Bilateral Ulnar Agenesis: Case Report and Review of the Literature

Bilateral ulnar agenesis is a rare abnormality. A total of 36 cases are analyzed: 35 of these are documented in the literature and 1 stillborn male is presented in this study. Most patients had one of the three conditions: Al-Awadi/Raas-Rothschild syndrome, syndrome of ulnar aplasia with split hand/split foot deformity, or the Brachmann—de Lange syndrome. Fifty percent of all cases with bilateral ulnar agenesis were associated with lower limb defects and these cases, for the most part, also belonged to the aforementioned syndromes. Nonskeletal, internal organ malformations were identified in 34% of all patients. Nine patients presented with isolated bilateral ulnar agenesis. The Al-Awadi/Raas-Rothschild syndrome and the split hand/split foot deformity are heritable disorders. There was no evidence for genetic etiology in most of the other cases. Bilateral ulnar agenesis in our fetus was part of the Brachmann—de Lange syndrome with associated cardiac defect, diaphragmatic hernia, and umbilical artery agenesis.     

黑蔓不同部位微量元素的测定

为了了解吉林省长白县山区所产卫矛科雷公藤属植物黑蔓的药理作用,扩大它的药用部位和应用范围,我们从无机元素与中药药效有密切关系的角度出发,实验测出黑蔓含有Ba、Si、Cu、Fe、Zn、Sn、Co、Mn、Mg、Ca、Se等无机元素,本文重点对其中人体必需的微量元素Cu、Fe、Zn、Se作了定量分析。     

喉癌患者血小板聚集功能的测定

目的 探讨喉癌与血小板聚集功能的关系。方法 采用比浊法，对50例喉癌患进行血小板聚集功能的检测并以良性肿瘤病人、喉慢性炎性疾病病人及正常人作为对照，应用SAS计算机系统进行分析。结果 与其他组病人相比，喉癌组血小板聚集功能增强并且随着临床分期的增高有增强趋势。结论 喉癌病人的血小板聚集功能有一定的增强；测定血小板聚集功能对恶性肿瘤的疗效判定、预后评估及预测转移有一定的意义；血小板抑制剂有望成为治疗肿瘤的新方法。     

Le poumon anténatal : de l’imagerie à l’interventionnel

Thanks to screening programs and high-resolution ultrasound equipment, lung developmental malformations are readily diagnosed. Given the variable consequences of these conditions, reliable methods are needed to predict the mortality as well as the level of morbidity associated with the diagnosed malformation. New ultrasonographic methods (improvement of 2D ultrasound machine's resolution, measurement of lung volume by 3D ultrasonography (Virtual Organ Computer-aided Analysis (VOCAL) imaging program), Volume Contrast Imaging and 3D power Doppler) improved the understanding of pathologies natural history as well as prognosis evaluation. MRI is still the reference technique but the use of 3D ultrasonography tends to generalize. Recent improvement in prognostic evaluation lead to minimally invasive in utero treatment for human fetuses with CDH. Tracheal occlusion is performed through the use of a balloon placed by foetoscopy. First results are encouraging in terms of mortality. Evaluation of induced short and long morbidity is still needed.     

La dimension de contact et les troubles esthéticophysiognomiques

Dimension of contact is the very moment when meeting with someone. The limits can be precisely defined as an aesthetic moment, i.e. the very moment when someone appears. That is an experience of one's expressivity. One can usually go through this ephemeral moment to reach simple self-continuity. Pathologies of contact may be described at different levels: neurosis, pathological personalities and psychosis.     

Hyperactivité de l'enfant : une approche psychopathologique

Hyperactivity is nowadays a very fashionable syndrome and a source of conflicts that are harmful for patients and their families. Indeed, two approaches seem to be opposed: 1) A purely psychoanalytical approach taking into account only the interpretation of the “symptome”; 2) A biological or cognitive approach, which postulates a cerebral organic origin and recommends behavioural therapy or stimulants only. In fact, the solution should be between these two positions. Anyway, hyperactivity disorder comprises very different clinical situations. The biological approach alone is not sufficient to explain this disorder, in no case, should treatment be exclusive (stimulants, psychoanalytical therapy…). The interest of different approaches is discussed in three contrasted case reports.     

长柄梭罗细胞毒活性部位的化学成分研究

目的 对长柄梭罗Reevesia longipetiolata树皮具细胞毒活性的醋酸乙酯部分化学成分进行研究。方法 采用常压、加压硅胶柱色谱、Sephadex LH-20凝胶柱色谱、高效液相色谱进行分离和纯化，通过理化和波谱分析方法鉴定化合物结构。结果 从其醋酸乙酯部分分离得到5个化合物，分别鉴定为β-谷甾醇(β-sitosterol，I)、胡萝卜苷(daucosterol，Ⅱ)、白桦脂酸(betulinic acid，Ⅲ)、羽扇豆醇(lupeol，Ⅳ)和( )-儿茶素[( )-catechin，V]。结论 5个化合物均为首次从该属植物中分得，并分别讨论了它们的细胞毒活性。     

Nephron Sparing Surgery for De Novo Renal Cell Carcinoma in an Allograft Kidney: A Case Report

De novo renal cell carcinoma in a renal allograft is rare and has special implications in renal transplant recipients. We describe a patient with a renal allograft who developed a de novo renal cell carcinoma in the functioning renal allograft 258 months after transplantation. The patient underwent enucleation of the tumor because preoperative MRI showed it was well-encapsulated. A DNA banding study showed that the tumor originated from the donor. Indications for conservative renal surgery in renal cell carcinoma have been increasing. Accordingly, 1 option in the treatment of de novo renal cell carcinoma in a functioning renal allograft is enucleation as a method of nephron sparing surgery.