References of "Revue Médicale de Liège"
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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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See detailQuand solaire rime avec scolaire. Une enquete sur les risques de melanome aupres de 3.695 eleves d'ecoles primaires liegeoises
Pierard-Franchimont, Claudine ULiege; Pierard, Gérald ULiege

in Revue Médicale de Liège (2001), 56(2), 88-92

An epidemiological survey was performed in pupils from primary schools of Liege in order to better identify risk factors for photobiological alterations prone to induce cutaneous melanoma in adult life ... [more ▼]

An epidemiological survey was performed in pupils from primary schools of Liege in order to better identify risk factors for photobiological alterations prone to induce cutaneous melanoma in adult life. Phenotypic and behavioral factors facing up to sun exposure were considered. In a 4-level risk scale, about half of the Liege children showed a high to severe risk at photobiological alterations. Thus melanoma prevention requires a sustained effort in the Mosan region, particularly by health education programs at school. [less ▲]

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See detailComment j'explore ... le risque metastatique du melanome
Pierard, Gérald ULiege; Arrese, J. E.; Pierard-Franchimont, Claudine ULiege et al

in Revue Médicale de Liège (2001), 56(2), 120-3

The development of new therapeutic protocols for malignant melanoma calls for an upgraded assessment of the individual risk to develop metastases. The predictive sentinel lymph node method is best ... [more ▼]

The development of new therapeutic protocols for malignant melanoma calls for an upgraded assessment of the individual risk to develop metastases. The predictive sentinel lymph node method is best practiced in a multidisciplinary approach. The selective lymphadenectomy of the first draining lymph node is followed by minutely detailed histologic examination combined with immunohistochemistry. [less ▲]

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See detailPratique d'urgence: principes generaux gouvernant la prise en charge hospitaliere du polytraumatise
Lambert, Jean-Luc; Hartstein, Gary ULiege; Ghuysen, Alexandre ULiege et al

in Revue Médicale de Liège (2001), 56(2), 79-87

The management of the trauma victim admitted to the emergency department must be rapid and efficient. Within the first hour, vital functions must be stabilised while a systematic survey of all injuries is ... [more ▼]

The management of the trauma victim admitted to the emergency department must be rapid and efficient. Within the first hour, vital functions must be stabilised while a systematic survey of all injuries is carried out. This survey must be as complete as possible, and depends on the patient's status and response to initial resuscitative measures. The need for urgent surgical intervention, therapeutic radiology, or other treatment modalities must be quickly established. This systematic approach, which follows a seven step sequence, can only be carried out by a well-trained team. Because at this time emergency and SMUR are often staffed with general practitioners, and because the trauma centers do not yet exist in Belgium, the application of the treatment protocol presented in this paper is a pre-requisite to quality of care for these patients. It is the only means to end, once and for all, the improvised or intuitive, and often erroneous, approach to these patients. [less ▲]

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See detailLe syndrome du defile cervico-thoracique
Dubuisson, Annie ULiege; Foidart-Dessalle, Marguerite ULiege; Cohnen, Anne ULiege et al

in Revue Médicale de Liège (2001), 56(2), 97-105

Thoracic outlet syndrome (TOS) is due to compression/irritation of brachial plexus elements ("neurogenic TOS") and/or subclavian vessels ("vascular TOS") in their passage from the cervical area toward the ... [more ▼]

Thoracic outlet syndrome (TOS) is due to compression/irritation of brachial plexus elements ("neurogenic TOS") and/or subclavian vessels ("vascular TOS") in their passage from the cervical area toward the axilla. The usual site of entrapment is the interscalenic triangle. TOS is a highly controversial subject in regard to its incidence, diagnostic criteria and optimal treatment. Constitutional factors--osseous or more often fibromuscular--and external factors such as trauma predispose to the development of TOS. Various clinical pictures include pain in the cervical region and arm, paresthesias, aggravated by overhead positions of the arms, hand intrinsic muscle deficit/atrophy, easy fatiguability, paleness, coldness of hand. The clinical examination may be entirely normal or show cervical and scapular muscle spasm, tenderness of supraclavicular area, radial pulse attenuation upon positional maneuvers, sensory and/or motor deficit, usually of C8/T1 distribution. The diagnosis is based on clinical evaluation and absence of other relevant pathology. Sometimes TOS can enhance symptoms consecutive to cervical or supraclavicular lesions. Cervical spine and distal peripheral nerves are investigated by radiological and electrophysiological studies. Unless there is significant motor deficit or subclavian artery compression, the treatment should be kept conservative as long as possible, by adapted physical therapy. In case of neurological deficit or symptoms unresponsive to medical treatment, the patients will--like in other nerve entrapment syndromes--be helped by decompressive surgery, nowadays preferably performed via an anterior supraclavicular approach. [less ▲]

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See detailLe cas clinique du mois. Intoxication aigue au methanol
Brasseur, Edmond ULiege; Lemineur, T.; Leonard, Philippe ULiege et al

in Revue Médicale de Liège (2001), 56(1), 7-10

We report a fatal methanol intoxication and discuss its physiopathology, diagnosis and treatment.

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See detailOngles sales et mycotoxines
Arrese, J. E.; Goffin, Véronique ULiege; Pierard-Franchimont, Claudine ULiege et al

in Revue Médicale de Liège (2001), 56(1), 38-40

Some mycotoxins are among the most toxic natural products. They are metabolites produced by food-borne and feed-borne moulds. Dirty and soiled nails, and contaminated or infected onyxis by these specific ... [more ▼]

Some mycotoxins are among the most toxic natural products. They are metabolites produced by food-borne and feed-borne moulds. Dirty and soiled nails, and contaminated or infected onyxis by these specific moulds can be the origin of oral contamination and mycotoxicosis. Hence, nail cleaning, correct hygiene and treatment of mould onychomycosis have a potentially great impact on health. [less ▲]

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See detailUn Centre de Jour pour une prise en charge de patients Alzheimer à un stade débutant
Lekeu, Françoise ULiege; Salmon, Eric ULiege

in Revue Médicale de Liège (2001), 56(1), 31-37

Alzheimer's disease represents an important problem for our societies, both in social and economical dimensions. Built in July 1997, the day care center of Liege aims at practicing strategic cognitive ... [more ▼]

Alzheimer's disease represents an important problem for our societies, both in social and economical dimensions. Built in July 1997, the day care center of Liege aims at practicing strategic cognitive interventions in early Alzheimer patients or when pathological memory impairments occur. By means of an interdisciplinary work (by neuropsychologists and occupational therapists), the ultimate goal of the interventions is to facilitate the patient's autonomy in activities of daily living. Because of the variability of clinical symptoms of the disease, the goal of these cognitive interventions is to optimize the performance of each patient by making the most of its preserved abilities. Moreover, another goal of the day care center is also to support the caregivers, by giving them advices in order to adequately face with difficulties presented by the patient. [less ▲]

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See detailLe point sur la transplantation pancreatique.
De Roover, Arnaud ULiege; Detry, Olivier ULiege; Hamoir, Etienne ULiege et al

in Revue Médicale de Liège (2001), 56(8), 557-62

Pancreas transplantation significantly improves the quality of life as well as the survival of the diabetic patient. It is also associated with stabilization and reversal of secondary diabetic ... [more ▼]

Pancreas transplantation significantly improves the quality of life as well as the survival of the diabetic patient. It is also associated with stabilization and reversal of secondary diabetic complications. Improvements in organ preservation, surgical techniques and immunosuppression have achieved one-year graft survival of more than 90% for combined kidney-pancreas transplant and 80% for isolated pancreas transplantation. Recipient evaluation must weigh the benefits of the procedure with the risk associated with surgery and chronic immunosuppression. Combined kidney-pancreas transplantation appears today as the best treatment for the diabetic patient with end stage renal disease. Isolated pancreas transplantation is reserved to non-uremic patients with severe diabetic complications or with brittle glycaemic control and severe impairment of quality of life. [less ▲]

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See detailNeuropathies canalaires et micro--traumatiques liees a la pratique sportive.
Wang, François-Charles ULiege; Crielaard, Jean-Michel ULiege

in Revue Médicale de Liège (2001), 56(5), 382-90

The more frequent entrapment neuropathies related to sport are described: thoracic outlet syndrome in aquatic athletes and pitchers, long thoracic neuropathy in tennis players, suprascapular neuropathy in ... [more ▼]

The more frequent entrapment neuropathies related to sport are described: thoracic outlet syndrome in aquatic athletes and pitchers, long thoracic neuropathy in tennis players, suprascapular neuropathy in volleyball and tennis players, ulnar nerve entrapment at the elbow in pitchers and at the wrist in cyclists, Morton's syndrome in runners and dancers. [less ▲]

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See detailImage du mois. Abces cerebral et toxoplasmose.
Omazic, A. F.; Welter, P.; Piette, Jacques ULiege et al

in Revue Médicale de Liège (2001), 56(8), 541-2

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