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Comparaison Des Facteurs Pronostiques De Linsuffisance Cardiaque Systolique
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Book Synopsis Comparaison des facteurs pronostiques de l'insuffisance cardiaque systolique by : Eléonore Hebbar
Download or read book Comparaison des facteurs pronostiques de l'insuffisance cardiaque systolique written by Eléonore Hebbar and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : La stratification pronostique des patients est un enjeu majeur de la prise en charge de l'insuffisance cardiaque systolique. Actuellement, aucune étude n'a comparé l'impact des facteurs pronostiques selon l'étiologie de la cardiopathie. Notre objectif était d'étudier les facteurs pronostiques de l'insuffisance cardiaque systolique chez des patients porteurs d'une dysfonction ventriculaire gauche chronique stable, et de comparer leur impact selon l'étiologie ischémique ou non ischémique de leur cardiopathie. Méthode : Ont été inclus l'ensemble des patients porteurs d'une insuffisance cardiaque avec une altération de la FEVG et/ou une dilatation du ventricule gauche, qui ont bénéficié d'un bilan pronostique entre janvier 1991 et décembre 2012 au CHRU de Lille. Chaque patient a été évalué sur le plan clinique, biologique, morphologique et a bénéficié d'une épreuve d'effort métabolique. Le critère de jugement principal était la survie sans transplantation cardiaque ou assistance ventriculaire gauche. Résultats : Sur les 2245 patients ayant bénéficié d'un bilan pronostique entre le 1 er janvier 1991 et le 31 décembre 2012, 1008 (45%) présentaient une insuffisance cardiaque d'étiologie ischémique, 1213 une insuffisance cardiaque d'étiologie non ischémique (55%). L'étiologie ischémique était associée à un pronostic péjoratif en analyse univariée. L'âge, le stade NYHA de la dyspnée, le taux de BNP, le pourcentage du pic de V02, le traitement bétabloquant et le traitement hypolipémiant sont des facteurs pronostiques indépendants de l'insuffisance cardiaque systolique communs aux étiologies ischémiques et non ischémiques. En cas d'étiologie ischémique, la FEVG, le taux de noradrénaline, et la fréquence cardiaque de repos sont des facteurs prédictifs indépendants de mortalité globale. En cas d'étiologie non ischémique, ceux sont la natrémie, la clairance de la créatinine et la prise d'antivitamine K qui sont des facteurs pronostiques spécifiques en analyse multivariée. Conclusion : L'évaluation de l'étiologie est primordiale car certains facteurs pronostiques de l'insuffisance cardiaque systolique diffèrent selon l'étiologie ischémique ou non ischémique de la cardiopathie La création d'un nouveau score de risque intégrant ces différences permettrait d'affiner encore la stratification pronostique des patients.
Download or read book The Framingham Study written by and published by . This book was released on 1968 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 Acute Stroke Treatment by : Julien Bogousslavsky
Download or read book Acute Stroke Treatment written by Julien Bogousslavsky and published by CRC Press. This book was released on 1997-09-04 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Owing to the increased interest in brain ischemia and the new therapeutic options from pharmaceutical companies for the treatment of acute stroke, Professor Julien Bogousslavsky, one of the world's stroke experts, has revised his best-selling book. It is the emergence of huge possibilities in the management of stroke - ultra-early diagnosis, intensive care, surgical and other interventional therapies, thrombolysis, anti-ischemic drugs and prevention of immediate recurrence - which necessiates this timely update.
Book Synopsis Orphan Lung Diseases by : Vincent Cottin
Download or read book Orphan Lung Diseases written by Vincent Cottin and published by Springer. This book was released on 2015-01-10 with total page 623 pages. Available in PDF, EPUB and Kindle. Book excerpt: Orphan Lung Diseases: A Clinical Guide to Rare Lung Disease provides a comprehensive, clinically focused textbook on rare and so-called ‘orphan’ pulmonary diseases. The book is oriented towards the diagnostic approach, including manifestations suggesting the disease, diagnostic criteria, methods of diagnostic confirmation, and differential diagnosis, with an overview of management.
Book Synopsis Calcium Entry Blockers in Cardiovascular and Cerebral Dysfunctions by : T. Godfraind
Download or read book Calcium Entry Blockers in Cardiovascular and Cerebral Dysfunctions written by T. Godfraind and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: 2 The free internal Ca+ concentration in human red cells is set according to the leak 2 and-pump principle: There is a finite passive Ca+ influx at the physiological 2 2 Ca+ -gradient across the membrane which is compensated by Ca+ pumping in the outward direction with a rate given by the degree of saturation of the A TP-fuelled Ca 2 pump at the steady-state internal Ca+ concentration. Simons (1982) recently devised a method allowing the measurement of the steady 2 2 state internal Ca+ concentration. Cells are suspended in media of different Ca+ con 2 2 tent whose Ca+ concentration is monitored by a Ca+ -selective electrode. When the cells are lysed (by digitonin) there is an upward or downward deflection of the elec 2 trode signal. At the point of zero deflection, the cellular Ca+ concentration equals that 2 of the medium. The result is, that in fresh human red blood cells the Ca+ concentra tion is ;;;; O.4,uM (this is an upper estimate; the true value may be considerably lower).
Download or read book Index Medicus written by and published by . This book was released on 2003 with total page 1568 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.
Book Synopsis Multislice CT by : Konstantin Nikolaou
Download or read book Multislice CT written by Konstantin Nikolaou and published by Springer. This book was released on 2019-08-06 with total page 1116 pages. Available in PDF, EPUB and Kindle. Book excerpt: The fourth edition of this well-received book offers a comprehensive update on recent developments and trends in the clinical and scientific applications of multislice computed tomography. Following an initial section on the most significant current technical aspects and issues, detailed information is provided on a comprehensive range of diagnostic applications. Imaging of the head and neck, the cardiovascular system, the abdomen, and the lungs is covered in depth, describing the application of multislice CT in a variety of tumors and other pathologies. Emerging fields such as pediatric imaging and CT-guided interventions are fully addressed, and emergency CT is also covered. Radiation exposure, dual-energy imaging, contrast enhancement, image postprocessing, CT perfusion imaging, and CT angiography all receive close attention. The new edition has been comprehensively revised and complemented by contributions from highly experienced and well-known authors who offer diverse perspectives, highlighting the possibilities offered by the most modern multidetector CT systems. This book will be particularly useful for general users of CT systems who wish to upgrade and enhance not only their machines but also their knowledge.
Book Synopsis Pocket Book of Hospital Care for Children by : World Health Organization
Download or read book Pocket Book of Hospital Care for Children written by World Health Organization and published by World Health Organization. This book was released on 2013 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.
Book Synopsis Clinical Management of Patients with Viral Haemorrhagic Fever by : World Health Organization
Download or read book Clinical Management of Patients with Viral Haemorrhagic Fever written by World Health Organization and published by World Health Organization. This book was released on 2016-05-03 with total page 203 pages. Available in PDF, EPUB and Kindle. Book excerpt: First published in March 2014 under the title "Clinical management of patients with viral haemorrhagic fever: a pocket guide for front-line health workers: interim emergency guidance for West Africa".
Book Synopsis Battle Casualties and Medical Statistics; by : Frank A. Reister
Download or read book Battle Casualties and Medical Statistics; written by Frank A. Reister and published by . This book was released on 1973 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis A History of Medicine: Primitive and archaic medicine by : Henry Ernest Sigerist
Download or read book A History of Medicine: Primitive and archaic medicine written by Henry Ernest Sigerist and published by . This book was released on 1967 with total page 656 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Oxygen Therapy for Children by : World Health Organization
Download or read book Oxygen Therapy for Children written by World Health Organization and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Hypoxaemia is a major contributor to child deaths that occur worldwide each year; for a child with pneumonia hypoxaemia increases the risk of death by up to 5 times. Despite its importance in virtually all types of acute severe illness, hypoxaemia is often not well recognized or well managed, more so in settings where resources are limited. Oxygen therapy remains an inaccessible luxury for a large proportion of severely ill children admitted to hospitals in developing countries. This is particularly true for patients in small district hospitals, where, even if some facility for delivering oxygen is available, supplies are often unreliable and the benefits of treatment may be diminished by poorly maintained, inappropriate equipment or poorly trained staff with inadequate guidelines. Increasing awareness of these problems is likely to have considerable clinical and public health benefits in the care of severely ill children. Health workers should be able to know the clinical signs that suggest the presence of hypoxaemia and have more reliable means of detection of hypoxeamia. This can be achieved through more widespread use of pulse oximetry, which is a non-invasive measure of arterial oxygen saturation. At the same time oxygen therapy must be more widely available; in many remote settings, this can be achieved by use of oxygen concentrators, which can run on regular or alternative sources of power. Having effective systems for the detection and management of hypoxaemia are vital in reducing mortality from pneumonia and other severe acute illnesses. Oxygen therapy is essential to counter hypoxaemia and many times is the difference between life and death. This manual focuses on the availability and clinical use of oxygen therapy in children in health facilities by providing the practical aspects for health workers, biomedical engineers, and administrators. It addresses the need for appropriate detection of hypoxaemia, use of pulse oximetry, clinical use of oxygen and delivery systems and monitoring of patients on oxygen therapy. In addition, the manual addresses practical use of pulse oximetry, and oxygen concentrators and cylinders in an effort to improve oxygen systems worldwide."--Publisher's description.
Author :World Health Organization. Scientific Group on Nutritional Anaemias Publisher : ISBN 13 : Total Pages :48 pages Book Rating :4.3/5 (91 download)
Book Synopsis Nutritional Anaemias by : World Health Organization. Scientific Group on Nutritional Anaemias
Download or read book Nutritional Anaemias written by World Health Organization. Scientific Group on Nutritional Anaemias and published by . This book was released on 1968 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: Investigations of nutritional anemias of pregnancy made by WHO in India, Israel, Mexico, Poland and Venezuela have shown that the prevalence of anemia in pregnant women ranges from 21% to 80%. Iron deficiency was present in 40-99% of these women and has been responsible for the major occurrences of anemia. Studies on the absorption of iron from various foods indicated that it is necessary to express dietary iron intake in terms of both total iron intake and its absorbability. Loss of body iron occurs in the gastrointestinal tract, urine, sweat, by exfoliation of skin, and through blood loss attributed to parasitic infection. The optimum dietary requirements of iron when absorbed cover physiological losses and conditions such as growth and pregnancy. The total iron demanded during pregnancy is about 900 mg of which 200 mg is lost during and immediately following delivery. The iron requirement increases greatly during pregnancy and since the high requirment during the last trimester cannot be met from consumed food, the diet must be supplemented by administration of medicinal iron. The strengthening of education programs for mothers, sanitary measures particularly in rural areas, the supplementing of foods with iron by enriching wheat flour and baby foods, the supplementing of medicinal iron during pregnancy, the daily administration of small amounts of iron to schoolchildren and further studies on nutritional anemias are all means of changing the present nutritional status.
Book Synopsis Atlas of Procedures in Neonatology by : Mhairi G. MacDonald
Download or read book Atlas of Procedures in Neonatology written by Mhairi G. MacDonald and published by Lippincott Williams & Wilkins. This book was released on 2012-10-08 with total page 449 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Atlas of Procedures in Neonatology, Fifth Edition, provides detailed, step-by-step instructions on procedures performed in the neonatal intensive care nursery. In an easy-to-follow outline format, with more than 450 drawings and clinical photographs, the book presents clear, current information on indications, preparation, technique, precautions, and how to avoid potential complications. New for this edition: New chapters covering: Brain and Whole Body Coolling; Bubble CPAP; Educational Principles of Simulation Based Procedure Training to help you stay updated on the latest technology and information Access to free online companion website that includes fully searchable text, image bank and videos so you can access the content anytime, anywhere Video collection has been expanded to include: lumbar puncture, intraosseous infusion, bubble CPAP and pericardiocentesis for both commonly performed procedures and vital emergency procedures
Book Synopsis The Nature of Essential Hypertension by : Sir George White Pickering
Download or read book The Nature of Essential Hypertension written by Sir George White Pickering and published by . This book was released on 1961 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Xenetix written by M. A. Bettman and published by . This book was released on 1996 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt:
