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Book Description
Contexte Outre l'outil pharmacologique, l'adhésion du patient aux modifications des habitudes de vie occupe une place importante dans le traitement du diabète de type 2. Après l'avoir exploré et quantifié, nous avons recherché l'existence de critères modifiant cette adhésion chez les patients DT2. Méthode : Suite à une enquête par auto-questionnaire aux près de 136 patients DT2 en médecine générale, un score d'adhésion a été déterminé. Une analyse statistique inférentielle (bi-variée) a été réalisée avec chacun des critères suivants: Le genre, l'âge, le statut matrimonial, l'IMC, la profession, l'ancienneté du diabète, les antécédents cardiovasculaires, l'hypertension artérielle, le mal perforant plantaire, la rétinopathie diabétique, l'insulinothérapie, l'appartenance à un groupe de réseau de soins. Résultats : le score moyen était de 49,081 points (soit 5,75/10), IC 95% [47.764 ; 50.398] La médiane était à 49 points (5,74/10), le premier quartile à 45 (soit 5/10) et le troisième quartile à 53 points (soit 6,48/10). Il n'a pas été mis en évidence de relation significative entre l'adhésion aux modifications des habitudes de vie et les différents critères étudiés. Conclusion : Malgré des résultats divergents de ceux de la littérature, notre étude rappelle la place de l'adhésion du patient DT2 au projet thérapeutique, mettant en relief la nécessité d'une approche globale de la prise en charge de ces patients.
Book Description
Contexte Outre l'outil pharmacologique, l'adhésion du patient aux modifications des habitudes de vie occupe une place importante dans le traitement du diabète de type 2. Après l'avoir exploré et quantifié, nous avons recherché l'existence de critères modifiant cette adhésion chez les patients DT2. Méthode : Suite à une enquête par auto-questionnaire aux près de 136 patients DT2 en médecine générale, un score d'adhésion a été déterminé. Une analyse statistique inférentielle (bi-variée) a été réalisée avec chacun des critères suivants: Le genre, l'âge, le statut matrimonial, l'IMC, la profession, l'ancienneté du diabète, les antécédents cardiovasculaires, l'hypertension artérielle, le mal perforant plantaire, la rétinopathie diabétique, l'insulinothérapie, l'appartenance à un groupe de réseau de soins. Résultats : le score moyen était de 49,081 points (soit 5,75/10), IC 95% [47.764 ; 50.398] La médiane était à 49 points (5,74/10), le premier quartile à 45 (soit 5/10) et le troisième quartile à 53 points (soit 6,48/10). Il n'a pas été mis en évidence de relation significative entre l'adhésion aux modifications des habitudes de vie et les différents critères étudiés. Conclusion : Malgré des résultats divergents de ceux de la littérature, notre étude rappelle la place de l'adhésion du patient DT2 au projet thérapeutique, mettant en relief la nécessité d'une approche globale de la prise en charge de ces patients.
Author: David HouŽto Publisher: Lulu.com ISBN: 1291761152 Category : Reference Languages : fr Pages : 327
Book Description
Le terme promotion de la santé en Afrique, près de 30 ans après l'adoption de la Charte d'Ottawa, continue d'avoir des connotations complètement hors du sens que lui confère cette charte. Cela n'est pas étonnant quand on sait que la notion de santé dans ce contexte africain équivaut à la lutte contre la maladie à travers les soins de santé dispensés par des professionnels de la santé dans des formations sanitaires et les hôpitaux. L'évolution que connait le continent depuis quelques décennies est de donner un peu plus de place à la communauté à travers les relais communautaires dans une participation communautaire vidée de son contenu, car le pouvoir n'est jamais passé entre les mains des communautés.C'est au vu de tout ceci que le présent ouvrage à sa raison d'être pour expliquer les fondements de l'autonomisation communautaire et de la promotion de la santé avec leur importance pour la région africaine en proie aux mauvais indicateurs de santé comparativement aux autres régions du monde.
Author: Robert Philip Weber Publisher: SAGE ISBN: 9780803938632 Category : Analisi della varianza Languages : en Pages : 100
Book Description
This second edition has been completely updated to include new studies, new computer applications and an additional chapter on problems and issues that can arise when carrying out content analysis in four major categories: measurement, indication, representation and interpretation.
Author: Bernard I. Levy Publisher: Springer Science & Business Media ISBN: 0585381461 Category : Medical Languages : en Pages : 284
Book Description
Biology of the Arterial Wall is intended as a general reference text concerned with the biology of the vascular cells and the blood vessel wall under physiological and pathological conditions. One of the major functions of the arteries is to maintain a continuous blood flow to the organs whatever the pressure conditions, thanks to the vasomotor tone of the smooth muscle cells. Great advances have been made over the last decade in the understanding of the endothelial cells as integrators and transducers of signals originating from the blood stream. The pluripotent control functions of the endothelial cells in the vessel wall are now well recognized. A review of endothelial functions and dysfunctions is presented. Cell biology and molecular genetic studies have now identified an array of molecules elaborated by endothelial cells and vascular smooth muscle cells and by the blood-borne elements which interact with artery cells, defending the artery against injury and modulating evolving abnormal processes. Molecules which induce or inhibit endothelial and/or smooth muscle cells are currently under great scrutiny. Angiogenesis, which plays a major role in tumor growth, but may also be beneficial as a healing process in muscle ischemia, is discussed. Apoptosis, or programmed cell death, has only recently been recognized as an essential process in blood vessel modeling and remodeling. An overview of apoptosis in the vascular system is presented. It is increasingly evident that the adjustments of the blood vessel wall are made in the presence of deforming disease processes such as hypertension and atherosclerosis. The second part of the book is concerned with the blood vessel wall in disease conditions. Several chapters review the role of the vessel and vascular cells in inflammation, and vascular remodeling during arterial hypertension and aging. One chapter is devoted to atherogenesis, atheroma and plaque instability, followed by the pathophysiology of post-angioplasty restenosis, which is a crucial issue in modern interventional cardiology.
Author: Nathan I. Cherny Publisher: Oxford University Press, USA ISBN: 0199656096 Category : Medical Languages : en Pages : 1281
Book Description
Emphasising the multi-disciplinary nature of palliative care the fourth edition of this text also looks at the individual professional roles that contribute to the best-quality palliative care.
Author: Sheila Weitzman Publisher: Cambridge University Press ISBN: 9780521184168 Category : Medical Languages : en Pages : 0
Book Description
This comprehensive reference on histiocytic disorders considers the genetics, pathophysiology, and clinical management of this wide range of diseases. It covers all aspects of hystiocytic disorders--from Langerhans cell histiocytosis and hemophagocytic lymphohistiocytosis, to the uncommon cutaneous and extracutaneous histiocytic disorders. Current views on the function of normal histiocytes in the immune system, the pathogenesis, underlying genetic defects, clinical presentation, treatment, controversies in therapy, salvage therapies and the late consequences are also presented.
Author: Richard Hain Publisher: Oxford University Press ISBN: 019882131X Category : Medical Languages : en Pages : 535
Book Description
The importance of palliative care for children facing life threatening illness and their families is now widely acknowledged as an essential part of care, which should be available to all children and families, throughout the child's illness and at the end of life. The new edition of the Oxford Textbook of Palliative Care for Children brings together the most up to date information, current knowledge, evidence, and developments of clinical practice in the field. The book is structured into four sections. 'Foundations of Care' describes core issues, the foundations on which paediatric palliative care is based. 'Child and Family Care' looks at different aspects of psychological, social, and cultural care for the sick child or young person, and their family. These chapters cover the time course of the illness, around the time of death and support for the bereaved family. 'Symptom Care' focuses on the uses of medication, specific symptoms, and their management. Finally, 'Delivery of Care' examines practical approaches to care in different environments and the needs of clinicians. Two new editors join the team from Canada and South Africa, reflecting our aims to contribute towards the development of care for children across the world, and to be a resource for both experienced clinicians and those new to the field. Comprehensive in scope, exhaustive in detail, and definitive in authority, this third edition has been thoroughly updated to cover new practices, current epidemiological data, and the evolving models that support the delivery of palliative medicine to children. This includes two new chapters, looking in detail at 'Decision Making' and 'Perinatal Care', and a new section highlighting the emerging importance of 'Palliative Care for Children in Humanitarian Crises'. This book is an essential resource for anyone who works with children worldwide.
Author: Alain Berthoz Publisher: Odile Jacob ISBN: 2738147453 Category : Science Languages : en Pages : 194
Book Description
“Simplexity, as I understand it, is the range of solutions living organisms have found, despite the complexity of natural processes, to enable the brain to prepare an action and plan for the consequences of it. These solutions are simplifying principles that enable the processing of information or situations, by taking into account past experience and anticipating the future. They are neither caricatures, shortcuts, or summaries. They are new ways of asking questions, sometimes at the cost of occasional detours, in order to achieve faster, more elegant, more effective actions.” A. B. As Alain Berthoz demonstrates in this profoundly original book, simplicity is never easy; it requires suppressing, selecting, connecting, thinking, in order to then act in the best way possible. And what if we, in turn, are inspired by the living world to process the complexity that surrounds us? Alain Berthoz is professor at the Collège de France where he is co-director of the Laboratoire de physiologie de la perception et de l’action. [Laboratory for the physiology of perception and action]. He is a member of the French Academy of Sciences, and is the author of Le Sens du mouvement [The Brain's Sense of Movement] and La Décision [Emotion and Reason].
Author: Driss Bouricha
Author: Driss Bouricha
Author: David HouŽto
Author: Robert Philip Weber
Author: Bernard I. Levy
Author: Pauline Allen
Author: Nathan I. Cherny
Author: Sheila Weitzman
Author: Iwar Klimes
Author: Richard Hain
Author: Alain Berthoz