Biomedical subjects
Publications and source records attributed to M Abiven.
People facing death because of incurable illness are likely to suffer intense physical and mental distress. The provision of help and support for them can be seen as a medical discipline in its own right, demanding special training and attitudes. Each country needs to work out the best ways of looking after dying people in accordance with its culture and resources.
People facing death because of incurable illness are likely to suffer intense physical and mental distress. The provision of help and support for them can be seen as a medical discipline in its own right, demanding special training and attitudes. Each country needs to work out the best ways of looking after dying people in accordance with its culture and resources.
The development of palliative care is relatively new in France. This study analyzed our observations made in the Palliative Care unit of the Hopital International de l'Université de Paris. The most common complaints were: being bedridden (38%), pain (23%), dyspnea (10%), intestinal irregularities (10%). The importance of being bedridden and the complexity of its handling are emphasized. Dyspnea is common when sought (54%) and hard to alleviate due to a lack of appropriate symptomatic therapies. Reduced survival rates were found for patients with Karnovsky indexes below 30% and taking morphine. Length of survival varied as a function of awareness of the diagnosis and family support.
A case of peritoneal involvement in the course of a mediastino-pulmonary and cutaneous sarcoidosis is reported. This form of the disease is rare (8 cases in the literature) and must be distinguished from peritoneal granulomatous reaction to surgical foreign bodies (e.g. talcum powder) or to particles of starch in food. In the case presented here, the patient's surgical history and the presence of birefringent bodies within peritoneal granulomas raise the problem of the link between local granuloma and sarcoidosis.
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