LE LORMETAZEPAM DANS UN SERVICE DE MEDECINE INTERNE

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Description of a central proportioning and delivery system for bicarbonate dialysis.

Replacement of acetate by bicarbonate in dialysate has been proposed to reduce morbidity during hemodialysis sessions with large-area artificial kidneys. The routine use of such a dialysate raises numerous technical problems which have already been discussed by Sargent et al: (1) accuracy of proportioning of bicarbonate dialysate to achieve a controlled bicarbonate concentration coupled with the monitoring of multiple-stream system; relative insolubility of bicarbonate; (3) stability of concentrated sodium bicarbonate; (4) bacteriostatic properties of these solutions. These problems were solved in an individual three-component dialysate system (Drake-Willok 4015) but although this procedure could theoretically be conversed to a central delivery system, bicarbonate dialysate has not been routinely used in this application since stability of such a dialysate in tanks and long tubings have to be assessed. A system is described in which these problems are solved and which is able to automatically produce bicarbonate dialysate on a large scale, i.e. for 30 simultaneous dialyses.Journal ArticleSCOPUS: ar.jinfo:eu-repo/semantics/publishe

Description of a central proportioning and delevery systems for bicarbonate dialysis

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Fasciite nécrosante à streptocoque beta hémolytique du groupe A. Cinq cas dans la région bruxelloise.

In the Brussels area five cases of necrotizing fasciitis occurred during the past two years in patients devoid of any pathology likely to lower the immune defence mechanisms. Alcoholism and the use of non-steroidal anti-inflammatory drugs seem to act as contributory factors. Necrotizing fasciitis develops alone or as complication of a pre-existent dermo-hypodermic infection. A massive use of antibiotics and a wide surgical slitting up failed to prevent a fatal issue in all five patients. Extremely early massive surgery remains vital in this disease.Case ReportsEnglish AbstractJournal Articleinfo:eu-repo/semantics/publishe