Download or read book R alit du traitement par anticoagulants oraux des personnes g es de plus de 75 ans en m decine g n rale written by Mathieu Perrin and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: INTRODUCTION : Les pathologies thrombotiques sont une problématique de médecine générale de plus en plus fréquente et particulièrement dans la population âgée de 75 ans et plus. En effet la fibrillation auriculaire concerne dans deux tiers des cas des patients de plus de 75. Depuis quelques années les indications des anticoagulants oraux directs ont été élargies en raison d'un meilleur profil de sécurité et d'efficacité comparé aux antagonistes de la vitamine K. Cependant les patients de plus de 75 ans sont sous-représentés dans les études alors que représentant la majorité des patients traités. MATÉRIEL ET MÉTHODE : Ce travail a permis de décrire le suivi médical de 133 patients de plus de 75 ans, actuellement traités par un anticoagulant oral, appartenant à la patientèle de 7 médecins généralistes installés en secteur semi-rural. L'ensemble des éléments relatifs à ces traitements ont été recensés, notamment les modifications thérapeutiques et effets secondaires notables. Des entretiens semi-dirigés auprès des mêmes médecins ont permis de recueillir leur perception sur ces traitements. RÉSULTATS : Nous avons recensé 17 événements thrombo-emboliques sous traitement anticoagulant oral, et dans près de deux tiers des cas (64,7%) sous anticoagulant oral direct. 35 saignements significatifs sont survenus, dont 16 graves, et majoritairement sous antagonistes de la vitamine K (60%). Les médecins généralistes déclarent une préférence pour les anticoagulants oraux directs quand le choix est possible, ce qui représente 93,1% des primo-prescription de traitement anticoagulant oral. CONCLUSION :L'utilisation des anticoagulants oraux directs est de plus en plus intégrée dans la pratique courante des médecins généralistes. Ce type de traitement présente un meilleur profil de sécurité mais une moins bonne efficacité en vie réelle comparativement aux antagonistes de la vitamine K. Chez ces patients âgés, le risque hémorragique est la principale préoccupation, conduisant à des adaptations posologiques. Le dépistage plus fréquent de la fragilité permettrait sans doute d'optimiser la prise en charge de ces patients et d'obtenir une meilleure efficacité, donc une réduction des événements thrombo-emboliques.

Download or read book Prescription des anticoagulants oraux directs chez la personne g e de plus de 75 ans written by Jérémy Barben and published by . This book was released on 2018 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : Les prescriptions d'anticoagulants oraux directs (AOD) chez les personnes âgées (PA) sont croissantes, mais les données épidémiologiques concernant cette population font défaut. Le but de cette étude était de comparer les caractéristiques d'un groupe de PA sous AOD (GAOD) à un autre sans AOD (GSAOD), puis d'analyser les caractéristiques du GAOD. Méthode : Nous avons mené une étude descriptive observationnelle rétrospective à partir du registre bourguignon de la Mutualité Sociale Agricole. Etaient incluses, les PA d'âge > 75 ans ayant eu une ordonnance remboursée entre le 1er et le 30/9/2017. Les 2 groupes étaient comparés pour l'âge, le genre, la déclaration d'une affection de longue durée (ALD), le nombre de molécules par ordonnance, les coprescriptions, les consultations spécialisées. Les sous-groupes d'AOD ont aussi été comparés. Résultats : Au total 19798 PA ont été incluses, 1518 (7.7%) dans le GAOD et 18280 dans le GSAOD. Il y avait plus d'hommes (50% vs 40.2%, p

Download or read book Utilisation des anticoagulants oraux chez la personne g e et r le du pharmacien d officine written by Rémi Sabatier and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les anticoagulants oraux directs sont devenus les médicaments de première intention dans le traitement des risques thrombotiques liés à la fibrillation auriculaire non valvulaire, au même titre que les anti-vitamines K. Ce sont des médicaments à marge thérapeutique étroite et ils sont la première cause d'évènement iatrogène grave en France. Cependant, une majeure partie des patients traités avec un anticoagulant oral sont des personnes âgées, qui sont des sujets à plus grand risque thrombotique et hémorragique. Une question se pose alors : Quels facteurs associés orientent le choix des praticiens dans la prescription d'un anticoagulant oral chez les sujets âgés ? Quel rôle peut jouer le pharmacien d'officine pour augmenter la surveillance et la sécurité de ces patients ? Notre étude a permis de d'identifier des facteurs associés aux prescriptions d'anticoagulants oraux directs chez le sujet âgé ainsi que les caractéristiques conduisant à des prescriptions d'anticoagulant oral en dehors des cibles thérapeutiques.

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 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 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 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 ECT Handbook written by I. Nicol Ferrier and published by RCPsych Publications. This book was released on 2019-07-04 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The fourth edition of this popular Handbook provides the latest guidance on prescribing and administering electroconvulsive therapy (ECT). Leading researchers and practitioners review new research on ECT and related treatments, including their efficacy in children and adolescents, and in those with bipolar disorder and neurological conditions. With a focus on safe provision and minimisation of side effects, it provides the reader with practical, evidence-based advice. The book has been substantially revised: references have been updated throughout; related treatment modalities such as rTMS, tCDS and ketamine are covered in greater depth; and current administrative and legal framework guidelines are clearly outlined. An essential reference manual for consultant and trainee clinical psychiatrists, as well as ECT practitioners. This guide will benefit clinical teams looking after complex cases of depression, as well as those involved in the care of other people for whom ECT may be recommended.

Download or read book Homeopathic Practice written by Steven B. Kayne and published by . This book was released on 2008 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: Uniquely approaches the subject of homeopathy by demonstrating how the theoretical principles underpinning practice directly translate to day-to-day practice. Contents include homepathic theory and the need for an evidence base, homeopathic drug provings and the Materia Medica, the production and use of homeopathic medicines, and use of homeopathy by different healthcare providers working in a variety of global settings.

Download or read book Interprofessional Capability Framework written by HIpE and published by . This book was released on 2011 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Anesthesia Management for Electroconvulsive Therapy written by Shigeru Saito and published by Springer. This book was released on 2016-04-12 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book, recognized anesthesiology experts present the latest findings on anesthesia for electro-convulsive therapy (ECT). With the development of modified electroconvulsive therapy (m-ECT) and devices to provide brief-pulse stimulation, ECT is currently being re-evaluated as an important procedure in psychiatric disorder therapy and is increasingly being used worldwide to treat several psychiatric conditions. This trend is due to the social phenomenon of the growing number of patients for whom ECT is applicable. Since the new approach is more safe and effective than the original method without anesthesia, m-ECT is currently applied under general anesthesia in most advanced countries. This book provides an overview and practice of total anesthesia management in the perioperative period of ECT. It offers an indispensable resource not only for professional anesthesiologists but also healthcare professionals who use this therapy.

Download or read book Capillary Electrophoresis Mass Spectrometry CE MS written by Gerhardus de Jong and published by John Wiley & Sons. This book was released on 2016-09-13 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diese Monographie bietet einen vollständigen Überblick über die Prinzipien und Anwendungen der Kapillarelektrophorese (CE) und der Massenspektrometrie (MS) und legt den Nachdruck insbesondere auf Kopplungsschnittstellen. Ausführlich erläutert werden auch alle relevanten Substanzklassen. Ein einzigartiges Wissenskompendium für alle, die sich CE-MS beschäftigen!

Download or read book Handbook of Clinical Nanomedicine written by Raj Bawa and published by Pan Stanford. This book was released on 2015-07-31 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The exciting advances in nanomedicine in the past two decades highlight the growing need for an authoritative and comprehensive reference that can be relied upon by scientists, clinicians, academics, industry, students, lawyers, and policy-makers alike. With this in mind, the Handbook of Clinical Nanomedicine: Law, Business, Regulation, Safety, and Risk and its related companion volumes in the series aim to provide a broad survey of interconnected topics pertaining to clinical nanomedicine. This is the second volume in the series. Each volume is intended to be a stand‐alone reference source, presented in a user-friendly format for easy access. This volume examines nanomedical products’ entire "product life cycle" from the creation of nanomedical products to the final market introduction. It not only provides a comprehensive roadmap of basic and clinical research but also tackles critical topics such as regulatory science, intellectual property law, risk analysis, toxicology, nano-characterization, and commercialization activities. All chapters contain keywords, figures in full color, author biographies, and an extensive list of references. The handbook is truly essential reading for the novice and the expert alike in fields such as medicine, law, biotechnology, pharmaceutical sciences, engineering, policy, future studies, ethics, licensing, and toxicology, among others. While bridging the gap between basic biomedical research, engineering, medicine, law, and commercialization, the handbook allows readers to gain a thorough understanding of nano’s potential to address medical problems from both the patient and the health provider’s point of view; current applications and potential in a healthcare setting; regulatory, environment, and health issues; and intellectual property, licensing, and commercialization issues as well as business considerations. The editor and assistant editors have skillfully curated each chapter to reflect the most relevant and current information possible. The range of topics covered as well as the diverse selection of distinguished authors is truly impressive. The multidisciplinary approach of this handbook as well as its focus on not only scientific and technical aspects of nanomedicine but also legal, regulatory, policy, and commercial aspects will attract a global audience. In short, the Handbook of Clinical Nanomedicine: Law, Business, Regulation, Safety, and Risk promises to be a standard reference for any serious practitioner in this expansive field.

Download or read book Sports Endocrinology written by F. Lanfranco and published by Karger Medical and Scientific Publishers. This book was released on 2016-06-28 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is an up-to-date, extensive overview of the effects of physical activity and training on endocrine function. It gives insights into a complex relationship by describing effects with respect to exercise performance, growth, development, and ageing. It includes discussions of the endocrine response depending on exercise mode, intensity, and duration as well as on gender, age, and fitness level. Additionally the book deals with the impact of environmental and psychological factors on endocrine level. A substantial part of Sports Endocrinology is devoted to the 'hot topic' of hormonal doping in sports. The properties of androgens, growth hormone, erythropoietin, and dietary supplements are highlighted. The use and abuse among professional and recreational athletes is discussed and specific methods of detection are presented and explained. All contributors are well-known experts in sports medicine and endocrinology, endocrine physiology, pharmacology, and doping detection, so this book is a must-read for every professional involved in the field.

Download or read book Capillary Electrophoresis of Proteins and Peptides written by Nguyet Thuy Tran and published by Humana. This book was released on 2016-07-30 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a comprehensive survey of recent developments and applications of high performance capillary electrophoresis in the field of protein and peptide analysis with a distinct focus on the analysis of intact proteins. With practical detail, the contents cover different modes of capillary electrophoresis (CE) useful for protein and peptide analysis, CZE, CIEF, ACE, CGE, and different types of application such as the quality control of therapeutic proteins and monoclonal antibodies, clinical analyses of chemokines in tissues, qualitative and quantitative analysis of vaccine proteins, and determination of binding constants in complexes involving peptides or proteins. Written for the highly successful Methods in Molecular Biology series, chapters include introductions to their respective topics, lists of the necessary materials and reagents, step-by-step, readily reproducible laboratory protocols, and tips on troubleshooting and avoiding known pitfalls. Authoritative and exhaustive, Capillary Electrophoresis of Proteins and Peptides: Methods and Protocols serves both beginners and experts with a collection of the current and most active topics in this vital field of study.

Download or read book Principles of Critical Care Third Edition written by HALL and published by McGraw Hill Professional. This book was released on 2005-08-04 with total page 1821 pages. Available in PDF, EPUB and Kindle. Book excerpt: The classic text in critical care medicine! The 3rd Edition of this classic text is streamlined and focused on the needs of the working critical care physician and features important new treatment strategies. Organized by organ systems, this text, the only critical care source that includes evidence-based learning, guides physicians from initial patient assessment and differential diagnosis through therapeutic plan.

Download or read book Handbook of Clinical Nanomedicine written by Raj Bawa and published by CRC Press. This book was released on 2016-02-22 with total page 1708 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook (55 chapters) provides a comprehensive roadmap of basic research in nanomedicine as well as clinical applications. However, unlike other texts in nanomedicine, it not only highlights current advances in diagnostics and therapeutics but also explores related issues like nomenclature, historical developments, regulatory aspects, nanosim