San Juan de Ulúa, ou relation de l'espédition francaise au Mwxique sous les ordes de M. Le Contre Amiral Baudi par M. M. P. Blanchard et A. Dauzats.

UANL

[177Lu – DOTA – Tyr3] – OCTREOTATE para el tratamiento de tumores neuroendocrinos gastroenteropancreáticos. Revisión sistemática de la literatura.

Introducción: los tumores neuroendocrinos gastroenteropancreáticos se diagnostican en estadio avanzado en 60 - 80% de los pacientes y las opciones terapéuticas son limitadas. Se realizó una revisión sobre el beneficio clínico del tratamiento con [177Lu - DOTA - Tyr3] - Octreotate en pacientes con enfermedad metastásica o inoperable. Objetivos: evaluar la eficacia, impacto en calidad de vida y toxicidad de la terapia con 177Lu DOTATE en pacientes con tumores neuroendocrinos gastroenteropancreáticos avanzados. Materiales y Métodos: se condujo una revisión sistemática de la literatura mediante la búsqueda de estudios clínicos prospectivos y retrospectivos en bases electrónicas (MEDLINE, EMBASE, LILACS, SCIELO, OVID y la Biblioteca Cochrane) de cualquier idioma, año y estado de publicación. Se incluyeron 5 estudios, por la heterogeneidad existente entre los estudios no se realizó un metaanálisis. Resultados: la respuesta tumoral global fue del 45 - 57%, la enfermedad permaneció estable en 27% - 38% y progresó en 6% - 21% de casos en las series incluidas. El tiempo libre de progresión osciló entre 31 - 40 meses y la sobrevida global de 31– 51 meses. Se observó toxicidad hematológica grado 3-4 hasta en 9.5% de pacientes. Hubo mejoría significativa en la calidad de vida de pacientes tratados con 177LuDOTATATE. Conclusiones: la terapia con 177Lu- DOTATATE ofrece un beneficio clínico a los pacientes con tumores neuroendocrinos bien diferenciados avanzados por su impacto positivo en calidad de vida, control de síntomas, ralentiza la progresión tumoral y su toxicidad es baja.

C??mo hacer un buen examen de espa??ol : textos para preparar la nueva selectividad en Marruecos

Resumen basado en el de la publicaci??n.

Materiales did??cticos de ELE : del aula al teatro, del teatro al aula : dramatizaciones para la clase de ELE

Resumen basado en el de la publicaci??n

Pulmonary neuroendocrine (carcinoid) tumors: European Neuroendocrine Tumor Society expert consensus and recommendations for best practice for typical and atypical pulmonary carcinoids.

BACKGROUND Pulmonary carcinoids (PCs) are rare tumors. As there is a paucity of randomized studies, this expert consensus document represents an initiative by the European Neuroendocrine Tumor Society to provide guidance on their management. PATIENTS AND METHODS Bibliographical searches were carried out in PubMed for the terms 'pulmonary neuroendocrine tumors', 'bronchial neuroendocrine tumors', 'bronchial carcinoid tumors', 'pulmonary carcinoid', 'pulmonary typical/atypical carcinoid', and 'pulmonary carcinoid and diagnosis/treatment/epidemiology/prognosis'. A systematic review of the relevant literature was carried out, followed by expert review. RESULTS PCs are well-differentiated neuroendocrine tumors and include low- and intermediate-grade malignant tumors, i.e. typical (TC) and atypical carcinoid (AC), respectively. Contrast CT scan is the diagnostic gold standard for PCs, but pathology examination is mandatory for their correct classification. Somatostatin receptor imaging may visualize nearly 80% of the primary tumors and is most sensitive for metastatic disease. Plasma chromogranin A can be increased in PCs. Surgery is the treatment of choice for PCs with the aim of removing the tumor and preserving as much lung tissue as possible. Resection of metastases should be considered whenever possible with curative intent. Somatostatin analogs are the first-line treatment of carcinoid syndrome and may be considered as first-line systemic antiproliferative treatment in unresectable PCs, particularly of low-grade TC and AC. Locoregional or radiotargeted therapies should be considered for metastatic disease. Systemic chemotherapy is used for progressive PCs, although cytotoxic regimens have demonstrated limited effects with etoposide and platinum combination the most commonly used, however, temozolomide has shown most clinical benefit. CONCLUSIONS PCs are complex tumors which require a multidisciplinary approach and long-term follow-up.

Organic geochemistry of Lower Cretaceous sediments from the northwetsern Pacific guyits

Organic geochemical data of Lower Cretaceous shallow water sediments from two sites (865 and 866) drilled during ODP leg 143 are presented. The organic matter is mainly terrestrial at the bottom of the sedimentary column at site 865, whereas algal and/or bacterial organic matter is dominant at site 866. This is the first evidence of shallow water deposition of organic matter during the Early Cretaceous in the Northwestern Pacific. The lower Aptian organic carbon-rich layers from the shallow water sediments of site 866 are geochemically similar to coeval mid-water sediments of site 463.

Proto-kerogens in Holocene sediments of ODP Hole 165-1002C

Proto-kerogens were isolated, by extraction and HF/HC1 treatment, from core samples of Holocene sediments of the Cariaco Trench, with interpolated ages of 900, 2850 and 6000 years, and examined via a combination of microscopic, spectroscopic and pyrolytic methods. It appears that these proto-kerogens were chiefly formed from phytoplanktonic components via the degradation-recondensation pathway. The natural sulfurisation pathway only afforded a minor contribution, in spite of the conditions prevailing in the water column and sediments that correspond to those generally considered as especially favourable for the formation of sulfurised organic matter. Proto-kerogen formation via sulfurisation, i.e. the endpoint of the continuum leading to insoluble high molecular weight structures cross-linked by sulfur and resistant to acid hydrolysis, is therefore a rather slow process under these conditions. However, the contribution of sulfurised moieties to the total proto-kerogen substantially increased with depth due to continuous sulfurisation in the time/depth interval, whereas formation through degradation-recondensation is almost complete for the 900 years old sample onwards. Proto-kerogen formation via carbohydrate sulfurisation is faster than lipid sulfurisation and only sulfurised carbohydrates were detected in the shallowest sample. In contrast, sulfurised lipids occur in the other two proto-kerogens. Moreover, their contribution relative to sulfurised carbohydrates increases with depth, probably due to the higher resistance of lipids to mineralisation compared to carbohydrates.

Residual strain scanning of alumina-based ceramic composites by neutron diffraction

The objective of this work is to non-destructively determine the residual stress profile in the bulk of two characteristic types of alumina-based composites, with the aim of improving their durability and structural integrity.

The principal speeches of the statesmen and orators of the French revolution, 1789-1795;

v. 1. Mirabeau. Vergniaud. Gensonné. Guadet. Louvet. Cambon.--v. 2. Barère. Danton. Robespierre. Saint-Just. Baudin.