[Irritable bowel syndrome : physiopathology and complementary management]. / Syndrome de l'intestin irritable : physiopathologie et prise en charge complémentaire.

For the last ten years, several physiopathological mechanisms impli-cated in the irritable bowel syndrome have been highlighted. These mechanisms answer to some interrogations, but nowadays therapeutic options tend to be unsatisfying. The control of the symptoms is difficult on a long run and very often incomplete. This article proposes a review of the mechanisms implicated in this complex pathology, from which arise complementary management to the « classical ¼ treatment.

Depuis une dizaine d'années, plusieurs mécanismes physiopa­thologiques impliqués dans le syndrome de l'intestin irritable sont mis en avant. Ils permettent de répondre à certaines interrogations, mais à l'heure actuelle les propositions thérapeutiques qui en ressortent sont régulièrement peu satisfaisantes. Le contrôle des symptômes reste difficile au long cours et très souvent incomplet. Cet article propose une revue des mécanismes impliqués dans cette pathologie complexe, dont découleront des prises en charge complémentaires au traitement dit « classique ¼.

Live ECG readings using Google Glass in emergency situations.

Most sudden cardiac problems require rapid treatment to preserve life. In this regard, electrocardiograms (ECG) shown on vital parameter monitoring systems help medical staff to detect problems. In some situations, such monitoring systems may display information in a less than convenient way for medical staff. For example, vital parameters are displayed on large screens outside the field of view of a surgeon during cardiac surgery. This may lead to losing time and to mistakes when problems occur during cardiac operations. In this paper we present a novel approach to display vital parameters such as the second derivative of the ECG rhythm and heart rate close to the field of view of a surgeon using Google Glass. As a preliminary assessment, we run an experimental study to verify the possibility for medical staff to identify abnormal ECG rhythms from Google Glass. This study compares 6 ECG rhythms readings from a 13.3 inch laptop screen and from the prism of Google Glass. Seven medical residents in internal medicine participated in the study. The preliminary results show that there is no difference between identifying these 6 ECG rhythms from the laptop screen versus Google Glass. Both allow close to perfect identification of the 6 common ECG rhythms. This shows the potential of connected glasses such as Google Glass to be useful in selected medical applications.