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Sur Le Chateau ambulant .
Matthieu Giroud,Olivier Milhaud
EspacesTemps.net , 2005,
Abstract: Le Chateau ambulant. Photographie, face à la Banque de France, rue Augier, Grenoble, hiver 2005. Autant de précisions invitent à croire à l’immobilité. à tort, assurément. Le vaste hublot derrière lequel se trouve l’affiche du Chateau ambulant reflète le mouvement de la ville. Une voiture passe au premier plan, un homme marche à l’arrière-plan. D’ailleurs, regardons bien, il tient un calepin d’une main, et téléphone de l’autre. Il est simultanément entre deux ...
Effect of a clown’s presence at botulinum toxin injections in children: a randomized, prospective study  [cached]
Hansen LK,Kibaek M,Martinussen T,Kragh L
Journal of Pain Research , 2011,
Abstract: Lars Kjaersgaard Hansen1, Maria Kibaek1, Torben Martinussen2, Lene Kragh3, Mogens Hejl11Department of Paediatrics, Hans Christian Andersen Children's Hospital, Odense University Hospital, Odense; 2Roskilde Hospital, Roskilde; 3Department of Statistics, University of Southern Denmark, Odense, DenmarkBackground: The effect of the presence of a hospital clown during pediatric procedures has rarely been evaluated. In a pediatric ward, botulinum toxin injection is a painful procedure and a stressful experience for the child. We undertook a study of the effect of the presence of a hospital clown on children treated with botulinum toxin in an outpatient setting.Methods: In total, 60 children, the majority of whom had spastic cerebral palsy, were subjected to a total of 121 botulinum toxin treatment sessions. Thirty-two children were being treated for the first time. During a 2-year period, we enrolled 121 treatment sessions prospectively, and the children were randomized to either the presence of a female clown during treatment or to no presence of a clown. The duration of the child's crying during the procedure was used as an indicator of the effect of the presence of a clown.Results: The effect of the clown was significantly related to patient gender. Girls were found to have a significantly shorter period of crying when the clown was present. For children younger than 8 years, the effect on boys was negative. Children treated for the first time did not appear to benefit from the presence of the clown, and showed no difference in effect between genders.Conclusion: No effect of the clown was documented for children being treated for the first time. At repeat treatments, we saw a positive effect of the female clown in relation to girls, and a negative effect on boys younger than 8 years of age.Keywords: clown, injections, pain, botulinum toxin
Effect of a clown’s presence at botulinum toxin injections in children: a randomized, prospective study
Hansen LK, Kibaek M, Martinussen T, Kragh L, Hejl M
Journal of Pain Research , 2011, DOI: http://dx.doi.org/10.2147/JPR.S23199
Abstract: t of a clown’s presence at botulinum toxin injections in children: a randomized, prospective study Original Research (3523) Total Article Views Authors: Hansen LK, Kibaek M, Martinussen T, Kragh L, Hejl M Published Date September 2011 Volume 2011:4 Pages 297 - 300 DOI: http://dx.doi.org/10.2147/JPR.S23199 Lars Kjaersgaard Hansen1, Maria Kibaek1, Torben Martinussen2, Lene Kragh3, Mogens Hejl1 1Department of Paediatrics, Hans Christian Andersen Children's Hospital, Odense University Hospital, Odense; 2Roskilde Hospital, Roskilde; 3Department of Statistics, University of Southern Denmark, Odense, Denmark Background: The effect of the presence of a hospital clown during pediatric procedures has rarely been evaluated. In a pediatric ward, botulinum toxin injection is a painful procedure and a stressful experience for the child. We undertook a study of the effect of the presence of a hospital clown on children treated with botulinum toxin in an outpatient setting. Methods: In total, 60 children, the majority of whom had spastic cerebral palsy, were subjected to a total of 121 botulinum toxin treatment sessions. Thirty-two children were being treated for the first time. During a 2-year period, we enrolled 121 treatment sessions prospectively, and the children were randomized to either the presence of a female clown during treatment or to no presence of a clown. The duration of the child's crying during the procedure was used as an indicator of the effect of the presence of a clown. Results: The effect of the clown was significantly related to patient gender. Girls were found to have a significantly shorter period of crying when the clown was present. For children younger than 8 years, the effect on boys was negative. Children treated for the first time did not appear to benefit from the presence of the clown, and showed no difference in effect between genders. Conclusion: No effect of the clown was documented for children being treated for the first time. At repeat treatments, we saw a positive effect of the female clown in relation to girls, and a negative effect on boys younger than 8 years of age.
Botulinum toxin injections for blepharospasm prior to ocular surgeries
Okumus S, Coskun E, Erbagci , Tatar MG, Comez A, Kaydu E, Yayuspayi R, Gurler B
Clinical Ophthalmology , 2012, DOI: http://dx.doi.org/10.2147/OPTH.S30277
Abstract: otulinum toxin injections for blepharospasm prior to ocular surgeries Original Research (2387) Total Article Views Authors: Okumus S, Coskun E, Erbagci , Tatar MG, Comez A, Kaydu E, Yayuspayi R, Gurler B Published Date May 2012 Volume 2012:6 Pages 579 - 583 DOI: http://dx.doi.org/10.2147/OPTH.S30277 Received: 27 January 2012 Accepted: 12 March 2012 Published: 03 May 2012 Seydi Okumus1, Erol Coskun1, brahim Erbagci1, M Gürkan Tatar2, Aysegul Comez1, Erdal Kaydu1, Ramazan Yayuspayi1, Bulent Gurler1 1Department of Ophthalmology, University of Gaziantep, 2Ophthalmology Clinic, Nizip State Hospital, Nizip, Gaziantep, Turkey Purpose: The aim of this study was to show the efficiency of preoperative botulinum toxin A (Botox A) in patients with benign essential blepharospasm who were to undergo ocular surgery with local anesthesia. Materials and methods: Twenty-eight benign essential blepharospasm patients who were administered unilateral Botox A prior to ocular surgery between January 2004 and May 2011 were included in this study. Eleven cases had pterygiums, ten had cataracts, and four had glaucomas, while the remaining three had aphakia. All cases’ severity of spasm (stage 0–4) and eyelid closing forces (stage 1–4) were evaluated according to the Jankovic scale prior to the injection, at 3 days, 14 days, 1 month, and 3 months after Botox A injection. Results: Of the patients enrolled in the study, 16 were female and 12 were male, with an average age of 55.52 ± 1.53 years (52–65). Average onset of the Botox injection's effect was 2.8 ± 0.9 (2–5) days. Its effect lingered for about 11.5 ± 3.6 (8–22) weeks. The severity of spasm and eyelid closing forces of all the patients enrolled were compared prior to the injection at 3 and 14 days and the first and third months after the injection. There were statistically significant differences between prior to the injection and 3 days (P = 0.001), 14 days (P < 0.001) and 1 month after the injection (P <0.001). There was no statistically significant difference between prior to the injection and 3 months after the injection (P = 0.513). Fourteen days following the injection, the surgeries were successfully performed. Conclusion: Botox A administered prior to ocular surgery will control both blepharospasm and lower the risks that can be encountered before and during surgery, thus increasing the comfort of the patient and the surgeon.
Facial nerve palsy: Providing eye comfort and cosmesis  [cached]
Alsuhaibani Adel
Middle East African Journal of Ophthalmology , 2010,
Abstract: Development of facial nerve palsy (FNP) may lead to dramatic change in the patient′s facial function, expression, and emotions. The ophthalmologist may play an important role in the initial evaluation, and the long-term management of patients with new-onset of FNP. In patients with expected temporary facial weakness, no efforts should be wasted to ensure proper corneal protection. Patients with permanent functional deficit may require combination of surgical procedures tailored to the patient′s clinical findings that may require good eye comfort and cosmesis.
Clinical and Laryngotracheoscopic Evaluation of Children with Cerebral Palsy Using Intraparotid Injections of Botulinum Toxin Type A for Drooling Control  [PDF]
Juliana Benthien Cavichiolo, Sérgio Bernardo Tenório, Elise Zimmermann, Fabiano Bleggi Gavazzoni, Rodrigo Guimar?es Pereira, Elmar Fugmann
Surgical Science (SS) , 2018, DOI: 10.4236/ss.2018.91005
Abstract: Introduction: Medical literature shows consistent data on the use of botulinum toxin for the treatment of drooling, especially in patients with neurological disorder. However, any trial evaluated the reduction of sialorrhea through laryngotracheoscopy. Objective: To evaluate the reduction of salivation and aspiration in children with cerebral palsy submitted to intraparotid injection of botulinum toxin. Methods: A prospective cohort study including 31 pediatric patients with cerebral palsy who complained of sialorrhea and were submitted to an intraparotid injection of botulinum toxin type A. It was analysed the reduction of the number of bibs and the amount of saliva in the larynx and trachea through a laryngotracheoscopic examination. Results: There was a reduction in the number of bibs from 7.35 to 4 after application of BoNT/A, with p-value < 0.001. The age of the patients did not influence on the number of bibs. 71% of the patients reduced the amount of saliva in laryngotracheoscopic examination. The number of normal exams increased from 3.2% to 38.7% and aspiration fell from 38.7% to 12.9%. Conclusion: Application of botulinum toxin type A is a good method for temporary control of salivation in children with neurological disorders.
Parálisis bilateral IV par y toxina botulínica
Merino,P; Gómez de Lia?o,P; García,C; Bartolomé,G; Rodríguez,C; de Juan,L;
Archivos de la Sociedad Espa?ola de Oftalmología , 2004, DOI: 10.4321/S0365-66912004000300005
Abstract: purpose: purpose: to study the effectiveness of botulinum toxin in the treatment of bilateral acquired oblique superior palsy. material and method: five patients with bilateral asymmetrical acquired superior oblique palsy were treated with periodical injections of botulinum toxin in the inferior oblique and rectus muscles (2.5-5 u). the average age of the sample was 37.4 years. a trauma etiology was present in four cases. treatment was applied at two months after the beginning of the illness in two cases, at four months in another two cases, and at one year in the other patient. results: a good result was achieved in three of the cases with botulinum toxin. two patients required surgery. all of the patients were injected in the inferior obliques, and two cases were also injected in the inferior rectus. the number of injections ranged between four and six applications. it was considered to be a good result when diplopia was corrected in reading and primary position, and torticollis disappeared. diplopia was not corrected in extreme lateral gazes and supraversion in two cases. conclusions: periodical botulinum toxin injections represent an alternative management to surgery in the treatment of bilateral acquired oblique palsy. in some cases botulinum toxin injections can prevent or decrease the number of surgical interventions.
On the Standardization of Lethal Injections in China  [cached]
Bing Zou
Asian Social Science , 2012, DOI: 10.5539/ass.v8n6p82
Abstract: Lethal injections have been increasingly employed in China nowadays. Due to the lack of specific institutions in China’s legislation, there is no universal and definite standard for the options and execution procedure of lethal injections, causing lots of problems. Therefore, an option for lethal injections should be established and relevant execution procedure should be further improved as well.
Botulinum Toxin Injections for Simple Partial Motor Seizures Associated with Pain
Edward C. Mader Jr.,Bruce J. Fisch,Nicole R. Villemarette-Pittman,Piotr W. Olejniczak,Michael E. Carey
Case Reports in Medicine , 2012, DOI: 10.1155/2012/295251
Abstract: Intractable epilepsy with painful partial motor seizures is a relatively rare and difficult disorder to treat. We evaluated the usefulness of botulinum toxin to reduce ictal pain. Two patients received two or four botulinum toxin (BTX) injections at one-to-two-month intervals. Patient 1 had painful seizures of the right arm and hand. Patient 2 had painful seizures involving the left foot and leg. Injections were discontinued after improved seizure control following resective surgery. Both patients received significant pain relief from the injections with analgesia lasting at least two months. Seizure severity was reduced, but seizure frequency and duration were unaffected. For these patients, BTX was effective in temporarily relieving pain associated with muscle contraction in simple partial motor seizures. Our findings do not support the hypothesis that modulation of motor end-organ feedback affects focal seizure generation. BTX is a safe and reversible treatment that should be considered as part of adjunctive therapy after failure to achieve control of painful partial motor seizures.
Adapting to heterogeneous comfort levels  [PDF]
Luca De Sanctis,Tobias Galla
Physics , 2006, DOI: 10.1088/1742-5468/2006/12/P12004
Abstract: We study the learning dynamics of agents who adapt to heterogeneous comfort levels in the context of an El-Farol type game, and show that even an infinitesimal degree of heterogeneity in the resource levels leads to a significant reduction of the fluctuations of the collective action, and removes the phase transition observed in models with homogeneous comfort level. Our analysis is based on dynamical methods of disordered systems theory, in particular on a generating functional approach, and confirmed by numerical experiments. We also report on simulations of a system in which the comfort levels fluctuate in time, and point out crucial differences between models in which the comfort levels of the agents fluctuate collectively and individually respectively. Finally we comment on a possible characterisation of El-Farol and Minority Games according to the presence or absence of ergodicity-breaking phase transitions at infinite integrated response.
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