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Biomedical subjects

F Morin

Publications and source records attributed to F Morin.

13 recordsLinked to original sources

The difficulties in assessment of results of anterior acromioplasty.

A retrospective study of 59 decompressive anterior acromioplasties for chronic impingement of the shoulder in 54 patients compared the results of four different shoulder rating systems. The systems used by Neer, Hawkins, and Post include pain, range of motion, function, and strength, whereas the University of California at Los Angeles (UCLA) scale evaluates the same criteria but on a system of points. After a careful clinical evaluation, satisfactory results ranged from 37% to 80%, using the postoperative evaluation criteria chosen. The criteria defined by Neer, and based on patient satisfaction, minimal pain, full use of the shoulder, less than 20 degrees of limitation of overhead extension, and at least 75% of normal strength, provided the most accurate assessments for this series and resulted in a satisfactory outcome for 60% of the patients.

Acromion

[Slip casting: design and processing].

With the "In-Ceram" system ceramic constructions are made without any metallic support. The cosmetic ceramic (Vitadur N) is reinforced by an aluminous oxide framework made with a bio-ceramic containing 85% aluminium. The nature of this bio-ceramic and its use provide the originality of this procedure. In order to make this framework, a replica in special porous plaster is made based on the working model. This replica is plunged into a "barbotine" (aluminous oxide grains in suspension in water) which is deposited on the surface. After modeling this paste with a brush, the totality is dehydrated and brought to 1, 100 degrees C for 2 h without. This still fragile calcination is infiltrated by coloured glass. This second thermal treatment is carried out, after dehydration, at 1,080 degrees for 2 to 4 h, still vacuum. The second heating allows the calcination to become coloured and fill in the porosities. The conventional feldspar ceramic is then placed onto this very resistant (more than 580 MPa flexural strength) and exceptionally well adapted framework. This procedure is remarkable regarding the marginal adaptation, the quality of the aesthetic result, its biocompatibility and its ease in positioning. Moreover, the minimal thickness of the aluminium coping is 4/10 mm on the lingual and 3/10 mm for other sides, which therefore do not require any more laboratory work than what is required for making a ceramo-metallic crown. Clinical follow-up over four years allows it to be stated that the mechanical and aesthetic qualities of the procedure permit the making of: single anterior and posterior units which can be made splinted; anterior maxillary small bridges (3 or 4 units) under normal occlusal conditions; posterior small bridges, under favourable occlusal conditions.

Aluminum Oxide

[Perianal colloid adenocarcinoma. Apropos of a case].

A 50 year old man with a 5-year history of recurrent anal fistula was treated by abdominoperineal amputation of rectum for perianal colloid adenocarcinoma. Characters of this rare affection of debatable pathogenicity are described, based on a literature review of 82 similar cases. The findings illustrate the evocative nature of an induration or better still a mucoid discharge from a recurrent anal fistula, and the need for deep and repeated biopsies to establish diagnosis. Since the course remains for a long period at the local and regional levels the treatment of choice is abdomino-perineal amputation.

Adenocarcinoma, Mucinous

Subtalar arthrodesis in children.

We present a clinical and radiological retrospective study of 30 patients (51 feet) with valgus deformity of the feet who had three different types of subtalar extraarticular and intraarticular arthrodesis. Children with cerebral palsy, myelomeningocele, and agenesis of the corpus callosum associated with progressive polyneuropathy were studied. The results were considered excellent and satisfactory in 73% of the feet. The combined Grice-Green-Batchelor procedure gave the best results, with 84% excellent and satisfactory results, with bony union in 96% of the feet. Weight-bearing films of the ankles in the anteroposterior plane are essential to determine the true extent of the deformity before operation.

Agenesis of Corpus Callosum

[Comparison of the diagnostic performance of students of the old and new medical curriculum at the Laval University].

In the Fall of 1982, the "Université Laval" School of Medicine inaugurated a new undergraduate curriculum consisting primarily in the introduction of problem-based learning to foster the development of clinical reasoning. The purpose of the study was to compare the diagnostic performance of the students of the old (n = 118) and the new (n = 120) program. The measurement instrument consisted of 12 short clinical vignettes. There is no significant difference in the performance of the students from the two programs. In spite of these results, it is advocated to wait before initiating yet another curriculum reform or reversal. Finally and for both classes of students, their performance varied significantly from hospital to hospital. A number of suggestions are made to better standardize the quality of clinical teaching across the different hospital settings.

Canada