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Biomedical subjects

A Germain

Publications and source records attributed to A Germain.

72 records · Page 4Linked to original sources
PubMedDate not supplied

Sleep breathing and sleep movement disorders masquerading as insomnia in sexual-assault survivors.

A descriptive, hypothesis-generating study was performed with 156 female sexual-assault survivors who suffered from insomnia, nightmares, and posttraumatic stress disorder (PTSD). They completed 2 self-report sleep questionnaires to assess the potential presence of intrinsic sleep disorders. Seventy-seven percent of the sample (120 of 156) endorsed additional sleep complaints, besides their insomnia symptoms, that indicate the potential presence of sleep-disordered breathing ([SDB] 81 of 156, 52%) and sleep-related movement disorders ([SMD] 94 of 156, 60%). The potential for SDB was strongly correlated with the body mass index (BMI), an increase in arousal symptoms, and greater total PTSD severity. In some sexual-assault survivors, the relationship between sleeplessness and posttraumatic stress may be caused or exacerbated by intrinsic sleep disorders, and not be solely a function of psychophysiological insomnia--the traditional diagnostic term usually offered to explain the sleep problems associated with PTSD. Prevalence studies that use objective diagnostic evaluations such as polysomnography (PSG) are needed to test these hypotheses.

Adolescent↗
PubMedDate not supplied

[Postoperative disease].

Post-operative disease, which is well known clinically, is characterised in the laboratory and metabolically by a succession of two stages=an initial short stage, lasting a few days, marked by intensive catabolism and, after a change, there is a second phase, much longer, lasting several weeks, anabolic in nature, during which are reconstituted the reserves lost during the first phase. The mechanism of post-operative disease enters into the general field of post-aggressive reaction bringing into play an adrenocorticoid process. But a whole series of factors, included in the agression without neuro-endocrine background, cause diffuse metabolic disturbances in the organism with their own appearance of severity. Occurring at the same time as the operation, they may also occur in the pre and postoperative periods. In order to minimise and shorten the post-operative disease, it is important to combat as far as possible, these different specific factors by good preparation, correct anesthetic and surgical techniques and the prevention and treatment of complications. One should also pay attention to nutritional problems. When, before operation, patients are particularly under-nourished, or when, after operation, muscle wasting lasts abnormally owing to the temporary incapacity of the digestive tract to fulfil its role, or when catabolism takes on a dangerous appearance owing to the magnitude of the surgical aggression, or the onset of a complication, such as suppuration, it is essential to administer a high calory diet, either by venous catheter in a large vein, or, by continuous administration through a gastric catheter and using the nutripump.

Convalescence↗