[Hypothyroidism and free hypocholesterolemia].
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Biomedical subjects
Publications and source records attributed to J Bertrand.
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The gratuitousness is a positive social measure, particularly specific of the psychosocial patients, but applied in a dissatisfying context because the financial aspect is the only considered and because the other therapeutic exigences, implicitly in such a measure contained, are in that way eluded.
After being the first structure of this type in Belgium, the day hospital "La Clé" from the University of Liège exhibit the modalities of its functioning with some comments. It is considered as a dynamic structure in the view of a intergrated psychiatry. The specificity of the day hospital is discussed.
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A series of 100 cases is presented : 34 female and 66 male pseudohermaphrodites (MPH). Plasma levels of testosterone (T) and its precursors have been made in basal conditions and in the MPHs after hCG stimulation test. In spite of detailed hormonal, anatomical and chromosomal studies no etiological diagnosis was made in about half the MPHs. In 45% of those, the response to hCG was inadequate suggesting that ambiguous development of the genital ducts, urogenital sinus and external genitalia is associated with a wide spectrum of defective testicular gonadogenesis. The endocrine function of these dysgenetic testes may worsen with age. Determination of T and several of its precursors is essential for the correct diagnosis of inborn errors in testicular biosynthesis which was made thrice by systematic study of so-called simple hypospadias. It is suggested that systematic hormonal study should be made in all children, and preferably newborn, with ambiguous genitalia associated with micropenis or bilateral cryptorchidism.
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This study was conducted to heighten awareness of quality of care as a programmatic issue in the Moroccan governmental family planning program and to test modified Situation Analysis instruments for measuring quality of care. Data were collected from 50 service-delivery points in five provinces to measure six elements of quality in accordance with the Bruce/Jain framework. A procedure for calculating quality-indicator scores is presented. Although facilities varied by province and within provinces, most had the equipment and supplies needed to deliver services; service personnel were trained and regularly supervised; the service-delivery points scored well on mechanisms to ensure continuity of use. Notable shortcomings included a dearth of materials for counseling and a widespread unavailability of the Ovrette pill. This study raises issues regarding the complexity of measuring quality, the ownership of results, and the appropriateness of a centralized study of quality in a decentralized program.
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The authors have observed 4 cases of benign liver tumors associated with oral contraception. These lesions have been revealed by pains or abdominal tumors, and have been treated by surgery, or not treated. The relations between tumors livers and pill are studied. These tumors are probably frequent and can give acute complications such hemorrhage and perhaps cancer.