Etude des facteurs prédictifs de la douleur sévère en salle de surveillance post-interventionnelle

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Publisher :
ISBN 13 :
Total Pages : 8 pages
Book Rating : 4.:/5 (492 download)

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Book Synopsis Etude des facteurs prédictifs de la douleur sévère en salle de surveillance post-interventionnelle by : Nathalie Valade

Download or read book Etude des facteurs prédictifs de la douleur sévère en salle de surveillance post-interventionnelle written by Nathalie Valade and published by . This book was released on 2004 with total page 8 pages. Available in PDF, EPUB and Kindle. Book excerpt: La prise en charge de la douleur post-opératoire s'est nettement améliorée depuis quelques années avec la généralisation des techniques d'analgésie balancée et d'analgésie loco-régionale. En ce qui concerne la douleur post-opératoire immédiate, la méthode de référence est la titration morphinique. Cette méthode permet un administration adaptée à la variabilité inter et intra-individuelle des besoins en morphinique des patients, elle repose sur une auto-évaluation de la douleur par EVA ou EN. Cependant des problèmes persistent : le délai de soulagement des patients est encore trop long et les effets secondaires de la morphine empêchent une prise en charge optimale de la douleur en SSPI. Il nous a paru intéressant de mettre en évidence les facteurs prédictifs de la douleur sévère et de la titration de morphine en SSPI afin de mieux comprendre les facteurs pouvant influencer cette variabilité et éventuellement déboucher sur une amélioration de la prise en charge de la douleur des patients en SSPI. Nous avons réalisé pour cela une étude prospective de ces facteurs prédictifs incluant tous les patients admis en SSPI en post-opératoire de chirurgie orthopédique, urologique, gynécologique et digestive. Les caractéristiques pré-opéraoires des patients (antécédents, information sur la douleur), les caractéristiques per-opératoires (type d'anesthésie de chirurgie, antalgiques reçus) et post-opératoire (douleur, titration, durée de séjour) étaient collectées de manière prospective. L'analyse multivariée de ces paramétres a permis de mettre en évidence trois facteurs prédictifs indépendants : les fortes doses de sufentanyl per-opératoire, la prise d'antalgique pré-opératoire et la rachi-anesthésie. Ces paramètres laissent envisager des solutions thérapeutiques, généraliser l'utilisation des anti-NMDA qui limitent la tolérance aiguë au morphiniques et encourager les techniques d'analgésie loco-régionale . Ceci afin d'améliorer le confort des patients dans une démarche d'assurance qualité. MOT CLES : douleur post-opératoire- titration morphinique -analgésie -salle de réveil post-interventionnelle- facteurs prédictifs.

Pain in Infants, Children, and Adolescents

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Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9780781726443
Total Pages : 924 pages
Book Rating : 4.7/5 (264 download)

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Book Synopsis Pain in Infants, Children, and Adolescents by : Neil L. Schechter

Download or read book Pain in Infants, Children, and Adolescents written by Neil L. Schechter and published by Lippincott Williams & Wilkins. This book was released on 2003 with total page 924 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.

Comprehensive Cervical Cancer Control

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Publisher : World Health Organization
ISBN 13 : 9241547006
Total Pages : 284 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Comprehensive Cervical Cancer Control by : World Health Organization

Download or read book Comprehensive Cervical Cancer Control written by World Health Organization and published by World Health Organization. This book was released on 2006 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.

World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses

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Publisher :
ISBN 13 : 9789241548120
Total Pages : 166 pages
Book Rating : 4.5/5 (481 download)

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Book Synopsis World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses by : World Health Organization

Download or read book World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses written by World Health Organization and published by . This book was released on 2012 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: These guidelines have been developed to support countries to relieve pain in their paediatric populations. These guidelines address persisting pain in children caused by conditions such as cancer, HIV/AIDS, sickle-cell disease, burns, trauma, and phantom limb pain. Recommendations -- developed following a careful and transparent appraisal of available evidence -- are presented for the pharmacological treatment of mild, moderate and severe pain. The guidelines include chapters on the various systems used to classify pain and on the evaluation of pain, which reviews the available tools for routine pain measurement in children. Provision of sustainable pain relief within health care systems is covered in a separate chapter. Since morphine and other opioid analgesics -- required for the relief of moderate-to-severe pain in children -- are listed under the 1961 UN Single Convention on Narcotic Drugs, the new guidelines include an annex explaining the Convention's requirements for the handling and procurement of opioid analgesics for the relief of pain.

Cancer Pain Relief

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Publisher : World Health Organization
ISBN 13 : 9789241544825
Total Pages : 74 pages
Book Rating : 4.5/5 (448 download)

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Book Synopsis Cancer Pain Relief by : World Health Organization

Download or read book Cancer Pain Relief written by World Health Organization and published by World Health Organization. This book was released on 1996 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of a guide, which introduced a simple, yet highly effective method for the relief of cancer pain. Thoroughly revised and updated, the new edition further refines the WHO method, which advocates the use of a small number of relatively inexpensive drugs, including morphine. Revisions draw on experiences with millions of patients around the world as well as new knowledge about the specific pain syndromes unique to cancer. Completely new are chapters describing the international system by which morphine and other opioids are made available for medical purposes. The book has two parts. Part one provides a practical guide to the relief of cancer pain, concentrating on drug treatment as the mainstay of pain management. The most extensive section sets out detailed guidelines for the selection and prescribing of non-opioid analgesics, opioid analgesics, drugs for neuropathic pain, and adjuvant drugs for the treatment of adverse effects, the enhancement of pain relief and the management of concomitant psychological disturbances. Information ranges from explanations of how specific drugs work, through the precautions to take in the presence of certain disorders, to a list of factors that influence the effectiveness of opioids. Concerning the use of opioids, readers are reminded that psychological dependence does not occur in cancer patients and that the only correct dose of morphine is the one that relieves the pain. Part two provides a guide to opioid availability. A discussion of the reasons why opioids continue to be underprescribed or difficult to obtain is followed by an explanation of the Single Convention on Narcotic Drugs.

ABC of Oral Health

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Publisher : BMJ Books
ISBN 13 : 9780727915511
Total Pages : 41 pages
Book Rating : 4.9/5 (155 download)

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Book Synopsis ABC of Oral Health by : Crispian Scully

Download or read book ABC of Oral Health written by Crispian Scully and published by BMJ Books. This book was released on 2000-11-10 with total page 41 pages. Available in PDF, EPUB and Kindle. Book excerpt: For patients with oral health problems or dental emergencies, the GP or primary health care worker is often the first port of call. This ABC covers all the most common oral conditions encountered in primary care. It gives clear concise guidance on the management and prevention of oral health problems with the aid of high quality clinical photographs. Advice is given on which conditions are minor, and which could signify more serious underlying disease. The ABC of Oral Health will be an invaluable reference for GPs, practice nurses, and all those involved in oral health care.

Cognitive Hypnotherapy

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Publisher : John Wiley & Sons
ISBN 13 : 0470032472
Total Pages : 324 pages
Book Rating : 4.4/5 (7 download)

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Book Synopsis Cognitive Hypnotherapy by : Assen Alladin

Download or read book Cognitive Hypnotherapy written by Assen Alladin and published by John Wiley & Sons. This book was released on 2008-04-28 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cognitive Behavioural Therapy (CBT) is now in use worldwide, while hypnosis as a technique continues to attract serious interest from the professional community. Integrating the two, the field of cognitive hypnotherapy uses the natural trance states of clients to unlock unconscious thoughts and memory patterns that can generate and sustain problems. Cognitive hypnotherapists work within the client’s model of the world, so that changes are more likely to be subconsciously accepted and become permanent. This practical guide shows how cognitive hypnotherapy can be used to treat a range of emotional disorders including depression, sleep disorders, anxiety, eating disorders and PTSD.

Focal Therapy in Prostate Cancer

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Publisher : John Wiley & Sons
ISBN 13 : 1405196491
Total Pages : 213 pages
Book Rating : 4.4/5 (51 download)

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Book Synopsis Focal Therapy in Prostate Cancer by : Hashim Uddin Ahmed

Download or read book Focal Therapy in Prostate Cancer written by Hashim Uddin Ahmed and published by John Wiley & Sons. This book was released on 2011-12-27 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book comprehensively reviews the potential of focal therapy and discusses why the changing face of prostate cancer warrants a change in the way we treat men with the disease. It deals with the mechanisms by which disease can be localized within the gland and then the different technologies used for focal ablation. Bringing together eminent contributors in one accessible reference, this book introduces focal therapy to all urologists, oncologists, and radiologists who are involved in the treatment of men with prostate cancer.

Endocarditis

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Publisher : Springer Science & Business Media
ISBN 13 : 1846284538
Total Pages : 260 pages
Book Rating : 4.8/5 (462 download)

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Book Synopsis Endocarditis by : Kwan-Leung Chan

Download or read book Endocarditis written by Kwan-Leung Chan and published by Springer Science & Business Media. This book was released on 2006-12-13 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Endocarditis: Diagnosis and Management is an important resource of clinical information that provides relevant information on the diagnosis and management of endocarditis. It is useful to all practitioners who are involved in the care of these critically ill patients.

Cervical Cancer Screening in Developing Countries

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Publisher : World Health Organization
ISBN 13 : 9241545720
Total Pages : 90 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Cervical Cancer Screening in Developing Countries by : World Health Organization

Download or read book Cervical Cancer Screening in Developing Countries written by World Health Organization and published by World Health Organization. This book was released on 2002 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cervical cancer is the second most common cancer among women worldwide, with 80 per cent of deaths occurring in developing countries. It is an important area for cancer control programmes because of the burden of the disease and the potential for effective prevention via screening. This publication is based on a comprehensive consultation undertaken by WHO in 2001, involving leading experts in the field of cancer epidemiology, screening and treatment. It focuses on the current situation in low and middle income countries, discusses the efficacy of screening methods available, and assesses potential future developments.

Clinical Chronopharmacology

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Publisher : CRC Press
ISBN 13 :
Total Pages : 268 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Clinical Chronopharmacology by : Alain Reinberg

Download or read book Clinical Chronopharmacology written by Alain Reinberg and published by CRC Press. This book was released on 1990-07 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: Periodical and predictable changes in biological susceptibility and response to a large variety of chemical agents, including drugs and food, have been documented since the early 1970s. This book provides a survey of clinically-documented research in chronopharmacology.

Prostate Cancer Diagnosis

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Publisher : Springer Science & Business Media
ISBN 13 : 162703188X
Total Pages : 390 pages
Book Rating : 4.6/5 (27 download)

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Book Synopsis Prostate Cancer Diagnosis by : J. Stephen Jones

Download or read book Prostate Cancer Diagnosis written by J. Stephen Jones and published by Springer Science & Business Media. This book was released on 2012-11-14 with total page 390 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on the highly successful first edition of Prostate Biopsy: Indications, Techniques, and Complications, this new volume presents new concepts that have emerged in answer to current questions from its audience. Many new perspectives and technologies are presented, many from the authors’ internationally recognized work on the topic. Substantial developments in techniques and complications are explored in detail. The chapter authors comprise a complete spectrum of specialists in their respective subject areas. All authors are internationally accepted as the premier authorities on their chosen topics. Prostate Cancer Diagnosis: PSA, Biopsy, and Beyond presents new data on the controversial issue of PSA screening and thresholds as indication to perform biopsy. Office based transrectal saturation biopsy is covered in detail. Other topics explored include template guided biopsy and image-guided biopsy as well as a completely new paradigm for prevention of complications. Prostate Cancer Diagnosis: PSA, Biopsy, and Beyond will be of great value and utility to all practicing urologists.

Quality of Life Through Quality of Information

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Publisher : IOS Press
ISBN 13 : 1614991014
Total Pages : 1284 pages
Book Rating : 4.6/5 (149 download)

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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.

Global Pharmaceuticals

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Publisher : Duke University Press
ISBN 13 : 9780822337416
Total Pages : 314 pages
Book Rating : 4.3/5 (374 download)

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Book Synopsis Global Pharmaceuticals by : Adriana Petryna

Download or read book Global Pharmaceuticals written by Adriana Petryna and published by Duke University Press. This book was released on 2006-03-15 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: DIVAnthropological study of the globalization of pharmaceuticals and its effects on local cultures, health, and economics./div

The Ladybird Illustrated

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Publisher :
ISBN 13 :
Total Pages : 100 pages
Book Rating : 4.5/5 (61 download)

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Book Synopsis The Ladybird Illustrated by : D H Lawrence

Download or read book The Ladybird Illustrated written by D H Lawrence and published by . This book was released on 2020-11-09 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Ladybird is a long tale or novella by D. H. Lawrence. It was first drafted in 1915 as a short story entitled The Thimble. Lawrence rewrote and extended it under a new title in December 1921 and sent the final version to his English agent on 9 January 1922. It was collected with two other tales, The Captain's Doll and The Fox, and the three novellas were then published in London by Martin Secker in March 1923 under the title The Ladybird and in New York by Thomas Seltzer as The Captain's Doll in April 1923."

Minimum competence in scientific English

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Publisher : L'Editeur : EDP Sciences
ISBN 13 : 9782868835888
Total Pages : 264 pages
Book Rating : 4.8/5 (358 download)

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Book Synopsis Minimum competence in scientific English by : Sue Blattes

Download or read book Minimum competence in scientific English written by Sue Blattes and published by L'Editeur : EDP Sciences. This book was released on 2003 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cet ouvrage, devenu célèbre sous son sigle MCSE, a déjà été utilisé par plus de 50 000 étudiants, chercheurs, professionnels. L'objectif est de lire et écrire des textes en anglais scientifique avec facilité et pertinence. L'ouvrage est conçu pour que l'apprenant devienne un véritable utilisateur de l'anglais. La méthode originale repose sur l'analyse des fonctions et structures nécessaires : measurement, frequency, comparison, modification, link words, time, cause and consequence, hypothesis, modality, purpose and process, impersonal forms, compound nouns and adjectives. Dans chaque unit, des tests d'auto-évaluation permettent de se situer et de construire son parcours de formation, d'abord en définissant ses objectifs à l'aide des key points et du lexis, puis, de façon plus personnalisée, en puisant dans les examples in context, checkpoints (back to basics, word web), web search, FAQs... MCSE est l'outil de base d'une méthode qui comprend aussi d'autres outils dans la même collection (Listening Comprehension for Scientiflc English et Speaking Skills in Scientitic English). L'ouvrage est destiné à tout apprenant de niveau baccalauréat qui désire acquérir une réelle compétence dans l'écriture et la lecture de textes en anglais scientifique.

Biological Rhythm Research

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Publisher :
ISBN 13 :
Total Pages : 472 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Biological Rhythm Research by : A. Sollberger

Download or read book Biological Rhythm Research written by A. Sollberger and published by . This book was released on 1965 with total page 472 pages. Available in PDF, EPUB and Kindle. Book excerpt: