[Ehlers-Danlos syndrome. Description of a case].
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Biomedical subjects
Publications and source records attributed to C Martin.
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Twenty-one postmenopausal women were monitored for sleep-disordered breathing and nocturnal oxygen desaturation to evaluate the contribution of progestational hormones to the occurrence of these sleep events. For approximately one month 11 subjects received 30 mg of medroxyprogesterone (MPG) daily, and 10 received placebo tablets in a randomized, double-blind controlled study. Respiration, saturation and electroencephalography were monitored during one night of sleep before and one night after therapy. Contrasted with the low incidence of disordered breathing and desaturation in premenopausal women, 71 percent of the postmenopausal women had such events. In the placebo-treated group, all measured variables of sleep and breathing were identical on the two nights, which suggested that the findings of a single night of sleep monitoring may be representative of other nights of sleep. Although several subjects appeared to show improvement with MPG, only the maximum duration of apnea was significantly reduced the second night (p less than 0.03).
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Campylobacter enteritis is a known aetiological factor in reactive arthritis. We surveyed patients in the Harrow Health District known to have had campylobacter enteritis for manifestations of arthritis. Acute attacks of arthritis occurred in 8 of 33 adults admitted with enteritis. None were identified in patients under 16 or in those diagnosed in the community.
An apparatus is described allowing multichannel connection with unrestrained animals without using joints. The twisting of the connection lines caused by the rotation of the animal in its cage is detected by means of a torsion wire connected to an electronic device. This provokes a temporized rotation of the bottom of the cage in the opposite direction in order to untwist the lines.
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Amikacin serum levels were measured 256 times in 65 patients admitted into the intensive care unit for various reasons over 18 months. These measurements confirmed the dosage of 5 micrograms per kg repeated every 8 hours in patients with normal renal function. Forty eight hours before the first measurement, a control assay is essential to check that there is no residual antibiotic and that the antibacterial activity of the serum is zero. After this a single weekly control is sufficient to check that the residual level is effective and non toxic, i.e. between 2 and 6 micrograms per ml. However, in patients with acute renal insufficiency, there are three dosage schemas which should be used depending on the creatinine level. These three schemas are nevertheless not sufficient to continue effective therapy without a risk of toxic side effects. It is therefore necessary to check both the pack levels and the residual levels regularly from the beginning of treatment. Two to three weekly controls are essential to avoid a risk of toxic side effects.
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