Le Paléolithique supérieur dans l’île d’Hokkaïdo

Since the discovery of the first Paleolithic site in Hokkaido, we consider that the time in the half more than centuries already passed, and float today. However, our research is still a way. By today, we have not discovered the trace about a Pithecantropines (Homo erectus) and a Paleanthropic man (Homo sapiens neanderthalensis) at all in this region. We know that a Neanthropic man (Homo sapiens sapiens) dominated all the continents except Antarctica in the final time of the Pleistocene era. And they passed along the dried shoal which appeared to the north in the same time from the Asian Continent to the Island of Hokkaido, and reached it to this place. The first attainment time is an age which exceeds 20,000-years before a little from the present. We are not checking a fact which exceeds it you to be much. However, the habitants of these beginnings left the trace of the activity of them in large numbers, so that he was wonderful to inside of this island. The studies-of-prehistory research in Hokkaido has little proof of the natural science field concerned on age determination or chronology. This has serious restriction. However, the tephra-chronology of volcanic ashes has played the big role uniquely. The eruption of the Eniwa volcano of the Hokkaido central part is especially a very important index. This volcano blows off ash fall (En-a) in large quantities, and covered all large ranges. This deposited volcanic-ashes layer plays a big role to discernment of an old industry and a recent industry on the cultural chronology. The obsidian from this island and nearby hard shale was used for many industries of this Upper Paleolithic cultures as main materials. Although obsidians in the island where the different four outcrops are known well. This rock was mined in large quantities, and was carried in various places. As well as many examples in the world, we divided this rock, and the human beings of the prehistoric age were demanded for it, and it was often utilized. In it, especially the outcrop of Shirataki was located in the northern part of Hokkaido, and was very important. Large quantities of obsidian from Shirataki outcrop is discovered in a large number of Paleolithic sites within a segment 700 km in diameter at least. It covered the territory in Hokkaido and circulated further also except this island. This fact circulated as important trade materials on stone-tool fabrication among the human-beings groups from whom this island's every place differed. In this time, human beings’ activity in Hokkaido is a clear proof, which was not isolated at all. As for the studies of the prehistorians of Hokkaido distinguish, the exception put the technical process of eight different microblade productions. The technical process of some of them was limited only to the specific narrow area. Or it is proved that other technical processes are widely connected with the human-beings group of the Asian Continent on the contrary. At present, our research grasps the whole second-half Paleolithic culture, and has not yet established the year system edited by locally complete. The oldest industry of this area composed the typical stone tool of second-half Paleolithic culture from the beginning, and was accompanied by the manufacturing technique of a braid and microblade. The feature is the example in which the ruins of Kashiwadai-I were most excellent. These ruins correspond at time older than deposition of the Eniwa volcano tephra. It is located at the chill time in the second half of a Würm glacial period. The second continuing step is an industry of succession newer than this volcano tephra. It is raised as an example with Ôsatsu-16 typical ruins etc. The third phase is an industry of the end term of second-half Paleolithic culture. It is simultaneously located in the dawn of Jōmon culture. The feature of this cultural aspect is a transitional cultural stage which earthenware appears and is called what is called “Sub-Neolithic-Culture”. We can check having passed expansively, while the aspect of this last continues within a short period of time relatively.     

La collection d’Invertébrés fossiles d’Alcide d’Orbigny et la salle d’Orbigny

Fossil invertebrates collected or received by Alcide d’Orbigny, all his life long, have been brought together in a renowned collection that is very rich in terms of both species and specimens. The collection has resulted from a huge palaeontological work. Study of faunas from numerous French sites led Alcide d’Orbigny to do biostratigraphical comparisons and to erect geological stages, the definitions of which rest on their stratotypes. His wide knowledge of European fossil faunas was strengthened by a more global palaeobiogeographical view derived from his travel in South America. The d’Orbigny collection is housed in the ‘Muséum’ of Paris and is often visited by experts.     

Préconditionnement laser en site osseux membraneux : mise au point d’un modèle d’étude

ObjectiveThe application of a supraphysiologic stress (preconditioning) prior to an injury induces cellular and tissular resistance on soft tissues. The aim of this study is to evaluate X-ray irradiated bone healing with and without laser preconditioning.Materials and methodsThe laser shot is defined to induce a controlled increase of the bone temperature. Then, bone healing is in vivo observed through the evolution of the vascularization process. Optical chambers implanted on the skull of 20 rabbits allow the weekly observation of bone vascular plexus during 12 weeks. An original image processing determines the vascular density (VD) on four groups: #1: control group (n = 5); #2: laser treatment (n = 5); #3: X-ray irradiation (n = 5); #4: laser preconditioning prior to X-ray irradiation (n = 5).ResultsPreconditioning is performed by a diode-laser (815 nm, 36 J/cm²). VD remains stable during the 12-week follow up for groups #1 and #2. X-ray radiation induces a significant decrease of the vascular network in groups #3 and #4 compared to the group #1 (p < 0.001). However, the decrease of the vascularization is limited in group #4 versus group #3 (p < 0.05).DiscussionThis in vivo original model reproducibly evaluates VD and the impact of different stresses on bone healing. Laser treatment is a controlled heating method, which preserves the vascular network of X-ray irradiated bone. This innovative approach promotes the bone healing in which the vascular supply has been damaged.     

Développement d’un dispositif expérimental ultrasonore pour le largage ciblé et contrôlé d’une chimiothérapie encapsulée

Applying ultrasound on drug-loaded sonosensitive liposomes offers new possibilities for treating cancer. In vitro experiments were performed in the present study to define an index of inertial cavitation which could be used to monitor the delivery of drugs. This index could also be used to assess the sonosensitivity of new formulations of liposomes. Experiments were then carried out in rats bearing subcutaneous abdominal tumors. Based on pharmacokinetic and biodistribution studies, a period of 48 hours was chosen between the injection of the liposomes and the exposure to ultrasound. At the injected doses, liposomes slowed down significantly the tumor development. Ultrasound combined with liposomes seemed to contribute to the tumor control. However, the important efficacy of liposomes alone and the eventual weak interactions with ultrasound prevent to guarantee that the effect of ultrasound is significant.     

Le développement de l’inventaire de dépistage ERIraos: un outil global d’appréciation du risque d’évolution psychotique

Adequate identification of patients for early intervention programmes requires reliable and valid assessment tools. Within the German Schizophrenia Network (Kompetenznetz Schizophrenie) a set of schedules for early detection of schizophrenia has been proposed: the Early Recognition Inventory ERIraos. ERIraos is a two-step procedure with a 17-item checklist used at step 1 by GPs, psychologists, teachers, while a comprehensive 110-item symptom list is applied at early intervention centres at the expert level. In addition, ERIraos allows the assessment of several risk factors for psychosis such as familial load, childhood deficiencies, alcohol and drug use by special modules. Some preliminary results are presented here. The frequency of the 17 checklist symptoms increases from the early to the late prodrome, and more specific symptoms occur over time. The 17 checklist symptoms are grouped by factor analysis to 5 factors (psychotic, depressive, disorganised, withdrawn, dysphoric). In addition to prodromal symptoms, most patients (86.2%) report at least one additional risk factor (mean: 1.7 risks). 68% demonstrate some schizotypal features, 53% report alcohol and/or drug consumption, 24% demonstrate some deficiency or delay in childhood development, 21% report definite obstetric or birth complications, and 10% have a family history of schizophrenia or some schizophrenia-like diagnosis in first degree relatives. So far, the results are of a preliminary nature, and when sufficient information on psychotic transitions is available, the predictive value of ERIraos will be determined.     

Première découverte d’un squelette de Channidae (Poisson téléostéen) dans le Miocène inférieur d’Illerkirchberg, près d’Ulm (Wurtemberg, Allemagne)

A skeleton of a Channid fish is reported for the first time from the European Lower Miocene. Because of the lack of any appropriate diagnostic character, it is nevertheless impossible to determine if it belongs either to the Asiatic genusChanna Scopoli or to the African one,Parachanna Teugels &Daget. For this reason, its palaeobiogeographical significance remains unclear. Otoliths (sagitta) that very likely belong to the same Channid species have been described from Illerkirchberg asChanna elliptica (vonSalis). They are compared to the sagitta from recent species of the generaChanna (Scopoli) andParachanna (Teugels &Daget). Their morphological characters are intermediate between those characterizing the sagitta of both genera.     

Note sur la découverte de nouvelles gravures dans le nord d’Akka (Maroc)

Beside the metallic weapon figures, the engravings of the sites of North Akka showed signs of the existence of cattle, mostly oxen cattle. The representation of anthropomorphs is also notable for its evolving aspects towards the schematic style of Libyco-Berber. Regarding wildlife, it is also represented encompassing elephants, rhinoceros, ostriches, antelopes, etc. Nevertheless, the figures of domestic cattle precede those of other subjects. The (peltiform) axes and the dagger, figured in two sites, attest to a mastered knowledge of metallurgy.     

Les travaux micropaléontologiques d’Alcide d’Orbigny

D’Orbigny has created the order of Foraminifera for minute animals classed, at this time, amongst Cephalopoda, and proposed the first classification of this order in 1826, laying the foundations of micropalaeontology. All along his life, he described, figured or clarified diagnosis of about 1500 recent and fossil species. His collections, stored in the National Museum of Natural History in Paris, represent an inestimable patrimony and are still actively consulted. Several micropalaeontologists had contributed to their valorisation and recognised the validity of most of his species. Nowadays, one hundred and two are considered as type species of genera.     

ANR Inforare : proposition d’un modèle d’identifiant patient individuel pour les patients drépanocytaires

The main objective of INFORARE project is to organize the gathering, assessment and sharing of medical information between sickle-cell anaemia patient and the health workforce. The method is based on the: evaluation of the sickle-cell anaemia patients’ acceptability of the familial data collection; centralised management of medical files which have been rendered anonymous; proposition of an identification model for sickle-cell anaemia patients and the evaluation of first the feasibility of the identification data collection, second the data linkage quality.ResultsSemi-directive interview method undertaken by LEM permitted to interview 43 patients, six association members, and six health workforce personals regarding acceptability of the familial data collection. The informatics platform ensuring the centralised management of sickle-cell anaemia patients’ medical files has been very appreciated by clinicians. The familial component identification model contains anonymous identification data of patients and their parents. Due to data collection difficulties of 692 included patients, this familial component identification model cannot be implemented in terms of linking sickle-cell anaemia patient data with her/his family data.Discussion and conclusionThe information system model for sickle-cell anaemia disease should be extended to other rare diseases which need to organize the federation and sharing of medical information among patients, the health workforce, and patients’ families. The convivial application contains very useful data for clinical, biological and epidemiological studies, thus facilitates the relationship with other research programmes. Taking into account the familial dimension of the information will increase the potential knowledge extraction and utilization of genetic and multifactorial diseases.     

Rôle du sens de l’effort dans le syndrome d’influence

Centrally generated signals from premotor areas play a key role in voluntary muscle force perception. Indeed, sensations of effort, rather than sensations of intramuscular tension, make it possible to evaluate the intensity of willed muscle forces. We suggest that the sense of effort is involved in agency, the cognitive process by which one is aware of one’s actions. We argue that effort awareness accompanies each action and is the key component of the feeling of will. In delusions of alien control, patients with schizophrenia do not recognize some of their acts as their own and are convinced that they are under the control of someone else. Some experimental data suggest that delusions of control are related to an altered awareness of effort and an exaggerated awareness of afferent neural information, caused by neurological disorders in the frontal and parietal lobes. This impairment could lead to the inability to identify the author of an action. In this pathological condition, the cerebral state coding for “I intend to act” might move toward the state coding for “someone else intends to act”, even in the absence of another agent.     

Stratégie d’étude des anticorps anti-nucléaires

Le terme d’anticorps anti-nucléaires (ANA), consacré par l’usage, est trop restrictif puisque certains de ces anticorps reconnaissent des antigènes cytoplasmiques. Un très grand nombre d’ANA a été identifié au cours des 30 dernières années. Seul un nombre restreint de ceux-ci est spécifiquement associé à des maladies précises, connues sous le vocable de connectivites. Toutefois, des ANA peuvent assui être rencontrés dans d’autres affections, un syndrome infectieux ou inflammatoire, une néoplasie, une maladie spécifique d’organe, en particulier les maladies du foie comme l’hépatite auto-immune et certaines cholangiopathies. Enfin, il ne faut pas oublier l’apparition d’ANA survenant lors de la prise de certains médicaments. La spécificité de ces anticorps est tout à fait différente de celle que l’on observe dans les connectivites.     

Impact d’une réduction d’activité sur la mesure de la fraction d’éjection du ventricule gauche sur caméra D-SPECT

IntroductionRadionuclide ventriculography provides a reproducible measurement of the left ventricular fraction ejection (LVEF) but with a significant body radiation (effective dose of 5,9 mSv for the injection of 850 Mbq of ^99mTc). The highly sensitive semi-conductor (CZT) cameras could allow decreasing the injected activity by a factor 3, similarly to that of myocardial perfusion imaging. Our study was aimed to determine whether the LVEF measurement provided by radionuclide ventriculography on the CZT D-SPECT camera is impacted by a 70% reduction in recorded counts.Materials and methodsAfter the in vivo labeling of red blood cells with 850 MBq of ^99mTc, 49 patients completed a conventional 2D recording (Conv-2D) on Anger camera followed by a 3D recording on the D-SPECT camera (3D-100%). The CZT recordings of all projections were subsequently shortened to 30% of their initial durations (3D-30%) in order to assess the LVEF measured with a 70% reduction in recorded counts.ResultsMean LVEF values were 62.7 ± 11.1% on Conv-2D and higher on both 3D-100% (66.8 ± 14.8%, P < 0.001) and 3D-30% (66.3 ± 15.7%, P < 0.001). The correlation coefficients with the LVEF determined with the reference Conv-2D method were equivalents for 3D-100% (r² = 0.73) and 3D-30% (r² = 0.70) and with a similar level of overestimation for the highest LEVF values.ConclusionA 70% reduction in recorded counts does not significantly impact the LVEF measured with radionuclide ventriculography on the CZT D-SPECT camera. These values are coherent with those obtained with the reference 2D method but with a clear overestimation for the highest LVEF values.     

Performance de la 18FDG-TEP dans le dépistage de paragangliome chez des patients porteurs d’une mutation SDHx

ObjectiveTo evaluate the performance of ¹⁸FDG-PET/CT for detecting infra-clinic paraganglioma (PGL) in SDHx mutation carriers (relatives).Patients and methodsSixty-six patients, from 13 distinct families underwent a genetic testing on the SHD genes between 2003 and 2012. Among the 45 patients with a mutation, 30 with a ¹⁸FDG-PET performed at initial work-up were included in this retrospective study. A gadolinium-enhanced magnetic resonance angiography of the neck (angio-MR) was performed in all cases, a thoracoabdominal-pelvic contrast-enhanced computed tomography (TAP-CT) in 25 cases, a TAP-MR in 20 cases, a ¹²³I-metaiodo-benzylguanidine scintigraphy (¹²³I-MIBG) in 20 cases and a somatostatin receptor scintigraphy (SRS) in 20 cases. Gold standard was histologic or composite (confirmation by another imaging method and follow-up).ResultsA tumor was found in five subjects: 2 abdominal PGL, 1 pheochromocytoma and 2 PGL of the neck. The sensitivity of ¹⁸FDG-PET was 100 %, of SRS was 80 %, of ¹²³I-MIBG was 60 % and of anatomical imaging (association between angio-MR of the neck and TAP-CT and/or TAP-MR) was 100 %. Three false positive lesions were described: 2 with the ¹⁸FDG-PET imaging and 1 with the TAP-MR technique.Conclusion¹⁸FDG-PET/CT is an excellent tool for screening SDHx relatives and should be completed by an angio-MR of the neck if suspicion of abnormality. Association of angio-MR of the neck and TAP-MR has the advantage of being a non-irradiating imaging method but with limited access in some countries.     

Place de l’embolisation percutanée de la varicocèle dans le traitement de l’infertilité

Objectives

To describe percutaneous embolization of varicocele and to evaluate the effect on fertility disorders.

Materials and methods

One hundred nineteen patients, aged 11 to 48 years, underwent percutaneous embolization for varicocele indicated by a fertility disorder in 23% of cases. Correction of the varicocele and resolution of associated pain, improvement of testicular trophicity and the effect on fertility were studied and a review of the literature was performed.

Results

Percutaneous embolization was performed using neuroleptanalgesia on an outpatient basis. The technique combined venous sclerotherapy and placement of coils in the gonadal vein. The technique was successful in 95% of cases and one complication was observed. At 3 months, the varicocele and related pain had resolved in 98% of treated patients. According to previous reports in the literature, the relations between varicocele and fertility disorders are still unclear, but improvement of fertility (semen quality and conception rates) after varicocele repair has been established.

Conclusion

Although the consequences of varicocele on fertility have not been fully elucidated, treatment of varicocele appears to be beneficial. Percutaneous embolization of varicocele is a safe and effective alternative to surgery. This technique, based on a urological and radiological consensus, is the first-line treatment for varicocele in our institution.     

Contrôle neurologique de l’éjaculation

The brain control of the genital tract and sexual behaviour remains poorly understood. Clinical results and basic research indicate that the neural control of ejaculation depends on three levels of organization. The first level consists of peripheral autonomic and somatic nerves. Leaving the spinal cord, these nerves control the motility, secretions and blood supply of the genital tract, and contractions of perineal striated muscles. Their path in the abdominal cavity and the effects of their neuro-transmitters on peripheral tissues have been established. These nerves also convey sensory information from the genital tract to the spinal cord. The second level is represented by the spinal cord. The thoracolumbar (sympathetic), and sacral (parasympathetic and pudendal) segments of the cord contain the somata of autonomic and somatic motoneurons, whose axons run in the above nerves. These motoneurons are part of a spinal network that likely organizes the activity of the whole genital tract in a given context such as copulation. The role of the different spinal cord segments in the control of ejaculation is mainly inferred from observations of the deleterious effects of spinal cord injury in human patients. A small population of galaninergic positive neurons has recently been identified in the lumbar segments of the rat spinal cord that plays a major role in ejaculation (Truitt and Coolen, 2003). Selective lesion of this population abolishes in copula ejaculations, but spares erection. Finally, the third level of organization is represented by supraspinal nervous structures. The spinal cord receives direct excitatory and inhibitory information from the brainstem, pons and hypothalamus. In turn, these structures receive sensory information from the genital tract. However, their role in the control of ejaculation remains poorly investigated. Again, it is mainly inferred from the observation of the deleterious effects of pharmacological treatments on brain neurotransmission. Positron emission tomography has recently been used to observe brain areas whose activity is enhanced during ejaculation in humans (Holstege et al., 2003). In this study, several areas of the right side of the cortex and the cerebellum were activated. The targets of future clinical and basic research include: the neural basis of the required coordination between spinal autonomic and somatic nuclei that innervate the genital tract, the role of sensory information from the genital tract in the recruitment and coordination of spinal and supraspinal nuclei, and finally the integration of descending excitatory and inhibitory influences onto the spinal cord. Both the organization during development and the activation at puberty of the spinal neural network that controls the genital tract are dependent on androgens. Future research should identify the regulatory factors that, in response to the action of androgens, provide neurons with the possibility of building their connexions and selecting their neurotransmitters and receptors.