Publications by authors named "Penaud A"

Tuberous breasts are defined by a shape anomaly, in certain relatively rare situations, patients are satisfied with the volume and only ask for a shape correction without increase or decrease. They may also be very young girls in whom the indication for implantation of a prosthesis could be premature or who do not have sufficient fat reserves for fat transfer. We discuss the different possible techniques and we propose a simple technique, relatively fast, easily reproducible whatever the experience of the surgeon, without vascular complications in our experience due to the absence of skin detachment, with a satisfactory and stable result in the time.

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To evaluate the stability and resilience of coastal ecosystem communities to perturbations that occurred during the Anthropocene, pre-industrial biodiversity baselines inferred from paleoarchives are needed. The study of ancient DNA (aDNA) from sediments (sedaDNA) has provided valuable information about past dynamics of microbial species and communities in relation to ecosystem variations. Shifts in planktonic protist communities might significantly affect marine ecosystems through cascading effects, and therefore the analysis of this compartment is essential for the assessment of ecosystem variations.

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The Holocene period (last 11,700 years BP) has been marked by significant climate variability over decadal to millennial timescales. The underlying mechanisms are still being debated, despite ocean-atmosphere-land connections put forward in many paleo-studies. Among the main drivers, involving a cluster of spectral signatures and shaping the climate of north-western Europe, are solar activity, the North Atlantic Oscillation (NAO) varying atmospheric regimes and North Atlantic oceanic gyre dynamics.

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The high-time resolution (∼70 years in average) multi-proxy analysis conducted on the mid-shelf core CBT-CS11 (47°46.429'N; 4°25.308'W; 73 m depth; 3.

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The rapeseed crop () has to cope with fungal diseases that significantly impacts yields. In particular, the fungal pathogen , the causal agent of blackleg disease (also named Phoma stem canker), is a worldwide issue to this crop. Considering environmental concerns, it is essential to propose alternative natural compounds for rapeseed crop protection to reduce chemical fungicide use.

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Rapid changes in ocean circulation and climate have been observed in marine-sediment and ice cores over the last glacial period and deglaciation, highlighting the non-linear character of the climate system and underlining the possibility of rapid climate shifts in response to anthropogenic greenhouse gas forcing. To date, these rapid changes in climate and ocean circulation are still not fully explained. One obstacle hindering progress in our understanding of the interactions between past ocean circulation and climate changes is the difficulty of accurately dating marine cores.

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Subject: The distal third of the leg, ankle and foot is an anatomical region where reconstructive surgery is difficult and many flaps are described. The authors describe their own experience in the reconstruction of this anatomical region using the gracilis muscle free flap.

Methods: From January 2009 to April 2012, the authors operated 32 patients for reconstructive surgery of the distal third of the leg, ankle or foot using a free gracilis muscle flap.

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Background: Coverage of tissue defects of the lower limbs is a complex problem. Free gracilis muscle flap is a reliable surgical technique and the morbidity of its donor site is considered as minimal. Our retrospective study involved all patients who underwent a free gracilis muscle flap in a reconstructive surgery of the lower limb.

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Background: Cosmetic breast augmentation is becoming increasingly popular and acceptable to women in France. This prospective and multicenter study aims to investigate whether breast augmentation surgery for aesthetic purposes leads to improved body image, self-esteem, depression problems and sexuality. We also sought to analyze the sociodemographic profile of woman who underwent this surgery.

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Subject: Although cement burns represents only a small percentage of admissions to burn centers, their diagnosis and treatment are specific. Our retrospective study concerns all patients treated for cement burns in our unit between 1999 and 2009. This is the largest series described.

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Introduction: Hand injuries have major psychological, social and professional repercussions. Treatment of burned hands is suggested to be early and optimal to avoid catastrophic consequences and allow social and professional rehabilitation. Our study analyses the long-term results obtained with Integra(®), a dermal substitute used for the treatment of deep burns of the hands.

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Objectives: Posterior interosseous nerve palsy is a rare syndrome frequently unrecognized, while the clinical presentation is characteristic: finger extension paresis associated with wrist extension in radially deviated position. Here, we assessed our results of surgical treatment.

Methods: A 20-year retrospective study was carried out in our unit.

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Introduction: Ischiatic pressure sore is a common pathology of the paraplegic patient. Usually treated after medical therapy, with fasciocutaneous or musculocutaneous local flaps, despite this treatment the recurrence rate is high. Sclerotherapy, injection of pure ethanol in the cavity of the pressure sore could be an interesting solution in the armentarium of the plastic surgeon in some indications.

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The E test was compared to the reference NCCLS broth macrodilution method for susceptibility testing of Candida (Torulopsis) glabrata. The MICs of amphotericin B, flucytosine, fluconazole and itraconazole were determined using the appropriate culture media (RPMI 1640 agar with 2% glucose, Casitone agar or Antibiotic Medium 3 agar) according to the drug tested. Agreement between the two methods was within plus/minus two dilutions for 77-100% of test results, according to the drug/medium combination.

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The antifungal susceptibility of 35 Candida lusitaniae isolates was determined in vitro by the National Committee for Clinical Laboratory Standards (NCCLS) M27-P macrodilution methodology. All the isolates were susceptible to ketoconazole, itraconazole and fluconazole. Of the 35 isolates, eight (23%) were resistant to flucytosine.

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Report of a case of rare anuria in a newborn, secondary to bilateral ureteropelvic fungus balls obstruction. Urinary decompression by bilateral nephrostomy associated to Ketoconazole therapy allowed recovery.

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The description of a case imported from Chad of an association of Salmonella typhi - Schistosoma haematobium and, in this connection, a new revised general account. The association Salmonella-Schistomas is wide-spread. It corresponds to a salmonello - schistosomo - micro - association by the fixation of precise bacteria in the case of a bacteriemia on the cutaneous surface of male schistosomes in clearly defined places.

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The authors sum up the principal morphological, biological and ecological characteristics of the human lice. Moreover they recall the therapeutic and prophylactic measures which could be used against them, and they bring to mind their "in vitro and in vivo" research technics on comparative effectiveness of certain insecticides against head lice.

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The effect of Paragerm spray from either a hand pressurized can or from a general room mist device (MCR device) on mattress mite populations was compared with the effect of a control spray. After 1 month a reduction in mite population due to the cleaning procedures was evident in the control treated mattresses; Paragerm treated mattresses had significantly fewer mites, notably those treated with the aerosol can spray, nine out of fifteen of which were mite free. Dissection of the mattresses showed that some mites survive and they could form the nucleus from which reinfestation could occur.

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