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 PRESCRIPTION DES ANTIVITAMINES K EN MEDECINE GENERALE written by EMMANUELLE.. TOINON and published by . This book was released on 1998 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book La prescription des antivitamines K en m decine g n rale et son suivi written by Violaine Hardy and published by . This book was released on 2004 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 Enqu te sur l utilisation des antivitamines K en m decine g n rale et hospitali re written by Céline Carandell and published by . This book was released on 2006 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book tude observationnelle de la prescription des antivitamines K chez le sujet g de plus de 65 ans hospitalis en m decine interne written by Maryam Nazemi and published by . This book was released on 2008 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Les anti-vitamine K (AVK) ont de nombreuses indications chez le sujet âgé, principalement la prévention des embolies cruoriques d’origine cardiaque et la maladie thrombo-embolique veineuse. Méthode : Nous avons mené une enquête prospective observationnelle d’un an sur la population des patients âgés de plus de 65 ans et hospitalisés dans le service de médecine interne de l'Hôtel Dieu à Paris. L'objectif principal était d'évaluer le nombre de traitements par AVK adaptés aux recommandations des sociétés savantes françaises ; Nous avons également recherché les facteurs limitant leur prescription dans cette population. Résultats : 1040 patients ont été hospitalisés durant cette période, dont 602 âgés de plus de 65 ans. Parmi eux, 131 patients (21%) avaient une indication pour les AVK, leur moyenne d'âge était de 84 ans. La moitié (62/131, 47%) n'étaient pas traités par AVK alors qu'il y avait une indication. Les facteurs de non prescription sont : le grand âge, un antécédent de chute, le MMS anormal dès 25, la consommation d’alcool. Les antécédents hémorragiques ne constituent pas la non prescription complète des AVK. La seule pathologie pour laquelle les recommandations ne sont pas suivies est la fibrillation auriculaire. Conclusion : Près de la moitié des patients de plus de 65 ans de notre étude, qui justifient d’une indication réelle aux AVK, n’en bénéficient pas. La prescription est limitée par des facteurs liés au malade, peu par son mode de vie. Il est souhaitable de réaliser des études prospectives randomisées dans cette population afin d’évaluer précisément le rapport bénéfice/risque des AVK. Ces études devront évaluer la qualité de vie autant que la durée de la survie sans accident thrombo-embolique et /ou hémorragique.
Download or read book Acute Stroke Treatment written by Julien Bogousslavsky and published by CRC Press. This book was released on 1997-09-04 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Owing to the increased interest in brain ischemia and the new therapeutic options from pharmaceutical companies for the treatment of acute stroke, Professor Julien Bogousslavsky, one of the world's stroke experts, has revised his best-selling book. It is the emergence of huge possibilities in the management of stroke - ultra-early diagnosis, intensive care, surgical and other interventional therapies, thrombolysis, anti-ischemic drugs and prevention of immediate recurrence - which necessiates this timely update.
Download or read book Dictionary of Abbreviations in Medical Sciences written by Rolf Heister and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 451 pages. Available in PDF, EPUB and Kindle. Book excerpt: Not everyone is a friend of the manifold abbreviations that have by now beCome a part of the scientific language of medicine. In order to avoid misunderstanding these abbreviations, it is wise to refer to a reliable dic tionary, such as this one prepared by Heister. The abbreviation ED means, for instance, effective dose to the pharmacologist. However, it might also stand for emetic dose. Radiologists use the same abbreviation for erythema dose, and ED could also mean ethyl dichlorarsine. A com mon meaning of ECU is European currency unit, a meaning that might not be very often in scientific medical publications. ECU, however, also means environmental control unit or European Chiropractic Union. Hopefully, those making inventions and discoveries will make use of Heister's dictionary before creating new abbreviations when preparing manuscripts for scientific publications. It is a very worthwhile goal not to use the same abbreviation for several different terms, especially if it is already widely accepted to mean only one of them. It may be impossible, however, to achieve this goal in different scientific disciplines. Therefore, although it is wise for the abbreviations used in a publication to be defined, it is also very helpful for readers and writers to use a dictionary such as this one. The author deserves our warmest thanks since we know that compiling such a comprehensive dictionary is based upon incredibly hard effort.
Download or read book Anti ageing Medicine written by Astrid Stuckelberger and published by vdf Hochschulverlag AG. This book was released on 2008 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 21st century technological development is revolutionizing medicine and health care, bringing new hopes to human suffering by offering cures and treatments which were unthinkable a few decades ago. This is where anti-ageing medicine finds its niche. Anti-ageing medicine aims at slowing, arresting, and reversing phenomena associated with ageing by merging biotechnological innovation and engineered solutions. Ideally, by means of the newest medical technology, the "body machinery" should be kept fit and at peak performance all life long. Early detection of age-related dysfunction should thus be "fixed" at any age with interventions such as metabolic fine tuning, enhancement, regeneration, restoration or replacement of "body parts" (i.e. organs, skin, bone or muscle). It covers a vast array of domains: from cell therapy to pharmaceutical interventions, from bio-surgery to aesthetic surgery, from human enhancement to fortified food, from smart housing and robots to toxic-free environments. Anti-ageing medicine holds promises but also significant risks and safety issues which are addressesd in this book. It presents the latest scientific evidence on what works or does not work. It also provides public policy recommendations to ensure the protection of consumers and their rights while encouraging research and development. This book is intended for academics, health professionals, business persons, consumers and policy-makers interested in the latest evidence and ethical issues about anti-ageing medicine.
Download or read book Dorland s Dictionary of Medical Acronyms and Abbreviations written by Dorland and published by Elsevier Health Sciences. This book was released on 2015-07-24 with total page 481 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical acronyms and abbreviations offer convenience, but those countless shortcuts can often be confusing. Now a part of the popular Dorland's suite of products, this reference features thousands of terms from across various medical specialties. Its alphabetical arrangement makes for quick reference, and expanded coverage of symbols ensures they are easier to find. Effective communication plays an important role in all medical settings, so turn to this trusted volume for nearly any medical abbreviation you might encounter. - Symbols section makes it easier to locate unusual or seldom-used symbols. - Convenient alphabetical format allows you to find the entry you need more intuitively. - More than 90,000 entries and definitions. - Many new and updated entries including terminology in expanding specialties, such as Nursing; Physical, Occupational, and Speech Therapies; Transcription and Coding; Computer and Technical Fields. - New section on abbreviations to avoid, including Joint Commission abbreviations that are not to be used. - Incorporates updates suggested by the Institute for Safe Medication Practices (ISMP).
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 Autoimmune Diseases written by Munther A Khamashta and published by Springer Science & Business Media. This book was released on 2011-05-26 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: Autoimmune Diseases: Acute and Complex Situations provides a detailed overview of conditions associated with autoimmune diseases that are considered either life-threatening or requiring complex management. These include abdominal pain, arthritis, cutaneous ulcers, gastrointestinal hemorrhage, epilepsy, pancreatitis, stroke and white-matter CNS lesions. Autoimmune Diseases: Acute and Complex Situations addresses the latest clinical and immunological prognostic factors that may help to identify patients at higher risk of developing potentially life-threatening involvement. This book comprehensively helps the reader to diagnose these patients, in whom an early therapeutic approach is essential. Autoimmune Diseases: Acute and Complex Situations is a valuable reference tool for rheumatologists, internists, immunologists, and all the specialists involved in the multidisciplinary care of patient with rheumatic and systemic autoimmune diseases.
Download or read book Minerva s Message written by Martin S. Staum and published by McGill-Queen's Press - MQUP. This book was released on 1996-10-17 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: In theory the CMPS was set up to enshrine the human and social studies that were at the heart of Enlightenment culture. Staum illustrates, however, that the Institute helped transform key ideas of the Enlightenment in order to maintain civil rights while upholding social stability, and that the social and political assumptions on which it was based affected notions of social science. He traces the careers of individual members and the factions within the Institute, arguing that the discord within the CMPS reflects the unravelling of Enlightenment culture. Minerva's Message presents a valuable overview of the intellectual life of the period and brings together new evidence about the social sciences in their nascent period.
Download or read book Bibliography of Publications written by George Washington University. Human Resources Research Office and published by . This book was released on 1965 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 Simpson s Forensic Medicine written by Jason Payne-James and published by CRC Press. This book was released on 2011-08-26 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: This fully updated thirteenth edition of Simpson's Forensic Medicine remains a classic introductory text to the field. Continuing its tradition of preparing the next generation of forensic practitioners, it presents essential concepts in the interface between medicine and the law. Twenty-four chapters cover basic science, toxicology, forensic odont
Download or read book Adipose Tissue and Inflammation written by Atif B. Awad and published by CRC Press. This book was released on 2009-10-08 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt: The American Obesity Association identifies obesity's link to numerous medical conditions, including hypertension, type 2 diabetes, cardiovascular disease, several cancers, and a host of inflammatory disorders. Evidence indicates that inflammation has more than a corollary relation with obesity; that in fact, obesity itself manifests a low-grade, m
