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Insuffisance cardiaque

A better understanding of the mechanisms and pathophysiological pathways of heart failure (HF), improved management of associated comorbidities, and advances in identifying genetic cardiac disease have led to a near-revolution in the management of patients in terms of pharmacological treatments, surgery and devices. These developments have transformed outcomes and HF-associated mortality, and gene therapies further promise a brighter future for patients who experience the debilitating effects of HF. This new edition of 'Fast Facts: Heart Failure' starts with the definitions of HF (different types of HF require different treatments), then provides the latest thinking on mechanisms and clinical stages, underlying causes and the assessment and management of comorbidities. This is followed by simple diagnostic criteria and a comprehensive overview of investigations. The management chapters focus on the importance of self-care education and healthy lifestyle choices, together with the latest recommendations for pharmacological treatment, device therapy and cardiac surgery from international guidelines. The final chapter on developments is an indication of the ongoing innovation in this rapidly moving field.

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Leucémie

Leukemia is a hematologic malignancy arising from hematopoietic stem cells (HSCs) in the bone marrow. Starting with a detailed description of hematopoiesis and what goes wrong in leukemia, this concise guide covers all aspects of the four most common subtypes of the disease. Although the incidence and prevalence of leukemia are rising worldwide, survival rates are also increasing. However, both the effects of the disease and the adverse effects of treatment remain complex challenges. Yet, as our understanding of the molecular landscape increases, therapeutic options are becoming more personalized. This revised and updated second edition of 'Fast Facts: Leukemia' addresses the causes and risk factors for each subtype of leukemia, the initial and confirmatory diagnostic tests, and the latest treatment options. Designed as a comprehensive primer for physician assistants, nurse practitioners, primary care providers, oncology nurses, hematology/ oncology trainees and pharmacists, this resource will help the non-specialist and those in training to identify leukemia early and provide a thorough understanding of the pathology and genetic basis of the disease, treatment options, and effective approaches to emergency and supportive care.

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Myelofibrosis is a myeloproliferative neoplasm that has markedly heterogeneous features. The clinical phenotype can range from initial indolent presentation, which may be stable for many years, through to marked cytopenias, debilitating constitutional symptoms, massive splenomegaly and an inherent risk of leukemic transformation. Despite many advances regarding molecular classification, prognostication models and rapeutic options over the last few decades, allogeneic stem cell transplantation remains the only curative option, yet is suitable only for a minority of patients. 'Fast Facts: Myelofibrosis' is written for health professionals by two leading experts in the field, and provides up-to-date guidance on its accurate diagnosis, risk stratification and management. It also provides key insights into the molecular biology underpinning the disease. This concise handbook is an indispensable read for anyone wanting to get up to speed with best practice in the diagnosis and care of people with myelofibrosis.

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- 1 ressource en ligne (76 pages : ill.)

Allergie respiratoire

Allergic rhinitis, rhinoconjunctivitis and asthma are some of the most common presenting problems in clinical practice. While standard pharmacotherapy can control the symptoms of these respiratory allergies in most cases, accurate and specific diagnosis enables the implementation of allergen avoidance and allergen-specific immunotherapy ... This handy, fast-reference resource is ideal for all primary care providers, general internal medicine doctors and allied health professionals looking to reduce their patients' medication requirements and treatment side effects and ultimately improve their quality of life.

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Syndromes des apnées du sommeil

Excessive daily sleepiness associated with obstructive sleep apnea is a multifaceted complaint that usually involves disabling symptoms. Despite being a common complaint, best practice regarding the management of patients is not well defined, and failure to recognize the severity of the effects of symptoms on quality of life results in underdiagnosis, preventing patients from receiving adequate treatment. 'Fast Facts: Excessive Daily Sleepiness Associated with Obstructive Sleep Apnea' discusses the difficulties in formulating a single definition of excessive daily sleepiness that appropriately considers the experiences and features of daytime sleepiness, alongside an up-to-date overview of how to accurately assess patients, and ensure effective management and support. Table of Contents: Epidemiology and etiology -- Clinical features and diagnosis -- Management -- Patient impact and support.

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Cancer - Immunothérapie ; Immunothérapie

Fast Facts: Managing Immune-Related Adverse Events in Oncology, 2nd edition, provides an overview of immuno-oncology and an update on immune checkpoint inhibitors and their associated toxicities, alongside the principles of diagnosing and managing immune-related adverse events, important nursing care considerations and a set of convenient management summaries for quick reference. As such, it is essential reading for all members of the cancer care team.

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- xii, 116 p. : ill.
Cote : WM 171 W799c 2009

Troubles affectifs - Médecines parallèles ; Chronobiologie ; Rythmes circadiens ; Sommeil - Privation ; Photothérapie

Practical methods for implementing light and wake therapy to fight depression. 'Light therapy' is established worldwide as the treatment of choice for seasonal affective disorder. It is also successfuly used in nonseasonal depression, as well as for many other psychiatric and neurologic illnesses, and in sleep medicine. ‘Wake therapy' is the fastest antidepressant known. Imaging studies show that both methods share neurobiological substrates with antidepressants, but act much faster. 'Chronotherapeutics' – the combination of light and wake therapy – achieves rapid results and, by reducing residual symptoms, also minimises relapse.

Written by three prominent clinical and research experts in biological rhythms, this manual aims to broaden knowledge and practical application of these non-pharmacologic interventions for bipolar and unipolar disorders. Clinical understanding is deepened by an explanation of the circadian timing system and sleep regulatory mechanisms which underlie the novel treatment strategy. The step-by-step guide and description of the interventions in centers throughout the world provides clear hands-on instructions, supported by a solid body of clinical research.

The first edition of 'Chronotherapeutics for Affective Disorders' has kindled a network of psychiatrists and psychologists who are actively introducing these treatments for their inpatients and outpatients. This manual is also essential reading for primary care physicians, sleep medicine specialists and health care administrators.

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- x, 184 p. : ill.
Cote : WM 220 H697d 2009

Démence ; Démence - Diagnostic ; Démence - Traitement ; Imagerie pour le diagnostic - Méthodologie

This publication summarizes the most recent advances in neurobiology, diagnostic approaches and therapeutics of the major dementing illnesses such as Alzheimer's disease, frontotemporal dementia, Lewy body disease, and vascular dementia. In a succinct, practical and comprehensive manner, it provides an updated view of the disorders likely to be encountered in a daily practice. Each section is focused on a major form of dementia and is organized following the same scheme reviewing the pathophysiology of the disease, its diagnostic challenges, its characteristic neuroimaging features, therapeutic interventions and patient management issues. Avoiding an overspecialized approach, the book bridges the gap between clinical practice, advanced imaging, recent therapeutics and basic sciences. Thus, it serves as an excellent guide for mental health professionals working in the field of dementia as well as primary care physicians and students.

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- ix, 176 p. : ill.
Cote : WL 704 P144 2004

Douleur chronique - Aspect psychologique ; Dépression

Pain is the most common physical complaint while depression is the second most debilitating chronic medical condition. The co-occurrence of pain and depression is well known but a detailed understanding of their phenomenology, interrelationship, and effective therapies remains speculative. This book provides a synthetic approach to the evaluation and treatment of patients with chronic pain and depression that will generate therapeutic optimism and lead clinicians to improve quality of life and restore function. The recognition that depression is not just an affective disorder or demoralization is discussed in detail in the contributions: “Function, Disability, and Psychological Well-Being” and in “Structural Models of Comorbidity among Common Mental Disorders: Connections to Chronic Pain”. Other articles review the complex regional pain syndrome and the Gulf War syndrome. Further papers discuss issues relating to the use of opioids in the treatment of chronic pain. This book will doubtlessly prove to be essential reading for researchers investigating chronic nonmalignant pain as well as physicians dealing with patients suffering from chronic pain.

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- vii, 171 p. : ill.
Cote : WM 90 A853 2003

Asthme - Aspect psychosomatique ; Asthme - Aspect psychologique ; Manifestations psychologiques des maladies - Traitement

The relation between psychiatric disorders and general medical conditions is currently a topic of much interest. This volume includes a broad range of papers dealing with psychosocial issues in the morbidity of asthma, depressive symptoms which appear to be more common in asthma patients than in the general population, the link between asthma and anxiety disorders, or side effects of corticosteroid therapy. Furthermore, one paper looks at problems with adherence to treatment and the interaction between patient and provider and another one presents a model of changing human health behavior. Emotional disturbances contributing to several primarily psychogenic illnesses that mimic asthma are also covered. Each chapter includes an overview of the field for those with minimal knowledge of the topic. This book is written by experts for clinicians, general practitioners, mental health professionals, allergists, pulmonologists, and primary care practitioners involved in treating asthma patients especially with a view to the psychological aspects and their influence on the disease.

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