By Dr. Franz Real (auth.), Professor E. Tanner M. D., M. L. Hefti M. D. (eds.)

Today, the mixing of existence coverage medication into the framework of common medication is going with no asserting. at the one hand, the diagnostic healing wisdom of medical clinical technological know-how varieties the instruments of the assurance scientific adviser for the evaluate of existence assurance purposes. however, lifestyles assurance medication has been capable of professional­ vide beneficial statistical info for long term analysis that have develop into an important a part of the day-by-day scientific perform and prognostic appraisal. This mutual engagement and en­ richment has back highly manifested itself within the clinical software of the thirteenth Con­ gress of existence coverage drugs held in Madrid. one of the large and sundry information on hand, the assurance challenge of melanoma and ma­ lignant illnesses of the haematopoietic approach have been generally handled for the 1st time. Diagnostic healing development more and more permits useful assurance disguise to be granted to previously uninsurable dangers, a bunch that's really wanting, and re­ quires, lifestyles coverage hide. The variety of dangers that are uninsurable turns into smaller and smaller.

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La fusion de los polos superiores en vez de los inferiores da origen a un rifion en "herradura invertido". Del 5 al 10% de este tipo se encuentran en la literatura. Mas raro aun es eillamado "rifion en bufiuelo" en el que ambos polos superiores e inferiores estin fusionados, formando una estructura en forma de anillo con ureteres mediales (GRAY y SKANDALAKIS). Parece ser que la primera observacion de un rifion en herradura fue hecha por DA CARPI [24} en 1521 en Bologna. La enfermedad del rifion en herradura se conoce como sindrome de Rovsing, y consiste normal mente en niuseas, males tar abdominal y dolor a la hiperextension, haciendo aclaracion cuando esta enfermedad se manifiesta como tal, clinicamente.

Les remaniements ala fecondation On n'observe pas de monosomies dans les avortements reconnus. Or, elles devraient etre theoriquement aussi frequentes que les trisomies. Ces considerations, et d'autres observations faites chez les animaux, donnent a penser que la frequence des avortements est, en fait, bien plus eIevee qu'on ne l'estimait et que beaucoup se produisent tres tot, avant meme l'implantation de l'oeuf dans la muqueuse uterine, et passent ainsi inapen;;us ou ne se traduisent que par un simple retard des regles.

La pelvis bifida es la mas frecuente y mas leve. CAMPBELL [11 J, en 1963, asegura que el 10% de los casos muestra una duplicacion incipiente. 9% de los casos. 834 autopsias. Duplicaciones bilaterales han sido publicadas con mayor frecuencia por NATION en 1946 y JOHNSTON en 1961. La "agenesia uretero-pieIica" es una malformacion tan rara que solamente la mencionamos. Con respectQ a las malformaciones de "conformacion" del sistema excretor, diremos que las "estenosis ureterales congenitas no ostiales", se producen normal mente por estrecha- Anomalias congenitas del tracro urogenital, especialmente de los rifiones 41 Fig.

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