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Book Description
Introduction. L'information délivrée en réanimation n'est pas toujours adaptée ou comprise par les familles des patients. L'objectif de l'étude était d'évaluer l'impact d'un support visuel sur la discordance de pronostic entre médecins et famille en réanimation. Matériel et méthodes. Étude prospective, mono centrique dans un service de réanimation médicochirurgicale, comparant deux stratégies d'informations différentes d'avril à novembre 2015. Dans l'unité A, les familles disposaient du support visuel décrivant l'évolution globale du patient et une évolution détaillée par grand système d'organes, complété chaque jour par le médecin, en plus d'une information classique orale. Dans l'unité B, les familles recevaient l'information classique orale uniquement. Au septième jour, le médecin en charge du patient et la famille évaluait son pronostic. Nous avons donc comparé le taux de discordance médecin-famille des unités A et B. Résultats. Le pronostic a été évalué par le médecin et par la famille pour 79 patients qui étaient toujours présents à J7. Les patients des deux unités étaient comparables en terme d'âge, de sexe, de raison d'admission, de gravité à J1 (IGS II) et de score SOFA à J7. Dans le groupe A 12 familles interrogées sur 39 ont donné un pronostic discordant de celui du médecin (31%). Dans le groupe B (information classique seule) 22 familles sur 40 (discordance de 55%) (p=0.041). Conclusion. Dans cette étude, l'ajout d'un support visuel a permis une amélioration de la compréhension de l'information délivrée aux familles des patients de réanimation.
Book Description
Introduction. L'information délivrée en réanimation n'est pas toujours adaptée ou comprise par les familles des patients. L'objectif de l'étude était d'évaluer l'impact d'un support visuel sur la discordance de pronostic entre médecins et famille en réanimation. Matériel et méthodes. Étude prospective, mono centrique dans un service de réanimation médicochirurgicale, comparant deux stratégies d'informations différentes d'avril à novembre 2015. Dans l'unité A, les familles disposaient du support visuel décrivant l'évolution globale du patient et une évolution détaillée par grand système d'organes, complété chaque jour par le médecin, en plus d'une information classique orale. Dans l'unité B, les familles recevaient l'information classique orale uniquement. Au septième jour, le médecin en charge du patient et la famille évaluait son pronostic. Nous avons donc comparé le taux de discordance médecin-famille des unités A et B. Résultats. Le pronostic a été évalué par le médecin et par la famille pour 79 patients qui étaient toujours présents à J7. Les patients des deux unités étaient comparables en terme d'âge, de sexe, de raison d'admission, de gravité à J1 (IGS II) et de score SOFA à J7. Dans le groupe A 12 familles interrogées sur 39 ont donné un pronostic discordant de celui du médecin (31%). Dans le groupe B (information classique seule) 22 familles sur 40 (discordance de 55%) (p=0.041). Conclusion. Dans cette étude, l'ajout d'un support visuel a permis une amélioration de la compréhension de l'information délivrée aux familles des patients de réanimation.
Author: OECD Publisher: Org. for Economic Cooperation & Development ISBN: 9789264239500 Category : Medical personnel Languages : en Pages : 0
Book Description
Foreword and Acknowledgments -- Executive summary -- Key findings -- Analytical framework of health labour markets -- Trends in health labour markets and policy priorities to address workforce issues -- Education and training for doctors and nurses: What's happening with numerus clausus policies? -- Trends and policies affecting the international migration of doctors and nurses to OECD countries -- Geographic imbalances in the distribution of doctors and health care services in OECD countries -- Skills use and skills mismatch in the health sector: What do we know and what can be done
Author: May Friedman Publisher: Routledge ISBN: 0429017634 Category : Social Science Languages : en Pages : 264
Book Description
Thickening Fat: Fat Bodies, Intersectionality, and Social Justice seeks to explore the multiple, variable, and embodied experiences of fat oppression and fat activisms. Moving beyond an analysis of fat oppression as singular, this book will aim to unpack the volatility of fat—the mutability of fat embodiments as they correlate with other embodied subjectivities, and the threshold where fat begins to be reviled, celebrated, or amended. In addition, Thickening Fat explores the full range of intersectional and liminal analyses that push beyond the simple addition of two or more subjectivities, looking instead at the complex alchemy of layered and unstable markers of difference and privilege. Cognizant that the concept of intersectionality has been filled out in a plurality of ways, Thickening Fat poses critical questions around how to render analysis of fatness intersectional and to thicken up intersectionality, where intersectionality is attenuated to the shifting and composite and material dimensions to identity, rather than reduced to an “add difference and stir” approach. The chapters in this collection ask what happens when we operationalize intersectionality in fat scholarship and politics, and we position difference at the centre and start of inquiry.
Author: Dubois, Carl-Ardy Publisher: McGraw-Hill Education (UK) ISBN: 0335218555 Category : Education Languages : en Pages : 273
Book Description
This book analyses how the current regulatory processes and practices related to key aspects of the management of the health professions may facilitate or inhibit the development of effective responses to challenges facing health care systems in Europe. The authors document how health care systems in Europe are confronting existing challenges in relation to the health workforce and identify the strategies that are likely to be most effective in optimizing the management of health professionals in the future.
Author: Robert A. Hoekelman Publisher: Mosby Incorporated ISBN: 9780323008297 Category : Medical Languages : en Pages : 1936
Book Description
-- An outstanding offer, both the New Hoekelman book & CD! -- Important new information at your fingertips, whether at the office or home.
Author: Michael J. Ford Publisher: Elsevier Health Sciences ISBN: 0443074178 Category : Medical Languages : en Pages : 190
Book Description
The most important core skills for medical students to master are history taking and clinical examination. This extensively revised, eighth edition has been written with the philosophy that the acquisition of clinical skills is most effectively undertaken at the bedside. This pocketbook should be used as a companion, to be taken onto the wards and into consulting rooms where the information is most needed. The book begins with a system of history taking followed by a new chapter on the analysis of key symptoms. The remaining chapters cover physical examination of each of the major systems. Each stage of the examination starts with a detailed, step-by-step description of the examination method complemented by relevant illustrations, diagrams and tables on the facing page. This book is intended primarily for use at the outset of clinical training; once students have achieved proficiency in the basic skills of interviewing and examining, the book should also prove useful for revision. An invaluable starter book concentrating purely on the fundamentals of performing a patient examination. Covers each body system and outlines the principles of: - taking a history - how to conduct a physical examination - specific examination points as appropriate Concentrates only on the main symptoms of disease and then the normal and abnormal physical findings. Mention of specific diseases is confined to those most commonly encountered. Compact and pocket-sized to be carried around easily. · Now in full colour double-page format · Clear simple colour line drawings covering the essentials of a clinical examination. · Published simultaneously with the Eleventh Edition of Macleod's Clinical Examination
Author: Edward Steinfeld Publisher: Springer Science & Business Media ISBN: 9780306458910 Category : Architecture Languages : en Pages : 446
Book Description
This collection focuses on methods for measuring the role of the physical environment in the disablement process and the limitations of current theory, knowledge, and research in the field. Linking the chapters is a new paradigm of research on accessibility, which emphasizes that disability is both a social and an individual process and is consistent with recent developments in a disability rights, rehabilitation practice, and environmental design.
Author: Costica Caizer Publisher: John Wiley & Sons ISBN: 1119754747 Category : Science Languages : en Pages : 512
Book Description
Magnetic Nanoparticles in Human Health and Medicine Explores the application of magnetic nanoparticles in drug delivery, magnetic resonance imaging, and alternative cancer therapy Magnetic Nanoparticles in Human Health and Medicine addresses recent progress in improving diagnosis by magnetic resonance imaging (MRI) and using non-invasive and non-toxic magnetic nanoparticles for targeted drug delivery and magnetic hyperthermia. Focusing on cancer diagnosis and alternative therapy, the book covers both fundamental principles and advanced theoretical and experimental research on the magnetic properties, biocompatibilization, biofunctionalization, and application of magnetic nanoparticles in nanobiotechnology and nanomedicine. Chapters written by a panel of international specialists in the field of magnetic nanoparticles and their applications in biomedicine cover magnetic hyperthermia (MHT), MRI contrast agents, biomedical imaging, modeling and simulation, nanobiotechnology, toxicity issues, and more. Readers are provided with accurate information on the use of magnetic nanoparticles in diagnosis, drug delivery, and alternative cancer therapeutics—featuring discussion of current problems, proposed solutions, and future research directions. Topics include current applications of magnetic iron oxide nanoparticles in nanomedicine and alternative cancer therapy: drug delivery, magnetic resonance imaging, superparamagnetic hyperthermia as alternative cancer therapy, magnetic hyperthermia in clinical trials, and simulating the physics of magnetic particle heating for cancer therapy. This comprehensive volume: Covers both general research on magnetic nanoparticles in medicine and specific applications in cancer therapeutics Discusses the use of magnetic nanoparticles in alternative cancer therapy by magnetic and superparamagnetic hyperthermia Explores targeted medication delivery using magnetic nanoparticles as a future replacement of conventional techniques Reviews the use of MRI with magnetic nanoparticles to increase the diagnostic accuracy of medical imaging Magnetic Nanoparticles in Human Health and Medicine is a valuable resource for researchers in the fields of nanomagnetism, magnetic nanoparticles, nanobiomaterials, nanobioengineering, biopharmaceuticals nanobiotechnologies, nanomedicine, and biopharmaceuticals, particularly those focused on alternative cancer diagnosis and therapeutics.
Author: Pierre Vermersch Publisher: Explicitation Interview ISBN: 9781090169259 Category : Study Aids Languages : en Pages : 170
Book Description
This book was first published in French in 1994. It has been a training support to numerous researchers as well as practitioners, such as teachers, health workers, personal or sport trainers. Since then, it has constantly been republished and a glossary has been added in 1998. This version is the first complete edition of the book in English. The main idea of this new interview technique is to help a teacher, a supervisor or a researcher to guide the student, the practitioner or the subject to give a fine retrospective description of an action. As it is only the subject that has access to this mental or physical action, the goal is to help the subject with the verbalization, putting the implicit knowledge of this action in words. Yet, to achieve this verbalization, we need guidance, because we don't know how to give such a description ourselves. If we leave the interviewee without guidance, he risks remaining in the implicit, speaking in a general way, or in an incomplete or imprecise way, commenting instead of describing. The explicit and precise description we aim is the opposite of the implicit, meaning a fine, detailed and complete way of putting the action in words. The final aim is to elucidate what the subject did to seek his goal
Author: Gabrielle Burelli
Author: Gabrielle Burelli
Author: OECD
Author: May Friedman
Author: Dubois, Carl-Ardy
Author: Robert A. Hoekelman
Author: Michael J. Ford
Author: Edward Steinfeld
Author: Costica Caizer
Author: 
Author: Pierre Vermersch