[Towards better management for sexual offenders: Presentation and conclusions of a public hearing concerning prevention, assessment, and care]. / Audition publique auteurs de violences sexuelles : prévention, évaluation, prise en charge des 14 et 15 juin 2018 : perspectives et préconisations.

In France, since the law of June 17, 1998, sexual offenders may be convicted to ambulatory mandatory care, articulated with the justice. Twenty years after the implementation of this law, while social and technological developments have redefined certain aspects of delinquency, reference documents and practice guidelines remain to be updated. This is why the professionals of the main structures and associations dealing with perpetrators of sexual violence organized a public hearing under the sponsorship of the French Federation of Resource Centers for Sexual Violence Perpetrators (FFCRIAVS) according to the methodology and with the accompaniment of the High Authority of Health. This article presents the global methodology of the public hearing "Sexual Offenders: Prevention, Evaluation and Care" which was conducted on June 14 and 15, 2018. Thirty-three experts replied to27 questions and presented their conclusions to an Audition Committee and an audience of 200 persons representative of the civil and professional society. After a public debate, the hearing committee prepared a report in which they proposed propositions in order to better care for sexual offenders.

Solución del caso 22. Peritonitis tuberculosa / No disponible

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[Cholecystolithotomy: first middle-long term results of our series]. / Colecistolitotomía: primeros resultados a medio-largo plazo de nuestra serie.

UNLABELLED: Cholelithiasis in children is an infrequent disease whose incidence has increased over the last few decades. It has its own typical characteristics, different from those present in adults. Laparoscopic cholecystectomy has become the treatment of choice for symptomatic cases, still its connection with right-sided colon cancer and other diseases associated with the procedure has led to recommend it with some reservation. Though several authors adopted cholecystotomy as a therapeutic option in recent years, its use remains controversial. Our indication criteria for this technique are presented herewith, as well as long- and medium-term results (mean follow-up of 10 years) of our series, previously reported in 2003, and a new case added later in 2006. MATERIALS AND METHODS: Since 2003, a prospective study of 15 patients from our previous series and a new patient added afterwards is being carried out, including: 1) Medical history checking for symptoms connected with biliary conditions. 2) DIAGNOSTIC TESTS: laboratory tests and ultrasonography. RESULTS: Out of our 16 patients: A girl relapsed a few months later and underwent cholecystectomy, but whether it was a true relapse or a missed gallstone was not established. A patient with a history of recurrent abdominal pain has shown no improvement in his symptoms even though his tests are normal. Two patients have been lost for our study, but showed normal tests for 5 and 7 years respectively. Our 11 remaining patients show no symptoms as well as normal laboratory and imaging tests. A new patient joined our study in 2006, showing normal tests to date and no postsurgical complications. CONCLUSIONS: Based on our experience, cholecystotomy has proved to be a complication-free, safe and easy procedure with a virtually nonexistent relapse rate in the long and medium term for patients in the pediatric age group presenting with single or double cholelithiasis, unchanged for 1-2 years with no size increase, no apparent etiology, no complications and a normal bile duct.

Colecistolitotomía: primeros resultados a medio-largoplazo de nuestra serie / Cholecystolithotomy: first middle-long term results of our series

La litiasis biliar es una patología poco frecuente en la infancia cuya incidencia ha aumentado en las últimas décadas. Presenta unas características propias, distintas a las del adulto. La colecistectomía laparoscópicase ha establecido como tratamiento de elección en los casos sintomáticos,pero su relación con el cáncer de colon derecho y otras patologías derivadas de la intervención, han llevado a establecer dicha indicación conciertas reservas. Varios han sido los autores que han adoptado la colecistolitotomía como opción terapéutica en los últimos años pero aun existe controversia en cuanto a su utilización. Nosotros presentamos nuestros criterios de indicación de la técnica, así como los resultados a medio-largo plazo (tiempo medio de seguimiento de 10 años) de nuestra serie, previamente publicada en el año 2003, añadiendo un nuevo caso en 2006.Material y métodos. Desde 2003 se realiza un estudio prospectivo sobre los 15 pacientes de nuestra serie anterior y otro agregado posteriormente, realizando: 1) Historia clínica revisando la aparición de (..) (AU)

Cholelithiasis in children is an infrequent disease whose incidence has increased over the last few decades. It has its own typical characteristics, different from those present in adults. Laparoscopic cholecystectomy has become the treatment of choice for symptomatic cases, stillits connection with right-sided colon cancer and other diseases associated with the procedure has led to recommend it with some reservation. Though several authors adopted cholecystotomy as a therapeutic optionin recent years, its use remains controversial. Our indication criteria for (..) (AU)

[Nonsurgical correction of congenital auricular deformities a new method of neonatal molding and splinting]. / Tratamiento no quirúrgico de las deformaciones auriculares. Una nueva técnica de modelado y ferulización auricular en el período neonatal.

INTRODUCTION: The utility of the nonsurgical correction of congenital auricular deformities by ear molding and splinting has been previously established. Occasionally, its application cannot be easy, and the later collaboration of the parents is necessary. We report a new method of splinting that simplifies the procedure. DESIGN: prospective, case series. PATIENTS AND METHODS: Twenty ears in 15 patients between 7 and 60 days of age (average 22 days) were treated. They were 12 prominent ears, 4 Stahl's ears, 2 lop ears, 1 Crinkled ear, and 1 case of increase of antihelix folder. Cotton impregnated with 2-Octyl-Cyanoacrylate is placed as splint for 6 weeks. RESULTS: The bilateral application lasted less than 5 minutes, end there were no spills to the external auditory canal. The splint was given off to the 2 weeks, and a second procedure was necessary in all the cases. There were no dermatitis or skin ulcers. The treatment was successful in 11 cases, partial improvement in 3, poor correction in 4, and recurrence in 2. CONCLUSIONS: The splint therapy is an easy nonsurgical method for the treatment of congenital auricular deformities that applied during the first weeks of life provides good aesthetic results in more than 50% of the patients.

[Anterior approach otoplasty for treatment of prominent ears in children. A minimally invasive technique]. / Otoplastia por vía anterior para el tratamiento de las orejas prominentes. Una técnica mínimamente invasiva.

INTRODUCTION: In adult patients, it has been reported that prominent ears can be treated by mattress sutures placed through the anterior aspect of the ear, with a minimally invasive technique. In order to verify the utility of this method in children, we used this technique in our patients. MATERIAL AND METHODS: Twenty-two prominent ears were treated in 12 patients between 8 and 11 years of ages. All were operated under general anesthesia. The anterior surface of the auricular cartilage is scored with a rasp. The antihelix shape is obtained, and mattress sutures are placed through the anterior surface of the ear. RESULTS: A good aesthetic result was obtained in all the cases. Superficial skin necrosis happened in three. Partial loss of correction in the superior pole was noted in four ears. In 6, some knots were visible through the skin. CONCLUSIONS: This repair is a simple technique for the treatment of the prominent ears in children, of good aesthetic results, that it avoids the necessity of dorsal skin resection and produces folds of antihelix more naturally curved. In children, to avoid the exteriorization of the suture material, the knots must be placed in the posterior surface of de auricular cartilage.

Tratamiento no quirúrgico de las deformaciones auriculares. Una nueva técnica de modelado y ferulización auricular en el periodo neonatal / Nonsurgical correction of congenital auricular deformities a new method of neonatal molding and spinting

Introducción. La utilidad de la corrección no quirúrgica de las deformidades auriculares mediante modelado y ferulización ha sido bien establecida. Aunque su uso presenta cierta dificultad en su aplicación y necesita de la colaboración posterior de los padres. Presentamos un nuevo y sencillo método de ferulización que simplifica el procedimiento. Diseño. estudio prospectivo, serie de casos. Pacientes y métodos. Se trataron 20 orejas en 15 pacientes de edades entre 7 y 60 días (media 22 días). Fueron 12 orejas prominentes, 4 orejas de duende, 2 orejas gachas, 1 hélix plegado y 1 caso de antihélix prominente. Un poco de algodón impregnado en 2-Octyl-Cyanoacrylato se coloca a modo de férula durante 6 semanas. Resultados. La aplicación bilateral duró menos de 5 minutos por paciente. No hubo derrames al conducto auditivo. La férula se desprendió a las 2 semanas y un segundo procedimiento fue necesario en todos los casos. No hubo dermatitis ni lesiones de decúbito. La curación ocurrió en 11 casos, mejoría parcial en 3, fracaso del tratamiento en 4 y recidiva en 2. Comentarios. Se trata de un método no quirúrgico fácil y de rápida aplicación que utilizado durante las primeras semanas de vida proporciona unos buenos resultados estéticos en más de la mitad de los casos (AU)

Introduction. The utility of the nonsurgical correction of congenital auricular deformities by ear molding and splinting has been previously established. Occasionally, its application cannot be easy, and the later collaboration of the parents is necessary. We report a new method of splinting that simplifies the procedure. Design. prospective, case series. Patients and methods. Twenty ears in 15 patients between 7 and 60 days of age (average 22 days) were treated. They were 12 prominent ears, 4 Stahl´s ears, 2 lop ears, 1 Crinkled ear, and 1 case of increase of antihelix folder. Cotton impregnated with 2-Octyl-Cyanoacrylate is placed as splint for 6 weeks. Results. The bilateral application lasted less than 5 minutes, end there were no spills to the external auditory canal. The splint was given off to the 2 weeks, and a second procedure was necessary in all the cases. There were no dermatitis or skin ulcers. The treatment was successful in 11 cases, partial improvement in 3, poor correction in 4, and recurrence in 2. Conclusions. The splint therapy is an easy nonsurgical method for the treatment of congenital auricular deformities that applied during the first weeks of life provides good aesthetic results in more than 50% of the patients (AU)

Otoplatia por vía anterior para el tratamiento de las orejas prominentes. Una técnica mínimamente invasiva / Anterior approach otoplasty for treatment of prominent ears in children. A minimally invasive technique

Introducción. En pacientes adultos ha sido bien establecido que las orejas prominentes pueden ser tratadas mediante suturas colocadas a través de la superficie anterior de la oreja mediante una técnica mínimamente agresiva. Para comprobar la utilidad de este método en el niño, adoptamos esta técnica para el tratamiento de nuestros pacientes. Pacientes y métodos. Veintidós otoplastias por orejas prominentes fueron realizadas en 12 pacientes de edades comprendidas entre 8 y 11 años. Todos fueron operados bajo anestesia general. La cara anterior del cartílago auricular es debilitada por limado. El antihélix se modela mediante la aplicación de suturas a través de la cara anterior del cartílago auricular. Resultados. Se consiguió un buen resultado estético en todos los casos. Tres orejas presentaron una escara cutánea. En 4 ocurrió pérdida parcial de la corrección y en 6 exteriorización del material de sutura. Comentarios. La otoplastia por vía anterior es una técnica sencilla para el tratamiento de las orejas prominentes en niños, de buenos resultados estéticos, que evita la necesidad de resección de piel dorsal. En el niño, para evitar la exteriorización del material de sutura, los nudos deben ser colocados en la cara posterior (AU)

INTRODUCTION: In adult patients, it has been reported that prominent ears can be treated by mattress sutures placed through the anterior aspect of the ear, with a minimally invasive technique. In order to verify the utility of this method in children, we used this technique in our patients. MATERIAL AND METHODS: Twenty-two prominent ears were treated in 12 patients between 8 and 11 years of ages. All were operated under general anesthesia. The anterior surface of the auricular cartilage is scored with a rasp. The antihelix shape is obtained, and mattress sutures are placed through the anterior surface of the ear. RESULTS: A good aesthetic result was obtained in all the cases. Superficial skin necrosis happened in three. Partial loss of correction in the superior pole was noted in four ears. In 6, some knots were visible through the skin. CONCLUSIONS: This repair is a simple technique for the treatment of the prominent ears in children, of good aesthetic results, that it avoids the necessity of dorsal skin resection and produces folds of antihelix more naturally curved. In children, to avoid the exteriorization of the suture material, the knots must be placed in the posterior surface of de auricular cartilage (AU)

[Functional outcome of advanced chronic glaucoma after trabeculectomy]. / Devenir fonctionnel des glaucomes chroniques évolués après intervention fistulisante.

We studied the risk of sudden loss of visual fields after trabeculectomy on 17 eyes with primary open angle glaucoma and small residual visual fields. We think that it is possible to try to these patients filtering procedures with precautions before and during surgery.

Toxicants from mangrove plants, V. Isolation of the piscicide, 2-hydroxy-5-methoxy-3-undecyl-1,4 benzoquinone (5-O-methylembelin) from Aegiceras corniculatum.

Extracts of the twigs and stems of the mangrove plant Aegiceras corniculatum demonstrated toxicity to fish (Tilapia nilotica). 5-O-Methylembelin was isolated and was shown to be toxic to fish at a concentration of 1 ppm within a period of 75 min. The structure of 5-O-methylembelin was determined by a study of spectroscopic properties and comparison with an authentic synthetic sample.

[Endophthalmitis caused by Aspergillus (anatomo-clinical study of a case)]. / Endophtalmie à aspergillus (étude anatomo-clinique d'un cas).

The authors report a case of endogenous aspergillosis endophthalmitis. Ocular involvement was very important and not controlled by several vitrectomy and intra-vitreous Amphotericin B. Pathological examination revealed abscesses in the vitreous, choroid and retina. Diagnosis and treatment are discussed.