Identifying the barriers and facilitators for homeless people to achieve good oral health.

Objective: A qualitative exploration of the barriers and facilitators for people experiencing homelessness achieving good oral health.

Participants: Adults using two homeless centres in Leeds.

Methods: Focus group discussions were convened with homeless people using support services.

[Isolated carcinoid tumor of the ovary disclosed by tricuspid insufficiency].

A 68-year old woman was hospitalised because of isolated right heart failure. Doppler echocardiography revealed severe tricuspid regurgitation with thickened, shortened, hypomobile leaflets. Pulmonary valve was thickened with mild pulmonary regurgitation.

[Resistance to activated protein C and portal vein thrombosis: two new cases and review of the literature].

Introduction: Resistance to activated protein C is the most common inherited factor at the origin of deep venous thrombosis. As portal vein thrombosis is rare, causes such as cirrhosis, intra-abdominal infection, primary hepatocellular carcinoma, myeloproliferative disorders or coagulation abnormalities must be investigated.

Exegesis: We report two cases of portal vein thrombosis associated with resistance to activated protein C.

[Pure epicarditis after surgical repair of atrial septal defect: a rare form of constrictive pericarditis. Apropos of a case].

The authors report a case of constrictive pericarditis occurring two years after surgical repair of an atrial septal defect in a 37 year-old-man. The diagnosis was made by right heart catheterisation and magnetic resonance imaging. The special feature of this clinical case was the exclusive localisation of the fibrosis on the visceral pericardium or epicarditis.

[Aneurysm of the interatrial septum with atrial septal defect, disclosed by pulmonary embolism complicated by paradoxical embolism].

The authors report the case of a patient admitted to hospital for bilateral phlebitis of the lower limbs, associated with an atrial septal defect. The presence of significant pulmonary hypertension accounted for the paradoxical embolism by inversion of the intracardiac shunt. No recurrence has been observed with a follow-up of six months on anticoagulant treatment.