Emergency department of a university hospital: who is admitted and who is transferred?

Objectives: Our main aim was to describe the path of patients seen in our emergency department (ED) and either admitted or transferred and to compare the characteristics of patients hospitalized in our hospital with those of transferred patients. Our secondary aim was to compare the receipts linked to patient hospital stays.

Population And Methods: All patients seen in the ED of our hospital and ill enough to be either admitted or transferred were prospectively enrolled during 2 consecutive weeks.

The vertical midface lift. An improved procedure.

We describe a novel procedure for an anatomically-based face lift to correct vertical vectors in the ageing face. It has the advantage of surgical simplicity, minimal tissue removal and minimal risk. It provides an effective readjustment of cheek volume and correction of periorbital hollowness.

Plastic surgery after ablative cancer surgery.

Plastic and reconstructive surgery often is conceptualized either as "cosmetic" or as involving complex operations with massive flaps or time-consuming and difficult microsurgery. A number of personal cases are used to illustrate that reconstruction after cancer surgery, even reconstruction of some large tumors, can be performed with modern modifications of classic local flaps, but that sound knowledge and skill in basic surgical and plastic techniques are inescapable prerequisites.

Maternal smoking during pregnancy and nicotine and cotinine concentrations in maternal and neonatal hair.

Objective: Conflicting data have been reported in the association between maternal smoking and adverse effects during pregnancy and in neonates. Some studies, conducted on a limited number of patients have evaluated maternal consumption and fetal exposure by measuring nicotine and cotinine in the hair. Our aims were to evaluate the relationship among maternal cigarette consumption, fetal smoking exposure and outcome of pregnancy in a population of pregnant women who smoked.

Stable correction of antimongoloid deformity of the external canthus.

The antimongoloid deformity comprises inferior dystopia of the lateral canthus. It causes a sad looking appearance, inferior scleral show and laxity of the lower eyelid. Many different procedures have been described to correct this deformity.

[Cardiac consequences of adolescent anorexia nervosa].

Cardiac complications are common in adolescent anorexia nervosa and are the cause of a third of deaths. Some workers have reported prolongation of the QT interval and cases of sudden death in these patients. The aim of this study was two-fold: to assess the cardiac complications of anorexic adolescents and to determine the outcome after renutrition in the hospital setting.

Notched T waves on Holter recordings enhance detection of patients with LQt2 (HERG) mutations.

Background: The 2 genes KCNQ1 (LQT1) and HERG (LQT2), encoding cardiac potassium channels, are the most common cause of the dominant long-QT syndrome (LQTS). In addition to QT-interval prolongation, notched T waves have been proposed as a phenotypic marker of LQTS patients.

Methods And Results: The T-wave morphology of carriers of mutations in KCNQ1 (n=133) or HERG (n=57) and of 100 control subjects was analyzed from Holter ECG recordings.

Macronutrient energy intake and adiposity in non obese prepubertal children aged 5-11 y (the Fleurbaix Laventie Ville Santé Study).

Objective: To investigate associations between adiposity indices and food intake in nonobese prepubertal free-living children.

Subjects: Five-hundred and one children, 280 boys and 221 girls aged 5-11 y in two little towns in northern France.

Design: Cross-sectional survey.

Trends in the prevalence of obesity in the French adult population between 1980 and 1991.

Objective: To determine changes in the prevalences of overweight and obesity between 1980 and 1991 in French adults.

Design: Two cross-sectional studies were performed in 1980 and 1991 by the French National Institute of Statistics and Economics Studies in representative samples of the non-institutionalized French population using a similar random sampling of households from the last available national population census. Overweight and obesity were defined, based on reported height and weight, by a body mass index (BMI)> or = 25 kg/m2 and > or = 30 kg/m2, respectively.

Ultrasonically assisted lipectomy in aesthetic breast surgery.

A case report of a young patient with marked asymmetry treated successfully with ultrasonically assisted lipectomy with a good functional cosmetic result, undetectable scars, and mammographic control and showing no ill-effect on the breast parenchyma is presented. Further studies and follow-up are needed to confirm the value and advisability of using ultrasonic energy in the female breast.

Subperiosteal facelifting: complications and the dissatisfied patient.

As endoscopic subperiosteal lifting of the upper face is explored, it may significantly limit the indications for the open approach. However, this report is based on our combined large experience and long follow-up in open bicoronal subperiosteal lifting. The combined experience of four surgeons in four countries with an open subperiosteal approach to lifting of the upper face in 545 patients is described.

[Breast reconstruction by abdominis musculocutaneous flap].

Breast reconstruction was carried out with rectus abdominis musculocutaneous flap on 7 women (8 breasts) with defect of breast, and perfect result was obtained on all the patients. The flap which was normally excised in an abdominal lipectomy was used to cover the defect of breast. The rectus abdominis of the flap was used to fill the reconstractive breast and to carry the vascularization from the internal mammary artery.