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Creer en la palabra de las niñas y los niños víctimas de abuso sexual infantil es fundamental para su recuperación física y psicológica; las niñas y los niños no mienten frente a las situaciones de abuso que han vivido o que han experimentado. La alienación parental es lesiva para la salud mental de las niñas, los niños y sus madres y para los procesos judiciales donde intervienen como víctimas los primeros y como figuras protectoras, las segundas. La alienación parental no es válida científicamente, hace parte de la pseudociencia y de la llamada “ciencia basura”, que engaña y pretende ser real. La evaluación del Síndrome de Alienación Parental no cuenta con sustentos científicos y su diagnóstico solo busca liberar abusadores sexuales poniendo en duda y no creyendo en la palabra de las víctimas.

Copyright of SEMS-Journal is the property of Schwiez Zschr Sportmed Sporttraumatologie and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of SEMS-Journal is the property of Schwiez Zschr Sportmed Sporttraumatologie and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article explores the intersectional relationship between domestic and medical gender-based violence, focusing specifically on the discursive aspect of medical prac-tices. This research is based on the systemic disregard of female narratives in medical environments--particularly during screening and diagnostic processes--and the ex-treme technicality and personal distancing that certain medical discourses have ac-quired in the last few years. To this end, this article presents a close reading of Anne Carson's poem "The Glass Essay", included in Glass, Irony and God (1995), to advocate for the inclusion of more creative and freer narratives during psychological assess-ments and treatments to overcome those gendered discriminations that have been present in medical practices and have dismissed female narratives of illness and abuse as overly emotional and subjective. To ground this work, Rita Charon's studies in Narrative Medicine, together with a close reading of Carson's unique construction of the autobiographical self, will serve as a methodological basis to understand the relevance of gender exclusion in psychotherapeutic practices and the importance of using crea-tive writing methods to allow victims of abuse to express themselves without the constraints of technicalities and gender-based stigmas. [ABSTRACT FROM AUTHOR]

In this paper, I will explore the role of art‐making, the experience of trauma and dissociation, and the process of working with self‐states from an analytic and creative frame. Relevant literature on dissociation, trauma, and the use of art will be discussed. A case involving my work with an adolescent girl who had experienced sexual abuse from a family member will be shared, with an emphasis on the meaningful role images played during the therapeutic process. Both Jungian and psychoanalytic models of conceptualizing and working with dissociation are included, following Donald Kalsched's (2013) recommendation for a "binocular stance" to treatment, including both a focus on the inner, intrapsychic world and the interpersonal, relational realm, and how art images both illuminated and expressed these realms. Within the therapeutic process, art images allowed the therapist a view into the client's unconscious process, and created a meeting ground for dissociative barriers to be gradually seen, felt and known, by both therapist and client. The experience of dissociation, in images and in session, provided a reference point for myself and my client, Taylor, to develop a shared understanding and a framework for growth. [ABSTRACT FROM AUTHOR]

Substances psychoactives : consomation, abus et dépendance

Les violences sexuelles envers les enfants, perpétrées par les adultes au sein de la famille, est l’une des formes les moins visibles de maltraitance d’enfants, car elle se produit le plus souvent dans l’intimité de la vie domestique, mais elle n’en est pas moins largement répandue dans toutes les sociétés. L’inceste est une réalité de tant de familles ayant de graves répercussions sur la santé physique et mentale des enfants victimes, leur bien-être et leur développement tout au long de leur vie et, par voie de conséquence, sur la société en général. En effet, les enfants victimes de violences sexuelles au sein de la famille, notamment l’inceste subissent les plus grandes injustices. Non seulement les violences sexuelles sont très rarement identifiées, les agresseurs encore moins dénoncés, les conséquences sur la santé quasiment jamais dépistées ni traitées , mais le plus souvent les victimes vont être abandonnées, rejetées, exclues, condamnées du fait de leurs symptômes, sommées de s’expliquer et de se justifier par rapport aux troubles du comportement et des conduites qu’elles développent fréquemment, ce sont elles que la société va culpabiliser ; ce sont elles à qui les proches vont sans cesse faire la morale ; ce sont elles qui vont être méprisées. L’inceste est donc à considérer comme « un fléau social », une atteinte sexuelle avec cette circonstance aggravante, du fait du lien familial . Et les répercussions sur la santé sont catastrophiques tant à la santé physique qu’à la santé mentale des victimes, ainsi qu’à leur développement.

(1) Objective: To evaluate the diagnostic performance of prototype handheld ultrasound compared to automated breast ultrasound, according to the fifth edition of BI-RADS categorization, among females with positive lumps. (2) Methods: A total of 1004 lesions in 162 participants who underwent both prototype handheld ultrasound and automated breast ultrasound were included. Two radiologists and a sonographer independently evaluated the sonographic features of each lesion according to the fifth BI-RADS edition. The kappa coefficient (κ) was calculated for each BI-RADS descriptor and final assessment category. The cross-tabulation was performed to see whether there were differences between the ABUS and prototype HHUS results. Specificity and sensitivity were evaluated and compared using the McNamar test. (3) Results: ABUS and prototype HHUS observers found the same number of breast lesions in the 324 breasts of the 162 respondents. There was no significant difference in the mean lesion size, with a maximum mean length dimension of 0.48 ± 0.33 cm. The assessment of the lesion's shape, orientation, margin, echo pattern, posterior acoustic features, and calcification was obtained with good to excellent agreements between ABUS and prototype HHUS observers (κ = 0.70–1.0). There was absolutely no significant difference between ABUS and prototype HHUS in assessment of lesion except for lesion orientation p = 0.00. Diagnostic accuracy (99.8% and 97.7–98.9%), sensitivity (99.5% and 98.0–99.0%), specificity (99.8% and 99.6–99.8%), positive predictive value (98.1% and 90.3–96.2%), negative predictive value (90.0% and 84.4–88.7%), and areas under the curve (0.98 and 0.83–0.92; p < 0.05) were not significantly different between ABUS and prototype HHUS observers. (4) Conclusion: According to the fifth BI-RADS edition, automated breast ultrasound is not statistically significantly different from prototype handheld ultrasound with regard to interobserver variability and diagnostic performance. [ABSTRACT FROM AUTHOR]

Breast cancer, which is the most common cancer in women, is a major problem both in Poland and worldwide. Mammography remains the primary screening method. However, the sensitivity of mammographic screening is lower in women with dense glandular breasts due to tissue overlap and the effect of the glandular tissue obscuring the tumor and the fact that tumors and glandular tissue show similar X-ray absorption. Consequently, other methods are being sought to increase breast cancer detection rates. Currently, the most common and used methods are ultrasonography, magnetic resonance imaging and advanced mammographic methods (digital breast tomosynthesis and contrast-enhanced spectral mammography). Despite many advantages and superiority over mammography in dense breasts, they also have many disadvantages. Ultrasound is operator-dependent and the other techniques are expensive or not widely available. The Automated Breast Ultrasound Service (ABUS) technique appears to be a good option in terms of both effectiveness and lower cost.

Copyright of Sociologia, Problemas e Práticas is the property of Centro de Investigacao e Estudos de Sociologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract Background As mammography has its known limitations in dense breast, additional imaging is usually needed. We aimed to evaluate the role of automated breast ultrasound in addition to tomosynthesis in detection and diagnosis of breast lesions in dense breasts. Seventy patients with dense breasts subjected to full-field digital mammography (FFDM) including digital breast tomosynthesis (DBT) and automated breast ultrasound (ABUS). Both studies were evaluated by two experienced radiologists to assess breast composition, mass characterization, asymmetry, calcification, axillary lymphadenopathy, extent of disease (EOD), skin thickening, retraction, architectural distortion, and BIRADS classification. All breast masses were interpreted as above described and then correlated with final pathological diagnosis. Results Study included 70 females presenting with different types of breast lesions. Eighty-two masses were detected: 53 benign (n = 53/82), 29 malignant (n = 29/82). Histopathology of the masses was reached by core biopsy (n = 30), FNAC (n = 14), and excisional biopsy (n = 11). The rest of the masses (n = 27/82) were confirmed by their characteristic sonographic appearances; 20 cases of multiple bilateral anechoic simple cysts, 7 typical fibroadenomas showed stationary course on follow-up. As regards the final BIRADS score given for both modalities, tomosynthesis showed accuracy of 93.1% in characterization of malignant masses with accuracy of 94.3% in benign masses, on the other hand automated ultrasound showed 100% accuracy in characterization of malignant masses with 98.1% accuracy in benign masses. Conclusion Adding ABUS to tomosynthesis has proven a valuable imaging tool for characterization of breast lesions in dense breasts both as screening and diagnostic tool. They proved to be more sensitive and specific than digital mammography alone in showing tissue overlap, tumor characterization, lesion margins, extent, and multiplicity of malignant lesions.

Aujourd'hui, les consommateurs modernes s'attendent à une politique de retour souple qui leur permet des retours rapides et faciles. Toutefois, cette indulgence ouvre la porte aux clients déviants qui abusent de la flexibilité de la politique de retour et nuisent au commerçant. Selon une étude menée par Batarfi et al. En 2017 aux États Unies, les produits retournés représentaient plus de 351 milliards de dollars de pertes de vente pour les commerçants. Plus de 18% de l’ensemble des retours clients sont des retours frauduleux (Piron et al. 2000). Un certain nombre de recherches se sont consacrées à l’étude de différents types d’abus des politiques de retour par les clients, mais très peu ont examiné leur impact sur le commerçant. Cet article est une étude exploratoire qui a pour but d’examiner les politiques de retours flexibles conduisant à l'abus du consommateur, et de fournir des recommandations aux managers qui permettront d'éviter le comportement déviant de certains consommateurs. En parallèle, cette étude dénonce les différents types de fraudes existants vis-à-vis des politiques de retours et fourni quelques démarches entrepris par de grandes enseignes dans le but de lutter contre les retours frauduleux. Today’s modern consumers expect a flexible return policy that allows them fast and easy returns. However, this leniency opens the gate to deviant customers who abuse from the flexibility of the return policy and harm the retailer. According to a research conducted by Batarfi et al. in 2017 in the United States, returned product represent more than 351 billion dollars of lost sales. 18% of customers retuned products are fraudulent returns (Piron et al. 2000). A significant number of researches have studied different customer abuses of return policies and very few have explored their impact on the retailer. This paper is an exploratory research that aims to investigate how lenient return policies lead to customer abuse and provide some managerial insights on how to avoid deviant customer behavior. In parallel, this research report different types of returns’ frauds and provides few actions undertaken by large businesses to minimize fraudulent returns.

Copyright of Radiology News Journal / Radiološki Vjesnik is the property of Croatian Association of Radiation Technology and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Manière de chronique de la vie psychiatrique vendéenne, cet article constitue un témoignage en forme de conclusion d'une expérience clinique de 12 années intenses, passionnantes et souvent douloureuses que rien ne nous prédisposait à traverser. Exerçant en psychiatrie infantojuvénile alors, le devoir éthique d'améliorer nos prises en charge thérapeutiques pour les victimes d'agressions sexuelles nous a poussé à créer également des dispositifs de soins pour les auteurs de violence sexuelle majeurs et mineurs. Nous en avons relaté dans divers articles les modalités et les effets, illustrés par de nombreux cas cliniques. Dans celui-ci, nous voudrions sensibiliser les professionnels de la santé, de la justice, du médicosocial, et autres sur la nécessité d'appréhender cette problématique avec rigueur et sérieux en ne cédant pas à des facilités de langage qui s'avèrent contre-productives pour la prise en charge des victimes et des auteurs : qu'il n'est plus possible pour le dire clairement, de désigner par le concept d'abus, tout fait d'agression relevant du champ du sexuel. In a manner of chronicle of vendean psychiatric life, this article constitutes a testimony in the form of a conclusion of a clinical experience of twelve intense, exciting and often painful years, which nothing had predisposed us to go through. Practicing in infant and juvenile psychiatry at the time, the ethical duty to improve our therapeutic care for victims of sexual assault prompted us to also create care systems for major and minor perpetrators of sexual violence. We have reported in various articles the modalities and effects, illustrated by many clinical cases. In this one, we would like to sensitize the professionals of health, justice, medicosocial, and others to the need to apprehend this problematic with rigor and seriousness by not giving in to the ease of language, which turns out to be counterproductive for the care of victims and perpetrators: that it is no longer possible, to say it clearly, to designate any act of aggression falling within the field of sexual by the French concept of "abus". [ABSTRACT FROM AUTHOR]

Abstract Background Precise visualization of meshes and their position would greatly aid in mesh shrinkage evaluation, hernia recurrence risk assessment, and the preoperative planning of salvage repair. Lightweight (LW) meshes are able to preserve abdominal wall compliance by generating less post-implantation fibrosis and rigidity. However, conventional 3D imaging techniques such as computed tomography (CT) and magnetic resonance imaging (MRI) cannot visualize the LW meshes. Patients sometimes have to undergo a second-look operation for visualizing the mesh implants. The goal of this work is to investigate the potential advantages of Automated 3D breast ultrasound (ABUS) pore texture analysis for implanted LW hernia mesh identification. Methods In vitro, the appearances of four different flat meshes in both ABUS and 2D hand-held ultrasound (HHUS) images were evaluated and compared. In vivo, pore texture patterns of 87 hernia regions were analyzed both in ABUS images and their corresponding HHUS images. Results In vitro studies, the imaging results of ABUS for implanted LW meshes are much more visualized and effective in comparison to HHUS. In vivo, the inter-class distance of 40 texture features was calculated. The texture features of 2D sectional plans (axial and sagittal plane) have no significant contribution to implanted LW mesh identification. Significant contribution was observed in coronal plane. However, since the mesh may have spatial variation such as shrinkage after implantation surgery, the inter-class distance of 3D coronal plane pore texture features are bigger than 2D coronal plane, so the contribution of 3D coronal plane pore texture features are more valuable than 2D coronal plane for implanted LW mesh identification. The use of 3D pore texture features significantly improved the robustness of the identification method in distinguishing between LW mesh and fascia. Conclusions An innovative new ABUS provides additional pore texture visualization, by separating the LW mesh from the fascia tissues. Therefore, ABUS has the potential to provides more accurate features to characterize pore texture patterns, and ultimately provide more accurate measures for implanted LW mesh identification.

Ultrasound (US) imaging for medical purposes has been increasing in popularity over the years. The US technology has some valuable strengths, such as it is harmless, very cheap, and can provide real-time feedback. At the same time, it has also some drawbacks that the research in this field is trying to mitigate, such as the high level of noise and the low quality of the images. This survey aims at presenting the advances in the techniques used for US medical imaging. It describes the studies on the different organs that the US uses the most and tries to categorize the research in this field into three groups, i.e., segmentation, classification, and miscellaneous. This latter group includes the works that either provide aid during surgical operations or try to enhance the quality of the acquired US images/volumes. To the best of our knowledge, this is the first review that analyzes the different techniques exploited on a large selection of body locations (i.e., brain, thyroid, heart, breast, fetal, and prostate) in the three sub-fields of research. [ABSTRACT FROM AUTHOR]

Dans le discours scientifique au XVIIe siècle en France, la digression est un procédé rhétorique souvent utilisé par les auteurs. Une excursion longue de onze pages reste cependant une rareté dans l’art d’Esculape, plus encore quand elle traite du mépris. Dans cet article, nous nous proposons d’analyser une digression sur les causes du mépris du milieu médical se trouvant dans les Erreurs populaires de Gaspard Bachot (1570-1630), conseiller et médecin du Roy à Moulin. Afin de faciliter la compréhension du mépris et de son objet dans le contexte du savoir médical, nous essayons d’abord de situer ce fragment dans le cadre de la genèse de l’ouvrage lui-même (Les Erreurs populaires de Bachot comme continuation des Erreurs populaires de Laurent Joubert). Ensuite, nous étudions le contenu de la digression bachotienne afin d’en dégager les principaux motifs du mépris relevés par le médecin dans la médecine de l’époque. Leur analyse fera ensuite apparaître une hiérarchie du corps médical. Nous terminerons notre parcours par la présentation d’un manifeste éthique embrassant le canon des règles qui, seules, selon Bachot, peuvent sauver la médecine.

Els escàndols de corrupció a l’Estat espanyol han comportat una crisi de credibilitat del sector públic i dels seus mecanismes de control. Els organismes i les institucions internacionals aposten per noves formes de governança i d’integritat institucional que requereixen un canvi profund de cultura organitzativa. Aquest canvi ha de permetre implantar un “marc integral de control intern” inspirat en la metodologia COSO III, que ha de ser implementat i mantingut pels responsables del govern de l’entitat i ha de conviure amb el control intern que és responsabilitat dels interventors del sector públic. En aquest treball s’analitza la configuració actual del control intern en les administracions públiques, les seves debilitats i fortaleses. També es fan propostes de millora per configurar un marc integral de control intern que proporcioni una seguretat raonable sobre la consecució dels objectius de l’entitat, la fiabilitat de la informació financera, l’eficàcia, l’eficiència de les operacions i el compliment de les disposicions legals aplicables que permeti una prevenció efectiva del frau i la corrupció.

(1) Objective: To evaluate the diagnostic performance of prototype handheld ultrasound compared to automated breast ultrasound, according to the fifth edition of BI-RADS categorization, among females with positive lumps. (2) Methods: A total of 1004 lesions in 162 participants who underwent both prototype handheld ultrasound and automated breast ultrasound were included. Two radiologists and a sonographer independently evaluated the sonographic features of each lesion according to the fifth BI-RADS edition. The kappa coefficient (κ) was calculated for each BI-RADS descriptor and final assessment category. The cross-tabulation was performed to see whether there were differences between the ABUS and prototype HHUS results. Specificity and sensitivity were evaluated and compared using the McNamar test. (3) Results: ABUS and prototype HHUS observers found the same number of breast lesions in the 324 breasts of the 162 respondents. There was no significant difference in the mean lesion size, with a maximum mean length dimension of 0.48 ± 0.33 cm. The assessment of the lesion’s shape, orientation, margin, echo pattern, posterior acoustic features, and calcification was obtained with good to excellent agreements between ABUS and prototype HHUS observers (κ = 0.70–1.0). There was absolutely no significant difference between ABUS and prototype HHUS in assessment of lesion except for lesion orientation p = 0.00. Diagnostic accuracy (99.8% and 97.7–98.9%), sensitivity (99.5% and 98.0–99.0%), specificity (99.8% and 99.6–99.8%), positive predictive value (98.1% and 90.3–96.2%), negative predictive value (90.0% and 84.4–88.7%), and areas under the curve (0.98 and 0.83–0.92; p < 0.05) were not significantly different between ABUS and prototype HHUS observers. (4) Conclusion: According to the fifth BI-RADS edition, automated breast ultrasound is not statistically significantly different from prototype handheld ultrasound with regard to interobserver variability and diagnostic performance.

We present a theoretical reading of psychopathology in Freud and Lacan. Initially, we recover some clinical fragments of Emma, a patient diagnosed by Freud as hysterical because of a traumatic experience of sexual abuse. Then, we examine the dream in which Freud meets the patient again. Emma, later known as Irma, says she feels intense pain in her throat. In the dream, the young woman's throat returns to Freud and reveals the split in her psychopathology. Between Emma and Irma, Freud introduces the Oedipus as a new interpretation of the etiology of neurosis. Rather than postulating the oedipal knowledge as the one responding to the enigma of the symptom, the author restores the contradiction of tragic poetry. Certainly, Lacan was attentive to the Freudian reading and also approached both the philosophical and mathematical discourse. Through the mathematical formula, analogous to the one printed on Irma's throat, we glimpse a core object for thinking the psychoanalytic psychopathology. [ABSTRACT FROM AUTHOR]

Presentam un estudi envers el concepte de qualitat educativa i la seva relació amb els funcionaris interins a partir de la definició i característiques d’aquest concepte. Determinarem la relació entre qualitat i temporalitat, per posteriorment introduir-nos en l’abús que pateixen els interins. Finalment, analitzarem la prevalença dels funcionaris interins a les Illes Balears, com s’han desenvolupat les Ofertes Públiques d’Ocupació (OPO) en aquests darrers deu anys i si la Conselleria d’Educació ha pogut consolidar-ne les places.

Cette contribution nous invite à suivre quelques pans de l'accompagnement thérapeutique d'une adolescente en proie à des interrogations sur son histoire, ses liens, son identité, et à travers ces thématiques sur sa valeur et son estime de soi. Pour notre part, nous questionnons la portée traumatique des événements de vie de cette jeune qui s'énonce petit à petit en fonction des lieux de soins successifs. Dans ce décours, l'adolescente met en exergue différents biais et enjeux de l'identité de genre. À ce propos, nous ouvrons l'hypothèse du vécu transgenre comme modalité de positionnement identitaire à l'adolescence, tout en veillant à démarquer la notion de transidentité du champ pathologique. Nous rappellerons aussi quelques notions autour du trauma infantile, des aspects identitaires à l'adolescence et de l'évolution de la question transgenre au sein de la société et de la psychiatrie. This contribution invites us to follow some aspects of the therapeutic accompaniment of a teenager prey to questions about her history, her ties, her identity, and through these themes on her value and her self-esteem. For our part, we question the traumatic impact of the life events of this young woman, who speaks out little by little according to the successive places of care. In this ramble, the teenager highlights different biases and issues of gender identity. In this regard, we open the hypothesis of transgender experience as a modality of identity positioning in adolescence, while making sure to distinguish the notion of transidentity from the pathological field. We will also recall some notions around infant trauma, identity aspects in adolescence and the evolution of the transgender issue in society and psychiatry. [ABSTRACT FROM AUTHOR]

Background: As mammography has its known limitations in dense breast, additional imaging is usually needed. We aimed to evaluate the role of automated breast ultrasound in addition to tomosynthesis in detection and diagnosis of breast lesions in dense breasts. Seventy patients with dense breasts subjected to full-field digital mammography (FFDM) including digital breast tomosynthesis (DBT) and automated breast ultrasound (ABUS). Both studies were evaluated by two experienced radiologists to assess breast composition, mass characterization, asymmetry, calcification, axillary lymphadenopathy, extent of disease (EOD), skin thickening, retraction, architectural distortion, and BIRADS classification. All breast masses were interpreted as above described and then correlated with final pathological diagnosis. Results: Study included 70 females presenting with different types of breast lesions. Eighty-two masses were detected: 53 benign (n = 53/82), 29 malignant (n = 29/82). Histopathology of the masses was reached by core biopsy (n = 30), FNAC (n = 14), and excisional biopsy (n = 11). The rest of the masses (n = 27/82) were confirmed by their characteristic sonographic appearances; 20 cases of multiple bilateral anechoic simple cysts, 7 typical fibroadenomas showed stationary course on follow-up. As regards the final BIRADS score given for both modalities, tomosynthesis showed accuracy of 93.1% in characterization of malignant masses with accuracy of 94.3% in benign masses, on the other hand automated ultrasound showed 100% accuracy in characterization of malignant masses with 98.1% accuracy in benign masses. Conclusion: Adding ABUS to tomosynthesis has proven a valuable imaging tool for characterization of breast lesions in dense breasts both as screening and diagnostic tool. They proved to be more sensitive and specific than digital mammography alone in showing tissue overlap, tumor characterization, lesion margins, extent, and multiplicity of malignant lesions. [ABSTRACT FROM AUTHOR]

Abstract Background Breast cancer is a major health problem, being the most common cancer in women. Early detection of breast cancer aims to the reduction of mortality and morbidity rates. Conventional screening methods include mammography and ultrasonography; however, both modalities have their limitations. Automated breast ultrasound (ABUS) is a recent technological advancement in the field of breast imaging having the benefit of standardization of the scans and lack of operator dependence as in conventional handheld ultrasound scans. The aim of this work was to report our initial experience of the added value of ABUS as a breast screening tool. The study included 200 patients who had screening mammograms, ultrasound, and ABUS. Results A significant difference was found between the number of lesions detected by ABUS and conventional ultrasound. A significant difference was found between lesions detected by ABUS and mammography which was most evident in patients with dense breasts. Conclusions ABUS is a valuable tool in the screening of the breast with improved lesion detection, especially in patients with dense breasts.

Copyright of Caravelle: Cahiers du Monde Hispanique et Luso-Bresilien is the property of Presses Universitaires du Mirail and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Precise visualization of meshes and their position would greatly aid in mesh shrinkage evaluation, hernia recurrence risk assessment, and the preoperative planning of salvage repair. Lightweight (LW) meshes are able to preserve abdominal wall compliance by generating less post-implantation fibrosis and rigidity. However, conventional 3D imaging techniques such as computed tomography (CT) and magnetic resonance imaging (MRI) cannot visualize the LW meshes. Patients sometimes have to undergo a second-look operation for visualizing the mesh implants. The goal of this work is to investigate the potential advantages of Automated 3D breast ultrasound (ABUS) pore texture analysis for implanted LW hernia mesh identification.Methods: In vitro, the appearances of four different flat meshes in both ABUS and 2D hand-held ultrasound (HHUS) images were evaluated and compared. In vivo, pore texture patterns of 87 hernia regions were analyzed both in ABUS images and their corresponding HHUS images.Results: In vitro studies, the imaging results of ABUS for implanted LW meshes are much more visualized and effective in comparison to HHUS. In vivo, the inter-class distance of 40 texture features was calculated. The texture features of 2D sectional plans (axial and sagittal plane) have no significant contribution to implanted LW mesh identification. Significant contribution was observed in coronal plane. However, since the mesh may have spatial variation such as shrinkage after implantation surgery, the inter-class distance of 3D coronal plane pore texture features are bigger than 2D coronal plane, so the contribution of 3D coronal plane pore texture features are more valuable than 2D coronal plane for implanted LW mesh identification. The use of 3D pore texture features significantly improved the robustness of the identification method in distinguishing between LW mesh and fascia.Conclusions: An innovative new ABUS provides additional pore texture visualization, by separating the LW mesh from the fascia tissues. Therefore, ABUS has the potential to provides more accurate features to characterize pore texture patterns, and ultimately provide more accurate measures for implanted LW mesh identification. [ABSTRACT FROM AUTHOR]

Copyright of Rivista di Criminologia, Vittimologia e Sicurezza is the property of Societa Italiana di Vittimologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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Copyright of Revista Catalana de Dret Públic is the property of Revista Catalana de Dret Public and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Algerian legislator has authorized the landowner to enjoy and dispose of his building as he wishes, provided that he does not violate the laws and regulations which oblige him to comply with certain constraints and conditions relating to both the public interest and to the private interests of individuals. Therefore, the law prohibited any infringement or abuse causing harm to others under penalty of liability. There are two types of liability of the landowner: one by fault; it is based on the general rules of negligent liability and the sanction of which involves compensation for the damage by way of compensation. The other liability comes out of the ordinary case in which the owner is liable without fault. This is when he causes unusual damage to others and for which the law involves compensation which can only be by the removal of the unusual damage. [ABSTRACT FROM AUTHOR]

This article aims to determine the specificity of the notion of taḫyīl in ʿAbd al-Qāhir al-Ǧurǧānī's (d. 471/1078) work. We will attempt to define this rhetorical device and explain the rhetorician's interest in it. Taḫyīl consists in taking a word or sentence used in a figurative sense, in its literal sense. Although this definition is well-known, it remains uncertain in many respects (what is its decisive criteria? Is it a figure ?). To answer these questions, it is necessary to take into account the ethico-rhetorical frame of the question of the taḫyīl in al-Ǧurǧānī's work. It is first determined as a rhetorical misuse resulting from a deceptive syllogism, and then as a specificity of poetry: indeed, taḫyīl is not to be blamed only in poetry. We will show that taḫyīl should not be considered as a figure but as a topos (literally a "place," in Aristotelian rhetoric) used to overemphasize one's statement, i.e. to provide an excess of the assertion (mubālaġa fī l-iṯbāt). Résumé: Cet article vise à cerner la spécificité de la notion de taḫyīl chez ʿAbd al-Qāhir al-Ǧurǧānī (m. 471/1078), en en proposant une définition et en rendant compte de l'intérêt du rhétoricien pour ce procédé qui consiste à prendre au sens littéral un terme au sens figuré. Si cette définition minimale est bien connue, elle reste entourée de nombreuses incertitudes (quel est son critère décisif ? S'agit-il d'une figure ?). Pour répondre à ces questions, il est nécessaire de restituer le cadre éthico-rhétorique de la question du taḫyīl , qui commence par être déterminé comme mésusage rhétorique tenant du syllogisme fallacieux, puis comme le propre de la poésie : il n'y a qu'en poésie que le taḫyīl n'est pas blâmable. Nous montrerons que le taḫyīl est un lieu (topos) et non une figure ; « lieu de l'abus », parce qu'il consiste en une tromperie, à la faveur d'une infraction logique, au service d'un excès de l'affirmation (mubālaġa fī l-iṯbāt) – d'une affirmation pure. Que doit donc être cette poésie pour que le fondateur de la rhétorique arabe ait pu reconnaître dans le taḫyīl , lieu de l'abus, mésusage éthico-rhétorique, ce qui lui appartenait en propre ? C'est ce qui se dégagera au fur et à mesure que nous montrerons ce en quoi consiste l'illusion dont le taḫyīl est le nom. [ABSTRACT FROM AUTHOR]

Copyright of Romanian Review of Private Law / Revista Română de Drept Privat is the property of Universul Juridic Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To compare the feasibility of automated breast volume scanner automated breast ultrasound system (ABUS) and the traditional ultrasound (US) in measuring breast cancer size so as to evaluate their value in predicting breast cancer T staging. Methods We retrospectively recruited 60 women with breast cancer who had received US and ABUS. The maximal tumor diameter was measured as tumor size. Based on the actual postoperative tumor size in pathology, Bland-Altman analysis and intraclass correlation coefficient (ICC) were used to compare the values measured by US and ABUS. Then we made a preliminary study of the accuracy of US and ABUS in predicting breast cancer T staging. Results The best absolute agreement was shown between US and ABUS in measuring tumor size. Moreover, ABUS showed better agreement with histology than US [average difference (-1.09±3.61)mm vs. (-1.57±4.99)mm] with a higher ICC (0.93 vs. 0.86), especially for tumors which were more than 2cm. In addition, both US and ABUS could predict breast cancer T staging relatively accurately (82.1% vs. 87.5%). Conclusion Both US and ABUS showed good agreement with pathology in measuring tumor size. ABUS even outperformed US in assessing tumor size for tumors beyond 2 cm. Therefore, ABUS can be considered as an alternative to US in T staging of breast cancer. [ABSTRACT FROM AUTHOR]

Objective. In recent years, deep learning-based methods have become the mainstream for medical image segmentation. Accurate segmentation of automated breast ultrasound (ABUS) tumor plays an essential role in computer-aided diagnosis. Existing deep learning models typically require a large number of computations and parameters. Approach . Aiming at this problem, we propose a novel knowledge distillation method for ABUS tumor segmentation. The tumor or non-tumor regions from different cases tend to have similar representations in the feature space. Based on this, we propose to decouple features into positive (tumor) and negative (non-tumor) pairs and design a decoupled contrastive learning method. The contrastive loss is utilized to force the student network to mimic the tumor or non-tumor features of the teacher network. In addition, we designed a ranking loss function based on ranking the distance metric in the feature space to address the problem of hard-negative mining in medical image segmentation. Main results . The effectiveness of our knowledge distillation method is evaluated on the private ABUS dataset and a public hippocampus dataset. The experimental results demonstrate that our proposed method achieves state-of-the-art performance in ABUS tumor segmentation. Notably, after distilling knowledge from the teacher network (3D U-Net), the Dice similarity coefficient (DSC) of the student network (small 3D U-Net) is improved by 7%. Moreover, the DSC of the student network (3D HR-Net) reaches 0.780, which is very close to that of the teacher network, while their parameters are only 6.8% and 12.1% of 3D U-Net, respectively. Significance . This research introduces a novel knowledge distillation method for ABUS tumor segmentation, significantly reducing computational demands while achieving state-of-the-art performance. The method promises enhanced accuracy and feasibility for computer-aided diagnosis in diverse imaging scenarios., (© 2023 Institute of Physics and Engineering in Medicine.)

Copyright of Scientific Annals of the 'Al. I. Cuza' University, Iasi. Sociology & Social Work / Analele Stiintifice ale Universitatii 'Al. I. Cuza' Iasi Sociologie si Asistenta Sociala is the property of Alexandru Ioan Cuza University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Bulletin de la Société de Pathologie Exotique is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)