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J Juliá

Publications and source records attributed to J Juliá.

7 recordsLinked to original sources

[An aneurysm of the inferior mesenteric artery associated with obstruction of the superior mesenteric artery and the celiac trunk].

The exact prevalence of visceral arteries aneurysms is not well documented and its is mainly known from necropsies. Inferior mesenteric artery aneurysms are the rarest of visceral aneurysms. The authors report a case of an aneurysm of the inferior mesenteric artery in a 52-year-old man with obstructive disease of superior mesenteric artery and celiac axis. The diagnosis was made by angiography. The aneurysm was resected with superior and inferior mesenteric arteries revascularization. Surgical approach is needed in these aneurysms and when they are associated with obstructive disease of other intestinal artery, revascularization is mandatory.

Aneurysm

Breast cancer screening of the high risk population with clinical examination and thermography. A combination of telethermography and plate thermography.

On a total of 2523 patients, including the High Risk group, a breast screening was made by clinical exploration and Thermography used as a selective method for the cases due for a Mammography. Although the electronic thermographic examination was done according to the criteria established by the School of Marseilles, we excluded from these criteria the vascular asymmetry test. Such a controversial parameter was substituted by the data given by the angiographic analysis of contact thermography. The results obtained were compared to those referenced in a previous study. The analysis of the compiled data indicated that even if we weren 't the sensitivity of the technique, we did get improvements diagnosing less false positive results with the new procedure (91.43%) than with the previous study (87.65%) (p less than 0.001). The predictive Value (+) was 0.4133 in the present group against the previous 0.10, which meant that 41.33% of the cancers diagnosed were true cancers, against 10% in the previous group. Summing up the analysis showed a higher rate of positive global detections (p less than 0,0005) with our present analytic criteria for Thermography.

Breast Neoplasms

Concealed atrial electrical activity.

In the following paragraphs we describe a case diagnosed clinically and haemodynamically as a cardiomyopathy. Atrial flutter which was not in evidence in the standard ECG was diagnosed by the use of a new technique of amplification and filtering of special surface leads (T.A.F.). The diagnosis was later confirmed by means of special internal techniques (intra-atrial ECG and His bundle recording). The existence of a subpraventricular rhythm, probably sinusal, and also unapparent in the standard ECG, was observed by using the same method after electrical defibrillation. We comment on the extreme rareness of discovering concealed atrial rhythms and their possible explanation, and we emphasize the usefulness of the T.A.F. technique in their diagnosis.

Adult