Distributed intelligent medical assistant for osteoporosis detection.

This paper describes a distributed knowledge-based system managing medical image processing programs to assist physicians in establishing image analysis protocols. We rely on program supervision techniques that aim to automatically plan and control complex software usage. Our main contribution is to allow physicians who are not experts in computing to efficiently use various osteoporosis detection programs in a distributed environment.

[Cytomegalovirus cystitis and AIDS. The value of deep bladder biopsy. Apropos of a case].

In the light of a case of CMV cystitis in an HIV 1-sero-positive patient suffering from disabling bladder pain, refractory to the usual treatments, the authors describe the mechanism of infection, the diagnostic approach, and especially the value of deep bladder biopsies by resection, as the endoscopic appearance is not pathognomonic and CMV was only detected in the deep muscle layer.

[Pulmonary involvement of Bourneville's tuberous sclerosis. The value of early detection. A familial form].

Pulmonary disease is very rare during the course of tuberous sclerosis of Bourneville (STB). The authors report two cases of STB with pulmonary involvement occurring in the same family, mother and daughter. Both presented with typical cutaneous manifestations of the disease and bilateral renal angiomyolipomas.

[Hemoptysis disclosing a plasma cell granuloma with intra-bronchial involvement].

The authors report a case of a plasma cell granuloma in a young woman of 19 with a past history of congenital rubella, presenting with repeated small haemoptyses related to a pedunculated endo-bronchial tumour. The diagnosis was only made per-operatively, permitting an effective excision.

[Prolonged mechanical nasal ventilation. Apropos of 27 case of myopathy].

We report the results of a retrospective study of a group of 27 patients with a myopathy who were ventilated at home using a nasal mask over a period of 5 years. Twelve patients were ventilated in a preventive fashion before any orthopaedic surgical intervention and 15 out of necessity because of respiratory failure and/or hypercapnia. There was a statistically significant improvement in the PaO2 while the PaCO2 remained stable.