Download or read book Optimisation du traitement de fond de l insuffisant cardiaque par les m decins g n ralistes written by Anaïs Deffontaines and published by . This book was released on 2020 with total page 85 pages. Available in PDF, EPUB and Kindle. Book excerpt: Face à l'augmentation de la prévalence de l'insuffisance cardiaque et sa lourde morbimortalité, la lutte contre l'inertie thérapeutique est capitale. Différentes études ont révélé des prescriptions insuffisantes en terme d'association de molécules et de dosage. En conséquence, l'objectif de notre étude était de comprendre les réticences des médecins généralistes à prescrire et optimiser les thérapeutiques recommandées. Étude observationnelle par méthode qualitative avec approche par théorisation ancrée à partir de 19 entretiens semi-dirigés. Par défaut de connaissances et d'adhésion aux recommandations, il s'est avéré que l'optimisation des traitements n'était pas effectuée. Le concept de titration, souvent obscur pour les médecins, venait accroître la complexité de la prise en charge de cette pathologie. L'absence d'habitude, le manque de directives et l'accès complexe au cardiologue étaient soulignés. Le rôle des généralistes s'avérait mal défini et certains renvoyaient la responsabilité de la gestion du traitement au spécialiste. Les principaux freins relatés dans la littérature semblaient être liés au patient et ses comorbidités, mais notre étude a montré que de nombreux autres facteurs participaient à l'inertie, qui était alors justifiée par une stabilité clinique, une crainte de la iatrogénie chez des patients fragiles, et parfois un manque de temps. Pour assurer un suivi optimal pour les patients, les médecins auront à prendre conscience de l'importance de l'optimisation et du rôle qu'ils ont à jouer. Pour cela, une bonne connaissance et une adhésion totale aux recommandations, avec l'aide des directives des cardiologues, seront un socle essentiel. De plus, le développement des réseaux d'insuffisants cardiaques nécessitera l'inclusion des généralistes, peu avisés à l'heure actuelle. Et donc, devant l'enjeu majeur de santé publique que représente l'insuffisance cardiaque, une meilleure communication dans la population générale et auprès des médecins sera nécessaire.
Download or read book Les freins l optimisation des traitements m dicamenteux de fond de l insuffisance cardiaque fraction d jection alt r e par le m decin g n raliste written by Damien Mathieu and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : L'insuffisance cardiaque est une pathologie fréquente et grave. Le traitement de l'Insuffisance cardiaque à fraction d'éjection altérée (ICFEA) a bénéficié de nombreuses avancées avec l'apparition de recommandations récentes. Cependant de nombreux patients restent sous traités. L'objectif de cette étude était de mettre en avant les freins gênant l'optimisation des traitements médicamenteux de fond de l'ICFEA chez les Médecins généralistes (MG). Matériel et méthode : Il s'agit d'une étude qualitative sous forme d'entretiens individuels semi-dirigés réalisés parmi les médecins généralistes du bassin d'Annecy principalement. Un Focus group (FG) a été réalisé afin de vérifier notre saturation. Les MG étaient recrutés en variation raisonnée par une technique de recrutement inspirée de la boule de neige et complétée par un recrutement de proximité. Les critères d'exclusions étaient : moins de 2 ans d'exercice, et activité particulière exclusive. Aucune rétroaction n'était prévue. Résultats : 18 entretiens individuels ont été réalisés entre le mars 2016 et juin 2017, ainsi qu'un FG comprenant six MG permettant d'obtenir une saturation pragmatique. L'ensemble des entretiens a été retranscrit et codé en analyse thématique puis ont été triangulés par les deux chercheurs. Différentes familles de freins ont été retrouvées : des freins liés au médecin, au patient, au réseau de soin, au traitement, et techniques. Conclusion : Cette étude a permis de mettre en avant les différents freins à l'optimisation des traitements de fond de l'ICFEA chez les MG. Elle permet d'entrevoir des solutions possibles (amélioration du réseau, adaptation des formations...).
Download or read book Collaboration with Parents of Exceptional Children written by Marvin J. Fine and published by . This book was released on 1991 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Visions of the East written by Matthew Bernstein and published by Rutgers University Press. This book was released on 1997 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essays on orientalism in American and European cinema
Download or read book The Qualities of Mothering written by Michael Rutter and published by Jason Aronson. This book was released on 1974 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Colonial Harem written by Malek Alloula and published by Manchester University Press. This book was released on 1987 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Everyday Life in the Muslim Middle East written by Donna Lee Bowen and published by Indiana University Press. This book was released on 2002 with total page 422 pages. Available in PDF, EPUB and Kindle. Book excerpt: A revised and updated edition of a popular and widely used text
Download or read book Cinema and Cultural Modernity written by Gill Branston and published by . This book was released on 2006 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Filming the Modern Middle East written by Lina Khatib and published by Bloomsbury Publishing. This book was released on 2006-09-29 with total page 255 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'Filming the Modern Middle East' is the first comparative investigation of how modern American cinema and the cinemas of the Arab world represent Middle Eastern politics to their audiences. Lina Khatib examines the cinematic depictions of major political issues, from the Arab-Israeli conflict to the Gulf War, to Islamic fundamentalism, and covers films made in the USA, in Egypt, Tunisia, Morocco, Lebanon, Syria and Palestine. She explores cinema's role as a tool of nationalism in the USA and the Arab world, and the challenges the Arab cinemas present to Hollywood's dominant representations of Middle Eastern politics. But, she also reveals similarities between supposed contradictory cinemas and - importantly - not only how the 'Orient' is constructed by the 'Occident', but also how the 'Orient' itself in these cinemas represents Self and Others and how it is consumed by internal as well as external struggles. This is a fascinating, original contribution to the burgeoning interest in world cinemas, which also offers a fresh way of seeing Middle East politics through cinematic lenses.
Download or read book Critical Terrains written by Lisa Lowe and published by Cornell University Press. This book was released on 2018-03-15 with total page 309 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examining and historicizing the concept of "otherness" in both literature and criticism, Lisa Lowe explores representations of non-European cultures in British and French writings from the eighteenth through the twentieth century. Lowe traces the intersections of culture, class, and sexuality in Lady Mary Wortley Montagu’s Turkish Embassy Letters and Montesquieu’s Lettres persanes and discusses tropes of orientalism, racialism, and romanticism in Flaubert. She then turns to debates in Anglo-American and Indian criticism on Forster’s Passage to India and on the utopian projection of China in the poststructuralist theories of Julia Kristeva and Roland Barthes and in the journal Tel Quel.
Download or read book Muslim Women on the Move written by Doris H. Gray and published by Rlpg/Galleys. This book was released on 2008 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: Muslim Women on the Move offers a comparison of two Muslim populations that to date have not been compared in this way. Author Doris Gray compares the personal views of young educated women in Morocco with those of young educated women of Moroccan immigrant origins in France. She conducted extensive personal interviews, loosely structured around three main themes, over a period of three years in Morocco and in France. The three thematic groups are: conceptions of the religion of Islam, legal changes affecting women in Morocco and Muslim women in France, and personal and professional goals and challenges. This book challenges the conventional dichotomy between the Western and the Muslim world. Voices of a select group of individuals from each of these very different countries show that despite their different national circumstances, they have much more in common than is conventionally assumed. Gray summarizes individual perceptions and puts them into the larger context of Muslim women and their particular circumstances in the two Western Mediterranean countries. Muslim Women on the Move will interest students and scholars of Middle Eastern Studies, Women's Studies, French and Francophone Studies, Religious Studies, African Studies, Anthropology, and Anthropology of Religion.
Download or read book Colonial Cinema and Imperial France 1919 1939 written by David Henry Slavin and published by JHU Press. This book was released on 2001-10-09 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book, the author uses such key colonial-era films as L'Atlantide and Péṕe le Moko to document how the French cinema reflected the changing policies and values of French colonialism in the inter-war period.
Download or read book White Slaves African Masters written by Paul Baepler and published by University of Chicago Press. This book was released on 1999-05-15 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: IntroductionCotton Mather: The Glory of GoodnessJohn D. Foss: A Journal, of the Captivity and Sufferings of John FossJames Leander Cathcart: The Captives, Eleven Years in AlgiersMaria Martin: History of the Captivity and Sufferings of Mrs. Maria MartinJonathan Cowdery: American Captives in TripoliWilliam Ray: Horrors of SlaveryRobert Adams: The Narrative of Robert AdamsEliza Bradley: An Authentic NarrativeIon H. Perdicaris: In Raissuli's HandsAppendix: Publishing History of the American Barbary Captive Narrative Copyright © Libri GmbH. All rights reserved.
Download or read book Gender and French Cinema written by Alex Hughes and published by . This book was released on 2001-12 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bringing together original essays by French, British and American scholars, this collection explores the key role of gender and sexual politics in 20th-century French cinema.
Download or read book Writing Women and Space written by Alison Blunt and published by Guilford Press. This book was released on 1994-08-19 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing lessons from the complex and often contradictory position of white women writing in the colonial period, This unique book explores how feminism and poststructuralism can bring new types of understanding to the production of geographical knowledge. Through a series of colonial and postcolonial case studies, essays address the ways in which white women have written and mapped different geographies, in both the late nineteenth century and today, illustrating the diverse objects (landscapes, spaces, views), the variety of media (letters, travel writing, paintings, sculpture, cartographic maps, political discourse), and the different understandings and representations of people and place.
Download or read book The Veil And The Male Elite written by Fatima Mernissi and published by Basic Books. This book was released on 1992-12-21 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: Convinced that the veil is a symbol of unjust male authority over women, in The Veil and the Male Elite, Moroccan feminist Fatima Mernissi aims to investigate the origins of the practice in the first Islamic community.
Download or read book Beginning Postcolonialism written by John McLeod and published by Manchester University Press. This book was released on 2000-07-07 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: Postcolonialism has become one of the most exciting, expanding and challenging areas of literary and cultural studies today. Designed especially for those studying the topic for the first time, Beginning Postcolonialism introduces the major areas of concern in a clear, accessible, and organized fashion. It provides an overview of the emergence of postcolonialism as a discipline and closely examines many of its important critical writings.
