Repositorio de la Asociación Española de Neuropsiquiatría
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L'automatisme Psychologique.
No full textSe encuentran dificultades muy particulares y queda uno expuesto a grandes peligros, cuando se intenta extraer conclusiones generales de estos largos estudios experimentales. Los extraños hechos que hemos revisado, las seductoras teorías que hemos entrevisto a propósito de éste o aquél problema, parecen arrastrarnos a la hipótesis más aventureras de la filosofía. Las especulaciones de los antiguos autores hilozoistas sobre la vida universal y la conciencia universalmente extendida, las teorías más modernas sobre la persistencia de las ideas en la memoria y sobre el carácter indestructible del pensamiento, ¿acaso no se vinculan estrechamente a nuestras experiencias sobre la catalepsia, la sugestión terapéutica y los actos subconscientes? Pero abordar estos supuestos, por muy seductores que sean, sería salir enteramente del método que hemos asumido y pasar, como decía la antigua lógica, de un género a otro. Uno de los grandes méritos de estos nuevos estudios de psicología, aunque esto parezca singular, es que son susceptibles de error
Simple suture for perforated peptic ulcer followed by helicobacter pylori eradication in children
No full textPak J Med Sci 2014 Vol. 30 No. 3Objective: Peptic ulcer disease in children is rare. Therefore, the diagnosis can be missed until complications
such as perforation or hemorrhage occur. Few reports have investigated the procedures and outcomes of
children who have undergone operations for perforated duodenal ulcers. We report our experience with
the modified Graham technique for perforated duodenal ulcers in nine children and review the literature.
Methods: The records of patients operated on for a perforated duodenal ulcer in the last 8 years in
two pediatric surgery centers were evaluated retrospectively. Patient demographics, symptoms, time to
admission to hospital, operative findings, and postoperative clinical course were evaluated.
Results: Nine children (mean age 13.2 years, range 6–170 years) were included. All patients were admitted
in the first six hours after their abdominal pain started. In three patients, there was free air on plain
x-rays, while the x-rays were normal in six. All perforations were located on the anterior surface of the first
part of the duodenum and repaired with primary suturing and Graham patch omentoplasty. The recovery
was uneventful in all patients. In five patients, urea breath tests were performed postoperatively for
Helicobacter Pylori, and the results were positive. All patients underwent triple therapy with lansoprazole,
amoxicillin, and clarithromycin. The mean follow-up time was 58 (range 3–94) months.
Conclusions: Peptic ulcer perforation should be suspected in children who have acute abdominal pain and
peritoneal signs, especially when their suffering is intense. The simple patch repair and postoperative
triple therapy for Helicobacter Pylori are safe and satisfactory for treating peptic ulcer perforation in
children
Repetición de traumas ancestrales e identificaciones destructivas en la religión y en el antijudaísmo.
No full textSin resumen
Non-traumatic non-aneurysmal subarachnoid haemorrhage: Single institutional experience
No full textAim: Despite the advanced diagnostic methods we use today, the rate of negative digital subtraction angiography (DSA) is 15% in patients diagnosed with subarachnoidal hemorrhage (SAH), and these types of hemorrhages are named as non-aneurysmal (NASAH). Various factors such as inadequate interpretation of the beginning angiography, vasospasm, thrombosis, intra-cerebral hematoma pressure may cause DSA to be negative. This study aims to determine the causes of bleeding in patients who were suffered from NASAH.
Materials and Methods: The study evaluated 664 patients with SAH from 2010 to 2016. DSA was performed on these patients within the first 3 or 6 hours. Sixty-seven patients with DSA negative were included in the study group. The patients were divided into three groups as perimesencephalic subarachnoidal hemorrhage (PMSAH), non-perimesencephalic subarachnoidal hemorrhage (nPMSAH), CT negative subarachnoidal hemorrhage (CT negative SAH). These three groups were evaluated based on age, gender, Glascow coma scale (GCS), World Federation of Neurosurgical Societies (WFNS) grade, Hunt and Hess Classification and Fisher’s scale, hospitalization time duration, complications and computerized tomography (CT), and cervical and cranial MRI was performed on patients without correlation between DSA results if needed.
Results: Of the 664 patients diagnosed with SAH, 67 (10.09%) had NASAH. Statistically significant differences were found between CT Negative SAH and PMSAH and CT Negative SAH and nPMSAH in terms of the variables of GCS during hospital admission and total duration of hospitalization. Statistically significant differences were found between CT Negative SAH and PMSAH and nPMSAH in terms of the variables of GCS during hospital discharge. There were statistically significant differences between the types in terms of WFNS Classification, Hunt and Hess Classification and Fisher’s Scala.
Conclusion: We believe that this study will contribute to the literature about the necessity of performing additional radiologic imaging during clinical follow-up since belated diagnosis in patients with NASAH may increase mortality
Asistencia
No full textEl Estado parece estar a la defensiva, atenazado por unos poderes políticos incapaces y medrosos. Ellniedo domina la cosa pública. El reajuste de las estructuras de la Administración central y local -y la consecuente modelación y delega.ción de competencias en los entes autonómicos-no acaba de realizarse
