RESUMO
Breast reconstruction with free-tissue transfer is now well established and provides excellent aesthetic results. There has been an increasing swing in the literature in the use of internal mammary vessels as the preferred recipient vessels for this procedure. We present a case of a hitherto undocumented life-threatening complication related to the use of these vessels.
Assuntos
Tamponamento Cardíaco/etiologia , Parada Cardíaca/etiologia , Complicações Intraoperatórias/etiologia , Mamoplastia/efeitos adversos , Retalhos Cirúrgicos/irrigação sanguínea , Adulto , Anastomose Cirúrgica/métodos , Neoplasias da Mama/cirurgia , Feminino , Humanos , Artéria Torácica Interna/transplante , Veias/transplanteRESUMO
From 1983 through mid-1991, more than 200,000 MEDLINE entries were AIDS-related. Close to 60% of the journals indexed in MEDLINE published at least one article on AIDS during the past ten years. As reflected by a subset of 29,077 MEDLINE records, the literature of AIDS has grown to encompass 29 languages and 65 countries. A bibliometric study of the medical literature helps to demonstrate the progression of AIDS as a world health problem and the concomitant expansion of the research effort underway to control it.
Assuntos
Síndrome da Imunodeficiência Adquirida , Autoria , Bases de Dados Bibliográficas/estatística & dados numéricos , MEDLINE/estatística & dados numéricos , Editoração/estatística & dados numéricos , Humanos , Publicações Periódicas como Assunto/estatística & dados numéricos , Estados UnidosRESUMO
In April 1989, the Houston Academy of Medicine-Texas Medical Center (HAM-TMC) Library initiated a prototype liaison program with the Baylor College of Medicine (BCM), Center for Biotechnology (CBT). The library was interested in examining the benefits and costs of the outreach concept and in supporting Houston's efforts to develop into a center for biotechnology research. Located thirty-five miles from the HAM-TMC Library, CBT was receptive to an outreach project that would improve its access to the library's collection and services. This article describes the objectives and development of the pilot project, the services provided, feedback from the biotechnologists, and program costs. Although limited in scope, the project has provided the HAM-TMC Library with useful data about the information needs of a particular group of biotechnologists and strengthened relationships with these scientists. In addition, the knowledge and experience gained from this effort are being used to plan outreach efforts for other client groups.
