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Accident Vasculaire Cerebral Constitue Du Sujet De Plus De 80 Ans
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Book Synopsis Accident vasculaire cérébral constitué du sujet de plus de 80 ans by : Fanny Blondiau-Hequet
Download or read book Accident vasculaire cérébral constitué du sujet de plus de 80 ans written by Fanny Blondiau-Hequet and published by . This book was released on 2006 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectifs : caractériser cette population sur le plan médical et social, déterminer les facteurs prédictifs de décès, le pronostic fonctionnel et les lieux de vie à court terme et à 6 mois. Méthodes : étude prospective sur 67 patients hospitalisés au centre hospitalier de Valenciennes. Résultats : L’âge moyen était de 85.1 ans avec une nette prépondérance féminine. Le facteur de risque le plus souvent retrouvé était l’HTA (75 %). Plus les patients étaient âgés, plus l’état clinique initial était grave et les complications fréquentes. Les patients les plus âgés bénéficiaient moins des examens complémentaires et des progrès thérapeutiques, n’avaient pas accès à la rééducation. L’étude retrouvait 16 % de décès à la phase aiguë et 33 % de décès à 6 mois. Les facteurs de risque significatifs de décès à la phase aiguë étaient la gravité clinique initiale (NIH>10) et l’existence de complications. A 6 mois, l’âge supérieur à 90 ans devenait facteur de risque de décès. 45 % des patients vivant initialement au domicile y vivaient toujours 6 mois après l’AVC. Concernant la dépendance fonctionnelle à 6 mois, le seul facteur de risque significatif était l’existence d’une démence préalable. Conclusion : Le pronostic vital et fonctionnel de ces patients n’était pas aussi défavorable que ce qui est communément admis. L’âge ne doit pas un critère limitant la prise en charge. Des outils d’aide à la décision pourraient guider cette prise en charge.
Book Synopsis Mortalité après un premier accident vasculaire cérébral chez les sujets de plus de 80 ans by : Philippe Mace
Download or read book Mortalité après un premier accident vasculaire cérébral chez les sujets de plus de 80 ans written by Philippe Mace and published by . This book was released on 2004 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'âge constitue le premier facteur risque de survenue d'accident vasculaire cérébral (AVC), avec un taux qui double quel que soit le sexe après 55 ans pour chaque décennie. Et si il est également un marqueur de moins bon pronostic fonctionnel avec un déficit résiduel plus fréquent et plus lourd, il constitue surtout un facteur de moins bon pronostic vital avec un risque de décès à 6 mois, 15 fois plus élevé à 80 ans qu'à 65 ans ou moins. L'objectif initial de cette étude était de décrire et analyser les taux de mortalité en post AVC à 7 jours, 1 mois, 3 mois et 6 mois de 2 cohortes de 36 patients chacune, âgé de 80 ans et plus, victimes d'un premier AVC constitué, et hospitalisés dans le département de Gériatrie du CHU de Bordeaux de manière consécutive. La première cohorte de 36 patients a été repertoriée, de mai 2001à mai 2002, pour une pré-étude servant à définir les bases et les objectifs d'un PHRC sur le "devenir fonctionnel des sujets âgés (>=80 ans) après un premier accident vasculaire cérébral" dont le promoteur est le CHU de Bordeaux. La deuxième cohorte est constituée des 36 premiers patients recrutés pour ce PHRC, sur le centre investigateur de Bordeaux, pour la période allant de août 2003à août 2004. Chaque population est constituée de 27 femmes et de 9 hommes, avec un handicap préexistant comparable, mais d'âge moyen significativement différent avec dans le premier cas 89,7 ans (+- 5.1) contre 84,4 ans (+-11.7) dans le deuxième. Les patients présentent également un état de vigilance plus grave avec respectivement un score de Glasgow à 11.42 (+-3.2) versus 12.83 (+-3.5). De plus le taux de mortalité à 6 mois est de 61% dans le premier échantillon contre 36% pour le deuxième. Nous nous sommes alors attachés à comparer ces deux cohortes, et nous avons remarqué que si les deux populations de départ sont significativement différentes, ce sont en revanche les mêmes patients qui décèdent et au même âge (l'âge moyen de décès n'est pas significativement différent avec dans le premier cas 90,4 ans +- 4.9 versus 87.6 ans +-4.5). Plus de la moitié des décès surviennent durant le premier mois (64% des décès pour le premier groupe contre 53% pour le deuxième) et quasiment 50% du total des décès sont dues à des complications infectieuses (46,1 % versus 53,3%). 75 % des décès des patients victimes d'un AVC ischémique est le fait des TACI dans la première cohorte contre 55% dans la deuxième. 70% des décédés ont un déficit moteur jugé majeur à la phase aiguë et la totalité ont des troubles vesico-spinctériens et ce quel que soit le groupe. De même on ne retrouve pas de différence significative entre l'Index de Barthel à J
Book Synopsis Accident vasculaire cérébral du sujet trés âgé ( > 80 ans) by : Laurent Furgier
Download or read book Accident vasculaire cérébral du sujet trés âgé ( > 80 ans) written by Laurent Furgier and published by . This book was released on 1996 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Devenir fonctionnel de sujets de plus de 80 ans après un premier accident vasculaire cérébral by : Jean François Louis Gaceus
Download or read book Devenir fonctionnel de sujets de plus de 80 ans après un premier accident vasculaire cérébral written by Jean François Louis Gaceus and published by . This book was released on 2002 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Cerebral Small Vessel Disease by : Leonardo Pantoni
Download or read book Cerebral Small Vessel Disease written by Leonardo Pantoni and published by Cambridge University Press. This book was released on 2014-05 with total page 375 pages. Available in PDF, EPUB and Kindle. Book excerpt: Up-to-date discussion of the etiology, diagnosis, treatment, and prevention of this common cause of stroke and cognitive impairment.
Book Synopsis Les antipsychotiques : Les médicaments psychotropes by : THOMAS Pierre
Download or read book Les antipsychotiques : Les médicaments psychotropes written by THOMAS Pierre and published by Lavoisier. This book was released on 2013-12-16 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le développement des antipsychotiques a marqué une nouvelle ère thérapeutique après la découverte du premier neuroleptique dans les années 1950. Leur principale indication demeure les symptômes psychotiques, même s’ils offrent également de nouvelles perspectives de traitement pour certains troubles de la personnalité ou du comportement. Cependant, l’image négative qu’ont longtemps eue les neuroleptiques n’est pas totalement effacée, et cet ouvrage a pour but d’apporter toutes les informations nécessaires aux prescripteurs pour rationaliser leur choix thérapeutique et favoriser le meilleur usage possible des antipsychotiques : - les bases fondamentales : pharmacologie, pharmacogénétique, effets métaboliques et cognitifs ; - les aspects cliniques : épisodes aigus de schizophrénie, troubles bipolaires, troubles affectifs non bipolaires, TOC et affections neurologiques, tolérance des antipsychotiques et molécules à action prolongée ; - les spécificités liées aux populations : enfants et adolescents, période périnatale, personnes âgées, situations d’urgence ; - le bon usage et l’éducation thérapeutique du patient. Réunissant une quarantaine de spécialistes reconnus, riche d’une cinquantaine de tableaux et schémas explicatifs et d’un index détaillé, cet ouvrage est la référence indispensable pour tous les praticiens devant prescrire des antipsychotiques.
Book Synopsis Uncommon Causes of Stroke by : Julien Bogousslavsky
Download or read book Uncommon Causes of Stroke written by Julien Bogousslavsky and published by Cambridge University Press. This book was released on 2001-05-24 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt: An essential resource for diagnosis and treatment of stroke patients outside the usual clinical categories.
Book Synopsis Bulletin of the World Health Organization by : World Health Organization
Download or read book Bulletin of the World Health Organization written by World Health Organization and published by . This book was released on 1986 with total page 530 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis High Altitude Physiology and Medicine by : W. Brendel
Download or read book High Altitude Physiology and Medicine written by W. Brendel and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: High altitude physiology and medicine has again become important. The excep tional achievements of mountaineers who have climbed nearly all peaks over 8,000 m without breathing equipment raise the question of maximal adaptation ca pacity of man to low oxygen pressures. More importantly, the increase in tourism in the Andes and the Himalayas brings over 10,000 people to sites at altitudes above 4,000 and 5,000 m each year. At such heights several kinds of high alti tude diseases are likely to occur, and these complications require detailed medical investigations. Medical authorities need to inform both mountaineers and tourists as to how great a physical burden can be taken in the mountain environment without risk to health. Physicians need to know what kind of prophylaxis is to be employed at high altitudes to prevent the development of diseases and what therapeutic measures should be used once high altitude diseases have occurred. Moreover, the physical condition of the indigenous population living at higher altitudes such as the Andes and the Himalayas, who are exposed continuously to the stress of high altitude, requires our attention. We have become familiar with symptoms characteristic of chronic high-altitude disease: under special conditions this popu lation has a tendency to develop pulmonary hypertension, which is associated with pulmonary edema, pulmonary congestion, and right heart failure.
Book Synopsis New Developments in Ophthalmology Nijmegen 16–18 October 1975 by : A.F. Deutman
Download or read book New Developments in Ophthalmology Nijmegen 16–18 October 1975 written by A.F. Deutman and published by Springer. This book was released on 1976-06-30 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: Symposium held at Nijmegen, The Netherlands, October 16-18, 1975
Book Synopsis Strategies to Reduce Sodium Intake in the United States by : Institute of Medicine
Download or read book Strategies to Reduce Sodium Intake in the United States written by Institute of Medicine and published by National Academies Press. This book was released on 2010-11-14 with total page 506 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reducing the intake of sodium is an important public health goal for Americans. Since the 1970s, an array of public health interventions and national dietary guidelines has sought to reduce sodium intake. However, the U.S. population still consumes more sodium than is recommended, placing individuals at risk for diseases related to elevated blood pressure. Strategies to Reduce Sodium Intake in the United States evaluates and makes recommendations about strategies that could be implemented to reduce dietary sodium intake to levels recommended by the Dietary Guidelines for Americans. The book reviews past and ongoing efforts to reduce the sodium content of the food supply and to motivate consumers to change behavior. Based on past lessons learned, the book makes recommendations for future initiatives. It is an excellent resource for federal and state public health officials, the processed food and food service industries, health care professionals, consumer advocacy groups, and academic researchers.
Book Synopsis Assessment of Aphasia by : Otfried Spreen
Download or read book Assessment of Aphasia written by Otfried Spreen and published by Oxford University Press. This book was released on 2002-11-21 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Spreen and Risser present a comprehensive, critical review of available methods for the assessment of aphasia and related disorders in adults and children. The authors explore test instruments and approaches that have been used traditionally for the diagnosis of aphasia, ranging from bedside screening and ratings, to tests of specific aspects of language, and to comprehensive and psychometrically standardized aphasia batteries. Coverage of other methods reflects newer trends, including the areas of functional communication, testing of bilingual patients, psycholinguistic approaches, and pragmatic and discourse-related aspects of language in everyday life. The authors also examine the expansion of language assessment to individuals with non-aphasic neurological disorders, such as patients with traumatic brain injury, lesions of the right hemisphere, the healthy elderly, and invidulas with dimentia. Taking a flexible and empirical approach to the assessment process in their own clinical practice, Spreen and Risser review numerous test instruments and their source for professionals and students-in-training to choose from in their own use. The introductory chapters cover the history of aphasia assessment, a basic outline of subtypes of aphasia- both neuro-anatomically and psycholinguistically-, and the basic psychometric requirements for assessment instruments. The final part discusses issues in general clinical practice, specifically questions of test selection and interpretation. The book is a thorough and practical resource for speech and language pathologists, neuropsychologists, and their students and trainees.
Book Synopsis PROMOTION DE LA SANTE ET AUTONOMISATION DANS LE CONTEXTE AFRICAIN by : David HouŽto
Download or read book PROMOTION DE LA SANTE ET AUTONOMISATION DANS LE CONTEXTE AFRICAIN written by David HouŽto and published by Lulu.com. This book was released on 2014-02-26 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le terme promotion de la santé en Afrique, près de 30 ans après l'adoption de la Charte d'Ottawa, continue d'avoir des connotations complètement hors du sens que lui confère cette charte. Cela n'est pas étonnant quand on sait que la notion de santé dans ce contexte africain équivaut à la lutte contre la maladie à travers les soins de santé dispensés par des professionnels de la santé dans des formations sanitaires et les hôpitaux. L'évolution que connait le continent depuis quelques décennies est de donner un peu plus de place à la communauté à travers les relais communautaires dans une participation communautaire vidée de son contenu, car le pouvoir n'est jamais passé entre les mains des communautés.C'est au vu de tout ceci que le présent ouvrage à sa raison d'être pour expliquer les fondements de l'autonomisation communautaire et de la promotion de la santé avec leur importance pour la région africaine en proie aux mauvais indicateurs de santé comparativement aux autres régions du monde.
Book Synopsis Ocular Vascular Occlusive Disorders by : Sohan Singh Hayreh
Download or read book Ocular Vascular Occlusive Disorders written by Sohan Singh Hayreh and published by Springer. This book was released on 2015-02-18 with total page 863 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a comprehensive account of the pathogenesis, clinical features, and management of ocular vascular occlusive disorders, with the focus very much on the scientific evidence. This offers a sound basis for addressing the many controversies that surround these disorders, which collectively constitute the most common cause of visual impairment or blindness. The book is divided into two sections, the first of which addresses the basic science and encompasses vascular anatomy, blood supply and flow, and retinal tolerance time to acute ischemia. The second, clinical, section covers the presentation, clinical features, diagnosis, and treatment of the full range of vascular occlusive disorders of the retina, the choroid, the anterior segment of the eye, ophthalmic manifestations of carotid artery disease and the optic nerve. Ocular Vascular Occlusive Disorders, written by a distinguished world leader in the field, will be invaluable for general ophthalmologists, and particularly for retina specialists, neuro-ophthalmologists, and researchers.
Book Synopsis Historical Aspects of Pediatric Surgery by : P. P. Rickham
Download or read book Historical Aspects of Pediatric Surgery written by P. P. Rickham and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: At first sight it may appear strange that a volume of Progress in Pediatric Surgery should be devoted to the history of our specialty. One assumes that progress is concerned primarily with recent developments whilst history deals with matters of the past. However, in the past there has also been considerable progress in the development of our understand ing of paediatric surgical problems, otherwise we would not have pro gressed to our present achievements. The editors, therefore, do not apologize for compiling this volume but, on the contrary, feel that the publication of this volume is most timely. Modern paediatric surgery has now been practised for three genera tions. The handful of pioneers who were the founders of our specialty worked mainly before the last world war. A few dozen of the inter mediary generation started work immediately after the war, while the new generation who are now dominating our specialty must be counted in thousands. Two factors have radically altered paediatric surgery as practised by the intermediary and the present generation of surgeons.
Book Synopsis Disorders of the Vestibular System by : Robert William Baloh
Download or read book Disorders of the Vestibular System written by Robert William Baloh and published by . This book was released on 1996 with total page 722 pages. Available in PDF, EPUB and Kindle. Book excerpt: An up-to-date, comprehensive review of disorders of the vestibular system authored by some of the most prominent experts in the field, this book covers basic vestibular mechanisms, clinical evaluation, common vestibular diseases, and treatment of vertigo. Part I reviews the anatomy and physiology of the vestibular system focusing on clinically relevant material. Part II analyzes specific details in the patient's history, examination, and laboratory evaluation pointing to the probable site of lesion and likely pathophysiology. Patient history is emphasized since it is the critical first step in understanding the patient's complaints. Part III covers the differential diagnosis and specific treatments of common neurologic disorders. A separate chapter surveys the common syndromes encountered in neurotology. Part IV discusses general principles of treatment relevant to all vestibular disorders. Designed primarily to help physicians who treat patients complaining of dizziness, this book is also a complete source of reference to practitioners in internal medicine, family practice, otolaryngology, neurology, head and neck surgery, and neurosurgery.
Book Synopsis Bipolar Disorder Vulnerability by : Jair Soares
Download or read book Bipolar Disorder Vulnerability written by Jair Soares and published by Academic Press. This book was released on 2018-06-12 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bipolar Disorder Vulnerability: Perspectives from Pediatric and High-Risk Populations synthesizes our current understanding of high-risk and pediatric populations to aid readers in identifying markers of vulnerability for the development of bipolar disorder, with an ultimate goal of the development of drug targets and other therapies for early diagnosis and treatment. The book provides readers with an understanding of biological and environmental factors influencing disease manifestation that will aid them in defining discrete clinical stages and, importantly, establish an empirical basis for the application of novel therapeutics in a phase of illness during which specific treatments could more effectively alter disease course. Whereas most of the literature available on the pathophysiological mechanisms of bipolar disorder focuses on chronically ill adult individuals, this represents the only book that specifically examines pediatric and high-risk populations. An estimated 30 to 60 percent of adult bipolar disorder patients have their disease onset during childhood, with early-onset cases representing a particularly severe and genetically loaded form of the illness.
