Resultate und ausser- gewöhnliche Komplikationen der Chirurgie der Gehörgangexostosen [Results and extraordinary complications of surgery for exostoses of the external auditory canal].

We present a retrospective study on 22 operations of exostosis of the external auditory canal in 20 patients. 8 patients were passionated by water sports. The most frequent indication for surgery (13 operations) was recurrent external otitis or ceruminal obstruction. In 7 cases the need for a wider access to the middle ear indicated surgery. Surgery was usually performed as an outpatient procedure, maximum hospitalization was 3 days. The mean healing period was 6 (3-10) weeks. Mean follow up was 43 (3-110) months. There were no severe intraoperative complications such as facial paresis, lesions of the ossicles or of the inner ear. As intraoperative complications we found 2 perforations of the tympanic membrane, 2 expositions of the capsule of the mandibular joint, one of which was followed by chronic pain. As postoperative complications we found an early soft tissue stenosis of the external auditory canal and one late soft tissue stenosis which recurred after revision surgery. No recurrence of exostosis was seen. We describe an up to now unknown complication: the appearance of bilateral petrositis caused by staphylococcus epidermidis after bilateral surgery in an otherwise healthy patient. This study confirms that severe complications are rare, minor ones however relatively common. And that also minor complications may have a troublesome follow. Therefore and because of the potential of severe complications indication for surgery must be made cautiously and risks of the operation must not be underestimated.

Clinical and biochemical responses after Gamma Knife surgery for a dopamine-secreting paraganglioma: case report.

The efficacy of Gamma Knife surgery (GKS) in local tumor control of non-secreting paragangliomas (PGLs) has been fully described by previous studies. However, with regard to secreting PGL, only one previous case report exists advocating its efficacy at a biological level. The aims of this study were: 1) to evaluate the safety/efficacy of GKS in a dopamine-secreting PGL; 2) to investigate whether the biological concentrations of free methoxytyramine could be used as a marker of treatment efficacy during the follow-up. We describe the case of a 62-year-old man diagnosed with left PGL. He initially underwent complete surgical excision. Thirty months after, he developed recurrent biological and neuroradiological disease; the most sensitive biomarker for monitoring the disease, concentration of plasma free methoxytyramine, started to increase. GKS was performed at a maximal marginal dose of 16 Gy. During the following 30 months, concentration of free methoxytyramine gradually decreased from 0.14 nmol/l (2*URL) before GKS to 0.09 nmol/l, 6 months after GKS and 0.07 nmol/l at the last follow-up after GKS (1.1*URL), confirming the efficacy of the treatment. Additionally, at 30 months there was approximately 36.6% shrinkage from the initial target volume. The GKS treatment was safe and effective, this being confirmed clinically, neuroradiologically and biologically. The case illustrates the importance of laboratory tests taking into account methoxytyramine when analyzing biological samples to assess the biochemical activity of a PGL. In addition, the identification of methoxytyramine as a unique positive biomarker could designate it for the monitoring of tumor relapse after treatments, including Gamma Knife surgery.

1.° Vita sancti Martini : authore Sulpitio Severo ; desideratur initium. — 2.° Ejusdem Sulpitii epistola ad Eusebium, Presbyterum. — 3.° Ejusdem epistola ad Aurelium, Diaconum. — 4.° Ejusdem epistola ad Bassulam, socrum suam. — 5.° Ejusdem dialogorum libri tres. — 6.° Versiculi in laudem sancti Martini. — 7.° Sancti Martini liber de Trinitate. — 8.° Vita S. Briccii, Turonensis Episcopi. — 9.° Gregorii Turonensis epistolae de transitu sancti Martini. — 10.° Sancti Anselmi, Archiepiscopi Cantuariensis, meditationes : finis desideratur. — Hujusce codicis pars prior saeculo decimo, posterior decimo quarto videtur exarata.

Colbertinus

1.° Breviarium historiae Romanae : authore Eutropio ; tres libri postremi desiderantur. — 2.° Sancti Isidori Hispalensis chronicon Gothorum. — 3.° Excerpta ex historia Pauli Orosii, et ex Isidori etymologiis. — 4.° Testamentum Caroli Magni. — 5.° Anonymi liber de septem mirabilibus mundi. — 6.° De Mahomete ejusque errore fragmentum, quod Isidoro tribuitur. — Hujusce codicis pars prior saeculo duodecimo exeunte, posterior decimo quarto videtur exarata.

Colbertinus, antea Jacobi Augusti Thuani

Resolución N° 218 ¿Puede una ley posterior configurar situaciones jurídicas constituidas bajo una ley anterior?

Servicios registrales

Preoperative education and its influence on perception of recovery for clients awaiting total hip and total knee replacement surgery /

The puqjose of this study was to examine the manner in which an inviting approach to a preoperative teaching and learning educational experience influenced the perception and subsequent recovery of clients who were awaiting total hip and total knee replacement surgery. An in-depth review of the internal and external factors that shape client perceptions was undertaken in this study. In addition, this study also explored whether or not the Prehab Program was preparing clients physically, socially, and psychologically for surgery. Data for this qualitative case study research were collected through preoperative interviews with 4 participants awaiting total hip replacement surgery and 1 participant awaiting total knee replacement surgery. Four postoperative interviews were conducted with the participants who had received total hip replacement surgery. The occupational therapist and physical therapist who were the coleaders of the Prehab Program at the time of this study were also interviewed. The results of this study suggest that while individuals may receive similar educational experiences, their perceptions of the manner in which they benefited from these experiences varied. This is illustrated in the research findings, which concluded that while clients benefited physically from the inviting approach used during the practical teaching session, not all clients perceived the psychological benefits of this practice session, especially clients with preexisting high levels of anxiety. In addition to increasing the understanding of the internal as well as external factors that influence the perceptions of clients, this study has also served as an opportunity for reflection on practice for the Prehab therapists and other healthcare educators.

Dietary Strategies to Optimize Wound Healing after Periodontal and Dental Implant Surgery: An Evidence-Based Review

Methods to optimize healing through dietary strategies present an attractive option for patients, such that healing from delicate oral surgeries occurs as optimally as possible with minimal patient-meditated complications through improper food choices. This review discusses findings from studies that have investigated the role of diet, either whole foods or individual dietary components, on periodontal health and their potential role in wound healing after periodontal surgery. To date, research in this area has largely focused on foods or individual dietary components that may attenuate inflammation or oxidant stress, or foster de novo bone formation. These studies suggest that a wide variety of dietary components, including macronutrients and micronutrients, are integral for optimal periodontal health and have the potential to accelerate oral wound healing after periodontal procedures. Moreover, this review provides guidance regarding dietary considerations that may help a patient achieve the best possible outcome after a periodontal procedure.

Desarrollo de un producto de panificación adicionado con harina de semilla de ébano, ebenopsis ébano (Berland) barneby & grimes y posterior evaluación de parámetros fisicoquímicos y sensoriales.

Tesis (Maestría en Ciencias con Especialidad en Alimentos) UANL, 2010.

Mty : nueva medida cefalométrica pasa evaluar la posición antero-posterior de la rama de la mandíbula.

Tesis (Maestría en Ciencias Odontológicas con Especialidad en Ortodoncia) UANL, 2011.

Estudio controlado, paralelo aleatorio y comparativo del efecto antiinflamatorio del ibuprofeno vs IMMUNEPOTENT CRP posterior a una cirugía de terceros molares inferiores en humanos.

Tesis (Maestría en Ciencias con Acentuación en Inmunolobiología) UANL, 2013.

Relación del patrón esqueletal al nivelar la curva de Spee inferior posterior al tratamiento de ortodoncia.

Tesis (Maestría en Ciencias Odontológicas con orientación en Ortodoncia) UANL, 2013.

Reducción del dolor posterior al ajuste ortodontico, utilizando un método de estímulo vibratorio.

Tesis (Maestría en Ciencias Odontológicas con especialidad en Ortodoncia) UANL, 2014.

R. P. Ioannis Maldonati Societatis Iesu theologi, Commentarii in quatuor Euangelistas : In duos tomos diuisi, & nunc emendatius in lucem editi. Quorum prior eos, qui in Matthaeum, & Marcum; posterior eos, qui in Lucam, & Ioannem, complectitur.

UANL

Surgical principles and minor surgery

UANL

Firmitudo catholicae veritatis de psychosomatica deiparentis assumptione: disquisitio prior historico-biblico-speculativo-polemica necnon harmonia Catholici dogmatis de pneumato somatica Deiparentis Assumptione : disquisitio posterior critico-philosophico-theologico-diplomatica

UANL