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J J Maureira

Publications and source records attributed to J J Maureira.

10 recordsLinked to original sources
PubMed2003

[Comparative study of effort training in deconditioned patients with and without pain. A preliminary study].

INTRODUCTION: The deconditioning or disuse syndrome is a recent nosological entity, based on medical, professional, social and psychological arguments. The aim of the study was to measure the physical condition in deconditioning situation and to evaluate the effectivity of a training program on five chronic painful patients and five painless subjects. METHODS: After determining the physical aspects of the deconditioning syndrome using three tests and evaluating pain, this prospective study evaluated the benefits of a six weeks effort training period called "interval training" in subjects with and without chronic pain. The inclusion criteria were the patient's consent, the absence of etiological treatment of the pain and the absence cardiotropic medication. The data were compared using the t-test of Student. After the training protocol, people were satisfied. A significant increase of Maximum Oxygen Uptake, Maximum Tolerance Power duration of recovery and cardiac adaptation of effort were observed. Pain didn't seem to be a limited factor to cardiac effort training and decreased actively after the program. CONCLUSION: A training effort protocol can help to reduce the deconditioning syndrome whether people are painful or not. The improvements of physical parameters seem to be reinforced by a better self assurance.

Adult↗
PubMed1992

[Rehabilitation centers: for whom? Why and how long?].

The clinical profile of coronary patients admitted to cardiac rehabilitation centres after myocardial infarction has changed considerably in the last 15 years. Complementary investigations (coronary angiography, studies of left ventricular function) provide accurate information which improves the process of rehabilitation. Global management of the coronary patient requires and justifies, especially in young adults, taking into consideration the physical, psychological and socio-professional consequences of a myocardial infarction. The indications of rehabilitation are much more comprehensive nowadays. Even patients with significant haemodynamic impairment can benefit from a stay in a specialised centre. Contraindications are usually only temporary. Finally, an enquiry performed in 33 French cardiac rehabilitation centres shows large variations in methods, personnel and organisation. However, as a general rule, a 3 week stay seems to be adequate but it is logical to continue rehabilitation when the patients goes home to pursue and maintain at long term the results obtained on discharge from a specialised centre.

France↗
PubMed1991

[Reduction in the incidence of postoperative diaphragmatic paralysis by using a phrenic nerve protector].

A prospective study of a consecutive series of 100 patients in whom a phrenic nerve protector was used during cardiac surgery under CPB demonstrated the existence of one case of postoperative left phrenic nerve palsy and three cases of postoperative right phrenic nerve palsy. Comparison with a previous series taken as the control revealed a very significant reduction in the incidence of left phrenic nerve palsy which decreased from 8% to 1%. The incidence of right phrenic nerve palsy was not significantly decreased which corroborates the role of pericardial cooling in the aetiology of these palsies and the absence of protection of the right phrenic nerve by the system used.

Female↗
PubMed1991

[After a myocardial infarction].

According to the literature and our experience, une expose our conception and our methodology of taking in charge patients after acute myocardial infarction. It is important to evaluate risks based on clinical data and exercise tests. Cardiac rehabilitation is taught of as a number of measures acting on the physical, the psychiatric and the socio-occupational levels, the importance of correcting risk factors and long-term follow-up.

Adaptation, Psychological↗
PubMed1980

[The effects of coronary insufficiency on physiotherapy for peripheral arteriopathy (author's transl)].

The cardiac counter-indications to exercise training for a patient with peripheral arteriopathy are seldom absolute: it is the case of evolutive coronary insufficiency or cardiac insufficiency, or serious rhythm disturbances not controlled by treatment. The exercise test on a cycle ergometer can distinguish coronary or either peripheral arterial disease is predominant. If the arteriopathy is dominant, the rehabilitation program may be pursued unhindered, although one must remain vigilant. If the coronary disease is predominant, one must teach the patient not to go above the heart rate at which the ischemia appears on the E.K.G.

Arterial Occlusive Diseases↗
PubMed1977

[Treatment of amenorrhea-galactorrhea with bromo-ergocryptine. Apropos of 12 cases].

The authors report the action of bromergocryptine in 12 patients who were suffering from a syndrome of amenorrhoea with galactorrhoea and hyperprolactinism. None of these 12 patients had a pituitary tumour; or else they had been operated on before treatment. Only in one case was the syndrome linked to taking oral contraceptives, which had been stopped more than six months previously. The dose of bromergocryptine was 5 mg. a day. If this dose fails it is possible to raise it after two months' observation. The galactorrhoea disappeared or markedly decreased in 8 out of the 12 cases. Ovulatory cycles started in 9 out of the 12. 5 of the women wanted a pregnancy: 4 succeeded and 2 of them have already been delivered of normal children. Bromergocryptine (CB 154) has thus proved itself to be remarkably effective in hyperprolactinism, not caused by a pituitary tumour, which gives rise to amenorrhoea and galactorrhoea. All the same, its long-term use, especially after stopping treatment, is still to be evaluated.

Adult↗
PubMedDate not supplied

[Four-year follow-up of thyrotoxic patients treated with antithyroid drugs bases on thyroid suppressibility-Prognostic value of the 20-min 131-I thyroid uptake (author's transl)].

Out of 77 thyrotoxic patients treated with Carbimazole (30-15 mg/day) in combination with 1-triiodothyronine (75 micron/day) for 5-48 months applying 20-min 131I-thyroid uptake test at the end of treatment as a parameter for thyroid suppressibility, 39 cases (51%) have maintained euthyroid state for more than 4 years, while 20 (26%) relapsed within 3 months and the remaining 18 (23%) recurred within 6 years after antithyroid-drug (ATD) therapy. The predictable value of 20-min 131I-thyroid uptake was useful for distinguishing relapses from others, but there was no statiscally significant difference between recurrent cases and remittent ones. Since the negative correlation between the 20-min 131I-thyroid uptake and the recurrent phase was noted, the continuation of ATD therapy until the uptake reaches below 8% postpones this phase of recurrence.

Adult↗