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At least 91 records · Page 5Linked to original sources
PubMed2002

One-year outcome in first episode psychosis patients in the Swedish Parachute project.

OBJECTIVE: Implementing a system designed to treat first episode psychotic (FEP) patients. METHOD: Every FEP patient (n=253) from a catchment area of 1.5 million inhabitants were asked to participate in this 5-year project. One historical (n=71) and one prospective (n=64) FEP group were used for comparisons. RESULTS: A total of 175 patients (69%) were followed up through the first year of treatment. Global Assessment of Functioning (GAF) values were significantly higher than in the historical comparison group but similar to the prospective group. Psychiatric in-patient care was lower as was prescription of neuroleptic medication. Satisfaction with care was generally high in the Parachute group. Access to a small overnight crisis home was associated with higher GAF. CONCLUSION: It is possible to successfully treat FEP patients with fewer in-patient days and less neuroleptic medication than is usually recommended, when combined with intensive psychosocial treatment and support.

Antipsychotic Agents↗
PubMed1983

Lower limb injuries in parachuting.

Parachuting injuries commonly result from inaccurately performed landing. Alteration of the vertical force absorption pattern to a rotational one is suggested as their major cause. Special attention to the flexed body position and adduction of the lower limbs while gliding and landing can prevent those injuries.

Adult↗
PubMed2004

The percutaneous assessment of regional and acute coronary hot unstable plaques by thermographic evaluation (PARACHUTE) study: a prospective reproducibility and prognostic clinical study using thermography to predict future ischemic cardiac events.

Intravascular thermography is currently being considered as a valuable tool in assessing macrophage-rich plaques. Since it is unknown what the prognostic value is of non-obstructive atherosclerotic plaques showing temperature heterogeneity, we designed the PARACHUTE study, a prospective, reproducibility, and prognostic clinical study using thermography in patients presenting with an unstable coronary syndrome. The primary endpoint of the study is the predictive value of temperature heterogeneity towards the occurrence of ischemic coronary events and hospitalization for ischemia and/or angina. The secondary endpoints are the predictive value of high-risk plaques associated with the development of future cardiac events, assessment of safety of the procedure, assessment of temperature reproducibility and heterogeneity in coronary arteries, as defined by the total thermal burden towards the occurrence of any cardiac event. Based on an event rate of death and myocardial infarction at 1 year of 10%, a sample size of 260 patients with presumed coronary artery disease, and positive troponin level who are scheduled to undergo an intervention will be included. All three main epicardiac vessels will undergo angiography and thermography at baseline after revascularization of the flow-limiting vessel. At 12 months, angiography of all vessels and thermography of the vessel with the highest thermographic burden will be performed. Independent core laboratories will assess outcomes and a clinical endpoint committee will assess clinical events.

Acute Disease↗
PubMed1984

Anomalous coronary artery simulating parachute mitral valve.

Anomalous left coronary artery, arising from the pulmonary valve, may produce a clinical and radiologic picture mimicking parachute mitral valve (PMV). The pathogenesis is related to left myocardial hypoxia and consequent fibrosis. The authors report a patient with such involvement of the myocardium and contiguous anterior papillary muscle. The result was fibrous atrophy with consequent physiologic and radiologic abnormalities that occur in PMV because of the absence of this muscle, and superficial resemblance to its characteristic morphology.

Arteries↗
PubMed1992

Physiological arousal and perception of bodily state during parachute jumping.

Heart rate and respiration rate were recorded with a portable data recording system before and during a parachute jump in 36 male sport parachutists with differing degrees of experience. The recordings were analyzed at 12 psychologically relevant points in time along with the subjective ratings of physical arousal. Novice parachutists showed a higher degree of self-rated arousal during jumps. However, the two groups displayed nearly parallel curves for heart and respiration rates, differing significantly from each other only in the level of their respective heart rates. Furthermore, experienced jumpers seem to be better informed about their state of physiological arousal during the jump than are novice jumpers. These results do not confirm the proposed anxiety inhibition process, postulated by Epstein (1967).

Adolescent↗
PubMed2006

Treatment costs and clinical outcome for first episode schizophrenia patients: a 3-year follow-up of the Swedish "Parachute Project" and two comparison groups.

OBJECTIVE: To evaluate "need-specific treatment" of first episode schizophrenia syndrome patients. METHOD: Sixty-one consecutive first episode schizophrenia syndrome patients were followed over 3 years. They were compared with a Historical "treatment as usual" group (n = 41) and a Prospective group from a high quality social and biological psychiatry centre (n = 25). RESULTS: Symptomatic and functional outcome was significantly better compared with the Historical group and equal with the Prospective group. During the first year, the direct costs for in- and out-patient care per patient in the Parachute project were less than half of those in the Prospective group. CONCLUSION: The study confirms the feasibility, clinically and economically, with a large scale application of "need-specific treatments" for first episode psychotic patients.

Adult↗
PubMed2003

Unusual limb injury associated with sport parachuting.

The case is reported of an open injury of the right arm sustained during a parachute jump. The fracture was managed in the usual way with wound debridement, wound irrigation, skeletal stabilisation, and reconstruction of the soft tissues. Good shoulder and elbow function were achieved. The combined effort of an orthopaedic trauma surgeon and plastic surgeon is essential to improve outcomes in such cases.

Athletic Injuries↗
PubMed1988

Stress fracture in parachute regiment recruits.

A survey of stress fractures occurring in recruits at the Depot of The Parachute Regiment was carried out over a one year period from July 1985 to August 1986. A total of 44 fractures in 36 soldiers were diagnosed. The incidence was thus 4.84%, much lower than that found in a recent prospective Israeli study. Only one case of progression to complete fracture was observed during the study. In contrast to the previous experience with British recruits, the commonest site of stress fracture was the tibial midshaft.

Aviation↗
PubMed1991

Analysis of extrinsic factor associated with 379 injuries occurring during 34,236 military parachute descents.

A retrospective study of 34,236 consecutive static line parachute descents by trained parachutists, in which 379 were injured, is described. Injury rates associated with extrinsic factors were compared and then analyzed using logistic regression. A table describing the association with extrinsic factors, with relative risks, is at Annex A. The overall injury rate was 1.11% (1.11 injured per 100 descents). Rates from Helicopter (0.20%) and Balloon (0.13%) were low, and the study thus concentrated on aeroplane descents (injury rate 1.46%). Extrinsic factors associated with increased injury rates were carriage of equipment; wind speed and direction; numbers exiting and (on logistic regression) night descents. The overall rates appear higher than expected, possibly due to equipment weight potentiating the other factors. A prospective study is required to investigate the effect of equipment weight after which peace time training constraints should be reviewed. (Two approaches are described.)

Aviation↗
PubMed2004

Independent factors associated with outcomes of parachute mitral valve in 84 patients.

BACKGROUND: Parachute mitral valve (PMV) is defined as a unifocal attachment of the mitral valve chordae to a single or dominant papillary muscle and may cause subvalvar obstruction. We sought to determine factors associated with outcomes. METHODS AND RESULTS: Patients (n=84; 64% male) who presented between 1977 and 2001 at a median age of 3 days (range, birth to 5.4 years) were assessed with PMV (without atrioventricular septal defect). Associated cardiac anomalies in 99% included aortic coarctation in 68%, atrial septal defect in 54%, ventricular septal defect in 46%, aortic valve stenosis in 32%, subaortic stenosis in 20%, and left ventricular hypoplasia in 19%, with complex anomalies in 14%. Noncardiac anomalies were noted in 32%. Survival (n=18 deaths) was 82% at 1 year and 79% at 10 years, with independent risk factors including left ventricular hypoplasia (P<0.001) and atrial septal defect (P<0.003). Freedom from surgical mitral valvotomy (n=11 patients) was 95% at age 6 months and 80% at 10 years, with independent risk factors including the absence of aortic coarctation (P<0.02) and the presence of subaortic stenosis (P<0.04). There was no significant increase in mean gradient of the PMV over time, but higher gradient was independently associated with the presence of supravalvar mitral stenosis (P<0.001), absence of atrial septal defect (P<0.04), presence of ventricular septal defect (P<0.02), and subsequent mitral valvotomy (P<0.01). CONCLUSIONS: Outcomes for patients with PMV are dependent on the spectrum of associated cardiac lesions. The degree of mitral valve obstruction remains stable, and the majority will not require valvotomy.

Abnormalities, Multiple↗
PubMed1976

Parachute accessory anterior mitral valve leaflet causing left ventricular outflow tract obstruction. Report of a case with emphasis on the echocardiographic findings.

A case of left ventricular outflow tract obstruction caused by a parachute accessory anterior mitral valve leaflet is presented. The abnormality was detected in an asymptomatic patient by systolic murmur and thrill and was demonstrated by echocardiography, as well as by cardiac catheterization and surgery. These findings are presented. Several previously reported cases of a similar nature are reviewed. An identical case was not found in the English literature.

Aortic Stenosis, Subvalvular↗
PubMedDate not supplied

Roentgenographic skeletal injury patterns in parachute jumping.

A total of 90,000 parachute jumps made during a 1 year period resulted in 615 (0.68%) injuries secondary to jumping. Of these 615 cases, 70 jumpers (0.08%) had 71 skeletal injuries as confirmed by roentgenographic examination. Forty-one (57.7%) of the 71 injuries involved the ankle, and 12 (16.9%) were compression fractures of the thoracolumbar spine. The remaining injuries were distributed as follows: shoulder, six (8.5%); calf, six (8.5%); pelvis, 3 (4.2%); foot, two (2.8%); and thigh, one (1.4%). The various mechanisms leading to these injuries are presented.

Adolescent↗
PubMed2001

The parachute technique: valgus impaction osteotomy for two-part fractures of the surgical neck of the humerus.

Fourteen elderly patients with a two-part fracture, in osteopenic bone, of the surgical neck of the humerus were treated with a valgus impaction osteotomy and tension band fixation--that is, the parachute technique. Thirteen patients were followed, and all were able to perform activities of daily living without difficulty and were satisfied with the result of the surgery. The average age of these thirteen patients was sixty-eight years, and the average duration of follow-up was 18.5 months. Union was achieved in all patients, at an average of 45.5 days. No patient demonstrated osteonecrosis of the humeral head. This technique of valgus impaction osteotomy with Dacron-tape tension band fixation leads to rapid union. Patient satisfaction and function were excellent.

Aged↗
PubMed1975

Telemetric control of heart adaptation during automatic and free-fall parachute jumps.

Telmetered heart rate recordings have been ovtaine from 17 parachutists (6 during automatic jumps) 9 Catecholamine (adrenaline and noradrenaline) concentrations have been measured in urine and plasma of six of these subjects. No difference appears between heart rates recorded in the two jumps at egress and at parachute deployment. On the other hand, higher heart rate values are recorded during automatic jumps during descent and at ground impace. The urine catecholamine analysis after jump shows a statistically significant increase in adrenaline and noradrenaline concentration. It is suggested that simulation of the orthosympathetic system is due to two facts; muscular work performed during jumping and the emotional stress which it involves. The importance of these two causes varies with the jump circumstances.

Adaptation, Physiological↗
PubMed1975

The parachute mitral valve complex. Case report and review of the literature.

A 10-month-old infant, the youngest patient thus far reported to have undergone successful correction of the developmental complex known as "parachute mitral valve," is presented. Severe mitral incompetence and aortic coarctation led to recurrent cardiac failure. Both anomalies were corrected in a one-stage procedure wherein the coarctation was resected under normothermia and the mitral valve replaced thereafter by a prosthesis employing deep hypothermia and total circulatory arrest. He made an uneventful recovery. Forty-two reported cases in the literature are reviewed and the pathologic and clinical features, diagnosis, natural history, and management briefly summarized.

Aortic Coarctation↗
PubMed2001

[Evisceration using the Russian doll or the parachute technique].

The authors describe two new techniques of evisceration after resection of the corneal epithelium and limbus with a conservative approach of the posterior lamella of the cornea and anterior sclera after a 360 degrees dissection of the sclera behind the insertion of the oculomotor recti muscles, and with a conservative approach of the recti oculomotor muscles. The technique is called "Parachute" when the posterior sclera is removed and "Russian Doll" when the posterior sclera is not removed and placed behind the orbital implant. The implant is then introduced with "bird cage" forceps. The indications of the technique are those of evisceration when the size of the remaining globe is at least one-third of the volume of a normal eye. The main advantage is to provide safely a large volume for the implant in order to prevent post enucleation socket syndrome.

Eye Evisceration↗