Download or read book valuation des adolescents pr sentant une ob sit un an apr s une prise en charge dans un Centre de soins de suite et de R adaptation P diatrique written by Estelle Malikian and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : l'obésité infantile constitue l'un des plus grands défis pour la santé publique du 21eme siècle en raison de sa forte prévalence et des conséquences à l'âge adulte. En France métropolitaine, d'après l'étude ESTEBAN menée de 2014 à 2016, la prévalence du surpoids chez les enfants et adolescents de 6 à 17 ans est estimée à 17 % dont 4 % d'obèses. Les SSR proposent une prise en charge multidisciplinaire pour les enfants en surpoids au cours d'une hospitalisation thérapeutique et éducative. Notre étude porte sur le développement d'une nouvelle structure de soin en région PACA : le SSR Val Pré Vert qui a ouvert ses portes en 2014. L'objectif de notre étude était d'évaluer l'impact de cette hospitalisation sur des adolescents à savoir une modification de leurs habitudes de vie. Matériel et méthodes : dans cette étude épidémiologique prospective, ont été inclus les adolescents âgés de 12 à 18 ans présentant un IMC>97eme percentile et hospitalisés sur l'année 2016-2017. Les données psychopathologiques, pondérales, physiques, nutritionnelles et socio-familiales en début et fin de prise en charge ont été extraites à partir de dossiers informatisés. Les données à distance (≥ 1 an) ont été récoltées à l'aide d'un questionnaire proposés aux adolescents et à leur famille. Résultats : sur 29 adolescents hospitalisés, le taux de réponse pour les données à 1 an était de 41,4 %. L'anxiété (p=0,0077) et la mauvaise estime de soi (p
Download or read book Motifs d arr t de suivi apr s un s jour prolong en SSR de prise en charge de l ob sit de l adolescent et valuation du devenir pond ral et comportemental 2 ans written by Adrien Tallarico and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : L'obésité de l'enfant et de l'adolescent est aujourd'hui un problème de santé publique. La prise en charge de l'obésité infantile doit s'articuler autour d'une rééducation diététique, d'une remise à l'activité physique et d'une prise en charge psychologique. Le centre Marc Sautelet, centre de soins de suite et rééducation pédiatrique situé à Villeneuve d'Ascq, effectue cette prise en charge multidisciplinaire depuis 2010. Néanmoins, à 2 ans du séjour, 70% des adolescents ont arrêté le suivi. L'objectif de cette étude est d'évaluer les raisons ayant entrainé cet arrêt de suivi ainsi que le devenir des adolescents ayant bénéficié d'un séjour de prise en charge de l'obésité. Méthodes : Un questionnaire de 12 questions portant notamment sur leur suivi, leurs raisons d'arrêt de suivi le cas échéant et leur devenir pondéral à 2 ans, était posé par téléphone, sur entretien dirigé, auprès des adolescents ayant bénéficié d'un séjour de prise en charge de l'obésité au centre Marc Sautelet dans la période de septembre 2014 à aout 2017. Les patients étaient considérés comme « perdus de vus » après 10 appels infructueux ou refus de consentement. Résultats : 76 adolescents étaient interrogés, soit 62,3% des adolescents ayant bénéficié d'un séjour sur la période étudiée. Le suivi auprès du centre Marc Sautelet avait été interrompu avant 2 ans dans 72,4% des cas. Les raisons motivant l'arrêt du suivi étaient principalement un manque de motivation à la poursuite de perte de poids chez 27,8% des patients en arrêt de suivi et des problèmes d'ordre familial ou personnel chez 25,9% des sujets en arrêt de suivi. On notait dans l'étude de meilleurs résultats concernant le suivi des mesures hygiénodiététiques, l'activité physique actuelle et la diminution du Z-score de l'Indice de Masse Corporelle chez les patients ayant poursuivi leur suivi au-delà de deux ans (Z-score : - 0,105 vs - 0,073 ; p = 0,028) Conclusion : Cette étude montre qu'il est nécessaire de suivre l'enfant obèse sur le plan psychologique afin d'entretenir la motivation. Elle montre aussi qu'un suivi prolongé améliore les résultats de la prise en charge.
Download or read book Suivi d adolescents en situation d ob sit apr s prise en charge sp cialis e written by Typhaine Quere and published by . This book was released on 2015 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: En Ille-et-Vilaine, le centre de soins de suite et de réadaptation Rey-Leroux, propose une hospitalisation thèrapeutique et éducative aux adolescents en situation d'obésité sévère, dans le but de modifier durablement les habitudes de vie afin de diminuer la corpulence, et ainsi limiter l'incidence des comorbidités et améliorer la qualité de vie de l'adolescent. Néanmoins le centre n'organise pas de consultation de suivi post séjour, on ne peut donc pas juger de l'efficacité à terme de cette intervention. Cette étude observationnelle a été réalisée, auprès des 194 adolescents pris en charge au centre entre septembre 2007 et avril 2014, afin d'évaluer le devenir de ces adolescents à distance du séjour. Le recueil des données était rétrospectif par l'intermédiaire de questionnaires envoyés à l'adolescent. Le taux de réponse après relance téléphonique était de 42,8 % pour un délai médian depuis la fin du dernier séjour de 3,2 ans. La majorité des sujets (59%) n'ont pas de suivi médical alors même que 60 % se sentent exposés à des problèmes de santé. L'évolution de la corpulence était évaluée par le Z-score IMC. Celle-ci était maintenue dans 22 % des cas, diminuée dans 30 % des cas et augmentée dans 36 % des cas (10 données manquantes). Le sexe féminin (p=0,03), une durée de séjour longue (p=0,04), le fait d'avoir une activité physique faible (p=0,047) et certains comportements alimentaires sont associés à une reprise pondérale. La présence d'un suivi post séjour n'influence pas l'évolution de la corpulence. Le niveau de corpulence est significativement associé à une qualité de vie liée à la santé moins bonne (p=0,0003)
Download or read book Sleep Disorders in Adolescents written by Sanjeev V. Kothare and published by Springer. This book was released on 2016-09-21 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: This clinical casebook presents a comprehensive review of common sleep problems in adolescents in a concise, easy-to-read format. Each chapter thoroughly addresses a unique sleep disorder in teenagers through illustrative cases, reviews of relevant literature, and pearls of wisdom for both the practicing sleep specialist and other practitioners involved in the care of adolescents. Early chapters address various sleep disorders in detail: parasomnias, narcolepsy, obstructive sleep apnea, and delayed sleep-wake phase disorder, providing clear treatment considerations. Later chapters address sleep when complicated by issues of major depression, PTSD, epilepsy, and Traumatic Brain Injury. In-depth discussions and differential diagnosis engage the reader, and offer a multitude of research-based and clinically guided recommendations for the evaluation and treatment of sleep disorders in the adolescent. An ideal, practical resource for clinicians at all levels, Sleep Disorders In Adolescents provides a valuable contribution to adolescent care.
Download or read book Pain in Infants Children and Adolescents written by Neil L. Schechter and published by Lippincott Williams & Wilkins. This book was released on 2003 with total page 924 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.
Download or read book Clinical Management of Patients with Viral Haemorrhagic Fever written by World Health Organization and published by World Health Organization. This book was released on 2016-05-03 with total page 203 pages. Available in PDF, EPUB and Kindle. Book excerpt: First published in March 2014 under the title "Clinical management of patients with viral haemorrhagic fever: a pocket guide for front-line health workers: interim emergency guidance for West Africa".
Download or read book Emergency Psychiatric Care written by H. L. P. Resnik and published by Brady Publishing. This book was released on 1975 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Cancer and the Family written by Lea Baider and published by . This book was released on 1996-05-27 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume is the result of many years of clinical research by medical and health care professionals working with cancer patients and their families. It demonstrates the impact of cancer at different stages of a patient's life, and how certain factors influence treatment and management.
Download or read book Circadian Rhythm Sleep Wake Disorders written by R. Robert Auger and published by Springer Nature. This book was released on 2020-05-26 with total page 251 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book resolves to bridge the communication gap between research and clinical practice for circadian rhythm sleep-wake disorders. Beginning with a scientific background on biological timekeeping, opening chapters describe the crucial nature of maintaining delicate temporal organization of physiological and molecular events within the body. Following this are discussions on circadian physiology and methods of circadian assessments. Subsequent chapters then relay comprehensive information regarding the International Classification of Sleep Disorders-defined circadian rhythm sleep-wake disorders (CRSWDs), specifically discussing etiology and epidemiology, but focusing on evidence-based treatment data. Concluding discussions provide guidance for the application of light therapy and discuss future roles for optimized lighting environments. Nuanced and market-demanded, Circadian Rhythm Sleep-Wake Disorders: An Evidence-Based Guide for Clinicians and Investigators is an invaluable resource for Sleep Medicine clinicians, circadian researchers, and other interested parties.
Download or read book Occupational Therapy Practice Guidelines for Older Adults with Low Vision written by Jennifer Kaldenberg and published by . This book was released on 2013 with total page 119 pages. Available in PDF, EPUB and Kindle. Book excerpt: The U.S. population is aging, and occupational therapy practitioners working with older adults must have the skills to address multiple health issues, including vision loss. Although typical aging does not cause low vision, four major causes of vision impairment are directly related to the aging process: (1) age-related macular degeneration (AMD), (2) diabetic retinopathy, (3) glaucoma, and (4) cataracts. Instances of these impairments are expected to double by the year 2050, making low vision a significant public health issue. This Practice Guideline includes occupational therapy assessment and intervention guidelines for older adults who have visual acuity impairments, visual field impairments, or both as a result of a low vision diagnosis. Screening, referral, and evaluation are covered for clients for central visual field impairments, such as AMD and cataract; peripheral field impairments, such as glaucoma, hemianopsia, and quadrantanopsia; and mixed visual field loss, such as diabetic retinopathy. This work can help occupational therapists and occupational therapy assistants, as well as individuals who manage, reimburse, or set policy regarding occupational therapy services, understand the contribution of occupational therapy to treating older adults with low vision. Appendixes include selected diagnostic and billing codes and evidence tables.
Download or read book The Eurocleft Project 1996 2000 written by Bill Shaw and published by IOS Press. This book was released on 2000 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: The European Register of Cleft Lip and Palate Services will be produced as a result of the concerted action project: Standards of Care for Cleft Lip and Palate in Europe: EUROCLEFT funded by the European Commision under its BIOMED II and INCO COPERNICUS programmes. The project, aimed at developing a network of cleft care teams across Europe, ran for three years between 1996 and 1999 and aimed broadly to improve the effectiveness and efficiency of care for European children with clefts of the lip and/or palate. Clefts of the lip and/or palate are birth defects affecting 1:500 live births. Successful rehabilitation requires a complex multidisciplinary mix of services.
Download or read book Headache and Migraine Biology and Management written by Seymour Diamond and published by Academic Press. This book was released on 2015-03-13 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are two crucial issues in the treatment and management of headache patients: More than 50% of individuals experiencing headache have only been treated symptomatically, with no appropriate diagnosis established; and history and neurologic examination are essential to establishing a diagnosis, and thus selecting appropriate therapy. Headache and Migraine Biology and Management is a practical text that addresses these issues, featuring contributions from expert clinical authors. The book covers in detail topics including chronic and episodic migraine, post-traumatic headache, sinus headache, cluster headache, tension headache, and others. Chapters are also dedicated to treatment subjects, including psychiatric and psychological approaches, medication overuse, inpatient treatment, and pediatric issues. This book is an ideal resource for researchers and clinicians, uniting practical discussion of headache biology, current ideas on etiology, future research, and genetic significance and breakthroughs. This resource is useful to those who want to understand headache biology, treat and manage symptoms, and for those performing research in the headache field. - A practical discussion of headache biology, current ideas on etiology, future research, and genetic significance and breakthroughs - Features chapters from leading physicians and researchers in headache medicine - Full-color text that includes both an overview of multiple disciplines and discusses the measures that can be used to treat headaches
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 Handbook of Psychooncology written by Jimmie C. Holland and published by Oxford University Press, USA. This book was released on 1989 with total page 808 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Evolution of Awareness written by Kia Marlene and published by . This book was released on 2022-03-08 with total page 444 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evolution of Awareness, the debut poetry collection from Kia Marlene, is a book about a spiritual journey towards enlightenment. The collection consists of 6 chapters, titled "The Egg," "The Caterpillar," "Intermission (heartbreak&love)," "The Cocoon," "The Butterfly," and a chapter titled "Knock Knock." Through numerous poems this book outlines various thoughts, questions and eventual answers concerning our collective greater purpose in life, self love, consciousness, and personhood. The author intends for this book to help broaden the reader's general perception, view of their environment, awareness, and sense of self.
Download or read book Patient Engagement written by Marie-Pascale Pomey and published by Springer Nature. This book was released on 2019-10-10 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-oriented approaches to healthcare management have been brought to the fore in recent years, yet this book underlines how even further change is needed in order to fully mobilise the experiential knowledge of patients, and ultimately improve our healthcare systems. With contributions from scholars and patients across the globe, this collection brings together a comprehensive overview of major achievements in patient engagement, analysing political, organizational and clinical contexts. By understanding the concept of care partnership, the authors explore how this patient revolution could transform, improve and innovate the ways in which care services are organized and delivered. Looking closely at the role of new technologies, this timely book will undoubtedly be of use to patients, managers and professionals within the healthcare industry, as well as those researching health policy and organization.
