bluuebunny/crossref_metadata_2025_split huggingface dataset:
Aux limites d'être : points de vue développemental et métapsychologique, perspectives thérapeutiques
Authors: Prat Régine , Israël Paul 
Published: May 2011

Résumé Les auteurs ont cherché à mettre en adéquation leur expérience des cures limites avec une réflexion théorique qui se situerait à l’articulation soma/psyché. De cette clinique dont la description n’est plus à faire, ils ont retenu la fréquence du surgissement d’échanges agis et de manifestations engageant le corps qui viennent se substituer à l’échange de paroles sur lequel est fondée la cure psychanalytique. L’échec de cette mise en mots témoigne de dysfonctionnements de la construction du psychisme, au lieu même où il s’origine, entre soma et psyché : la référence au modèle primitif déterminé par la sensorialité précoce du tact semble permettre une proposition théorique cohérente articulant la première distinction instinct/pulsion avec les spécificités techniques que les auteurs pensent nécessaires dans l’abord de ces cures.
Aux carrefours des passions et de la toute-puissance
Authors: Potamianou Anna 
Published: May 2011

Résumé Ce texte se réfère à l’économie et à la dynamique des états passionnels, considérés comme des opérateurs d’affects puissants qui touchent à la fois le psychique et le corporel. La question de ce qui constitue les fondements des comportements que les passions enflamment est examinée par l’auteur ; des exemples tirés des mythes et légendes, de la littérature, ainsi qu’un matériel clinique servent de points d’appui à ses hypothèses.
« ... Comme un poème contient l'alphabet » : le sens de la traduction dans le Freud de William I. Grossman
Authors: Reed Gail S. 
Published: May 2011

Résumé Les contributions de W. I. Grossman à la psychanalyse n’ont pas été assez reconnues, peut-être parce que ses écrits sont denses et qu’il est difficile d’en dégager tout le sens. Dans une de ses plus importantes contributions, il décrit de façon remarquable la manière systématique qu’avait Freud d’imaginer, de penser et de théoriser, et ce, bien avant de créer la psychanalyse. Chez Freud, cette manière de penser illustre ses théories tout comme l’organisation de sa pensée elle-même ; elle est flexible, capable de développement, hiérarchiquement ordonnée et récursive. La lecture de Grossman ouvre sur le texte de Freud une fenêtre qui permet de nouveaux regards. Cela inclut l’idée que la notion de « traduction transformatrice », comme perception de la créativité dans le mode de penser de Freud, pourrait aider les psychanalystes de différentes cultures et de systèmes de pensée à communiquer au-delà de leurs frontières. Le concept de « négatif pathologique » chez A. Green servira d’exemple pour montrer comment le « Freud de Grossman » peut faciliter cette communication entre les différentes cultures et théories.
Une fois de plus... la culpabilité
Authors: Potamianou Anna 
Published: May 2011

Résumé Ce travail représente une tentative de réfléchir sur la problématique de la culpabilité, tout en abordant la question des somatisations. La culpabilité, conçue comme se rapportant à un agencement composite qui condense des éléments venant de strates et de moments différents de la vie psychique, peut-elle avoir une place dans le cours de l’éclosion d’une maladie ? Comment ? Par quel biais ? Quelques éléments d’un cas sont présentés.
Culpabilité et maladie : existe-t-il une culpabilité pré-œdipienne ?
Authors: Donabédian Diran 
Published: May 2011

Résumé « Existe-t-il une culpabilité pré-œdipienne ? » C’est une formulation issue de la théorisation de la démentalisation qui concerne le processus de délibidinisation en lien à des investissements du moi organisés autour du moi idéal (qui est l’introjection de l’idéal du moi parental) et non pas à partir de la pulsionnalisation et de l’édification du surmoi stricte sensu.
Le travail de psychisation du corps
Authors: Smadja Claude 
Published: May 2011

Résumé La vie psychique se définit à partir de la métapsychologie des affects et des représentations fondamentales. Ces formations psychiques sont issues du travail des pulsions et de leur rencontre avec les perceptions. Les pulsions ont leur source dans des événements vécus dans le corps propre à partir des zones érogènes et de l’ensemble des organes ; elles résultent d’un processus complexe de transformation du corporel jusqu’à son advenue psychique. C’est ce processus que j’appelle travail de psychisation du corps.
Teenage cervical screening in a high risk American population
Authors: Zhang Songlin , Thomas Jaiyeola , Thibodeaux Joel , Bhalodia Ami , Abreo Fleurette 
Published: May 2011

Background:
The new 2009 ACOG guideline for cervical cytology screening changed the starting age to 21 years regardless of the age of onset of sexual intercourse. However, many recent studies have shown a dramatic increase in the incidence of cervical epithelial abnormalities among adolescents within the past two decades.

Materials and Methods:
For this study, the reports of 156,342 cervical cytology were available of which 12,226 (7.8%) were from teenagers. A total of 192 teenagers with high grade intraepithelial lesion (HSIL) cervical cytology were identified. The ages ranged from 13 to 19 years with a mean of 17.7 years and a median of 18 years. Among them, 31.3% were pregnant, 12.0% were postpartum, and 13.5% were on oral contraceptive. Ninety-eight had prior cervical cytology.

Results:
The teenagers had statistically significant higher detection rates of overall abnormal cervical cytology (23.6% vs. 6.6%, P = 0), with 15.4% vs. 3.2% (P = 0) of low grade intraepithelial lesion (LSIL) and 1.8% vs. 1.0% (P = 2.56 × 10-13 ) of HSIL compared to women ≥20 years. The teenage group had the highest abnormal cytology among all age groups. The LSIL/HSIL ratio was 8.5:1 for teenagers and 3.1:1 for women ≥20 years. A total of 131 teenagers had cervical biopsies within 12 months of the HSIL cytology, with diagnoses of 39 CIN 3, 1 VAIN 3, 15 CIN 2, 62 CIN 1, and 14 had a negative histology (CIN 0). Only in 19 of these 39 women, the CIN 2/3 lesion proved to be persistent.

Conclusion:
We conclude that cytology screening of high risk teenagers is effective in detecting CIN 2/3 lesions. Moreover, treatment and careful follow-up can be realized.
Clinicopathological Study of Ameloblastomas: Case Study in Tribal Areas
Authors: Ramachandra Naik Balachandra 
Published: May 2011

ABSTRACTDuring the period of 10 years, we have received 19 ameloblastoma specimens for opinion. The purpose of this report is that many studies on ameloblastoma were published from western countries, but not a single study from this region, which is an area of tribal people. Hence, this study is taken up to analyze for various parameters, and to compared with the western countries studies and also to inform the new and rare findings which is not yet published that is, the malignant ameloblastoma metastasis in soft tissue with intercellular bridges. Specimens were processed for macroscopic and microscopic analysis by routine methods. Majority of analysis were similar to the western countries studies. Malignant ameloblastoma metastasis in soft tissue gave us surprise. Ameloblastoma in tribal people did not have differences with western countries, but we got a new thing which enriches the behavior of malignant ameloblastoma.
Choice of the Optimal Volume of Surgery for Patients with Sporadic Medullary Thyroid Cancer
Authors: Romanchishen Anatoly F , Lisovsky OV , Vabalayte KV 
Published: May 2011

ABSTRACTObjectivesInfluence of lymphatic metastases at immediate and follow-up results of patients’ surgical treatment is controversial, especially for sporadic medullary thyroid carcinoma (SMTC).MethodsA total of 3330 thyroid cancer patients were operated on (1973-2009), among them 226 (6.8%) were medullary thyroid cancer (MTC) patients. In 11 observations, MTC appeared as a part of MEN syndrome. Sporadic character of disease was confirmed in 215 (95.1%) cases. There were 140 (80.8%) females and 33 (19.2%) males (4.2:1.0) with average age 48.6 ± 2.7. Long-term results (1-40 yrs) were investigated in 173 (94.2%) cases. All SMTC patients were divided in to three groups. Group 1 made of 80 (46.2%) T1- 3N0M0, Group 2 of 47 (27.3%) T1-3N1a-bM0, Group 3 of 46 (26.6%) T4N1a-bM0 patients.ResultsGroup1: Organ-sparing operations were carried out in 59 (73.7%), thyroidectomies in 21 (26.3%) patients. Multicentric tumor growth (MTG) was observed in 19.1%: in T1 cases - 5.7%, T2 - 20.5%, T3 - 46.7%. All patients underwent ipsilateral prophylactic central neck dissection (CND). Average period of postoperative observation (APPO), 12.0 ± 1.7. 5 years survival rate made 98.4%, 10-91.7%. Local relapse of MTC was found in one patient (in contralateral thyroid lobe).Group 2: Organ-sparing operations were carried out in 20 (42.6%), thyroidectomies—27 (57.4%) with curative central or central and lateral lymphadenectomy (LAE). MTG took place in 47.2%. Six group metastases only (T1a) were found in 38.9% and CND was performed. In other cases (61.1%), CND, lateral and mediastinal (8.3%) LAE were performed. APPO correspondent to 10.8 + 2.1 years. Repeated LAE because lymphatic metastases were carry out in 15 (31.9%) patients through 7.2 ± 2.4 years in average after initial operations. Tumor relapses were not found in thyroid remnant. Five-year survival rate made 89.2%, 10-67.8%.Group 3: MTG was observed in 64.3%. Central compartment group lymphatic metastases were revealed in 93.3%, in 2 to 5 groups – 86.7%, in mediastinum – 38.5%, distant metastases – in 22.0%. Combined operations were performed in 58.9%, palliative in 45 (26.6 %) cases. Operations were completed by tracheostomy in 38.4%. Adjuvant therapy (X-ray, chemotherapy) was applied in 28.9%. Postoperative lethality made 6.5%. APPO corresponded to 3.3 ± 0.8 (1-10 yrs). During first year, eight patients have died. Five-year survival rate made 32.4%.ConclusionDetection of regional metastases of SMTC during the first patient presentation significantly worsen survival rate. Early diagnosis of SMTC by calcitonin level detection is the best way to improve results of treatment. Organ-sparing thyroidectomies with mandatory ipsilateral prophylactics CND are justified only at T1N0M0 sporadic MTC.
Versatile Grafts and Flaps in Reconstruction of Oral and Maxillofacial Postsurgical Defects
Authors: Singh Madhumati , Shah Anjan , Chowdhury Shouvik 
Published: May 2011

ABSTRACTAblative surgery for head and neck tumors is associated with significant disfigurement and loss of function. The main aim of the surgeon is to provide functional ability and esthetics of the patient. Type and extent of tissue loss from surgery relates to loss of soft tissue and bone. Reconstructions of jaw and mouth defects represent a challenge to the surgeon and are most commonly indicated in patients with oral squamous cell carcinoma.4Primary closure and the restoration of form, cosmetics and function are the goals of reconstructive surgery. Various techniques have been practiced, including grafts, local flaps, regional flaps and free vascularized flaps even with diverse options, each one has its inherent advantages and shortcomings.This article highlights our experiences with various reconstructive options, best possible reconstructive method to be followed to minimize morbidity of the patient.
Epidermal Growth Factor Receptor and the Squamous Cell Carcinoma of the Head and Neck
Authors: Nair Sudhir V 
Published: May 2011

ABSTRACTEpidermal growth factor receptor (EGFR) is over expressed in 80 to 90% of squamous cell carcinomas of the head and neck (HNSCC) and plays a role in its pathogenesis and clinical course. Several EGFR-targeted therapies have therefore been developed and tried in clinical trials in the past decade resulting in the approval of cetuximab, an EGFR monoclonal antibody as a treatment agent for HNSCC by US FDA. Even though, EGFR monotherapy so far does not have a significant effect, cetuximab in combination with radiotherapy has enhanced the overall effect of radiotherapy in these patients without enhancing significantly the overall toxicity. Hence, understanding the mechanisms of resistance and exploring new combination treatments with EGFR targeting agents are important.
Oral Radiation Mucositis: A Short Review
Authors: Gupta Tejpal , Krishnatry Rahul , Nachankar Ankita A , Agarwal Jai Prakash 
Published: May 2011

ABSTRACTOral radiation mucositis is one of the debilitating and dose-limiting acute toxicity during (chemo) radiation or for HNC having a major impact on the patient daily functioning, well-being and quality of life. The unplanned interruption of treatment secondary to mucositis may compromise the treatment and the outcomes if not adequately addressed. Recently, the integrated pathophysiological mechanism of radiation injury has been proposed, aiding development of certain targeted therapies for the prevention and treatment of oral mucositis. Although there are currently no approved agents or strategies that can reliably prevent or treat oral mucositis, there are several agents are under investigation and development. This is an exciting juncture in the development of drugs and drug delivery agents for radiation oral mucositis. This review is to have a peep into currently available options at present to optimally know when these agents can be used and what should be the direction of future research to maximize the therapeutic benefit.
Retroauricular Hairline Approach for Excision of Second Branchial Cleft Cysts
Authors: Walvekar Rohan R , LeBert Brad , Weiss Sean R , Johnson Jonas T 
Published: May 2011

ABSTRACTObjectiveTo report our preliminary experience with a retroauricular hairline incision (RAHI) for excision of second branchial cleft cysts (SBCC) and to present a relevant literature review.Study designRetrospective case series.MethodsA retrospective chart review was conducted of two consecutive patients diagnosed with SBCC who underwent surgical removal via a RAHI. Relevant demographic, clinicopathological and radiological data were recorded. A web-based search was conducted to identify relevant scientific literature on “retroauricular hairline incision/approach” in order to present a systematic review of current literature.ResultsIn both cases, the SBCC (6.0 and 3.8 cm) could be safely excised without major complications. One patient developed a temporary hypoesthesia of earlobe. None of the patients had a postoperative infection, hematoma, spillage of cyst fluid or necrosis of the skin flap. All patients were satisfied with the cosmetic outcome of the procedure (100%). The incisions healed well without any evidence of hair loss or keloid formation.ConclusionIn conclusion, the RAHI offers an excellent surgical outcome and superior cosmetic result with no proven increased risks to the patients who require surgical excision of a benign SBCC.
Metastatic Implantation of Head and Neck Squamous Cell Cancer at PEG Tube Site Exit— An Unusual Relapse Site: A Case Report and Review of Literature
Authors: Palwe Vijay , Talpatra Kaustav , Mahantshetty Umesh , Viswanathan Seethalaxmi 
Published: May 2011

ABSTRACTBackgroundThe placement of percutaneous endoscopic gastrostomy (PEG) tubes is a common procedure in patients with head and neck cancer who require adequate nutrition because of the inability to swallow before or after surgery and adjuvant therapies. A potential complication of percutaneous endoscopic gastrostomy tubes is the metastatic spread from the original head and neck tumor to the gastrostomy site.MethodsThis is a case of a 55-year-old male with a (cT4N3M0) stage IV squamous cell carcinoma of the oropharynx who underwent percutaneous endoscopic gastrostomy tube placement prior to commencement of definitive chemoradiation therapy and 7 months thereafter developed metastatic spread to the gastrostomy site. Tumor was treated with radiation therapy. A review of the published literature regarding the subject is done. The pull-through method of gastrostomy tube placement had been used in our patient as well as in the majority of the other cases reviewed in the literature.ConclusionsThere is a small but definite risk for tumor implantation in the gastrostomy site when using the pull technique in patients with active head and neck cancer. The direct implantation of tumor through instrumentation is the most likely explanation for metastasis; however, hematogenous seeding is also a possibility. Careful assessment of the oropharynx and hypopharynx before PEG tube placement and the use of alternative techniques for enteral access in patients with untreated or residual malignancy are recommended to minimize this risk.
Vocal Cord Paralysis Following Percutaneous Embolization of a Vagal Paraganglioma
Authors: Vishal Rao , Chavan Purushottam , Raghavendra KS , Ashok Shenoy M 
Published: May 2011

ABSTRACTTumors of the head and neck region that frequently require embolization include meningiomas, paragangliomas and angiofibromas, owing to their rich vascularity. Serious complications following embolization are uncommon. We report an unusual case of vocal cord palsy following embolization.
Branchial Cyst: An Unusual Presentation as Intrathoracic Extension and Hoarseness of Voice
Authors: Singh HP , Kumar Sunil , Kumar Ambrish , Agarwal SP 
Published: May 2011

ABSTRACTBranchial cleft cysts usually present as a unilateral, fluctuant soft tissue swelling that is localized deep to the anterior border of sternocleidomastoid in the lateral aspect of the neck. They are often noticed late in childhood or early adulthood. It is important that clinical diagnosis and, in some cases, appropriate imaging is performed, so that definitive treatment may be carried out. The authors present an unusual case of a 35-year-old man who presented with hoarseness of voice associated with a lateral neck mass that extended retrosternally.
Continuity from Fetal to Neonatal Behavior: Lessons Learned and Future Challenges
Authors: Stanojevic Milan 
Published: May 2011

ABSTRACTUnderstanding the relation between fetal and infant behavior and developmental processes of the brain in different periods of gestation may make achievable the distinction between normal and abnormal brain development as well as the early diagnosis of various structural or functional abnormalities. As the development of the brain is unique and continuing process throughout the gestation and after birth, it is expected that there is also continuity of fetal and neonatal behavior, which is the best functional indicator of developmental processes of the brain.The aim is to present continuity of the general and other movements from prenatal to postnatal life in fetuses and newborns from low- and high-risk pregnancies.Epidemiological studies revealed that many neurologically impaired infants belong to low-risk population, which means that they seemed to be developmentally normal as fetuses and as infants, while later in childhood neurological disability was diagnosed. Dyskinetic cerebral palsy (CP) is the dominant type of CP found in term-born, appropriate-for-gestational-age children with severe impairments who have frequently experienced adverse perinatal events. As neuroprotective methods of treatment are available for some infants, simple screening methods could be helpful to detect impaired fetuses early enough in order to avoid developmental catastrophe. It has been clear from postnatal assessment of Prechtl's neonatal general movements (GMs) that it is a better predictor of neurodevelopmental disability than neurological examination. Introduction of two-dimensional (2D) and four-dimensional (4D) ultrasound enabled introduction of GMs assessment to the prenatal period. Kurjak et al conducted a study by 4D ultrasound and confirmed earlier findings made by 2D ultrasonography, that there is behavioral pattern continuity from prenatal to postnatal life. New antenatal neurological screening test has been introduced by Kurjak et al (KANET), which was postnatally followed by postnatal neurological screening assessment according to Amiel-Tison (ATNAT). Although many fetal behavioral studies have been conducted in low- and high-risk pregnancies and KANET has been recently standardized, it is still questionable whether the assessment of continuity from fetal to neonatal behavior could improve ability for early detection of brain pathology.
Mild Fetal Ventriculomegaly: Diagnostic Work-up and Management
Authors: Pinto Vincenzo , Rossi Angela Cristina 
Published: May 2011

ABSTRACT
Mild ventriculomegaly (VM), also defined as “borderline”, is a condition characterized by an atrial width between 10 and 15 mm independently from gestational age.
Fetuses with mild ventriculomegaly require an accurate morphological examination to rule out for associated neural and extraneural anomalies. The percentage of this association is 41%. However, in almost 13% of cases, the associated anomaly is not recognized at the time of the initial presentation. It is important to monitor the atrial width during the third trimester because in 15% of the cases it increases. Most of the cases missed at the first examination have a late onset diseases (migrational disorders, parenchimal damage, hemorrhage, etc). For these conditions MRI may play a useful role.
Maternal serum tests for congenital infections should be performed, since infections may be the cause of mild VM in 1.5% of the cases.
Fetal karyotype should also be evaluated, since chromosomal abnormalities may be associated in 2.8% of the cases of isolated VM.
The counseling in cases of apparently isolated mild VMs focuses on the possibility of neurodevelopmental delay in the surviving infants. The average percentage of neurodevelopmental delay reported in the literature is 10.9%. The possibility of late onset brain anomalies must be considered.
In conclusion, the most important prognostic factors are the association with other abnormalities not detected at the first examination and the progression of the ventricular dilatation.
Controversial Ultrasound Findings in Mid-Trimester Pregnancy
Authors: Ebrashy Alaa 
Published: May 2011

ABSTRACT
US equipment became more and more important for the practicing obstetricians, and the demands for practicing US as part of the antenatal care becomes sometimes routine in certain areas. A lot of US workshops are practiced trying to put the guidelines for using the US in this domain, and every now and then new markers and US signs are added that could have some significance in relation to the fetal outcome.
Here a problem now exists, which is the gap between the ability to detect and the understanding of the significance of these findings, and this of course creates a great deal of improper counseling which leads to anxiety and confusions.
The aim of my lecture is to shed some light on some controversial US signs, like echogenic bowel, renal pyelectasis, cardiac echogenic foci, choroid plexus cyst, club foot, polydactyly, single umbilical artery and mild ventriculomegaly.
First I shall discuss the epidemiology–the pathophysiology, underlying risk for associated chromosomal anomalies and the most important is the significance of these signs, if present alone, so trying to suit out an evidence-based approach to their management and to provide the clinician with all the data that enables him to properly counsel the parents and eliminates the confusion created by the mere detection of these findings.