Computer-Supported Collaborative Design of Standardized Clinical Cases: Algorithm Development and Validation.

Background: The creation of computer-supported collaborative clinical cases is an area of educational research that has been widely studied. However, the reuse of cases and their sharing with other platforms is a problem, as it encapsulates knowledge in isolated platforms without interoperability. This paper proposed a workflow ecosystem for the collaborative design and distribution of clinical cases through web-based computing platforms that (1) allow medical students to create clinical cases collaboratively in a dedicated environment; (2) make it possible to export these clinical cases in terms of the Health Level 7 (HL7) Fast Healthcare Interoperability Resources (FHIR) interoperability standard; (3) provide support to transform imported cases into learning object repositories; and (4) use e-learning standards (eg, Instructional Management Systems Content Packaging [IMS-CP] or Sharable Content Object Reference Model [SCORM]) to incorporate this content into widely-used learning management systems (LMSs), letting medical students democratize a valuable knowledge that would otherwise be confined within proprietary platforms.

[Idiopathic intracranial hypertension in childhood].

Introduction: We present the cases of idiopathic, intracranial hypertension (HII) in children studied in our hospital over the past 15 years (14 cases), reviewing the clinical features, complementary tests, associated causes, treatment and evolution.

Patients And Methods: Diagnosis of HII was based on a modification of Ahlskog's criteria (1982) (the child was sedated to avoid increased cranial pressure due to crying): no focal signs, CSF pressure greater than 200 mm of H2O, normal composition of CSF and normal neuro-imaging findings. Two groups were established according to age.

Anatomical structures in the Leksell pallidotomy target.

Objective: Because interruption of pallidal outflow signals by pallidotomy is believed to play an important role in the motor improvement in Parkinson's disease, the anatomical relationship of the two major pallidofugal tracts, namely the ansa lenticularis (AL) and the fasciculus lenticularis (FL) to the Leksell pallidotomy target (LPT) were studied.

Methods: Magnetic resonance (MR) scans of 20 patients with Parkinson's disease were studied. The scans were obtained in the inversion recovery and fast spin echo sequences and viewed in the reverse video mode.