Q：Our readers are certainly fa- miliar with the ＂Red Cross＂ emblem, but maybe not so familiar with the Regional Delegation for East Asia of the International Committee of the Red Cross （ICRC）. Could you please in...Q：Our readers are certainly fa- miliar with the ＂Red Cross＂ emblem, but maybe not so familiar with the Regional Delegation for East Asia of the International Committee of the Red Cross （ICRC）. Could you please introduce the Regional Delegation for East Asia of the ICRC？ Besides routine activities, could you please let us know what has been done by the delegation？ Could you please say something about your Chinese partner？展开更多
Thierry Mugler1945年生于法国斯特拉斯堡.他青年时代是巴蕾舞团的一名活跃的舞蹈家。1965年他去巴黎学习服装设计,1973年在“Cafade Paris”(巴黎咖啡厅)首次举办了时装展示会。同年,在“Place de Vic-tor”(胜利广场)开办了他的第一...Thierry Mugler1945年生于法国斯特拉斯堡.他青年时代是巴蕾舞团的一名活跃的舞蹈家。1965年他去巴黎学习服装设计,1973年在“Cafade Paris”(巴黎咖啡厅)首次举办了时装展示会。同年,在“Place de Vic-tor”(胜利广场)开办了他的第一个时装店。他以一流的时装设计和军服款式的时装造型轰动了当时的巴黎服装界。从此,被世界公认为新奇派服装设计的旗手。1986年。展开更多
Objective. Assisted delivery is necessary in many obstetrical conditions but is involved in maternal and foetal complications. The legal pressure and the commendable aim consisting in less neonatal morbidity and morta...Objective. Assisted delivery is necessary in many obstetrical conditions but is involved in maternal and foetal complications. The legal pressure and the commendable aim consisting in less neonatal morbidity and mortality have called forth a reflection about the type and the way of instrumental foetal extraction. In 1950, Thierry had already felt this problem and he invented spatula to replace obstetrical forceps. Although this instrument appears empirically little deleterious, literature about its evaluation is very poor. We studied this instrument in a retrospective 190 cases series. Patients and method. Retrospective study of 190 Thierry’s spatula extractions, over a seven- year period (January 1996 to December 2002), at the Centre Hospitalier G′ eral of Montb′ en′ eliard. Results. Out of a total of 8126 deliveries for the study period, the instrumental extraction rate was 5.3% , with 40.6% spatula extractions (190 cases). No failure of Thierry’s spatula extraction was noted. Discussion et conclusion. Our study concludes that spatula is efficient but does not usually permit anterior rotation of occipito- posterior presentation. Maternal and foetal morbidity is not frequent.展开更多
To describe the frequency of maternal and neonatal complications resulting from the use of Thierry’s spatulas. Materials and methods. This retrospective study included 166 patients treated during a 17- month period. ...To describe the frequency of maternal and neonatal complications resulting from the use of Thierry’s spatulas. Materials and methods. This retrospective study included 166 patients treated during a 17- month period. Results. For 100% of the patients, the use of the spatulas allowed the extraction of the new born, in 68 cases (41% ) the new born was engaged between one and two centimeters below the spines. A mediolateral episiotomy was performed in 159 patients (96% ). A serious perineal tear (Type 3) occurred for 6 of these patients (3.6% ). A simple perineal tear (Type 1) or vaginal tear occurred in 24 (18% ). Episiotomy was performed in 18 patients and was significantly protective. No case of serious neonatal complication were related to the use of the spatulas. Conclusion. We found that perineal tear rate is similar to that observed with other instruments used for fetal extraction. No case of fetal trauma could be related to the use of the spatulas; this was the goal of Thierry who creation the instrument. The use of Thierry’s spatulas as a reference instrument is warranted, particularly for cases of prematurity, as these spatulas fulfil the modern obstetrics requirements of fetal protection, without maternal risk.展开更多
文摘Q：Our readers are certainly fa- miliar with the ＂Red Cross＂ emblem, but maybe not so familiar with the Regional Delegation for East Asia of the International Committee of the Red Cross （ICRC）. Could you please introduce the Regional Delegation for East Asia of the ICRC？ Besides routine activities, could you please let us know what has been done by the delegation？ Could you please say something about your Chinese partner？
文摘Thierry Mugler1945年生于法国斯特拉斯堡.他青年时代是巴蕾舞团的一名活跃的舞蹈家。1965年他去巴黎学习服装设计,1973年在“Cafade Paris”(巴黎咖啡厅)首次举办了时装展示会。同年,在“Place de Vic-tor”(胜利广场)开办了他的第一个时装店。他以一流的时装设计和军服款式的时装造型轰动了当时的巴黎服装界。从此,被世界公认为新奇派服装设计的旗手。1986年。
文摘Objective. Assisted delivery is necessary in many obstetrical conditions but is involved in maternal and foetal complications. The legal pressure and the commendable aim consisting in less neonatal morbidity and mortality have called forth a reflection about the type and the way of instrumental foetal extraction. In 1950, Thierry had already felt this problem and he invented spatula to replace obstetrical forceps. Although this instrument appears empirically little deleterious, literature about its evaluation is very poor. We studied this instrument in a retrospective 190 cases series. Patients and method. Retrospective study of 190 Thierry’s spatula extractions, over a seven- year period (January 1996 to December 2002), at the Centre Hospitalier G′ eral of Montb′ en′ eliard. Results. Out of a total of 8126 deliveries for the study period, the instrumental extraction rate was 5.3% , with 40.6% spatula extractions (190 cases). No failure of Thierry’s spatula extraction was noted. Discussion et conclusion. Our study concludes that spatula is efficient but does not usually permit anterior rotation of occipito- posterior presentation. Maternal and foetal morbidity is not frequent.
文摘To describe the frequency of maternal and neonatal complications resulting from the use of Thierry’s spatulas. Materials and methods. This retrospective study included 166 patients treated during a 17- month period. Results. For 100% of the patients, the use of the spatulas allowed the extraction of the new born, in 68 cases (41% ) the new born was engaged between one and two centimeters below the spines. A mediolateral episiotomy was performed in 159 patients (96% ). A serious perineal tear (Type 3) occurred for 6 of these patients (3.6% ). A simple perineal tear (Type 1) or vaginal tear occurred in 24 (18% ). Episiotomy was performed in 18 patients and was significantly protective. No case of serious neonatal complication were related to the use of the spatulas. Conclusion. We found that perineal tear rate is similar to that observed with other instruments used for fetal extraction. No case of fetal trauma could be related to the use of the spatulas; this was the goal of Thierry who creation the instrument. The use of Thierry’s spatulas as a reference instrument is warranted, particularly for cases of prematurity, as these spatulas fulfil the modern obstetrics requirements of fetal protection, without maternal risk.
