ABSTRACT
Apartir de la creación de la plataforma solidaria COVID-2019 de la Asociación Psicoanalítica Argentina (APA) enel comienzo de la pandemia, las experiencias de contacto a distancia con quienes sufrían situaciones extremasde vulnerabilidad transcurrieron ininterrumpidamente hasta hoy. La formación en observación psicoanalítica debebés Método Bick, en su aplicación con intervención, sostiene las posibles intervenciones que promueventransformaciones de bebés y madres-padres. Como institución, la Asociación Latinoamericana de Observadoresde Bebés (ALOBB) ofrece la contención idónea para no decaer en las funciones mentales que se activan parallevar a cabo nuestros proyectos clínicos. Se transcriben experiencias clínicas, teorías e investigaciones de base.(AU)
pregnancy-birth-upbringing. Sincethe creation of the COVID-2019 solidarity platform of the Argentine Psychoanalytic Association (APA) at thebeginning of the pandemic, the experiences of long-distance contact with those suffering extreme situationsof vulnerability have continued uninterruptedly until today. The Bick Method psychoanalytic infant observationtraining, in its application intervention, supports possible interventions that promote transformations of infantsand mother-parents. As an institution, the Asociación Latinoamericana de Observadores de Bebés (ALOBB)offers the ideal support to avoid losing the mental functions that are activated while carrying out our clinicalprojects. Clinical experiences, theories and basic research are transcribed.(AU)
A partir de lacreació de la plataforma solidària COVID-2019 de lAssociació Psicoanalítica Argentina (APA) al començamentde la pandèmia, les experiències de contacte a distància amb els qui patien situacions extremes de vulnerabilitatvan transcórrer ininterrompudament fins avui. La formació en observació psicoanalítica de nadons Mètode Bick,en la seva aplicació amb intervenció, sosté les possibles intervencions que promouen transformacions de na-dons, mares i pares. Com a institució, lAssociació Llatinoamericana dObservadors de Nadons (ALOBB) ofereixla contenció idònia per no decaure en les funcions mentals que sactiven per dur a terme els nostres projectesclínics. Es transcriuen experiències clíniques, teories i investigacions de base.(AU)
Subject(s)
Humans , Male , Female , Observation/methods , Infant, Newborn , Countertransference , Poverty , Vulnerable Populations , PandemicsABSTRACT
Two cases of perianal streptococcal dermatitis (PSD) occurred in a brother and sister, aged 4 and 6 years, respectively. The diagnosis was confirmed by the detection of group A beta-hemolytic streptococci in the perineal area and pharynx of both patients. We emphasize the importance of a quick and accurate diagnosis of the infection because PSD is frequently confused with other perianal diseases of infancy.
Subject(s)
Anal Canal , Skin Diseases, Bacterial/diagnosis , Streptococcal Infections/diagnosis , Child , Child, Preschool , Female , Humans , Injections, Intramuscular , Male , Penicillin G/therapeutic use , Penicillins/therapeutic use , Rectal Diseases/drug therapy , Rectal Diseases/microbiology , Skin Diseases, Bacterial/drug therapy , Streptococcal Infections/drug therapy , Streptococcus/isolation & purificationABSTRACT
Between January 1989 and June 1997, 533 patients (423 male, 110 female, mean age 61 years, range 22-89 years) with hepatocellular carcinoma (HCC) were observed at our center. We report on 419 patients retrospectively compared for different treatments: liver transplantation (LT; 55 patients), resective surgery (RS; 41 patients), transarterial chemoembolization (TACE; 171 patients) and percutaneous ethanol injection (PEI; 152 patients). The 3- and 5-year actuarial survival rates were, respectively, 72% and 68% for LT, 64 and 44% for RS, 54 and 36% for PEI, and 32 and 22% for TACE. Survival curves were compared for sex, age, tumor characteristics, alphafetoprotein level, Child class, and etiology of cirrhosis. All patient-related characteristics examined (sex, age) are not significantly related to patient survival. Tumor-related variables and associated liver disease variables significantly conditioned survival in relation to different treatments. LT seems to be the treatment of choice for monofocal HCC less then 5 cm in diameter and in selected cases of plurifocal HCC.
Subject(s)
Carcinoma, Hepatocellular/therapy , Chemoembolization, Therapeutic , Ethanol/therapeutic use , Hepatectomy , Liver Neoplasms/therapy , Liver Transplantation , Actuarial Analysis , Adult , Aged , Aged, 80 and over , Carcinoma, Hepatocellular/mortality , Female , Humans , Injections , Liver Neoplasms/mortality , Male , Middle Aged , Retrospective Studies , Survival RateABSTRACT
The case of a twelve year-old boy suffering from "common ileocolic mesentery" with surgical finding of very serious splanchnic venous dilatation is presented. Mesenteric arteriography was the most useful test for diagnosis. The surgical technique has been compared with that described by other Authors.
Subject(s)
Colon/abnormalities , Ileum/abnormalities , Mesenteric Vascular Occlusion/etiology , Mesentery/abnormalities , Child , Colon/surgery , Humans , Ileum/surgery , Male , Mesenteric Vascular Occlusion/diagnostic imaging , Mesenteric Vascular Occlusion/surgery , Mesenteric Veins , Mesentery/surgery , Radiography , Venous PressureSubject(s)
Cholangiography , Gallstones/diagnosis , Ultrasonography , Female , Humans , Intraoperative Period , MaleABSTRACT
The authors have reviewed 47 cases of septic non-union of the tibia treated by tibio-fibular graft, Bone union was obtained in 31 cases, 2 limbs were amputated and 13 tibiae were united after another procedure. In 17 cases the grafts were performed in the presence of a discharging sinus. These cases did as well as any others. In cases of bone loss after diaphyseal resection, tibio-fibular grafting appeared to be a better procedure than Papineau's technique. Several cases of failure of this technique were cured successfully by tibio-fibular grafting when the bone loss was extensive, tibio-fibular grafting had to be completed by a supplementary tibial graft. The authors consider that grafting procedure should be done early in cases of extensive bone loss or in cases of severe compound comminuted fracture.
Subject(s)
Fibula/surgery , Fracture Fixation/methods , Pseudarthrosis/surgery , Tibial Fractures/surgery , Adult , Female , Fracture Fixation/adverse effects , Fractures, Ununited/surgery , Humans , MaleABSTRACT
Two thousand women were screened at the time of delivery for two hepatitis B markers, surface antigen (HBsAg) and antibody (HBsAb), in order to determine prevalence rates, define high-risk groups and estimate the cost-efficiency of routine screening. It was found that 2.2% of the women were HBsAg positive and 32% of a 20% subsample were HBsAb positive. Jewish women of North African origin had the highest rates (HBsAg, 3.8%; HBsAb, 47%) and those of European origin had the lowest (1.2 and 14%, respectively). Bedouin women had intermediate rates (HBsAg, 1.1%; HBsAb, 28%). The issue of screening pregnant women for HBsAg is discussed in light of these results.
Subject(s)
Hepatitis B Surface Antigens/isolation & purification , Hepatitis B/immunology , Pregnancy Complications, Infectious/immunology , Adolescent , Adult , Ethnicity , Female , Hepatitis B Antibodies/isolation & purification , Hepatitis B virus/immunology , Humans , Israel , Jews , Middle Aged , PregnancyABSTRACT
The authors conducted a series of experiments concerning the condition of hypercoagulability of patients with a history of thrombosis, in view of determining whether or not the risk of thrombosis could be assessed by laboratory tests. To that end they assayed antithrombin iii activity and soluble fibrin complexes in their test subjects. Antithrombin activity was assayed by a chromogenic method; soluble fibrin complexes by the hemoagglutination test. The activity of antithrombon III was significantly reduced in patients with venous thrombosis, not so in arterial thrombosis. Testing for soluble fibrin complexes was invariably unrewarding, probably because the thrombosis episodes under investigation were of too long standing.
