ABSTRACT
We compared two models of assistance (telecardiology versus usual care) for patients discharged after acute coronary syndrome (ACS), in the assessment of angina. Two hundred patients were randomized into two groups at discharge for ACS: Group A to telecardiology and Group B to usual care. Early hospital readmission (in the first month) occurred in 16 patients (seven in Group A and nine in Group B). Six of Group A were readmitted for a cardiac cause (non-cardiac in one). Angina was the only cardiac cause. Five of the Group B patients were readmitted for a cardiac cause (non-cardiac in four). The results of the present study emphasize that patients with ACS suffer from a definite rate of cardiac symptoms within the first month (63%). Angina occurs more frequently within the first two weeks (68% of cases). Telecardiology slightly reduces hospital readmissions (telecardiology 44% versus usual care 56%), but better identifies true angina.
Subject(s)
Angina, Unstable/diagnosis , Myocardial Infarction/physiopathology , Telemedicine/methods , Angina, Unstable/complications , Female , Humans , Male , Middle Aged , Myocardial Infarction/complications , Myocardial Infarction/therapy , Patient Readmission , Prospective Studies , SyndromeABSTRACT
The central giant cell granuloma of the maxillo-mandibular region is a relatively uncommon lesion (3.5%-0.1%). Essentially, it occurs in the second decade of life and it is mainly located in the mandibular region. The female/male ratio is 3:1. The authors present an unusual localisation of central giant cell granuloma in a five year old child's maxillary bone. After a surgical curettage of the lesion, an eighteen months follow-up examination did not show any recurrence.
Subject(s)
Granuloma, Giant Cell/pathology , Maxillary Diseases/pathology , Palate/pathology , Child, Preschool , Curettage , Follow-Up Studies , Humans , Male , Nasal Obstruction/etiology , Tomography, X-Ray ComputedABSTRACT
After considering previously published studies and accordant with their observations during operations, the authors propose a surgical technique for the treatment of the deviated nose. Subpericondrial liberation of the upper lateral cartilages on the concave surface, with regard to the deviation, helps to prevent recurrences. After illustration of the surgical technique, some representative clinical cases are presented.
Subject(s)
Nasal Septum/surgery , Nose Deformities, Acquired/surgery , Rhinoplasty/methods , Adult , Female , Humans , Male , Recurrence , Retrospective StudiesABSTRACT
The Authors review Literature concerning surgical treatment of oro-antral fistulas. After a brief discussion concerning the anatomy of the Bichat bulla, the Authors present two clinical cases of oro-antral fistulas with purulent sinusitis. The lesions were repaired using an adipose flap of the Bichat bulla which was sandwiched between the mucous flap and the bony defect. The partial introduction of the adipose flap in to the maxillary sinus through the bony defect, enabled the osteomyelitis bony edges to revascularize and created a pathway and biological substratum for re-epithelialization of the maxillary sinus. Clinical and radiological follow-up 24 months after treatment revealed stable closure of the fistula and normal ventilation of the maxillary sinus. On the basis of these results and those reported in Literature, the Authors advise employment of this technique, particularly in extensive oro-antral fistulas which do recur with other techniques and which, furthermore are complicated by local infectious processes.
Subject(s)
Adipose Tissue/transplantation , Oroantral Fistula/surgery , Surgical Flaps , Adult , Evaluation Studies as Topic , Humans , Male , Middle Aged , Oroantral Fistula/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
Se presenta un caso clinico poco frecuente en ginecologia. Paciente de 32 anos con corioncarcinoma primitivo del ovario. Se efectuan consideraciones diagnosticas y terapeuticas sobre el caso presentado. Se resume la bibliografia mundial al respecto
Subject(s)
Adult , Humans , Female , Choriocarcinoma , Ovarian NeoplasmsABSTRACT
Se presenta un caso clinico poco frecuente en ginecologia. Paciente de 32 anos con corioncarcinoma primitivo del ovario. Se efectuan consideraciones diagnosticas y terapeuticas sobre el caso presentado. Se resume la bibliografia mundial al respecto
