Download or read book V cu de l annonce du cancer chez les patients Etude r trospective written by Marthe Sube-Claustre and published by . This book was released on 2013 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Annonce du diagnostic de cancer chez le sujet g dans les services hospitaliers non sp cialis s en oncologie written by Marion Nierga and published by . This book was released on 2013 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les deux Plans Cancer ont établi des recommandations en France concernant l'annonce du diagnostic de cancer. Cependant les services non spécialisés en oncologie paraissent peu familiers du dispositif d'annonce, même si des cancers y sont régulièrement découverts et en particulier chez le sujet âgé. A partir de questionnaires destinés aux médecins et aux infirmières, nous avons analysé le déroulement et la traçabilité de l'annonce de cancer pour 34 patients âgés de plus de 75 ans dans 7 services, gériatriques ou non, pendant 19 semaines. Puis nous avons complété par un entretien post-annonce avec le patient. L'enquête préalable révèle que la quasi-totalité des services interrogés ne dispose pas d'un protocole concernant l'annonce de cancer alors que 81% des médecins interrogés déclarent trouver un intérêt à l'étude de cette question. Lors de l'étude prospective, la majorité des patients était autonome sans trouble cognitif, et vivant à domicile. En moyenne l'annonce diagnostique a concerné un patient par mois et par service. Dans 83% des cas le diagnostic a été annoncé au patient, dont 65% concernaient des découvertes de cancer. Les annonces se sont déroulées en majorité le matin lors de la visite, pendant quinze minutes dans la chambre du patient, et en présence du voisin de chambre dans un cas sur quatre.Le mot cancer a été cité dans 70% des cas. Une annonce sur cinq a été faite en premier à la famille. L'existence de troubles cognitifs a paru modifier le comportement du médecin, facilitant l'annonce lorsqu'elle est faite ou au contraire incitant à ne pas annoncer. Au final, 88% des patients se sont déclarés satisfaits de l'information qui leur a été donnée, mais exprimant la possibilité d'une amélioration dans un cas sur quatre. La traçabilité a été majorée par la sensibilisation sur ce sujet puisque la moitié des courriers de sortie comprenaient une information sur l'annonce contre un tiers avant l'étude. Notre étude met en avant les conditions de l'annonce du cancer chez le sujet âgé qui pourraient être améliorées par un cadre mieux défini s'inspirant des directives du dispositif d'annonce, associé à un document assurant une meilleure traçabilité. De même les infirmiers interrogés souhaiteraient une formation relative à l'annonce leur permettant de mieux prendre en charge les patients dans les suites de l'entretien médical. De plus le vocabulaire à employer reste incertain, la bibliographie décrit qu'il faut s'adapter au patient ce qui peut être une difficulté majorée par l'âge et les troubles cognitifs. Il convient également de s'interroger sur le cas particulier des patients porteurs de troubles cognitifs sévères, l'enjeu étant de respecter la qualité de vie du patient sans négliger son droit à l'information. De plus si l'entourage a une place importante dans la prise en charge du sujet âgé, celui-ci doit pouvoir donner son consentement avant la transmission des informations à sa famille. Cette étude nous a donc permis de soulever des problèmatiques diverses sur lesquelles il sera intéressant de travailler en vue d'améliorer nos pratiques et de s'approcher au mieux des conditions de l'annonce recommandées par les plans cancer.

Download or read book valuation de l annonce du cancer chez les patients suivis dans le service d oncologie du centre hospitalier Robert Boulin de Libourne written by Johnny Lopes and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : À ce jour, le cancer est une priorité nationale de santé publique et représente la première cause de mortalité en France à savoir près de 30% des décès. Alors, comment annoncer cette maladie sans traumatiser le patient ? L'objectif de ce travail est d'analyser le processus de dispositif d'annonce ainsi que la première évocation du cancer à savoir la pré-annonce et enfin de recueillir l'expérience des patients sur ces deux points. Matériels et méthodes : Enquête observationnelle descriptive, rétrospective, par questionnaire auprès des patients suivis en consultation dans le service d'oncologie du centre hospitalier R. Boulin à Libourne de décembre 2014 à Mai 2015. Résultats : Cette étude a inclus 79 patients suivis en consultation dans le service d'oncologie. Il en ressort que l'évaluation du dispositif d'annonce est positive dans le service avec 75% des patients très satisfaits et 25% satisfaits. Les patients sont peu ou pas satisfaits à 40% de la pré-annonce effectuée en majorité par les médecins généralistes. Discussion : Concernant le dispositif d'annonce, bien qu'encore perfectible, il est bien accueilli par les patients qui souhaiteraient en partie une intégration plus importante du médecin généraliste dans celui-ci. Concernant la pré-annonce, le constat est différent. Cette pré-annonce effectuée majoritairement en ville et par le médecin traitant demande peut-être à être structurée à la manière du dispositif d'annonce afin de mieux remplir ses objectifs.

Download or read book Science and Empires written by P. Petitjean and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: SCIENCE AND EMPIRES: FROM THE INTERNATIONAL COLLOQUIUM TO THE BOOK Patrick PETITJEAN, Catherine JAMI and Anne Marie MOULIN The International Colloquium "Science and Empires - Historical Studies about Scientific De velopment and European Expansion" is the product of an International Colloquium, "Sciences and Empires - A Comparative History of Scien tific Exchanges: European Expansion and Scientific Development in Asian, African, American and Oceanian Countries". Organized by the REHSEIS group (Research on Epistemology and History of Exact Sciences and Scientific Institutions) of CNRS (National Center for Scientific Research), the colloquium was held from 3 to 6 April 1990 in the UNESCO building in Paris. This colloquium was an idea of Professor Roshdi Rashed who initiated this field of studies in France some years ago, and proposed "Sciences and Empires" as one of the main research programmes for the The project to organize such a colloquium was a bit REHSEIS group. of a gamble. Its subject, reflected in the title "Sciences and Empires", is not a currently-accepted sub-discipline of the history of science; rather, it refers to a set of questions which found autonomy only recently. The terminology was strongly debated by the participants and, as is frequently suggested in this book, awaits fuller clarification.

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 Conscripts and Deserters written by Alan I. Forrest and published by Oxford University Press, USA. This book was released on 1989 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: Between the outbreak of war with Austria in 1792 and Napoleon's final debacle in 1814, France remained almost continously at war, recruiting in the process some two to three million frenchmen--a level of recruitment unknown to previous generations and widely resented as an attack on the liberties of rural communities. Forrest challenges the notion of a nation heroically rushing to arms by examining the massive rates of desertion and avoidance of service as well as their consequences on French society--on military campaigns and the morale of armies, on political opinion at home, on the social fabric of local villages, and on the Napoleonic dream of bringing about a coherent and centralized state.

Download or read book Selections from the Correspondence of the First Lord Acton written by John Emerich Edward Dalberg Acton Baron Acton and published by London : Longmans, Green. This book was released on 1917 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Extravagant Inventions written by Wolfram Koeppe and published by Metropolitan Museum of Art. This book was released on 2012 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: Catalogue published in conjunction with the exhibition "Extravagant Inventions: the Princely Furniture of the Roentgens" on view at The Metropolitan Museum of Art, New York, from October 30, 2102, through January 27, 2013.

Download or read book Tele oncology written by Giovanna Gatti and published by Springer. This book was released on 2015-06-09 with total page 91 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explains how telemedicine can offer solutions capable of improving the care and survival rates of cancer patients and can also help patients to live a normal life in spite of their condition. Different fields of application – community, hospital and home based – are examined, and detailed attention is paid to the use of tele-oncology in rural/extreme rural settings and in developing countries. The impact of new technologies and the opportunities afforded by the social web are both discussed. The concluding chapters consider eLearning in relation to cancer care and assess the scope for education to improve prevention. No medical condition can shatter people’s lives as cancer does today and the need to develop strategies to reduce the disease burden and improve quality of life is paramount. Readers will find this new volume in Springer’s TELe Health series to be a rich source of information on the important contribution that can be made by telemedicine in achieving these goals.

Download or read book Vulnerable written by Colleen M. Flood and published by University of Ottawa Press. This book was released on 2020-07-14 with total page 850 pages. Available in PDF, EPUB and Kindle. Book excerpt: The novel coronavirus SARS-CoV-2, which causes the disease known as COVID-19, has infected people in 212 countries so far and on every continent except Antarctica. Vast changes to our home lives, social interactions, government functioning and relations between countries have swept the world in a few months and are difficult to hold in one’s mind at one time. That is why a collaborative effort such as this edited, multidisciplinary collection is needed. This book confronts the vulnerabilities and interconnectedness made visible by the pandemic and its consequences, along with the legal, ethical and policy responses. These include vulnerabilities for people who have been harmed or will be harmed by the virus directly and those harmed by measures taken to slow its relentless march; vulnerabilities exposed in our institutions, governance and legal structures; and vulnerabilities in other countries and at the global level where persistent injustices harm us all. Hopefully, COVID-19 will forces us to deeply reflect on how we govern and our policy priorities; to focus preparedness, precaution, and recovery to include all, not just some. Published in English with some chapters in French.

Download or read book Neutrophilic Dermatoses written by Daniel Wallach and published by Springer. This book was released on 2018-05-02 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides an in depth overview of Neutrophilic Dermatoses, a group of diseases that includes Sweet’s syndrome, pyoderma gangrenosum and subcorneal pustular dermatosis. Although there are still some gaps in the knowledge, it is now clear that their pathophysiology implies that mechanisms associated with auto-inflammation are involved, while many of these dermatoses occur in the setting of other systemic inflammatory diseases (colitis, arthritis) and of malignancies (blood malignancies, solid cancers). As such it is an important area of study within internal medicine. Neutrophilic Dermatoses represents an extensive clinical review of the group of diseases and is a critical resource for all medical professionals managing these patients, including clinicians in dermatology, gastro-enterology,, rheumatology, hematology, and internal medicine.

Download or read book HPV and Cancer written by James A. Radosevich and published by Springer Science & Business Media. This book was released on 2012-12-14 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: “HPV and Cancer” is a concise read that covers all aspects of the Human Papilloma Virus as it relates to human cancers. While written by professionals, it design to be understandable by those that are not in the field, yet it has the technical details that professionals want to stay abreast of this changing field. The book starts out the history of HPV and progresses into the molecular biology of the virus and our current understand of the structure and functions of the proteins and genes it encodes. We then look at the dynamic trends of this infectious agent in the human population, how it interacts with human cells, and the role it plays with other organisms to produce both benign and malignant tumors. Lastly, there is a discussion about a new vaccine for HPV and the hopes that are held by many to change the trends with this virus and the associated cancers it produces.

Download or read book Introduction of Image Guided Radiotherapy Into Clinical Practice written by International Atomic Energy Agency and published by . This book was released on 2019-04-04 with total page 39 pages. Available in PDF, EPUB and Kindle. Book excerpt: This publication provides guidelines, and highlights the milestones to be achieved by radiotherapy departments in the safe and effective introduction of image guided radiotherapy. Recent advances in external beam radiotherapy include the technology to image the patient in the treatment position, in the treatment room at the time of treatment. Since this technology and associated image techniques, termed image guided radiotherapy, are perceived as the cutting-edge of development in the field of radiotherapy, this publication addresses the concerns of personnel in radiotherapy departments as to the preparatory conditions and resources involved in implementation. Information is also presented on the current status of the evidence supporting the use of image guided radiotherapy in terms of patient outcomes.

Download or read book Transitions Theory written by Afaf I. Meleis, PhD, DrPS (hon), FAAN and published by Springer Publishing Company. This book was released on 2010-02-17 with total page 664 pages. Available in PDF, EPUB and Kindle. Book excerpt: "It is very exciting to see all of these studies compiled in one book. It can be read sequentially or just for certain transitions. It also can be used as a template for compilation of other concepts central to nursing and can serve as a resource for further studies in transitions. It is an excellent addition to the nursing literature." Score: 95, 4 Stars. --Doody's "Understanding and recognizing transitions are at the heart of health care reform and this current edition, with its numerous clinical examples and descriptions of nursing interventions, provides important lessons that can and should be incorporated into health policy. It is a brilliant book and an important contribution to nursing theory." Kathleen Dracup, RN, DNSc Dean and Professor, School of Nursing University of California San Francisco Afaf Meleis, the dean of the University of Pennsylvania School of Nursing, presents for the first time in a single volume her original "transitions theory" that integrates middle-range theory to assist nurses in facilitating positive transitions for patients, families, and communities. Nurses are consistently relied on to coach and support patients going through major life transitions, such as illness, recovery, pregnancy, old age, and many more. A collection of over 50 articles published from 1975 through 2007 and five newly commissioned articles, Transitions Theory covers developmental, situational, health and illness, organizational, and therapeutic transitions. Each section includes an introduction written by Dr. Meleis in which she offers her historical and practical perspective on transitions. Many of the articles consider the transitional experiences of ethnically diverse patients, women, the elderly, and other minority populations. Key Topics Discussed: Situational transitions, including discharge and relocation transitions (hospital to home, stroke recovery) and immigration transitions (psychological adaptation and impact of migration on family health) Educational transitions, including professional transitions (from RN to BSN and student to professional) Health and illness transitions, including self-care post heart failure, living with chronic illness, living with early dementia, and accepting palliative care Organization transitions, including role transitions from acute care to collaborative practice, and hospital to community practice Nursing therapeutics models of transition, including role supplementation models and debriefing models

Download or read book Communication in Cancer Care written by F. Stiefel and published by Springer Science & Business Media. This book was released on 2006-09-13 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers all the relevant aspects of communication in cancer care, such as communication in cancer prevention and genetic counseling, communication at different stages of disease and communication with the family and children. In addition, more general topics are discussed, such as the benefits and evidence of communication skills training and the challenges of interdisciplinary and cross-cultural communication.

Download or read book Philosophy in a Time of Terror written by Giovanna Borradori and published by University of Chicago Press. This book was released on 2013-05-28 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: The idea for Philosophy in a Time of Terror was born hours after the attacks on 9/11 and was realized just weeks later when Giovanna Borradori sat down with Jürgen Habermas and Jacques Derrida in New York City, in separate interviews, to evaluate the significance of the most destructive terrorist act ever perpetrated. This book marks an unprecedented encounter between two of the most influential thinkers of our age as here, for the first time, Habermas and Derrida overcome their mutual antagonism and agree to appear side by side. As the two philosophers disassemble and reassemble what we think we know about terrorism, they break from the familiar social and political rhetoric increasingly polarized between good and evil. In this process, we watch two of the greatest intellects of the century at work.

Download or read book Emerging Challenges to Food Production and Security in Asia Middle East and Africa written by Mohamed Behnassi and published by Springer Nature. This book was released on 2021-07-28 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book, as a part of a series of CERES publications, provides a multi-regional and cross-sectoral analysis of food and water security, especially in the era of climate risks, biodiversity loss, pressure on scarce resources, especially land and water, increasing global population, and changing dietary preferences. It includes both conceptual research and empirically-based studies, which provides context-specific analyses and recommendations based on a variety of case studies from Africa, Middle East, and Asia regarding the fostering of long-term resilience of food and water security. The core approach of the volume consists of: assessing the structural drivers affecting the vulnerability of food and water security, under the persistence of current trends; identifying the best solutions and practices to enhance the climate resilience for food and water security; and fostering climate adaptation and biodiversity protection for food and water security.