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Surgery of Cerebral Hemorrhage

Report on the Results of 52 Surgically Treated Cases

G. Lazorthes

end of the 1st week (in 13 cases) or in the course of the 2nd week (18 cases out of 52). 2) Emergency surgical treatment , sometimes useful by the end of the 1st day or in the course of the first 48 hours. This means ranking the surgical treatment of cerebral hemorrhage as urgent as that of serious visceral hemorrhages. Guillaume et al. 8 tend to take this attitude. The Operation . Simple trepanation, save in exceptional cases related to the distressed state of the patient, must be rejected. It evacuates liquid blood, but does not remove large

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William L. Kissick

manpower and a convergence of the settings in which services are delivered. Organization becomes the ranking imperative, but is hardly the full solution to the problem. Requirements and Resources The increased demand for and changes in medical services may be attributed to the following: 1) over-all increase in population, 2) increase in the over-65 population, 3) the rising proportion of non-whites in the population accompanied by their improved socioeconomic status, 4) increasing proportion of women in the population, 5) steady increase in urbanization and

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Franklin Robinson, Jacques B. Lamarche and Gilbert B. Solitare

. Meningitis caused by bacilli of the colon group. Am. J. med. Sci. , 1926, 172:740–748. 25. Petersdorf , R. G. , and Anderson , K. N. Treatment of gram-negative bacillary sepsis. Mod. Treat. , 1964 , 1 : 989 – 1002 . Petersdorf , R. G., and Anderson , K. N. Treatment of gram-negative bacillary sepsis. Mod. Treat. , 1964, 1: 989–1002. 26. Richardson , P. L. , and Ranking , J. M. Metastic bone infection with terminal meningitis due to B. coli. Br. med. J. , 1940 , 2 : 743 . Richardson , P. L

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Joseph T. McFadden

elements can form similar voltaic corrosive cells, and these may be numerous on a single piece of metal. 73, 80, 85, 96 Corrosion depends upon the ease of metal ionization. The energy of this reversible ionization process, namely, transferring metal ions into solution and transferring reverse charges back onto the metal (Me ⇄ Me+ +), can be measured as either a chemical or as an electrical potential. It is this information which makes possible the ranking of metals, according to their predictable environmental behavior, in three types of series: the Free Energy Table

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George A. Ojemann, Katharine Blick Hoyenga and Arthur A. Ward Jr.

-Whitney U Test. 21 After correcting the data for the small difference in the number of trials at each distraction delay interval for each patient, all preoperative or postoperative trials were pooled and the over-all change in the proportion of recall errors from preoperative to postoperative were determined for each patient. Within the right or left brain, the patients were then ranked on the magnitude of this change, and this ranking compared with the rank of their change in performance associated with stimulation during different parts of the short-term verbal memory

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Joseph T. McFadden

activity; they also are in agreement with the results previously obtained by Emnéus, correlating the same in vitro and in vivo tests. 5–10 Conclusions The tissue responses provoked by these implants conform to the environmental behavior patterns predictable on the basis of information in the galvanic and the free-energy rankings of metals. This report further reiterates what has been known about silver clips for a long time by a few neurosurgeons who observed the inflammatory responses to silver clips at repeated craniotomies and at necropsy. Penfield

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Francis W. Gamache Jr., Ronald E. Myers and Esteban Monell

range. Figure 1 depicts the L-CBF values for a limited number of structures among the 55 examined at the different times before, during, and after the hypotensive episodes. The ranking of structures with respect to their blood flow rates were similar for the three time periods examined. However, the magnitudes of the differences in blood flow rates from one structure to another in the sequence was greatly diminished during hypotension. Thus, during this period, many more structures exhibited similar flow rates than before or afterward. Yet, minor differences did

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Robert Levinthal, W. Jann Brown and Robert W. Rand

.J.B.) was asked to grade the proximal-to-distal myelination and connective tissue responses. He was not informed as to which technique was employed on any nerve. On a scale of 0 to 5, zero signified no myelination, while a 5+ indicated healthy undamaged nerve. The connective tissue reaction was graded in each transverse section and in the longitudinal section. In this ranking, zero was considered to be a normal, uninjured nerve whereas 5+ represented an area completely replaced by fibrous tissue, without remaining axons. Utilizing the Bielschowsky stain, a count of

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Intervertebral disc surgery

Strategies for patient selection to improve surgical outcome

Charles J. Long, Douglas A. Brown and Jerry Engelberg

690 5 4 3 3 731 3 3 4 4 543 4 4 5 5 702 † 4 4 1 2 701 3 3 4 4 668 4 3 3 4 853 4 4 3 4 033 4 4 3 3 686 † 4 3 1 1 810 † 3 3 2 2 670 † 2 3 3 4 710 3 3 3 3 * Successful surgical outcome was correctly predicted in 77% of cases. The two columns of figures indicate the rankings given by each judge. † Error in prediction. Those patients classified as surgery failures are

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Anterior surgery for cervical disc disease

Part 2: Treatment of cervical spondylotic myelopathy in 32 cases

L. Dade Lunsford, David J. Bissonette and David S. Zorub

) present additional follow-up patient data beyond simple ordinal ranking of results. Clinical Material and Methods Patient Population Between 1971 and 1977, 37 patients underwent anterior surgery for treatment of CSM produced by central bars or ridge discs. Patients with cervical myelopathy are treated surgically in an aggressive attempt to relieve symptoms and forestall further clinical deterioration. Such surgery represented 11.1% of all anterior cervical surgery performed at this hospital from 1971 to 1977. There was one operative death. Four patients died