Recovering the Capacity to Live outside of a Psychiatric Hospital: Impact of a Specialized Inpatient Program.

Deinstitutionalization in psychiatry led to a decrease in hospital beds, short hospital admissions focussed on symptoms reduction, and the development of ambulatory care. However, the needs of patients who despite symptoms reduction do not display the minimal competencies to live alone or in a sheltered accommodation, are not met in such a context. They usually go through long admissions and fail to improve.

[Recovering the capacity to live outside of hospital : results from a specialized inpatient program].

An important number of psychiatric patients have difficulties to live outside of hospital and to stabilize their living situation. This results in long hospitalizations which are in conflict with the current strategies of brief hospital admissions for acute treatment. In order to tackle this issue, the service of general psychiatry of the Department of psychiatry of the CHUV, in Lausanne, Switzerland, has opened in June 2016 a rehabilitation inpatient unit of 18 beds focusing specifically on the development of the minimal abilities required to adapt to living in a flat or in a sheltered accommodation.

[Study and prevention of contact lens-related microbial keratitis with a standardized questionnaire].

Introduction: microbial keratitis is a significant health concern for the one million wearers of contact lenses and their ophthalmologists, with some potentially modifiable risk factors. The number of risk factors for contact lens-related microbial keratitis has been described, but many of them still remain assumed or unknown.

Patients And Methods: a multicenter prospective case-control study was conducted in 12 French university hospitals (Besançon, Bordeaux, Dijon, Fort-de-France, Grenoble, Limoges, Lyon, Nancy, Nantes, Paris, Marseille and Strasbourg) beginning in July 2007 on contact lens wearers presenting with microbial keratitis and on healthy contact lens wearers.

[Thyroid epitheliomas in French Polynesia].

The authors reviewed 34 cases of thyroid epithelioma registered in French Polynesia from 1985 to 1990. Annual incidence classifies French Polynesia as a region with low endemicity. The patients were 31 females and 3 males.

[Hope for cure of gallbladder cancer. Arguments for a new concept of early stages].

The study of 20 personal cases and 254 cases collected by a meeting of surgeons reveals contradictory results from surgical treatment. The peculiar structure of the wall and the bipolar relations with the liver and vessels (especially lymphatics) are the basis for the nosological and therapeutic deductions. Personal observation and a review of the literature show that there is an increasing possibility for cure based on the following classification: --the macroscopic stage described as "early" is in fact already invasive and requires major liver resection and wide lymph node excision; --the early stage is dangerous because the lesion involves the whole thickness of the mucosa.

[Orthotopic liver graft with aortic clamping. Experimental study in dogs (author's transl)].

Orthotopic liver transplants were conducted in 15 dogs, with aortic clamping during the anhepatic time of the operation and without venous shunting. Aortic clamping lasted for between 30 and 42 minutes. Immunosuppressant treatment was not given.

[Hepatic metastases of colonic and rectal carcinoma: surgical treatment (author's transl)].

Statistical results show a marked improvement in survival after surgical treatment of hepatic metastases. The possibilities of surgery are evaluated after precise analysis of the lesions seen at the time of excision and not at autopsy. The data from assessment which indicate that surgery will be successful are described and discussed.

[A case of traumatic spondylolisthesis treated by Harrington's method and graft (author's transl)].

This exceptional case of traumatic spondylolisthesis recalls the interest of rapid treatment, and the great interest of Harrington's material both for contention and reduction. Finally the authors emphasise the necissity of completing the procedure by an intersomatic graft by the anterior route.

[Rehabilitation of the portal vein. Anatomical, experimental and clinical observations of liver metastases].

We have studied the macroscopic anatomy of the portal vein to explain the distribution of metastatic emboli, by the orientation of its branches and its internal flows. Its termination seen under the microscope permits, by knowledge of the portal microcirculation of the lobule, one to localise nidation of these emboli in the hepatic sinus and, to explain their proliferation, without neglecting the dynamic role of the hepatic artery through the numerous arterio-portal anastomoses. The portal blood flow is essential to liver regeration even if arterio-biliary proliferation provides the initial impulsion.