Download or read book Difficult s diagnostiques et th rapeutiques des troubles du sommeil de l Adolescent written by Fleur Le Berre and published by . This book was released on 2017 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: Résumé : INTRODUCTION : Les troubles du sommeil chez l'adolescent sont fréquents et souvent banalisés. Un quart des jeunes selon le baromètre santé jeunes INPES de 2010 en souffrent. Leurs répercussions à court et long terme ne sont pas négligeables : difficultés scolaires, sociales, maladies psychiatriques et cardiovasculaires. Il n'existe pas de recommandations globales sur la prise en charge diagnostique et thérapeutique de ces troubles. Peu de cours à la faculté y sont consacrés, peu d'études médicamenteuses sur cette problématique existent. L'objectif de cette étude est de comprendre comment sont appréhendés les troubles du sommeil de l'adolescent chez le généraliste, quelles sont les difficultés rencontrées lors de la prise en charge. Puis nous émettrons des voies d'amélioration possibles. MATERIEL ET METHODE : Nous avons réalisé une étude qualitative sous la forme d'entretiens semi dirigés auprès de treize généralistes sélectionnés pour leur expérience présumée sur ce sujet. RESULTATS : Un trouble du sommeil sera rarement un motif de consultation. Banalisé, minimisé voire masqué par les adolescents et/ou parents, ce trouble sera souvent non exprimé et donc à rechercher par le généraliste devant d'autres plaintes. Deux troubles prédominent : des troubles du sommeil comportementaux en lien avec l'évolution de notre société avec les nouvelles technologies informatiques et des troubles du sommeil psychiatriques réactionnels à des événements de la vie. Un interrogatoire exhaustif permet souvent de poser le diagnostic. Le recours au psychiatre peut être parfois nécessaire. De nombreux facteurs sont intriqués dans l'étiologie de ces troubles d'où une certaine complexité et ce d'autant plus que l'adolescent a du mal à se livrer. La correction d'erreurs soit le rétablissement d'une hygiène de sommeil est la première mesure thérapeutique entreprise. En cas d'échec ou en association, des spécialités de phytothérapie sont prescrites mais leurs indications et leur efficacité sont souvent reconnu limitées. L'homéopathie est peu prescrite car souvent méconnue. Les hypnotiques, source de mésusage, de dépendance, sont majoritairement non prescrits ou pour certains seulement de manière encadrée, ponctuelle, dans des indications précises. L'absence de guide thérapeutique, le manque de formation ressenti sur les troubles du sommeil et sur la manière d'aborder un adolescent en consultation constituent des entraves à une prise en charge adaptée d'après les médecins interrogés. De plus, les adolescents peuvent être non compliants, réticents à une prise en charge entre autres psychiatrique ou une prise en charge qui remettrait en cause leur autonomie naissante. CONCLUSION : La promotion du sommeil des adolescents comme un élément clé de leur santé peut être améliorée, que ce soit auprès des adolescents eux-mêmes, parents et médecins. Médecins généralistes, médecins, infirmiers scolaires, enseignants, professionnels de la route, journalistes pourraient y contribuer.

Download or read book Circadian Rhythm Sleep Wake Disorders written by R. Robert Auger and published by Springer Nature. This book was released on 2020-05-26 with total page 251 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book resolves to bridge the communication gap between research and clinical practice for circadian rhythm sleep-wake disorders. Beginning with a scientific background on biological timekeeping, opening chapters describe the crucial nature of maintaining delicate temporal organization of physiological and molecular events within the body. Following this are discussions on circadian physiology and methods of circadian assessments. Subsequent chapters then relay comprehensive information regarding the International Classification of Sleep Disorders-defined circadian rhythm sleep-wake disorders (CRSWDs), specifically discussing etiology and epidemiology, but focusing on evidence-based treatment data. Concluding discussions provide guidance for the application of light therapy and discuss future roles for optimized lighting environments. Nuanced and market-demanded, Circadian Rhythm Sleep-Wake Disorders: An Evidence-Based Guide for Clinicians and Investigators is an invaluable resource for Sleep Medicine clinicians, circadian researchers, and other interested parties.

Download or read book Tics and Their Treatment written by Henry Meige and published by . This book was released on 1907 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Les troubles anxieux written by BOULENGER Jean-Philippe and published by Lavoisier. This book was released on 2014-04-04 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Depuis les premières descriptions cliniques datant de la fin du XIXe siècle, montrant l’intérêt médical relativement récent pour l’anxiété, les symptômes anxieux et les troubles anxieux, les concepts ont considérablement évolué au cours du XXe siècle pour aboutir aux classifications syndromiques en vigueur dans la nosographie actuelle. Pourtant, un certain nombre de questions demeurent, par exemple sur l’existence d’un continuum entre une anxiété normale et adaptative et une anxiété pathologique, la nature de la réactivité émotionnelle dans les troubles anxieux par rapport à celle décrite dans les troubles bipolaires, etc... La première partie d’ouvrage présente les diverses approches actuelles pour comprendre les troubles anxieux : modèles émotionnels, approche évolutionniste, psychodynamique, théorie de l’attachement, génétique, neurobiologie, neuropsychologie, électrophysiologie et neuro-imagerie. Sont ensuite exposés les différents troubles anxieux (attaque de panique, phobie sociale, trouble anxieux généralisé, hypocondrie, état de stress post-traumatique, TOC, etc.) et les associations co-morbides (dépression, conduites suicidaires, troubles bipolaires, addictions, etc...). Réunissant plus d’une quarantaine de spécialistes reconnus, riche d’une trentaine tableaux et schémas explicatifs et d’un index détaillé, cet ouvrage offre un état des connaissances et des recherches sur les troubles anxieux. Jean-Pierre Lépine, Professeur des Universités, Praticien hospitalier, service de Psychiatrie Adultes, hôpital Lariboisière, Paris. Jean-Philippe Boulenger, Professeur des Universités, Praticien hospitalier, service de Psychiatrie Adultes, CHU, Montpellier.

Download or read book Headache in Children and Adolescents written by Ishaq Abu-Arafeh and published by Springer. This book was released on 2016-08-16 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book assists appropriate headache assessment and decision-making in pediatrics. It covers many aspects and causes of headache disorders in children and adolescents using case studies to illustrate important points in history, examination, diagnosis, choice of management approach, therapy selection, and communication of the most helpful advice to the child and parents. Case studies have been taken from real clinical practice and presented in a consistent style. They are discussed by the authors to highlight important points in history, important positive and negative points in examination, the diagnosis, and full analysis and justification of treatment options. Headache in Children and Adolescents: A Case-Based Approach is an ideal reference for primary care physicians, paediatricians, neurologists and paediatric neurologists in their daily practice, in their consulting rooms and wards.

Download or read book Depression in Children and Adolescents written by Kedar Nath Dwivedi and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book, which draws together contributions from specialists in child, adolescent and family psychiatry, child psychotherapy, social work, community psychiatric nursing, educational therapy, special needs coordination in teaching, and general practice, provides a valuable resource for those professionals in contact with young people suffering from depression.

Download or read book Attention Deficit Hyperactivity Disorder ADHD in Adults written by Wolfgang Retz and published by Karger Medical and Scientific Publishers. This book was released on 2010 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Worldwide longitudinal studies performed since the 1970s have clearly shown that ADHD persists into adulthood. These findings have stimulated researchers to develop the therapeutic approaches for adult patients, especially in European countries where scientific and clinical interest in ADHD has increased.. In this volume, leading experts from Europe and the United States present their long-term results in order to provide an overview of important aspects of ADHD across the lifespan. These results include epidemiology, neurobiology, psychopathology, longitudinal course, comorbidity and social impairment associated with ADHD. Topics include diagnostic problems and therapeutic options as well as molecular genetic studies. Further, morphological and functional imaging studies in adult ADHD are reviewed, as well as the very important issue of comorbidity. Providing an excellent source of up-to-date information, this publication is essential reading for psychiatrists, neurologists, geneticists, psychotherapists, physicians and other therapists working with ADHD patients.

Download or read book Snoring and Obstructive Sleep Apnea written by David N. F. Fairbanks and published by Lippincott Williams & Wilkins. This book was released on 2003 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: Completely updated, this volume is a practical, authoritative guide to the diagnosis and management of sleep-related breathing disorders. This Third Edition provides a more comprehensive treatment approach, focusing on surgical treatment but recognizing the growing importance of medical management of snoring/sleep disorders. Noted experts in the fields of otolaryngology, head and neck surgery, pulmonology, and sleep medicine examine the pathophysiology of these disorders, their clinical presentations in adults and children, the diagnostic workup, and the latest and most effective drugs, devices, oral appliances, and surgical procedures. An in-depth discussion of patient selection and treatment decisions is also included.

Download or read book Invention of Hysteria written by Georges Didi-Huberman and published by MIT Press. This book was released on 2004-09-17 with total page 387 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first English-language publication of a classic French book on the relationship between the development of photography and of the medical category of hysteria. In this classic of French cultural studies, Georges Didi-Huberman traces the intimate and reciprocal relationship between the disciplines of psychiatry and photography in the late nineteenth century. Focusing on the immense photographic output of the Salpetriere hospital, the notorious Parisian asylum for insane and incurable women, Didi-Huberman shows the crucial role played by photography in the invention of the category of hysteria. Under the direction of the medical teacher and clinician Jean-Martin Charcot, the inmates of Salpetriere identified as hysterics were methodically photographed, providing skeptical colleagues with visual proof of hysteria's specific form. These images, many of which appear in this book, provided the materials for the multivolume album Iconographie photographique de la Salpetriere. As Didi-Huberman shows, these photographs were far from simply objective documentation. The subjects were required to portray their hysterical "type"—they performed their own hysteria. Bribed by the special status they enjoyed in the purgatory of experimentation and threatened with transfer back to the inferno of the incurables, the women patiently posed for the photographs and submitted to presentations of hysterical attacks before the crowds that gathered for Charcot's "Tuesday Lectures." Charcot did not stop at voyeuristic observation. Through techniques such as hypnosis, electroshock therapy, and genital manipulation, he instigated the hysterical symptoms in his patients, eventually giving rise to hatred and resistance on their part. Didi-Huberman follows this path from complicity to antipathy in one of Charcot's favorite "cases," that of Augustine, whose image crops up again and again in the Iconographie. Augustine's virtuosic performance of hysteria ultimately became one of self-sacrifice, seen in pictures of ecstasy, crucifixion, and silent cries.

Download or read book Biomarkers in Psychiatry written by Judith Pratt and published by Springer. This book was released on 2019-01-05 with total page 431 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume addresses one of the Holy Grails in Psychiatry, namely the evidence for and potential to adopt ‘Biomarkers’ for prevention, diagnosis, and treatment responses in mental health conditions. It meshes together state of the art research from international renowned pre-clinical and clinical scientists to illustrate how the fields of anxiety disorders, depression, psychotic disorders, and autism spectrum disorder have advanced in recent years.

Download or read book PROMOTION DE LA SANTE ET AUTONOMISATION DANS LE CONTEXTE AFRICAIN written by David HouŽto and published by Lulu.com. This book was released on 2014-02-26 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le terme promotion de la santé en Afrique, près de 30 ans après l'adoption de la Charte d'Ottawa, continue d'avoir des connotations complètement hors du sens que lui confère cette charte. Cela n'est pas étonnant quand on sait que la notion de santé dans ce contexte africain équivaut à la lutte contre la maladie à travers les soins de santé dispensés par des professionnels de la santé dans des formations sanitaires et les hôpitaux. L'évolution que connait le continent depuis quelques décennies est de donner un peu plus de place à la communauté à travers les relais communautaires dans une participation communautaire vidée de son contenu, car le pouvoir n'est jamais passé entre les mains des communautés.C'est au vu de tout ceci que le présent ouvrage à sa raison d'être pour expliquer les fondements de l'autonomisation communautaire et de la promotion de la santé avec leur importance pour la région africaine en proie aux mauvais indicateurs de santé comparativement aux autres régions du monde.

Download or read book Sleep Disorders in Adolescents written by Sanjeev V. Kothare and published by Springer. This book was released on 2016-09-21 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: This clinical casebook presents a comprehensive review of common sleep problems in adolescents in a concise, easy-to-read format. Each chapter thoroughly addresses a unique sleep disorder in teenagers through illustrative cases, reviews of relevant literature, and pearls of wisdom for both the practicing sleep specialist and other practitioners involved in the care of adolescents. Early chapters address various sleep disorders in detail: parasomnias, narcolepsy, obstructive sleep apnea, and delayed sleep-wake phase disorder, providing clear treatment considerations. Later chapters address sleep when complicated by issues of major depression, PTSD, epilepsy, and Traumatic Brain Injury. In-depth discussions and differential diagnosis engage the reader, and offer a multitude of research-based and clinically guided recommendations for the evaluation and treatment of sleep disorders in the adolescent. An ideal, practical resource for clinicians at all levels, Sleep Disorders In Adolescents provides a valuable contribution to adolescent care.

Download or read book Charles Edouard Brown S quard written by Louis-Cyril Celestin and published by Springer Science & Business Media. This book was released on 2013-11-19 with total page 279 pages. Available in PDF, EPUB and Kindle. Book excerpt: Genius and dilettantism often go hand in hand. Nowhere is this truer than in the life of Charles-Edouard Brown-Séquard, the bilingual physician and neurologist who succeeded Claude Bernard as the Chair of Experimental Medicine at the College de France in Paris after having practiced in Paris, London and in the USA, especially in Harvard. For most men, making one discovery of global importance would have sufficed to satisfy their curiosity and self-image. Not so Brown-Séquard. His explanation of the neurological disparity following the hemi-section of the spinal cord was a unique achievement that added his name to the syndrome and made him immortal. Yet, the demons of his mind tormented him in his endless search for medical truths and drove him to explore other phenomena, seeking to explain and remedy them. This unique biography shows for the first time the conflict between his professional and personal life, and should appeal to all students of medical history and psychology.

Download or read book Mclean Screening Instrument for Borderline Personality Disorder MSI BPD written by Director Laboratory for the Study of Adult Development McLean Hospital Belmont Massachusetts Associate Professor of Psychology Harvard Medical School Boston Massachusetts Mary C Zanarini, Ed.D and published by Jones & Bartlett Publishers. This book was released on 2008-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The McLean Screening Instrument-BPD is a 10-item, yes/no, self-report patient screening scale. It is used with an undiagnosed population to identify people who need further evaluation for BPD. The scale demonstrates strong sensitivity (the degree to which it correctly identifies patients who do have the disorder), as well as strong specificity (the degree to which it correctly identifies patients who do not have the disorder).

Download or read book Principles and Practice of Sleep Medicine E Book written by Meir H. Kryger and published by Elsevier Health Sciences. This book was released on 2010-11-01 with total page 1804 pages. Available in PDF, EPUB and Kindle. Book excerpt: Principles and Practice of Sleep Medicine, 5th Edition, by Meir H. Kryger, MD, FRCPC, Thomas Roth, PhD, and William C. Dement, MD, PhD, delivers the comprehensive, dependable guidance you need to effectively diagnose and manage even the most challenging sleep disorders. Updates to genetics and circadian rhythms, occupational health, sleep in older people, memory and sleep, physical examination of the patient, comorbid insomnias, and much more keep you current on the newest areas of the field. A greater emphasis on evidence-based approaches helps you make the most well-informed clinical decisions. And, a new more user-friendly, full-color format, both in print and online, lets you find the answers you need more quickly and easily. Whether you are preparing for the new sleep medicine fellowship examination, or simply want to offer your patients today's best care, this is the one resource to use! Make optimal use of the newest scientific discoveries and clinical approaches that are advancing the diagnosis and management of sleep disorders.

Download or read book Separating Parents and Adolescents written by Helm Stierlin and published by . This book was released on 1981 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book A Clinical Guide to Pediatric Sleep written by Jodi A. Mindell and published by Lippincott Williams & Wilkins. This book was released on 2010 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written for busy primary care practitioners, this book is a practical clinical guide to common pediatric sleep disorders and their treatment. Information is organized by specific disorder and by the most frequent presenting complaints. Symptom-based algorithms will enable practitioners to evaluate sleep complaints in a stepwise manner. Other features include symptom checklists for specific disorders and chapters on sleep problems in special populations. Appendices provide practical tools for screening for sleep problems, evaluating sleep studies, and counseling families. This edition includes updated ICSD-2 and ICD-10 diagnostic criteria and new and revised American Academy of Sleep Medicine Standards of Practice guidelines. Other highlights include new chapters on sleep hygiene and sleep enuresis, updated and expanded chapters on all sleep disorders, and up-to-date information on sleep medications and sleep in special populations. A companion Website will offer parent handouts for each age group and each sleep disorder, as well as screening questionnaires and sleep diaries.