RESUMEN
Divergence paralysis is a rare clinical entity that causes a comitant esotropia at distance. While this is usually benign and self-limited, there are reports of divergence paralysis associated with brain tumors, central nervous system syphilis, trauma, and multiple sclerosis. We studied a 14-year-old girl who presented with diplopia and was found to have divergence paralysis. Magnetic resonance imaging disclosed a large pontomedullary glioma.
Asunto(s)
Neoplasias Encefálicas/complicaciones , Esotropía/etiología , Glioma/complicaciones , Enfermedades del Nervio Oculomotor/etiología , Enfermedad Aguda , Adolescente , Biopsia , Neoplasias Encefálicas/diagnóstico , Neoplasias Encefálicas/terapia , Terapia Combinada , Diplopía/diagnóstico , Diplopía/etiología , Diplopía/terapia , Esotropía/diagnóstico , Esotropía/terapia , Femenino , Estudios de Seguimiento , Glioma/diagnóstico , Glioma/terapia , Humanos , Imagen por Resonancia Magnética , Bulbo Raquídeo/patología , Enfermedades del Nervio Oculomotor/diagnóstico , Enfermedades del Nervio Oculomotor/terapia , Puente/patologíaRESUMEN
Commercial films on videotape may be helpful in teaching medical students, residents, and other mental health trainees about various topics in psychiatry. Recommendations are made on the use of specific films, scenes, and characters to illustrate the DSM-IV diagnostic criteria for borderline personality disorder (BPD). The authors list 33 films depicting various aspects of BPD that might be used for teaching purposes.
Asunto(s)
Trastorno de Personalidad Limítrofe/diagnóstico , Internado y Residencia , Películas Cinematográficas , Psiquiatría/educación , Grabación de Cinta de Video , Trastorno de Personalidad Limítrofe/psicología , Trastorno de Personalidad Limítrofe/rehabilitación , Curriculum , HumanosRESUMEN
This study explored biological as well as psychosocial contributions to the incidence of acute brief psychoses in three developing country sites. The samples were taken from the five year follow-up data of the International Pilot Study of Schizophrenia sites in Ibadan, Nigeria and Agra, India, and from the Determinants of Outcome of Severe Mental Disorders rural Chandigarh site. Baseline narratives of the cases and controls were reviewed and rated for presence or absence of three exposures: fever, departure from or return to parental village (women), and job distress (men). Results showed an association between fever and acute brief psychosis in all three sites. There was an association between acute brief psychosis and departure from or return to the parental village among women in all sites, and among men, an association between job distress and acute brief psychosis was noted in Ibadan and Agra. These findings suggest that psychosocial and biological factors such as these three exposures merit further research to clarify their roles in the etiology of acute brief psychoses.
Asunto(s)
Países en Desarrollo , Trastornos Psicóticos/epidemiología , Trastornos Psicóticos/etiología , Enfermedad Aguda , Adolescente , Adulto , Intervalos de Confianza , Bases de Datos Factuales , Femenino , Fiebre/complicaciones , Estudios de Seguimiento , Humanos , India/epidemiología , Acontecimientos que Cambian la Vida , Masculino , Nigeria/epidemiología , Oportunidad Relativa , Proyectos Piloto , Estrés PsicológicoRESUMEN
Molecular probes specific for paramyxovirus 3' and 5' end sequences are essential for studying viral transcription and replication and the role of defective interfering particles in these processes. We have constructed from measles virus genomic RNA an ordered series of overlapping clones containing over 99% of measles virus genetic information. Clones corresponding to the 3' and 5' ends of the genome were identified by means of a probe made from 'capped' genomic RNA, and their location was confirmed by primer extension experiments. Clones representing the N, P/C, M, F, and H genes were identified by reference to previously characterized clones, and their positions in the genome were defined by restriction analysis and S1 nuclease mapping of intercistronic clones. The L gene region was characterized by site-to-site restriction mapping and measured as 6,550 nucleotides in length.