Profil clinique et biologique du sujet âgé diabétique hospitalisé dans les services de gériatrie du pôle de gérontologie du CHU de Nice

Profil clinique et biologique du sujet âgé diabétique hospitalisé dans les services de gériatrie du pôle de gérontologie du CHU de Nice PDF Author: Karim Marouk
Publisher:
ISBN:
Category :
Languages : fr
Pages : 418

Get Book Here

Book Description
Le diabète est une affection très courante, et sa prévalence accuse une hausse très sensible en France, près de 50% de l’ensemble de la population des diabétiques ont plus de 65 ans. Cette maladie métabolique chez le sujet âgé constitue une pathologie spécifique où les conséquences de l’hyperglycémie chronique s’additionnent aux co-morbidités liées au vieillissement constituant ainsi un problème majeur de santé publique. L’évaluation gérontologique est primordiale pour une meilleure prise en charge du sujet diabétique. Nous avons réalisé une étude descriptive sur 100 patients diabétiques hospitalisés dans les services de gériatrie du pôle de gérontologie du CHU de Nice. Les résultats montrent que ces patients présentent un profil très hétérogène dominé par la forte présence des complications cardiovasculaires qui conditionnent le pronostic vital (66% des patients), l’association de l’hypertension artérielle et le diabète chez le sujet âgé est très fréquente, elle intéresse 68% des patients. La dénutrition touche 77% des sujets, cette dernière constitue un facteur majeur de morbi-mortalité. Par ailleurs l’insuffisance rénale est présente chez plus de 44% des patients et les troubles cognitifs sont retrouvés chez plus de 56% d’entre eux. Le médecin généraliste est le coordinateur essentiel dans le suivi médical de ces patients. Par ailleurs notre étude confirme un pourcentage très élevé de patients mal équilibrés dont l’hémoglobine glycosylée dépasse les 8% (59% des patients), de même l’hémoglobine glycosylée dans la population étudiée est en moyenne de 7.76% reflétant un équilibre glycémique médiocre. L’indication de l’insuline est retenue chez 51.10% des patients (insuline exclusive dans 45.7%).Le principal obstacle à l’utilisation des anti-diabétiques oraux est la prévalence importante de l’insuffisance rénale chez les sujets âgés, l’évaluation de cette dernière est une nécessité impérative. Les objectifs glycémiques et les choix thérapeutiques sont fonction de plusieurs critères et ces objectifs sont déterminés au cas par cas, ou la prise en charge et la prévention des complications métaboliques restent au premier plan tout en gardant à l’esprit la notion de qualité de vie. La santé n’a pas de prix mais elle a un coût, la prise en charge du sujet âgé diabétique et la maîtrise des dépenses de santé sont des priorités nécessaires d’une bonne politique de santé publique.

Simplexity

Simplexity PDF Author: Alain Berthoz
Publisher: Odile Jacob
ISBN: 2738147453
Category : Science
Languages : en
Pages : 194

Get Book Here

Book Description
“Simplexity, as I understand it, is the range of solutions living organisms have found, despite the complexity of natural processes, to enable the brain to prepare an action and plan for the consequences of it. These solutions are simplifying principles that enable the processing of information or situations, by taking into account past experience and anticipating the future. They are neither caricatures, shortcuts, or summaries. They are new ways of asking questions, sometimes at the cost of occasional detours, in order to achieve faster, more elegant, more effective actions.” A. B. As Alain Berthoz demonstrates in this profoundly original book, simplicity is never easy; it requires suppressing, selecting, connecting, thinking, in order to then act in the best way possible. And what if we, in turn, are inspired by the living world to process the complexity that surrounds us? Alain Berthoz is professor at the Collège de France where he is co-director of the Laboratoire de physiologie de la perception et de l’action. [Laboratory for the physiology of perception and action]. He is a member of the French Academy of Sciences, and is the author of Le Sens du mouvement [The Brain's Sense of Movement] and La Décision [Emotion and Reason].

Thickening Fat

Thickening Fat PDF Author: May Friedman
Publisher: Routledge
ISBN: 0429017634
Category : Social Science
Languages : en
Pages : 264

Get Book Here

Book Description
Thickening Fat: Fat Bodies, Intersectionality, and Social Justice seeks to explore the multiple, variable, and embodied experiences of fat oppression and fat activisms. Moving beyond an analysis of fat oppression as singular, this book will aim to unpack the volatility of fat—the mutability of fat embodiments as they correlate with other embodied subjectivities, and the threshold where fat begins to be reviled, celebrated, or amended. In addition, Thickening Fat explores the full range of intersectional and liminal analyses that push beyond the simple addition of two or more subjectivities, looking instead at the complex alchemy of layered and unstable markers of difference and privilege. Cognizant that the concept of intersectionality has been filled out in a plurality of ways, Thickening Fat poses critical questions around how to render analysis of fatness intersectional and to thicken up intersectionality, where intersectionality is attenuated to the shifting and composite and material dimensions to identity, rather than reduced to an “add difference and stir” approach. The chapters in this collection ask what happens when we operationalize intersectionality in fat scholarship and politics, and we position difference at the centre and start of inquiry.

The Brain's Sense of Movement

The Brain's Sense of Movement PDF Author: Alain Berthoz
Publisher: Harvard University Press
ISBN: 9780674009806
Category : Medical
Languages : en
Pages : 356

Get Book Here

Book Description
This interpretation of perception and action allows Alain Berthoz to focus on psychological phenomena: proprioception and kinaesthesis; the mechanisms that maintain balance and co-ordination actions; and basic perceptual and memory processes involved in navigation.

Emotion and Reason

Emotion and Reason PDF Author: A. Berthoz
Publisher: Oxford University Press, USA
ISBN: 9780198566267
Category : Action theory
Languages : en
Pages : 0

Get Book Here

Book Description
(Play It Like It Is). Matching folio to the album DMB created in tribute to LeRoi Moore, their saxophonist who died in a 2008 accident. The All Music Guide calls it DMB's "richest, and quite possibly best" album to date. 12 songs: Alligator Pie * Baby Blue * Dive In * Funny the Way It Is * Lying in the Hands of God * Seven * Shake Me like a Monkey * Spaceman * Squirm * Time Bomb * Why I Am * You & Me.

Magnetic Nanoparticles in Human Health and Medicine

Magnetic Nanoparticles in Human Health and Medicine PDF Author: Costica Caizer
Publisher: John Wiley & Sons
ISBN: 1119754747
Category : Science
Languages : en
Pages : 512

Get Book Here

Book Description
Magnetic Nanoparticles in Human Health and Medicine Explores the application of magnetic nanoparticles in drug delivery, magnetic resonance imaging, and alternative cancer therapy Magnetic Nanoparticles in Human Health and Medicine addresses recent progress in improving diagnosis by magnetic resonance imaging (MRI) and using non-invasive and non-toxic magnetic nanoparticles for targeted drug delivery and magnetic hyperthermia. Focusing on cancer diagnosis and alternative therapy, the book covers both fundamental principles and advanced theoretical and experimental research on the magnetic properties, biocompatibilization, biofunctionalization, and application of magnetic nanoparticles in nanobiotechnology and nanomedicine. Chapters written by a panel of international specialists in the field of magnetic nanoparticles and their applications in biomedicine cover magnetic hyperthermia (MHT), MRI contrast agents, biomedical imaging, modeling and simulation, nanobiotechnology, toxicity issues, and more. Readers are provided with accurate information on the use of magnetic nanoparticles in diagnosis, drug delivery, and alternative cancer therapeutics—featuring discussion of current problems, proposed solutions, and future research directions. Topics include current applications of magnetic iron oxide nanoparticles in nanomedicine and alternative cancer therapy: drug delivery, magnetic resonance imaging, superparamagnetic hyperthermia as alternative cancer therapy, magnetic hyperthermia in clinical trials, and simulating the physics of magnetic particle heating for cancer therapy. This comprehensive volume: Covers both general research on magnetic nanoparticles in medicine and specific applications in cancer therapeutics Discusses the use of magnetic nanoparticles in alternative cancer therapy by magnetic and superparamagnetic hyperthermia Explores targeted medication delivery using magnetic nanoparticles as a future replacement of conventional techniques Reviews the use of MRI with magnetic nanoparticles to increase the diagnostic accuracy of medical imaging Magnetic Nanoparticles in Human Health and Medicine is a valuable resource for researchers in the fields of nanomagnetism, magnetic nanoparticles, nanobiomaterials, nanobioengineering, biopharmaceuticals nanobiotechnologies, nanomedicine, and biopharmaceuticals, particularly those focused on alternative cancer diagnosis and therapeutics.

The Explicitation Interview

The Explicitation Interview PDF Author: Pierre Vermersch
Publisher: Explicitation Interview
ISBN: 9781090169259
Category : Study Aids
Languages : en
Pages : 170

Get Book Here

Book Description
This book was first published in French in 1994. It has been a training support to numerous researchers as well as practitioners, such as teachers, health workers, personal or sport trainers. Since then, it has constantly been republished and a glossary has been added in 1998. This version is the first complete edition of the book in English. The main idea of this new interview technique is to help a teacher, a supervisor or a researcher to guide the student, the practitioner or the subject to give a fine retrospective description of an action. As it is only the subject that has access to this mental or physical action, the goal is to help the subject with the verbalization, putting the implicit knowledge of this action in words. Yet, to achieve this verbalization, we need guidance, because we don't know how to give such a description ourselves. If we leave the interviewee without guidance, he risks remaining in the implicit, speaking in a general way, or in an incomplete or imprecise way, commenting instead of describing. The explicit and precise description we aim is the opposite of the implicit, meaning a fine, detailed and complete way of putting the action in words. The final aim is to elucidate what the subject did to seek his goal