Sigmoid stricture associated with diverticular disease should be an indication for elective surgery with lymph node clearance

BACKGROUND: The literature concerning stricture secondary to diverticulitis is poor. Stricture in this setting should be an indication for surgery because (a) of the potential risk of cancer and (b) morbidity is not increased compared to other indications for colectomy. The goal of this report is to study the post-surgical morbidity and the quality of life in patients after sigmoidectomy for sigmoid stricture associated with diverticular disease. METHOD: This is a monocenter retrospective observational study including patients with a preoperative diagnosis of sigmoid stricture associated with diverticular disease undergoing operation between Jan 1, 2007 and Dec 31, 2013. The GastroIntestinal Quality of Life Index was used to assess patient satisfaction. RESULTS: Sixteen patients were included of which nine were female. Median age was 69.5 (46-84) and the median body mass index was 23.55kg/m(2) (17.2-28.4). Elective sigmoidectomy was performed in all 16 patients. Overall, complications occurred in five patients (31.2%) (4 minor complications and 1 major complication according to the Dindo and Clavien Classification); none resulted in death. Pathology identified two adenocarcinomas (12.5%). The mean GastroIntestinal Quality of Life Index was 122 (67-144) and 10/11 patients were satisfied with their surgical intervention. CONCLUSION: Sigmoid stricture prevents endoscopic exploration of the entire colon and thus it may prove difficult to rule out a malignancy. Surgery does not impair the quality of life since morbidity is similar to other indications for sigmoidectomy. For these reasons, we recommend that stricture associated with diverticular disease should be an indication for sigmoidectomy including lymph node clearance

Vibrational Spectroscopy of Selected Natural Uranyl Vanadates

Raman spectroscopy has been used to study a selection of uranyl vanadate minerals including carnotite, curienite, francevillite, tyuyamunite and metatyuyamunite. The minerals are characterised by an intense band in the 800 to 824 cm-1 region, assigned to the ν1 symmetric stretching vibrations of the (UO2)2+ units. A second intense band is observed in the 965 to 985 cm-1 range and is attributed to the ν1 (VO3) symmetric stretching vibrations in the (V2O8) units. This band is split with a second component observed at around 963 cm-1. A band of very low intensity is observed around 948 cm-1 and is assigned to the ν3 antisymmetric stretching vibrations of the (VO3) units. Bands in the range 608-655 cm-1 may be attributed to molecular water librational modes or the stretching modes ￮(V2O2) units. Bands in the range 573-583 cm-1 may be connected with the ￮ (U-Oequatorial) vibrations or ￮ (V2O2) units. Bands located in the range 467-539 cm-1 may be also attributed to the ￮ (U-Oequatorial) units vibrations. The bending modes of the (VO3) units are observed in the 463 to 480 cm-1 range – there may be some coincidence with ￮ (U-Oequatorial). The bending modes of the (V2O2) in the (V2O8) units are located in a series of bands around 407, 365 and 347 cm-1 (ν2). Two intense bands are observed in the 304 to 312 cm-1 range and 241 to 264 cm-1 range and are assigned to the doubly degenerate ν2 modes of the (UO2)2+ units. The study of the vibrational spectroscopy of uranyl vanadates is complicated by the overlap of bands from the (VO3) and (UO2)2+ units. Raman spectroscopy has proven most useful in assigning bands to these two units since Raman bands are sharp and well separated as compared with infrared bands. The uranyl vanadate minerals are often found as crystals on a host matrix and Raman spectroscopy enables their in-situ characterisation without sample preparation

Benthic oxygen exchange over a heterogeneous Zostera noltei meadow in a temperate coastal ecosystem

Seagrass meadows support intense but highly variable benthic metabolic rates that still need to be better evaluated to determine an accurate trophic status. The present study assessed how seagrasses and associated benthic macrofauna control spatiotemporal changes in benthic oxygen exchanges within a temperate bay. Based on seasonal sampling over a complete year cycle, the diffusive oxygen uptake (DOU), community respiration (CR) and gross primary production (GPP) were measured in a Zostera noltei meadow within Arcachon Bay, taking into account its spatial heterogeneity. Oxygen fluxes were assessed in sediment cores, within which benthic macrofauna and seagrass abundances and biomasses were quantified. The presence of Z. noltei did not significantly affect the DOU. Seasonal changes in CR and GPP correlated strongly with temperature in the presence of Z. noltei. The characteristics of benthic macrofauna associated with Z. noltei only weakly affected seasonal changes in CR. High spatial changes in both GPP and CR were mainly driven by the aboveground biomass of Z. noltei. When extrapolated to the whole intertidal area of the bay, in spite of limitations, our results suggest (1) overall higher contributions to CR and GPP from the seagrass meadow than from bare sediments, even though alternative primary producers in bare sediments (likely microphytobenthos) contributed significantly during winter; (2) an annual decrease in CR and GPP of 35 and 41%, respectively, resulting from the decline in Z. noltei of 25% between 2005 and 2007; and (3) a strong seasonality in the magnitude of this decrease, which was high during autumn and low during winter.

Effect of GA 3 and paclobutrazol on adventitious shoot regeneration of two Pelargonium sp

This study had two aims. The first was to improve the regeneration efficiency of Pelargonium leaf discs by adventitious budding. The second was to test the effect of gibberellic acid (GA 3) and paclobutrazol (PBZ) on callus formation and adventitious shoot regeneration in Pelargonium before using genetic transformation of this species for functional validation of genes involved in the process of GA regulation. GA 3 and paclobutrazol (an inhibitor of GA synthesis pathway) were added (together or separately) in the shoot regeneration media of two Pelargonium species, Pelargonium * hortorum \u27Panache sud\u27 (\u27P.sud\u27) and Pelargonium * domesticum \u27Autumn haze\u27 (\u27 P.dom\u27). In both cases, GA 3 applied alone, completely inhibited the bud regeneration. Moreover, the rate of callus formation decreased drastically when 5 M of GA 3 was applied to \u27 P. dom\u27 explants. Similar result was obtained with \u27P.sud\u27 explants using 20 M GA 3. Paclobutrazol (0.3 M) applied at the same time as GA 3 (10 M) could partially restore regeneration process of \u27 P. dom\u27. For \u27 P. dom\u27, the use of paclobutrazol alone increased callus formation and slightly improved the rate of regeneration. Moreover, initiated buds had a better appearance. For \u27P. sud\u27, which had an abundant callusing, paclobutrazol did not improve regeneration and led to hyperhydric shoots

C-Nap1 mutation affects centriole cohesion and is associated with a Seckel-like syndrome in cattle

Caprine-like Generalized Hypoplasia Syndrome (SHGC) is an autosomal-recessive disorder in Montbéliarde cattle. Affected animals present a wide range of clinical features that include the following: delayed development with low birth weight, hind limb muscular hypoplasia, caprine-like thin head and partial coat depigmentation. Here we show that SHGC is caused by a truncating mutation in the CEP250 gene that encodes the centrosomal protein C-Nap1. This mutation results in centrosome splitting, which neither affects centriole ultrastructure and duplication in dividing cells nor centriole function in cilium assembly and mitotic spindle organization. Loss of C-Nap1-mediated centriole cohesion leads to an altered cell migration phenotype. This discovery extends the range of loci that constitute the spectrum of autosomal primary recessive microcephaly (MCPH) and Seckel-like syndromes

Niches and routes of transmission of Xanthomonas citri pv. fuscans to bean seeds

Aims Seeds are vectors of a diversified microbiota including plant pathogens. To better understand transmission of common bacterial blight (CBB) agents to bean seeds, we analyzed the role of non-pathogenic xanthomonads on seed transmission efficiency and investigated the location of Xanthomonas citri pv. fuscans (Xcf) into seeds and plantlets. Methods Competition between CBB and NP strains was initially assessed in vitro and then extended in planta to monitor the impact of co-inoculation on Xcf seed transmission. Moreover, location of Xcf strains in seeds and seedlings was visualized using a combination of gfp-tagged strain and DOPE-FISH/CSLM. Results Whereas CBB agent growth was inhibited in vitro by some seed-borne non-pathogenic xanthomonads strains, these strains did not transmit efficiently to seed through floral pathway and did not affect Xcf seed transmission. Xcf cells were observed entering seed through vascular elements and parenchyma of funiculus, but also micropyle and testa. Xcf cells were observed, moreover, among other bacteria on radicle surfaces, especially tip, in cotyledons, and plumules. Conclusions CBB agents are more efficient than non-pathogenic xanthomonads in using the floral route to colonize seeds. CBB agents are located within different niches in the seed tissues up to the embryonic axis

Thiolutin is a zinc chelator that inhibits the Rpn11 and other JAMM metalloproteases

Thiolutin is a disulfide-containing antibiotic and anti-angiogenic compound produced by Streptomyces. Its biological targets are not known. We show that reduced thiolutin is a zinc chelator that inhibits the JAB1/MPN/Mov34 (JAMM) domain–containing metalloprotease Rpn11, a deubiquitinating enzyme of the 19S proteasome. Thiolutin also inhibits the JAMM metalloproteases Csn5, the deneddylase of the COP9 signalosome; AMSH, which regulates ubiquitin-dependent sorting of cell-surface receptors; and BRCC36, a K63-specific deubiquitinase of the BRCC36-containing isopeptidase complex and the BRCA1–BRCA2-containing complex. We provide evidence that other dithiolopyrrolones also function as inhibitors of JAMM metalloproteases

Test diagnostique non invasif de morphométrie automatisée de l'histologie des polypes coliques

Test diagnostique non invasif de morphométrie automatisée de l’histologie des polypes colique

Water-enema multidetector computed tomography for planning surgery

PURPOSE: Water-enema multidetector computed tomography (WE-MDCT) is a technique for the localization and preoperative T- and N-stage assessments of colon cancer. It may be a useful tool for planning surgery. The primary aim of this study was to evaluate the diagnostic accuracy of WE-MDCT for T-staging and its ability to locate tumors for laparoscopy planning. The secondary aim was to assess reading reproducibility and diagnostic accuracy for the preoperative determination of N-stage. METHODS: We performed a study to evaluate preoperative WE-MDCT for surgical planning in patients with symptomatic colon adenocarcinomas who underwent surgery between June 2010 and January 2014. A radiologist and a surgeon read the WE-MDCTs separately. Results were compared with colonoscopy and the surgical specimen. RESULTS: Seventy-one patients (42 men (59.1%); mean age 73.1 years (range 45 to 95)) were included. Seventy-six tumors were assessed. The intraclass correlation coefficient (ICC) for location as determined by surgery and that determined by WE-MDCT was 1, and the ICC for location between colonoscopy and WE-MDCT was 0.85 (95% CI 0.75-0.91). For T-stage determination, sensitivity was 96 and 94% and specificity 83 and 88% for readers 1 and 2, respectively. The T-stage assessment allowed for the programing of surgical access and showed good sensitivity and specificity for the assessment of invasion in adjacent organs. CONCLUSION: WE-MDCT is relatively easy to perform, and its results can be read effectively by radiologists and surgeons. WE-MDCT indicated the location of tumors perfectly and permitted a good determination of their T-stage. The technique is thus pertinent for the planning of laparoscopic surgery for colon cancer

Accuracy of water-enema multidetector computed tomography (WE-MDCT) in colon cancer staging: a prospective study

Purpose To assess the accuracy of water-enema multidetector computed tomography (WE-MDCT) in extra-rectal colon cancer staging. Materials and methods Fifty-three patients (mean age 70 years) with extra-rectal colon cancer proven by colonoscopy and biopsy were prospectively evaluated by preoperative WE-MDCT. CT scans were both intraluminal (water enema or WE) and intravenous (iodinated) contrast enhanced (CE). All patients underwent surgery. Tumors were classified with the TNM staging system. Noted CT features were: tumor size and location; tumor form and edges; spread to the pericolic fat or neighboring organs; thickening of retroperitoneal fascia; number, size, and enhancement of the peritumoral lymph nodes. Tumors were classified on CT into 3 T-stage groups: T1/T2, T3, and T4. Lymph nodes were classified by their density after injection [positive over 100 Hounsfield units (HU)]. Results Tumor localization to the specific colon segment was correct in all the cases. The agreement between WE-MDCT staging and histopathology staging was good (k = 0.64). An irregular and bowl-shaped aspect of the external edges of tumor provided excellent sensitivity for T3/T4 inclusion (Se 97.7%, NPV 85.7%). Thickening of a fascia or the abdominal wall provided good specificity for T4 stage (Sp 88.1%, NPV 94.9%). Enhancement over 100 HU of at least one peritumoral lymph node was the best criterion of N+ staging (Sp 67.7%, NPV 87.5%). Conclusion WE-MDCT permits good staging of colon cancer based on objective features