La pancréatite gravido-puerpérale: à propos de 6 cas

L’association pancréatite aigue et grossesse est rare mais non  exceptionnelle, le diagnostic de la pancréatite au cours de la grossesse est difficile, vu la non spécificité de la symptomatologie et vu que très souvent les douleurs et les vomissements peuvent être rattachés à la grossesse ellemême pouvant ainsi être responsable du retard diagnostic  L’échographie abdominale, qui est certes anodine pour le foetus, ne permet pas de poser le diagnostic, par contre la TDM a une sensibilité, et une spécificité voisine de 100%, mais elle est irradiante elle n’est utilisable qu’au delà de 36SA et en post partum, et par conséquent l’IRM  abdominale trouve tout son intérêt au 1er et au 2ème trimestre.  Cependant la biologie reste plus spécifique et c’est essentiellement l’élévation de la lipasémie à partir de 3fois la normale, qui peut redresser le diagnostic. Le traitement consiste au 1er trimestre a une abstention thérapeutique et cholécystectomie au 2èmetrimestre, au 2ème trimestre : Cholécystectomie par coelioscopie, au 3ème trimestre : Sphinctérotomie, et en post partum, la cholécystectomie s’impose. A travers nos 6 cas et une revue de la littérature nous soulignons les caractéristiques  diagnostiques, thérapeutiques et pronostiques de cette affection et nous invitons les praticiens à penser à la pancréatite chez toute femme enceinte avec douleur abdominales ce qui permettrait d’éviter les retards du  diagnostic et d’améliorer le pronostic materno foetal

Cancer du sein de l’homme: À propos de 6 cas

e but de ce travail était d'analyser les caractéristiques cliniques,  histologiques, thérapeutiques et pronostiques du cancer du sein chez l'homme. Il s'agissait d'une étude rétrospective portant sur six patients colligés au service de gynécologie obstétrique II, CHU Hassan II durant la période 2009-2012. L'âge moyen de nos patients est de 65.3 ans. Il s'agit dans 83.3 % des cas, d'une tumeur rétroaréolaire dont la taille moyenne est de 44.16 mm. Nous avons retrouvé 4 (66.7 %) T4, 1 (16.7 %) T3 et dans un cas, une tumeur inclassable. Le type histologique le plus  représenté est le carcinome canalaire infiltrant (66.7 %). Le taux  d'envahissement ganglionnaire axillaire est de 66.7 %.  L'hormonodépendance de ces tumeurs est prouvée dans 100 % des cas. La survie à cinq ans est en cours d'évaluation. L'envahissement   ganglionnaire, l'invasion du derme, le stade clinique TNM sont des facteurs qui influencent significativement la survenue de métastases. Aucun de ces facteurs de risque n'est apparu significatif en termes de survie globale. Le cancer du sein chez l'homme est une maladie rare (environ 1 % des  cancers du sein) au pronostic sombre. Le diagnostic est le plus souvent tardif et les lésions sont traitées à des stades avancés

The generation of diverse traveling pulses and its solution scheme in an excitable slow-fast dynamics

In this paper, we report on the generation and propagation of traveling pulses in a homogeneous network of diffusively coupled, excitable, slow-fast dynamical neurons. The spatially extended system is modelled using the nearest neighbor coupling theory, in which the diffusion part measures the spatial distribution of the coupling topology. We derive analytically the conditions for traveling wave profiles that allow the construction of the shape of traveling nerve impulses. The analytical and numerical results are used to explore the nature of the propagating pulses. The symmetric or asymmetric nature of the traveling pulses is characterized and the wave velocity is derived as a function of system parameters. Moreover, we present our results for an extended excitable medium by considering a slow-fast biophysical model with a homogeneous, diffusive coupling that can exhibit various traveling pulses. The appearance of series of pulses is an interesting phenomenon from biophysical and dynamical perspective. Varying the perturbation and coupling parameters, we observe the propagation of activities with various amplitude modulations and transition phases of different wave profiles that affect the speed of the pulses in certain parameter regimes. We observe different types of traveling pulses, such as envelope solitons and multi-bump solutions and show how system parameters and the coupling play a major role in the formation of different traveling pulses. Finally, we obtain the conditions for stable and unstable plane waves

The Transfer of Evolved Artificial Immune System Behaviours between Small and Large Scale Robotic Platforms

This paper demonstrates that a set of behaviours evolved in simulation on a miniature robot (epuck) can be transferred to a much larger scale platform (a virtual Pioneer P3-DX) that also differs in shape, sensor type, sensor configuration and programming interface. The chosen architecture uses a reinforcement learning-assisted genetic algorithm to evolve the epuck behaviours, which are encoded as a genetic sequence. This sequence is then used by the Pioneers as part of an adaptive, idiotypic artificial immune system (AIS) control architecture. Testing in three different simulated worlds shows that the Pioneer can use these behaviours to navigate and solve object-tracking tasks successfully, as long as its adaptive AIS mechanism is in place.Comment: 12 pages, 3 figures, 2 tables, 9th International Conference on Artificial Evolution (EA 09)

Observation of a J^PC = 1-+ exotic resonance in diffractive dissociation of 190 GeV/c pi- into pi- pi- pi+

The COMPASS experiment at the CERN SPS has studied the diffractive dissociation of negative pions into the pi- pi- pi+ final state using a 190 GeV/c pion beam hitting a lead target. A partial wave analysis has been performed on a sample of 420000 events taken at values of the squared 4-momentum transfer t' between 0.1 and 1 GeV^2/c^2. The well-known resonances a1(1260), a2(1320), and pi2(1670) are clearly observed. In addition, the data show a significant natural parity exchange production of a resonance with spin-exotic quantum numbers J^PC = 1-+ at 1.66 GeV/c^2 decaying to rho pi. The resonant nature of this wave is evident from the mass-dependent phase differences to the J^PC = 2-+ and 1++ waves. From a mass-dependent fit a resonance mass of 1660 +- 10+0-64 MeV/c^2 and a width of 269+-21+42-64 MeV/c^2 is deduced.Comment: 7 page, 3 figures; version 2 gives some more details, data unchanged; version 3 updated authors, text shortened, data unchange

CAFET Algorithm Reveals Wnt/PCP Signature in Lung Squamous Cell Carcinoma

We analyzed the gene expression patterns of 138 Non-Small Cell Lung Cancer (NSCLC) samples and developed a new algorithm called Coverage Analysis with Fisher’s Exact Test (CAFET) to identify molecular pathways that are differentially activated in squamous cell carcinoma (SCC) and adenocarcinoma (AC) subtypes. Analysis of the lung cancer samples demonstrated hierarchical clustering according to the histological subtype and revealed a strong enrichment for the Wnt signaling pathway components in the cluster consisting predominantly of SCC samples. The specific gene expression pattern observed correlated with enhanced activation of the Wnt Planar Cell Polarity (PCP) pathway and inhibition of the canonical Wnt signaling branch. Further real time RT-PCR follow-up with additional primary tumor samples and lung cancer cell lines confirmed enrichment of Wnt/PCP pathway associated genes in the SCC subtype. Dysregulation of the canonical Wnt pathway, characterized by increased levels of β-catenin and epigenetic silencing of negative regulators, has been reported in adenocarcinoma of the lung. Our results suggest that SCC and AC utilize different branches of the Wnt pathway during oncogenesis

Resistance to chemotherapy: new treatments and novel insights into an old problem

Resistance to cancer chemotherapeutic treatment is a common phenomenon, especially in progressive disease. The generation of cellular models of drug resistance has been pivotal in unravelling the main effectors of resistance to traditional chemotherapy at the molecular level (i.e. intracellular drug inactivation, detoxifying systems, defects in DNA repair, apoptosis evasion, membrane transporters and cell adhesion). The development of targeted therapies has also been followed by resistance, reminiscent of an evolutionary arms race, as exemplified by imatinib and other BCR-ABL inhibitors for the treatment of chronic myelogenous leukaemia. Although traditionally associated with the last stages of the disease, recent findings with minimally transformed pretumorigenic primary human cells indicate that the ability to generate drug resistance arises early during the tumorigenic process, before the full transformation. Novel technologies, such as genome profiling, have in certain cases predicted the outcome of chemotherapy and undoubtedly have tremendous potential for the future. In addition, the novel cancer stem cell paradigm raises the prospect of cell-targeted therapies instead of treatment directed against the whole tumour

A digital waveguide-based approach for Clavinet modeling and synthesis

The Clavinet is an electromechanical musical instrument produced in the mid-twentieth century. As is the case for other vintage instruments, it is subject to aging and requires great effort to be maintained or restored. This paper reports analyses conducted on a Hohner Clavinet D6 and proposes a computational model to faithfully reproduce the Clavinet sound in real time, from tone generation to the emulation of the electronic components. The string excitation signal model is physically inspired and represents a cheap solution in terms of both computational resources and especially memory requirements (compared, e.g., to sample playback systems). Pickups and amplifier models have been implemented which enhance the natural character of the sound with respect to previous work. A model has been implemented on a real-time software platform, Pure Data, capable of a 10-voice polyphony with low latency on an embedded device. Finally, subjective listening tests conducted using the current model are compared to previous tests showing slightly improved results