Download or read book Prise en charge des troubles du sommeil chez la personne g e probl matiques et conseils l officine written by Laura Gallice and published by . This book was released on 2021 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'insomnie est la plainte la plus fréquemment rencontrée à l'officine parmi les troubles du sommeil. Afin de palier à ce trouble, les hypnotiques se présentent comme une solution efficace pour faciliter l'endormissement et maintenir le sommeil. Ils sont ainsi largement prescrits et leur consommation augmente avec l'âge. En effet, la France se positionne au 3ème rang parmi les pays d'Europe les plus consommateurs d'hypnotiques. Cependant, malgré les recommandations émises par les autorités de santé dans le but de promouvoir le bon usage et limiter leurs prescriptions, ils constituent un véritable problème de santé publique quant à leur durée d'utilisation et les effets indésirables qu'ils comportent (somnolence, chute, accident, déclin cognitif, dépendance). Ces effets indésirables peuvent avoir des conséquences préjudiciables notamment chez le sujet âgé à haut risque d'iatrogénie en raison de la polymédication et des modifications physiologiques qui impactent les paramètres pharmacocinétiques. Le pharmacien a donc un rôle déterminant dans la détection des prescriptions inappropriées et le respect du bon usage du médicament. Cette thèse comporte une partie bibliographique suivie d'une étude officinale dont l'objectif est d'évaluer si les prescriptions d'hypnotiques chez les personnes de plus de 65 ans sont appropriées et conformes aux recommandations. Les résultats de cette étude serviront de base pour rappeler les conseils à délivrer lors de la délivrance d'hypnotiques et les alternatives à proposer en première intention pour prendre en charge l'insomnie du sujet âgé.
Download or read book Prise en charge l officine des troubles du sommeil chez la personne g e written by Chloé Chavant and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'insomnie est le trouble du sommeil le plus fréquent et sa prévalence augmente avec l'âge. Or, en France, nous avons une population vieillissante ce qui en fait un enjeu de santé publique majeur. Chez le sujet âgé, l'insomnie est majoritairement secondaire à une autre pathologie, à la prise de médicaments ou à de mauvaises habitudes de sommeil qu'il convient de traiter conjointement pour obtenir un résultat sur l'insomnie. Malheureusement, on observe une consommation excessive de benzodiazépines anxiolytiques ou hypnotiques avec une balance bénéfice-risque défavorable dans cette population. Face aux nombreux effets indésirables de ces molécules, il est possible de proposer d'autres thérapies comme notamment les thérapies cognitivo-comportementales, la phytothérapie, l'homéopathie ou l'aromathérapie. Il est également primordial de rappeler au patient les règles d'hygiène du sommeil qui peuvent parfois à elles seules traiter une insomnie légère.
Download or read book La prise en charge des troubles du sommeil place du pharmacien written by Marie Vautier and published by . This book was released on 2014 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le sommeil est une fonction vitale qu’il faut préserver un maximum. Trois français sur quatre souffrent d’insomnie et seulement 9% de ces cas seraient des insomnies sévères. On note une différence entre les hommes et les femmes : 19,3% des femmes souffrent d’insomnie chez les 15-85 ans contre 11,9% des hommes. De plus, les troubles du sommeil augmentent avec l’âge, la prévalence est plus élevée après 50 ans. Une bonne compréhension de la physiologie du sommeil et des traitements médicamenteux des troubles du sommeil sont indispensables au Pharmacien d’Officine. Ainsi, il a pour devoir d’informer les patients sur les risques et effets indésirables de ces traitements. Et devant un renouvellement de benzodiazépines, il doit être en mesure de fournir tous les renseignements nécessaires pour en diminuer la consommation. En effet, il existe un mésusage de ces traitements qui sont prescrits à tord et sur de trop longues années. Or, cette consommation peut aggraver certaines pathologies sous-jacentes ou encore être la cause d’hospitalisations chez les personnes âgées, suite à une chute par exemple. La place du pharmacien d’officine est également dans le conseil face à une demande spontanée de comptoir. Il peut aussi réaliser des programmes d’éducation thérapeutiques du patient. Le Pharmacien d’Officine a donc un rôle d’informations envers les traitements et leurs effets indésirables. Mais il a, également, un rôle dans l’automédication et les conseils face à une demande de comptoir. Ce dernier doit avoir, par conséquent, un minimum de connaissances sur les thérapeutiques alternatives qui existent, tout en gardant un regard professionnel envers ces différentes thérapeutiques. Il est, avant tout, à l’écoute de son client et bénéficie d’un atout majeur, la proximité avec son client, qui lui confère le premier rôle d’information et de conseil. C’est un professionnel de santé au coeur de la Santé Publique.
Download or read book Le sommeil du sujet ag written by Margot Pavy and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thèse complétée par la thèse de Audrey Beeuwsaert Depuis plusieurs années, l' HAS (Haute Autorité de Santé) souhaite diminuer la consommation d'hypnotiques et de benzodiazépines dans la prise en charge tes troubles du sommeil. Dans ce cadre, 960 entretiens ont été réalisés par les étudiants de 6ème année de la Faculté de Pharmacie de Lille en stage de fin d'études dans les pharmacies d'officine du Nord et du Pas-De-Calais. Ces entretiens pharmaceutiques ciblaient les personnes âgées de plus de 65 ans prenant un traitement contre les troubles du sommeil et sans antécédent de dépression ni de troubles bipolaires. L'objectif de ce travail est de réaliser un état des lieux sur la consommation des hypnotiques chez le sujet âgés et l'identification des facteurs prédictifs d'un souhait d'arrêt du traitement. Cette étude met en évidence, une population âgée fragile qui consomme des hypnotiques de manière trop systématique. On a identifié comme facteurs prédictifs : l'âge, les patients acteurs de leur traitement et les patients actifs au quotidien. Grâce à ces résultats, l'identification des patients capables d'arrêter leur traitement hypnotique est plus simple. Cette thèse vise à donner les clés pour repérer ces patients à l'officine afin que le pharmacien d'officine puisse proposer des interventions personnalisées en collaboration avec d'autres professionnels de santé. Au cours de ces actions, le pharmacien pourra mettre en place et proposer des aides pratiques pour faciliter et valoriser cette démarche d'arrêt afin d'encadrer au mieux le patient.
Download or read book Teacher Stress Inventory written by Michael J. Fimian and published by John Wiley & Sons. This book was released on 1988-01-01 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Patient Will See You Now written by Eric Topol and published by Basic Books. This book was released on 2016-10-25 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: The essential guide by one of America's leading doctors to how digital technology enables all of us to take charge of our health A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"-but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical. In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system. The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result-better, cheaper, and more human health care-will be worth it. Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.
Download or read book Max Weber and Karl Marx written by Karl Lowith and published by Routledge. This book was released on 2002-11-01 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: First Published in 2004. Lowith's study of Max Weber and Karl Marx is a key text in modem interpretations of the theme of alienation in Marxist theory and rationalisation in Weber's sociology. It remains the best short student introduction to the differences and comparisons between these essential thinkers. This new edition includes a Preface by Professor Bryan S. Turner which demonstrates the relevance of the book for contemporary sociology.
Download or read book Life of Petrarch written by Ernest Hatch Wilkins and published by . This book was released on 1961 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Biography of the 14th century Italian scholar.
Download or read book Thickening Fat written by May Friedman and published by Routledge. This book was released on 2019-08-30 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thickening Fat: Fat Bodies, Intersectionality, and Social Justice seeks to explore the multiple, variable, and embodied experiences of fat oppression and fat activisms. Moving beyond an analysis of fat oppression as singular, this book will aim to unpack the volatility of fat—the mutability of fat embodiments as they correlate with other embodied subjectivities, and the threshold where fat begins to be reviled, celebrated, or amended. In addition, Thickening Fat explores the full range of intersectional and liminal analyses that push beyond the simple addition of two or more subjectivities, looking instead at the complex alchemy of layered and unstable markers of difference and privilege. Cognizant that the concept of intersectionality has been filled out in a plurality of ways, Thickening Fat poses critical questions around how to render analysis of fatness intersectional and to thicken up intersectionality, where intersectionality is attenuated to the shifting and composite and material dimensions to identity, rather than reduced to an “add difference and stir” approach. The chapters in this collection ask what happens when we operationalize intersectionality in fat scholarship and politics, and we position difference at the centre and start of inquiry.
Download or read book Madame Bovary New Edition written by Gustave Flaubert and published by BookRix. This book was released on 2019-06-28 with total page 510 pages. Available in PDF, EPUB and Kindle. Book excerpt: Madame Bovary is the French writer Gustave Flaubert's debut novel. The story focuses on a doctor's wife, Emma Bovary, who has adulterous affairs and lives beyond her means in order to escape the banalities and emptiness of provincial life. Though the basic plot is rather simple, even archetypal, the novel's true art lies in its details and hidden patterns. Flaubert was a notorious perfectionist and claimed always to be searching for le mot juste ("the precise word"). Long established as one of the greatest novels ever written, the book has often been described as a "perfect" work of fiction. Henry James writes: "Madame Bovary has a perfection that not only stamps it, but that makes it stand almost alone; it holds itself with such a supreme unapproachable assurance as both excites and defies judgment." Giorgio de Chirico said that in his opinion "from the narrative point of view, the most perfect book is Madame Bovary by Flaubert".
Download or read book THE CANDIDATE written by GUSTAVE FLAUBERT and published by . This book was released on 1904 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Gait Analysis in the Science of Rehabilitation written by Joel A. DeLisa and published by DIANE Publishing. This book was released on 1998 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: Instrumented gait analysis systems offer objective evaluation of the effectiveness of the various rehabilitation treatments that are aimed at improving gait disabilities. There are four sections in this report: clinical observation; review of the instrumental gait analysis systems; the value of information resulting from instrumented gait analysis from the perspective of a psychiatrist, an orthopedic surgeon, & a physical therapist; & discussion of future trends for gait laboratories. The authors are experts from multiple rehabilitation specialties to give you an understanding of how gait analysis can be used to evaluate a person's walking abilities to maximize function & maintain or improve quality of life. Illustrations.
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 Historical Dictionary of Iran written by John Henry Lorentz and published by Historical Dictionaries of Asia, Oceania, and the Middle East. This book was released on 2007 with total page 570 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides an overview of specific events, movements, people, political and social groups, places, trends, and chronology. Allows for considerable exploration of a number of historical and contemporary topics and issues. The modern period, defined as 1800-present, is covered extensively.
Download or read book Orestes written by Voltaire and published by Simon and Schuster. This book was released on 2013-08-02 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: Orestes was produced in 1750, an experiment which intensely interested the literary world and the public. In his Dedicatory Letters to the Duchess of Maine, Voltaire has the following passage on the Greek drama: "We should not, I acknowledge, endeavor to imitate what is weak and defective in the ancients: it is most probable that their faults were well known to their contemporaries. I am satisfied, Madam, that the wits of Athens condemned, as well as you, some of those repetitions, and some declamations with which Sophocles has loaded his Electra: they must have observed that he had not dived deep enough into the human heart. I will moreover fairly confess, that there are beauties peculiar not only to the Greek language, but to the climate, to manners and times, which it would be ridiculous to transplant hither. Therefore I have not copied exactly the Electra of Sophocles-much more I knew would be necessary; but I have taken, as well as I could, all the spirit and substance of it."
Download or read book The Great Cholesterol Con written by Dr Malcolm Kendrick and published by Kings Road Publishing. This book was released on 2008-07-07 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Statins are widely prescribed to lower blood cholesterol levels and claim to offer unparalleled protection against heart disease. Believed to be completely safe and capable of preventing a whole series of other conditions, they are the most profitable drug in the history of medicine. In this groundbreaking book, GP Malcolm Kendrick exposes the truth behind the hype. He will change the way we think about cholesterol forever. Rubbishing the diet-heart hypothesis, in which clinical trials 'prove' that high cholesterol causes heart disease and a high-fat diet leads to heart disease, Kendrick lambastes a powerful pharmaceutical industry and unquestioning medical profession, who, he claims, perpetuate the madcap concepts of 'good' and 'bad' cholesterol and cholesterol levels to convince millions of people to unnecessarily spend billions of pounds on statins. Clearly and comprehensively debunking assumptions on what constitute a healthy lifestyle and diet, "The Great Cholesterol Con" is the accessible, indispensable and absorbing case against statins and for a more common-sense approach to heart disease and general wellbeing. No more over-hyped miracle drugs; no more garlic, red wine, anti-oxidants, fruit or vegetables; even a vegetarian diet is rejected in this controversial yet authoritative critique of how we have been mislead over how food and drugs affect our coronary health. Here, for the first time, is the invaluable guide for anyone who though there was a miracle cure for heart disease, "The Great Cholesterol Con" is a fascinating breakthrough that will set dynamite under the whole area.
Download or read book A Historical Catalogue of Scientists and Scientific Books written by Robert Mortimer Gascoigne and published by Scholarly Title. This book was released on 1984 with total page 1216 pages. Available in PDF, EPUB and Kindle. Book excerpt:
