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Depistage De La Maladie Renale Chronique De Lenfant En Cabinet De Medecine Generale
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Book Synopsis Dépistage de la maladie rénale chronique de l'enfant en cabinet de médecine générale by : James Paillaud
Download or read book Dépistage de la maladie rénale chronique de l'enfant en cabinet de médecine générale written by James Paillaud and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : La Maladie Rénale Chronique (MRC) de l'enfant évolue le plus souvent à bas bruit et tend inexorablement vers l'insuffisance rénale chronique, voire terminale. Toutefois, une prise en charge précoce permet de la ralentir et de stabiliser ses complications. L'attitude de dépistage reste non consensuelle pour de nombreux pays en raison notamment d'un rapport coût-efficacité incertain. Nous souhaitions explorer les pratiques et conceptions des médecins généralistes français vis-à-vis de ce dépistage. Méthodes : Nous avons réalisé à ce propos une étude non interventionnelle d'évaluation des pratiques professionnelles en envoyant en juillet et octobre 2020 un questionnaire informatisé à 5108 médecins généralistes. Les sujets inclus étaient des médecins généralistes thésés, installés dans le Grand Est et faisant partie de la liste de diffusion des messages de l'URPS-ML. Résultats : Le taux de participation a été de 1,3%. 54,4% des médecins interrogés ont déclaré avoir déjà réalisé un dépistage de la MRC au moins une fois dans leur pratique. 52,9% n'avaient pas connaissance de quelconque recommandation. 47,1% jugeaient correctement la prévalence de cette affection au sein de la population pédiatrique. Le terrain héréditaire a été le facteur de risque de MRC le plus souvent cité (60,3%), les oedèmes le signe d'appel le plus évocateur (57,4%) et la bandelette urinaire l'outil clinique privilégié (78,8%). Enfin, 75,4% des médecins ne maîtrisant pas ce sujet ont estimé le manque de formation comme le principal frein à sa réalisation. Conclusion : La méconnaissance des recommandations ainsi que la sous-estimation de la prévalence de la MRC de l'enfant contribuent notoirement à un mésusage d'un dépistage simple, accessible et efficace. Ainsi, l'utilisation appropriée, à grande échelle, d'outils de dépistage clinique validés comme la bandelette urinaire et le tensiomètre pédiatrique permettrait de repérer plus précocement davantage d'enfants atteints de MRC. Une sensibilisation régulière lors de formations médicales continues semble nécessaire afin d'optimiser les pratiques.
Book Synopsis Dépistage de la maladie rénale chronique de l'enfant en médecine générale by : Marine Bruyas
Download or read book Dépistage de la maladie rénale chronique de l'enfant en médecine générale written by Marine Bruyas and published by . This book was released on 2018 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: La maladie rénale chronique (MRC) est un problème de santé publique majeur chez l'adulte. Chez l'enfant, de récentes études font le lien entre MRC à l'âge pédiatrique et insuffisance rénale terminale à l'âge adulte, et suggèrent que la prévalence de la MRC stade précoce non diagnostiquée chez l'enfant serait de près de 1%. Tout retard de diagnostic implique un retard de mise en oeuvre des moyens de néphroprotection nécessaires au ralentissement de l'évolution de la MRC. Suite aux recommandations de la société de Néphrologie Pédiatrique parues en 2016, nous avons cherché à faire un état des lieux des pratiques des médecins généralistes en ce qui concerne le dépistage de la MRC pédiatrique en région Rhône-Alpes et avons élaboré une plaquette d'aide au dépistage dans une démarche d'amélioration de la qualité des soins. Il s'agit d'une enquête descriptive transversale, par le biais d'un questionnaire informatisé diffusé par mailing listes ou sur les réseaux sociaux. La plupart des médecins (96%) ne se sentent pas compétents pour dépister la MRC de l'enfant et la quasi-totalité (96%) souhaite bénéficier de formations à ce sujet. Il existe une méconnaissance des techniques de dépistage de la MRC pédiatrique. Très peu de médecins connaissent la formule de Schwartz, seule formule utilisable en pédiatrie pour estimer le débit de filtration glomérulaire. Les facteurs de risque de MRC s'avèrent mal connus, notamment l'obésité, la prématurité et le petit poids de naissance. Une plaquette de dépistage intéresserait 98,5% des répondants. Dans les années à venir, du fait de l'accroissement de la prévalence des facteurs de risques (obésité, HTA,...) et de certaines populations à risque liées aux flux migratoires par exemple, la prévalence de la MRC de l'enfant devrait augmenter. Devant le coût humain et financier que représente le traitement de l'insuffisance rénale terminale en France, il paraît indispensable de dépister tous les enfants concernés. Notre plaquette se voulait une aide au dépistage et va être proposée pour financement.
Book Synopsis Dépistage de l'insuffisance rénale chronique en médecine générale ambulatoire by : Cécile Jacquot
Download or read book Dépistage de l'insuffisance rénale chronique en médecine générale ambulatoire written by Cécile Jacquot and published by . This book was released on 2009 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis French Caribbeans in Africa by : V. Hélénon
Download or read book French Caribbeans in Africa written by V. Hélénon and published by Palgrave Macmillan. This book was released on 2011-03-29 with total page 203 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first book-length study of the French Caribbean presence in Africa, and serves as a unique contribution to the field of African Diaspora and Colonial studies. By using administrative records, newspapers, and interviews, it explores the French Caribbean presence in the colonial administration in Africa before World War II.
Book Synopsis The Politics of War Trauma by : Jolande Withuis
Download or read book The Politics of War Trauma written by Jolande Withuis and published by Amsterdam University Press. This book was released on 2010 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study compares the policies and attitudes toward the health consequences of World War II in eleven European countries: Austria, Belgium, Denmark, East Germany, France, Italy, Luxembourg, the Netherlands, Norway, Poland, and West Germany. It shows the remarkably asynchronous development in these countries of health care financing and treatment for war survivors, and of the patients’ perception of their own health. Using an innovative and multidisciplinary approach, Withuis and Mooij analyze postwar health care in the context of the European political climate at that time.
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 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 Libraries of the United States and Canada by : American Library Association
Download or read book Libraries of the United States and Canada written by American Library Association and published by . This book was released on 1918 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Dictionary of Louisiana French by : Albert Valdman
Download or read book Dictionary of Louisiana French written by Albert Valdman and published by Univ. Press of Mississippi. This book was released on 2010 with total page 934 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Dictionary of Louisiana French (DLF) provides the richest inventory of French vocabulary in Louisiana and reflects precisely the speech of the period from 1930 to the present. This dictionary describes the current usage of French-speaking peoples in the five broad regions of South Louisiana: the coastal marshes, the banks of the Mississippi River, the central area, the north, and the western prairie. Data were collected during interviews from at least five persons in each of twenty-four areas in these regions. In addition to the data collected from fieldwork, the dictionary contains material compiled from existing lexical inventories, from texts published after 1930, and from archival recordings. The new authoritative resource, the DLF not only contains the largest number of words and expressions but also provides the most complete information available for each entry. Entries include the word in the conventional French spelling, the pronunciation (including attested variants), the part of speech classification, the English equivalent, and the word's use in common phrases. The DLF features a wealth of illustrative examples derived from fieldwork and textual sources and identification of the parish where the entry was collected or the source from which it was compiled. An English-to-Louisiana French index enables readers to find out how particular notions would be expressed in la Louisiane .
Book Synopsis The Reign of Louis XIV by : Paul Sonnino
Download or read book The Reign of Louis XIV written by Paul Sonnino and published by . This book was released on 1991 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Bibliography of Eighteenth Century Art and Illustrated Books by : J. Lewine
Download or read book Bibliography of Eighteenth Century Art and Illustrated Books written by J. Lewine and published by . This book was released on 1898 with total page 722 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Sleep Medicine by : Sudhansu Chokroverty
Download or read book Sleep Medicine written by Sudhansu Chokroverty and published by Springer. This book was released on 2015-09-22 with total page 552 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive volume provides a balanced and easily readable account of the rise of modern sleep medicine, its history and developmental milestones. Authored by an international group of experts, the remarkable progress and fascinating evolution from rudimentary concepts of the ancient prehistoric and early classical periods to our contemporary knowledge are covered in detail. These examples and their relationship to modern therapies offer neurologists, psychiatrists, respiratory specialists, clinicians, researchers and those interested in sleep medicine an important perspective to the origins of current practice.
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.
Book Synopsis A Frequency Dictionary of French by : Deryle Lonsdale
Download or read book A Frequency Dictionary of French written by Deryle Lonsdale and published by Routledge. This book was released on 2009-03-25 with total page 974 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Frequency Dictionary of French is an invaluable tool for all learners of French, providing a list of the 5000 most frequently used words in the language. Based on a 23-million-word corpus of French which includes written and spoken material both from France and overseas, this dictionary provides the user with detailed information for each of the 5000 entries, including English equivalents, a sample sentence, its English translation, usage statistics, and an indication of register variation. Users can access the top 5000 words either through the main frequency listing or through an alphabetical index. Throughout the frequency listing there are thematically-organized lists of the top words from a variety of key topics such as sports, weather, clothing, and family terms. An engaging and highly useful resource, the Frequency Dictionary of French will enable students of all levels to get the most out of their study of French vocabulary. Former CD content is now available to access at www.routledge.com/9780415775311 as support material. Designed for use by corpus and computational linguists it provides the full text in a format that researchers can process and turn into suitable lists for their own research work. Deryle Lonsdale is Associate Professor in the Linguistics and English Language Department at Brigham Young University (Provo, Utah). Yvon Le Bras is Associate Professor of French and Department Chair of the French and Italian Department at Brigham Young University (Provo, Utah).
Book Synopsis A Cultural History of Heredity by : Staffan Müller-Wille
Download or read book A Cultural History of Heredity written by Staffan Müller-Wille and published by University of Chicago Press. This book was released on 2012-06-26 with total page 339 pages. Available in PDF, EPUB and Kindle. Book excerpt: Heredity: knowledge and power -- Generation, reproduction, evolution -- Heredity in separate domains -- First syntheses -- Heredity, race, and eugenics -- Disciplining heredity -- Heredity and molecular biology -- Gene technology, genomics, postgenomics: attempt at an outlook.
Book Synopsis Evolution of Awareness by : Kia Marlene
Download or read book Evolution of Awareness written by Kia Marlene and published by . This book was released on 2022-03-08 with total page 444 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evolution of Awareness, the debut poetry collection from Kia Marlene, is a book about a spiritual journey towards enlightenment. The collection consists of 6 chapters, titled "The Egg," "The Caterpillar," "Intermission (heartbreak&love)," "The Cocoon," "The Butterfly," and a chapter titled "Knock Knock." Through numerous poems this book outlines various thoughts, questions and eventual answers concerning our collective greater purpose in life, self love, consciousness, and personhood. The author intends for this book to help broaden the reader's general perception, view of their environment, awareness, and sense of self.
Download or read book Framing Age written by Iris Loffeier and published by Taylor & Francis. This book was released on 2017-05-12 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ageing populations have gradually become a major concern in many industrialised countries over the past fifty years, drawing the attention of both politics and science. The target of a raft of health and social policies, older people are often identified as a specific, and vulnerable, population. At the same time, ageing has become a specialisation in many disciplines - medicine, sociology, psychology, to name but three – and a discipline of its own: gerontology. This book questions the framing of old age by focusing on the relationships between policy making and the production of knowledge. The first part explores how the meeting of scientific expertise and the politics of old age anchors the construction of both individual and collective relationships to the future. Part II brings to light the many ways in which issues relating to ageing can be instrumentalised and ideologised in several public debate arenas. Part III argues that scientific knowledge itself composes with objectivity, bringing ideologies of its own to the table, and looks at how this impacts discourse about ageing. In the final part, the contributors discuss how the frames can themselves be experienced at different levels of the division of labour, whether it is by people who work on them (legislators or scientists), by people working with them (professional carers) or by older people themselves. Unpacking the political and moral dimensions of scientific research on ageing, this cutting-edge volume brings together a range of multidisciplinary, European perspectives, and will be of use to all those interested in old age and the social sciences.
