Le management éthique ?

Management of Le Fort I fracture

Among the classification of maxillary fracture, the Le Fort classification is the best-known categorization. Le Fort (1901) completed experiments that determined the maxilla areas of structural weakness which he designated as the "lines of weakness". According to these results, there are three basic fracture line patterns (transverse, pyramidal and craniofacial disjunction). A transverse fractu...

Ricoeur's "Petite éthique": an ethical epistemological perspective for clinician-bioethicists.

The passage from a posture of clinician to that of clinician-bioethicist poses significant challenges for health professionals, most notably with regards to theoretical or epistemological views of complex ethical impasses encountered in clinical settings. Apprehending these situations from the only clinical perspective of the nurse or the doctor, for example, can be very unproductive to help so...

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Airway management in a patient with Le Fort III Fracture

Maxillofacial fractures present unique airway problem to the anesthesiologist. Patients with LeFort III fractures are at great risk of requiring emergent airway control due to midface instability and oropharyngeal airway obstruction. We present a case where difficult intubation was managed with close cooperation between the anesthesiologist and the surgeon.

A new technique of cache management for distributed le systems

A signi cant property of distributed le systems is scalability which enables the le server to serve les to a large number of clients. Since today's typical networks provide wide bandwidth, the performance of the le server is a major bottleneck of the system. Although using a client-side cache is an e ective technique for improving the server performance, it also causes a problem of consistency ...