Spécificité physiologique et intérêt de l'effort développé avec les membres supérieurs PDF Download

Author: Christophe Michel
Publisher:
ISBN:
Category :
Languages : fr
Pages : 182

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L’évaluation de l’adaptation à l’effort chez de nombreux patients n’est possible que par l’utilisation des membres supérieurs. Cependant, la spécificité de ce type d’effort est encore mal connue : c’est l’objet de cette étude qui a porté sur 25 sujets sains à 2 tests d’effort maximaux : 1 sur bicyclette ergométrique et 1 sur pédalier manuel. Sur le plan de la capacité d’anaérobiose et 64% en fin d’effort de celle obtenue avec les membres inférieurs. La sollicitation cardio-vasculaire objectivée par le produit de la Tension Artérielle par la Fréquence Cardiaque, est de même niveau en fin d’effort. La TcPO2 augmente au cours des deux types d’effort, mais de façon plus intense pour les membres supérieurs (+20.6 ± 10.6 mmHg en fin d’effort) que pour les membres inférieurs (+ 9.6 ± 16.1 mmHg) alors que la chute de la saturation en oxygène en fin d’effort pour les deux types de tests n’est pas significative (- 2.4 ± 4.2% pour les membres supérieurs, - 2.2 ± 2.3% pour les membres inférieurs). Ce test d’effort utilisant les membres supérieurs a été appliqué chez 15 sujets amputés pour artérite des membres inférieurs au début du séjour en rééducation. La désaptation métabolique est majeure (pic de VO2 10.9 ± 5.6 ml/mn/kg contre une valeur théorique maximale de 22.5 ± 8.1 ml/mn/kg), prédominant sur la perte d’efficience cardio-circulatoire par rapport au sujet sain ; celle-ci pourraît être mieux apprécié à un stade plus avancé de la rééducation. L’utilisation des membres supérieurs doit être proposé en routine chez l’artéritique pour le dépistage de la maladie coronarienne et l’évaluation des capacités aérobiques.

Author: David HouŽto
Publisher: Lulu.com
ISBN: 1291761152
Category : Reference
Languages : fr
Pages : 327

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Le terme promotion de la santé en Afrique, près de 30 ans après l'adoption de la Charte d'Ottawa, continue d'avoir des connotations complètement hors du sens que lui confère cette charte. Cela n'est pas étonnant quand on sait que la notion de santé dans ce contexte africain équivaut à la lutte contre la maladie à travers les soins de santé dispensés par des professionnels de la santé dans des formations sanitaires et les hôpitaux. L'évolution que connait le continent depuis quelques décennies est de donner un peu plus de place à la communauté à travers les relais communautaires dans une participation communautaire vidée de son contenu, car le pouvoir n'est jamais passé entre les mains des communautés.C'est au vu de tout ceci que le présent ouvrage à sa raison d'être pour expliquer les fondements de l'autonomisation communautaire et de la promotion de la santé avec leur importance pour la région africaine en proie aux mauvais indicateurs de santé comparativement aux autres régions du monde.

Author: Debarati Sanyal
Publisher: JHU Press
ISBN: 1421429292
Category : Literary Criticism
Languages : en
Pages : 289

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The Violence of Modernity turns to Charles Baudelaire, one of the most canonical figures of literary modernism, in order to reclaim an aesthetic legacy for ethical inquiry and historical critique. Works of modern literature are commonly theorized as symptomatic responses to the trauma of history. In a climate that tends to privilege crisis over critique, Debarati Sanyal argues that it is urgent to rethink literary experience in terms that recall its contestatory potential. Examining Baudelaire's poems afresh, she shifts the focus of critical attention toward an account of modernism as an active engagement with violence, specifically the violence of history in nineteenth-century France. Sanyal analyzes a literary current that uses the traditional hallmarks of modernism—irony, intertextuality, self-reflexivity, and formalism—to challenge the historical violence of modernity. Baudelaire and the committed ironists writing in his wake teach us how to read and resist the violence of history, and thereby to challenge the melancholy tenor of our contemporary "wound culture." In a series of provocative readings, Sanyal presents Baudelaire's poetry as an aesthetic form that contests historical violence through rhetorical strategies of complicity, counterviolence, and critique. The book develops a new account of Baudelaire's significance as a modernist by dislodging him both from his traditional status as a practitioner of "art for art's sake" and from his more recent incarnation as the poet of trauma. Following her extended analysis of Baudelaire's poetry, Sanyal in later chapters considers a number of authors influenced by his strategies—including Rachilde, Virginie Despentes, Albert Camus, and Jean-Paul Sartre—to examine the relevance of their interventions for our current climate of trauma and terror. The result is a study that underscores how Baudelaire's legacy continues to energize literary engagements with the violence of modernity.

Author: Danielle R. Bouchard
Publisher: Human Kinetics
ISBN: 1492592161
Category : Medical
Languages : en
Pages : 354

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Go beyond aging theories and examine the physiological and physical impacts of aging. Exercise and Physical Activity for Older Adults takes a close look at the physical implications of the aging process and how health, physical activity, and exercise interact in aging adults. With an international team of contributors composed of leading experts from across the field of gerontology, Exercise and Physical Activity for Older Adults delivers comprehensive, interdisciplinary coverage of the physical aging process and its effects on movement and exercise. Research on the physiological and physical implications of aging is presented, focusing on study outcomes and their practical application in optimizing healthy aging. Presented in an integrated and cohesive manner, this text is organized into four parts. Part I covers the theoretical foundations of biological aging, the implications of aging theories on medical research, and the social and economic impacts of demographic shifts due to population aging and global population size. Part II addresses age-related changes to the musculoskeletal, cardiovascular, pulmonary, and endocrine systems. Part III covers the physical effects of aging on other dimensions of life, including balance, motor control, and physical functions. Part IV focuses on exercise and older adults, taking an in-depth look at exercise measurements and the main barriers to regular exercise. One full chapter is devoted to recommendations for optimizing health for the general public, while another chapter is focused on performance by elite older athletes who exercise beyond functional fitness. Chapter objectives, end-of-chapter summaries, and review questions highlight key concepts and promote learning retention. Behavior Check sidebars look at the impacts of aging on behavior, how behavior affects physical health and activity, and how changes in behavior can improve everyday living. Functional Fitness Checkup sidebars focus on the performance of daily movements that are vital for older adults who want to maintain their physical independence. Putting It Into Practice elements provide examples of real-life application of the concepts presented, facilitating a practical understanding of how to use the content to benefit clients. A definitive resource for students and health care professionals who study physical aging, conduct clinical research, or work with older adults as clients and patients, Exercise and Physical Activity for Older Adults helps readers understand the aging process and its effects on movement, exercise, and other dimensions of life.

Author: Veerle de Bosscher
Publisher: Meyer & Meyer Verlag
ISBN: 1841262285
Category : Political Science
Languages : en
Pages : 178

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This title presents an international comparison of elite sports policies in six nations (Norway, Canada, Italy, Holland, the UK and Belgium). Drawing on research involving more than 1400 athletes, coaches, and performance directors, it evaluates and compares over 100 factors that lead to international sporting success.

Author: Chanthalangsy, Phinith
Publisher: UNESCO Publishing
ISBN: 9231010069
Category : Philosophy
Languages : en
Pages : 236

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Author: P. Petitjean
Publisher: Springer Science & Business Media
ISBN: 9401125945
Category : Science
Languages : en
Pages : 419

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SCIENCE AND EMPIRES: FROM THE INTERNATIONAL COLLOQUIUM TO THE BOOK Patrick PETITJEAN, Catherine JAMI and Anne Marie MOULIN The International Colloquium "Science and Empires - Historical Studies about Scientific De velopment and European Expansion" is the product of an International Colloquium, "Sciences and Empires - A Comparative History of Scien tific Exchanges: European Expansion and Scientific Development in Asian, African, American and Oceanian Countries". Organized by the REHSEIS group (Research on Epistemology and History of Exact Sciences and Scientific Institutions) of CNRS (National Center for Scientific Research), the colloquium was held from 3 to 6 April 1990 in the UNESCO building in Paris. This colloquium was an idea of Professor Roshdi Rashed who initiated this field of studies in France some years ago, and proposed "Sciences and Empires" as one of the main research programmes for the The project to organize such a colloquium was a bit REHSEIS group. of a gamble. Its subject, reflected in the title "Sciences and Empires", is not a currently-accepted sub-discipline of the history of science; rather, it refers to a set of questions which found autonomy only recently. The terminology was strongly debated by the participants and, as is frequently suggested in this book, awaits fuller clarification.

Author: Richard Faulk
Publisher: Zest Books ™
ISBN: 154158211X
Category : Young Adult Nonfiction
Languages : en
Pages : 365

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We are always hearing about the Next Big Thing. Whether it is a new iPhone or the New World, the freshest and newest inventions, discoveries, and fads always loom large in the public mind. The impact that everyone thinks these "next big things" will have is often more important than the actual impact it generates. After all, if it fails, it will be almost immediately forgotten. The Next Big Thing searches through 3,000 years of Western culture to find the colorful and key steps (and missteps) that led us to where we are today.

Author: Andrea Maloney Schara
Publisher:
ISBN: 9780615928791
Category : Families
Languages : en
Pages : 318

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"Your Mindful Compass" takes us behind the emotional curtain to see the mechanisms regulating individuals in social systems. There is great comfort and wisdom in knowing we can increase our awareness to manage the swift and ancient mechanisms of social control. We can gain greater flexibility by seeing how social controls work in systems from ants to humans. To be less controlled by others, we learn how emotional systems influence our relationship-oriented brain. People want to know what goes on in families that give rise to amazing leaders and/or terrorists. For the first time in history we can understand the systems in which we live. The social sciences have been accumulating knowledge since the early fifties as to how we are regulated by others. S. Milgram, S. Ashe, P. Zimbardo and J. Calhoun, detail the vulnerability to being duped and deceived and the difficulty of cooperating when values differ. Murray Bowen, M.D., the first researcher to observe several live-in families, for up to three years, at the National Institute of Mental Health. Describing how family members overly influence one another and distribute stress unevenly, Bowen described both how symptoms and family leaders emerge in highly stressed families. Our brain is not organized to automatically perceive that each family has an emotional system, fine-tuned by evolution and "valuing" its survival as a whole, as much as the survival of any individual. It is easier to see this emotional system function in ants or mice but not in humans. The emotional system is organized to snooker us humans: encouraging us to take sides, run away from others, to pressure others, to get sick, to blame others, and to have great difficulty in seeing our part in problems. It is hard to see that we become anxious, stressed out and even that we are difficult to deal with. But "thinking systems" can open the doors of perception, allowing us to experience the world in a different way. This book offers both coaching ideas and stories from leaders as to strategies to break out from social control by de-triangling, using paradoxes, reversals and other types of interruptions of highly linked emotional processes. Time is needed to think clearly about the automatic nature of the two against one triangle. Time and experience is required as we learn strategies to put two people together and get self outside the control of the system. In addition, it takes time to clarify and define one's principles, to know what "I" will or will not do and to be able to take a stand with others with whom we are very involved. The good news is that systems' thinking is possible for anyone. It is always possible for an individual to understand feelings and to integrate them with their more rational brains. In so doing, an individual increases his or her ability to communicate despite misunderstandings or even rejection from important others. The effort involved in creating your Mindful Compass enables us to perceive the relationship system without experiencing it's threats. The four points on the Mindful Compass are: 1) Action for Self, 2) Resistance to Forward Progress, 3) Knowledge of Social Systems and the 4) The Ability to Stand Alone. Each gives us a view of the process one enters when making an effort to define a self and build an emotional backbone. It is not easy to find our way through the social jungle. The ability to know emotional systems well enough to take a position for self and to become more differentiated is part of the natural way humans cope with pressure. Now people can use available knowledge to build an emotional backbone, by thoughtfully altering their part in the relationship system. No one knows how far one can go by making an effort to be more of a self-defined individual in relationships to others. Through increasing emotional maturity, we can find greater individual freedom at the same time that we increase our ability to cooperate and to be close to others.

Author:
Publisher: UNESCO
ISBN: 9230010871
Category :
Languages : en
Pages : 209

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