Spécificités de la prise en charge postopératoire de l’enfant et de l’adolescent opéré du pied*

Resumé: Cet article inhabituel dans son fond et dans sa forme surprendra le lecteur. Il se propose de dérouler la chronologie de l’acte opératoire et de ses suites dans le cadre de la chirurgie du pied de l’enfant et de l’adolescent, et de l’analyser sous l’angle de la pratique quotidienne et non de la technique opératoire ou de l’évaluation des résultats; puis de confronter cette pratique aux demandes de la société (absence de douleur, rapidité du résultat, absence de complication et évaluation du résultat à l’égard du service à rendre). * Communication présentée au congrès SFMCP / AFCP de Biarritz les 20-21 mai 2005     

Test de provocation par voie orale aux aliments chez l'enfant. Quand,pour qui et comment ? Conséquences

Whatever results are, oral food challenges (OFC) will have consequences, particularly on diet and emergency kit. Positive OFC, negative OFC and food specificities are discussed, according to the literature review. In case of positive OFC, the management and monitoring of persistent food allergy is specified. Practical recommendations are suggested.     

Symptôme dyslexique et clinique du sujet

Depending on the symptom in a child adopted called “dyslexic”current research on accidents of writing and reading (called learning disorders), are often accountable for cognitive or neurological “failures”. However, the clinical work with children can discover that learning difficulties may appear as an expression of the subjective position of the child and its relation to the Other: the symptom. Our work shows how a clinical approach can reveal how child uses writing as an expression of unconscious psychological conflicts.     

Contribution de la Screen for Child Anxiety Related Emotional Disorders au dépistage et au diagnostic des troubles anxieux chez l’enfant d’âge scolaire

Children's anxiety disorders were for a long time viewed as poorly differentiated; however, many researchers recently brought evidence that syndromes similar to adult ones are clearly recognizable among very young children. The best instruments for diagnosing these disorders are time-consuming structured interviews like the Schedule for Affective Disorders and Schizophrenia for School Age Children (Kiddie-SADS). Is it possible to shorten the diagnostic procedure using “paper/pencil” questionnaires as diagnostic tests? The aim of this study was to test the diagnostic value of the Screen for Child Anxiety Related Emotional Disorders (SCARED), which comprises a self-report form and a parent-report form, and assesses four DSM anxious disorders. We examined 69 children aged 6 to 12 (36 boys) addressed to a school psychology facility using both self-report and parent-report SCAREDs and Kiddie-SADSs. Indices were defined, based on threshold-scores on the four SCARED syndrome scales. Theses indices all showed high sensitivity, but have different specificities: maximal for separation anxiety disorder, moderate for panic disorder and social phobia, but poor for generalized anxiety disorder. The SCARED-based indices performed well as screen for these four anxious disorders. In addition, they allow substantial time economy in the process of diagnosing separation anxiety disorder, panic disorder, and social phobia.