Presse Med
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CD34 SORTING: CD34 sorting is a means of selecting hematopoietic stem cells among heterogeneous populations of cells. The technique is based on the fact that only hematopoietic stem cells (excepting a few tumoral cells) carry the CD34 antigen. Generally this type of manipulation is performed in case of stem cell grafts or for the treatment of certain malignant hematological diseases or certain solid tumors.
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THE ONLY SOLUTION: Despite significant progress in the management of patients with multiple sclerosis, lung transplantation remains the only chance for survival in those with severe respiratory failure.
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To determine the incidence and causes of agitation states in patients presenting at the Rouen University Hospital emergency room and to analyze the management scheme. ⋯ Patients in a state of agitation are young, often female, and in a difficult socio-economic situation. Hypoglycemia is the main differential diagnosis. A triggering factor can often be identified. A state of agitation is not a repetitive condition but occurs as a short-lived episode in the patientís history. Such patients need rapid care to avoid further aggravation and disruption of the emergency room activity, and to prevent the patient from fleeing. Loxapine provides effective sedation but requires regular monitoring of blood pressure and can provoke acute dyskinesia in young subjects.
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AN UBIQUITOUS VIRUS: The family of hepatitis viruses now has a new member discovered in 1997 by a Japanese team. The TTV (transmitted transfusion virus) is a small ubiquitous DNA virus probably largely distributed throughout the world. ⋯ The natural history of TTV has been studied in retrospective studies, particularly in hemophiliacs. After a post-transfusional peak, the virus appears to persist for long periods in the organism without causing liver damage nor any change in transaminase levels.
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NECESSARY CONDITIONS: Qualitative analysis of hospital performance must take into account patient satisfaction in order to identify userís needs and expectations and to determine the acceptability of the health care practices and organization. However, as patient satisfaction is a ìsubjectiveî indicator, it is important to use standardized tools with proven validity and reliability. This is the necessary condition for valid comparisons between health care facilities or within a given facility over time which give results truly expressing patient perception of the quality of health care. ⋯ IN FRANCE: It is important to develop tools meeting the needs and expectations of patients and which are adapted to the specific questions related to the French health care system. Such evaluation tools do exist for hospitalization quality in short-term adult units. Others should be developed to cover the entire field of hospital care (outpatient clinics, pediatrics, psychiatry, geriatrics ...).