Download or read book Analyse des r sultats des traitements des cancers de la langue mobile et du plancher buccal par curi th rapie exclusive ou par double volume cible written by Gérard Pillet and published by . This book was released on 1986 with total page 189 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Infiltration tumorale des carcinomes pidermo des du plancher buccal et de la langue mobile written by Mohamed El-Okeily and published by . This book was released on 2006 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: La prise en charge des tumeurs du plancher buccal et de la base de langue dépend en grande partie de la classification TNM. Cependant celle-ci ne tient pas compte de l'infiltration tumorale dans les tumeurs classées T1-3. Alors que toute tumeur solide a une évolution tridimensionnelle. Le but de notre étude rétrospective était d'étudier l'influence de l'épaisseur ou l'infiltration tumorale sur le pronostic dans le carcinome épidermoide de la cavité buccale. PATIENTS ET METHODE : L'étude a inclus 124 patients T1-3 N0M0. L'âge moyen était de 59,3 ans avec un ratio hommes/femmes de 3,4. Ont été analysés les différentes caractéristiques épidémiologiques, puis les différents facteurs pronostiques incluant l'infiltration tumorale. RESULTATS : Hormis le sex-ratio, les données épidémiologiques correspondaient aux données de la littérature. Les probabilités de survie globale à 2 et 5 ans étaient de 85,6 % et 77,3 %, respectivement et inférieures aux données de la littérature. Les facteurs pronostiques étaient l'envahissement ganglionnaire, la taille tumorale et l'infiltration tumorale. CONCLUSION : Notre étude a montré, avec une taille suffisante, une homogénéité certaine et avec un recul moyen supérieur à la majorité des études, que la probabilité de survie globale à 5 ans diminue sensiblement lorsque l'infiltration tumorale est supérieure à 6,5 mm. En attendant une évaluation pré-thérapeutique, en routine de l'infiltration tumorale des cancers du plancher buccal et de la langue mobile par échographie ou par IRM, nous recommandons l'intégration de l'infiltration tumorale dans la stratégie thérapeutique, notamment pour les tumeurs classées T1, la nécessité d'effectuer un évidement cervical lorsque l'infiltration tumorale maximale atteint ou dépasse 6,5 mm et de s'en abstenir en dessous de 3 mm. La question reste posée concernant l'attitude à avoir vis-à-vis des tumeurs ayant une infiltration maximale entre 3 et 6,5 mm.
Download or read book Impact du choix de la voie d abord chirurgicale sur les r sultats court et long terme dans les carcinomes pidermo des localement avanc s de la langue mobile et du plancher buccal written by Alix Marhic and published by . This book was released on 2019 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: INTRODUCTION : Les carcinomes épidermoïdes (CE) de la cavité buccale sont fréquents, de mauvais pronostic, souvent localement avancés au diagnostic. Le traitement repose sur une chirurgie première souvent invasive. La voie d'abord chirurgicale doit permettre une exposition optimale et une résection en bloc. L'objectif était de comparer les résultats carcinologiques et à long terme selon la voie d'abord, dans les T3-T4a de la langue mobile et du plancher buccal.METHODE : Cette étude rétrospective incluait les patients opérés de ces tumeurs de 1998 à 2016 à l'Institut Gustave Roussy. Les données épidémiologiques, la voie d'abord, le curage, la reconstruction, le traitement adjuvant éventuel, étaient recueillis. Les résultats anatomopathologiques, la survie globale (SG) et sans récidive (SR), le contrôle local (CL) étaient analysés. Les complications post-opératoires, à long terme, le résultat fonctionnel et la qualité de vie (QdV) étaient évalués.RESULTATS : Parmi les 239 patients inclus, 125 ont eu une voie de pull-through (PT), 67 une voie transmandibulaire (TM) et 47 une voie buccale (EB). Les patients opérés par voie EB étaient plus âgés (p=0,002) et avaient des tumeurs localement moins avancées (p=0,007). Il n'y avait pas de différence significative entre les 3 groupes concernant la SG et SR, le CL et les marges de résection. Les TM engendraient plus de pseudarthrose (p
Download or read book Cancer de la langue mobile written by Laurent Bonnardot and published by . This book was released on 2006 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectif : Évaluation des résultats du traitement et des facteurs pronostiques initiaux de patients atteints de carcinomes épidermoïdes de la langue mobile, classés T1-T2 (UICC, 2002). Matériel et méthode : Étude rétrospective monocentrique à propos de 70 patients porteurs d’un carcinome épidermoïde de la langue mobile classé T1 ou T2 pris en charge entre janvier 1992 et décembre 2002. Comparaison avec les données de la littérature, puis mise en perspective avec l’expérience clinique des praticiens, approchée de façon qualitative par 2 entretiens semi-directifs et 12 questionnaires téléphonés. Résultats : L’étude comporte 65% hommes et 35% femmes avec un âge moyen de 57 ans. Le suivi médian est de 7 ans. Tous les patients ont été traités par glossectomie première, associée dans 50% des cas à un évidement ganglionnaire de type fonctionnel. Un traitement complémentaire par curiethérapie, radiothérapie ou chimioradiothérapie concomitante a été réalisé respectivement dans 26%, 17% et 3% des cas. Les taux de récidive locale et ganglionnaire sont de 24 et 30% avec 11% de métastases. Les survies globales à 3 et 5 ans sont respectivement de 58% et 48% et les survies sans récidive à 3 et 5 ans de 47% et 43%. D’après l’analyse multivariée, les facteurs diminuant significativement la survie globale sont les tumeurs peu ou pas différenciées, les marges positives, le sexe masculin, la localisation au tiers postérieur du bord latéral de la langue mobile et la rupture capsulaire. Parmi les facteurs de mauvais pronostic influençant significativement la survie sans rechute, seule l’existence de lésions précancéreuses (lichen plan et leucoplasie) est retrouvée. L’approche qualitative a permis d’éclairer l’évolution de la stratégie thérapeutique à Nantes ces 15 dernières années et d’identifier à partir de l’expérience clinique des praticiens certains facteurs de mauvais pronostics pour lesquels les données de la littérature sont controversées : l’âge jeune et l’absence de facteur de risque éthylotabagique. L’expérience vécu de cas « marquant » a conduit les praticiens à proposer un « traitement maximale d’emblée » associant à la chirurgie première une curiethérapie de barrage et radio-chimiothérapie postopératoire aux patients jeunes sans facteur de risque éthylotabagique. Discussion : Les résultats obtenus sont comparables à ceux qui sont présentés dans la littérature. Tous les facteurs pronostiques ont déjà été publiés à l’exception des lésions précancéreuses. L’obtention du contrôle locorégional reste essentiel pour une survie prolongée et justifie selon nous le curage cervical systématique des patients N0 clinique et le recours à la curiethérapie de barrage. L’enquête qualitative confirme à la fois le rôle prépondérant de l’expérience clinique dans le processus décisionnel et la notion de mauvais pronostic des cancers de la langue mobile chez le sujet jeune justifiant souvent une attitude thérapeutique plus agressive. Une étude prospective est aujourd’hui indispensable pour évaluer le bénéfice de cette stratégie thérapeutique et pour harmoniser les pratiques encore très différentes selon les centres.
Download or read book Analyse des checs de la radioth rapie des cancers malpighiens du plancher buccal et de la langue mobile written by Fabienne Beck and published by . This book was released on 1980 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book R sultats du traitement chirurgical des carcinomes pidermo des de la langue mobile et du plancher buccal written by Isabelle Barthélémy and published by . This book was released on 1994 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book News from Ethiopia written by and published by . This book was released on 1995 with total page 14 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Scientific Canadian Mechanics Magazine and Patent Office Record written by Canada. Patent Office and published by . This book was released on 1966-03 with total page 1070 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Food Fray written by Lisa H. WEASEL Ph.D. and published by AMACOM Div American Mgmt Assn. This book was released on 2008-12-10 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: More than ten years ago, the first genetically modified foods took their place on the shelves of American supermarkets. But while American consumers remained blissfully unconcerned with the new products that suddenly filled their kitchens, Europeans were much more wary of these “Frankenfoods.” When famine struck Africa in 2002, several nations refused shipments of genetically modified foods, fueling a controversy that put the issue on the world's political agenda for good. In Food Fray, esteemed molecular biologist Dr. Lisa H. Weasel brings readers into the center of this debate, capturing the real-life experiences of the scientists, farmers, policymakers and grassroots activists on the front lines. Here she combines solid scientific knowledge and a gripping narrative to tell the real story behind the headlines and the hype. Seminal and cutting-edge, Food Fray enlightens and informs and will allow readers to make up their own minds about one of the most important issues facing us today.
Download or read book Cambridge Yearbook of European Legal Studies Vol 13 2010 2011 written by Catherine Barnard and published by Bloomsbury Publishing. This book was released on 2011-12-15 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Cambridge Yearbook of European Legal Studies provides a forum for the scrutiny of significant issues in EU Law, the law of the European Convention on Human Rights, and Comparative Law with a 'European' dimension, and particularly those issues which have come to the fore during the year preceding publication. The contributions appearing in the collection are commissioned by the Centre for European Legal Studies (CELS) Cambridge, a research centre in the Law Faculty of the University of Cambridge specialising in European legal issues. The papers presented are at the cutting edge of the fields which they address, and reflect the views of recognised experts drawn from the University world, legal practice, and the institutions of both the EU and its Member States. Inclusion of the comparative dimension brings a fresh perspective to the study of European law, and highlights the effects of globalisation of the law more generally, and the resulting cross fertilisation of norms and ideas that has occurred among previously sovereign and separate legal orders. The Cambridge Yearbook of European Legal Studies is an invaluable resource for those wishing to keep pace with legal developments in the fast moving world of European integration. INDIVIDUAL CHAPTERS Please click on the link below to purchase individual chapters from Volume 13 through Ingenta Connect: www.ingentaconnect.com SUBSCRIPTION TO SERIES To place an annual online subscription or a print standing order through Hart Publishing please click on the link below. Please note that any customers who have a standing order for the printed volumes will now be entitled to free online access. www.hartjournals.co.uk/cyels/subs Editorial Advisory Board: Albertina Albors-Llorens, John Bell, Alan Dashwood, Simon Deakin, David Feldman, Richard Fentiman, Angus Johnston, John Spencer Founding Editors: Alan Dashwood and Angela Ward Ius Commune Prize 2012 Alexandre Saydé wrote Chapter 15 in this volume entitled: 'One Law, Two Competitions: An Enquiry into the Contradictions of Free Movement Law' and we are delighted to announce that he has been awarded the Ius Commune Prize 2012.
Download or read book Modeling Uncertainty in the Earth Sciences written by Jef Caers and published by John Wiley & Sons. This book was released on 2011-05-25 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: Modeling Uncertainty in the Earth Sciences highlights the various issues, techniques and practical modeling tools available for modeling the uncertainty of complex Earth systems and the impact that it has on practical situations. The aim of the book is to provide an introductory overview which covers a broad range of tried-and-tested tools. Descriptions of concepts, philosophies, challenges, methodologies and workflows give the reader an understanding of the best way to make decisions under uncertainty for Earth Science problems. The book covers key issues such as: Spatial and time aspect; large complexity and dimensionality; computation power; costs of 'engineering' the Earth; uncertainty in the modeling and decision process. Focusing on reliable and practical methods this book provides an invaluable primer for the complex area of decision making with uncertainty in the Earth Sciences.
Download or read book Clean Energy Nation written by Gerald McNerney and published by AMACOM Div American Mgmt Assn. This book was released on 2012 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: Americans are already feeling the pressures of the current energy situation, and many of us are ready to make a change. Clean Energy Nation is a timely and hopeful look at an issue we can't afford to ignore. --Book Jacket.
Download or read book Grammar and Proofreading Course written by Pam Helling and published by AMACOM Div American Mgmt Assn. This book was released on 1992-08-21 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: Positive, practical techniques for achieving a more professional writing style. Here are the "how to" keys of writing-from putting the first words on paper to the final polishing and proofreading. Readers will learn how to edit their writing for improved clarity, cut excess words, use transitional phrases, recognize and correct run-on sentences and overcome procrastination and impulsive writing. Readers will learn how to: Identify the key components of any well-written business document Cut excess words and phrases from your writing Use transitional words and phrases Avoid misplaced and dangling modifiers and split infinitives Use commas, semicolons, colons, dashes, and parentheses Use slash marks, ellipsis marks, quotation marks, italics, and brackets Recognize and correct run-on sentences Proofread your writing for clarity of meaning Overcome the two common writing problems that waste time and money-procrastination and impulsive writing. This is an ebook version of the AMA Self-Study course. If you want to take the course for credit you need to either purchase a hard copy of the course through amaselfstudy.org or purchase an online version of the course through www.flexstudy.com.
Download or read book Green Tech written by Lawrence WEBBER and published by AMACOM Div American Mgmt Assn. This book was released on 2009-07-28 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: With today’s electronic systems consuming massive amounts of energy, and improper disposal of old equipment threatening to release dangerous toxicity into the atmosphere, any company whose IT department isn’t actively working to shrink its carbon footprint isn’t just hurting the environment...it is also probably wasting money. Green Tech provides readers with practical, easily implemented strategies for sustainable computing, showing them how to: • build a business case to influence their organization's green strategy • reduce costs and improve equipment utilization while maintaining current customer service levels • identify old equipment at all levels, as well as suitable green replacements • virtualize servers • find alternative methods for data center cooling • conduct an energy audit and establish an energy baseline • determine the best options for recycling or donating old equipment Filled with realistic, cost-efficient ideas, this book shows that going green isn’t just the right thing to do, but also a good business strategy.
Download or read book Theory Building in Applied Disciplines written by Richard A. Swanson and published by Berrett-Koehler Publishers. This book was released on 2013-08-05 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: Theory matters in applied disciplines—fields that apply scholarly research to professional practice, such as management, social work, health care, human resource development, education, and many others. Because these disciplines deal with human beings in the real world, a flawed theory can result in actual harm to people and institutions. When faced with a professional problem, practitioners resort to the latest fad or simply throw everything and anything at it because of the lack of sound theory. Scholars deal with problems by slicing them into small segments to study them but fail to address the practical implications. What's needed is a way to unite research and practice to create robust theory. This is exactly what Richard Swanson and Thomas Chermack offer here: a complete, five-step method for developing sound, field-tested theory in applied disciplines. Unlike many existing methods, which cover only the initial conceptualization of a theory, the authors offer a complete approach, from conceptualizing a theory to creating relevant assessment criteria, establishing a research agenda to test the theory's validity, applying the theoretical concepts in the real world, and using that experience to further refine and improve the theory. The method is not restricted to any single discipline, nor is it beholden to any research ideology. Swanson and Chermack provide a set of tools for each phase of the process, making this book accessible and applicable to a wide audience. And in addition to examples in each chapter, they offer two extended case examples of complete theory building. With flawed theories impeding the development of many applied disciplines, this book is desperately needed.
Download or read book Overfished Ocean Strategy written by Nadya Zhexembayeva and published by Berrett-Koehler Publishers. This book was released on 2014-06-02 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Business is waking up to a global shortage of resources of every kind. Raw materials are running out, whether in Tokyo or Quito. While businesses have toyed with the idea of sustainability as a means to market to eco-minded consumers, this book shows that scarcity must become central to their thinking and the key driver of strategic innovation"--
Download or read book Management and Mitigation of Acid Mine Drainage in South Africa written by Mujuru, Munyaradzi and published by Africa Institute of South Africa. This book was released on 2017-02-03 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: South Africa is facing the increasing challenge of acid mine drainage (AMD) whose genesis is the country’s mining history, which paid limited attention to post-mining mine site management. In mineral resource-rich Africa, this has emerged as one of the most daunting challenges of our time. South Africa has been bold in its approach to mitigating this problem, although the challenge is multi-faceted. On a positive note, substantial research has been conducted to confront the challenge. However, thus far, the research has been largely fragmented. This book builds on the work that has been done, but also provides a refreshing multi-disciplinary approach that is useful in addressing the AMD challenges that South Africa and the continent face. Whilst addressing the problem as a scientific and engineering challenge, the book also exposes the economic, policy and legal challenges involved in addressing the problem. The book concludes, quite uniquely, that AMD is an opportunity that can be used by South Africa and Africa to solve problems, such as acute water shortage, as well as mineral recovery operations.
