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Biomedical subjects

J Bruart

Publications and source records attributed to J Bruart.

At least 19 recordsLinked to original sources

[Pleurisy in ovarian hyperstimulation syndrome].

The syndrome of ovarian hyperstimulation is an exceptional aetiology of pleural effusion. It should be thought of any young women who are under treatment to induce ovulation. The effusions are exudates and not transudates as occurs in Demons-Meigs syndrome. The regression of effusions is usual.

Adult↗

[Apical pulmonary fibrosis and rheumatoid polyarthritis].

The authors report a case of apical pulmonary fibrosis associated with rheumatoid arthritis. The pulmonary lesions were clearly different from the classical features of pleuro-pulmonary disease in rheumatoid arthritis. They were identical to those described in ankylosing spondylitis. A review of the literature reveals recent report on ten similar cases. The authors discuss a possible relationship with bronchiolitis obliterans.

Arthritis, Rheumatoid↗

Bronchial cancer and hypereosinophilia.

A 73 yr old man with a marked eosinophilia, associated with generalized bronchial carcinoma was observed. Ten months earlier his blood count was normal. The mechanism of the eosinophilia is discussed.

Aged↗

[Pleural effusion and Toxocara canis].

Toxocariasis is an infrequent disease which particularly affects children. Toxocara canis is an uncommon parasite of man, who is not the normal host for the nematode. Without doubt Toxocara will be recognised more and more thanks to specific serological tests, in particular the ELISA-ESA test. The authors observed the association of a pleural reaction and a generalised hypereosinophilia (blood, pleural fluid and broncho-alveolar lavage). They noted a complete regression on Mebendazole.

Antigens, Helminth↗

[Adrenergic receptors of the bronchoalveolar system in the obstructive syndrome].

Alpha and beta adrenergic receptors of the lower airways play a role in obstructive airway diseases. These receptors intervene not only in the contraction of the smooth bronchial muscle, but also in mucus secretion, mucociliary clearance and vascular permeability. The pathology of the receptors responsible for perturbations corresponding to these different functions is involved in the pathogenesis of obstructive airway diseases.

Bronchi↗

[Value and limitations of ultrasonic diagnosis in pneumology].

For a number of valid reasons, echotomography has the reputation of being of little interest in respiratory medicine. Its indications are certainly infrequent in everyday practice. However, if chest physicians lose interest in the technique, the paradoxal situation may arise where echotomography in respiratory medicine would be under-estimated and under-used. It would be a pity, since the technique is non-invasive and perfectly harmless. The authors review and illustrate the various indications of the method, emphasizing its interest and its limitations.

Humans↗

Variation in medical resource utilisation in the management of pulmonary embolism in Belgium.

The objective of this study was to investigate, through a patient chart analysis, the average and the variation in the medical resource use in pulmonary embolism (PE) patients in Belgium, and to find explanatory variables for the possible variation. A sample of patients with confirmed PE (n = 54) from 5 centres was selected. The centres were representative for size and region. The charts were selected at random after applying a set of exclusion criteria, in order to avoid heterogeneity of the sample characteristics. Charts were analysed using a standardised case report form, and medical resource use was collected by an independent researcher. Only medical resources related to the PE were included. On average, it appeared that the management of PE was fairly consistent between the different centres. The total average cost of PE was [symbol: see text] 3394 (St. Err. = [symbol: see text] 323). Nevertheless, large differences were found in the number of diagnostic and follow-up tests. Also, a wide variation in duration of hospital stay was found (average = 14.6, p75-p25 = 9.0), but this effect was not explained by the type of centre nor the region. The two factors that explain duration of hospital stay are the number of days of IV heparin use and the intensity of diagnostic follow-up, as expressed by the number of VQ-scans.

Aged↗