RESUMEN
Bone defects associated with non-unions occur as a result of the initial insult or as a consequence of bone excision following non-union development. Historically management of this clinical scenario consisted mainly of amputation, which provided a short recovery period but a significant loss of limb function. Today treatment has evolved and multiple options are available for reconstruction of the bone defect. Broadly these are: bone shortening with lengthening later or bone transport and 'docking' (distraction osteogenesis based techniques); the use of vascularised and non-vascularised bone grafts; bone substitutes; stem cells; growth factors; scaffolds and gene therapy.
Asunto(s)
Enfermedades Óseas/terapia , Alargamiento Óseo/métodos , Trasplante Óseo/métodos , Fracturas no Consolidadas/terapia , Terapia Genética/métodos , Osteogénesis por Distracción/métodos , Ingeniería de Tejidos/métodos , Amputación Quirúrgica , Enfermedades Óseas/fisiopatología , Regeneración Ósea , Fracturas no Consolidadas/fisiopatología , Humanos , Selección de Paciente , Resultado del TratamientoAsunto(s)
Arterias/fisiopatología , Presión Sanguínea/fisiología , Enfermedad Coronaria/fisiopatología , Resistencia Vascular/fisiología , Adulto , Pueblo Asiatico , Estudios de Casos y Controles , Elasticidad , Humanos , India , Modelos Logísticos , Masculino , Análisis Multivariante , Población BlancaAsunto(s)
Infecciones por Helicobacter/tratamiento farmacológico , Helicobacter pylori , Lactoferrina/uso terapéutico , 2-Piridinilmetilsulfinilbencimidazoles , Animales , Bencimidazoles/uso terapéutico , Bovinos , Claritromicina/uso terapéutico , Quimioterapia Combinada , Humanos , Omeprazol/análogos & derivados , Rabeprazol , Tinidazol/uso terapéuticoRESUMEN
AIMS: To identify urinary symptoms and morbidity after ambulatory urodynamics. METHODS: One hundred consecutive women underwent ambulatory urodynamics for a variety of urinary complaints. Urinary symptom questionnaires were collected before investigation and again 48 hours later, reporting dysuria and haematuria. Women were screened for urinary tract infection before investigation and again 48 hours later. RESULTS: Of the 91 women who completed the study, 1 (1.1%) had a positive urinary culture after the investigation but was asymptomatic. Seventeen women reported mild to moderate de novo dysuria. CONCLUSIONS: Urinary symptoms and morbidity after ambulatory monitoring is low.
Asunto(s)
Pacientes Ambulatorios , Infecciones Urinarias/etiología , Trastornos Urinarios/etiología , Urodinámica , Adulto , Anciano , Femenino , Humanos , Persona de Mediana EdadRESUMEN
This study examined whether stereotypes of aging might contribute to decisions the elderly make about when to die. Old and young participants (N=64) were subliminally primed with either negative or positive stereotypes of old age and then responded to hypothetical medical situations involving potentially fatal illnesses. Consistent with our prediction, the aged participants primed with negative stereotypes tended to refuse life-prolonging interventions, whereas the old participants primed with positive age stereotypes tended to accept the interventions. This priming effect did not emerge among the young participants for whom the stereotypes were less relevant. The results suggest that societally-transmitted negative stereotypes of aging can weaken elderly people's will to live.
