Accidents De Decompression Neurologique Dorigine Medullaire En Plongee Sous Marine

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Accidents de décompression neurologique d'origine médullaire en plongée sous-marine

Author : Morgane David
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (115 download)

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Book Synopsis Accidents de décompression neurologique d'origine médullaire en plongée sous-marine by : Morgane David

Download or read book Accidents de décompression neurologique d'origine médullaire en plongée sous-marine written by Morgane David and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : Les accidents de décompression (ADD) neurologique d'origine médullaire sont les plus fréquents des ADD en plongée sous-marine, avec un risque de séquelle de 30%. Les objectifs de ce travail ont été d'affiner la description clinique de l'ADD médullaire et les déterminants de l'évolution initiale, de confirmer la pertinence du score MEDSHUBHYP développé pour cette affection afin de proposer un guide pratique de l'ADD médullaire pour les médecins généralistes. Méthode : Il s'agit d'une étude descriptive analytique rétrospective monocentrique d'une cohorte de 183 patients, construite prospectivement à partir des patients pris en charge à l'HIA Sainte-Anne de Toulon pour un accident de plongée, entre 2010 et 2018. Après étude descriptive des antécédents, des paramètres de plongée et des présentations cliniques, la pertinence du score MEDSHUBHYP a été évaluée, puis des groupes de patients de sévérités initiales et d'évolutivités différentes ont été comparés par analyse statistique univariée. Résultats : Les patients étaient majoritairement des hommes, entre 40 et 60 ans, plongeurs expérimentés et en bon état général. Les plongées étaient assez profondes, successives dans la moitié des cas, et sans erreur de procédure. L'intérêt du score MEDSUBHYP pour l'évaluation de la sévérité clinique initiale et la prédiction de l'évolutivité précoce a été démontré. Le terrain cardiovasculaire semblait associé aux formes cliniques les plus sévères d'ADD alors qu'un antécédent d'ADD, une douleur vertébrale ou une dysfonction sphinctérienne semblaient plus fréquemment observés en cas d'évolutivité péjorative. Conclusion : Cette étude a permis d'apporter un éclairage nouveau sur la clinique de l'ADD médullaire, de préciser les déterminants de la sévérité et de l'évolutivité clinique initiale et de confirmer la pertinence clinique du score MEDSUBHYP. Elle souligne aussi l'intérêt de poursuivre les travaux sur la physiopathologie de l'ADD médullaire et sur les déterminants du pronostic à long terme.

Les Accidents neurologiques de décompression de la plongée sous-marine d'intervention

Author : Jean-Yves Bouet (médecin.)
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (464 download)

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Book Synopsis Les Accidents neurologiques de décompression de la plongée sous-marine d'intervention by : Jean-Yves Bouet (médecin.)

Download or read book Les Accidents neurologiques de décompression de la plongée sous-marine d'intervention written by Jean-Yves Bouet (médecin.) and published by . This book was released on 1981 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Influence de la présentation clinique initiale et du délai de recompression sur le pronostic des accidents de décompression neurologiques médullaires

Download Influence de la présentation clinique initiale et du délai de recompression sur le pronostic des accidents de décompression neurologiques médullaires PDF Online Free

Author : Sophie André
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (123 download)

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Book Synopsis Influence de la présentation clinique initiale et du délai de recompression sur le pronostic des accidents de décompression neurologiques médullaires by : Sophie André

Download or read book Influence de la présentation clinique initiale et du délai de recompression sur le pronostic des accidents de décompression neurologiques médullaires written by Sophie André and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectifs : l'objectif de cette étude est d'affiner la connaissance par une analyse multivariée des facteurs de risque associés à une mauvaise récupération clinique des accidents de décompression (ADD) médullaires liés à la pratique de la plongée sous-marine, en particulier l'influence des critères de présentation clinique initiaux regroupés dans le score de sévérité clinique (score MEDSUBHYP) ainsi que le délai de recompression. Matériels et méthode : 195 plongeurs (moyenne 48± 12 ans, 42 femmes) présentant des symptômes d'ADD médullaire ont été inclus dans une étude rétrospective et monocentrique. Les renseignements concernant la plongée, la latence d'apparition des symptômes, le délai de recompression et la prise en charge pré-hospitalière ont été étudiés. La sévérité clinique initiale a été estimée par le score MEDSUBHYP et le niveau des séquelles a été évalué à la sortie du centre hyperbare par le score modifié de l'association orthopédique japonaise (MJOAS). Résultats : 34.3% présentent des séquelles neurologiques à la sortie du centre hyperbare. Après analyse multivariée, seules 2 variables indépendantes sont significativement associées à une récupération neurologique incomplète : le score de MEDSUBHYP et le délai de recompression. Pour un score MEDSUBHYP ≥ 6, le risque de récupération incomplète est plus important [OR 9,5 (4,6-19,8); p

Utilisation du Nitrox dans la prévention des accidents de décompression en plongée sous -marine

Author : Teddy Llobell
Publisher :
ISBN 13 :
Total Pages : 334 pages
Book Rating : 4.:/5 (924 download)

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Book Synopsis Utilisation du Nitrox dans la prévention des accidents de décompression en plongée sous -marine by : Teddy Llobell

Download or read book Utilisation du Nitrox dans la prévention des accidents de décompression en plongée sous -marine written by Teddy Llobell and published by . This book was released on 2015 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bien que les plongées actuelles aient gagné en matière de sécurité, la survenue d'accidents n'est pas un fait rare. Parmi ces derniers, l'accident de décompression, lié à la formation de bulles d'azote au cours de la remontée, est le plus fréquent de tous et ses séquelles peuvent être gravissimes. La prise en charge rapide avec oxygénothérapie et orientation vers un caisson hyperbare restent les composantes essentielles du processus de soin. Lors de la plongée classique, à l'air, le plongeur respire environ 79 % d'azote et 21 % d'oxygène. Depuis quelques années, le Nitrox, un air enrichi en oxygène a fait son apparition au sein de la plongée loisir. De part sa plus faible teneur en azote, celui-ci limite la formation de bulles pathogènes et donc les accidents de décompression. Mais la profondeur de la plongée est limitée, sous peine de se confronter à la toxicité pulmonaire et neurologique de l'oxygène, présent en plus grande quantité. On estime aujourd'hui que les procédures de décompression ont prouvé leur efficacité. La diminution du nombre d'accidents doit alors se concentrer essentiellement sur une modification du comportement du plongeur qui trop souvent se permet certains écarts de sécurité, une bonne condition physique et une meilleure détection des sujets à risques. Dans cette optique de sécurité, le Nitrox présente un avantage indéniable quand on sait que l'accident de décompression représente près de 75 % des accidents en plongée sous-marine.

French-English Medical Dictionary

Author : Alfred Gordon
Publisher :
ISBN 13 :
Total Pages : 180 pages
Book Rating : 4.A/5 ( download)

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Book Synopsis French-English Medical Dictionary by : Alfred Gordon

Download or read book French-English Medical Dictionary written by Alfred Gordon and published by . This book was released on 1921 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Bove and Davis' Diving Medicine

Author : Alfred A. Bove
Publisher : Saunders
ISBN 13 :
Total Pages : 654 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Bove and Davis' Diving Medicine by : Alfred A. Bove

Download or read book Bove and Davis' Diving Medicine written by Alfred A. Bove and published by Saunders. This book was released on 2004 with total page 654 pages. Available in PDF, EPUB and Kindle. Book excerpt: Covers basic diving physiology; the pathophysiology of decompression sickness; maritime toxicology; assessment of fitness for diving; special considerations for female, elderly, and pediatric divers; diving-related problems in people with pre-existing medical conditions such as pulmonary, cardiac, and neurologic disease, and much more, with new chapters on the kinetics of intert gas, marine poisoning and intoxication, and diabetes and diving.

Critical Care Nursing

Author : Linda Diann Urden
Publisher : Saunders
ISBN 13 :
Total Pages : 1242 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Critical Care Nursing by : Linda Diann Urden

Download or read book Critical Care Nursing written by Linda Diann Urden and published by Saunders. This book was released on 2010 with total page 1242 pages. Available in PDF, EPUB and Kindle. Book excerpt: Focusing on critical care nursing, this full-color text provides an examination of the important aspects of critical care nursing. It is organized in ten units around alterations in body systems.

Primary Pediatric Care

Author : Robert A. Hoekelman
Publisher : Mosby Incorporated
ISBN 13 : 9780323008297
Total Pages : 1936 pages
Book Rating : 4.0/5 (82 download)

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Book Synopsis Primary Pediatric Care by : Robert A. Hoekelman

Download or read book Primary Pediatric Care written by Robert A. Hoekelman and published by Mosby Incorporated. This book was released on 2000-10-01 with total page 1936 pages. Available in PDF, EPUB and Kindle. Book excerpt: -- An outstanding offer, both the New Hoekelman book & CD! -- Important new information at your fingertips, whether at the office or home.

Clinical Chronopharmacology

Author : Alain Reinberg
Publisher : CRC Press
ISBN 13 :
Total Pages : 268 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Clinical Chronopharmacology by : Alain Reinberg

Download or read book Clinical Chronopharmacology written by Alain Reinberg and published by CRC Press. This book was released on 1990-07 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: Periodical and predictable changes in biological susceptibility and response to a large variety of chemical agents, including drugs and food, have been documented since the early 1970s. This book provides a survey of clinically-documented research in chronopharmacology.

Introduction to Clinical Examination

Author : Michael J. Ford
Publisher : Elsevier Health Sciences
ISBN 13 : 0443074178
Total Pages : 190 pages
Book Rating : 4.4/5 (43 download)

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Book Synopsis Introduction to Clinical Examination by : Michael J. Ford

Download or read book Introduction to Clinical Examination written by Michael J. Ford and published by Elsevier Health Sciences. This book was released on 2005-01-01 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most important core skills for medical students to master are history taking and clinical examination. This extensively revised, eighth edition has been written with the philosophy that the acquisition of clinical skills is most effectively undertaken at the bedside. This pocketbook should be used as a companion, to be taken onto the wards and into consulting rooms where the information is most needed. The book begins with a system of history taking followed by a new chapter on the analysis of key symptoms. The remaining chapters cover physical examination of each of the major systems. Each stage of the examination starts with a detailed, step-by-step description of the examination method complemented by relevant illustrations, diagrams and tables on the facing page. This book is intended primarily for use at the outset of clinical training; once students have achieved proficiency in the basic skills of interviewing and examining, the book should also prove useful for revision. An invaluable starter book concentrating purely on the fundamentals of performing a patient examination. Covers each body system and outlines the principles of: - taking a history - how to conduct a physical examination - specific examination points as appropriate Concentrates only on the main symptoms of disease and then the normal and abnormal physical findings. Mention of specific diseases is confined to those most commonly encountered. Compact and pocket-sized to be carried around easily. · Now in full colour double-page format · Clear simple colour line drawings covering the essentials of a clinical examination. · Published simultaneously with the Eleventh Edition of Macleod's Clinical Examination

An Introduction to Differential Manifolds

Author : Jacques Lafontaine
Publisher : Springer
ISBN 13 : 3319207350
Total Pages : 408 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis An Introduction to Differential Manifolds by : Jacques Lafontaine

Download or read book An Introduction to Differential Manifolds written by Jacques Lafontaine and published by Springer. This book was released on 2015-07-29 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is an introduction to differential manifolds. It gives solid preliminaries for more advanced topics: Riemannian manifolds, differential topology, Lie theory. It presupposes little background: the reader is only expected to master basic differential calculus, and a little point-set topology. The book covers the main topics of differential geometry: manifolds, tangent space, vector fields, differential forms, Lie groups, and a few more sophisticated topics such as de Rham cohomology, degree theory and the Gauss-Bonnet theorem for surfaces. Its ambition is to give solid foundations. In particular, the introduction of “abstract” notions such as manifolds or differential forms is motivated via questions and examples from mathematics or theoretical physics. More than 150 exercises, some of them easy and classical, some others more sophisticated, will help the beginner as well as the more expert reader. Solutions are provided for most of them. The book should be of interest to various readers: undergraduate and graduate students for a first contact to differential manifolds, mathematicians from other fields and physicists who wish to acquire some feeling about this beautiful theory. The original French text Introduction aux variétés différentielles has been a best-seller in its category in France for many years. Jacques Lafontaine was successively assistant Professor at Paris Diderot University and Professor at the University of Montpellier, where he is presently emeritus. His main research interests are Riemannian and pseudo-Riemannian geometry, including some aspects of mathematical relativity. Besides his personal research articles, he was involved in several textbooks and research monographs.

Minimum competence in scientific English

Author : Sue Blattes
Publisher : L'Editeur : EDP Sciences
ISBN 13 : 9782868835888
Total Pages : 264 pages
Book Rating : 4.8/5 (358 download)

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Book Synopsis Minimum competence in scientific English by : Sue Blattes

Download or read book Minimum competence in scientific English written by Sue Blattes and published by L'Editeur : EDP Sciences. This book was released on 2003 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cet ouvrage, devenu célèbre sous son sigle MCSE, a déjà été utilisé par plus de 50 000 étudiants, chercheurs, professionnels. L'objectif est de lire et écrire des textes en anglais scientifique avec facilité et pertinence. L'ouvrage est conçu pour que l'apprenant devienne un véritable utilisateur de l'anglais. La méthode originale repose sur l'analyse des fonctions et structures nécessaires : measurement, frequency, comparison, modification, link words, time, cause and consequence, hypothesis, modality, purpose and process, impersonal forms, compound nouns and adjectives. Dans chaque unit, des tests d'auto-évaluation permettent de se situer et de construire son parcours de formation, d'abord en définissant ses objectifs à l'aide des key points et du lexis, puis, de façon plus personnalisée, en puisant dans les examples in context, checkpoints (back to basics, word web), web search, FAQs... MCSE est l'outil de base d'une méthode qui comprend aussi d'autres outils dans la même collection (Listening Comprehension for Scientiflc English et Speaking Skills in Scientitic English). L'ouvrage est destiné à tout apprenant de niveau baccalauréat qui désire acquérir une réelle compétence dans l'écriture et la lecture de textes en anglais scientifique.

Biological Rhythm Research

Author : A. Sollberger
Publisher :
ISBN 13 :
Total Pages : 472 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Biological Rhythm Research by : A. Sollberger

Download or read book Biological Rhythm Research written by A. Sollberger and published by . This book was released on 1965 with total page 472 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Acupuncture in Practice

Author : Hugh MacPherson (Ph. D.)
Publisher :
ISBN 13 : 9780443050497
Total Pages : 482 pages
Book Rating : 4.0/5 (54 download)

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Book Synopsis Acupuncture in Practice by : Hugh MacPherson (Ph. D.)

Download or read book Acupuncture in Practice written by Hugh MacPherson (Ph. D.) and published by . This book was released on 1997 with total page 482 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by THE leading lights in the field of integrating acupuncture into a Western medical system, this book bridges the gap between the theoretical foundations of acupuncture and its application in a modern Western clinical context. Each case history focuses on the complexities and dilemmas of treatment that are tackled, providing valuable insights by experienced practitioners into the management of a course of acupuncture treatment.

Endocrine Rhythms

Author : Dorothy T. Krieger
Publisher :
ISBN 13 :
Total Pages : 352 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Endocrine Rhythms by : Dorothy T. Krieger

Download or read book Endocrine Rhythms written by Dorothy T. Krieger and published by . This book was released on 1979 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Bereaved Child Analysis, Education and Treatment

Author : Gillian S. Mace
Publisher : Springer
ISBN 13 :
Total Pages : 296 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis The Bereaved Child Analysis, Education and Treatment by : Gillian S. Mace

Download or read book The Bereaved Child Analysis, Education and Treatment written by Gillian S. Mace and published by Springer. This book was released on 1981-06-30 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Bereaved Child: Analysis, Education, and Treatment. An ab stracted bibliography is a comprehensive abstracted bibliography focusing on the reactions and coping mechanisms of children and adolescents to the death of parents, siblings, friends, teachers, pets or even presidents. Publication~ dealing with both normative and pathological stages of bereavement are reviewed. Materials covering childhood concepts/attitudes toward death are included. Citations appear which explore child death education/counseling issues for parents and educators when they involve actual or antic ipated death. Articles are reviewed which deal with the importance of the adult role in the mourning process of the child. For example, decisions such as whether a child should attend a funeral or return to school are examined. Publications are included which explore the short and l'ong term developmental consequences of childhood death experience. It is important to note that the topic of the dying child was excluded. The Bereaved Child contains over 550 citations in author alphabetized and abstracted form. Only English-written books and periodicals are represented. A quick glance will reveal that the bulk of the material is post-1960. This reflects the recency of in terest and study in the area of childhood bereavement. Literature across multiple disciplines was scanned and included. Psychology, medicine, social work, and education are heavily represented, while no theological, literary, or popular sources were examined.

Cambridge Yearbook of European Legal Studies, Vol 13, 2010-2011

Author : Catherine Barnard
Publisher : Bloomsbury Publishing
ISBN 13 : 184731869X
Total Pages : 337 pages
Book Rating : 4.8/5 (473 download)

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Book Synopsis Cambridge Yearbook of European Legal Studies, Vol 13, 2010-2011 by : Catherine Barnard

Download or read book Cambridge Yearbook of European Legal Studies, Vol 13, 2010-2011 written by Catherine Barnard and published by Bloomsbury Publishing. This book was released on 2011-12-15 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Cambridge Yearbook of European Legal Studies provides a forum for the scrutiny of significant issues in EU Law, the law of the European Convention on Human Rights, and Comparative Law with a 'European' dimension, and particularly those issues which have come to the fore during the year preceding publication. The contributions appearing in the collection are commissioned by the Centre for European Legal Studies (CELS) Cambridge, a research centre in the Law Faculty of the University of Cambridge specialising in European legal issues. The papers presented are at the cutting edge of the fields which they address, and reflect the views of recognised experts drawn from the University world, legal practice, and the institutions of both the EU and its Member States. Inclusion of the comparative dimension brings a fresh perspective to the study of European law, and highlights the effects of globalisation of the law more generally, and the resulting cross fertilisation of norms and ideas that has occurred among previously sovereign and separate legal orders. The Cambridge Yearbook of European Legal Studies is an invaluable resource for those wishing to keep pace with legal developments in the fast moving world of European integration. INDIVIDUAL CHAPTERS Please click on the link below to purchase individual chapters from Volume 13 through Ingenta Connect: www.ingentaconnect.com SUBSCRIPTION TO SERIES To place an annual online subscription or a print standing order through Hart Publishing please click on the link below. Please note that any customers who have a standing order for the printed volumes will now be entitled to free online access. www.hartjournals.co.uk/cyels/subs Editorial Advisory Board: Albertina Albors-Llorens, John Bell, Alan Dashwood, Simon Deakin, David Feldman, Richard Fentiman, Angus Johnston, John Spencer Founding Editors: Alan Dashwood and Angela Ward Ius Commune Prize 2012 Alexandre Saydé wrote Chapter 15 in this volume entitled: 'One Law, Two Competitions: An Enquiry into the Contradictions of Free Movement Law' and we are delighted to announce that he has been awarded the Ius Commune Prize 2012.