Author: Laetitia Maleplate
Publisher:
ISBN:
Category :
Languages : fr
Pages : 192
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Book Description
Les Anti-inflammatoires non stéroïdiens sont parmi les médicaments les plus prescrits dans le monde avec une utilisation s’étendant bien au-delà des seules maladies inflammatoires. Ils viennent en effet au premier rang de la consommation médicamenteuse à visée analgésique. En novembre 2005, la Haute Autorité de Santé a publié des recommandations sur la prise en charge de la douleur postopératoire en chirurgie buccale. Celles-ci suggèrent l’utilisation d’AINS lors de la prise en charge de douleurs d’intensité modérée à sévère. De plus, les données de la littérature mettent en évidence l’utilisation de molécules et de posologies parfois très différentes selon les pays et les spécialités. Au vu de ces recommandations récentes, plusieurs questions restent encore à résoudre: les AINS possèdent-ils une activité anti-inflammatoire associée à leur activité antalgique? Existe-t-il des différences significatives en termes d’efficacité et d’effets indésirables entre toutes les molécules d’AINS ? Les effets indésirables décrits avec ces médicaments dans une indication rhumatologique peuvent-ils être extrapolés à leur utilisation en chirurgie buccale? Existe-t-il un lien de causalité pertinent entre la prise d’AINS en chirurgie buccale et le développement potentiel d’une infection locorégionale? Ce travail de thèse propose de répondre à ces différentes questions à travers une analyse de la littérature.
Author: Avi Cohen
Publisher:
ISBN:
Category :
Languages : fr
Pages : 162
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Book Description
La prise en charge de la douleur postopératoire est une préoccupation majeure dans le domaine de la chirurgie buccale. La prescription d’anti-inflammatoires non stéroïdiens ou d’antalgiques n’est pas sans effets indésirables. Le traitement dit « laser assisté)) a été démontré dans différentes études, capable d’offrir certaines possibilités analgésiques. Les effets antalgiques du laser les plus fréquemment rapportés concernent l’action sur les endorphines, sur la stabilisation de la membrane cellulaire ou encore l’action directe de la LLLT (Low Level Laser Therapy) sur la sensibilisation des nocicepteurs. Toutefois, au cours de ces dix dernières années, les auteurs semblent de plus en plus en faveur d’une action antalgique principalement voire exclusivement anti-inflammatoire du laser. La LLLT permettrait de réguler la production ainsi que l’expression de nombreuses molécules inflammatoires. Cliniquement, un nombre encore trop faible d’études met en évidence l’intérêt du laser dans le contrôle des douleurs postopératoires. Néanmoins, les résultats récemment obtenus semblent tendre vers une diminution de la douleur chez les patients ayant reçus une dose de laser en postopératoire. La problématique porte sur le fait que dans la plupart des études cliniques réalisées, le choix des lasers et des caractéristiques de l’irradiation ont été fait arbitrairement
Author: Anne-Laure Cottart
Publisher:
ISBN:
Category :
Languages : fr
Pages : 208
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Book Description
Il semble nécessaire de s’interroger sur la prise en charge de la douleur et de l’inflammation en pratique odontostomatologique, en effet les AINS sont trop souvent prescrits sans avoir de réelle utilité lorsqu’il s’agit d’un processus inflammatoire. La posologie autorisée de AINS utilisés en odontologie, en France (1200 mg/j) est loin d’atteindre le seul d’activité anti-inflammatoire. Le but de cette thèse est de montrer que les glococorticoïdes, anti-inflammatoire (AIS) à défaut d’avoir une activité antalgique présentent une action anti-inflammatoire bien supérieure aux AINS et ont donc un intérêt réel lors de chirurgie buccale ou bien même ne dermatologie buccale, leurs indications en odontostomatologie sont nombreuses. Les effets indésirables et les contre-indications des AIS sont limités d’autant plus qu’ils sont utilisés en cure courte dans notre domaine. Les AINS présentent également leurs propres indications mais il s’agit avant tout d’antalgiques dont l’activité est supérieure à celle du paracétamol, leur utilité est importante en odontostomatologie pour gérer la douleur à condition de tenir en compte de l’ensemble de leurs effets indésirables et de leurs contre-indications qui paraissant nombreux.
Author: Karel Pacak
Publisher: John Wiley & Sons
ISBN: 0470766387
Category : Medical
Languages : en
Pages : 184
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Book Description
Pheochromocytomas are rare but treacherous catecholamine-producing tumors, which if missed or not properly treated, will almost invariably prove fatal. Prompt diagnosis is, therefore, essential for effective treatment, usually by surgical resection. The manifestations are diverse and the tumor can mimic a variety of conditions, often resulting in either erroneous diagnoses or a delayed diagnosis. Reflecting the recent leaps in understanding this condition, Pheochromocytoma: Diagnosis, Localization, and Treatment provides a comprehensive update on the improvements in the diagnosis, localization, management and treatment of pheochromocytomas – providing you with the latest cutting edge science alongside best clinical practice. Written by the leading names in the field, the text details the significant developments in understanding the genetics and biology of the tumors, coupled with technological advances in the fields of analytical chemistry, genomics, molecular biology and nuclear medicine. The most comprehensive book on pheochromocytoma Provides cutting edge science and clinical guidance Written by the leading names in the field Authors present their recently developed novel biochemical test for the diagnosis of Pheochromocytoma
Author: L. C. Almekinders
Publisher: Wiley-Blackwell
ISBN: 9780865423824
Category : Medical
Languages : en
Pages : 360
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Book Description
The field of sports medicine is growing at a very rapid pace and with this growth comes a demand for more comprehensive, yet focused texts that will appeal to the varied audience of people who may be involved with managing sports related injuries. This volume provides concise information on imaging, differential diagnosis, treatment and rehabilitation. As well as covering the basic history and biochemistry (providing only what the clinician truly needs to know), anatomy, biomechanics, response to injury and general concepts of treatment and rehabilitation, the author discusses injuries to each anatomic region in turn. In order to ensure that all possible readers questions are covered there is an appendix at the end of each chapter where hard tissue injuries are discussed briefly, providing differential diagnosis and an overview of injuries that require surgical management. This is a feature unique to this text.
Author: Konrad Bork
Publisher: W.B. Saunders Company
ISBN:
Category : Medical
Languages : en
Pages : 448
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Book Description
Author: Christos Zouboulis
Publisher: Springer Science & Business Media
ISBN: 0306483823
Category : Medical
Languages : en
Pages : 612
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Book Description
It is with great pleasure that I write this Foreword to the Proceedings of the International Conference on Behçet’s Disease which was held in Berlin in June 2002. This was the first International Conference held under the auspices of the International Society for Behçet’s Disease which was founded in 2000 in Seoul. First, I congratulate our colleagues in Berlin, led by Professor Christos Zouboulis of the Department of Dermatology at the Free University of Berlin, for having organised a most successful conference and for having compiled these proceedings so rapidly. It will be realised immediately on scanning the contents of this book that the conference was truly international with 210 participants from 26 countries, as Professor Zouboulis has noted in his preface. These included basic scientists, epidemiologists, pathologists, clinicians and, importantly, representatives from patient organisations. The latter held their own conference alongside the scientific-medical conference to mutual benefit. The combined session of patients and doctors (abstracts on pp 601 – 626) gave the opportunity for an exchange of information and fruitful discussion. The wide ranging scope of the communications is evident from the index and it was most encouraging to see their origin – from all parts of the world, from senior and junior colleagues and, from many different disciplines. Many communications may be regarded as preliminary reports of research in progress and we look forward to seeing the definitive publications in appropriate journals in due course.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241547006
Category : Health & Fitness
Languages : en
Pages : 284
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Book Description
Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.
Author: Gordon J Johnson
Publisher: World Scientific
ISBN: 1911299514
Category : Medical
Languages : en
Pages : 686
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Book Description
This unique book is a comprehensive coverage of the epidemiology of the world's major blinding eye diseases, written by internationally acclaimed experts in each field. Edited by world-renowned epidemiologists and ophthalmologists, the chapters on each leading cause of blindness describe its biology, epidemiology, risk factors, clinical trials, possibilities for prevention, and new research avenues. New chapters include Research Synthesis, Epidemiology of Dry Eye Disease, and Epidemiology of Uveitis, as well as programme issues for reaching the goal of eliminating avoidable blindness by 2020.This book is essential for any eye care practitioner interested in the causation or prevention of disease, and should be part of any public health discipline's library with a focus on improving eye health worldwide.
Author: Carlo Enrique Marcucci
Publisher: Springer
ISBN: 3642550045
Category : Medical
Languages : en
Pages : 456
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Book Description
All anesthesiologists are confronted with patients who show bleeding disorders, whether congenital, acquired, or pharmacologically induced. Although many studies, meta-analyses, guidelines, and textbooks have been published on the subject, they mostly cover specific aspects or require a thorough knowledge of hemostasis. The goal of this book is to provide the anesthesiologist with an overview of hemostasis and the mechanisms underlying bleeding and coagulation in general and to assist in the understanding of specific coagulation disorders as they may occur in the various anesthesia subspecialties. It is hoped that, through the provision of practical information and tools, the book will help residents and trained anesthesiologists to manage one of the most frustrating challenges that they face: the bleeding patient. A full understanding of coagulation requires a lifelong career, and this book is not intended to replace the consulting hematologist, whose expert opinion should always be sought. The available procoagulant blood products and drugs all have potentially dangerous side-effects; furthermore, in bleeding disorders pitfalls are frequent and a misdiagnosis can have potentially catastrophic consequences. The aim of the editors is thus instead to enhance the collaboration between the disciplines of Anesthesiology and Hematology.
