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The development of the embryo and foetus fascinates, but its study in humans is difficult because of both technical and ethical problems. Auguste d'Eternod, Swiss embryologist, published in 1913 an article entitled "The early stages of the human egg" in the Comptes Rendus de l'Association des Anatomistes, the ancestor of the journal Morphologie. This work is focused not only on the early stages of development: fertilization, cleavage of the egg, blastocyst formation, gastrulation, but also on the extra-embryonic processes characteristic of mammals. On the occasion of the centenary of the publication of this work, I propose a critical review by placing the data published in the literature and historical context of the time. Finally, I try to extract from these observations the concepts that are still used today by embryologists.
Claude Bernard presented most of his fundamental results to the Société de Biologie, including proof of the modulation of the nervous system by the internal micromilieu. However, he did not describe the principle of a stable internal milieu as a condition for free life. Physiology, which is a part of biology, was not founded on cellular biology. Rather, Claude Bernard considered chemistry, anatomy and histology as the necessary auxiliary sciences for physiology. His articles are direct pictures, and not isolated ones, despite possible limitations, from a pre-montage movie of the physiological revolution he thought he had initiated, but not finished.
Breast cancer requires multidisciplinary management. Pathologists and physicians communicate using the histopathology request form and the pathology report. There are some minimal criteria that both should respect. We assessed the adequacy of histopathology request forms and pathology reports in the management of female breast cancer specimens in Southern Benin. This was a cross-sectional, descriptive and analytical study, with retrospective data collection over 57 months (4 years and 9 months). The adequacy of the histopathology request forms and pathology reports was assessed on the basis of the recommendations of the Haute Autorité de Santé (HAS) of France. Data processing was done using SPSS software. We checked frequencies with the Chi2 test, with a significance level set at 5%. 31.3% of histopathology request forms complied with HAS recommendations. Pathology reports were presented in a narrative way in 92.7% of cases and 68.8% met the minimal criteria. The presence of vascular embolus, of hormone receptors and the HER2 status were all reported in only 29.2% of the reports. The draft of histopathology request forms and pathology reports did not comply to the required minimal criteria. This situation could mainly be explained by the inexistence of consensus between physicians and pathologists and by the lack of immunohistochemistry. Editing national referentials and using synoptic reports would give better results. Le cancer du sein requiert une prise en charge pluridisciplinaire. Les anatomopathologistes et les médecins communiquent grâce au formulaire de demande et au compte rendu d'examen anatomopathologique. Il est crucial que ces deux documents soient bien rédigés pour une bonne prise en charge des patientes. Évaluer la complétude des formulaires de demande et des comptes rendus d'examen anatomopathologique de pièces opératoires de cancers du sein chez les femmes au Sud du Bénin. Il s'agissait d'une étude transversale, descriptive et analytique, avec une collecte rétrospective de données sur 57 mois (4 ans et 9 mois). Nous avons utilisé les recommandations de la Haute Autorité de Santé de France comme référentiel et le logiciel SPSS pour traiter les données. 31,3% des formulaires de demande étaient conformes aux recommandations. Les comptes rendus étaient narratifs dans 92,7% des cas et 68,8% comportaient les critères minimaux. La présence d'emboles vasculaires, le statut HER2 et les récepteurs hormonaux étaient tous simultanément renseignés dans seulement 29,2% des comptes rendus. La présence d'emboles vasculaires était le facteur pronostique le plus souvent renseigné. Les chirurgiens et les anatomopathologistes ne rédigent pas toujours entièrement les formulaires de demande et les comptes rendus d'examen anatomopathologique. Ceci peut s'expliquer par l'absence de référentiels nationaux, et les difficultés d'accès à l'immunohistochimie. L’élaboration de référentiels nationaux et l'utilisation de comptes rendus synoptiques pourraient améliorer les pratiques.
The pathology report is a critical source of medical information. It must evolve from a traditionally narrative format, regardless of its qualitative value, toward a communication medium based on standardised and structured data. Already useful in current practice, the standardised structured reporting (SSR) will become a cornerstone of digital pathology, in synergy with digital imaging and artificial intelligence. The reliability of the SSR and the precision of the data it provides, correlated with multimodal sources of clinical, radiological, or biological information, will contribute to the foundations of highly performant digital solutions. Despite its considerable potential, the SSR remains underutilised. Although the concept was favourably received by the specialty twenty years ago, the SSR has often been described as insufficiently scalable, poorly ergonomic, and a source of time loss in daily practice. Once challenged by the capacity of natural language processing (NLP) to structure retrospectively narrative reports, the SSR ultimately emerges as the most reliable data source for effective patient care and high-performing research. New tools developed within the framework of the national Impulsioninitiative should help overcome these reluctances and open concrete perspectives for pathologists from now on.
The ISO 15189 accreditation of biological analysis requires the presence of interpretation in the analysis report. The interpretation in the field of autoimmunity which includes many analyses and methods can be complex for biologists who may not have clinical data and for clinicians who may not be aware of technical difficulties. The French group of the european group EASI (European autoimmunity standardisation initiative) proposes a list of comments and advice in order to help biologists when interpreting auto-immune analyses results in several situations. These comments should be adapted to the clinical and biological situation (other biological results, clinical data…) and should alert the clinician. A dialogue between the biologist and the clinician is essential to adjust the interpretation on clinical data in order to provide a better health care for the patient.
The two main forms of inflammatory bowel disease (IBD) are ulcerative colitis (UC) and Crohn's disease (CD). Both diseases have inflammatory flare-ups that alternate with periods of remission. The pathologist may examine biopsies of the digestive tract from IBD patients in different contexts: at the time of the initial diagnosis, in the event of a disease flare-up in order to differentiate a flare of the disease from another cause, particularly an infectious one, and during the long term follow-up of the disease in order to detect the occurrence of dysplastic lesions. Pathologists are increasingly involved in the evaluation of inflammatory activity during the follow-up of IBD patients. The therapeutic management of IBD has evolved significantly and the emergence of new treatments allows a global approach targeting endoscopic mucosal healing. However, mucosal healing is not always correlated with histological healing. Numerous studies have shown the value of histological evaluation during follow-up. A higher score for histological activity in ulcerative colitis predicts a higher likelihood of neoplasia. Histological activity is a better predictor than endoscopic inflammation of the risk. In UC, histological remission may be a long-term therapeutic goal but its role in CD remains unclear. Different scores have been developed to quantify the inflammatory activity of IBD patients and the response to treatment. The aim of this review is to present the main activity scores used in the follow-up of IBD, their interest, their evaluation and their limitations.
We conducted two World Health Organization-commissioned reviews to inform use of high-flow nasal cannula (HFNC) in patients with coronavirus disease (COVID-19). We synthesized the evidence regarding efficacy and safety (review 1), as well as risks of droplet dispersion, aerosol generation, and associated transmission (review 2) of viral products. Literature searches were performed in Ovid MEDLINE, Embase, Web of Science, Chinese databases, and medRxiv. Review 1: we synthesized results from randomized-controlled trials (RCTs) comparing HFNC to conventional oxygen therapy (COT) in critically ill patients with acute hypoxemic respiratory failure. Review 2: we narratively summarized findings from studies evaluating droplet dispersion, aerosol generation, or infection transmission associated with HFNC. For both reviews, paired reviewers independently conducted screening, data extraction, and risk of bias assessment. We evaluated certainty of evidence using GRADE methodology. No eligible studies included COVID-19 patients. Review 1: 12 RCTs (n = 1,989 patients) provided low-certainty evidence that HFNC may reduce invasive ventilation (relative risk [RR], 0.85; 95% confidence interval [CI], 0.74 to 0.99) and escalation of oxygen therapy (RR, 0.71; 95% CI, 0.51 to 0.98) in patients with respiratory failure. Results provided no support for differences in mortality (moderate certainty), or in-hospital or intensive care length of stay (moderate and low certainty, respectively). Review 2: four studies evaluating droplet dispersion and three evaluating aerosol generation and dispersion provided very low certainty evidence. Two simulation studies and a crossover study showed mixed findings regarding the effect of HFNC on droplet dispersion. Although two simulation studies reported no associated increase in aerosol dispersion, one reported that higher flow rates were associated with increased regions of aerosol density. High-flow nasal cannula may reduce the need for invasive ventilation and escalation of therapy compared with COT in COVID-19 patients with acute hypoxemic respiratory failure. This benefit must be balanced against the unknown risk of airborne transmission. RéSUMé: OBJECTIF: Nous avons réalisé deux comptes rendus sur commande de l’Organisation mondiale de la santé pour guider l’utilisation de canules nasales à haut débit (CNHD) chez les patients ayant contracté le coronavirus (COVID-19). Nous avons synthétisé les données probantes concernant leur efficacité et leur innocuité (compte rendu 1), ainsi que les risques de dispersion des gouttelettes, de génération d’aérosols, et de transmission associée d’éléments viraux (compte rendu 2). Des recherches de littérature ont été réalisées dans les bases de données Ovid MEDLINE, Embase, Web of Science, ainsi que dans les bases de données chinoises et medRxiv. Compte rendu 1 : nous avons synthétisé les résultats d’études randomisées contrôlées (ERC) comparant les CNHD à une oxygénothérapie conventionnelle chez des patients en état critique atteints d’insuffisance respiratoire hypoxémique aiguë. Compte rendu 2 : nous avons résumé sous forme narrative les constatations d’études évaluant la dispersion de gouttelettes, la génération d’aérosols ou la transmission infectieuse associées aux CNHD. Pour les deux comptes rendus, des réviseurs appariés ont réalisé la sélection des études, l’extraction des données et l’évaluation du risque de biais de manière indépendante. Nous avons évalué la certitude des données probantes en nous fondant sur la méthodologie GRADE. Aucune étude éligible n’incluait de patients atteints de COVID-19. Compte rendu 1 : 12 ERC (n = 1989 patients) ont fourni des données probantes de certitude faible selon lesquelles les CNHD réduiraient la ventilation invasive (risque relatif [RR], 0,85; intervalle de confiance [IC] 95 %, 0,74 à 0,99) et l’intensification de l’oxygénothérapie (RR, 0,71; IC 95 %, 0,51 à 0,98) chez les patients atteints d’insuffisance respiratoire. Les résultats n’ont pas démontré de différences en matière de mortalité (certitude modérée), ni de durée du séjour hospitalier ou à l’unité des soins intensifs (certitude modérée et faible, respectivement). Compte rendu 2 : quatre études évaluant la dispersion de gouttelettes et trois évaluant la génération et la dispersion d’aérosols ont fourni des données probantes de très faible certitude. Deux études de simulation et une étude croisée ont donné des résultats mitigés quant à l’effet des CNHD sur la dispersion des gouttelettes. Bien que deux études de simulation n’aient rapporté aucune augmentation associée concernant la dispersion d’aérosols, l’une a rapporté que des taux de débit plus élevés étaient associés à des régions à densité d’aérosols élevée plus grandes. Les canules nasales à haut débit pourraient réduire la nécessité de recourir à la ventilation invasive et l’escalade des traitements par rapport à l’oxygénothérapie conventionnelle chez les patients atteints de COVID-19 souffrant d’insuffisance respiratoire hypoxémique aiguë. Cet avantage doit être soupesé contre le risque inconnu de transmission atmosphérique.
In Côte d'Ivoire, a country of 28 million inhabitants in West Africa, a survey conducted by the Ministry of the Family in 2018 showed the extent of gender-based violence (GBV) in the Greater Abidjan area (5 million inhabitants), the country's economic capital. The social workers employed for this work were mobilized during the Covid-19 pandemic to raise awareness and help the population fight against SARS-CoV-2. The results collected by these workers during the first period (January 2019 - February 2020) and the second period (March 2020 - April 2021) are the subject of this article.From the first period to the second, the number of rapes increased from 41 to 77, sexual assaults from 4 to 7, physical assaults from 139 to 171, and forced marriages from 4 to 7. In total, the social workers helped 303 victims during the pre-pandemic period and 402 during the pandemic. This evolution varies from municipality to municipality in the Greater Abidjan area, and is not related to the number of inhabitants per municipality and without any link with the frequency of Covid-19 in each municipality. Despite possible biases, this study highlights a major health problem, GBV, and demonstrates the probable negative effects of the pandemic. Une enquête du ministère de la Famille a montré en 2018 l'importance des violences basées sur le genre (VBG) dans l'agglomération du Grand Abidjan (5 millions d'habitants). Les travailleurs sociaux employés pour ce travail ont été mobilisés lors de la pandémie de Covid-19 pour sensibiliser la population et l'aider dans la lutte contre le SARS-CoV-2 tout en poursuivant leur action contre les VBG. Ce sont les résultats recueillis qui font l'objet de cet article. Le nombre de viols est passé de 41 pour la période de janvier 2019 à février 2020 à 77 pour la période de mars 2020 à avril 2021, celui des agressions sexuelles de 4 à 7 et celui des agressions physiques de 139 à 171. Cette évolution n'est pas liée à celle de la Covid-19 ni à la commune concernée.
Schizophrenia patients with first-rank (passivity) symptoms (FRS) report a loss of clear boundaries between the self and others and that their thoughts and actions are controlled by external forces. One of the more widely accepted explanatory models of FRS suggests a dysfunction in the 'forward model' system, whose role consists in predicting the sensory consequences of actions [Frith, C., 2006. The neural basis of hallucinations and delusions. Comptes Rendus Biologies 328, 169-175.]. There has been recent interest in the importance of timing precision underlying both the functioning of the forward model, and in processes contributing to the mechanisms of self-recognition [Haggard, P., Martin, F., Taylor-Clarke, M., Jeannerod, M., Franck, N., 2003. Awareness of action in schizophrenia. Neuroreport 14, 1081-1085.]. In the current study, we examined whether schizophrenia patients with FRS have a time perception impairment, using an auditory discrimination task requiring judgments of temporal intervals. Thirty-five schizophrenia patients (15 with, and 20 without, FRS), and 16 non-clinical controls completed the task. The results showed that patients with FRS experienced time differently by underestimating the duration of time intervals. Given the role of timing in shaping sensory awareness and in the formation of causal mental associations, a breakdown in timing mechanisms may affect the processes relating to the perceived control of actions and mental events, leading to disturbances of self-recognition in FRS.
Au Canada, le paysage des soins du cancer évolue et les infirmières en oncologie sont appelées à jouer de nouveaux rôles afin d'améliorer l'expérience des patients et des familles et de répondre à leurs besoins toujours changeants. L'un de ces rôles, la navigation des patients atteints de cancer (NPC), vise principalement à coordonner les soins centrés sur la personne et à guider les patients dans le système de santé. Dans plusieurs provinces et territoires du Canada, la navigation est devenue essentielle pour offrir des soins de grande qualité aux patients cancéreux. Depuis 2016, des chefs de file des soins infirmiers oncologiques se réunissent au sein d'un groupe national pour synthétiser leur compréhension de la navigation des patients en contexte canadien afin d'élaborer un énoncé de position national sur la NPC. Dans le présent article, nous analyserons l'historique de l'élaboration de l'énoncé de position sur la NPC que publiera prochainement l'Association canadienne des infirmières en oncologie (ACIO/CANO). Nous analyserons également les commentaires des participants aux ateliers tenus dans le cadre des congrès de 2016, 2017 et 2018, de même que les comptes rendus des réunions du groupe de travail national qui ont eu lieu pendant cette même période. Le présent article se veut un sommaire historique concis de l'évolution de la NPC au Canada, ainsi qu'un modèle pour les autres groupes aspirant à rédiger un énoncé de position consensuel.
The 18p- syndrome has been known for over 40 years, the first report being by de Grouchy et al. [Comptes Rendus Hebdomadaires Séances l'Acad Sci 256 (1963) 1028]. Mental retardation of varying severity is the most constant feature. Over 100 cases have been reported. The eldest patients have been 50 years [Hum Genet 63 (1983) 139; Clin Genet 2 (1971) 338]. Follow-up of two adult patients, then 22 and 42 years [Ann Génét 29 (1986) 107], now 42 and 62 years of age, is reported. Further case reports are required in order to better define the evolution of adult patients with the 18p- syndrome.
Charles Gerhardt's life and work is rather well-known thanks to Grimaux and Tiffeneau. His reform of the equivalents, his classification, his obtention of organic acid anhydrids and his famous Treatise of Organic Chemistry. His active collaboration to the Revue scientifique et industrielle du Docteur Quesneville, the creation of his Comptes-Rendus des Travaux de Chimie. Are not so often quoted. Thanks to his translations and reviews, German chemical advancements became well known in France Gerhardt was Liebig's translator for almost all his life, even through the fluctuations of their personal relation. He was the representative of German chemistry in France. With Auguste Laurent, with whom he is constantly associated, things need to be examined precisely. Laurent and Gerhardt, friends at a moment, cannot be confounded. Though they worked together for some years, they were not engaged in a similar project. Besides an experimentalist, Laurent was essentially a theorician of chemistry, whereas Gerhardt refused to think about atoms and arrangements. Formulas have to describe relations between facts, in no case anything about arrangements. For posterity however, Gerhardt will be, on the same level as Laurent, the creator of modern chemistry doctrines.
According to the hypothesis proposed by Landau, Cambie & Chabaud (1990, Annalees de Parasitologie Humaine et Comparée 65: 101-103), the chemoresistance of malaria is related to the selection of strains with latent merozoites, the latter being capable of penetrating into red blood cells at other times than that of the time of schizogony and reinfect the host with as much of a delay as several days. They determine an asynchronism of the schizogonic rhythm and, being so far resistant to all known medication, should induce, at least to some extent, a chemoresistance. Consequently, there are three factors linked to merozoites: latency, asynchronism and chemoresistance. The relationship between asynchronism and latency of merozoites has been demonstrated previously (Cambie, Landau & Chabaud, 1990, Compte Rendus de l'Academie des Sciences de Paris 310: 183-188.). In the present work it was shown that the two classifications of strains, first in order of increasing chloroquine resistance, second in order of increasing degree of persistance of merozoites in the blood, are almost identical for the 10 strains, subspecies or species of Plasmodium considered. The relationship between latency of merozoites and chemoresistance appears to have been demonstrated.
We translate Noël Bernard's discovery of orchid symbiotic germination discovered on Neottia nidus-avis, as published in the May 1899 issue of the Comptes rendus hebdomadaires des séances de l'Académie des sciences. In his note, Bernard (1874-1911) establishes the need for a fungus, which is also forming mycorrhizae in adults, for seeds germination. We provide illustrations reproduced from his later works, and summaries of the French text he cited. In our annotations, we show how early this discovery was done in Bernard's career, and insist on the scientific framework at the end of the nineteenth century, where orchid germination was mysterious and the need for vicinity of parents was not fully understood. We comment the text of Bernard on the basis of the most recent knowledge on Neottia nidus-avis and on orchid mycorrhizal fungi. Introducing his following papers, we finally discuss the emergence of the concept of peloton digestion, and how Bernard's work quickly paved the way to a general understanding of mycoheterotrophic germination in orchids and beyond.
One adult syngamid nematode parasite couple was found during routine clinical observation in quarantine at the former Bohorok Rehabilitation Station from sputum of Pongo abelli and determined as Mammomonogamus laryngeus [Railliet, A., 1899. Syngame laryngieu du boeuf. Comptes Rendus Hebdomadaires des Séances et Mémoires de la Société de Biologie 11, 18-21]. This finding confirmed previous record of ova and adult syngamid nematodes, determined by Collet et al. [Collet, J.-Z., Galdikas, B.M.F., Sugarjito, J., Jojosudharmo, S., 1986. A coprological study of parasitism in orangutan (Pongo pygmaeus) in Indonesia. Journal of Medical Primatology 15, 121-129] as Mammomonogamus sp. only, in orangutans kept in the Bohorok Orangutan Rehabilitation Centre (Northern Sumatra, Indonesia) and presented a serious health hazard to rehabilitants in this locality. Morphometrical features and the first description of the parasite from orang-utan were presented and documented. Coprological monitoring of infection in rehabilitants in this area as well as among the wild population of orangutan is necessary.
This thematic issue issue of the Comptes rendus Biologies contains review articles, original papers and conference reports presented at the first two TRANSCRIPTOME conferences From Functional Genomics to Systems Biology and IMAGE Consortium Invitational workshops (Paris, November 2000 and Seattle, March 2002), and discussed during the inaugural meetings of the SYSTEMOSCOPE International Consortium (Paris, June 2003). We describe the founding principles, missions, working plan and policy for partnership and industrial development of SYSTEMOSCOPE to promote the study of the complexity of biological systems by integrating scientific, medical, ethical and economic issues in implementation of interdisciplinary projects for human health.
On the one hand George Sarton, and on the other Héléne Metzger, aknowledged that Chevreul had indisputable abilities in history of chemistry. Unlike many chemists after him, Chevreul did not set that chemistry began with Lavoisier. Going on the these accounts and examinations, we scrutinized Chevreul's papers relating to history of matter in the Journal des Savants, the Compte rendus and the Mémoires de l'Académie des sciences, and his books (Histoire des connaissances chimiques, De la méthode a posteriori expérimentale). Drawing up remarkable synthetic tables, Chevreul tried to bring out the advances of Chemistry during XVIIth century. Passing in review works of Van Helmont, Glauber, Robert Boyle, Kunckel, Becker and Stahl, Boerhaave, Marot, Barchusen, Juncker, Swedenborg, Jean Rey, Mayow and Hales, Chevreul distinguished three periods, the last one ending with Lavoisier. Like Héléne Metzger, Chevreul set that Lavoisier came at the end of a long evolution, and did not open a new chemistry. Philosopher rather than historian, Chevreul avoided anecdotes without neglecting to question original literature. His intention was to make known the mind of Sciences and the succession of the ideas that Sciences propagated.
PELICAN ("Partager Efficacement en Laboratoire les Informations des Comptes rendus ANatomopathologiques") is a software, which generates standardized reports, and allows to automatically create a database. It has been used in central nervous system tumor pathology at the University Hospital of Nancy since 2014. The purpose of this article was to illustrate the use of this application for meningiomas, with a first statistical evaluation. The export of data included all cases of meningiomas recorded in the PELICAN application until July 2018. The PELICAN application is a Microsoft Excel file containing a software, written in Visual Basic for Applications, and used by the pathologist to create the report. The main clinical data were collected from the Hérault Register census form. Follow-up was systematically reported for atypical meningiomas. Two hundred and ninety-five meningiomas were analyzed, including 250 grade I meningiomas, 42 grade II meningiomas, and 3 grade III meningiomas. Grade II meningiomas were characterized by a significantly higher proportion of men (P=0.002) and dural infiltration (P<0.001), a significant increase in the Ki-67 index (P<0.0001), and a significant decrease in progesterone receptor expression (P<0.001). In atypical meningiomas, a Ki-67 index of more than 20 % was significantly correlated with a shorter progression-free survival (P=0.032). The PELICAN software is an easy-to-use tool that allows to generate standardized reports and feed a database, opening very interesting perspectives from an epidemiological and scientific point of view.
Since the first ascent of Mont Blanc by Jacques Balmat and Dr. Michel-Gabriel Paccard in 1786, numerous scientific events have taken place on the highest peak of Europe. Horace Benédict de Saussure, since his first ascent in 1787, made numerous observations on barometric pressure, temperature, geology, and mountain sickness on Mont Blanc. Over the next 100 years, scientists and physicians climbed Mont Blanc and made many interesting although anecdotal reports. Science on Mont Blanc exploded at the end of the 19th century. A major player at that time was Joseph Vallot (1854-1925), who constructed an observatory in 1890 at 4,358 m on the Rochers des Bosses and then moved it in 1898 to a better location at 4,350 m. There Vallot and invited scientists made observations over more than 30 years: studies in geology, glaciology, astronomy, cartography, meteorology, botany, physiology and medicine were performed and published in the seven volumes of the Annales de l'Observatoire du Mont Blanc, between 1893 and 1917, and in the Comptes Rendus de l'Académie des Sciences. While Jules Janssen and Xaver Imfeld were preparing the construction of the new observatory on the top of Mont Blanc, Dr. Jacottet died in 1891 at the Observatoire Vallot from a disease that was clearly attributed by Dr. Egli-Sinclair to the effect of high altitude. This was probably the first case of high altitude pulmonary edema documented by an autopsy and suspected to be directly due to high altitude. Extensive studies on ventilation were made from 1886 to 1900. Increase in ventilation with altitude was documented, with the phenomenon of "ventilatory acclimatization." Paul Bert's theories on the role of oxygen in acute mountain sickness were confirmed in 1903 and 1904 by studying the effects of oxygen inhalation. In 1913, Vallot documented for the first time the decrease in physical performance at the top of Mont Blanc using squirrels. After that pioneering era, few studies were done until 1984, when a team of the Association pour la Recherche en Physiologie de l'Environnement (ARPE) renovated the observatory and started to organize annual scientific expeditions.