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See detailComment intégrer l'automesure de la pression artérielle dans la mise au point de l'hypertendu
Krzesinski, Jean-Marie ULg

in Revue Médicale de Liège (2001), 56(8), 552-556

Blood pressure measurement is the cornerstone of the diagnosis and follow up of arterial hypertension. Because of its large variability, the office blood pressure measurement can hardly be trusted. The ... [more ▼]

Blood pressure measurement is the cornerstone of the diagnosis and follow up of arterial hypertension. Because of its large variability, the office blood pressure measurement can hardly be trusted. The blood pressure self measurement allows more precisely to select the hypertensive patients (BP > 135/85 mmHg), to follow with more accuracy patients with important blood pressure variability and to check the efficacy of antihypertensive treatment. The self blood pressure measurement is at the early stage of its scientific period of development but requires the use of strictly validated devices which only measure the blood pressure at the brachial level. [less ▲]

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See detailcomment intégrer les lunettes genre dans sa pratique et dans l’analyse des réalités observées et vécues’
Gavray, Claire ULg

Scientific conference (2012, May 03)

pourquoi et comment être attentif aux manifestations du genre dans l'école ?

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See detailComment interpréter les résultats d'une série chronologique ?
Palm, Rodolphe ULg

Book published by Institut Technique des Céréales et des Fourrages (1992)

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See detailComment interpréter une élévation de la ferritine sérique?
Langlet, P.; Delwaide, Jean ULg

in Revue Médicale de Bruxelles (2007), 28(4), 265-269

The presence of hyperferritinemia has to rule out acquired causes such as chronic inflammatory disorders, hemolytic anemia, liver diseases as hepatitis B or C, alcohol abuse and non alcoholic fatty liver ... [more ▼]

The presence of hyperferritinemia has to rule out acquired causes such as chronic inflammatory disorders, hemolytic anemia, liver diseases as hepatitis B or C, alcohol abuse and non alcoholic fatty liver disease, specially in patients with normal transferrine saturation. Genetic testing for hemochromatosis is systematically indicated in all patients with elevated transferrine saturation. When an iron overload is demonstrated in the absence of these classic causes, second-line genetic testing should be considered to exclude non HFE hemochromatosis. The aim of this paper is to propose a practical algorithm in the diagnosis of hyperferritinemia and to precise the diagnostic and therapeutic management of genetic hemochromatosis. [less ▲]

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See detailComment investiguer la contre-performance d’origine médicale : de la clinique au laboratoire
Richard, Eric; Pitel, P. H.; Fortier, G. et al

in 35ème Journée de la Recherche équine (2009)

Clinical affections of the locomotor and respiratory systems are the two main causes of poor performance in sport horses. Nevertheless, each subclinical affection of any system implicated in the oxygen ... [more ▼]

Clinical affections of the locomotor and respiratory systems are the two main causes of poor performance in sport horses. Nevertheless, each subclinical affection of any system implicated in the oxygen system (respiratory, cardiovascular, blood, muscular and metabolic) may also become a limiting factor concerning the athletic capacities of the horse. A systematic medical examination of the horse, combining ail the clinical and laboratory exams, is thus necessary in order to establish a precise and comprehensive diagnosis regarding the different affections. The objectives of this communication are therefore to present the different methods currently available for the practitioner as well as the techniques recently developed for horses. The complementarity of the different clinical and laboratory exams, as well as the ideal moment for performing each test are clarified in order to accurately determine the different causes of poor performance as well as their functional repercussions [less ▲]

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See detailComment j'explore ... évaluation du risque de mort subite dans le syndrome de Wolff-Parkinson-White
Melon, Pierre ULg; LANCELLOTTI, Patrizio ULg; Kulbertus, Henri ULg

in Revue Médicale de Liège (1998), 53(4), 218-9

The identification of a WPW impose to evaluate the potential risk of sudden cardiac death. The risk depends on the duration of the refractory period of the accessory pathway. If the preexcitation ... [more ▼]

The identification of a WPW impose to evaluate the potential risk of sudden cardiac death. The risk depends on the duration of the refractory period of the accessory pathway. If the preexcitation disappears when the patient is stressed on a treadmill, there is no risk of sudden death. If it does not, an electrophysiological study will have to be performed to measure the refractory period of the accessory pathway. If a risk of sudden death is present (refractory period < 220 ms), the accessory pathway has to be ablated using radiofrequency. [less ▲]

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See detailComment j'explore ... l'atteinte fonctionnelle cutanee d'une sclerodermie.
Hermanns-Lê, Trinh ULg; Franchimont, Claudine ULg; PIERARD, Gérald ULg et al

in Revue Médicale de Liège (2013), 68(3), 141-7

Scleroderma refers to distinct clinical presentations sharing in common a sclerotic process most often clinically obvious on the skin. The involvement possibly affects the skin alone in morphea or in ... [more ▼]

Scleroderma refers to distinct clinical presentations sharing in common a sclerotic process most often clinically obvious on the skin. The involvement possibly affects the skin alone in morphea or in combination with internal lesions in systemic sclerosis. Some objective and non-invasive functional assessments are useful for better appreciating the severity and evolution of the disease, as well as to monitor the therapeutic efficacy. In this endeavour, in vivo measurements of the skin mechanical properties are unsurprisingly informative. [less ▲]

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See detailComment j'explore ... l'hypertension artérielle par excès de minéralocorticoides
Bovy, Christophe ULg; Delanaye, Pierre ULg; Radermecker, Régis ULg et al

in Revue Médicale de Liège (2005), 60(4), 255-63

Primary aldosteronism is a rare cause of hypertension. However, its incidence seems to be underestimated. It is important to identify this syndrom since the disease is potentially curable. In the present ... [more ▼]

Primary aldosteronism is a rare cause of hypertension. However, its incidence seems to be underestimated. It is important to identify this syndrom since the disease is potentially curable. In the present paper, we depict different forms of primary aldosteronism as well as the diagnostic procedures. When the diagnosis is suspected (hypertension associated to spontaneous or diuretic-induced hypokaliemia), the more efficient screening test is the determination of the aldosteron/renin ratio. Saline infusion or posture tests can thereafter confirm the diagnosis. Differential diagnosis between bilateral and unilateral forms of primary aldosteronism can be made by CT-scanner and the response of aldosterone to the posture test. Such a complex assessment leads to the identification of patients who can be surgically treated. This treatment consists in a unilateral adrenalectomy which can be realised by laparoscopy. [less ▲]

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See detailComment j'explore ... l'hypothese diagnostique d'une syphilis.
PIERARD-FRANCHIMONT, Claudine ULg; CAUCANAS, Marie ULg; QUATRESOOZ, Pascale ULg et al

in Revue Médicale de Liège (2011), 66(10), 550-4

The versatility of the clinical presentations of syphilis is large. A laboratory diagnosis is required in any case where a clinical assumption is raised. Two main diagnostic methods are available ... [more ▼]

The versatility of the clinical presentations of syphilis is large. A laboratory diagnosis is required in any case where a clinical assumption is raised. Two main diagnostic methods are available according to the lesion aspects and the staging of the disease. They rely on the recognition of the spirochete or on the identification of the immune response using specific and non specific serology tests. [less ▲]

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See detailComment j'explore ... l'ostéoporose: mesure de la masse osseuse et analyses biologiques
Reginster, Jean-Yves ULg; Devogelaer, J. P.; Kaufman, J. M. et al

in Revue Médicale de Liège (1999), 54(3), 184-8

The use of bone densitometry, by dual energy x-ray absorptiometry, allows the identification, at an early stage, of subjects who will, 15-20 years later, present a fracture event. Furthermore, this ... [more ▼]

The use of bone densitometry, by dual energy x-ray absorptiometry, allows the identification, at an early stage, of subjects who will, 15-20 years later, present a fracture event. Furthermore, this technique is the most appropriate to confirm the efficacy of preventive or curative therapeutic approaches of osteoporosis. A balanced utilisation of biochemical tests is mandatory to exclude a secondary cause of osteoporosis, to help in the choice of the most appropriate therapeutic strategy and to evaluate the early response of patients to the administered drugs. [less ▲]

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See detailComment j'explore ... la cinetique glycemique des patients diabetiques par monitoring continu du glucose interstitiel.
Radermecker, Régis ULg; Magis, Delphine ULg; Selam, J. L. et al

in Revue Médicale de Liège (2003), 58(3), 164-7

The improvement of diabetic patients' glycaemic status requires an increase of fingerstick blood glucose measurements. Among the possibilities available to assess diabetes' control, we will consider new ... [more ▼]

The improvement of diabetic patients' glycaemic status requires an increase of fingerstick blood glucose measurements. Among the possibilities available to assess diabetes' control, we will consider new systems of continuous interstitial glucose monitoring. After a brief description of the devices presently commercialized, we will discuss their indications and their limitations, as well as their future prospects in a possible "closed loop" insulin delivery according to blood glucose level. [less ▲]

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See detailComment j'explore ... la controverse a propos de la place de l'hyperglycemie provoquee par voie orale en clinique.
Luyckx, Françoise ULg; Scheen, André ULg

in Revue Médicale de Liège (2003), 58(11), 701-5

The oral glucose tolerance test (OGTT) has been widely used for the diagnosis of diabetes mellitus, gestational diabetes or impaired glucose tolerance. However, since 1997, OGTT is not considered anymore ... [more ▼]

The oral glucose tolerance test (OGTT) has been widely used for the diagnosis of diabetes mellitus, gestational diabetes or impaired glucose tolerance. However, since 1997, OGTT is not considered anymore as the first choice test for the diagnosis of diabetes mellitus or impaired glucose tolerance, being replaced by fasting glycaemia. Numerous studies, however, stressed the discrepancies between these two diagnostic approaches, so that OGTT still has defenders as a useful tool to diagnose diabetes. Besides, emphasis has been recently put on both postprandial hyperglycaemia, considered as a major cardiovascular risk factor, and impaired glucose tolerance as a predictor of progression toward overt type 2 diabetes, two parameters well addressed by the OGTT. Thus, even if the place to be reserved to the OGTT is controversial, in our opinion, this test still has a place in clinical biology. [less ▲]

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See detailComment j'explore ... la dissection de l'aorte thoracique
Hubin, L.; Hoffer, E.; Ghaye, Benoît ULg et al

in Revue Médicale de Liège (2000), 55(1), 49-56

Thoracic aortic dissection constitutes an acute pathology that requires a rapid, accurate and reliable diagnosis. The authors describe and illustrate the advantages and limitations of imaging modalities ... [more ▼]

Thoracic aortic dissection constitutes an acute pathology that requires a rapid, accurate and reliable diagnosis. The authors describe and illustrate the advantages and limitations of imaging modalities used in this pathology. [less ▲]

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See detailComment j'explore ... la musculature paravertebrale lombaire dans les radiculopathies par electromyographie.
Tomasella, Marco ULg; Crielaard, Jean-Michel ULg; WANG, François-Charles ULg

in Revue Médicale de Liège (2001), 56(10), 716-22

Lumbar paraspinal muscles examination is an interesting part of the electrodiagnostic evaluation of patients with suspected lumbosacral radiculopathy. However, many electromyographers hesitate to ... [more ▼]

Lumbar paraspinal muscles examination is an interesting part of the electrodiagnostic evaluation of patients with suspected lumbosacral radiculopathy. However, many electromyographers hesitate to routinely include that technique in their study of lower limbs. The purpose of this paper is to specify the anatomy and electrophysiologic data of multifidus lumbar paraspinal muscle. Previous anatomic studies indicate that the medial lumbar multifidus and lumbar interspinalis muscles share unisegmental innervation by the dorsal ram of the spinal nerve. Electromyography of these muscles can improve the sensitivity of lumbosacral radiculopathy detection. Multi-MUP analysis of quantitative electromyographic parameters in lumbar paraspinal muscles, in a population of 75 healthy subjects without back pain, allowed to set up normal values for the L5 myotome. [less ▲]

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See detailComment j'explore ... la néphropathie diabétique. Deuxième partie: suivi de la filtration glomérulaire
Weekers, Laurent ULg; Scheen, André ULg; Godon, J. P.

in Revue Médicale de Liège (1998), 53(9), 571-5

The natural history of diabetic renal disease can be divided into different stages according to the degree of albuminuria and the level of glomerular filtration rate (GFR). Assessment of the early ... [more ▼]

The natural history of diabetic renal disease can be divided into different stages according to the degree of albuminuria and the level of glomerular filtration rate (GFR). Assessment of the early hyperfiltration state, as well as determination of the rate of decline in kidney function at a later stage require precise and accurate methods to measure GFR. In this article, we briefly remind the reader of the physiological basis of GFR. We then review the different techniques for the monitoring of kidney function (inulin clearance, endogenous creatinine clearance, plasma disappearance of a radiolabelled tracer) and discuss the pro and cons of each of them in different clinical settings. Finally, we try to define a rational use of these techniques in everyday clinical practice. [less ▲]

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See detailComment j'explore ... la nephropathie diabetique. Premiere partie: micro- et macro-albuminurie.
Weekers, Laurent ULg; Scheen, André ULg; Lefebvre, Pierre ULg

in Revue Médicale de Liège (1998), 53(8), 494-8

Diabetic nephropathy (DN) appears in about 30% of patients with type 1 diabetes (D1) and 15 to 60% of patients with type 2 diabetes (D2). It is preceded by microalbuminuria. Microalbuminuria is defined as ... [more ▼]

Diabetic nephropathy (DN) appears in about 30% of patients with type 1 diabetes (D1) and 15 to 60% of patients with type 2 diabetes (D2). It is preceded by microalbuminuria. Microalbuminuria is defined as an albumin excretion rate between 30 and 300 mg/24 h (on a 24-hour urine collection) or between 20 and 200 micrograms/min (on an overnight collection) in at least two out of three consecutive collections made within a 6-month period. Alternative screening techniques use either dipstick (Micral-Test II) or the albumin to creatinine ratio on an early morning urine sample (30-300 mg/g creatinine). Once persistent microalbuminuria is confirmed, 80% of type 1 diabetic patients and 20 to 50% of type 2 diabetic patients will progress to DN. In D2, microalbuminuria also represents a powerful predictor of early mortality from cardiovascular disease. Macroalbuminuria (AER > 300 mg/24 h, corresponding to a total protein excretion > 500 mg/24 h) will eventually lead to a end-stage renal insufficiency within 10 to 20 years. In D2, numerous patients will die from cardiovascular disease before reaching end-stage renal failure. Angiotensin-converting enzyme inhibitors can slow down the evolution toward DN when prescribed when microalbuminuria appears. Screening for microalbuminuria should therefore be a part of the annual clinical assessment in every diabetic patient. [less ▲]

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See detailComment j'explore ... le controle glycemique des patients diabetiques a domicile.
Scheen, André ULg

in Revue Médicale de Liège (1999), 54(11), 893-7

Self blood glucose monitoring is now a key element in the management of diabetic patients. However, in order to improve overall blood glucose control, self-monitoring should lead to self-management. This ... [more ▼]

Self blood glucose monitoring is now a key element in the management of diabetic patients. However, in order to improve overall blood glucose control, self-monitoring should lead to self-management. This implies that the patient modifies his/her behaviour (diet, exercise, oral antidiabetic agents, insulin doses) to ameliorate the metabolic status according to his/her blood glucose measurements. While the place of home blood glucose monitoring is rather well defined in type 1 diabetes, it remains more controversial in type 2 diabetes. [less ▲]

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See detailComment j'explore ... le nodule pulmonaire solitaire
Bury, Thierry ULg

in Revue Médicale de Liège (1998), 53(6), 370-3

The need to document the nature of a solitary pulmonary nodule is a frequent occurrence in clinical practice. It is also a diagnostic dilemma to the physician. Is it malignant or benign? Should it be ... [more ▼]

The need to document the nature of a solitary pulmonary nodule is a frequent occurrence in clinical practice. It is also a diagnostic dilemma to the physician. Is it malignant or benign? Should it be observed, biopsied or removed? We review what is known about the solitary nodule and discuss the clinical approach to its evaluation. [less ▲]

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See detailComment j'explore ... le risque coronarien individuel extrapole a 10 ans.
Scheen, André ULg; Rorive, Georges ULg; Kulbertus, Henri ULg

in Revue Médicale de Liège (1999), 54(2), 118-21

The European Societies of Cardiology. Atherosclerosis and Hypertension agreed upon a table allowing to evaluate the coronary risk after 10 years according to five parameters (sex, age, smoking, total ... [more ▼]

The European Societies of Cardiology. Atherosclerosis and Hypertension agreed upon a table allowing to evaluate the coronary risk after 10 years according to five parameters (sex, age, smoking, total cholesterol, arterial blood pressure) and aggravating factors (familial history, diabetes mellitus, low HDL cholesterol, hypertriglyceridaemia). The risk level is based upon the equations of the prospective US study of Framingham. The calculation of such a risk is mainly interesting before considering intensified primary prevention in an individual free of any cardiovascular disease. The efforts should first focus on individuals with a high coronary risk, i.e. > 20% after 10 years. As far as secondary prevention is concerned, the patients should always be considered at high risk and beneficiate of all available therapeutic means. [less ▲]

Detailed reference viewed: 34 (2 ULg)