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Insuffisance Renale Chronique En Medecine De Ville Depistage Diagnostic Et Prise En Charge
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Book Synopsis Insuffisance rénale chronique en Médecine de ville, Dépistage, Diagnostic et Prise en charge by : Sacha Mauriol
Download or read book Insuffisance rénale chronique en Médecine de ville, Dépistage, Diagnostic et Prise en charge written by Sacha Mauriol and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dans les pays développés, on assiste à une augmentation de l'incidence de l'insuffisance rénale chronique terminale liée au vieillissement, au diabète et à l'hypertension artérielle. Le coût considérable de la prise en charge de l'insuffisance rénale chronique est donc un enjeu majeur de santé publique en France. Toutes les études s'accordent à dire qu'il existe un réel défaut de diagnostic et de prise en charge de l'insuffisance rénale chronique en médecine générale. Les dernières recommandations françaises sur le sujet datent d'ailleurs de 2012. L'objectif de ce travail est d'établir un catalogue actualisé de néphrologie pratique à l'attention du médecin généraliste, pour lui permettre une prise en charge optimale des patients à « risque néphrologique ». Un total de cent quarante-sept publications et documents issus de la littérature sur le dépistage, le diagnostic, le suivi et la prise en charge de l'insuffisance rénale chronique en médecine ambulatoire ont été étudiés au cours de ce travail. Nous avons ainsi élaboré 14 fiches synthétiques, traitant des sujets les plus fréquemment rencontrés en médecine générale lors de la prise en charge des patients à « risque néphrologique ». Ce travail souligne les spécificités propres aux patients à « risque néphrologique », qui doivent être prises en compte par le généraliste. Il devrait maintenant être diffusé aux praticiens de ville dans un soucis d'amélioration des pratiques et pour une meilleure collaboration entre généralistes et néphrologues. Dans un second temps, une étude d'impact pourrait être conduite afin d'évaluer les modifications de pratique liées à ces travaux.
Book Synopsis Dépistage de l'insuffisance rénale chronique dans une patientèle de ville de plus de 75 ans by : Pauline Simon
Download or read book Dépistage de l'insuffisance rénale chronique dans une patientèle de ville de plus de 75 ans written by Pauline Simon and published by . This book was released on 2010 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: L’insuffisance rénale chronique représente une préoccupation majeure de santé publique en terme d’incidence aussi bien qu’en terme de coût auprès de l’assurance maladie (iatrogénie, hospitalisations et traitements). Les personnes âgées de plus de 75 ans représentent 9% de la population française sur la pyramide des âges. Ce pourcentage va s’accentuer au fil des années. Il nous paraissait donc intéressant de savoir comment était prise en charge, en soins primaires, l’insuffisance rénale chronique chez les personnes âgées.Nous avons donc réalisé une étude descriptive et rétrospective des pratiques du dépistage de l’insuffisance rénale chronique par les médecins généralistes en médecine ambulatoire.Nous avons retrouvé que ce dépistage, même si il n’est pas clairement préconisé par les dernières recommandations de la HAS, est réalisé par 82% de nos médecins interrogés, mais que seulement 45% de ceux-ci connaissent ces recommandations qui ont été publiées en 2002. La situation va vraisemblablement s’améliorer dans les années à venir grâce à de nombreux plans de prévention lancés à l’échelon national, suite aux recommandations de la HAS, comme le Plan de Prévention IRC et la mise en place de réseaux régionaux de prise en charge des insuffisants rénaux chroniques, permettant ainsi une prise en charge coordonnée entre le néphrologue et le médecin généraliste.Nous avons ensuite fait une mise au point sur la spécificité du dépistage chez la personne âgée et sur la formule la plus adaptée à la personne âgée qui, selon les études les plus récentes, resterait la formule de Cockcroft et Gault.
Book Synopsis Oui, vos reins sont bien malades ! by : Michel Raoult
Download or read book Oui, vos reins sont bien malades ! written by Michel Raoult and published by Editions L'Harmattan. This book was released on 2015-04-01 with total page 165 pages. Available in PDF, EPUB and Kindle. Book excerpt: Parce que l'insuffisance rénale est une maladie fréquente, et considérant que près de trois millions de Français en seraient touchés, les auteurs de ce livre, "malades lambdas", souhaitent transmettre leurs connaissances acquises. Ce second livret aidera à la compréhension de ce problème majeur de santé qu'est l'insuffisance rénale chronique qui, si elle était associée à un dépistage précoce des populations à risque, entraînerait des économies de santé considérables pour l'assurance maladie.
Book Synopsis Dépistage de la maladie rénale chronique en médecine générale by : Agnès Scherrer Kirrmann
Download or read book Dépistage de la maladie rénale chronique en médecine générale written by Agnès Scherrer Kirrmann and published by . This book was released on 2013 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: La maladie rénale chronique (MRC), définie par une diminution permanente du débit de filtration glomérulaire ou la présence persistante de marqueurs d’atteinte rénale, est une pathologie fréquente, responsable d’une morbidité et d’un coût croissants pour la société. Ses facteurs de risque principaux étant identifiés et sa prise en charge précoce reconnue efficace pour ralentir sa progression, des recommandations ont été émises en 2002 puis 2009 afin de dépister les patients à risque. Mais les médecins généralistes, en 1ère ligne dans le suivi de ces patients dépistent-ils la MRC ? Nous avons réalisé un audit de pratique qui a consisté pour 21 médecins d’Ile de France à inclure 20 patients chacun, connus pour être diabétiques, hypertendus et/ou de plus de 65 ans et à remplir pour chaque patient un questionnaire. 406 patients ont été inclus de janvier à mai 2011. 83 % d’entre eux avaient bénéficié d’un dosage de la créatininémie dans l’année. La clairance n’était calculée que dans 77% des cas, et l’usage de l’équation de Cockroft et Gault était largement prédominante malgré les recommandations de 2009 d’utiliser le MDRD.Seulement 55% des patients diabétiques avaient eu une protéinurie dans l’année et 49 % des patients hypertendus non diabétiques dans les 5 ans. 64% des protéinuries étaient des concentrations sur échantillon, 26.6% un dosage sur urines des 24h, et 4.6 % des rapports albuminurie/créatininurie sur échantillon (technique recommandée). La prévalence de l’insuffisance rénale chronique avérée était de 11,8%, et de 23.1 % pour la Maladie Rénale Chronique tous stades confondus. A la lecture de leurs résultats individuels et des nouvelles recommandations émises en 2011 et 2012, les 21 médecins audités ont des indications pour améliorer leurs pratiques ; améliorations qui pourront être mesurées par un deuxième tour d'audit.
Book Synopsis Institutionalizing Gender by : Jessie Hewitt
Download or read book Institutionalizing Gender written by Jessie Hewitt and published by Cornell University Press. This book was released on 2020-06-15 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: Institutionalizing Gender analyzes the relationship between class, gender, and psychiatry in France from 1789 to 1900, an era noteworthy for the creation of the psychiatric profession, the development of a national asylum system, and the spread of bourgeois gender values. Asylum doctors in nineteenth-century France promoted the notion that manliness was synonymous with rationality, using this "fact" to pathologize non-normative behaviors and confine people who did not embody mainstream gender expectations to asylums. And yet, this gendering of rationality also had the power to upset prevailing dynamics between men and women. Jessie Hewitt argues that the ways that doctors used dominant gender values to find "cures" for madness inadvertently undermined both medical and masculine power—in large part because the performance of gender, as a pathway to health, had to be taught; it was not inherent. Institutionalizing Gender examines a series of controversies and clinical contexts where doctors' ideas about gender and class simultaneously legitimated authority and revealed unexpected opportunities for resistance. Thanks to generous funding from the Andrew W. Mellon Foundation, through The Sustainable History Monograph Pilot, the ebook editions of this book are available as Open Access volumes from Cornell Open (cornellpress.cornell.edu/cornell-open) and other repositories.
Book Synopsis Pocket Book of Hospital Care for Children by : World Health Organization
Download or read book Pocket Book of Hospital Care for Children written by World Health Organization and published by World Health Organization. This book was released on 2013 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.
Book Synopsis Invention of Hysteria by : Georges Didi-Huberman
Download or read book Invention of Hysteria written by Georges Didi-Huberman and published by MIT Press. This book was released on 2004-09-17 with total page 387 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first English-language publication of a classic French book on the relationship between the development of photography and of the medical category of hysteria. In this classic of French cultural studies, Georges Didi-Huberman traces the intimate and reciprocal relationship between the disciplines of psychiatry and photography in the late nineteenth century. Focusing on the immense photographic output of the Salpetriere hospital, the notorious Parisian asylum for insane and incurable women, Didi-Huberman shows the crucial role played by photography in the invention of the category of hysteria. Under the direction of the medical teacher and clinician Jean-Martin Charcot, the inmates of Salpetriere identified as hysterics were methodically photographed, providing skeptical colleagues with visual proof of hysteria's specific form. These images, many of which appear in this book, provided the materials for the multivolume album Iconographie photographique de la Salpetriere. As Didi-Huberman shows, these photographs were far from simply objective documentation. The subjects were required to portray their hysterical "type"—they performed their own hysteria. Bribed by the special status they enjoyed in the purgatory of experimentation and threatened with transfer back to the inferno of the incurables, the women patiently posed for the photographs and submitted to presentations of hysterical attacks before the crowds that gathered for Charcot's "Tuesday Lectures." Charcot did not stop at voyeuristic observation. Through techniques such as hypnosis, electroshock therapy, and genital manipulation, he instigated the hysterical symptoms in his patients, eventually giving rise to hatred and resistance on their part. Didi-Huberman follows this path from complicity to antipathy in one of Charcot's favorite "cases," that of Augustine, whose image crops up again and again in the Iconographie. Augustine's virtuosic performance of hysteria ultimately became one of self-sacrifice, seen in pictures of ecstasy, crucifixion, and silent cries.
Book Synopsis Oxygen Therapy for Children by : World Health Organization
Download or read book Oxygen Therapy for Children written by World Health Organization and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Hypoxaemia is a major contributor to child deaths that occur worldwide each year; for a child with pneumonia hypoxaemia increases the risk of death by up to 5 times. Despite its importance in virtually all types of acute severe illness, hypoxaemia is often not well recognized or well managed, more so in settings where resources are limited. Oxygen therapy remains an inaccessible luxury for a large proportion of severely ill children admitted to hospitals in developing countries. This is particularly true for patients in small district hospitals, where, even if some facility for delivering oxygen is available, supplies are often unreliable and the benefits of treatment may be diminished by poorly maintained, inappropriate equipment or poorly trained staff with inadequate guidelines. Increasing awareness of these problems is likely to have considerable clinical and public health benefits in the care of severely ill children. Health workers should be able to know the clinical signs that suggest the presence of hypoxaemia and have more reliable means of detection of hypoxeamia. This can be achieved through more widespread use of pulse oximetry, which is a non-invasive measure of arterial oxygen saturation. At the same time oxygen therapy must be more widely available; in many remote settings, this can be achieved by use of oxygen concentrators, which can run on regular or alternative sources of power. Having effective systems for the detection and management of hypoxaemia are vital in reducing mortality from pneumonia and other severe acute illnesses. Oxygen therapy is essential to counter hypoxaemia and many times is the difference between life and death. This manual focuses on the availability and clinical use of oxygen therapy in children in health facilities by providing the practical aspects for health workers, biomedical engineers, and administrators. It addresses the need for appropriate detection of hypoxaemia, use of pulse oximetry, clinical use of oxygen and delivery systems and monitoring of patients on oxygen therapy. In addition, the manual addresses practical use of pulse oximetry, and oxygen concentrators and cylinders in an effort to improve oxygen systems worldwide."--Publisher's description.
Book Synopsis Ascites and Renal Dysfunction in Liver Disease by : Pere Ginés
Download or read book Ascites and Renal Dysfunction in Liver Disease written by Pere Ginés and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: There has been very little written on the interaction of the liverand kidney. This book addresses the increasing incidence andsignificance of diseases, such as ascites, renal dysfunction,cirrhosis and hypertension where both organs are involved. This textbook is essential, even for confirmed practitioners andcontains current information regarding treatment and therapy forpatients with cirrhosis and ascites, clearly and effectivelypresented by the top international experts within this field. The second edition is entirely revised and updated and placesgreater emphasis on therapy.
Book Synopsis Ancient Alexandria between Egypt and Greece by : William V. Harris
Download or read book Ancient Alexandria between Egypt and Greece written by William V. Harris and published by BRILL. This book was released on 2021-10-01 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume approaches the history of the great city of Alexandria from a variety of directions: its demography, the interaction between Greek and Egyptian and between Jews and Greeks, the nature of its civil institutions and social relations, and its religious, and intellectual history.
Book Synopsis Comprehensive Geriatric Assessment by : Alberto Pilotto
Download or read book Comprehensive Geriatric Assessment written by Alberto Pilotto and published by Springer. This book was released on 2017-12-29 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers an up-to-date review on the principles and practice of multidimensional assessment and management of the older individual, which represents the cornerstone of modern clinical practice in the elderly. The early chapters cover the main elements and scope of the comprehensive geriatric approach and explain the pathways of care from screening and case finding through to in-depth assessment and treatment planning. Subsequent chapters review the evidence of how best to apply the multidimensional assessment and management approach in defined healthcare settings and within specific clinical areas, such as cancer and surgery. Finally, the education and training challenges are reviewed and the prospects for future clinical service and research in this important field are examined. The book is very timely given the recent advances in application of this approach, which reflect the growing international realization that older people are “core business” in many clinical areas where the role of specialist geriatric medicine has hitherto been limited. Accordingly, the book will be relevant to a wide range of clinicians. The authorship comprises many of the best known and widely published experts in their respective fields.
Book Synopsis Dictionary of the French and English Languages by : Gabriel Surenne
Download or read book Dictionary of the French and English Languages written by Gabriel Surenne and published by . This book was released on 1856 with total page 580 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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.
Book Synopsis Biosocialities, Genetics and the Social Sciences by : Sahra Gibbon
Download or read book Biosocialities, Genetics and the Social Sciences written by Sahra Gibbon and published by Routledge. This book was released on 2007-07-20 with total page 387 pages. Available in PDF, EPUB and Kindle. Book excerpt: Biosocialities, Genetics and the Social Sciences explores the social, cultural and economic transformations that result from innovations in genomic knowledge and technology. This pioneering collection uses Paul Rabinow’s concept of biosociality to chart the shifts in social relations and ideas about nature, biology and identity brought about by developments in biomedicine. Based on new empirical research, it contains chapters on genomic research into embryonic stem cell therapy, breast cancer, autism, Parkinson’s and IVF treatment, as well as on the expectations and education surrounding genomic research. It covers four main themes: novel modes of identity and identification, such as genetic citizenship the role of institutions, ranging from disease advocacy organizations and voluntary organizations to the state the production of biological knowledge, novel life-forms, and technologies the generation of wealth and commercial interests in biology. Including an afterword by Paul Rabinow and case studies on the UK, US, Canada, Germany, India and Israel, this book is key reading for students and researchers of the new genetics and the social sciences – particularly medical sociologists, medical anthropologists and those involved with science and technology studies.
Book Synopsis OECD Guidelines for the Testing of Chemicals, Section 4 Test No. 423: Acute Oral toxicity - Acute Toxic Class Method by : OECD
Download or read book OECD Guidelines for the Testing of Chemicals, Section 4 Test No. 423: Acute Oral toxicity - Acute Toxic Class Method written by OECD and published by OECD Publishing. This book was released on 2002-02-08 with total page 14 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a test guideline for testing for Acute Oral Tosxidity using the Acute Toxic Class Method.
Book Synopsis Basic Technics in Ecological Farming / Techniques de Base en Agriculture Biologique / Grundsätzliche Verfahren der ökologischen Landwirtschaft / Le Maintien de la Fertilité des Sols / The Maintenance of Soil Fertility / Die Erhaltung der Bodenfruchtbarkeit by : Stuart Hill
Download or read book Basic Technics in Ecological Farming / Techniques de Base en Agriculture Biologique / Grundsätzliche Verfahren der ökologischen Landwirtschaft / Le Maintien de la Fertilité des Sols / The Maintenance of Soil Fertility / Die Erhaltung der Bodenfruchtbarkeit written by Stuart Hill and published by Birkhäuser. This book was released on 2013-12-14 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Diabetes atlas by : International Diabetes Federation
Download or read book Diabetes atlas written by International Diabetes Federation and published by . This book was released on 2003 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt:
