Une histoire de géométrie et de finesse (ou : comment parler de phylogénétique ?)

The development of phylogenetic methods since the beginning of the 1970s is analyzed through Armand de Ricqlès’ comment, in 1975, on the triumph of the spirit of geometry over the spirit of finesse. Cladistics was then compared to geometry (Hennig's congruence [i.e. congruent character-state trees]). However, the qualitative aspect of anatomy (spirit of finesse) warrants the quality of a taxon × character matrix so that minimal length trees were never devoid of finesse. Statistical approaches, especially maximum likelihood and Bayesian methods, with sophisticated mathematics (more rigorous geometry?), have reached a wide acceptance after years of debates hindered by polemics. The molecular trees based on these approaches are now dominating the phylogenetic literature, although these trees too include some ambiguity so that one can wonder: do evolutionary models belong to geometry or finesse?     

Purification de l'alcool deshydrogénase de tomate par chromatographie d'affinité

Tomato alcohol dehydrogenase has been purified 99-fold by affinity chromatography on Blue Sepharose CL-6B with 37% yield. The enzyme so obtained is homogenous in polyacrylamide gel electrophoresis. By adding 20% glycerol to the extraction and purification buffers, an enzyme is obtained which is stable for several months at 4°. The molecular weight values determined by gel filtration (Sephadex G 200) and polyacrylamide gradient gel electrophoresis on one hand and by polyacrylamide gel electrophoresis in sodium dodecyl sulfate on the other, show that the enzyme exists in dimeric form.     

Activité cytokinine de dérivés acylés,alkylés,acyl-alkylés de l'adénine et d'isost`eres azotés de la γ,γ-diméthylallyladénine

The cytokinin activities of various 6-acylaminopurines, 6-alkylaminopurines, 6-acylamino-9-benzyl-purines as well as a series of isosteric-nitrogen derivatives of N⁶-(γ, γ-dimethylallyl)adenine (I⁶Ade) have been tested using the tobacco pith and the pea bud bioassays. The interactions between active, slightly active and inactive compounds have been studied with the last assay. Acylation decreases the biological activity; e.g., N⁶-benzoyl and N⁶-furoyladenines are less active than Na⁶-benzyladenine and kinetin. Substitution at the 9-position reduces (tobacco-pith assay) or suppresses (pea-bud assay) the phytohormonal activity of otherwise active 6-acylaminopurines. In isosteric derivatives, maximum activity occurs when the side chain has the same length as in 1⁶Ade. After the analysis of interactions between more or less active compounds, it is suggested that the differences in cytokinin activity could be related to unequal affinities for a hypothetical receptor site.     

Action de l'ecdystérone sur l'apolysis et l'ecdysis de divers crustacés isopodes

Ecdysterone acts differently according to the period of the moulting cycle when it is applied. In period C it induces apolysis, while at the beginning of apolysis it delays ecdysis. Experiments show that the exoskeleton cannot be rejected in the presence of ecdysterone. The possibility of stopping exuviation or ecdysis with ecdysterone seems to prove that this phenomenon is controlled by a particular factor called the factor of exuviation or the ecdysis factor. Ecdysterone would control only the release of this specific factor but would not prevent its action.     

Utilisation de lois de la mécanique pour l'Estimationde la vitesse de locomotion des Vertébrés tétrapodes du passé

Two computation methods are explained; theirobject is the estimation of the velocity of animals which are known by their footprints, and in the case of the first method, by their skeletons as well.The first method is based on the compound pendulum theory, because during the slow walking gait, the motion of the leg is similar to the oscillation of a pendulum, for the computation of the velocity (v), are considered: moment of inertia (I), radius of gyration (P) and period (T), time in seconds to cover one stride (E) in the case the maximum angle of divarication (δ) of the leg with the vertical is ≤20°. A comparison with the formula of Alexander (1976) is discussed.The second method concerns saltator animals. It is based on the fondamental laws of dynamics. With the length of the jump (E) it is possible to estimate the velocity of the trackmaker (v) and the height of the jump (K). For the vertebrates the angle of the trajectory with the horizontal plan (α) is between 20 and 45°. Thus, the result of this method is an interval of estimation in which the velocity is included.These methods do not give precise results. But these approximations supply valid informations on the velocity of extinct or living animals and can lead to the estimation of their maximum speed if the parameters E, T, vary. The problem of the errors is also discussed. It is shown that the errors in estimating the parameters have a no significant influence on the results.     

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.     

Lésion « pleurale » chez un patient avec antécédent de séminome

We report on the case of a man with a previous history of testicular seminoma and a pathological paravertebral mass definitely taking-up FDG on PET/CT. This mass was finally a benign schwannoma.     

Ischémie myocardique du diabétique : apports de la scintigraphie myocardique de perfusion

Diabetes is an important risk factor of myocardial ischemia. Myocardial perfusion imaging (MPI) is used for diagnostic, prognostic assessment and for post-therapeutic follow-up of coronary artery disease (CAD). Its usefulness has been documented extensively in the general population. However, in diabetic population, little studies have been published. CAD is more severe and more frequent among diabetic patients. The goal of this work was to assess usefulness of MPI among diabetic patients. This work includes 44 diabetic patients (22 women, 22 men), investigated by stress MPI in nuclear medicine department of Ibn Rochd UH of Casablanca. The studied parameters concerned: age, antecedents of CAD, risk factors of CAD associated to diabetes, duration of the diabetes, diabetes complications, diabetes treatment, indication of MPI, presence or not of anomaly on the ECG performed at rest, existence or not of typical or atypical clinical signs of CAD, investigations and therapy prescribed as well as the occurrence or not of cardiac event during monitoring after MPI. Results of MPI have been compared to clinical, therapeutic and monitoring data of patients. Mean age of patients was 55 years (39 to 75 years), mean diabetes duration was 8.6 years (1 to 30 years), at least one diabetes complication has been noted in 18 patients. The most frequent complication was diabetic retinopathy. MPI has been achieved for diagnosis of ischemia in 37 patients and assessment of anti-ischemic treatment in 7 cases. Treadmill exercise has been achieved in 34 cases and a pharmacological stress in 10 others. During follow-up, which was between 1 and 36 months (mean: 14.9 months), 6 cardiac events occurred among the 44 patients. Patients with abnormal findings at stress MPI had two cardiovascular risk factors or more associated to diabetes (91.3% vs. 9.5% among patients having normal findings, P < 0.001) and had diabetic retinopathy more often (56.5% vs. 9.5% among patients with normal findings, P < 0.001). Cardiac events were more frequent among men (100% vs. 43.2% of patients who did not have a coronary event, P < 0.01). Patients with stress MPI showing ischemia in 3/17 segments or more have presented a cardiac event more often during the follow-up (4/12 Vs 2/32 among patients with normal MPI or defect in less than 3/17 segments, P < 0.01). In this series, coronary artery disease was found more frequently among patients having more than 2 cardiovascular risk factors. In addition, risk of cardiac event seems related to extent of uptake decrease.     

Obtention de lignées permanentes d'hémocytes de blatte. Caractéristiques physiologiques et ultrastructurales

Two new cell lines were established from larval and adult cockroach haemolymph. The cells show typical characteristics of plasmatocytes, but under different conditions of cultivation, they modulate from small dividing cells (prohaemocytes) to large storing cells (granulocytes, adipohaemocytes etc.). Consequently, the very confusing haemocyte nomenclature must be reconsidered taking into account the cell physiology. Biochemical analysis of the metabolized culture medium established bacteriolytic activity and chitinase secretion (two enzymes). Moreover, in the same medium we found a macromolecular factor inducing spermatogenesis in cultured germinal cysts of the Cynthia silkworm. All these characteristics of in vitro haemocytes are discussed to explain the involvement of blood cells in insect physiology and especially in immunity, gametogenesis, and ecdysis.     

L’élastographie par ultrasons ou résonance magnétique : de nouveaux outils de diagnostic en cancérologie

Despite recent progress, breast cancer remains today a major public health problem as it represents the main morbidity incidence for woman with 42,000 new cases and 11,600 deaths per year in France. X-Ray mammography which is the “gold standard” exam for breast screening relies on an excellent sensitivity (nevertheless its quality is varying with respect to breast density). However, its specificity for malignancy diagnosis remains moderate leading to many useless interventions for lesions proven a posteriori to be benign by histology. The other imaging techniques such as echography and magnetic resonance imaging (MRI) also possess their own limits. Echography is strongly operator-dependent. Dynamic MRI with injection of contrast agents has a high sensitivity for breast cancer detection (>90%) but suffers from a moderate specificity (50 to 80% according to the type of cancer). In parallel, although it is strongly subjective, the act of palpation remains today a major act in the workflow of breast screening. Since Egyptian ancient ages, the physicians practise the act of palpating body parts in order to determine tissues stiffness and a hardly deformed mass within an organ is often related to the presence of an abnormal lesion. Palpation is not only useful for screening and diagnosis as the surgeon also uses it during interventions to be effectively guided towards the pathological area. Recently, new techniques based on ultrasound or magnetic resonance imaging finally made it possible to map organs elasticity in a quantitative way. These “elastography” techniques could play soon an important role in medical imaging.     

Analyse comparative de 3 logiciels de reconstruction itérative de tomoscintigraphie monophotonique myocardique

ObjectiveThis study makes a comparative analysis of the quality reconstruction of three software: 2D ordered subset expectation maximisation (2D OSEM), 3D ordered subsets expectation maximisation (Flash 3D) and Wallis.Patients and methodsThe data from myocardial scintigraphy acquisitions of 50 patients (38 men and 12 women; average age 61 ± 9 years) were successively reconstructed using three myocardial perfusion SPECT algorithms (Flash 3D, OSEM 2D and Wallis). Different combinations of iterations and subsets were considered. For Wallis, only the cut-off frequency was considered. The image's quality was assessed by determining the maximum contrast and the signal to noise ratio.ResultsThe Wallis software provided a higher signal to noise ratio compared to Flash 3D and OSEM 2D at stress and rest. The Wallis signal to noise ratio increased by a factor 1.93 (P = 0.0010) and 2.28 at stress (P = 0.0009); 1.50 (P = 0.0011) and 2.84 at rest (P = 0.0024) compared to respectively Flash 3D and OSEM 2D. Flash 3D provided better signal to noise ratio than OSEM 2D at stress and at rest. The difference in medians and interquartile ranges of the signal-to-noise ratio in post-stress were 22 % and 54 %, respectively between Flash 3D and OSEM 2D. At rest, the difference between the two methods in signal to noise ratio was 32 % ± 0.,29.ConclusionWallis algorithm was improve image quality with better signal to noise ratio compared to the reference method of Siemens Flash 3D. For both Flash 3D and OSEM 2D methods, the combination with 8 subsets and 12 iterations provided the best contrast and signal to noise ratio.     

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.     

Pénurie de technétium99m : des pistes pratiques pour gérer les périodes de crise dans les services de médecine nucléaire

Technetium^99m (^99mTc) shortage crisis regularly affect nuclear medicine activity and oblige the community to find solutions in order to perform most of the prescribed exams and avoid systematic substitutions by other non-nuclear medicine techniques. Firstly, some practical solutions can be set up in radiopharmacy departments such as using more than two generators together, realizing fractionated elutions, preparing radiopharmaceuticals with elutions providing from different generators… Then, it could be interesting to have a reflexion in nuclear medicine departments to convene patients the days when ^99mTc supply is sufficient, to pool some exams or to make substitutions with more available isotopes.     

Nanisme écologique de deux espèces d'échinides irréguliers dans l'Hauterivien de la région de Castellane (Alpes-de-Haute-Provence)

Three species of irregular see-urchins form the settlement of a marly level (lower Hauterivian) of the Castellane area. Two of them are strongly smaller than the norm. Their stunting is prouved by ontogenic, mecanical, sedimentological and ecological arguments. The ecological grounds of stunting are discussed.     

Scolécodontes,assemblage et appareil de vers annelidespolychetes errantes de l'aptien de la région d'Agadir,Maroc

From the Aptian scolecodonts inventory of the Agadir area one jaw apparatus and one joining of polychetes are reconstructed. One is the elementary species Schistomeringos expectatusSzaniawski & Gazdzicki, 1978, the oldest representative of the multielementary family Dorvilleidae Chamberlin 1919. The other is a representative of either the multielementary families Atraktoprionidae Kielan Jaworowska 1966 emend. Kozur, 1970 or Arabellidae Hartman 1944. This joining is considered as an hypothesis since all the necessary criteria, defined by H. Szaniawski & A. Gazdzicki 1978, are not all present.