Facteurs Influencant La Strategie Therapeutique Du Diabete De Type 2 Etude Qualitative Aupres De 10 Medecins Generalistes

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Facteurs influençant la stratégie thérapeutique du diabète de type 2, étude qualitative auprès de 10 médecins généralistes

Author : Maxime Loos
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (143 download)

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Book Synopsis Facteurs influençant la stratégie thérapeutique du diabète de type 2, étude qualitative auprès de 10 médecins généralistes by : Maxime Loos

Download or read book Facteurs influençant la stratégie thérapeutique du diabète de type 2, étude qualitative auprès de 10 médecins généralistes written by Maxime Loos and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : L'éventail d'antidiabétiques oraux s'est récemment enrichi d'une nouvelle classe : les IDPP4. Ils connaissent un franc succès depuis leur mise sur le marché en 2006. Cependant, les dernières recommandations de la HAS (2013) les relèguent en seconde intention pour la bithérapie avec la metformine, après les sulfamides hypoglycémiants. Méthode : Cette étude qualitative a été réalisée par l'analyse thématique de 10 entretiens semi dirigés auprès de médecins généralistes. Elle cherchait à mettre en évidence les différents facteurs poussant les médecins à préférer les IDPP4 aux sulfamides. Résultats : En plus de critères quantitatifs facilement identifiables, l'approche qualitative à permis de découvrir d'autres facteurs plus subjectifs. Les médecins mettaient en balance les avantages et inconvénients de chaque classe (efficacité sur l'HbA1c, effet sur le poids, coût, effets secondaires). Leur critère principal semblait être l'observance, nettement améliorée par les associations fixes IDPP4/metformine. D'autres facteurs venaient influencer la prise en compte des premiers. Il s'agit des rapports qu'entretenait chaque médecin avec les différents acteurs de santé publique, que sont l'industrie pharmaceutique et les autorités sanitaires. Ces rapports sont eux mêmes influencés par le statut du médecin, son âge, ses sources d'information et par les récents retraits de molécules et autres scandales médiatiques survenus dans le domaine du diabète. Deux profils de médecins ont émergé : les premiers, souvent les plus jeunes, semblaient être réfractaires aux laboratoires, ils rejetaient les nouvelles molécules et préféraient suivre la HAS, tandis que d'autres plus âgés recevaient l'information des différents acteurs avec moins d'a priori et voulaient se forger leur propre opinion. Ils décidaient souvent de ne pas suivre ces recommandations estimant qu'une meilleure observance primait sur le coût du traitement. Conclusion : Les recommandations relèguent ces molécules en seconde intention principalement pour leur coût et le manque de recul sur leur sécurité. Depuis leur parution, certaines suspicions d'effets secondaires ont été en partie levées par de nouveaux essais cliniques. La recherche dans le domaine du diabète s'est considérablement accélérée, de nouvelles pistes sont à l'étude et l'éventail thérapeutique risque de s'élargir dans un futur proche. Les recommandations ainsi que l'opinion des médecins devront donc s'inscrire dans une constante évolution.

The Patient Will See You Now

Author : Eric Topol
Publisher : Basic Books
ISBN 13 : 0465094473
Total Pages : 386 pages
Book Rating : 4.4/5 (65 download)

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Book Synopsis The Patient Will See You Now by : Eric Topol

Download or read book The Patient Will See You Now written by Eric Topol and published by Basic Books. This book was released on 2016-10-25 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: The essential guide by one of America's leading doctors to how digital technology enables all of us to take charge of our health A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"-but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical. In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system. The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result-better, cheaper, and more human health care-will be worth it. Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.

Health and Modernity

Author : David V. McQueen
Publisher : Springer Science & Business Media
ISBN 13 : 0387377573
Total Pages : 180 pages
Book Rating : 4.3/5 (873 download)

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Book Synopsis Health and Modernity by : David V. McQueen

Download or read book Health and Modernity written by David V. McQueen and published by Springer Science & Business Media. This book was released on 2007-02-05 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pandemics, substance abuse, natural disasters, obesity, and warfare: these are not only health crises but social crises as well. Now a panel of leaders in global health explores the vital but understudied social theories behind the practice of health promotion, including cultural capital, risk and causality, systems theory, and the dynamic between individual and community.

Empires, Nations, and Natives

Author : Benoît de L'Estoile
Publisher : Duke University Press
ISBN 13 : 0822387107
Total Pages : 351 pages
Book Rating : 4.8/5 (223 download)

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Book Synopsis Empires, Nations, and Natives by : Benoît de L'Estoile

Download or read book Empires, Nations, and Natives written by Benoît de L'Estoile and published by Duke University Press. This book was released on 2005-09-22 with total page 351 pages. Available in PDF, EPUB and Kindle. Book excerpt: Empires, Nations, and Natives is a groundbreaking comparative analysis of the interplay between the practice of anthropology and the politics of empires and nation-states in the colonial and postcolonial worlds. It brings together essays that demonstrate how the production of social-science knowledge about the “other” has been inextricably linked to the crafting of government policies. Subverting established boundaries between national and imperial anthropologies, the contributors explore the role of anthropology in the shifting categorizations of race in southern Africa, the identification of Indians in Brazil, the implementation of development plans in Africa and Latin America, the construction of Mexican and Portuguese nationalism, the genesis of “national character” studies in the United States during World War II, the modernizing efforts of the French colonial administration in Africa, and postcolonial architecture. The contributors—social and cultural anthropologists from the Americas and Europe—report on both historical and contemporary processes. Moving beyond controversies that cast the relationship between scholarship and politics in binary terms of complicity or autonomy, they bring into focus a dynamic process in which states, anthropological knowledge, and population groups themselves are mutually constructed. Such a reflexive endeavor is an essential contribution to a critical anthropological understanding of a changing world. Contributors: Alban Bensa, Marcio Goldman, Adam Kuper, Benoît de L’Estoile, Claudio Lomnitz, David Mills, Federico Neiburg, João Pacheco de Oliveira, Jorge Pantaleón, Omar Ribeiro Thomaz, Lygia Sigaud, Antonio Carlos de Souza Lima, Florence Weber

Contemporary Criminological Issues

Author : Carolyn Côté-Lussier
Publisher : University of Ottawa Press
ISBN 13 : 0776628720
Total Pages : 396 pages
Book Rating : 4.7/5 (766 download)

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Book Synopsis Contemporary Criminological Issues by : Carolyn Côté-Lussier

Download or read book Contemporary Criminological Issues written by Carolyn Côté-Lussier and published by University of Ottawa Press. This book was released on 2020-05-05 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contemporary Criminological Issues tackles some of today’s most pressing social issues, from the criminalization of Indigenous peoples to interpersonal violence, border control, and armed conflicts. This book advances cutting-edge theories and methods, with the aim of moving beyond the scholarship that reproduces insecurity and exclusion. The breadth of approaches encompasses much of the current critical criminological scholarship, serving as a counterpoint to the growth of managerial and administrative criminologies and the rise of explicitly exclusionary and punitive state policies and practices with respect to ‘crime’ and ‘security.’ This edited collection featuring two books, one in English and one in French, includes important contributions to knowledge and public policy by eminent experts and emerging scholars. This book is published in English.

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.

Office Emergencies

Author : Marjorie A. Bowman
Publisher :
ISBN 13 :
Total Pages : 420 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Office Emergencies by : Marjorie A. Bowman

Download or read book Office Emergencies written by Marjorie A. Bowman and published by . This book was released on 2003 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt: Inside, you'll find practical information on how to handle the most common emergencies that present in primary care offices and urgent care centers -- whether in person or over the telephone.

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.

Orthogeriatrics

Author : Paolo Falaschi
Publisher : Springer Nature
ISBN 13 : 3030481263
Total Pages : 355 pages
Book Rating : 4.0/5 (34 download)

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Book Synopsis Orthogeriatrics by : Paolo Falaschi

Download or read book Orthogeriatrics written by Paolo Falaschi and published by Springer Nature. This book was released on 2021 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.

Placenta Accreta Syndrome

Author : Robert Silver
Publisher : CRC Press
ISBN 13 : 1498746004
Total Pages : 232 pages
Book Rating : 4.4/5 (987 download)

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Book Synopsis Placenta Accreta Syndrome by : Robert Silver

Download or read book Placenta Accreta Syndrome written by Robert Silver and published by CRC Press. This book was released on 2017-06-12 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: Placenta accreta comprises a spectrum of disorders where all or part of the placenta becomes attached to the muscular wall of the uterus, which can result in life-threatening hemorrhage at the time of delivery. Previous surgical procedures (including cesarean delivery) and placenta previa are important risk factors, and the incidence is dramatically increasing. This important practical guide to how clinicians should diagnose and manage placenta accreta will be an invaluable reference for all obstetricians and maternal-fetal specialists.

Les représentations des médecins généralistes sur la personnalisation de la prise en charge des diabétiques de type 2

Author : Laëtitia Ducourneau
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (143 download)

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Book Synopsis Les représentations des médecins généralistes sur la personnalisation de la prise en charge des diabétiques de type 2 by : Laëtitia Ducourneau

Download or read book Les représentations des médecins généralistes sur la personnalisation de la prise en charge des diabétiques de type 2 written by Laëtitia Ducourneau and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : La prévalence du diabète de type 2 traité pharmacologiquement en France métropolitaine est estimée à 3,95% en 2007. En février 2013, une nouvelle recommandation de l'HAS est sortie sur la prise en charge des diabétiques de type 2. Elle est centrée sur le patient. L'objectif de cette étude est de recueillir le ressenti des médecins généralistes sur la personnalisation de la prise en charge des diabétiques de type 2 et de mettre en évidence les motifs pouvant les amener à diminuer le traitement médicamenteux. Méthode : cette enquête qualitative a été menée auprès de 15 médecins généralistes du Nord par des entretiens semi-dirigés. Elle a été conduite jusqu'à saturation des données. Un codage des données a été réalisé par théorisation ancrée sur le logiciel N-vivo10 avec triangulation des codes ouverts. Résultats : Il en ressort que les médecins généralistes appliquaient déjà les directives de la recommandation HAS 2013 bien avant sa sortie. Ils perçoivent, dans la personnalisation du traitement du diabétique de type 2, un ensemble de critères d'adaptation à la fois clinico-biologiques et socio-économiques. Ces derniers sont également les causes pouvant les amener à baisser les antidiabétiques. Dans les deux cas, ils évoquent de nombreuses difficultés à y parvenir. Conclusion : Les résultats obtenus ne font que confirmer la problématique de la prise en charge des diabétiques de type 2 par les médecins généralistes malgré les recommandations de bonnes pratiques récentes. La perspective de directives plus précises sur les motifs de diminution des traitements pourraient apporter une aide supplémentaire.

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!

The New Alexandria Simulation

Author : Donald R. Jansiewicz
Publisher : Addison-Wesley Educational Publishers
ISBN 13 : 9780063733404
Total Pages : 108 pages
Book Rating : 4.7/5 (334 download)

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Book Synopsis The New Alexandria Simulation by : Donald R. Jansiewicz

Download or read book The New Alexandria Simulation written by Donald R. Jansiewicz and published by Addison-Wesley Educational Publishers. This book was released on 1973-01-01 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Focal Therapy in Prostate Cancer

Author : Hashim Uddin Ahmed
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.

Intrapartum Obstetrics

Author : John T. Repke
Publisher :
ISBN 13 :
Total Pages : 600 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Intrapartum Obstetrics by : John T. Repke

Download or read book Intrapartum Obstetrics written by John T. Repke and published by . This book was released on 1996 with total page 600 pages. Available in PDF, EPUB and Kindle. Book excerpt: The scope is not simply labor and delivery, but integrated management of patient care in labor and delivery units as they are utilized today. Thirty-four contributed chapters give an overview, followed by discussion of normal labor and delivery management (induction, multiple gestations, malpresentations); labor and delivery as an intensive care unit (tocolysis, preterm labor, asthma, sickle cell disease); controversies (e.g. electronic fetal monitoring, delivery of the very-low-birth-weight infant); and social obstetrics (e.g. medicolegal issues, conflicts between maternal and fetal well-being, perinatal loss). Annotation copyright by Book News, Inc., Portland, OR

Ahfs Drug Information 2020

Author : American Society of Health System Pharmacists
Publisher :
ISBN 13 : 9781585286119
Total Pages : 840 pages
Book Rating : 4.2/5 (861 download)

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Book Synopsis Ahfs Drug Information 2020 by : American Society of Health System Pharmacists

Download or read book Ahfs Drug Information 2020 written by American Society of Health System Pharmacists and published by . This book was released on 2020 with total page 840 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Acupuncture in Practice

Author : Hugh MacPherson (Ph. D.)
Publisher :
ISBN 13 : 9780443050497
Total Pages : 482 pages
Book Rating : 4.0/5 (54 download)

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Book Synopsis Acupuncture in Practice by : Hugh MacPherson (Ph. D.)

Download or read book Acupuncture in Practice written by Hugh MacPherson (Ph. D.) and published by . This book was released on 1997 with total page 482 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by THE leading lights in the field of integrating acupuncture into a Western medical system, this book bridges the gap between the theoretical foundations of acupuncture and its application in a modern Western clinical context. Each case history focuses on the complexities and dilemmas of treatment that are tackled, providing valuable insights by experienced practitioners into the management of a course of acupuncture treatment.