Download or read book L insomnie le patient et le m decin g n raliste written by Frédéric Glomot and published by . This book was released on 2014 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : Les troubles du sommeil regroupent différentes symptomatologies parmi lesquelles, l'insomnie qui est un problème de santé très répandu chez les patients consultants en médecine générale. Dont le traitement de premier recours est souvent un somnifère. L'objectif principal de cette étude était d'étudier la qualité de sommeil des patients traités pour leur insomnie avec un somnifère de manière chronique. L'hypothèse principale était que le sommeil de cette population est de mauvaise qualité. L'objectif secondaire était d'étudier la motivation des patients à arrêter leur somnifère. L'hypothèse secondaire était que les patients les plus motivés étaient ceux ayant une mauvaise qualité de sommeil. Méthode : L'étude portait sur des patients vu en consultations dans différents cabinets de médecine générale du département de la Vienne. En fin de consultation, tout patient prenant un hypnotique au long cours (>1 mois) s'était vu remettre un questionnaire évaluant la qualité de sommeil et la motivation pour se sevrer de leur médication. Ce questionnaire était composé de deux parties. La première permettait de répondre à l'objectif principal de l'étude sur la qualité du sommeil du patient à l'aide des items du Pittsburgh Sleep Quality Index (PSQI). La deuxième partie permettait d'évaluer la motivation du patient, et plus particulièrement la balance décisionnelle. Résultats : 62 patients ont été inclus. Concernant la qualité de sommeil, le score le plus faible était de 5 et concernait deux patients. Tous les autres patients avaient un score supérieur à 5. Le score le plus élevé était de 18. La moyenne du score du PSQI de nos patients était de 11.21, et la médiane était de 11. Les patients utilisant de manière chronique une médication pour dormir avaient objectivement une mauvaise qualité de sommeil. La durée de traitement était en moyenne de 7 ans, 10 mois et 24 jours. La plus courte durée était de 2 mois, tandis que la plus longue était de 40 ans. Au niveau de la motivation, le score le plus faible était de -20 et le plus élevé est de 16. Huit patients (13%) avaient un score positif. Deux patients (3%) avaient un score égal à zéro. 52 patients (84%) avaient un score négatif. Les patients sous somnifères n'étaient pour la grande majorité pas motivés pour un sevrage. Conclusion : En dépit du fait que la prise de somnifère(s) n'a pas amélioré la qualité de sommeil des patients souffrant d'insomnie, les patients n'étaient pour la plupart pas motivés pour l'arrêt de leur traitement.
Download or read book L insomnie en m decine g n rale dans cinq r gions fran aises written by Marie-Anne Vieillot Massuel and published by . This book was released on 2009 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: Une étude épidémiologique, dans cinq régions françaises, a permis de décrire le diagnostic d'insomnie (critères ICSD), les comorbidités, le retentissement diurne, la prise en charge, la perception du patient et du médecin. 249 médecins généralistes ont inclus 2168 patients (≥ 18 ans) souffrant d'insomnie, traités ou non. Dans 54% des cas, l'insomnie était liée à l'anxiété, dans 21% elle était psychophysiologique, dans 12% liée à un trouble de l'humeur. Dans 61% des cas elle était chronique (>7ans). Des facteurs déclenchant étaient retrouvés dans le cas de troubles de l'humeur (79%) et d'insomnie liée à l'anxiété (71%). Par rapport au patient le médecin sous-estimait le retentissement diurne. Les examens complémentaires ou l'avis spécialisé étaient rarement prescrits, le traitement avant tout pharmacologique. Les hypnotiques étaient préférés lors d'insomnie transitoire, une co-médication avec un autre psychotrope prescrite dans le cas d'insomnie chronique. Une meilleure connaissance, par le médecin généraliste, des différents types d'insomnie est nécessaire.
Download or read book L insomnie en m decine g n rale written by Caroline Bernardini and published by . This book was released on 2010 with total page 378 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les troubles du sommeil sont une cause très fréquente de consultation en médecine générale. Nous avons voulu déterminer quels étaient les outils qu’utilisait le médecin généraliste pour identifier et accompagner ses patients insomniaques. A cette fin, après avoir rappelé quelques aspects physiopathologiques du sommeil, nous avons réalisé une enquête auprès de 112 praticiens répartis sur cinq départements. Trente questionnaires ont ainsi pu être analysés. Cette enquête révèle un besoin de formation des médecins généralistes dans le diagnostic comme dans la prise en charge des troubles du sommeil : 80% n’utilisent pas l’agenda du sommeil, et tous proposent une solution pharmacologique aux problèmes d’insomnie. Les traitements non pharmacologiques sont sensiblement moins employés, 37% des médecins déclarant toutefois avoir recours aux thérapies cognitivo-comportementales (TCC). Plusieurs éléments freinent le recours aux thérapies non pharmacologiques, que ce soit l’insuffisance de formation, la non reconnaissance par l’assurance maladie de ce type de travail, ou la demande du patient d’avoir un traitement rapidement efficace. Nous avons alors recherché comment améliorer la formation des médecins et abouti à quelques points essentiels : proposer des consultations dédiées, s’aider de l’agenda du sommeil, utiliser des techniques simples de TCC telles que le contrôle du stimulus, la restriction de sommeil et le repérage des pensées dysfonctionnelles. La mise en place de ces méthodes simples à utiliser nous a rappelé l’adage de Sénèque : « Ce n’est pas parce que c’est difficile que je ne le fais pas, mais parce que je ne le fais pas que c’est difficile... »
Download or read book Explaining Health Across the Sciences written by Jonathan Sholl and published by Springer Nature. This book was released on 2020-08-28 with total page 551 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edited volume aims to better understand the multifaceted phenomenon we call health. Going beyond simple views of health as the absence of disease or as complete well-being, this book unites scientists and philosophers. The contributions clarify the links between health and adaptation, robustness, resilience, or dynamic homeostasis, and discuss how to achieve health and healthy aging through practices such as hormesis. The book is divided into three parts and a conclusion: the first part explains health from within specific disciplines, the second part explores health from the perspective of a bodily part, system, function, or even the environment in which organisms live, and the final part looks at more clinical or practical perspectives. It thereby gathers, across 30 chapters, diverse perspectives from the broad fields of evolutionary and systems biology, immunology, and biogerontology, more specific areas such as odontology, cardiology, neurology, and public health, as well as philosophical reflections on mental health, sexuality, authenticity and medical theories. The overarching aim is to inform, inspire and encourage intellectuals from various disciplines to assess whether explanations in these disparate fields and across biological levels can be sufficiently systematized and unified to clarify the complexity of health. It will be particularly useful for medical graduates, philosophy graduates and research professionals in the life sciences and general medicine, as well as for upper-level graduate philosophy of science students.
Download or read book Depression in Children and Adolescents written by Kedar Nath Dwivedi and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book, which draws together contributions from specialists in child, adolescent and family psychiatry, child psychotherapy, social work, community psychiatric nursing, educational therapy, special needs coordination in teaching, and general practice, provides a valuable resource for those professionals in contact with young people suffering from depression.
Download or read book Guidelines for Preventive Activities in General Practice written by Royal Australian College of General Practitioners and published by . This book was released on 2012 with total page 125 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Treatise on Acupuncturation written by James Morss Churchill and published by BoD – Books on Demand. This book was released on 2018-09-21 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reproduction of the original: A Treatise on Acupuncturation by James Morss Churchill
Download or read book Case Studies in Insomnia written by P.J. Hauri and published by Springer Science & Business Media. This book was released on 1991-08-31 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sleep disorder experts discuss specific behavioral techniques, psychotherapeutic techniques and pharmacotherapy, comprehensive and integrated approaches, disorders of the sleep-wake schedule, and specific populations--the chronically ill and older adults. The field has seen rapid advances in recent years and has attained growing respectability--insomnia is now seen as something more than a manifestation of depression or simply an annoying nuisance to be extinguished with hyponotics. Annotation copyrighted by Book News, Inc., Portland, OR
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 International Handbook of Alcohol Dependence and Problems written by Nick Heather and published by John Wiley & Sons. This book was released on 2001-05-18 with total page 920 pages. Available in PDF, EPUB and Kindle. Book excerpt: Focusing on alcohol dependence and alcohol-related problems in general, as well as their causes, treatment and prevention, this handbook also addresses the basic mechanisms of alcohol and its effects on human physiology and behaviour.
Download or read book Homeopathic Practice written by Steven B. Kayne and published by . This book was released on 2008 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: Uniquely approaches the subject of homeopathy by demonstrating how the theoretical principles underpinning practice directly translate to day-to-day practice. Contents include homepathic theory and the need for an evidence base, homeopathic drug provings and the Materia Medica, the production and use of homeopathic medicines, and use of homeopathy by different healthcare providers working in a variety of global settings.
Download or read book A Call to Heal written by Ian Renwick McWhinney and published by . This book was released on 2013-02 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Dimensions of Well being written by Antonella Delle Fave and published by FrancoAngeli. This book was released on 2006 with total page 596 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Oxford Textbook of Palliative Medicine written by Nathan I. Cherny and published by Oxford University Press, USA. This book was released on 2015 with total page 1281 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emphasising the multi-disciplinary nature of palliative care the fourth edition of this text also looks at the individual professional roles that contribute to the best-quality palliative care.
Download or read book Fighting for a Hand to Hold written by Samir Shaheen-Hussain and published by McGill-Queen's Press - MQUP. This book was released on 2020-09-23 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: Launched by healthcare providers in January 2018, the #aHand2Hold campaign confronted the Quebec government's practice of separating children from their families during medical evacuation airlifts, which disproportionately affected remote and northern Indigenous communities. Pediatric emergency physician Samir Shaheen-Hussain's captivating narrative of this successful campaign, which garnered unprecedented public attention and media coverage, seeks to answer lingering questions about why such a cruel practice remained in place for so long. In doing so it serves as an indispensable case study of contemporary medical colonialism in Quebec. Fighting for a Hand to Hold exposes the medical establishment's role in the displacement, colonization, and genocide of Indigenous peoples in Canada. Through meticulously gathered government documentation, historical scholarship, media reports, public inquiries, and personal testimonies, Shaheen-Hussain connects the draconian medevac practice with often-disregarded crimes and medical violence inflicted specifically on Indigenous children. This devastating history and ongoing medical colonialism prevent Indigenous communities from attaining internationally recognized measures of health and social well-being because of the pervasive, systemic anti-Indigenous racism that persists in the Canadian public health care system - and in settler society at large. Shaheen-Hussain's unique perspective combines his experience as a frontline pediatrician with his long-standing involvement in anti-authoritarian social justice movements. Sparked by the indifference and callousness of those in power, this book draws on the innovative work of Indigenous scholars and activists to conclude that a broader decolonization struggle calling for reparations, land reclamation, and self-determination for Indigenous peoples is critical to achieve reconciliation in Canada.
Download or read book PASCAL written by and published by . This book was released on 1991 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Oxford Textbook of Palliative Care for Children written by Richard Hain and published by Oxford University Press. This book was released on 2021-03-24 with total page 535 pages. Available in PDF, EPUB and Kindle. Book excerpt: The importance of palliative care for children facing life threatening illness and their families is now widely acknowledged as an essential part of care, which should be available to all children and families, throughout the child's illness and at the end of life. The new edition of the Oxford Textbook of Palliative Care for Children brings together the most up to date information, current knowledge, evidence, and developments of clinical practice in the field. The book is structured into four sections. 'Foundations of Care' describes core issues, the foundations on which paediatric palliative care is based. 'Child and Family Care' looks at different aspects of psychological, social, and cultural care for the sick child or young person, and their family. These chapters cover the time course of the illness, around the time of death and support for the bereaved family. 'Symptom Care' focuses on the uses of medication, specific symptoms, and their management. Finally, 'Delivery of Care' examines practical approaches to care in different environments and the needs of clinicians. Two new editors join the team from Canada and South Africa, reflecting our aims to contribute towards the development of care for children across the world, and to be a resource for both experienced clinicians and those new to the field. Comprehensive in scope, exhaustive in detail, and definitive in authority, this third edition has been thoroughly updated to cover new practices, current epidemiological data, and the evolving models that support the delivery of palliative medicine to children. This includes two new chapters, looking in detail at 'Decision Making' and 'Perinatal Care', and a new section highlighting the emerging importance of 'Palliative Care for Children in Humanitarian Crises'. This book is an essential resource for anyone who works with children worldwide.
