Ultimate journey of the terminally ill: Ways and pathways of hope.

Objective: To better understand the role of hope among terminally ill cancer patients.

Design: Qualitative analysis.

Setting: A tertiary specialized cancer centre in Canada.

Characteristics of Sexually Abused Children and Their Nonoffending Mothers Followed by Child Welfare Services: The Role of a Maternal History of Child Sexual Abuse.

Considering the importance of mother's support in the adaptation of a sexually abused child, it is relevant to determine if the mothers and children involved in an intergenerational cycle of child sexual victimization differ from dyads in which only the child has been abused. The purpose of this study was to compare mother-child dyads with sexually abused children according to whether the mother had herself been victim of child sexual abuse. The sample included 87 dyads with sexually abused children aged 3-18 years old and their mothers (44 reporting maternal and child abuse), followed by social welfare services of the province of Quebec (Canada).

Citizenship and withdrawal in the workplace: relationship between organizational citizenship behavior, intention to leave current job and intention to leave the organization.

This study investigates the relationship between organizational citizenship behavior (OCB) and employee intention to leave the organization and current job using a sample of French employees. A survey was sent to 1,200 alumni of a business school in France. Participation in the study was voluntary.

Assessing organizational citizenship behavior in the French context: evidence for the four-dimensional model.

Although researchers have extensively studied organizational citizenship behavior (OCB) in the U.S. context, OCB measurement has received relatively limited attention in other contexts, specifically in the French-language context.

Primum non nocere: could the health care system contribute to suffering? In-depth study from the perspective of terminally ill cancer patients.

Objective: To explore terminally ill patients' perceptions of their own suffering in order to describe, from these patients' perspective, some elements of health care providers' response to suffering.

Design: Qualitative study using content analysis methods suited to a grounded theory approach.

Setting: Teaching and nonteaching hospital oncology clinics, palliative care services (both ambulatory and in-unit), and family practices.

The nature of suffering and its relief in the terminally ill: a qualitative study.

The essential mandate of medicine is the relief of suffering. However, the quest for an integrated model towards a conceptualization of suffering is still ongoing and empirical studies are few. Qualitative inquiry using 31 in-depth interviews and content analysis was carried out between 1999 and 2001 in 26 patients diagnosed with terminal cancer.

[Giant uterine leiomyoma and pregnancy. Clinical, radiologic, unusual histopathologic aspects].

The authors report a case of uterine leiomyomas diagnosed during the first trimester of pregnancy. The most unusual presentation of this observation did not allow any diagnosis through clinical exam, either by sonographic and X ray technics (magnetic resonance imaging, computer tomography) or by the classical histological study. The intra abdominal tumors compatible with imagery are argued: ovarian cyst, gelatinous disease of the peritoneum, desmoid tumor, lymphoma, lymphangiomyoma.

[Calcified thrombus of the inferior vena cava. Apropos of a case].

A case of calcified thrombus in the inferior vena cava discovered in child during the screening of a scoliosis is presented. Standard X-rays demonstrate the calcification and allow the diagnosis of calcified thrombus. Ultrasound, if necessary, can be performed.

[Multiple leiomyosarcoma of the small intestine. Apropos of a case].

The authors report a case of multiple leiomyosarcomas of the small intestine, which is a very exceptional entity. After reviewing the pathological features and the distribution of leiomyosarcomas, they present the radiological and especially the computed tomographic findings of this type of tumour. They stress the difficulty of the differential diagnosis both in the solitary forms and in the exceptional multiple forms.

Computed arthrography: its role in the screening of joint diseases in pediatric radiology.

The purpose of this study was to analyse the accuracy of combined arthrography and computed tomography in pediatric radiology. 23 patients were selected and the joints studied (n = 25) were: elbow (1), shoulder (2), knee (8) and hip (14). The contribution of computed arthrography varies according to the joint and the disease concerned.

[Subacute or initially chronic osteomyelitis in children. A series of 17 cases].

17 cases of subacute or at once chronic osteomyelitis are shown. At this occasion, an analysis of epidemiological, topographical, clinical and bacteriological data is given. An immunological study has been made in 5 cases: diagnosis is difficult at all stages.