La valeur pronostique de l'hyperglycémie à la phase aiguë d'un accident vasculaire cérébral

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ISBN 13 :
Total Pages : 174 pages
Book Rating : 4.:/5 (49 download)

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Book Synopsis La valeur pronostique de l'hyperglycémie à la phase aiguë d'un accident vasculaire cérébral by : Bruno Delagneau

Download or read book La valeur pronostique de l'hyperglycémie à la phase aiguë d'un accident vasculaire cérébral written by Bruno Delagneau and published by . This book was released on 1988 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: A partir des résultats des deux premières années d'exploitation du Registre dijonnais des accidents vasculaires cérébraux, il a été évalué la valeur pronostique à un mois de l'hyperglycémie en phase initiale d'un accident vasculaire cérébral. 188 maladies ont été admis à l'hôpital pour une hémiplégie aiguë en 1985 et 210 en 1986. Ils ont tous eu à l'entrée une glycémie suivie d'au moins quatre dosages pour la première année et cinq dosages pour la deuxième année avant la fin de la première semaine et ont tous bénéficié d'une scanographie cérébrale dans les quinze jours. Chez les malades non diabétiques, présentant une hyperglycémie supérieure à 2 g/l, la mortalité a été significativement plus élevée que chez les malades ayant une glycémie inférieure à 2 g/l. Cela ne fut pas retrouvé valable pour les malades diabétiques présentant une hyperglycémie supérieure à 1g/l. L'hyperglycémie a été retrouvée corrélée, chaque année, chez le patient diabétique comme chez le patient non diabétique, avec les troubles de conscience initiaux, l'existence sur la scanographie d'une hémorragie cérébrale ou d'un ramollissement oedémateux. L'hyperglycémie en phase initiale d'un accident vasculaire cérébral est donc liée à l'intensité de la lésion cérébrale, présente une valeur diagnostique quant au mécanisme, et représente un critère de mauvais pronostic à un mois sur le plan vital, surtout pour le non diabétique, aussi sensible que les troubles de conscience, la présence de vomissements, l'existence d'une hémiplégie totale et proportionnelle et que la présence d'un effet de masse à la scanographie.

Le pronostic après un accident vasculaire cérébral ischémique est-il lié à la glycémie lors de la phase aiguë ?

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ISBN 13 :
Total Pages : 152 pages
Book Rating : 4.:/5 (492 download)

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Book Synopsis Le pronostic après un accident vasculaire cérébral ischémique est-il lié à la glycémie lors de la phase aiguë ? by : Grégory Parmentier

Download or read book Le pronostic après un accident vasculaire cérébral ischémique est-il lié à la glycémie lors de la phase aiguë ? written by Grégory Parmentier and published by . This book was released on 2004 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'accident vasculaire cérébral (AVC) est l'une des causes principales de mortalité et de morbidité en France. L'hyperglycémie à la phase aiguë de l'AVC aggraverait son pronostic. Objectif : Déterminer s'il existe une relation entre la glycémie lors de la survenue d'un AVC ischémique constitué et l'état des patients une semaine et un mois après. Méthodes : Nous avons mesuré la valeur de la glycémie veineuse chez 121 patients consécutifs admis dans le service de neurologie de l'hôpital Bretonneau, à Tours, dans les 24 heures après la survenue d'un AVC ischémique constitué. Nous avons pris en compte les autres facteurs susceptibles d'intervenir sur l'état des patients : l'âge, le sexe, le délai d'hospitalisation, le dosage de l'hémoglobine glyquée et les handicaps préexistants. L'état des patients a été évalué à l'aide du score de Rankin modifié. Résultats : Notre étude met en évidence une association significative entre la glycémie à l'arrivée aux Urgences et les conséquences de l'AIC à une semaine. Les conséquences à un mois ne sont pas significativement associées à cette glycémie, probablement en raison d'un effectif trop faible. Ces résultats sont obtenus après ajustement sur les autres facteurs de risque, l'état étant classé en deux catégories. L'effet de la glycémie est le même chez les diabétiques et les non diabétiques. Nos résultats semblent indiquer que le glucose serait toxique pour le cerveau ischémié. Notre étude ne permet pas de conclure quant à l'origine de l'hyperglycémie. Aujourd'hui, les patients hyperglycémiques arrivant aux urgences avec un AIC ne sont pas traités pour rétablir la glycémie. Deux essais cliniques sont en cours. Ils permettront de mieux comprendre le rôle de la glycémie dans le pronostic des AVC et aboutiront peut-être à de nouveaux traitements médicamenteux lors de la phase aiguë des AVC.

Neonatal Encephalopathy and Cerebral Palsy

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Publisher : American College of Obstetricians and Gynecologists Women's Health Care Physicians
ISBN 13 :
Total Pages : 120 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Neonatal Encephalopathy and Cerebral Palsy by : American College of Obstetricians and Gynecologists. Task Force on Neonatal Encephalopathy and Cerebral Palsy

Download or read book Neonatal Encephalopathy and Cerebral Palsy written by American College of Obstetricians and Gynecologists. Task Force on Neonatal Encephalopathy and Cerebral Palsy and published by American College of Obstetricians and Gynecologists Women's Health Care Physicians. This book was released on 2003 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: This monograph explores the mechanisms and timing of possible etiologic events that contribute to fetal and neonatal neurologic injury. the report presents evidence that most cases of cerebral palsy are a result of multifactorial and unpreventable causes that occur during fetal development or in the newborn after delivery, and not a result of an isolated intrapartum hypoxic event. the report contains a set of criteria that may be used to define (or rule out) an acute intrapartum hypoxic event sufficient to cause or suggest cerebral palsy.

The Great Cholesterol Con

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Publisher : Kings Road Publishing
ISBN 13 : 1843582368
Total Pages : 337 pages
Book Rating : 4.8/5 (435 download)

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Book Synopsis The Great Cholesterol Con by : Dr Malcolm Kendrick

Download or read book The Great Cholesterol Con written by Dr Malcolm Kendrick and published by Kings Road Publishing. This book was released on 2008-07-07 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Statins are widely prescribed to lower blood cholesterol levels and claim to offer unparalleled protection against heart disease. Believed to be completely safe and capable of preventing a whole series of other conditions, they are the most profitable drug in the history of medicine. In this groundbreaking book, GP Malcolm Kendrick exposes the truth behind the hype. He will change the way we think about cholesterol forever. Rubbishing the diet-heart hypothesis, in which clinical trials 'prove' that high cholesterol causes heart disease and a high-fat diet leads to heart disease, Kendrick lambastes a powerful pharmaceutical industry and unquestioning medical profession, who, he claims, perpetuate the madcap concepts of 'good' and 'bad' cholesterol and cholesterol levels to convince millions of people to unnecessarily spend billions of pounds on statins. Clearly and comprehensively debunking assumptions on what constitute a healthy lifestyle and diet, "The Great Cholesterol Con" is the accessible, indispensable and absorbing case against statins and for a more common-sense approach to heart disease and general wellbeing. No more over-hyped miracle drugs; no more garlic, red wine, anti-oxidants, fruit or vegetables; even a vegetarian diet is rejected in this controversial yet authoritative critique of how we have been mislead over how food and drugs affect our coronary health. Here, for the first time, is the invaluable guide for anyone who though there was a miracle cure for heart disease, "The Great Cholesterol Con" is a fascinating breakthrough that will set dynamite under the whole area.

How Statin Drugs Really Lower Cholesterol and Kill You One Cell at a Time

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Publisher : Hannah Yoseph
ISBN 13 : 9780615618173
Total Pages : 335 pages
Book Rating : 4.6/5 (181 download)

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Book Synopsis How Statin Drugs Really Lower Cholesterol and Kill You One Cell at a Time by : James B. Yoseph

Download or read book How Statin Drugs Really Lower Cholesterol and Kill You One Cell at a Time written by James B. Yoseph and published by Hannah Yoseph. This book was released on 2012 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Yosephs have written the most stunning expose. In plain language they reveal the science, the corruption and the enormous conspiracy it took to bring statins to market. As fast paced as a Mickey Spillane novel they report the research, the fraud and the facts like a detective in hot pursuit of a Nazi war criminal. It is riveting. They have accomplished the impossible: they have made both complex science and medical history fascinating to read. What could not be done in an expose they accomplished with almost unbelievablable ease. It will change your paradigms about medicine forever."--p.[4] of cover.

Stroke in Childhood

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Publisher : Royal College of Physicians
ISBN 13 : 1860162363
Total Pages : 82 pages
Book Rating : 4.8/5 (61 download)

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Book Synopsis Stroke in Childhood by : Paediatric Stroke Working Group

Download or read book Stroke in Childhood written by Paediatric Stroke Working Group and published by Royal College of Physicians. This book was released on 2004 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stroke occuring in childhood although less common, presents serious challenges. This guideline is based on the expertise of a multidisciplinary working group and include the views of patients, parents and families.

Molecular Mechanisms of Hormone Action

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Publisher :
ISBN 13 :
Total Pages : 224 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Molecular Mechanisms of Hormone Action by : Gesellschaft für Biologische Chemie. Colloquium

Download or read book Molecular Mechanisms of Hormone Action written by Gesellschaft für Biologische Chemie. Colloquium and published by . This book was released on 1989 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Acupuncture in Practice

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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.

The Cholesterol Controversy

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Publisher :
ISBN 13 :
Total Pages : 180 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Cholesterol Controversy by : Edward Robert Pinckney

Download or read book The Cholesterol Controversy written by Edward Robert Pinckney and published by . This book was released on 1973 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:

National Clinical Guidelines for Stroke

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ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (124 download)

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Book Synopsis National Clinical Guidelines for Stroke by :

Download or read book National Clinical Guidelines for Stroke written by and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This 4th edition of the stroke guideline, prepared by the Intercollegiate Stroke Working Party, provides comprehensive guidance on stroke care pathway, from acute care through rehabilitation and secondary prevention on to long-term support and terminal care. The guideline also contains profession-specific guidelines for nurses, dieticians, occupational therapists, physiotherapists, speech and language therapists, psychologists and those working in primary care.

Lipitor Thief of Memory

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Publisher :
ISBN 13 : 9780983383536
Total Pages : pages
Book Rating : 4.3/5 (835 download)

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Book Synopsis Lipitor Thief of Memory by : Duane Graveline

Download or read book Lipitor Thief of Memory written by Duane Graveline and published by . This book was released on 2010-10-07 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: