Biomedical subjects

G Lance

Publications and source records attributed to G Lance.

5 recordsLinked to original sources

PubMed2000

[Support and compression of the legs].

Physical methods are essential in the treatment of venolymphatic insufficiency. The available materials have two modes of action, support and compression; they may be used alone or in association. Clinical experience and a few scientific works formed the basis for establishing protocols adapted to each situation. Like any major treatment, these should be under the full responsibility of physicians. Prescriptions should be precise and, in particular, evaluated for each patient by the physician himself.

Bandages↗

PubMed1991

[Non-medicamentous prevention of thromboembolic disease].

Virchow's work has showed that thrombogenic situations may have a hematological, either congenital or acquired, parietal or hemodynamic nature. Primary and secondary non-medicamentous prevention of thromboembolism is aimed at screening the patients at risk, avoiding or reducing the alterations of the venous walls, and, most importantly, improving failing or altered venous hemodynamics. The authors review the various clinical and biological situations entailing an increased thrombogenic risk. They sum up the various methods of prevention of venous stasis: Nard's method, associating bandages and deambulation, as well as various techniques of contention, hemodilution, compression with inflatable boots, electric stimulation or assisted mobilization. These methods are used as ambulatory or bedside treatments and in the intra- and perioperative periods, as the case may be. The few studies relating to non-medicamentous methods of prevention of thromboembolism demonstrate their great effectiveness, which is equal to that of the modern heparin treatments. The prevention of thromboembolism is best carried out by associating the latest chemical therapies to non-medicamentous physical methods, which are still of current interest.

Humans↗

PubMed1990

[The effect of vascular risk factors in arteriopathy of the legs in women].

Here the analysis of the results of a multicentered prospective epidemiologic study that has counted only the new cases of chronic atherosclerosis obliterans of the lower extremities. Included have been 989 patients (659 men and 330 women). Critical analysis of data allows a comparative study between the sexes. Thus, specifics of arteriopathy among women can be drawn. It appears that they are only the consequences of the fact that men and women reflect a different level of tobacco use in the two populations.

Adult↗

PubMed1985

[Frequency of cervical arteriopathies demonstrated by a routinely conducted Doppler test on a patients consulting for a lower-limb arteriopathy. Results of a prospective study of 676 patients].

Routine cervico-encephalic Doppler examinations were conducted during a prospective study of 676 patients with lower limb arteriopathy. The population treated was defined precisely, mainly with respect to sex, age, recruitment factors, mode of discovery of the arteriopathy, lower limb arteriopathy severity stage as defined by Leriche and Fontaine, site of main lesions, vascular risk factors and the existence or absence of a clinical feature suggestive of an associated cervical arteriopathy. A lesional score was defined in order to evaluate results of Doppler in a simple, intelligible manner. This lesional score was determined as a function of each of the elements (numerically rated) to enable the population to be defined. Results of cervical Doppler were normal or showed only slightly stenotic lesions in 80 to 83% of cases, and a cervical arteriopathy in 13% of patients. Results had no effect on the measures to be taken in 87% of cases. Angiography of the cervical axes was performed in 10% of cases and preventive repair surgery on one or more axes supplying the brain was carried out in 6%. It is concluded that routine Doppler cervical examinations are unnecessary in cases of LLA, since the history and findings on clinical investigations enable selection of patients in whom results of Doppler are probably abnormal. In the absence of clinical signs suggestive of associated cervical arteriopathy, cervical Doppler tests demonstrate major carotid artery lesions in only 1 to 2% of cases, whereas under the critical situations defined this figure varies from 18 to 41%. Clinical examination suggests the probably diagnosis of a cervical arteriopathy associated with LLA, and the cervico-encephalic Doppler test assesses the degree of any stenosis present.

Aged↗

PubMedDate not supplied

[The ocular pulse].

Explore the source record for details and available documents.

Eye↗