Download or read book Education th rapeutique chez les patients VIH au CHU de Nancy written by Emmanuelle Desmots and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Depuis l'avènement des multi-thérapies anti-rétrovirales, le pronostic de l'infection par le VIH s'est radicalement modifié. Cette pathologie, désormais chronique, est traitée par des thérapeutiques parfois complexes et associées à des effets indésirables perçus comme invalidants. Or, une observance optimale est seul garant du succès immunovirologique. Mais cette variable est dynamique et fluctue au cours du temps, en fonction des événements surgissant dans la vie du patient. Afin de prévenir et résoudre toute rupture d'observance, des consultations d'éducation thérapeutique ont été mises en place, depuis octobre 2008, au sein du service de Maladies Infectieuses et Tropicales. Une interface dynamique existe au sein d'une équipe multidisciplinaire d'éducation thérapeutique regroupant 2 médecins, 3 infirmières et 2 pharmaciens. Les consultations ont lieu deux fois par semaine. La prise en charge est différente en cas de mise en place d'un traitement ARV ou suite à un échec thérapeutique. Dans un premier temps, l'équipe d'éducation thérapeutique établit un diagnostic éducatif à l'aide de deux méthodes complémentaires (méthode MOTHIV et IPCEM) puis détermine avec le patient des objectifs éducatifs adaptés. Au cours des entretiens, différents supports sont utilisés. Certains ont été développés par l'industrie pharmaceutique et d'autres créés par l'équipe d'ETP comme un livret patient ou des planches auto-collantes de photos des spécialités anti-rétrovirales existant sur le marché... Nous avons évalué notre programme d'éducation thérapeutique en envisageant aussi bien l'aspect quantitatif (charge virale VIH, taux de lymphocytes CD4 des patients suivis) que qualitatif (qualité de vie, observance, niveau deconnaissances des patients et enquête de satisfaction) lors de la première et dernière consultation d'éducation thérapeutique. D'octobre 2008 à fin août 2010, 299 consultations ont été réalisées pour 94 patients (37 naïfs et 57 en échec thérapeutique). Elles concernaient 34 femmes et 60 hommes. Le pourcentage de charge virale indétectable de notre population étudiée à la première consultation était de 15 % et 4 mois après la dernière consultation de 73 %. De plus, nos résultats ont montré que l'effet semblait perdurer dans le temps car les résultats virologiques favorables observés, 4 mois après le programme d'ETP, étaient encourageants. Les causes de non-observance les plus fréquentes étaient : les oublis, le nombre important de comprimés, les horaires de prise ou encore la dépression. On observait aussi une amélioration des résultats du test de connaissance entre la première et dernière consultation grâce à l'acquisition de connaissances concernant essentiellement les thèmes « traitement » (+ 10 %) et « maladie » (+ 32 %). L'ensemble des patients et des intervenants étaient totalement satisfaits par le programme d'éducation thérapeutique. Les résultats obtenus dans cette étude mettent en avant les avantages de la mise en oeuvre de ce programme. Grâce à cette étude, des actions ciblées peuvent donc être organisées afin d'améliorer encore notre programme d'ETP.
Download or read book Handbook of Radiotherapy Physics written by P Mayles and published by CRC Press. This book was released on 2007-06-12 with total page 1472 pages. Available in PDF, EPUB and Kindle. Book excerpt: From background physics and biological models to the latest imaging and treatment modalities, the Handbook of Radiotherapy Physics: Theory and Practice covers all theoretical and practical aspects of radiotherapy physics. In this comprehensive reference, each part focuses on a major area of radiotherapy, beginning with an introduction by the
Download or read book The Subnormal Mind written by Cyril Burt and published by . This book was released on 1935 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Woman s Mysteries written by Mary Esther Harding and published by . This book was released on 1976 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Fundamentals of Radiation Dosimetry written by J.R Greening and published by CRC Press. This book was released on 2017-12-14 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book reviews ionising radiation quantities and the relationships between them and discusses the principles underlying their measurement. The emphasis is on the determination of absorbed dose and related dosimetric quantities.
Download or read book Introduction to Radiological Physics and Radiation Dosimetry written by Frank Herbert Attix and published by John Wiley & Sons. This book was released on 2008-09-26 with total page 628 pages. Available in PDF, EPUB and Kindle. Book excerpt: A straightforward presentation of the broad concepts underlying radiological physics and radiation dosimetry for the graduate-level student. Covers photon and neutron attenuation, radiation and charged particle equilibrium, interactions of photons and charged particles with matter, radiotherapy dosimetry, as well as photographic, calorimetric, chemical, and thermoluminescence dosimetry. Includes many new derivations, such as Kramers X-ray spectrum, as well as topics that have not been thoroughly analyzed in other texts, such as broad-beam attenuation and geometrics, and the reciprocity theorem. Subjects are layed out in a logical sequence, making the topics easier for students to follow. Supplemented with numerous diagrams and tables.
Download or read book The Biological Basis of Radiotherapy written by George Gordon Steel and published by Elsevier Publishing Company. This book was released on 1983 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Monte Carlo Transport of Electrons and Photons written by T.M. Jenkins and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 637 pages. Available in PDF, EPUB and Kindle. Book excerpt: For ten days at the end of September, 1987, a group of about 75 scientists from 21 different countries gathered in a restored monastery on a 750 meter high piece of rock jutting out of the Mediterranean Sea to discuss the simulation of the transport of electrons and photons using Monte Carlo techniques. When we first had the idea for this meeting, Ralph Nelson, who had organized a previous course at the "Ettore Majorana" Centre for Scientific Culture, suggested that Erice would be the ideal place for such a meeting. Nahum, Nelson and Rogers became Co-Directors of the Course, with the help of Alessandro Rindi, the Director of the School of Radiation Damage and Protection, and Professor Antonino Zichichi, Director of the "Ettore Majorana" Centre. The course was an outstanding success, both scientifically and socially, and those at the meeting will carry the marks of having attended, both intellectually and on a personal level where many friendships were made. The scientific content of the course was at a very high caliber, both because of the hard work done by all the lecturers in preparing their lectures (e. g. , complete copies of each lecture were available at the beginning of the course) and because of the high quality of the "students", many of whom were accomplished experts in the field. The outstanding facilities of the Centre contributed greatly to the success. This volume contains the formal record of the course lectures.
Download or read book Advanced Medical Radiation Dosimetry written by K. N. Govinda Rajan and published by PHI Learning Pvt. Ltd.. This book was released on 1996-01-01 with total page 522 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Practical Radiation Protection in Healthcare written by Colin J. Martin and published by Oxford University Press, USA. This book was released on 2015 with total page 551 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by practitioners experienced in the field, 'Practical Radiation Protection in Healthcare' provides a practical guide for medical physicists and others involved with radiation protection in the healthcare environment.
Download or read book Radiotherapy Physics written by J.R. Williams and published by . This book was released on 2004 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Radiation Shielding written by J. Kenneth Shultis and published by Amer Nuclear Society. This book was released on 2000-01-01 with total page 537 pages. Available in PDF, EPUB and Kindle. Book excerpt: This newly published book is intended for dual use as a textbook for students in radiation shielding courses and a reference work for shielding practitioners. It emphasizes the principles behind techniques used in various aspects of shield analysis and presents these principles in many different contexts. This approach is intended to provide a strong base of understanding in order to facilitate use of the large shielding codes that have come to dominate shielding design and analysis. An assumption is made that the reader has an understanding of mathematics through basic calculus and vector analysis as well as a knowledge of the nuclear physics of radioactive decay. For most chapters, problem sets are provided.
Download or read book The Quantum Theory of Radiation written by Walter Heitler and published by Courier Corporation. This book was released on 1984-01-01 with total page 468 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first comprehensive treatment of quantum physics in any language, this classic introduction to the basic theory remains highly recommended and in wide use, both as a text and as a reference. A unified and accurate guide to the application of radiative processes, it explores the mathematics and physics of quantum theory. 1954 edition.
Download or read book Radiation Quantities and Units written by International Commission on Radiation Units and Measurements and published by . This book was released on 1980 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Transport Theory written by James J. Duderstadt and published by John Wiley & Sons. This book was released on 1979 with total page 630 pages. Available in PDF, EPUB and Kindle. Book excerpt: Problems after each chapter
Download or read book Measurement Assurance in Dosimetry written by International Atomic Energy Agency and published by . This book was released on 1994 with total page 712 pages. Available in PDF, EPUB and Kindle. Book excerpt: Proceedings of a symposium, Vienna, 24-27 May 1993. Accurate dosimetry is of great importance for applications of radiation in medicine. The symposium covered all the various steps required in the calibration chain to determine the absorbed dose in radiotherapy. Different calibration procedures at primary and secondary standard laboratories were discussed, and reports were presented on dose intercomparisons based on different national and international protocols. Analyses of the accuracy of various interaction coefficients were also presented. The final session dealt with the special problems of diagnostic X ray dosimetry.
Download or read book Setting Up a Radiotherapy Programme written by International Atomic Energy Agency and published by . This book was released on 2008 with total page 229 pages. Available in PDF, EPUB and Kindle. Book excerpt: This publication provides guidance for designing and implementing radiotherapy programmes, taking into account clinical, medical physics, radiation protection and safety aspects. It reflects current requirements for radiotherapy infrastructure in settings with limited resources. It will be of use to professionals involved in the development, implementation and management of radiotherapy programmes
