La dysfonction éréctile au Sénégal: Profil épidemiologique

Methodology

This was a transverse randomized survey of subjects over the age of 18 years. Subjects completed a self-administered questionnaire composed of two parts. The first part contained information on demographic characteristics, associated diseases, erectile dysfunction and associated sexual disorders and the second part was based on IIEF5. Two groups were identified: a group with erectile dysfunction (ED group) and another group without erectile dysfunction (No ED group). Differences between the two groups were considered to be statistically significant for p ≤ 0.05 on the Chi-square test.

Results

The global prevalence of erectile dysfunction was 26%. The prevalence by age-group revealed a progressive increase of ED with age from 11% between 20 and 30 years to 76% between 70 and 80 years. The rate of polygamous men was significantly higher in the group with ED (29.2%) compared to the group without ED (6.6%) (p < 0.0001) and the severity of ED increased in relation to the number of wives. Chronic alcoholism was significantly more frequent in the group with ED (p = 0.023). The frequency of ED increased with the duration of cigarette smoking from 11.9% for less than 5 years, 16.9% between 5 years and 10 years and 71.2% for more than 10 years. Some diseases (diabetes, hypertension and depression) were significantly more frequent in the group with ED. Analysis of the type of ED revealed that secondary erectile dysfunction was more frequent (95.6%) than primary erectile dysfunction (4.4%). Associated sexual disorders were significantly more frequent in the group with ED.     

études sur les phénomenes électrocapillaires

Sans résuméI. Analyse électrocapillaire des matières colorantes. Rev. gén. Mat. Col. 1926 Vol. 30 pp 34–45II. Phénomènes électrocapillaires et le problème du cancer. Arch. Med. Exper. 1926 Vol. I p 381III. Phénomènes électrocapillaires et l'antagonismes microbiens. Bol. Istituto Sier. Milano 1927 Vol. VI p 313.     

Dysfonction érectile: profil épidémiologique dans une population de sujets retraités au Sénégal

Introduction

Erectile dysfunction (ED) presents particular profile among retired population. The purpose of this study is to report epidemiological aspects of that ED and analyze its risk factors.

Methods

It was a prospective study realized during a 12 months period, in the Centre medico-social of Institution de Prévoyance Retraite in Sénégal (IPRES). All data have been collected thanks to a questionnary that patients had to fill it themselves. Selected patients were at least 55 year-old. Among 552 given questionnary, 537 were selected.

Results

We found that 60,7 % (n=326) of this studied population presented an ED. The mean age of the subjects was 68 ± 6.7 years in the ED group versus 65 ± 6.2 years in the non-ED group. The average duration of tobacco abuse was 24.3 ± 14.4 years. The mean duration of alcohol exposure was 28.6 ± 15.5 years ranging from 3 to 63 years. Diabetes was reported in 67 cases (12.5 %) and 18 (3.3 %) of ED patients have been screened and diagnosted for diabete during the study. The ED lasted in average 4.2 ± 4 years with ranged from 6 months to 20 years.

Conclusion

ED is a good indicator of quality of life. However, psychological disturbances, socioeconomical and medical troubles noted during the period of compulsory retirement have a relevant impact in the appearance or worsening of ED.     

Les échanges de nourriture liquide entre Abeilles aux températures élevées

Conclusion Nous avons démontré des échanges assez importants du liquide entre les Abeilles aux températures élevées. Cette répartition est exprimée pour la première fois quantitativement. Nous supposons que c'est un phénomène d'une réaction thermorégulatrice sur le plan social. Nous sommes en train de vérifier si cette réaction crée un microclimat différent autour des Abeilles dans ces conditions expérimentales.     

Méthodes d’évaluation des érections automatiques nocturnes dans les dysfonctions érectiles

For more than 25 years, the study of nocturnal penile tumescence (NPT) has been a basic element in the investigation of erectile dysfunction. Numerous methods have been proposed; always non-invasive, generally not very onerous and easily achieved. They require little more than a basic understanding of physiology, and knowledge of the qualitative and quantitative criteria for assessing NPT, in order to avoid any incorrect or dangerous interpretation. Based on more than 8000 nights of recordings, it is possible to separate the advantages, inconveniences and operating costs of the major instrumentation options. Although rather unsatisfactory, plethysmography and rigidometry of NPT have become the cornerstone for investigating erectile dysfunction. Always necessary, sometimes these examinations alone are sufficient, for example when they are normal and allow confirmation of a psychogenic aetiology of impotence. In other situations they must be supplemented with other complementary examinations, in which case the results show an 80% correlation with NPT. A revival of interest in the study of NPT will occur once we have achieved the impossible: the availability of a cheap instrument allowing recording of turgidity, rigidity and REM sleep, without discomfort and in the patient’s home.     

Régulation des fonctions de l’épithélium épididymaire des mammifères: état des lieux

Male gametes formed in the testis, the site of spermatogenesis, continue their maturation outside of the gonad in the genital tract. The epididymis is at the centre of this process of post-testicular maturation of spermatozoa, responsible for acquisition of their mobility and their ability to recognize and penetrate an oocyte, essential events for fertilization. During their transit in the epididymal ducts, gametes evolve in a perpetually changing luminal environment due to complex interactions of secretion and reabsorption activities of the epididymal epithelium. These numerous secretion and reabsorption activities are closely regulated in space and time, which makes this epididymal epithelium a very complex tissue subject to an elaborate network of cross-regulations. Apart from classical endocrine and paracrine regulations, the proximal part of the epididymis is also subject to lumicrine regulation by testicular factors which increase the complexity of the regulation networks involved. The present study tries to present an exhaustive review of the factors demonstrated in the literature to exert a modulation of epididymal activity.     

Importance de l'étude de la répartition écologique pour la taxonomie des éponges calcaires

Résumé 1. Les travaux deSarà (1953) et deBurton (1963) ont remis en question la valeur systématique des caractères morphologiques dans la classification des Eponges Calcaires, et ont proposé de considérer de nombreuses formes connues comme des variétés individuelles et régionales d'espèces très plastiques et variables. Nous avons essayé de préciser, par l'observation directe en plongée libre, la distribution et les préférences écologiques des Calcaires, de définir ainsi les limites naturelles de leurs populations, et d'étudier ensuite la variabilité des caractères morphologiques à l'intérieur de ces populations.2. Nous exposons ici l'exemple des espèces des genresClathrina etAscandra, étudiées en Adriatique, dans les régions de Marseille et de Roscoff. Leur distribution est en rapport direct et très précis avec l'exposition aux vagues et à la lumière, à tel point que sur une surface réduite plusieurs espèces se succèdent et se remplacent en fonction de l'exposition de l'endroit. Dans la règion de Roscoff cette distribution est plus large ce qui est dû aux effets des marées, mais les zones écologique préférentielles pour les espèces deClathrina ont pu être établies en fonction de l'importance de l'apport des sédiments par les eaux côtières.3. La possibilité de définir des populations dont la distribution est très précisemment délimitée malgré une coexistence dans un espace réduit, et qui ne sont pas réliées par les formes transitoires, permet d'éliminer l'hypothèse de la cospécificité de ces populations. Elle permet également d'établir les variations morphologiques possibles au sein d'une espèce, de retenir les caractères significatifs pour la classification, et finalement de distinguer les espèces qui se ressemblent morphologiquement. Dans le cas d'animaux qui, commeClathrina, possèdent très peu de caractères utilisables en systématique, c'est la seule façon de résoudre les problèmes de leur taxonomie.

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The importance of research on the ecological distribution for the taxonomy of calcareous sponges

The particular difficulties of the taxonomy of calcareous sponges are due to their great plasticity and their capacity for adaptation which obscure the natural limits of species. An attempt was made to define the natural populations of the Mediterranean species of the generaClathrina andAscandra through a study of their ecological distributions. The populations not connected by the transitory forms were defined by their ecological preferences, and, as they are found in a close cohabitation, were treated as having the specific values. The variability of different morphological features is discussed, the features significant for taxonomy are pointed out and the morphologically close species are defined.

     

Traitement d'une érection prolongée pharmacologique

Defined as a blocked erection, longer than 4 hours, after an intracavernous injection of erectogenic drugs, the pharmacological prolonged erection (PPE) is the most frequent complication of this impotence treatment. The main risk of this priapic erection lies in the occurence of an acute ischemia of cavernous bodies. Although this risk is inconstant, any blocked erection must be treated before the 4th hour for avoiding any erectile tissue lesions. The indications of the various medical methods are dependent on the length of the PPE and/or intense physical effort, and/or penile freezing (using vapocoolant or ice application), must be always first used, owing to both their simplicity and efficiency when they are early made. These “little means” can also be easily teached to the patient using cavervous self-injection. In case of failure, another medical methods can be tried as cavernous decompressive puncture and/or, oral or mainly intracavernous pharmacological detumescence. In the absence of pain and hypertension or heart diseases, puncture of pharmacological detumescence can be equally used. If not, the cavernous puncture must be always first tried, combined with the study of cavernous blood gas. In the great majority of cases, this medical treatment is sufficient if early done. Its rare failures require a rapid surgical treatment, particularly in case of anoxic suffering. Presently, the PPE prevention is possible thanks to a better information of both patients and physicians using intracavernous injections, and also, to the recent use of less dangerous drugs.     

Personnalisation des émotions et cortex médial préfrontal

Functional brain imaging studies in healthy subjects suggest that several regions (prefrontal cortex, amygdala, thalamus, hippocampus, anterior cingulate) have specialized functions for emotional operations. Within these regions, the medial prefrontal cortex (MPFC) is considered to have a general role in emotional processing. Using a memory paradigm with verbal material, we recently demonstrated that the MPFC is specifically involved in self-related processing of emotional stimuli. Study with mood induction also suggest that personality traits may modulate the reactivity of the MPFC to emotional Stressors. Taken together these findings support the hypothesis that the MPFC subserve processes involved in emotion regulation. Dysfunction of the MPFC and related structures (i.e. amygdala) may increase the vulnerability to emotional disorders.     

Étude au microscope électronique sur les systémes d'expansions foliacées présents dans les macrophages et les cellules épithélioides

Sommaire Dans les lésions pneumocomotiques ou tuberculeuses, chez l'homme ou l'animal d'expérience, on peut rencontrer des cellules du type macrophage ou éputhélioïdes présentant un nombre variable de voiles protoplasmiques réguliers minces de 0,05 à 0,1, long de 1 à 2 et toujours séparés entre eux par des espaces réguliers très minces. Ces voiles sont intriqués étroitement avec ceux de cellules voisines. Ces dispositifs peuvent conduire finalement à la fusion de cellules en éléments à noyaux multiples.     

Polymorphisme électrophorétique des protéines et enzymes sériques et érythrocytaires chez le chimpanzé (Pan troglodytes)

Summary The electrophoretic mobilities of serum enzymes and other proteins were investigated at 35 loci in 25 unrelated individuals of the chimpanzee Pan troglodytes. In this population the mean average of individual polymorphism is =0181, and the average level of heterozygoty =0.022. The same pattern of individual variability is found in Pan troglodytes and Homo sapiens.     

Apoptose dans le sperme éjaculé: Revue

It has become clear in recent years that programmed cell death occurs spontaneously in the cycle of the seminiferous epithelium. Although apoptosis is a key phenomenon in the control of sperm production, the existence and role of apoptosis in ejaculated sperm cells remain controversial. Apoptosis — as determined by DNA fragmentation and ultrastructural analysis — is abnormally frequent in the sperm cells of the ejaculate of sterile men. In this review, we discuss the possible origins of DNA damage in ejaculated human spermatozoa and the consequences of this DNA damage when apoptotic spermatozoa are used for ICSI. Percentages of DNA fragmentation in human ejaculated sperm are correlated with fertilization rates after IVF or ICSI assay. Detection of DNA fragmentation in human sperm could provide additional information about the biochemical integrity of sperm and may be used in future studies for fertilization failures not explained by conventional sperm parameters. However, the analysis of new markers of apoptosis (Fas, ANNEXINE V) and molecular mechanisms is now necessary to assess the role of apoptosis in human ejaculated sperm cells.