Report on the Iowa Judicial Branch – County Clerks of District Courts, a part of the State of Iowa, for the year ended June 30, 2009

Report on the Iowa Judicial Branch – County Clerks of District Courts, a part of the State of Iowa, for the year ended June 30, 2009

Audit report on the City of Center Point, Iowa for the year ended June 30, 2010

Audit report on the City of Center Point, Iowa for the year ended June 30, 2010

Audit report on the City of West Branch, Iowa for the year ended June 30, 2010

Audit report on the City of West Branch, Iowa for the year ended June 30, 2010

46, XY gonadal dysgenesis: new SRY point mutation in two siblings with paternal germ line mosaicism.

Stoppa-Vaucher S, Ayabe T, Paquette J, Patey N, Francoeur D, Vuissoz J-M, Deladoëy J, Samuels ME, Ogata T, Deal CL. 46, XY gonadal dysgenesis: new SRY point mutation in two siblings with paternal germ line mosaicism. Familial recurrence risks are poorly understood in cases of de novo mutations. In the event of parental germ line mosaicism, recurrence risks can be higher than generally appreciated, with implications for genetic counseling and clinical practice. In the course of treating a female with pubertal delay and hypergonadotropic hypogonadism, we identified a new missense mutation in the SRY gene, leading to somatic feminization of this karyotypically normal XY individual. We tested a younger sister despite a normal onset of puberty, who also possessed an XY karyotype and the same SRY mutation. Imaging studies in the sister revealed an ovarian tumor, which was removed. DNA from the father's blood possessed the wild type SRY sequence, and paternity testing was consistent with the given family structure. A brother was 46, XY with a wild type SRY sequence strongly suggesting paternal Y-chromosome germline mosaicism for the mutation. In disorders of sexual development (DSDs), early diagnosis is critical for optimal psychological development of the affected patients. In this case, preventive karyotypic screening allowed early diagnosis of a gonadal tumor in the sibling prior to the age of normal puberty. Our results suggest that cytological or molecular diagnosis should be applied for siblings of an affected DSD individual.

Spiritualité, pratiques religieuses et schizophrénie: mise au point pour le praticien

Dans la schizophrénie, la religion a surtout été étudiée sous son aspect pathologique. Or, de nombreux patients s'appuient sur leurs ressources spirituelles pour faire face à leur maladie. Nous avons développé une grille d'entretien pour évaluer les relations entre spiritualité, pratiques religieuses et coping. Cet instrument a démontré que la religion a des effets positifs pour 71% et négatifs pour 14% des 115 patients évalués. La religion influence l'image de soi, les symptômes, l'adaptation psychosociale, la toxicomanie, les tentatives de suicide et l'adhérence au traitement. Elle devrait donc être systématiquement évaluée par le praticien. Notre instrument a démontré une bonne fidélité inter-juge et une validité théorique. Il ne nécessite pas de formation préalable. C'est pourquoi, nous le mettons à disposition des praticiens.