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L’accueil croissant de tournages de séries dans le Nord-Pas-de-Calais est le fruit d’une politique régionale en faveur des industries créatives et d’une filière images jugée stratégique. L’article repose sur l’hypothèse que les séries se distinguent des autres formes de fictions tournées localement dans la mesure où, en lien avec le festival Séries Mania, elles seraient plus propices à un changement d’image et pourraient favoriser un processus de démarginalisation des espaces de la région qui restent marqués par la crise. Cela implique d’interroger les expériences locales menées pour tirer profit de ces tournages et tenter d’en faire un levier pour impulser des dynamiques nouvelles, notamment, mais pas seulement, en termes de (ciné)-tourisme. The growing number of TV series shot in the Nord-Pas-de-Calais is the result of a regional policy which aims to promote creative and cultural industries. The article is based on the hypothesis that series differ from other forms of fiction shot locally in that, in connection with the Séries Mania Festival, they would be more conducive to a change of image and would perhaps better promote a process of demarginalisation of the spaces of the region which are still marked by the crisis. This implies questioning the local experiments carried out to take advantage of these film shoots and to try to make them a lever for stimulating new dynamics, particularly - but not only- in terms of (film)-tourism.

Bereavement in an infant constitutes a complex process with a distinct temporality. It is closely linked to family bereavement. Based on a clinical example, it is possible to detail the necessary stages as well as the difficulties to take into account during this very specific ordeal which the sudden loss of a parent represents.

International audience; General perspective : Professionals working with unaccompanied foreign minors are faced with a certain number of difficulties which require both specific and complex skills. How to facilitate acquiring these skills ? What role can a transcultural clinic play in training educators ? Our study, which falls within the scope of transcultural psychiatry and is based on transcultural skills, proposes working on the discourse and representation of educators. Method : Our work is part of a greater overall pluri-institutional study gathering young unaccompanied foreigners and their educators in interviews around objects used to foster narration. Results : We selected 5 situations which we analysed using a qualitative discourse method of the educators in different phases. Content analysis revealed 6 categories and 25 sub-categories. Discussion : Our study points out the difficulties experienced by the professionals. They are linked to challenges of the educative project, the encounter of otherness, difficulties which destabilize professionals in their know-how. These professionals perceive the need for specific training to respond in an adapted manner to a specific public. This study enables professionals to have new representations of youth, to better understand blocked situations while promoting the creation of a new customised project with better involvement of the youth and also allowing the educators to acquire new skills.; Estado del problema : el trabajo de los profesionales con menores aislados extranjeros los sitúa delante de ciertas dificultades que requieren de competencias específicas y complejas. Cómo hacer para facilitar la adquisición de estas competencias ? Qué papel puede tener la clínica transcultural en la formación de los educadores ? Nuestro estudio propone un trabajo sobre el discurso y las representaciones de los educadores. El estudio se ubica en el campo de la psiquiatría transcultural y se apoya en la noción de competencias transculturales. Método : Nuestro trabajo participa en un estudio más global, pluri-institucional, que reúne jóvenes extranjeros aislados y sus educadores en entrevistas alrededor de objetos que favorecen la narración. Resultados : se reclutaron 5 situaciones que fueron analizadas con la ayuda de un método cualitativo en el curso de las diferentes fases. El análisis del contenido produce 6 categorías y 25 subcategorías. Discusión : Nuestro estudio precisa las dificultades encontradas por los profesionales. Ellas están ligadas a aspectos importantes del proyecto educativo, del encuentro, de la alteridad. Dificultades que desestabilizan a los profesionales en lo que a sus competencias se refiere. Estos últimos perciben la necesidad de una formación específica para responder de manera adaptada a un público específico. Este estudio permitirá a los profesionales acceder a nuevas representaciones de los jóvenes, una mejor comprensión de ciertas situaciones de bloqueo, favoreciendo la creación de un nuevo proyecto individualizado, mejor adoptado por los jóvenes y la adquisición de nuevas competencias del lado del educador.; Etat de la question : Le travail des professionnels auprès des mineurs isolés étrangers les mets devant un certains nombres de difficultés qui demandent des compétences à la fois spécifiques et complexes. Comment en faciliter l’acquisition ? Quel rôle peut jouer la clinique transculturelle dans la formation des éducateurs ? Notre étude propose de travailler sur le discours et les représentations des éducateurs. Elle se situe dans le champ de la psychiatrie transculturelle et s’appuie sur la notion de compétences transculturelles. Méthode : Notre travail participe d’une étude plus globale, pluri-institutionnelle, réunissant des jeunes isolés étrangers et leurs éducateurs en entretiens autour d’objets favorisant la narration. Résultats : Nous avons recruté 5 situations que nous avons analysé à l’aide d’une méthode qualitative le discours des éducateurs au cours des différentes phases. L’analyse du contenu retrouve 6 catégories et 25 sous-catégories. Discussion : Notre étude précise les difficultés ressenties par les professionnels. Elles sont liées aux enjeux du projet éducatif, de la rencontre de l’altérité, des difficultés qui vont venir déstabiliser les professionnels dans leurs compétences. Ces derniers perçoivent la nécessité d’une formation spécifique pour répondre de façon adaptée à un public spécifique. Cette étude va permettre au professionnel d’accéder à de nouvelles représentations du jeune, de mieux comprendre certaines situations de blocage, favorisant la création d’un nouveau projet individualisé, mieux investi par le jeune et l’acquisition de nouvelles compétences du côté de l’éducateur.

Medical-psychological emergency units are often called upon in situations of crises involving children or adolescents. Interventions are adapted to specific needs, taking place on a one-to-one and group basis. They are concerned with the child, his or her family circle and the environment in connection with the traumatic event.

Overall clinical pictures of post-traumatic experiences in pre-school children depend on several factors: developmental, environmental and socio-cultural. Knowledge of these clinical pictures and the early management of these children are essential for their development and for building their personality.

Traumatic events may give rise to invalidating and chronic situations of distress. The concept of post-traumatic growth suggests that trauma may help people who have experienced it to mature and make positive changes in their lives, especially teenagers. This concept and its limits deserve to be studied in greater depth.

Children are regularly faced with traumatic events, whether these are disasters (tsunami, floods, earthquakes), accidents (transport, domestic) or intentional acts (war, ill treatment). The care provided for young Haitian children following the earthquake in January 2010 offers an insight into specific intervention methods, the treatment of post-traumatic disorders and the effects of trauma on those working with them.

The medico-psychological emergency unit in Seine-Saint-Denis (93) was involved in managing the families of the victims of the AF447 flight crash which took place on the night of 31 May and 1 June 2009 between Rio de Janeiro (Brazil) and Paris. It is interesting to study the system set up at the airport, the symptomatology observed, and the parameters of the efficiency of the care provided.

The strategy of radiological investigations in males with severe voiding disorders has not been clearly established. To define the most effective strategy, a retrospective study of 58 files of boys investigated for severe voiding disorders (excluding neurogenic bladder) was performed. The following investigations were performed in this series: intravenous urography (IVU) completed by voiding cystourethrogram (VCUG) (41%), VCUG alone or associated with urinary ultrasound (30%), IVU alone (20.5%) ultrasound alone (1.5%) and ultrasound completed by VCUG or IVU (7%). When prescribed first, VCUG was always sufficient for accurate diagnosis; in contrast, a second investigation was usually necessary when IVU (66%) or ultrasound (80%) were performed first. The interpretability of the voiding urethrogram was also higher with VCUG (90%) than with IVU (66%); the sensitivity was 94% for VCUG and only 69% for IVU and 8% for ultrasound. This study confirms that VCUG combined with urinary ultrasound is the most reliable way to radiologically investigate male severe voiding disorders.

Peripheral malignant neuroectodermal tumors are rare and aggressive small-cell tumors seen predominantly in children and young adults. Mediastinal location is very uncommon. A mediastinal primitive neuroectodermal tumor was diagnosed in a 27-year-old man. Despite treatment combining surgery, radiotherapy and chemotherapy, disease recurred locally along with lungs, spinal and epidural metastases, leading to death. CT and MRI examinations show heterogeneous masses with necrosis, hemorrhage and intense enhancement after Gadolinium injection. The CT and MRI findings are not specific and the diagnosis is based on pathologic, immunohistochemical and electron microscopic features. Although uncommon, peripheral neuroectodermal tumor should be considered in the differential diagnosis of posterior mediastinal masses in children and young adults.

Ambulatory surgery has been organized and regulated in France since 1991. We report the organisation of this activity in our unit and the results in 22,476 patients. Endoscopies, not specifically surgical, were 25.7% of procedures. Over night hospitalization was needed in 3.1% of patients, including about 40% of them for social and familial conditions or follow up of diagnosis or therapeutic sequences. This rate is growing, because we developed diagnosis or therapeutic sequences for interest of the patient. Since 1994, we operated more patients in ambulatory surgery than in classical hospitalization.

Since 1993, we have performed laparoscopic inguinal hernia repair by ambulatory surgery. We report the population of patients with inguinal hernia operated in this way from the first case operated by ambulatory surgery to May 1, 1996. The aim of this prospective and non controlled trial was to present the organization of our day care department and to report the results of our experience, comparing the ambulatory and hospitalized population, identifying the reasons why we decided to operate on an inpatient basis, assessing the rate and the reasons why the patient was kept the night after an initially scheduled ambulatory procedure. Four hundred and thirty three consecutive cures were operated during this period. 53.6% of patients were operated by ambulatory surgery, 89.4% of whom returned home at night. The reasons for an inpatient procedure were: bilateral repair in 25.2% of cases, medical in 16.4%, surgical in 20%, social in 13.5% of cases. The unilateral nature of the repair and the young age of the patients were two factors which led us to chose ambulatory surgery.

Toxoplasmosis is the most common brain parasitic infection in acquired immunodeficiency syndrome (AIDS). Spinal cord localisations are still rare (2 cases with cerebral involvement, 2 cases without). A case of both spinal cord and cerebral involvement is reported. MR imaging was performed because of sensory level (L1). A focal conus medullaris enlargement was seen, iso intense on T1 weighted images. This lesion was hyperintense on T2 weighted sequence, and was homogeneously enhanced after Gadolinium on T1 weighted images. A medullary oedema was noted. A toxoplasmosis treatment was initiated, without corticotherapy. MR imaging performed one month later (D30), while important clinical improvements were seen, pointed out normal thickness of conus medullaris, without enhancement after Gadolinium. Disease lesions in AIDS with focal spinal cord processes are reviewed, and diagnostic work-up is discussed. Spinal cord single lesion, associated or not with brain involvements should be treated as a toxoplasmic infection, with MR imaging follow up. This work up should avoid medullary biopsy, still required in case of treatment failure. Cerebral involvements, with multiples lesions, can mask medullary localisation.

Unlike other major abdominal organs, infarctions affecting the liver is extremely rare. In humans, the rarity of hepatic infarction is explained commonly on the basis of the double blood supply via the hepatic artery and portal vein. The imaging studies and clinical records of seven patients with hepatic infarcts were reviewed. These infarctions were essentially observed during post-operative periods: after aortoceliac graft and after accidental ligation of the hepatic artery (4 cases). The other etiologies included: acute hypovolemic shock in patients with atherosclerosis (2 cases) and finally one case of acute thrombocytosis. Dynamic CT was performed initially in all the cases and during the evolution, demonstrating peripheral low attenuation areas without enhancement. Associated splenic infarcts were present in 4 patients and renal infarcts in two. While the clinical and laboratory findings in hepatic infarction can be completely mimicked by hepatic abscess, CT-guided aspirations were performed in 6 patients demonstrating in only one case the presence of infection.

The use of magnetic resonance imaging was investigated by the authors after having observed one case of pseudo tumoral villonodular synovitis of the knee. Its fiability was compared with those of computerised tomography, arteriography and arthrography.

The presence of a supernumerary spleen in the scrotum, situated around or near a more or less atrophic testicle, or replacing a missing testicle in cryptorchidism, represents the most common result of a rare congenital anomaly called splenogonadal fusion. A new case discovered in a 81-year-old patient is reported. The different clinical expressions, the different anatomic varieties and the macroscopic and histologic pattern are described and discussed.

Owing to the wider use of ultrasonography, renal angiomyolipoma is now diagnosed with increasing frequency. Within a few months, 10 female patients were explored by ultrasounds, computerized tomography and nuclear magnetic resonance (Magniscan 5,000, 0.5 Tesla). At ultrasonography the lesion was hyperechogenic in 9 cases and heterogenic in 1 case. At computerized tomography 7 patients had a strongly hypodense lesion and 3 had a lesion of slightly positive density. At magnetic resonance imaging the lesion produced a characteristically loud signal similar to that of fatty tissues. In practice, ultrasonography and computerized tomography combined provide the diagnosis in most cases. In case of doubt, especially since the tumour may be small and asymptomatic and the lesions multiple and/or bilateral, magnetic resonance imaging with its fat-like loud signal confirms the diagnosis and leads to partial resection. When no complications are present, it may even suggest that surgery is unnecessary.

The histological aspect of the femoral head in patients operated for osteonecrosis (stages III and IV) and undergoing a total hip prosthesis, was correlated with nuclear magnetic resonance, pre- and postoperatively. The decreased signal of the NMR image is particularly clear in the area of sub-chondral bone plate, the fibrous and vascular area bordering the lower portion of the sequestrum. On the contrary, the aspect of the signal is heterogeneous in the sequestrum itself. This may be explained by a different condition of the adipocytes in the sequestrum.

The authors conducted a retrospective evaluation of the diagnostic value of nuclear magnetic resonance in comparison with other imaging techniques in a series of 28 pelvic tumours, with the exclusion of gastrointestinal tumours. The positive diagnosis of the lesion was obtained in every case. The variation of the signal provided information concerning the tissues, while the sections in three planes, the spontaneous visibility of the vessels and the very good natural contrast related to the presence of fat which gives a high signal, facilitated staging of the tumour.

The authors present a study of 38 cases of renal malacoplakia, two of which are personal. The clinical roentgenological and pathological data of such a histologically defined disease are reviewed. Nosological and physiopathological recollection is necessary before discussing management.

Various imaging techniques enable to explore the Temporo-mandibular joints (T.M.J.). The physicians prescribing them, must be perfectly aware of the informations they provide as well as their costs, for a judicious formulation of their indications. Conventional radiography is absolutely necessary and, most of the time, sufficient, since it simply permits to evaluate the bony structures. An orthopantomogram and modified Schüller views of each T.M.J., "open mouth" and "closed mouth" will be performed. Conventional tomograms are no longer indicated. They will be abandoned for Computed Tomograms. This examination permits, at a relatively low cost, to analyse a bony abnormality and explore the muscular soft tissues. It may also be possible to assess the meniscus, its position and displacement when the mouth is opened. In fact, if a meniscal or articular pathology is considered, which could result in surgical or endoscopic procedure, it is absolutely necessary to perform: -either an arthro-tomography, with contrast material, -or a magnetic resonance examination. The latter provides perfect anatomical and pathological informations of the joint and meniscus, in an atraumatic fashion for the patient. Its only contraindication is in the cost of the examination. It will be possible to look for a dislocation, a malformation or a structural alteration of the meniscus which could result in a perforation, a rupture of the posterior frenulum, adhesions or joint extravasation. A necrosis or early osteochondritis of the condyle will be ruled out.