Parental and Child Diagnosis Storytelling and Self-Image in French Children With Cleft lip With or Without Cleft Palate.

Objective: Psychosocial adjustment can be challenging for children with cleft lip with or without a cleft palate (CL ± P). Previous studies have linked social integration with self-acceptance and highlighted the impact of the parents' stress on self-acceptance. Teasing can be linked to children having difficulties explaining their diagnosis to others.

The Prevalence of Social Withdrawal in Infants With Cleft Lip and Palate: The Feasibility of the Full and the Modified Versions of the Alarm Distress Baby Scale.

Background: Social withdrawal is a risk indicator for infant development with both organic and non-organic causes. Cleft lip and palate (CLP) impose a higher risk of physical and emotional distress in infants and alters parent-infant relationships. The ADBB scale is a screening tool to identify social withdrawal as a sign of distress in infants.

The impact of having a baby with cleft lip and palate on parents and on parent-baby relationship: the first French prospective multicentre study.

Background: The objective of this prospective, multidisciplinary and multicenter study was to explore the effect of a cleft lip, associated or not with a cleft palate, on parents, on parent-infant relationship, and on the baby's relational development. It also highlighted how the type of cleft and the timing of the surgery could impact this effect.

Method: 158 infants, with Cleft lip with or without Palate, and their parents participated in this multicenter prospective cohort.

[Facial dog bite injuries in children: retrospective study of 77 cases].

Introduction: The face is the area most vulnerable for dog bites in children. Surgical management is an emergency to prevent infection, functional and aesthetic outcomes. The aim of this study was to define a new gravity scale, and to determine a prevention policy.

[Anatomic study of the right ventricular inferior wall. Search for the optimal site for implanting epicardial pacing electrodes].

The inferior wall of the right ventricle was studied to determine the optimal site of implantation of epicardial pacing electrodes. The hearts of 10 patients without cardiac disease, aged 57 to 84 years, who died in Broussais hospital, were studied. The hearts were washed, weighed (300 to 550 g) and placed in a formol solution to which was added half its volume of Larsen's solution.

[Severe postoperative heart blocks appearing late. 16 cases].

Sixteen patients, aged 4 to 42 years, operated for congenital heart disease, presented, months or years after surgery, complete atrioventricular (11 cases) or sinoatrial block (5 cases). Six patients had transient complete atrioventricular block in the immediate postoperative period, the maximum duration of which was less than 30 days. The late postoperative period was defined as at least 6 months after surgery.

[Incidence of hyperuricemia in atrioventricular block. Systematic study of 158 cases which required implantation of an isotopic cardiac pacemaker].

This is a study of 158 patients in whom the placement of an isotopic cardiac pacemaker was indicated; this procedure was carried out Broussais Hospital between 1970 and 1975. These patients, whose mean age was 39 (84 males, 47 females, 12 young men and 15 young women) were examined for uricaemia, and the levels compared with the mean for control population. The results were as follows: 91% had uricaemia at a level higher than the controls.

[Isotop cardiac pacemaker during pregnancy. 3 cases].

The authors report three cases of full term pregnancies, without complications, in women with isotopic pacemakers. The newborn infants were normal. In one case, pregnancy occurred in a patient who already had a pacemaker.

[Occurrence of hyperuricemia in atrioventricular block. (Results of a study of 158 patients with isotopic pacemaker implantations)].

The frequency of hyperuricemia is high in these patients with heart block, whose mean age is 39. 91% have serum uric acid levels above the normal range and 61% present "hyperuricemia," according to "gouty risk" criteria. The mean uric acid level, before surgery, of the patients whose total heart block follows "open-heart" is the highest in our statistics.

[Course of telesystolic mitral insufficiency. Apropos of a case followed for 7 years and operated on].

One case followedup for 7 years with progressive intensification of regurgitation, requiring a surgical operation at the age of 48 years, brings its contribution to knowledge of the natural history of late systolic mitral incompetence and of the anatomical lesions causing it. The presence of prolapsed posterior leaflet, of stretched chordae tendinae, of both septal and parietal muscle hypertrophy with biloculation of the ventricular cavity were suggested by angiocardiography and confirmed by operation. A review of the literature reporting the cases with operative or post-mortem verification poses the unresolved question of the diagnostic criteria of late systolic mitral incompetence at the stage of cardiac failure.