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991.
S. Ramakrishnan MD DM Shyam S. Kothari MD DM FACC 《Catheterization and cardiovascular interventions》2008,72(3):413-415
We describe an unusual route and uncommon device use for the percutaneous closure of a modified Blalock–Taussig (BT) shunt. A 4‐year‐old male had presented with severe upper body swelling after a bidirectional Glenn shunt done one month earlier. The BT shunt which was clipped during the surgery was found to be patent. The BT shunt was finally closed from the bidirectional Glenn using an Amplatzer vascular plug, resulting in symptom relief. © 2008 Wiley‐Liss, Inc. 相似文献
992.
993.
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995.
HUGO PARTSCH MD PHD MICHAEL CLARK PHD GIOVANNI MOSTI MD ERIK STEINLECHNER DSC JAN SCHUREN RN BN MSC MARTIN ABEL PHD JEAN-PATRICK BENIGNI MD PHILIP COLERIDGE-SMITH DM FRCS RE CORNU-THÉNARD MD MIEKE FLOUR MD JERRY HUTCHINSON PHD BSC JOHN GAMBLE PHD KARIN ISSBERNER PHD MICHAEL JUENGER MD PHD CHRISTINE MOFFATT CBE PHD MA RGN DN H. A. M. NEUMANN MD PHD EBERHARD RABE MD PHD JEAN F. UHL MD STEVEN ZIMMET MD 《Dermatologic surgery》2008,34(5):600-609
996.
DM Bulcke† SA Devos‡ 《Journal of the European Academy of Dermatology and Venereology》2007,21(3):360-363
BACKGROUND: Infectious and non-infectious hand and forearm dermatoses are frequent in daily veterinary medicine. In this specific occupation there is a serious impact of skin disease on the lives and careers of veterinarians. OBJECTIVE: In this study we clarify the different occupational dermatoses on hands and forearms among veterinarians, using data collected in different dermatological patch-test expert centres in Belgium and the Netherlands. METHODS: Instead of questioning veterinarians themselves, which has been done in different studies in the past, we contacted dermatologists in Belgium and the Netherlands, questioning them about their experiences with dermatoses among veterinarians. RESULTS: Seven dermatologists described a total of 58 veterinarians. Infectious dermatoses were described in 12 cases (20.7%). The non-infectious dermatoses (46 cases, 79.3%) can be classified as contact urticaria and as irritant or allergic contact dermatitis. CONCLUSION: While irritant contact dermatitis accounts for the vast majority of hand and forearm dermatoses among veterinarians, contact urticaria and allergic contact dermatitis also significantly contribute to the occupational morbidity. Repeated hand washing, occlusion under rubber gloves, contact with animal protein fluids during obstetric procedures and contact with antiseptic agents, systemic and topical corticosteroids and antibiotics are the most likely causes of hand and forearm dermatoses among veterinarians. 相似文献
997.
998.
SK Kaushal M. Ch. KS Dagar M. Ch. R Vyas M. Ch. A Singh MD PU Iyer MD S Radhakrishnan DM S Shrivastava DM KS Iyer M. Ch. 《Indian Journal of Thoracic and Cardiovascular Surgery》2000,16(1):11-14
Background Ebstein’s anomaly of the tricuspid valve is a complex malformation. Historically, because valve replacement yielded poor results,
surgical treatment has focused on valvuloplasties with or without associated procedures. An individualised combination of
surgical procedures was practised over three years and forms the subject of this presentation.
Method Between November 1995 and September 1999, 7 patients with Ebstein’s anomaly underwent surgical repair (age 3.5 to 40 years).
Cyanosis with severe tricuspid regurgitation was present in all. Surgical repair, individualised according to the morphology
of the tricuspid valve and right ventricle to provide maximum possible symptom free survival, included, (1) Tricuspid valve:
Replacement (n=1); Repair (Carpentier type n=1, Unicuspid repair n=5), (2) Atrial septal defect: left open (n=1), closed partially
(n=1), closed compeletely (n=5), and (3) Bidirectional Cavopulmonary Shunt (BCPS)-4
Results There was no hospital death. Intraoperative transoesophageal echocardiography showed only mild tricuspid regurgitation in
all, following repair. There were no late deaths at a mean follow up of 29 months. All but one patient were in functional
Class 1 New York Heart Association(NYHA). Complications included a thrombus in the right ventricular cavity six months postoperatively
in one patient.
Conclusion Individualisation of surgical management in Ebstein’s anomaly provides optimal results. 相似文献
999.
1000.
Dr. Shyam S. Sharma DM Narendra Bhargava DM Satish C. Mathur MD 《Digestive diseases and sciences》1995,40(11):2446-2449
Erythromycin, a motilin receptor agonist has been shown to have prokinetic effects on the upper gastrointestinal tract and gallbladder. Colonic effects of the drug are controversial, and it is debated whether human colon contains motilin receptors. In this study we evaluated the effects of erythromycin on colonic transit and stool frequency in 11 patients with idiopathic constipation over a 1-month period in an open study. The dose used was 1 g/day for two weeks followed by 500 mg/day for another two weeks. The mean (se) total and segmental colonic transit was measured before and seven days after therapy in seven of these patients. A daily record of stool frequency was maintained in all 11 patients. Erythromycin shortened the total colonic transit from 86.2 (14.6) to 44.8 (8.99) hr (P<0.01); however, segmental transit studies revealed a significant effect (P<0.01) only in the right colon and rectosigmoid region. No significant side effects were observed with short-term therapy. These preliminary results suggest that erythromycin is of therapeutic value in patients with idiopathic constipation. 相似文献