Loi Debré : la fabrique de l'immigré (Partie 1)

CHARLOTTE LESSANA Un " amas de mesures ", c'est ainsi que fut définie la loi Debré par ses défenseurs. Cette loi s'inscrit en effet dans la perspective d'une politique publique d'immigration conçue par l'adjonction de divers dispositifs légaux répondant à des problèmes épars. Ainsi, les dispositifs pratiques de la loi sollicitent à la fois l'ordonnance sur l'entrée et le séjour des étrangers, une partie du code du travail et du code de procédure pénale sur les contrôles d'identité. De plus, ..

Loi Debré : la fabrique de l'immigré (Partie 2)

L'identification et " l'éloignement effectif " De façon éclairante, le Parlement comme le gouvernement refusent de s'ajuster aux conditions de non-expulsion de l'article 25, maintenant une zone de non-droit dans laquelle la lutte est ouverte entre " éloignement " et procédures de recours. Et, quand le Sénat rétablit la mesure rejetée par l'Assemblée nationale en première lecture, permettant de régulariser, pour l'étranger résident depuis 15 ans, M. Philibert réagit en refusant l'idée d'une c..

Influence of involvement of anterior leaflet versus posterior leaflet on residual regurgitation as assessed by transesophageal echocardiography in patients undergoing valve repair for mitral regurgitation due to mitral valve prolapse

<p>Abstract</p> <p>Background</p> <p>Repair of anterior leaflet prolapse is technically more challenging and this might influence outcomes as compared to the repair of posterior leaflet prolapse in patients undergoing surgical correction of mitral regurgitation. We investigated the association of anterior leaflet prolapse with minor residual mitral regurgitation (MR) in patients with mitral valve prolapse (MVP) who underwent valve repair.</p> <p>Methods</p> <p>Eligible for this study were consecutive patients with severe MR due to MVP, who underwent mitral valve repair with residual MR by postpump transesophageal echocardiography ≤2+ during a 20-month period at Pasquinucci Hospital, Massa. Patients undergoing other cardiovascular surgical interventions were excluded. Two groups were defined according to the involvement of mitral valve leaflets: group 1, consisting of patients with anterior leaflet prolapse (isolated or not); and group 2, consisting of patients with isolated posterior leaflet prolapse.</p> <p>Results</p> <p>A total of 70 patients (18 in group 1 and 52 in group 2) were analyzed. Patients in group 2 were younger than those in group 1, but the difference was not significant (P = 0.052). There were no significant differences between the 2 study groups with respect to other variables. The proportion of patients with residual MR 1+/2+ was higher in group 1 than in group 2 (61.1% vs. 32.7%, respectively; P = 0.034). In a logistic regression model, anterior leaflet prolapse was an independent predictor of residual MR 1+/2+ (odds ratio, 4.0; 95% confidence interval, 1.14 to 14.04; P = 0.03).</p> <p>Conclusion</p> <p>In our study population, patients with anterior leaflet prolapse had a higher proportion of residual MR 1+/2+ as compared to those with posterior leaflet prolapse after repair of mitral valve.</p