Una herramienta de apoyo a la docencia: DVD didáctico para la enseñanza del baloncesto y del baloncesto en silla de ruedas / No disponible

El análisis de los deportes es un requisito fundamental a la hora de diseñar las situaciones de aprendizaje en los mismos. Normalmente este análisis viene de la mano del estudio de las acciones de juego tanto en ataque como en defensa, el rol específico de los jugador/es en el campo de juego, así como del análisis de las dimensiones tácticas, técnicas y estratégicas del propio juego. El objetivo del profesorado del Grupo de Innovación Educativa “Deportes Colectivos” de la Facultad de Ciencias del Deporte - INEF (Universidad Politécnica de Madrid) ha sido la creación de un DVD didáctico que favorezca la adquisición de conocimientos del alumnado en asignaturas relacionadas con la iniciación a los deportes. Los objetivos de este estudio han sido: a) estructurar y desarrollar una base común y específica en la enseñanza y aprendizaje de la iniciación a determinados deportes colectivos (baloncesto, fútbol y baloncesto en silla de ruedas); b) seleccionar y editar el material audiovisual específico de los deportes colectivos seleccionados y c) diseñar y elaborar el citado DVD (AU)

[Videoscopic resection of a thrombosed aneurysm of a patent ductus arteriosus in a neonate]. / Résection par vidéo-thoracoscopie d'un anévrisme thrombosé du canal artériel du nouveau-né.

Aneurysmal dilatation of a patent ductus arteriosus is a rare condition. One hundred and fifty three cases have been reported, of which 59 (39%) were operated, with an operative mortality of 16%. The authors report a case detected in a premature neonate on chest X-ray showing a mass in the mid-mediastinal region. Surgical resection was undertaken by video-thoracoscopy. Peroperative analysis of the resected specimen suggested a vascular structure and this was confirmed by histological study, which showed spontaneous aneurysm of a thrombosed patent ductus arteriosus or cystic residue of a patent ductus arteriousus. The authors underline the importance of peroperative puncture of structures of uncertain origin and the possibility of conversion of such a procedure to that of an extreme emergency.

[Clinical, hemodynamic and angiographic results of total cavo-pulmonary connection]. / Résultats cliniques, hémodynamiques et angiographiques après dérivation cavo-pulmonaire totale.

The aim of the study was to assess the short and medium term results of total cavo-pulmonary connection based on analysis of the functional status, the cavo-pulmonary circulation and the surgical techniques, and the hepatic consequences. Fifteen patients with congenital defects beyond repair were treated by total cavo-pulmonary connection at Tours between March 1st 1992 and July 30th 1996. There were 12 children (mean age: 6.3 years) and 3 adults aged 25 to 28. Results were assessed by clinical examination, hepatic function tests and cardiovascular investigations including right heart catheterisation with angiography in 14 patients. There were no fatalities. Seven patients were in functional Class I and 8 in Class II at medium term (average follow-up of 33 months). Hepatic function was mildly abnormal in all patients with an increase in serum bilirubin and gamma GT, and a decrease in the coagulation factors. The mean pressures in the atrial channel were 12 mmHg (9-16 mmHg), in the superior vena 13.2 mmHg (10-18 mmHg), in the right pulmonary artery 9.5 mmHg (7-15 mmHg) and 11.6 mmHg (8-16 mmHg) in the left pulmonary artery. Significant residual stenosis of a pulmonary branch was observed in 2 cases. The cavo-pulmonary anastomoses were out of line, one from the other, in all cases. The atrial channel was tubular in 9 cases and dilated with slight stagnation of the contrast medium in its inferior region in 5 cases. Total cavo-pulmonary connection transformed the clinical status of these patients but was associated with minor abnormalities of liver function. The quality of the cavo-pulmonary circulation and the surgical anastomoses was estimated to be satisfactory in the majority of cases.

Brainstem auditory and visual evoked potential studies in patients with chronic cervical pain.

Brainstem auditory evoked potential (BAEP) and visual evoked potential (VEP) studies were undertaken in 8 patients with chronic cervical pain associated with auditory and visual symptoms of more than 6 months duration. The purpose of the study was to ascertain possible central abnormalities, including posterior cervical sympathetic syndrome (Barre-Lieou syndrome), in their auditory and/or visual pathways. Patients who had been treated surgically for cervical pain were excluded from the study group. All patients had normal cervical radiographs and electromyographic findings. Six also had normal CT scans and myelograms. A criterion of the study was that abnormal results would be considered significant only if ophthalmological and/or otolaryngological work-ups failed to reveal an underlying organic abnormality. The TECA-TE 42 was used throughout the study, as well as the international Ten-Twenty System of Electrode Placement. The results showed no abnormalities in the latency, amplitude, or waveform morphology of the evoked potentials. BAEP and VEP studies do not appear to reveal central abnormalities of the auditory and visual pathways in this group of patients. However, in view of the small number of patients included in the study, no conclusions can be made with certainty and the study is continuing.

The use of clonidine for the treatment of meperidine withdrawal in a multidisciplinary pain program setting. A case presentation.

The management of iatrogenic drug dependence in individuals with pain can be more difficult than the treatment of the pain itself. In addition to a multidisciplinary approach to the treatment of a patient with chronic pain, there is a need for a rapid, safe, and effective method of detoxification from opiate use. Clonidine HCl, a nonopiate, has been found, in this case presentation, to be a valuable option.