Pratique De La Diversification Alimentaire Et Role Du Medecin Generaliste

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La diversification alimentaire

Author : Sandra Jaeger
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (18 download)

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Book Synopsis La diversification alimentaire by : Sandra Jaeger

Download or read book La diversification alimentaire written by Sandra Jaeger and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : la diversification alimentaire est une étape clef de l'alimentation du nourrisson. Les parents souhaiteraient être plus guidés et recevoir des fiches. L'objectif de notre étude est d'explorer la gestion de la diversification par le médecin généraliste et recueillir son avis sur l'utilisation d'une fiche-conseil. Matériel et méthode : une étude qualitative a été réalisée, basée sur 15 entretiens semi-dirigés de généralistes installés en région PACA. Nous avons relevé les difficultés rencontrées avec la diversification, les solutions proposées et leur avis sur une fiche. Nous sommes allés jusqu'à "saturation des données". Les données ont été étudiées par analyse de contenu thématique à l'aide du logiciel NVivo. Résultats : dans la diversification alimentaire, les médecins estiment qu'ils doivent surtout surveiller la croissance, rassurer les parents et donner des conseils personnalisés mais généraux. Les difficultés rencontrées concernent la diversité des recommandations, la gestion de l'angoisse parentale et le manque de temps. Ils proposent de publier des recommandations claires, de renforcer l'éducation à la santé et de s'appuyer sur un support écrit. La fiche-conseil leur apparait comme une source pertinente d'informations, de réassurance, permettant d'éviter les oublis, et d'optimiser le temps des consultations. Cependant leur bénéfice reste limité sans accompagnement. Discussion : la gestion de la diversification varie selon les médecins. Les attentes parentales et leur perception par le généraliste se rejoignent sur les grandes lignes mais s'opposent sur certains points. Les nombreuses variations des recommandations ces dernières années compliquent parfois leur application. Conclusion : le généraliste met la relation de confiance et la surveillance de la croissance de l'enfant au cœur de la gestion de la diversification. Sa prise en charge consiste à articuler la norme des recommandations avec la singularité du couple parents/enfant. La fiche-conseil comme outil d'aide au dialogue apparait comme un intermédiaire adapté pour atteindre cet objectif.

Pratique en médecine générale de la diversification alimentaire

Author : Sébastien Delavaud
Publisher :
ISBN 13 :
Total Pages : 146 pages
Book Rating : 4.:/5 (494 download)

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Book Synopsis Pratique en médecine générale de la diversification alimentaire by : Sébastien Delavaud

Download or read book Pratique en médecine générale de la diversification alimentaire written by Sébastien Delavaud and published by . This book was released on 2007 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt: Connaître les modalités de la prise en charge de la diversification alimentaire du nourrisson à travers le point de vue des médecins généralistes. Enquête par entretien semi-dirigé auprès de 19 médecins généralistes et analyse manuelle des discours. L'analyse met en évidence une variabilité de la prise en charge s'expliquant par l'absence de référence unique. Nous trouvons une tendance à repousser l'âge de la diversification qui correspond aux recommandations actuelles. Mais cette tendance est contrebalancée par le manque d'argumentaire des conseils médicaux et par les influences extérieures non contrôlées par les médecins. Les pratiques ne sont pas trop éloignées des recommandations mais il existe un manque de conviction dans les conseils donnés par les médecins. Pour encourager le report de la diversification à 6 mois, il faut mettre au point un référentiel unique et le diffuser à tous les professionnels de la petite enfance et aux parents.

État des lieux de la pratique de la diversification alimentaire par les médecins généralistes de Guadeloupe

Author : Sèverine Vallon (Louise, Andrée)
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (965 download)

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Book Synopsis État des lieux de la pratique de la diversification alimentaire par les médecins généralistes de Guadeloupe by : Sèverine Vallon (Louise, Andrée)

Download or read book État des lieux de la pratique de la diversification alimentaire par les médecins généralistes de Guadeloupe written by Sèverine Vallon (Louise, Andrée) and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Les recommandations sur la diversification alimentaire du nourrisson ont fait l'objet depuis 2008 de simplifications validées par les sociétés savantes nationales et internationales. L'objectif principal de cette étude était de faire l'état des lieux de la pratique de la diversification alimentaire des nourrissons par les médecins généralistes de Guadeloupe et de les comparer aux données de la littérature. L'objectif secondaire est de réaliser une fiche résumant les conseils à donner aux parents de que les médecins pourront remettre lors de la visite du 3ème mois. Méthode: Il s'agit d'une étude observationnelle descriptive transversale réalisée entre Avril et Août 2016 à l'aide d'un questionnaire envoyé par mail aux médecins généralistes installés et non installés exerçant en Guadeloupe. Résultats: 269 médecins inclus. Nous avons obtenu 73 réponses (taux de réponse 27,1%). Seuls 54! ,8% des médecins abordent ce sujet de manière systématique. Mais bien souvent de manière tardive. Les nouvelles recommandations concernant l'âge de début de la diversification alimentaire et la conduite à tenir en cas de risque allergique sont mal connues par les médecins généralistes. Discussion : dans d'autres pays les recommandations sont plus claires et plus faciles d'accès. Un effort national est nécessaire. Des messages spécifiques à l'exercice en Guadeloupe doivent être abordés par les médecins. D'autres études sont nécessaires afin d'estimer l'impact d'une information sur la diversification alimentaire plus ciblée et faisant la part belle à l'individualité des interlocuteurs, sur les comportements alimentaire à l'âge adulte et par conséquent sur les facteurs de risques cardiovasculaires.

Diversification menée par l'enfant

Author : Aurélie Marin
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (139 download)

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Book Synopsis Diversification menée par l'enfant by : Aurélie Marin

Download or read book Diversification menée par l'enfant written by Aurélie Marin and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : le nourrisson est un enfant âgé de 1 mois à 2 ans. La diversification alimentaire est l'introduction d'aliments autres que le lait. En France, la méthode la plus utilisée est la diversification classique, par des aliments mixés administrés à la cuillère par un adulte. En parallèle, une autre approche est pratiquée par certaines familles : la DME ; alors même que les recommandations françaises à son sujet sont pauvres. L'objectif était donc d'étudier les connaissances et pratiques des médecins exerçant la médecine générale en ce qui concerne la DME. Matériel et Méthodes : l'étude quantitative a consisté en un recueil de données par un questionnaire en ligne diffusé entre juin et octobre 2022. Il s'adressait aux médecins exerçant la médecine générale dans l'ex-région Midi-Pyrénées, ayant fini leurs stages d'internat, thésés ou pas encore. Des analyses descriptives et univariées des données ont été réalisées. Résultats : 317 médecins ont répondu au questionnaire. Parmi eux, on retrouve plus de femmes de moins de 40 ans et de parents. En outre, dans mon échantillon, 71,9% des participants ont déjà entendu parler de la DME et parmi ces connaisseurs, 87,4% sont de bons connaisseurs. Par ailleurs, leur avis est majoritairement mitigé par rapport à la DME, voire ils n'en ont pas. De plus, une minorité de ces connaisseurs pratique personnellement et professionnellement la DME. Très peu instaurent un suivi spécifique pour les nourrissons diversifiés de la sorte. Discussion et Conclusion : les caractéristiques démographiques de cet échantillon peuvent être expliquées par l'histoire récente de la DME. Son manque de connaissances détaillées et d'accompagnement des familles lui, est probablement lié au défaut de résultats scientifiques rassurants de bon niveau de preuve à ce sujet. Des notions doivent être fournies aux médecins généralistes en formation initiale et continue afin qu'ils puissent informer et accompagner les familles souhaitant malgré tout se lancer dans cette aventure.

Chronic Illness and the Quality of Life

Author : Anselm L. Strauss
Publisher : Mosby Elsevier Health Science
ISBN 13 :
Total Pages : 252 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Chronic Illness and the Quality of Life by : Anselm L. Strauss

Download or read book Chronic Illness and the Quality of Life written by Anselm L. Strauss and published by Mosby Elsevier Health Science. This book was released on 1984 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Biosocialities, Genetics and the Social Sciences

Author : Sahra Gibbon
Publisher : Routledge
ISBN 13 : 1134144725
Total Pages : 387 pages
Book Rating : 4.1/5 (341 download)

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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.

Doing Business 2020

Author : World Bank
Publisher : World Bank Publications
ISBN 13 : 1464814414
Total Pages : 241 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis Doing Business 2020 by : World Bank

Download or read book Doing Business 2020 written by World Bank and published by World Bank Publications. This book was released on 2019-11-21 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Seventeen in a series of annual reports comparing business regulation in 190 economies, Doing Business 2020 measures aspects of regulation affecting 10 areas of everyday business activity.

Clinical Pediatric Oncology

Author : Wataru Walter Sutow
Publisher :
ISBN 13 :
Total Pages : 982 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Clinical Pediatric Oncology by : Wataru Walter Sutow

Download or read book Clinical Pediatric Oncology written by Wataru Walter Sutow and published by . This book was released on 1984 with total page 982 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Evolutionary Ecology of Social and Sexual Systems

Author : J. Emmett Duffy
Publisher : Oxford University Press
ISBN 13 : 0199720681
Total Pages : 519 pages
Book Rating : 4.1/5 (997 download)

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Book Synopsis Evolutionary Ecology of Social and Sexual Systems by : J. Emmett Duffy

Download or read book Evolutionary Ecology of Social and Sexual Systems written by J. Emmett Duffy and published by Oxford University Press. This book was released on 2007-09-06 with total page 519 pages. Available in PDF, EPUB and Kindle. Book excerpt: Understanding of animal social and sexual evolution has seen a renaissance in recent years with discoveries of frequent infidelity in apparently monogamous species, the importance of sperm competition, active female mate choice, and eusocial behavior in animals outside the traditional social insect groups. Each of these findings has raised new questions, and suggested new answers, about the evolution of behavioral interactions among animals. This volume synthesizes recent research on the sexual and social biology of the Crustacea, one of the dominant invertebrate groups on earth. Its staggering diversity includes ecologically important inhabitants of nearly every environment from deep-sea trenches, through headwater streams, to desert soils. The wide range of crustacean phenotypes and environments is accompanied by a comparable diversity of behavioral and social systems, including the elaborate courtship and wildly exaggerated morphologies of fiddler crabs, the mysterious queuing behavior of migrating spiny lobsters, and even eusociality in coral-reef shrimps. This diversity makes crustaceans particularly valuable for exploring the comparative evolution of sexual and social systems. Despite exciting recent advances, however, general recognition of the value of Crustacea as models has lagged behind that of the better studied insects and vertebrates. This book synthesizes the state of the field in crustacean behavior and sociobiology and places it in a conceptually based, comparative framework that will be valuable to active researchers and students in animal behavior, ecology, and evolutionary biology. It brings together a group of internationally recognized and rising experts in fields related to crustacean behavioral ecology, ranging from physiology and functional morphology, through mating and social behavior, to ecology and phylogeny. Each chapter makes connections to other, non-crustacean taxa, and the volume closes with a summary section that synthesizes the contributions, discusses anthropogenic impacts, highlights unanswered questions, and provides a vision for profitable future research.

Revisiting Moroccan Migrations

Author : Mohammed Berriane
Publisher : Routledge
ISBN 13 : 1317215303
Total Pages : 232 pages
Book Rating : 4.3/5 (172 download)

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Book Synopsis Revisiting Moroccan Migrations by : Mohammed Berriane

Download or read book Revisiting Moroccan Migrations written by Mohammed Berriane and published by Routledge. This book was released on 2018-02-02 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the 20th century, Morocco has become one of the world’s major emigration countries. But since 2000, growing immigration and settlement of migrants from sub-Saharan Africa, the Middle East, and Europe confronts Morocco with an entirely new set of social, cultural, political and legal issues. This book explores how continued emigration and increasing immigration is transforming contemporary Moroccan society, with a particular emphasis on the way the Moroccan state is dealing with shifting migratory realities. The authors of this collective volume embark on a dialogue between theory and empirical research, showcasing how contemporary migration theories help understanding recent trends in Moroccan migration, and, vice-versa, how the specific Moroccan case enriches migration theory. This perspective helps to overcome the still predominant Western-centric research view that artificially divide the world into ‘receiving’ and ‘sending’ countries and largely disregards the dynamics of and experiences with migration in countries in the Global South. This book was previously published as a special issue of The Journal of North African Studies.

The Development Of Large Technical Systems

Author : Renate Mayntz
Publisher : Routledge
ISBN 13 : 1000315878
Total Pages : 238 pages
Book Rating : 4.0/5 (3 download)

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Book Synopsis The Development Of Large Technical Systems by : Renate Mayntz

Download or read book The Development Of Large Technical Systems written by Renate Mayntz and published by Routledge. This book was released on 2019-07-11 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is an outcome of the conference on the development of large technical systems held in Berlin in 1986. It focuses on the comparative analysis of the development of large technical systems, particularly electrical power, railroad, air traffic, telephone, and other forms of telecommunication.

Dying for Growth

Author : Jim Yong Kim
Publisher :
ISBN 13 :
Total Pages : 736 pages
Book Rating : 4.4/5 (91 download)

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Book Synopsis Dying for Growth by : Jim Yong Kim

Download or read book Dying for Growth written by Jim Yong Kim and published by . This book was released on 2000 with total page 736 pages. Available in PDF, EPUB and Kindle. Book excerpt: Is economic growth killing the poor? The Institute for Health and Social Justice brings us the answers in Dying for Growth. An extraordinary collection of fourteen hard-hitting case studies from Haiti to the US, Dying for Growth exposes the interests behind a system that consigns a fifth of the world's population to live (and die) on less than a dollar a day. Rooted in the lives of people waging heart-wrenching struggles against a new, systemic form of poverty, these studies don't just document inequality -- they pinpoint its underlying causes.Looking at the effects of international restructuring strategies on the poor, the increasing control trans-national corporations exert over world health, and the impact of U.S. drug policy on global inequality, Dying for Growth debunks the myths of global capitalism, including: Myth: Throwing loans at developing nations will cure poverty.Fact: As shown in Sickness Amidst Recovery: Public Debt and Private Suffering in a Peruvian Shanty Town, loans can make things worse.Myth: Getting rid of big government automatically improves the standard of living.Fact: Cutting services can lead to calamity, as detailed in Neoliberal Economic Policy, State Desertion and the Russian Health Crisis. Myth: The free market is a panacea.Fact: There's nothing liberating about modern capitalism, as demonstrated in 'Todo Bajo Control': The Costs of 'Free' Trade to Mexican Maquiladora Workers.Dying for Growth concludes with an extensive section on alternatives to standard models. Included is a chapter on health and revolution in Cuba, The Threat of a Good Example, and a plan for action, Pragmatic Solidarity: What You Can Do.With passionrarely found in works of comparable analytic rigor, Dying for Growth tells the stories of people trapped in the machine of growth, and compels readers to recognize that the problem of inequality is not one of insufficient resources, nor even of inefficiency -- the problem is power.

Saints of the Atlas

Author : Ernest Gellner
Publisher : ACLS History E-Book Project
ISBN 13 : 9781597404631
Total Pages : 0 pages
Book Rating : 4.4/5 (46 download)

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Book Synopsis Saints of the Atlas by : Ernest Gellner

Download or read book Saints of the Atlas written by Ernest Gellner and published by ACLS History E-Book Project. This book was released on 2008-11 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Eating Disorders

Author : National Collaborating Centre for Mental Health (Great Britain)
Publisher : Royal College of Psychiatrists
ISBN 13 : 9781854333988
Total Pages : 0 pages
Book Rating : 4.3/5 (339 download)

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Book Synopsis Eating Disorders by : National Collaborating Centre for Mental Health (Great Britain)

Download or read book Eating Disorders written by National Collaborating Centre for Mental Health (Great Britain) and published by Royal College of Psychiatrists. This book was released on 2004 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This guideline has been developed to advise on the identification, treatment and management of the eating disorders anorexia nervosa, bulimia nervosa, and related conditions. The guideline recommendations have been developed by a multidisciplinary group of health care professionals, patients and their representatives, and guideline methodologists after careful consideration of the best available evidence. It is intended that the guideline will be useful to clinicians and service commissioners in providing and planning high quality care for those with eating disorders while also emphasising the importance of the experience of care for patients and carers.

Self-starvation

Author : Mara Selvini Palazzoli
Publisher : Jason Aronson
ISBN 13 :
Total Pages : 320 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Self-starvation by : Mara Selvini Palazzoli

Download or read book Self-starvation written by Mara Selvini Palazzoli and published by Jason Aronson. This book was released on 1996 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Algerian Sketches

Author : Pierre Bourdieu
Publisher : Polity
ISBN 13 : 0745646956
Total Pages : 398 pages
Book Rating : 4.7/5 (456 download)

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Book Synopsis Algerian Sketches by : Pierre Bourdieu

Download or read book Algerian Sketches written by Pierre Bourdieu and published by Polity. This book was released on 2013-11-04 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the late 1950s, like tens of thousands of young men of his generation, Pierre Bourdieu, having recently passed the agrégation in philosophy, found himself immersed in the Algerian war. Motivated by an impulse that, as he himself says, ‘was civic rather than political’, nothing seemed more important to him than to understand the Algerian situation and provide the elements that would enable others to come to an informed judgement about it. In extremely tough conditions and along with a small group of students, Bourdieu undertook a series of studies across an Algeria that was tightly patrolled by the army, leading him to discover the shocking reality of the resettlement camps and to analyse the mechanisms of destruction of Algerian society of which they were emblematic. To achieve the objectives he had set himself, Bourdieu had to carry out a genuine intellectual conversion, acquiring an ethnographic understanding of Algerian society, learning sociological analysis at a breakneck pace and inventing new instruments - both theoretical and empirical - that would enable him to understand the relations of domination specific to colonialism. These new tools also enabled him to analyse the nature of the crisis that the war had both produced and manifested. This unique volume brings together the first texts written by Bourdieu in the midst of the Algerian conflict, as well as later writings and interviews in which he returns to the topic of Algeria and the decisive role it played in the development of his work.

CBT: The Cognitive Behavioural Tsunami

Author : Farhad Dalal
Publisher : Routledge
ISBN 13 : 0429855850
Total Pages : 190 pages
Book Rating : 4.4/5 (298 download)

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Book Synopsis CBT: The Cognitive Behavioural Tsunami by : Farhad Dalal

Download or read book CBT: The Cognitive Behavioural Tsunami written by Farhad Dalal and published by Routledge. This book was released on 2018-09-25 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: Is CBT all it claims to be? The Cognitive Behavioural Tsunami: Managerialism, Politics, and the Corruptions of Science provides a powerful critique of CBT’s understanding of human suffering, as well as the apparent scientific basis underlying it. The book argues that CBT psychology has fetishized measurement to such a degree that it has come to believe that only the countable counts. It suggests that the so-called science of CBT is not just "bad science" but "corrupt science". The rise of CBT has been fostered by neoliberalism and the phenomenon of New Public Management. The book not only critiques the science, psychology and philosophy of CBT, but also challenges the managerialist mentality and its hyper-rational understanding of "efficiency", both of which are commonplace in organizational life today. The book suggests that these are perverse forms of thought, which have been institutionalised by NICE and IAPT and used by them to generate narratives of CBT’s prowess. It claims that CBT is an exercise in symptom reduction which vastly exaggerates the degree to which symptoms are reduced, the durability of the improvement, as well as the numbers of people it helps. Arguing that CBT is neither the cure nor the scientific treatment it claims to be, the book also serves as a broader cultural critique of the times we live in; a critique which draws on philosophy and politics, on economics and psychology, on sociology and history, and ultimately, on the idea of science itself. It will be of immense interest to psychotherapists, policymakers and those concerned about the excesses of managerialism.