References of "Krzesinski, Jean-Marie"
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See detailPrise en charge de l'hypertension chez la femme enceinte en 2011
Krzesinski, Jean-Marie ULg

Conference (2011, February 26)

L'hypertension pendant la grossesse ne doit pas être banalisée. Si HTA gestationnelle, à confirmer 6h plus tard, rechercher une protéinurie et/ou des facteurs de risque. Traiter sans excès et arrêter tout ... [more ▼]

L'hypertension pendant la grossesse ne doit pas être banalisée. Si HTA gestationnelle, à confirmer 6h plus tard, rechercher une protéinurie et/ou des facteurs de risque. Traiter sans excès et arrêter tout de suite les ISRA. Si PA fort élevée ou présence d'une protéinurie, hospitaliser pour suivi et éventuel accouchement. Après une prééclampsie, suivre les patientes car risque de troubles cardio-vasculaires et rénaux. Prévention des récidives : aspirine à faible dose. [less ▲]

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See detailCas clinique de néphrologie
Krzesinski, Jean-Marie ULg

Conference (2011, February 22)

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See detailParicalcitol for reduction of albuminuria in diabetes
DELANAYE, Pierre ULg; MARIAT, Christophe; KRZESINSKI, Jean-Marie ULg et al

in Journal-Lancet (The) (2011), 377

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See detailIntérêt des interventions psychologiques en dialyse: étude exploratoire
Rocha Augusto, Cindy ULg; Krzesinski, Jean-Marie ULg; Warling, Xavier et al

in Néphrologie & Thérapeutique (2011)

Patients suffering from end stage renal disease (ESRD) have a very reduced quality of life accompanied by a severe emotional distress (high worries-anxiety-depression). However, in Belgium, no regular ... [more ▼]

Patients suffering from end stage renal disease (ESRD) have a very reduced quality of life accompanied by a severe emotional distress (high worries-anxiety-depression). However, in Belgium, no regular psychological intervention is proposed to dialyzed patients. Our objective is to show that psychological intervention can significantly decrease the emotional distress of patients with ESRD. Eleven sessions of structured interventions are proposed to ESRD patients. Eligibility criteria are to be major, to not present confusion or/and dementia, to have been on dialysis treatment for at least 3 months, to have obtained 14 or more on HAD-scale. Interventions carry on the management of anxious and depressive symptoms and of the disease itself. This constitutes three independent modules. Questionnaires are filled in by the patients at various stages to evaluate the anxiety and the depression (HADS), the worries (Penn State) and the quality of life (KDQoL-SF). Results for the 47 ESRD patients show a significant reduction of the scores of anxiety, depression and worries and a significant growth of quality of life. In parallel a decrease in the serum calcium-phosphorus product analyzed before dialysis has been noted. [less ▲]

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See detailLes syndromes cardio-rénaux, quelle (s) approche (s) thérapeutique (s)?
Krzesinski, Jean-Marie ULg

Conference (2011, January 22)

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See detailPrognostic Value of Aortic Stiffness and Calcification for Cardiovascular Events and Mortality in Dialysis Patients: Outcome of the Calcification Outcome in Renal Disease (CORD) Study
Verbeke, Francis; Van Biesen, Wim; Honkanen, Eero et al

in Clinical Journal of the American Society of Nephrology (2011), 6

Background and objectives: Radiographic calcification and arterial stiffness each individually are predictive of outcome in dialysis patients. However, it is unknown whether combined assessment of these ... [more ▼]

Background and objectives: Radiographic calcification and arterial stiffness each individually are predictive of outcome in dialysis patients. However, it is unknown whether combined assessment of these intermediate endpoints also provides additional predictive value: Design, setting, participants & measurements: Scoring of abdominal aortic calcification (AAC) using plain lateral abdominal x-ray and measurement of carotid-femoral pulse wave velocity (PWV) were performed in a cohort of 1084 prevalent dialysis patients recruited from 47 European dialysis centers. Results: During a follow-up of 2 years, 234 deaths and 91 nonfatal cardiovascular (CV) events occured. Compared with the lowest tertile of AAC, the risk of an event was increased by a factor 3.7 in patients wih a score of 5 to 15 (middle tertile), and by a factor 8.6 in patients with scores of 16 to 24. Additionally, each 1-m/s increase in PWV was associated with a 15% higer risk. At higher AAC (scores >= 5), the effect of PWV was attenuated because of a negative PWV X AAC interaction (hazard ratio [HR]:0.895 and 0.865 for middle and upper AAC tertiles). After accounting for age, diabetes, and serum albumin, AAC and PWV remained independent predictors of outcome. Conclusions: AAC and central arterial stiffness are independent predictors of mortality and nonfatal CV events in dialysis patients. The risk associated with an increased PWV is less pronounced at higher levels of calcification. Assessment of AAC and PWV is feasible in a clinical setting and both may be used or an accurate CV risk estimation in this heterogeneous population. [less ▲]

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See detailLe dosage de l'inuline: mise au point
DELANAYE, Pierre ULg; Souvignet, Marie; Dubourg, Laurence et al

in Annales de Biologie Clinique (2011), 69(3), 273-84

L’inuline, polymère de fructose, reste le marqueur de référence du débit de filtration glomérulaire (DFG). Popularisé par les études de Smith et Shannon, son dosage n’en demeure pas moins complexe et ... [more ▼]

L’inuline, polymère de fructose, reste le marqueur de référence du débit de filtration glomérulaire (DFG). Popularisé par les études de Smith et Shannon, son dosage n’en demeure pas moins complexe et sujet à des interférences dont celle du glucose est la plus importante. Il existe deux grands types de dosages de l’inuline : les méthodes de dosage « acide » et enzymatiques. Le dosage « acide » consiste en un dosage colorimétrique du fructose obtenu après hydrolyse de l’inuline en milieu très acide. Le dosage du fructose englobe différentes méthodes de dosage dont la plus utilisée est la réaction à l’anthrone. Toutes ces méthodes présentent des interférences au glucose. Différentes méthodes « enzymatiques » ont été décrites au cours du temps. Celles-ci apparaissent plus précises et sans doute moins sujettes aux interférences même si peu d’études comparatives sont disponibles. Plusieurs auteurs ont également développé des dosages de type CLHP. Cette méthode spécifique et précise demeure cependant moins adaptée à la routine. Ainsi, si l’utilisation de l’inuline comme marqueur de référence n’est pas remise en cause, son dosage reste délicat, sujet aux interférences et à une certaine interprétation. Des études supplémentaires restent nécessaires pour valider analytiquement et comparativement les techniques de dosage de l’inuline. [less ▲]

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See detailDiagnostic differentiel d'un malaise: hypoglycemie, hypotension ou spasmophilie?
SCHEEN, André ULg; PHILIPS, Jean-Christophe ULg; Krzesinski, Jean-Marie ULg

in Revue Médicale de Liège (2011), 66(1), 48-54

The consultation for dizziness is a common problem in clinical practice. Because of the apparent lack of specificity of the complaints, there is a rather high risk to prescribe a variety of sophisticated ... [more ▼]

The consultation for dizziness is a common problem in clinical practice. Because of the apparent lack of specificity of the complaints, there is a rather high risk to prescribe a variety of sophisticated exams, which will not be very helpful in absence of a well oriented anamnesis and a pertinent clinical examination. The present paper aims at describing a global medical approach, essentially based upon a detailed anamnesis (semiological, chronological and therapeutical arguments), to which may be added a few simple clinical and technical complementary data. This strategy should allow obtaining quite easily pertinent arguments for a differential diagnosis between reactive hypoglycaemia, (orthostatic) hypotension, and hyperventilation crisis (spasmophilia). [less ▲]

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See detailUrinary NGAL measurement : Biological variation and ratio to creatinine
Delanaye, Pierre ULg; Rozet, Eric ULg; Krzesinski, Jean-Marie ULg et al

in Clinica Chimica Acta (2011), 412(3-4), 390

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See detailLa glomérulonéphrite fibrillaire non amyloïde : une cause rare de syndrome néphrotique
GROSCH, Stéphanie ULg; VAN OVERMEIRE, Lionel ULg; Krzesinski, Jean-Marie ULg et al

in Néphrologie & Thérapeutique (2011), 7

La glomérulonéphrite fibrillaire non amyloïde est une pathologie glomérulaire à dépôts fibrillaires, non amyloïdes, composés principalement d'immunoglobulines G polyclonales. Il s'agit d'une ... [more ▼]

La glomérulonéphrite fibrillaire non amyloïde est une pathologie glomérulaire à dépôts fibrillaires, non amyloïdes, composés principalement d'immunoglobulines G polyclonales. Il s'agit d'une glomérulopathie idiopathique responsable de protéinurie sévère, souvent néphrotique et d'insuffisance rénale arrivant à un stade terminal dans 40% des cas à cinq ans. Elle peut prendre différents aspects anatomopathologiques déterminants en terme de pronostic rénal. La négativité des dépôts en coloration rouge Congo et l'épaisseur des fibrilles en microscopie électronique permettent le diagnostic différentiel avec les dépôts amyloïdes. Il n'y a pas de traitement efficace. Après transplantation rénale, la récidive est fréquente avec un pronostic rénal cependant moins péjoratif. [less ▲]

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See detailMise au point : les associations antihypertensives idéales
Krzesinski, Jean-Marie ULg

Scientific conference (2010, December 17)

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See detailAssociation inhibiteurs calciques / inhibiteurs du SRAA : l'avenir?
Krzesinski, Jean-Marie ULg

Conference (2010, December 16)

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See detailStrategies of renal preservation after kidney surgery
Krzesinski, Jean-Marie ULg

Conference (2010, December 11)

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See detailControl of hypertension in a kidney transplanted population : the EPARA study
Gellner, Karen; Saint-Remy, Annie ULg; Weekers, Laurent ULg et al

in Acta Clinica Belgica (2010, November 27), 66(1), 79

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See detailControl of hypertension in a kidney transplanted population : the EPARA study”.
Gellner, Karen ULg; Saint-Remy, Annie ULg; Weekers, Laurent ULg et al

Scientific conference (2010, November 27)

The prevalence of hypertension in this specific KT population remains high in spite of different antiHTA drugs use and the well known deleterious effect of HTA on kidney function and cardiovascular risk ... [more ▼]

The prevalence of hypertension in this specific KT population remains high in spite of different antiHTA drugs use and the well known deleterious effect of HTA on kidney function and cardiovascular risk. Home BP (and/or ABPM) should thus be recommended to identify this situation and secondary to adapt the treatment. [less ▲]

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See detailThe assessment of kidney function
cohen, Eric P.; Krzesinski, Jean-Marie ULg

in Cohen, Eric P (Ed.) Cancer and the Kidney - The frontier of nephrology and oncology (2010)

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See detailLes doubles inhibitions du système rénine-angiotensine-aldostérone
Krzesinski, Jean-Marie ULg

Conference (2010, November 08)

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See detailActualités en hypertension
Krzesinski, Jean-Marie ULg

Conference (2010, November 07)

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