Evaluation De La Prescription Des Antibiotiques Aux Urgences Du Centre Hospitalier De Valenciennes

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Evaluation de la prescription des antibiotiques aux urgences du centre hospitalier de Valenciennes

Author : Nicolas Roothaer
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (145 download)

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Book Synopsis Evaluation de la prescription des antibiotiques aux urgences du centre hospitalier de Valenciennes by : Nicolas Roothaer

Download or read book Evaluation de la prescription des antibiotiques aux urgences du centre hospitalier de Valenciennes written by Nicolas Roothaer and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : Depuis les années 2000, le développement des résistances bactériennes est devenu un problème majeur de santé publique du fait d'une utilisation déraisonnable des antibiotiques et ce malgré la mise en place au niveau national et international de plusieurs plans d'action. L'instauration d'une antibiothérapie adaptée a un impact positif sur la survie du patient et un impact économique non négligeable. L'objectif de ce travail était donc d'évaluer les prescriptions antibiotiques aux urgences du Centre Hospitalier de Valenciennes selon la méthode de Gyssens. Méthode : Il s'agissait d'une étude monocentrique, descriptive, analytique et prospective. Les 100 patients consécutifs adultes, pour lesquels une antibiothérapie a été instaurée dans le cadre d'une hospitalisation, ont été inclus entre le 22 septembre 2014 et le 5 octobre 2014. Résultats : Sur les 100 patients, composés de 56% d'hommes et 44% de femmes avec un âge médian de 62 ans, 34% présentaient une infection respiratoire. Les autres pathologies infectieuses étaient à 17% d'origine digestive, 16% d'origine urinaire, 14% d'origine cutanée et plus rarement d'origine stomato-ORL ou neurologique. Les pénicillines étaient les plus prescrites (40% environ) avec les céphalosporines (seules dans 13% des cas ou en association dans 27% des cas) et les quinolones (8%). 70,7% des prescriptions étaient classées Gyssens I, c'est-à-dire conformes aux recommandations actuelles. La non-conformité était essentiellement expliquée par l'existence d'une alternative plus efficace (16,1% classe IV), d'une posologie inadaptée (3% classe IIa), d'une voie d'administration incorrecte (3% classe IIc), et d'une absence d'indication d'antibiothérapie (3% classe V). Les délais médians de prescription et d'administration étaient de 3,7 heures et 3,9 heures. Ils étaient significativement allongés si le prescripteur était un junior, inchangés en période de garde, lorsqu'un avis spécialisé était demandé ou que le patient présentait des signes de gravité clinique. Avant prescription, seulement 53% des patients avaient un prélèvement bactériologique. Conclusion : Les résultats de notre étude ont révélé un taux de conformité relativement satisfaisant comparativement aux données de la littérature. Cependant, afin de préserver les molécules actuelles, il est important d'améliorer les pratiques par l'élaboration d'un référentiel local ou de protocoles, par le biais de groupes de travail en concertation avec l'équipe des urgences et l'équipe d'infectiologie du CH de Valenciennes.

Thickening Fat

Author : May Friedman
Publisher : Routledge
ISBN 13 : 0429017634
Total Pages : 360 pages
Book Rating : 4.4/5 (29 download)

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Book Synopsis Thickening Fat by : May Friedman

Download or read book Thickening Fat written by May Friedman and published by Routledge. This book was released on 2019-08-30 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thickening Fat: Fat Bodies, Intersectionality, and Social Justice seeks to explore the multiple, variable, and embodied experiences of fat oppression and fat activisms. Moving beyond an analysis of fat oppression as singular, this book will aim to unpack the volatility of fat—the mutability of fat embodiments as they correlate with other embodied subjectivities, and the threshold where fat begins to be reviled, celebrated, or amended. In addition, Thickening Fat explores the full range of intersectional and liminal analyses that push beyond the simple addition of two or more subjectivities, looking instead at the complex alchemy of layered and unstable markers of difference and privilege. Cognizant that the concept of intersectionality has been filled out in a plurality of ways, Thickening Fat poses critical questions around how to render analysis of fatness intersectional and to thicken up intersectionality, where intersectionality is attenuated to the shifting and composite and material dimensions to identity, rather than reduced to an “add difference and stir” approach. The chapters in this collection ask what happens when we operationalize intersectionality in fat scholarship and politics, and we position difference at the centre and start of inquiry.

Eat Sleep Bagpipes Repeat

Author : Mirako Press
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781723229053
Total Pages : 104 pages
Book Rating : 4.2/5 (29 download)

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Book Synopsis Eat Sleep Bagpipes Repeat by : Mirako Press

Download or read book Eat Sleep Bagpipes Repeat written by Mirako Press and published by Createspace Independent Publishing Platform. This book was released on 2018-07-18 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: This adorable music notebook is perfect for staffs, kids and musicians. The high-quality manuscript book includes 110 pages of 12 staves. Let exercise your composing skills with this well-designed music sketchbook! Enjoy!

Magnetic Nanoparticles in Human Health and Medicine

Author : Costica Caizer
Publisher : John Wiley & Sons
ISBN 13 : 1119754747
Total Pages : 512 pages
Book Rating : 4.1/5 (197 download)

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Book Synopsis Magnetic Nanoparticles in Human Health and Medicine by : Costica Caizer

Download or read book Magnetic Nanoparticles in Human Health and Medicine written by Costica Caizer and published by John Wiley & Sons. This book was released on 2021-09-08 with total page 512 pages. Available in PDF, EPUB and Kindle. Book excerpt: Magnetic Nanoparticles in Human Health and Medicine Explores the application of magnetic nanoparticles in drug delivery, magnetic resonance imaging, and alternative cancer therapy Magnetic Nanoparticles in Human Health and Medicine addresses recent progress in improving diagnosis by magnetic resonance imaging (MRI) and using non-invasive and non-toxic magnetic nanoparticles for targeted drug delivery and magnetic hyperthermia. Focusing on cancer diagnosis and alternative therapy, the book covers both fundamental principles and advanced theoretical and experimental research on the magnetic properties, biocompatibilization, biofunctionalization, and application of magnetic nanoparticles in nanobiotechnology and nanomedicine. Chapters written by a panel of international specialists in the field of magnetic nanoparticles and their applications in biomedicine cover magnetic hyperthermia (MHT), MRI contrast agents, biomedical imaging, modeling and simulation, nanobiotechnology, toxicity issues, and more. Readers are provided with accurate information on the use of magnetic nanoparticles in diagnosis, drug delivery, and alternative cancer therapeutics—featuring discussion of current problems, proposed solutions, and future research directions. Topics include current applications of magnetic iron oxide nanoparticles in nanomedicine and alternative cancer therapy: drug delivery, magnetic resonance imaging, superparamagnetic hyperthermia as alternative cancer therapy, magnetic hyperthermia in clinical trials, and simulating the physics of magnetic particle heating for cancer therapy. This comprehensive volume: Covers both general research on magnetic nanoparticles in medicine and specific applications in cancer therapeutics Discusses the use of magnetic nanoparticles in alternative cancer therapy by magnetic and superparamagnetic hyperthermia Explores targeted medication delivery using magnetic nanoparticles as a future replacement of conventional techniques Reviews the use of MRI with magnetic nanoparticles to increase the diagnostic accuracy of medical imaging Magnetic Nanoparticles in Human Health and Medicine is a valuable resource for researchers in the fields of nanomagnetism, magnetic nanoparticles, nanobiomaterials, nanobioengineering, biopharmaceuticals nanobiotechnologies, nanomedicine, and biopharmaceuticals, particularly those focused on alternative cancer diagnosis and therapeutics.

The Explicitation Interview

Author : Pierre Vermersch
Publisher : Explicitation Interview
ISBN 13 : 9781090169259
Total Pages : 170 pages
Book Rating : 4.1/5 (692 download)

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Book Synopsis The Explicitation Interview by : Pierre Vermersch

Download or read book The Explicitation Interview written by Pierre Vermersch and published by Explicitation Interview. This book was released on 2007-07 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book was first published in French in 1994. It has been a training support to numerous researchers as well as practitioners, such as teachers, health workers, personal or sport trainers. Since then, it has constantly been republished and a glossary has been added in 1998. This version is the first complete edition of the book in English. The main idea of this new interview technique is to help a teacher, a supervisor or a researcher to guide the student, the practitioner or the subject to give a fine retrospective description of an action. As it is only the subject that has access to this mental or physical action, the goal is to help the subject with the verbalization, putting the implicit knowledge of this action in words. Yet, to achieve this verbalization, we need guidance, because we don't know how to give such a description ourselves. If we leave the interviewee without guidance, he risks remaining in the implicit, speaking in a general way, or in an incomplete or imprecise way, commenting instead of describing. The explicit and precise description we aim is the opposite of the implicit, meaning a fine, detailed and complete way of putting the action in words. The final aim is to elucidate what the subject did to seek his goal

The NHS Improvement Plan

Author : Great Britain. Department of Health
Publisher : The Stationery Office
ISBN 13 : 9780101626828
Total Pages : 94 pages
Book Rating : 4.6/5 (268 download)

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Book Synopsis The NHS Improvement Plan by : Great Britain. Department of Health

Download or read book The NHS Improvement Plan written by Great Britain. Department of Health and published by The Stationery Office. This book was released on 2004 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt: This document sets out the priorities for the NHS up to 2008 based on the process of reform set out in the NHS Plan (Cm. 4818-I ISBN 0101481829). It is in three sections. The first 'Laying the foundations' looks at the progress so far in NHS reform. The second section 'Offering a better service' sets out the objectives of the policy under the headings of personalised care, supporting people with long-term conditions, and a healthier and fitter population. One of the aims is to change the NHS from a sickness service to a service that gives a higher priority to the prevention of disease and a reduction of health inequalities. The third section is called 'Making it happen' and it covers investment and diversity of provision, staff and working practices and information systems.

Health for all Children

Author : David M B Hall
Publisher : OUP Oxford
ISBN 13 : 0191015628
Total Pages : 423 pages
Book Rating : 4.1/5 (91 download)

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Book Synopsis Health for all Children by : David M B Hall

Download or read book Health for all Children written by David M B Hall and published by OUP Oxford. This book was released on 2006-09-07 with total page 423 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since publication of the fourth edition of this highly successful book, there have been a number of Government initiatives, reports and policies on how the health of children can best be protected and promoted. This revised fourth edition incorporates recent material on the National Service Framework, 'Every Child Matters', the public health report 'Choosing Health', and the Children Act. It has also been informed by new research on a variety of topics including Sure Start, obesity, Sudden Infant Death Syndrome (SIDS) and language acquisition. Health for all Children 4/e (revised) continues the themes of previous editions, in particular highlighting the growing evidence that behavioural problems and educational failure are not inevitable, and can be prevented. Thus the role of screening for developmental problems, while not ignored, is set in the context of what can be done to promote language development, reading, and enthusiasm for learning. Changes made to the fourth edition, and continued in this revised edition, include dealing with the health care needs of children of school age as well as pre-school children. It also outlines the needs of special groups of children, including those who are vulnerable or disabled and those living in unusual circumstances. The legislative framework is outlined and hallmarks of good practice described. Promoting children's health is a key focus, with updated information on nutrition and injury prevention, and emphasis on the importance of parent education and support, language, and literacy skills, with a review of behavioural management programmes for parents. It also describes the duties laid on PCTs with regard to education and social services support. This established and successful book continues to be essential reading for all health professionals who work with children, whether in the community or at the receiving end of referrals. It will also provide vital background knowledge for those charged with the responsibility of planning, commissioning and monitoring. This revised fourth edition provides the most up to date evidence in a rapidly changing field.