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B Thiebot

Publications and source records attributed to B Thiebot.

5 recordsLinked to original sources

Potential role of cattle egrets, Bubulcus ibis (Ciconiformes: Ardeidae), in the dissemination of Amblyomma variegatum (Acari: Ixodidae) in the eastern Caribbean.

The potential role of cattle egrets, Bubulcus ibis (L.), in the dissemination of Amblyomma variegatum (F.) in the eastern Caribbean was evaluated. The status of cattle egrets as hosts for A. variegatum in Antigua was determined during seven survey periods between September 1988 and May 1991. The mean prevalences of infestation by larvae and nymphs were 2.3 and 0.5%, respectively. The mean intensity and relative density of infestation by larvae were 8.8 (SD = 9.80) and 0.2 (SD = 0.28), respectively. Cattle egrets examined in Guadeloupe during February-March 1991 were not infested but 5.9% were infested by larvae during June-July 1991. Interisland movement of cattle egrets was evaluated relative to emigration of birds captured and marked in Antigua and Guadeloupe. During this aspect of the study, 1,129 cattle egrets were captured, marked, and released. Of 195 sighting reports received, 56 were determined to be independent sightings. Emigration of cattle egrets included movement of birds marked in Antigua or Guadeloupe to 14 Caribbean islands and the Florida Keys. Interisland movement occurred in each of the discrete observation periods during the 3-yr study period. The rate of emigration per period ranged from 1.2 to 12.9%. That cattle egrets served as hosts for immature A. variegatum in the eastern Caribbean and moved between islands in the region demonstrates that these birds could serve as disseminators of the tick. Estimates of the numbers of infested cattle egrets emigrating from Antigua and Guadeloupe ranged from 0 to 0.24% of the current populations.

Animals↗

[Neurotrophic ulcerations in the area of the trigeminal nerve in Wallenberg's syndrome].

We report two new cases of neurotrophic ulceration of the trigeminal nerve associated with Wallenberg syndrome, and we present the six cases published since the first description of the neurologic syndrome, in 1895. This peculiar etiology supports the argument for the dominant physiopathologic hypothesis: ulcerations due to multiple microtraumatisms caused by the thermoalgic anesthesia.

Aged↗

[Evaluation of the diagnosis of pigmented tumors of the skin and factors leading to a decision to excise. Dermatologists of the Postgraduate Association of Haute-Normandie].

INTRODUCTION: The necessity of excising melanomas characterized by a slight thickness at an early stage, leads dermatologists to remove pigmented lesions which do not correspond to melanomas. The aims of this study were: a) to prospectively assess the accuracy of melanoma diagnosis, b) to quantify the number of excisions performed according to the degree of melanoma suspicion, c) to determine the specific clinical sign or signs of relevant diagnostic value. PATIENTS AND METHODS: This study was conducted prospectively from January 1996 to August 1997 by dermatologists in private practice and dermatologists from a University Hospital staff. When it was decided to excise a pigmented lesion, a form was filled out choosing the most appropriate clinical diagnosis, the degree of melanoma suspicion, and clinical signs which lead to surgery. Based on histological findings as the reference, the sensitivity, specificity, accuracy of melanoma diagnosis and the kappa test that evaluates the concordance between clinical and histological diagnosis, were performed. The diagnostic value of clinical signs was assessed by variance analysis. RESULTS: Of the 353 excised lesions, 38 (10.7 p. 100) were identified as melanoma on histologic examination. The sensitivity, the specificity and diagnostic accuracy were: 79 p. 100, 94 p. 100 and 53 p. 100 respectively. The kappa test concordance between clinical and histological diagnosis was 0.66. Two hundred and two lesions (57 p. 100) were excised even though the clinical suspicion of melanoma was poorly considered. Only one of these 202 lesions was identified histologically as a true melanoma. Thirty seven (24.5 p. 100) of the 151 remaining excised lesions with an "average" or "strong" suspicion were true melanomas. The clinical signs considered, alone or associated, had a poor predictive positive value (< 38 p. 100). An analytical approach performed with a logistic model permitted the identification of two associated signs suggesting a best diagnostic value. DISCUSSION: This is the only study, to our knowledge, reported in the literature which prospectively assesses the sensitivity, specificity and concordance between clinical and histological diagnosis of melanoma. Results were considered from average to good. The originality of this study was to assess the number of pigmented lesions excised according to the degree of melanoma suspicion, suggesting the possibility of reducing the number of nevi removed when the melanoma risk was considered clinically poor. Finally, this study emphasizes the limits of clinical semiology and the need for future diagnostic methods in the assessment of melanoma.

Adult↗