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Biomedical subjects

M Mesbah

Publications and source records attributed to M Mesbah.

33 records · Page 2Linked to original sources

Association between criminality and psychosis: a retrospective study of 3984 expert psychiatric evaluations.

This study reports on 3984 expert psychiatric evaluations in eastern Algeria over a period of 23 years. Factors associated with different types of crimes or misdemeanors, particularly those associated with a diagnosis of psychosis in the case of a homicide or attempted homicide committed by male subjects are described. Among the 1007 cases of homicide and attempted homicide, the diagnosis of psychosis was made 200 times (19.9%). Psychotic subjects were older, more likely to have a previous psychiatric history, less likely to come from very large families, and less likely to have been raised by both their parents.

Adult↗

[Internal validation of a measurement scale: relation between principal component analysis, Cronbach's alpha coefficient and intra-class correlation coefficient].

The objective is to establish a simple relationship between two frequently used validation techniques which have been developed in the literature along the same lines: Principal Component Analysis and Cronbach's alpha. We have shown that under certain conditions, it is possible to estimate the reliability by using the results of a Principal Component Analysis only. Moreover, we report the relation between Cronbach's alpha and intraclass correlation coefficient, which are both used to estimate the reliability of continuous measures.

Data Interpretation, Statistical↗

Foot and eye preferences in adults: relationship with handedness, sex and age.

Age, sex, and handedness effects in foot and eye preferences were studied by questionnaire in large samples of normal adult populations from five different countries (total sample, n = 5064). Foot and eye preference were significantly associated with handedness category (right or left) in all the 10 sex by country samples for foot, and in 9/10 samples for eye. The overall frequencies of crossed preferences were 5% between hand and foot and 19.5% between hand and eye. In right-handers, a gradual shift toward the "right" with increasing age was systematically observed, both for footedness and eyedness. The proportion of crossed hand-foot preference was higher in men than women (7.4% vs 2.5%), and higher in left-handers than right-handers (16.3% vs 4.1%). Sex differences in the proportion of crossed hand-eye preference were variable from one country to the other.

Adolescent↗

Age and cohort effects in adult handedness.

A systematic increase with age of the strong right-handers/mixed right-handers ratio, in normal adults, was found in Algeria, Greece, Italy, France and Spain. This age effect on adult handedness is not easily explained by variations in the social pressure against left-hand use, differential mortality, or information bias. There was no systematic decrease in the frequency of left-handedness with age. Left-hand writing among left-handers was common in the youngest age group and rare after 40 years of age.

Adolescent↗

[Validation in the French language of an evaluation scale for family functioning (FACES III): a tool for research and for clinical practice].

Valid and reliable scales are necessary to describe the numerous factors associated with health status. Multiple studies have shown the impact of familial factors, i.e. family functioning (FF) on health indicators. As no scale exists in french to assess FF, we performed a study to validate the Family Adaptability and Cohesion Evaluation Scale (FACES III, Olson et al.) in french. This scale has a high level of validity and reliability and has been widely used. After 2 translations and back-translations and a pilot study to establish face validity, the final version was studied in 976 healthy subjects (457 families) who attended a preventive medical center in Nancy, France. Parents and adolescents each filled out two 20 item self-administered questionnaires. There were few missing values (0-3% per item). Construct validity was assessed by principal component factor analysis, which found the same two individualized axes as in the original scale. The reliability of the french version was excellent and comparable to Olson's scale. This study demonstrates the validity and reliability of a french version of FACES III in a french population. It provides researchers and clinicians in France with a validated instrument for assessing, in a quantified way, factors associated with family functioning that influence health status in adults, adolescents and children, particularly those with chronic diseases. This scale is especially useful for developing and evaluating health programs.

Adolescent↗

Aniline blue staining as a marker of sperm chromatin defects associated with different semen characteristics discriminates between proven fertile and suspected infertile men.

A retrospective study of 49 men with proven fertility and 396 suspected infertile men was conducted with the primary objective of investigating the relationship between the nuclear maturity of sperm and male fertility. Acidic aniline blue staining was used to detect chromatin defects of sperm nuclei related to their nucleoprotein content as associated with DNA. The discriminant value of the percentage of unstained nuclei (= percentage of mature heads, MH) and of other semen characteristics, was analysed by a stepwise (forward) linear regression model. Semen characteristics that discriminated significantly between the two groups of subjects were, in descending order: (1) the percentage of normal sperm, (2) the percentage of amorphous heads, (3) the percentage of tapered heads, (4) semen volume, and (5) the percentage of MH. The discriminant value of each of the significant characteristics was studied by means of ROC-curves. MH had the best ROC-curve profile; its cut-off value was found to be equal to 70% (74.5 +/- 2.6% for the donor group versus 53.0 +/- 1.1% for the patient group). A simple infertility score (SIS) including MH, was built according to the cut-off values inferred from the ROC-curves. SIS allowed an overall satisfactory separation of the two groups (less than or equal to 4 = fertile, 5-6 = uncertainty zone, greater than 6 = infertile). Our results indicate that the addition of the evaluation of sperm head maturity to routine semen analysis improves the assessment of fertility in men.

Aniline Compounds↗

Measurement of deoxyguanosine/thymidine ratios in complex mixtures by high-performance liquid chromatography for determination of the mole percentage guanine + cytosine of DNA.

The ratio of deoxyguanosine and thymidine can be determined in a complex mixture containing the major ribonucleosides and deoxynucleosides, the minor deoxynucleosides, and the nucleotide monophosphates by high-performance liquid chromatography. The isocratic procedure utilizes a C18 column and a solvent of methanol-triethylamine phosphate (pH 5.1). A single analysis requires 15 min. Within the range of 0.5-1.5 micrograms of total deoxynucleosides per sample, the determination is very precise and the relative standard deviation is about 0.1%. From the deoxyguanosine/thymidine ratio, a precise determination of the mole percentage guanine + cytosine of double-stranded DNA is calculated.

Archaea↗

Pseudoauxotrophy of Methanococcus voltae for acetate, leucine, and isoleucine.

Methanococcus voltae is a methanogenic bacterium which requires leucine, isoleucine, and acetate for growth. However, it also can synthesize these amino acids, and it is capable of low levels of autotrophic acetyl coenzyme A (acetyl-CoA) biosynthesis. When cells were grown in the presence of 14CO2, as well as in the presence of compounds required for growth, the alanine found in the cellular protein was radiolabeled. The percentages of radiolabel in the C-1, C-2, and C-3 positions of alanine were 64, 24, and 16%, respectively. The incorporation of radiolabel into the C-2 and C-3 positions of alanine demonstrated the autotrophic acetyl-CoA biosynthetic pathway in this bacterium. Additional evidence was obtained in cell extracts in which autotrophically synthesized acetyl-CoA was trapped into lactate. In these extracts, both CO and CH2O stimulated acetyl-CoA synthesis. 14CH2O was specifically incorporated into the C-3 of lactate. Cell extracts of M. voltae also contained low levels of CO dehydrogenase, 13 nmol min-1 mg of protein-1. These results further confirmed the presence of the autotrophic acetyl-CoA biosynthetic pathway in M. voltae. Likewise, 14CO2 and [U-14C]acetate were also incorporated into leucine and isoleucine during growth. During growth with [U-14C]leucine or [U-14C]isoleucine, the specific radioactivity of these amino acids in the culture medium declined, and the specific radioactivities of these amino acids recovered from the cellular protein were 32 to 40% lower than the initial specific radioactivities in the medium. Cell extracts of M. voltae also contained levels of isopropyl malate synthase, an enzyme that is specific to the leucine biosynthetic pathway, of 0.8 nmol min-1 mg of protein-1. Thus, M. voltae is capable of autotrophic CO2 fixation and leucine and isoleucine biosynthesis.

Acetates↗

Telephone versus face to face interviewing as a means of collecting data relevant to the management of diabetes among general practitioners in France: a randomized design.

Successful patient education requires planed programs with specific target populations. As general practitioners see 85% of noninsulin-dependent diabetics in France, this study was designed to test the feasibility of the telephone as a method for data collection within the context of a random sample of general practitioners in the Paris region. In addition, data were collected assessing physician's perceptions of various barriers and facilitators to the management of this illness. The study demonstrated the feasibility of phone interviews among general practitioners, as no significant differences were found in response rates or for any single variable collected on the telephone versus "face-to-face". Treatment patterns were described and results indicated that 77% of general practitioners agreed to participate in a subsequent study and, of these 93% agreed to the participation of their noninsulin-dependent patients.

Data Collection↗

Management of type 2 diabetes mellitus in France: attitudes and practices among a representative sample of general practitioners.

PURPOSE: Medical knowledge regarding chronic illness has increased in recent years. Critical gaps in our understanding of the educational factors necessary to change the clinical aspects of most diseases remain. The role of the general practitioner, the primary care provider, in the delivery of educational interventions has not been clearly defined. METHODS: For the first phase in the educational diagnosis of Type 2 diabetic patients treated by general practitioners in France, a stratified random sample of 8% of general practitioners was drawn; 70% agreed to be interviewed. RESULTS: Demographic characteristics of physicians were comparable with previous studies. Physicians accepted the seriousness of the disease. 75.9% devoted at least as much time to the psychological as to the somatic aspects of the disease. 74.7% reported using a co-active approach with patients, permitting the use of more innovative educational strategies. Logistic regression analysis indicated that the ages of the physicians and patients, inclusion of the family, the number of patients seen, and the perception of patients as compliant were predictive of the co-active approach. CONCLUSIONS: The overwhelming proportion of physicians who use the co-active approach was the single most important factor in the development of an educational intervention where the general practitioner serves as the primary, continuous reinforcer for long-term behavior change. This program is currently being tested in a randomized clinical trial among general practitioners in France.

Attitude of Health Personnel↗