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Revue medicale de Liege最新文献

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[A particular state of shock: spontaneous rupture of a heterotopic pregnancy]. [一种特殊的休克状态:异位妊娠的自然破裂]。
Revue medicale de Liege Pub Date : 2023-01-01
M Azongmo, L Zhu, N Lorenzo-Villalba, B Cardos, M Yerna, D Ali
{"title":"[A particular state of shock: spontaneous rupture of a heterotopic pregnancy].","authors":"M Azongmo,&nbsp;L Zhu,&nbsp;N Lorenzo-Villalba,&nbsp;B Cardos,&nbsp;M Yerna,&nbsp;D Ali","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Heterotopic pregnancy is a rare pathology. It is defined as the coexistence of an intrauterine pregnancy and an extrauterine pregnancy, whatever its location. The presence of an intrauterine pregnancy in a woman of childbearing age does not therefore exclude the presence of an associated ectopic pregnancy. Late diagnosis can lead to fatal consequences for the mother, subsequent fertility as well as for the intrauterine pregnancy. We report the case of a 28-year old female patient, without any notion of assisted reproduction, who was admitted to the emergency department for hemorrhagic shock. The diagnosis of ruptured tubal heterotopic pregnancy was made intraoperatively.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 1","pages":"21-23"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9094863","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}
引用次数: 0
[Is there a place for stepped hormone assay in the development of hyperandrogenism?] 在雄激素增多症的发展过程中是否有阶梯式激素检测的一席之地?］
Revue medicale de Liege Pub Date : 2023-01-01
F Hanocq, F Kridelka, M Mawet, A Thille, C Valkenborgh, I Nechifor-Potorac, A Pintiaux
{"title":"[Is there a place for stepped hormone assay in the development of hyperandrogenism?]","authors":"F Hanocq,&nbsp;F Kridelka,&nbsp;M Mawet,&nbsp;A Thille,&nbsp;C Valkenborgh,&nbsp;I Nechifor-Potorac,&nbsp;A Pintiaux","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Clinical hyperandrogenism is common in women. Nevertheless, it is important to identify the cause. As the hyperandrogenism may be ovarian or adrenal in origin, making the difference requires hormonal testing and ovarian and/or adrenal imaging. We present the case report of a patient explored in our clinic, that illustrates the difficulties to determine the origin of the endocrine disorder. The interest of employing selective ovarian and adrenal venous catheterization to aid in the diagnosis and the localization of the androgen-secreting tumor is discussed.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 1","pages":"55-60"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9094868","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}
引用次数: 0
[EMPA-KIDNEY: empagliflozin in chronic kidney disease]. [EMPA-KIDNEY:恩格列净治疗慢性肾脏疾病]。
Revue medicale de Liege Pub Date : 2023-01-01
P Delanaye, A J Scheen
{"title":"[EMPA-KIDNEY: empagliflozin in chronic kidney disease].","authors":"P Delanaye,&nbsp;A J Scheen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The inhibition of the renin-angiotensin system represents the first preventive treatment of the chronic kidney disease (CKD), especially in presence of albuminuria. Recently, sodium-glucose cotransporter type 2 inhibitors (SGLT2i, gliflozins) demonstrated a nephroprotective effect, first in patients with type 2 diabetes at cardiovascular risk, then in diabetic patients with CKD assessed by a reduction of the glomerular filtration rate (GFR) and albuminuria (CREDENCE with canagliflozin), and finally in patients with CKD and albuminuria, with or without diabetes (DAPA-CKD with dapagliflozin). EMPA-KIDNEY study compared the effects of empagliflozin 10 mg/day versus placebo in patients with CKD, with or without diabetes. In comparison with the two previous renal studies, this clinical trial randomised patients with a lower GFR (78 % of patients with GFR inferior to 45 mL/min/1.73 m²) and a lower level of albuminuria (20 % of patients without pathological albuminuria). EMPA-KIDNEY demonstrated a reduction by 28 % (p inferior to 0.001) of the primary composite outcome (progression of CKD or cardiovascular death) and of several renal endpoints, including the shift to terminal CKD (-33 %), independently of the presence of diabetes, and with a tolerance profile comparable to what is already known. EMPA-KIDNEY results reinforce the use of SGLT2is, in general, and of empagliflozin, in particular, in a broader population with CKD and, thus, the indication of this pharmacological class in nephrology in combination with inhibitors of the renin-angiotensin system.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 1","pages":"24-28"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9079683","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}
引用次数: 0
[Physical activity in nursing homes: contributions of the SENIOR cohort]. [养老院的身体活动:SENIOR队列的贡献]。
Revue medicale de Liege Pub Date : 2023-01-01
F Buckinx, A Charles, C Demonceau, J-Y Reginster, O Bruyère
{"title":"[Physical activity in nursing homes: contributions of the SENIOR cohort].","authors":"F Buckinx,&nbsp;A Charles,&nbsp;C Demonceau,&nbsp;J-Y Reginster,&nbsp;O Bruyère","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The SENIOR (\"Sample of Elderly Nursing homes Individuals: an Observational Research\") study is a prospective follow-up of a cohort of more than 600 people living in nursing homes in Belgium. One of the objectives of this study is to investigate ways of managing frailty in order to prevent the occurrence of adverse health events. Thanks to the numerous demographic, clinical and anamnestic data collected annually, this study has shown the importance of promoting qualitative physical activity in nursing homes in order to improve the quality of life of residents. Specifically, our research showed the positive effect of physical activity programmes on weekly energy expenditure and improvement of functional abilities, motivation to engage in physical activity and quality of life. Furthermore, the possibilities to improve the motivational context of group physical activity sessions and the feasibility of innovative physical activity programmes, based on the development of a giant play mat or the organisation of competitions in nursing homes, were highlighted.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 1","pages":"35-39"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9094866","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}
引用次数: 0
Éditorial. Le système des soins de santé ébranlé par les crises. 社论。医疗保健系统受到危机的冲击。
Revue medicale de Liege Pub Date : 2023-01-01
A J Scheen
{"title":"Éditorial. Le système des soins de santé ébranlé par les crises.","authors":"A J Scheen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10629643","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}
引用次数: 0
[A new approach in coronary interventional cardiology: the distal radial approach]. 冠状动脉介入心脏病学的新途径:桡动脉远端入路。
Revue medicale de Liege Pub Date : 2022-12-01
P Danthine, P Maréchal, P Lancellotti
{"title":"[A new approach in coronary interventional cardiology: the distal radial approach].","authors":"P Danthine,&nbsp;P Maréchal,&nbsp;P Lancellotti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The conventional radial approach has become the access route of choice for performing diagnostic or therapeutic coronary angiography. It has taken precedence over the femoral approach, which is subject to a higher rate of vascular and hemorrhagic complications. The distal radial approach is currently considered a further refinement of the conventional radial approach. It offers the advantage of potentially reducing local vascular complications (spasm, thrombosis of the radial artery), of allowing rapid mobilization of the wrist (hemostatic band against the scaphoid), of reducing the duration of hemostasis, and of preserving the proximal radial artery for future procedures such as arteriovenous bypasses or shunts. The use of the left distal radial access also makes it possible to avoid the restriction of the movements of the right hand after the catheterization, to improve the comfort of the operator during the procedure and to reduce exposure to radiations, as well as to offer the possibility of performing angiography in patients who have already undergone bypass surgery with the left internal mammary artery graft (LIMA).</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"77 12","pages":"696-700"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10702801","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}
引用次数: 0
[Unilocular cutaneous lymphoma : the hand and the blade]. [单眼皮肤淋巴瘤:手和刀]。
Revue medicale de Liege Pub Date : 2022-12-01
M Longrée, O Colleye, P Collins, C Waxweiler, E Lebas, A F Nikkels
{"title":"[Unilocular cutaneous lymphoma : the hand and the blade].","authors":"M Longrée,&nbsp;O Colleye,&nbsp;P Collins,&nbsp;C Waxweiler,&nbsp;E Lebas,&nbsp;A F Nikkels","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mycosis fungoides (MF) is the most frequent form of cutaneous lymphomas. MF is known as the great mimicker. The tumour d'emblee form is an exceptional presentation, for which there is no precise treatment guidance. A 45-year old man presented with tumoral MF on the dorsal side of his right hand with an extension to the forefinger. After the histological, immunohistological and the TCR monoclonality proof of MF, different topical and systemic treatments have been administered. As none of these treatments provided satisfying clinical responses, a surgical excision was finally proposed, with a very good clinical outcome and no recurrence observed after 2 months. Although exceptional in the event of an MF in general, localized tumoral forms of MF could readily benefit from a surgical excision.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"77 12","pages":"692-695"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10702802","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}
引用次数: 0
[An intracranial haemorrhage in a febrile newborn]. [发热新生儿颅内出血]。
Revue medicale de Liege Pub Date : 2022-12-01
J Sprumont, R Stevens, A Gilbert, J Khamis, P Philippet
{"title":"[An intracranial haemorrhage in a febrile newborn].","authors":"J Sprumont,&nbsp;R Stevens,&nbsp;A Gilbert,&nbsp;J Khamis,&nbsp;P Philippet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 15 days old newborn was admitted to the emergency room for a recent fever onset. In newborns, the priority is to rule out any bacterial infection and initiate broad spectrum antibiotics. The hemorrhagic appearance of the cerebrospinal fluid after lumbar puncture can sometimes be the only sign to suspect, other than obvious infectious aetiology, an intracranial haemorrhage.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"77 12","pages":"689-691"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10720492","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}
引用次数: 0
[Environmental crisis and mental health]. [环境危机与心理健康]。
Revue medicale de Liege Pub Date : 2022-12-01
S Bierlier, G Scantamburlo
{"title":"[Environmental crisis and mental health].","authors":"S Bierlier,&nbsp;G Scantamburlo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Global warming threatens the survival of humanity and is the greatest challenge of our generation. While the consequences for physical health are well documented, the impact on mental health, while considerable, was too little studied. This unprecedented crisis is putting a strain on our health care systems and is mostly affecting vulnerable and precarious populations. There is an urgent need to rethink and improve our way of life, our work habits and the resilience of our health care system.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"77 12","pages":"733-738"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9073460","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}
引用次数: 0
[Management of sexual side effects of antidepressants]. [抗抑郁药性副作用的处理]。
Revue medicale de Liege Pub Date : 2022-12-01
N Deprez, E Constant
{"title":"[Management of sexual side effects of antidepressants].","authors":"N Deprez,&nbsp;E Constant","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Antidepressants are associated with a high risk of sexual dysfunction. Their sexual side effects are greatly underestimated in clinical practice because they are rarely discussed spontaneously by the patient and poorly investigated by clinicians. Nonetheless, they are responsible for a decrease in quality of life as well as a decrease in treatment adherence, leading to a risk of relapse or worsening of the treated mental pathology. This is particularly problematic as antidepressants are often needed on a long-term basis and spontaneous remission of these sexual side effects is low. Prevention, investigation and handling of sexual side effects are therefore important goals in the management of patients treated with antidepressants.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"77 12","pages":"722-727"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10720495","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}
引用次数: 0
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