Le Journal médical libanais. The Lebanese medical journal最新文献

{"title":"PECTUS CARINATUM: A NOVEL METHOD OF STERNAL FIXATION.","authors":"Assad Taha,&nbsp;Pierre Sfeir,&nbsp;Muhyeddine Al-Taki","doi":"10.12816/0031522","DOIUrl":"https://doi.org/10.12816/0031522","url":null,"abstract":"<p><p>The traditional method for fixing the sternum\u0000during surgical repair of pectus carinatum is through the use\u0000of a stainless steel bar (Adkin’s strut). In this article we describe\u0000a new method of sternal fixation using nonabsorbable\u0000sutures which are placed in a transverse and crossed\u0000fashion anterior to the sternum. This method provides stable\u0000sternal fixation and spares the patient a second operation to\u0000remove the steel bar. The absence of metallic implants allows\u0000clearer view of the thoracic structures in future X-rays, CT\u0000scans and MRI, and is likely to be more acceptable to patients\u0000than the implantation of a metallic strut in their chest. In addition,\u0000it is less costly.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"64 3","pages":"142-5"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35454313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE GLOBAL TILT: EVALUATION OF A PARAMETER CONSIDERING THE GLOBAL\u0000SPINOPELVIC ALIGNMENT.","authors":"Ibrahim Obeid,&nbsp;Anouar Bourghli,&nbsp;Daniel Larrieu,&nbsp;Féthi Laouissat,&nbsp;Vincent Challier,&nbsp;Vincent Pointillart,&nbsp;Olivier Gille,&nbsp;Jean-Marc Vital,&nbsp;Jacques Senegas,&nbsp;Louis Boissière","doi":"10.12816/0031523","DOIUrl":"https://doi.org/10.12816/0031523","url":null,"abstract":"<p><strong>Purpose: </strong>Regarding the close interaction\u0000between the spinal balance and the pelvis orientation no\u0000parameter is routinely used to describe and to evaluate the\u0000global spinopelvic balance, taking into account simultaneously\u0000the spinal part and the pelvic part of the global alignment.\u0000The global tilt was described to analyze malalignment,\u0000considering spinal and pelvic imbalance together. From a\u0000geometrical point of view, the global tilt is the sum of the\u0000C7 vertical tilt and the pelvic tilt. The aim of this study is to\u0000evaluate the global tilt by analyzing its correlation with spinal\u0000malalignment.</p><p><strong>Methods: </strong>A cohort of patients who underwent\u0000a lumbar pedicle subtraction osteotomy (PSO) for major\u0000sagittal malalignment was realized. All patients had preoperative\u0000and postoperative full spine EOS radiographies to\u0000measure spinopelvic parameters. The lack of lordosis was\u0000calculated after prediction of theoretical lumbar lordosis.\u0000Correlation analysis between different spinopelvic parameters,\u0000including the global tilt, was performed for preoperative\u0000and postoperative values.</p><p><strong>Results: </strong>Thirty-one consecutive\u0000patients were included. All parameters were correlated with\u0000spinal malalignment but the global tilt was the most correlated\u0000parameter in preoperative (r = 0.71) and in postoperative\u0000(r = 0.78). When spinal and pelvic parameters were analyzed\u0000separately, 19% of patients presented mismatches\u0000between spine and pelvis.</p><p><strong>Conclusion: </strong>This study highlights\u0000the interest of a global parameter evaluating the spinal\u0000balance and the pelvic balance together. The global tilt\u0000appeared to be the most correlated parameter in this study\u0000with spinal malalignment and could be used for the interpretation\u0000of clinical series in spine surgery.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"64 3","pages":"146-51"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35454314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A NEW APPROACH IN THE CLINICAL DECISION-MAKING FOR CEREBRAL PALSY\u0000USING THREE-DIMENSIONAL SUBJECT-SPECIFIC MUSCULOSKELETAL\u0000RECONSTRUCTIONS.","authors":"Abir Massaad,&nbsp;Ayman Assi,&nbsp;Ziad Bakouny,&nbsp;Wafa Skalli,&nbsp;Ismat Ghanem","doi":"10.12816/0031524","DOIUrl":"https://doi.org/10.12816/0031524","url":null,"abstract":"<p><p>Cerebral palsy (CP) is a neurological disorder\u0000which can cause muscular spasticity. Children with this condition\u0000suffer from a combination of gait deviations, skeletal\u0000deformities and muscular abnormalities. Precise evaluation\u0000of each of these three components is crucial for management\u0000planning in children with CP. The aim of this study is to\u0000review the latest innovative methods used for three-dimensional\u0000(3D) gait analysis and musculoskeletal modeling in\u0000children with cerebral palsy. 3D gait analysis is a quantitative\u0000objective method based on the use of infrared cameras.\u0000It allows the evaluation of dynamic joint angles, forces and\u0000moments applied on joints and is usually coupled with dynamic\u0000electromyography. Skeletal evaluation is usually based\u0000on two-dimensional X-rays and physical examination in clinical\u0000practice. However, a novel method based on stereoradiographic\u00003D reconstruction of biplanar low dose X-rays allows\u0000a more thorough evaluation of skeletal deformities, and in\u0000particular torsional anomalies. Muscular evaluation of children\u0000with CP is most commonly based on magnetic resonance\u0000imaging, whereby delimitation of lower limb muscles\u0000on axial slices allows 3D reconstruction of these muscles.\u0000Novel innovative techniques allow similar reconstructions by\u0000extrapolation, thus limiting the necessary quantity of axial\u0000slices that need to be manually delimitated.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"64 3","pages":"152-9"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35454315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HOSPITALS AND DOCTORS DURING THE ARAB RENAISSANCE.","authors":"Al-Akl Khoury Loulou","doi":"10.12816/0023837","DOIUrl":"https://doi.org/10.12816/0023837","url":null,"abstract":"","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"64 1","pages":"60-2"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34474366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AGE AND REASONS OF THE FIRST DENTAL VISIT OF CHILDREN IN LEBANON.","authors":"Maha H Daou,&nbsp;Ece Eden,&nbsp;Nada El Osta","doi":"10.12816/0023827","DOIUrl":"https://doi.org/10.12816/0023827","url":null,"abstract":"<p><strong>Background: </strong>The American Academy of Pediatrics and the American Academy of Pediatric Dentistry have recommended that the child's first dental visit should be during the child's first year of life for dental disease prevention and to decrease the invasive restorative interventions. In Lebanon, no study has been conducted to determine the age and the reasons of the first dental visit of children and who requested the first dental screening.</p><p><strong>Objectives: </strong>To assess at what age occurred the first dental visit in a group of Lebanese children visiting a private pediatric dental clinic and to explore the reasons for their first dental consultation.</p><p><strong>Materials and methods: </strong>An observational cross-sectional study was conducted. During a five-year period, all children visiting the pediatric clinic were invited to participate in the study. Parents were asked about the general health status of their child, the use of antibiotics before the age of 2 years. Parents were also requested to give the dental reasons for their initial visit to a pedodontist.</p><p><strong>Results: </strong>Two hundred and twenty children (mean age 4.24 ± 1.35 years) visited the pedodontic care office for the first time and were included in the study. All participants had visited a pediatrician before the age of 1 year. Fifty-seven (25.9%) children were referred by a dentist and 163 (74.1%) came with their parents without referral. All participants had at least one reason for the first consultation; the most common were the presence of decayed teeth (50.9%) and a dental pain perception (29.5%).</p><p><strong>Conclusion: </strong>All participants had visited a pediatrician at an earlier age but none was referred to a pedodontist by a pediatrician for check-up or prevention. Children came upon the decision of their parents. A dental problem was the major reason which triggered the first visit. Therefore, pediatricians in Lebanon need to keep themselves updated on recommendations regarding children oral health and be encouraged to play an important role in prompting oral health and first dental visits.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"64 1","pages":"18-22"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34539150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"NEURAL FIBROLIPOMA OF THE MEDIAN NERVE.","authors":"Jawad Fares,&nbsp;Nizar Natout,&nbsp;Youssef Fares","doi":"10.12816/0023833","DOIUrl":"https://doi.org/10.12816/0023833","url":null,"abstract":"<p><p>We report a rare case of neural fibrolipoma (lipofibromatous hamartoma) of the median nerve of the hand. An 18-year-old male complaining of progressive and chronic macrodactyly of his thumb of the left hand, with neurological complains, was admitted to the hospital. Magnetic resonance (MR) evaluation revealed fibro-fatty infiltration of the median nerve at the level of the carpal tunnel, and the terminal branches of the median nerve in the thumb and index. The pathological examination of excised tissue confirmed the diagnosis of neural fibrolipoma of the terminal branch of the median nerve in his thumb. Imaging is recommended; MR studies on morphological abnormalities must be done in similar cases.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"64 1","pages":"47-9"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34474367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PULMONARY ARTERY ACCELERATED FLOW REVEALING HODGKIN'S LYMPHOMA.","authors":"Tony Ibrahim,&nbsp;Ghassan Chehab,&nbsp;Zakhia Saliba,&nbsp;Tarek Smayra,&nbsp;Maria Baz,&nbsp;Lynn Abdo,&nbsp;Fady Haddad,&nbsp;Tony Abdel-Massih","doi":"10.12816/0023836","DOIUrl":"https://doi.org/10.12816/0023836","url":null,"abstract":"<p><p>We present a case in which transthoracic echocardiography was the first diagnostic tool to suspect mediastinal Hodgkin's lymphoma by revealing a change in the hemodynamic of left pulmonary artery flow, and it was used as a follow-up method for monitoring treatment efficacy by demonstrating a normalization of pulmonary artery hemodynamics.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"64 1","pages":"58-9"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34474364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"UNUSUAL CASE OF JEJUNAL DUPLICATION IN A 64-YEAR-OLD FEMALE.","authors":"Antoine Kachi,&nbsp;Fadi Haddad,&nbsp;Antoine Geagea,&nbsp;Maroon J Tohmeh","doi":"10.12816/0023834","DOIUrl":"https://doi.org/10.12816/0023834","url":null,"abstract":"<p><p>Gastrointestinal duplications are rare congenital malformations, which may occur anywhere in the gastrointestinal tract, more commonly in the ileum. Most cases appear during the first two years of life. Usually they are located at the paramesenteric side of the bowel and they share with the latter the same blood supply. Vague abdominal pain and distention are common presentations of duplications in adults, although many of them remain asymptomatic. We report a rare case of a jejunal duplication cyst in an elderly female patient, with atypical anatomic features.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"64 1","pages":"50-3"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34474360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Inflammatory pseudotumor of the spleen: A case report].","authors":"Saad Khairallah,&nbsp;Chadi Hajar,&nbsp;Mira Akiki","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since the publication of the first two cases in 1984 by Cotelingam and Jaffe, a hundred of cases were published concerning the splenic inflammatory pseudotumor. The inflammatory pseudotumor is a benign lesion of unknown etiology. It forms a group of solid mesenchymal tumors occurring in different organs mainly in adulthood with female predominance. Symptomatic patients most often manifest fever, abdominal pain and splenomegaly. A substantial proportion of the inflammatory pseudotumors of the spleen are discovered incidentally. In this article we report a case of inflammatory pseudotumor in a 41-year-old male patient. The diagnosis of inflammatory pseudotumor of the spleen is made up by the histological and immunohistochemical examination.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"64 1","pages":"54-7"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34475315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ABSENCE OF SEPTAL Q WAVES: An Important Predictor of Significant Coronary Artery Disease and Mainly Proximal Stenosis of the Left Anterior Descending Artery.","authors":"Anthony Matta,&nbsp;Kamal Kallab,&nbsp;Alexandre Kharma","doi":"10.12816/0023828","DOIUrl":"https://doi.org/10.12816/0023828","url":null,"abstract":"<p><strong>Aims: </strong>Data concerning the correlation between the absence of septal q waves and significant stenosis of proximal left anterior descending (LAD) artery shows conflicting results. This retrospective study was conducted to show that absence of septal q waves in leads V5-V6 could be of value in predicting significant coronary artery disease (CAD) and mainly significant proximal LAD coronary artery stenosis.</p><p><strong>Methods: </strong>Our study included 500 consecutive patients who had coronary angiography, retrospectively chosen, excluding patients with acute coronary syndromes, and patients with abnormal ECGs (abnormal QRS duration, pathological q waves and hemiblocks). ECG and angiography films were reviewed. For the 2x2 tables analysis, a chi-square test was used.</p><p><strong>Results: </strong>Of the 500 patients, 386 had significant CAD defined as 70% luminal stenosis, and 260 had no septal q wave. Of the 386 patients with significant CAD, 233 (60%) did not have septal q waves. Of 260 who did not have septal q wave, 192 (73%) had significant stenosis of proximal LAD. Statistical analysis shows that significant CAD correlates with the absence of septal q waves, with a sensitivity of 60% and a specificity of 76%, and that stenosis of proximal LAD could be predicted by absence of septal q waves in leads V5-V6 with a sensitivity of 83% and a specificity of 74%.</p><p><strong>Conclusion: </strong>The absence of septal q waves in leads V5-V6 on the ECG correlates with the presence of significant CAD and is of highly predictive value in those with significant stenosis of proximal LAD (p < 0.0001).</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"64 1","pages":"23-6"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34539151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}