Asunto(s)
Infecciones por Citomegalovirus , Hipertensión Pulmonar , Recién Nacido , Humanos , Hipertensión Pulmonar/tratamiento farmacológico , Hipertensión Pulmonar/etiología , Valaciclovir/uso terapéutico , Hiperplasia , Infecciones por Citomegalovirus/complicaciones , Infecciones por Citomegalovirus/tratamiento farmacológico , Pulmón/diagnóstico por imagen , Microvasos , Antivirales/uso terapéuticoAsunto(s)
Infecciones por Citomegalovirus , Complicaciones Infecciosas del Embarazo , Embarazo , Recién Nacido , Femenino , Humanos , Valaciclovir/uso terapéutico , Amniocentesis , Antivirales/uso terapéutico , Infecciones por Citomegalovirus/diagnóstico , Infecciones por Citomegalovirus/tratamiento farmacológico , Complicaciones Infecciosas del Embarazo/diagnóstico , Complicaciones Infecciosas del Embarazo/tratamiento farmacológico , Transmisión Vertical de Enfermedad Infecciosa/prevención & controlRESUMEN
Uterine arteriovenous malformations (AVMs) is a rare but high-risk cause of uterine bleeding. The clinical management of this condition is challenging, as the ultrasound picture can sometimes be unambiguously interpreted. Moreover, in the puerperium in which acquired AVMs are most frequently formed, it is necessary to discuss the correct management in a multidisciplinary and personalized manner. We present two cases of AVMs developing in the puerperium, both with a vaginal delivery and spontaneous and complete secondment. The symptom of onset was an episode of bright red blood loss in the puerperium, on the 14th and 21st postpartum days, respectively. Transvaginal ultrasound showed a hypervascularized lesion in the myometrium with turbulent vascular flow, confirmed by transabdominal ultrasound and angiography. To date, there are no guidelines on the management of MAVs. In our cases we opted for a conservative approach, in order to preserve the fertility of the patient. These experiences reported have the purpose of enriching a literature still sparse on the subject and in the future to be able to represent a fulcrum for official recommendations.
RESUMEN
It becomes apparent at the present level of development of the Psychiatry that it is not possible to have a unique theoretical framework or a general principle in the wide field of this discipline. In this article the various theoretical references are reviewed. In some clinical cases the author refers to the lack of a theoretical reference at all. At the present moment, the range of theoretical perspectives leads to deal with the coexistence of regional epistemologies.
Asunto(s)
Conocimiento , Psiquiatría/historia , Historia del Siglo XIX , Historia del Siglo XX , Humanos , Trastornos Mentales/historiaRESUMEN
It becomes apparent at the present level of development of the Psychiatry that it is not possible to have a unique theoretical framework or a general principle in the wide field of this discipline. In this article the various theoretical references are reviewed. In some clinical cases the author refers to the lack of a theoretical reference at all. At the present moment, the range of theoretical perspectives leads to deal with the coexistence of regional epistemologies.
RESUMEN
It becomes apparent at the present level of development of the Psychiatry that it is not possible to have a unique theoretical framework or a general principle in the wide field of this discipline. In this article the various theoretical references are reviewed. In some clinical cases the author refers to the lack of a theoretical reference at all. At the present moment, the range of theoretical perspectives leads to deal with the coexistence of regional epistemologies.
RESUMEN
Description of psychasthenia by P. Janet (1903) sets up at the end of a double reflection, with on the one hand a theorization of asthenia, the notion of which already occupied the medical concepts of the 18th and 19th centuries, and on the other hand a progressive attribution of neurosis to the psychiatric field. Its clinical characteristics (feelings of non-fulfillment in action and emotion, experiences of oddness and depersonalization, obsessions, phobias...) makes psychasthenia a fully-fledged illness, the psychopathological organization of which results from a decrease of psychological tension and from a loss of reality function. Since P. Janet, the term of psychasthenia has not ceased to be used, although its etiopathological references blurred behind the psychoanalytic work, and it is usually synonymous with obsessional neurosis, even with obsessional personality. Description of psychasthenia appears in these rubrics of the DSM III, even though the term itself is ignored.
Asunto(s)
Neurastenia/historia , Trastorno Obsesivo Compulsivo/historia , Francia , Historia del Siglo XVIII , Historia del Siglo XIX , Historia del Siglo XX , HumanosAsunto(s)
Humanidades , Psicoanálisis , Antropología , Teoría Freudiana , Humanos , Lingüística , Principios MoralesRESUMEN
El autor desarrolla una exposición equilibrada de las vinculaciones existentes entre una y otra disciplina a la par que pretende evitar que el psiquiatra ceda a las seducciones de una moda que no se puede rechazar sin correr el riesgo de pasar por ignorante o a la decisión precipitada de no aceptar una ling³ística mal conocida para precaverse contra el canto de las sirenas; se ocupa, en resumen, de señalar el campo y los límites de los ofrecimientos "útiles" que la ling³ística puede hacer a la psiquiatría
