Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 3 de 3
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
1.
J Hand Surg Am ; 40(3): 448-51, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25617219

RESUMO

Use of the entire hypoglossal nerve for nerve transfer in obstetric palsy is not recommended because of major donor nerve morbidity in terms of feeding and speech problems. We used a hemi-hypoglossal nerve transfer for biceps reinnervation in obstetric palsy in 3 infants with multiple root avulsions. Two of the 3 infants recovered normal or near-normal elbow flexion. There was no donor nerve morbidity in terms of feeding. Speech was assessed at age 20 to 27 months and was appropriate for age, which indicates that early speech development (speech intelligibility and articulation) were not affected. However, phonological development (expected to develop by age 3 y) and full consonant development (expected to be complete by age 5 y) could not be assessed because all children were younger than age 3 years at final follow-up. Our results confirm the relative safety of using a hemi-hypoglossal nerve transfer in infants. The transfer deserves study in a larger series and with longer follow-up, particularly regarding speech development.


Assuntos
Neuropatias do Plexo Braquial/cirurgia , Nervo Hipoglosso/transplante , Regeneração Nervosa/fisiologia , Transferência de Nervo/métodos , Paralisia Obstétrica/complicações , Neuropatias do Plexo Braquial/etiologia , Neuropatias do Plexo Braquial/fisiopatologia , Feminino , Seguimentos , Humanos , Nervo Hipoglosso/cirurgia , Lactente , Masculino , Paralisia Obstétrica/diagnóstico , Paralisia Obstétrica/cirurgia , Recuperação de Função Fisiológica , Medição de Risco , Estudos de Amostragem , Índice de Gravidade de Doença , Sítio Doador de Transplante/fisiopatologia , Resultado do Tratamento
2.
Sultan Qaboos Univ Med J ; 11(3): 328-37, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22087373

RESUMO

A common argument in the health policy debate is that market forces allocate resources efficiently in health care, and that government intervention distorts such allocation. Rarely do those making such claims state explicitly that the market they refer to is an ideal in economic theory which can only exist under very strict conditions. This paper explores the strict conditions necessary for that ideal market in the context of health care as a means of examining the claim that market forces do allocate resources efficiently in health care.

3.
Sultan Qaboos Univ Med J ; 11(2): 201-6, 2011 May.
Artigo em Inglês | MEDLINE | ID: mdl-21969891

RESUMO

Incentives for better performance in health care have several modes and methods. They are designed to motivate and encourage people to perform well and improve their outcomes. They may include monetary or non-monetary incentives and may be applied to consumers, individual providers or institutions. One such model is the Pay-for-Performance system. In this system, beneficiaries are compared with one another based on a set of performance indicators and those that achieve a high level of performance are rewarded financially. This system is meant to recognise and primarily to reward high performers. Its goal is to encourage beneficiaries to strive for better performance. This system has been applied in several countries and for several recipients and settings. Early indications show that this system has had mixed effects on performance.

SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...