1,244 results match your criteria: "Military Teaching Hospital[Affiliation]"

Article Synopsis
  • Non-obstructive azoospermia (NOA) is a prevalent and complex issue with varied treatment options and no definitive guidelines, leading to differing management practices internationally.
  • A comprehensive survey with 336 responses from specialists in 49 countries explored current medical and surgical strategies for NOA, analyzing results against existing guidelines and offering expert recommendations.
  • Key findings included diverse approaches to hormonal therapy, significant variation in sperm retrieval success rates, and differing protocols around varicocele repair and follicle-stimulating hormone cutoff levels for sperm retrieval.
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Article Synopsis
  • * Conducted from July to September 2022, a questionnaire gathered responses from 367 doctors in 49 countries, focusing on how they diagnose NOA through methods like hormone tests and genetic analyses.
  • * The survey identified that while many practices align with guidelines, significant differences in approaches were found, underscoring the need for standardized, evidence-based international guidelines for NOA evaluation.
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Irregular warfare must combine good medicine, with both good tactics and good strategies: Position paper by the French Special Operations Forces Medical Command.

J Trauma Acute Care Surg

August 2024

From the French Special Operations Forces Medical Command (P.P., M.D., L.P., M.C., S.H., E.P., S.C., S.P., F.C., P.M.), Villacoublay; Department of Anesthesiology and Intensive Care (P.P.), Percy Military Teaching Hospital, Clamart; French Military Medical Service Academy (P.P., S.T.), École du Val-de-Grâce; French Surgeon General Office (N.Z., M.-O.G.); and Paris Fire Brigade (S.T.), Paris, France.

Introduction: Military operations are no longer limited to the application of counterterrorism and counterinsurgency strategies; they are now characterized by hybrid, irregular, and unconventional features. While some authors have indicated the need for medical support to adapt to these new modes of military operations, they have focused mainly on the tactical level of care on the battlefield. As Sun Tzu states, "Strategy without tactics is the slowest route to victory.

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Progressive ataxia and palatal tremor (PAPT) with hypertrophic olivary degeneration (HOD): A case report.

Radiol Case Rep

June 2024

Radiology Department, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco.

Palatal tremor has been subdivided into essential (EPT) and symptomatic palatal tremor (SPT). Progressive ataxia and palatal tremor syndrome (PAPT) is a subgroup of symptomatic palatal tremor (SPT). It can be divided into familial and sporadic forms.

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Background: Implant removal in orthopaedics after fracture consolidation is a very common procedure but is still associated with a high rate of surgical site infection (SSI). Antibiotic prophylaxis is not recommended but advocated by some.

Aim: To assess the efficacy of antibiotic prophylaxis in the prevention of early SSI following orthopaedic implant removal.

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Article Synopsis
  • Recreational use of nitrous oxide (NO) has led to a rise in severe neurological disorders, particularly affecting young adults in economically disadvantaged areas.
  • The study analyzed 181 patients, noting a significant incidence increase in 2020-2021, especially in those aged 20-25.
  • Compared to other inflammatory neurological disorders, NI-NDs were found to be two to three times more common in these vulnerable populations.
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Background: A cure for () remains a problem of global concern. The prevalence of antimicrobial resistance is widely rising and becoming a challenging issue worldwide. Optimizing sequential therapy seems to be one of the most attractive strategies in terms of efficacy, tolerability and cost.

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In large-scale naval battles during World War II, sailors sometimes sustained serious lower limb injuries when explosion blast of sea mines was transmitted from underneath through the metal deck of the ships. Some of these sailors were thrown in the air due to the blast and sustained axial trauma of the spine when they landed on the hard deck, which was thus called a deck slap by Captain Joseph Barr in 1946, among others. Nowadays, this peculiar mechanism has shifted to the civilian setting.

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  • The text discusses a Gram-negative bacterium commonly found in the intestinal tracts of various species, which is known to cause infections like urinary tract infections and wound infections, but is rarely associated with brain abscesses.
  • A case study is presented involving a 48-year-old man who developed a large brain abscess after a surgical procedure, highlighting symptoms like headache and fever, and leading to further medical intervention.
  • The conclusion emphasizes the importance of awareness among medical professionals regarding this bacterium as a potential cause of brain abscess, recommending timely surgical and antimicrobial treatment.
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Background: Psychosis is defined as a series of symptoms that impair the mind and lead to a kind of loss of reference to reality. Development of psychosis is usually preceded by the appearance of prodromal symptoms. Numerous attempts have been made to find out how psychoactive substances can influence the onset and development of psychotic disorders, but to date there are no studies that show a link between the onset of prodromal symptoms and the use of psychoactive substances.

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Pathological findings associated with the updated European Society of Cardiology 2022 guidelines for preoperative cardiac testing: an observational cohort modelling study.

Br J Anaesth

April 2024

Department of Anaesthesiology, University Hospital Düsseldorf, Heinrich Heine University, Düsseldorf, Germany; CARID, Cardiovascular Research Institute Düsseldorf, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany.

Article Synopsis
  • The 2022 European Society of Cardiology guidelines for preoperative evaluations aimed to improve the detection of pathological findings compared to the 2014 guidelines.
  • A study analyzed data from 15,529 patients and found that the updated recommendations changed testing protocols for many, but did not enhance the overall effectiveness of cardiac testing.
  • The use of B-type natriuretic peptide (NT-proBNP) for risk estimation did not improve pathological findings, and adherence to the new guidelines showed no significant link to major adverse cardiovascular events.
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Background: Middle meningeal artery (MMA) embolization has been proposed as a treatment of chronic subdural hematoma (CSDH). The benefit of the procedure has yet to be demonstrated in a randomized controlled trial. We aim to assess the efficacy of MMA embolization in reducing the risk of CSDH recurrence 6 months after burr-hole surgery compared with standard medical treatment in patients at high risk of postoperative recurrence.

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Debilitating genitofemoral neuralgia due to nerve entrapment after appendectomy: A case report.

Radiol Case Rep

April 2024

Department of Neurology and Neurophysiology, Mohammed V Military Teaching Hospital, University of King Mohammed V-Souissi, Rabat, Morocco.

Genitofemoral (GF) neuralgia refers to pain and sensory complaints in the region innervated by the GF nerve. It is a rarely reported condition, often due to iatrogenic causes following inguinal surgeries. In refractory forms, diagnostic reassessment is required to look for possible entrapment of the GF nerve.

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Purpose: Comparison of access times to CT and surgical/radiological bleeding control between two European military trauma centers.

Methods: Retrospective and observational study conducted in two military level 1 trauma centers in Toulon (France) and Koblenz (Germany) between 2013 and 2018. Inclusion of severe trauma patients with ISS > 15 with clinical and biological criteria of bleeding.

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