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This paper argues that international development research should be submitted to the oversight of research ethics committees from the countries where data will be collected. This includes research conducted by individuals who may fall outside the jurisdictions of most ethics guidelines or policies, such as individuals contracted by non-governmental organizations. The argument is grounded in an understanding of social justice that recognizes that not seeking local ethics approval can be an affront to the decolonization movement, and may lead to significant direct harms to participants. Local ethics oversight can help ensure projects appropriately take into consideration local laws, regulations, priorities and context. For example, a local research ethics committee may be in a better position than a foreign one to assess whether any given proposed project carries context-specific risks. In addition, submitting to a local research ethics committee is to acknowledge the legitimacy of local authorities, thereby taking a stance against the history of colonizing disempowerment. Local oversight is a mechanism to increase the accountability of researchers working abroad: if respect for local authority and tailoring to local context are to be upheld, there must be mechanisms to ensure that research that does not meet these requirements does not proceed. Objections based on the limited oversight capacity in some countries and on concerns related to the politicization of the review process are discussed. Finally, the roles and responsibilities of the various stakeholders in the implementation of greater local ethics oversight are laid out.

Gastric cancer is the third most common cancer worldwide. The majority of gastric cancers are sporadic but familial clustering is seen in more than 10% of cases. This manuscript is divided into two parts. The first part is dedicated to the non-syndromic hereditary gastric cancer, particularly the hereditary diffuse gastric cancer (HDGC) and other gastric polyposes including the recently described GAPPS (Gastric adenocarcinoma and proximal polyposis of the stomach). The second part concerns the syndromic gastric cancer, namely the HNPCC syndrome (Hereditary Non Polyposis Colorectal Cancer) occurring as part of a genetic predisposition syndrome to cancer. Recent advances in oncogenetics and next generation sequencing technology have enabled the identification of new entities. This enhancement in knowledge regarding inherited syndromes predisposing to gastric cancer has consequently improved the management of patients and their families. In this context, pathologists play a major role in identifying particular morphologic entities prompting genetic investigation. The aim of this manuscript is to provide an update on the current knowledge about hereditary gastric cancer., (Copyright © 2020 Elsevier Masson SAS. All rights reserved.)

Even though esogastric cancers are estimated at 1.5 million new cases worldwide with an expected 2.11 million new cases by 2025, prognosis remains poor and research is unsatisfactory compared to other cancers. There is an urgent need to intensify research via innovative and ambitious programs to improve patient's survival and quality of life. Incidence of esogastric cancers is particularly high in France, and the creation of a national clinicobiological database prospectively collecting epidemiological, human and social, clinical, pathological, biological data, sustained by biobanks of blood and tissues, is a critical point to improve research and care for these cancers considering all determinants of the disease with a more integrated approach. FREGAT clinicobiological database, funded and labeled by the French NCI in 2012, gathers the vast majority of university hospitals and cancer centers in France. This research relies on preexisting networks ensuring its efficacy and quality. Beyond significant increase of inclusions opened since January 2015, the establishment of public multiprivate industrial partnerships and creation of numerous French and European scientific projects, make FREGAT a decisive tool for research on esogastric cancers., (Copyright © 2017 Elsevier Masson SAS. All rights reserved.)

On average, in one year in France, six in every thirty teenagers have suicidal thoughts and two attempt suicide. At this age, suicidal behaviour is structured around psychopathological, developmental and relational dimensions. Talking about suicide helps to avoid it but educating teenagers in mental health is the best way of preventing this definitive act., (Copyright © 2017 Elsevier Masson SAS. All rights reserved.)

Wild waterfowl represents the natural reservoir of influenza A viruses. Transmission within bird populations occurs through an indirect fecal-oral route implying contaminated water. Within human populations, influenza A viruses can be transmitted through large droplets, aerosols, or direct contact with secretions. Thus, in the human compartment as in the avian one, influenza A viruses have to experiment a free living stage. The knowledge of factors influencing viral persistence during that key step is needed to understand their transmission dynamic. Data gathered here describe the major role played by temperature, pH and salinity on viral persistence in aquatic environment and the importance of UV radiations, humidity and temperature in mid air. We discuss mechanisms underlying these roles and the potential influence of other factors. We point out the need to develop researches to improve our understanding on influenza A virus stability and thus transmission.

A case of primary adenocarcinoma of the renal pelvis occurring in a 57-year-old woman who had no previous history is reported. The lesions were thought to be a renal destruction by pyelolithiasis upon symptomatology and imaging study data. A nephrectomy was thus performed. Macroscopic examination revealed voluminous and exophytic lesions surrounding lithiasis. Diagnosis of intestinal-type adenocarcinoma of the renal pelvis was established on histological examination. No evidence of other tumor localization was revealed by complete exploration. Primary adenocarcinoma of renal pelvis is a rare and often mucinous intestinal-type tumour. Chronic inflammation and renal lithiasis seem to be associated with this tumour. Few cases are reported and prognosis is doubtful. The main differential diagnosis to eliminate is secondary lesions to the kidney of adenocarcinoma from another origin. A careful pathological examination in case of pyelonephritic kidney is necessary to look for an associated tumour., (Copyright © 2010 Elsevier Masson SAS. All rights reserved.)

Bacterial adhesion to intraocular lenses (IOLs) during their implantation is a major etiological factor of postoperative endophthalmitis. Polypropylene was the first biomaterial that allowed this relation of cause and effect between bacterial adhesion and endophthalmitis to be proven. Adhesion to IOLs has been investigated in several in vitro studies, with contradictory results reported, due to variations in experimental conditions: the incubation times and the methods all varied. Adhesion is affected by the type of IOL, the bacterial strains, and the surrounding medium. Since this medium is very difficult to model because of its complexity, in vivo studies seemed essential. We have recently determined in vivo progression in the amount of adhering Staphylococcus epidermidis to five types of IOLs. There have been few epidemiological studies published to determine the relationship between endophthalmitis and the IOL type. However, the perfect biomaterial that could prevent postoperative endophthalmitis does not yet exist. Globally, hydrophilic materials and hydrophobic acrylic seem to be less sticky than silicone or PMMA, but this remains to be proven clinically.

Bacterial adhesion to intraocular lenses (IOLs) takes place during their implantation. This is a prominent etiological factor of postoperative endophthalmitis. Following adhesion, secretion of an extracellular matrix (called slime for Staphylococcus epidermidis) and formation of multiple layers of microcolonies lead to the colonization of the biomaterial surface. Scanning electron microscopy photographs illustrate the different steps of biofilm formation. The different adhesins expressed by S. epidermidis involved in the adhesion process are described. The biofilm is not only an adhesive medium; it also affects virulence. Last, notions on biofilm physiology are discussed in an attempt to explain the dynamic equilibrium of this system. In 2004, the perfect biomaterial able to prevent postoperative endophthalmitis does not yet exist. Moreover, there is no effective tool, at the present time, to fight against mature biofilms. Therefore, preventing biofilm formation remains capital, which requires perfect knowledge of all stages of formation and the factors involved.

We have proposed the use of the ambulatory monitoring of the timing of Korotkoff sounds (QKD interval) to assess arterial distensibility. This interval is inversely linked to pulse wave velocity. The study of its variations according to spontaneous blood pressure changes during 24 h allows to calculate indices of arterial distensibility independent of actual blood pressure. A normalized QKD100-60 is calculated as the value for a 60 batt/min heart rate and a 100 mmHg systolic blood pressure from the individual multivariate linear relationship between these 3 variables. This interval decrease with arterial distensibility. We tested the reproducibility of this method in 28 normal subjects (14 males, 14 females, aged 43 +/- 16 years) who underwent two 24 h recordings during daily routine separated by one week. Standard deviation of differences for QKD100-60 was 12 ms, the coefficient of variation 6% and the coefficient of repeatibility 24 ms. So QKD100-60 shows a good reproducibility in the same range that 24 h blood pressure means.

Objective: To describe trends in the incidence of HIV infection diagnosis since 1985 in different at-risk groups in Aquitaine, south-west France., Methods: We analyzed the data from two regional surveillance systems on HIV infection: the hospital-based system of the Groupe d'Epidémiologie Clinique du SIDA en Aquitaine (GECSA) and the laboratory-based system of the Observatoire Régional de la Santé d'Aquitaine (ORSA). The number of intravenous drug users (IVDUs) in Aquitaine was estimated from two sources: a study performed by the GECSA in IVDUs treatment centers (1990-1991 data) and the annual surveys undertaken by the Ministry of Health (SESI) in all the health facilities and social services of the region from 1988 to 1993., Results: As of December 31st, 1993, 3478 HIV-infected patients had been reported to the GECSA, including 3031 Aquitaine residents. Among those, 1096 were IVDUs without any other at-risk behavior (36.2%), the largest transmission category. The annual incidence of HIV diagnoses has steadily and considerably changed over time for IVDUs: 175 new cases diagnosed in 1985, 218 in 1987, then falling to 38 in 1993. During the same period, there was no marked decrease for homosexuals and the incidence of diagnoses of heterosexually-acquired HIV infections increased. Between 1989 and 1993, the number of HIV tests performed by the laboratories involved in the ORSA surveillance system increased steadily from 80,310 to 176,250 per year, when the number of first positive tests in Aquitaine residents decreased from 744 to 319 per year (-57%). This decrease was greater for IVDUs (-80%) than for the other groups. The survey performed by the GECSA estimated that 990 IVDUs were followed annually by treatment centres in Aquitaine in 1990-1991. This figure was stable and in agreement with the results of the SESI surveys performed throughout the period., Conclusion: The incidence of new diagnoses of HIV infection has been decreasing in Aquitaine since 1988, particularly among IVDUs, suggesting that the epidemic is slowing down. It is essential to maintain these systems of epidemiological surveillance as a component of the HIV prevention program.

In order to recognize particular characteristics of pathogenic strains, epidemiologic markers of 27 Staphylococcus epidermidis strains (9 pathological and 18 commensal) were studied. Nine strains were responsible of infective endocarditis (8 on native valves, and 1 on prosthetic valve). No case occurred after admission to hospital or surgery. Eighteen commensal strains were isolated from control subjects who had had no contact with the hospital environment and who had not received a recent antibiotic treatment. The microbiological characteristics were so diverse that no differentiation between the pathogenic strains and commensal strains could be done and no particular pathogenic clone was recognized.

The API 20 EC and ATB 32 GN identification systems were compared for their ability to identify 231 coliform bacteria strains. Agreement with the identification given by conventional methods was achieved for 96.1 p. cent of strains by the API 20 EC gallery and for 95.9 p. cent by the ATB 32 GN system. Complementary tests were needed to identify 9.5 p. cent of strains using the API 20 EC system but 30.3 per cent using the ATB 32 GN system.

Previous electrophoretic studies (Renaud et al., 1983) carried out on the Cestode Bothriocephalus scorpii (Mueller, 1776) showed that the populations parasiting the Turbot and the Brill on the Mediterranean coast, are two distinct species: Bothriocephalus (supra sp. scorpii) gregarius and Bothricephalus (supra sp. scorpii) barbatus respectively. This work has been done with the purpose of identifying these two species by using biochemical tests. The study of whole body proteins by electrophoresis of zones of acrylamide gel shows the existence of nineteen distinct protein fractions in both populations. Among those different protein fractions, two of them (Rf 53 and Rf 87) are present only in the Cestode of the Brill and one (Rf 42) seems to be specific of the Turbot. On the other hand, the fraction of Rf 27 is present only in the Cestodes of the Brill. The immunoelectrophoretic study of antigenic components shows seven or eight major fractions depending on the source of protein, five of them being common to both. The reactions of absorption of antiserum permitted characterization of three arcs of precipitation proper in the Cestodes of the Brill corresponding to protein fractions of Rf (27, 53, 87) and three arcs in the Cestodes of the Turbot, corresponding to protein fractions of Rf (42, 21, 66).

A global study of the Metazoan parasites of Boops boops (L., 1758) have been made in the "golfe du Lion". Fourteen different species (eight Platyhelmintha, one Nematoda and five Crustacea) have been inventorized. Their respective localisation on the hosts, globals and specifics corresponding prevalences as well as their variations according to the size of the fish, and their abundance have been precised. Parasitics associations have also been examined.