25 research outputs found

    Les sangsues

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    Leeches are hermaphroditic and hematophagous annelids. One important medical species, Hirudo medicinalis, comes from hirudiniculture of fresh water pools. Thanks to their three mandibles with some 300 teeth on their anterior muscular sucker, they easily grab to tissues and by secreting their saliva containing numerous powerful enzymes, such as hyaluronidase, collagenase and inhibitors of platelet aggregation and coagulation, like hirudin, allow blood sucking. Once they are full of blood (upto 15 g of blood), they detach themselves from their prey. Used ever since the 18 th Egyptian Dynasty, leeches became famous during the first part of the XIX th century, thanks to a French physician, Fran莽ois Joseph Victor Broussais, known to his adversaries as the "vampire of medicine", for treating various conditions such as phlebotomy, laryngitis, ocular problems, obesity, mental disorders, etc. Overfishing, therapeutic failures and most particularly, the emergence of hygiene, brought the decline of living leeches. In 1884, an extract of leeches was obtained - hirudin and henceforth used. Nowadays, leeches are still used in microsurgery to enhance the venous circulation in finger reimplantation or skin flap transposition. Hirudin is synthesized through recombinant DNA technology and molecules such as lepirudin and desirudin are available on the market as anticoagulant.SCOPUS: sh.jinfo:eu-repo/semantics/publishe

    An asymptomatic left pulmonary artery sling and a right supernumerary tracheal bronchus

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    SCOPUS: le.jFLWINinfo:eu-repo/semantics/publishe

    L'ordre de ne pas r茅animer aux soins intensifs

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    Even if Belgium (2002), The Netherlands (2002) and Luxemburg (2009) are the first three countries in the world to have legalized active euthanasia, there still is not a law on the do not resuscitate concept (NTBR or DNR). Nevertheless, numerous royal decrees and some consensus as well as advice given by the Belgian Medical Council, hold as jurisprudence. These rules remain amenable to change so as to suite the daily practice in intensive care units. This article describes the actual Belgian legal environment surrounding the intensive care specialist when he has to take such decisions.SCOPUS: re.jinfo:eu-repo/semantics/publishe

    Volvulus of an ileoanal J pouch

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    SCOPUS: le.jinfo:eu-repo/semantics/publishe

    Le cadavre et la momie utilis茅s 脿 des fins th茅rapeutiques

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    Sickness befallen onto him, man found that plant and animal derivatives invigorated him. Thereafter, he found a therapeutic benefit in using man as a means of self cure and especially, dead man from violent death. The foam of the skull of cadaver was an excellent antiepileptic as well as blood coming out from a freshly decapitated man. By applying on diseased parts of his body, so as to get rid of inflammation or infection, cadaver's hands were used against tumors of all kinds. Dead human skin were processed into belts and used therein for helping delivery of parturition women. The mummy must be blackish, foul smelling and hard. Those who were whitish, odorless and powder-like, were unfit for use. Mummy powder applied to the nose would stop nose bleeding. Ambroise Par茅 (1510-1590) was an adversary of those practices.SCOPUS: sh.jinfo:eu-repo/semantics/publishe

    Volvulus of an ileoanal J pouch

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    Bilateral common carotid artery dissection following aortic dissection type A repair

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    SCOPUS: le.jFLWINinfo:eu-repo/semantics/publishe

    A pulsatile and painful buttock

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    SCOPUS: le.jFLWINinfo:eu-repo/semantics/publishe

    Painful true aneurysm in a brachio-basilic arterio-venous fistula

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    SCOPUS: le.jFLWINinfo:eu-repo/semantics/publishe

    Retained foreign body in ethmoid with bilateral pneumoencephaly

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    Intracranial penetrating injury through the nose is rare. We present a case of a 79 year-old patient who had intracranial penetrating injury with a wooden object accompanied by massive bilateral pneumoencephaly with the presence of a foreign body in the ethmoid bone with fracture and displacement of crista galli. This is a hitherto unreported retained foreign body with fractured ethmoid resulting in bilate ral pneumoencephaly.SCOPUS: ar.jinfo:eu-repo/semantics/publishe
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