Download or read book Mesure d impact de s ances ducatives pour les patients atteints du VIH en Polyn sie fran aise written by Elodie Philippe and published by . This book was released on 2014 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cent-quatorze personnes diagnostiquées séropositives au VIH vivent aujourd’hui en Polynésie française (Pf). La culture locale, le manque d’informations et la géographie insulaire sont autant de facteurs limitant l’observance aux traitements antirétroviraux. C’est pourquoi nous nous sommes intéressée à l’amélioration du suivi de ces patients. L’objectif de ce travail consiste à mesurer l’impact de séances éducatives pour les patients atteints du VIH en Pf. Cette étude prospective a inclus 32 sujets, chacun a participé aux trois séances éducatives programmées. Les connaissances de la maladie, la qualité de vie et l’observance thérapeutique ont été évaluées en début et fin de programme afin de mesurer leur évolution. Afin d’évaluer les séances, nous nous sommes également intéressée à la satisfaction des patients. Les résultats de notre travail démontrent l’intérêt de la mise en place de séances éducatives pour les patients atteints du VIH, avec l’amélioration significative des connaissances de la maladie et de la qualité de vie. Cependant, notre étude ne nous permet pas de démontrer leur intérêt sur l’observance thérapeutique. Il semble justifié de mettre en place une étude similaire sur une cohorte plus importante afin de remédier au manque de puissance. Nous pouvons souligner l’unanime satisfaction des patients ayant participé aux séances éducatives, la nécessité d’améliorer la prise en charge médicale en rendant l’individu acteur de sa maladie et en renforçant la relation entre le soigné et le soignant.
Download or read book L impact du VIH sida et de l h patite B sur les trajectoires de vie des migrants subsahariens en France written by Anne Gosselin and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les migrants d'Afrique subsaharienne paient un lourd tribut au VIH/sida et à l'hépatite B en France, puisqu'ils représentaient en 2013 31% des découvertes de séropositivité au VIH et 40% des patients pris en charge pour une hépatite B chronique. Cette thèse a pour objectif de comprendre l'impact de la maladie dans des vies déjà marquées par la migration, dans une dans une perspective holistique, c'est-à-dire qui prend en compte les différents éléments structurants de la trajectoire, qu'ils soient résidentiels (dont la migration), familiaux, professionnels, administratifs etc. L'enquête Parcours a permis de collecter de façon quantitative les histoires de vie de 2468 migrants subsahariens en Ile-de-France, 926 vivant avec le VIH, 779 vivant avec une hépatite B (non infectés par le VIH) et 763 n'ayant aucune de ces infections. Les parcours de vie de ces personnes ont été recueillis au moyen d'un questionnaire biographique qui renseigne les éléments structurants de la trajectoire de vie (professionnels, familiaux, conjugaux, résidentiels, etc...). Pour analyser ces trajectoires, les méthodes classiques d'analyse de survie ont été mobilisées, ainsi que les méthodes d'analyse de séquence du type Optimal Matching. Les trajectoires d'installation des migrants en France, qu'ils soient ou non atteints par le VIH ou l'hépatite B, ont été marquées par une grande insécurité dans les premières années, insécurité en termes de logement, de titres de séjour et d'emploi qui a duré six ans en médiane. Bien souvent, l'annonce de la maladie a précisément eu lieu à ce moment de l'arrivée en France. La migration elle-même a eu un impact majeur sur les trajectoires de vie des personnes sur le plan familial et professionnel. L'annonce d'une hépatite B chronique n'a elle pas d'effet sur les trajectoire de vie, tandis que le VIH entraîne une détérioration importante du bien-être, sans pour autant influer sur les trajectoires de couple ou d'emploi. Enfin, les personnes ayant obtenu un titre de séjour pour soins sont discriminées dans leur accès à la carte de résident ou la nationalité française.
Download or read book Description de la prise en charge m dicale et de la pr vention du VIH en Polyn sie fran aise de la situation pid miologique par rapport aux objectifs de l Organisation Mondiale de la Sant et analyse des facteurs influen ant l efficacit du traitement written by Antoine Maillard and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectif : l'objectif de cette étude est de décrire globalement la situation du VIH en 2015 en Polynésie française (Pf) au niveau curatif et préventif, et d'analyser les facteurs associés à un succès virologique chez les patients. Méthode : les variables ont été recueillies en janvier 2016 dans la file active des patients VIH en Pf, et les données à la pharmacie du centre hospitalier de Taaone (Tahiti). Des analyses ont été réalisées pour mettre en évidence des facteurs influençant le succès virologique d'un patient sous traitement. Des entretiens ont été réalisés avec les différents acteurs du VIH en Pf pour décrire la cascade de prise en charge. Résultats : la file active des patients VIH en Pf en 2015 concerne 131 patients dont 8 nouveaux cas déclarés dans l'année. 52,2 % sont nés en Pf, 61,1 % sont des hommes, 74,8% vivent sur Tahiti. La prévalence des cas dépistés est variable en fonction des îles. La transmission se fait majoritairement par voie sexuelle (87%) avec 39% de contaminations homosexuelles. La prévention du VIH est à renforcer (message de prévention, manifestations, textes réglementaires, promotion de préservatifs). Les services de dépistage sont dans une dynamique positive (augmentation des CDAG et des dépistages ciblés, mise à disposition des autotests) L'accompagnement des patients présente des faiblesses (peu d'éducation thérapeutique et pas d'association de patients). 91,8% des patients suivis sont traités, dont 79,5% ont une charge virale (CV) indétectable. Le succès virologique est associé à un traitement simple, au fait d'habiter à Tahiti, d'être non-fumeur, et d'être expatrié. Conclusion : ce travail permet de mettre en lumière certains problèmes du VIH en Pf et suggère des mesures de corrections à divers niveaux.
Download or read book valuation de l impact de la pand mie COVID 19 chez les patients vivants avec le VIH written by Louise Bronner and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : Le SARS-CoV2 est apparu en Chine fin décembre 2019 pour se répandre dans le monde et en France en 2020. Cette pandémie et les mesures de confinement peuvent avoir un impact sur les patients ayant une pathologie chronique dont les patients vivants avec le VIH (PVVIH). Les objectifs de cette étude étaient de déterminer l'incidence de l'infection à SARS-CoV2 dans une cohorte de PVVIH et d'évaluer l'impact de la pandémie et des mesures sanitaires sur leur suivi et leur prise en charge médicale. Matériels et méthodes : Il s'agit d'une étude prospective, interventionnelle, multicentrique. Depuis le mois de janvier 2021, les PVVIH suivis dans 3 centres hospitaliers des Hauts de France (Tourcoing, Lens et Amiens) et disposant d'une adresse email dans leur dossier médical NADIS® ont été invités à compléter tous les mois un questionnaire en ligne (plateforme Limesurvey®). Ce questionnaire comporte des données socioprofessionnelles et médicales concernant la COVID-19 et leur suivi habituel.. Résultats : Au total, 421 PVVIH sur 1426 ont répondu au questionnaire. A la date du 1er janvier 2021, le taux d'incidence cumulée d'infection à SARS-CoV2 était de 5,6% (entre janvier 2020 et décembre 2020). Sur les 23 PVVIH infectés, 12 ont été confirmés par PCR, 9 par sérologie et 3 (13%) ont été hospitalisés. Les patients appartenant à la classe C du stade CDC était significativement associé à une infection à SARS-CoV2. Concernant les facteurs d'exposition au SARS-CoV2, il existait une augmentation du risque d'infection à SARS-CoV2 pour les PVVIH vivant avec d'autres personnes dans leur foyer, pour ceux ayant voyagé à l'étranger, ainsi que pour ceux ayant poursuivi une activité professionnelle en dehors du domicile. Lors du premier confinement national, 4% des PVVIH ont exprimé une difficulté à accéder et à poursuivre leur traitement antirétroviral et 87 (20%) n'ont pas pu bénéficier de leur consultation de suivi du VIH. Durant le deuxième confinement, ils étaient 9 patients (2,1%) à avoir présenté des difficultés d'accès à leur traitement et 32 (7,6%) à ne pas avoir pu bénéficier de leur consultation de suivi. Conclusion : Dans cette étude, l'incidence cumulée de COVID-19 chez les PVVIH était estimée à 5,6%, similaire à celle de la population générale française. Un impact des mesures sanitaires était démontré sur le suivi et la prise en charge des PVVIH, surtout lors du premier confinement national plus strict que le second, et probablement aussi en raison de la nécessité d'une réorganisation des services pour les accompagner au mieux.
Download or read book Aging in the Past written by David I. Kertzer and published by Univ of California Press. This book was released on 1995-01-01 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thanks to improved food, medicine, and living conditions, the average age of the population is increasing throughout the modern industrialized world. Yet, despite the recent upsurge of scholarly interest in the lives of older people and the blossoming of historical demography, little historical demographic attention has been paid to the lives of the elderly. A landmark volume, Aging in the Past marks the emergence of the historical demographic study of aging. Following a masterly explication of the new field by Peter Laslett, leading scholars in family history and historical demography offer new research results and fresh analyses that greatly increase our understanding of aging, historically and across cultures. Focusing primarily on post-Industrial Europe and the United States, they explore a range of issues under the broad topics of living arrangements, widowhood, and retirement and mortality. This important work provides a much-needed historical perspective on and suggests possible alternative solutions to the problems of the aged. Thanks to improved food, medicine, and living conditions, the average age of the population is increasing throughout the modern industrialized world. Yet, despite the recent upsurge of scholarly interest in the lives of older people and the blossoming of historical demography, little historical demographic attention has been paid to the lives of the elderly. A landmark volume, Aging in the Past marks the emergence of the historical demographic study of aging. Following a masterly explication of the new field by Peter Laslett, leading scholars in family history and historical demography offer new research results and fresh analyses that greatly increase our understanding of aging, historically and across cultures. Focusing primarily on post-Industrial Europe and the United States, they explore a range of issues under the broad topics of living arrangements, widowhood, and retirement and mortality. This important work provides a much-needed historical perspective on and suggests possible alternative solutions to the problems of the aged.
Download or read book Old Age in the Old Regime written by David Troyansky and published by Cornell University Press. This book was released on 2019-05-15 with total page 281 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores a dramatic change in French attitudes toward aging and the aged in the eighteenth century from one extreme of ridicule and neglect to another of respect and care.
Download or read book A History of Childhood written by Colin Heywood and published by John Wiley & Sons. This book was released on 2017-12-08 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Colin Heywood's classic account of childhood from the early Middle Ages to the First World War combines a long-run historical perspective with a broad geographical spread. This new, comprehensively updated edition incorporates the findings of the most recent research, and in particular revises and expands the sections on theoretical developments in the 'new social studies of childhood', on medieval conceptions of the child, on parenting and on children’s literature. Rather than merely narrating their experiences from the perspectives of adults, Heywood incorporates children’s testimonies, 'looking up' as well as 'down'. Paying careful attention to elements of continuity as well as change, he tells a story of astonishing material improvement for the lives of children in advanced societies, while showing how the business of preparing for adulthood became more and more complicated and fraught with emotional difficulties. Rich with evocative details of everyday life, and providing the most concise and readable synthesis of the literature available, Heywood's book will be indispensable to all those interested in the study of childhood.
Download or read book Cinema and History written by Marc Ferro and published by Wayne State University Press. This book was released on 1988 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ferro discusses how film reveals the conscious values of its creators, the dominant ideology of the society in which the film was created, and also unconscious or subverted meanings and values.
Download or read book History of Old Age written by Georges Minois and published by University of Chicago Press. This book was released on 1989-11-28 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: History of Old Age is the first major study of the ways in which old age has been perceived in western culture throughout history. Georges Minois paints a vast fresco, starting with the first old man to relate his own story—an Egyptian scribe some 4500 years ago—and ending with the deaths of Elizabeth I and Henry IV in the sixteenth century. Tracing the changing conceptions of the nature, value, and burden of the old, Minois argues that western history during this period is marked by great fluctuation in the social and political role of the aged. Minois shows how, in ancient Greece, the cult of youth and beauty on the one hand, and the reverence for the figure of the Homeric sage, on the other, created an ambivalent attitude toward the aged. This ambiguity appears again in the contrast between the active role that older citizens played in Roman politics and their depiction in satirical literature of the period. Christian literature in the Middle Ages also played a large part in defining society's perception of the old, both in the image of the revered holy sage and in the total condemnation of the aged sinner. Drawing on literary texts throughout, Minois considers the interrelation of literary, religious, medical, and political factors in determining the social fate of the elderly and their relationship to society. This book will be of great interest to social and cultural historians, as well as to general readers interested in the subject of the aged in society today.
Download or read book Haiti s Paper War written by Chelsea Stieber and published by NYU Press. This book was released on 2020-08-18 with total page 379 pages. Available in PDF, EPUB and Kindle. Book excerpt: 2021 Outstanding Academic Title, Choice Magazine Turns to the written record to re-examine the building blocks of a nation Picking up where most historians conclude, Chelsea Stieber explores the critical internal challenge to Haiti’s post-independence sovereignty: a civil war between monarchy and republic. What transpired was a war of swords and of pens, waged in newspapers and periodicals, in literature, broadsheets, and fliers. In her analysis of Haitian writing that followed independence, Stieber composes a new literary history of Haiti, that challenges our interpretations of both freedom struggles and the postcolonial. By examining internal dissent during the revolution, Stieber reveals that the very concept of freedom was itself hotly contested in the public sphere, and it was this inherent tension that became the central battleground for the guerre de plume—the paper war—that vied to shape public sentiment and the very idea of Haiti. Stieber’s reading of post-independence Haitian writing reveals key insights into the nature of literature, its relation to freedom and politics, and how fraught and politically loaded the concepts of “literature” and “civilization” really are. The competing ideas of liberté, writing, and civilization at work within postcolonial Haiti have consequences for the way we think about Haiti’s role—as an idea and a discursive interlocutor—in the elaboration of black radicalism and black Atlantic, anticolonial, and decolonial thought. In so doing, Stieber reorders our previously homogeneous view of Haiti, teasing out warring conceptions of the new nation that continued to play out deep into the twentieth century.
Download or read book The Long History of Old Age written by Pat Thane and published by . This book was released on 2005 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here is an absorbing and startlingly original illustrated study of one of the great - and most neglected - themes in all history: the ways in which society has perceived old people throughout the ages. From increased life expectancy and 'grey gap years' to dwindling pensions, the pros and cons of aging is a constant theme, yet much of the debate continues to be based on assumptions and misconceptions about the past. Is it true, for instance, that people were considered 'old' at fifty? How far have our ideas about the average life-span in previous centuries been distorted by infant mortality? Were the old respected and cared for? Did sexuality survive into old age? Here, for the first time, a group of leading historians address these and allied questions, writing vividly about a topic of great contemporary resonance that has for too long been surrounded by taboo. The visual evidence is a vital part of the story, and here the book is equally original. Drawing upon the rich legacy of art through two millennia, with works by a wide range of artists including Whistler, Rembrandt, Rego and Freud, this enthralling human story presents a picture that is sometimes compassionate, sometimes horrifying, but overall unexpectedly reassuring.
Download or read book French Global written by Christie McDonald and published by Columbia University Press. This book was released on 2010 with total page 572 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recasting French literary history in terms of the cultures and peoples that interacted within and outside of France's national boundaries, this volume offers a new way of looking at the history of a national literature, along with a truly global and contemporary understanding of language, literature, and culture. The relationship between France's national territory and other regions of the world where French is spoken and written (most of them former colonies) has long been central to discussions of "Francophonie." Boldly expanding such discussions to the whole range of French literature, the essays in this volume explore spaces, mobilities, and multiplicities from the Middle Ages to today. They rethink literary history not in terms of national boundaries, as traditional literary histories have done, but in terms of a global paradigm that emphasizes border crossings and encounters with "others." Contributors offer new ways of reading canonical texts and considering other texts that are not part of the traditional canon. By emphasizing diverse conceptions of language, text, space, and nation, these essays establish a model approach that remains sensitive to the specificities of time and place and to the theoretical concerns informing the study of national literatures in the twenty-first century.
Download or read book Reactionary Democracy written by Aurelien Mondon and published by Verso Books. This book was released on 2020-04-28 with total page 271 pages. Available in PDF, EPUB and Kindle. Book excerpt: Democracy is not necessarily progressive, and will only be if we make it so. What Mondon and Winter call 'reactionary democracy' is the use of the concept of democracy and its associated understanding of the power to the people (demos cratos) for reactionary ends. The resurgence of racism, populism and the far right is not the result of popular demands as we are often told. It is rather the logical conclusion of the more or less conscious manipulation by the elite of the concept of 'the people' and the working class to push reactionary ideas. These narratives place racism as a popular demand, rather than as something encouraged and perpetuated by elites, thus exonerating those with the means to influence and control public discourse through the media in particular. This in turn has legitimised the far right, strengthened its hand and compounded inequalities. These actions diverts us away from real concerns and radical alternatives to the current system. Through a careful and thorough deconstruction of the hegemonic discourse currently preventing us from thinking beyond the liberal vs populist dichotomy, this book develops a better understanding of the systemic forces underpinning our current model and its exploitative and discriminatory basis. The book shows us that the far right would not have been able to achieve such success, either electorally or ideologically, were it not for the help of elite actors (the media, politicians and academics). While the far right is a real threat and should not be left off the hook, the authors argue that we need to shift the responsibility of the situation towards those who too often claim to be objective, and even powerless, bystanders despite their powerful standpoint and clear capacity to influence the agenda, public discourse, and narratives, particularly when they platform and legitimise racist and far right ideas and actors.
Download or read book Dramaturgy of Migration written by Yana Meerzon and published by Routledge. This book was released on 2019-09-24 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dramaturgy of Migration: Staging Multilingual Encounters in Contemporary Theatre examines the function of dramaturgy and the role of the dramaturg in making a theatre performance situated at the crossroads of multiple theatre forms and performative devices. This book explores how these forms and devices are employed, challenged, experimented with, and reflected upon in the work of migrant theatre by performance and dance artists. Meerzon and Pewny ask: What impact do peoples’ movement between continents, countries, cultures, and languages have on the process of meaning production in plays about migration created by migrant artists? What dramaturgical devices do migrant artists employ when they work in the context of multilingual production, with the texts written in many languages, and when staging performances that target multicultural and multilingual theatregoers? And, finally, how do the new multilingual practices of theatre writing and performance meet and transform the existing practices of postdramatic dramaturgies? By considering these questions in a global context, the editors explore the overlapping complexities of migratory performances with both range and depth. Ideal for scholars, students, and practitioners of theatre, dramaturgy, and devising, Dramaturgy of Migration expresses not only the practicalities of migratory performances but also the emotional responses of the artists who stage them.
Download or read book Exile According to Julia written by Gisèle Pineau and published by University of Virginia Press. This book was released on 2003 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: Table of contents
Download or read book What a Body Can Do written by Ben Spatz and published by Routledge. This book was released on 2015-03-05 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: In What a Body Can Do, Ben Spatz develops, for the first time, a rigorous theory of embodied technique as knowledge. He argues that viewing technique as both training and research has much to offer current debates over the role of practice in the university, including the debates around "practice as research." Drawing on critical perspectives from the sociology of knowledge, phenomenology, dance studies, enactive cognition, and other areas, Spatz argues that technique is a major area of historical and ongoing research in physical culture, performing arts, and everyday life.
Download or read book Israeli Backpackers written by Chaim Noy and published by State University of New York Press. This book was released on 2012-02-01 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the period after their military service, Jewish Israeli youth customarily embark on a unique touristic practice: the backpacking trip. Combining sociological, anthropological, and psychological research—based on innovative fieldwork conducted with Israeli backpackers in Israel and abroad—this book depicts the complex relationship between the traveling youth and their society of origin. Via a perspective the editors term "outside-in," we learn how social and cultural tensions and tenets, identities, fantasies, and preoccupations are acted out within a symbolic, touristic space by scores of Israeli youth.
