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41.
Ateba Ngoa U Schaumburg F Adegnika AA Kösters K Möller T Fernandes JF Alabi A Issifou S Becker K Grobusch MP Kremsner PG Lell B 《Acta tropica》2012,124(1):42-47
Little data is available on the epidemiology of Staphylococcus aureus in Africa. In the present study we aim at characterizing the population structure of S. aureus in healthy subjects from a rural and a semi-urban area in Lambaréné, Gabon as well as in hospital staff and inpatients. In total, 500 subjects were screened for S. aureus colonization of the nares, axillae and inguinal region. Overall, 146 (29%) were positive. We found 46 different spa types. The most frequent spa types were t084 (35%) and the agr II was the most prevalent subtype of the accessory gene regulator (56%, n=82). Five isolates (3%) were methicillin resistant S. aureus (MRSA). Carriage rates of S. aureus in Gabon are comparable to developed countries. MRSA is for the first time described and could pose a significant health threat in this region with limited access to microbiological laboratory facilities and to adequate antimicrobial agents. 相似文献
42.
Nils Henninger Diogo C. Haussen Nikolaos Kakouros Magdy Selim D. Eric Searls Sandeep Kumar Gottfried Schlaug Louis R. Caplan 《Neurocritical care》2013,19(2):167-175
Background and Purpose
To evaluate the relationship between infarct location and QTc-prolongation in patients with posterior circulation strokes.Methods
Admission electrocardiograms (ECG) of 131 patients among a prospective sample of 407 consecutive adult patients in the New England Medical Center Posterior Circulation Registry were retrospectively analyzed. The QT interval (ms) was measured and corrected using Bazett’s formula (QTcBazett) as well as linear regression functions (QTcLinear). QTcBazett > 440 ms and QTcLinear ≥ 450 ms for men (≥460 ms for women) were considered prolonged. Multivariable linear and logistic regression analyses were used to identify independent predictors of the QTc.Results
Overall, 34 % of patients had a prolonged QTcBazett and 7 % had a prolonged QTcLinear noted on the admission ECG. There was a significant association between temporal lobe infarction and QTcBazett and QTcLinear (p < 0.001 for both) in multivariable linear regression analyses adjusting for demographics, ECG parameters, and preadmission medication use. In multivariable logistic regression analysis, temporal lobe infarction emerged as an independent predictor of prolonged QTcBazett (p = 0.009) and QTcLinear (p = 0.008), respectively. Sensitivity analyses excluding patients with transient ischemic attack yielded similar results. Exploratory analyses indicated that patients with temporal lobe infarction had worse functional 30-day outcomes in multivariable logistic regression (p = 0.022). However, there was no significant association between QTc and 30-day functional outcome.Conclusions
QTc-prolongation is common after posterior circulation stroke and associated with temporal lobe infarction. Prospective studies are needed to confirm these preliminary findings and to examine potential long-term consequences. 相似文献43.
44.
Gottfried Wechselberger M.D. M.Sc. Michaela Hladik Heike Reichl M.D. Florian Ensat M.D. Monika Edelbauer M.D. Daniel Haug Thomas Schoeller M.D. M.Sc. 《Microsurgery》2013,33(4):282-286
Poland's syndrome represents a congenital unilateral deformity of the breast, chest wall, and upper limb with extremely variable manifestations. In most cases, the problem is mainly cosmetic, and the reconstruction of the chest wall should use a method designed to be performed easily and to achieve minimal scarring and donor site morbidity. We describe using a transverse musculocutaneous gracilis (TMG) flap for chest wall and anterior maxillary fold reconstruction in three male patients. In two patients, only the pectoralis major muscle was missing. In the third case, the ipsilateral latissimus dorsi muscle was also absent. The indication for surgical treatment was purely cosmetic. In all patients, a free TMG flap was performed to reconstruct the anterior axillary fold and the soft tissue defect. There was no flap loss, and all three patients had a clearly improved appearance of the chest wall. In this article, we demonstrate our experience with the use of a TMG flap for chest wall reconstruction in male patients with Poland's syndrome. © 2013 Wiley Periodicals, Inc. Microsurgery, 2013. 相似文献
45.
Thomas Schoeller Gottfried Wechselberger Angela Otto Heribert Hussl 《Journal of plastic surgery and hand surgery》2013,47(1):117-119
We report a rare case of a 32-year-old woman with idiopathic isolated bilaterally symmetrical brachymetacarpia of the fifth metacarpal bone, which had been present since the age of 14. Movement, and sensory and motor function were within normal limits, and she had no symptoms. No treatment was recommended. We know of no similar case reports. 相似文献
46.
This paper examines the articulatory and phonatory strategies used by a German female born without a tongue. Analysis concentrates on the phonetic correlates of dorsal plosives. The speaker uses two main strategies. In word list material, closure for initial /k, g/ is produced using a combination of the uvula, floor of the mouth and adduction of the glossopalatal arches. In other environments, closure is made at the glottis. The glottal strategy is shown to be consistently different from the junctural glottalization used at vowel onset. 相似文献
47.
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49.
Rabitsch W Nikolic A Schellongowski P Kofler J Kraft P Krenn CG Staudinger T Locker GJ Knöbl P Hofbauer R Frass M 《The American journal of emergency medicine》2004,22(1):4-9
Evaluation of tube position is important after in-hospital and prehospital emergency intubation. Colorimetric breath indicators are devices for immediate control of tube positioning by showing a color change according to end-tidal CO2 (ETCO2) concentrations. We hypothesized that colorimetric breath indicators can yield reliable results for confirmation of tube position. The aim of this study was to evaluate the effectiveness and safety of a new colorimetric breath indicator (Colibri, ICOR AB, Bromma, Sweden) in 147 patients during general anesthesia, in critically ill patients, during transport to in-hospital interventions, and in a study design after insertion of a second tube into the esophagus in long-term ventilated patients. The Colibri was attached between the respective airway and ventilatory tubing. Seventy-three patients were investigated during general anesthesia, 39 patients were observed during long-term ventilation with an average duration of 33 hours, in 15 patients during transport to an intervention for up to 4 hours, and in 20 long-term ventilated patients at the medical intensive-care unit after insertion of a second tube intentionally into the esophagus with the help of a laryngoscope. The Colibri worked well in all groups investigated and showed no false results in the group with tubes inserted into the trachea and esophagus. Data suggest that the Colibri might serve as a valuable tool for evaluating and controlling tube position. This device is independent of power supply or electronic equipment, portable, small, and immediately ready for use. 相似文献
50.
Respiratory compliance and resistance in mechanically ventilated patients with acute respiratory failure 总被引:4,自引:0,他引:4
M. Bernasconi Y. Ploysongsang S. B. Gottfried J. Milic-Emili A. Rossi 《Intensive care medicine》1988,14(5):547-553
The purpose of this study was noninvasive assessment of respiratory compliance and resistance in mechanically ventilated patients with acute respiratory failure (ARF). To this end, flow, change in lung volume, and airway pressure were measured at the proximal tip of the endotracheal tubes in twenty nine critically ill unselected patients. Eleven had acute exacerbation of chronic obstructive pulmonary disease (COPD), 8 had adult respiratory distress syndrome (ARDS) and 10 had ARF of various etiologies. Static compliance (Cst,rs), intrinsic PEEP (PEEPi), as well as minimum and maximum resistance (Rrs,min and Rrs,max, respectively) were obtained with end-inspiratory and end-expiratory airway occlusions. We found that: (1) PEEPi was present in all patients with COPD (up to 11.4 cmH2O) and it was not uncommon in patients with ARF without history of chronic airway disease (up to 4.1 cmH2O). (2) Without correction for PEEPi average Cst,rs was not significantly different between ARDS and COPD patients, whereas the average corrected compliance was significantly lower in ARDS patients. (3) Substantial frequency-dependence of resistance was exhibited not only by COPD patients, but also by ARDS patients.A preliminary report was presented at the joint meeting SEP-SEPCR, Paris, September 3rd, 1986.Currently on sabbatical leave from the University of Cincinnaty 相似文献