Download or read book Prise en charge des patients sous traitement de substitution aux opiac s en soins primaires dans la r gion du Nord Pas de Calais written by Céline Lenglet and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : Depuis quelques années, les remboursements des traitements de substitution aux opiacés (TSO) ont augmenté en France, avec en 2013 entre 160 000 et 180 000 patients. En 2012, 72% des patients ont eu leurs prescriptions en soins primaires. La proportion de médecins prescripteurs représentait en 2009, 50% des médecins généralistes en France et 59,2% pour la région du Nord-Pas-de- Calais. Quelles sont les modalités de prise en charge des patients sous TSO en 2014 en soins primaires dans la région du Nord-Pas-de-Calais ? Méthode : Nous avons réalisé une étude descriptive, transversale par questionnaires, adressés à 450 médecins généralistes installés, en soins primaires, tirés au sort, dans la région du Nord-Pas-de-Calais. 191 questionnaires ont été retournés et analysés statistiquement. Résultats : 55% des médecins généralistes répondants avaient au moins 1 patient sous TSO dans leur patientèle au moment de l'étude, et 82,69 % de ces médecins étaient des hommes. La buprénorphine haut dosage (BHD) était, comme au niveau national, le traitement le plus prescrit : à 65%. Les posologies et durées de traitement correspondaient aux recommandations d'experts, néanmoins 6% des médecins interrogés déclaraient initier un traitement par méthadone au cabinet en ville, ce qui est illégal. Les médecins généralistes de ville restaient réticents concernant une primo-prescription de BHD, celle-ci étant laissée à 71% aux soins secondaires (services spécialisés ou réseaux comme les CSAPA). Une prise en charge conjointe avec des intervenants extérieurs (addictologues, réseaux et CMP) était plébiscitée par les médecins généralistes. La diminution du traitement par TSO était proposée pour 61% des interrogés par le médecin lui-même, en moyenne 7 mois et 24 jours après l'instauration du traitement, par paliers de 0,4 ou 2mg pour la BHD et de 1 ou 5 mg pour la méthadone. Les arrêts de suivi de patient étaient fréquents, puisque 74% des médecins y ont été confrontés. Concernant la formation pour la prise en charge de ces patients, 65 % avaient déclaré avoir une formation insuffisante, néanmoins 68 % ne souhaitaient pas en bénéficier. 87 % des médecins interrogés étaient par contre en faveur d'une formation obligatoire lors des second et troisième cycles des études médicales. Conclusion : Dans notre étude, la proportion de médecins prenant en charge des patients sous TSO était semblable à celle nationale, mais majoritairement en relais du dispositif des soins secondaires primo-prescripteurs quelque soit le TSO. Les services spécialisés et réseaux restaient plébiscités par les médecins, une aide pour la prise en charge et, semble-t-il, en lien avec leur sentiment de manque de formation dans cette spécialité.
Download or read book Evolution in the Past written by Henry Robert Knipe and published by . This book was released on 1912 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Eat Sleep Bagpipes Repeat written by Mirako Press and published by Createspace Independent Publishing Platform. This book was released on 2018-07-18 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: This adorable music notebook is perfect for staffs, kids and musicians. The high-quality manuscript book includes 110 pages of 12 staves. Let exercise your composing skills with this well-designed music sketchbook! Enjoy!
Download or read book Nebula to Man written by Henry Robert Knipe and published by . This book was released on 1905 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Inventing the Victorians written by Matthew Sweet and published by St. Martin's Press. This book was released on 2014-06-03 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Suppose that everything we think we know about the Victorians is wrong." So begins Inventing the Victorians by Matthew Sweet, a compact and mind-bending whirlwind tour through the soul of the nineteenth century, and a round debunking of our assumptions about it. The Victorians have been victims of the "the enormous condescension of posterity," in the historian E. P. Thompson's phrase. Locked in the drawing room, theirs was an age when, supposedly, existence was stultifying, dank, and over-furnished, and when behavior conformed so rigorously to proprieties that the repressed results put Freud into business. We think we have the Victorians pegged--as self-righteous, imperialist, racist, materialist, hypocritical and, worst of all, earnest. Oh how wrong we are, argues Matthew Sweet in this highly entertaining, provocative, and illuminating look at our great, and great-great, grandparents. One hundred years after Queen Victoria's death, Sweet forces us to think again about her century, entombed in our minds by Dickens, the Elephant Man, Sweeney Todd, and by images of unfettered capitalism and grinding poverty. Sweet believes not only that we're wrong about the Victorians but profoundly indebted to them. In ways we have been slow to acknowledge, their age and our own remain closely intertwined. The Victorians invented the theme park, the shopping mall, the movies, the penny arcade, the roller coaster, the crime novel, and the sensational newspaper story. Sweet also argues that our twenty-first century smugness about how far we have evolved is misplaced. The Victorians were less racist than we are, less religious, less violent, and less intolerant. Far from being an outcast, Oscar Wilde was a fairly typical Victorian man; the love that dared not speak its name was declared itself fairly openly. In 1868 the first international cricket match was played between an English team and an Australian team composed entirely of aborigines. The Victorians loved sensation, novelty, scandal, weekend getaways, and the latest conveniences (by 1869, there were image-capable telegraphs; in 1873 a store had a machine that dispensed milk to after-hours' shoppers). Does all this sound familiar? As Sweet proves in this fascinating, eye-opening book, the reflection we find in the mirror of the nineteenth century is our own. We inhabit buildings built by the Victorians; some of us use their sewer system and ride on the railways they built. We dismiss them because they are the age against whom we have defined our own. In brilliant style, Inventing the Victorians shows how much we have been missing.
Download or read book Childish Things written by Valéry Larbaud and published by Sun & Moon. This book was released on 1994 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Gauguin written by Philippe Dagen and published by Tate. This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This illustrated book, focuses on Gauguin's use of narrative, both as inspiration and fuel for his work and as a tool to create a personal mythology around himself as an artist
Download or read book Games of Consequence written by and published by . This book was released on 2008 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Good Sex Illustrated written by Tony Duvert and published by Semiotext(e). This book was released on 2007-11-02 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title offers a scathing view of sex manuals for children and society's hypocrisy of over sex that argues for the rights of children to their own bodies and their own sexuality. Written in the wake of May 1968 and Deleuze and Guattari's Anti-Oedipus, Tony Duvert's Good Sex Illustrated (Le bon sexe illustre) was part of the miraculous moment when sexuality could turn the world upside down and reveal social hypocrisy for what it was. Bitterly funny and unabashedly anarchistic, Good Sex Illustrated openly declares war on mothers, family, psychoanalysis, morality, and the entire social construct, through a close reading of sex manuals for children. Published in 1973, one year after Duvert won the prestigious Prix Medicis, it proved that accolades had not tempered his scathing wit or his approach to such taboo topics as pedophilia. This translation, by award-winning author Bruce Benderson, will belatedly introduce English-speaking audiences to the most infamous gay writer from France since Jean Genet first hit the scene in the 1940s.
Download or read book European Evidence Warrant written by John A. E. Vervaele and published by Intersentia nv. This book was released on 2005 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: The transnational gathering and use of criminal evidence is a complex and sensitive matter that affects basic principles inherent in national criminal justice systems. Replacing the mutual assistance regime (letters rogatory) by a mutual recognition regime intends to facilitate the admissibility of evidence obtained from the territory of another Member State. How much harmonization of criminal procedure is needed to guarantee the free movement of criminal evidence in the EU? Do we have to develop common procedural safeguards in the EU, or can we build in human rights clauses or procedural public order clauses by which respect for fundamental rights can be a ground for the non-recognition, non-execution or postponement of the order from the issuing state? John Vervaele is Professor in Economic and Financial Criminal Law at the University of Utrecht and Professor in European Criminal Law at the College of Europe of Bruges. The main topics in his research field are: enforcement of Union law; standards of due law, procedural safeguards and human rights; criminal law and procedure an regional integration; comparative economic and financial criminal law. He has realized a lot of research in these areas, both for Dutch Departments and European Institutions and also worked as a consultant for them.
Download or read book Take Another Little Piece of My Heart written by Pamela Des Barres and published by Chicago Review Press. This book was released on 2008 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pamela Des Barres spent the sexual revolution on the ramparts as the celebrated "queen of the groupies" and chronicled her adventures with the high priests of rock in her best seller I'm With the Band. Affectionate, subversive, and funny, it was hailed by The New York Times as representing "something honorable and loving ... about the sexual honesty of modern women." It became an underground classic, an emblematic memoir of the 1960s generation.
