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Book Description
L’objectif est d’étudier les influences de la ventilation non invasive (VNI) sur l’organisme d’un patient atteint d’une insuffisance respiratoire chronique. A partir des signaux de polysomnographie (PSG), examen de référence permettant d’analyser les mécanismes d’interactions patient-ventilateur, l’efficacité de la VNI a pu être appréciée. 1) Etude rétrospective : des synoptiques permettant une visualisation globale des événements au cours de la nuit par la représentation simultanée des variables enregistrées lors de la PSG ont été construits. Puis, les relations entre les différents asynchronismes patient-ventilateur et les fuites non intentionnelles ont été quantifiées. Quatre types de profil ventilatoire ont été mis en évidence. 2) Etude prospective : adaptation à la VNI. Trois PSG ont été réalisées : une en ventilation spontanée (J1), une la nuit de la mise en place de la VNI (J2) et une après 15 jours de VNI (J15). Une analyse individuelle a été effectuée par l’interprétation des synoptiques, et une analyse globale a été effectuée par une approche statistique. Une entropie de Shannon, calculée à partir de diagrammes de proche-retour, a été utilisée pour estimer la qualité du sommeil. La mise en place de la VNI se traduit par une amélioration des paramètres ventilatoires, une amélioration voire une restauration du temps passé en sommeil paradoxal, et une diminution de la fragmentation du sommeil par la correction des apnées obstructives. Sous VNI, la variabilité cardiaque, estimée à partir d’une entropie de Shannon calculée sur la base d’une dynamique symbolique, diminue significativement. Peu d’effets des asynchronismes sur la qualité de la ventilation ont été notés.
Book Description
L’objectif est d’étudier les influences de la ventilation non invasive (VNI) sur l’organisme d’un patient atteint d’une insuffisance respiratoire chronique. A partir des signaux de polysomnographie (PSG), examen de référence permettant d’analyser les mécanismes d’interactions patient-ventilateur, l’efficacité de la VNI a pu être appréciée. 1) Etude rétrospective : des synoptiques permettant une visualisation globale des événements au cours de la nuit par la représentation simultanée des variables enregistrées lors de la PSG ont été construits. Puis, les relations entre les différents asynchronismes patient-ventilateur et les fuites non intentionnelles ont été quantifiées. Quatre types de profil ventilatoire ont été mis en évidence. 2) Etude prospective : adaptation à la VNI. Trois PSG ont été réalisées : une en ventilation spontanée (J1), une la nuit de la mise en place de la VNI (J2) et une après 15 jours de VNI (J15). Une analyse individuelle a été effectuée par l’interprétation des synoptiques, et une analyse globale a été effectuée par une approche statistique. Une entropie de Shannon, calculée à partir de diagrammes de proche-retour, a été utilisée pour estimer la qualité du sommeil. La mise en place de la VNI se traduit par une amélioration des paramètres ventilatoires, une amélioration voire une restauration du temps passé en sommeil paradoxal, et une diminution de la fragmentation du sommeil par la correction des apnées obstructives. Sous VNI, la variabilité cardiaque, estimée à partir d’une entropie de Shannon calculée sur la base d’une dynamique symbolique, diminue significativement. Peu d’effets des asynchronismes sur la qualité de la ventilation ont été notés.
Author: Janet Stocks Publisher: John Wiley & Sons ISBN: 9780471076827 Category : Medical Languages : en Pages : 628
Book Description
This book is a step-by-step guide to procedures and analysis of infant lung function testing. Each test description is preceded by a brief resume of the theoretical background. A troubleshooting section compiles the problems most frequently encountered during measurement and analysis. This book will provide those training in pediatric pulmonary with a sound grasp of the fundamental principles and practical issues involved in measuring infant lung function.
Author: Mhairi G. MacDonald Publisher: Lippincott Williams & Wilkins ISBN: 1451144105 Category : Medical Languages : en Pages : 449
Book Description
The Atlas of Procedures in Neonatology, Fifth Edition, provides detailed, step-by-step instructions on procedures performed in the neonatal intensive care nursery. In an easy-to-follow outline format, with more than 450 drawings and clinical photographs, the book presents clear, current information on indications, preparation, technique, precautions, and how to avoid potential complications. New for this edition: New chapters covering: Brain and Whole Body Coolling; Bubble CPAP; Educational Principles of Simulation Based Procedure Training to help you stay updated on the latest technology and information Access to free online companion website that includes fully searchable text, image bank and videos so you can access the content anytime, anywhere Video collection has been expanded to include: lumbar puncture, intraosseous infusion, bubble CPAP and pericardiocentesis for both commonly performed procedures and vital emergency procedures
Author: Philip M. Hopkins Publisher: Cambridge University Press ISBN: 9780521281829 Category : Medical Languages : en Pages : 0
Book Description
This authoritative and comprehensive new publication looks in depth at a range of medical syndromes characterized by serious and unpredicted internal overheating of the body. As a result of heat stress, exceptional physical exertion, or in response to certain drugs, these episodes may arise suddenly and unexpectedly, with life-threatening consequences. This text's contributions focus on the full range of these syndromes, their metabolic and physiological bases, the important predisposing factors that determine those at risk, and the medical management of these conditions. The volume incorporates a wealth of information from the Leeds Malignant Hyperthermia Investigation Unit--the world's leading center of research and investigation in this area.
Author: Marjorie A. Bowman Publisher: ISBN: Category : Medical Languages : en Pages : 420
Book Description
Inside, you'll find practical information on how to handle the most common emergencies that present in primary care offices and urgent care centers -- whether in person or over the telephone.
Author: Neil L. Schechter Publisher: Lippincott Williams & Wilkins ISBN: 9780781726443 Category : Medical Languages : en Pages : 924
Book Description
This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.
Author: Lena Hellström-Westas Publisher: CRC Press ISBN: 1000687848 Category : Medical Languages : en Pages : 202
Book Description
Thoroughly revised from analogue examples to digital examples using simultaneous dual channel EEG, An Atlas of Amplitude-Integrated EEGsin the Newborn is the definitive clinical atlas-textbook on interpreting Cerebral Function Monitor (CFM) tracings. This simplified method of continuous amplitude-integrated EEG (EEG) mo
Author: Robert A. Hoekelman Publisher: Mosby Incorporated ISBN: 9780323008297 Category : Medical Languages : en Pages : 1936
Book Description
-- An outstanding offer, both the New Hoekelman book & CD! -- Important new information at your fingertips, whether at the office or home.
Author: World Bank Publisher: World Bank Publications ISBN: 0821385631 Category : Social Science Languages : en Pages : 114
Book Description
This report provides the most comprehensive and rigorous analysis of Iraqi income and expenditure in several decades. The report makes extensive use of the Iraq Household Socio-Economic Survey, the first nationwide income and expenditure survey since 1988. IHSES data is complemented income and expenditure data from a wide range of other measures of living standards, allowing us to analyze living standards in a holistic way. The analysis presented here was performed with two main goals first, to inform the Government s Poverty Reduction Strategy; and second, to serve as a baseline for future assessments of changes in living standards and the identification of critical issues for deeper examination. Iraqi living standards have two unusual characteristics. First, they have fallen over the past generation. Second, they feature surprisingly little inequality. These characteristics are both rooted in Iraq s recent history of authoritarian government, war, military occupation, insurgency, and civil strife leading to infrastructure destruction and population displacement. There have been few opportunities for individuals to prosper from professional or entrepreneurial activities. Decades of neglected investment have resulted in deterioration of social services and economic infrastructure. Consequently, individuals have lacked capabilities to prosper and an investment climate conducive to prosperity. School enrollment and life expectancy have declined. Extremely low returns to education reflect the combination of poor educational quality and lack of employment opportunities. In terms of economic infrastructure, access to reliable electricity and water, and even access to paved roads are low, are further reflections of decades of neglect. While the upper end of the distribution has been pulled down by a lack of opportunities, the lower end has been supported by direct government provision of food. The Public Distribution System (PDS) provides 85 percent of food needs. While PDS has been useful as a safety net for the poor and the vulnerable, the system is expensive, inefficient, and fiscally risky. Indeed, PDS food rations account for a far greater share of public spending than does education or health. Going forward, Iraq faces two main challenges. First, although Iraq does not have to develop from scratch, it faces a formidable challenge in re-development. Second, a shift by the Government is required from direct provision of basic subsistence toward investment in human capacities. The Government can provide an enabling environment through investments in economic infrastructure and services to business and citizens, thus allowing the population to make productive use of education and their own labor. Both challenges are now being taken up by the Poverty Reduction Strategy, which articulates a detailed set of required actions and outlines priorities for government spending.
Author: Roomila Naeck
Author: Roomila Naeck
Author: Janet Stocks
Author: 
Author: Mhairi G. MacDonald
Author: Philip M. Hopkins
Author: Marjorie A. Bowman
Author: Neil L. Schechter
Author: Lena Hellström-Westas
Author: Robert A. Hoekelman
Author: World Bank