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Etat Des Lieux Des Gestes Techniques Gynecologiques En Medecine Generale Sur Le Territoire Picard
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Book Synopsis État des lieux des gestes techniques gynécologiques en médecine générale sur le territoire picard by : Odile Nadessane
Download or read book État des lieux des gestes techniques gynécologiques en médecine générale sur le territoire picard written by Odile Nadessane and published by . This book was released on 2021 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les principaux acteurs de la santé de la femme sont les médecins généralistes, les sages-femmes et les gynécologues. Les généralistes ont un savoir théorique de bon niveau en matière de gynécologie à la fois médicale et obstétricale mais peu le mettent en pratique au cabinet. Le territoire picard a en plus une bonne base de formation initiale en matière de gynécologie. Aucune thèse à l'heure actuelle n'a été faite pour évaluer la pratique des gestes techniques gynécologiques les plus utilisés sur ce territoire. Cette étude a pour objectif d'établir un état des lieux des pratiques des gestes techniques de gynécologie en médecine générale sur le territoire picard et de mettre en évidence les éventuelles raisons de non pratique. Une enquête quantitative, descriptive et transversale a été réalisée par un questionnaire envoyé à 400 médecins généralistes sélectionnés. Le questionnaire a été envoyé par voie postale, avec une relance téléphonique par la suite. Cent cinquante-quatre médecins ont participé à l'enquête, dont la moitié présentait un intérêt pour les gestes techniques gynécologiques, le tiers était formé en gynécologie, plus des deux-tiers travaillait en collaboration avec un gynécologue ou avait un spécialiste proche de son cabinet. Nous constatons que plus de la moitié des praticiens posent des spéculums et font des frottis. Le tiers pratique des prélèvements vaginaux, des poses et des retraits de DIU, des poses et des retraits d'implant et le doppler fœtal. La colposcopie, l'échographie, le prélèvement endo-utérin et la biopsie de col seraient des gestes très peu, voire, non pratiqués dans la pratique courante de la médecine générale. Le milieu d'installation semble être l'un des principaux facteurs influençant la pratique des gestes techniques. De manière moins marquée, l'intérêt pour la gynécologie et la formation préalable apparaîtrait comme favorisant cette pratique. Nous remarquons que peu de gestes sont réellement pratiqués en médecine générale. La formation après l'installation semble négligée. On pourrait se demander comment former au mieux les futurs médecins pendant ou à la sortie de l'internat pour qu'ils puissent soulager les gynécologues dans leur pratique quotidienne.
Book Synopsis Etat des lieux des apprentissages des pratiques gynécologiques des internes de médecine générale en stage ambulatoire by : Lise Royer
Download or read book Etat des lieux des apprentissages des pratiques gynécologiques des internes de médecine générale en stage ambulatoire written by Lise Royer and published by . This book was released on 2011 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pour des raisons démographiques, les médecins généralistes seront sollicités pour répondre à la demande de suivi gynécologique. Il est donc nécessaire que les compétences dans ce domaine soient acquises au terme de leur formation médicale initiale. A Angers, la moitié des internes ne réaliseront pas de stage en gynécologie. Les stages ambulatoires (praticien ou SASPAS) effectués chez les praticiens de médecine générale sont donc pour eux le seul moyen d'acquisition de la plupart des compétences requises en gynécologie. Nous avons réalisé une enquête d'autoévaluation auprès de 48 internes en stage praticien et de 16 internes en stage SASPAS pour réaliser un état des lieux des apprentissages des pratiques gynécologiques dans ces deux stages ambulatoires. Les besoins de formation en début de DES concernent surtout la réalisation de gestes techniques, la prise en charge d'un FCV anormal, la prescription et le suivi de la contraception hormonale, la prise en charge des IST et TSM. Les stages ambulatoires de médecine générale sont des lieux formateurs en ce qui concerne la prise en charge de la contraception hormonale, le suivi de grossesse, le dépistage cancérologique (FCV et examen sénologique). Les manques de formation mis en évidence dans ces deux stages sont la réalisation de gestes techniques (pose de DIU, pose et retrait d’implant), la prescription de TSM, la conduite à tenir devant un nodule mammaire suspect et un FCV anormal, la prise en charge des IST, la réponse à une demande d'IVG. Les résultats de cette étude suggèrent la nécessité d’améliorer la formation en gynécologie des internes en intégrant d’autres méthodes d’enseignement ou d'autres terrains de stage.
Book Synopsis Molecular Mechanisms of Hormone Action by : Gesellschaft für Biologische Chemie. Colloquium
Download or read book Molecular Mechanisms of Hormone Action written by Gesellschaft für Biologische Chemie. Colloquium and published by . This book was released on 1989 with total page 224 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 Intellectuals in Action by : Kevin Mattson
Download or read book Intellectuals in Action written by Kevin Mattson and published by Penn State Press. This book was released on 2007-08-09 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: Born in 1966‚ a generation removed from the counterculture‚ Kevin Mattson came of political age in the conservative Reagan era. In an effort to understand contemporary political ambivalence and the plight of radicalism today‚ Mattson looks back to the ideas that informed the protest‚ social movements‚ and activism of the 1960s. To accomplish its historical reconstruction‚ the book combines traditional intellectual biography—including thorough archival research—with social history to examine a group of intellectuals whose thinking was crucial in the formulation of New Left political theory. These include C. Wright Mills‚ the popular radical sociologist; Paul Goodman‚ a practicing Gestalt therapist and anarcho-pacifist; William Appleman Williams‚ the historian and famed critic of "American empire"; Arnold Kaufman‚ a "radical liberal" who deeply influenced the thinking of the SDS. The book discusses not only their ideas‚ but also their practices‚ from writing pamphlets and arranging television debates to forming left-leaning think tanks and organizing teach-ins protesting the Vietnam War. Mattson argues that it is this political engagement balanced with a commitment to truth-telling that is lacking in our own age of postmodern acquiescence. Challenging the standard interpretation of the New Left as inherently in conflict with liberalis‚ Mattson depicts their relationship as more complicated‚ pointing to possibilities for a radical liberalism today. Intellectual and social historians‚ as well as general readers either fascinated by the 1960s protest movements or actively seeking an alternative to our contemporary political malais‚ will embrace Mattson’s book and its promise to shed new light on a time period known for both its intriguing conflicts and its enduring consequences.
Book Synopsis Watsuji Tetsuro's Rinrigaku by : Tetsur? Watsuji
Download or read book Watsuji Tetsuro's Rinrigaku written by Tetsur? Watsuji and published by SUNY Press. This book was released on 1996-01-01 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: Watsuji Tetsuro's Rinrigaku (literally, the principles that allow us to live in friendly community) has been regarded as the definitive study of Japanese ethics for half a century. In Japan, ethics is the study of human being or ningen. As an ethical being, one negates individuality by abandoning one's independence from others. This selflessness is the true meaning of goodness.
Book Synopsis Community and Organization in the New Left, 1962-1968 by : Wini Breines
Download or read book Community and Organization in the New Left, 1962-1968 written by Wini Breines and published by Rutgers University Press. This book was released on 1989 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: Did New Left activists have an opportunity to start a revolution that they simply could not bring off? Was their rejection of conventional forms of political organization a fatal flaw or were the apparent weaknesses of the movement -- the lack of central authority, the distrust of politics -- actually hidden strengths? Wini Breines traces the evolution of the New Left movement through the Free Speech Movement, Students for a Democratic Society (SDS), and SDS's community organization projects. For Breines, the movement's goal of participatory decision-making, even when it was not achieved, made up for its failure to take practical and direct action. By the late 1960s, antiwar activism contributed to the decline of the New Left, as the movement was flooded with new participants who did not share the founding generation's political experiences or values. Originally published in 1982, Wini Breines's classic work now includes a new preface in which she reassesses, and for the most part affirms, her initial views of the movement. She argues that the movement remains effective in the midst of radical changes in activist movements. Breines also summarizes and evaluates the new and growing scholarship on the 1960s. Her provocative analysis of the New Left remains important today.
Book Synopsis The Princeton Encyclopedia of Classical Sites by : Richard Stillwell
Download or read book The Princeton Encyclopedia of Classical Sites written by Richard Stillwell and published by Princeton University Press. This book was released on 2017-03-14 with total page 1068 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here are over 1,000 pages of authoritative information on the archaeology of Greek and Roman civilization. The sites discussed in the more than 2,800 entries are scattered from Britain to India and from the shores of the Black Sea to the coast of North Africa and up the Nile. They are located on sixteen area maps, keyed to the entries. The entries were written by 375 scholars from sixteen nations, many of whom have worked at the sites they describe. Until now our knowledge of the Classical period has been scattered in hundreds of sources dating from antiquity to our own times. This volume provides essential information on work accomplished, in progress, and still to be undertaken. Originally published in 1976. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.
Book Synopsis The Democratic Citizen by : Dennis F. Thompson
Download or read book The Democratic Citizen written by Dennis F. Thompson and published by Cambridge University Press. This book was released on 2010-02-18 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This 1970 study examines the implications of empirical studies in the social sciences with reference to various strands of American and British democratic theory. In presenting his case Professor Thompson provides an extremely valuable critical synthesis of a very large body of theoretical and empirical literature in this field. He weaves together in an original way the works of more than a dozen twentieth-century political theorists and several hundred empirical studies by political scientists, sociologists and social psychologists.
Download or read book Rule Of The Bone written by Russell Banks and published by Vintage Canada. This book was released on 2010-01-08 with total page 381 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chappie is a punked-out teenager rejected by his mother and abusive stepfather. Out of school and in trouble with the police, he drifts through crash pads, doper squats, and malls until he finally settles in an abandoned school bus with Rose, a seven-year-old child, and I-Man, an exiled Rastafarian who will dramatically change his life. Together they begin an amazing journey...
Book Synopsis Democratic Theory by : Crawford Brough Macpherson
Download or read book Democratic Theory written by Crawford Brough Macpherson and published by . This book was released on 1973 with total page 255 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Children of Athena by : Nicole Loraux
Download or read book The Children of Athena written by Nicole Loraux and published by Princeton University Press. This book was released on 1994-08-28 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: "According to one myth, the first Athenian citizen was born from the earth after the sperm of a rejected lover, the god Hephaistos, dripped off the virgin goddess Athena's leg and onto fertile soil. Henceforth Athenian citizens could claim to be truly indigenous to their city and to have divine origins that bypassed maternity. In these essays, the renowned French Hellenist Nicole Loraux examines the implication of this and other Greek origin myths as she explores how Athenians in the fifth century forged and maintained a collective identity."--Publisher's description.
Book Synopsis Non-Slave Labour in the Greco-Roman World by : Peter Garnsey
Download or read book Non-Slave Labour in the Greco-Roman World written by Peter Garnsey and published by Cambridge Philological Society. This book was released on 2020-08-30 with total page 105 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Greco-Roman society the typical labourer was a peasant, not a slave. Yet, while specialized studies of ancient slavery abound, the subject of free labour, its incidence, status and economic significance, has received little attention. This volume of essays provides a summary of the available evidence for non-slave labour in antiquity and a bibliographical guide, but in addition advances novel interpretations concerning, for example, the composition of the 'labouring class', the relation between slave and peasant systems of production, and the importance of free dependent labour in the Western Roman provinces.
Download or read book Hamilton Stark written by Russell Banks and published by Harper Collins. This book was released on 2011-11-22 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hamilton Stark is a New Hampshire pipe fitter and the sole inhabitant of the house from which he evicted his own mother. He is the villain of five marriages and the father of a daughter so obsessed that she has been writing a book about him for years. Hamilton Stark is a boor, a misanthrope, a handsome man: funny, passionately honest, and a good dancer. The narrator, a middle-aged writer, decides to write about Stark as a hero whose anger and solitude represent passion and wisdom. At the same time that he tells Hamilton Stark's story, he describes the process of writing the novel and the complicated connections between truth and fiction. As Stark slips in and out of focus, maddeningly elusive and fascinatingly complex, this beguiling novel becomes at once a compelling meditation on identity and a thoroughly engaging story of life on the cold edge of New England.
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.
Download or read book Food Fray written by Lisa H. WEASEL Ph.D. and published by AMACOM Div American Mgmt Assn. This book was released on 2008-12-10 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: More than ten years ago, the first genetically modified foods took their place on the shelves of American supermarkets. But while American consumers remained blissfully unconcerned with the new products that suddenly filled their kitchens, Europeans were much more wary of these “Frankenfoods.” When famine struck Africa in 2002, several nations refused shipments of genetically modified foods, fueling a controversy that put the issue on the world's political agenda for good. In Food Fray, esteemed molecular biologist Dr. Lisa H. Weasel brings readers into the center of this debate, capturing the real-life experiences of the scientists, farmers, policymakers and grassroots activists on the front lines. Here she combines solid scientific knowledge and a gripping narrative to tell the real story behind the headlines and the hype. Seminal and cutting-edge, Food Fray enlightens and informs and will allow readers to make up their own minds about one of the most important issues facing us today.
Book Synopsis The Emergence of Civilisation by : Colin Renfrew
Download or read book The Emergence of Civilisation written by Colin Renfrew and published by London : Methuen. This book was released on 1972 with total page 670 pages. Available in PDF, EPUB and Kindle. Book excerpt:
