Search results for "Chest"
showing 10 items of 302 documents
Aportación europea a la especialidad de cirugía torácica general. II parte: contribución británica
2012
Resumen Es a principios de la Primera Guerra Mundial cuando se multiplicaron las tecnicas quirurgicas en el Reino Unido. Los drenajes, el tratamiento de las heridas abiertas y las complicaciones como los empiemas eran el inicio de nuevas tecnicas, innovadoras y resolutivas en estos casos. En esos anos, muchos de los cirujanos britanicos abandonaron el pais. Hemos de resenar que se crearon nuevos hospitales, como el Brompton en Londres. Fue fundado por la Reina Victoria como “hospital para enfermedades del torax”. Hemos de mencionar al Dr. Barret que, procedente de Adelaida (Australia), forma parte del equipo quirurgico de este hospital. En 1971, MacArthur consiguio una supervivencia de dos …
Pleuroparenchymal fibroelastosis: one more walk on the wild side of drugs?
2014
In this issue of the European Respiratory Journal , Beynat-Mouterde et al. [1] report on six young adults (three of whom were female) who developed a clinical imaging pattern of predominant upper lobe fibrosis with apical pneumothoraces (fig. 1). Presentation in all six patients was similar with cough, dyspnoea, occasional chest pain and weight loss. Imaging was distinctive and showed a cephalad, irregular, pleural-based thickening that encroached on the lung bilaterally. Five patients presented with “platythorax” (fig. 2), a preferential reduction in the anterio-posterior diameter of the chest wall. In all patients, severe restrictive or restrictive-obstructive lung dysfunction progressed …
Transient Pulmonary Infiltrates during Treatment with Anti-Thymocyte Globulin
1999
We report the case of a 54-year-old woman with aplastic anemia, who developed transient pulmonary infiltrates following intravenous infusion of rabbit antithymocyte globulin (ATG) for 3 days. There was no other explanation than the infusion of ATG for the infiltrates. Rechallenge with ATG induced the recurrence of opacities on the chest radiograph. Although rarely involved with only 4 previous reports, ATG should be included in the list of drugs capable of inducing pulmonary infiltrates.
The impact of SARS-COV2 pandemic on the management oF IPF patients: Our narrative experience
2021
Abstract Background The SARS-CoV-2 pandemic has changed the health-care systems around the world in a remarkable way. We describe the strategies adopted to cope with the limitations imposed by the pandemic to the access to health care by patients diagnosed with idiopathic Pulmonary Fibrosis (IPF). Material and methods We conducted a retrospective observational analysis including IPF patients under antifibrotic drugs (nintedanib and pirfenidone) that accessed to the Outpatient clinic of the University of Palermo, Italy. Patients received a phone number and an email address in case of any urgency and a virtual meeting was settled up monthly. Results 40 patients (M/F: 30/10) were followed up, …
Chest fistula repair
2020
Chest wall plays a fundamental role in the human body, as it represents a protective cage around vital organs such as heart and lungs. Chest wall fistula is a rare and insidious condition that could lead to severe functional and aesthetical consequences, and thus represents a serious surgical challenge. Goals of reconstructive surgery are to preserve the respiratory function, to provide visceral protection, and to assure the best possible cosmetic outcome. In this chapter, we present an overview of all key principles in chest wall fistula management and repair.
Designing Playful Inquiry-Based Mathematical Learning Activities for Kindergarten
2018
This study addresses issues related to the process of designing mathematical activities for kindergarten based on the constructs of playful learning and inquiry. The mathematical activities were designed for 5-year-old children in a Norwegian kindergarten setting. In order to address this design process, we focus at issues of mediating design principles and ideas to kindergarten teachers, who are the ones to orchestrate and implement the mathematical activities with children. The study is situated within a design research methodology in which observations, written and personal communication have been used as sources of data. Our analysis shows that the kindergarten teacher closely followed …
Kindergarten teachers’ orchestration of mathematical activities afforded by technology: agency and mediation
2016
This paper focuses on kindergarten teachers’ interactions with young children during mathematical learning activities involving the use of digital tools. We aim to characterise the teachers’ roles and actions in these activities and extend considerations of teachers’ orchestrations current in the research literature with regard to agency and mediation. Our analysis of teacher-children-digital tool interaction reveals that the kindergarten teachers took three roles in their work with young children, which we call Assistant, Mediator and Teacher roles. These roles were used interchangeably and purposefully by the kindergarten teachers. With regard to agency and mediation, we argue that agency…
Guideline-adherence and perspectives in the acute management of unstable angina - Initial results from the German chest pain unit registry.
2015
Abstract Background We investigated the current management of unstable angina pectoris (UAP) in certified chest pain units (CPUs) in Germany and focused on the European Society of Cardiology (ESC) guideline-adherence in the timing of invasive strategies or choice of conservative treatment options. More specifically, we analyzed differences in clinical outcome with respect to guideline-adherence. Method Prospective data from 1400 UAP patients were collected. Analyses of high-risk criteria with indication for invasive management and 3-month clinical outcome data were performed. Guideline-adherence was tested for a primarily conservative strategy as well as for percutaneous coronary interventi…
Estratificación del riesgo de pacientes con dolor torácico sin elevación del segmento ST en la puerta de urgencias
2003
Objectives. To investigate the prognostic factors in patients who come to the emergency room with chest pain but without ST segment elevation. Patients and method. 743 consecutive patients were evaluated by recording clinical history, electrocardiogram and troponin I determination, and early (< 24 h) exercise testing was done for the low-risk subgroup of patients (n = 203). All patients were followed during 3 months for major events (acute myocardial infarction or death). Results. Major events occurred in 71 patients (9.6%). Multivariate analysis (C stadistic = 0.79; 95% CI 0.730.84; p = 0.0001) identified the following predictors: age ≥ 72 years (OR = 1.7; 95% CI, 1.0-2.9; p = 0.05), insul…
UWSIO: Towards automatic orchestration for the deployment of 5G monitoring services from bare metal
2018
The next generation mobile networks 5G are currently being intensively developed and standardized globally, with commercial prototyping 5G connections already emerging. At the 5G system level, one of the Key Performance Indicators (KPIs) defining 5G is substantially reduced service creation time for 5G network operators and/or service providers to increase the system efficiency and thus reduce operational costs. In this work, we focus on realize this challenging KPI in terms of speedy creation of monitoring services for 5G operators from scratch (no operating system pre-installed). A new 5G infrastructure orchestrator UWSIO is proposed to achieve fully automated deployment of 5G monitoring …