PubMed Health⌕ Search

Biomedical subjects

M Cupa

Publications and source records attributed to M Cupa.

At least 73 records · Page 4Linked to original sources
PubMed1982

An automaton computer program for a microcomputerized real-time (thesaurus based) abstract medical record.

A study of the key wordings used by the doctors in medical records in ICU preceded this implementation; they constitute a thesaurus (2700 strings) organized in 2 trees. These strings are proposed along the dialogue which occurs between the microcomputer and the user; on these bases, several graphs allows movement in the tree by minimization of the pathway. The use of the thesaurus with the corresponding graphs necessitates only one automaton program. This medical data microcomputerized system is transparent for the user, thanks to a multilayered software. In the external layer the microcomputer provides access to the system by one of the following function keys: creation of a medical record, additional information on a medical record already known, research of a medical record, listing of the open medical records, printing of a medical record. Each one of these function keys provides access to the following 5 chapters: identity, antecedents, reasons for admission, evolution, destiny; these chapters use parameterized procedures. This software is implemented on a low-cost microcomputer fitted with a dual drive disk (170 kilobytes each) and a printer (90 characters/s).

Computers↗
PubMed1982

[Case summaries in real-time. Accomplishments with a microcomputer].

A study of the key wordings used by the doctors in medical records in I.C.U. preceded this implementation, they constitute a thesaurus (2,700 strings) organized in two trees. These strings are proposed along the dialogue which occurs between the microcomputer and the user; on these bases, several graphs allow to move in the tree by minimization of the pathway. The use of the thesaurus with the corresponding graphs necessitates only one automaton program. This medical data microcomputerized system is transparent for the user, thanks to a multilayers software. In the external layer the microcomputer provides access to the system by one of the following function keys: creation of a medical record, additional information on a medical record already known, research of a medical record, listing of the open medical records, printing of a medical record. Each one of these function keys provides access to the following five rubrics keys: identity, antecedents, reasons for admission, evolution, destiny; these rubric keys use parameterized procedures. This software is implemented on a low-cost microcomputer fitted with a dual drive disk (170 k. bytes each) and a printer (90 char/s).

Computers↗
PubMed1981

[A technique for sampling uncontaminated peripheral bronchial secretions in patients wih intubation or tracheostomy (author's transl)].

Sixty patients were studied during non cardiac thoracic surgery. In 21,6 p. cent a culture of organism was isolated and for 53.8 p. cent of them developed a pneumonic process during postoperative period. The organism'role was confirmed by clinical correlation and an abnormal chent radiograph. The same organism was isolated in blood culture sputum or empyema. On the other side the patients with sterile cultures had always a favorable course. The results confirmed the interest of the method which would permit a prophylactic antibiotherapy.

Aged↗
PubMed1981

[Early acute pulmonary oedema happening during peritoneovenous by pass (author's transl)].

The authors report the cases of two cirrhotic patients without cardiac failure who underwent peritoneo-venous bypass (Leveen valve). On the two cases an acute pulmonary oedema (APE) serious but not fatal was noted at the 36e hour. This one was associated with a rise of cardiac output and a moderate rise of the pulmonary wedge pressure (15-18 mm Hg). The administration of thiamine did not correct these perturbations but small doses of furosemide corrected the APE. Despite the low frequency of the cases of APE after Leveen bypass and their mechanism not definitevely known, the authors recommend in pre-, per- and post-operative period the monitoring of cardiac function with a right catheterism.

Acute Disease↗
PubMed1981

[The patient with chronic insufficiency. Right catheterism for acute distress (author's transl)].

A right cardiac catheterism with a calculation of cardiac output by thermodilution method has been achieved on 40 chronic respiratory failure patients with acute outbreak. The results have been analysed according to the type of chronic pulmonary disease, obstructive (n = 24) or restrictive (n = 16), the number of out asphyxic outbreaks and the necessity of mechanical ventilation (VA). The mean pulmonary arterial pressure (PAP) is high (6.38 +/- 1.58 KPa) systolodiastolo gradient increases with the number of outbreaks (p less than 0.001). The cardiac index is low (2.32 +/- 0.57 1.mn(-1).m2(-1)) and the pulmonary capillary pressure (PCP) is high, specially during the obstructive syndromes. A high level of PAP during mechanical ventilation seems to be of poor prognosis. The authors compare these results to the literature.

Acute Disease↗
PubMed1981

[Acute pneumonia without pyosis among adults. Outcome of seventy-transtracheal aspirations (author's transl)].

Seventy transtracheal aspirates (T.T.A.) have been achieved with patients having an acute pneumonia; 42 had a chronic respiratory failure; 25 had received a previous antibiotherapy; 49 presented negatives delayed hypersensitivity skin reactions. No major accident was noticed and the T.T.A. were positive in 87 p. cent of the cases. The results show the predominance of the Cocci Gram + especially pneumococcus. These cases are associated with Hemophilus influenzae in 19 p. cent of the cases. Negative skin tests show the frequency of this association. Infections with Bacilles Gram -- are found as well in this circumstance. The previous antibiotherapy alters microflora and leads to a B.G. -- as well predominance. At last, the evolution is not influenced by the discovery of an organism in the T.T.A. The authors compare the results with those found in previous work and conclude in the interest of that method which enable a quick identification of the organism and the starting of a well adapted antibiotherapy.

Acute Disease↗
PubMed1981

[Ketamine administered as an IV infusion. Use in infants weighing less and more than 10 kg (author's transl)].

The hemodynamic respiratory results and analgesic quality of ketamine administered as an IV infusion are studied. For the infants weighing less than 10 kg. The increases in arterial pressure and heart rate are not readily acceptable all the less as the ketamine requirement for good analgesia is very important. For the infant weighing more than 10 kg, the procedure of this technique is approximatively the same for the adult. The explanation of these problems is perhaps connected to the larger extra-cellular fluid volumes of young children and to their brain immaturity.

Anesthesia, Intravenous↗
PubMed1981

[Actuality of ambulatory anaesthesia in oto-rhino-laryngologic surgery (author's transl)].

The ambulatory intervention in ORL surgery presents a certain amount of constraint : anaesthetic, surgical, medicolegal and socio-economic. In spite of the lack of medicolegal definition for ambulatory anaesthesia, these anaesthetic intervention may take place in conditions approaching the other anaesthetic intervention provided that some rules are respected. The authors propose a practical treaty for the ambulatory intervention ORL surgery and as an illustration to this presentation propose a sample of a hundred ambulatory interventions.

Ambulatory Surgical Procedures↗