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Le dermatosi riguardano un organo, la pelle, che è abbastanza particolare, a causa dei suoi legami antichi, numerosi e complessi con la psiche. Questi legami contribuiscono in particolare a rendere la pelle un organo privilegiato della vita relazionale. Gli scambi tattili precoci tra madre e figlio sono essenziali per lo sviluppo somatico e psichico armonioso di quest’ultimo. La pelle partecipa alla costituzione di un’immagine di sé coerente, accompagnata dai sentimenti di autostima e di solidità dei limiti corporei e psichici, cosa che definisce il narcisismo di ogni individuo. Gli studi sulla qualità della vita hanno confermato e stanno iniziando a quantificare l’importanza dell’impatto delle dermatosi sulla vita psichica dei pazienti e, a volte, sul loro entourage.

Las dermatosis afectan a la piel, órgano absolutamente singular por sus inveterados vínculos, numerosos y complejos, con la psique. Estos vínculos, en particular, contribuyen a que la piel sea un órgano privilegiado de la vida de relación. Los intercambios táctiles tempranos entre la madre y su hijo son indispensables para un desarrollo somático y psíquico armonioso de este último. La piel participa en la formación de una imagen propia coherente, acompañada por los sentimientos de autoestima y de solidez de los límites corporal y psíquico, lo que define el narcisismo de toda persona. Estudios realizados sobre calidad de vida han confirmado y comienzan a cuantificar el alcance de la repercusión que tienen las dermatosis en la vida psíquica de los pacientes y, a veces, de su entorno.

Des écarts importants peuvent exister entre la perception du diabète et de son fardeau émotionnel de la part des patients eux-mêmes, des proches ou « aidants » vivant avec un patient souffrant de diabète, ou les professionnels de santé (PDS) qui suivent ces patients. Mieux connaître ces différences de représentation entre ces trois catégories de sujets peut faciliter la communication entre interlocuteurs, et aider à promouvoir une meilleure alliance thérapeutique.

Peu de publications se sont consacrées spécifiquement à la qualité de vie et au vécu émotionnel des diabétiques de type 1, comparativement aux données disponibles chez les diabétiques de type 2 ou dans le diabète en général.

La pelle, organo visibile della vita di relazione, rappresenta l⬢interfaccia tra l⬢individuo e gli altri. Inoltre, partecipa, in particolare, all⬢interazione tattile con la madre e alla costruzione della propria immagine. La pelle occupa, quindi, un posto privilegiato nella sensazione dell⬢essere belli e nell⬢apparenza, la cui importanza, nella nostra società occidentale contemporanea, è ben consolidata. Così, le donne e, sempre più spesso, gli uomini consultano il dermatologo per una richiesta di natura estetica per una malattia della pelle e/o generale e per un⬢imperfezione della pelle e/o fisica congenita o acquisita, vera o immaginaria, o in periodi critici della vita (l⬢adolescenza o l⬢invecchiamento). Questo approccio, volto al miglioramento della qualità della vita dei soggetti, ha portato il dermatologo in un campo complesso della dermatologia, dove sono implicati molti fenomeni socioculturali e psicologici e dove regna l⬢immaginazione dei due partner del rapporto medico-paziente.

Cette étude s’est attachée à explorer les connaissances, les représentations et le vécu, notamment émotionnel, du diabète et de ses traitements, par un échantillon représentatif de 252 patients ayant un diabète de type 2 (DT2) et 1 001 personnes issues de la population générale, interrogés par téléphone. Le DT2 apparaît comme une maladie connue de la population générale, mais il existe encore des lacunes concernant l’information vis-à-vis de sa prévention et de ses facteurs de risque. L’univers émotionnel de la maladie est associé, pour de nombreux patients et dans la population générale, à un sentiment de perte, de contrainte et restrictions, notamment alimentaires. Les patients évoquent souvent un vécu émotionnel négatif, en particulier ceux traités par insuline ou non équilibrés sur le plan glycémique. Cela ne les empêche pas, parallèlement, d’exprimer des émotions positives et une perception positive de l’insuline, notamment si leur diabète est équilibré. Le vécu est impacté significativement par les hyperglycémies symptomatiques, l’expérience d’hypoglycémies, mais aussi la peur de survenue d’une hypoglycémie. L’étude montre aussi à quel point les indicateurs de suivi, tels que l’autosurveillance glycémique et l’HbA1c, ont eu un impact significatif sur le vécu de la maladie et méritent d’être mobilisés comme des facteurs d’adhésion des patients à leur prise en charge, et de motivation pour l’autocontrôle glycémique, notamment chez les patients traités par insuline. Le vécu de l’accompagnement par les patients est différent selon leur équilibre glycémique. L’accompagnement par des professionnels et le besoin d’écoute sont tout particulièrement importants chez les patients sous insuline et mal équilibrés.

Analyse de la décision thérapeutique envisagée par des otorhinolaryngologistes (ORL) placés en situation d’être atteints d’un cancer du larynx de stade avancé accessible à une laryngectomie totale ou à un protocole de préservation d’organe.

Three homogeneous groups of patients suffering from benign prostatic hypertrophy (BPH) were evaluated by means of a two-year observational study, in order to assess and compare their Quality of Life (QoL) under the following different medical treatments. Group 1: alfuzosin alone, Group 2: alfuzosin and dutasteride, Group 3: dutasteride alone. QoL was evaluated by validated indexes, such as the IPSS and the QoL-Vas.Although different in entity and timing, as expected, all the three groups showed an improvement. The best and quickest results were detected in the drug association of Group 2. Significant decrease in volume was detected in the dutasteride groups (2 and 3) but not in group 1 (alfuzosin alone), where a quick relief of LUTS was detected, due to its well-known alphalytic action. Our results suggest that dutasteride alone does not result in a rapid decrease in LUTS, whereas it can help to manage the reduction of the prostate volume. A combination therapy seems therefore to be recommended to obtain LUTS relief both in the short and long term results.

The blind traumas of the scrotum are an uncommon event; references, iconography and descriptions of the clinical development of scrotal syndromes are poor. The scrotum and the didimal or funicular structures are often involved in different conditions. The authors are reporting on three interesting cases (for patients’ age, mechanism of traumatism and anatomic damage), gathered from a series of 12 cases of blind traumas of the scrotum, observed during 2 years (2005–2006). They include the iconography related to each single case, and emphasize the uncertain role of ultrasonography with color Doppler for a correct diagnosis.The clinical evolution and the long-term damage to gonad functionality are presented.

Pendant le confinement, la vie professionnelle des médecins a été bouleversée. Nous avons voulu savoir ce qu’il en était pour les dermatologues.

The response to the maze test was studied in 31 subjects on no medication, including seven subjects with mild essential hypertension. Beat-by-beat finger blood pressure (BP) was measured with a Finapres device. Pulse interval from which heart rate (HR) was derived was obtained from the BP signal. A period of 5 min baseline was used to define resting levels of systolic BP and HR using 20-s averaged values for the calculation of the 95% confidence limit of the two variables. The average test duration was 10 min. During this period a series of video-displayed mazes had to be solved with easy mazes preceding difficult ones. No subject had been exposed to the test before. The maximal BP elevation associated with the test was 27 mmHg. The HR response averaged 11 beats/min. Significant elevations were observed for half the test duration. No significant relationship between these two responses was observed and some subjects exhibited isolated systolic BP or HR responses. When indices obtained during this active mental stress were compared to resting values, positive correlations were observed. When the resting standard deviation (SD) of systolic BP was higher the systolic response was greater. A similar relationship was observed for HR. In addition, when the systolic BP level at rest was higher, the systolic BP reactivity index was greater. However, systolic BP or HR at baseline were not predictive of the systolic BP or HR responses. This study demonstrates the applicability of a new test to assess cardiovascular reactivity. The main advantage of non-invasive continuous BP measurement with the Finapres is the ability to provide variability indices in addition to the peak responses.

The cardiovascular reactivation to a recently described videogame task i.e. a maze test was evaluated in the time and frequency-domain using finger blood pressure (BP) measurement in 25 subjects on no medication, including 6 subjects with mild hypertension. Prior to BP measures subjects completed the items of the State-Trait Anger Expression Inventory questionnaire corresponding to the trait anger and anger expression scales. The BP recording session was divided into resting, test and recovery periods. A detrending procedure was applied to each recording prior to the fast Fourier transform. Systolic BP (SBP) and heart rate (HR) were increased during the test. The mid-frequency (MF,0.1 Hz) components of SBP and HR variability were also elevated during the stressful period. In resting conditions SBP levels of subjects with low trait anger was lower than in subjects with high trait anger (128i4 mmHg, n=14 versus 148i4 mmHg, n =l l, Pc0.01, Student t test). Nevertheless the average SBP increase due to the stress was of similar magnitude in these two subgroups(14 mmHg). A significant negative relationship was observed between anger-out expression score and the MF SBP variation(r=-0.46, PcO.05). A significant negative relation was found between anger-in mode of expression and the HR peak during the test(r=-0.43, PcO.05). In conclusion, our data suggest that individuals who are often in anger-provoking situations (high trait anger) should have heightened BP.Two different patterns of cardiovascular responses (SBP variability and HR levels) were observed for the outward and inward mode of expression of anger. This may reflect a different psychological control of HR levels and BP variability.

Aim: To evaluate the extent to which COVID-19-related lockdown affected dermatologists.

Initiation Sanitaire Informatisée et Scénarisée (ISIS), a French computer-assisted hypertension and cardiovascular risk education program, was developed on a Macintosh computer to provide patients at cardiovascular risk with a modern interactive educational tool combining rigorously scientific information with the aesthetic attractiveness of multimedia communication.

In the current age of overwhelming information and massive production of textual data on the Web, Event Detection has become an increasingly important task in various application domains. Several research branches have been developed to tackle the problem from different perspectives, including Natural Language Processing and Big Data analysis, with the goal of providing valuable resources to support decision-making in a wide variety of fields. In this paper, we propose a real-time domain-specific clustering-based event-detection approach that integrates textual information coming, on one hand, from traditional newswires and, on the other hand, from microblogging platforms. The goal of the implemented pipeline is twofold: (i) providing insights to the user about the relevant events that are reported in the press on a daily basis; (ii) alerting the user about potentially important and impactful events, referred to as hot events, for some specific tasks or domains of interest. The algorithm identifies clusters of related news stories published by globally renowned press sources, which guarantee authoritative, noise-free information about current affairs; subsequently, the content extracted from microblogs is associated to the clusters in order to gain an assessment of the relevance of the event in the public opinion. To identify the events of a day d we create the lexicon by looking at news articles and stock data of previous days up to d -1 Although the approach can be extended to a variety of domains (e.g. politics, economy, sports), we hereby present a specific implementation in the financial sector. We validated our solution through a qualitative and quantitative evaluation, performed on the Dow Jones' Data, News and Analytics dataset, on a stream of messages extracted from the microblogging platform Stocktwits, and on the Standard & Poor's 500 index time-series. The experiments demonstrate the effectiveness of our proposal in extracting meaningful information from real-world events and in spotting hot events in the financial sphere. An added value of the evaluation is given by the visual inspection of a selected number of significant real-world events, starting from the Brexit Referendum and reaching until the recent outbreak of the Covid-19 pandemic in early 2020., Competing Interests: The authors declare that they have no competing interests., (© 2021 Carta et al.)