Le Journal médical libanais. The Lebanese medical journal最新文献_第6页

[Sequential grafts of cutaneous cells: First results of a new procedure and review of the literature]. 皮肤细胞序贯移植:新手术的初步结果及文献综述。

Le Journal médical libanais. The Lebanese medical journal Pub Date : 2015-04-01

Gabriel Sabeh, Michel Sabé, Salah Ishak, Rodrigue Sweid, Mohamad Ayoubi, Abdel Majid Chahal

{"title":"[Sequential grafts of cutaneous cells: First results of a new procedure and review of the literature].","authors":"Gabriel Sabeh, Michel Sabé, Salah Ishak, Rodrigue Sweid, Mohamad Ayoubi, Abdel Majid Chahal","doi":"","DOIUrl":"","url":null,"abstract":"Objective: A new choice for major burn wounds is presented. An alternative method for skin grafting and cutaneous substitute for bum victims and chronic non healing wounds. The new method of skin grafting is applied repetitively and non-invasively until healing is achieved. PATIENTS AND PROCEDURE: 39 patients including 33 burns victims and six with chronic wounds were treated between February and September 2012. One to four square centimeters of autologous skin graft were transformed with biodegradation of cellular peptic bonds with the goal of obtaining a rich solution of cutaneous cells (1.5 million skin cells/cm2). The process duration averaged 100 minutes. Part of the solution was sprayed immediately on the recipient skin zones. The remaining solution was divided up and kept in cryotubes inside a container of liquid nitrogen. Successive sprays were performed at each dressing.Results: Good esthetic results on the whole as well as functional for patients with deep 2nd degree burns; healing was achieved in 10-12 days. Third degree burns and chronic wounds showed encouraging results for small surfaces.Discussion: We present a new original technique without prior in vitro culture that gives autologous cellular grafts, including epidermal, junctional and stem cells that are necessary for skin regeneration. The contraindications to the technique are infected, oozing, hemorrhagic or granulomatous wounds.Conclusion: This is a technique that deserves to be practiced and should have its place in the therapeutic arsenal of burns and chronic wounds.","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"63 2","pages":"47-58"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34280261","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}

引用次数: 0

CARDIAC DEFIBRILLATOR IMPLANTATION via PERSISTENT LEFT SUPERIOR VENA CAVA. 经持续性左上腔静脉植入心脏除颤器。

Le Journal médical libanais. The Lebanese medical journal Pub Date : 2015-04-01 DOI: 10.12816/0012557

Ghassan Fouad Nakad, Hamid Bayeh, Bernard Abi Saleh

引用次数: 0

SURVEILLANCE of CARBAPENEM NON-SUSCEPTIBLE GRAM NEGATIVE STRAINS and CHARACTERIZATION of CARBAPENEMASES of CLASSES A, B and D in a LEBANESE HOSPITAL. 黎巴嫩某医院碳青霉烯类非敏感革兰氏阴性菌株监测及A、B、D类碳青霉烯酶测定。

Le Journal médical libanais. The Lebanese medical journal Pub Date : 2015-04-01 DOI: 10.12816/0012553

Dalal Hammoudi, Carole Ayoub Moubareck, Abeer Kanso, Patrice Nordmann, Dolla Karam Sarkis

{"title":"SURVEILLANCE of CARBAPENEM NON-SUSCEPTIBLE GRAM NEGATIVE STRAINS and CHARACTERIZATION of CARBAPENEMASES of CLASSES A, B and D in a LEBANESE HOSPITAL.","authors":"Dalal Hammoudi, Carole Ayoub Moubareck, Abeer Kanso, Patrice Nordmann, Dolla Karam Sarkis","doi":"10.12816/0012553","DOIUrl":"https://doi.org/10.12816/0012553","url":null,"abstract":"The production of carbapenem-hydrolyzing enzymes has been recognized as one of the most currently relevant resistance mechanisms in gram negative bacterial isolates, and is being detected in various countries. In Lebanon, carbapenem resistance was studied among gram negative pathogens collected from a university hospital from January to June of years 2011 and 2012. All isolates were subjected to phenotypic tests including antibiotic susceptibility, cloxacillin effect, modified Hodge test, and Etest for metallo-β-lactamase detection. They were also subjected to genotyping by PCR sequencing to characterize β-lactamases. Between January and June 2011, 48 carbapenem non-susceptible strains were collected. Of these, one Klebsiella pneumoniae harbored OXA-48 and insertion sequence IS 1999; four Acinetobacter baumanni harbored simultaneously OXA-23 and GES-11, and three Pseudomonas harbored VIM-2 carbapenemase. Between January and June 2012, 100 carbapenem non-susceptible strains were collected. Of these, one K. pneumoniae harbored simultaneously OXA-48, IS 1999, and an acquired AmpC of the ACC group; four Serratia marcescens harbored OXA-48, while among eight A. baumannii, one strain co-harbored OXA-23 and GES-11, six harbored OXA-23 and one OXA-24. Fifteen P, aeruginosa and two Pseudomonas species harbored VIM-2; two P. aeruginosa strains produced IMP-1 and two others IMP-2. This epidemiological survey demonstrates the presence of carbapenemases of Ambler classes A, B, and D in a Lebanese hospital and indicates increase in the number and variety of such enzymes.","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"63 2","pages":"66-73"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34280263","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}

引用次数: 16

[Supravalvular aortic stenosis with and without coronary lesions in pediatrics. A Lebanese study]. [儿科伴或不伴冠状动脉病变的瓣上主动脉狭窄。]一项黎巴嫩研究]。

Le Journal médical libanais. The Lebanese medical journal Pub Date : 2015-04-01

Ghassan Chehab, Jessie Darido, Issam El-Rassi, Bernard Gerbaka, Tarek Smayra, Zakhia Saliba

{"title":"[Supravalvular aortic stenosis with and without coronary lesions in pediatrics. A Lebanese study].","authors":"Ghassan Chehab, Jessie Darido, Issam El-Rassi, Bernard Gerbaka, Tarek Smayra, Zakhia Saliba","doi":"","DOIUrl":"","url":null,"abstract":"Objective: This study aims to analyze several parameters concerning the supravalvular aortic stenosis (SVAS) in children such as age of diagnosis, place of residence, the existence of a metabolic disorder or dysmorphic syndrome and possible damage to the coronary ostia, the means of diagnosis and outcome of these patients.Materials and methods: A large group of patients (2868) with congenital heart disease enrolled between 1 May 1999 and 30 April 2010 at the National Register of Pediatric and Congenital Heart Disease, Lebanese Society of Cardiology.Results: SVAS were found in 14 patients (0.5%) aged 8.5 months to 15 years. The Williams Beuren syndrome was the most common etiology (6 cases) without ostial stenosis, asymptomatic and not treated, followed by forms without dysmorphic syndrome (5 cases) and without ostial stenosis, one patient was operated because of severe SVAS; finally, 3 cases of homozygous familial hypercholesterolemia treated differently: a patient had a successful liver transplantation at age of 4.5 years but has developed, despite the normalization of cholesterol level, a SVAS associated with severe ostial lesions 10 years after transplantation, another treated by coronary artery bypass graft surgery and the latter treated medically.Conclusion: SVAS is a very rare disease, but its discovery must lead to search for coronary lesions especially in presence of homozygous familial hypercholesterolemia. The ultrasound monitoring is mandatory and is designed to detect this anomaly and early coronary lesions. The slightest suspicion should carry out more extensive explorations to detect ostial stenosis.","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"63 2","pages":"81-6"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33998982","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}

引用次数: 0

THE EXTRASKELETAL ACTIONS OF VITAMIN D--MYTHS AND FACTS. 维生素d的骨骼外作用——神话和事实。

Le Journal médical libanais. The Lebanese medical journal Pub Date : 2015-04-01

Amer Sebaaly, Falah Bachour, Wael Bayoud, Gemma Adib, Farid Bedran, Clea Daher, Ghassan Maalouf

引用次数: 0

HEREDITARY ANGIOEDEMA: A Literature Review and National Management Guidelines. 遗传性血管性水肿:文献综述和国家管理指南。

Le Journal médical libanais. The Lebanese medical journal Pub Date : 2015-04-01 DOI: 10.12816/0012558

Ramez Azzam, Jacques Boutros, Carla Irani

引用次数: 0

Greffes Séquentielles de Cellules Cutanées Premiers Résultats d’un Nouveau Procédé et Revue de la Littérature 皮肤细胞的顺序移植一种新方法的初步结果和文献综述

Le Journal médical libanais. The Lebanese medical journal Pub Date : 2015-04-01 DOI: 10.12816/0012551

G. Sabeh, M. Sabe, S. Ishak, R. Sweid, M. Ayoubi, Abdel Majid Chahal

{"title":"Greffes Séquentielles de Cellules Cutanées Premiers Résultats d’un Nouveau Procédé et Revue de la Littérature","authors":"G. Sabeh, M. Sabe, S. Ishak, R. Sweid, M. Ayoubi, Abdel Majid Chahal","doi":"10.12816/0012551","DOIUrl":"https://doi.org/10.12816/0012551","url":null,"abstract":"OBJECTIVE: A new choice for major burn wounds is presented. An alternative method for skin grafting and cutaneous substitute for bum victims and chronic non healing wounds. The new method of skin grafting is applied repetitively and non-invasively until healing is achieved. PATIENTS AND PROCEDURE: 39 patients including 33 burns victims and six with chronic wounds were treated between February and September 2012. One to four square centimeters of autologous skin graft were transformed with biodegradation of cellular peptic bonds with the goal of obtaining a rich solution of cutaneous cells (1.5 million skin cells/cm2). The process duration averaged 100 minutes. Part of the solution was sprayed immediately on the recipient skin zones. The remaining solution was divided up and kept in cryotubes inside a container of liquid nitrogen. Successive sprays were performed at each dressing. RESULTS: Good esthetic results on the whole as well as functional for patients with deep 2nd degree burns; healing was achieved in 10-12 days. Third degree burns and chronic wounds showed encouraging results for small surfaces. DISCUSSION: We present a new original technique without prior in vitro culture that gives autologous cellular grafts, including epidermal, junctional and stem cells that are necessary for skin regeneration. The contraindications to the technique are infected, oozing, hemorrhagic or granulomatous wounds. CONCLUSION: This is a technique that deserves to be practiced and should have its place in the therapeutic arsenal of burns and chronic wounds.","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116138296","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}

引用次数: 1

Aging and society. 老龄化与社会。

Le Journal médical libanais. The Lebanese medical journal Pub Date : 2015-01-01

Sawsan Abdulrahim

引用次数: 0

Family relations and health over the life course. A Lebanese perspective. 家庭关系和一生的健康。黎巴嫩人的观点。

Le Journal médical libanais. The Lebanese medical journal Pub Date : 2015-01-01 DOI: 10.12816/0009913

Kristine J Ajrouch, Sawsan Abdulrahim, Toni C Antonucci

{"title":"Family relations and health over the life course. A Lebanese perspective.","authors":"Kristine J Ajrouch, Sawsan Abdulrahim, Toni C Antonucci","doi":"10.12816/0009913","DOIUrl":"https://doi.org/10.12816/0009913","url":null,"abstract":"The link between family relations and well-being in old age has received ample attention in the international literature, but remains least examined in the Arab region where cultural ideals assume positive intergenerational relations within families as the norm. In this paper, we employ survey data collected in Greater Beirut in 2009 to explore associations between family relations and health. over the life course. We tested (1) the extent to which age and social relation characteristics predict health; and (2) whether the association between age and health is stronger for those who report: smaller social networks and poorer relationship quality. We employed self-rated health and self-reported chronic illness as the health outcome measures and:social network size, positive quality and negative quality with family members as the social relations measures. Our findings suggest that social relations are differentially important depending on the health status indicator examined. The single dimension that influenced both self-rated health and the probability of reporting a chronic illness was positive relationship quality with spouse. Further, social relations, particularly having a negative relationship quality with spouse and adult child, exert stronger effects on both self-rated health and chronic illness for older compared to younger adults. The findings of the present study are important for clinical practitioners who often consider the role and importance of available social resources as they address the health needs of older adults.","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"63 1","pages":"8-14"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33244571","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}

引用次数: 5

Life stressors and psychological well-being. Does Access to Health Care Help the Older Lebanese? 生活压力和心理健康。获得医疗保健对黎巴嫩老年人有帮助吗?

Le Journal médical libanais. The Lebanese medical journal Pub Date : 2015-01-01 DOI: 10.12816/0009917

May H Aydin, Abla M Sibai

引用次数: 4