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21.
Background
Low grade fibromyxoid sarcomas (LGFMS) are very rarely seen. They commonly arise from deep soft tissues of the lower extremities. Very few cases of intra-abdominal location have been reported. 相似文献22.
Patient satisfaction is an important outcome measure independent of other outcomes. Its measurement is important to assess the effectiveness of a programme and to gain insight into the patients'' perception of the programme. In this study conducted in a large rehabilitation centre it was found that majority of patients express satisfaction with care inspite of perceived discomfort. Various demographic factors, severity or duration of the disability or the level of rehabilitation do not influence patient satisfaction. Patients express more concern with aspects such as delay in issue of the prosthesis, or hotel component of the hospital services. Patients did not appear too concerned about the level of information provided. Patient satisfaction is an individual reaction to the overall care process and is influenced by the initial expectation level of the patient. Emotional response of the patient appears to be more important determinant of patient satisfaction than the cognitive evaluation. Periodical assessment of patient satisfaction should be an important component of any programme evaluation exercise.KEY WORDS: Amputation, Patient satisfaction, Programme evaluation, Prosthesis, Quality of care, Rehabilitation 相似文献
23.
KM RAI KJ PHILIPOSE VSM P TAKKAR RR BHONDE KK MAUDAR NK PANICKER 《Medical Journal Armed Forces India》1999,55(2):119-122
Current synthetic vascular prostheses do not acquire lining of vascular endothelium in humans or dogs. Endothelial seeding of vascular grafts has been proposed as a means of reducing the thrombogenicity of these grafts. We examined feasibility of cultivating endothelial cells (EC) by tissue culture technique and their subsequent seeding onto small diameter polytetra fluoroethylene (PTFE) grafts. Twenty adult dogs underwent common carotid artery interposition with 4 mm PTFE grafts. Ten dogs received seeded and the remaining ten received unseeded grafts. Grafts were removed at 4 and 12 weeks and their gross/morphological features compared. Cumulative patency rates for seeded grafts were 70% as compared to unseeded ones 30%. Seeded grafts were completely surfaced with a mono-layer of endothelium by 4 weeks. Small graft patency appears to be related to the establishment of an endothelial surface, the development of which is clearly facilitated by seeding with autogenous endothelium.KEY WORDS: Endothelial cell seeding, Vascular grafts 相似文献
24.
Chylopericardium and chylothorax,resulting from a catheter to the left subclavian vein: An autopsy report 总被引:1,自引:0,他引:1
Summary A 47-year-old woman with long-standing myelofibrosis and thrombocytosis whose spleen was removed 9 days prior to death, died of a heart tamponade. Subsequent autopsy revealed the development of chylothorax and chylopericardium due to the existence of a thrombus obstructing the ostium of the left thoracic duct, as a consequence of the particular location of a central venous catheter in the left subclavian vein in the proximity of the confluence of the left thoracic duct in the afore-mentioned vein. 相似文献
25.
NK Shyamkumar RP Athyal G Govindarajulu VP Narayan F Rangad S Govil J Chacko 《Journal of Medical Imaging and Radiation Oncology》2001,45(3):387-389
Serial plain radiographic, ultrasound and CT findings of an unusual case of pulmonary blastoma are described with a review of the literature. 相似文献
26.
J R Cruysberg R C Sengers A Pinckers K Kubat U J van Haelst 《American journal of ophthalmology》1986,102(6):740-749
We studied 12 patients from six unrelated families with a syndrome that has an autosomal recessive pattern of inheritance and can be diagnosed from clinical, histologic, and biochemical characteristics. The four major symptoms are congenital cataract, hypertrophic cardiomyopathy, mitochondrial myopathy of voluntary muscles, and exercise-related lactic acidosis. The patients had bilateral and total cataract in the first weeks of life, underwent cataract surgery, and developed nystagmus and strabismus. Corrected visual acuity was lower than 20/40 in aphakic eyes. Patients were mentally normal, and at school age they visited a school for blind and visually impaired children. The majority of the patients developed axial myopia with myopic fundus changes; aphakic refraction usually was lower than 10.0 diopters after the first decade. The cardiac myopathy was progressive and the cause of premature death. Three of the 12 patients died in the neonatal period and six patients died in early adulthood. 相似文献
27.
Background
There is an evident lack of research on timing of polydactyly surgery and its effects on treatment results.Methods
Retrospective comparative study on foot polydactyly patients treated at our department from 1995 to 2009. Patients were divided into 2 groups, group A – under the age of 5 at surgery, and group B – 5 years and older.Results
There were 24 patients (8 male, 16 female), 30 feet. Median age at surgery was 1 year (range, 9 months–4.5 years) for group A, and 8.5 years (range, 6–37 years) for group B. Median follow-up was 16.2 years (range, 7–21 years). There were 16 postaxial and 8 preaxial cases. At the last follow-up 12 patients’ feet were “excellent” and 12 “good”. No significant differences were identified between the two groups at final follow-up.Conclusions
Timing of surgery for foot polydactyly is not crucial for final results. 相似文献28.
Background
We evaluated the efficacy of intermaxillary fixation (IMF) screws in the treatment of mandibular fractures.Methods
Two hundred patients with mandibular fractures, treated by IMF using these screws, were evaluated by pre and postoperative panoramic radiographs. Clinical testing was carried out for vitality and abnormal mobility of teeth adjacent to the site of screw insertions. Other factors such as possible iatrogenic dental injuries, loss, breakage or screw cover by oral mucosa and postoperative occlusion were also studied.Result
The most important complication noticed was iatrogenic damage to dental roots.Conclusion
Use of intraoral cortical bone screws for IMF is a valid alternative to arch bars in the treatment of mandibular fractures. Iatrogenic injury to dental roots is the commonest problem which can be minimized by an experienced surgeon.Key Words: Intermaxillary fixation, Bone screws, Mandibular fractures, Iatrogenic injury 相似文献29.
Gestational diabetes insipidus (GDI) is a rare disorder characterised by polyuria, polydypsia, and excessive thirst usually
manifesting in the third trimester of pregnancy. The etiology is thought to depend on excessive vasopressinase activity, a
placental enzyme that degrades arginine-vasopressin (AVP), but not 1-deamino-8-d-arginine vasopressin (dDAVP), which is a synthetic form. This is a transient syndrome and may be associated with acute fatty
liver of pregnancy and preeclampsia. The use of dDAVP in symptomatic cases has been proven as a safe method for both the mother
and the fetus during the pregnancy. We report a case of recurrent gestational diabetes insipidus in successive pregnancies,
which responded to dDAVP and subsided after delivery.
This report was presented at 8th European Congress of Endocrinology held in Goteborg, SWEDEN in 3–7 September 2005. 相似文献
30.
Joerg Schneider Georg Staubli Stephan Kubat Stefan Altermatt 《European journal of trauma and emergency surgery》2007,33(6):619-625
Abstract
Purpose: Distal forearm fractures are among the most common fractures in children. In the past few years the option of percutaneous
pinning has gained more attention in the treatment of unstable fractures. However, it remains unclear in which cases a fracture
or its reduction should be considered unstable.
Study Design: In order to evaluate which type of fractures profit most from additional pinning after closed reduction, we performed a retrospective
analysis of 225 consecutive cases using the recently published AO pediatric classification of long bone fractures.
Results: After closed reduction, position in the cast was lost in 23% of the cases. The proportion of unstable reductions was much
higher in completely displaced fractures. The amount of dislocation was more important than the type of fracture according
to the AO classification proposal.
Conclusions: Fully displaced fractures should always be reduced in a setting with pins immediately available. If anatomical reduction cannot
be achieved, pinning is advocated. The AO proposal for pediatric long bone fracture classification could be a useful tool
to render the diverse studies more comparable. However, the important feature of complete versus subtotal displacement is
lacking. 相似文献