Mesure continue du glucose chez des patients diabétiques de type 2 en hémodialyse PDF Download

Author: Julie Teynié
Publisher:
ISBN:
Category :
Languages : fr
Pages : 198

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Author: Corinne Fourmy-Chatel
Publisher:
ISBN:
Category :
Languages : fr
Pages : 168

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La prévalence des patients diabétiques en hémodialyse est en constante augmentation, en raison de l'augmentation de la prévalence du diabète de type 2 et de l'allongement de l'espérance de vie. Le diabète est un facteur important de morbi-mortalité chez les patients en hémodialyse et leur taux de survie est moins bon que les patients hémodialysés non diabétiques. La prise en charge du diabète de ces patients est particulière puisque les moyens classiques d'évaluation de l'équilibre glycémique tels que l'HbA1c ne sont pas fiables et ne reflètent pas la variabilité glycémique induite par l'hémodialyse. Il a récemment été démontré que le holter glycémique ou CGMS est utilisable pour évaluer l’équilibre glycémique de manière fiable chez ces patients. Nous avons réalisé une étude pilote prospective avant-après, pour évaluer l’impact de l’utilisation des données du CGMS, versus les glycémies capillaires, sur l’équilibre glycémique des patients diabétiques hémodialysés de notre centre. Nos résultats montrent que le holter glycémique ou CGMS est un outil qui permet d'améliorer de manière significative l'équilibre glycémique de ces patients, sans augmenter le risque d'hypoglycémie ni altérer leur qualité de vie. L'utilisation du holter glycémique confirme qu'il existe une variabilité glycémique induite par la dialyse, comme le montrent les profils types de notre étude. Le holter glycémique est donc, comme dans d'autres populations spécifiques telles que les patients diabétiques de type 1 ou les femmes enceintes diabétiques, un outil de choix pour l'adaptation des traitements anti-diabétiques des patients hémodialysés.

Author: Katherine Renpenning, MScN
Publisher: Springer Publishing Company
ISBN: 0826107796
Category : Medical
Languages : en
Pages : 253

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"This is an excellent review of the development of self-care deficit theory and the use of self-care in nursing practice. Explanations of the various theories and theory terms are well done and written at a level that novice theorists can relate to. The authors demonstrate how self-care science can be fiscally and effectively applied to the care of patients/clients."--Doody's Medical Reviews Dorothea Orem's Self-Care Theory has been used as a foundation for nursing practice in healthcare institutions and as the basis of curricula in nursing schools for decades. This book explores the high-level theory of the application of Orem's Self-Care Theory, and how it can improve patient outcomes as well as cost-effectiveness of nursing care delivery. Written for nursing theorists, researchers, administrators, and graduate students, the text addresses the relationship of self-care theory and evidence-based care in nursing, and provides a solution to improving contemporary healthcare outcomes. The book is divided into three sections. Section one discusses the reason for the existence of the nursing profession, and identifies the performance of self-care. Section two covers three nursing practice sciences-wholly compensatory nursing, partly compensatory nursing, and supportive educative nursing. Section three offer suggestions on how health care organizations can incorporate this broadened perspective of what constitutes evidence based practice and on-going research methodology into every-day delivery of nursing services. Key Features: Includes case examples to illustrate the application of theory to nursing practice Provides a current, cost-effective resource for implementing Orem's Self-Care Deficit Theory for effective evidence-based practice Builds the link between the application of Orem's Self Care Theory and improved patient and fiscal healthcare outcomes

Author: Joseph William Geoffrey Porter
Publisher:
ISBN:
Category : Health & Fitness
Languages : en
Pages : 580

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Protein supplies and requirements; The evaluation of protein quality; The role of food science and technology; Some factors affecting the utilization of proteins; Concluding remarks.

Author: Austin M 1876-1956 Patterson
Publisher: Scholar Select
ISBN: 9781296567972
Category :
Languages : en
Pages : 340

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This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work.As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.

Author: R. Gokal
Publisher: Springer Science & Business Media
ISBN: 9401108145
Category : Medical
Languages : en
Pages : 1185

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In 1986 the first edition of Continuous Ambulatory Peritoneal Dialysis, edited by R. Gokal, was published. In 1989 the third edition of Peritoneal Dialysis, edited by K.D. Nolph, was published. Both books were widely recognized for their comprehensive discussion of this particular field. Rather than edit new editions of each of these books separately, two of the most prominent figures in this field have decided to combine their knowledge and enthusiasm in this single book: The Textbook of Peritoneal Dialysis. The book is unique in its detailed discussion of a complete range of topics, including new advances in our understanding of the physiology of peritoneal dialysis, peritoneal dialysis kinetics, clinical results and a chapter dealing with the concepts of intraperitoneal chemotherapy. These examples of the dynamic nature of the field further illustrate the importance of this textbook, and make it required reading for everybody working within the field of peritoneal dialysis.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309148057
Category : Medical
Languages : en
Pages : 506

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Reducing the intake of sodium is an important public health goal for Americans. Since the 1970s, an array of public health interventions and national dietary guidelines has sought to reduce sodium intake. However, the U.S. population still consumes more sodium than is recommended, placing individuals at risk for diseases related to elevated blood pressure. Strategies to Reduce Sodium Intake in the United States evaluates and makes recommendations about strategies that could be implemented to reduce dietary sodium intake to levels recommended by the Dietary Guidelines for Americans. The book reviews past and ongoing efforts to reduce the sodium content of the food supply and to motivate consumers to change behavior. Based on past lessons learned, the book makes recommendations for future initiatives. It is an excellent resource for federal and state public health officials, the processed food and food service industries, health care professionals, consumer advocacy groups, and academic researchers.

Author: Jack W. Moncrief
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 304

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Author: Marc E. de Broe
Publisher: Springer Science & Business Media
ISBN: 1402025866
Category : Medical
Languages : en
Pages : 719

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To you the reader, the joy of discovery begins, for We continue in our goal of providing a text which us the job is done. In this edition, we have corrected is useful, not only to the clinician, but of equal interest past deficiencies, added new topics, expanded infor- to the investigator. The selection of content has been mation regarding the pediatric age group, provided directed at topics of current interest rather than those up to date (March 2003) references, while remaining of historic contribution. We have stressed the cont- true to our concept of a multi-national author book. bution of cell biology and pathophysiology, were it We continue to believe that scientific information is an exists, believing it provides both a better understa- international commodity whose interpretation and ap- ing of toxic injury when known, and a rational dir- plication are strongly influenced by both the cultural tion for therapy and prevention. and ethnic background of the observer. The oppor- nity to share in the rich diversity of the international We are encouraged by the accumulation of rec- scientific community remains a fundamental goal of nized risk factors, which allow pre-treatment strati- this endeavor. To participate as equals leads to mu- cation of our patients’ relative risk and allow us to - tual respect and peer appreciation. The sharing of in- cus our preventative techniques on the individuals tellectual resources fostered by this effort should and most likely to gain the greatest benefit.

Author: Linda Diann Urden
Publisher: Saunders
ISBN:
Category : Medical
Languages : en
Pages : 1242

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Book Description
Focusing on critical care nursing, this full-color text provides an examination of the important aspects of critical care nursing. It is organized in ten units around alterations in body systems.