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Biomedical subjects

M Huss

Publications and source records attributed to M Huss.

8 recordsLinked to original sources

[A difficult diagnosis: pelvic-abdominal actinomycosis abscess].

A laparotomy for hysterectomy was performed in a 46-year-old nulliparous woman who had worn an intra-uterine sterilization device for 8 years. The patient was in poor general health and had had abdominal pain and repeated episodes of fever over the preceding 3 months. An abscess of the abdominal muscle was found peroperatively. No perforations of the small or large intestine were observed. The pathology examination yielded the diagnosis of Actinomycosis. Actinomyces israeli is the most frequency observed Actinomycae in humans. It is a saprophyte organism of the intestinal flora, not usually found in the vagina and observed in 3.5% of cervical swabs of patients wearing an intra-uterine device (Gupta bodies). The frequency increases with the duration of insertion and the pathogenicity appears when the immune responses are deficient and/or when a cofactor is involved. Treatment relies on surgical exeresis and prolonged antibiotics (penicillin G or macrolides). Hyperbar treatment is sometimes used.

Abdominal Muscles

[Drug addiction and pregnancy].

In drug-addicted women pregnancy is always at risk and difficult to supervise owing to the social and psycological profiles of these women. At the moment, we are dealing in France mainly with pregnancies that occur in heroin addicts and frequently have the following complications: lack of follow-up, prematurity, short child stature, infections (notably HIV infection) and weaning syndrome in the newborn. Due to improvements in the management of these patients, the neonatal mortality has been considerably reduced and has become exceptional. In the USA the number of pregnancies occurring in cocaine addicts has increased, and complications similar to those of heroin addicts have been observed, particularly with crack. It is not impossible that we might soon be confronted with this type of drug addiction.

Female

[Coping in the family context: active and avoidance strategies in adolescents from divorced families].

Studies on children's response to divorce have mainly emphasized negative psychological sequalae such as poor social adjustment and emotional disorders. In many studies children's coping strategies were important moderator variables. In a meta-analysis, Suls and Fletcher (1985) found better short-term outcomes related to avoidant coping. On the long run, however, active strategies were better off. To date, little is known about family climate influences on adolescents' coping. In the current study, 128 children (62 girls, 66 boys) from German middle class families were observed 6 months, 1, 2, and 7 years after the divorce of their parents. At the time of divorce their mean age was 14,8 years (SD = 2,5). The models presented in this article are based on 39 adolescents (17 girls, 22 boys) for whom complete data were available. The study relates adolescents' coping strategies to measures of family functioning, as assessed through Family Environment Scale (Moos 1974). Coping strategies were assessed by Ways of Coping (Lazarus 1980), Impact of Event Scale (Horowitz 1979), and Stressverarbeitungs-Fragebogen (Janke 1985). Results, analyzed with LISREL models, indicate that supportive family climate, operationalized by openness and control, are good cumulative predictors for active coping. In a second model constraining family climates predicts avoidant coping in adolescents. Clinical implications are discussed.

Adaptation, Psychological