3,583 research outputs found

    Nasal packing in sphenopalatine artery bleeding: therapeutic or harmful?

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    The aim of this study is to present our management protocol of sphenopalatine artery bleeding, demonstrating that nasoendoscopic cautery (NC) was a more effective method than the nasal packing, in terms of shorter inpatient stay and reduced complications rate. We present ten posterior epistaxis not resolved by nasal packing. Tabotamp® was placed in the area of sphenopalatine foramen and/or in those parts of the posterior nasal cavity, where it was suspected that bleeding origins. In two cases, the bleeding was resolved in this way, instead eight cases needed of subperiosteal cauterization of sphenopalatine artery by Dessi bipolar forceps (MicroFrance®). 4 of these 8 patients evidenced a remarkable bleeding removing nasal packing (Hb before-nasal packing = 15 ± 0.69 versus Hb after-nasal packing = 13.3 ± 0.81; t student = 2.94; p value = 0.025). These four patients showed a deviation of the nasal septum ipsilateral to epistaxis, and according our experience, a traumatism of sphenopalatine area can be caused by Merocel® nasal packing in this condition. During follow-up, no recurrences of nasal bleeding have been observed in such patients. Nasal packing must be considered if posterior epistaxis is severe, but always taking into account the specific anatomy of patient and in particular septal spurs that can further compromise sphenopalatine artery. In our experience, the endoscopic endonasal cauterization of the sphenopalatine branches represented a safe and effective procedure.

    Cyberbase Gradignan (documents)

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    Documents et travaux portant sur le corpus “Cyberbase Gradignan

    Cyberbase Gradignan

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    Le corpus 'Cyberbase Gradignan' a été recueilli de juillet 2010 à juin 2012 dans le cadre de l'expérimentation Cyber-base®Justice mise en œuvre la Maison d'Arrêt de Gradignan et finalisée à l'accès à l'information, à l'apprentissage de l'informatique et à l'enseignement. Il est constitué d'enregistrements audiovisuels portant, d'une part, sur les activités dans l'espace informatique de la Maison d'Arrêt et, d'autre part, sur des entretiens avec les différents acteurs. L'ensemble du corpus a d'abord été segmenté et indexé (l'indexation, à la fois contextuelle et thématique, a été reportée dans les noms de fichiers). Une partie des séquences a ensuite été transcrite et annotée

    Cyberbase Gradignan (transcriptions)

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    Transcriptions du corpus 'Cyberbase Gradignan

    The role of clarithromycin in the management of chronic rhinosinusitis

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    The anti-inflammatory effects of macrolides, particularly clarithromycin, have been described in patients with chronic rhinosinusitis without polyps and also other chronic inflammatory airway diseases. There is no consensus in the literature on the efficacy of clarithromycin in patients with chronic rhinosinusitis with sinonasal polyposis. The purpose of this study is to evaluate the efficacy and safety of prolonged low-dose clarithromycin therapy in patients with chronic polyp rhinosinusitis (CRSwP) after endoscopic breast surgery (ESS)

    Collecting Cures in an Artisanal Manuscript: Practical Therapeutics and Disease in Ms. Fr. 640

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    Scattered throughout Ms. Fr. 640, the forty medical recipes form a small percentage of its over 900 entries. A consideration of the ailments, ingredients, and making processes described in the manuscript, as well as the author-practitioner’s process of collecting information, reveals a variety of connections between Ms. Fr. 640’s medical recipes and early modern artisanal work
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