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https://www.readbyqxmd.com/read/29447727/n-o-129-l-exercice-physique-pendant-la-grossesse-et-le-postpartum
#1
Gregory A L Davies, Larry A Wolfe, Michelle F Mottola, Catherine MacKinnon
OBJECTIF: Énoncer une directive canadienne visant à informer les fournisseurs de soins obstétricaux des répercussions, pour la mère, le fœtus et le nouveau-né, des exercices de conditionnement aerobique et musculaire pendant la grossesse. RéSULTATS ATTENDUS: Effets sur la morbidité maternelle, fœtale et néonatale et mesures de la forme physique maternelle. PREUVES: Une recherche sur MEDLINE des articles, publiés en anglais de 1966 à 2002, appartenant aux catégories suivantes : études sur le conditionnement aérobique et musculaire chez des femmes ne faisant pas jusque-là d'exercice et chez des femmes actives avant leur grossesse, ainsi que des études sur les répercussions du conditionnement aérobique et musculaire sur les issues précoces et tardives de la grossesse ou sur les issues néonatales; rapports de synthèse et méta-analyses portant sur l'exercice pendant la grossesse...
February 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29157753/-validity-and-reproducibility-of-two-direct-observation-assessment-forms-for-evaluation-of-internal-medicine-residents-clinical-skills
#2
P Pottier, F Cohen Aubart, O Steichen, M Desprets, M Pha, A Espitia, S Georgin-Lavialle, A Morel, J B Hardouin
INTRODUCTION: The revision of the French medical studies' third cycle ought to be competency-based. In internal medicine, theoretical and practical knowledge will be assessed online with e-learning and e-portfolio. In parallel, a reflection about clinical skills assessment forms is currently ongoing. In this context, our aim was to assess the reproducibility and validity of two assessment forms based on direct clinical observation. METHOD: A prospective and multicentric study has been conducted from November 2015 to October 2016 aiming at evaluating the French translations of the MINI-Clinical Examination Exercice (MINI-CEX) and the Standardized Patient Satisfaction Questionnaire (SPSQ)...
January 2018: La Revue de Médecine Interne
https://www.readbyqxmd.com/read/29059891/the-effect-of-the-preparation-instruction-on-the-functional-connectivity-between-forearm-muscles-during-movement-s-initiation
#3
Yosra Saidane, Sofia Ben Jebara
This study investigates the effect of preparation warning on the functional connectivity between forearm muscles during movement's initiation. The Normalized Mutual Information (NMI) is the used indicator. It is calculated for muscle pairs activated during a handgrip exercice. They are innervated by the same nerve or by different nerves. Results show that: i) NMI is more important when muscles pairs are stimulated by the same nerve during both preparation and motor activities. ii) NMI is higher during preparation comparing to motor activity...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28696593/-sarcopenia-in-elderly-benefice-of-physical-exercices
#4
André Laszlo
From the age of fifty onwards a progressive loss of muscle mass may be observed, it often leads to real sarcopenia. Sedentary life style and unbalanced feeding habits represent major risk factors. The decrease in muscle tone leads to a loss of function and an altered quality of life, not to mention socioeconomic factors. The molecular mechanisms of sarcopenia are complex but our understanding of them is increasing. There is no pharmaceutical treatment of sarcopenia of use in current practice. Regular, several times a week, practice of a combination of adapted muscle building physical and endurance exercises, associated with protein intake have shown there use...
November 9, 2016: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28688744/-screening-of-hepatocellular-carcinoma-in-patients-with-uncomplicated-cirrhosis-in-real-life-practices-survey-of-general-practionners-from-three-towns-of-seine-saint-denis-north-east-suburb-of-paris
#5
Nasséra Jiar, Jean-Luc Slama, Nathalie Ganne-Carrié
Cirrhosis is a frequent and severe pathology life threatening, due to the occurrence of complications including hepatocellular carcinoma. In order to assess the degree of conformity, of practices, with the French guidelines for the surveillance of patients with compensated cirrhosis and the primary prevention of complications, published in 2007, all general practitioners practicing in three towns from north-east suburb of Paris (Seine-Saint-Denis) representing a population pool of 186 286 inhabitants were asked during the first quarter of 2012 for the face-to-face administration of a standardized questionnaire...
July 2017: Bulletin du Cancer
https://www.readbyqxmd.com/read/28268860/iproprio-a-smartphone-based-system-to-measure-and-improve-proprioceptive-function
#6
Q Mourcou, A Fleury, B Diot, N Vuillerme
It is well known that proprioception is necessary to maintain balance control. Although proprioceptive exercices have shown to have beneficial effects on balance, the joint position sense is not easy to measure and patient cannot practise self-measurement. This article proposes a new system specifically desinged to allow measure and improve proprioceptive function. This so-called `iProprio' system uses inertial sensors included in a smartphone, wireless communication and voice command to allow joint position sense measurment in autonomous way and provide a configurable vibrotactile biofeedback for end-users at home...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227058/iproprio-a-smartphone-based-system-to-measure-and-improve-proprioceptive-function
#7
Q Mourcou, A Fleury, B Diot, N Vuillerme, Q Mourcou, A Fleury, B Diot, N Vuillerme, Q Mourcou, A Fleury, B Diot, N Vuillerme
It is well known that proprioception is necessary to maintain balance control. Although proprioceptive exercices have shown to have beneficial effects on balance, the joint position sense is not easy to measure and patient cannot practise self-measurement. This article proposes a new system specifically desinged to allow measure and improve proprioceptive function. This so-called `iProprio' system uses inertial sensors included in a smartphone, wireless communication and voice command to allow joint position sense measurment in autonomous way and provide a configurable vibrotactile biofeedback for end-users at home...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28110207/the-effect-of-physical-activity-on-depressive-symptoms-and-quality-of-life-among-elderly-nursing-home-residents-randomized-controlled-trial
#8
RANDOMIZED CONTROLLED TRIAL
Neslihan Lok, Sefa Lok, Muammer Canbaz
OBJECTIVES: Physical activity may have positive effects on decreasing anxiety, stress and depression, maintaining mental health and ensuring psychological vitality.This study aimed to determine how a "Physical Activity Program" for elderly people in nursing homes affected their depressive symptoms and quality of life. METHODS: We included 80 individuals aged >65years (40 in the intervention group, 40 controls) in this experimental, randomized, controlled pretest-posttest study...
May 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27677405/exercice-induced-bronchoconstriction-among-athletes-assessment-of-bronchial-provocation-tests
#9
S Vakali, I Vogiatzis, A Florou, S Giavi, S Zakynthinos, N G Papadopoulos, Ch Gratziou
Diagnosis of exercise-induced bronchoconstriction (EIB) requires the use of bronchial provocation tests (BPTs). We assessed exercise-induced respiratory symptoms (EIRS), EIB and asthma in athletes and evaluated the validity of BPTs in the diagnosis of EIB. Rhinitis and atopy were also assessed. Athletes with (n=55) and without previous asthma diagnosis (n=145) were tested by skin prick tests, lung function and eNO measurements. EIRS were recorded and EIB was assessed by methacholine (Mch), eucapnic voluntary hyperpnoea (EVH), mannitol and exercise test...
January 2017: Respiratory Physiology & Neurobiology
https://www.readbyqxmd.com/read/27343129/the-entry-level-occupational-therapy-clinical-doctorate-the-next-education-wave-of-change-in-canada
#10
Ted Brown, Jeffrey L Crabtree, Joe Wells, Keli Mu
BACKGROUND: Currently, Canada and the United States are the only two countries that mandate entry to the occupational therapy profession at the master's level. There was a recommendation considered by the American Occupational Therapy Association that by 2025 all education programs would move to the clinical doctorate level. In August 2015, the Accreditation Council for Occupational Therapy Education made the formal decision that for now, the entry-level qualification for occupational therapists in the United States will remain at both the master's and clinical doctorate levels...
December 2016: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
https://www.readbyqxmd.com/read/26742354/-chronic-fatigue-syndrome
#11
Ariane Gonthier, Bernard Favrat
Chronic fatigue syndrome (CFS) is a debilitating disorder, characterized by a severe, persistant and unexplained fatigue, which can be associated with diffuse pain, sleep difficulties, neurocognitive and neurovegetative troubles. Its prevalence has been estimated between 0.3 and 0.9%. Though its physiopathology remains controversial, evidence is growing that dysimmunity, oxidative stress and mitochondrial dysfunction are involved in its pathogeny. No medication has demonstrated specifc efficacy in the CFS. The management of CFS involves limiting unnecessary investigations, promoting graded exercice therapy, and providing empathic counselling in order to prevent negative thoughts...
November 25, 2015: Revue Médicale Suisse
https://www.readbyqxmd.com/read/26098070/-cardiopulmonary-exercise-testing-cpet-%C3%A2-indication-and-clinical-impact
#12
REVIEW
Jörg Hansen, Frank Rassouli, Martin H Brutsche
Dyspnoea is a common symptom of exercice intolerance. Tests performed at rest often leave the reason open. Cardiopulmonary exercise testing (CPET) is a tool for the qualitative and quantitative assessment of the cardio-circulatory, pulmonary and metabolic response to exercise. It is the gold-standard in the evaluation of dyspnoea and identifying its etiology (obstructive/restrictive lung disease, heart failure, physical fitness …). CPET is particularly useful, if previous evaluations including history, physical examination, ECG, pulmonary function testing (PFT), X-ray, blood tests, and blood gases do not lead to a decisive diagnosis...
May 2015: Therapeutische Umschau. Revue Thérapeutique
https://www.readbyqxmd.com/read/25555852/-moyamoya-disease-diagnosis-clinical-features-evolution-and-treatment-in-10%C3%A2-patients
#13
REVIEW
C Blanc, S Janoura, C Pallot, L Mettey, F Bardin, F Ricolfi, A Chavent, G-V Osseby, M Giroud, Y Béjot
INTRODUCTION: Moyamoya disease is a rare chronic cerebrovascular disease. The objective of this article is to report the different clinical and radiological presentations and describe treatments and clinical course of this disease. METHODS: We searched for patients with Moyamoya disease diagnosed at a French university hospital. The diagnosis was based on arteriographic records showing uni- or bilateral stenosis of distal intracranial internal carotid arteries or middle cerebral arteries associated with a classic collateral network imparting a puff of smoke aspect...
January 2015: Revue Neurologique
https://www.readbyqxmd.com/read/25051596/-lung-volume-reduction-lvr-in-severe-emphysema-a-multidisciplinary-approach
#14
A Lovis, T Krueger, J Y Perentes, H-B Ris, B Egger, C Beigelman, L Nicod, J-D Aubert, M Gonzalez
Most cases of emphysema are managed conservatively. However, in severe symptomatic emphysema associated with hyperinflation, lung volume reduction (LVR) may be proposed to improve dyspnea, exercice capacity, pulmonary functions, walk distance and to decrease long-term mortality. LVR may be achieved either surgically (LVRS) or endoscopically (EVLR by valves or coils) according to specific clinical criteria. Currently, the optimal approach is discussed in a multidisciplinary setting. The latter permits a personalized evaluation the patient's clinical status and allows the best possible therapeutic intervention to be proposed to the patient...
June 18, 2014: Revue Médicale Suisse
https://www.readbyqxmd.com/read/25031218/-care-of-elderly-subject-with-iron-deficiency-anaemia-evaluation-of-geriatric-practice
#15
Gilles Berrut, Christelle Dibon, Olivier Hanon, Gaëtan Gavazzi, Philippe Chassagne, Laure de Decker
UNLABELLED: The anemia with iron deficiency is frequent in the elder subjects. Few studies have reported the practice of the geriatric medicine about anemia. METHODS: A national survey asked geriatric medical practitioners of hospital geriatric ward from June till September, 2013. Questionnaires were sent, filled over the phone. On 568 sent questionnaires, 312 (55%) were filled. The frequency of the anemia is considered of 46 ± 21%. The definition of the anemia in an elderly person is on average 10...
June 2014: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/24762288/medical-co-morbidities-and-practice
#16
REVIEW
R Kulkarni, E P Mauser-Bunschoten, C Stedman, A Street
All-oral treatments of hepatitis C (HCV) have been trialled in patients with hereditary bleeding disorders and found to be effective. Further refinements of dosing and duration are being established. Importantly for patient acceptability these regimens are interferon-free. Cohort studies in older patients with haemophilia direct the need for attention to weight control, exercice, assessment of cardiovascular risk, especially hypertension and detection of osteoporosis. Where patients live a long way from a comprehensive care centre, telemedicine connections can engage centre experts with the patient and his/her local practitioners in devising and monitoring care plans...
May 2014: Haemophilia: the Official Journal of the World Federation of Hemophilia
https://www.readbyqxmd.com/read/24057686/exercise-training-is-safe-after-coronary-stenting-a-prospective-multicentre-study
#17
MULTICENTER STUDY
Marie-Christine Iliou, Bruno Pavy, Jimena Martinez, Sonia Corone, Philippe Meurin, Philippe Tuppin
BACKGROUND: Data on the safety of exercise training after coronary stenting are scarce. DESIGN: This is a prospective cohort study of 3132 patients with coronary stenting within the last 12 months, recruited by 44 cardiac rehabilitation centres; patients were included in a cardiac rehabilitation programme with training sessions 3-5 days a week. Cardiac rehabilitation was defined as early rehabilitation when starting <1 month after coronary stenting and as late rehabilitation when starting later...
January 2015: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/22897428/microvolt-t-wave-alternans-in-short-qt-syndrome
#18
Philippe Maury, Fabrice Extramiana, Carla Giustetto, Cristelle Cardin, Anne Rollin, Alexandre Duparc, Pierre Mondoly, Isabelle Denjoy, Marc Delay, Anne Messali, Antoine Leenhardt, Daniele Marangoni
BACKGROUND: T-wave alternans (TWA) is an accepted marker of risk for malignant ventricular arrhythmias, for which prognosis value has been established in different populations. Short QT syndrome (SQTS) is a very rare primary electrical disease carrying the risk of ventricular fibrillation. TWA in SQTS has not been evaluated yet. METHODS: Thirteen patients with SQTS (QT = 308 ± 16 ms, QTc = 329 ± 10 ms, heart rate = 69 ± 8 beats/min) underwent microvolt TWA measurement using spectral analysis...
December 2012: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/22335142/-exercise-capacity-of-adolescent-girls-with-mild-idiopathic-scoliosis-after-direct-correction-with-using-of-the-cheneau-brace-preliminary-study
#19
Joanna Pajak, Justyna Bugała-Szpak, Jacek Durmała
INTRODUCTION: Idiopathic scoliosis is that kind of structural deformation, for which there was no reasonable cause based on the temporary level of science. The conservative treatment of the idiopathic scoliosis is based on a rigid brace. The aim of the study is to establish if Cheneau brace decreases exercise capacity in adolescent patients with mild idiopathic scoliosis. MATERIAL AND METHODS: The research was done in 31 girls aged 11 to 18 years with diagnosed idiopathic adolescent scoliosis...
2011: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/22118923/-treatment-of-metastatic-colorectal-cancer-an-illustration-of-the-changes-in-the-cancer-paradigms
#20
REVIEW
François Goldwasser
Until the 2000 decade, survival gains in metastatic colorectal cancer were due to the addition of new cytotoxic agents with original mechanism of action: fluorouracile, the oxaliplatin and irinotecan and also the improvements of liver surgery. During the 2000 decade, the treatment improvements are related to monoclonal antibodies, directed either against the EGF receptor or the VEGF receptor. The molecular characterization of the tumor, especially the presence or absence of k-ras mutation guides the use of targeted therapy...
January 2012: La Presse Médicale
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