Le Pronostic Apres Un Accident Vasculaire Cerebral Ischemique Est Il Lie A La Glycemie Lors De La Phase Aigue

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

Author : Grégory Parmentier
Publisher :
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.

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

Author : Bruno Delagneau
Publisher :
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.

Glycémie d'admission et pronostic fonctionnel d'un infarctus cérébral en phase aigüe traité par thérapie combinée

Author : Emilie Panicucci
Publisher :
ISBN 13 :
Total Pages : 49 pages
Book Rating : 4.:/5 (115 download)

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Book Synopsis Glycémie d'admission et pronostic fonctionnel d'un infarctus cérébral en phase aigüe traité par thérapie combinée by : Emilie Panicucci

Download or read book Glycémie d'admission et pronostic fonctionnel d'un infarctus cérébral en phase aigüe traité par thérapie combinée written by Emilie Panicucci and published by . This book was released on 2019 with total page 49 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : l'hyperglycémie en phase aiguë d'un infarctus cérébral traité par thrombolyse ou thérapie combinée est associée à un mauvais pronostic fonctionnel, en majorant la croissance du cœur ischémique. Nous étudions le rôle délétère de l'hyperglycémie sur le pronostic fonctionnel en fonction de la pénombre ischémique et de la recanalisation. Méthodes : les patients traités dans les 6 heures par thrombectomie mécanique pour une occlusion symptomatique (NIHSS≥10) de l'artère cérébrale moyenne ont été inclus (registre AVC PACA). L'association entre la glycémie d'admission et l'indépendance fonctionnelle (mRS≤2) a été évaluée par analyse multivariée. Une analyse en sous-groupe a été menée en fonction de la pénombre définie par Clinical ASPECTS Mistmach version 2 (CAM2) et de la recanalisation artérielle (RA) définie par un mTICI 2b/3. Discussion : sur les 216 patients inclus, 104 présentaient un mRS≤2 à 3 mois. Après ajustement aux variables associées au pronostic fonctionnel, la glycémie d'admission était indépendamment associée à un mRS≤2(par 100 mg/dl,OR: 0,10[0.03-0.37]). En sous-groupe, la glycémie d'admission était délétère sur l'autonomie dans les groupes CAM2+(OR:0,14[0,04-0,49]) et RA+(OR:0,21[0,06-0,69]). Le groupe combiné CAM2+/RA+ présentait une association significative entre la glycémie initiale et un mRS≤2(OR:0,20[0,05-0,73]), spécifiquement pour les 50/135 patients dont la recanalisation fût précoce (≤270 min). Conclusion : cette étude montre pour la première fois que l'effet délétère de l'hyperglycémie sur le pronostic fonctionnel d'un infarctus cérébral traité par thrombectomie mécanique n'est pas homo-gène à tous et dépend du sauvetage de la pénombre après recanalisation.

Acute Stroke Treatment

Author : Julien Bogousslavsky
Publisher : CRC Press
ISBN 13 : 9781853174131
Total Pages : 320 pages
Book Rating : 4.1/5 (741 download)

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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.

Neonatal Encephalopathy and Cerebral Palsy

Author : American College of Obstetricians and Gynecologists. Task Force on Neonatal Encephalopathy and Cerebral Palsy
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.

Body MRI Cases

Author : William E. Brant
Publisher : Oxford University Press
ISBN 13 : 0199343861
Total Pages : 316 pages
Book Rating : 4.1/5 (993 download)

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Book Synopsis Body MRI Cases by : William E. Brant

Download or read book Body MRI Cases written by William E. Brant and published by Oxford University Press. This book was released on 2013-02-19 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Body MRI: Cases in Radiology serves as a ready reference of 141 cases and nearly 900 superb quality images of common and uncommon conditions encountered in the daily practice of body MRI. The book is specifically intended for radiology residents and fellows as a study guide to broaden clinical knowledge and improve diagnostic skills when reviewing MR images of the liver, biliary system, pancreas, urinary tract, adrenal glands, peritoneal cavity, spleen, gastrointestinal system, female genital tract, vascular system, and heart. The selected cases provide outstanding examples of various disease states and their appearances as demonstrated by MR imaging using a variety of pulse sequences. Each case is shown on the front page with a brief clinical history and multiple, carefully selected images that best show the important findings. When turning the page, the imaging findings, differential diagnosis and important teaching points are given in bullet-point format facilitating the learning process and allowing the reader to improve interpretation and diagnostic capability in body MRI. Cases are presented in random order to mimic the diagnostic challenges that typically occur when reading the daily worklist of cases in a routine clinical body MRI practice. Readers can also review the cases by organ system through the Index of Cases found in the back of the book. Body MRI Cases is also an excellent companion study guide to Essentials of Body MRI by the same authors. Together, these texts provide an excellent foundation in Body MRI.

Diagnosis and Management of Neonatal Seizures

Author : Eli M. Mizrahi
Publisher : Lippincott Williams & Wilkins
ISBN 13 :
Total Pages : 200 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Diagnosis and Management of Neonatal Seizures by : Eli M. Mizrahi

Download or read book Diagnosis and Management of Neonatal Seizures written by Eli M. Mizrahi and published by Lippincott Williams & Wilkins. This book was released on 1998 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:

On the Use of the Moxa

Author : Dominique Jean baron Larrey
Publisher :
ISBN 13 :
Total Pages : 244 pages
Book Rating : 4.3/5 (555 download)

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Book Synopsis On the Use of the Moxa by : Dominique Jean baron Larrey

Download or read book On the Use of the Moxa written by Dominique Jean baron Larrey and published by . This book was released on 1822 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Pediatric AIDS

Author : Philip A. Pizzo
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9780683303995
Total Pages : 849 pages
Book Rating : 4.3/5 (39 download)

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Book Synopsis Pediatric AIDS by : Philip A. Pizzo

Download or read book Pediatric AIDS written by Philip A. Pizzo and published by Lippincott Williams & Wilkins. This book was released on 1998 with total page 849 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recommended in the Brandon/Hill selected list of print books and journals for the small medical library - April 2001 & 2003 The Third Edition of this very popular book offers the most authoritative and comprehensive review of the impact of the HIV disease in infants, children, and adolescents.

The Great Cholesterol Con

Author : Dr Malcolm Kendrick
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.

Cognitive Aging

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309368650
Total Pages : 300 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Cognitive Aging by : Institute of Medicine

Download or read book Cognitive Aging written by Institute of Medicine and published by National Academies Press. This book was released on 2015-07-21 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: For most Americans, staying "mentally sharp" as they age is a very high priority. Declines in memory and decision-making abilities may trigger fears of Alzheimer's disease or other neurodegenerative diseases. However, cognitive aging is a natural process that can have both positive and negative effects on cognitive function in older adults - effects that vary widely among individuals. At this point in time, when the older population is rapidly growing in the United States and across the globe, it is important to examine what is known about cognitive aging and to identify and promote actions that individuals, organizations, communities, and society can take to help older adults maintain and improve their cognitive health. Cognitive Aging assesses the public health dimensions of cognitive aging with an emphasis on definitions and terminology, epidemiology and surveillance, prevention and intervention, education of health professionals, and public awareness and education. This report makes specific recommendations for individuals to reduce the risks of cognitive decline with aging. Aging is inevitable, but there are actions that can be taken by individuals, families, communities, and society that may help to prevent or ameliorate the impact of aging on the brain, understand more about its impact, and help older adults live more fully and independent lives. Cognitive aging is not just an individual or a family or a health care system challenge. It is an issue that affects the fabric of society and requires actions by many and varied stakeholders. Cognitive Aging offers clear steps that individuals, families, communities, health care providers and systems, financial organizations, community groups, public health agencies, and others can take to promote cognitive health and to help older adults live fuller and more independent lives. Ultimately, this report calls for a societal commitment to cognitive aging as a public health issue that requires prompt action across many sectors.

Stroke in Childhood

Author : Paediatric Stroke Working Group
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.

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

Author : James B. Yoseph
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.

Molecular Mechanisms of Hormone Action

Author : Gesellschaft für Biologische Chemie. Colloquium
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:

Diuretics in Heart Failure

Author : Lawrence E. Ramsey
Publisher :
ISBN 13 :
Total Pages : 108 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Diuretics in Heart Failure by : Lawrence E. Ramsey

Download or read book Diuretics in Heart Failure written by Lawrence E. Ramsey and published by . This book was released on 1985 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Endurance Handbook

Author : Philip Maffetone
Publisher : Simon and Schuster
ISBN 13 : 1632208679
Total Pages : 332 pages
Book Rating : 4.6/5 (322 download)

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Book Synopsis The Endurance Handbook by : Philip Maffetone

Download or read book The Endurance Handbook written by Philip Maffetone and published by Simon and Schuster. This book was released on 2015-06-09 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: Are you a triathlete, runner, cyclist, swimmer, cross-country skier, or other athlete seeking greater endurance? The Endurance Handbook teaches athletes how to stay healthy, achieve optimal athletic potential, and be injury-free for many productive years. Dr. Philip Maffetone’s approach to endurance offers a truly “individualized” outlook and unique system that he has refined over three decades of training and treating athletes, ranging from world champions to weekend warriors. Maffetone’s training and racing philosophy emphasizes building a strong aerobic base for increased fat burning, weight loss, sustained energy, and a healthy immune system. Good nutrition and stress reduction are also key to this common-sense, big-picture approach. Dr. Maffetone also dispels many of the commonly held myths that linger in participatory sports—and which adversely impact performance—and explains the “truths” about endurance, such as: The need to train slower to race faster will enable your aerobic system to improve endurance Why expensive running shoes can actually cause foot and leg injuries The fact that refined carbohydrates actually reduce endurance energy and disrupt hormone balance How overtraining can be avoided in its earliest stages And much more! If you are looking to increase your endurance and maximize your athletic potential, The Endurance Handbook is your one-stop guide to training and racing effectively. Skyhorse Publishing, as well as our Sports Publishing imprint, is proud to publish a broad range of books for readers interested in sports—books about baseball, pro football, college football, pro and college basketball, hockey, or soccer, we have a book about your sport or your team. In addition to books on popular team sports, we also publish books for a wide variety of athletes and sports enthusiasts, including books on running, cycling, horseback riding, swimming, tennis, martial arts, golf, camping, hiking, aviation, boating, and so much more. While not every title we publish becomes a New York Times bestseller or a national bestseller, we are committed to publishing books on subjects that are sometimes overlooked by other publishers and to authors whose work might not otherwise find a home.

Curable

Author : Travis Christofferson
Publisher : Chelsea Green Publishing
ISBN 13 : 1603589260
Total Pages : 225 pages
Book Rating : 4.6/5 (35 download)

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Book Synopsis Curable by : Travis Christofferson

Download or read book Curable written by Travis Christofferson and published by Chelsea Green Publishing. This book was released on 2019-09-27 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: Journalist and healthcare advocate Christofferson looks at medicine through a magnifying glass and asks an important question: What if the roots of the current U.S. healthcare crisis are psychological and systemic, perpetuated not just by corporate influence and the powers that be, but by citizens?