560 research outputs found
Extrait du Mémoire sur les équations générales des mouvements intérieurs des corps solides ductiles au delà des limites où l'élasticité pourrait les ramener à leur premier état; présenté le 20 juin 1870
Sur une théorie rationnelle de l'équilibre des terres fraîchement remuées et ses applications au calcul de la stabilité des murs de soutènement
Acute urinary retention as a complication of primary varicella-zoster infection of childhood – a second reported case
We present the case of an 8 year old male child with acute urinary retention and constipation following primary varicella-zoster infection (chicken pox). To our knowledge, this unusual complication has only been reported once before in the modern English-language medical literature. Our patient’s presentation is congruent with the hypothesis that towards the end of primary varicella-zoster infection, virus infecting a specific ganglion (prior to becoming latent) may cause transient neurological effects
Natural Law Institute Proceedings Vol. 2
https://scholarship.law.nd.edu/naturallaw_proceedings/1002/thumbnail.jp
Pulmonary-to-Systemic Arterial Shunt to Treat Children With Severe Pulmonary Hypertension
BACKGROUND: The placement of a pulmonary-to-systemic arterial shunt in children with severe pulmonary hypertension (PH) has been demonstrated, in relatively small studies, to be an effective palliation for their disease. OBJECTIVES: The aim of this study was to expand upon these earlier findings using an international registry for children with PH who have undergone a shunt procedure. METHODS: Retrospective data were obtained from 110 children with PH who underwent a shunt procedure collected from 13 institutions in Europe and the United States. RESULTS: Seventeen children died in-hospital postprocedure (15%). Of the 93 children successfully discharged home, 18 subsequently died or underwent lung transplantation (20%); the mean follow-up was 3.1 years (range: 25 days to 17 years). The overall 1- and 5-year freedom from death or transplant rates were 77% and 58%, respectively, and 92% and 68% for those discharged home, respectively. Children discharged home had significantly improved World Health Organization functional class (P < 0.001), 6-minute walk distances (P = 0.047) and lower brain natriuretic peptide levels (P < 0.001). Postprocedure, 59% of children were weaned completely from their prostacyclin infusion (P < 0.001). Preprocedural risk factors for dying in-hospital postprocedure included intensive care unit admission (hazard ratio [HR]: 3.2; P = 0.02), mechanical ventilation (HR: 8.3; P < 0.001) and extracorporeal membrane oxygenation (HR: 10.7; P < 0.001). CONCLUSIONS: A pulmonary-to-systemic arterial shunt can provide a child with severe PH significant clinical improvement that is both durable and potentially free from continuous prostacyclin infusion. Five-year survival is comparable to children undergoing lung transplantation for PH. Children with severely decompensated disease requiring aggressive intensive care are not good candidates for the shunt procedure
Short-Term Trends in Bastardy in Taiwan
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68002/2/10.1177_036319908000500303.pd
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