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Biomedical subjects

J Verhulst

Publications and source records attributed to J Verhulst.

At least 37 records · Page 2Linked to original sources
PubMed1995

[Postoperative management of partial or reconstructive pharyngo-laryngectomies].

The multidisciplinary management of patients following pharyngolaryngeal surgery is an essential condition for its functional and socio-professional success. Early, overall rehabilitation, geared to each type of exeresis and to the personality of each patient, will enable both the voice and swallowing to regain their autonomy. A series of 195 patients after partial or reconstructive laryngectomy or pharyngectomy is analysed. The maintenance of a functional crico-arytenoid unity, the preservation of the mucosal sensitivity, the establishment of a facilitating posture and the dynamisation of the neoglottic sphincter are all equally important elements requiring the mobilisation of the entire health care team.

Adult↗
PubMed1995

[Value and role of electromyography in the assessment and prognosis of disorders of laryngeal mobility].

Although it was described many years ago, laryngeal electromyography is of limited use. It can easily be performed in the doctor's surgery by the intercrico-thyroid approach. The author reports on 70 examinations, 64 for mobility disorders, 6 for abnormal spasmodic movements. 15 normal plots made it possible to correct a faulty diagnosis of palsy. The prognostic contribution is not so clear-cut and must take account of the clinical circumstances and the time elapsed before examination. EMG must be performed systematically before any irreversible therapeutic decision.

Electromyography↗
PubMed1993

Louis Bolk revisited: I. Is the human lung a retarded organ?

The human lung shows permanent retention of certain features (such as the absence of an infracardiac lobe, or the subdivision of the lobes in lobules) found in most mammal fetuses or youngsters. This phenomenon seems to be in line with the fetalization theory of Louis Bolk, who considered man as a retarded and unspecialized mammal. Moreover, the retention of certain fetal or unspecialized traits in the human lung favors a body configuration suited to an upright stance. This suggests that the generalized mammalian body plan is that of a bipedal being.

Animals↗
PubMed1993

Louis Bolk revisited. II--Retardation, hypermorphosis and body proportions of humans.

A number of morphological particularities of humans, generally thought to be specializations produced by natural selection, arguably are instances of hypermorphosis: alterations in proportion brought about by simple prolongation of general embryonic allometries. The descended larynx, the flattened human chest, and several limb proportions are given as examples. The case of the human foot, often quoted as an example of advanced specialization in humans, is examined in some more detail. Besides, it is argued that the human growth pattern displays a unique 7-year periodicity unlikely to be the result of the erratics of Darwinian evolution. Developmental acceleration is the unavoidable correlate of animal specialization; it brings about the breakdown of the periodicity present in the generalized humanlike development and causes the embryonic allometries to be cut off prematurely in the non-human mammal.

Adult↗
PubMed1993

Psychotherapy vs. pharmacotherapy: are psychiatrists polarized?--A survey of academic and clinical faculty.

Recent debate about the Osheroff vs. Chestnut Lodge case has highlighted the potential for polarization in psychiatric treatment. The degree to which community clinical psychiatric practice is polarized between psychological and biological treatments is not known. There are limitations in the combined treatment studies performed to date that influence their applicability to treatment planning in the community setting. A nearly exclusive focus on mood disorders and a neglect of the role of concurrent personality disorders and treatment interactions are among these. The data base available to guide a truly integrated practice of differential therapeutics is therefore quite limited. Against this background, we surveyed academic and clinical psychiatric faculty to determine treatment practices and rationales in three case with both Axis I and Axis II diagnoses. In each case, greater than 75% would utilize psychotherapy and consider its omission inappropriate. Medication use varied significantly from case to case. Our findings suggest that practicing psychiatrists combine psychotherapy and pharmacotherapy and that the perceived polarization between "biological" and "psychosocial" psychiatry may be more a matter of "philosophy" than practice.

Adult↗
PubMed1992

[Laryngeal and tracheal complications of prolonged intubation].

Based on a retrospective study of 595 patients having undergone prolonged intubation, the authors present the main complications encountered and, in particular, the mucous ulceration which appears to be systematic and is itself at the origin of secondary stenosizing or granulomatous sequelae. Research is still needed concerning the follow-up of the intubated patients in order to limit the pressures exerted between the cordal mucosa or the tracheal mucosa in contact with the endotracheal tube. A systematic check upon removal of the tube decreases the secondary sequelae by starting adapted antacid, anti-inflammatory and antibiotic treatments, as well as certain acts of laryngeal microsurgery and, in some cases, laryngeal rehabilitation for both the voice and deglutition.

Adolescent↗
PubMed1991

[Technical indications and results of reconstructive laryngectomies].

The results of a series of 164 patients operated on using reconstructive laryngectomy, gives satisfaction for this type of operation if the indications are respected after a very specific endoscopic, radiological and per-operative loco-regional and local check-up. The functional results are clearly improved by a pluridisciplinary treatment associating a nursing team, orthophonists and physical therapists.

Adult↗
PubMed1989

[Vocal pathology of teachers].

Out of 100 teachers referred to a phoniatric department for dysphonia, we recorded 11 dysfunctional lesion-free dysphonias, 86 dysphonias with lesions, 3 post-surgical dysphonias, 76 patients referred for a dysphonia with a modification of the spoken voice, and only 3 for the singing voice. 96 suffered from vocal fatigue, and in the course of the clinical examination 85 patients presented a faulty vocal attitude. The most frequent lesions were nodules and para-nodular formations. Vocal re-education was prescribed in 90 cases, and laryngeal microsurgery in 25 cases. The other medical therapies are not be overlooked, such as physiotherapy, thermal cures, psychiatric treatment, treatments of the terrain, and endocrinic treatments. A vocal examination, better information and vocal training of future teachers will make it possible to obviate such disorders.

Adult↗
PubMed1989

[Malignant midline granuloma and T-cell lymphoma. Apropos of a case].

Malignant granuloma of the face, a rare condition with many clinical designations of controversial etiopathology, would in fact appear to correspond, in the majority of recently published cases, to a T malignant lymphoma pathology. The freezing of a sample for immunohistochemical analysis, and more effective therapeutic choices, even though their aggressivity may seem out of proportion to the patient's condition, should make it possible to improve the prognosis of this condition which is still dangerous as the reported case shows.

Aged↗