Si les troubles psychosomatiques sont maintenant bien reconnus, leur dimension intersubjective insiste sur une économie psychique spécifique au groupe familial. Ainsi, bien que s'inscrivant dans un ...corps malade, les somatisations peuvent être les conséquences d'une faillite du pare-excitation et d'une confusion des places dans la famille. Face à la violence de la désintrication, comment travailler cette souffrance psychique à l'œuvre ? Ce numéro porte à la fois sur les enjeux de cette souffrance familiale comme sur les dispositifs thérapeutiques que nous pouvons mettre en place pour que puissent se jouer les conditions d'une ré-intrication pulsionnelle...
This study aims to compare the clinical and pathological TN stages of patients with oral cavity cancer and to identify the factors leading to staging discrepancies.
The medical records of 125 ...patients (77 males, 48 females; mean age 57 years; range 19 to 82 years) who underwent primary tumor resection and neck dissection simultaneously for oral cavity cancer were retrospectively analyzed. Clinical and pathological TN stages of all patients were compared. Sensitivity, specificity and predictive values of clinical staging were calculated.
Computed tomography (CT) with contrast which was used to examine the cervical lymph node metastasis showed a sensitivity of 71.9%, a specificity of 75%, a positive predictive value of 70.6%, and a negative predictive value of 76.1%. The diagnostic accuracy of CT for detecting mandibular invasion was as follows: sensitivity, 92.6%; specificity, 97%; positive predictive value, 96.1%; and negative predictive value, 94.3%.
High correlation between clinical and pathological stages for assessment of mandibular invasion and neck metastasis supports the reliability of CT in our study. Diagnostic contribution of magnetic resonance imaging is necessary for assessment of extrinsic tongue muscle involvement; in cases of tongue cancer which are surrounded by induration on palpation and extending to the floor of the mouth.
Primary intraosseous squamous cell carcinoma is an extremely rare tumor of the mandible. The diagnosis is based on the evidences showing that the tumor is neither originated from a distant metastasis ...of another primary tumor nor an invasive oral cancer. In this article, we report a 59-year-old female case with a medical history of ductal carcinoma of the breast, lichen planus, and rheumatoid arthritis who was admitted with complaints of a painful and swollen left lower jaw, and was surgically treated for primary intraosseous carcinoma of the mandible and with postoperative adjuvant radiotherapy.
We present an efficient runtime verification environment for detecting mutual exclusion predicates. Such predicates are important for keeping the safe operation of concurrent systems. Our environment ...models execution traces as partial order traces to increase scalability in runtime verification. We compare two techniques implemented in POTA tool, namely k-exclusion and computation slicing. The k-exclusion problem is a generalization of the mutual exclusion problem in which up to k processes may be in their critical sections at the same time. Our k-exclusion algorithm exploits the fact that if there is a k-exclusion violation then it is impossible to partition events from critical sections into k queues. We earlier presented efficient computation slicing algorithms to detect predicates from a subset of temporal logic CTL. We performed experiments using POTA tool on scalable protocols. Our comparison shows that k-exclusion is substantially better than slicing both in terms of time and space. In all fairness, slicing handles general class of predicates from temporal logic CTL, whereas k-exclusion algorithm handles only a very specific, nonetheless useful, class of mutual exclusion predicates.
This study aims to evaluate the analysis and publication rates of presentations presented at the Turkish National Otorhinolaryngology and Head & Neck Surgery (TNORL and HNS) meetings.
The TNORL and ...HNS meetings of 2008, 2009 and 2010 were included in the study. The number, subjects, types (clinical study, experimental study, case report) and institutions of the oral presentations and posters were documented using the abstract CD's of the meetings. The conversion rate of presentations into the full-text articles in the peer-reviewed journals were reviewed through the search engines Pubmed for the international indexes and Türk Medline and Ulakbim for the national ones. The time from presentation in the meetings to publication was determined. The distribution of journals according to the publication dates of the articles were evaluated in terms of the Science citation index (SCI), SCI expanded (SCI-E), PubMed and Turkish citation index.
The total number of presentations submitted in the three TNORL and HNS meetings was 1,454 and posters accounted for 75.4% of all presentations. While case reports were 53.2% of the total presentations, the ratios were found to be 43% and 3.8% for the research and experimental studies, respectively. Of the oral presentations, 88% included research studies, whereas 70.3% of the posters were case reports. The origin of the presentations was university hospitals, education hospitals, other national institutions, and international institutions with ratios of 51.6%, 44.3%, 3% and 1.1%, respectively. The conversion rate of presentations into the full-text articles was found as 21.9%. The rate was 37.3% for oral presentations and 17% for the posters (p=0.00). For all of the 319 published papers, the overall mean time from presentation to publication was 18.6 months. While 62.7% of the articles were published in international journals, 37.3% were published in national journals. The conversion rate of oral presentations into publications was higher than the posters (p=0.00).
The first study related to TNORL and HNS meetings in Turkey revealed that, although the quantity of presentations was high, the rate of conversion into the full-text journal articles was lower compared to the similar international annual meetings held by otorhinolaryngology or other disciplines. The quality and success of our scientific meetings can be enhanced with some particular precautions.
Due to the recent increasing mortality rates in 1- to 4-month-old Thoroughbred foals with Rhodococcus equi infection in Turkey, serum samples from 454 foals between 30 and 60 days on studfarms of the ...Marmara Region, where the Thoroughbred foal population is concentrated, were investigated by ELISA for early diagnosis of the infection. The Tween 20-extracted antigen of the R. equi ATCC 6939 strain was used in the ELISA. Two hundred and nine (46%) of the 454 foals were found to be ELISA-positive. Optical density (OD) values of 0.3 (positive limit) or higher were detected in 43% of foals aged 30-40 days, 40% of those aged 41-50 days and 78% of those aged 51-60 days. Of the 209 ELISA-positive foals, 126 (60%) showed a variety of clinical signs. All ELISA-positive foals were treated with a combination of erythromycin and rifampin. Of the 126 ELISA-positive foals with clinical signs, 122 (97%) recovered, but 4 of the foals died during the treatment period. The OD values of the 4 dead foals were over 0.3. Necropsy confirmed that they had R. equi infection. Three of the 4 had lung abscesses and the remaining had abdominal abscesses. In addition, 2 foals died on 2 different studfarms unrelated with this ELISA surveillance study, and they had lung abscesses. Virulent R. equi was isolated from lesions of the 6 dead foals. All the isolates had 15- to 17- kDa antigens and 85 kb type-I virulence plasmids. These results indicated that virulent R. equi, which contained 85 kb type-I plasmid, is widespread in Thoroughbred foals in the Marmara Region and ELISA is useful for the early diagnosis of R. equi infection in foals.
In this report, the isolation of a Salmonella typhimurium strain as pure culture from abcess foci on the liver, spleen, kidney, stomach and intestines, and lungs of an 8-month-old, male, Thoroughbred ...foal, which had died in a racehorse breeding farm, is presented. Heavy respiratory infection and prolonged antibiotic therapy were considered to be stress factors that played a significant role in this case.
One hundred and twenty thoroughbred breeder mares with endometritis or infertility were investigated for the detection of antibodies to Taylorella equigenitalis by the passive haemagglutination (PHA) ...test and ELISA between 1997 and 1999 in the Marmara region and the two tests were compared. Fifty-eight (48.33 %) of 120 sera were found to be positive by the PHA test and 52 (43.33%) by ELISA. 22 of the sera were found to be positive by the PHA test reacted at 1/64 titer, 27 at 1/128, 7 at 1/256 and 2 at 1/512 titer. Sera from 44 mares were positive in both tests. Amongst these, 14 sera were positive in the PHA test and 8 sera were positive in ELISA. The difference between the PHA test and ELISA positivity was 8% and this was not statistically significant. In conclusion, the PHA test was recommended for routine screening of CEM because of its easy handling and rapidness.
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