Seasonal diversity and dynamics of entomofauna associated with the decomposition of pig (Sus scrofa domesticus L.) carcasses in a Peri-urban area of Central Burkina Faso, West Africa.

This study aimed to determine the effects of seasons on the diversity and dynamics of insects associated with pig carrion in Gampela, Plateau Central Region, Burkina Faso, West Africa. Pig carcasses (Sus scrofa domesticus L.) were exposed in an open area to monitor their decomposition process and their colonization by insects during a warm and dry period (March-April 2015), a warm and wet period (August-September 2015) and a cool and dry period (December 2015-January 2016). Monitoring and entomological data collection occurred for 60 days for each study period. The decomposition process always included five stages (fresh, bloating, putrefaction, postputrefaction, and skeletal), which varied in duration depending on the study period. In sum, 118,761 insects belonging to 4 orders, 12 families, 17 genera, and 21 species were collected during the three study periods, with approximately 61% of the individuals collected during the warm and wet period. The dynamics of insect populations associated with the pig carcasses included two peaks at each study period. Formicidae was the most abundant insect family in each study period, but Musca domestica was the most abundant species. The listed species were found to belong to four trophic groups with a predominance of predators/carnivores followed by necrophagous insects. The orders, families, and trophic groups reported in this study were significantly more abundant during the warm and wet period. The results show prospects for the use of Calliphoridae, Muscidae, and Dermestidae in criminal investigations, depending on seasonal variations in Sudano-Sahelian areas.

Potential Clinical Impact of LAFOV PET/CT: A Systematic Evaluation of Image Quality and Lesion Detection.

We performed a systematic evaluation of the diagnostic performance of LAFOV PET/CT with increasing acquisition time. The first 100 oncologic adult patients referred for 3 MBq/kg 2-[18F]fluoro-2-deoxy-D-glucose PET/CT on the Siemens Biograph Vision Quadra were included. A standard imaging protocol of 10 min was used and scans were reconstructed at 30 s, 60 s, 90 s, 180 s, 300 s, and 600 s. Paired comparisons of quantitative image noise, qualitative image quality, lesion detection, and lesion classification were performed. Image noise (n = 50, 34 women) was acceptable according to the current standard of care (coefficient-of-varianceref < 0.15) after 90 s and improved significantly with increasing acquisition time (PB < 0.001). The same was seen in observer rankings (PB < 0.001). Lesion detection (n = 100, 74 women) improved significantly from 30 s to 90 s (PB < 0.001), 90 s to 180 s (PB = 0.001), and 90 s to 300 s (PB = 0.002), while lesion classification improved from 90 s to 180 s (PB < 0.001), 180 s to 300 s (PB = 0.021), and 90 s to 300 s (PB < 0.001). We observed improved image quality, lesion detection, and lesion classification with increasing acquisition time while maintaining a total scan time of less than 5 min, which demonstrates a potential clinical benefit. Based on these results we recommend a standard imaging acquisition protocol for LAFOV PET/CT of minimum 180 s to maximum 300 s after injection of 3 MBq/kg 2-[18F]fluoro-2-deoxy-D-glucose.

Bulk-fill resin composites: polymerization contraction, depth of cure, and gap formation.

The bulk-filling of deep, wide dental cavities is faster and easier than traditional incremental restoration. However, the extent of cure at the bottom of the restoration should be carefully examined in combination with the polymerization contraction and gap formation that occur during the restorative procedure. The aim of this study, therefore, was to compare the depth of cure, polymerization contraction, and gap formation in bulk-fill resin composites with those of a conventional resin composite. To achieve this, the depth of cure was assessed in accordance with the International Organization for Standardization 4049 standard, and the polymerization contraction was determined using the bonded-disc method. The gap formation was measured at the dentin margin of Class II cavities. Five bulk-fill resin composites were investigated: two high-viscosity (Tetric EvoCeram Bulk Fill, SonicFill) and three low-viscosity (x-tra base, Venus Bulk Fill, SDR) materials. Compared with the conventional resin composite, the high-viscosity bulk-fill materials exhibited only a small increase (but significant for Tetric EvoCeram Bulk Fill) in depth of cure and polymerization contraction, whereas the low-viscosity bulk-fill materials produced a significantly larger depth of cure and polymerization contraction. Although most of the bulk-fill materials exhibited a gap formation similar to that of the conventional resin composite, two of the low-viscosity bulk-fill resin composites, x-tra base and Venus Bulk Fill, produced larger gaps.

Non small cell lung carcinoma (NSCLC) at stage 3. A fourteen years retrospective study of 449 patients. Indications of surgery in a multidisciplinary management.

Through a fourteen years retrospective study of all the patients treated at the State University of Liège, we have focused on the survival of 449 patients with, at least, a clinical stage 3 NSCLC disease (NORMS UICC). The whole study was divided in two periods (1972-1978, period 1, and 1979-1985, period 2) because, everything remaining nearly equal as far as the clinical material was concerned, period 2 was characterized by a different therapeutic attitude. Since 1979, the NSCLC stage 3's surgical indications have been widely extended. We have performed surgical resections in patients with NSCLC N2 disease because of positive homolateral mediastinal lymph nodes or with T3 disease. This led the NSCLC stage 3 resection rate to move from 26% in period 1 to 47% in period 2. We report here the effects of such a management on the short and long term survival and the stage 3 NSCLC global prognosis. We noted a modest significant increase in the NSCLC stage 3 global prognosis with a five year survival of 4% and 6% (period 1 and 2 respectively; P = 0.03). The 172 resected patients' outcome did not change (five year survival 11% (P1) and 12% (P2]. Although patients were not randomized, our results suggest that adjuvant therapy should not be added whenever the patient underwent a complete resection. On the other hand, it seems very useful indeed whenever the resection was partial. NSCLC patient at stage 3 who underwent a complete resection achieved a 37% five years survival.

[Gallbladder volvulus : report on three cases and review of the literature (author's transl)]. / Volvulus de la vésicule biliaire. Revue de la littérature à propos de trois observations personnelles.

Gallbladder volvulus is an extremely rare disorder. Three cases have been treated recently in the Surgical Department of the Faculty of Medicine, Liège. The clinical picture is that of an acute abdomen requiring urgent surgery, diagnosis usually being made during the operation. Treatment is fairly simple : cholecystectomy, which no problem of dissection ro of instrumental exploration of the bile duct, the volvulus being normally free from stones. Prognosis for the volvulus and the gallbladder is a function of the general condition and the rapidity of operation, and is currently generally good.

Traumatic tracheo-bronchial ruptures.

A series of 18 ruptures of trachea or bronchi is reported. Gaseous semiology is predominant (pneumomediastinum and subcutaneous emphysema 72%, pneumothorax 67%). Haemoptysis is present in 28%. Assessment of the diagnosis and localization of the rupture was obtained through rigid bronchoscopy, early in the series, and then via fiberoptic endoscopy. Ignored cases in the early phase manifested themselves lately by atelectatic phenomena. Tracheal ruptures (5) were treated by direct repair (1/5) or tracheostomy (3/5) ; 1 died before surgery. Bronchial ruptures (13) were submitted to bronchoplastic procedures (7/13) or pulmonary resection (4/13). In 2 cases, no surgery was necessary or possible. Mortality (7/18) is linked with the importance of associated lesions, especially neurological ones.

[Cold nodules of the thyroid gland. Therapeutic strategy, histopathological results and postoperative events (author's transl)]. / Les nodules froids de la glande thyroïde. L'attitude thérapeutique, les résultats histopathologiques et les suites opératoires.

Isotopic investigation of the thyroid disorders has brought up the notion of cold areas. These cold foci may exist in a goiter or in an otherwise normal gland (isolated cold nodules). A number of these are cancers, especially the isolated nodules. Thus the best treatment is the systematic resection of the area containing the lesion: i.e. subtotal thyroidectomy for a goiter and partial thyroidectomy for isolated cold nodules. The technique is described. We prefer the delayed histological analysis which is more reliable. It will command the following treatment, for instance a total resection in case of cancer. Histological analyses of resected specimens are presented. The postoperative results are examined: there are few complications either early or late. When systematically researched, postresection hypothyroidism is rare.

[Traumatic subcutaneous ruptures of the cervical trachea (author's transl)]. / Les ruptures traumatiques sous-tégumentaires de la trachée cervicale.

Traumatic subcutaneous rupture of the cervical trachea is a rare but serious lesion that may cause death of the patient. Few cases come to treatment. This lesion results from a contusion to the anterior neck during hyperextension. It consists in a straight transection between larynx and trachea or between one of the 4 first tracheal rings, and is usually associated to multiple trauma involving the chest and head. Specific symptoms are often blurred by those of the associated lesions making diagnosis complex. This should ideally be confirmed by endoscopy or, if not feasable by cervicotomy. Emergency treatment is directed to restablishment of an adequate ventilation. Direct anastomosis by separate resorbable sutures yields excellent long-term results without stenosis. Creation of a transitory tracheotomy, when commanded by regional atresion, sometimes induces late stenosis; secondary repair is then less favorable. The rate of definitive recurrent nerve paralysis is high. There are also frequent distortions of the vocal cords with modifications of the voice and transitory palsy of the phrenic nerve. The authors draw these conclusions from one personal case and from the literature.