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K Lahlou

Publications and source records attributed to K Lahlou.

5 recordsLinked to original sources
PubMed1999

[Pulmonary aspergilloma: results of surgical treatment. Report of a series of 206 cases].

STUDY AIM: The aim of this retrospective study was to report the results of the surgical treatment in 188 patients operated on for pulmonary aspergilloma in a series of 206 patients observed in Morocco. PATIENTS AND METHOD: From 1982 to 1998, 206 patients were treated for pulmonary aspergilloma in the same hospital; 188 were operated on and surgery was contraindicated in the other patients with general or respiratory failure. Hemoptysis was the main symptom, present in 190 patients (92%). Surgery was performed on principle with 108 lobectomies, 38 segmentectomies, 18 lobectomies and segmentectomies, 21 pleuropneumonectomies and 3 thoracoplasties. RESULTS: Postoperative complications occurred in 36% of the patients including: pyothorax (n = 15), hemothorax (n = 10), rehabitation defects (n = 17) and respiratory failure (n = 10). Reoperation was necessary in 6 patients. Postoperative mortality rate was 6.4% (12 patients including 5 treated by pleuro-pneumonectomy). CONCLUSION: The surgical treatment, in spite of its high morbidity, has to be proposed to all patients with pulmonary aspergilloma, even in asymptomatic patients when there is no surgical contraindication. Pleuropneumonectomy is a very high risk procedure and its indications must be restricted. Thoracoscopy was rarely performed in this series.

Adolescent↗
PubMedDate not supplied

[French version of the video structured interview designed for type A behavior pattern assessment].

The current controversy on the predictive value of the Type A Behavior Pattern (TABP) as a coronary risk factor brought into a reconsideration of the assessment methods of this pattern. The Video Structured Interview (VSI) is a scoring method of TABP by a trained investigator, consisting of a rating scale based both on the content of the answers and on the psychomotor signs, with regard to the two main components of the TABP: sense of time urgency and hostility. The VSI appears a more objective instrument than self-assessment questionnaires, avoiding the bias of denial, a coping mechanism widely used by type A subjects. The VSI proved more sensitive and more specific than the self-assessment methods or the structured interview (SI), the initial instrument aimed to assess TABP among coronary risk patients in american populations. We here present the french version of the VSI, the technical modes of the interview and the principles of this scoring method, in order to introduce in France its use in further studies related with coronary risk factors.

Coronary Disease↗