[Laryngeal tuberculosis: study of 11 cases]. / Tuberculosis laríngea: estudio de 11 casos.

We report 11 patients with laryngeal tuberculosis seen in our hospital, January 1990 to July 2000. Eight were men and all cases presented with dysphonia and/or disphagia. In 8 pulmonary tuberculosis was associated. Mycobacterium tuberculosis was isolated from the sputum in 7 patients. Granulomatous laryngitis was demonstrated in the eight patients with laryngeal biopsy. The evolution with medical treatment was favourable in all patients.

Tuberculosis Laríngea: estudio de 11 casos / Laryngeal Tuberculosis: review or eleven cases

Describimos 11 enfermos con tuberculosis laríngea observados en nuestro hospital desde enero de 1990 a julio de 2000. Ocho eran varones de edad superior a los 30 años y diez fumadores importantes. El diagnóstico se realizó en una media de 43 días desde que comenzaron con las manifestaciones clínicas. Todos referían disfonía y/o disfagia y en 8 se diagnosticó tuberculosis pulmonar asociada. En 7enfermos se aisló Mycobacterium tuberculosis en esputo. En los 8 casos que se realizó biopsia laríngea, se demostró la presencia de granulomas. Con tratamiento médico antituberculoso, la evolución fue satisfactoria en todos los casos, no habiéndose observado en ninguno clínica residual (AU)

We report 11 patients with laryngeal tuberculosis seen in our hospital, January 1990 to July 2000. Eight were men and all cases presented with dysphonia and/or disphagia. In 8 pulmonary tuberculosis was associated. Mycobacterium tuberculosis was isolated from the sputum in 7 patients. Granulomatous laryngitis was demonstrated in the eight patients with laryngeal biopsy. The evolution with medical treatment was favourable in all patients (AU)

Tapping the television cable.

Immediate access to patient data is essential to support good clinical decision making and support. However, away from the surgery, the doctor is currently unable to have any access to the clinical database. Solutions exist to support remote access, such as modems or radio data networks, but these are slow, with typical speeds in the 2-10 kbaud region. We propose a novel solution, to use the TV cable already installed in many homes. Using this technology, a suitably equipped computer (RF modern) is capable of connecting at speeds in excess of 500 kbaud and will run applications in exactly the same way as if connected to a surgery network: the cable TV becomes a LAN, but on a metropolitan scale. Brunel University, in collaboration with the Cable Corporation, has been piloting such a network. Issues include not only levels of service, but also security on the network and access, since the data are being effectively received in every home. However, close scrutiny of channel use can create closed networks reserved for specific users. The technology involves use of an RF modem to transmit data on a reverse channel (based at 16 MHz) on each subnet to a router at the head end of the cable network. This frequency translates the packet and retransmits it to all the subnets on a forward channel (based at 178 MHz). Each channel occupies the bandwidth normally allocated to one TV channel. Access is based on a modified CSMA/CD protocol, so treating the cable network as single multiple access network. The modem comes as a standard card installed in a PC and appears much as an ethernet card, but at reduced speed. With an NDIS driver it is quite able to support almost any network software, and has successfully demonstrated Novell and TCP/IP. We describe the HomeWorker network and the results from a pilot study being undertaken to determine the performance of the system and its impact on working practice.

[Foreign body in the maxillary sinus. Apropos of a case]. / Cuerpo extraño de seno maxilar. A propósito de un caso.

It is described the case of an inflammatory maxillary sinus process, with both torpid evolution and post-traumatic etiology. The surgery proved the existence of a foreign body lodged in the maxillary sinus.

[A case of rhinophyma]. / Un caso de rinofima.

A case of rhinophyma, surgically treated, is reported, for being a process with low incidence and for its big size.