Bronchoconstriction induite par l’effort : épidémiologie, physiopathologie et prise en charge [Exercise-induced bronchoconstriction: epidemiology, physiopathology and management]

Exercise-induced bronchoconstriction, associated or not with asthma, describes a transient limitation of airflow in the airways occurring during or after physical activity, regardless of age or training. Bronchoconstriction on exertion is principally induced by thermal and fluid losses of the bronchial mucosa by hyperventilation of large air volumes. Respiratory symptoms are variable and not specific. Among bronchial provocation test, eucapnic voluntary hyperventilation owns the best sensitivity and specificity in the diagnosis of exercise-induced bronchoconstriction. Therapeutic management consists in an adjustment of the environment and training, as well as bronchodilators

Casa de campo, en Parpan, Suiza

This house has three clearly distinguishable zones. One for the parents, which includes two bedrooms and a bathroom. Another, comprising three bedrooms, shower and washroom, and a third one for communal life, where the dining room and kitchen are located. The shape of the building is influenced by the circumstances of the site, and both its internal arrangement and external appearance adapt themselves to the natural slope of the ground and the beautiful landscape.<br><br>En su distribución se distinguen tres zonas: una, para los padres, que contiene dos dormitorios y baño; otra, para los huéspedes, que comprende tres habitaciones, ducha y aseo; y una zona central, para la vida en común, que aloja el comedor y la cocina. La forma del edificio está influenciada por las características del emplazamiento, adaptándose, en lo referente a distribución y tratamiento exterior, a la pendiente natural del terreno y al bello paisaje circundante

Master of Science

thesisIt would be very well if each generation could enjoy the advance that has been made and is being made continually in house building. But the endurance of a house is much greater than that of a life and, in most instances, to change each and every house or even a comparatively small number to conform to the latest inventions of sanitation and comfort is almost impossible. This is due not simply to lack of funds of the owners; the inherent structure of the house might render it impossible. Such is the case with a large percentage of the present homes that do not have the modern conveniences, I shall now attempt to show the conditions of some parts of Salt Lake City as they exist at the present time

Intraarterial thrombolysis and stent placement in the acute phase of blunt internal carotid artery trauma with subocclusive dissection and thromboembolic complication: case report and review of the literature

The case of a patient with blunt traumatic internal carotid artery dissection associated with subocclusive stenosis and thromoboembolic complication is presented. The patient suffered fluctuant neurological abnormalities and several open and closed fractures of the left limb. The vascular lesion and its complication were successfully treated with intraarterial thrombolysis and stent placement during the acute phase, prior to the open surgical treatment of the fractures

Urologische Nierensteinbehandlung

Die Nephrolithiasis ist eine für die Betroffenen belastende und für das Gesundheitssystem sehr teure urologische Erkrankung. Die Indikation zur aktiven Behandlung von Steinen im Nierenbecken-Kelchsystem richtet sich im Wesentlichen nach der Konkrementgrösse und der klinischen Symptomatik. Das Ziel einer modernen Nierensteintherapie ist die vollständige Entfernung aller Konkremente im Nierenbeckenkelchsystem bei geringstmöglicher Morbidität. Die Extrakorporale Stosswellenlithotripsie (ESWL), die Perkutane Nephrolitholapaxie (PNL) und die flexible Ureterorenoskopie (URS) sind die wesentlichen Behandlungsmodalitäten für die Therapie der Nephrolithiasis. Abhängig von Steingrösse, -lokalisation und -härte wird diesen verschiedenen Therapiemöglichkeiten eine unterschiedliche Priorität zugeordnet. Aufgrund signifikanter technischer Fortschritte im Bereich der Endourologie zeigt sich heute international ein zunehmender Trend hin zur flexiblen URS, welche aus verschiedenen Gründen eine viel versprechende Methode zur Behandlung von Nierensteinen darstellt. = As a disease, nephrolithiasis can not only be exceedingly bothersome for the respective patients, it is also very expensive for our public health system. Indications for an active treatment of renal calculi go mainly according to the stone size as well as the clinical symptoms. The goal of modern nephrolithiasis treatment is the complete removal of all stones from the pelvi-calyceal system with the lowest possible morbidity. Extracorporeal shockwave lithotripsy, percutaneous nephrolitholapaxy and flexible ureterorenoscopy are the main options for treatment. According to the stonesize, -localisation and -composition these options are given different priorities. However, due to significant technical progress in the field of endourology there is a clear trend towards flexible ureterorenoscopy, which is a promising modality for the treatment of kidney stones for a number of reasons

Meckel's diverticulum in adults: retrospective analysis of 119 cases and historical review

To publish our experience in the management of Meckel's diverticula in adults, and compare our results with those published elsewhere