50 research outputs found

    Discussion autour de «la sélection des élites»

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    BrĂ©zin Édouard, Daigremont Philippe, Fussman GĂ©rard, Merindol Jean-Yves, Cahmi Maurice, Salzmann Jean-Louis, Kahane Jean-Pierre, Prost Antoine, Joliot Pierre, Langevin-Joliot HĂ©lĂšne. Discussion autour de «la sĂ©lection des Ă©lites». In: Raison prĂ©sente, n°176, 4e trimestre 2010. Culture, savoirs et compĂ©tences. pp. 80-86

    Plant migration and plant communities at the time of the "Green Sahara"

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    Around 8500 cal years BP, at the time of the maximum of the African Humid Period, lakes and wetlands expanded in the present-day Sahara while large paleodrainages were formed or re-actived, in response to an orbitally-induced increase in monsoon rainfall. It has been suggested that the direct consequence of this increase in rainfall was the northward displacement of the Sahara/Sahel boundary, thought to have reached 23 degrees N in central and eastern Africa. Here, we show a more complex situation characterized by an increase in biodiversity as the desert accommodated more humid-adapted species from tropical forests and wooded grasslands: tropical plant species now found some 400 to 500 km to the south probably entered the desert as gallery-forest formations along rivers and lakes where they benefited from permanent fresh water. At the same time, Saharan trees and shrubs persisted, giving rise to a vegetation that has no analogue today. In this article, we present distribution maps of selected plant species to show both the amplitude of the vegetation change compared to the present and the composition of the past plant communities. We also estimate the migration rate of tropical plant taxa. to their northernmost position in the Sahara. This study is based on the use of several data sets: a data set of the modern plant distribution in northern Africa and a data set of modem and fossil pollen sites (from the African Pollen Database, http://fpd.mediasfrance.org/ and http://medias.obs-mip.fr/apd/). To cite this article: J. Watrin et al., C R. Geoscience 341 (2009). (C) 2009 Published by Elsevier Masson SAS on behalf of Academie des sciences

    African pollen database inventory of tree and shrub pollen types

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    African pollen data have been used in many empirical or quantitative palaeoenvironmental reconstructions. However, the pollen types used in these studies were not controlled and standardised, preventing the precise understanding of pollen-plant and pollen-climate relation that is necessary for the accurate quantification of continental scale climate change or ecological processes in the past. This paper presents a summary of the progress made with the African Pollen Database (APD) inventory of plant diversity from pollen data extracted from 276 fossil sites and more than 1500 modem samples, with a focus on tropical tree pollen types. This inventory (1145 taxa) gives, for each pollen taxon whose nomenclature is discussed, information on the habit, habitat and phytogeographical distribution of the plants they come from. Special attention has been paid to pollen types with similar morphology, which include several plant species or genera, whose biological or environmental parameters can differ considerably

    Endoscopic papillectomy for ampullary lesions in patients with familial adenomatous polyposis compared with sporadic lesions:A propensity score-matched cohort

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    Background Familial adenomatous polyposis (FAP) is a rare inherited syndrome that predisposes the patient to cancer. Treatment of FAP-related ampullary lesions is challenging and the role of endoscopic papillectomy has not been elucidated. We retrospectively analyzed the outcomes of endoscopic papillectomy in matched cohorts of FAPrelated and sporadic ampullary lesions (SALs). Methods This retrospective multicenter study included 1422 endoscopic papillectomy procedures. Propensity score matching including age, sex, comorbidity, histologic subtype, and size was performed. Main outcomes were complete resection (R0), technical success, complications, and recurrence. Results Propensity score matching identified 202 patients (101 FAP, 101 SAL) with comparable baseline characteristics. FAP patients were mainly asymptomatic (79.2% [95 %CI 71.2-87.3] vs. 46.5% [95 %CI 36.6-56.4]); P &lt; 0.001). The initial R0 rate was significantly lower in FAP patients (63.4% [95%CI 53.8-72.9] vs. 83.2% [95%CI 75.8-90.6]; P = 0.001). After repeated interventions (mean 1.30 per patient), R0 was comparable (FAP 93.1% [95%CI 88.0-98.1] vs. SAL 97.0% [95%CI 93.7-100]; P = 0.19). Adverse events occurred in 28.7%. Pancreatitis and bleeding were the most common adverse events in both groups. Severe adverse events were rare (3.5 %). Overall, 21 FAP patients (20.8% [95%CI 12.7-28.8]) and 16 SAL patients (15.8% [95%CI 8.6-23.1]; P = 0.36) had recurrence. Recurrences occurred later in FAP patients (25 [95 %CI 18.3-31.7] vs. 2 [95 %CI CI 0.06-3.9] months). Conclusions Endoscopic papillectomy was safe and effective in FAP-related ampullary lesions. Criteria for endoscopic resection of ampullary lesions can be extended to FAP patients. FAP patients have a lifetime risk of relapse even after complete resection, and require long-time surveillance.</p

    Endoscopic papillectomy for ampullary lesions in patients with familial adenomatous polyposis compared with sporadic lesions:A propensity score-matched cohort

    No full text
    Background Familial adenomatous polyposis (FAP) is a rare inherited syndrome that predisposes the patient to cancer. Treatment of FAP-related ampullary lesions is challenging and the role of endoscopic papillectomy has not been elucidated. We retrospectively analyzed the outcomes of endoscopic papillectomy in matched cohorts of FAPrelated and sporadic ampullary lesions (SALs). Methods This retrospective multicenter study included 1422 endoscopic papillectomy procedures. Propensity score matching including age, sex, comorbidity, histologic subtype, and size was performed. Main outcomes were complete resection (R0), technical success, complications, and recurrence. Results Propensity score matching identified 202 patients (101 FAP, 101 SAL) with comparable baseline characteristics. FAP patients were mainly asymptomatic (79.2% [95 %CI 71.2-87.3] vs. 46.5% [95 %CI 36.6-56.4]); P &lt; 0.001). The initial R0 rate was significantly lower in FAP patients (63.4% [95%CI 53.8-72.9] vs. 83.2% [95%CI 75.8-90.6]; P = 0.001). After repeated interventions (mean 1.30 per patient), R0 was comparable (FAP 93.1% [95%CI 88.0-98.1] vs. SAL 97.0% [95%CI 93.7-100]; P = 0.19). Adverse events occurred in 28.7%. Pancreatitis and bleeding were the most common adverse events in both groups. Severe adverse events were rare (3.5 %). Overall, 21 FAP patients (20.8% [95%CI 12.7-28.8]) and 16 SAL patients (15.8% [95%CI 8.6-23.1]; P = 0.36) had recurrence. Recurrences occurred later in FAP patients (25 [95 %CI 18.3-31.7] vs. 2 [95 %CI CI 0.06-3.9] months). Conclusions Endoscopic papillectomy was safe and effective in FAP-related ampullary lesions. Criteria for endoscopic resection of ampullary lesions can be extended to FAP patients. FAP patients have a lifetime risk of relapse even after complete resection, and require long-time surveillance.</p
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