47 research outputs found
URL Tweetées et segmentation
No full textLe travail décrit dans cet article porte sur l'utilisation des URL en tant que marqueur de fils de publications dans Twitter. Ce travail fait suite à une investigation conduite en 2018 sur les images tweetées et présentées dans le cadre du colloque MARAMI JM Francony, P Mulhem, F Andreacola, L Goeuriot, G Quénot. (2018) : « Détection de détournements coordonnés de hashtags et messages-images pour l'analyse des fils d'actualités sur les réseaux sociaux. » Modèles et analyse des réseaux : appr..
Francony, Hattie (Birth, 1877-12-30)
No full textAddress: 10 8th St.6545/Pg 215/1877/F W/U.S./U.S./Gruboe Marten,MD.Original record filed in drawer labeled 'FORBES-FRANK, F'
Epidemiology and treatment of acetabular fractures in a level-1 trauma centre: Retrospective study of 414 patients over 10 years
No full textInternational audienceBACKGROUND:Epidemiological studies of acetabular fractures (AFs) are scarce and, to our knowledge, the most recent one from France, by Letournel and Judet, dates back to 1993. Studies have suggested a decrease in high-energy AFs contrasting with an increase in low-energy AFs due to the longer life expectancy. However, a French case-series study failed to confirm these data. We therefore conducted a 10-year retrospective study in a level-1 trauma centre to: (1) characterise the epidemiological profile of AF; (2) and to describe the treatment strategy.HYPOTHESIS:The epidemiological profile of AF in France is consonant with data from European case-series studies.METHOD:All patients managed for AF between 2005 and 2014 were included in this single-centre retrospective study. All patients were re-evaluated at our centre or another facility 6 months after the fracture. The epidemiological data were compared in the three treatment groups: non-operative, open reduction and internal fixation (ORIF), and total hip arthroplasty (THA).RESULTS:Between 2005 and 2014, 414 patients were admitted for AF. Mean age was 49.4 years (range: 15-101 years). Treatment was non-operative in 231 (56%) older patients, most of whom had low-energy fractures involving the anterior wall. THA with or without acetabular reinforcement and screw-plate fixation was performed in 27 (7%) older patients, most of whom had posterior-wall fractures and experienced postoperative complications (26/27 patients, 96%). ORIF was used in 156 (38%) younger patients, most of whom had high-energy fractures of greater complexity.CONCLUSION:Our results reflect the current indications in AF management. The epidemiological characteristics in our population are comparable to those reported in the few recent European epidemiological studies. To our knowledge, this is the largest French epidemiological study since the landmark work by Letournel and Judet.LEVEL OF EVIDENCE:Level IV, retrospective study
[A protocol for the cessation of sedation in brain-injured patients].
No full textInternational audienceOBJECTIVES: The cessation of sedation in brain-injured patients may result in severe agitation and/or acute withdrawal syndrome related to the prolonged administration of large doses of benzodiazepines and/or opioids. The aim of the present study was to assess the clinical efficacy of a written protocol to withdraw sedation for these patients. STUDY DESIGN: Observational prospective study. PATIENTS AND METHODS: After approval by the Institutional Review Board, 40 severely brain-injured patients were included. They had received continuous administration of midazolam and sufentanil or fentanyl for median 15 days. On cessation of midazolam infusion, patients were given clorazepate for 3 days. On cessation of opioid infusion and clorazepate, clinical data were collected for 48 hours: heart rate, systolic blood pressure, respiratory rate, agitation, and pupil diameter. If an opioid withdrawal syndrome occurred, patients received a 48-hour continuous infusion of buprenorphine. RESULTS: Of 40 patients, there were 10 who did not require buprenorphine. An agitation occurred 5 hours (1-21) after cessation of opioid, associated with tachycardia, arterial hypertension, and tachypnea. After 6 hours buprenorphine treatment, these parameters were normalized. No patient needed the reintroduction of the initial sedation. CONCLUSION: The cessation of sedation in severely brain-injured patients can be successfully managed with the use of clorazepate, associated with buprenorphine in the presence of agitation
Profil épidémiologique et stratégie de traitement des fractures de l’acétabulum dans un centre de traumatologie universitaire de niveau 1 – étude rétrospective de 414 patients sur une période 10 ans
No full text[Early rehabilitation for neurologic patients].
No full textInternational audienceRehabilitation improves the functional prognosis of patients after a neurologic lesion, and tendency is to begin rehabilitation as soon as possible. This review focuses on the interest and the feasibility of very early rehabilitation, initiated from critical care units. It is necessary to precisely assess patients' impairments and disabilities in order to define rehabilitation objectives. Valid and simple tools must support this evaluation. Rehabilitation will be directed to preventing decubitus complications and active rehabilitation. The sooner rehabilitation is started; the better functional prognosis seems to be
Multi-time Positive Matrix Factorization approach for enhanced source apportionment of organic aerosols from aerosol mass spectrometry and molecular speciation in two urban environments (Lyon and Bordeaux, France)
No full textInternational audienc
