Laparoscopic treatment of bowel endometriosis in infertile women.

BACKGROUND: The purpose of the study was to determine the influence of bowel endometriosis on fertility, and to study whether its removal improves fecundity in women with endometriosis-associated infertility. METHODS: Three groups of infertile patients were included in the study. Group A (60 women) consisted of patients who underwent surgery for endometriosis with colorectal segmental resection. In group B, 40 patients with evidence of bowel endometriosis underwent endometriosis removal without bowel resection. Group C consisted of 55 women who underwent surgery for moderate or severe endometriosis with at least one endometrioma and deep infiltrating endometriosis but without bowel involvement. The women were clinically evaluated before laparoscopy and then at 1 month, at 6 months and at each year up to 4 years after surgery. Main outcome measures were surgical complications as well as post-operative pregnancy rate, time to conception and monthly fecundity rate. RESULTS: The monthly fecundity rates (MFR) in groups A, B and C were 2.3, 0.84 and 3.95%, respectively. The difference in the MFR between groups was significant (P < 0.05). CONCLUSIONS: The presence of bowel infiltration by endometriosis seems to negatively influence the reproductive outcome in women with endometriosis-associated infertility. The complete removal of endometriosis with bowel segmental resection seems to offer better results in terms of post-operative fertility

Antiproliferative and anti-inflammatory activity from aerial parts of Psychotria cupularis (Rubiaceae) / Atividade antiproliferativa e anti-inflamatória das partes aéreas de Psychotria cupularis (Rubiaceae)

The crude extract and fractions of aerial parts from Psychotria cupularis, collected at Camacan (Brazil), were tested for anti-inflammatory and antiproliferative activity. A phytochemical screening indicated the presence of tannins, anthraquinones, triterpenes, steroids and flavonoids. The crude extract and fractions inhibited the ear oedema in mice between 50.2 to 87.2% and the myeloperoxidase enzyme activity between 51.6 to 97.1%. The butanolic and ethyl acetate fractions was active against glioma, breast, ovary, kidney, colon and leukaemia cell line (IG50 = 4.3 to 16.9 ?g/mL). 

Il contributo di La Volpe alla teoria dinamica dell'economia

The paper presents the dynamic theory proposed by La Volpe in 1936. This analysis has been innovative in many ways: general equilibrium is defined as temporary, the presence and the role of expectations are introduced, the intertemporal choice of the agents is determined in such a way as to anticipate the life-cycle theory, and some important problems that emerge in the dynamic analysis are addressed. The relevance of La Volpe's book led Michio Morishima to publish its English translation

Psychoped, un programme d'entraînement des compétences sociales pour patients psychiatriques chroniques

Dans le domaine de la réhabilitation psycho-sociale de patients psychiatriques chroniques, l'utilité de l'entraînement des compétences sociales est bien connue. Elaboré et expérimenté dans le cadre de l'Unité de réhabilitation du Département universitaire de psychiatrie adulte de Lausanne, le programme de thérapie cognitive et comportementale intitulé Psychoped est une tentative d'intégration face à un champ qui tend à se diversifier. Psychoped comprend six modules thérapeutiques indépendants, pratiqués en groupe, sélectionnés dans l'offre actuelle des modules de réhabilitation, en particulier ceux développés par Libermann et Brenner. Sa modularité permet de le coordonner à l'éventail des soins déjà existants et d'en individualiser les contenus selon les caractéristiques des patients. La structure et le contenu de ce programme sont présentés de manière synthétique. &lt;Auteurs&gt