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Biomedical subjects

A Colas

Publications and source records attributed to A Colas.

8 recordsLinked to original sources

[Interactions of infants with adults in day care centers. Evolutive dependencies vs. counter-evolutive risks and characteristics of the mother-infant relationship].

As part of a broader research project on the construction of the self, six infants were observed longitudinally in day-care centers between the ages of five months and three years. Interviews were conducted with the six mothers in order to evaluate the intersubjective characteristics of the mother-infant relationship. For three of the six children, the mother was a caregiver in the center. This article deals with "propping" processes, defined as the affective-cognitive transformations by means of which infants develop networks of links with and between external and internal objects which are used for support during development and serve as a relay of the maternal object. The present analysis is limited to propping on the adults in the day-care center (caregivers, observer, and, for three of the children, mothers). Two factors were considered: the intersubjective quality of the mother-infant relation, and the presence or absence of the mother as a caregiver in the day-care center. The results showed that (1) even when very young, the infants under observation differentiated between the various functions of the adults, and adapted their behavior to them; (2) each child exhibited a unique and sometimes very creative way of using dependencies on an adult's psychic apparatus to construct his or her own modes of psychic functioning; and (3) the developmental dynamics and the richness of the observed transformations were found to depend on the quality of the contact and distancing in the mother-infant relationship and on the concrete conditions for its actualization, which can either promote or hinder, and sometimes even block, the construction of the mother's absence.

Adult

Feminizing adrenocortical carcinoma in a postmenopausal woman.

The successful surgical removal of a feminizing adrenal tumour in a postmenopausal woman is described. Most of these tumours are malignant and the pathological findings and the biological behaviour of the tumour frequently do not correlate, so that a careful follow-up is necessary. In the presence of vaginal bleeding in a postmenopausal woman endometrial carcinoma should be considered. If this has been ruled out and if oestrogens are elevated with low plasma gonadotrophins, a feminizing ovarian or adrenal tumour should be considered.

Adrenal Cortex Neoplasms

Adrenal cysts: diagnostic value of "intravenous viscerogram".

Two cases of adrenal pseudocysts are presented, one secondary to the necrosis of an adenoma and the other a hemorrhagic pseudocyst. The diagnosis of these tumors is usually made radiologically owing to the vagueness of symptoms and nonexistent specific laboratory examinations, so that preoperative diagnosis is uncommon. We present a radiologic technique, intravenous viscerogram, which may be useful in the diagnosis of adrenal cysts. This procedure is easy to carry out and has almost no complications for the patient. The classification, clinical findings, and surgical treatment of adrenal cysts are discussed.

Adrenal Gland Diseases

[Propafenone per os in ventricular arrhythmia].

Twenty-one patients presenting ventricular rhythm disorders and admitted to the Intensive Care Unit were treated with oral propafenone at the dosage of 450 to 900 mg/hours. The results of treatment were excellent in 13 cases, average in 2 cases, and nil in 4 cases. Worsening of arrhythmia was observed in 2 cases. Generally the drug was well tolerated, with treatment requiring to be discontinued in 1 case due to gastrointestinal upset and in another case due to broadening of the QRS complex. This study confirms that oral propafenone is well tolerated in ventricular arrhythmias regardless of their etiology.

Administration, Oral