References of "Revue Médicale de Liège"
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See detailLe réentrainement à l'effort du patient BPCO
Bury, Thierry ULiege; Lange, B.; Pirnay, Freddy ULiege

in Revue Médicale de Liège (2001), 56(5), 289-92

Rehabilitation for patients with chronic obstructive pulmonary disease (COPD) is well established and widely accepted as a means of enhancing standard therapy in order to alleviate symptoms and optimize ... [more ▼]

Rehabilitation for patients with chronic obstructive pulmonary disease (COPD) is well established and widely accepted as a means of enhancing standard therapy in order to alleviate symptoms and optimize function. The primary goal of rehabilitation is to restore the patient to the highest possible level of independent function. There is, however, no consensus on the optimal training modalities. Both walking and cycling improve exercise performance; there is substantial evidence that lower extremity exercise training should be included in rehabilitation programs for patients with COPD. [less ▲]

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See detailSurentrainement et efforts d'endurance
Jidovtseff, Boris ULiege; Crielaard, Jean-Michel ULiege

in Revue Médicale de Liège (2001), 56(5), 343-52

Optimal training results in exercise-recovery harmonious balance. High frequency and volumic training, associated with insufficient recovery may induce overtraining. It depends on the kind of exercise but ... [more ▼]

Optimal training results in exercise-recovery harmonious balance. High frequency and volumic training, associated with insufficient recovery may induce overtraining. It depends on the kind of exercise but occurs mainly in endurance sports. The high frequency of upper respiratory track infection in endurance sportsmen results from a temporary immunosuppression state, possibly associated with overtraining. Many immune and haematological parameters have been associated with overtraining, but none seemed really efficient for diagnosis. Hormonal parameters, despite contradictions in studies, appear to give a good insight of athlete's staleness and are more predictive of overtraining. Actually, overtraining detection needs a combination of different parameters, and cannot sustain on isolated factors. [less ▲]

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See detailInfections cutanees contractees a l'occasion d'activites sportives ou de loisirs recreatifs
Ledoux, Didier ULiege; Goffin, Véronique ULiege; Fumal, I. et al

in Revue Médicale de Liège (2001), 56(5), 339-42

Going in for sports is at increased risk for cutaneous infections that can be viral, bacterial, mycotic and parasitic in nature. The specific conditions of sports practice have a major influence on their ... [more ▼]

Going in for sports is at increased risk for cutaneous infections that can be viral, bacterial, mycotic and parasitic in nature. The specific conditions of sports practice have a major influence on their occurrence. Other factors such as age, gender and genetic predisposition can also play a role. The cutaneous infections should be the target of preventive measures. To assume the worse, they should be recognized and treated without delay in order to avoid the more or less prolonged arrest of the sports activity and the disease transmission to partners. [less ▲]

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See detailSport et hypertension artérielle
Krzesinski, Jean-Marie ULiege; Ancion, G.

in Revue Médicale de Liège (2001), 56(5), 306-312

Regular physical exercise belongs to the non pharmacological tools for the control of high blood pressure. When practising it almost daily at low intensity during 30 minutes, and mainly on a dynamic mode ... [more ▼]

Regular physical exercise belongs to the non pharmacological tools for the control of high blood pressure. When practising it almost daily at low intensity during 30 minutes, and mainly on a dynamic mode, blood pressure can decrease almost of the same order of magnitude as with an antihypertensive drug. In severe hypertension, blood pressure must be first controlled by drugs before starting the physical exercise training. An exercise test is preferable before exercise suggestion in sedentary people older than 40 years. In hypertensive people who enter sportive competition, diuretics and betablockers are forbidden. These agents can also reduce performance. [less ▲]

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See detailElectromyostimulation en medecine du sport
Vanderthommen, Marc ULiege; Crielaard, Jean-Michel ULiege

in Revue Médicale de Liège (2001), 56(5), 391-5

Neuromuscular electrical stimulation (NMES) is frequently used to strengthen the normal muscle. In medicine, several investigators have highlighted the value of NMES when treating amyotrophy related to ... [more ▼]

Neuromuscular electrical stimulation (NMES) is frequently used to strengthen the normal muscle. In medicine, several investigators have highlighted the value of NMES when treating amyotrophy related to immobilization. The efficacy of NMES of the quadriceps during rehabilitation following anterior cruciate ligament surgery has been well documented. These electrical stimulation programs are composed of stimulation--rest cycles and are performed with the aid of percutaneous electrodes situated in regard to muscle motor points. The stimulation frequency is chosen to induce tetanic contractions and is generally situated between 50 and 100 Hz. During NMES, the trainer or the physiotherapist can accurately modulate a large number of parameters but the sensory discomfort linked to the current intensity remains the major limitation for strength improvement. In the context of rehabilitation, the association of NMES with voluntary exercises is superior to the isolated utilization of the classic program composed of isometric voluntary contractions. To explain this advantage of associating NMES with voluntary contractions, it has been hypothesized that the electrically induced contractions impose specific patterns of muscle recruitment and a particular metabolic solicitation. [less ▲]

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See detailIsocinétisme et traumatologie sportive
Croisier, Jean-Louis ULiege; Crielaard, Jean-Michel ULiege

in Revue Médicale de Liège (2001), 56(5), 360-8

The assessment of human muscle strength is of considerable value in various pathological states with modifications of the performance level. The original concept of isokinetic dynamometry provides a ... [more ▼]

The assessment of human muscle strength is of considerable value in various pathological states with modifications of the performance level. The original concept of isokinetic dynamometry provides a precise and reliable quantification of strength. Identification of underlying deficits in bilateral and reciprocal muscle group relationships plays a great role in the treatment of anterior cruciate ligament (ACL) reconstruction and muscle injuries. The value of this type of assessment for prevention in uninjured subjects practicing sports at risk is suggested. Rehabilitative use of isokinetic includes muscle strengthening and tendinitis treatment by means of eccentric exercises. [less ▲]

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See detailEvaluation physiologique de la force explosive du sportif
Lange, B.; Bury, Thierry ULiege

in Revue Médicale de Liège (2001), 56(4), 233-8

Although we all possess the capability for anaerobic and aerobic energy metabolism, the capacity for each form of energy transfer varies considerably among individuals. Sports such as football or ... [more ▼]

Although we all possess the capability for anaerobic and aerobic energy metabolism, the capacity for each form of energy transfer varies considerably among individuals. Sports such as football or weightlifting, rely almost exclusively on energy derived from the muscles's pool of high-energy phosphates. Researchers have proposed different tests to estimate the power-generating capacity of high energy phosphates: stair-sprinting power tests, jumping-power tests or sprint cycling. In reality, however, it is difficult to obtain precise physiological or biochemical data during all-out exercise of brief duration. [less ▲]

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See detailErgospirométrie en pratique médicale
Lange, B.; Close, Patricia ULiege; Bury, Thierry ULiege

in Revue Médicale de Liège (2001), 56(4), 228-32

Cardiopulmonary exercise testing is a unique tool to assess the limits and mechanisms of exercise tolerance. It is also useful for establishing the profiles and adequacy of the responses of the systems at ... [more ▼]

Cardiopulmonary exercise testing is a unique tool to assess the limits and mechanisms of exercise tolerance. It is also useful for establishing the profiles and adequacy of the responses of the systems at submaximal and maximal exercises. The measure of VO2 max (maximal oxygen uptake) has become the "benchmark" to quantify cardiovascular functional capacity and aerobic fitness. [less ▲]

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See detailL'alimentation du sportif
Paquot, Nicolas ULiege

in Revue Médicale de Liège (2001), 56(4), 200-3

All nutrition recommendations for athletes must be based on current scientific data and the needs of athletes as individuals. Exercise performance may be improved by adequate food intake. Adequate energy ... [more ▼]

All nutrition recommendations for athletes must be based on current scientific data and the needs of athletes as individuals. Exercise performance may be improved by adequate food intake. Adequate energy intake needs to be consumed during times of high-intensity training to maintain body weight and maximize the training effect. Carbohydrates are important to maintain blood-glucose and replace muscle glycogen. During exercise, carbohydrates must be provided at the rate of 30 to 60 g per h. Fat intake should not be restricted. No vitamin and mineral supplements should be required if an athlete is consuming adequate energy from a variety of foods. Deshydratation decreases exercise performance. Two hours before exercise 400 to 600 ml of fluid should be consumed and during exercise 150 to 350 ml of fluid every 15 to 20 min. After exercise, the dietary goal is to provide adequate energy and carbohydrate to replace muscle glycogen and ensure rapid recovery. [less ▲]

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See detailLa peau, le froid et les sports d'hiver
Claes, G.; Henry, Frédérique ULiege; Letawe, C. et al

in Revue Médicale de Liège (2001), 56(4), 257-60

Winter sports are responsible for various dermatoses which could be often avoided by simple preventive procedures. Both the severity and duration of cold exposure combined with wind speed, altitude and ... [more ▼]

Winter sports are responsible for various dermatoses which could be often avoided by simple preventive procedures. Both the severity and duration of cold exposure combined with wind speed, altitude and environmental hygrometric value govern the potential types of cold injuries. [less ▲]

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See detailAu-dela de la performance athletique, la trahison de la peau
Martalo, O.; Claessens, N.; Pierard, Gérald ULiege

in Revue Médicale de Liège (2001), 56(4), 261-4

Several compounds listed as illicit doping agents can express some effects on the skin. The cutaneous signs are diverse. The clue of the intake of such compounds can be supported by objective non-invasive ... [more ▼]

Several compounds listed as illicit doping agents can express some effects on the skin. The cutaneous signs are diverse. The clue of the intake of such compounds can be supported by objective non-invasive biometrological assessments. However, such evaluations do not bring the irrefutable proof. The skin can also present unwanted reactions indicating intolerance to the doping agent. Such physiopathological manifestations are not limited to the sport competition, but can also affect some groups of the population searching for a look reminiscent of the ideal young and performing athlete. [less ▲]

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See detailSport et grossesse
Emonts, Patrick ULiege; Thoumsin, H.; Foidart, Jean-Michel ULiege

in Revue Médicale de Liège (2001), 56(4), 216-8

Pregnant women consult often their obstetricians for counselling about their way of living. Particularly answering questions concerning physical activity and sports during pregnancy require a profound ... [more ▼]

Pregnant women consult often their obstetricians for counselling about their way of living. Particularly answering questions concerning physical activity and sports during pregnancy require a profound knowledge on the physiological adaptations of pregnancy and, on the other hand, on performance and sports physiology. On the basis of the current state of research, physical exercise and sport are to be recommended during pregnancy so long as women are aware of potential dangers and contraindications. Maternal benefits and fetal benefits have today been demonstrated. [less ▲]

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See detailLe Shoshin beriberi: mythe ou realite?
Masset, C.; LANCELLOTTI, Patrizio ULiege; Nkoghe, D.

in Revue Médicale de Liège (2001), 56(3), 155-8

Shoshin is a fulminating form of cardiac beriberi developing in a few hours in a young alcoholic. Without specific treatment it evulers, toward death by cardiogenic shock and metabolic acidosis. Treatment ... [more ▼]

Shoshin is a fulminating form of cardiac beriberi developing in a few hours in a young alcoholic. Without specific treatment it evulers, toward death by cardiogenic shock and metabolic acidosis. Treatment by thiamine and alkalinisation permits a spectacular and fast recovery. [less ▲]

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See detailPharma clinics. Comment je traite.... L'arthrose. 2eme partie: Nouvelles perspectives therapeutiques
Reginster, Jean-Yves ULiege; Henrotin, Yves ULiege

in Revue Médicale de Liège (2001), 56(3), 135-9

Besides the management of symptoms of osteoarthritis, a lot of interest was raised for molecules aiming at slowing down the structural progression of the disease. This paper summarizes the currently ... [more ▼]

Besides the management of symptoms of osteoarthritis, a lot of interest was raised for molecules aiming at slowing down the structural progression of the disease. This paper summarizes the currently available data allowing to discuss the efficacy and tolerance of these chemical entities. [less ▲]

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See detailProgres recents dans la pharmacologie des hypnotiques et anxiolytiques
Scuvée-Moreau, Jacqueline ULiege; Seutin, Vincent ULiege

in Revue Médicale de Liège (2001), 56(3), 159-64

Recent studies on the respective contribution of GABAA receptor subunits in the various pharmacological effects of benzodiazepines suggest that the sedative and amnesic properties of diazepam are mediated ... [more ▼]

Recent studies on the respective contribution of GABAA receptor subunits in the various pharmacological effects of benzodiazepines suggest that the sedative and amnesic properties of diazepam are mediated by enhancement of gabaergic transmission in neurons expressing the alpha 1 subunit while the anxiolytic effect is selectively mediated by alpha 2 subunit. These findings suggest that a separation of the pharmacological properties of benzodiazepines is possible and that drugs with increased clinical specificity could be developed. [less ▲]

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See detailL'allergie au latex--quand l'incertitude reste la seule certitude
Goffin, Véronique ULiege; Kharfi, M.; Pierard-Franchimont, Claudine ULiege et al

in Revue Médicale de Liège (2001), 56(3), 165-9

Latex devices release allergenic proteins which are responsible for immune IgE mediated reactions. Casual surgical gloves are most often responsible for contact urticaria. Other allergic manifestations ... [more ▼]

Latex devices release allergenic proteins which are responsible for immune IgE mediated reactions. Casual surgical gloves are most often responsible for contact urticaria. Other allergic manifestations include conjunctivitis, rhinitis, asthmatiform dyspnoea and diverse gastro-intestinal troubles. Cardiovascular collapse and anaphylactic shock are possible. Physicians and the paramedical staff are particularly affected by the allergy to latex proteins. Multi-operated patients and those under prolonged health care using latex-made medical probes also present a high-risk group for this type of allergy. [less ▲]

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See detailPratique d'urgence: particularites dans la prise en charge des polytraumatises complexes
Lambert, J. L.; Hartstein, Gary ULiege; Ghuysen, Alexandre ULiege et al

in Revue Médicale de Liège (2001), 56(3), 149-54

Almost twenty years ago, Trunkey showed that deaths due to trauma followed a trimodal distribution over time. Half of these deaths were delayed by at least one to two hours after the initiating insult ... [more ▼]

Almost twenty years ago, Trunkey showed that deaths due to trauma followed a trimodal distribution over time. Half of these deaths were delayed by at least one to two hours after the initiating insult. This interval (the "golden hour") can be exploited, especially in specialized trauma centers (where the most severely injured patients are cared for), to aggressively treat these patients, thereby reducing morbidity and mortality. In Belgium, this hierarchy of trauma care centers is non-existent; patients are distributed within the healthcare system randomly, depending on the localisation of the accident and the directives of the unified "100" call centre. Because this limits the number of cases any one centre treats, this type of arrangement acts to inhibit the acquisition of competency in the handling of these complex patients. The relative lack of experience of individual emergency departments leads to difficulties in establishing diagnostic and treatment priorities for the most severely injured trauma victims. The approach to these patients must follow very precise guidelines, established scientifically in order to minimize the impact of the injury on life and maximize chances of satisfactory functional recovery. In this paper, we describe the general principles of the initial approach to victims of complex multiple trauma. [less ▲]

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See detailComment j'explore certains cas difficiles de meningite tuberculeuse
Lemaire, Roger ULiege; al Azba, S.; Brumioul, Danielle ULiege et al

in Revue Médicale de Liège (2001), 56(3), 181-185

To formally document the presence of the bacillus of Koch in meninges still remains difficult and depends on many variables. We report two cases where the diagnosis proved difficult. The presentation of ... [more ▼]

To formally document the presence of the bacillus of Koch in meninges still remains difficult and depends on many variables. We report two cases where the diagnosis proved difficult. The presentation of tuberculous meningitis can take several aspects. Mantoux reaction is frequently negative. The BK cultures, which demonstrate the diagnosis, depend on the volume of CSF and on the importance of BK dissemination. It, unfortunately, remains difficult to make the diagnosis of tuberculous meningitis even though this pathology can have extremely deleterious consequences. [less ▲]

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See detailPharma clinics. Comment je traite.... L'arthrose. 1ère partie: Rappel physiopathologique et traitement symptomatique
Reginster, Jean-Yves ULiege; Henrotin, Yves ULiege

in Revue Médicale de Liège (2001), 56(2), 63-7

Osteoarthritis is now considered in all developed countries as a major burden for public health. During several years, the pharmacological management of osteoarthritis mainly focused on symptoms relief ... [more ▼]

Osteoarthritis is now considered in all developed countries as a major burden for public health. During several years, the pharmacological management of osteoarthritis mainly focused on symptoms relief without interaction with the long-term structural progression of this disease. Based on recently published consensus, the present article summarizes the currently available options in the symptom-modifying management of osteoarthritis. [less ▲]

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See detailL'image du mois. Une thrombose veineuse cerebrale
Garraux, Gaëtan ULiege; Sadzot, Bernard ULiege; Flandroy, Pierre et al

in Revue Médicale de Liège (2001), 56(2), 61-2

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