Pain and discomfort related to the spine are extremely common, to the extent that back and neck pain may be considered part of the human condition. In most instances, interventions are not necessary. However, surgery can be required in some situations, and may be considered as a valuable option in others. In order to enable accurate patient counselling and to help in fine-tuning indications for surgery (for example, after unsatisfactory relief from conservative pain management), physiotherapists and rehabilitation specialists should be aware of surgery rationales and techniques. In most cases, surgery does not stand on its own, and postoperative rehabilitation will benefit from a certain degree of surgical knowledge by the physiotherapist and rehabilitation specialist. Additionally, it is paramount that all spinal caregivers speak the same vocabulary and issue the same messages to the patient. This little book explains surgical reasoning and surgical techniques to non-surgeons. It aims at crossing the bridge between surgical and rehabilitation paradigms to the benefit of patients. The entire field is covered in a concise and comprehensive way, and will be a must-read in spinal rehabilitation practices.
How many people have died because of COVID-19? Which countries have been hit hardest by the virus? What are the benefits and harms of different vaccines? How does COVID-19 compare to the Spanish flu? How have the lockdown measures affected the economy, mental health and crime?br>br>This year we have been bombarded by statistics - seven day rolling averages, rates of infection, excess deaths. Never have numbers been more central to our national conversation, and never has it been more important that we think about them clearly. In the media and in their Observer column, Professor Sir David Spiegelhalter and RSS Statistical Ambassador Anthony Masters have interpreted these statistics, offering a vital public service by giving us the tools we need to make sense of the virus for ourselves and holding the government to account.br>br>In Covid by Numbers, they crunch the data on a year like no other, exposing the leading misconceptions about the virus and the vaccine, and answering our essential questions. This timely, concise and approachable book offers a rare depth of insight into one of the greatest upheavals in history, and a trustworthy guide to these most uncertain of times.>
Ce tome 2 (français - anglais) présente par ordre alphabétique les mots et locutions français (plus de onze mille entrées) repris dans le tome 1 (anglais - français), suivis de leurs traductions anglaises et de leurs prononciations. Il est le complément indispensable du tome 1 pour quiconque doit rédiger des articles ou préparer des présentations en langue anglaise dans le domaine de l'art de la sage-femme.
Ce dictionnaire, unique et original, présente de nombreux atouts, en premier lieu celui d'être rédigé par un auteur anglophone et parfaitement bilingue, garantie d'une parfaite exactitude des termes en langue anglaise , en second lieu, il comporte une liste de tous les médicaments courants , l'auteur a également eu le souci de fournir au lecteur, non seulement la simple traduction des différents termes, mais aussi le terme le plus souvent utilisé dans telle ou telle situation, avec ses synonymes, de même que la définition du mot quand elle est apparue nécessaire. Cet ouvrage comporte ainsi près de 60 000 entrées, différenciées grâce à un code couleur : en rouge, les synonymes, en bleu, les médicaments, en vert, les préfixes et suffixes , il comporte également de nombreux tableaux : des termes d'anatomie, avec la nomenclature internationale, des interventions chirurgicales, des maladies, des examens complémentaires.
The 6th edition of this classic volume comes 36 years after the first version (in French]. It has widened its scope but is still a tribute and witness to the Marseille School of epileptology.
It now includes all the modern approaches to the diagnosis and treatment of epilepsies. Advances in imaging and genetics have not significantly contested the syndromic perspective.
In the era of precision medicine, knowledge of epilepsy syndromes still ensures the best possible, most accurate diagnosis and management.
Both the young and the experienced international readers will find here an update on all the classical epilepsy syndromes they grew up with.
Belonging to the University of Medicine of Montpellier, the oldest practising Faculty of Medicine in the Western world, entails many obligations but also many joys. Celebrating the institution's 800th anniversary is an honour and an exceptional opportunity. Having a book retracing these 800 years published in 2020 makes it possible to underline this opportunity, and especially to share the history of our Faculty of Medicine with as many people as possible. This first edition in English makes possible to fill a need often expressed by our international visitors from many different countries around the world who admire our heritage and our history. These visitors are often disappointed because they cannot bring home a souvenir of their visit in the form of a book. This is now possible thanks to the remarkable work by Professor Jean-Pierre Dedet who makes us travel along the centuries in this clear and perfectly illustrated book with more than 200 illustrations.
This book «Teaching Medicine in Montpellier: a 900 year-long story» is the result of the careful analysis of many written documents and of discussions and cross-references with actors of the contemporary period during the last three years. It is a very enjoyable and interesting book, and will be followed by an edition in French. Belonging to this very old University also requires a duty of memory, fulfilled by this book that recalls the importance of multiculturalism at the beginning of this University, the will of religious and/or political authorities over the centuries to support the development of this institution, and the importance of focusing on Human beings in the medical approach, according to the Hippocratic principles. Celebrating 800 years is a reminder of these principles in a modern world where humanist values are often undermined by the rapid pace of scientific progress.
Nous devons beaucoup à Jean Marc Bourgery (1797-1849) et à son Traité complet de l'anatomie de l'homme, qui marque un jalon essentiel de l'histoire de la médecine, mais demeure surtout l'un des traités anatomiques illustrés les plus beaux et les plus complets jamais publiés. En 1830, après avoir obtenu son doctorat de médecine - avec trois ans d'avance! -, Bourgery commence à travailler sur son magnifique traité en collaboration avec l'illustrateur Nicolas Henri Jacob (1782-1871). Les premiers volumes sont publiés dès l'année suivante, mais l'achèvement du traité nécessitera un travail assidu de près de vingt ans. Bourgery a vécu juste assez longtemps pour achever son oeuvre de passionné, mais l'intégralité des huit volumes du traité n'a été publiée que cinq ans après sa mort.
Les quatre parties du traité de Bourgery englobent l'anatomie descriptive, l'anatomie chirurgicale et ses techniques (explorant en détail l'ensemble des plus grandes opérations réalisées pendant la première moitié du XIXe siècle), l'anatomie et l'embryologie générales, ainsi que l'anatomie microscopique. Les spectaculaires lithographies grandeur nature mises en couleur à la main sont remarquables par leur clarté et leur qualité chromatique et esthétique, et reflètent un mélange d'observation directe en laboratoire et de recherche artistique; la qualité de ces planches demeure inégalée dans le domaine de l'illustration anatomique.
Au sein de l'imposante masse d'ouvrages médicaux et philosophiques composés par le médecin et philosophe grec Galien au IIe siècle de notre ère, les traités Tempéraments, Meilleure construction du corps, Bonne constitution, traduits pour la première fois, introduisent aux notions fondamentales du « tempérament » et de la « constitution » du corps.
Ils condensent une réflexion engagée qui débouche sur des questions fondamentales d'anthropologie et d'esthétique : quels sont les composants premiers des corps vivants ? en quoi leur aspect physique se conforme-t-il aux vertus de leur âme ? comment définir l'équilibre, l'harmonie, la perfection d'un corps. Au-delà des spécialistes de l'Antiquité, la lecture de ces traités concerne quiconque s'intéresse aujourd'hui aux rapports du corps, de l'âme, et de la communauté des humains.
Le présent ouvrage propose les clefs de compréhension indispensables à la bonne application des définitions, termes et procédures de la législation pharmaceutique communautaire.
Présenté sous format bilingue (français/anglais), cet ouvrage s'adresse aux étudiants des masters pharmaceutiques, aux professionnels de l'industrie du médicament et aux universitaires et praticiens du droit communautaire pharmaceutique.
Appropriate use criteria in echocardiography are essential tools for aligning indications of echocardiography with the best clinical standards, improving clinical outcome, restraining abuse and preserving healthcare resources. Assessment of 501 inpatients who received transthoracic cardiac echo was conducted according to the 2011 appropriate use criteria report. Indications were classified as appropriate, uncertain or inappropriate, and patients not matching any of the above divisions were grouped in the non-fitting category. Of the 501 eligible patients, 374 (74.65%) were in the appropriate group, 85 (16.96%) in the inappropriate group, 20 (3.99%) in the uncertain group and 22 (4.39%) in the non-fitting category. Interpretation and analysis of the obtained results are presented, along with results of many comparable studies; moreover, a quality improvement project was set up accordingly. Appropriate use criteria are useful to assess local practice, to preserve healthcare resources, and to improve clinical outcome.
Transplantation tolerance may be defined as normal graft survival sans immunosuppression, maintaining intact immunity. Tolerance induction (TI) strategies include induction of chimerism and/or clonal deletion. Donor specific transfusion (DST) and stem cells (SCs) have come-up as TI. In this parallel 2-armed open labeled study under non-myeloablative conditioning with DST as first arm and SCs as second arm, without using conventional immunosuppression. Monitoring included SCr (mg/dL), DSA and MLR. Protocol biopsies were planned after 100 days and yearly in willing patients. In event of rejection/DSA/MLR, rescue immunosuppression was planned. Patient survival for the first 2 years was 100% in both arms; at 5 years post-transplant 80% with SC and 90% with DST. Death-censored graft survival for 1st year was 100 % in both arms, and at 5 years, 80% with SC and 70% with DST. Mean SCr was 1.52 with SC and 1.97 with DST. Five patients from SC-arm and 3 from DST-arm had successful TI. MLR was negative in both groups. DSA appeared in 2 patients of SC without graft dysfunction and 4 of DST causing graft dysfunction. Thus SCs facilitate TI in LDRT under non-myeloablative conditioning.
Endoscopic ultrasound-guided biliary drainage (EUS-BD) is being increasingly used as an alternate therapeutic modality to percutaneous transhepatic biliary drainage (PTBD) for biliary obstruction in patients who fail ERCP. We conducted a systematic review and meta-analysis to compare the efficacy and safety of these 2 procedures. We searched several databases from inception to September 4, 2016, to identify comparative studies evaluating the efficacy and safety of EUS-BD and PTBD. Primary outcomes of interest were the differences in technical success and postprocedure adverse events. Secondary outcomes of interest included clinical success, rate of reintervention, length of stay in hospital, and cost comparison for these 2 procedures. Odds ratios (OR) and standard mean difference were calculated for categorical and continuous variables respectively. These were analyzed using random effects model of meta-analysis.
Les Heligmonellidae représentent la famille la plus riche en espèces parmi les Heligmosomoidea. Ces derniers font partie de l'une des trois super-familles des Trichostrongyloidea, Nématodes parasites du tube digestif de la plupart des Vertébrés terrestres. La famille comprend plus de 360 espèces, principalement parasites de Rongeurs et distribuées dans le monde entier. Leur cycle biologique étant monoxène et leurs hôtes relativement faciles à élever au laboratoire, ces parasites peuvent servir de modèles pour les chercheurs, leur permettant d'aborder des sujets tels que les relations hôte-parasite, la biologie, la pathogénicité et la phylogénie. Cependant, la très grande diversité du groupe, jointe à une apparente homogénéité morphologique, rend leur identification extrêmement difficile. Cette révision critique présente pour la première fois, une compilation de toutes les données taxonomiques, morphologiques et morphométriques disponibles concernant la famille des Heligmonelllidae. Son but est de fournir aux chercheurs les outils nécessaires pour identifier les taxa connus le plus précisément possible. Quatre des cinq sous-familles reconnues sont traitées ici : les Tricholinstowiinae, les Heligmonellinae, les Pudicinae et les Brevistriatinae.
Après 60 années d'essais et d'erreurs, l'aventure du Dictionnaire breton de médecine a amené l'auteur à concevoir l'entreprise selon trois dimensions : le rapport des locuteurs à ce dont ils parlent, la résistance des brittophones, l'adossement du breton aux autres langues, plus précisément l'American English.
Celui-ci, indispensable à la communication entre les chercheurs de la planète, précieux comme référence, tire sa substance des langues enracinées chacune dans une vie sociale particulière. Parmi les dernières venues, la langue bretonne s'avère déjà en état de contribuer à la pensée médicale.
Dictionnaire de médecine français, anglais, breton.
The third volume of the series of Atlases deals with the use and usefulness of electroencephalography (EEG) in neurology.
While EEG is universally recognized as a first-order investigation method in epilepsy (see Volume 2), and as an important contributor in sleep medicine, practical neurology has tended to neglect the value of this classical and established neurophysiological tool. A rich, extensively commented and analyzed collection of EEG plates is presented here.
The reader will be compelled to remember that EEG is the easiest way to assess parameters like state of vigilance, risk of seizure activity, type and degree of functional impairment, in a very clinical and practical setting. The authors cover many aspects of neurological practices where the EEG may help in diagnosis and treatment: metabolic and other encephalopathies, infectious and inflammatory conditions, vascular disorders. It is particularly useful -and difficult- to distinguish between epileptic phenomena and EEG changes associated with metabolic abnormalities: a careful assessment of the EEG is of paramount practical importance here. Migraine is not always simple and there are many overlaps with other types of neurological diseases: the EEG may play a major part in helping the clinician in doubtful cases. Similarly, the diagnosis of dementia does certainly not rest on the EEG but many particular aspects concerning diagnostic overlaps or copathologies are aptly explored by the EEG. Lastly, even the neurosurgeon may need the EEG to monitor trauma, tumor, bleeding...
This Atlas will provide both examples and guidelines for the optimal use of the EEG in neurology.
Fully updated and revised, the 3rd edition of the Atlas of Electroencephalography volume 1: Awake and Sleep EEG, activation procedures and artifacts retains the format and presentation that made the previous editions successful.
It is the most comprehensive EEG atlas on activation procedures, artifacts and normal EEG, covering the full spectrum of normal and unusual patterns observed during wakefulness and sleep, in children and adults. It will significantly help the visual analysis of EEG by neurologists and other specialists as well as technologists.
Electroencephalograms are shown in their native format, exactly as they appear in daily practice. Each plate is analyzed, in order to highlight the most significant elements to be used in diagnosis and interpretation. This 3rd edition includes a total of 180 EEG plates.
Philippe Gélisse and Arielle Crespel are neurologists running the Epilepsy Unit at the Montpellier University Hospital, in France. Both have extensive national and international experience in teaching about EEG and they have written numerous scientific publications in the field.
Fully revised and updated, this second edition of the second volume of the Atlases of electroencephalography series includes more than 2/3 new high-quality digital figures. A new Classification approach to epileptic seizures and to the epilepsies became official in 2017. Several aspects in terms of terminology have been included in this book and most of the chapters have been rewritten.
The second volume of this series on the practical use and interpretation of EEG focuses on epilepsies in their diversity. It is richly illustrated, and each EEG plate is analyzed in order to highlight the most significant elements to be used both for the diagnosis and interpretation. The originality of this textbook lies in its patient-based approach, thereby avoiding the pitfall of a formal presentation of EEG documents without their clinical context. Hence electroencephalography is placed at the core of the diagnostic and therapeutic discussion concerning patients with epilepsy.
Given the practical orientation of this Atlas, the focus is on common forms of epilepsies; nevertheless, some less common, more intriguing forms have also been illustrated. A synthetic text summarizes the present approach to the main epilepsy categories.
This Atlas is designed for all the actors who may be involved with patients with epilepsy. Physicians who deal with EEG will find it a valuable tool to improve the education of their early years, to help them with their interpretations later on, and for teaching purposes when more experienced. But it will also prove useful for all the physicians interested in epilepsy, as well as EEG technologists intent on providing quality recordings, and other professionals. Thorough understanding of human epilepsies requires extensive knowledge of their EEG correlates.
Encephalopathy with Electrical Status Epilepticus during Sleep (ESES)» was described almost 50 years ago; however its clinical spectrum and its boundaries, the diagnostic criteria, the pathophysiology and the therapeutic management are still debated. In the last years, clinical data, neurophysiological and imaging investigations, as well as genetic studies have renewed the interest on ESES. In addition, experimental findings from sleep research have opened fascinating perspectives on some possible pathophysiological mechanisms involved in this condition.
These issues are presented and discussed in this book by clinicians, neurophysiologists, sleep physiologists and geneticists. They all have been working on ESES with the aim to provide an updated overview of this special syndrome in the light of recent research.
Source de progrès considérables pour la médecine, la neuroradiologie, riche d'un siècle de recherches, d'efforts et d'inventions, a bouleversé tous les modes de recherche. Assistée dorénavant par les technologies les plus performantes, elle poursuit inlassablement son développement. Les noms de grands spécialistes sont attachés aux étapes marquantes de son évolution. Ils méritent aujourd'hui toute notre considération. L'ouvrage de René Van Tiggelen rassemble une collection d'articles originaux, abondamment illustrés. Véritable hommage de la communauté radiologique belge aux générations qui l'ont précédée, ce livre s'inscrit dans le cadre de l'inauguration de la section de neuroradiologie intégrée aux collections permanentes du Musée Docteur Guislain à Gand. Il coïncide aussi avec les 45 ans de la section belge de neuroradiologie et figurera à coup sûr dans la bibliothèque de tous ceux et celles qui, de près ou de loin, sont les héritiers de cette fantastique épopée.
Not only humans and other biological creatures, but also cultures and sciences, communities and corporations have a life of their own; they develop and grow; they are successful or fail; they communicate and cooperate; they may be in conflict or in harmony with each other. The term 'bio-ethics' was coined by Fritz Jahr (1895-1953), a Protestant pastor and educator in Halle an der Saale, in 1926 with the intention to call for a conceptual and practical broadening of moral obligations not just to fellow humans but towards all forms of life and symbiotic living-together. His Bioethical Imperative 'Respect every living being in general as an end in itself and treat it, if possible, as such!' did not find much recognition or support in the weltanschauung battles before and during the Nazi times in Germany. We all have learned that the 'birth of bioethics' occurred in 1976 in the United States of America as a 'bilocal birth' in Madison, Wisconsin, and in Washington, DC, associated with the names of Van Rensselar Potter, Andre Helleghers, and Sargent Shriver; and some of us had been involved developing and distributing this model of 'bioethics' as being somewhat identical with medical ethics. It was only at the beginning of this century that Jahr in his integrative and integrating approach was rediscovered as the true «Father of Bioethics».
Cet ouvrage des Annales officielles de LCA est destiné aux étudiants préparant le concours des ECNi.
Il propose des annales de toutes les épreuves de LCA depuis 2009, uniquement sous la forme de QCM, avec, en exclusivité, les grilles officielles des ECNi 2016.
La LCA est la matière qui représentera le plus de points le jour du concours : 10 % de la note finale, soit plus de points que n'importe quelle autre spécialité médicale. « On ne peut imaginer une grande réussite aux ECNi sans être un minimum solide en LCA ! » Un grand adage connu des étudiants préparant les ECNi est : « Tout ce qui est tombé au concours retombera ! » En effet, de nombreuses questions tombent, retombent et retombent encore, d'années en années... Alors une seule solution : bétonner à fond les annales du concours pour s'approprier au mieux l'ensemble des questions déjà tombées !
Les points forts de cet ouvrage :
- Grilles officielles des ECNi ;
- Commentaires détaillés et explicatifs de chaque question ;
- Focus de cours en rapport avec chaque question tombée ;
- Astuces et conseils méthodologiques dédiés à l'épreuve de LCA ;
- Fiches de synthèse de cours sur les points clés de chaque session ;
- Chaque article en français et en anglais afin de vous entraîner à l'épreuve en anglais !
The objective evaluation of facial aging is a difficult exercise. Many publications have appeared over the past few years that seek to classify facial aging : crow's feet, glabellar wrinkles, ear lobe aging, neck sagging, etc. These publications show the advantages and need for objective evaluation tools for facial aging. These tools make it possible to classify homogeneous patient populations and greater objectivity in the study and evaluation of the "before/after" results of anti-aging treatments.
"Skin Aging Atlas" is the latest contribution to these classifications. It is also the first true topographic atlas of facial aging. In a single booklet, it offers all the criteria for evaluating the aging of Caucasian men's and women's facial skin.
In the first part, this atlas, assembled by R. Bazin, describes the single methodology used for each criterion.
Each classification thus allows a precise grade to be given to a specific region of the face (glabellar wrinkles, crow's feet;, neck sagging, etc.). Thanks to this unique methodology, the classifications can also beused together to evaluate the general aging of the face.
This atlas is therefore particularly useful, and perhaps essential, for professors and researchers interested in facial aging, and for practitioners, doctors, dermatologists and plastic surgeons wishing to evaluate the results of local "anti-aging" treatments (e.g. botulinum toxin on crow's feet) or more general treatments (e.g. results of a face-lift or peeling).
Clear explanations and the illustrative quality of the photographic plates make the atlas easy and practical to use, and the quality of the binding facilitates handling.
This atlas is therefore modern and comprehensive, encompassing the current state of knowledge on the subject in a homogeneous unit. By using it to evaluate medical and surgical rejuvenation treatments, it has finally become possible to assess each area of the face and the face as a whole.
The author should be hailed for completing and summarizing this excellent work, which is the fruit of his years of experience as evaluation director at the L'OREAL RESEARCH department.
"Skin Aging Atlas" will undoubtedly become the gold standard of aging evaluation tools for the Caucasian face.
Le dictionnaire de médecine dont Preder poursuit la publication comportera douze volumes. Mis en chantier il y a cinquante ans alors que l'auteur était encore étudiant, il a été tenu à jour en fonction du progrès des diverses spécialités et du développement des nouvelles disciplines comme l'immunologie moléculaire.
Chaque volume est composé de deux parties : la première, imprimée sur papier blanc, correspond à une tranche de 160 pages du dictionnaire lui-même; la seconde, imprimée sur papier de couleur, contient un lexique indexé breton-français des termes médicaux utilisés dans la partie dictionnaire (emprunts, néologismes, mots courants pris dans une acceptation particulière).
