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https://www.readbyqxmd.com/read/27740465/perioperative-management-of-a-bilateral-forearm-allograft
#1
M Clerc, J Prothet, T Rimmelé
Composite tissue allotransplantation (CTA) is a complex procedure requiring a multidisciplinary collaboration between surgeons, anesthetists, and transplantation specialists. We will describe the perioperative management of a bilateral forearm allograft performed at our facility. A 40-year-old man who lost both forearms was registered on the transplant waiting list; a suitable graft was available 11months later. Anesthesia required planning for vascular access, hemodynamic monitoring, fluid therapy management and prevention of deep vein thrombosis...
June 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27595629/-assessment-before-surgical-treatment-for-pelvic-organ-prolapse-clinical-practice-guidelines
#2
L Donon, S Warembourg, J-F Lapray, A Cortesse, J-F Hermieu, B Fatton, M Cayrac, X Deffieux, M Geraud, L Le Normand
INTRODUCTION: The issue addressed in this chapter of recommendations is: What is the clinical and para-clinical assessment to achieve in women with genital prolapse and for whom surgical treatment has been decided. What are the clinical elements of the examination that must be taken into account as a risk factor of failure or relapse after surgery, in order to anticipate and evaluate possible surgical difficulties, and to move towards a preferred surgical technique? MATERIAL AND METHODS: This work is based on a systematic review of the literature (PubMed, Medline, Cochrane Library, Cochrane Database of Systemactic Reviews, EMBASE) for meta-analyzes, randomized trials, registries, literature reviews, controlled studies and major not controlled studies, published on the subject...
July 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/27595626/-vaginal-surgery-and-transanal-approach-for-posterior-vaginal-wall-prolapse-guidelines-for-clinical-practice
#3
F Cour, L Le Normand, G Meurette
OBJECTIVE: The aim was to review the safety and efficacy of surgery for posterior vaginal wall prolapse by vaginal route, in order to identify a therapeutic algorithm based on benefit/risk evaluation of each surgical procedure. MATERIAL AND METHODS: We performed a review of the litterature published up to september 2015 (PubMed, Medline, Cochrane library, Cochrane database of systemactic reviews) according to the HAS methodology. Level evidence (1 to 4) was determined for each study as well as evidence based recommendations (A, B, C or professional agreement)...
July 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/27595624/-laparoscopic-sacrocolpopexy-for-pelvic-organ-prolapse-guidelines-for-clinical-practice
#4
L Wagner, G Meurette, A Vidart, S Warembourg, J-B Terassa, N Berrogain, E Ragni, L Le Normand
INTRODUCTION: Open sacrocolpopexy have demonstrated its efficiency in surgical treatment of pelvic organ prolapse with an important backward on a large number of patients. Laparoscopic sacrocolpopexy reproduced the same surgical technique with reduced morbidity and may benefits from the recent development of robotic. Numerous technical variants have been developped around the original procedure but results seems not ever equivalent. Our objectives are to establish practical recommendations issues from the data of the litterature on the various technical aspects of this technique...
July 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/26904309/dress-syndrome-in-the-icu-when-a-patient-is-treated-with-multiple-drugs
#5
Florent Moriceau, Johanne Prothet, Benjamin J Blaise, Benoit Ben Said, Mathieu Page, Charles-Eric Ber, Jullien Crozon, Thomas Rimmelé
The Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) syndrome is life-threatening. It associates a skin condition with hematological and visceral disorders. The DRESS syndrome diagnosis in the intensive care unit (ICU) is difficult as clinical features are nonspecific. Furthermore, the need to treat patients with multiple drugs usually prevents the identification of the causative drug. We report the case of a patient who developed two bouts of DRESS caused by piperacillin-tazobactam, the first being complicated with a distributive shock...
2016: Case Reports in Critical Care
https://www.readbyqxmd.com/read/26217641/clinical-experience-with-a-hybrid-procedure-using-the-adherent-clot-catheter-for-salvage-of-thrombosed-hemodialysis-access-a-comparison-with-the-standard-fogarty-balloon-catheter
#6
Yu Sung Yang, Kyu Dam Han, Eun Hye Choi, Young Sam Park, Yeon Ho Seo, Cheol Seung Kim
PURPOSE: This study aimed to compare the efficacy of two different catheters in hybrid surgery for salvage of thrombosed hemodialysis accesses. MATERIALS AND METHODS: The hybrid salvage procedure (surgical thrombectomy followed by endovascular angioplasty) of the thrombosed hemodialysis access, was performed using adherent clot (AC) catheter in 140 cases and Fogarty balloon catheter in 68 cases. Procedure-related outcomes such as the clot removal status, clinical success, complications, and primary patency rates were analyzed retrospectively...
March 2015: Vascular Specialist International
https://www.readbyqxmd.com/read/25698019/stabilizing-the-production-of-nonnative-consonant-clusters-with-acoustic-variability
#7
COMPARATIVE STUDY
Lisa Davidson, Sean Martin, Colin Wilson
Previous research on the perception, recognition, and learning of sounds and words has identified diverse effects of phonetic variation. The present study examined how variation affects cross-language production of consonant clusters. American English speakers shadowed words beginning with nonnative clusters in low- and high-variability conditions. Shadowing responses in the low-variability condition were quite sensitive to fine-grained phonetic properties that were manipulated across the stimuli. Notably, longer stop bursts led to increased rates of epenthesis, lower burst amplitudes resulted in more feature change and deletion, and intense periods of voicing at cluster onset elicited prothetic responses...
February 2015: Journal of the Acoustical Society of America
https://www.readbyqxmd.com/read/25622837/-analyses-of-microbiology-and-antibiotic-susceptibility-in-prosthetic-knee-infections
#8
Changjiao Sun, Wei Chai, Yongwei Pan, Yonggang Zhou
OBJECTIVE: To explore the microbiological etiology of prosthetic knee infections during two-staged revision and analyze antibiotic susceptibility of bacteria so as to provide clinical recommendations for empiric antibiotic therapy. METHODS: A retrospective review was performed for 78 hospitalized patients for prothetic knee infections undergoing two-staged revision between January 1, 2007 and February 28, 2014.Suspicious intra-operative tissues were collected and cultured...
December 9, 2014: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/25556682/the-role-of-early-stages-of-cortical-visual-processing-in-size-and-distance-judgment-a-transcranial-direct-current-stimulation-study
#9
Thiago L Costa, Marcelo F Costa, Adsson Magalhães, Gabriel G Rêgo, Balázs V Nagy, Paulo S Boggio, Dora F Ventura
Recent research suggests that V1 plays an active role in the judgment of size and distance. Nevertheless, no research has been performed using direct brain stimulation to address this issue. We used transcranial direct-current stimulation (tDCS) to directly modulate the early stages of cortical visual processing while measuring size and distance perception with a psychophysical scaling method of magnitude estimation in a repeated-measures design. The subjects randomly received anodal, cathodal, and sham tDCS in separate sessions starting with size or distance judgment tasks...
February 19, 2015: Neuroscience Letters
https://www.readbyqxmd.com/read/25458458/-impact-of-a-program-designed-to-improve-continuous-renal-replacement-therapy-stability
#10
M Page, T Rimmelé, J Prothet, F Christin, J Crozon, C-E Ber
OBJECTIVES: During continuous renal replacement therapy (CRRT), circuit clotting increases nursing workload, cost of the therapy and blood loss. The aim of this study was to assess the impact of a program designed to improve CRRT stability on unexpected circuit clotting. STUDY DESIGN: Retrospective and observational study. PATIENTS AND METHODS: In January 2011, several changes have been adopted regarding CRRT management. Regional citrate anticoagulation, continuous hemodialysis using super high-flux membranes and a specific training for intensive care unit nurses were implemented...
December 2014: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/25241544/-investigation-on-the-short-term-clinical-application-of-two-types-of-glass-fiber-posts
#11
RANDOMIZED CONTROLLED TRIAL
Hui Song, Jingwen Wang, Xuliang Deng, Yan Wei
OBJECTIVE: The clinical results of restoring defective teeth with two types of glass fiber prothetic systems is investigated to acquire clinical experience for further application of glass fiber posts with independent intellectual property rights. METHODS: A total of 120 out-patients with restored defective teeth were selected from the Department of Stomatology, Beijing Xuanwu Hospital of Traditional Chinese Medicine and Peking University School and Hospital of Stomatology and randomly divided into two groups...
August 2014: Hua Xi Kou Qiang Yi Xue za Zhi, Huaxi Kouqiang Yixue Zazhi, West China Journal of Stomatology
https://www.readbyqxmd.com/read/25214269/prevalence-and-intensity-of-dentition-defects-and-secondary-deformations-in-the-population-of-15-40-age-group
#12
S Kraveishvili, N Shonia, Z Sakvarelidze, N Sakvarelidze
Partial secondary adentia together with caries and parodont diseases is among the most widespread diseases of dentofacial system, correlated, in addition, to the number of lost teeth, with the age. Result in speech and chewing functions' disorders, change of face shape, esthetic and psychosocial inferiority, pathologies of digestive and other systems, formation of the chronic infection areas, changes of reactivity etc,. Improvement of the methods of prevention and treatment of the above diseases is one of the most significant problems in the dentistry...
July 2014: Georgian Medical News
https://www.readbyqxmd.com/read/25152292/-analysis-of-microbiology-and-antibiotic-susceptibility-in-131-cases-of-prosthetic-hip-infections
#13
Changjiao Sun, Yonggang Zhou, Wei Chai, Yan Wang
OBJECTIVE: To explore the microbiological etiology of prosthetic hip infections during two-staged revision and analyze antibiotic susceptibility of bacteria isolated from infected hip arthroplasty specimens so as to provide clinical recommendations for empiric prophylactic and therapeutic antibiotics therapy. METHODS: A retrospective review was conducted for hospitalized patients of prothetic hip infections during two-staged revision between January 1, 2007 and December 31, 2013...
June 3, 2014: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/24908964/-application-of-algorithms-for-treatment-of-dentition-anomalies-complicated-by-crowding-of-teeth
#14
M I Dmytrenko
100 patient, aged between 4 and 42, with various dentition anomalies exacerbated by crowding of lower and upper teeth, have been examined and given orthodontic treatment. The orthodontic treatment involved a combination method in conjunction with functional (biological), machine, surgical and prothetic methods. The analysis of the results of this study shows that the treatment algorithms used in this study could be recommended for clinical application.
January 2014: Likars'ka Sprava
https://www.readbyqxmd.com/read/24821089/-histopathological-particle-algorithm-particle-identification-in-the-synovia-and-the-slim
#15
V Krenn, P Thomas, M Thomsen, J P Kretzer, S Usbeck, L Scheuber, G Perino, W Rüther, R v Welser, F Hopf, M Huber
BACKGROUND: In the histopathological diagnostics of synovitis and the synovium-like interface membrane (SLIM) the identification of crystals and crystal-like deposits and the associated inflammatory reactions play an important role. The multitude of endogenous crystals, the range of implant materials and material combinations, and the variability in the formation process of different particles explain the high morphological particle heterogeneity which complicates the diagnostic identification of diagnostic particles...
September 2014: Zeitschrift Für Rheumatologie
https://www.readbyqxmd.com/read/24795486/le-maintien-du-pouvoir-chez-la-personne-%C3%A3-g%C3%A3-e-h%C3%A3-berg%C3%A3-e-souffrant-de-d%C3%A3-ficits-cognitifs
#16
Aline Vézina, Daniel Pelletier
This theoretical article presents some thoughts on research and intervention's frameworks for the well-being of nursing homes' residents with cognitive deficits associated with dementia. Based on a symbolic interactionism perspective, it examines the relations between the staff (nurses, social worker, rehabilitation worker, homecare employee) and family caregivers, to maintain identity for, by and behalf of the elderly. Adopting a critical perspective on the person-centered care approach for an clearer understanding of the person faced with dementia, the authors call for an integrating framework based on two approaches: a bibliographic approach and the holistic relational prothetic approach, allowing the recognition and support of a positive identity in elders with dementia for critical actions promoting their well-being in nursing homes...
January 1, 2009: Service Social
https://www.readbyqxmd.com/read/24204358/space-and-time-bisection-in-schizophrenia
#17
Isidro Martinez-Cascales, Juanma de la Fuente, Julio Santiago, Julio Santiago
As a test of the idea of a common brain system responsible for representing all prothetic dimensions, schizophrenic patients and healthy participants took part in a line bisection task and two visual temporal bisection tasks, one using durations from 1 to 4 s and another using 30 s long specially designed stimuli (aging faces). Against expectations, schizophrenics showed better precision (smaller variable error) both in line bisection and the aging faces temporal task than healthy controls. Moreover, patients also showed less bias (smaller constant error) than controls in the aging faces task...
2013: Frontiers in Psychology
https://www.readbyqxmd.com/read/24113200/-super-high-flux-continuous-hemodialysis-in-septic-shock-a-case-report
#18
Thomas Madelaine, Mathieu Page, Johanne Prothet, Charles-Éric Ber, Julien Crozon, Bernard Allaouchiche, Thomas Rimmelé
Continuous renal replacement therapy (CRRT) with a high cutoff (HCO) membrane is proposed for septic shock as a blood purification technique. The aim of this therapy is to modulate the immune response through the increase of the clearances of the inflammatory mediators as compared to standard CRRT. The use of HCO membranes in daily clinical practice is limited due to the related theoretical albumin loss. Super high-flux (SHF) membranes have an optimized cutoff and, when used in a diffusive mode, may allow for high clearances of middle molecules with limited albumin loss...
December 2013: Néphrologie & Thérapeutique
https://www.readbyqxmd.com/read/23952591/psychophysics-of-kinesthesis
#19
R G Marteniuk, M L Ryan
A horizontal straight-arm movement was used to determine the relationship between the physical stimulus continuum and the psychological continuum of kinesthetic extent of arm movement. A power function with an exponent of 1.075 best described this relationship. In addition, to classify extent of movement as belonging to either a prothetic or metathetic continuum, the category scale was derived. According to the functional criteria described by Stevens (1957), extent of movement was subserved by a metathetic process which would indicate that, for the present task, judgments were made through the use of positional cues rather than amplitude cues...
September 1972: Journal of Motor Behavior
https://www.readbyqxmd.com/read/23253804/-surgical-approaches-for-intertrochanteric-fractures-in-elder-patients
#20
Yan-qing Gao, Li-xin Zuo, Xiao-qiong Wang, Xi-yan Zhang, Zong-yan Gao
OBJECTIVE: To conduct long-term follow-ups on the efficacies of surgical approaches for intertrochanteric fractures in elder patients. METHODS: The outcomes of intertrochanteric fractures in 402 elder patients undergoing different surgical procedures during 2005 to 2009 were reviewed. The modified classification of Singh index, detailed surgical contraindications and improved functional scoring system specialized for intertrochanteric fracture were included. Among these, type I to IV had 17 cases (4%), 49 cases (12%), 187 cases (72%), 48 cases (12%)...
August 7, 2012: Zhonghua Yi Xue za Zhi [Chinese medical journal]
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