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Search Results: 1 - 10 of 4993 matches for " Catherine Allard "
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Gastrointestinal Mucormycosis following a Streptococcus pyogenes Toxic Shock Syndrome in a Previously Healthy Patient: A Case Report
Jean-Fran ois Roussy,Catherine Allard,Guy St-Germain,Jacques Pépin
Case Reports in Infectious Diseases , 2012, DOI: 10.1155/2012/476719
Abstract: Mucormycosis is an uncommon opportunistic infection and the gastrointestinal form is the rarest. Rhizopus sp. is the most frequent pathogen and infection occurs almost exclusively in immunocompromised patients. We describe the first case of intestinal mucormycosis occurring after a Streptococcus pyogenes toxic shock syndrome in a previously healthy patient caused by Rhizopus microsporus var. azygosporus.
Gastrointestinal Mucormycosis following a Streptococcus pyogenes Toxic Shock Syndrome in a Previously Healthy Patient: A Case Report
Jean-Fran?ois Roussy,Catherine Allard,Guy St-Germain,Jacques Pépin
Case Reports in Infectious Diseases , 2012, DOI: 10.1155/2012/476719
Abstract: Mucormycosis is an uncommon opportunistic infection and the gastrointestinal form is the rarest. Rhizopus sp. is the most frequent pathogen and infection occurs almost exclusively in immunocompromised patients. We describe the first case of intestinal mucormycosis occurring after a Streptococcus pyogenes toxic shock syndrome in a previously healthy patient caused by Rhizopus microsporus var. azygosporus. 1. Introduction Mucormycosis is an infection caused by members of the order Mucorales. Relatively uncommon, it is one of the most rapidly fatal infections known to man [1]. The gastrointestinal form is the rarest [1, 2]. Usually, individuals who develop mucormycosis have predisposing risk factors such as diabetes mellitus, deferoxamine chelating therapy, hematological or solid organ malignancies, organ transplantation, neutropenia, and immunosuppressive or corticosteroid therapy [1]. Here, we describe the case of a previously healthy patient who developed a severe form of gastrointestinal mucormycosis a few days after having recovered from a Streptococcus pyogenes toxic shock syndrome (TSS). This is to our knowledge the first case of mucormycosis occurring after a S. pyogenes TSS. 2. Case Report A previously healthy 53-year-old woman, who had been complaining of respiratory tract symptoms and fever for 3 days, was diagnosed with a S. pyogenes necrotizing pneumonia with TSS and transferred to our institution. Upon admission, she was found to have multiorgan failure with acute respiratory distress syndrome and immediately required intubation and vasopressors. She also received IV penicillin, clindamycin, immunoglobulins, activated C-protein, and three days of corticosteroids at physiological dose. Over the following week, the shock resolved and her respiratory parameters improved. However, on day 10 her condition critically deteriorated, vasopressors were resumed and piperacillin-tazobactam was administered. On physical examination, proctorrhagia and abdominal distension were noted, and she developed leukopenia (Table 1). Abdominal CT scan revealed a pneumoperitoneum near the hypogastric region (Figure 1(a)) with parietal pneumatosis of the caecum and sigmoid, compatible with acute ischemia (Figure 1(b)). An emergency laparotomy revealed intestinal and colonic necrosis which necessitated a 100?cm resection of the terminal ileum and subtotal colectomy with terminal ileostomy (Figure 2(a)). An abundant quantity of nonpurulent but foul-smelling fluid was recovered during the surgery but without any frank fecal peritonitis (Figure 2(b)). Peritoneal fluid
Las dimensiones del juego: La ciudad como campo y escenario
Allard,Pablo;
ARQ (Santiago) , 2003, DOI: 10.4067/S0717-69962003005500002
Abstract: la mayoría de las veces espontaneidad y convención son vistas como entidades de signo opuesto, incompatibles y excluyentes una de la otra. las múltiples formas del juego, en su condición múltiple y a veces disonante, plantean una paradoja que es justamente su valor para nuestra disciplina: el acuerdo de unas reglas, el ejercicio de habilidades, la noción de intercambio, requerimientos precisos e insistentes sobre el espacio (todas condiciones de las diferentes variantes del juego) apuntan a un movimiento continuo entre la inventiva y la obediencia a una norma, entre paideia y ludus. los arquitectos enfrentamos esa misma encrucijada: las decisiones que dan forma a un proyecto y su construcción están cargadas de la ambigua y fértil relación entre reglas y libertad, en una cancha donde nunca estamos solos.
Si el río suena? ya no serán piedras lo que trae: Costanera Norte: Mitos, verdades y lecciones de una autopista urbana
Allard,Pablo;
ARQ (Santiago) , 2002, DOI: 10.4067/S0717-69962002005200018
Abstract: a project's development can be long and full of incidents along the way. allard puts in perspective the development of the polemic costanera norte project, probably the most important urban intervention in santiago after the construction of the norte-sur highway. after years of discussions, open contests and protests, the construction work has begun. finally, no matter whether we like it or not, the costanera norte is here to stay. which leads to the question: how are we to use it and how are we going to deal with this invasion of cars next to the mapocho river?
Vitacura: Testigo de la avenida del consumo a Chile
Allard,Pablo;
ARQ (Santiago) , 2006, DOI: 10.4067/S0717-69962006000100008
Abstract: santiago’s east end has been totally transformed during the last fifty years. because of a demanding real estate market, a mix of garden city developments and commercial buildings raise along vitacura ave. this expansion expresses the relentless logic of the city’s free-market.
Growth and Stability Among Complex Societies in Prehistoric Lingnan, Southeast China
Francis Allard
Papers from the Institute of Archaeology , 1997, DOI: 10.5334/pia.112
Abstract: One significant advance in the field of Chinese archaeology over past decades has been the identification of numerous prehistoric societies characterized by unequal access to status and wealth (henceforth referred to a 'complex societies') in areas peripheral to the Yellow River valley, a region traditionally regarded as the cradle of Chinese civilization. Lingnan, an area which comprises the two modern provinces of Guangdong and Guanxi in Southeast China, also witnessed the emergence of small-scale complex societies prior to its incorporation into the unified Qin and Han states during the last centuries of the pre-Christian era (Allard 1995). This paper examines the circumstances and features of five instances of complex socio-political development in Lingnan over a period from the late Neolithic to the early Iron Age (ca. 3000-200 B.C.) with each of these trajectories tested against recent models dealing with the issues of societal types, complexity, growth and stability.
Vitacura: Testigo de la avenida del consumo a Chile
Pablo Allard
ARQ , 2006,
Abstract: Durante los últimos cincuenta a os, ciertas zonas del oriente de Santiago han dado lugar a acelerados procesos de cambio. Acogiendo las demandas inmobiliarias ávidas de urbanizaciones-jardín (en sus diferentes variantes), los barrios a lo largo de la avenida Vitacura son el testimonio de cierta lógica implacable del libremercado urbano. Santiago’s East End has been totally transformed during the last fifty years. Because of a demanding real estate market, a mix of garden city developments and commercial buildings raise along Vitacura Ave. This expansion expresses the relentless logic of the city’s free-market.
Si el río suena… ya no serán piedras lo que trae: Costanera Norte: Mitos, verdades y lecciones de una autopista urbana
Pablo Allard
ARQ , 2002,
Abstract: El recorrido de un proyecto puede ser largo y accidentado. Allard pone en perspectiva la bitácora de la polémica Costanera Norte, probablemente la intervención urbana en Santiago más importante después de la construcción de la carretera Norte- Sur. Después de a os -licitaciones y protestas de por medio-, las obras comenzaron. Finalmente, nos guste o no, la Costanera Norte llegó para quedarse, y de la reflexión pasamos a la pregunta. Cómo convivir, usar y asumir esta irrupción del auto junto al río Mapocho? A project's development can be long and full of incidents along the way. Allard puts in perspective the development of the polemic Costanera Norte project, probably the most important urban intervention in Santiago after the construction of the Norte-Sur highway. After years of discussions, open contests and protests, the construction work has begun. Finally, no matter whether we like it or not, the Costanera Norte is here to stay. Which leads to the question: How are we to use it and how are we going to deal with this invasion of cars next to the Mapocho river?
Words and Music: Oral and Literary
Joe Allard
Folklore : Electronic Journal of Folklore , 2002,
Abstract: Most scholarly and critical work concerning medieval Icelandic literature over the past one hundred and fifty years has assumed that the eleventh and twelfth centuries witnessed a shift in the practice and mode of learning in Iceland from an oral tradition, what Walter Ong terms ‘primary orality’ (Ong 1982: 13), to a mainly literate and literary one. The argument goes that with the invention and development of a method of writing Old Norse/Icelandic after the advent of Christianity, Icelanders with the new technology gradually became the dominant voice in a culture that previously had been almost purely oral, runic inscription being the exception. My contention in this essay is that the oral and literary traditions at their extremes are different in kind: the oral being essentially a performance art, the literary a text specific one. Away from the extremes, however, there is a regular and fruitful interface between the oral and the literary that should always be borne in mind when considering the origins of the literature that we have today.
évaluation d’une intervention infirmière téléphonique sur la douleur, le fonctionnement et la détresse émotionnelle suite à une chirurgie d’un jour chez les femmes atteintes d’un cancer du sein
Nicole Allard
L'Infirmière Clinicienne , 2008,
Abstract: Le but de cette étude était d’évaluer l’effet d’une intervention infirmière basée sur la théorie de l’auto-régulation : l’intervention sur le focus attentionnel, l’évaluation et la gestion des sympt mes (FAEGS), afin d’aider les femmes atteintes d’un cancer du sein et ayant subi une chirurgie d’un jour, à mieux gérer leur douleur, leur niveau de fonctionnement et leur détresse émotionnelle. L’échantillon comprenait 117 patientes atteintes d’un cancer du sein et subissant une chirurgie d’un jour comme premier traitement. Toutes les participantes ont été interviewées à trois reprises (soit 2-3, 9-10 et 16-17 jours). Elles ont été réparties de fa on aléatoire dans un groupe expérimental (n = 61) ou dans un groupe contr le (n = 56) qui recevait les soins habituels. Les membres du groupe expérimental recevaient également les soins habituels en plus de l’intervention. Les résultats démontrent un effet positif statistiquement significatif au niveau de plusieurs variables : activités de la vie quotidienne, détresse émotionnelle, confusion et tension. Ces différences indiquent que l’intervention a atteint les résultats attendus au niveau du fonctionnement de l’intervention (FAEGS) en deux sessions, soit 3-4 jours et 10-11 jours après la chirurgie de la détresse émotionnelle. Cependant, aucune différence statistiquement significative n’a été démontrée au niveau de la gestion de la douleur. Les implications pour la pratique sont ensuite discutées.
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