En quoi consiste la dimension relationnelle de l'activité du technicien en radiologie médicale lors d'une prise en charge: travail de Bachelor

La présente étude cherche à mieux connaître les compétences de communication mis en oeuvre par les techniciens en radiologie médicale (TRM) lors d’une interaction avec un patient. Nous avons cherché à analyser les éléments nécessaires à la réalisation d’un échange réussi. Nous avons voulu mettre en lumière les capacités d’adaptation des techniciens afin de proposer une prise en charge de qualité. Cette recherche se base sur un examen de résonnance magnétique. En effet, cette modalité radiologique nécessite une communication et un échange poussé entre le TRM et le patient

En quoi consiste la dimension relationnelle de l'activité du technicien en radiologie médicale lors d'une prise en charge: travail de Bachelor

La présente étude cherche à mieux connaître les compétences de communication mis en oeuvre par les techniciens en radiologie médicale (TRM) lors d’une interaction avec un patient. Nous avons cherché à analyser les éléments nécessaires à la réalisation d’un échange réussi. Nous avons voulu mettre en lumière les capacités d’adaptation des techniciens afin de proposer une prise en charge de qualité. Cette recherche se base sur un examen de résonnance magnétique. En effet, cette modalité radiologique nécessite une communication et un échange poussé entre le TRM et le patient

Echocardiographic evaluation of diastolic functions in patients with polycystic ovary syndrome: A comperative study of diastolic functions in sub-phenotypes of polycystic ovary syndrome

Background: Polycystic ovary syndrome (PCOS) is a heterogeneous endocrine disorder among reproductive-aged women. It is known to be associated with cardiovascular diseases. The aim of this study was to determine and compare the echocardiographic data of patients according to the phenotypes of PCOS. Methods: This study included 113 patients with PCOS and 52 controls. Patients were classified into four potential PCOS phenotypes. Laboratory analyses and echocardiographic measurements were performed. Left ventricular mass was calculated by using Devereux formula and was indexed to body surface area. Results: Phenotype-1 PCOS patients had significantly higher homeostasis model assessment — insu­lin resistance (HOMA-IR) (p = 0.023), free testosterone (p < 0.001), LDL cholesterol levels (p < 0.001) and free androgen index (p < 0.001) compared with the control group. There were significant differences between groups regarding the septal thickness, posterior wall thickness, Left ventricular ejection frac­tion, E/A ratio and left ventricular mass index (for all, p < 0.05). PCOS patients with phenotype 1 and 2 had significantly higher left ventricular mass index than the control group (p < 0.001). In univariate and multivariate analyses, PCOS phenotype, modified Ferriman-Gallwey Score and estradiol were found as variables, which independently could affect the left ventricular mass index. Conclusions: This study showed that women in their twenties who specifically fulfilled criteria for PCOS phenotype-1 according to the Rotterdam criteria, had higher left ventricular mass index and decreased E/A ratio, which might be suggestive of early stage diastolic dysfunction. (Cariol J 2017; 24, 4: 364–373

Improved cryptanalysis of skein

The hash function Skein is the submission of Ferguson et al. to the NIST Hash Competition, and is arguably a serious candidate for selection as SHA-3. This paper presents the rst third-party analysis of Skein, with an extensive study of its main component: the block cipher Three sh. We notably investigate near collisions, distinguishers, impossible di erentials, key recovery using related-key di erential and boomerang attacks. In particular, we present near collisions on up to 17 rounds, an impossible di erential on 21 rounds, a related-key boomerang distinguisher on 34 rounds, a known-related-key boomerang distinguisher on 35 rounds, and key recovery attacks on up to 32 rounds, out of 72 in total for Threefish-512. None of our attacks directly extends to the full Skein hash. However, the pseudorandomness of Threefish is required to validate the security proofs on Skein, and our results conclude that at least 3

Pelvic Abscess Drainage: Outcome With Factors Affecting The Clinical Success

PURPOSE We aimed to evaluate the success and complication rates of image-guided pelvic abscess drain age with emphasis on factors affecting the clinical success. METHODS During a 7-year period, 185 pelvic abscesses were treated in 163 patients under ultrasonography and fluoroscopy (n=140) or computed tomography (n=45) guidance with transabdominal (n=107), transvaginal (n=39), transrectal (n=21) and transgluteal (n=18) approaches. Abscess characteristics (etiology, number, size, intrastructure, microbiological content, presence of fistula), patient demographics (age, sex, presence of malignancy, primary disease, antibiotic treatments), procedure-related factors (guidance method, access route, catheter size) and their effects on clinical success, complications, and duration of catheterization were statistically analyzed. RESULTS Technical and clinical success rates were 100% and 93.9%, respectively. Procedure-related mortality or major complications were not observed. Minor complications such as catheter dislodgement, obstruction, or kinking were detected in 6.7% of the patients. Clinical failure was observed in 10 patients (6.1%). Fistulization was observed in 14 abscesses. Fistulization extended the duration of catheter use (P < 0.001) and decreased the clinical success rate (P < 0.001). The presence of postoperative malignant, complex-multilocular abscesses, and fungus infection in the cavity extended catheter duration (P < 0.001, P = 0.018, and P = 0.007, respectively), whereas the presence of sterile abscess and endocavitary catheterization reduced the catheter duration (P = 0.009 and P= 0.011, respectively). CONCLUSION Image-guided pelvic abscess drainage has high clinical success and low complication rates. The only factor affecting the clinical success rate is the presence of fistula.WoSScopu

Improved Cryptanalysis of Skein

The hash function Skein is the submission of Ferguson et al. to the NIST Hash Competition, and is arguably a serious candidate for selection as SHA-3. This paper presents the first third-party analysis of Skein, with an extensive study of its main component: the block cipher Threefish. We notably investigate near collisions, distinguishers, impossible differentials, key recovery using related-key differential and boomerang attacks. In particular, we present near collisions on up to 17 rounds, an impossible differential on 21 rounds, a related-key boomerang distinguisher on 34 rounds, a known-related-key boomerang distinguisher on 35 rounds, and key recovery attacks on up to 32 rounds, out of 72 in total for Threefish-512. None of our attacks directly extends to the full Skein hash. However, the pseudorandomness of Threefish is required to validate the security proofs on Skein, and our results conclude that at least 36 rounds of Threefish seem required for optimal security guarantees. © 2009 Springer-Verlag.status: publishe