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71.
Mehdi Ben Khelil M.D. Mohamed Allouche M.D. Ahmed Banasr M.D. Fatma Gloulou M.D. Anis Benzarti M.D. Mongi Zhioua M.D. Slim Haouet M.D. Moncef Hamdoun M.D. 《Journal of forensic sciences》2013,58(5):1163-1170
Human ecchinococcosis also known as hydatid disease is a zoonotic infection caused by the tapeworm Ecchinococcus with 2–3 Million cases worldwide. We hereby report a 6 years period study of Sudden death due to hydatidosis aiming to analyze the epidemiological criteria, death circumstances, and autopsy observations attributed to hydatid disease. During the past 6 years, 26 death cases were due to hydatid disease. Our analysis shows that the sex ratio (M/F) was 1.6, the mean age was 31‐year old, and 65% of the subjects lived in rural places. In 17 cases, death occurred in the victim's place, five victims died after a heavy exercise, and in two cases, death occurred immediately after trauma. At autopsy, 91% of the cysts were found in the liver. In three cases, death followed a septic state, and in two cases, it followed an acute respiratory failure. Death was attributed to anaphylaxis in 17 cases. 相似文献
72.
Mohamed Charih 《Canadian public administration. Administration publique du Canada》1989,32(3):367-381
Sommaire: Dans cet article, I'auteur analyse, de I'intérieur du gouvernement fédéral, les difficultés techniques, bureaucratiques et politiques auxquelles I'administration Trudeau a dø faire face au moment de la mise en oeuvre du plan financier quinquennal proposé par la Commission royale sur la gestion financière et I'imputabilité. Il conclut que les modifications apportées au plan en question, au moment de sa mise en oeuvre, ont sérieusement diminué le rôle de ce dernier en matière d'imputabilité du gouvernement au Parlement. Abstract: The author of this article analyses - from within the federal government -the technical, bureaucratic and political difficulties the Trudeau government faced when implementing the five-year financial plan proposed by the Royal Commission on Financial Management and Accountability. The author concludes that the amendments made to that plan did, upon implementation, seriously diminish the accountability role of the government with respect to Parliament. 相似文献
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74.
Piercecchi-Marti MD Mohamed H Chau C Liprandi A Fredouille C 《Forensic science international》2003,136(1-3):12-15
It is known that maternal immunological factors such as systemic disease are involved in the genesis of cardiac conduction problems in the fetus but the histologic changes in the conduction system are less documented. We report the case of a 33-year-old woman with no significant medical history. Her first pregnancy was induced by Clomifene. At 17 weeks of gestation, the fetus presented sonographic abnormalities characteristic of a complete atrioventricular block. Biological investigations found anti-SSA and -SSB antibodies. Clinical history search for systemic disease was positive for photosensitivity, lasting 10 years, suggesting the diagnosis of systemic lupus erythematosus. The patient was treated with prednisone 20 mg per day but fetal death occurred at 29 weeks of gestation. Histological examination of the fetal heart showed an altered atrioventricular node and bundle of His with fibrosis, calcifications, endocardial fibroelastosis and mononucleated inflammatory cells. The search for these specific lesions can be determinant in establishing the disease pathogenesis; also, it is important to eliminate this diagnosis in an unexplained fetal death. 相似文献
75.
Mohamed Charih Michel Paquin 《Canadian public administration. Administration publique du Canada》1993,36(2):175-189
Sommaire: Douze ministères (six à Ottawa et six à Québec) ont fait l'objet d'une recherche visant àétudier le processus de planification stratégique. Cette planification vise d'abord à identifier les enjeux stratégiques et à déterminer les orientations d'un ministère. Elle vise aussi, dans plusieurs ministères étudiés, à introduire un changement culturel, à mieux intéger les diverses parties de l'organisation, à améliorer l'efficacité et la productivité, à accroître la satisfaction et la qualité de vie au travail, ainsi qu'à améliorer les services à la clientèle et les communications. Au niveau de la gestion du processus, les auteurs ont constaté de grandes différences entre les ministères québécois mais une certaine homogénéité au niveau des ministères fédéraux où le processus semble davantage institutionnalisé. Par ailleurs, à Québec, les plans stratégiques donnent lieu à la préparation de plans annuels d'action élaborés pour l'ensemble du ministère, alors qu'à Ottawa, la responsabilité de la mise en application est laissée aux responsables de secteurs. Enfin, les auteurs ont identifié certaines conditions de succès: l'implication personnelle du sousministre et de l'équipe de direction, l'appui du ministre, la stabilité de la direction, un exercice conçu sur mesure, la simplicité du processus, la capacité de gérer les conflits, la volonté de régler les problèmes urgents sans attendre la fin du processus, la consultation et la responsabilisation des gestionnaires et, enfin, l'intégration de la planification stratégique au processus de prise de décision central du ministère. Abstract: This study designed to analyse the strategic planning process covered twelve departments (six in Ottawa and six in Quebec City). This planning effort is designed primarily to identify the strategic stakes and to determine the orientation of a department. In several departments studied, it also aims to introduce cultural change, to better integrate the various components of the organization, to improve efficiency and productivity, and to raise work satisfaction and the quality of working life, thus improving client services as well as communications. Regarding the management of the process, the authors found major differences between Quebec departments, but a certain homogeneity among federal departments, where the process seems more institutionalized. Moreover, in Quebec, strategic plans involve the preparation of annual action plans developed for an entire department, whereas in Ottawa responsibility for implementation is left to sector heads. Finally, the authors identify certain conditions for success: the personal involvement of the deputy minister and the management team, the minister's support, management stability, a custom-designed exercise, the simplicity of the process, the ability to manage conflict, a willingness to solve urgent problems without waiting for the end of the process, consultation and accountability of managers and, finally, integration of strategic planning into the department's central decision-making process. 相似文献
76.
Sarra Ben Abderrahim MD Khouloud Chérif MD Zeineb Nfikha MD Sarra Gharsallaoui MD Imen El Aini MD Maher Jedidi MD Moncef Mokni MD Mohamed Ben Dhiab MD 《Journal of forensic sciences》2023,68(4):1393-1400
Hepatic adenomatosis is a rare disease consisting of multiple adenomas in otherwise-normal liver parenchyma. Though the discovery of this entity goes back several years, its diagnosis is still challenging in terms of its definition and pathophysiology. Clinically, patients may be completely asymptomatic and the diagnosis is only made incidentally through imaging tests. The discovery could be made when complications occur such as intraperitoneal hemorrhage with hypovolemic shock due to the rupture of an adenoma. We report a fatal case of a ruptured adenoma in a case of hepatic adenomatosis discovered at autopsy. In order to achieve a better view of this disease, we conducted a literature review on this subject describing the pathogenesis, manifestations, and autopsy contribution to addressing this entity. 相似文献
77.
Jun Ai Chong B.D.S. M.F.D.S. R.C.S.Ed. Alizae Marny Fadzlin Syed Mohamed B.D.S. M.Sc. M.Orth.R.C.S. Murshida Marizan Nor D.D.S. M.Sc.D. M.Orth.R.C.S. Allan Pau B.D.S. M.Sc. Ph.D. F.D.S. R.C.S.Ed. 《Journal of forensic sciences》2020,65(6):2000-2007
Although there is clinical applicability of the palatal rugae as an identification tool in forensic odontology, controversy exists whether the palatal rugae patterns are stable or variable. The greater the genetic component, the higher the probability that palatal rugae patterns are stable. The aim of this study was to compare the palatal rugae morphology between full siblings and the proportion of variability due to genetic component. This cross-sectional study was conducted on digital models of 162 siblings aged 15–30 years old. The palatal rugae patterns were assessed with Thomas and Kotze (1983) classification using Geomagic Studio software (3D Systems, Rock Hill, SC). The palatal rugae morphology between siblings showed significantly similar characteristics for total number of left rugae (p = 0.001), left primary rugae (p = 0.017), secondary rugae for right (p = 0.024) and left sides (p = 0.001), right straight rugae (p = 0.010), and right convergent rugae (p = 0.005) accounting for at least 6.25%-12.8% of the variability due to heredity. Despite the similarities found, the palatal rugae patterns showed significant differences between siblings of at least 46.9% (p = 0.001). Zero heritability was found in 9 of the 14 rugae patterns. Meanwhile, total number of rugae, primary, backward, and convergent rugae showed moderate heritability (h2 > 0.3) and total number of secondary rugae showed high heritability (h2 > 0.6). In conclusion, despite the individuality characteristics, an appreciable hereditary component is observed with significant similarities found between sibling pairs and the palatal rugae patterns were both environmentally and genetically influenced. 相似文献
78.
Mohamed Aslam 《Asia Europe Journal》2009,7(2):281-294
Until 1997, the only preferential trading arrangement, which existed in East Asia, was the ASEAN Free Trade Area (AFTA). Former
Prime Minister of Malaysia Tun Dr. Mahathir had realized earlier the deficiency of AFTA in terms of stimulating economic development.
In 1990, he proposed to ASEAN members to form the East Asian Economic Group. Due to regional political factors, his proposal
was turned down and replaced with the East Asian Economic Caucus in 1992. In 1997, again, he proposed that ASEAN needed to
establish large economic cooperation with other countries in East Asia. His suggestion had been warmly responded by the members
of East Asian countries. At the ASEAN summit in Manila 1999, ASEAN Plus 3 (APT) was created. ASEAN, China, Japan, and South
Korea had agreed and reached a joint statement to form a free-trade area by the year 2020. The establishment of APT was timely
since most countries in the world are moving toward establishing wider or larger economic blocs due to the failure of multilateralism
of the WTO in creating a new trade agreement. However, there is a shortcoming in the process of building APT, in the minimal
and uncertain role of Japan in integrating economies in East Asia. This behavior has disappointed members of the group. The
intention of this paper is to discuss the behavior of Japan in the economic integration process in East Asia.
相似文献
Mohamed AslamEmail: |
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