Assuntos
Complicações na Gravidez , Gravidez , Síndrome da Artéria Mesentérica Superior , Adulto , Aorta/diagnóstico por imagem , Duodeno/diagnóstico por imagem , Feminino , Humanos , Intestino Delgado/diagnóstico por imagem , Desnutrição/etiologia , Desnutrição/terapia , Artéria Mesentérica Superior/diagnóstico por imagem , Terapia Nutricional/métodos , Remissão Espontânea , Síndrome da Artéria Mesentérica Superior/diagnóstico por imagem , Síndrome da Artéria Mesentérica Superior/terapia , Tomografia Computadorizada por Raios XRESUMO
The senior authors have performed 141 proximal femoral whole-bone allografts in failed total hip reconstruction. The results of the first 50 have been previously reported. This study reviews 70 additional cases performed since 1987 and reflects improved technique and several different junctional constructs. Modest improvements in the rate of union (64% v 80%) and of dislocation (28% v 16%) have been achieved. The infection rate (6% v 4%) and demographics of the groups have remained constant. The frequency of complications (67% v 53%) has decreased, but unfortunately remains high. A step-out allograft junction with a long lateral sleeve has been the most reliable construct.
Assuntos
Fêmur/transplante , Prótese de Quadril/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Avaliação como Assunto , Feminino , Fraturas não Consolidadas/etiologia , Prótese de Quadril/efeitos adversos , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Falha de Prótese , Reoperação , Transplante Homólogo , Resultado do TratamentoRESUMO
Forty patients undergoing needle biopsy of the prostate via the perineal route were studied bacteriologically. Four had positive blood cultures 5 min after the biopsy but none developed septicaemia, although no prophylactic antibiotics were used. Three of the four patients developing bacteraemia were found to have an unsuspected urinary tract infection and the same organisms were cultured from blood and urine, suggesting that this was the source of the bacteraemia.
Assuntos
Biópsia por Agulha/efeitos adversos , Próstata/patologia , Sepse/etiologia , Humanos , Masculino , Períneo , Neoplasias da Próstata/patologiaRESUMO
Up to fifteen plasma proteins were measured before treatment in 249 women presenting with lumps in the breast. Concentrations showed considerable overlap between the various clinical stages, and were often normal even in metastatic disease. A discriminant function is proposed, based on measurement of C-reactive protein, beta 2-microglobulin, carcinoembryonic antigen and ferritin and calculation of a score for each subject. High-risk scores resulted for all 18 patients with Stage 4 (i.e., metastatic) disease, and the number of Stage 1 patients attaining high scores was consistent with the reported incidence of development of metastases in such a group. Follow-up studies are in progress.
Assuntos
Proteínas Sanguíneas/análise , Neoplasias da Mama/sangue , Estadiamento de Neoplasias/métodos , Proteína C-Reativa/análise , Antígeno Carcinoembrionário/análise , Feminino , Humanos , Proteínas da Gravidez/análise , Transferrina/análise , Microglobulina beta-2/análiseRESUMO
With many asthmatic children for whom emotional factors are significant, joint pediatric and psychiatric management is essential. A three-level model of collaboration is presented, including (1) pediatric care, (2) psychiatric consultation, and (3) inpatient psychosomatic treatment. The organization, professional roles, and treatment protocol of the psychosomatic inpatient service are described. A review of the first 16 asthmatic children who received inpatient care in the program suggests that such a model may present a viable alternative to long-term residential care.
