This text is trying to discuss an approximation to the concept of human emancipation,as part of our well-being,in terms of Education and Knowledge.Without abandoning our metaphysical perception of wholeness,as an exte...This text is trying to discuss an approximation to the concept of human emancipation,as part of our well-being,in terms of Education and Knowledge.Without abandoning our metaphysical perception of wholeness,as an extension of the continuity principle which connects our conscious and unconscious world,emancipation is considered as a personal struggle against all oppressions.Some of these are grounded in our inner world.In accordance with the Enlightenment request,reasoning and knowledge can help us to structure new forms of acceptances which are shaping our own emancipatory meaning.Under the impact of social influence and personal interpretation,the perceived knowledge is considered as a mental tool containing an upgraded valid information.Taking under consideration that this validity is not able to overcome the metaphysical origins of human thought,it is suggested that when this mental tool is functioning in a self-transformative,self-constructed,and flexible form,human intelligence is structuring a compatible information management mechanism,which can enable us to formulate our personal acceptances,bridge our empirical and hyper-empirical inner world,and enlighten our request for self-criticism,self-determination,and above all emancipation.展开更多
Introduction: Solitary exostoses are the most common benign tumors of the fertile metaphyses of the long bones of children. Their radiological diagnosis of metaphyseal bone growth must be confirmed on pathological exa...Introduction: Solitary exostoses are the most common benign tumors of the fertile metaphyses of the long bones of children. Their radiological diagnosis of metaphyseal bone growth must be confirmed on pathological examination. These tumors can remain asymptomatic for a long time and reveal themselves during a particularly vascular complication. The objective of this study was to describe the epidemiological, diagnostic, therapeutic and evolutionary aspects of these tumors. Patient and Observation: We report the case of a 15-year-old adolescent girl, with no particular pathological history, received in the pediatric surgery department of the Donka National Hospital (HND) of the Conakry University Hospital for recurrent acute painful swelling of the lower third of the left thigh in an afebrile context accompanied by lameness and stopping school for a few days (2 - 3 days). The symptoms appear to have evolved over the past 3 years and after physical activities. It regresses with rest, analgesics and non-steroidal anti-inflammatory drugs. The notion of trauma and sickle cell disease was not reported in the patient's clinical history. It is the persistence of the symptomatology which motivates the said consultation. On palpation, a small hard mass is noted at the expense of the internal metaphysis of the left distal femur. Deep palpation of this area causes a tingling sensation and during rapid mobilization of the knee. The remainder of the orthopedic examination was unremarkable. Standard x-ray of the femur shows a bony growth with a pointed tip from the distal metaphysis of the left femur. On surgical exploration, we noted a wedge-shaped exostosis oriented towards the vastus medialis muscle. Histological examination of the surgical specimen confirms osteogenic exostosis. There is no recurrence after 2 years. Conclusion: The distal femoral metaphysis is the most common location of solitary osteochondromas in children. Their definitive diagnosis requires the histology of the surgical specimen. Only symptomatic exostoses should be operated on in children.展开更多
文摘This text is trying to discuss an approximation to the concept of human emancipation,as part of our well-being,in terms of Education and Knowledge.Without abandoning our metaphysical perception of wholeness,as an extension of the continuity principle which connects our conscious and unconscious world,emancipation is considered as a personal struggle against all oppressions.Some of these are grounded in our inner world.In accordance with the Enlightenment request,reasoning and knowledge can help us to structure new forms of acceptances which are shaping our own emancipatory meaning.Under the impact of social influence and personal interpretation,the perceived knowledge is considered as a mental tool containing an upgraded valid information.Taking under consideration that this validity is not able to overcome the metaphysical origins of human thought,it is suggested that when this mental tool is functioning in a self-transformative,self-constructed,and flexible form,human intelligence is structuring a compatible information management mechanism,which can enable us to formulate our personal acceptances,bridge our empirical and hyper-empirical inner world,and enlighten our request for self-criticism,self-determination,and above all emancipation.
文摘Introduction: Solitary exostoses are the most common benign tumors of the fertile metaphyses of the long bones of children. Their radiological diagnosis of metaphyseal bone growth must be confirmed on pathological examination. These tumors can remain asymptomatic for a long time and reveal themselves during a particularly vascular complication. The objective of this study was to describe the epidemiological, diagnostic, therapeutic and evolutionary aspects of these tumors. Patient and Observation: We report the case of a 15-year-old adolescent girl, with no particular pathological history, received in the pediatric surgery department of the Donka National Hospital (HND) of the Conakry University Hospital for recurrent acute painful swelling of the lower third of the left thigh in an afebrile context accompanied by lameness and stopping school for a few days (2 - 3 days). The symptoms appear to have evolved over the past 3 years and after physical activities. It regresses with rest, analgesics and non-steroidal anti-inflammatory drugs. The notion of trauma and sickle cell disease was not reported in the patient's clinical history. It is the persistence of the symptomatology which motivates the said consultation. On palpation, a small hard mass is noted at the expense of the internal metaphysis of the left distal femur. Deep palpation of this area causes a tingling sensation and during rapid mobilization of the knee. The remainder of the orthopedic examination was unremarkable. Standard x-ray of the femur shows a bony growth with a pointed tip from the distal metaphysis of the left femur. On surgical exploration, we noted a wedge-shaped exostosis oriented towards the vastus medialis muscle. Histological examination of the surgical specimen confirms osteogenic exostosis. There is no recurrence after 2 years. Conclusion: The distal femoral metaphysis is the most common location of solitary osteochondromas in children. Their definitive diagnosis requires the histology of the surgical specimen. Only symptomatic exostoses should be operated on in children.
