Variabilité de l’industrie lithique entre les structures de l’habitation no 1 de Mezhyrich,site du Paléolithique supérieur d’Ukraine

The investigation of the lithic assemblages from three archaeological structures of the Upper Palaeolithic Mezhyrich site, mammoth bone dwelling no. 1, nearby located pit no. 7 and workshop with a portion of cultural layer situated on the border of the pit, exhibits a sufficient diversity of the main indexes of flint assemblages. According to the latter, the main flint resources, cores and large pieces of flint, as well as blades and several tools (scrapers), were kept just in the dwelling. At the same time, the remains of “debitage” and the modification products of several tools (burin spalls) are more numerous in the pit and the workshop. The higher percentages of backed microliths, included the forms with diagnostic projectile impact fracture, and burins with several working edges are also observed in the assemblages of the last two archaeological structures.     

L’apport de l’ethnographie au concept de « chasse magique par empathie » (ou compatissante) et de chamanisme dans l’art préhistorique d’Afrique australe

African rituals and beliefs have been recorded by various observers (travelers and anthropologists) in different areas in southern Africa within the last two centuries, and these are useful for interpreting prehistoric rock art (paintings and engravings). Notably, Lichtenstein (1812) recorded rituals among Nguni (who interacted with San) in South Africa, where a hunter took on the form of an animal which was symbolically wounded and which was symbolically killed in the belief that this would contribute to success in a forthcoming hunt. In Namibia, Lebzelter (1934) recorded another ritual in which a San hunter symbolically wounded and symbolically killed an animal represented in a drawing. Such rituals relate to the principle of sympathetic hunting magic. The ethnological evidence is discussed in relation to prehistoric rock art in different areas of southern Africa (Wonderwerk Cave in South Africa, Apollo 11 Cave in Namibia, and Melikane Shelter in Lesotho), and in relation to an important photograph of a ritual presumed to be associated with hunting, recorded at Logageng in the southern Kalahari, South Africa. When taken together with linguistic as well as ethnographic evidence, these sources of information support the view that the so-called trance hypothesis (relating to shamanism) and the principle of sympathetic hunting magic are not mutually exclusive, at least in southern Africa (if not elsewhere).     

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.     

Le Gravettien et l’Épigravettien de l’Est de la Roumanie : une réévaluation

Opening towards the eastern steppe landmass, the Eastern Romania area covers 87,500 km², and shelters the biggest number of Gravettian and Epigravettian sites currently known. Archaeological researches in the area expanded in the 1950's, during the construction of dams on the Prut and Bistrița valleys. The efforts of the multidisciplinary teams involved and the subsequently published papers highlighted the archaeological potential of the region and, with some inevitable interruptions, investigations continued to this day. Although the time and resources spent were not modest, the outcomes regarding the Upper Palaeolithic cultural sequence often proved contradictory and somehow distant from the general European cultural dynamic. Thus, this reassessment tries to put the chronological, palaeoenvironmental, and empirical data in a more coherent framework. A synthesis of the available Gravettian and Epigravettian data east of the Carpathians reveals the following sequence: (1) an Aurignacian stage on the Prut Valley, paralleled by an indefinite Upper Palaeolithic stage, from sites on the Bistrița Valley, between 31 and 28 ka (uncal BP); (2) a quite early Gravettian presence, roughly between 27 and 25.5 ka, which includes backed laminar blanks, schematic decoration of one pendant, and the use of perforated shells as adornments; (3) a scant shouldered points stage, chronologically close to the European similar phases (25–23 ka), for which the feeble use of obsidian points toward contacts with Central European resources/populations; (4) a Gravettian/Epigravettian interface, between 21 and 19 ka, manifested within numerous archaeological layers, mainly through an increase in bladelets and organic artefacts production/use; (5) an Epigravettian stage, between 18 and 16 ka, largely defined through an upturn in raw material choices, backed implements production, and tool types; (6) one last, roughly 14 ka old Epigravettian stage, in which the technological choices recalled those of the previous one. Regional variability elements and radiocarbon chronology limitations considered, apparently, the Gravettian and the Epigravettian of Eastern Romania share quite a lot of traits with the corresponding Central and Eastern European technocomplexes.     

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.     

Apport de l’iode 131 dans le traitement de l’adénome thyroïdien toxique

IntroductionToxic thyroid adenoma is an evolutive condition requiring radical treatment. The purpose of this study is to evaluate the contribution of 131 in the treatment of toxic thyroid adenoma.Patients and methodsThis is a retrospective study of patients treated with iodine 131 for toxic thyroid adenoma. The diagnosis of toxic adenoma is confirmed by scintigraphy and/or ultrasound. Data collected were age, sex, previous treatments, pre treatment hormonal status, radioiodine activity received and post therapy hormonal status.Results and conclusionWe have 45 women to seven men with a sex ratio of 6.42. Mean age of our patients is 53 years. Mean age for women at time of treatment is 57.33 years and 52.85 years for men. 98.07% of our patients treated with iodine 131 gained euthyroidism or became hypothyroid vs. 1.92% in whom hyperthyroidism persisted. These results are comparable to literature. Moroccan patients socioeconomic status pleads for an expansion of use of radioiodine in toxic thyroid adenoma due to its favourable cost/effectiveness ratio.     

Hyperparathyroïdie par autonomisation d’une autogreffe de parathyroïde dans l’avant-bras : le rôle de la scintigraphie

We report the case of a 36-year old patient, referred for parathyroid imaging in a context of hyperparathyroidism. He had a history of congenital bilateral renal hypoplasia treated by four successive transplantations, the last one in July 2011. In 1990, a total parathyroidectomy with autologous parathyroid tissue graft in the right forearm has been performed for secondary hyperparathyroidism. However, hypocalcaemia persisted (2.78 mmol/L), associated with high levels of PTH (1329 pg/mL), even after the last renal transplantation. Neck ultrasound and parathyroid scintigraphy images did not show any cervical or thoracic ectopic parathyroid tissue, while right forearm incidences revealed a high uptake focus corresponding to the autonomisation of the parathyroid transplanted tissue. A brief review of the literature evaluating the benefits of this type of intervention is presented.     

Les méthodes de seuillage en TEP : un état de l’art

This work deals with positron emission tomography segmentation methods for tumor volume determination. We propose a state of art techniques based on fixed or adaptive threshold. Methods found in literature are analysed with an objective point of view on their methodology, advantages and limitations. Finally, a comparative study is presented.     

Les premiers villages agricoles de l’est du plateau Iranien à la vallée de l’Indus : état de la question

The birth of agriculture east of the Fertile Crescent, between the Iranian plateau, Central Asia and South Asia, is poorly known. This area is vast and the archaeological data relating to this period, the Neolithic, is extremely limited. Most researchers agree that plants and animals’ domestication was introduced in this area from south-west Asia, similarly to what happened in Europe. In this scenario, agriculture emerged in the Fertile Crescent, between the Levant, Anatolia and the Zagros, 12.000 to 11.000 years ago, and then spread to other regions further east, across the Iranian plateau to Central Asia and the north-western part of the Indian subcontinent, beginning between the 8th and 7th millennia BCE. This article summarizes the main available data relating to this topic with a focus on the Indo-Iranian Borderlands, between southeastern Iran and Pakistan. Currently available paleoclimatic, paleogenetic and archaeological records are presented. A synthesis and discussion is then provided in the conclusion as well as reconstructions based on these records. Issues or challenges relating to the research on the earliest farming villages are mentioned while directions for future research are evoked.     

Techniques d’imagerie de la cardiopathie ischémique : le point de vue du clinicien

Coronary angiography often remains an unavoidable gold standard in cardiology practice for determining the severity, extent and prognosis of coronary artery disease and for therapeutic decision making, although established non-invasive testing – such as myocardial perfusion imaging or stress echocardiography – have demonstrated their diagnostic value and their incremental pronostic value over coronary angiography. Newer noninvasive techniques, such as multidetector computed tomography and magnetic resonance imaging, are currently being validated and will very soon be considered as alternatives to these imaging modalities in clinical practice. Facing this wide choice of tests, the cardiology community has the difficult task to determine the role and place of these various investigating techniques and to evaluate their resource implications, in other words, to optimize the cost-efficacy and ratios in the management of coronary artery disease.     

Fertilité de l’homme en fonction de l’âge

The aim of this work was to analyse the evolution of sperm characteristics according to age. To this end we analysed the spermogram of 2,126 men aged 20 to 64 who came for consultation for feminine indications for in vitro fertilization at the Clermont-Ferrand Human Reproduction Unit during the period 1980 to 1994. A search for a link between the age of the patient at the time of the spermogram and 10 sperm parameters, by studying a linear regression, did not reveal any evidence of a significant correlation between the age and the parameters studied. The mean values for volume, concentration of spermatozoa, percentage of mobile forms (normal, diminished), percentage of typical and mobile forms and percentage of abnormal forms were compared for age classes covering 5 years. These values showed no significant difference according to the age classes. Between 20 and 60 years the essential parameters of the spermogram seem generally to be independent of age, from which it can be deduced that ejaculate quality remains the same until 50 years of age. However a bias in the recruitment of the population studied and a very wide spread for the values for a given age mean that we may not have detected fluctuations in sperm characteristics linked with age.     

La cabane no 1 de Mezine : une référence pour l’architecture des cabanes en os de mammouths

The mammoth bone dwelling n^o 1 of the site of Mezine, excavated and dismantled in 1954–55 by I. Chovkoplass, is an emblematic and historical reference for the discovery of palaeolithic dwelling structures and in particular mammoth bone dwellings of Eastern Europe. It was the subject of synthetic publications by I. Chovkoplass (1965) and I. Pidoplichko (1969) and a reconstruction at the Museum of Zoology in Kiev. The dwelling n^o 1 is revised here directly from the excavation documents archived at the Institute of Archaeology NAS Ukraine. The consequences of its collapse, following its abandonment, on the spatial distribution of the mammoth bones are highlighted. The principles of its architecture are specified. And the hypotheses of elevation reconstruction are discussed in light of recent excavations of other sites with mammoth bone dwellings.     

Gentelles-Le Mont de l’Evangile (département de la Somme,France) : un site de plateau occupé de l’Acheuléen au Micoquien

The palaeolithic site of Gentelles (Somme, France) is situated on a chalky plateau unlike most Lower and Middle Palaeolithic sites of the Somme basin, which are related to fluvial environments (alluvial and slope deposits). The archaeological material of the site excavated at Gentelles on several thousand square meters is recovered from the infilling of a dolina. The archaeological sequence is attributed to Late Middle and Upper Pleistocene (MIS 10 to MIS 5). The assignment of the loess infilling the dolina to MIS 6 is supported by ESR/U-Th dates obtained on teeth and the IRSL age of the sediment. All lithic assemblages include bifacial production and debitage with cores showing one or several surfaces of debitage. There is no evidence of Levallois flaking methods, which are very common in many Middle Palaeolithic industries of Northern France. The first steps of the reducing sequences are not present in most lithic assemblages. Some faunal remains (equids, bovids) have been discovered in the loess deposits. In most cases, the function of the site corresponds to short occupations of hunters moving on the plateau. In contrast, the CLG assemblage (MIS 8) which shows many phases of the reducing sequence suggests longer occupations.     

La géométrie fractale pour l’analyse de signaux médicaux : état de l’art

The diagnostic interpretation of medical images is a complex task aiming to detect potential abnormalities. One of the most used features in this process is texture which is a key component in the human understanding of images. Many studies were conducted to develop algorithms for texture quantification. The relevance of fractal geometry in medical image analysis is justified by the proven self-similarity of anatomical objects when imaged with a finite resolution. Over the last years, fractal geometry was applied extensively in many medical signal analysis applications. The use of these geometries relies heavily on estimation of the fractal features. Various methods were proposed to estimate the fractal dimension or multifractal spectrum of a signal. This article presents an overview of these algorithms, the way they work, their benefits and limits, and their application in the field of medical signal analysis.     

Diagnostic de l’embolie pulmonaire chez la femme enceinte : apport de la scintigraphie. Étude rétrospective à propos de 116 cas

IntroductionPulmonary embolism during pregnancy is a leading cause of maternal mortality. The aim of our study was to evaluate pregnant women with suspected pulmonary embolism prevalence of lesions on the lung perfusion as well as the relationship between the parenchymal lesions and various clinical factors and biological risk.MethodsThis is a retrospective study of 116 pregnant patients referred for suspected pulmonary embolism. The median age was 30 years, ranging from 15 to 47 years and the median gestational term was 31 weeks with a range of 12 to 40 weeks. Suspicion of pulmonary embolism was established with the presence of clinical signs (dyspnea, chest pain and palpitations). No patient had received a chest radiograph. The patients underwent planar perfusion scintigraphy with injected activity of 40 to 50 MBq of macroaggregates of human albumin (MAA) labeled with 99mTc. The scintigraphic results were classified according to the PIOPED criteria, depending on the likelihood of EP. The scans with low or intermediate probability were included in the same group, that of indeterminate results.ResultsThe scan was positive (with high probability) in 16 patients (13.8%), normal in 78 patients (67.2%) and classified as inconclusive in 22 patients (18.9%). In 16 patients with a positive scan, the lesions were interested the left lung in 10 cases (62.5%), the right lung in 1 case (6.25%) and were bilateral in 5 cases (31.25%).ConclusionsIn cases of suspected pulmonary embolism in a pregnant woman, the choice of imaging technique depends on both its diagnostic value and also its adverse effects. Lung scintigraphy is the examination to be carried out first in pregnant women with a chest radiograph. In others, it is that angiography should be performed as first line.     

Syndrome de Klinefelter et AMP à l’aube de l’an 2000

Material and Methods

The patient is a 33 year old male, with a 47, XXY karyotype (cytogenetical investigation of 16 metaphases). Semen analysis revealed a severe oligozoospermia. (spermatozoa ?1×106/mL) and asthenozoospermia (60% of decreased motiliy), for an ejaculate volume of 1.8mL. Three-colourIn Situ Hybridization was performed on spermatozoa recovered from his cryopreserved semen, in order to simultaneously detect the chromosome X, Y and one with specific appropriate probes. Semen from two 23 year old men were also analyzed as controls.

Results

502 spermatozoa were analyzed from the patient and about 10,000 from the controls. There was an increase of about ten times of the percentage of hyperhaploïd (24XY) spermatozoa in the semen of the Klinefelter patient compared to the controls.

Discussion and conlustion

In a general view of IVF-ICSI practice in Klinefelter patients, we also discuss here several practical points such as (i) is there any morphological criteria which may prevent from injecting an aneuploid spermatozoa, (ii) is the risk of aneuploidy higher when using testicular spermatozoa than when using ejaculated spermatozoa, (iii) what do we know about the offspring obtained by IVF-ICSI in Klinefelter patients and (iv) when should prenatal and/or preimplantatory genetical diagnosisbe proposed in this particular context.     

Les faunes coralliennes de l’Oligocène de Malte : biodiversité et paléoenvironnement

The study of the coral biodiversity of the Upper Oligocene sedimentary series (Lower Coralline Limestone, Chattian) of Malta permitted the identification of 25 scleractinian genera represented by 41 species. Three new species are proposed: Miophora naxxarensis n. sp., Nerthastraea maltensis n. sp. and Gyrosmilia maltensis n. sp. Observations made in various Oligocene sites in Malta, especially around Naxxar and Tal Bajjada, allow to establish a suite of coral associations which may vary spatially and vertically. The identified scleractinian associations can be represented by different types of coral assemblages and bioconstructions: isolated colonies, coral beds of varying density but of large spatial extent, more cohesive coral banks (coral carpets) or patch reefs forming morphologies with gentle lateral slopes. The colonial morphologies are closely linked to these different types of bioconstructions. These coral constructions have been established and developed in shallow marine areas. The coral biodiversity of the Oligocene of Malta fits well in the evolution of the Cenozoic reef phenomenon whose development reached its peak in the Oligocene with great coral richness in the Chattian in the Mediterranean area.