Quelles sont les méthodes de mesure de pression artérielle utilisées dans les études au cours desquelles la prévalence de l'hypertension artérielle masquée est déterminée ? Une revue systématique de la littérature

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ISBN 13 :
Total Pages : 118 pages
Book Rating : 4.:/5 (931 download)

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Book Synopsis Quelles sont les méthodes de mesure de pression artérielle utilisées dans les études au cours desquelles la prévalence de l'hypertension artérielle masquée est déterminée ? Une revue systématique de la littérature by : Nicolas Dupont

Download or read book Quelles sont les méthodes de mesure de pression artérielle utilisées dans les études au cours desquelles la prévalence de l'hypertension artérielle masquée est déterminée ? Une revue systématique de la littérature written by Nicolas Dupont and published by . This book was released on 2015 with total page 118 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : L'Hypertension artérielle est le plus fréquent des facteurs de risque cardio-vasculaire dans le monde. La mesure à domicile tend à se développer de plus en plus. On a ainsi mis en évidence chez certains patients une hypertension artérielle masquée (normale au cabinet, élevée au domicile). Méthodes : Il s'agit d'une revue systématique de la littérature des dix dernières années en utilisant les bases de données MEDLINE et PASCAL. Les études ont été lues à plusieurs reprises, pour chaque étude il a été déterminé quels critères méthodologiques (issus des recommandations ESH/ESC 2013 pour la plupart) ont été ou non respectés. Résultats : 36 études ont été incluses et analysées. Concernant la mesure de la pression artérielle au cabinet, le taux de respect des critères issus des recommandations était de 44%, la médiane de 44%. Concernant la réalisation de la mesure ambulatoire de la pression artérielle, le taux de respect des critères issus des recommandations était de 26%, la médiane était à 30%. Et enfin concernant l'auto-mesure tensionnelle, le taux de respect des critères issus des recommandations était de 49% et la médiane à 53%. D'une façon globale, le taux de respect des critères issus des recommandations était de 37% avec une médiane à 38%. Discussion et conclusion : Ces relativement faibles taux de respect des recommandations dans la littérature peuvent être expliqués parfois par des contraintes financières ou de temps disponible. Ils sont également expliqués par une mauvaise formation méthodologique des opérateurs et l'absence d'informations écrites données aux patients inclus dans les études. On peut aussi mettre en cause les contraintes d'espace pour la rédaction des articles qui peuvent obliger les auteurs à ne pas donner toutes les informations. Néanmoins nos résultats invitent à lire les études publiées avec circonspection en étant attentif aux méthodes.

HTA blouse blanche et HTA masquée chez la personne âgée

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ISBN 13 :
Total Pages : 154 pages
Book Rating : 4.:/5 (494 download)

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Book Synopsis HTA blouse blanche et HTA masquée chez la personne âgée by : Delphine Bretonnière-Bah

Download or read book HTA blouse blanche et HTA masquée chez la personne âgée written by Delphine Bretonnière-Bah and published by . This book was released on 2007 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: L’hypertension artérielle du sujet âgé représente un réel problème de santé publique. La prévalence de l’HTA augmente significativement avec l’âge et la proportion de patients âgés dans la population s’accroît régulièrement. En raison d’une altération du baroreflexe au cours du vieillissement la variabilité tensionnelle augmente avec l’âge. L’évaluation du vrai niveau tensionnel au cours de la consultation s’avère difficile à faire chez la personne âgée. Elle expose au risque de surestimation de la PA (effet blouse blanche) et de sous-estimation de la PA (HTA masquée). Dans ce cadre, les nouvelles recommandations de l’HAS soulignent la nécessité d’utiliser de façon quasi systématique des méthodes de mesure de la pression artérielle à domicile (automesure ou holter tensionnel sur 24 heures) chez le sujet âgé avant d’affirmer ou d’infirmer le diagnostic d’hypertension artérielle et de dépister l’HTA blouse blanche. La prévalence de l’HTA blouse blanche et de l’HTA masquée reste mal connue après 70 ans. L’objectif de notre travail a été d’évaluer la prévalence de l’HTA blouse blanche, et de l’HTA masquée dans une population de sujets âgés de plus de 70 ans venus consulter pour un bilan gérontologique. La recherche des principaux déterminants de ces deux entités a aussi été réalisée. Les résultats de notre travail ont permis de retrouver en cas d’HTA lors de la consultation une prévalence l’HTA blouse blanche de 30%. De même, devant une pression artérielle normale une HTA masquée a été observée dans 45% des cas. Les facteurs déterminants de l’HTA blouse blanche sont un âge moins élevé et une PAS moins élevée. Le principal déterminant de l’HTA masquée est un niveau tensionnel proche du seuil de 140 mmHg lors de la mesure de consultation. En conclusion, la mesure de consultation évalue mal le niveau tensionnel des personnes âgées de plus de 70 ans (risque de surestimation dans 30% des cas ou sous-estimation dans 45% des cas). Les résultats de ce travail justifient la réalisation systématique d’une automesure tensionnelle avant d’introduire ou de modifier un traitement antihypertenseur en raison du risque iatrogène mais aussi afin de dépister les sujets ayant une HTA masquée.

Conception/validation d’un appareil de mesure électronique de la pression artérielle et évaluation des performances d’algorithmes d’estimation des valeurs de la pression systolique et diastolique

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ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (122 download)

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Book Synopsis Conception/validation d’un appareil de mesure électronique de la pression artérielle et évaluation des performances d’algorithmes d’estimation des valeurs de la pression systolique et diastolique by : Nicolas Juteau

Download or read book Conception/validation d’un appareil de mesure électronique de la pression artérielle et évaluation des performances d’algorithmes d’estimation des valeurs de la pression systolique et diastolique written by Nicolas Juteau and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Résumé en anglais

Pain in Infants, Children, and Adolescents

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Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9780781726443
Total Pages : 924 pages
Book Rating : 4.7/5 (264 download)

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Book Synopsis Pain in Infants, Children, and Adolescents by : Neil L. Schechter

Download or read book Pain in Infants, Children, and Adolescents written by Neil L. Schechter and published by Lippincott Williams & Wilkins. This book was released on 2003 with total page 924 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.

Biodiversity and Sustainable Development

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Publisher :
ISBN 13 : 9788176259941
Total Pages : 0 pages
Book Rating : 4.2/5 (599 download)

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Book Synopsis Biodiversity and Sustainable Development by : Rabindra Nath Pati

Download or read book Biodiversity and Sustainable Development written by Rabindra Nath Pati and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Papers presented at the First Global Summit on Sustainable Development and Biodiversity, held at Raipur during 7-9 February 2009.

The Social Psychology of Minorities

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Publisher : Minority Rights Group
ISBN 13 : 0903114518
Total Pages : 24 pages
Book Rating : 4.9/5 (31 download)

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Book Synopsis The Social Psychology of Minorities by :

Download or read book The Social Psychology of Minorities written by and published by Minority Rights Group. This book was released on 1978-12-01 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: Us and Them: why do some groups feel superior to others? Why is it that all too often the ‘inferior’ group accepts the evaluation of their status by the ‘superior’ group? What happens when an ‘inferior’ group decides to challenge the ‘superior’ group, and how do they go about it? Can a minority group seek to achieve equal treatment from the majority society but also retain their separate identity? The Social Psychology of Minorities seeks to answer these important questions which are of vital relevance to understanding the social realities of people’s lives and particularly to the mechanics of prejudice and discrimination. Written by Henri Tajfel, former Professor of Social Psychology at Bristol University, this succinct analysis discusses such concepts as the internal and external criteria of a minority group, the effects of social change, and the process and patterns of rejection and acceptance. An important report on a subject which helps to shape the relationship between minority groups and the majority society, The Social Psychology of Minorities will be especially useful to those concerned with social science, education and the achievement of good community relations.

Collaboration with Parents of Exceptional Children

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ISBN 13 :
Total Pages : 376 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis Collaboration with Parents of Exceptional Children by : Marvin J. Fine

Download or read book Collaboration with Parents of Exceptional Children written by Marvin J. Fine and published by . This book was released on 1991 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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.

Eating Disorders

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Publisher : Royal College of Psychiatrists
ISBN 13 : 9781854333988
Total Pages : 0 pages
Book Rating : 4.3/5 (339 download)

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Book Synopsis Eating Disorders by : National Collaborating Centre for Mental Health (Great Britain)

Download or read book Eating Disorders written by National Collaborating Centre for Mental Health (Great Britain) and published by Royal College of Psychiatrists. This book was released on 2004 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This guideline has been developed to advise on the identification, treatment and management of the eating disorders anorexia nervosa, bulimia nervosa, and related conditions. The guideline recommendations have been developed by a multidisciplinary group of health care professionals, patients and their representatives, and guideline methodologists after careful consideration of the best available evidence. It is intended that the guideline will be useful to clinicians and service commissioners in providing and planning high quality care for those with eating disorders while also emphasising the importance of the experience of care for patients and carers.

Self-starvation

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Publisher : Jason Aronson
ISBN 13 :
Total Pages : 320 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Self-starvation by : Mara Selvini Palazzoli

Download or read book Self-starvation written by Mara Selvini Palazzoli and published by Jason Aronson. This book was released on 1996 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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.

Researching Food Habits

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Publisher : Berghahn Books
ISBN 13 : 1782386122
Total Pages : 228 pages
Book Rating : 4.7/5 (823 download)

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Book Synopsis Researching Food Habits by : Helen Macbeth

Download or read book Researching Food Habits written by Helen Macbeth and published by Berghahn Books. This book was released on 2004-02-01 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: The term 'Anthropology of Food' has become an accepted abbreviation for the study of anthropological perspectives on food, diet and nutrition, an increasingly important subdivision of anthropology that encompasses a rich variety of perspectives, academic approaches, theories, and methods. Its multi-disciplinary nature adds to its complexity. This is the first publication to offer guidance for researchers working in this diverse and expanding field of anthropology.

The Handbook of Food Research

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Publisher : Bloomsbury Publishing
ISBN 13 : 1472538986
Total Pages : 680 pages
Book Rating : 4.4/5 (725 download)

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Book Synopsis The Handbook of Food Research by : Anne Murcott

Download or read book The Handbook of Food Research written by Anne Murcott and published by Bloomsbury Publishing. This book was released on 2013-08-15 with total page 680 pages. Available in PDF, EPUB and Kindle. Book excerpt: The last 20 years have seen a burgeoning of social scientific and historical research on food. The field has drawn in experts to investigate topics such as: the way globalisation affects the food supply; what cookery books can (and cannot) tell us; changing understandings of famine; the social meanings of meals - and many more. Now sufficiently extensive to require a critical overview, this is the first handbook of specially commissioned essays to provide a tour d'horizon of this broad range of topics and disciplines. The editors have enlisted eminent researchers across the social sciences to illustrate the debates, concepts and analytic approaches of this widely diverse and dynamic field. This volume will be essential reading, a ready-to-hand reference book surveying the state of the art for anyone involved in, and actively concerned about research on the social, political, economic, psychological, geographic and historical aspects of food. It will cater for all who need to be informed of research that has been done and that is being done.

Alternative Food Networks

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Publisher : Routledge
ISBN 13 : 113664122X
Total Pages : 352 pages
Book Rating : 4.1/5 (366 download)

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Book Synopsis Alternative Food Networks by : David Goodman

Download or read book Alternative Food Networks written by David Goodman and published by Routledge. This book was released on 2012-02-20 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Farmers’ markets, veggie boxes, local foods, organic products and Fair Trade goods – how have these once novel, "alternative" foods, and the people and networks supporting them, become increasingly familiar features of everyday consumption? Are the visions of "alternative worlds" built on ethics of sustainability, social justice, animal welfare and the aesthetic values of local food cultures and traditional crafts still credible now that these foods crowd supermarket shelves and other "mainstream" shopping outlets? This timely book provides a critical review of the growth of alternative food networks and their struggle to defend their ethical and aesthetic values against the standardizing pressures of the corporate mainstream with its "placeless and nameless" global supply networks. It explores how these alternative movements are "making a difference" and their possible role as fears of global climate change and food insecurity intensify. It assesses the different experiences of these networks in three major arenas of food activism and politics: Britain and Western Europe, the United States, and the global Fair Trade economy. This comparative perspective runs throughout the book to fully explore the progressive erosion of the interface between alternative and mainstream food provisioning. As the era of "cheap food" draws to a close, analysis of the limitations of market-based social change and the future of alternative food economies and localist food politics place this book at the cutting-edge of the field. The book is thoroughly informed by contemporary social theory and interdisciplinary social scientific scholarship, formulates an integrative social practice framework to understand alternative food production-consumption, and offers a unique geographical reach in its case studies.

Routledge International Handbook of Food Studies

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Publisher : Routledge
ISBN 13 : 1136741658
Total Pages : 667 pages
Book Rating : 4.1/5 (367 download)

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Book Synopsis Routledge International Handbook of Food Studies by : Ken Albala

Download or read book Routledge International Handbook of Food Studies written by Ken Albala and published by Routledge. This book was released on 2013-05-07 with total page 667 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past decade there has been a remarkable flowering of interest in food and nutrition, both within the popular media and in academia. Scholars are increasingly using foodways, food systems and eating habits as a new unit of analysis within their own disciplines, and students are rushing into classes and formal degree programs focused on food. Introduced by the editor and including original articles by over thirty leading food scholars from around the world, the Routledge International Handbook of Food Studies offers students, scholars and all those interested in food-related research a one-stop, easy-to-use reference guide. Each article includes a brief history of food research within a discipline or on a particular topic, a discussion of research methodologies and ideological or theoretical positions, resources for research, including archives, grants and fellowship opportunities, as well as suggestions for further study. Each entry also explains the logistics of succeeding as a student and professional in food studies. This clear, direct Handbook will appeal to those hoping to start a career in academic food studies as well as those hoping to shift their research to a food-related project. Strongly interdisciplinary, this work will be of interest to students and scholars throughout the social sciences and humanities.

Pregnancy Discrimination at Work

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Publisher :
ISBN 13 : 9781842061039
Total Pages : 57 pages
Book Rating : 4.0/5 (61 download)

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Book Synopsis Pregnancy Discrimination at Work by : Grace James

Download or read book Pregnancy Discrimination at Work written by Grace James and published by . This book was released on 2004 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the initial stage of an Equal Opportunities Commission investigation into discrimination faced by pregnant women at work in Britain, this review highlights the information and data available, concentrating on legal issues. It includes a comparison of the legal provisions available to pregnant workers in France and Sweden.

Environmental Justice

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Publisher : Routledge
ISBN 13 : 0429639163
Total Pages : 413 pages
Book Rating : 4.4/5 (296 download)

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Book Synopsis Environmental Justice by : Brendan Coolsaet

Download or read book Environmental Justice written by Brendan Coolsaet and published by Routledge. This book was released on 2020-06-15 with total page 413 pages. Available in PDF, EPUB and Kindle. Book excerpt: Environmental Justice: Key Issues is the first textbook to offer a comprehensive and accessible overview of environmental justice, one of the most dynamic fields in environmental politics scholarship. The rapidly growing body of research in this area has brought about a proliferation of approaches; as such, the breadth and depth of the field can sometimes be a barrier for aspiring environmental justice students and scholars. This book therefore is unique for its accessible style and innovative approach to exploring environmental justice. Written by leading international experts from a variety of professional, geographic, ethnic, and disciplinary backgrounds, its chapters combine authoritative commentary with real-life cases. Organised into four parts—approaches, issues, actors and future directions—the chapters help the reader to understand the foundations of the field, including the principal concepts, debates, and historical milestones. This volume also features sections with learning outcomes, follow-up questions, references for further reading and vivid photographs to make it a useful teaching and learning tool. Environmental Justice: Key Issues is the ideal toolkit for junior researchers, graduate students, upper-level undergraduates, and anyone in need of a comprehensive introductory textbook on environmental justice.