Yang J.H.,Inje University |
Yang B.S.,Jesus University
Qualitative Health Research | Year: 2011
In this study we explored the perspectives of older Korean women on the principles and meanings of health behavior. Participants were 12 women age 65 and older, with no serious illnesses requiring hospitalization, who were living independently. We used an interpretative phenomenological approach for data collection and analysis. Seven themes emerged: (a) eating well in accordance with one's physical requirements; (b) maintaining one's inherited health; (c) controlling one's illness properly; (d) maintaining good relationships with close relatives and friends; (e) being modest and free from greed; (f) staying in harmony with nature; and (g) regaining energy and vitality. These experiences were mainly based on the traditional Korean concept of health promotion, "food is medicine," rather than on Western concepts of health promotion. In providing optimal geriatric nursing care for Korean older women, the results will be significant because they are based on older women's traditional Korean perspectives of health promotion rather than existing perspectives of Western medicine. © The Author(s) 2011.
Villemaire J.-M.,Jesus University
Journal of Oral and Maxillofacial Surgery | Year: 2013
Purpose: The purpose of this article is to describe a new technique to perform a high condylectomy using a γ-probe. Materials and Methods: A 15-year-old female patient presented with right condylar hyperplasia. Because the condition was active, a high condylectomy was performed to stop the abnormal growth of the affected condyle. To resect an adequate amount of bone and prevent relapse, a γ-probe was used to guide bone removal. The patient was injected with technetium-99m methylene diphosphate 25 mCi 2 hours before she was brought to the operating room. Bone was removed from the superior aspect of the right condyle until the reading with the γ-probe was equivalent to normal bone. Results: Seven millimeters of bone was removed from the top of the condyle before the γ-emission from the remaining condyle was equivalent to the mandibular parasymphysis used as a control. No relapse was noted 9 months after surgery. Conclusion: The γ-probe may help a surgeon remove the correct amount of bone when performing a high condylectomy, especially in type II (vertical pattern) condylar hyperplasia.© 2013 American Association of Oral and Maxillofacial Surgeons.
Epeldegui T.,Jesus University
Journal of Pediatric Orthopaedics Part B | Year: 2012
Clubfoot is a complex congenital deformity. Midtarsal joint is a key point to understand the deformity in clubfoot as a consequence of the malalignment of the osseous columns. Talar and calcaneal deformities affecting the normal alignment of the medial and lateral osseous columns in the foot can be the factors that determine the difficulty in the management of clubfoot. We report observations of two clubfeet of one stillborn. Our observations in the head of the talus report two different articular areas: the histological section of medial area facing the navicular shows active articular cartilage and the lateral area shows an atrophic articular cartilage suggesting a difference between the anatomical declination angles of the talus from a functional declination angle. Observing the calcaneous, we report a twisting rotational deformity along the longitudinal axis of the calcaneous. These observations may contribute to a better understanding of the clubfoot relapse, and also the treatment of complicated cases of clubfeet. © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins.
Calderon M.A.,Imperial College London |
Rodriguez del Rio P.,Jesus University |
Demoly P.,Montpellier University
Revue Francaise d'Allergologie | Year: 2012
Although subcutaneous allergen immunotherapy (SCIT) is still considered the gold standard immunotherapy treatment for allergic diseases, due to the risk of severe adverse reactions and its limitations regarding practicality, allergen immunotherapy in the sublingual route (SLIT) has been suggested as an alternative to SCIT. In the last three decades an increasing number of studies assessing the efficacy and safety of SLIT have been published; however, not all of them bring the same degree of evidence. This paper aims to be a comprehensive review of the most outstanding and robust papers on SLIT in the paediatric population. We will discuss classical indications like rhinitis and asthma as well as novel possible indications like food allergy, conjunctivitis, latex allergy or atopic dermatitis. We used an evidence based medicine approach. We confirm that there is evidence supporting the efficacy and safety of SLIT mainly for allergic rhinitis, less for asthma and some other allergic conditions; there are still some pitfalls to go through, like immunologic mechanisms, optimal dosage, duration of treatment or long-term efficacy among others, before SLIT can be suggested as the first step in allergy treatment. © 2011 Elsevier Masson SAS.
Diaz M.A.,Jesus University
Bone Marrow Transplantation | Year: 2016
Haploidentical hematopoietic stem cell transplantation using T-cell-depleted grafts is a valid option for pediatric patients with hematological malignancies in need of an allogeneic transplantation and lacking an HLA-identical donor. Seventy-five transplantations were performed in 70 patients. Thirty-eight patients had ALL, 32 had AML, 3 had advanced myelodysplastic syndromes and 2 juvenile myelomonocytic leukemia; 19 were in first CR, 30 in second CR, 12 in greater than second CR and 14 were considered to be in refractory disease at time of transplantation. Four patients developed graft failure. Among engrafted patients, the median time to neutrophil and platelet recovery was 13 (range 8–20) and 10 days (range 8–70), respectively. In 64 (85%) cases, ⩾1 infections were diagnosed after transplant. The probability of nonrelapse mortality by day +100 after transplantation was 10±4%. With a median follow-up of 22 months, the probability of relapse was 32±6% and disease-free survival was 52±6%. Haploidentical transplantation using CD3/CD19 depletion is associated with encouraging results especially in patients in early phase of disease. Killer-cell Ig-like receptor B haplotype donors confer a rapid natural killer cells expansion early after transplantation, resulting in lower probability of relapse and suggesting a GvL effect apart from graft-versus-host reactions. Donor infusion of high numbers of CD34+ cells is recommended in order to improve T-cell reconstitution.Bone Marrow Transplantation advance online publication, 18 April 2016; doi:10.1038/bmt.2016.101. © 2016 Macmillan Publishers Limited