Prise En Charge Des Patients Ages Fragiles En Medecine Generale

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Prise en Charge des patients âgés fragiles en médecine générale

Author : Raphaëlle Razou
Publisher :
ISBN 13 :
Total Pages : 136 pages
Book Rating : 4.:/5 (987 download)

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Book Synopsis Prise en Charge des patients âgés fragiles en médecine générale by : Raphaëlle Razou

Download or read book Prise en Charge des patients âgés fragiles en médecine générale written by Raphaëlle Razou and published by . This book was released on 2016 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le repérage précoce de la fragilité des sujets âgés s'impose de plus en plus en médecine ambulatoire, et sa prise en charge représente un enjeu majeur dans la prévention de l'accroissement du nombre de personnes âgées dépendantes. Il n'existe cependant que peu de données sur les retombées cliniques d'une telle évaluation et sur les bénéfices attendus. Nous avons réalisé une étude observationnelle rétrospective sur 1 an, afin de décrire une population âgée de plus de 65 ans adressée en HDJ gériatrique et repérée comme fragile, d'analyser l'évolution à 1 an de cette population, et de tenter d'établir un lien entre dépistage de la fragilité et évolution clinique. 50 patients fragiles ont été inclus, et 43 ont pu être réévalués. L'évolution de cette cohorte fragile retrouve à 1 an la survenue de nombreux évènements indésirables, parmi lesquels perte d'autonomie, chutes et hospitalisations. L'évaluation réalisée permet la mise en application efficace de préconisations ciblées en ambulatoire, en lien avec le médecin traitant. La mise en place de préconisations nutritionnelles modifie de manière significative l'état nutritionnel biologique des patients (p=0,0001). Les préconisations motrices sont insuffisamment prescrites. Il existe une majoration significative du nombre d'aides professionnelles (p=0,0003). L'impact de l'évaluation de la fragilité sur l'évolution clinique reste peu documenté, mais un bon suivi des préconisations semble corrélé à une diminution du risque de survenue d'évènements indésirables. Des études à grande échelle sont souhaitables pour préciser les modalités de suivi permettant d'améliorer significativement le pronostic des patients âgés fragiles.

Eurocancer 95

Author : Michel Boiron
Publisher : John Libbey Eurotext
ISBN 13 : 9782742000838
Total Pages : 436 pages
Book Rating : 4.0/5 (8 download)

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Book Synopsis Eurocancer 95 by : Michel Boiron

Download or read book Eurocancer 95 written by Michel Boiron and published by John Libbey Eurotext. This book was released on 1991 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Comprehensive Geriatric Assessment

Author : Alberto Pilotto
Publisher : Springer
ISBN 13 : 3319625039
Total Pages : 182 pages
Book Rating : 4.3/5 (196 download)

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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.

The Birth of the Clinic

Author : Michel Foucault
Publisher : Routledge
ISBN 13 : 1134955391
Total Pages : 344 pages
Book Rating : 4.1/5 (349 download)

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Book Synopsis The Birth of the Clinic by : Michel Foucault

Download or read book The Birth of the Clinic written by Michel Foucault and published by Routledge. This book was released on 2002-11-01 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Foucault's classic study of the history of medicine.

The Cambridge History of Medicine

Author : Roy Porter
Publisher : Cambridge University Press
ISBN 13 : 0521864267
Total Pages : 11 pages
Book Rating : 4.5/5 (218 download)

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Book Synopsis The Cambridge History of Medicine by : Roy Porter

Download or read book The Cambridge History of Medicine written by Roy Porter and published by Cambridge University Press. This book was released on 2006-06-05 with total page 11 pages. Available in PDF, EPUB and Kindle. Book excerpt: Against the backdrop of unprecedented concern for the future of health care, 'The Cambridge History of Medicine' surveys the rise of medicine in the West from classical times to the present. Covering both the social and scientific history of medicine, this volume traces the chronology of key developments and events.

Lymphedema

Author : Byung-Boong Lee
Publisher : Springer
ISBN 13 : 3319524232
Total Pages : 939 pages
Book Rating : 4.3/5 (195 download)

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Book Synopsis Lymphedema by : Byung-Boong Lee

Download or read book Lymphedema written by Byung-Boong Lee and published by Springer. This book was released on 2018-01-10 with total page 939 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of this book serves as a central source of theoretical and practical knowledge to optimize the evaluation and treatment of patients with lymphedema. The book covers all aspects of the disease from anatomical and histological features to diagnosis as well as physical/medical and surgical management of the disease. Updated from the first edition to reflect the substantial progress in diagnostics, medical care and surgical intervention for this patient population, this volume has been reorganized to meet today’s practice requirements. It addresses the challenges faced by clinicians in the management of chronic lymphedema enabling them to meet the medical needs of this large patient community. Edited by world leaders in Vascular Medicine and Surgery, this comprehensive volume provides clear, concise background and recommendations in an easy-to-use format. It is a valuable reference tool for clinical practitioners (physicians/nurse practitioners/technicians) who wish to deliver state-of-the-art health care to their patients with lymphatic and venous disorders.

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.

Post-Intensive Care Syndrome

Author : Jean-Charles Preiser
Publisher : Springer Nature
ISBN 13 : 3030242501
Total Pages : 374 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis Post-Intensive Care Syndrome by : Jean-Charles Preiser

Download or read book Post-Intensive Care Syndrome written by Jean-Charles Preiser and published by Springer Nature. This book was released on 2019-08-31 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book, part of the European Society of Intensive Care Medicine textbook series, provides detailed up-to-date information on the physical, cognitive, and psychological impairments that are frequently present following a stay in an intensive care unit and examines in depth the available preventive and therapeutic strategies, including adapted rehabilitation programs. Beyond acquainting readers with the multiple facets of post-intensive care syndrome (PICS), the book aims to promote the effective follow-up of patients, thereby enhancing their ability to work and their functional autonomy, and to identify risk factors for the development of PICS as a stimulus to beneficial organizational changes in intensive care departments. The background to the book is the realization by healthcare providers that the quality of life of patients who have required a stay in an intensive care unit can be severely impaired or even become unacceptable. All too often, the diverse sequelae are overlooked by specialists of other disciplines. Moreover, families and caregivers are also at high risk of post-traumatic stress disorder and depression. The European Society of Intensive Care Medicine has developed the Lessons from the ICU series with the vision of providing focused and state-of-the-art overviews of central topics in Intensive Care and optimal resources for clinicians working in Intensive Care. This book, written by renowned experts in the field, will facilitate the transmission of key knowledge with significant clinical and financial benefits.

No Place for Dying

Author : Helen Stanton Chapple
Publisher : Left Coast Press
ISBN 13 : 1598744038
Total Pages : 326 pages
Book Rating : 4.5/5 (987 download)

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Book Synopsis No Place for Dying by : Helen Stanton Chapple

Download or read book No Place for Dying written by Helen Stanton Chapple and published by Left Coast Press. This book was released on 2010-04-14 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book shows how dying is a management problem for hospitals, occupying space but few billable encounters and of little interest to medical practice or quality control. An anthropologist and bioethicist with two decades of professional nursing experience, Helen Chapple goes beyond current work on hospital care to present fine-grained accounts of the clinicians, patients, and families who navigate this uncharted, untidy, and unpredictable territory between the highly choreographed project of rescue and the clinical culmination of death.

Metacognition

Author : Patrick Chambres
Publisher : Springer Science & Business Media
ISBN 13 : 9781402071348
Total Pages : 306 pages
Book Rating : 4.0/5 (713 download)

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Book Synopsis Metacognition by : Patrick Chambres

Download or read book Metacognition written by Patrick Chambres and published by Springer Science & Business Media. This book was released on 2002-08-31 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: The object of this volume is to promote the interaction, and indeed construct a synergistic reciprocity between the functional perspective on metacognition and the analytical perspective. The authors examine the role of metacognition in activities as varied as classroom learning, piloting airplanes, and eyewitness testimony. The ideas and questions developed in the book will give a dynamic impulse to research in the field.

Rhythms of the Brain

Author : G. Buzsáki
Publisher : Oxford University Press
ISBN 13 : 0199828237
Total Pages : 465 pages
Book Rating : 4.1/5 (998 download)

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Book Synopsis Rhythms of the Brain by : G. Buzsáki

Download or read book Rhythms of the Brain written by G. Buzsáki and published by Oxford University Press. This book was released on 2011 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: Studies of mechanisms in the brain that allow complicated things to happen in a coordinated fashion have produced some of the most spectacular discoveries in neuroscience. This book provides eloquent support for the idea that spontaneous neuron activity, far from being mere noise, is actually the source of our cognitive abilities. It takes a fresh look at the coevolution of structure and function in the mammalian brain, illustrating how self-emerged oscillatory timing is the brain's fundamental organizer of neuronal information. The small-world-like connectivity of the cerebral cortex allows for global computation on multiple spatial and temporal scales. The perpetual interactions among the multiple network oscillators keep cortical systems in a highly sensitive "metastable" state and provide energy-efficient synchronizing mechanisms via weak links. In a sequence of "cycles," György Buzsáki guides the reader from the physics of oscillations through neuronal assembly organization to complex cognitive processing and memory storage. His clear, fluid writing-accessible to any reader with some scientific knowledge-is supplemented by extensive footnotes and references that make it just as gratifying and instructive a read for the specialist. The coherent view of a single author who has been at the forefront of research in this exciting field, this volume is essential reading for anyone interested in our rapidly evolving understanding of the brain.

Lost Enlightenment

Author : S. Frederick Starr
Publisher : Princeton University Press
ISBN 13 : 0691165858
Total Pages : 694 pages
Book Rating : 4.6/5 (911 download)

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Book Synopsis Lost Enlightenment by : S. Frederick Starr

Download or read book Lost Enlightenment written by S. Frederick Starr and published by Princeton University Press. This book was released on 2015-06-02 with total page 694 pages. Available in PDF, EPUB and Kindle. Book excerpt: The forgotten story of Central Asia's enlightenment—its rise, fall, and enduring legacy In this sweeping and richly illustrated history, S. Frederick Starr tells the fascinating but largely unknown story of Central Asia's medieval enlightenment through the eventful lives and astonishing accomplishments of its greatest minds—remarkable figures who built a bridge to the modern world. Because nearly all of these figures wrote in Arabic, they were long assumed to have been Arabs. In fact, they were from Central Asia—drawn from the Persianate and Turkic peoples of a region that today extends from Kazakhstan southward through Afghanistan, and from the easternmost province of Iran through Xinjiang, China. Lost Enlightenment recounts how, between the years 800 and 1200, Central Asia led the world in trade and economic development, the size and sophistication of its cities, the refinement of its arts, and, above all, in the advancement of knowledge in many fields. Central Asians achieved signal breakthroughs in astronomy, mathematics, geology, medicine, chemistry, music, social science, philosophy, and theology, among other subjects. They gave algebra its name, calculated the earth's diameter with unprecedented precision, wrote the books that later defined European medicine, and penned some of the world's greatest poetry. One scholar, working in Afghanistan, even predicted the existence of North and South America—five centuries before Columbus. Rarely in history has a more impressive group of polymaths appeared at one place and time. No wonder that their writings influenced European culture from the time of St. Thomas Aquinas down to the scientific revolution, and had a similarly deep impact in India and much of Asia. Lost Enlightenment chronicles this forgotten age of achievement, seeks to explain its rise, and explores the competing theories about the cause of its eventual demise. Informed by the latest scholarship yet written in a lively and accessible style, this is a book that will surprise general readers and specialists alike.

The Violence of Modernity

Author : Debarati Sanyal
Publisher : JHU Press
ISBN 13 : 1421429292
Total Pages : 289 pages
Book Rating : 4.4/5 (214 download)

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Book Synopsis The Violence of Modernity by : Debarati Sanyal

Download or read book The Violence of Modernity written by Debarati Sanyal and published by JHU Press. This book was released on 2020-03-03 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Violence of Modernity turns to Charles Baudelaire, one of the most canonical figures of literary modernism, in order to reclaim an aesthetic legacy for ethical inquiry and historical critique. Works of modern literature are commonly theorized as symptomatic responses to the trauma of history. In a climate that tends to privilege crisis over critique, Debarati Sanyal argues that it is urgent to rethink literary experience in terms that recall its contestatory potential. Examining Baudelaire's poems afresh, she shifts the focus of critical attention toward an account of modernism as an active engagement with violence, specifically the violence of history in nineteenth-century France. Sanyal analyzes a literary current that uses the traditional hallmarks of modernism—irony, intertextuality, self-reflexivity, and formalism—to challenge the historical violence of modernity. Baudelaire and the committed ironists writing in his wake teach us how to read and resist the violence of history, and thereby to challenge the melancholy tenor of our contemporary "wound culture." In a series of provocative readings, Sanyal presents Baudelaire's poetry as an aesthetic form that contests historical violence through rhetorical strategies of complicity, counterviolence, and critique. The book develops a new account of Baudelaire's significance as a modernist by dislodging him both from his traditional status as a practitioner of "art for art's sake" and from his more recent incarnation as the poet of trauma. Following her extended analysis of Baudelaire's poetry, Sanyal in later chapters considers a number of authors influenced by his strategies—including Rachilde, Virginie Despentes, Albert Camus, and Jean-Paul Sartre—to examine the relevance of their interventions for our current climate of trauma and terror. The result is a study that underscores how Baudelaire's legacy continues to energize literary engagements with the violence of modernity.

Hidradenitis Suppurativa

Author : Gregor Jemec
Publisher : Springer Science & Business Media
ISBN 13 : 3540331018
Total Pages : 220 pages
Book Rating : 4.5/5 (43 download)

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Book Synopsis Hidradenitis Suppurativa by : Gregor Jemec

Download or read book Hidradenitis Suppurativa written by Gregor Jemec and published by Springer Science & Business Media. This book was released on 2006-11-24 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first book to specifically deal with hidradenitis suppurativa, a common but overlooked disease that regularly causes significant problems for both patients and doctors. The first section of this book presents the best current knowledge about diagnosis, pathogenesis and complications. The second section offers comprehensive guidelines on diagnosis and therapy. The book will assist doctors in providing a broader range of treatments for their patients. To increase the practical usefulness of the book, a description of the patients’ perspective and patient information is included.

Lake Pavin

Author : Télesphore Sime-Ngando
Publisher : Springer
ISBN 13 : 3319399616
Total Pages : 422 pages
Book Rating : 4.3/5 (193 download)

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Book Synopsis Lake Pavin by : Télesphore Sime-Ngando

Download or read book Lake Pavin written by Télesphore Sime-Ngando and published by Springer. This book was released on 2016-10-31 with total page 422 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book represents the first multidisciplinary scientific work on a deep volcanic maar lake in comparison with other similar temperate lakes. The syntheses of the main characteristics of Lake Pavin are, for the first time, set in a firmer footing comparative approach, encompassing regional, national, European and international aquatic science contexts. It is a unique lake because of its permanently anoxic monimolimnion, and furthermore, because of its small surface area, its substantially low human influence, and by the fact that it does not have a river inflow. The book reflects the scientific research done on the general limnology, history, origin, volcanology and geological environment as well as on the geochemistry and biogeochemical cycles. Other chapters focus on the biology and microbial ecology whereas the sedimentology and paleolimnology are also given attention. This volume will be of special interest to researchers and advanced students, primarily in the fields of limnology, biogeochemistry, and aquatic ecology.

Reducing Inequalities

Author : Rémi Genevey
Publisher : The Energy and Resources Institute (TERI)
ISBN 13 : 8179935302
Total Pages : 274 pages
Book Rating : 4.1/5 (799 download)

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Book Synopsis Reducing Inequalities by : Rémi Genevey

Download or read book Reducing Inequalities written by Rémi Genevey and published by The Energy and Resources Institute (TERI). This book was released on 2013-01-01 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: The reduction of inequalities within and between countries stands as a policy goal, and deserves to take centre stage in the design of the Sustainable Development Goals agreed during the Rio+20 Summit in 2012.The 2013 edition of A Planet for Life represents a unique international initiative grounded on conceptual and strategic thinking, and â€“ most importantly â€“ empirical experiments, conducted on five continents and touching on multiple realities. This unprecedented collection of works proposes a solid empirical approach, rather than an ideological one, to inform future debate.The case studies collected in this volume demonstrate the complexity of the new systems required to accommodate each country's specific economic, political and cultural realities. These systems combine technical, financial, legal, fiscal and organizational elements with a great deal of applied expertise, and are articulated within a clear, well-understood, growth- and job-generating development strategy.Inequality reduction does not occur by decree; neither does it automatically arise through economic growth, nor through policies that equalize incomes downward via ill conceived fiscal policies. Inequality reduction involves a collaborative effort that must motivate all concerned parties, one that constitutes a genuine political and social innovation, and one that often runs counter to prevailing political and economic forces.

Person Centered Approach to Recovery in Medicine

Author : Luigi Grassi
Publisher : Springer
ISBN 13 : 3319747363
Total Pages : 318 pages
Book Rating : 4.3/5 (197 download)

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Book Synopsis Person Centered Approach to Recovery in Medicine by : Luigi Grassi

Download or read book Person Centered Approach to Recovery in Medicine written by Luigi Grassi and published by Springer. This book was released on 2018-12-07 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers a resource to aid in implementing psychosocial screening, assessment, and consequently integrating prevention, care and treatment (i.e. pharmacological, psychosocial rehabilitation and psychotherapeutic) in medicine. It is becoming increasingly recognized that one method of combating spiraling health care costs in developed nations is to integrate psychiatric care into medicine including primary care settings. This volume reviews the main issues relative to the paradigm of a person-centered and recovery-oriented approach that should imbue all medical areas and specialties. It proposes integration methods in screening and assessment, clinimetric approach, dignity conserving care, cross-cultural and ethical aspects, treatment and training as a basic and mandatory need of a whole psychosomatic approach bridging the several specialties in medicine. As such, the book addresses a topic that all physicians, including primary care and psychiatric professionals in a wide variety of mental health settings are currently discussing, planning and preoccupied with, namely the task of integrating mental health into all the medical fields, including primary care, cardiology, psychiatry, oncology and so on.