5 results match your criteria: "Centre hospitalier de St-Denis[Affiliation]"

Article Synopsis
  • The study aimed to validate the safety of a combined diagnostic strategy for ruling out pulmonary embolism (PE) that incorporates the YEARS rule and age-adjusted D-dimer thresholds in emergency departments across France and Spain.
  • It involved a total of 1414 patients who were either at low risk for PE or had an intermediate risk, examining the outcomes of using different intervention strategies regarding chest imaging and D-dimer levels.
  • The results showed that the intervention group had a very low rate of venous thromboembolism at 3 months (0.15%), suggesting that this combined strategy is a safe alternative for excluding PE without unnecessary imaging.
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Background: Telemedicine and videoconferencing distance examination are new and growing swiftly. Distance alters the patient-physician diagnostic context interfering with the traditional methods used to collect and interpret medical signs, introducing new constraints and opportunities. This study is an early contribution to the exploration of the changes in medical semiotics introduced by telemedicine.

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Progress leads to increase life duration at the metastatic stage but metastatic disease is most often lethal. Decision-making is necessary for an increasing period of care, beyond evidence-based medicine, dealing with complexity and uncertain benefit/risk ratio. This requires to inform the patient realistically, to discuss prognostication, to develop anticipated written preferences.

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The recurrent traumatic posterior dislocation of the hip is exceptional. On the reported observation, an anteversion fault of the femoral neck was demonstrated. This deformity had already been pointed out in cases of simple traumatic dislocation.

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The ascending intramedullary "pinning" technique is known for twenty-five years. Theoretically successful for the diaphyseal humeral fractures in adults, it appeared until now with some disadvantages which limited its use. By adding some modifications, the authors show that this technique is worthwhile in dislocation fractures in adults.

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