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S Jmel

Publications and source records attributed to S Jmel.

3 recordsLinked to original sources

[Linear factor analytic models for reliability analysis of composite variables].

BACKGROUND: Confirmatory factor analysis allows testing whether a composite variable may be considered as a reliable measure of a psychological attribute which is defined within a population. METHODS: Models for parallel, tau equivalent and congeneric measurements are presented along with their reliability coefficients. RESULTS: When the variables are not tau equivalent, the averaged inter-item correlation should be preferred to coefficient alpha, which is not an estimator of the reliability of the corresponding data. As a rule, interpretation of a coefficient as a reliability coefficient requires that the corresponding structural model of the composite be known. Beyond unidimensionality, simultaneous analysis of several congeneric variables through the use of cross-sectional or longitudinal hierarchical models entails fragmenting the theoretical variables. CONCLUSION: Interpreting a composite variable whose theoretical structure is corroborated by a hierarchical model may raise some difficulties because of its multidimensionality. Reliability formulae which account for this fragmentation are detailed.

Factor Analysis, Statistical↗

[Renal cell adenocarcinomas. Report of 64 cases].

The authors report 64 renal cell carcinomas observed in 64 patients over a period of 14 years (1982-1995). The mean age was 58 years (range: 20 to 80 years). Male involvement was observed in 34 cases (53%). The clinical symptoms were nonspecific, consisting of haematuria (26 cases), back pain (33 cases) and tumour (8 cases). Twenty patients presented with paraneoplastic syndromes and 4 presented with metastases. The tumour was an incidental finding in 6 cases. Fifty two patients were treated by radical nephrectomy and two by partial nephrectomy. The tumour was associated with venous involvement in 2 cases, lymphatic involvement in 4 cases and distant metastases in 2 cases. The overall 5-year survival was 37% with a poor prognosis in the case of lymph node involvement or metastases and in the case of secondary local recurrence (4 cases) or distant metastases (2 cases).

Adult↗

[Adrenal cortex adenomas. A retrospective series of twenty cases].

The authors report 20 cases of adrenal cortex tumours which were collected over a period of 12 years (1984-1995). Sixty five per cent of patients were females. They were aged between 27 months and 85 years with a mean of 40 years. Clinical symptoms were dominated by hypertension (11 cases). Seven cases were discovered incidentally and a precocious puberty syndrome presented in the form of 2 cases. Surgery was performed in 18 cases. Adrenalectomy was performed in 16 cases and tumor removal in 2 others. Four patients underwent other procedures such as nephrectomy or splenectomy. Three adrenal tumors were considered to be malignant. Postoperative follow-up was marked by two deaths; otherwise the postoperative course was uneventful.

Adenoma↗