Presse Med
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We assessed carbohydrate, fat and protein calorie intake in the urban population of Sousse, Tunisia in 1996 to evaluate the relationship with cardiovascular risk factors. ⋯ This descriptive study confirmed the epidemiologic transition of the urban population of Sousse, Tunisia. Increased cardiovascular risk results from high, predominantly carbohydrate, calorie intake. It would be advisable to encourage nutritional education on the individual level and the Mediterranean diet on the population level.
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EVALUATING PATIENT SATISFACTION: In France, patient satisfaction is a criteria for health care facility accreditation. In this context, the anesthesia community has studied tools available for assessing satisfaction with anesthesia. LIMITATIONS OF AVAILABLE INSTRUMENTS: The construction of a satisfaction assessment instrument can be divided into three phases: design, sorting items, validation. ⋯ The most widely used scales assess anxiety and pain. Based on these findings, it is dear that the fundamental concept of patient satisfaction must be revisited. We propose a few points for thought.
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A MAJOR CONCERN: Hypertensive syndromes occur in approximately 10 to 15% of all pregnancies and are the cause of 30% of maternal deaths and 20% of fetal and neonatal deaths. Syndromes include gestational hypertension also called pregnancy-induced hypertension, chronic hypertension and preeclampsia.
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DETECTION OF LEFT VENTRICULAR HYPERTROPHY: High blood pressure can lead to left ventricular hypertrophy and is an independent risk factor of cardiovascular disease. Echocardiography can be used to measure left ventricular mass based on equations established from anatomoclinical studies. Echocardiography can also give a precise map of the left ventricle allowing a prognostic classification: poor prognosis, concentric remodeling, eccentric hypertrophy, concentric hypertrophy.