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Biomedical subjects

D Reinharez

Publications and source records attributed to D Reinharez.

At least 19 recordsLinked to original sources
PubMedDate not supplied

[Sclerotherapy with ultrasonography in various risk zones (summary of a video film)].

The sclerosing injection of varicose veins remains a technique which is often essential in the management of a patient with superficial venous insufficiency. The sclerosing injection of high reflux sites, in particular the junctions of the great and small saphenous veins with the deep venous system, is technically difficult. Even great skill and long experience cannot necessarily protect the most hardened phlebologist from a complication which may often be catastrophic. An alternative is therefore suggested: the sclerosing injection of junction sites under ultrasonographic control. This method enables endovenous injection under visual control. It would nonetheless be wrong to think that this method finally eliminates all possible risk: clinical, phlebological and ultrasonographic training are the sole guarantees of optimum and constant results from the technique. More than 2,500 injections have be performed in this way since 1987, without any complications. Although the follow-up remains short, results suggest that the use of the method will become more widespread. It is an extremely valuable aid in the training of future phlebologists, but under no circumstances should be used by untrained practitioners.

Humans↗
PubMedDate not supplied

[Effect of noise on circulatory disorders].

The author reports a dramatic case of severe functional and trophic disorders of the lower limbs which proved to be entirely caused by noise. This case led him to study noise and its repercussions on the vascular system: physical characteristics, methods of measurement, epidemiology of this environmental nuisance, general and vascular diseases produced by the traumatic-vibration syndrome, and study of its mechanism of action. He concludes by calling for interdisciplinary action to combine fundamental research, screening and prevention of the disorders caused by noise.

Humans↗
PubMedDate not supplied

[Advice of the phlebologist concerning care of the foot, walking and the selection of shoes].

The symbolic potential of the foot explains excessive psychological crystallizations and major patients' resistances to the phlebologist's advices. The author reviews hygiene advices concerning the feet (washing, pedicure, prevention of dermatoses and locking of joints), the three phases of physiological gait (heel gait, plantar and digital gait) and after a historical review of the shoes, exposes the damages caused by heels which are too high and describes the qualities of a physiological shoe.

Female↗
PubMedDate not supplied

[Errors of the placebo test].

The difficulties inherent in clinical experimentation in phlebology, stem from the fact that they concern highly subjective functional problems, and are thus difficult to measure. The answer to these difficulties seems to be found in the use of the double blind method. This method, however, contains numerous causes of errors in phlebology, since in order to be mathematically applied to computer use, it is too sketchy and does not take into account many additional factors, incidental parameters and unfavorable coincidences related either to chronobiology (weather, seasonal changes), to hormonal problems (periods of the cycle, pregnancies, contraception, menopause), to the environment (professional posture, ground heat, periods of vacation or work), or associated diseases (neuro-vegetative and rheumatic disorders, excessive weight, metabolic disorders), etc. It seems that in such cases, wide experimentation, with a very critical clinician, who attributes the improvement obtained to the drugs prescribed only when left with no other possibility and after having eliminated all the coincidental factors, gives results closer to reality than double blind experiments, behind whose pseudo-scientific appearance lies a sketchiness that is the cause of numerous errors.

Clinical Trials as Topic↗
PubMedDate not supplied

[2 cases of recurrent deep venous thrombosis with protein C deficiency].

Because of their gravity and the complications involved, repeated deep venous thromboses require everything to be done to produce an aetiological diagnosis, for only this will make a preventive treatment possible. Amongst causes of phlebitis, haemostatic disorders and coagulation factor anomaly should be systematically looked for, as these can sometimes be corrected. Following the discovery of the Antithrombin III deficiency, the protein C deficiency shows clear progress along these lines. The author here describes two cases of the protein C deficiency in patients who have suffered repeated deep and superficial venous thrombosis, with thromboembolic family antecedents.

Adult↗
PubMedDate not supplied

[Perforating veins].

Explore the source record for details and available documents.

Arteriovenous Anastomosis↗
PubMedDate not supplied

[Varices in athletes].

Explore the source record for details and available documents.

Blood Circulation↗
PubMedDate not supplied

[Experience with sclerosis of the perforating veins].

The problem of sclerosis of the perforating veins, a subject of heated debate, seems now unanimously accepted. Indeed, their suppression is considered as important as sclerosis of the arches in preventing early and complete relapses. Their investigation can be clinical (examination of staged tourniquet), phlebographic or instrumental (thermography or Doppler). Their treatment can be either surgical (excellent in long reflux, perforating veins that are large in size and few in number) or medical (sclerotherapy). The latter present many variations with either direct injections in the perforating veins, telesclerosis above or below the perforating veins, telesclerosis on open veins after thrombectomy or extirpation with a Bassi hook. But whatever the technique used we cannot neglect the suppresion of short reflux which is a condition of the quality and duration of the results obtained.

Humans↗