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Author: Delphine Frimigacci
Publisher:
ISBN:
Category :
Languages : fr
Pages : 204
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Book Description
L’hémorragie du post-partum est l’une des premières causes de mortalité maternelle en France et reste le plus souvent imprévisible. On parle d’hémorragie grave du post-partum en cas de saignement ne cédant pas après la mise en route du sulprostone et nécessitant un recours aux techniques invasives d’hémostase (chirurgie ou embolisation pelvienne). L’objectif de notre étude était de mettre en évidence des facteurs prédictifs de gravité ou de guérison, permettant une prise en charge adaptée la moins invasive possible. Notre étude rétrospective a inclus 310 patientes ayant accouché sur place ou ayant été transférées pour hémorragie grave du post-partum à l’hôpital de Lariboisière entre avril 2007 et avril 2009. Soixante-dix pour cent des patientes ont eu une prise en charge médicale seule. Les principaux facteurs significatifs retrouvés entre les patientes ayant eu une prise en charge médicale seule et celles ayant eu une prise en charge invasive sont, au niveau clinique la fréquence cardiaque (88 versus 100 battements par minute, p=4.10-14), l’importance du saignement (p=4.10-77) et la tonicité du globe utérin (p=4.10-18). Et au niveau biologique, les critères de gravité relevés sont le taux d’hémoglobine (9 versus 8.2 g/dL, p=1.5.10-6) et les facteurs de coagulation, avec surtout le taux de fibrinogène (3 versus 2 g/L, p=2.10-12). Les facteurs de guérison identifiés correspondent aux facteurs de gravité. En conclusion, en dehors de l’examen clinique, ce sont surtout les facteurs d’hémostase qui sont pertinents dans les cas d’hémorragie grave du post-partum.
Author: Delphine Frimigacci
Publisher:
ISBN:
Category :
Languages : fr
Pages : 204
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Book Description
L’hémorragie du post-partum est l’une des premières causes de mortalité maternelle en France et reste le plus souvent imprévisible. On parle d’hémorragie grave du post-partum en cas de saignement ne cédant pas après la mise en route du sulprostone et nécessitant un recours aux techniques invasives d’hémostase (chirurgie ou embolisation pelvienne). L’objectif de notre étude était de mettre en évidence des facteurs prédictifs de gravité ou de guérison, permettant une prise en charge adaptée la moins invasive possible. Notre étude rétrospective a inclus 310 patientes ayant accouché sur place ou ayant été transférées pour hémorragie grave du post-partum à l’hôpital de Lariboisière entre avril 2007 et avril 2009. Soixante-dix pour cent des patientes ont eu une prise en charge médicale seule. Les principaux facteurs significatifs retrouvés entre les patientes ayant eu une prise en charge médicale seule et celles ayant eu une prise en charge invasive sont, au niveau clinique la fréquence cardiaque (88 versus 100 battements par minute, p=4.10-14), l’importance du saignement (p=4.10-77) et la tonicité du globe utérin (p=4.10-18). Et au niveau biologique, les critères de gravité relevés sont le taux d’hémoglobine (9 versus 8.2 g/dL, p=1.5.10-6) et les facteurs de coagulation, avec surtout le taux de fibrinogène (3 versus 2 g/L, p=2.10-12). Les facteurs de guérison identifiés correspondent aux facteurs de gravité. En conclusion, en dehors de l’examen clinique, ce sont surtout les facteurs d’hémostase qui sont pertinents dans les cas d’hémorragie grave du post-partum.
Author: Mohamed M. Ghoneim (M.D.)
Publisher: Butterworth-Heinemann
ISBN:
Category : Medical
Languages : en
Pages : 216
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Book Description
* First comprehensive source on facts about consciousness while under anesthesia * Includes a detailed pharmacology of drugs * Details techniques for detection and prevention. * Author is leading expert in field
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241549602
Category : Medical
Languages : en
Pages : 203
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Book Description
First published in March 2014 under the title "Clinical management of patients with viral haemorrhagic fever: a pocket guide for front-line health workers: interim emergency guidance for West Africa".
Author: Hunter B. Moore
Publisher: Springer Nature
ISBN: 3030536068
Category : Medical
Languages : en
Pages : 802
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Book Description
The first edition of this publication was aimed at defining the current concepts of trauma induced coagulopathy by critically analyzing the most up-to-date studies from a clinical and basic science perspective. It served as a reference source for any clinician interested in reviewing the pathophysiology, diagnosis, and management of the coagulopathic trauma patient, and the data that supports it. By meticulously describing the methodology of most traditional as well as state of the art coagulation assays the reader is provided with a full understanding of the tests that are used to study trauma induced coagulopathy. With the growing interest in understanding and managing coagulation in trauma, this second edition has been expanded to 46 chapters from its original 35 to incorporate the massive global efforts in understanding, diagnosing, and treating trauma induced coagulopathy. The evolving use of blood products as well as recently introduced hemostatic medications is reviewed in detail. The text provides therapeutic strategies to treat specific coagulation abnormalities following severe injury, which goes beyond the first edition that largely was based on describing the mechanisms causing coagulation abnormalities. Trauma Induced Coagulopathy 2nd Edition is a valuable reference to clinicians that are faced with specific clinical challenges when managing coagulopathy.
Author: Michele Cutino
Publisher: Walter de Gruyter GmbH & Co KG
ISBN: 311068733X
Category : Religion
Languages : en
Pages : 769
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Book Description
This volume examines for the first time the most important methodological issues concerning Christian poetry – i.e. biblical and theological poetry in classical meters – from a diachronic perspective. Thus, it is possible to evaluate the doctrinal significance of these compositions and the role that they play in the development of Christian theological ideas and biblical exegesis.
Author: Octave Mirbeau
Publisher: Library of Alexandria
ISBN: 1465606947
Category : Fiction
Languages : en
Pages : 219
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Book Description
One evening some friends were gathered at the home of one of our most celebrated writers. Having dined sumptuously, they were discussing murder—apropos of what, I no longer remember probably apropos of nothing. Only men were present: moralists, poets, philosophers and doctors—thus everyone could speak freely, according to his whim, his hobby or his idiosyncrasies, without fear of suddenly seeing that expression of horror and fear which the least startling idea traces upon the horrified face of a notary. I—say notary, much as I might have said lawyer or porter, not disdainfully, of course, but in order to define the average French mind. With a calmness of spirit as perfect as though he were expressing an opinion upon the merits of the cigar he was smoking, a member of the Academy of Moral and Political Sciences said: “Really—I honestly believe that murder is the greatest human preoccupation, and that all our acts stem from it... “ We awaited the pronouncement of an involved theory, but he remained silent. “Absolutely!” said a Darwinian scientist, “and, my friend, you are voicing one of those eternal truths such as the legendary Monsieur de La Palisse discovered every day: since murder is the very bedrock of our social institutions, and consequently the most imperious necessity of civilized life. If it no longer existed, there would be no governments of any kind, by virtue of the admirable fact that crime in general and murder in particular are not only their excuse, but their only reason for being. We should then live in complete anarchy, which is inconceivable. So, instead of seeking to eliminate murder, it is imperative that it be cultivated with intelligence and perseverance. I know no better culture medium than law.” Someone protested. “Here, here!” asked the savant, “aren't we alone, and speaking frankly?” “Please!” said the host, “let us profit thoroughly by the only occasion when we are free to express our personal ideas, for both I, in my books, and you in your turn, may present only lies to the public.” The scientist settled himself once more among the cushions of his armchair, stretched his legs, which were numb from being crossed too long and, his head thrown back, his arms hanging and his stomach soothed by good digestion, puffed smoke−rings at the ceiling: “Besides,” he continued, “murder is largely self−propagating. Actually, it is not the result of this or that passion, nor is it a pathological form of degeneracy. It is a vital instinct which is in us all—which is in all organized beings and dominates them, just as the genetic instinct. And most of the time it is especially true that these two instincts fuse so well, and are so totally interchangeable, that in some way or other they form a single and identical instinct, so that we no longer may tell which of the two urges us to give life, and which to take it—which is murder, and which love. I have been the confidant of an honorable assassin who killed women, not to rob them, but to ravish them. His trick was to manage things so that his sexual climax coincided exactly with the death−spasm of the woman: 'At those moments,' he told me, 'I imagined I was a God, creating a world!”
Author: Veronica Roth
Publisher: HarperCollins UK
ISBN: 0007536739
Category : Fiction
Languages : en
Pages : 390
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Book Description
The explosive debut by No. 1 New York Times bestselling author Veronica Roth. DIVERGENT – a major motion picture series.
Author: Shinichi Imura
Publisher: Springer Science & Business Media
ISBN: 4431685294
Category : Medical
Languages : en
Pages : 428
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Book Description
The introduction of total joint arthroplasty throughout the world has contributed manifold benefits to patients who suffer from joint diseases. Concurrently, however, there has been an increase in revision surgery. Many orthopedic surgeons agree that durability of prostheses is an eternal problem. In particular, periprosthetic osteolysis recently has been identified as one of the serious problems affecting prosthetic dura bility. To improve durability, osteolysis and many other problems must be investi gated and solved both experimentally and clinically with respect to such aspects as prosthetic material, design, and biological and biomechanical behavior. This book comprises 37 papers that were presented by orthopedic surgeons and biomedical engineers at the 28th Annual Meeting of the Japanese Society for Replace ment Arthroplasty, held in March 1998 in Kanazawa, Japan. The volume is thus a compilation of the latest knowledge about the pathogenesis and reduction of osteolysis and wear, newly developed total hip prostheses, and other current topics of total knee arthroplasty. We earnestly hope that this book will be of benefit to clinicians and researchers, and that it will contribute to the creation of more durable total joint prostheses in the future. SHINICHI IMURA v Contents Preface .................... '" .. .. .. ... . .. .. .. . ... .. . . .. . ... . . .. . V List of Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XI . . . . . . . . . . . . Part 1 Wear and Pathogenesis of Osteolysis Friction and Wear of Artificial Joints: A Historical Review N. AKAMATSU ................................................ , 3 Matrix Degradation in Osteoclastic Bone Resorption Under Pathological Conditions .
Author: Rodger L. Bick
Publisher: Lippincott Williams & Wilkins
ISBN: 9780397516902
Category : Medical
Languages : en
Pages : 472
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Book Description
Written for a multidisciplinary audience, this revision presents current data on antithrombotic therapy including warfarins and heparin, delivers practical techniques for diagnosing and treating bleeding and clotting disorders, and includes all topics necessary for board review. This practical text covers disorders of thrombosis and hemostasis in a logical and sequential manner: etiology, pathophysiology, clinical and laboratory diagnosis, and management. Also included are diagnostic tests for deep venous thrombosis, three new clotting defects, hereditary disorders and defects, liver and renal diseases, cardiovascular events, and problems in obstetrical/gynecological patients. A Brandon-Hill recommended title.
Author: Vincent Cottin
Publisher: Springer
ISBN: 1447124014
Category : Medical
Languages : en
Pages : 623
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Book Description
Orphan Lung Diseases: A Clinical Guide to Rare Lung Disease provides a comprehensive, clinically focused textbook on rare and so-called ‘orphan’ pulmonary diseases. The book is oriented towards the diagnostic approach, including manifestations suggesting the disease, diagnostic criteria, methods of diagnostic confirmation, and differential diagnosis, with an overview of management.
