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Ameliorer Ladhesion Medicamenteuse Dans La Polyarthrite Rhumatoide
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Book Synopsis Améliorer l'adhésion médicamenteuse dans la polyarthrite rhumatoïde by : Anne-Laure Yailian
Download or read book Améliorer l'adhésion médicamenteuse dans la polyarthrite rhumatoïde written by Anne-Laure Yailian and published by . This book was released on 2017 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chez les patients atteints de polyarthrite rhumatoïde, l'adhésion médicamenteuse est insuffisante, compromettant l'efficacité thérapeutique et augmentant les dépenses de santé. Dans d'autres pathologies chroniques, une collaboration médico-pharmaceutique et des soins pharmaceutiques structurés ont montré un impact clinique positif. Les interventions initiées à l'hôpital, poursuivies en ville et maintenues dans la durée ont plus d'impact que des démarches isolées et sur le court terme. A l'étranger, des études rapportent l'impact positif de l'accompagnement par le pharmacien de ville, en collaboration avec d'autres professionnels de santé, sur l'adhésion médicamenteuse des patients. Concernant la polyarthrite rhumatoïde, la revue de la littérature montre que les interventions visant à optimiser l'adhésion médicamenteuse présentent des résultats modérés. Néanmoins, la poursuite de l'évaluation de nouveaux modèles d'interventions est encouragée. L'objectif de ce travail était double. Dans un premier temps, il s'agissait d'évaluer les perceptions et le ressenti des pharmaciens de ville sur l'intérêt et la faisabilité d'entretiens pharmaceutiques d'accompagnement de patients atteints de polyarthrite rhumatoïde. Dans un second temps, il s'agissait d'élaborer un protocole proposant une intervention pluriprofessionnelle pour améliorer l'adhésion médicamenteuse dans la polyarthrite rhumatoïde. Une analyse qualitative par entretiens semi-dirigés auprès de 15 pharmaciens de ville a permis de souligner des difficultés de recrutement des patients pour les entretiens actuellement possibles à l'officine (Anti-Vitamine K et asthme essentiellement), la complexité de l'organisation et du financement, une faiblesse du lien ville-hôpital mais une motivation des pharmaciens pour élargir le dispositif à d'autres pathologies. Concernant des entretiens destinés à des patients atteints de polyarthrite rhumatoïde, les pharmaciens les verraient sous forme d'entretiens structurés préférentiellement à l'officine, en lien voir « prescrits » par les médecins pour un partage d'information optimal. Une formation préalable adaptée à leurs attentes ainsi qu'un financement de ces entretiens devaient être envisagés pour motiver les pharmaciens à cette activité. Enfin, l'importance d'une évaluation rigoureuse du dispositif d'entretiens a été avancée. En prenant en compte ces éléments, nous avons élaboré le protocole d'une étude multicentrique et randomisée visant à évaluer l'impact d'une intervention pluriprofessionnelle, initiée à l'hôpital et poursuivie en ville, reposant sur des soins pharmaceutiques structurés (conciliation médicamenteuse, analyse de prescriptions, entretiens d'informations à l'hôpital et en ville sur les traitements de la polyarthrite rhumatoïde). Le critère de jugement principal serait l'adhésion médicamenteuse des patients atteints de polyarthrite rhumatoïde. Cette intervention pourrait entrainer une diminution de l'iatrogénie médicamenteuse et des recours aux soins par une meilleure adhésion médicamenteuse des patients.
Book Synopsis Rôle du pharmacien d'officine dans l'adhésion thérapeutique du patient traité pour une Polyarthrite Rhumatoïde grâce à l'amélioration des connaissances sur les effets secondaires à long terme des médicaments by : Lofti Ait Abdesselam
Download or read book Rôle du pharmacien d'officine dans l'adhésion thérapeutique du patient traité pour une Polyarthrite Rhumatoïde grâce à l'amélioration des connaissances sur les effets secondaires à long terme des médicaments written by Lofti Ait Abdesselam and published by . This book was released on 2021 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: La polyarthrite rhumatoïde (PR) est définie comme une maladie rhumatismale auto-immune et inflammatoire. Elle est associée à des indicateurs de morbi-mortalité augmentés et est classée comme maladie chronique. Plusieurs types de traitements pour la PR existent, ils permettent de réduire l'activité de la maladie ou d'atteindre une rémission, et ils sont classés en trois catégories : Les traitements de fond (synthétiques ou biologiques), les traitements symptomatiques et les traitements d'appoints. Ces traitements, présentent, comme pour toute substance médicamenteuse des effets indésirables. Dans le cas des molécules responsables d'actions profondes sur diverses voies immunologiques, les aspects de tolérance et de sécurité sont d'autant plus importants qu'ils sont considérés comme étant essentiel car très influant dans l'observance des patients PR. Ce travail de thèse consiste en l'amélioration des connaissances sur les effets indésirables des thérapies médicamenteuses en se basant essentiellement sur la revue bibliographique. Cette revue a concerné, principalement, les méta-analyses, Cochrane, revues systématiques puis les essais randomisés contrôlés. Nous avons accordé une grande importance aux données issues d'études de post-commercialisation ainsi qu'aux études de cohortes observationnelles à grande échelles. Les événements indésirables rencontrés par les patients peuvent être considérés comme mineurs, En ce qui concerne le risque plus grave de cancer après expositions aux traitements PR, globalement, il semble admis que les patients atteints de PR sont concernés par un risque plus élevé de tumeurs malignes par rapport à la population générale.
Book Synopsis Early Rheumatoid Arthritis by : Paul Emery
Download or read book Early Rheumatoid Arthritis written by Paul Emery and published by . This book was released on 2005 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue covers the latest developments in the understanding of rheumatoid arthritis at the early stage. Treatments such as with newer biologic agents and conventional disease-modifying antirheumatic drugs are reviewed. Also included are articles on imaging modalities as a means of identifying those in the early stages and monitoring response to treatment.
Author :Andrea Giustina Publisher :Karger Medical and Scientific Publishers ISBN 13 :3805572964 Total Pages :213 pages Book Rating :4.8/5 (55 download)
Book Synopsis Glucocorticoid-induced Osteoporosis by : Andrea Giustina
Download or read book Glucocorticoid-induced Osteoporosis written by Andrea Giustina and published by Karger Medical and Scientific Publishers. This book was released on 2002 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Osteoporosis is one of the most clinically relevant disabling chronic disease encountered in clinical practice. A common cause of osteoporosis is glucocorticoid excess, as glucocorticoids may increase bone resorption, inhibit bone formation, have indirect actions on bone by decreasing intestinal calcium absorption and induce hypercalciuria. This book presents a comprehensive overview of the effects of glucocorticoids on bone metabolism and structure and on the diagnosis and treatment of glucocorticoid-induced osteoporosis. It aims at providing updated information on the pathogenesis, diagnosis and treatment of this often dramatic complication of glucocorticoid excess. Being one of the few publications completely devoted to glucocorticoid-induced osteoporosis it will heighten the awareness of specialists who prescribe glucocorticoids of the clinical relevance of this treatment complication. 'Glucocorticoid-Induced Osteoporosis' is addressed to clinical experts as well as to general practitioners who will both benefit from the comprehensive and integrative view of the management of patients exposed to glucocorticoids.
Book Synopsis Bisphosphonates and Osteonecrosis of the Jaw, Volume 1218 by : John P. Bilezikian
Download or read book Bisphosphonates and Osteonecrosis of the Jaw, Volume 1218 written by John P. Bilezikian and published by Wiley-Blackwell. This book was released on 2011-03-14 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This volume presents manuscripts stemming from the conference entitled 'Bisphosphonates & Osteonecrosis of the Jaw,' held May 19, 2007 at the New York Academy of Sciences
Download or read book Managing Epidemics written by and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Surgical Pharmacology of the Eye by : Marvin L. Sears
Download or read book Surgical Pharmacology of the Eye written by Marvin L. Sears and published by . This book was released on 1985 with total page 616 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Union médicale du Canada written by and published by . This book was released on 1993 with total page 656 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Paediatric Asthma by : Kai-Håkon Carlsen
Download or read book Paediatric Asthma written by Kai-Håkon Carlsen and published by European Respiratory Society. This book was released on 2012-06-01 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt: Asthma is a disease of many faces and is frequently seen in children. This Monograph covers all aspects of paediatric asthma, across all ages, from birth through to the start of adulthood. It considers diagnostic problems in relation to the many phenotypes of asthma, covers the treatment of both mild-to-moderate and severe asthma, and discusses asthma exacerbations as well as exercise-induced asthma. The issue also provides an update on the pathophysiology of asthma, the role of bacterial and viral infections, and the impact of environmental factors, allergy, genetics and epigenetics. Finally,
Book Synopsis Human Hybridomas by : Anthony J. Strelkauskas
Download or read book Human Hybridomas written by Anthony J. Strelkauskas and published by Marcel Dekker. This book was released on 1987 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Quality of Life Through Quality of Information by : European Federation for Medical Informatics
Download or read book Quality of Life Through Quality of Information written by European Federation for Medical Informatics and published by IOS Press. This book was released on 2012-08-16 with total page 1284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical informatics and electronic healthcare have many benefits to offer in terms of quality of life for patients, healthcare personnel, citizens and society in general. But evidence-based medicine needs quality information if it is to lead to quality of health and thus to quality of life. This book presents the full papers accepted for presentation at the MIE2012 conference, held in Pisa, Italy, in August 2012. The theme of the 2012 conference is ‘Quality of Life through Quality of Information’. As always, the conference provides a unique platform for the exchange of ideas and experiences among the actors and stakeholders of ICT supported healthcare. The book incorporates contributions related to the latest achievements in biomedical and health informatics in terms of major challenges such as interoperability, collaboration, coordination and patient-oriented healthcare at the most appropriate level of care. It also offers new perspectives for the future of biomedical and health Informatics, critical appraisal of strategies for user involvement, insights for design, deployment and the sustainable use of electronic health records, standards, social software, citizen centred e-health, and new challenges in rehabilitation and social care informatics. The topics presented are interdisciplinary in nature and will be of interest to a variety of professionals; physicians, nurses and other allied health providers, health informaticians, engineers, academics and representatives from industry and consultancy in the various fields.
Download or read book "Plum Blossom" Needle Therapy written by and published by . This book was released on 1982 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Public Health and Informatics by : J. Mantas
Download or read book Public Health and Informatics written by J. Mantas and published by IOS Press. This book was released on 2021-07 with total page 1184 pages. Available in PDF, EPUB and Kindle. Book excerpt: For several years now, both eHealth applications and digitalization have been seen as fundamental to the new era of health informatics and public health. The current pandemic situation has also highlighted the importance of medical informatics for the scientific process of evidence-based reasoning and decision making at all levels of healthcare. This book presents the accepted full papers, short papers, and poster papers delivered as part of the 31st Medical Informatics in Europe Conference (MIE 2021), held virtually from 29-31 May 2021. MIE 2021 was originally due to be held in Athens, Greece, but due to the continuing pandemic situation, the conference was held as a virtual event. The 261 papers included here are grouped into 7 chapters: biomedical data, tools and methods; supporting care delivery; health and prevention; precision medicine and public health; human factors and citizen centered digital health; ethics, legal and societal aspects; and posters. Providing a state-of-the-art overview of medical informatics from around the world, the book will be of interest to all those working with eHealth applications and digitalization to improve the delivery of healthcare today.
Book Synopsis Digital Personalized Health and Medicine by : L.B. Pape-Haugaard
Download or read book Digital Personalized Health and Medicine written by L.B. Pape-Haugaard and published by IOS Press. This book was released on 2020-06-17 with total page 1498 pages. Available in PDF, EPUB and Kindle. Book excerpt: Digital health and medical informatics have grown in importance in recent years, and have now become central to the provision of effective healthcare around the world. This book presents the proceedings of the 30th Medical Informatics Europe conference (MIE). This edition of the conference, hosted by the European Federation for Medical Informatics (EFMI) since the 1970s, was due to be held in Geneva, Switzerland in April 2020, but as a result of measures to prevent the spread of the Covid19 pandemic, the conference itself had to be cancelled. Nevertheless, because this collection of papers offers a wealth of knowledge and experience across the full spectrum of digital health and medicine, it was decided to publish the submissions accepted in the review process and confirmed by the Scientific Program Committee for publication, and these are published here as planned. The 232 papers are themed under 6 section headings: biomedical data, tools and methods; supporting care delivery; health and prevention; precision medicine and public health; human factors and citizen centered digital health; and ethics, legal and societal aspects. A 7th section deals with the Swiss personalized health network, and section 8 includes the 125 posters accepted for the conference. Offering an overview of current trends and developments in digital health and medical informatics, the book provides a valuable information resource for researchers and health practitioners alike.
Book Synopsis The Changing Face of Health Care by : John Frederic Kilner
Download or read book The Changing Face of Health Care written by John Frederic Kilner and published by . This book was released on 1998 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book opens with a look at people's actual experience of heath care today, from four different perspectives. Next, the volume addresses foundational questions, including the nature of medicine, nursing, and justice. Surveyed next are the changing economics of health care as well as the impact of these changes on such areas as mental health care, long-term care, health care for minorities, and legal malpractice. The dosing section of the book often several alternative models for health care funding and delivery that reflect Christian values.
Book Synopsis Acupuncture Case Histories from China by : Jirui Chen
Download or read book Acupuncture Case Histories from China written by Jirui Chen and published by . This book was released on 2005-01-01 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book marks the first original collection of acupuncture case histories in English. Included are over one hundred case histories contributed by prominent practitioners of acupuncture in China. The case histories represent a broad spectrum of disorders for which acupuncture is used in contemporary China. Each of the case histories provides a thorough discussion of the traditional Chinese diagnosis and syndrome differentiation, together with the points and techniques selected for treatment. The course of therapy is described, and alterations in the diagnosis and treatment regimen are analyzed. The results of treatment-both favorable and unfavorable-are noted. An introduction compares and contrasts many of the treatment techniques and types of points used in the cases.
Book Synopsis Medinfo 2013 by : Christoph Ulrich Lehmann
Download or read book Medinfo 2013 written by Christoph Ulrich Lehmann and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Changing demographics, volatile economics and dwindling resources are among the factors contributing to the need for collective and collaborative efforts to address the new and evolving challenges in healthcare and biomedicine.This book presents the proceedings of the MEDINFO 2013 conference, held in Copenhagen, Denmark, in August 2013. The theme of the conference is "Conducting medical informatics by converging technologies, conveying sciences and connecting people". The book contains 188 full papers, student papers and vision papers from the conference, as well as posters, tutorials, workshops, panels and demonstrations, selected after review from the 789 submissions received. The contributions explore not only converging multidisciplinary technologies and the rigorous scientific investigations required to explain the nature of complex phenomena, but also the human-centered designs which connect people and are crucial for realizing the immense potential of information and communication technologies in healthcare. Contributions cover four major themes: representing and understanding biomedical knowledge; enhancing care, patient safety and outcome; managing care information and workflow; and enabling cost-effective healthcare.The book will be of interest to all those whose work involves improving health outcomes in populations with varying resources worldwide.
