Download or read book Recommandations concernant les restaurations en odontologie p diatrique pour les patients pris en charge en oncologie written by Gaultier Hochart and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Grâce aux prises en charge actuelles, le taux de survie à 5 ans dépasse les 80% pour les enfants atteints de cancers pédiatrique. Mais les traitements utilisés contre la maladie peuvent entrainer des modifications de l'état bucco-dentaires de ces patients. A l'aide de la méthodologie PRISMA nous avons mené une revue systématique de la littérature afin de trouver des études comparants les taux de survie des matériaux de restaurations dentaires chez les enfants suivis ou ayant été suivis en oncologie pédiatrique par rapport à chez les enfants sains. Parmi les publications retrouvées, une seule étude a été retenue selon les critères d'inclusion définis. À la vue de celle-ci, le Ciment Verre Ionomère semble particulièrement intéressant pour la prise en charge des enfants en oncologie pédiatrique. Les recommandations chez les patients adultes étant également limitées, il serait intéressant que plus d'études soient conduites sur le sujet afin d'établir des guidelines précises pour prendre en charge au mieux les patients atteints ou ayant subis un cancer pédiatrique.

Download or read book valuation des restaurations effectu es dans le service d odontologie de Clermont Ferrand written by Salomé Nicolas and published by . This book was released on 2015 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: Si des démarches d'évaluation des pratiques professionnelles (EPP) existent concernant le domaine de l'endodontie au sein du service d'Odontologie de Clermont-Ferrand, il n'en est rien quant à l'odontologie conservatrice. Il est tout aussi nécessaire d'évaluer la qualité des restaurations réalisées par les étudiants. L'objectif de ce travail est de créer un échantillon représentatif des restaurations et des patients pris en charge dans le service. De plus, il permettra dans un second temps de vérifier si les soins réalisés sont conformes aux recommandations actuelles de la science. 780 restaurations ont été évaluées sur 414 patients du service d'Odontologie du CHU de Clermont-Ferrand. Elles ont été comparées avec 2675 restaurations réalisées au sein du service sur 1206 patients. Les données ont été analysées à l'aide d'un test de Student et de Khi deux. La répartition des hommes (53%) et des femmes (47%) est significativement la même entre l'échantillon et la population. De la même façon, les proportions de restaurations classées selon le site et le stade (SiSta), et le type de dent ne sont pas statistiquement différentes. Le composite est le matériau le plus utilisé au sein du service (58%), suivi par le Ciment Verre-ionomère (33%) et l'amalgame (8%), tandis que les restaurations par méthode indirecte représentent moins de 2% des restaurations effectuées. Malgré les biais de l'étude, l'échantillon constitué est représentatif dans la majorité des cas et permettra la suite de l'étude. L'analyse statistique a permis de mettre en évidence la représentativité de l'échantillon (tant en termes de restaurations que de patients pris en charge) par rapport à la population. Les restaurations réalisées au sein du service ne sont que partiellement en adéquation avec les recommandations de la Haute Autorité de Santé. En effet, il serait souhaitable d'envisager le recours plus fréquent à des méthodes de restauration indirectes.

Download or read book Les recommandations en chirurgie dentaire written by Mathieu Larivière and published by . This book was released on 2014 with total page 380 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les Recommandations de bonne pratique sont définies comme « des propositions développées méthodiquement pour aider le praticien à rechercher les soins les plus appropriés dans des circonstances cliniques données ». La chirurgie dentaire est marquée par l'accroissement constant des données publiées et le développement rapide de nouvelles techniques qui modifient constamment les stratégies de prise en charge préventive, diagnostique et thérapeutique des patients. Dès lors, il est très difficile pour chaque professionnel de santé d'assimiler toutes les informations nouvelles apportées par la littérature scientifique, d'en faire la synthèse critique et de les incorporer dans sa pratique quotidienne. L'élaboration de recommandations professionnelles fait partie des solutions à ce besoin d'adaptation constante et vise à améliorer en permanence la qualité des soins. Mais qui élabore ces recommandations ? Comment sont-elles élaborées ? Comment le praticien en est-il informé ? Ont-elles une valeur légale ? Quelles sont les recommandations actuelles concernant les actes cliniques en chirurgie dentaire ? Autant de questions auxquelles cette thèse tente d'apporter des réponses.

Download or read book Infectious Disease in Emergency Medicine written by Judith C. Brillman and published by Lippincott Williams & Wilkins. This book was released on 1998 with total page 986 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Brandon/Hill Medical List first-purchase text, for emergency physicians and students, on common clinical infectious disease issues in the emergency room. Covers principles of infectious disease, diagnosis, and treatment.

Download or read book What Nazism Did to Psychoanalysis written by Laurence Kahn and published by Taylor & Francis. This book was released on 2022-09-09 with total page 157 pages. Available in PDF, EPUB and Kindle. Book excerpt: What Nazism Did to Psychoanalysis explores the impact Nazism had on the evolution of psychoanalysis and tackles the enigma of the transformation of individual hate into mass psychosis and of the autocratic creation of a neo-reality. Addressing the effects of the Holocaust on the psychoanalytic world, this book does not focus on the suffering of the survivors but the analysis of the concrete mechanisms of destruction that affected language and thought, their impact on the practice of psychoanalysis and the defences that psychoanalysts tried to find against the linguistic, legal and symbolic chaos that struck the foundations of reality. Laurence Kahn discusses the struggle against the appropriation, by the Nazi language, of key terms such as demonic nature, drives, ideals and, above all, the Selbsterhaltungstrieb (the self-preservation drive), which became, with Hitler, the axis of the living space policy, the "Lebensraum". Covering key topics such as trauma, transgenerational issues, silence and secrecy and the depredation of culture, this is an essential work for psychoanalysts and anyone wishing to understand how strongly the development of psychoanalysis was affected by Nazism.

Download or read book Transformational Processes in Clinical Psychoanalysis written by Lawrence J. Brown and published by Routledge. This book was released on 2018-10-09 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book, Lawrence J. Brown offers a contemporary perspective on how the mind transforms, and gives meaning to, emotional experience that arises unconsciously in the here-and-now of the clinical hour. Brown surveys the developments in theory and practice that follow from Freud’s original observations and traces this evolution from its conception to contemporary analytic field theory. Brown emphasizes that these unconscious transformational processes occur spontaneously, in the blink of an eye, through the "unconscious work" in which the analyst and patient are engaged. Though unconscious, these processes are accessible and the analyst must train himself to become aware of the subtle ways he is affected by the patient in the clinical moment. By paying attention to one’s reveries, countertransference manifestations and even supposed "wild" or extraneous thoughts, the analyst is able to obtain a glimpse of how his unconscious is transforming the ambient emotions of the session in order to formulate an interpretation. Brown casts a wide theoretical net in his exploration of these transformational processes and builds on the contributions of Freud, Theodor Reik, Bion, Ogden, the Barangers, Cassorla, Civitarese and Ferro. Bion’s theories of alpha function, transformations, dreaming and his clinical emphasis on the present moment are foundational to this book. Brown’s writing is clear and aims to describe the various theoretical ideas as plainly as possible. Detailed clinical material is given in most chapters to illustrate the theoretical perspectives. Brown applies this theory of transformational processes to a variety of topics, including the analyst’s receptivity, countertransference as transformation, the analytic setting, the paintings of J.M.W. Turner, "autistic transformations" and other clinical situations in the analysis of children and adults. Transformational Processes in Clinical Psychoanalysis will be of great interest to all psychoanalysts and psychoanalytic psychotherapists.

Download or read book The Analyst s Reveries written by Fred Busch and published by Routledge. This book was released on 2019-03-04 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: While the use of the analyst’s own reveries in work with patients has increased in recent times, there has been little critical inquiry into its value, and the problems it may lead to. The Analyst's Reveries finds increasing veneration for the analyst’s use of their reveries, while revealing important differences amongst post-Bionians in how reverie is defined and used clinically. Fred Busch ponders if it has been fully recognized that some post-Bionions suggest a new, radical paradigm for what is curative in psychoanalysis. After searching for the roots of the analyst’s use of reverie in Bion’s work and questioning whether in this regard Bion was a Bionian, Busch carefully examines the work of some post-Bionians and finds both convincing ways to think about the usefulness and limitations of the analyst’s use of reverie. He explores questions including: From what part of the mind does a reverie emerge? How does its provenance inform its transformative possibilities? Do we over-generalize in conceptualizing what is unrepresented, with the corresponding problem of false positives? Do dreams equal understanding and what about the generalizability of the co-created reverie? Busch concludes that it is primarily through the analyst’s own associations that the reverie’s potential is revealed, which further helps the analyst distinguish it from many other possibilities, including the analyst’s countertransference. He believes in the importance of converting reveries into verbal interpretations, a controversial point amongst post-Bionians. Busch ends with the difficult task of classifying the analyst’s reveries based on their degree of representation. The Analyst's Reveries will be of great interest to psychoanalysts and psychoanalytic psychotherapists.

Download or read book Improving Medicare written by Adam K. Brooks and published by . This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Medicare program enables millions of beneficiaries to obtain health care services; however, lacks many of the essential elements of a high-quality, high-value and efficient health system. Program spending and utilisation have increased substantially, without corresponding improvements in beneficiaries' health. This new and important book describes the need for Medicare to move away from payment policies that encourage service volume and are indifferent to quality and toward policies that promote better value for Medicare and its beneficiaries.

Download or read book In the Analyst s Consulting Room written by Antonino Ferro and published by Psychology Press. This book was released on 2002 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: Complements and develops Antonino Ferro's new model of the relationship between patient and analyst, by concentrating on adults.

Download or read book The NHS Improvement Plan written by Great Britain. Department of Health and published by The Stationery Office. This book was released on 2004 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt: This document sets out the priorities for the NHS up to 2008 based on the process of reform set out in the NHS Plan (Cm. 4818-I ISBN 0101481829). It is in three sections. The first 'Laying the foundations' looks at the progress so far in NHS reform. The second section 'Offering a better service' sets out the objectives of the policy under the headings of personalised care, supporting people with long-term conditions, and a healthier and fitter population. One of the aims is to change the NHS from a sickness service to a service that gives a higher priority to the prevention of disease and a reduction of health inequalities. The third section is called 'Making it happen' and it covers investment and diversity of provision, staff and working practices and information systems.

Download or read book Psychoanalytic Studies on Dysphoria written by Marion M. Oliner and published by Routledge. This book was released on 2018-11-12 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychoanalytic Studies on Dysphoria: The False Accord in the Divine Symphony depicts the profound dysphoria afflicting certain individuals, and includes the author's own personal experience of this as a German Jewish child during the Holocaust. Marion M. Oliner explores the impact of catastrophic events on the lives of individuals and their descendants from a broadly psychoanalytic perspective. The book focuses on the interplay between the experience and the unconscious meaning attributed to the trauma, and the ways in which patients may feel guilt, and blame themselves for the events and effects of their trauma. Drawing on the work of Freud and Winnicott, and with emphasis on the traumas suffered during the Second World War, Oliner offers new ways of understanding how resistant to treatment such traumas can be, and how the analyst can understand the experiences. The chapters span the evolution undergone in the nearly four decades of practice by the author. The book references a range of works including some taken from the German and French psychoanalytic literature, some never published in English. Taken together they aim at keeping the vitality of psychoanalysis without idealization, while discarding concepts whose essence is static, and therefore unhelpful. Psychoanalytic Studies on Dysphoria will appeal to psychoanalysts as well as other mental health professionals working with self-defeating behavior as a result of trauma.

Download or read book Love of Beginnings written by J.-B. Pontalis and published by . This book was released on 1993 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Winner of the Prix Femina and considered a masterpiece of autobiography, this is J. B. Pontalis' lyrical meditation on his own life. One of France's pre-eminent psychoanalysts, he is co-author of the classic The Language of Psychoanalysis and he has also been a member of the editorial committee of Les Temps Modernes.

Download or read book Health for all Children written by David M B Hall and published by OUP Oxford. This book was released on 2006-09-07 with total page 423 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since publication of the fourth edition of this highly successful book, there have been a number of Government initiatives, reports and policies on how the health of children can best be protected and promoted. This revised fourth edition incorporates recent material on the National Service Framework, 'Every Child Matters', the public health report 'Choosing Health', and the Children Act. It has also been informed by new research on a variety of topics including Sure Start, obesity, Sudden Infant Death Syndrome (SIDS) and language acquisition. Health for all Children 4/e (revised) continues the themes of previous editions, in particular highlighting the growing evidence that behavioural problems and educational failure are not inevitable, and can be prevented. Thus the role of screening for developmental problems, while not ignored, is set in the context of what can be done to promote language development, reading, and enthusiasm for learning. Changes made to the fourth edition, and continued in this revised edition, include dealing with the health care needs of children of school age as well as pre-school children. It also outlines the needs of special groups of children, including those who are vulnerable or disabled and those living in unusual circumstances. The legislative framework is outlined and hallmarks of good practice described. Promoting children's health is a key focus, with updated information on nutrition and injury prevention, and emphasis on the importance of parent education and support, language, and literacy skills, with a review of behavioural management programmes for parents. It also describes the duties laid on PCTs with regard to education and social services support. This established and successful book continues to be essential reading for all health professionals who work with children, whether in the community or at the receiving end of referrals. It will also provide vital background knowledge for those charged with the responsibility of planning, commissioning and monitoring. This revised fourth edition provides the most up to date evidence in a rapidly changing field.

Download or read book Unrepresented States and the Construction of Meaning written by Howard B. Levine and published by Routledge. This book was released on 2018-05-01 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the last several decades, the analytic field has widened considerably in scope. The therapeutic task is now seen by an increasing number of analysts to require that patient and analyst work together to strengthen, or to create, psychic structure that was previously weak, missing, or functionally inoperative. This view, which may apply to all patients, but is especially relevant to the treatment of non-neurotic patients and states of mind, stands in stark contrast to the more traditional assumption that the therapeutic task involves the uncovering of the unconscious dimension of a present pathological compromise formation that holds a potentially healthy ego in thrall. The contrast which this book calls attention to is that which exists roughly between formulations of psychic structure and functioning that were once assumed to have been sufficiently well explained by the hypotheses of Freud's topographic theory and those that were not. The former are modeled on neurosis and dream interpretation, where conflicts between relatively well-defined (saturated) and psychically represented desires were assumed to operate under the aegis of the pleasure-unpleasure principle.