Search results for "Pronostic"
showing 10 items of 10 documents
La rétention de sûreté : la première mesure de sûreté privative de liberté depuis le nouveau Code pénal
2015
The French criminal law is characterised by a willingness to prevent recidivism. To give concrete expression to this will, security measures are implemented among which the secure detention. However, the secure detention is not an ordinary measure and gives rises to many debates which, in fact, take up old and recurrent controversies. This measure is based on the assumption that sexual and/or violent criminals show a disease which may suggest a risk of a second offence. As a result, by considering them as sick persons, the legislator asserts that they can be treated. Accordingly, medical care is advised as the only solution to prevent a second offence. However, this disease itself often ind…
Silent and symptomatic atrial fibrillation,during the acute phase of myocardial infarction : determinants and role of arginine methylated and oxidati…
2015
Atrial fibrillation (AF) is a frequent complication of acute myocardial infarction (AMI) with a poorer prognosis. Silent atrial fibrillation has been suggested to be frequent after AMI. However, most part of the studies has targeted only paroxysmal or persistent AF. Thus, Reduced Nitric Oxide availability and endothelial dysfunction has been recently recognized as a possible contributor to altered prognosis in AF. Asymmetric dimethylarginine (ADMA) can inhibit nitric oxide synthase and leads to endothelial dysfunction, inflammation and oxidative stress in multiple cardiovascular diseases. However, any study has addressed the relationship between ADMA levels and the occurrence of AF in AMI.W…
Significado pronóstico de las lesiones histopatológicas y de la expresión inmunohistoquímica de marcadores de apoptosis, proliferación y angiogénesis…
2008
Objetivo. Establecer una relación estadística entre características clínicas, histopatológicas con el grado de regresión tumoral Dworak y con el pronóstico. También se pretende estudiar distintos marcadores inmunohistoquímicos con el ojetivo de observar los cambios que sufre la la lesión neoplásica antes y después del tratamiento neoadyuvante en lo que respecta a la angiogénesis, proliferación, apoptosis y diferenciación neuroendocrina. Diseño de experimento: Se trata de un estudio epidemiológico retrospectivo con una muestra de 59 casos de carcinomas rectales diagnosticados en estadios avanzados y sometidos a neoadyuvancia. El análisis de las distintas variables histopatológicas e inmunohi…
Facteurs épidémiologiques influençant la survie dans le lymphome à cellules du manteau
2017
Mantle Cell Lymphoma (MCL) is a recently defined entity, typically characterised by the genetic translocation t(11 ;14)(q13 ;q32) and counting for 2 - 10% of all non-Hodgkin Lymphomas. With a median survival between 3 and 5 years after diagnosis, MCL is an agressive disease and despite the recent therapeutic advances little in know about its prognostic factors. Some studies had investigated clinicopathological features and new treatment strategies, but there is a lack of knowledge regarding the impact of lifestyle and environnemental factors on outcome of MCL patients. From 2008 to 2012, the LYSA Group conducted in France two prospective multi center clinical trials on MCL : LM manteau 2010…
Découvrir l'imposteur : expertises dans la prison de Valence au milieu du xve siècle
2020
Les médecins étaient souvent appelés à intervenir en tant qu’experts dans les cours de justice de la ville de Valence à la fin du Moyen Âge. Ils étaient sollicités pour des raisons diverses et on attendait d’eux qu’ils rendent des jugements ou des pronostics. Un des cadres dans lesquels ils apparaissaient est la prison. La torture faisait partie du développement des procédures judiciaires en tant qu’élément destiné à prouver les faits, pour empêcher que le juge ait le moindre doute. Les doutes suscités par de possibles simulations requéraient les compétences de ces experts, à qui revenait la décision d’infliger ou non la torture au prisonnier. Cet article analyse par le menu un cas particul…
Early biological factors and outcome in very preterm infants
2013
Our aim was to identify early biochemical abnormalities associated with adverse outcome in very preterm infants. Based on an 8-year population-study for assessing the outcome in 1067 very preterm babies admitted to the neonatal intensive care unit of Dijon university hospital, two research axes were explored: 1) the impact of plasma chloride abnormalities on neurological morbidities; 2) the association between hypoproteinemia on the first day of life (D1) and adverse outcome. These issues were assessed by 4 studies, performed on the initial population and on 3 other cohorts.We found that hyperchloremia results in severe metabolic acidosis during the first 7-10 days of life, but this is not …
Epidemiological approach of type 2 myocardial infarction : Etiologies, characteristics, treatment and prognosis.
2020
Introduction: Type 2 Myocardial infarction (MI)has been recently defined as an imbalance between oxygen supply and demand, in the absence of atherothromthrombosis. This work aimed to describe the main etiolgies as well as epidemiological, clinical and prognostic characteristics.Method: Data from patients with type 2 MI were collected from the RICO cohort (Observatoire des Infarctus de Cote d'Or). In a complementary work, we analyzed the retrospective data of the emergency department of Dijon University Hospital.Results: Among 4,436 consecutive patients hospitalized for MI in Dijon emergency department over 3 years, 947 (21%) had type 2 MI (median age: 81 years). In the RICO cohort, 4,572 co…
New insights into symptomatic or silent atrial fibrillation complicating acute myocardial infarction
2015
International audience; Atrial fibrillation (AF) is the most frequent heart rhythm disorder in the general population and contributes not only to a major deterioration in quality of life but also to an increase in cardiovascular morbimortality. The onset of AF in the acute phase of myocardial infarction (MI) is a major event that can jeopardize the prognosis of patients in the short-, medium- and long-term, and is a powerful predictor of a poor prognosis after MI. The suspected mechanism underlying the excess mortality is the drop in coronary flow linked to the acceleration and arrhythmic nature of the left ventricular contractions, which reduce the left ventricular ejection fraction. The p…
Virus de la hepatitis C en usuarios de drogas por via parenteral
2003
El virus de la hepatitis C (VHC) tiene actualmente una gran importancia, por su preva¬lencia 1,5% en la población en general, 82 a 92% en Usuarios de drogas vía parenteral, siendo estos el grupo que tiene mayor prevalencia del VHC, por presentar mayor con¬tagio por vía sanguínea incluso que el VIH, siendo generalmente asintomático hasta la aparición de cirrosis hepática descompensada; produciendo esta en un 2,6% a los 10 años en los pacientes monoinfectados con el virus de la hepatitis C y un 14,9% en los coinfectados con el VIH, la progresión es más rápida en los coinfectados con linfocitos CD4>200 células/m1 y en pacientes que toman más de 50 gr de alcohol al día, los coinfectados con el …
Cardiotoxicity of cancer therapy
2011
Despite the development of new anti-cancer drugs such as anti-tyrosine kinases or anti-angiogenic therapy, cancer mortality remains high. These new molecules associated with advances in cancer surgery, radiotherapy and chemotherapy have succeeded in improving life expectancy in these patients. It has also allowed a long-term evaluation of the cardiovascular impact of these therapies. Many chemotherapy drugs, such as anthracyclines, lead to impaired cardiac function. The pathophysiological mechanisms of this cardiac dysfunction are complex, intricate and remain partially unknown. To reduce this cardiotoxicity, different pathways concerning administration modalities, drug presentation and the…