospermia. The patients were monitored with an average hindsight of 22 months (6?C48 months). The improvement of the parameters was more significant on the concentration and the mobility of sperm cells. The natural pregnancy rate obtained in our study was 20.8%. The registered pregnancies were more important in the group IV (48%). No case of natural pregnancy was noted in the group I but an induction of the spermatogenesis was noted in 20.5% of the cases. About two thirds of natural pregnancies (64%) were noted during the first 12 post-operative months.

Conclusion

The surgical treatment of varicocele allows improving the spermatic parameters. Not only do these improvements help obtain natural pregnancies but also simplify the techniques of ART planned with the preoperative spermatic parameters.     

Le contrôle automatique du flux lumineux dans l'oeil composé des Diptères

In the compound eye of the fly Musca, tiny pigment granules move within the cytoplasm of receptor cells Nos. 1–6 and cluster along the wall of the rhabdomeres under light adaptation, thus attenuating the light flux to which the visual pigment is exposed (Kirschfeld and Franceschini, 1969). Two recently developed optical methods (the neutralization of the cornea and the deep pseudopupil) combined with antidromic and orthodromic illumination of the eye (Fig. 1) make it possible to analyse the properties of the mechanism at the level of the single cell, in live and intact insects (Drosophila and Musca). The mechanism is shown to be an efficient attenuator in the spectral range (blue-green) where cells Nos. 1–6 have been reported to be maximally sensitive (Figs. 4c and d, 5b and 11b). In spite of the fact that the granules do not penetrate into the rhabdomere, the attenuation spectrum they bring about closely matches the absorption spectrum of the substance of which they are composed (ommochrome pigment, dotted curve in Fig. 11b). The dramatic increase in reflectance of the receptors after light adaptation (Figs. 3, 4b, 5a and 11a) can be explained as a mere by-product of the high absorption index of the ommochrome pigment, especially if one takes into account the phenomenon of anomalous dispersion (Chapter 8). The vivid green or yellow colour of the rhabdomeres would thus have a physical origin comparable to a metallic glint. Contrasting with the lens eye in which the pupillary mechanism is a common attenuator for both receptor types (rods and cones), the compound eye of higher Diptera is equiped with two types of pupils adapted respectively to both visual subsystems. A scotopic pupil is present in each of the six cells (Nos. 1–6) whose signals are gathered in a common cartridge of the first optic ganglion. This pupil comes into play at a moderate luminance (0,3 cd/m² in Drosophila; 3 to 10 cd/m² in Musca. Figs 13, 14, 15, 16). A photopic pupil is present in the central cell No. 7 whose signal reaches one column of the second optic ganglion. Attenuating the light flux for both central cells 7 and 8, the photopic pupil has its threshold about two decades higher than the scotopic pupil, just at the point where the latter reaches saturation (Fig. 3b, e-State II of Figs. 6b and 15). The photopic pupil itself saturates at a luminance one to two decades higher still (Fig. 3c, f=State III of Figs. 6c and 15). The two-decades-shift in threshold of these pupil-mechanisms supports the view that receptors 1–6 are a scotopic subsystem, receptors 7 and 8 a photopic subsystem of the dipteran eye. The luminance-threshold of the scotopic pupil (as determined with the apparatus described in Fig. 2) appears to be located at least 3.5 decades (Drosophila) or even 5 decades (Musca) higher than the absolute threshold of movement perception (Fig. 16). After a long period (1 hr) of darkness a light step of high intensity can close the scotopic pupil within about 10 sec (time constant 2 sec as in Fig. 9) and the photopic pupil within no less than 30–60 sec. Some mutants of Drosophila possess only a scotopic pupil (w , Figs. 4 and 5) whereas ommochrome deficient mutants lack both types of pupil (v, cn, see Fig. 7c, d). Comparable reflectance changes, accomplished within about 60 sec of light adaptation, are described for two insects having fused rhabdomes: the bee and the locust (Fig. 17).     

Reproductibilité interobservateur d'un tympanomètre portatif,le MicroTymp.

OBJECTIVE: To determine the interobserver reliability of tympanograms obtained with the MicroTymp, a portable tympanometer. SETTING: Family medicine teaching unit in a tertiary care hospital. PATIENTS: Thirty-three patients who presented to the ear, nose and throat clinic in August 1990 for an ear problem. INTERVENTION: Three residents in family medicine independently attempted to record with the MicroTymp one tympanogram for the 66 ears. We excluded the results for seven ears for which tympanograms could not be obtained. MAIN OUTCOME MEASURE: Using objective criteria, two family physicians and two residents in family medicine independently classified the 177 tympanograms into five categories (normal, possible effusion, possible perforation, possible tympano-ossicular dysfunction and unclassifiable). Reliability was estimated by means of the kappa (kappa) coefficient on 161 tympanograms from 59 ears for which the interpretation of the three tympanograms agreed. MAIN RESULTS: The interpretation of the three tympanograms agreed for 34 of the 59 ears (0.58) (kappa = 0.52, 95% confidence limits 0.45 and 0.59). There was no significant difference in interobserver reliability between pairs of observers or between symptomatic and asymptomatic ears. CONCLUSIONS: The interobserver reliability of the MicroTymp is moderate. The tympanograms obtained with the instrument should be interpreted in the context of the clinical findings.     

[Fréquence des maladies transmises sexuellement chez des étudiants universitaires.]

OBJECTIVE: To estimate the incidence rate of sexually transmitted diseases (STDs) among university students and evaluate the associated sociodemographic factors. DESIGN: Mail survey in April 1990. Included in the questionnaire were questions about the subjects'' STD experience since their admission to the university and the type and date of the infection. SUBJECTS: Of the 19,682 undergraduate students 2920 subjects, in 10 groups of 292, were randomly selected. A total of 1731 (59.4%) completed the questionnaire. MAIN OUTCOME MEASURES: Estimated annualized incidence rates of genital human papillomavirus infection and Chlamydia infection. RESULTS: The estimated annualized incidence rates of genital human papillomavirus and Chlamydia infections were 2.2% and 1.5% respectively. Among the students who indicated being infected with genital human papillomavirus 59% were 18 to 21 years old (p < 0.05), 76% were women (p < 0.01) and 69% had more than one sexual partner (p < 0.01). No statistically significant associations were observed between age, sex and Chlamydia infection. On the other hand, 95% of the cases of Chlamydia infection were found among those who had more than one sexual partner (p < 0.01). CONCLUSION: University students continue to have sexual activities at risk for STDs and should be specifically targetted by general practitioners and health services in an effort to slow the spread of STDs.     

Determinisme des anomalies de sex ratio á hérédité paternelle chez le crustacé amphipode Orchestia gammarellus Pallas

Summary

In the amphipod crustacea Orchestia gammarellus (heterogametic species: 2AXY male, 2AXX female), two kinds of sex ratio bias are recorded, hi the first category (thelygeny linked with intersexuality) a parasitic protozoa modifies the sexual phenotype of genetic males and can transform them into intersex males or functional females. This leads to the occurrence of viable 2AYY males and females.

In a second kind of sex ratio bias, males cause hereditary shifts of sex ratio. These ‘paternal sex ratio’ (psr) traits are transmitted by the male at each generation. Psr-f males cause an excess of females, psr-m males an excess of males.

The psr-m trait has a strictly patroclinous mode of transmission, but females from psr-f strains intervene in the expression of psr-f trait. Intra-sib matings are characterized by an excess of males. This characteristic seems to be linked with the age of the female. It disappears during successive brood. A relation between the psr-m and psr-f trait is observed: some psr- m males give psr-f males in the their progeny.

The analysis of crosses between psr-f or psr-m males and YY females allows to discard meiotic drive or sex lethal mortality as causes for the psr traits. Our results are best explained if we suppose that psr-f and psr-m males are XX and that extrachromosomal hereditary factors or transposable genetic elements intervene in the determinism of the psr traits: a psr-m factor able to masculinize all the embryos and a psr-f factor able to masculinize embryos if present in a sufficient amount.     

Hochstaudengesellschaften des Landschaftsschutzgebietes Jizerské hory

In the protected landscape region of Jizerské hory Mts., the following tall-herb communitíes of the suballianceFilipendulenion (all.Calthion) were ascertained and studied:Lysimachio vulgari-Filipenduletum Bal.-Tul. 1978.Valeriano officinali-Filipenduletum Siss. inWesthoff et al. 1946,Chaerophyllo hirsuti-Filipenduletum Niemann, Heinrich etHilbig 1973,Cirsio, heterophylli-Filipenduletum Neuhäusl etNeuhäuslová-Novotná 1975, andTrollio altissimi-Filipenduletum Bal.-Tul. inRybní?ek. et al. 1984. Close relationships were found between the communities composition and the environmental factors. Of these, the following were studied: Altitude, substrate, climate, inclination and axposition, moisture, humus content and quality, pH, content of exchangeable H⁺ and Al³⁺, end content of nitrogen. Relations to the reconstructed natural vegetation were also taken into account.