Lutilisation En Pratique Courante Des Dispositifs Dinhalation Dans Le Traitement Des Maladies Respiratoires Chroniques

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L'utilisation en pratique courante des dispositifs d'inhalation dans le traitement des maladies respiratoires chroniques

Author : Ingrid Gest
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (94 download)

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Book Synopsis L'utilisation en pratique courante des dispositifs d'inhalation dans le traitement des maladies respiratoires chroniques by : Ingrid Gest

Download or read book L'utilisation en pratique courante des dispositifs d'inhalation dans le traitement des maladies respiratoires chroniques written by Ingrid Gest and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les maladies respiratoires chroniques (asthme, BPCO) représentent un réel problème de santé publique, notamment chez la personne âgée. La mauvaise utilisation des traitements inhalés représente la très grande majorité des facteurs en cause. il existe très peu d'études menées spécifiquement chez des personnes âgées. Notre objectif principal était d'évaluer la qualité de la technique d'utilisation des dispositifs inhalés, chez des patients souffrant de maladies respiratoires chroniques, âgés de plus de 60 ans. Nous avons également tenté de mettre en évidence les facteurs prédictifs d'une mauvaise technique d'utilisation. Nous avons réalisé une étude chez les patients correspondant à nos critères d'inclusion, entre juillet 2012 et Septembre 2014. Après avoir accordé leur consentement éclairé, les patients recrutés ont montré leur technique d'utilisation de leur inhalateur, qui a été évaluée à l'aide d'une liste de contrôle standardisée. Les erreurs ont été classées comme critiques ou non. Les erreurs critiques étaient définies par l'absence de dépôt du médicament au niveau des poumons. Cent patients ont été inclus : 80 étaient hospitalisés au CHU de Rouen et 20 provenaient de 3 officines hautes normandes. De ces patients, 27 (21,1%) ont fait des erreurs critiques lors de la démonstration de la technique d'utilisation. Aucun dispositif ne rendait le patient sensiblement plus susceptible de faire des erreurs critiques. La présence de troubles cognitifs et de troubles moteurs étaient, quant à eux des facteurs prédictifs de mauvaise technique d'inhalation. En moyenne, 32,7 % des étapes d'utilisation d'un inhalateur ont été effectuées incorrectement. Parmi les patients, 76 % ont indiqué avoir déjà reçu des conseils sur la technique d'utilisation d'un inhalateur, mais seulement 26 % d'entre eux avaient reçu des conseils clans les 6 derniers mois. Dans la littérature, l'ADP est source d'erreurs fréquentes en comparaison avec les IPS. Notre taux d'erreurs retrouvées avec I'ADP est globalement sous-estimé du fait de la définition des erreurs critiques retenues. La simplification du mécanisme d'emploi des inhalateurs, et l'évaluation régulière de la technique d'inhalation par les professionnels de santé, au premier rang duquel se trouvent les pharmaciens, pourraient sensiblement améliorer ce constat.

The European Respiratory Journal

Author :
Publisher :
ISBN 13 :
Total Pages : 688 pages
Book Rating : 4.3/5 (555 download)

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Book Synopsis The European Respiratory Journal by :

Download or read book The European Respiratory Journal written by and published by . This book was released on 1993 with total page 688 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Fatal Asthma

Author : Albert L. Sheffer
Publisher : CRC Press
ISBN 13 : 9780824701550
Total Pages : 640 pages
Book Rating : 4.7/5 (15 download)

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Book Synopsis Fatal Asthma by : Albert L. Sheffer

Download or read book Fatal Asthma written by Albert L. Sheffer and published by CRC Press. This book was released on 1998-04-14 with total page 640 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by an international team of physicians experienced in all aspects of asthma care, this opportune work defines, with exceptional clarity, the atopic and environmental risk factors attributable to fatal asthma-recommending means of lowering the incidence of life-threatening episodes through timely prognosis and the start of treatment with drugs that reduce and prohibit the remodeling process. Establishes the criteria for fatality-prone asthma individuals! Exploring elements that contribute to fatal asthma attacks, such as socioeconomic deprivation inadequate medical care genetic susceptibility to serious asthma delayed recognition and introduction of suitable treatment, and early airway remodeling not treated with anti-inflammatory drugs Fatal Asthma outlines the epidemiological characteristics of fatal asthma in inner cities and specific countries, as well as in seasons worldwide details the circumstances surrounding pathogenic alterations concurring with asthma-related fatalities reviews therapeutic interventions designed to check or reverse near-fatal attacks discusses the molecular implications of ß2-adrenergic receptor physiology and much more! With over 1800 references, drawings, and photographs, this authoritative and up-to-date book is ideal for respiratory specialists, clinical immunologists, allergists, physiologists, pulmonologists, occupational health physicians, environmental toxicologists, otolaryngologists, and graduate and medical school students in these disciplines.

Clinical Management of Patients with Viral Haemorrhagic Fever

Author : World Health Organization
Publisher : World Health Organization
ISBN 13 : 9241549602
Total Pages : 203 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Clinical Management of Patients with Viral Haemorrhagic Fever by : World Health Organization

Download or read book Clinical Management of Patients with Viral Haemorrhagic Fever written by World Health Organization and published by World Health Organization. This book was released on 2016-05-03 with total page 203 pages. Available in PDF, EPUB and Kindle. Book excerpt: First published in March 2014 under the title "Clinical management of patients with viral haemorrhagic fever: a pocket guide for front-line health workers: interim emergency guidance for West Africa".

Pain in Infants, Children, and Adolescents

Author : Neil L. Schechter
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.

Livestock Policy Analysis

Author : International Livestock Research Institute
Publisher : ILRI (aka ILCA and ILRAD)
ISBN 13 : 9789291460038
Total Pages : 268 pages
Book Rating : 4.4/5 (6 download)

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Book Synopsis Livestock Policy Analysis by : International Livestock Research Institute

Download or read book Livestock Policy Analysis written by International Livestock Research Institute and published by ILRI (aka ILCA and ILRAD). This book was released on 1995-01-01 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: Policy concepts; Identification of policy issues; Production systems, supply and demand; Market, price and trade policies; Marketing and distribution systems; Budget and manpower planning; Land tenure police for the livestock sector; Policy analysis report writing and communication; Livestock production and marketing in alphabeta - a case study.

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.

Evaluation à l'officine de l'utilisation des médicaments inhalés chez les patients atteints de maladies respiratoires chroniques

Author : Marine Wahl
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (122 download)

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Book Synopsis Evaluation à l'officine de l'utilisation des médicaments inhalés chez les patients atteints de maladies respiratoires chroniques by : Marine Wahl

Download or read book Evaluation à l'officine de l'utilisation des médicaments inhalés chez les patients atteints de maladies respiratoires chroniques written by Marine Wahl and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: L'asthme et la BPCO sont deux maladies respiratoires couramment rencontrées en officine. La voie inhalée est la principale voie utilisée mais aussi la plus complexe. Il existe une cinquantaine de dispositifs à inhaler, le choix de prescription dépend de multiples facteurs. Le pharmacien est un professionnel de santé primordial dans le suivi de l'observance.Une enquête concernant l'utilisation des dispositifs à inhaler s'est déroulée au sein d'une officine rurale de janvier à juillet 2020 avec un échantillon de 30 patients qui utilisent au moins un dispositif à inhaler. La moyenne d'âge des patients est de 65,8 ans. L'enquête comprenait trois étapes : une partie théorique qui évalue le ressenti du patient vis-à-vis de l'utilisation des dispositifs à inhaler. Une partie pratique qui permet d'évaluer les gestes nécessaires effectués par le patient afin de réaliser une inhalation (les erreurs constatées sont signalées au patient à l'aide d'une grille d'évaluation) et une troisième étape consacrée à la démonstration manuelle par le pharmacien qui reproduit les bons gestes indispensables à la réalisation d'une inhalation efficace.La plupart des patients pensent utiliser correctement les dispositifs à inhaler, mais lors de la pratique, des erreurs communes à tous les dispositifs à inhaler ainsi que des erreurs spécifiques à chaque système d'inhalation sont détectées. Ces erreurs de manipulation peuvent avoir des conséquences plus ou moins sévères dans la prise en charge de la maladie. L'observance dans les traitements à inhaler est primordiale. L'évaluation régulière des gestes indispensables à la réalisation d'une inhalation efficace est nécessaire afin de corriger les erreurs éventuelles. Le pharmacien a pleinement un rôle à jouer à ce niveau.

Some Antiviral and Antineoplastic Drugs, and Other Pharmaceutical Agents

Author : IARC Working Group on the Evaluation of Carcinogenic Risks to Humans
Publisher : World Health Organization
ISBN 13 :
Total Pages : 536 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Some Antiviral and Antineoplastic Drugs, and Other Pharmaceutical Agents by : IARC Working Group on the Evaluation of Carcinogenic Risks to Humans

Download or read book Some Antiviral and Antineoplastic Drugs, and Other Pharmaceutical Agents written by IARC Working Group on the Evaluation of Carcinogenic Risks to Humans and published by World Health Organization. This book was released on 2000 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evaluates the carcinogenic risks to humans posed by the use of four antiretroviral agents four DNA topoisomerase II inhibitors used in the treatment of cancer and an additional three pharmaceutical agents (hydroxyures phenolphthalein and vitamin K substances). The volume marks the first IARC evaluation of nucleoside analogs that act as antiviral agents. The evaluation responds in part to recent findings that zidovudine (AZT) an effective antiretroviral agent now being given to pregnant HIV-infected women to prevent maternal-to-fetal transmission of the virus is a transplacental carcinogen in mice. The opening monograph evaluates the carcinogenicity to humans of the antiretroviral nucleoside analogs zidovudine (AZT) zalcitabine (ddC) and didanosine (ddI) and the antiherpesvirus drug aciclovir. Of these aciclovir and didanosine could not be classified on the basis of available data. For zidovudine transplacental administration to mice resulted in an increased incidence and multiplicity of lung and liver tumours and in an increased incidence of female reproductive tract tumours in one study but not in another involving treatment at a lower dose. Despite observation of toxic effects in some studies of humans human carcinogenicity data were judged to provide inadequate evidence of carcinogenicity in humans. Zidovudine was classified as possibly carcinogenic to humans. Similar weaknesses in human carcinogenicity data for zalcitabine which consistently induces thymic lymphomas in mice resulted in its classification as possibly carcinogenic to humans. The second monograph evaluates four DNA topoisomerase II inhibitors: etoposide teniposide mitoxantrone and amsacrine. Of these etoposide - one of the most widely used and effective cytotoxic drugs in combination therapy - was classified as probably carcinogenic to humans and etoposide in combination with cisplatin and bleomycin was judged to be carcinogenic to humans. Teniposide was classified as probably carcinogenic to humans and mitoxantrone and amsacrine were classified as possibly carcinogenic to humans. Of the three pharmaceutical agents evaluated in the final monograph hydroxyurea which is widely used in cancer treatment and increasingly in combination with didanosine in HIV infection could not be classified. Phenolphthalein a widely used laxative now being withdrawn from the market in many countries because of toxicological concerns was classified as possibly carcinogenic. Vitamin K substances could not be classified on the basis of available evidence.

Health Effects of Environmental Pollution

Author :
Publisher :
ISBN 13 :
Total Pages : 24 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Health Effects of Environmental Pollution by :

Download or read book Health Effects of Environmental Pollution written by and published by . This book was released on 1973 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Advances in Pulmonary Drug Delivery

Author : Philip Chi Lip Kwok
Publisher : CRC Press
ISBN 13 : 131531195X
Total Pages : 201 pages
Book Rating : 4.3/5 (153 download)

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Book Synopsis Advances in Pulmonary Drug Delivery by : Philip Chi Lip Kwok

Download or read book Advances in Pulmonary Drug Delivery written by Philip Chi Lip Kwok and published by CRC Press. This book was released on 2016-12-19 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: The respiratory tract has been used to deliver biologically active chemicals into the human body for centuries. However, the lungs are complex in their anatomy and physiology, which poses challenges to drug delivery. Inhaled formulations are generally more sophisticated than those for oral and parenteral administration. Pulmonary drug development is therefore a highly specialized area because of its many unique issues and challenges. Rapid progress is being made and offers novel solutions to existing treatment problems. Advances in Pulmonary Drug Delivery highlights the latest developments in this field.

Animal Health: General principles

Author : Archie Hunter
Publisher : CTA; MacMillan
ISBN 13 : 9780333612026
Total Pages : 167 pages
Book Rating : 4.6/5 (12 download)

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Book Synopsis Animal Health: General principles by : Archie Hunter

Download or read book Animal Health: General principles written by Archie Hunter and published by CTA; MacMillan. This book was released on 1996 with total page 167 pages. Available in PDF, EPUB and Kindle. Book excerpt: Animal Health Volume 1 is a practical guide for anyone involved with maintaining and establishing the health of animals in tropical and sub-tropical regions. It comprehensively explains the causes of animal diseases, how they spread and the means available for their control. The handbook should be used in conjunction with Volume 2: Specific Diseases which is already published.

Ballast Water Management Convention and BWMS Code with Guidelines for Implementation

Author : International Maritime Organization
Publisher :
ISBN 13 : 9789280117028
Total Pages : 324 pages
Book Rating : 4.1/5 (17 download)

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Book Synopsis Ballast Water Management Convention and BWMS Code with Guidelines for Implementation by : International Maritime Organization

Download or read book Ballast Water Management Convention and BWMS Code with Guidelines for Implementation written by International Maritime Organization and published by . This book was released on 2018-10-29 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: The International Convention for the Control and Management of Ships' Ballast Water and Sediments, 2004 (BWM Convention), is concerned with preventing, minimizing and ultimately eliminating the risks to the environment, human health, property and resources arising from the transfer of harmful aquatic organisms and pathogens, through the control and management of ships' ballast water and sediments. The BWM Convention also aims to avoid unwanted side-effects from that control and encourages developments in related knowledge and technology. The 2018 consolidated edition aims to provide an easy and comprehensive reference to the up-to-date provisions and unified interpretation of articles and annex of the BWM Convention

Interprofessional Capability Framework

Author : HIpE
Publisher :
ISBN 13 : 9780646551241
Total Pages : 16 pages
Book Rating : 4.5/5 (512 download)

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Book Synopsis Interprofessional Capability Framework by : HIpE

Download or read book Interprofessional Capability Framework written by HIpE and published by . This book was released on 2011 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Evaluation pratique de l'utilisation des dispositifs inhalés dans l'asthme chez les patients âgés de 2 à 20 ans en soins primaires

Author : Florent Dessenne
Publisher :
ISBN 13 :
Total Pages : 76 pages
Book Rating : 4.:/5 (124 download)

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Book Synopsis Evaluation pratique de l'utilisation des dispositifs inhalés dans l'asthme chez les patients âgés de 2 à 20 ans en soins primaires by : Florent Dessenne

Download or read book Evaluation pratique de l'utilisation des dispositifs inhalés dans l'asthme chez les patients âgés de 2 à 20 ans en soins primaires written by Florent Dessenne and published by . This book was released on 2019 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : L'asthme est une maladie respiratoire chronique fréquente invalidant la qualité de vie du patient chez qui il est mal contrôlé. Son contrôle optimal passe entre autres par une bonne manipulation des dispositifs inhalés. Notre étude a évalué l'utilisation de ces dispositifs inhalés chez les patients âgés de 2 à 20 ans en soins primaires ainsi que leurs principales sources d'éducation. Méthode : Notre étude a évalué l'utilisation de 4 dispositifs inhalés (les aérosols doseurs type Ventoline, les aérosols doseurs type Ventoline associés à une chambre d'inhalation, les Diskus et les Turbuhaler) chez 19 patients. Les scores d'utilisation ont été calculés à l'aide de grilles comprenant 8 à 9 étapes selon les dispositifs. Un questionnaire était rempli pour chaque patient reprenant ses différentes sources d'éducation. Résultats : Seulement 4 des 25 démonstrations réalisées par les patients (16%) sur leurs dispositifs ont été faites sans commettre d'erreur. Les erreurs principalement constatées étaient non-dispositifs-dépendantes : notamment l'absence d'expiration complète avant la prise du traitement et l'absence d'apnée de quelques secondes après sa prise. Lors de la prescription initiale, les médecins généralistes informent pour la plupart leur patient sur les modalités d'utilisation des inhalateurs prescrits (68%), mais très peu demandent une démonstration patient (31%). Lors des consultations ultérieurs, 68% des patients ne reçoivent plus aucune explication ou démonstration par leur médecin traitant et 74% des patients ne refont jamais eux-mêmes la démonstration. L'éducation fournie par les pharmaciens est encore moindre : seulement 15% des délivrances initiales donnent lieu à une démonstration du dispositif ; 10% des patients n'auront d'éducation par les pharmaciens après la première délivrance. Conclusion : Les patients de soins primaires ne maitrisent pas leur traitement par dispositif inhalé. L'éducation du patient lors de la prescription initiale de ces traitements n'est pas réalisée systématiquement, que ce soit par le médecin traitant ou par le pharmacien. Cette éducation, déjà précaire, n'est pas renouvelée chez environ 70% des patients.