{"title":"Handicap et projet de vie","authors":"J.-L. Joing","doi":"10.1016/j.emck.2004.08.002","DOIUrl":"https://doi.org/10.1016/j.emck.2004.08.002","url":null,"abstract":"<div><p>Getting an education, getting married, buying an apartment, going on holidays, finding work…it doesn't matters whether life projects are more or less well constructed and planned, more or less respected with regards to contingencies, more or less ambitious: all human beings entertain and develop projects that define their lives. Despite their handicaps, persons that suffer from social inclusion difficulties have needs and desires. To help those who need help, economically advanced countries have developed an array of service systems to support them, both in ordinary and protected settings. How can professional caregivers offer the needed services and supports while respecting the personal choices of those concerned, i.e., offer services that associate the search for Quality and professional Ethics? Such is the essential question addressed by the following article.</p></div>","PeriodicalId":100445,"journal":{"name":"EMC - Podologie-Kinésithérapie","volume":"1 4","pages":"Pages 165-172"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emck.2004.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72064115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Perrin (Chirurgien vasculaire, ancien interne, ancien chef de clinique des Universités, ancien assistant des hôpitaux de Lyon) , J.-L. Gillet (Médecin vasculaire)
{"title":"Insuffisance valvulaire non post-thrombotique du système veineux profond des membres inférieurs","authors":"M. Perrin (Chirurgien vasculaire, ancien interne, ancien chef de clinique des Universités, ancien assistant des hôpitaux de Lyon) , J.-L. Gillet (Médecin vasculaire)","doi":"10.1016/j.emck.2004.05.002","DOIUrl":"https://doi.org/10.1016/j.emck.2004.05.002","url":null,"abstract":"<div><p>Despite the fact that non post-thrombotic deep venous reflux is known for a long time, this syndrome is rarely identified as the pathophysiological mechanism responsible for chronic venous disease. The most frequent aetiology is the idiopathic deep venous insufficiency. In about 15% of the cases, superficial venous insufficiency, i.e., essential varicosities, is associated with an idiopathic deep venous insufficiency which may be responsible for varix recurrence despite treatment. In case of severe idiopathic deep venous insufficiency, surgery, in particular valvuloplasty, should be considered after conservative treatment failure. The procedure must be undertaken only after complementary investigations such as echo-Doppler, dynamic assessment of venous pressure, and phlebography have been performed.</p></div>","PeriodicalId":100445,"journal":{"name":"EMC - Podologie-Kinésithérapie","volume":"1 4","pages":"Pages 199-206"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emck.2004.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72064118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Amblard (Professeur des Universités, Praticien hospitalier)
{"title":"Ulcères de jambe","authors":"P. Amblard (Professeur des Universités, Praticien hospitalier)","doi":"10.1016/j.emck.2004.08.001","DOIUrl":"https://doi.org/10.1016/j.emck.2004.08.001","url":null,"abstract":"<div><p>A leg ulcers is defined as a loss of cutaneous substance which does not tend to heal spontaneously. Ulcers are generally located in the lower part of the inferior limbs and are related to a pathological vascular process. Their incidence is 1 to 1.3 %. A rigorous examination of a patient presenting a leg ulcer is necessary and must include an examination of the lesion itself, of the peri-ulcerous skin, of the vascular status and of the general health status. Complementary examination may also be helpful in completing the check-up at the end of which the aetiology must be found, i.e. venous, arterial, anterior-venous aetiology or a rarer cause. Symptomatological treatment must be considered first. The local treatment will follow the different stages of the wound healing: detersion, granulation, epidermization. When possible, the aetiological treatment is the only one that prevents relapses. Finally, any complication should always be recognize and treated, particularly in case of superinfection and/or eczematization.</p></div>","PeriodicalId":100445,"journal":{"name":"EMC - Podologie-Kinésithérapie","volume":"1 4","pages":"Pages 173-198"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emck.2004.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72064116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Handicap et projet de vie","authors":"Jean-Luc Joing","doi":"10.1016/J.EMCK.2004.08.002","DOIUrl":"https://doi.org/10.1016/J.EMCK.2004.08.002","url":null,"abstract":"","PeriodicalId":100445,"journal":{"name":"EMC - Podologie-Kinésithérapie","volume":"8 1","pages":"165-172"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82408792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Delplanque (Kinésithérapeute, certifié en kinésithérapie respiratoire) , M. Antonello (Cadre supérieur kinésithérapeute, licence des sciences de l'éducation) , B. Selleron (Cadre kinésithérapeute, maîtrise des sciences de l'éducation)
{"title":"Kinésithérapie et syndrome ventilatoire obstructif, en phase stable","authors":"D. Delplanque (Kinésithérapeute, certifié en kinésithérapie respiratoire) , M. Antonello (Cadre supérieur kinésithérapeute, licence des sciences de l'éducation) , B. Selleron (Cadre kinésithérapeute, maîtrise des sciences de l'éducation)","doi":"10.1016/j.emck.2004.03.002","DOIUrl":"https://doi.org/10.1016/j.emck.2004.03.002","url":null,"abstract":"<div><p>The goal of respiratory kinesiotherapy in patients with an obstructive ventilatory disorder is to improve their quality of life in the short and medium term; for the long term, the objective is to prevent worsening of a chronic disease, particularly, in patients with chronic obstruction, to break the vicious circle: obstruction, infection, hospitalisation, and discharge back home with an aggravated respiratory and functional status. Education is of utmost importance, in an isolated manner or as part of those rehabilitation programs aimed at patients with chronic obstructive pulmonary diseases. The results of such programs show that significant benefits may be expected in terms of morbidity - and even mortality - and also in terms of public health costs. These programs that focus on exercise re-training systematically include also an education and prevention part devoted to bronchial hygiene.</p></div>","PeriodicalId":100445,"journal":{"name":"EMC - Podologie-Kinésithérapie","volume":"1 3","pages":"Pages 115-136"},"PeriodicalIF":0.0,"publicationDate":"2004-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emck.2004.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72040751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Kinésithérapie et syndrome ventilatoire obstructif, en phase stable","authors":"D. Delplanque, M. Antonello, B. Selleron","doi":"10.1016/J.EMCK.2004.03.002","DOIUrl":"https://doi.org/10.1016/J.EMCK.2004.03.002","url":null,"abstract":"","PeriodicalId":100445,"journal":{"name":"EMC - Podologie-Kinésithérapie","volume":"112 1","pages":"115-136"},"PeriodicalIF":0.0,"publicationDate":"2004-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85061907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Perrin (Chirurgien vasculaire, ancien interne, ancien chef de clinique des Universités, ancien assistant des hôpitaux de Lyon) , J.-L. Gillet (Médecin vasculaire) , J.-J. Guex (Médecin vasculaire)
{"title":"Syndrome post-thrombotique","authors":"M. Perrin (Chirurgien vasculaire, ancien interne, ancien chef de clinique des Universités, ancien assistant des hôpitaux de Lyon) , J.-L. Gillet (Médecin vasculaire) , J.-J. Guex (Médecin vasculaire)","doi":"10.1016/j.emck.2004.05.003","DOIUrl":"https://doi.org/10.1016/j.emck.2004.05.003","url":null,"abstract":"<div><p>Today, as a result of the availability of new noninvasive investigation procedures, the post-thrombotic syndrome is better known and identified. Nevertheless, clear epidemiological data still lack. The assessment can be performed at three different levels, increasingly complex depending on clinical data, with the awareness that none of the investigations provide complete information. Conservative treatment remains the cornerstone, and patients must be regularly followed-up. Surgery for superficial venous insufficiency must be proposed when predominant, but this case is not frequent. Perforator interruption is debated. Reconstructive deep venous surgery for an obstruction and/ or a reflux should be considered in specialized units in case of conservative treatment failure.</p></div>","PeriodicalId":100445,"journal":{"name":"EMC - Podologie-Kinésithérapie","volume":"1 3","pages":"Pages 147-164"},"PeriodicalIF":0.0,"publicationDate":"2004-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emck.2004.05.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72040749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lymphœdèmes secondaires","authors":"S. Vignes (Chef de service)","doi":"10.1016/j.emck.2004.05.001","DOIUrl":"https://doi.org/10.1016/j.emck.2004.05.001","url":null,"abstract":"<div><p>Secondary lymphoedemas (LOs) are related to a lesion of the lymphatic nodes or pathways, occurring primarily following surgery. Upper limb LOs are secondary to the treatment of breast cancer (surgery and/ or radiotherapy) while those located on lower limbs follow the treatment of cervix uteri, vulva, prostate, bladder, ovary, and rectum cancers or Kaposi disease. Filariosis which is the first cause of secondary LO worldwide is not frequent in France. LOs may also be induced by diagnostic ganglionic biopsies. The diagnosis of LO is established on clinical grounds, but cancer recurrence or deep venous thrombosis must be sought in case of recent apparition or aggravation of the LO. Potential LO complications are erysipelas or trophic disorders, with significant functional and psychological impact.</p></div>","PeriodicalId":100445,"journal":{"name":"EMC - Podologie-Kinésithérapie","volume":"1 3","pages":"Pages 137-146"},"PeriodicalIF":0.0,"publicationDate":"2004-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emck.2004.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72040752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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