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Biomedical subjects

J Verhulst

Publications and source records attributed to J Verhulst.

At least 19 recordsLinked to original sources

Mixed biodiversity benefits of agri-environment schemes in five European countries.

Agri-environment schemes are an increasingly important tool for the maintenance and restoration of farmland biodiversity in Europe but their ecological effects are poorly known. Scheme design is partly based on non-ecological considerations and poses important restrictions on evaluation studies. We describe a robust approach to evaluate agri-environment schemes and use it to evaluate the biodiversity effects of agri-environment schemes in five European countries. We compared species density of vascular plants, birds, bees, grasshoppers and crickets, and spiders on 202 paired fields, one with an agri-environment scheme, the other conventionally managed. In all countries, agri-environment schemes had marginal to moderately positive effects on biodiversity. However, uncommon species benefited in only two of five countries and species listed in Red Data Books rarely benefited from agri-environment schemes. Scheme objectives may need to differentiate between biodiversity of common species that can be enhanced with relatively simple modifications in farming practices and diversity or abundance of endangered species which require more elaborate conservation measures.

Agriculture↗

[The infrahyoid musculocutaneous flap: experience of 153 cases in the reconstruction of the oropharynx and oral cavity after tumoral excision].

The infrahyoid musculocutaneous flap was described by Wang in 1986. The authors utilize this type of flap since 1994 with an importance that increases in the field of head and neck reconstructive surgery. Their experience of 153 reconstructions in oropharynx and oral cavity showed 128 (84%) cases with good cicatrisation and 25 (16%) with complications. In the cases with complications, they noted 17 partials necrosis (50% of the skin area), 4 late cicatrisation and 4 total necrosis. Only the total necrosis necessitated the other new flap. These results show that the fiability and function of this flap creates an indispensable flap in reconstruction of the oropharynx and oral cavity.

Adult↗

[A retrospective study of 91 injections of botulinus toxin into the upper sphincter of the oesophagus].

OBJECTIVE: To evaluate the results of botulinus toxin in dysphagia arising in the upper sphincter of the oesophagus. MATERIALS AND METHODS: Since June 1995, 64 patients have had botulinus toxin injected into the upper sphincter of the oesophagus for major swallowing disorders. All cases were treated in the dysphagia service, and underwent clinical assessment, video-swallow screening, and swallowing therapy. The patient cohort included various pathological groups--neurological (vascular accident, head injury, cranial nerve disorders, degenerative diseases), postoperative (surgery for carcinoma of the laryngo-pharynx), and functional, whether purely idiopathic or attributable. RESULTS AND CONCLUSIONS: Global analysis of the results shows that botulinus toxin has good efficacy in relaxing the upper sphincter of the oesophagus; this does not always lead to recovery of normal swallowing, but can bring about improvement by assisting in the therapeutic management of the swallowing problem, and in improving the dietary intake.

Aged↗

Moon phase at the dates of birth and decease of anthroposophic pioneers.

Early adherents of Rudolf Steiner, the founder of the anthroposophical movement, tend to be born and to die during the dark half of the lunar month. There is significant correlation (P = 0.03) between the distributions of the lunar elongation at birth and at decease. However, this correlation does not operate at the level of individuals, suggesting that the effects of birth date and death date are statistically independent.

Astrology↗

World cup soccer players tend to be born with sun and moon in adjacent zodiacal signs.

The ecliptic elongation of the moon with respect to the sun does not show uniform distribution on the birth dates of the 704 soccer players selected for the 1998 World Cup. However, a uniform distribution is expected on astronomical grounds. The World Cup players show a very pronounced tendency (p = 0.00001) to be born on days when the sun and moon are in adjacent zodiacal signs.

Astrology↗

Postintubation interarytenoid adhesion.

Interarytenoid fibrous adhesion is a poorly recognized complication of intubation and is frequently confused with bilateral vocal cord paralysis. Early diagnosis and treatment is essential for optimal management. Otolaryngologists should constantly remain alert for interarytenoid fibrous scar to establish the diagnosis as early as possible, optimizing the probability of restoring normal breathing and quality of life and avoiding an unnecessary tracheotomy. Surgical laser reduction is appropriate in all cases when other miscellaneous laryngeal injury lesions are eliminated. Direct laryngoscopy with careful examination of the posterior commissure and laryngeal electromyography are the 2 main clinical diagnostic aids contributing to establish the diagnosis.

Adult↗

Bolkian and Bokian retardation in Homo sapiens.

Although a low genetic barrier is said to separate humans from apes, Homo sapiens is characterized by striking developmental and anatomical particularities. On the one hand, humans have a very extended life history (retardation). On the other hand, human anatomy shows many instances of both neoteny and hypermorphosis. In 1918, Bolk proposed his 'retardation theory' that links both aspects of the human condition. We show in this paper that his theory becomes surprisingly powerful when Bolk's retardation principle is applied to generalized developmental gradients (such as the cephalocaudal gradient that dominates overall ontogeny). In this way, the main particularities of the human body (extended life history; long limbs, and very long legs; very low brachial and crural indices; highly developed pollex and hallux; reduced prognathism; advanced telencephalization etc.) can be reduced to a single developmental matrix. In 1926, Bok noted that, in a series of equivalent organs (such as the finger row), the ontogenetic latecomer tends to be more neotenic than a corresponding forerunner. We show that Bok's observation is a logical corollary of Bolk's retardation theory and that it is important for understanding some pecularities of human anatomy such as the pronounced differentiation between hands and feet.

Animals↗

[Idiopathic recurrent paralysis. Retrospective analysis of 67 cases].

Sometimes incorrectly termed paralyses, idiopathic abnormalities of laryngeal movement pose many problems about their physiopathological mechanism and treatment. In an analysis of 67 cases, the outcome as far as the voice was concerned was favourable in 51 cases, but a return to normal mobility occurred in only 26 cases. An important factor is the delay before treatment is instituted. In addition to repeated investigation of the areas of ENT, neurology, chest and speech therapy, laryngeal electromyography can yield useful information, and should always be undertaken before surgery is advised. As long as the clinical conditions remains unimproved, the question of its idiopathic nature must be constantly reviewed. A multicentre standardised investigation into this condition would seem desirable to shed further light on its pathology and outcome.

Adolescent↗

Atavisms in homo sapiens: a Bolkian heterodoxy revisited.

An atavism is the "..reappearance of a lost character (morphology or behaviour) typical of remote ancestors and not seen in the parents or recent ancestors of the organisms displaying the atavistic character" (Hall, 1984). In humans, hypertrichosis (extensive body hair), the presence of a tail and supernumerary nipples are often quoted as examples (Hall, 1995). However, Louis Bolk (1866-1930) explained these phenomena in another way. He considered human morphology as an unspecialized expression of the mammalian developmental pattern. The latter also encompasses potentialities for unilateral or propulsive development pathways (specializations) that usually remain latent in humans, but can become expressed in other species. According to Bolk, the appearance of so-called atavisms in human results from the occasional expression of these latencies in Homo sapiens; they do not recapitulate ancestral conditions.

Adult↗

[Chondroma and chondrosarcoma of the larynx: apropos of 4 cases].

Chondroma and laryngeal chondrosarcomas, tumours of variable malignancy, are rare but a source of concern given their location and the surgery involved. Their anatomical limits and classification are still difficult, to the extent that the diagnosis of chondroma is often questioned. Of the four cases reported, two presented a high degree of malignancy, including one with metastasis. Two required a total laryngectomy, and two a partial laryngectomy with a costal cartilage graft in one case.

Aged↗

Medical and narrative approaches in psychiatry.

Using a case example, the authors contrast two different approaches to psychiatric assessment: the medical approach, in which the physician examines signs and symptoms and compares them with diagnostic criteria for various disorders, and the narrative approach, in which the clinician tries to understand symptoms as a part of a meaningful story and as understandable responses to external conditions. Both approaches make essential contributions to psychiatry. The current conflict between biological psychiatry and psychotherapeutic psychiatry can be seen as a result of reductionist polarization involving these opposite approaches. The reconciliation of these opposites may be vital for the survival of general psychiatry as a medical specialty.

Adult↗

[Parapharyngeal tumors: apropos of 14 cases].

The author reports on fourteen parapharyngeal tumours, of which 7 are of parotidean salivary origin. The other etiologies, in particular 1 chemodectoma and 1 aneurysm of the internal carotid artery, justify a systematic arteriography with a CT scan. In surgery, 9 operations were performed via the purely cervical approach, and 5 via a combined cervical and transvelar approach. The endobuccal vault is limited and dangerous.

Adenoma, Pleomorphic↗