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La Revue du praticien最新文献

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[Algorithm for the management of pulmonary arterial hypertension]. 肺动脉高压的处理算法。
La Revue du praticien Pub Date : 2025-01-01
Marianne Riou, Sabina Salinas, Olivier Sitbon
{"title":"[Algorithm for the management of pulmonary arterial hypertension].","authors":"Marianne Riou, Sabina Salinas, Olivier Sitbon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>ALGORITHM FOR THE MANAGEMENT OF PULMONARY ARTERIAL HYPERTENSION. The management of pulmonary arterial hypertension (PAH) has improved significantly in recent years due to advances in the understanding of the pathophysiological mechanisms of the disease, the development of innovative medications and the use of more aggressive therapeutic strategies. Because PAH is a rare disease, it must be managed in a pulmonary hypertension (PH) expert center. PAH management combines general measures, symptomatic treatments and «specific» therapies targeting the vasoconstriction/vasodilation and pro-proliferation/anti-proliferation balance of the pulmonary arteries. Despite major therapeutic advances in recent years, the prognosis for PAH remains poor and lung transplantation (or cardiopulmonary) transplantation is currently the only curative treatment available for the most severe patients.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"75 1","pages":"43-49"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236248","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
[Pulmonary hypertension: 10 key messages]. [肺动脉高压：10个关键信息]。
La Revue du praticien Pub Date : 2025-01-01
David Montani
{"title":"[Pulmonary hypertension: 10 key messages].","authors":"David Montani","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"75 1","pages":"65"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236263","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
[The difficult definition of death]. [死亡的艰难定义]。
La Revue du praticien Pub Date : 2025-01-01
Philippe Charlier
{"title":"[The difficult definition of death].","authors":"Philippe Charlier","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"75 1","pages":"29-30"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236266","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
[Pulmonary hypertension associated with chronic lung diseas]. [与慢性肺部疾病相关的肺动脉高压]。
La Revue du praticien Pub Date : 2025-01-01
Élise Noël-Savina, Ségolène Turquier, Ari Chaouat
{"title":"[Pulmonary hypertension associated with chronic lung diseas].","authors":"Élise Noël-Savina, Ségolène Turquier, Ari Chaouat","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>PULMONARY HYPERTENSION ASSOCIATED WITH CHRONIC LUNG DISEASES. Pulmonary hypertension is commonly observed in chronic respiratory diseases. It is responsible for a worsening of quality of life and a decrease in patient survival in the short and medium term. As in all other types of pulmonary hypertension, the formal diagnosis is based on data from right heart catheterization. It's regard as severe if the pulmonary vascular resistance is greater than 5 Wood units. It is only in such a condition that specific treatment should be discussed within a pulmonary hypertension centre.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"75 1","pages":"56-59"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236261","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
[Screening and diagnosis of pulmonary hypertension]. 【肺动脉高压的筛查与诊断】。
La Revue du praticien Pub Date : 2025-01-01
Athénaïs Boucly, Hélène Pringuez, Cécile Tromeur
{"title":"[Screening and diagnosis of pulmonary hypertension].","authors":"Athénaïs Boucly, Hélène Pringuez, Cécile Tromeur","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>SCREENING AND DIAGNOSIS OF PULMONARY HYPERTENSION. Diagnosis of pulmonary hypertension is often delayed due to the low specificity of clinical signs, dominated by exertional dyspnea. The European recommendations of the learned societies of pneumology and cardiology, published in 2022, have specified the diagnostic algorithm. The diagnosis of pulmonary hypertension is based on a 3-stage approach. The first stage, «suspicion», is mainly based on the symptoms and clinical signs presented by the patient. The second stage \"detection\" is based on screening paraclinical examinations such as cardiac ultrasound, which enable the diagnostic suspicion to be ruled out or reinforced. Finally, if the ultrasound probability of pulmonary hypertension is high, the third stage aims to confirm the diagnosis by means of right heart catheterization.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"75 1","pages":"36-42"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236265","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
[Bégin Hospital, from 1855 to the present day]. [从1855年至今]。
La Revue du praticien Pub Date : 2025-01-01
Patrice Bourée, Alireza Ensaf
{"title":"[Bégin Hospital, from 1855 to the present day].","authors":"Patrice Bourée, Alireza Ensaf","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"75 1","pages":"111-114"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236250","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
[Decarbonation at AP-HP: the momentum is set to build]. [AP-HP脱碳：蓄势待发]。
La Revue du praticien Pub Date : 2025-01-01
Cécile Klinguer
{"title":"[Decarbonation at AP-HP: the momentum is set to build].","authors":"Cécile Klinguer","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Decarbonation at ap-hp: </strong>THE MOMENTUM IS SET TO BUILD. Assistance publique-Hôpitaux de Paris is committed to reducing its environmental footprint . The institution's carbon footprint is now calculated every year and each hospital submits it to the general director as well as their financial results. O bjectivs and decarbonisation roadmaps have been defined to steer the environmental trajectory and prioritize the most relevant decarbonisation levers. In parallel, the Carebone tool has been developed and made available to healthcare professionals : it estimates greenhouse gas emissions related to drugs, medical devices, medical procedures and care pathways, to better understand the sources of emissions in professional practices. The AP-HP agents are increasingly committed to the ecological transformation of their institiution, and more than 2,000 AP-HP professionals have participated, in just over a year, in the Plan Health Faire, a « serious game » to raise awareness on sustainability in heath.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"75 1","pages":"23-26"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236254","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
[Zinner syndrome]. (寻综合症)。
La Revue du praticien Pub Date : 2025-01-01
Zakaria Haddadi, Siham Bhallil, Siham Nasri, Imane Kamaoui, Imane Skiker
{"title":"[Zinner syndrome].","authors":"Zakaria Haddadi, Siham Bhallil, Siham Nasri, Imane Kamaoui, Imane Skiker","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"75 1","pages":"69"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236269","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
[Atypical bacterial pneumonias]. 非典型细菌性肺炎。
La Revue du praticien Pub Date : 2025-01-01
Romaric Larcher, Paul Loubet
{"title":"[Atypical bacterial pneumonias].","authors":"Romaric Larcher, Paul Loubet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>ATYPICAL BACTERIAL PNEUMONIAS. Atypical bacterial pneumonias are caused by several pathogens including Mycoplasma pneumoniae, Chlamydia pneumoniae, Legionella pneumophila, Chlamydia psittaci, Coxiella burnetii, and Francisella tularensis. Their clinical, biological, and radiological presentation is often nonspecific, and can be challenging to differentiate from the - typical - presentation of acute lobar pneumonia. As a result, diagnostic and therapeutic management are complex, as the pathogens involved are often not detected by classic microbiological techniques, and are resistant to beta-lactams. Therefore, clinicians must be adept at considering the diagnosis to provide appropriate treatment, typically involving antibiotics such as macrolides, tetracyclines, or fluoroquinolones. Furthermore, in certain instances, confirmation of the diagnosis using specific tests such as PCR (polymerase chain reaction), urinary antigen test, or serologies is essential for improving the management of atypical bacterial pneumonia.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"75 1","pages":"80-84"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236249","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
[Consensus on pulmonary hypertension]. 【关于肺动脉高压的共识】。
La Revue du praticien Pub Date : 2025-01-01
Marc Humbert, Gérald Simonneau, Marion Delcroix
{"title":"[Consensus on pulmonary hypertension].","authors":"Marc Humbert, Gérald Simonneau, Marion Delcroix","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"75 1","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236253","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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