Equilibrium states of two-dimensional turbulence: An experimental study.
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Biomedical subjects
Publications and source records attributed to D Marteau.
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Tobacco smoking, which is the main cause of chronic obstructive lung disease, produces two different disorders, each following an independent course: hypersecretion of mucus and impairment of ventilation. The most significant as regards prognosis is the latter. Its early detection requires fine respiratory function tests, notably flow-volume loops. At the chronic lung obstruction stage, conventional spirometry provides information on the degree of obstruction, and other additional tests can be used to investigate for possible emphysema. The potential repercussions of the disease on gas exchanges must be assessed by measuring arterial blood gases. Such measurements are usually performed on subjects awake and at rest, but they can be supplemented by exercise tests or examinations during sleep. A critical analysis of the values obtained is useful to decide whether oxygen therapy is needed and to follow up this treatment in patients with chronic respiratory failure.
The study of this series of hospitalized patients extended over a period of 8 years, and the number of cases was estimated to be 1/8 of the total lung cancer population seen in the area serviced by the hospital. Distribution according to sex was in the ratio 18.6/1 and the mean age (60 to 62.8 years) was identical whatever the sex, smoking habits, presence or a absence of exposure to asbestos, and the histological type. The epidermoid type was more frequent, both in men (77.6 p. cent) and women (39.1 p. cent). A significant relationship with smoking was observed in the epidermoid form but not with adenocarcinomas. In men who smoked there were 78.6 p. cent of epidermoids against 53.8 p. cent in women, in whom the percentage of undifferentiated types (15.3 p. cent) exceeded that of the men (5.7 p. cent). In nonsmokers, adenocarcinomas represented 70 p. cent in women against 37.5 p. cent in men. In 9 p. cent of the cancers the patient had been exposed to asbestos during their occupation, the degree of exposure being low or moderate in 78 p. cent. The cancers were more frequently proximal (73 compared with 54.2 p. cent), bilateral (8 compared with 3.4 p. cent), derived from the inferior lobe (superior to inferior lobe ratio: 1.2 to 2.75), more often undifferentiated (20 against 4.2 p. cent), and less frequently of the epidermoid type (65 compared with 80.1 p. cent). The histological type is discussed as a function of the methodology of the histological diagnosis, and of the etiological factors, particular smoking and exposure to asbestos.
A double aneurism, located in the abdominal aorta and left common iliac was found complicating a salmonella typhimurium infection which had been present for 7 months. A by-pass operation between the inaffected iliac arteries was followed by resection of the two aneurisms. Cultures taken from the walls of the aneurisms showed the presence of salmonella typhimurium. The authors stress the particular seriousness of the spontaneous evolution of such mycotic aneurisms.
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