Download or read book Les anticoagulants oraux directs written by Pierre-Paul Roussel and published by . This book was released on 2016 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book tude descriptive de la pratique des m decins g n ralistes sur les anticoagulants oraux directs chez la femme en ge de procr er written by Émilie Paoletti and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : Les anticoagulants oraux directs (AOD) tendent à remplacer les antivitamines K (AVK) depuis leur mise sur le marché. Cependant, l'incidence des hémorragies majeures et mineures est plus élevée chez les femmes comparativement aux hommes ; cette différence est potentiellement en lien avec les hémorragies génitales. Les médecins généralistes sont les premiers médecins consultés dans le cadre du parcours de soin coordonné et il existe peu de données de la littérature concernant les hémorragies génitales chez les femmes jeunes sous anticoagulant. L'objectif de cette étude était d'évaluer les pratiques et la perception des médecins généralistes lors de l'utilisation d'un traitement anticoagulant oral chez la femme en âge de procréer. Matériel et méthodes : Il s'agissait d'une étude descriptive observationnelle transversale, monocentrique. Un questionnaire comprenant 11 questions a été envoyé à 900 médecins généralistes des Bouches-du-Rhône, du Var et du Vaucluse randomisés par tirage au sort aléatoire via les Pages Jaunes®. Ce questionnaire évaluait le type de patientèle, l'anticoagulant le plus prescrit, la prise en charge des hémorragies génitales et l'évaluation de la qualité de vie des patientes sous anticoagulant. Résultats : Les AOD étaient les anticoagulants les plus prescrits selon les médecins généralistes interrogés Les hémorragies génitales étaient la 2e cause d'hémorragie mineure relatée. La plupart des médecins généralistes (60.6%) estimaient que les méno-métrorragies étaient imputables aux AVK. Près d'un quart des médecins rapportaient une altération de la qualité de vie des patientes anticoagulées alors que seuls 47.5% d'entre eux abordaient systématiquement le sujet des hémorragies génitales en consultation. Discussion : D'après les données de la littérature, les hémorragies génitales sont le plus souvent imputables aux AOD contrairement à nos résultats ; ces résultats sont probablement liés à une extrapolation, par les médecins généralistes, des hémorragies génitales aux hémorragies tout site confondu liées aux AVK. Actuellement, il n'existe pas de recommandation concernant la prise en charge des hémorragies génitales chez ces femmes jeunes. Au terme de notre étude, un algorithme est proposé pour la prise en charge de ces méno-métrorragies. Les hémorragies génitales sont trop peu fréquemment évoquées en consultation et probablement sous diagnostiquées. Conclusion : Notre étude suggère qu'il existe une altération de la qualité de vie chez les patientes en âge de procréer traitées par anticoagulant présentant des hémorragies génitales ; cette dernière est sous-estimée car il s'agit d'un sujet tabou, rarement évoqué en consultation. Une information médicale devrait être diffusée à large échelle afin qu'une conduite à tenir adaptée puisse être adoptée par les médecins.
Download or read book Perception des anticoagulants oraux directs chez les m decins g n ralistes en Rh ne Alpes written by Clémence Chardon and published by . This book was released on 2017 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les anticoagulants oraux direct (AOD) ont fait leur apparition dans l'arsenal thérapeutique du médecin visant à remplacer les antivitamines K (AVK) et ont vu leur prescription rapidement augmenter. Cependant les médecins généralistes semblaient réticents à les prescrire. L'objectif de cette étude était de recueillir leur opinion, leur ressenti vis-à-vis des AOD afin d'identifier les causes de cette réticence. Nous avons réalisé une étude qualitative par focus groups auprès de 19 médecins généralistes des départements du Rhône, de la Drôme et de l'Ardèche entre novembre 2016 et Mars 2017. Les médecins généralistes sont principalement amenés à renouveler les traitements par AOD initiés par un confrère spécialiste. Cette tâche n'est pas toujours aisée du fait de difficultés techniques de communication. Les principaux freins à la prescription d'AOD par les médecins généralistes sont : la crainte du risque hémorragique majorée par l'absence d'antidote disponible pour chaque AOD, le manque de recul, la balance bénéfice risque jugée défavorable, les réticences des patients, des autorités sanitaires et de la presse médicale indépendante. Plusieurs facteurs facilitant la prescription d'AOD ont été identifiés : la facilité d'emploi, la posologie fixe et l'absence de surveillance biologique apportant du confort pour le patient et le médecin. Les médecins généralistes sont plus enclins à prescrire les AOD quand la décision a été partagée avec le confrère spécialiste et avec le patient. Une meilleure collaboration entre les professionnels de santé passant par des formations communes et une amélioration des moyens de communication permettrait une prescription plus sereine de ces molécules.
Download or read book Antiplatelet and Anticoagulation Therapy written by Albert Ferro and published by Springer Science & Business Media. This book was released on 2012-10-13 with total page 255 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title will be presented as highly practical information pn pharmaceutical antiplatelet and anticoagulation therapy, written in a quick-access, no-nonsense format. The emphasis will be on a just-the-facts clinical approach, heavy on tabular material, light on dense prose. The involvement of the ISCP will ensure that the best quality contributors will be involved and establish a consistent approach to each topic in the series. Each volume is designed to be between 120 and 250 pages containing practical illustrations and designed to improve understand and practical usage of cardiovascular drugs in specific clinical areas.
Download or read book Clinical Management of Patients with Viral Haemorrhagic Fever written by World Health Organization and published by World Health Organization. This book was released on 2016-05-03 with total page 203 pages. Available in PDF, EPUB and Kindle. Book excerpt: First published in March 2014 under the title "Clinical management of patients with viral haemorrhagic fever: a pocket guide for front-line health workers: interim emergency guidance for West Africa".
Download or read book Management of Complications in Ophthalmic Plastic Surgery written by David B. Soll and published by . This book was released on 1976 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 Global Burden of Disease and Risk Factors written by Alan D. Lopez and published by World Bank Publications. This book was released on 2006-04-02 with total page 511 pages. Available in PDF, EPUB and Kindle. Book excerpt: Strategic health planning, the cornerstone of initiatives designed to achieve health improvement goals around the world, requires an understanding of the comparative burden of diseases and injuries, their corresponding risk factors and the likely effects of invervention options. The Global Burden of Disease framework, originally published in 1990, has been widely adopted as the preferred method for health accounting and has become the standard to guide the setting of health research priorities. This publication sets out an updated assessment of the situation, with an analysis of trends observed since 1990 and a chapter on the sensitivity of GBD estimates to various sources of uncertainty in methods and data.
Download or read book Fish Stocks and Fisheries of Lake Victoria written by Frans Witte and published by . This book was released on 1996 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The results of eighteen years research on the fisheries of Lake Victoria are presented here in a single volume. The introduction is followed by sections dealing successively with fish and fisheries, methodologies for sampling, gear and boats, methods for monitoring fish stocks, management and processing of data, fishery statistics and methods for monitoring the fishery. It, therefore, proceeds logically from fish to fisherman, passing through the scientific administrative steps needed to acquire and interpret the data necessary to ensure good management. The main body of the text is complemented by appendices which provide specific biological information on the major fish species of Lake Victoria, including a detailed key."--BOOK JACKET.
Download or read book Public Health Disease and Development in Africa written by Ezekiel Kalipeni and published by Routledge. This book was released on 2018-06-14 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: The closure of the Millennium Development Goals (MDGs) in 2015 prompted the need for a book of this kind. An interdisciplinary group of global health scholars contribute to the understanding of the emerging and fast-growing problem of the dual burden of communicable and non-communicable diseases (NCDs) in Africa. This book is timely, as the international community has moved from the MDGs to adopt the Sustainable Development Goals (SDGs) as the blueprint for a new human development agenda. Contributions and case studies are situated in the revised Epidemiologic and Nutrition Transition Model to capture the current situation, referencing communicable and NCDs on the African continent. The case studies encapsulated aim to help minimize negative health outcomes and improve population health, well-being, and equity in the future. This book will be significant in policy circles to assist international organizations, governments, and United Nations agencies. It aims to chart the future for health in Africa in light of recently adopted SDGs. This book is also a useful complementary reader for global public health related courses.
Download or read book Anticoagulation Therapy written by Ozcan Basaran and published by BoD – Books on Demand. This book was released on 2016-09-08 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: The available parenteral and oral anticoagulants have a large clinical use. Understanding biochemistry of anticoagulants may help to improve therapeutic strategies. Resistance to vitamin K antagonist drugs might be a problem for rodent populations. Patients who have thrombogenic risk factors should be anticoagulated. The need for cardiac implantable electronic devices is increasing, and there is a substantial number of patients who are on oral anticoagulant therapy. Prothrombin complex concentrate and other plasma concentrates are useful to deal with over-coagulated situations. The efficacy and safety of non-vitamin K antagonist oral anticoagulants have been proven in large phase III trials. The real-world data suggest even better outcomes with these agents compared to vitamin K antagonists.
Download or read book Frontiers in Gynecological Endocrinology written by Andrea R. Genazzani and published by Springer. This book was released on 2015-12-01 with total page 207 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume represents an up-to-date overview on ovarian functions and reproduction, providing the reader with the latest advances in gynecological endocrinology. It is published within the International Society of Gynecological Endocrinology (ISGE) Series, and is based on the 2015 International School of Gynecological and Reproductive Endocrinology Winter Course. The book covers a very wide range of topics with particular focus on ovulation and assisted reproduction, ovarian aging and fertility, and premature ovarian failure. The volume will be an invaluable tool for gynecologists, endocrinologists, obstetrician, and experts in women’s health.
Download or read book Anticoagulation Therapy written by Joe F. Lau and published by Springer. This book was released on 2018-04-16 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents the latest evidence and guidelines supporting the use of anticoagulant therapy for various clinical scenarios. The field of anticoagulation therapy is evolving rapidly, particularly since the arrival and widespread adoption of direct oral anticoagulants. Organized in two parts, this book reviews the pharmacologic properties of various anticoagulants and details the clinical applications of anticoagulant therapy. Drugs such as warfarin and unfractionated heparin, as well as parenteral and direct oral anticoagulants are discussed in terms of their pharmacokinetics, drug-disease interactions, dosing strategies, and risk considerations. Clinical applications of anticoagulant therapy in disorders such as acute coronary syndromes, atrial fibrillation, and thrombophilia and in special populations such as pregnant women, the elderly, and in the patient with cancer are highlighted. Clinical vignettes, algorithms, clinical pearls, and self-assessment questions are integrated throughout the book. Featuring contributions from authorities in the field, Anticoagulation Therapy is an essential resource for cardiologists, vascular medicine specialists, hematologists, internists, and all other healthcare professionals who prescribe anticoagulants.
Download or read book Damage Control Resuscitation written by Philip C. Spinella and published by Springer. This book was released on 2019-08-12 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a comprehensive overview of damage control resuscitation (DCR), an evidence-based approach to the resuscitation of patients with severe life-threatening hemorrhage (LTH). It focuses on both civilian and military applications as DCR is utilized in civilian trauma situations as well as combat casualty care settings. The book covers the history of fluid resuscitation for bleeding, epidemiology of severe traumatic injuries, prediction of life-threatening hemorrhage, pathophysiology and diagnosis of blood failure, and permissive hypotension. Chapters provide in-depth detail on hemostatic resuscitation principles, dried plasma, dried platelet surrogates, and recent developments in frozen red blood cells and oxygen carriers. The book also discusses how DCR principles can be used in a variety of situations such as when there are large numbers of patients with hemorrhagic lesions, non-trauma scenarios, and on distinct populations such as children. Finally, it concludes with a discussion of training and education methods for the implementation of DCR and remote DCR principles as well as learning healthcare system principles to facilitate the implementation of DCR and ultimately improve outcomes for patients with life-threatening hemorrhage. Damage Control Resuscitation: Identification and Treatment of Life-Threatening Hemorrhage is an essential resource for physicians and related professionals, residents, nurses and medical students in emergency medicine, anesthesia, surgery, and critical care, as well as civilian and military EMS providers.
Download or read book Stockley s Drug Interactions 9 written by Ivan H. Stockley and published by . This book was released on 2010 with total page 1792 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Side Effects of Drugs written by L. Meyler and published by . This book was released on 1952 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Emergency Psychiatric Care written by H. L. P. Resnik and published by Brady Publishing. This book was released on 1975 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt:
