Adénome pléomorphe du septum nasal: À propos d’un cas

Introduction : L’adénome pléomorphe représente la tumeur la plus fréquente des glandes salivaires principales. Sa découverte au niveau des cavités nasales est rare et méconnue. Matériel et Méthode : Les auteurs se proposent de rapporter une observation originale d’AP du septum, et d’en préciser les particularités diagnostiques et thérapeutiques à partir d’une revue de la littérature. Résultats : Il s’agissait d’une fillette de 9 ans ayant consulté pour une obstruction nasale gauche d’aggravation progressive évoluant depuis 5 mois, accompagnée d’une rhinorrhée intermittente homolatérale. L’examen clinique et l’imagerie ( scanner avec IRM) retrouvaient une formation tissulaire comblant la cavité nasale gauche aux dépens du tiers antérieur du septum sans lyse osseuse. Nous avons effectué l’exérèse chirurgicale de la masse, par voie endonasale sous guidage endoscopique avec un examen anatomopathologique. Les suites opératoires ont été simples. En particulier, nous n’avons pas observé de récidive avec un recul d’un an. Conclusion : Bien que rare dans cette localisation, l’AP doit être évoqué devant toute formation de la fosse nasale. L’imagerie est indispensable. Le traitement est toujours chirurgical. Le diagnostic repose sur l’histologie. Les risques de récidive et de transformation maligne imposent une surveillance post-opératoire prolongée.Mots clés : Adénome pléomorphe, Septum nasal, Chirurgie

Fasciite nodulaire de la cavite buccale

Introduction: Nodular fasciitis is a benign tumour-like lesion characterized by fibroblastic proliferation. It is common in subcutaneous fascia, usually of the upper extremity but it's very rare in the oral cavity. Frequently misdiagnosed as sarcoma due to its rapid growth, rich cellularity and mitotic activity.Patients and Methods: One patient with an oral nodular fasciitis and a review of literature are reported in order to describe the diagnostic and therapeutic management of this tumour.Case presentation: A 50-year-old female with an intraorally swelling that had been growing progressively over one month. There was no history of trauma. Clinical examination revealed a firm mass palpable measuring approximately 4 cm in diameter. She had an excisional biopsy under local anaesthetic with histopathological analysis. The lesion was surgicalremoved under general anaesthesia through an intraoral approach. One year after excision of the tumour, the oral cavity was free of tumour.Conclusion: Nodular fasciitis is an entity characterized by rapid growth, rich cellularity and mitotic activity, although it is not malignant. It can only be diagnosed by histopathological examination of a biopsy with immunohistochemical staining.The treatment of choice is the complete surgical excision.Keywords: Nodular fasciitis, Oral cavity, Surgical treatment

Sect and House in Syria: History, Architecture, and Bayt Amongst the Druze in Jaramana

This paper explores the connections between the architecture and materiality of houses and the social idiom of bayt (house, family). The ethnographic exploration is located in the Druze village of Jaramana, on the outskirts of the Syrian capital Damascus. It traces the histories, genealogies, and politics of two families, bayt Abud-Haddad and bayt Ouward, through their houses. By exploring the two families and the architecture of their houses, this paper provides a detailed ethnographic account of historical change in modern Syria, internal diversity, and stratification within the intimate social fabric of the Druze neighbourhood at a time of war, and contributes a relational approach to the anthropological understanding of houses

Social suffering and the psychological impact of structural violence and economic oppression in an ongoing conflict setting: The Gaza Strip

Structural violence and economic oppression (e.g. control over resources, politically engineered poverty and unemployment) are common features of warfare, yet there is a lack of research exploring the impact this has on civilian wellbeing in conflict‐affected areas. This study, embedded within a human rights and community liberation psychology framework, aims to address this need by studying young Palestinian university graduates living under military blockade and occupation in the Gaza Strip. Semi‐structured interviews were conducted. Thematic analysis indicated that economic and political domains adversely affected multiple aspects of civilian life and wellbeing. The findings revealed the deleterious effects of structural violence and economic oppression which created: human insecurity; poor psychological wellbeing and quality of life; existential, psychological and social suffering; humiliation; injuries to dignity; multiple losses; and led to life being experienced as ‘on hold’. Local expressions and idioms to express distress were identified. The findings contributed to unique insights regarding how continual, systemic, and structural oppression can be potentially more psychologically detrimental than specific incidents of conflict and violence. The implications and the relevance of the findings to mental health and disaster relief are considered. Interventions providing human security and economic security should be prioritised

Refugee artists and memories of displacement: a visual semiotics analysis

This paper considers the ways in which refugee artists represent the experience of displacement, their cultural traditions and the longing for home through paintings and how, by doing so, they become the visual interpreters of the current refugee crisis. The starting point of this article is that little attention has been paid towards the visual narratives of artworks produced by refugee artists and shared on social media. Through the visual semiotics analysis of 150 images of paintings (exhibited on the Facebook page Syria.Art) and through a number of individual interviews with the artists themselves, the article identifies three emerging visual narratives. These are concerned primarily with reminiscences about people, places and cultural practices lost (or in danger of being lost) because of the forced journey and because of the displacement. Within this context, these visual discourses become part of an open repository, which mediates, re-organises and preserves memories, both personal and collective as a form of emotional survival and resilience. It is argued that these visual narratives and representations nurture empathy for the human condition of the refugees and universalise the migrant experience

Participatory transport planning the experience of eight european metropolitan regions

This chapter presents experience with participatory transport planning in eight European metropolitan regions: Ljubljana, Oslo, Gothenburg, Helsinki, Budapest, Rome, Porto and Barcelona. These metropolitan regions answered the questionnaire on strengths, weaknesses and needs and an in-depth questionnaire on participatory transport planning. The results were presented at a workshop, where representatives from these eight metropolitan regions shared their experience in two workshop sessions, one dealing with the key stakeholders in participatory transport planning and the other dealing with ways to get them involved. The findings show that stakeholder involvement differs between the local and regional levels. Participants engagement is greater at the local level, where measures are more concrete and less abstract. The participatory planning process takes longer than the traditional planning processes, but it can ease the implementation of the project/measure to the extent that it justifies the additional resources and time. It is of crucial importance to include all the relevant stakeholders, to provide an experienced facilitator and, above all, to include the results in the final plans and policies. Although there are differences in the participatory planning culture between the countries and regions involved, the use of participatory methods in transport planning is becoming increasingly important. Document type: Part of book or chapter of boo

Reason : free minds and free markets

The lack of formal models for describing low-level interaction restricts programmers to interactors provided by toolkits. It impedes the construction of highly interactive systems and the design of new interaction styles, such as multimodal interaction. This article reports on our experience with formalising low-level graphical interaction. We propose primitives for event specification and handling that can be used along with Petri nets to model such interactions. We then show how multimodal interactions can be built from monomodal ones by combining those models. This is exemplified by an experimental two-handed graphical editor that has been built using the proposed model