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Le score de fragilité clinique, un score d’évaluation gériatrique simple en chirurgie générale d’urgence

Le score de fragilité clinique, un score d’évaluation gériatrique simple en chirurgie générale d’urgence PDF Author: Dimithri Muthukuda Wijesuriya
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

Book Description
Introduction : l’intégration du concept gériatrique de fragilité dans l’évaluation pré-opératoire du patient âgé chirurgical devient primordial. Le score de fragilité clinique (CFS) est un des outils validés pour l’évaluation de la fragilité qui semble adapté au contexte d’urgences chirurgicales. L’objectif de cette étude est d’évaluer l’association entre le CFS et la morbidité post-opératoire chez les patients âgés de 75 ans et plus, opérés en chirurgie générale d’urgence. Matériel et méthodes : nous avons évalué prospectivement la fragilité via le CFS chez les patients de 75 et plus opérés dans le service de Chirurgie générale d’urgence de l'hôpital Pasteur 2 entre le 1er avril 2021 et le 1er avril 2022. Le critère de jugement principal était la survenue de complications post-opératoires à la fois chirurgicales (classés selon l’échelle de Clavien-Dindo) et spécifiques de la personne âgée (altération de l’état général, plainte cognitive, chutes, perte d’autonomie). Les caractéristiques des deux groupes constitués (fragiles CFS

Le score de fragilité clinique, un score d’évaluation gériatrique simple en chirurgie générale d’urgence

Le score de fragilité clinique, un score d’évaluation gériatrique simple en chirurgie générale d’urgence PDF Author: Dimithri Muthukuda Wijesuriya
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

Book Description
Introduction : l’intégration du concept gériatrique de fragilité dans l’évaluation pré-opératoire du patient âgé chirurgical devient primordial. Le score de fragilité clinique (CFS) est un des outils validés pour l’évaluation de la fragilité qui semble adapté au contexte d’urgences chirurgicales. L’objectif de cette étude est d’évaluer l’association entre le CFS et la morbidité post-opératoire chez les patients âgés de 75 ans et plus, opérés en chirurgie générale d’urgence. Matériel et méthodes : nous avons évalué prospectivement la fragilité via le CFS chez les patients de 75 et plus opérés dans le service de Chirurgie générale d’urgence de l'hôpital Pasteur 2 entre le 1er avril 2021 et le 1er avril 2022. Le critère de jugement principal était la survenue de complications post-opératoires à la fois chirurgicales (classés selon l’échelle de Clavien-Dindo) et spécifiques de la personne âgée (altération de l’état général, plainte cognitive, chutes, perte d’autonomie). Les caractéristiques des deux groupes constitués (fragiles CFS

Comprehensive Geriatric Assessment

Comprehensive Geriatric Assessment PDF Author: Alberto Pilotto
Publisher: Springer
ISBN: 3319625039
Category : Medical
Languages : en
Pages : 182

Book Description
This book offers an up-to-date review on the principles and practice of multidimensional assessment and management of the older individual, which represents the cornerstone of modern clinical practice in the elderly. The early chapters cover the main elements and scope of the comprehensive geriatric approach and explain the pathways of care from screening and case finding through to in-depth assessment and treatment planning. Subsequent chapters review the evidence of how best to apply the multidimensional assessment and management approach in defined healthcare settings and within specific clinical areas, such as cancer and surgery. Finally, the education and training challenges are reviewed and the prospects for future clinical service and research in this important field are examined. The book is very timely given the recent advances in application of this approach, which reflect the growing international realization that older people are “core business” in many clinical areas where the role of specialist geriatric medicine has hitherto been limited. Accordingly, the book will be relevant to a wide range of clinicians. The authorship comprises many of the best known and widely published experts in their respective fields.

Thickening Fat

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

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.

Interprofessional Capability Framework

Interprofessional Capability Framework PDF Author: HIpE
Publisher:
ISBN: 9780646551241
Category :
Languages : en
Pages : 16

Book Description


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

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

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

Frailty in the Elderly

Frailty in the Elderly PDF Author: Sara Palermo
Publisher: BoD – Books on Demand
ISBN: 1839682183
Category : Medical
Languages : en
Pages : 148

Book Description
The progressive growth in the number of older adults worldwide has led to a modification of the current healthcare scenario and a parallel increase in the use of public resources. In this book, we propose a conceptual framework within which aging, frailty, and care are analyzed through the lens of complexity medicine. Therefore, we present a multidimensional perspective that takes into account biomedical, (neuro)psychological, and socio-ecological vulnerability. The theses presented are the result of an inductive approach, based on many years of experience in the field, which has made it possible to identify strategies for frailty recognition and effective responses even in complicated clinical settings. The book is intended to be a tool of concrete and easy consultation, rich in reflections and suggestions.