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Biomedical subjects

C Michaud

Publications and source records attributed to C Michaud.

48 records · Page 3Linked to original sources
PubMed1976

[Psychiatric consultation in pediatrics. Description and problems].

In this study of psychiatric consultations in a paediatric department, a description is given of the evolution and duration of treatment in the first 55 cases seen. Children ranged from age 1 month to 12 years. Two findings are of particular interest: most of the children were of a very young age (less than 3 years); most psychiatric treatments were of short duration. These results are due to the preventive orientation of our consultation and to the close collaboration between pediatricians and psychiatrists. The preventive approach allows for less heavy and costly measures than the standard long-term psychiatric treatment. This preventive approach is only possible if the diagnosis is established early. The pediatrician is in a better position than the psychiatrist to practice early detection, as in young children the psychopathology is often expressed through somatic channels. In cases where the pathology was detected at a later age, the treatment is usually more difficult.

Age Factors↗
PubMedDate not supplied

Sonographic detection of peritoneal carcinomatosis: a prospective study of 37 cases.

BACKGROUND: The use of sonography as an accurate modality to detect peritoneal carcinomatosis in patients with or without known malignancy was investigated. METHODS: Using ultrasound, we prospectively diagnosed peritoneal carcinomatosis in 37 patients. Findings such as liver metastases, adenomegalies, ascites and gallbladder wall thickness were first assessed. Then high resolution sonography detected omental, mesenteric, serosal and peritoneal involvement, the latter presenting as a nodule or an interruption of the anterior hyperechoic peritoneal line. Percutaneous biopsy under sonographic guidance of detected lesions, surgery or autopsy confirmed the peritoneal carcinomatosis. Sonographic search for the primary neoplasm was simultaneously done. RESULTS: Carcinomatosis was proven in all 37 cases. Omental involvement was found in 36 cases (97%), serosal implants in 7 cases (19%), mesenteric involvement in 6 cases (16%), peritoneal implants in 20 cases (54%). Interruption of the anterior peritoneal line was found in 6 cases (16%), liver metastasis in 14 cases (38%), lymphadenopathies in 9 cases (24%), and significant ascites in 18 cases (49%). Gallbladder wall thickness was not a useful criterion since 12 patients (32%) had previous cholecystectomy. Biopsy of detected lesions was performed in 21 cases with 100% positive results for malignant cells. Sonography detected the primary tumor in 16 (57%) out of 28 patients without known malignancy. CONCLUSION: Sonography was very useful for prospective detection of peritoneal carcinomatosis and the omental abnormality was the single most useful sign. Furthermore, sonographic findings, confirmed by percutaneous biopsy, prevented 24 unnecessary exploratory laparotomies.

Adult↗
PubMedDate not supplied

[Food habits and consumption of French adolescents. Synthesis of recent surveys].

Studies concerning French adolescents' eating habits have been published during the past four years. The review of such studies shows that nutrient intakes and food consumption are close to those of the adult population. Only the amount of nutrients especially with respect to lipids seems to be more satisfactory than in adults. This observation emphasizes the importance of familial environmental as the main factor of eating habits. French adolescents eat as the preceding generation even if some behaviors (snacks, fastfood) may appear very different from those in adults. However, this similitude does not imply that such habits are satisfactory.

Adolescent↗