[Assessment oral hygiene. CBO's assessment study of the year].
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Biomedical subjects
Publications and source records attributed to A Castermans.
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The present study was designed to analyse the evolution of student populations--undergraduates and graduates--in the 11 Belgian medical schools from 1969 to 1982. During this period, an overall 44% drop in the number of entrants was observed, while the number of medical graduates continued to rise until 1977, when it stabilized. French- and Flemish-speaking universities followed a similar trend. During the period under study, the proportion of women students virtually doubled from 25 to 44%. The total success rate averaged 39% for Belgian students and 24% for foreigners. By comparing success curves over the years, the various medical faculties were rated with a 'selectivity' score, indicating those significantly different from the national average. A separate classification was made for preclinical (3 years of 'Candidature') and clinical (4 years of 'Doctorat') phases since, among the 11 Belgian medical schools, four teach only preclinical subjects. Marked differences in failure rates were observed between candidature and doctoral education even within universities.
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Three groups of extensive burn patients of the surgical intensive care unit (ICU) have been compared: Group I: twenty patients, who were treated locally without silver sulfadiazinate (1968-1970); Group II: the twenty first patients topically treated with silver sulfadiazinate (1970-1972); Group III: twenty similarly treated patients, with silver sulfadiazinate, six years later (1976-1977). The groups are statistically comparable. All bacteriological samples were computerized; the chi-square method was used for statistical analysis of the data. The main conclusions are: (A) Silver sulfadiazinate treatment reduced Pseudomonas aeruginosa and Proteus sepsis. No change in Coliform bacilli sepsis was observed. After six years, a rise in Klebsiella sepsis and Candida sepsis was noted. (B) A quantitative estimate of infections in each group was made by measuring the percentage of positive samples, taking into account the five above-mentioned strains. In the beginning, silver sulfadiazinate reduced quantitative sepsis, but this benefit decreased after six years; the same evolution was demonstrated for positive blood bacteriology; severe septicaemia showed a parallel pattern.
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No significant differences are found among the different groups. Some of the observed minor differences between the cleft and the control groups may be the result of sampling error. Our findings are not surprising because our cleft patients have no other congenital anomalies. Indeed aberrant dermatoglyphic patterns are found mainly in generalized dysmorphogenesis, such as in chromosomal syndromes, rather than in isolated congenital malformations, exception being made of course for congenital malformations of the hand itself.
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During the course of 1973, 14 patients affected by primary skin melanoma were treated with surgery and adjunctive immunotherapy. This comprized preliminary non specific treatment with 2 - 4 di-nitrochlorobenzene (DNCB) followed by wide excision. Pathological examination of melanomas thus treated essentially shows dysruption of tumoral masses by lymphoplasmocytic strands. Significant increase in 19S (IgM) is observed after immunotherapy. Though follow-up perspective is insufficient, all patients following this therapeutic protocole are in apparent complete remission.