[Step-by-step preparation in implants of pedicle grafts into the face (Individual method)].
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Very little attention has yet been paid to the place of grandparents and stepgrandparents within stepfamilies, even though this new kind of family organization highlights the complexity of kinship systems. Thanks to recent studies, grandparental functions are beginning to be better understood. Still, as we demonstrate, both the media and specialists in the field represent grandparents and stepgrandparents in stepfamilies in a reductive way. Then, using semi-directive interviews and examining the question of appellation, we discuss the specific identify of stepgrandmothers.
Asthma requires immediate and expert care. Definitive therapy can begin in the field with most patients, who will significantly improve by the time they arrive at the ED. Paramedics become expert caregivers when they provide oxygen, administer combined continuous nebulization of beta agonists and anticholinergics, and consider magnesium and epinephrine for asthmatics with severe symptoms.
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Since MAYOR and CANTRELL described in 1953 and in 1958 the ectopia cordis associated to other four anomalies, few cases have been reported, and only a small part of them have survived. We report the case of a neonate who presented with the features of the pentalogy. On the 3rd day we found at operation the heart laying over the left hepatic lobe, no pericardium could be identified and diaphragm was absent at its anterior edge. We made an "isolating sac" with duramadre fixed to the anterior thoracic wall, to both sides and to the posterior diaphragmatic defect. The initial management of the ventral defect is described. At the age of two years we initiated the definitive treatment aiming to: 1. To protect the heart. 2. To correct the huge abdominal eventration following the closure of the omphalocele. We described in details the technic employed to cover the precordial defect, to reconstruct the diaphragm, and finally as we treated in three consecutives stages the huge abdominal eventration.
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