Jejunum free flap in hypopharynx reconstruction: Case series

BACKGROUND: Surgical treatment of hypopharyngeal cancers with extension to the retrocricoid region generally requires a circumferential pharyngolaryngectomy followed by a reconstruction of the removed segment of the upper digestive tract. Historically, many techniques have been used in order to achieve a safe and functional reconstruction. Jejunum interposition is generally considered the best reconstructive technique. METHODS: This study examines the details of the surgical technique, the complications, the oncological and the functional results in a series of 29 consecutive patients submitted to circumferential pharyngoesophageal resection for advanced hypopharyngeal cancer followed by reconstruction with a free flap of jejunum. RESULTS: Three of the transplants failed because of venous thrombosis. The overall success rate was 90%. There were no general complications. A good swallowing has been preserved in all our patients. All our patients where a phonatory prosthesis was positioned (20/29) were able to achieve speech following speech therapy and all were satisfied with their own capacity to communicate. CONCLUSIONS: The prognosis of hypopharyngeal tumours (18–40% at 5 years) remains poor, but jejunum autografts are being shown to be an excellent choice for the reconstruction of the cervical hypopharyngo-oesophagus offering the patient fast rehabilitation and a reasonable quality of survival. Our experience confirm that this kind of reconstruction is safe with a good results in improving oncologic controls and restoring a good quality of life

Global Carbon Budget 2022

Accurate assessment of anthropogenic carbon dioxide (CO2) emissions and their redistribution among the atmosphere, ocean, and terrestrial biosphere in a changing climate is critical to better understand the global carbon cycle, support the development of climate policies, and project future climate change. Here we describe and synthesize data sets and methodologies to quantify the five major components of the global carbon budget and their uncertainties. Fossil CO2 emissions (EFOS) are based on energy statistics and cement production data, while emissions from land-use change (ELUC), mainly deforestation, are based on land use and land-use change data and bookkeeping models. Atmospheric CO2 concentration is measured directly, and its growth rate (GATM) is computed from the annual changes in concentration. The ocean CO2 sink (SOCEAN) is estimated with global ocean biogeochemistry models and observation-based data products. The terrestrial CO2 sink (SLAND) is estimated with dynamic global vegetation models. The resulting carbon budget imbalance (BIM), the difference between the estimated total emissions and the estimated changes in the atmosphere, ocean, and terrestrial biosphere, is a measure of imperfect data and understanding of the contemporary carbon cycle. All uncertainties are reported as ±1σ. For the year 2021, EFOS increased by 5.1 % relative to 2020, with fossil emissions at 10.1 ± 0.5 GtC yr−1 (9.9 ± 0.5 GtC yr−1 when the cement carbonation sink is included), and ELUC was 1.1 ± 0.7 GtC yr−1, for a total anthropogenic CO2 emission (including the cement carbonation sink) of 10.9 ± 0.8 GtC yr−1 (40.0 ± 2.9 GtCO2). Also, for 2021, GATM was 5.2 ± 0.2 GtC yr−1 (2.5 ± 0.1 ppm yr−1), SOCEAN was 2.9  ± 0.4 GtC yr−1, and SLAND was 3.5 ± 0.9 GtC yr−1, with a BIM of −0.6 GtC yr−1 (i.e. the total estimated sources were too low or sinks were too high). The global atmospheric CO2 concentration averaged over 2021 reached 414.71 ± 0.1 ppm. Preliminary data for 2022 suggest an increase in EFOS relative to 2021 of +1.0 % (0.1 % to 1.9 %) globally and atmospheric CO2 concentration reaching 417.2 ppm, more than 50 % above pre-industrial levels (around 278 ppm). Overall, the mean and trend in the components of the global carbon budget are consistently estimated over the period 1959–2021, but discrepancies of up to 1 GtC yr−1 persist for the representation of annual to semi-decadal variability in CO2 fluxes. Comparison of estimates from multiple approaches and observations shows (1) a persistent large uncertainty in the estimate of land-use change emissions, (2) a low agreement between the different methods on the magnitude of the land CO2 flux in the northern extratropics, and (3) a discrepancy between the different methods on the strength of the ocean sink over the last decade. This living data update documents changes in the methods and data sets used in this new global carbon budget and the progress in understanding of the global carbon cycle compared with previous publications of this data set

Global Carbon Budget 2022

Accurate assessment of anthropogenic carbon dioxide (CO2) emissions and their redistribution among the atmosphere, ocean, and terrestrial biosphere in a changing climate is critical to better understand the global carbon cycle, support the development of climate policies, and project future climate change. Here we describe and synthesize data sets and methodologies to quantify the five major components of the global carbon budget and their uncertainties. Fossil CO2 emissions (EFOS) are based on energy statistics and cement production data, while emissions from land-use change (ELUC), mainly deforestation, are based on land use and land-use change data and bookkeeping models. Atmospheric CO2 concentration is measured directly, and its growth rate (GATM) is computed from the annual changes in concentration. The ocean CO2 sink (SOCEAN) is estimated with global ocean biogeochemistry models and observation-based data products. The terrestrial CO2 sink (SLAND) is estimated with dynamic global vegetation models. The resulting carbon budget imbalance (BIM), the difference between the estimated total emissions and the estimated changes in the atmosphere, ocean, and terrestrial biosphere, is a measure of imperfect data and understanding of the contemporary carbon cycle. All uncertainties are reported as ±1σ. For the year 2021, EFOS increased by 5.1 % relative to 2020, with fossil emissions at 10.1 ± 0.5 GtC yr−1 (9.9 ± 0.5 GtC yr−1 when the cement carbonation sink is included), and ELUC was 1.1 ± 0.7 GtC yr−1, for a total anthropogenic CO2 emission (including the cement carbonation sink) of 10.9 ± 0.8 GtC yr−1 (40.0 ± 2.9 GtCO2). Also, for 2021, GATM was 5.2 ± 0.2 GtC yr−1 (2.5 ± 0.1 ppm yr−1), SOCEAN was 2.9  ± 0.4 GtC yr−1, and SLAND was 3.5 ± 0.9 GtC yr−1, with a BIM of −0.6 GtC yr−1 (i.e. the total estimated sources were too low or sinks were too high). The global atmospheric CO2 concentration averaged over 2021 reached 414.71 ± 0.1 ppm. Preliminary data for 2022 suggest an increase in EFOS relative to 2021 of +1.0 % (0.1 % to 1.9 %) globally and atmospheric CO2 concentration reaching 417.2 ppm, more than 50 % above pre-industrial levels (around 278 ppm). Overall, the mean and trend in the components of the global carbon budget are consistently estimated over the period 1959–2021, but discrepancies of up to 1 GtC yr−1 persist for the representation of annual to semi-decadal variability in CO2 fluxes. Comparison of estimates from multiple approaches and observations shows (1) a persistent large uncertainty in the estimate of land-use change emissions, (2) a low agreement between the different methods on the magnitude of the land CO2 flux in the northern extratropics, and (3) a discrepancy between the different methods on the strength of the ocean sink over the last decade. This living data update documents changes in the methods and data sets used in this new global carbon budget and the progress in understanding of the global carbon cycle compared with previous publications of this data set. The data presented in this work are available at https://doi.org/10.18160/GCP-2022 (Friedlingstein et al., 2022b)

L'Eperlan (Osmerus eperlanus) dans l'estuaire de la Seine : premiers éléments sur la biologie et l'écologie d'une espèce en réapparition depuis 2000.

L'Eperlan (Osmerus eperlanus) dans l'estuaire de la Seine : premiers éléments sur la biologie et l'écologie d'une espèce en réapparition depuis 2000.. DiadFish : les poissons migrateurs amphihalins d'Europ

L'Eperlan (Osmerus eperlanus) dans l'estuaire de la Seine : premiers éléments sur la biologie et l'écologie d'une espèce en réapparition depuis 2000.

 L'Eperlan (Osmerus eperlanus) dans l'estuaire de la Seine : premiers éléments sur la biologie et l'écologie d'une espèce en réapparition depuis 2000.. DiadFish : les poissons migrateurs amphihalins d'Europ

Springtime Export of Arctic Sea Ice Influences Phytoplankton Production in the Greenland Sea

International audienceClimate model projections suggest a substantial decrease of sea ice export into the outflow areas of the Arctic Ocean over the 21st century. Fram Strait, located in the Greenland Sea sector, is the principal gateway for ice export from the Arctic Ocean. The consequences of lower sea ice flux through Fram Strait on ocean dynamics and primary production in the Greenland Sea remain unknown. By using the most recent 16 years (2003-2018) of satellite imagery available and hydrographic in situ observations, the role of exported Arctic sea ice on water column stratification and phytoplankton production in the Greenland Sea is evaluated. Years with high Arctic sea ice flux through Fram Strait resulted in high sea ice concentration in the Greenland Sea, stronger water column stratification, and an earlier spring phytoplankton bloom associated with high primary production levels. Similarly, years with low Fram Strait ice flux were associated with a weak water column stratification and a delayed phytoplankton spring bloom. This work emphasizes that sea ice and phytoplankton production in subarctic "outflow seas" can be strongly influenced by changes occurring in the Arctic Ocean

Use of Biotic Indices in semi-enclosed coastal ecosystems and transitional waters habitats - Implications for the implementation of the European Water Framework Directive

International audienceThis study deals with the application of macrozoobenthos-based biotic indices (BI) within the frame of the implementation of the European Water Framework Directive. More precisely, this study aimed at assessing the performance of five recently developed methodologies (BI) for the assessment of ecological quality status (EcoQ) in two semi-enclosed, sheltered coastal ecosystems and in one transitional water body situated along the Western French coast, namely Marennes-Oléron Bay, Arcachon Bay, and the Seine Estuary. This study showed that these five indices rarely agreed with each other, describing very different pictures of the overall EcoQ of the three study sites. This work also clearly underlined the limitations of these approaches, notably the dependency of most of these BI and the resulting EcoQ classifications on habitat characteristics, more particularly to natural levels of sediment silt–clay content and the location of stations in the subtidal or the intertidal. The implication of our observations concerning the use of these BI for implementation of the WFD is discussed in terms of definition of habitat-specific reference conditions and necessity to adjust thresholds to the particular habitat occurring in semi-enclosed ecosystems. Meanwhile, the unmodified use of these BI severely impaired accurate assessment of EcoQ and decision-making on the managers’ point of view

Evidencing the Impact of Climate Change on the Phytoplankton Community of the Mediterranean Sea Through a Bioregionalization Approach

International audienceWe revisited the partitioning of the Mediterranean Sea into bioregions by processing satellite Sea Surface Temperature (SST) and Chlorophyll-a concentration (Chla) from ocean color observations combined with Argo mixed-layer depth for a period ranging from 2003 up to 2020. This regionalization was performed using an innovative classification based on self-organizing maps, the so-called 2S-SOM. We clustered the Mediterranean Sea waters into seven bioregions governed by specific physical and biogeochemical characteristics. We studied the interannual variability of these bioregions over the 18 years. We showed that the temperature is increasing with a mean rate of 0.4°C per decade. The chlorophyll-a concentration is quasi constant, but we evidenced a noticeable change in satellite-derived phytoplankton communities: Diatoms concentration is decreasing while cyanobacteria concentration is increasing. The bioregion trends could be related to global warming. The whole Mediterranean Sea is shifting to an eastern Mediterranean state

Imunoexpressão da citoqueratina 16 e do antígeno nuclear Ki-67 no colesteatoma adquirido da orelha média Expression patterns of cytokeratin 16 and the nuclear antigen Ki-67 in acquired middle ear cholesteatoma

Introdução: Ocolesteatoma da orelha média é caracterizado pela presença de epitélio escamoso estratificado queratinizado nesta cavidade, causando destruição óssea e podendo levar a complicações. Algumas substâncias como a citoqueratina 16 e o Ki-67, marcadores de proliferação celular, vêm sendo utilizadas para estudar essa doença. A CK 16 é um filamento protéico, situado no citoplasma das células epiteliais, característico de epitélios hiperproliferativos. O Ki-67 é um antígeno nuclear que aparece nas células em estágio de proliferação. Objetivo: O objetivo deste trabalho foi estudar a imunoexpressão da CK 16 e do Ki-67 no colesteatoma adquirido. Forma de estudo: Clínico prospectivo. Material e Método: Foram colhidas amostras de colesteatoma de 31 pacientes submetidos à cirurgia otológica, sendo 20 adultos e 11 crianças, no período de 1998 e 2000. Essas amostras foram submetidas à análise histológica e imuno-histoquímica para estudo da expressão da CK 16 e do Ki-67 na matriz do colesteatoma. Resultado: A análise dos resultados mostrou a presença da CK 16 nas camadas suprabasais da matriz do colesteatoma e, do Ki-67, na camada basal, estendendo-se para as camadas suprabasais e, inclusive, para a camada apical da matriz. A reação aos anticorpos anti-CK 16 e Ki-67 foi heterogênea. A correlação entre a CK 16 e o Ki-67 suprabasal com variáveis morfológicas, como acantose do epitélio e hiperplasia da camada basal formando cones epiteliais em direção à perimatriz, foi positiva e significativa. Também houve relação positiva e significativa entre a CK 16 e o Ki-67 suprabasal e apical. Conclusão: Esses resultados permitem concluir que o colesteatoma tem características hiperproliferativas, expressando a CK 16 e o Ki-67 na sua matriz.<br>Introduction: Cholesteatomas of the middle ear are characterized by the presence of stratified squamous epithelium in this cavity presenting with highly invasive properties which may cause destruction of the bone and lead to complications. Substances such as cytokeratin (CK) 16 and Ki-67 are some of the markers of cellular proliferation and have been used to study this disease. CK 16 is a protein filament located in the cytoplasm of epithelial cells and typical of hyperproliferating epithelium. Ki-67 is a nuclear antigen found in cells that are in the proliferating stage. Aim: The objective of this research project was to study the expression of CK 16 and Ki-67 in acquired cholesteatomas. Study design: Clinical prospective. Material and Method: Samples were obtained from 31 patients submitted to otologic surgery for the removal of a middle ear cholesteatoma from 1998 to 2000. Twenty patients were adults and 11 were children. Samples were studied by histology and by immunohystochemistry for the expression of CK16 and Ki-67 in the matrix of the cholesteatoma. Results: CK 16 was found in the suprabasal layers of the matrix of the cholesteatoma, and Ki-67 was found from the basal layer all the way to the suprabasal and apical layers. Reaction to anti-CK 16 and Ki-67 antibodies was heterogeneous. There was a positive and significant relation between morphological variables such as epithelial acantosis and hyperplasia of the basal layer and the presence of suprabasal CK16 and Ki-67 in the matrix. Conclusion: Based on the results of this study, the authors conclude that cholesteatomas have hyperproliferating characteristics with a significant-expression of CK16 and Ki-67 in the matrix