Education Therapeutique Chez Les Patients Vih Au Chu De Nancy

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Education thérapeutique chez les patients VIH au CHU de Nancy

Author : Emmanuelle Desmots
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (13 download)

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Book Synopsis Education thérapeutique chez les patients VIH au CHU de Nancy by : Emmanuelle Desmots

Download or read book Education thérapeutique chez les patients VIH au CHU de Nancy written by Emmanuelle Desmots and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Depuis l'avènement des multi-thérapies anti-rétrovirales, le pronostic de l'infection par le VIH s'est radicalement modifié. Cette pathologie, désormais chronique, est traitée par des thérapeutiques parfois complexes et associées à des effets indésirables perçus comme invalidants. Or, une observance optimale est seul garant du succès immunovirologique. Mais cette variable est dynamique et fluctue au cours du temps, en fonction des événements surgissant dans la vie du patient. Afin de prévenir et résoudre toute rupture d'observance, des consultations d'éducation thérapeutique ont été mises en place, depuis octobre 2008, au sein du service de Maladies Infectieuses et Tropicales. Une interface dynamique existe au sein d'une équipe multidisciplinaire d'éducation thérapeutique regroupant 2 médecins, 3 infirmières et 2 pharmaciens. Les consultations ont lieu deux fois par semaine. La prise en charge est différente en cas de mise en place d'un traitement ARV ou suite à un échec thérapeutique. Dans un premier temps, l'équipe d'éducation thérapeutique établit un diagnostic éducatif à l'aide de deux méthodes complémentaires (méthode MOTHIV et IPCEM) puis détermine avec le patient des objectifs éducatifs adaptés. Au cours des entretiens, différents supports sont utilisés. Certains ont été développés par l'industrie pharmaceutique et d'autres créés par l'équipe d'ETP comme un livret patient ou des planches auto-collantes de photos des spécialités anti-rétrovirales existant sur le marché... Nous avons évalué notre programme d'éducation thérapeutique en envisageant aussi bien l'aspect quantitatif (charge virale VIH, taux de lymphocytes CD4 des patients suivis) que qualitatif (qualité de vie, observance, niveau deconnaissances des patients et enquête de satisfaction) lors de la première et dernière consultation d'éducation thérapeutique. D'octobre 2008 à fin août 2010, 299 consultations ont été réalisées pour 94 patients (37 naïfs et 57 en échec thérapeutique). Elles concernaient 34 femmes et 60 hommes. Le pourcentage de charge virale indétectable de notre population étudiée à la première consultation était de 15 % et 4 mois après la dernière consultation de 73 %. De plus, nos résultats ont montré que l'effet semblait perdurer dans le temps car les résultats virologiques favorables observés, 4 mois après le programme d'ETP, étaient encourageants. Les causes de non-observance les plus fréquentes étaient : les oublis, le nombre important de comprimés, les horaires de prise ou encore la dépression. On observait aussi une amélioration des résultats du test de connaissance entre la première et dernière consultation grâce à l'acquisition de connaissances concernant essentiellement les thèmes « traitement » (+ 10 %) et « maladie » (+ 32 %). L'ensemble des patients et des intervenants étaient totalement satisfaits par le programme d'éducation thérapeutique. Les résultats obtenus dans cette étude mettent en avant les avantages de la mise en oeuvre de ce programme. Grâce à cette étude, des actions ciblées peuvent donc être organisées afin d'améliorer encore notre programme d'ETP.

Artificial Intelligence in Society

Author : OECD
Publisher : OECD Publishing
ISBN 13 : 9264545190
Total Pages : 152 pages
Book Rating : 4.2/5 (645 download)

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Book Synopsis Artificial Intelligence in Society by : OECD

Download or read book Artificial Intelligence in Society written by OECD and published by OECD Publishing. This book was released on 2019-06-11 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: The artificial intelligence (AI) landscape has evolved significantly from 1950 when Alan Turing first posed the question of whether machines can think. Today, AI is transforming societies and economies. It promises to generate productivity gains, improve well-being and help address global challenges, such as climate change, resource scarcity and health crises.

Patient Engagement

Author : Marie-Pascale Pomey
Publisher : Springer Nature
ISBN 13 : 3030141012
Total Pages : 317 pages
Book Rating : 4.0/5 (31 download)

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Book Synopsis Patient Engagement by : Marie-Pascale Pomey

Download or read book Patient Engagement written by Marie-Pascale Pomey and published by Springer Nature. This book was released on 2019-10-10 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-oriented approaches to healthcare management have been brought to the fore in recent years, yet this book underlines how even further change is needed in order to fully mobilise the experiential knowledge of patients, and ultimately improve our healthcare systems. With contributions from scholars and patients across the globe, this collection brings together a comprehensive overview of major achievements in patient engagement, analysing political, organizational and clinical contexts. By understanding the concept of care partnership, the authors explore how this patient revolution could transform, improve and innovate the ways in which care services are organized and delivered. Looking closely at the role of new technologies, this timely book will undoubtedly be of use to patients, managers and professionals within the healthcare industry, as well as those researching health policy and organization.

Altering Frontiers

Author : Corinne Grenier
Publisher : John Wiley & Sons
ISBN 13 : 1786307073
Total Pages : 72 pages
Book Rating : 4.7/5 (863 download)

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Book Synopsis Altering Frontiers by : Corinne Grenier

Download or read book Altering Frontiers written by Corinne Grenier and published by John Wiley & Sons. This book was released on 2021-07-21 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can healthcare systems be transformed by reimagining their multiple silos to favor processes and practices that are more responsive to local, horizontal initiatives? Altering Frontiers analyzes numerous experiences, using a multidisciplinary approach, paying attention to certain actors, collectives and organizational arrangements. Through this work, levers are identified that promote lasting transformation: recognizing the legitimacy of the practices of many who are often "invisible"; trusting those who know their intervention territory; investing in methodological support; taking advantage of tools and procedures such as instruments for strategic and managerial discussion; and developing the capacity to absorb innovative ideas and experiences that circulate within the environment.

To Err Is Human

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309068371
Total Pages : 312 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis To Err Is Human by : Institute of Medicine

Download or read book To Err Is Human written by Institute of Medicine and published by National Academies Press. This book was released on 2000-03-01 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine

Evolution of Awareness

Author : Kia Marlene
Publisher :
ISBN 13 :
Total Pages : 444 pages
Book Rating : 4.8/5 (856 download)

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Book Synopsis Evolution of Awareness by : Kia Marlene

Download or read book Evolution of Awareness written by Kia Marlene and published by . This book was released on 2022-03-08 with total page 444 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evolution of Awareness, the debut poetry collection from Kia Marlene, is a book about a spiritual journey towards enlightenment. The collection consists of 6 chapters, titled "The Egg," "The Caterpillar," "Intermission (heartbreak&love)," "The Cocoon," "The Butterfly," and a chapter titled "Knock Knock." Through numerous poems this book outlines various thoughts, questions and eventual answers concerning our collective greater purpose in life, self love, consciousness, and personhood. The author intends for this book to help broaden the reader's general perception, view of their environment, awareness, and sense of self.

Gender Mainstreaming in HIV/AIDS

Author :
Publisher : Commonwealth Secretariat
ISBN 13 : 9780850926552
Total Pages : 190 pages
Book Rating : 4.9/5 (265 download)

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Book Synopsis Gender Mainstreaming in HIV/AIDS by :

Download or read book Gender Mainstreaming in HIV/AIDS written by and published by Commonwealth Secretariat. This book was released on 2002 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: Women, especially young women, have increasing infection rates from HIV/AIDS and the death rate among women is now almost as high as men.

Critical Care Nursing

Author : Linda Diann Urden
Publisher : Saunders
ISBN 13 :
Total Pages : 1242 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Critical Care Nursing by : Linda Diann Urden

Download or read book Critical Care Nursing written by Linda Diann Urden and published by Saunders. This book was released on 2010 with total page 1242 pages. Available in PDF, EPUB and Kindle. Book excerpt: Focusing on critical care nursing, this full-color text provides an examination of the important aspects of critical care nursing. It is organized in ten units around alterations in body systems.

Government at a Glance Southeast Asia 2019

Author : OECD
Publisher : OECD Publishing
ISBN 13 : 9264305912
Total Pages : 132 pages
Book Rating : 4.2/5 (643 download)

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Book Synopsis Government at a Glance Southeast Asia 2019 by : OECD

Download or read book Government at a Glance Southeast Asia 2019 written by OECD and published by OECD Publishing. This book was released on 2019-09-10 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: Government at a Glance Southeast Asia 2019 is the first edition in the Government at a Glance series for the region. It provides the latest available data on public administrations in the 10 ASEAN member countries: Brunei Darussalam, Cambodia, Indonesia, Lao People’s Democratic Republic, Malaysia, Myanmar, the Philippines, Singapore, Thailand and Viet Nam.

The Blackwell Companion to Medical Sociology

Author : William C. Cockerham
Publisher : John Wiley & Sons
ISBN 13 : 0470998326
Total Pages : 597 pages
Book Rating : 4.4/5 (79 download)

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Book Synopsis The Blackwell Companion to Medical Sociology by : William C. Cockerham

Download or read book The Blackwell Companion to Medical Sociology written by William C. Cockerham and published by John Wiley & Sons. This book was released on 2008-05-12 with total page 597 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Blackwell Companion to Medical Sociology is a comprehensive collection of twenty-six original essays by leading medical sociologists from all over the world. The articles are organized both topically and by region to provide thorough coverage of the concerns, issues, and future directions of the discipline. This invaluable resource is the most informed, complete, and up-to-date reference on transnational medical sociology available today. Covers both substantive areas in medical sociology and regional perspectives located in the Americas, Europe, the Middle East, Asia, and Africa First comparative perspective to provide a comprehensive view of the field

Tuberculosis in the Workplace

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309171253
Total Pages : 334 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Tuberculosis in the Workplace by : Institute of Medicine

Download or read book Tuberculosis in the Workplace written by Institute of Medicine and published by National Academies Press. This book was released on 2001-05-15 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: Before effective treatments were introduced in the 1950s, tuberculosis was a leading cause of death and disability in the United States. Health care workers were at particular risk. Although the occupational risk of tuberculosis has been declining in recent years, this new book from the Institute of Medicine concludes that vigilance in tuberculosis control is still needed in workplaces and communities. Tuberculosis in the Workplace reviews evidence about the effectiveness of control measuresâ€"such as those recommended by the Centers for Disease Control and Preventionâ€"intended to prevent transmission of tuberculosis in health care and other workplaces. It discusses whether proposed regulations from the Occupational Safety and Health Administration would likely increase or sustain compliance with effective control measures and would allow adequate flexibility to adapt measures to the degree of risk facing workers.

Translating Dissent

Author : Mona Baker
Publisher : Routledge
ISBN 13 : 1317398475
Total Pages : 269 pages
Book Rating : 4.3/5 (173 download)

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Book Synopsis Translating Dissent by : Mona Baker

Download or read book Translating Dissent written by Mona Baker and published by Routledge. This book was released on 2015-10-30 with total page 269 pages. Available in PDF, EPUB and Kindle. Book excerpt: *Written by the winners of the Inttranews Linguists of the Year award for 2016!* Discursive and non-discursive interventions in the political arena are heavily mediated by various acts of translation that enable protest movements to connect across the globe. Focusing on the Egyptian experience since 2011, this volume brings together a unique group of activists who are able to reflect on the complexities, challenges and limitations of one or more forms of translation and its impact on their ability to interact with a variety of domestic and global audiences. Drawing on a wide range of genres and modalities, from documentary film and subtitling to oral narratives, webcomics and street art, the 18 essays reveal the dynamics and complexities of translation in protest movements across the world. Each unique contribution demonstrates some aspect of the interdependence of these movements and their inevitable reliance on translation to create networks of solidarity. The volume is framed by a substantial introduction by Mona Baker and includes an interview with Egyptian activist and film-maker, Philip Rizk. With contributions by scholars and artists, professionals and activists directly involved in the Egyptian revolution and other movements, Translating Dissent will be of interest to students of translation, intercultural studies and sociology, as well as the reader interested in the study of social and political movements. Online materials, including links to relevant websites and videos, are available at http://www.routledge.com/cw/baker. Additional resources for Translation and Interpreting Studies are available on the Routledge Translation Studies Portal: http://cw.routledge.com/textbooks/translationstudies.

The Crucible

Author : Coles Publishing Company. Editorial Board
Publisher :
ISBN 13 : 9780774030212
Total Pages : 116 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis The Crucible by : Coles Publishing Company. Editorial Board

Download or read book The Crucible written by Coles Publishing Company. Editorial Board and published by . This book was released on 1983 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: A literary study guide that includes summaries and commentaries.

Encyclopedia of AIDS

Author : Thomas J. Hope
Publisher :
ISBN 13 : 9781461496106
Total Pages : pages
Book Rating : 4.4/5 (961 download)

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Book Synopsis Encyclopedia of AIDS by : Thomas J. Hope

Download or read book Encyclopedia of AIDS written by Thomas J. Hope and published by . This book was released on with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Dying for Growth

Author : Jim Yong Kim
Publisher :
ISBN 13 :
Total Pages : 736 pages
Book Rating : 4.4/5 (91 download)

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Book Synopsis Dying for Growth by : Jim Yong Kim

Download or read book Dying for Growth written by Jim Yong Kim and published by . This book was released on 2000 with total page 736 pages. Available in PDF, EPUB and Kindle. Book excerpt: Is economic growth killing the poor? The Institute for Health and Social Justice brings us the answers in Dying for Growth. An extraordinary collection of fourteen hard-hitting case studies from Haiti to the US, Dying for Growth exposes the interests behind a system that consigns a fifth of the world's population to live (and die) on less than a dollar a day. Rooted in the lives of people waging heart-wrenching struggles against a new, systemic form of poverty, these studies don't just document inequality -- they pinpoint its underlying causes.Looking at the effects of international restructuring strategies on the poor, the increasing control trans-national corporations exert over world health, and the impact of U.S. drug policy on global inequality, Dying for Growth debunks the myths of global capitalism, including: Myth: Throwing loans at developing nations will cure poverty.Fact: As shown in Sickness Amidst Recovery: Public Debt and Private Suffering in a Peruvian Shanty Town, loans can make things worse.Myth: Getting rid of big government automatically improves the standard of living.Fact: Cutting services can lead to calamity, as detailed in Neoliberal Economic Policy, State Desertion and the Russian Health Crisis. Myth: The free market is a panacea.Fact: There's nothing liberating about modern capitalism, as demonstrated in 'Todo Bajo Control': The Costs of 'Free' Trade to Mexican Maquiladora Workers.Dying for Growth concludes with an extensive section on alternatives to standard models. Included is a chapter on health and revolution in Cuba, The Threat of a Good Example, and a plan for action, Pragmatic Solidarity: What You Can Do.With passionrarely found in works of comparable analytic rigor, Dying for Growth tells the stories of people trapped in the machine of growth, and compels readers to recognize that the problem of inequality is not one of insufficient resources, nor even of inefficiency -- the problem is power.

WHO consolidated guidelines on drug-resistant tuberculosis treatment

Author : World Health Organization
Publisher : World Health Organization
ISBN 13 : 9789241550529
Total Pages : 0 pages
Book Rating : 4.5/5 (55 download)

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Book Synopsis WHO consolidated guidelines on drug-resistant tuberculosis treatment by : World Health Organization

Download or read book WHO consolidated guidelines on drug-resistant tuberculosis treatment written by World Health Organization and published by World Health Organization. This book was released on 2018-11-07 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Tuberculosis (TB) strains with drug resistance (DR-TB) are more difficult to treat than drug-susceptible ones, and threaten global progress towards the targets set by the End TB Strategy of the World Health Organization (WHO). There is thus a critical need for evidence-based policy recommendations on the treatment and care of patients with DR-TB, based on the most recent and comprehensive evidence available. In this regard, the WHO consolidated guidelines on drug-resistant tuberculosis treatment fulfil the mandate of WHO to inform health professionals in Member States on how to improve treatment and care for patients with DR-TB. Between 2011 and 2018, WHO has developed and issued evidence-based policy recommendations on the treatment and care of patients with DR-TB. These policy recommendations have been presented in several WHO documents and their associated annexes, including the WHO treatment guidelines for multidrug- and rifampicin-resistant tuberculosis, 2018 update, issued by WHO in December 2018. The policy recommendations in each of these guidelines have been developed by WHO-convened Guideline Development Groups (GDGs), using the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach to summarize the evidence, and formulate policy recommendations and accompanying remarks. The present Consolidated guidelines include a comprehensive set of WHO recommendations for the treatment and care of DR-TB, derived from these WHO guidelines documents. The consolidated guidelines include policy recommendations on treatment regimens for isoniazid-resistant TB (Hr-TB) and MDR/RR-TB, including longer and shorter regimens, culture monitoring of patients on treatment, the timing of antiretroviral therapy (ART) in MDR/RR-TB patients infected with the human immunodeficiency virus (HIV), use of surgery for patients receiving MDR-TB treatment, and optimal models of patient support and care.