Download or read book Le traitement par anti vitamine K en m decine g n rale indications suivi et implications du praticien dans sa gestion written by Estelle Leruste and published by . This book was released on 2006 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: Notre travail était d'évaluer la pratique et l'implication des médecins généralistes en Isère, Savoie et Haute-Savoie, en matière de gestion de traitement par antivitamine K : respect des indications, des durées de traitement, et des règles de surveillance. 2000 questionnaires ont été envoyés à 200 médecins. Chaque questionnaire portait sur un patient traité par antivitamine K et était rempli par le médecin. 52 médecins généralistes ont répondu, 389 patients ont été inclus. La moyenne d'âge était de 73ans, 36% avaient un carnet de suivi. L'indication était inappropriée dans 10% des cas, la durée de traitement était dépassée dans 12% des cas. Le généraliste était le prescripteur initial dans 3% des cas, le traitement était justifié selon lui dans 96% des cas et il aurait pu l'arrêter sans avis spécialisé dans 5% des cas. L'INR était dosé 2 à 3 jours après une modification de posologie une fois sur 5 et une fois sur 2 en cas d'introduction d'un nouveau médicament. L'INR cible théorique était erroné dans 16% des cas. Les pratiques doivent encore être améliorées, et le médecin plus impliqué.
Download or read book S curit de prescription des anti vitamines K en m decine g n rale written by Ali Karababa and published by . This book was released on 2009 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt: Environ 600000 patients sont traités par anti-vitamines K (AVK) en France chaque année. La lutte contre les accidents iatrogènes générés par les AVK, notamment les accidents hémorragiques qui viennent au premier rang, constitue un véritable problème de santé publique en France. Le médecin généraliste se retrouve être la pierre angulaire d'un bon suivi d'un patient sous AVK. Un audit clinique de façon rétrospective sur 5 mois a été entrepris sous forme d'autoévaluation pour décrire l'état des lieux actuel des prescriptions des AVK en médecine générale dans le département de la Loire. 26 médecins généralistes et 205 de leurs patients ont été inclus. Les médecins ont presque tous un dossier médical informatisé bien tenu avec l'adresse du patient, le téléphone, l'étiologie de la prescription des AVK et une dernière INR datant de moins de deux mois. Plus des deux tiers des patients connaissent leur valeur cible d'INR, mais la moitié seulement disposent d'un carnet de suivi et connaissent les risques de complications iatrogènes (signes de surdosages, médicaments contre indiqués et situations à risque) avec un caractère péjoratif de l'âge. La traçabilité de l'INR sur les ordonnances thérapeutiques et biologiques reste le point noir de cette étude avec moins de 15% de réponses positives. Malgré des recommandations répétées de la HAS et des rappels annuels de bon usage des AVK par l'AFSSAPS, la formation médicale continue doit poursuivre dans cette direction jusqu'à l'application rigoureuse par les médecins des référentiels.
Download or read book Evaluation de l ducation du patient trait par antagoniste de la vitamine K en m decine g n rale en Lorraine written by Patricia Mervelay and published by . This book was released on 2003 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dans plusieurs pays, le suivi des patients traités par antagoniste de la vitamine K s'effectue dans des centres spécialisés. Ceci améliore l'équilibre des INR et diminue le nombre de complications. Notre étude se base sur un questionnaire adressé, par le biais de leur médecin généraliste, à 458 patients anticoagulés et non suivis dans ces structures, qui servira à calculer un score de connaissance. 57% sont des hommes. L'âge moyen est de 68 ans. 68% ont plus de 65 ans. La fibrillation atriale et la thrombose veineuse sont les indications majeures. En moyenne, les patients ont bien répondu à 66% des questions. Ce score est significativement meilleur avant 65 ans et lorsque les conseils sont transmis au patient à la fois oralement et par écrit. 89% des médecins généralistes ont déjà été prescripteur initial d'un traitement anticoagulant oral. Ils transmettent surtout des conseils oraux aux patients. La moitié seulement utilise l'INR seul pour la surveillance. La moitié également n'utilise pas de carnet de suivi d'INR. L'accès à des centres spécialisés est un bénéfice pour les patients et les médecins généralistes.
Download or read book L ducation des patients sous antivitamine K en m decine g n rale written by Laetitia Garcia and published by . This book was released on 2001 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book valuation de la connaissance des patients concernant leur traitement anti vitamine K written by Fanny Pichon and published by . This book was released on 2019 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : En 2012, environ 1% de la population française était traitée par anti-vitamine K (AVK). Les accidents hémorragiques iatrogènes sont fréquents et les AVK constituent la première cause d'hospitalisation iatrogène en France. Une maîtrise insuffisante du traitement augmente le risque iatrogène, risque pouvant être limité par un programme éducatif. L'objectif était d'évaluer les connaissances des patients sous AVK, puis de pointer des pistes d'amélioration. Méthode : Cette étude quantitative transversale multicentrique a été réalisée par diffusion d'un auto-questionnaire dans des cabinets de médecine générale d'Ille-et-Vilaine tirés au sort. Résultats : 149 patients ont été inclus. 93,3% nommaient l'INR comme marqueur de suivi biologique. Seule la gestion du traitement par le patient impactait positivement la connaissance de cet item. L'indication, l'objectif du traitement, la fréquence de surveillance, les bornes de l'INR, l'automédication et le régime alimentaire étaient respectivement maîtrisés par 68,5%, 66,4%, 76,5%, 69,1%, 98% et 71,1%. Près de la moitié des patients ignoraient que le traitement permet d'éviter un accident vasculaire cérébral. La participation à un programme d'éducation thérapeutique était faible (13,8%) ainsi que l'utilisation du carnet de suivi AVK (32,2%). Conclusion : La connaissance globale des patients concernant leur traitement par AVK est insuffisante. L'analyse a permis de faire ressortir les connaissances et les lacunes ; lacunes qui ont permis ensuite de mieux cibler les besoins d'éducation thérapeutique ainsi que des pistes d'amélioration de la prescription du médecin traitant afin de mieux la sécuriser.
Download or read book Faecal Sludge Management written by Linda Strande and published by IWA Publishing. This book was released on 2014-08-15 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is estimated that literally billions of residents in urban and peri-urban areas of Africa, Asia, and Latin America are served by onsite sanitation systems (e.g. various types of latrines and septic tanks). Until recently, the management of faecal sludge from these onsite systems has been grossly neglected, partially as a result of them being considered temporary solutions until sewer-based systems could be implemented. However, the perception of onsite or decentralized sanitation technologies for urban areas is gradually changing, and is increasingly being considered as long-term, sustainable options in urban areas, especially in low- and middle-income countries that lack sewer infrastructures. This is the first book dedicated to faecal sludge management. It compiles the current state of knowledge of the rapidly evolving field of faecal sludge management, and presents an integrated approach that includes technology, management, and planning based on Sandecs 20 years of experience in the field. Faecal Sludge Management: Systems Approach for Implementation and Operation addresses the organization of the entire faecal sludge management service chain, from the collection and transport of sludge, and the current state of knowledge of treatment options, to the final end use or disposal of treated sludge. The book also presents important factors to consider when evaluating and upscaling new treatment technology options. The book is designed for undergraduate and graduate students, and engineers and practitioners in the field who have some basic knowledge of environmental and/or wastewater engineering.
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 Safeguarding Traditional Cultures written by Peter Seitel and published by . This book was released on 2001 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: Proceedings from a conference "A global assessment of the 1989 recommendation on the safeguarding of traditional culture and folklore" held at the Smithsonian Institution June 27-30 1999. The purpose of the conference was to assess the implementation of the Recommendation (an international normative instrument adopted by UNESCO in 1989), to bring together points of view and perspectives on the Recommendaion from around the world, and suggest ways in which the Recommendation might develop in the future so that its purpose, the safeguarding of traditional culture and folklore, might be achieved.
Download or read book 2nd Pan African Symposium on the Sustainable Use of Natural Resources in Africa written by Bihini won wa Musiti and published by IUCN. This book was released on 2003 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: This bilingual publication results from a four-day symposium aimed at capturing the general directions and analytical issues that characterize approaches to sustainable use in Africa. The papers included in this work are organized under four major headings: modes of use, devolution, scale issues and external issues. Authors explore these themes through the use of case studies and the description of specific regional experiences. External issues are further explored in a series of commissioned policy papers which have also been included.
Download or read book Basic Technics in Ecological Farming Techniques de Base en Agriculture Biologique Grunds tzliche Verfahren der kologischen Landwirtschaft Le Maintien de la Fertilit des Sols The Maintenance of Soil Fertility Die Erhaltung der Bodenfruchtbarkeit written by Stuart Hill and published by Birkhäuser. This book was released on 2013-12-14 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Gender Matters written by Dennis van der Veur and published by Council of Europe. This book was released on 2007-01-01 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: "'Gender Matters' is a manual aimed to assist educators and youth leaders work on issues of gender and gender-based violence with young people. This publication presents theoretical information, methods and resources for education and training activities, along with concrete exercises that users can put into practice in their daily work. Violence is a serious issue which directly affects the lives of many young people. It often results in lasting damage to their well-being and integrity, putting even their lives at risk. Gender-based violence, including violence against women, remains a key human rights challenge in contemporary Europe and in the world. Working with young people on human rights education is one way of preventing gender-based violence from occurring. By raising awareness on why and how it manifests and exploring its impact on people and in society, gender-based violence will no longer go undetected. Gender really does matter, to women, to men, to young people - to all of us. This manual serves to explore these human rights issues and act upon them."--Book jacket.
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 Oral Anticoagulants written by L. Poller and published by CRC Press. This book was released on 1996-08-02 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Warfarin and related drugs have been used for over half a century in prevention and treatment of thrombotic disorders. Only recently however has their clinical role been firmly established by randomised studies and their benefit/risk ratio improved by lower dose therapy with improvements in laboratory monitoring. 'Oral Anticoagulants' is the first comprehensive, practical survey of the subject available. An international team of recognised experts provide detailed coverage on the mode of action; clinical pharmodynamics; magnitude and sources of variability in individuals response to oral anticoagulant; methods of individualising dosing regimens; laboratory monitoring; and comparison between the different currently prescribed oral anticoagulants.
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 Contemporary Criminological Issues written by Carolyn Côté-Lussier and published by University of Ottawa Press. This book was released on 2020-05-05 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contemporary Criminological Issues tackles some of today’s most pressing social issues, from the criminalization of Indigenous peoples to interpersonal violence, border control, and armed conflicts. This book advances cutting-edge theories and methods, with the aim of moving beyond the scholarship that reproduces insecurity and exclusion. The breadth of approaches encompasses much of the current critical criminological scholarship, serving as a counterpoint to the growth of managerial and administrative criminologies and the rise of explicitly exclusionary and punitive state policies and practices with respect to ‘crime’ and ‘security.’ This edited collection featuring two books, one in English and one in French, includes important contributions to knowledge and public policy by eminent experts and emerging scholars. This book is published in English.
Download or read book A New Pocket Dictionary of the French and English Languages in Two Parts written by Thomas Nugent and published by . This book was released on 1770 with total page 476 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.
