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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...
September 24, 2016: Respiratory Physiology & Neurobiology
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...
June 23, 2016: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
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
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
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
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
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
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
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
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
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
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
Gérard Amarenco, Angélique Brotier, Amandine Guinet, Marylène Jousse
Urinary incontinence is a very common problem in women; it can lead to a specific alteration of quality of life which is necessary to evaluate before any treatment. Various types of incontinence can be described: stress incontinence, urge incontinence, mixed incontinence. Clinical examination is always necessary to exclude a specific cause of incontinence particularly neurogenic dysfunction in which incontinence may be the first symptom before motor or sensitive alterations appearance. Urodynamic investigations can easily determine pathophysiologic factors and allow a best choice of therapeutic strategies...
September 2011: La Revue du Praticien
J Noterman
The life of Joseph-Ignace Guillotin can be divided into three periods. The first part of his life consists of his training and his settling as a medical consultant and influential freemason from 1738 to 1788. The second part primarily consists of his political role for a short period during the Revolution (from 1788 to 1791). It was during that time that he proposed a change in the functioning of the General States, a penal Code reform, and the reorganization of the teaching and medical exercice. Finally, during the third period of his life, he focused on promoting vaccination against smallpox and founded with others the present-day Academy of Medicine of Paris...
May 2011: Revue Médicale de Bruxelles
Pâmela Garcia Morozetti, Cristina Freitas Ganança, Brasília Maria Chiari
PURPOSE: To compare the therapeutic efficacy of two protocols for vestibular rehabilitation in several vestibular disordes. METHODS: Twenty patients with chronic peripheral disorders of both genders (prevalence of females, with 60% of the sample) and mean age of 55 years and 9 months participated in this study. Group 1 carried out exercices based on stimulation of vertical and horizontal vestibulocular reflex, and Group 2 carried out exercices based on a protocol of personalized vestibular rehabilitation...
March 2011: Jornal da Sociedade Brasileira de Fonoaudiologia
R Roberge
The elderly face a decrease in physical capacity and an increase in chronic health problems. Exercise increases cardiovascular fitness, muscle strength and bone mass. Training programs are feasible and beneficial for the elderly. Regular exercice can lead to longer and healthier life.
June 1992: Canadian Family Physician Médecin de Famille Canadien
Emmanuelle Boffi El Amari
Upper respiratory tract infections are frequent in athletes. Mainly of viral origin, they are treated symptomatically. Infectious mononucleosis is associated with an estimated 2% per hundred risk of splenic rupture, which occurs between day four and twenty one of the illness. Therefore return to play guidelines recommend avoiding, exercice during the first twenty one days. Physical exercise seems to influence the immune system, depending on the intensity and length of it. But the relationship between physical exercise and risk of infections remains controversial: some articles showing an increase in risk, whereas others suggesting a certain degree of protection, in athletes...
August 11, 2010: Revue Médicale Suisse
Christian Corbé
A low vision method is based on tests or exercices whose supports are, how the visual system works as a whole, with independant separated frequential canals, an elaboration of a mental representation with the intervention of memory mechanism and prototypie structuration of objects, a multisensorial analysis of the representation and not only a visual analysis. Two goals are pursued within this method: firstly, the evaluation consists of defining the patient's visual capacity and the means he carried out; secondly the reeducation, through appropriate practices, enables the patient to get aware of his limits...
October 20, 2009: La Revue du Praticien
Cristina Vladuţiu, Simona Sevan, Sarmisa Popoviciu
THE PURPOSE: To establlsh a protocol for the treatment of amblyopia and the methods used to maintain the results (visual acuity). MATERIAL AND METHODS: Fifty children with amblyopia were treated in the Pediatric Ophthalmology Department of the Ophthalmological Cllnic in Cluj. Full time occlusion was used in all children. Pleoptic methods (Haidinger procedure, anti crowding fenomenon exercices and visual attention exercices) were done in the amblyopic children. The study analyzed the correlation of the visual acuity and the type of amblyopia (strabismic, anysometropic), the age of the patients and the age at the initiation of the treatment, the compliance...
2009: Oftalmologia
Imen Ksibi, Sonia Lebib, Fatma Z Ben Salah, Imen Miri, Sonia Koubaa, Catherine Dziri
BACKGROUND: Knee Osteoarthritis is the most frequent articular disease. It may cause disability and handicap. AIM OF THE STUDY: to assess the effect of a home based exercice programme in a Tunisian population having knee osteoarthritis, associated with medical treatment and education. METHODS: Prospective study during three months, including 34 Tunisian patients with knee osteoarthritis. A clinical and functional assessment of the patients was made using respectively the visual analogic scale for the pain, the Lequesne index, the Functional Independence Measure and the womac function score for the function, the HAQ and SF 36 for the assessment of the quality of life...
October 2008: La Tunisie Médicale
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