B Gillain | PubMed Health

PubMed1994

[Functional somatic complaints in the emergency service and 4 year outcome].

The article presents the clinical profile of 72 somatizations taking in charge by a psychiatric team in a emergency room. They represent mood disorders (37.5%), psychotic disorders (11%) and anxiety disorders (20%). The psychiatric antecedents are very poor. Their outcome after 4 years is good on the health sickness rating scale of Luborsky in 35% and very bad in 25%, particularly for symptomatic score. After their taking in charge in the emergency room, these patients go not much in psychiatric hospitals and in psychiatric consultations. This observation gives to this first intervention in the emergency room a very important rule.

Adult↗

PubMed1983

Serum myoglobin concentration as an index of myocardial damage after cardiac surgery.

We assessed serum myoglobin concentration as an index of myocardial damage after cardiothoracic surgery in a dog model and man. Experimentally, we compared 12 dogs subject to left thoracotomy either with or without coronary artery ligation to cause an infarct. Serial blood sampling for 24 hours after surgery showed that the times taken for the myoglobin peak concentrations to appear distinguished the two groups without overlap. These times were 2.4 +/- 0.4 hours after surgery without ligation compared with 9.8 +/- 0.8 hours in the ligated group (P less than 0.001). Clinically, serial sampling was performed over 48 hours in 20 patients having undergone cardiac surgery involving cardiopulmonary bypass. A further 80 patients were investigated for 12 hours. Myoglobin was compared with the activities of creatine kinase, 2-hydroxybutyrate dehydrogenase and glutamate-oxaloacetate transaminase in relation to electrocardiographic criteria of myocardial damage. A myoglobin peak greater than 800 micrograms/1 appearing later than 6 hours after starting bypass was found in those patients suffering myocardial damage. The appearance times and activities of the enzymes tested were widely scattered and difficult to interpret. We conclude that blood samples taken at approximately 3 and 6 hours after starting bypass should suffice to characterise both peak myoglobin and its time of appearance which together form a sensitive index of myocardial damage. However, this conclusion is limited by the low incidence of myocardial damage (3%) in this group of patients.

Animals↗

PubMedDate not supplied

[Therapy for couples in their sixties].

There is small interests in marital therapy for 60 years and more, for which a, at least, partially specific approach seems us necessary. After reviewing the weak literature regarding this topic the authors present six marital therapy in this age group. They propose in their conclusions a five points model of care: brief taking in charge or "coevolution", psychiatric approach, "problem solving", specific crisis of this ages, speaking about sexual life.

Aged↗