Le congrès des élus départementaux et régionaux et l’ambiguïté des revendications statutaires

En Martinique, le débat statutaire – étroitement lié à la question de l’identité et plus spécifiquement à celle de l’identité nationale – occupe les premières loges de la scène politique et détermine les clivages. Pourquoi le problème du statut est-il si difficile à résoudre ? Cet article tente d’apporter une réflexion à cette problématique en examinant un événement politique exceptionnel : la deuxième session du congrès des élus départementaux et régionaux, et plus particulièrement les réactions de la population et les représentations qu’elle en avait. Nous observons un décalage flagrant entre la population et ses élus, en général, et aussi plus spécialement quant à l’idée de la nation martiniquaise défendue par des élus nationalistes. Par ailleurs, les attentes de la population se situent à un niveau plus concret que les polémiques identitaires auxquelles elle a pu assister lors de ce congrès. Le projet des nationalistes semble être en premier lieu un projet de « dignité ». Mais un tel projet est-il réalisable dans le domaine de la politique ?In Martinique, the status debate, which is closely linked to the question of identity and especially to the one of national identity, occupies centre stage on the political landscape. Until now, no real solution has been found for the status problem. This paper discusses a special political event of great importance for this debate: the second session of the congress gathering the representatives of both local councils (Conseil General and Conseil Regional). In our fieldwork, we noted flagrant discrepancy between these representatives and the population, in particular with respect to the idea of the nation of Martinique promoted by the nationalist movement. Moreover the status and identity debate is far too abstract for the population in search of concrete solutions for everyday problems. The nationalists’ political project seems to be first and foremost a project of “dignity”. But is such a project feasible in the political field

Optimization of the indications for allogeneic stem cell transplantation in Acute Myeloid Leukemia based on interactive diagnostic strategies

The indications for allogeneic stem cell transplantation (SCT) in Acute Myeloid Leukemia (AML) represent a real challenge due to the clinical and genetic heterogeneity of the disorder. Therefore, an optimized indication for SCT in AML first requires the determination of the individual relapse risk based on diverse chromosomal and molecular prognosis-defining aberrations. A broad panel of diagnostic methods is needed to allow such subclassification and prognostic stratification: cytomorphology, cytogenetics, molecular genetics, and immunophenotyping by multiparameter flow cytometry. These methods should not be seen as isolated techniques but as parts of an integral network with hierarchies and interactions. Examples for a poor risk constellation as a clear indication for allogeneic SCT are provided by anomalies of chromosome 7, complex aberrations, or FLT3-length mutations. In contrast, the favorable reciprocal translocations such as the t(15;17)/PML-RARA or t(8;21)/AML1-ETO are not indications for SCT in first remission due to the rather good prognosis after standard therapy. Further, the indication for SCT should include the results of minimal residual disease (MRD) diagnostics by polymerase chain reaction (PCR) or flow cytometry. New aspects for a safe and fast risk stratification as basis for an optimized indication for SCT in AML might be provided by novel technologies such as microarray-based gene expression profiling. Keywords: Acute Myeloid Leukemia (AML), Allogeneic Stem Cell Transplantation (SCT), Indication, Cytogenetics, Polymerase Chain Reaction (PCR

The Role of Allogeneic Stem Cell Transplantation in Relapsed/Refractory Hodgkin's Lymphoma Patients

Despite the favorable prognosis of most patients with Hodgkin's Lymphoma (HL), 15–20% of patients remain refractory to chemoradiotherapy, and 20–40% experience relapses following autologous stem cell transplantation (SCT) being used as salvage approach in this situation. Long-term survival of only 20% was reported for patients who failed this option. As some authors suggested the presence of a graft versus HL effect, allogeneic SCT was introduced as a further option. Myeloablative strategies were reported to be able to achieve cure in some younger patients, but high nonrelapse mortality remains a problem. Reduced intensity conditioning, in turn, was found to be associated with high posttransplant relapse rates. As there is currently no standard in the management of HL patients who failed autologous SCT, we here review the literature on allogeneic stem cell transplantation in HL patients with a special focus on the outcomes and risk factors being reported in the largest studies

BeEAM Conditioning including High-Dose Bendamustine before Autologous Stem Cell Transplantation Is Safe and Effective in Patients with Waldenstrom's Macroglobulinemia.

High-dose chemotherapy (HDCT) with autologous stem cell transplantation (ASCT) is an option to consolidate remission in Waldenstrom's macroglobulinemia (WM), particularly in selected younger patients with chemosensitive disease. BEAM, consisting of BCNU, etoposide, cytarabine, and melphalan, is often used as a conditioning regimen. However, problems with BCNU, including pneumotoxicity, tolerance, and availability, necessitate the search for alternatives. In this pilot study, we investigated high-dose chemotherapy with BeEAM, in which BCNU is replaced with high-dose bendamustine as an alternative conditioning regimen in six subsequent patients with WM. Bendamustine treatment was well tolerated without unexpected toxicities. The overall response rate was 6/6 patients (2 very good partial responses (VGPR) and 4 PR). After a median follow-up of 72 months, two (33%) patients relapsed. Median progression-free and overall survivals were not reached, and no severe late-onset toxicities were observed so far. In this pilot study, BeEAM conditioning before ASCT seems feasible, safe, and effective in patients with WM

Molecular Diagnostics, Targeted Therapy, and the Indication for Allogeneic Stem Cell Transplantation in Acute Lymphoblastic Leukemia

In recent years, the panel of known molecular mutations in acute lymphoblastic leukemia (ALL) has been continuously increased. In Philadelphia-positive ALL, deletions of the IKZF1 gene were identified as prognostically adverse factors. These improved insights in the molecular background and the clinical heterogeneity of distinct cytogenetic subgroups may allow most differentiated therapeutic decisions, for example, with respect to the indication to allogeneic HSCT within genetically defined ALL subtypes. Quantitative real-time PCR allows highly sensitive monitoring of the minimal residual disease (MRD) load, either based on reciprocal gene fusions or immune gene rearrangements. Molecular diagnostics provided the basis for targeted therapy concepts, for example, combining the tyrosine kinase inhibitor imatinib with chemotherapy in patients with Philadelphia-positive ALL. Screening for BCR-ABL1 mutations in Philadelphia-positive ALL allows to identify patients who may benefit from second-generation tyrosine kinase inhibitors or from novel compounds targeting the T315I mutation. Considering the central role of the molecular techniques for the management of patients with ALL, efforts should be made to facilitate and harmonize immunophenotyping, cytogenetics, and molecular mutation screening. Furthermore, the potential of high-throughput sequencing should be evaluated for diagnosis and follow-up of patients with B-lineage ALL

Investigation of the kinetic regularities of the reaction of dry reforming of methane using nickel-containing catalysts based on cerium-zirconium oxides

In this study, we performed an investigation of the kinetics of the reaction of dry reforming of methane (DRM). For this work we used nickel-containing cerium-zirconium oxides. The catalysts were prepared in supercritical iso-propanol and characterized by means of XRD, TEM, XPS. It was found that the rate of DRM reaction becomes first order in methane and zero order in carbon dioxide. The dependences of the conversions of the reactants and product yields were obtained as a function of the contact time and the concentration of the initial mixture. In addition, the effective activation energy was calculated. It was shown that the most active and stable catalyst is 5wt% Ni/Ce0.5Zr0.5O[2]

Abnormal Behavior of ZrO[2]-MgO Porous Ceramic Composite under Compression

In this work ZrO[2]-MgO porous ceramic composite fine crystalline structure was studied, its microstructure and mechanical properties after sintering at 1600°С. Pores had a bimodal size distribution with the mean sizes of about 30 and 100 [mu]m. It was shown that the introduction of organic pore-forming particles into the initial powder composition of ZrO[2]-MgO allows producing ceramics with a bimodal pore structure, the material strength is mainly determined by microstresses, and in general, such porous ceramics show uncharacteristic behavior under compression, which is confirmed by plot of the Hall-Petch dependence of microstresses on the average crystallite size with the coefficient K=0.38 MPa m{1/2}, corresponding to plastic materials

Adding bendamustine to melphalan before ASCT improves CR rate in myeloma vs. melphalan alone: A randomized phase-2 trial.

Definite cure remains exceptional in myeloma patients even after high-dose chemotherapy (HDCT) with melphalan (Mel) and autologous stem cell transplantation (ASCT). Thus, improving efficacy of HDCT in MM remains an unresolved issue. This randomized phase II trial compared standard 200 mg/m2 Mel HDCT to experimental HDCT with 200 mg/m2 bendamustine, given both at days -4 and -3, combined with 100 mg/m2 melphalan at days -2 and -1 (BenMel) before ASCT as first-line consolidation in myeloma patients. The primary endpoint aimed to identify at least a 15% improvement in the complete remission rate (stringent CR + CR) after HDCT with BenMel compared with Mel alone. A total of 120 MM patients were 1:1 randomized. The rate of sCR/CR after ASCT was higher in BenMel than in Mel treated patients (70.0% vs. 51.7%; p = 0.039). Three patients in the BenMel group (5.0%) had reversible acute renal insufficiency compared with none in Mel patients. Minimal residual disease negativity (<10-5) by flow cytometry was observed in 26 (45.6%) BenMel patients and 22 (37.9%) in the Mel group (p = 0.375). Our data suggest that BenMel HDCT is safe and improves the sCR/CR rate compared with standard Mel alone

CEAf – Centre d’études africaines

Nora Bouaouina, doctoranteLenita Perrier, Ulrike Zander, docteurs Réflexion croisée sur les constructions et les représentations identitaires. Séminaire DoCeaf Nous avons créé ce séminaire dans l’objectif d’explorer les enjeux liés aux constructions et aux représentations identitaires, dans un monde globalisé où les diverses filières migratoires et d’autres modes de mobilités ont fait naître de nouveaux brassages culturels et des enjeux géopolitiques. Pendant cette première année, nous avons ..

Grundwasser - Altlasten - Boden aktuell

Neun Fachbeiträge dokumentieren Ergebnisse der aktuellen Projekt- und Forschungsarbeit des Landesamtes in den Themenbereichen Grundwasser, Altlasten und Boden. Die Inhalte reichen vom Interesse aus Namibia für diese Themenbereiche über verschiedene Auswertungen von Hintergrundwerten und Hochwasser 2013 bis hin zu Planungen im Bereich Bodendauerbeobachtung in Sachsen. Einzelerkenntnisse zu Wülknitz bzw. zum Tagebau Witznitz werden in dem Heft fortgeführt