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Biomedical subjects

J Berard

Publications and source records attributed to J Berard.

At least 55 records · Page 3Linked to original sources

[Mesoblastic nephroma. Apropos of 6 cases].

6 cases of congenital mesoblastic nephroma removed surgically between 5 days and 2 months 1/2 of age are reported. The authors point out the peculiar histological aspect of this tumor : myomatous or fibromyomatous proliferation which surround in some places normal or dysplastic glomerular or tubular structures and penetrates by digitations in parenchymatous elements without destroying them. At the periphery of the tumor there are some lymphatic capsular ectasia or lymphoid infiltration or cartilaginous islets. In case of a renal tumor of the newborn or infant they emphasize the necessity to search for a congenital mesoblastic nephroma in order to avoid all types of radio therapic or chimiotherapic treatment without histological diagnosis. These forms of therapy are responsible for severe complications heavily impairing a prognosis which in most cases is an excellent one when nephrectomy alone is carried out. In some exceptional cases it seems useful to add other forms of therapy when the tumor proves itself to be of a peculiar aggressivity macro or microscopically.

Female↗

[The surgical treatment of pseudoarthroses and congenital curvatures of the leg. Review of the literature on the basis of 7 personal cases (author's transl)].

On the basis of 7 personal cases of pseudarthrosis and of congenital curvature of the leg reported in detail, including 6 in which consolidation was obtained with a valid follow up (5 cases for more than 14 years), a review is undertaken of the results of surgical techniques. Analysis of these 7 cases and of 82 sufficiently detailed cases from the literature indicate that the transtarsal nailing suggested by Guillemin, combined with corticospongiose grafts, remains the technique of choice. A number of suggestions are made on particular technical points. This method results in consolidation and above all offers the best protection against recurrent fractures whilst retaining a good axis and without interfering with growth. It is the method which limits to a minimum the sequelae of shortening and valgus deformity of the ankle. Indications differ for curvatures and constituted pseudarthroses and the age at which treatment should be started is discussed.

Adolescent↗

[False asthma].

Explore the source record for details and available documents.

Adult↗

The distribution of haemoglobin concentration in a sample of native high-altitude women.

Two hundred and twenty-two indigenous women living in La Paz, Bolivia at an altitude of 3700 m were screened for the haematological parameters of haemoglobin, transferrin saturation, haematocrit and total iron-binding capacity. The data from 152 nonpregnant healthy women under 45 years of age were utilized in both distributional and maximum likelihood analyses in order to evaluate the prevalence of abnormal haemoglobin levels. The prevalence of anaemia and polycythaemia in the population was low and not considered to be a public health problem. Eleven per cent of the population was found to be iron deficient (less than 15% transferrin saturation).

Adult↗

Kingella kingae osteoarthritis and osteomyelitis in children.

Kingella kingae is still a poorly understood germ which is responsible for osteoarticular infections. We observed nine cases of osteoarthritis involving K. kingae in children. They included 4 cases of arthritis, 2 of osteomyelitis, and 3 of spondylodiscitis. The germ was cultured in all cases by direct surgical approach or by needle aspiration of the septic locus. Evolution was always good after immobilization and nonspecific antibiotherapy. Our nine clinical cases, along with the few cases already published, allow us to state that K. kingae shows a strong affinity for bones and joints in the young child. Clinical presentation is nonspecific. The bacterial sampling must be cultured in enriched atmospheres (CO2). The strains are sensitive to most common antibiotics.

Bacterial Infections↗

[Corynebacterium acnes osteitis. A case in a child].

The authors report a case of Corynebacterium acnes osteitis in an 11 year old girl, involving the upper of the right tibia. The lesion resembled a malignant tumour radiologically and tuberculosis histologically. Scintigraphy revealed involvement of the seventh right rib. 3 months treatment with Pristinamycin resulted in cure.

Bacterial Infections↗

[Sigmoid volvulus in children. About 6 cases (author's transl)].

About six of sigmoid volvulus m children, the authors underline the rarity of this etiology in large bowel obstruction. Two cases happened during neonate and four cases are associated with other pathologic diseases (2 neurologic ans 2 Hirschsprung diseases). Diagnosis is based on baryum enema and the best surgical management in emergency is resection and derivation with secondary anastomosis.

Barium Sulfate↗