Fibrosarcome du larynx - A propos d'un cas

Le fibrosarcome du larynx est une entité histologique rare, qui représente moins de 10% de tous les sarcomes des tissus mous, moins de 2 % des cancers laryngés. Cette localisation pose des problèmes diagnostique, thérapeutique et pronostique. Nous présentons un cas de fibrosarcome laryngé chez un patient de 54 ans. La confirmation histologique etimmunohistologique a été faite sur la pièce d’exérèse chirurgicale et surtout sur une confrontation anatomoclinique. La prise en charge thérapeutique est multidisciplinaire, associant la chirurgie qui doit être la plus complète sans curage ganglionnaire et la radiothérapie. Le pronostic est généralement sévère, dépend essentiellement de degré de différenciation histologique.Mots clés : fibrosarcome ; larynx ; chirurgie ; radiothérapie

Chloroformic and Methanolic Extracts of Olea europaea L. Leaves Present Anti-Inflammatory and Analgesic Activities

Olea europaea L. is used in traditional medicine in the Mediterranean areas. Its natural products are used in the treatment of different disorders, like fighting fever and some infectious diseases such as malaria, the treatment of arrhythmia, and relief of intestinal spasms. The aim of the current study is to investigate the possible anti-inflammatory and anatinociceptive effects of methanol and chloroformic extracts prepared from leaves of Olea europaea L. The anti-inflammatory and antinociceptive effects of the different extracts of Olea europaea leaves were assessed after intraperitoneal administration into rats and mice, using the carrageenan-induced paw edema model in rats to test the anti-inflammatory effect and the acetic acid-induced writhing in mice to test the analgesic effect. The chloroformic and methanolic leaves extracts, studied at the doses of 50, 100, and 200 mg/kg (Body Weight: BW), exhibited significant dose-dependent anti-inflammatory and analgesic activities. Based on the results obtained, it can be concluded that Olea europaea leaves extracts have anti-inflammatory and antinociceptive effects

Thymic hyperplasia in a patient with Grave's disease

Hyperplastic changes of the thymus may be found in patients with Graves' disease. However, this rarely presents as an anterior mediastinal mass, particularly among adults. In this report, we describe a 46-year old woman with Graves' disease and thymic hyperplasia

Evaluation of Antimicrobial Activity of Moringa Oleifera Leaf Extracts Against Pathogenic Bacteria Isolated From Urinary Tract Infected Patients

Antibiotic resistance has increased substantially in recent years and is posing an ever-increasing therapeutic problem. One of the methods to reduce the resistance to antibiotics is by using antibiotic resistance inhibitors from plants. The aim of this study is to evaluate the antibacterial properties of aqueous, petroleum ether and methanolic leaf extracts of Moringa oleifera plant against pathogenic bacteria isolated from urinary tract infected patients and five standard strains of American type culture collection. The antibacterial activity of Moringa oleifera leaf extracts was determined in vitro, using Cup plate method, and compared with sensitivity testing of some antibiotic agents using disc diffusion method. The results obtained showed that all concentration of methanolic extracts of Moringa oleifera had high inhibitory effects on S. aureus ATCC25923, K. pneumoniae ATCC35637 standard strains and the S. aureus, S. saprophyticus and E.coli isolated from UTI. The three concentration of water extract had inhibitory effects only on Proteus vulgaris NCTC8196 strain. The petroleum ether extracts showed no inhibitory activity on any organism. These results were compared with standard antibiotics Amikacin, Ciprofloxacin, and Norfloxacin which showed moderate sensitivity against S. aureus and Amikacin was completely resistant to K. pneumoniae isolated from UTI. These results provide valuable information that Moringa oleifera hold great promise as highly effective antibacterial agents

Healthcare-associated infections in a tunisian university hospital: From analysis to action

Introduction: our study was conducted, in university hospital center (UHC) Farhat Hached of Sousse (city in Tunisian center-east), within healthcare-associated infections (HAI) epidemiological surveillance (ES) program,  based, among others, on HAI regular prevalence surveys. Our objectives are to resituate HAI prevalence rate and to identify their risk factors (RF) in order to adjust, in our hospital, prevention programs.Methods: it is a transversal descriptive study, including all patients who had been hospitalized for at least 48 hours, measuring prevalence of HAI a “given day”, with only one passage by service. Risk factors were  determined using Epiinfo 6.0, by uni-varied analysis, then, logistic  regression stepwise descending for the variables whose pResults: the study focused on 312 patients. Infected patients prevalence was 12.5% and that of HAI was 14.5 %. Infections on peripheral venous catheter (PVC)  dominated (42.2%) among all HAI identified. HAI significant RF were neutropenia (p<10-4) for intrinsic factors, and PVC for extrinsic factors (p=0,003). Conclusion: predominance of infections on PVC should be subject of specific prevention actions, including retro-information strategy, prospective ES, professional practices evaluation and finally training and increasing awareness of health personnel with hygiene measures. Finally,  development of a patient safety culture with personnel ensures best adherence to hygiene measures and HAI prevention

Assessing the Accuracy of Multiple Classification Algorithms Combining Sentinel-1 and Sentinel-2 for the Citrus Crop Classification and spatialization of the Actual Evapotranspiration Obtained from Flux Tower Eddy Covariance: Case Study of Cap Bon, Tunisia

Land use and water resources are closely linked. Every single type of land use has a different influence on the hydrologic cycle, consequently impacting the people and the natural resources. The use of advanced technologies, for example monitoring the agricultural resources with remote sensing, offers the possibility to assess the water demand, to know the total cultivated area with the precise distribution of crops and enables the regularly acquisition of data distributed in space and time. The citrus sub-sector is of paramount importance in the Tunisian agricultural sector. The Cap Bon region has the main production area with 75 % of the total citrus area. The possibility of classifying citrus crops is important for water resource management at regional scale and for economic stability. Given the socio-economic importance of the citrus sector in the Cap Bon region, it is very important to have accurate estimation of the total area of citrus plots in this region. Therefore, the main objectives of this current work are: To integrate multitemporal synthetic aperture radar SAR data, Sentinel-1, and optical data Sentinel-2, together to determine the best machine learning algorithm that allowed obtaining the most accurate citrus crop classification in the region. To study and analyze the temporal signatures of the Normalized Difference Vegetation Index (NDVI) of the classified crops, mainly the citrus, with the purpose to provide the maximum amount of information that allow the differentiation between the crops. To study the potential relation between NDVI and Actual Evapotranspiration (ETa) fluxes measured with the eddy covariance method for a citrus orchard to extrapolate the eddy tower measurements to greater scales. To achieve these objectives, we evaluated the performance of 22 nonparametric classifiers during the period September 2020–June 2021. Additionally, ET measured by the eddy covariance method was available for the same period, so we tried to find the potential relation between NDVI and Actual Evapotranspiration (ETa). The results revealed that the best performing classifier is the Support Vector Machine SVM with an accuracy around 91 %. Consequently, our results provided a significant contribution to the citrus classification in the Cap Bon region but can be further improved. Also, the obtained results highlighted the potential to extrapolate accurate ET estimation to larger scales using the vegetation index obtained from Sentinel-2 data.</p

The effect of Dnaaf5 gene dosage on primary ciliary dyskinesia phenotypes

DNAAF5 is a dynein motor assembly factor associated with the autosomal heterogenic recessive condition of motile cilia, primary ciliary dyskinesia (PCD). The effects of allele heterozygosity on motile cilia function are unknown. We used CRISPR-Cas9 genome editing in mice to recreate a human missense variant identified in patients with mild PCD and a second, frameshift-null deletion in Dnaaf5. Litters with Dnaaf5 heteroallelic variants showed distinct missense and null gene dosage effects. Homozygosity for the null Dnaaf5 alleles was embryonic lethal. Compound heterozygous animals with the missense and null alleles showed severe disease manifesting as hydrocephalus and early lethality. However, animals homozygous for the missense mutation had improved survival, with partially preserved cilia function and motor assembly observed by ultrastructure analysis. Notably, the same variant alleles exhibited divergent cilia function across different multiciliated tissues. Proteomic analysis of isolated airway cilia from mutant mice revealed reduction in some axonemal regulatory and structural proteins not previously reported in DNAAF5 variants. Transcriptional analysis of mouse and human mutant cells showed increased expression of genes coding for axonemal proteins. These findings suggest allele-specific and tissue-specific molecular requirements for cilia motor assembly that may affect disease phenotypes and clinical trajectory in motile ciliopathies

Phylogenetic Analysis of the Neks Reveals Early Diversification of Ciliary-Cell Cycle Kinases

NIMA-related kinases (Neks) have been studied in diverse eukaryotes, including the fungus Aspergillus and the ciliate Tetrahymena. In the former, a single Nek plays an essential role in cell cycle regulation; in the latter, which has more than 30 Neks in its genome, multiple Neks regulate ciliary length. Mammalian genomes encode an intermediate number of Neks, several of which are reported to play roles in cell cycle regulation and/or localize to centrosomes. Previously, we reported that organisms with cilia typically have more Neks than organisms without cilia, but were unable to establish the evolutionary history of the gene family