The Seabots are Coming Here: Should they be Treated as ‘Vessels’?

Benign biliary stricture--should they be dilated or treated surgically?

Management of benign biliary stricture remains a challenge for both surgeons and therapeutic endoscopists. Traditionally, surgery is considered the mainstay of treatment, but it is associated with significant morbidity and variable long-term outcome. With advances in endoscopic techniques and accessories, endoscopic management is emerging as an effective option. Outcome of endoscopic management...

[Hiatal hernias: why and how should they be surgically treated].

INTRODUCTION There is controversy in the literature about the choice of expectant medical treatment versus surgical treatment of hiatal hernias, depending on the presence or absence of symptoms. This study presents the results obtained by our group, considering disease duration and postoperative results. PATIENTS AND METHOD A total of 121 patients were included and divided by age, disease dur...

Whether all patients with Central precocious puberty should be treated?

Extended Abstract   Precocious puberty is the appearance of secondary sexual characteristics before 8 years old in girls and 9 years old in boys. Precocious puberty is divided into 3 groups of central, peripheral and normal variants. Central precocious puberty is accompanied by activation of hypothalamic-pituitary-gonadal axis which causes increase in secretion of GnRH, and in turn increase i...

Ictal laughter and crying: Should they be classified as automatisms?

Gelastic seizures (GS) describe ictal laughter and are associated with hypothalamic lesions, as well as other cortical areas. Dacrystic seizures (DS), characterized by ictal crying, also have been reported in hypothalamic lesions and focal epilepsy. We describe a young girl with drug resistant focal dyscognitive seizures associated with gelastic and dacrystic features. However, neither laughter...

Accountable Care Organizations: What are they? Where are they coming from? Where will they lead?