La escuela y el niño deficiente mental

Abstract not availabl

Situación Actual del Empleo con Apoyo en España

The article presents a study on the quantitative status of Supported Employment in Spain. It has been developed by the Institute for Community Integration (INICO) of the University of Salamanca in collaboration with Spanish Association for Supported Employment (AESE). Every known program was contacted and relevant information was gathered using a questionnaire. The results of the study show that there are 35 programs in the whole of Spain which have supported 1,389 individuals. In the study, some other factors are analysed: evolution, autonomous community distribution, maintained jobs, persons integrated by type of disability, continuance in the job, support needs, job coaches per post, and participation in European Community funding. Eventually, the study is drawn to an end by a critical analysis of gathered data and some conclusions and suggestions are put forward so as to guide the development of Supported Employment programs

Miositis calcificante: estudio antropométrico y paleopatológico de tres casos

X Congreso Nacional de Paleopatología. Univesidad Autónoma de Madrid, septiembre de 200

Tendinopatía de una clavícula: estudio anatómico y paleopatológico

X Congreso Nacional de Paleopatología. Univesidad Autónoma de Madrid, septiembre de 200

Tendinopatía del radio: estudio anatómico y paleopatológico

X Congreso Nacional de Paleopatología. Univesidad Autónoma de Madrid, septiembre de 200

Patología traumática: estudio anatómico y paleopatológico de fracturas de miembros superiores e inferiores de la antigua población de Castielfabid (Rincón de Ademuz, Valencia)

X Congreso Nacional de Paleopatología. Univesidad Autónoma de Madrid, septiembre de 200

Solid pseudopapillary tumor of the pancreas (SPPT). Still an unsolved enigma

Solid pseudo-papillary tumor (SPPT) is a rare cystic tumor of the pancreas (1-3% of exocrine tumors of the pancreas) which shows an “enigmatic” behavior on the clinical and molecular pattern. A retrospective analysis of the citological studies and resected specimens of pancreatic cystic tumors from May 1996 to February 2010 was carried out. Three cases of SPPT were found, which are the objective of this study. The diagnosis was established upon occasional finding in the abdominal CT, in spite of sizing between 3 and 6 cm of diameter. In the three cases the preoperative diagnosis was confirmed by citology and specific immunohistochemical staining. Cases 2 and 3 showed strong immunoreactivity for Beta-Catenina and E-Cadherina staining. Radical resection (R0) was carried out in the three cases. A young male –21 years of age (case 1)- who had duodenal infiltration and two lymph nodes metastases died of hepatic and peritoneal recurrence 20 months following surgery. The other two cases are free of disease. The current review of the literature reports roughly 800 cases since the first report in 1959, and shows the enigmatic character of this tumor regarding the cellular origin, molecular pathways, prognostic factors and clinical behavior

Diagnosis, management, and outcomes of patients with syncope and bundle branch block

Although patients with syncope and bundle branch block (BBB) are at high risk of developing atrio-ventricular block, syncope may be due to other aetiologies. We performed a prospective, observational study of the clinical outcomes of patients with syncope and BBB following a systematic diagnostic approach. Patients with ≥1 syncope in the last 6 months, with QRS duration ≥120 ms, were prospectively studied following a three-phase diagnostic strategy: Phase I, initial evaluation; Phase II, electrophysiological study (EPS); and Phase III, insertion of an implantable loop recorder (ILR). Overall, 323 patients (left ventricular ejection fraction 56 ± 12%) were studied. The aetiological diagnosis was established in 267 (82.7%) patients (102 at initial evaluation, 113 upon EPS, and 52 upon ILR) with the following aetiologies: bradyarrhythmia (202), carotid sinus syndrome (20), ventricular tachycardia (18), neurally mediated (9), orthostatic hypotension (4), drug-induced (3), secondary to cardiopulmonary disease (2), supraventricular tachycardia (1), bradycardia-tachycardia (1), and non-arrhythmic (7). A pacemaker was implanted in 220 (68.1%), an implantable cardioverter defibrillator in 19 (5.8%), and radiofrequency catheter ablation was performed in 3 patients. Twenty patients (6%) had died at an average follow-up of 19.2 ± 8.2 months. In patients with syncope, BBB, and mean left ventricular ejection fraction of 56 ± 12%, a systematic diagnostic approach achieves a high rate of aetiological diagnosis and allows to select specific treatment