Download or read book Approche de la communication entre internes en m decine g n rale et patients diab tique de type 2 written by Pierre Millot and published by . This book was released on 2016 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sensible au contexte d'éducation thérapeutique qu'implique cette maladie chronique, nous avons étudié la transmission des messages des internes ainsi que leur contenu en jargon médical. Notre travail porte sur la communication verbale interpersonnelle dans la relation médecin-patient. Matériel et méthode : Démarche qualitative avec double recueil de données : par des consultations enregistrées suivies d'un questionnaire sur les messages émis et reçus, et par un focus group d'internes. Résultats : 9 consultations enregistrées, montrant une prédominance d'occupation de l'espace verbal par les internes (60% en moyenne). Les questionnaires ont révélé l'importance de la différence entre volume d'information émis et reçu. Un focus group de 10 internes a retrouvé les thématiques des messages des consultations. Discussion : L'analyse des messages a montré un jargon régulièrement expliqué et reformulé, une absence quasi-totale de vérification de compréhension, et l'utilisation régulière de banalisation et dramatisation. Le focus group a isolé beaucoup d'obstacles à la communication : liés aux internes, aux patients ou divers. Les internes ont jugé nécessaire d'améliorer leur expérience, le temps alloué aux patients, de vérifier la compréhension des patients et d'éviter le trop-plein d'information. Conclusion : Le jargon médical, bien que présent, ne semble pas le principal obstacle de la transmission de messages. Les futurs médecins gagneraient à laisser plus de temps de parole aux patients, leur donner moins d'information et vérifier leur compréhension.

Download or read book Investigating the impact of immune related adverse events glucocorticoids use and immunotherapy interruption on long term survival outcomes anglais written by Charline Lafayolle de la Bruyère and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le diabète de type 2 représente 90% des cas. Un risque accru de fracture a été observé chez les patients diabétiques, alors que la DMO est 5 à 10% plus élevée chez les patients atteints de DT2 par rapport aux sujets sains. Nous avons utilisé la tomographie quantitative périphérique à haute résolution (HR-pQCT) pour caractériser les paramètres micro-architecturaux corticaux et trabéculaires, chez les DT2 comparé à des sujets sains. Nous avons conduit une étude cas-témoin nichée au sein de 3 cohortes prospectives, réunissant ainsi 507 participants, hommes et femmes inclus. Chaque cas était apparié à 2 témoins, sur le sexe, l'âge et l'IMC. Les hommes DT2 ont une densité minérale osseuse augmentée de façon significative au niveau du col fémoral (0.83 ± 0.13 vs 0.79 ± 0.14 g/cm2). Après ajustement sur la médiane d'évolution du diabète, on observe une aire totale au niveau du radius et du tibia diminué de façon significative. Parmi les femmes, au niveau du radius, l'aire corticale est significativement plus grande chez les DT2 (44.35 ± 9.26 vs 41.17 ± 10.05 mm2), de même pour la densité corticale qui est plus haute (826.6 ± 70.21 vs 804.37 ± 72.72 mg HA/cm3). Après ajustement sur la médiane de durée du diabète, la densité totale au niveau du tibia est plus haute (p

Download or read book The President s Physician written by Babatunde E. Omobowale and published by . This book was released on 2004 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Bulletin of the Battle Creek Sanitarium and Hospital Clinic written by Battle Creek Sanitarium (Battle Creek, Mich.) and published by . This book was released on 1925 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book In Sight of Chaos written by Hermann Hesse and published by . This book was released on 1923 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book High Temperature Ordered Intermetallic Alloys IV Volume 213 written by L. A. Johnson and published by Materials Research Society. This book was released on 1991-05-31 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The MRS Symposium Proceeding series is an internationally recognised reference suitable for researchers and practitioners.

Download or read book Friends and Exiles written by Des Alwi and published by Cornell University Press. This book was released on 2018-08-06 with total page 189 pages. Available in PDF, EPUB and Kindle. Book excerpt: Des Alwi tells of his childhood on the eastern Indonesian island of Banda, where he was befriended and adopted by the two nationalist leaders, Mohammad Hatta and Sutan Sjahrir, exiled there by the Dutch colonial regime. He describes his experiences on Banda and Java during the Japanese Occupation and his involvement in the underground struggle for Independence.

Download or read book Oil and Islam written by Øystein Noreng and published by John Wiley & Sons. This book was released on 1997-08-04 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: During the 1970s and early 1980s, the Middle East and North Africa were perceived as being exceptionally successful, but now the region is viewed as a resounding economic and social failure. Islam is not only a religion, but also a political and social project. A major pretext of this work is to demonstrate how the tensions within Islamic movements feed directly into the economic, social, political, historical and religious arena of the region, and vice versa. An introductory chapter sets the context of the book. The core chapters of the book comprise an in-depth examination of the varied forms of oil revenue abuse. For examples, the past mismanagement of the tremendous wealth provided by oil. Following Islamic beliefs, revenue from oil should not finance wasteful consumption, but used instead for public welfare. Abstaining from interest calculations, there should be a case for keeping more oil in the ground. Indeed, oil has also stifled industrial development, and with declining oil revenues, the conflict between civilian and military priorities intensifies. While western interests have promoted arms spending, high population-growth expenditure reinforces the reality of the count-down to the post-oil era upon the Middle Eastern and North African oil exporters. So far the governments seem unwilling or unable to adapt and react. Furthermore, in the past oil has been used as a substitute for democracy. While the large oil revenues of the 1970s and early 1980s strengthened the position of autocratic rulers and weakened the private sector,repressive regimes have made Islam a source of criticism and opposition for the Western world. Following on from this, the book then looks forward to the problem of uniting the divergent interests in the spheres of oil and Islam into a cohesive whole. The book proposes that ideally Islamic governments would synchronise the depletion of oil reserves with investment in new productive assets. Islamic governments could also find ways to combine private, domestic and foreign interests in the oil industry. The main readership for this book will be policy-makers and professionals involved in development issues for Middle Eastern and North African affairs, and those with an interest in oil politics and Islamic studies.

Download or read book The Anthropology of Morality in Melanesia and Beyond written by John Barker and published by Routledge. This book was released on 2016-04-01 with total page 429 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Anthropology of Morality in Melanesia and Beyond examines how Melanesians experience and deal with moral dilemmas and challenges. Taking Kenelm Burridge’s seminal work as their starting point, the contributors focus upon public situations and types of people that exemplify key ethical contradictions for members of moral communities. While returning to some classical concerns, such as the roles of big men and sorcerers, the book opens new territory with richly textured ethnographic studies and theoretical reviews that explore the interface between the values associated with indigenous village life and the ethical orientations associated with Christianity, the state, the marketplace, and other facets of ’modernity'. A major contribution to the emerging field of the anthropology of morality, the volume includes some of the most prominent scholars working in the discipline today, including Bruce Knauft, Joel Robbins, F.G. Bailey, Deborah Gewertz and Frederick Errington.

Download or read book Optical and Electrical Properties of Polymers Volume 214 written by John A. Emerson and published by Mrs Proceedings. This book was released on 1991-10-18 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: The MRS Symposium Proceeding series is an internationally recognised reference suitable for researchers and practitioners.