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Qu'ils soient évoqués spontanément par le patient ou recherchés par le médecin, les troubles du sommeil sont très répandus. Il s'agit parfois d'un symptôme de mal-être, mais aussi souvent d'une maladie à part entière comme le syndrome d'apnées du sommeil, à titre d'exemple. C'est pourquoi la médecine du sommeil est une discipline transversale proche de la médecine interne. En effet, pendant le sommeil, le temps se réorganise, le psychisme se reconstruit, la personne recouvre ses forces physiques et l'organisme sécrète un certain nombre d'hormones. Dans la solitude de la nuit l'inconscient cherche à se libérer, les désirs s'expriment dans des rêves ou se refrènent en de terrifiants cauchemars. Parfois, le sommeil se refuse sans que rien n'y fasse. Alors la plainte parvient aux oreilles du médecin. La tentation est alors grande de prescrire un somnifère ou un « remontant ». Pourtant, bien souvent, les troubles du sommeil sont la traduction d'une maladie sousjacente, d'une souffrance ou encore l'un des effets secondaires d'une thérapeutique mise en place pour une autre pathologie. Cet ouvrage se veut volontairement pratique avec des exemples concrets de façon à constituer un outil avec nombre d'adresses utiles et d'explications en annexe pour mieux cerner ces maux, mieux les situer au sein d'une nosologie et donc mieux les traiter.

Hygiene. Public health. Protection --- huisartsen --- gezondheidszorg --- Human medicine --- Sleep Wake Disorders --- Sleep disorders --- Troubles du sommeil --- prevention & control. --- therapy. --- Treatment --- Prevention --- Traitement --- Prévention --- EPUB-LIV-FT LIVMEDEC SPRINGER-B --- Sleep Disorders

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'Rare Diseases Epidemiology' offers numerous approaches to increase the knowledge base of rare diseases and conditions and to facilitate the development and dissemination of interventions for the prevention, diagnosis, or treatment of over 6500 diseases and conditions. The goals of epidemiology are not restricted merely to providing numerical data on the prevalence or incidence of diseases in a limited or general population. Analyses of epidemiological data gathered from appropriately designed and conducted studies are required to establish public health policies and priorities in all nations. Information gained from these studies lead to a better understanding of the etiology and the impact of genetic or environmental factors on the occurrence and outcome of these disorders. The term Rare Diseases includes both acquired and inherited disorders. 'Rare Diseases Epidemiology' provides methods and approaches from the collective experiences of established research investigators who address these significant issues of the development of patient registries; the collection, storage and selected distribution of bio-specimens from bio-banking activities; the validation and utilization of genetic testing and newborn screening procedures; the presentation of issues related to the importance of case reports to increase knowledge of rare diseases; the challenges and models for population-based surveillance studies for rare congenital and inherited disorders; the statistical methods for the geographical analyses of rare diseases; the value and need for clinical trials and comparative effective studies; and meeting the requirements of regulatory agencies. Economic, societal, and ethical concerns are presented as patients and families encounter difficulties obtaining the correct diagnosis, gaining access to treatments, and receiving coverage or reimbursement for approved interventions, and for developing a public understanding of the costs to patients and their families and the burden of illness affecting the quality of life of millions of patients with rare diseases and conditions. Framework programs for rare diseases research as developed by the European Union and the value of national plans for individual member countries are discussed and represent the public commitment to patients with rare diseases. Likewise, similar programs have been implemented in the USA as a result of the Orphan Drug Act to address the needs of the rare diseases community.

Medicine & Public Health. --- Epidemiology. --- Human Genetics. --- Health Promotion and Disease Prevention. --- Medicine. --- Human genetics. --- Médecine --- Génétique humaine --- Epidémiologie --- Rare diseases --- Rare disorders --- Uncommon diseases --- Diseases --- Epidemiology

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Doping in sports and the fight against it has gained increasing attention in recent years. The pharmacological basis for a possible performance enhancement in competitive sport through the administration of prohibited substances and methods as well as the analytical disclosure of such practices are comprehensively covered in 21 contributions by outstanding and distinctive authors.

Biomedicine. --- Pharmacology/Toxicology. --- Medical Biochemistry. --- Sports Medicine. --- Forensic Science. --- Pharmacy. --- Medicine. --- Toxicology. --- Forensic medicine. --- Biochemistry. --- Sports medicine. --- Médecine --- Toxicologie --- Pharmacie --- Biochimie --- Médecine du sport --- Doping in sports --- Doping in sports. --- Sports --- Steroids --- Doping in Sports --- Substance Abuse Detection --- Anabolic Agents --- Prevention. --- Drug use. --- Side effects. --- prevention & control. --- methods. --- adverse effects.

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This timely volume addresses the intimate pathophysiologic relationship between hypertension and cardiovascular disease. Hypertension is one of the most important global public health challenges, and its relationship to stroke and other catastrophic cerebrovascular diseases is an area of growing understanding. In this outstanding book, the editors and authors clearly and concisely synthesize our developing knowledge and place epidemiologic and physiologic information into a practical clinical context. Comprehensive chapters present the evidence supporting strategies for stroke prevention and care, including blood pressure lowering therapies, anti-coagulation, and management of other cerebrovascular risk factors. In addition to prescriptive measures for first stroke prevention, the book illuminates current regimens for care immediately after acute stroke and for the prevention of recurrent stroke. A unique section is dedicated to the exploration of the interaction between elevated blood pressure and brain function and cognition. The concluding chapter provides a resource towards optimizing the organization of stroke care. Hypertension and Stroke is of great utility for specialists in neurology and cardiovascular medicine and a valuable practical resource for all physicians caring for older adults and hypertensive patients.

Pathology of the circulatory system --- Pathological endocrinology --- Nefrology --- Neuropathology --- Human medicine --- geneeskunde --- hersenen --- endocrinologie --- nefrologie --- cardiologie --- huisartsen --- Cerebrovascular Disorders --- Hypertension. --- Cerebrovascular disease --- Accidents vasculaires cérébraux --- Hypertension artérielle --- prevention & control. --- therapy. --- Prevention --- Treatment --- Prévention --- Traitement --- EPUB-LIV-FT LIVMEDEC SPRINGER-B

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Evidence-based nutritional interventions are now a critical component of preventive medicine, employed in a wide variety of medical scenarios. Preventive Nutrition: A Comprehensive Guide for Health Professionals, Fourth Edition gives health professionals up-to-date, comprehensive reviews that evaluate the dietary practices and interventions that have been shown to reduce disease risk and improve health outcomes. This is the flagship volume for the book series, Nutrition and Health, which has become an essential tool for health professionals. As the state of global health and nutrition have changed much since the publication of the Third Edition, this major revised and expanded Fourth Edition includes newly authored chapters and features analysis of the results of the Women's Health Initiative, the largest intervention study ever undertaken and completed in postmenopausal women. Other new material includes chapters reviewing the evidence concerning econutrition, micronutrients and major cancers, and cognitive function and other mental health areas. Also discussed are the importance of gastric acid secretions, the nutritional effects of current therapies, and the latest information on the biology of obesity and its relationship to Type 2 diabetes. One key new feature of this edition is a chapter on behavioral strategies to help assure compliance with dietary regimes, maximizing the health benefits of preventive nutrition. The authors have created the most comprehensive and up-to-date review of the nutritional strategies available for the prevention of disease and the promotion of health through nutrition. Patients are looking for credible information from their health care providers about a whole range of subjects covered here, including ß-carotene, lycopene, antioxidants, folate, and the myriad of bioactive phytochemicals found in garlic and other foods. With sections on cardiovascular disease, diabetes, and pregnancy among many others, this volume will be of great value to practicing health professionals, including physicians, nutritionists, dentists, pharmacists, dieticians, health educators, policy makers, health economists, regulatory agencies and research investigators. An entire section covers nutrition transitions around the world including Eastern Europe, Latin America and Asia as well as goals for preventive nutrition in developing countries.

Medicine & Public Health. --- Clinical Nutrition. --- Nutrition. --- Internal Medicine. --- Primary Care Medicine. --- General Practice / Family Medicine. --- Geriatrics/Gerontology. --- Medicine. --- Family medicine. --- Geriatrics. --- Internal medicine. --- Personal health and hygiene. --- Emergency medicine. --- Médecine --- Nutrition --- Médecine familiale --- Gériatrie --- Médecine interne --- Médecine d'urgence --- Nutritional Physiological Phenomena. --- Primary Prevention. --- Diet. --- Nutritional Status. --- Nutrition Therapy. --- Medical Nutrition Therapy --- Nutrition Therapy, Medical --- Therapy, Medical Nutrition --- Therapy, Nutrition --- Nutrition Status --- Status, Nutrition --- Status, Nutritional --- Diets --- Food --- Nutritional Physiological Phenomena --- Prevention, Primordial --- Primordial Prevention --- Prevention, Primary --- Preventions, Primordial --- Primordial Preventions --- Preventive Dentistry --- Preventive Health Services --- Prophylactic Surgical Procedures --- Nutrition Phenomena --- Nutrition Physiological Concepts --- Nutrition Physiological Phenomenon --- Nutrition Process --- Nutritional Phenomena --- Nutritional Physiological Phenomenon --- Nutritional Physiology --- Nutritional Physiology Concepts --- Nutritional Physiology Phenomenon --- Nutritional Process --- Nutritional Processes --- Nutrition Physiological Phenomena --- Nutrition Physiology --- Nutrition Processes --- Nutritional Physiology Phenomena --- Concept, Nutrition Physiological --- Concept, Nutritional Physiology --- Concepts, Nutrition Physiological --- Concepts, Nutritional Physiology --- Nutrition Physiological Concept --- Nutritional Physiology Concept --- Phenomena, Nutrition --- Phenomena, Nutrition Physiological --- Phenomena, Nutritional --- Phenomena, Nutritional Physiological --- Phenomena, Nutritional Physiology --- Phenomenon, Nutrition Physiological --- Phenomenon, Nutritional Physiological --- Phenomenon, Nutritional Physiology --- Physiological Concept, Nutrition --- Physiological Concepts, Nutrition --- Physiological Phenomena, Nutrition --- Physiological Phenomena, Nutritional --- Physiological Phenomenon, Nutrition --- Physiological Phenomenon, Nutritional --- Physiology Concept, Nutritional --- Physiology Concepts, Nutritional --- Physiology Phenomena, Nutritional --- Physiology Phenomenon, Nutritional --- Physiology, Nutrition --- Physiology, Nutritional --- Process, Nutrition --- Process, Nutritional --- Processes, Nutrition --- Processes, Nutritional --- Nutritional Sciences --- Phototrophic Processes --- Autotrophic Processes --- Heterotrophic Processes --- Chemoautotrophic Growth --- Diet therapy --- Medicine, Preventive --- Nutritionally induced diseases --- Diet --- Nutritional Status --- Nutrition Therapy --- Primary Prevention --- Disease Prevention, Primary --- Disease Preventions, Primary --- Primary Disease Prevention --- Primary Disease Preventions --- Alimentation --- Health --- Physiology --- Dietetics --- Digestion --- Food habits --- Malnutrition --- Disease prevention --- Diseases --- Prevention of disease --- Preventive medicine --- Pathology --- Preventive health services --- Preventive medicine physicians --- Public health --- Clinical nutrition --- Diet and disease --- Dietotherapy --- Medical nutrition therapy --- MNT (Medical nutrition therapy) --- Nutrition therapy --- Therapeutics, Physiological --- Prevention --- Health aspects --- Therapeutic use