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Biomedical subjects

P Tessier

Publications and source records attributed to P Tessier.

At least 37 records · Page 2Linked to original sources
PubMed1993

[Early clinical, electrocardiographic and biological criteria of reperfusion after intravenous fibrinolysis during the acute phase of myocardial infarction].

Between May 1991 and February 1992, 31 consecutive patients were included in a prospective study, the aims of which were to determine the criteria of early coronary revascularisation after intravenous thrombolysis in the acute phase of myocardial infarction. The rise in serum myoglobin, the ST segment elevation, accelerated idioventricular rhythm and the evolution of chest pain were analysed. All patients underwent coronary angiography. Twenty-six were revascularized and 5 remained with coronary occlusion. Two types of serum myoglobin curves were demonstrated. Those with a sudden , decrease and a well defined peak in the first 4 hours were specific for revascularisation and easily identified (Group A: 16 patients). The graphs with a progressively rising slope to a peak after the 4th hour were observed in patients with coronary occlusion, but also in 10 patients with recanalized arteries (Group B). No significant difference was demonstrated with regards to the clinical and coronary angiographic parameters between patients in Group A and Group B. On the other hand, the time between the onset of chest pain and peak myoglobin was shorter in Group A (298 +/- 81 min) than in recanalised patients in Group B (380 +/- 54 min) (p < 0.05). The difference in the profile of the serum myoglobin could therefore reflect restoration of arterial flow in myocardial cells which had not suffered the same period of ischemia. ST segment elevation may increase, decrease of remain stable at 120 minutes in patients revascularised and those remaining occluded. In 9 patients, the ST elevation increased compared with the initial electrocardiogram .(ABSTRACT TRUNCATED AT 250 WORDS)

Accelerated Idioventricular Rhythm↗
PubMed1992

[Isolated right ventricular infarction of coronary origin. Three cases].

In a series of more than 700 patients admitted over a 2-year period to an intensive care unit, 3 patients with isolated right ventricular infarction were observed. At electrocardiography the condition was characterized by isolated ST elevation in the anterior precordial leads. Infarction was due to obstruction of a right marginal coronary artery in 2 cases and of a small right coronary artery feeding only the right ventricle in one case. In the absence of electrocardiographic signs in the inferior territory, this ST elevation is suggestive of an anterior infarction in constitution, but the characteristic "dome-like" shape of the elevation, its decrease from V2 or V3 to V4 or V5 and the progressive regression of repolarization disorders without occurrence of Q wave suggest a diagnosis of right ventricular infarction. This diagnosis can rapidly be confirmed by a normal left ventricular function at echocardiography.

Adult↗
PubMed1991

Regulation by retinoic acid of ICAM-1 expression on human tumor cell lines.

In a group of four human tumor cell lines comprising one melanoma, one glioma, one teratocarcinoma and one neuroblastoma, the expression of the intercellular adhesion molecule-1 (ICAM-1) was found to be significantly increased following treatment with 10 microM of all-trans retinoic acid. In the melanoma and glioma cell lines HS 294T and HS 683, greater than 90% of the cells reacted with the anti-ICAM-1 monoclonal antibody (mAb) CL203.4 in the absence of treatment. Retinoic acid increased the cell surface expression of the molecule by 2-fold. In the teratocarcinoma and neuroblastoma cell lines, TERA-2 and SK-N-SH, the constitutive expression of ICAM-1 was weak, the percentage of cells stained above the background being less than 25%. Retinoic acid induced ICAM-1 expression in greater than 80% of the cells and increased the levels of expression by 2.5 to 3-fold. Immunoprecipitation studies in biosynthetically labeled cells as well as RNase protection analysis confirmed that retinoic acid treatment increased the amount of ICAM-1 at both the protein and mRNA level. The induction or stimulation occurred within 24 h, was maximal after 4 days and reversible.

Antibodies, Monoclonal↗
PubMed1989

[Subperiosteal face-lift].

The "facial mask" is composed of all of the tissues lying on top of the skeleton: periosteum, deep adipose tissue, superficial musculo-aponeurotic tissue and skin. The periosteum is the intermediate zone between the skeleton, responsible for the shape of the face, and the more superficial tissues which complete the shapes and, most importantly, represent the mobile part of the face and consequently the site of facial expression. The secret of an effective "mask-lift" depends on complete subperiosteal dissection of the malar bones, zygomatic arches and orbital margins. This dissection can be performed via a coronal approach, but it is easier to start the subperiosteal dissection via a short vestibular incision. Subperiosteal dissection via a coronal incision is not only useful to lift the facial mask; it is also useful for remodelling the orbital margins and to obtain bone grafts from the parietal area in order to reinforce the glabella, check bones and nasogenial folds.

Esthetics↗
PubMed1989

Stability in correction of hypertelorbitism and Treacher Collins syndromes.

In the authors' experience, correction of hypertelorbitism either by facial bipartition or by moving only the orbits has proved to be very stable. This is based on the design of the osteotomies and the use of the frontal bar. On the contrary, the rotation of the midfacial segment combined with mandibular lengthening for the correction of Treacher Collins has a strong tendency to relapse because of the backward pull of the soft tissues. Primary stability in these cases depends on the quality of bone grafts, their placement, and skeletal fixation.

Bone Diseases, Developmental↗
PubMed1988

Bronchoconstriction due to exercise combined with cold air inhalation does not generally influence bronchial responsiveness to inhaled histamine in asthmatic subjects.

We investigated immediate and late changes in airway responsiveness to histamine, after bronchoconstriction due to exercise combined with inhalation of cold air, in ten asthmatic subjects who came on six days. On the first visit, the provocation concentration producing 20% fall in FEV1 (PC20) histamine was obtained. After functional recovery, each subject walked on a treadmill whilst breathing dry, cold air. This resulted in an immediate fall greater than 15% (mean +/- SD = 31.9 +/- 11.0%) in forced expiratory volume in one second (FEV1). Following recovery, PC20 was measured again. FEV1 was then monitored for up to 6-8 h. PC20 was measured then and on the two following days at the same time of the day. Subjects were studied on three control days using the same design except that a resting period replaced the exercise with cold air. The mean changes in PC20 at each interval after exercise combined with cold air were not statistically significant. Physiologically significant changes were obtained in only two subjects, reaching a maximum 8 h after the manoeuvre. In these subjects, changes in PC20 were reproducible during a second series of visits. It is concluded that bronchial responsiveness to histamine is not generally influenced by the bronchoconstriction due to exercise combined with cold air.

Adolescent↗
PubMed1987

Shape of the dose-response curve to cold air inhalation in normal and asthmatic subjects.

Inhalation of cold air at increasing levels of minute ventilation with assessment of bronchomotor tone between each inhalation (dose-response curve) has been used as a method to assess bronchial hyperresponsiveness. However, no information is available on the shape of the obtained dose-response curve, and it is not known if a plateau of response is reached. We investigated this problem in 13 adult asthmatic subjects (PC20 methacholine results varying from 0.04 to 15.2 mg/ml), 5 normal and 2 former asthmatic individuals (PC20 greater than 8 mg/ml). Inhalation dose-response curves were drawn by asking the subjects to inhale dry cold air (-20 degrees C) for 3 min at progressively increasing degrees of ventilation (5, 10, 15, 20, etc., L/min) until maximal voluntary ventilation (MVV) or sufficient bronchoconstriction was reached. FEV1 was assessed after each degree until no further decline was seen. No functional recovery was observed before asking the subject to inhale the next dose of cold air. Maximal falls in FEV1 ranged from 20.7 to 56.5% in the current asthmatic subjects, whereas no significant (less than 10%) changes in FEV1 were obtained in the normal and former asthmatic individuals. Seven to 13 points on the individual dose-response curves were obtained for each current asthmatic subject. Curves were analyzed using the common pharmacologic logistic model. The coefficients of correlation were, in general, highly statistically significant. Curves obtained for the current asthmatic subjects represented a truncated sigmoidal pattern without a plateau. Curves were flat in the normal and former asthmatic individuals.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1987

Treatment of major affective disorder with fluvoxamine.

A placebo-controlled, double-blind study of 63 inpatients with major affective disorder was performed to compare the safety and efficacy of fluvoxamine and imipramine. Results indicate that fluvoxamine and imipramine are superior to placebo and demonstrate a trend toward superiority of fluvoxamine over imipramine. Fluvoxamine was generally well tolerated in most patients.

Adult↗
PubMed1986

Within- and between-day reproducibility of isocapnic cold air challenges in subjects with asthma.

Eight adult subjects with asthma had isocapnic cold air challenges on 4 different days. Three consecutive tests were performed on each visit with functional recovery between tests. Subjects were asked to breathe dry cold air (-20 degrees C) for progressively increasing levels of minute ventilation (7.5, 15, 30, and 60 L/min and maximal voluntary ventilation) until a 20% fall in FEV1 had been reached or when maximal voluntary ventilation was done. FEV1 was assessed between each level. The doses of respiratory heat exchange and minute ventilation causing 10%, 15%, and 20% changes in FEV1 were interpolated from dose-response curves. The within- and between-day 95% confidence intervals based on a single determination on the loge scale varied from +/- 0.32 to 0.59 for the indices derived from respiratory heat exchange. Reproducibility of the between-day results was more satisfactory than for the corresponding within-day assessments. No significant within-day tachyphylaxis was demonstrated for these indices.

Adolescent↗
PubMed1986

Three dimensional imaging in medicine. A critique by surgeons.

Three dimensional reconstruction of CT scan data is available to surgeons. The authors discuss the relative merits and disadvantages of this new method of presentation of anatomical data. Recommendations are made for future development and implementation.

Humans↗
PubMed1984

Secondary repair of cleft lip deformity.

A considerable number of procedures have been described for secondary improvements of the lip. They involve the scars, the Cupid's bow, the philtrum, the alar base, the vestibulum and the columella. In fact, these procedures may give a good aesthetic result in a static position, but the truly successful results occur with normal movements. A normal motion of the lip is impossible without a proper dissection and reorientation of the muscles. Satisfactory lip motion cannot be realized with a defective alveolus or piriform aperture that retracts the alar base. Consequently, a good lip or nasal base cannot be achieved without bony restoration of the alveolus and piriform aperture. A transversely short lip never has normal mobility, and it must be widened by an Abbé flap. A tight, retruded lip on a retruded maxilla cannot be improved by a prosthetic vestibular plate because a greater tension will restrict movements. The lip must be advanced with the maxilla, then widened if necessary by an Abbé flap. A thick prolapsed lip never has normal movement; it must be raised by an infranasal excision. A cleft lip has nothing to gain from being displayed under a short nose, or, still worse, under a upturned nose. The nose must be kept long enough to cast a shadow on the lip. For the same reason, a bone graft is often necessary in bilateral clefts because the nose is short and retruded.

Adolescent↗