surgical treatment of pericardial disease in the elderly

... illness Evaluation of Function Functional assessment Activities of daily living Feeding, Bathing, Dressing, Transferring, Toileting Instrumental activities of daily living Finances, Telephone, ... therapy Individual psychotherapy Supportive psychotherapy Cognitive behavioral therapy Group therapy Family therapy Caregiver support group therapy Treatment Evidence-based research minimal Elderly ... Phillipe Pinel, physician 1806 Citizen Pinel Orders Removal of the Chains of the Mad at the Salpêtriére Tony Robert-Fleury (1838–1911) 1876 painting Resources American Association of Geriatric...

Ngày tải lên: 22/03/2014, 14:20

... from the blood into the brain parenchyma where they may then interact with microglia In addition to the presence of these inflammatory cytokines, other inflammatory mediators or ongoing inflammatory ... protein involved in the degradation of cytoplasmic proteins The function of α-synuclein is still not clear In the healthy brain, α-synuclein is present in the presynaptic terminals in the SN and locus ... Study of the changes in integrity of blood-brain barrier in the SNc after MPTP -treatment ……………………………………………………… 33 6.1.4 Study of the peripheral inflammatory response and infiltration in the SNc...

Ngày tải lên: 11/09/2015, 09:05

... of drug-polymer melt This thesis presents a step-by-step approach in the analysis of the use of foams for controlled release of Paclitaxel as implants within the brain for the post -surgical treatment ... completely into the incision created The scarp of the rat was then closed by suturing and the animal allowed to recover while the weights of the animals were monitored daily At the respective time points, ... that these two options or the combination of both would provide the surgeon with room for decision making based on the specific circumstances in the operating theatre The in vitro release profile...

Ngày tải lên: 05/10/2015, 21:33

... Tuberculosis is becoming increasingly common in the elderly and burden of the disease in them is likely to continue to increase substantially.3,4 Moreover, with increasing age, a state of relative deficiency ... of constitutional symptoms in elderly patients with TB This results in a delay in the presentation of the elderly to health care facilities, thereby resulting in a delay in the commencement of ... observed in the current study However, certain findings of the current study differed from those of the meta-analysis11 and included 266 Pulmonary Tuberculosis in the Elderly a higher frequency of...

Ngày tải lên: 15/02/2014, 13:20

... therapy including high dose interleukin-2 and chemotherapy consisting of cisplatin, dacarbizine, vinblastine followed by temozolomide He had a good response to these modalities to the point of ... associated with the best chance of survival in this cohort of patients [2] However, because of the high incidence of gastric and hepatic cancers in the Asian population, these findings might be the reflection ... The authors emphasized the intraluminal growth of the lesions negating the need for a hepatoduodenal ligament lymphadenopathy [17] The short spectrum of clinical presentation was documented in...

Ngày tải lên: 09/08/2014, 03:22

... people in the experimental groups, and 149 people in the control groups) were included in the analysis of the effects of psychological treatments on somatic outcomes In these five studies, it was indicated ... reduce the quality of care they receive from their doctors if they refused to participate in the interventions initiated by their doctors This is also reflected by absence of drop-out in all of the ... Second, given that there were high levels of comorbidity in the samples, which increased the complexity of treatment, the integrative psychotherapy focusing on different types of behaviors, problems,...

Ngày tải lên: 11/08/2014, 15:22

... covers the main themes of the congress The starting point for the treatment of hip disease depends on how we can preserve the natural hip joint and on steps leading to regeneration of the diseased, ... pinning in of 11 hips (54.5%), osteotomy in of hips (44.4%), and in situ pinning in of hips Additional operations using bone grafts were performed for avascular necrosis of the femoral head in ... demerits, resulting in a yearly decrease in the number of cases receiving joint-preserving treatment This move away from traditional methods denies the surgeon the experience and knowledge of the benefits...

Ngày tải lên: 11/08/2014, 17:20

... normally the blade is inserted into the axis of the femur vertically normal with the convexity of the anterior margin of the femoral head running into a concavity, which was the anterior border of the ... angle (PTA) joint pain developed in patient in whom there was narrowing of the joint space There was a difference in leg length, ranging from 0.5 to 3.5 cm (mean, 0.7 cm), in 11 of the 22 unilaterally ... [8,20,22,28] The purpose of osteotomy for osteonecrosis of the femoral head is to move the necrotic lesions away from the weight-bearing portions of the hip joint The lesions of the weight-bearing portions...

Ngày tải lên: 11/08/2014, 17:20

... to the knee in 3, pain from the hip joint to the thigh in 1, femoral pain in 1, and lower limb pain in The mechanism of injury was sports in patients, falling during running in 1, falling on the ... as the slipping angle The severity of the disease was evaluated mainly based on the posterior tilting angle Results The chief complaint was hip joint pain in 11 patients, pain from the hip joint ... osteoarthritis in the hip joint With these points in mind, we chose Imhaeuser’s method and treated the patients according to his principles This chapter is the report of the treatment of those patients...

Ngày tải lên: 11/08/2014, 17:20

... According to the preoperative planning, ARO with 20° varus position was expected to result in more than 34% of the ratio of the intact articular in both the joints The osteotomy was carried out in ... high level of activities in 2, degenerative change in 2, and challenging procedure in because of the young age of the patient Discussion Several kinds of procedures for joint preservation of femoral ... develops not often follow instructions to rest We perform in situ pinning in patients with a posterior tilting angle of

Ngày tải lên: 11/08/2014, 17:20

... environment, thereby preventing the destruction of cartilage and preventing the progression of OA In the case of advanced- and terminal-stage OA, when there is no longer cartilage in the weight-bearing ... great challenge In the 1860s, improvement of function was attempted with the use of an interposing membrane as a means of preserving the joint For instance, the JK-membrane used by Dr Jinnaka was ... 14c) The tissue, therefore, most likely has originated in the bone marrow If S-100 protein is used to stain the tissue, most cells stain positive, substantiating the finding that they are indeed...

Ngày tải lên: 11/08/2014, 17:20

... However, changes in the initial surgical technique [31] resulted in a significant improvement in the initial stability and durability of the prosthesis by eliminating the cases of early femoral ... osteoarthritis of the hip joint in Japan Clin Orthop 241:190–196 26 Hoaglund FT, Yau AC, Wong WL (1973) Osteoarthritis of the hip and other joints in southern Chinese in Hong Kong J Bone Joint Surg ... Hip replacement in Europe was mainly in uenced by the initial cemented hip design developments in England in the 1960s by Charnley [1], the beginning of cementless hip replacement in France by Judet...

Ngày tải lên: 11/08/2014, 17:21

... approach by the same surgeon In all cases, the acetabular component was placed at the level of the true acetabulum The mean lengthening of the operated limb was 3.8 cm The average follow-up of the whole ... were obtained routinely, with a long-standing view of the lower part of the body with anteroposterior and lateral radiographs of the pelvis and upper part of the femur The prostheses used in this ... distally and the adjusting down of the femur was accomplished (Fig 17C) In the second stage of the procedure, enlargement of the femoral medullary canal and implanting of the stem prosthesis were...

Ngày tải lên: 11/08/2014, 17:21

... periprosthetic fractures of the femur in THA, and the use of the system in augmentation of other forms of fracture fixation, emphasizing its value in the treatment of fractures in soft bone Key words Dall–Miles, ... anesthesia, monitoring of the spinal cord potential (SCP) is recommended At each step of the operative procedure, the shape and the height of the SCP waves are checked If there is no change in the ... time the yield point and the level of pretension In other words, the higher the level of pretension, the lower the reserve strength Furthermore, it should be realized that in tensioning cerclage...

Ngày tải lên: 11/08/2014, 17:21

... and in 13 patients the increase in SNa was higher than 18 mmol/L/48 hr In two of these patients the intensivist lowered the SNa again by giving desmopressin (DDAVP) and water No cases of clinical ... http://ccforum.com/content/14/5/R184 The dose of urea was adjusted by the intensivists depending of the increase in SNa Mean duration of treatment was six days (from to 42 days in the ICU) Hyponatremia recurred in six patients ... urea during three days Table shows that in these patients the intake of urea was associated, as expected, with an increase in urine urea concentration (while urine osmolality remained high) In those...

Ngày tải lên: 13/08/2014, 21:21

... received the first MQTL-allele of its sire and therefore SQ2 = If there is a i one in the first or second row of the first column of Qi the place of this allele in i is the number of that row containing ... generation of the index matrix N, the determination of matrix L, the calculation of the condensed gametic relationship matrix G∗ , and finally, the computation of its inverse It is independent of the ... transmitted These animals can easily be combined with the former group by maintaining the original transition probabilities in the Qi matrices without rounding and then applying the condensing algorithm...

Ngày tải lên: 14/08/2014, 13:22

... expression in the hippocampus is involved in Abinduced cognitive dysfunction [10] These findings together point to the need to increase our understanding of the role of MMPs in AD and their relation ... study that investigated the levels of different MMPs in plasma of AD patients [30] The increased levels of several MMPs in the CSF of individuals with increased risk for AD, as observed in the current ... fibrils both in vitro and in vivo [4,8,13] In light of these possible AD protecting effects of MMP-9, it has been suggested that the increased MMP-9 levels observed in AD might be of the inactive...

Ngày tải lên: 22/03/2014, 14:20

... also observed in the subgroup of 28 elderly patients Despite efforts in including the elderly in RCTs, most ­ tudies on the use of laxatives in the elderly are s limited because of small sample ... ­ paring of neuronal nitric oxide in human colon.20 These fi ­ ndings suggest an increase in inhibitory neurons in the aging colon, affecting gut motility However, the ­ ignificance of s these ... straightening the anorectal angle Simultaneously, the voluntary efforts of bearing down increases the intra-abdominal pressure, facilitating the development of a stripping wave, resulting in stool...

Ngày tải lên: 28/03/2014, 20:20

... morbidities These results show how vaginal approach had a similar outcome in selected patients We compared the clinical outcome of the vaginal versus the abdominal hysterectomy in a population of elderly ... morbidity [8] Nevertheless, these procedures could be often severely contra-indicated in endometrial cancer patient, since they require a general anesthesia, which is contra-indicated in endometrial ... groups The primary objective of the study was to evaluate the role of vaginal hysterectomy in elderly women with endometrial carcinoma Materials and methods We retrospectively reviewed a series of...

Ngày tải lên: 09/08/2014, 02:20

... demonstrated Vasopressin inhibits the synthesis of iNOS, blunts the increase in cGMP induced by NO and directly inactivates KATP channels in vascular smooth muscle [10] Moreover, vasopressin is able to ... mcg/kg/min Arginine-vasopressin (Pitressin; Monarch Pharmaceuticals, Bristol, United Kingdom) infusion was started at a rate of 0.0003 U.I./Kg/min Within minutes, a pump flow at 100 ml/kg/min generated ... (iv) boluses of 500 mcg of epinephrine (by institutional protocol: 25 mcg/kg every minutes) were given while oxygen inspiratory fraction was increased to CPB was instituted in minutes in order to...

Ngày tải lên: 11/08/2014, 11:20