Impact clinique des traitements de prévention secondaire prescrits au décours d'un infarctus du myocarde selon le niveau de risque cardiovasculaire PDF Download
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Author: Victoria Tea
Publisher:
ISBN:
Category :
Languages : fr
Pages : 154
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Book Description
Rationnel : Le traitement de prévention secondaire prescrit après un infarctus du myocarde (IDM) est souvent sous-optimal. But: Analyser l'impact de la prescription d'un traitement de prévention secondaire adapté au décours d'un IDM à la survenue d'évènements cliniques majeurs (mortalité, récidive d'IDM ou AVC) en fonction du niveau de risque cardiovasculaire défini par le score TRS-2P. Méthode: Nous avons utilisé le registre FAST-MI 2010 incluant 4,169 patients hospitalisés pour IDM. Trois niveaux de risque ont été défini par le score TRS-2P: groupe 1 (faible risque; TRS-2P≤1); groupe 2 (risque intermédiaire; TRS-2P=2), groupe 3 (haut risque; TRS-2P≥3). Le traitement de prévention secondaire adapté était défini selon les dernières recommandations (bi-antiagrégants et statines pour tous, IEC/ARA2 et béta bloquants quand indiqué). Résultats: La prévalence des groupes 1, 2 et 3 était de 46%, 25% et 29% avec un traitement de prévention secondaire adapté à la sortie chez respectivement 79%, 69% et 54% des patients. En analyse multivariée, la prescription du traitement adapté était associée à un taux d'évènements cardiovasculaires plus faible à 5 ans (HR=0.78; IC95%[0.68-0.91],P=0.01), notamment chez les patients à haut risque du groupe 3: HR=0.71 (IC95%[0.58-0.86], P=0.001). La même tendance a été trouvée pour les statines fortes doses et les nouveaux inhibiteurs du P2Y12. Conclusion: La prescription d'un traitement de prévention secondaire adapté à la sortie d'hospitalisation est inversement corrélée au risque des patients alors que ce sont ceux à haut risque qui en bénéficieraient le plus. Des efforts de prescription sont à fournir, surtout chez les patients à haut risque.
Author: Victoria Tea
Publisher:
ISBN:
Category :
Languages : fr
Pages : 154
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Book Description
Rationnel : Le traitement de prévention secondaire prescrit après un infarctus du myocarde (IDM) est souvent sous-optimal. But: Analyser l'impact de la prescription d'un traitement de prévention secondaire adapté au décours d'un IDM à la survenue d'évènements cliniques majeurs (mortalité, récidive d'IDM ou AVC) en fonction du niveau de risque cardiovasculaire défini par le score TRS-2P. Méthode: Nous avons utilisé le registre FAST-MI 2010 incluant 4,169 patients hospitalisés pour IDM. Trois niveaux de risque ont été défini par le score TRS-2P: groupe 1 (faible risque; TRS-2P≤1); groupe 2 (risque intermédiaire; TRS-2P=2), groupe 3 (haut risque; TRS-2P≥3). Le traitement de prévention secondaire adapté était défini selon les dernières recommandations (bi-antiagrégants et statines pour tous, IEC/ARA2 et béta bloquants quand indiqué). Résultats: La prévalence des groupes 1, 2 et 3 était de 46%, 25% et 29% avec un traitement de prévention secondaire adapté à la sortie chez respectivement 79%, 69% et 54% des patients. En analyse multivariée, la prescription du traitement adapté était associée à un taux d'évènements cardiovasculaires plus faible à 5 ans (HR=0.78; IC95%[0.68-0.91],P=0.01), notamment chez les patients à haut risque du groupe 3: HR=0.71 (IC95%[0.58-0.86], P=0.001). La même tendance a été trouvée pour les statines fortes doses et les nouveaux inhibiteurs du P2Y12. Conclusion: La prescription d'un traitement de prévention secondaire adapté à la sortie d'hospitalisation est inversement corrélée au risque des patients alors que ce sont ceux à haut risque qui en bénéficieraient le plus. Des efforts de prescription sont à fournir, surtout chez les patients à haut risque.
Author: Michael J. Fimian
Publisher: John Wiley & Sons
ISBN: 9780884221029
Category : Stress (Psychology)
Languages : en
Pages : 88
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Book Description
Author: Theodore Warkentin
Publisher: CRC Press
ISBN: 0824758846
Category : Medical
Languages : en
Pages : 660
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Book Description
Taking stock of advances in clinical recognition, laboratory testing, and pharmacologic therapy as well as basic aspects of pathogenesis, the Third Edition of Heparin-Induced Thrombocytopenia reinforces its standing as the leading guide to accurate diagnosis and effective management of this complex condition. Featuring added chapters on bivalirudin
Author: Danielle R. Bouchard
Publisher: Human Kinetics
ISBN: 1492592161
Category : Medical
Languages : en
Pages : 354
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Book Description
Go beyond aging theories and examine the physiological and physical impacts of aging. Exercise and Physical Activity for Older Adults takes a close look at the physical implications of the aging process and how health, physical activity, and exercise interact in aging adults. With an international team of contributors composed of leading experts from across the field of gerontology, Exercise and Physical Activity for Older Adults delivers comprehensive, interdisciplinary coverage of the physical aging process and its effects on movement and exercise. Research on the physiological and physical implications of aging is presented, focusing on study outcomes and their practical application in optimizing healthy aging. Presented in an integrated and cohesive manner, this text is organized into four parts. Part I covers the theoretical foundations of biological aging, the implications of aging theories on medical research, and the social and economic impacts of demographic shifts due to population aging and global population size. Part II addresses age-related changes to the musculoskeletal, cardiovascular, pulmonary, and endocrine systems. Part III covers the physical effects of aging on other dimensions of life, including balance, motor control, and physical functions. Part IV focuses on exercise and older adults, taking an in-depth look at exercise measurements and the main barriers to regular exercise. One full chapter is devoted to recommendations for optimizing health for the general public, while another chapter is focused on performance by elite older athletes who exercise beyond functional fitness. Chapter objectives, end-of-chapter summaries, and review questions highlight key concepts and promote learning retention. Behavior Check sidebars look at the impacts of aging on behavior, how behavior affects physical health and activity, and how changes in behavior can improve everyday living. Functional Fitness Checkup sidebars focus on the performance of daily movements that are vital for older adults who want to maintain their physical independence. Putting It Into Practice elements provide examples of real-life application of the concepts presented, facilitating a practical understanding of how to use the content to benefit clients. A definitive resource for students and health care professionals who study physical aging, conduct clinical research, or work with older adults as clients and patients, Exercise and Physical Activity for Older Adults helps readers understand the aging process and its effects on movement, exercise, and other dimensions of life.
Author: James Morss Churchill
Publisher: BoD – Books on Demand
ISBN: 3734043735
Category : Fiction
Languages : en
Pages : 42
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Book Description
Reproduction of the original: A Treatise on Acupuncturation by James Morss Churchill
Author: Martin J. Blaser
Publisher: Raven Press (ID)
ISBN: 9780781702263
Category : Communicable diseases
Languages : en
Pages : 0
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Author: Aoife Nolan
Publisher: Bloomsbury Publishing
ISBN: 1847318312
Category : Law
Languages : en
Pages : 336
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Book Description
This book is concerned with children's economic and social rights (sometimes referred to simply as children's social rights). Despite increased academic interest in both children's rights and socio-economic rights over the last two decades, children's social and economic rights remain a comparatively neglected area. This is particularly true with regard to the role of the courts in the enforcement of such social rights. Aoife Nolan's book remedies this omission, focussing on the circumstances in which the courts can and should give effect to the social and economic rights of children. The arguments put forward are located within the context of, and develop, long-standing debates in constitutional law, democratic theory and human rights. The claims made by the author are supported and illustrated by concrete examples of judicial enforcement of children's social and economic rights from a variety of jurisdictions. The work is thus rooted in both theory and practice. The author brings together and addresses a wide range of issues that have never previously been considered together in book form. These include children's socio-economic rights; children as citizens and their position in relation to democratic decision-making processes; the implications of children and their rights for democratic and constitutional theory; the role of the courts in ensuring the enforcement of children's rights; and the debates surrounding the litigation and adjudication of social and economic rights. This book thus represents a major original contribution to the existing scholarship in a range of areas including human (and specifically social) rights, legal and political theory and constitutional law. 'Children's rights were often thought to be synonymous with economic and social welfare prior to the adoption of the Convention on the Rights of the Child in 1989. Ironically, since that time, remarkably little scholarship has been devoted to the vitally important economic and social rights dimensions of children's rights. Nolan's book singlehandedly remedies that neglect and does so in a sophisticated, nuanced and balanced way. It provides a superb account of the pros and cons of judicial activism in promoting these rights.' Philip Alston, John Norton Pomeroy Professor, NYU Law School 'Thus far the burgeoning literature on the judicial enforcement of socio-economic rights has failed to engage in a sustained, systemic manner with this topic from the perspective of children and the complexity of their status as citizens within contemporary democracies. This book fills this gap and makes a major contribution to the literature in the three interrelated areas of the judicial review of socio-economic rights claims, children's rights, and democratic theory. Nolan navigates skilfully through the dense, but rich literature in these areas as well as relevant international and comparative law. In so doing she illuminates both the pitfalls and potential of resorting to courts in a partial response to the multifaceted and deeply entrenched global phenomenon of child poverty.' Professor Sandra Liebenberg, HF Oppenheimer Professor of Human Rights Law, University of Stellenbosch Law Faculty. Winner of the Kevin Boyle Book Prize 2012, awarded by the Irish Association of Law Teachers to a book that is deemed to have made an outstanding contribution to the understanding of law.
Author: Walter C. Randall
Publisher: Oxford University Press, USA
ISBN:
Category : Medical
Languages : en
Pages : 504
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Book Description
Describing the functional neural regulation of the heart and circulation, this book illustrates recent research on the cardiac innervation, selective denervation, receptor mechanisms, and the neural mediation of cardiovascular reflexes. The pathways mediating cardiac pain, behavioural, and exercise inputs are also discussed in detail.
Author: Philip A. Pizzo
Publisher: Lippincott Williams & Wilkins
ISBN: 9780683303995
Category : Medical
Languages : en
Pages : 849
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Book Description
Recommended in the Brandon/Hill selected list of print books and journals for the small medical library - April 2001 & 2003 The Third Edition of this very popular book offers the most authoritative and comprehensive review of the impact of the HIV disease in infants, children, and adolescents.
Author: Jakob Zinsstag
Publisher: CABI
ISBN: 1789242576
Category : Medical
Languages : en
Pages : 459
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Book Description
One Health, the concept of combined veterinary and human health, has now expanded beyond emerging infectious diseases and zoonoses to incorporate a wider suite of health issues. Retaining its interdisciplinary focus which combines theory with practice, this new edition illustrates the contribution of One Health collaborations to real-world issues such as sanitation, economics, food security and vaccination programmes. It includes more non-infectious disease issues and climate change discussion alongside revised case studies and expanded methodology chapters to draw out implications for practice. Promoting an action-based, solutions-oriented approach, One Health: The Theory and Practice of Integrated Health Approaches highlights the lessons learned for both human and animal health professionals and students.
