FRACTURES DU COL DU FEMUR CHEZ LA PERSONNE AGEE AUX URGENCES PDF Download
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Author: SANDRA.. CAIS PHILIBERT
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Category :
Languages : fr
Pages :
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Author: SANDRA.. CAIS PHILIBERT
Publisher:
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Category :
Languages : fr
Pages :
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Author: Alexandra Gueganno
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Introduction : il est recommandé d'opérer les fractures de l'extrémité supérieure du fémur dans un délai maximum de 48h. Dans la cohorte amiénoise de 2017, le délai moyen était de 3,5 jours. Afin d'envisager une diminution de ce délai, il apparaissait essentiel d'identifier les facteurs pouvant entrer en jeu. Objectif : Nous nous sommes posés la question de savoir si certains facteurs pouvant influencer le délai de prise en charge au bloc étaient identifiés et pris en charge aux urgences. Matériel et méthode : il s'agissait d'une étude observationnelle rétrospective monocentrique menée de janvier 2021 à juillet 2022 au Centre Hospitalier Universitaire (CHU) d'Amiens-Picardie. L'objectif principal était d'identifier les facteurs divergents dans la prise en charge depuis l'admission aux urgences jusqu'à la prise en charge chirurgicale entre les patients opérés à moins de 48h de l'admission aux urgences et ceux opérés à plus de 48h. L'objectif secondaire était de quantifier l'influence des facteurs identifiés et modifiables afin de pouvoir proposer des mesures correctives. Résultats : 248 patients étaient inclus. Le délai opératoire (DO) moyen était de 58,6 heures. Les facteurs influançants significativement le DO étaient l'autonomie du patient (p=0,049), le nombre de médicaments (p=0,023), le type d'anticoagulants (p=0,0006), les antiagrégants plaquettaires (p=0,003), la période d'admission (p=0,025), la douleur (p=0,00066). Discussion/conclusion : même si nos résultats ne nous ont pas permis d'identifier de manière significative tous les facteurs influençants le délai opératoire, des tendances se dessinent. Les troubles de l'hémostase constituent le motif de report principal. Ces résultats méritent d'être confirmés par des études plus puissantes interventionnelles et prospectives. La mise en place d'un protocole de service permettrait d'uniformiser les prises en charge afin d'optimiser les délais opératoires de ces patients.
Author: Connie Watkins Bales
Publisher: Springer
ISBN: 1493919296
Category : Medical
Languages : en
Pages : 455
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This is the new and fully revised third edition of the well-received text that is the benchmark book in the field of nutrition and aging. The editors (specialists in geriatric nutrition, medical sociology, and clinical nutrition, respectively) and contributors (a panel of recognized academic nutritionists, geriatricians, clinicians, and other scientists) have added a number of new chapters and have thoroughly updated the widely acclaimed second edition. This third edition provides fresh perspectives and the latest scientific and clinical developments on the interaction of nutrition with age-associated disease and provides practical, evidence-based options to enhance this at-risk population’s potential for optimal health and disease prevention. Chapters on a wide range of topics, such as the role of nutrition in physical and cognitive function, and coverage of an array of clinical conditions (obesity, diabetes, heart failure, cancer, kidney disease, osteoporosis), compliment chapters on food insecurity, anti-aging and nutritional supplements, making this third edition uniquely different from previous editions. Handbook of Clinical Nutrition and Aging, Third Edition, is a practical and comprehensive resource and an invaluable guide to nutritionists, physicians, nurses, social workers and others who provide health care for the ever-increasing aging population.
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Category : Anesthesia
Languages : en
Pages : 1092
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Author: Jacqueline Ki-Zerbo
Publisher: Univ of California Press
ISBN: 9780520066960
Category : History
Languages : en
Pages : 372
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"This volume covers the period from the end of the Neolithic era to the beginning of the seventh century of our era. This lengthy period includes the civilization of Ancient Egypt, the history of Nubia, Ethiopia, North Africa and the Sahara, as well as of the other regions of the continent and its islands."--Publisher's description
Author: Ian Renwick McWhinney
Publisher:
ISBN: 9781927352106
Category : Family medicine
Languages : en
Pages :
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Author: Nathan I. Cherny
Publisher: Oxford University Press, USA
ISBN: 0199656096
Category : Medical
Languages : en
Pages : 1281
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Emphasising the multi-disciplinary nature of palliative care the fourth edition of this text also looks at the individual professional roles that contribute to the best-quality palliative care.
Author: Electre
Publisher:
ISBN: 9782765407881
Category :
Languages : fr
Pages : 1846
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Author: Richard Hain
Publisher: Oxford University Press
ISBN: 019882131X
Category : Medical
Languages : en
Pages : 535
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The importance of palliative care for children facing life threatening illness and their families is now widely acknowledged as an essential part of care, which should be available to all children and families, throughout the child's illness and at the end of life. The new edition of the Oxford Textbook of Palliative Care for Children brings together the most up to date information, current knowledge, evidence, and developments of clinical practice in the field. The book is structured into four sections. 'Foundations of Care' describes core issues, the foundations on which paediatric palliative care is based. 'Child and Family Care' looks at different aspects of psychological, social, and cultural care for the sick child or young person, and their family. These chapters cover the time course of the illness, around the time of death and support for the bereaved family. 'Symptom Care' focuses on the uses of medication, specific symptoms, and their management. Finally, 'Delivery of Care' examines practical approaches to care in different environments and the needs of clinicians. Two new editors join the team from Canada and South Africa, reflecting our aims to contribute towards the development of care for children across the world, and to be a resource for both experienced clinicians and those new to the field. Comprehensive in scope, exhaustive in detail, and definitive in authority, this third edition has been thoroughly updated to cover new practices, current epidemiological data, and the evolving models that support the delivery of palliative medicine to children. This includes two new chapters, looking in detail at 'Decision Making' and 'Perinatal Care', and a new section highlighting the emerging importance of 'Palliative Care for Children in Humanitarian Crises'. This book is an essential resource for anyone who works with children worldwide.
Author: Robert D. Mootz
Publisher: Jones & Bartlett Learning
ISBN: 9780834213753
Category : Chiropractic
Languages : en
Pages : 246
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Contributions from leaders in the field of sports chiropractic. Reprints from five years of Topics in Clinical Chiropractic updated with recent information Support documents for exercise testing, pre-test history and informed c
