Treatment of urachal disorders: The open and laparoscopic surgery approach. / Abordaje laparoscópico de la patología uracal. Nuestra serie.

INTRODUCTION: The present study analyzes cases of urachal abnormalities treated with laparoscopic approach in our hospital. CASE DESCRIPTION: A retrospective descriptive study of urachal disorders with laparoscopic surgery approach performed at our hospital in the period 1999-2015. Patients' clinical data are presented (radiological findings, surgical data, pathology findings, complications and a follow-up of each patient). RESULTS: 7 Adults presented complicated urachal disorders treated laparoscopically. The average age was 43.1 years old (DE ±11). The mean surgical time of laparoscopic management was 154.2 minutes (range 120-240). Mean hospital stay was 4.9 days (DE ±1.1). There were no early or late postoperative complications. CONCLUSION: Laparoscopic removal of urachal remnants is a safe and reproducible technique.

Treatment of urachal disorders: the open and laparoscopic surgery approach

INTRODUCTION: The present study analyzes cases of urachal abnormalities treated with laparoscopic approach in our hospital. CASE DESCRIPTION: A retrospective descriptive study of urachal disorders with laparoscopic surgery approach performed at our hospital in the period 1999-2015. Patients` clinical data are presented (radiological findings, surgical data, pathology findings, complications and a follow-up of each patient). RESULTS: 7 Adults presented complicated urachal disorders treated laparoscopically. The average age was 43.1 years old (DE ±11). The mean surgical time of laparoscopic management was 154.2 minutes (range 120-240). Mean hospital stay was 4.9 days (DE ±1.1). There were no early or late postoperative complications. CONCLUSION: Laparoscopic removal of urachal remnants is a safe and reproducible technique

INTRODUCCIÓN: El objetivo de nuestro trabajo es el análisis de los casos tratados con abordaje laparoscópico de patología uracal en nuestro hospital. DESCRIPCIÓN DE LOS CASOS: Presentamos un estudio descriptivo retrospectivo de la patología uracal tratada laparoscópicamente en nuestro centro desde 1999 al 2015. Se recogieron datos de las variables clínicas de los pacientes (pruebas de imagen, abordaje quirúrgico, anatomía patológica, complicaciones y seguimiento). RESULTADOS: Se detectaron 7 pacientes con patología uracal complicada que fueron tratados con abordaje laparoscópico. La media de edad fue de 43,1±11 años. La media del tiempo quirúrgico fue de 154,2 minutos (120-240). La estancia hospitalaria media fue de 4,9 (DE ±1,1) días. No hubo complicaciones postoperatorias. CONCLUSIÓN: La extirpación laparoscópica de los remanentes uracales es una técnica segura y reproducible

Manejo de una fístula carotidocavernosa bilateral traumática: representación esquemática de los diferentes tipos de comunicación carotidocavernosa / Management of a traumatic bilateral carotid-cavernous fistula: a schematic representation of the different types of carotid-cavernous communication

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Positive syndrome of schizophrenia and epilepsy.

An analysis is carried out of a set of psychic phenomena appearing always in the same way: an experience suddenly invades the consciousness, unfolding automatically and with great intensity. This psychic automatism, of which the patient is a passive observer, is accompanied by an overwhelming feeling of strangeness. Our hypothesis is that these phenomena are the expression of partial seizures with a psychic content. A comparative study is then made of the phenomenology of these partial seizures with a psychic content, on the one hand, and of that of positive syndrome of schizophrenia, on the other. It reveals a wealth of clinical information indicating an overlap between the two conditions. This inclines us to postulate of an existence of shared etiopathogenic mechanisms for both pathologies.

A new autopsy interview for the assessment of factors potentially related to death in depressed medical patients.

This study tests the reliability and validity of the Bio-Psycho-Social Autopsy (BPSA), a new interview to assess physical, psychopathological, and social factors potentially related to mortality in depressed medical patients. The authors completed special procedures to provide support for the face and content validity of the interview. They built the psychopathological and social sections on the Standardized Polyvalent Psychiatric Interview (SPPI) but gave self-neglect special emphasis. They tested the BPSA on close relatives of 48 deceased patients, both depressed and nondepressed. They calculated interrater reliability coefficients and took preliminary steps to document the construct validity by means of epidemiological and clinical variables. Interrater reliability coefficients were acceptable (M kappa = 0.82). In support of the construct validity, a multivariate analysis showed that BPSA items in the psychopathological section were able to differentiate the expected direction between deceased patients who were depressed and nondepressed. Therefore, the authors considered the BPSA interview to be a reliable assessment of factors potentially associated with death in depressed medical patients, and data presented support the validity of the psychopathological section.

Melancholic major depression and epilepsy.

An analysis is carried out of a set of psychic phenomena appearing always in the same way: an experience suddenly invades the consciousness, unfolding automatically and with great intensity. This psychic automatism, of which the patient is a passive observer, is accompanied by an overwhelming feeling of strangeness. Our hypothesis is that these phenomena are the expression of partial seizures with a psychic content, and the name Paroxysmal Psychic Automatisms is proposed for all of them. A comparative study is then made of the phenomenology of partial seizures with a psychic content, on the one hand, and of that of melancholic major depression, on the other. It reveals a wealth of clinical information indicating an overlap between the two conditions. Finally, a set of well-established scientific data is analysed concerning epilepsy and depression, especially epidemiological and psychopharmacological information, which takes on a new meaning in the light of the hypothesis developed in this paper.

Mortalidad asociada a la depresión en pacientes hospitalizados en medicina interna y seguidos en atención primaria: factores etiopatogénicos y “autopsia biopsicosocial” / No disponible

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Epileptic consciousness: concept and meaning of aura.

This research is based on previous publications that have analyzed certain neuropsychological phenomena that always have the same characteristic clinical features: a vivid experience of sudden onset and automatic development, accompanied by an intense sensation of strangeness. When these automatisms are accompanied by only mental symptoms, the designation paroxysmal psychic automatisms (PPAs) is proposed, and they should be interpreted as partial seizures (PSs) with a psychic content whenever they clearly exhibit the four features of suddenness, passivity, intensity, and strangeness. This interpretation is based on the existence of a wealth of scientific literature indicating an overlap between PPAs and PSs; moreover, bibliographic reviews indicate that the clinical signs just defined as characterizing PPAs are precisely those defining the epileptic consciousness.