Download or read book Etude prospective sur la prescription des anticoagulants en m decine g n rale written by Guillaume Pinel and published by . This book was released on 2002 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Les facteurs influen ant le changement de prescription d anticoagulants par voie orale antivitamines K anticoagulants oraux directs en m decine g n rale written by Caroline Enquebecq and published by . This book was released on 2019 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction En 2009, les anticoagulants oraux directs (AOD) font leur entrée sur le marché français. Les AOD sont une alternative aux antivitamines K (AVK). Connaissant déjà les différents déterminants de la prescription, nous avons voulu identifier les déterminants associés à un changement de prescription d'une anticoagulation orale. Méthode Nous nous sommes appuyés sur les données de l'étude CACAO, une étude de cohorte nationale, prospective, menée en 2014, réalisée auprès d'une population de patients sous traitement anticoagulant oral et bénéficiant d'un suivi par un médecin généraliste. Les données ont été collectées à l'aide d'un questionnaire auprès du médecin généraliste et d'un questionnaire électronique réalisé lors de l'inclusion de chaque patient. L'objectif est de décrire les facteurs associés au changement de prescription d'une anticoagulation orale. Résultats 406 médecins généralistes ont inclus 7 154 patients sous traitement anticoagulant oral. 5 699 patients éraient sous AVK et 1 455 sous AOD. Les facteurs associés à un changement de prescription sont : l'âge, le sexe féminin, l'absence d'antécédent d'IDM, un antécédent d'hémorragie hospitalisée, l'absence de traitement pas fibrate, avoir pour indication une FA, ne pas avoir pour indication une prothèse valvulaire .Discussion Notre échantillon de patients, semble être représentatif de la population générale des patients traités par anticoagulants oraux en France. Notre population de médecins est plus jeune, plus impliquée dans la recherche clinique et l'enseignement. Notre étude permet de mettre en évidence plusieurs facteurs représentatifs associés au changement de prescription d'une anticoagulation orale.

Download or read book tat des connaissances et des pratiques sur l utilisation des anticoagulants oraux directs par les m decins g n ralistes R unionnais written by Marion Leroy and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les recommandations sur l'utilisation des anticoagulants oraux directs évoluent et les particularités de prescription propres à chaque AOD peuvent rendre leur utilisation complexe en médecine générale. L'objectif principal de l'étude était d'évaluer les connaissances et pratiques sur leur utilisation en cabinet de médecine générale à la Réunion. Il s'agit d'une étude qualitative, prospective de type enquête déclarative via un questionnaire adressé aux médecins généralistes Réunionnais de Juin à Novembre 2016. 74 médecins généralistes ont répondu au questionnaire. 90% des médecins prescrivent des AOD et 51% en initient. La maladie thrombo-embolique veineuse et le maintien de l'INR difficile chez un patient sous AVK sont les deux indications majeures retenues pour l'initiation. 34% des médecins contreindiquent les AOD si le patient est âgé (>75ans). Dans les indications prévention et traitement des événements thrombo-emboliques veineux, le rivaroxaban a été le plus sélectionné. 12,5% des médecins interrogés n'envisagent pas d'examen complémentaire à l'initiation du traitement. Les situations complexes rencontrées au cabinet sont le plus souvent des complications hémorragiques. 11 médecins ont arrêté un traitement par AOD du fait d'un effet secondaire grave. Enfin 64% des médecins interrogés n'ont pas connaissance d'antidote. Les modalités d'initiation, les contre-indications et les indications des AOD sont connues par les médecins généralistes. Bien que les médecins ne soient pas réticent à la prescriptions d'AOD, les particularités propres à chaque anticoagulant et l'évolution des recommandations ne sont pas évidentes. Cela rend leur utilisation complexe au cabinet.

Download or read book ETUDE DE PRESCRIPTION DES ANTICOAGULANTS ORAUX AU LONG COURS DANS UN CABINET DE MEDECINE GENERALE written by CORINNE.. ZACHARSKI LACHAUX and published by . This book was released on 2001 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book tude descriptive de la Prescription des Anticoagulants Oraux dans des cabinets de M decine G n rale written by Marie Maeder and published by . This book was released on 2016 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : Les anticoagulants oraux occupent une place importante dans l'arsenal thérapeutique du médecin de par leurs nombreuses indications. L'objectif de notre travail était d'établir un état des lieux descriptif de la prescription des anticoagulants oraux dans des cabinets de médecine générale. Méthode : Etude observationnelle descriptive basée sur un recueil de données, effectuée entre février et mai 2016 dans des cabinets de médecine générale en Ariège et dans le Gers. Résultats : Les AVK sont les anticoagulants oraux les plus prescrits, la FANV est l'indication principale de prescription. Les traitements anticoagulants oraux sont majoritairement prescrits par les spécialistes. Il n'y a pas de différences significatives entre AVK et AOD en fonction des caractéristiques du patient telles que le genre, l'âge, l'indication de prescription et la spécialité du prescripteur initial. Les patients ayant changé de traitement anticoagulant oral sont en majorité des hommes, de plus de 75 ans, porteurs d'une FANV. L'apixaban est l'AOD le plus prescrit en cas de changement de thérapeutique. Les spécialistes ont une place prépondérante dans les switches médicamenteux. Conclusion : Nous n'avons pas retrouvé de différences significatives entre les profils des patients sous AVK et sous AOD. Les patients ayant changé de thérapeutique anticoagulante ont un profil similaire aux patients en primoprescription.

Download or read book Etude des facteurs de risque h morragique chez les patients trait s par anticoagulants oraux directs written by Nicolas Contamine and published by . This book was released on 2020 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectif :Déterminer si l' âge > 75ans, l' insuffisance rénale et le faible poids constituaient des facteurs de risque de saignement chez les patients traités par AOD pour une fibrillation atriale non valvulaire (FANV) ou une maladie thromboembolique veineuse (MTEV) suivis en médecine générale. Méthode : Etude de cohorte prospective, multicentrique, de patients traités par AOD pour une FANV ou une MTEV. Les patients ont été inclus par leur médecin généraliste et suivis durant un an. Les événements hémorragiques, et les données biologiques de surveillance des fonctions rénale et hépatique ont été recueillis tous les 3 mois. Résultats : Parmi les 1021 patients inclus, il a été recensé 50 événements hémorragiques. En analyse univariée il n' a pas été mis en évidence de surrisque hémorragique pour l' âge > 75 ans (HR 1.427, IC 95% [0.626-3.249], le poids

Download or read book Cerebral Small Vessel Disease written by Leonardo Pantoni and published by Cambridge University Press. This book was released on 2014-05 with total page 375 pages. Available in PDF, EPUB and Kindle. Book excerpt: Up-to-date discussion of the etiology, diagnosis, treatment, and prevention of this common cause of stroke and cognitive impairment.

Download or read book Acute Stroke Treatment written by Julien Bogousslavsky and published by CRC Press. This book was released on 1997-09-04 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Owing to the increased interest in brain ischemia and the new therapeutic options from pharmaceutical companies for the treatment of acute stroke, Professor Julien Bogousslavsky, one of the world's stroke experts, has revised his best-selling book. It is the emergence of huge possibilities in the management of stroke - ultra-early diagnosis, intensive care, surgical and other interventional therapies, thrombolysis, anti-ischemic drugs and prevention of immediate recurrence - which necessiates this timely update.

Download or read book Bloody Easy 3 written by Jeannie L. Callum and published by . This book was released on 2011-04 with total page 153 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Anti ageing Medicine written by Astrid Stuckelberger and published by vdf Hochschulverlag AG. This book was released on 2008 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 21st century technological development is revolutionizing medicine and health care, bringing new hopes to human suffering by offering cures and treatments which were unthinkable a few decades ago. This is where anti-ageing medicine finds its niche. Anti-ageing medicine aims at slowing, arresting, and reversing phenomena associated with ageing by merging biotechnological innovation and engineered solutions. Ideally, by means of the newest medical technology, the "body machinery" should be kept fit and at peak performance all life long. Early detection of age-related dysfunction should thus be "fixed" at any age with interventions such as metabolic fine tuning, enhancement, regeneration, restoration or replacement of "body parts" (i.e. organs, skin, bone or muscle). It covers a vast array of domains: from cell therapy to pharmaceutical interventions, from bio-surgery to aesthetic surgery, from human enhancement to fortified food, from smart housing and robots to toxic-free environments. Anti-ageing medicine holds promises but also significant risks and safety issues which are addressesd in this book. It presents the latest scientific evidence on what works or does not work. It also provides public policy recommendations to ensure the protection of consumers and their rights while encouraging research and development. This book is intended for academics, health professionals, business persons, consumers and policy-makers interested in the latest evidence and ethical issues about anti-ageing medicine.

Download or read book Diseases of Swine written by Jeffrey J. Zimmerman and published by John Wiley & Sons. This book was released on 2019-06-18 with total page 1136 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides a fully revised Eleventh Edition of the definitive reference to swine health and disease Diseases of Swine has been the definitive reference on swine health and disease for over 60 years. This new edition has been completely revised to include the latest information, developments, and research in the field. Now with full color images throughout, this comprehensive and authoritative resource has been redesigned for improved consistency and readability, with a reorganized format for more intuitive access to information. Diseases of Swine covers a wide range of essential topics on swine production, health, and management, with contributions from more than 100 of the foremost international experts in the field. This revised edition makes the information easy to find and includes expanded information on welfare and behavior. A key reference for anyone involved in the swine industry, Diseases of Swine, Eleventh Edition: Presents a thorough revision to the gold-standard reference on pig health and disease Features full color images throughout the book Includes information on the most current advances in the field Provides comprehensive information on swine welfare and behavior Offers a reorganized format to make the information more accessible Written for veterinarians, academicians, students, and individuals and agencies responsible for swine health and public health, Diseases of Swine, Eleventh Edition is an essential guide to swine health. "The 11th edition of Diseases of Swine continues to serve as the gold-standard resource for anything and everything related to swine herd health...this edition does an outstanding job of keeping up with the advanced diagnostic technologies and the latest research on new or emerging diseases and syndromes...there is no other informational resource that comes close to providing the depth or quality of information on the topic of swine diseases as does this book"

Download or read book Critical Care Nursing written by Linda Diann Urden and published by Saunders. This book was released on 2010 with total page 1242 pages. Available in PDF, EPUB and Kindle. Book excerpt: Focusing on critical care nursing, this full-color text provides an examination of the important aspects of critical care nursing. It is organized in ten units around alterations in body systems.

Download or read book Perinatology written by Renato Augusto Moreira de Sá and published by Springer Nature. This book was released on 2021-11-18 with total page 1295 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents the latest evidence-based guidelines for perinatal management and is designed to help obstetricians and neonatologists minimize complications and offer patients the best possible care. Since 1960, there has been a significant increase in basic and clinical investigations on normal and pathological pregnancy in the developed world. This has provided insights into the physiopathology of pregnant women, fetuses and newborns and led to the development of new technologies, bringing about a new medical subspecialty: perinatal medicine. The book is divided into eight main sections: The first examines basic periconceptional care and discusses the ethical aspects of perinatology. The next section focuses on prenatal considerations, such as the nutritional aspects of gestation and puerperium, physical exercise during pregnancy, routine laboratory tests, prenatal care of multiple gestations and the role of the neonatologist in prenatal care. The third and fourth sections then explore fetal evaluation, and clinical intercurrences in pregnancy, respectively. The next section addresses pregnancy complications: prevention, diagnosis and management. The sixth section covers the basic aspects of congenital infections and the seventh examines labor and delivery aspects. Lastly, the final section includes chapters on neonatal assistance. Written by leading experts in obstetrics, neonatology, and perinatology, this thoroughly updated, comprehensive resource reflects the latest information in all areas, including genetics and imaging.

Download or read book Oral Anticoagulants written by L. Poller and published by CRC Press. This book was released on 1996-08-02 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Warfarin and related drugs have been used for over half a century in prevention and treatment of thrombotic disorders. Only recently however has their clinical role been firmly established by randomised studies and their benefit/risk ratio improved by lower dose therapy with improvements in laboratory monitoring. 'Oral Anticoagulants' is the first comprehensive, practical survey of the subject available. An international team of recognised experts provide detailed coverage on the mode of action; clinical pharmodynamics; magnitude and sources of variability in individuals response to oral anticoagulant; methods of individualising dosing regimens; laboratory monitoring; and comparison between the different currently prescribed oral anticoagulants.

Download or read book A Treatise on Acupuncturation written by James Morss Churchill and published by BoD – Books on Demand. This book was released on 2018-09-21 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reproduction of the original: A Treatise on Acupuncturation by James Morss Churchill

Download or read book The Globalization of Managerial Innovation in Health Care written by John Kimberly and published by Cambridge University Press. This book was released on 2008-12-18 with total page 395 pages. Available in PDF, EPUB and Kindle. Book excerpt: An examination of patient classification systems in fifteen different countries throughout the world.

Download or read book Cerebral Small Vessel Diseases From Vessel Alterations to Cortical Parenchymal Injury written by Andreas Charidimou and published by Frontiers Media SA. This book was released on 2020-03-12 with total page 189 pages. Available in PDF, EPUB and Kindle. Book excerpt: