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Author: Ariane Bell
Publisher:
ISBN:
Category :
Languages : fr
Pages : 58
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Book Description
Introduction : Depuis plusieurs décennies, la part du PIB consacrée aux dépenses de santé augmente en France. Les patients âgés de 65 ans et plus représentent 44% de ces dépenses par leur consommation de médicaments de ville. Pour enrayer cette augmentation, les médicaments génériques ont été commercialisés. Des fiches d'information ont été réalisées par les organismes de santé pour améliorer l'acceptation de ces derniers. Mais sont-elles adaptées aux personnes âgées ? Objectif : Nous avons voulu évaluer l'effet d'une information simplifiée, délivrée par le médecin généraliste lors d'un entretien avec le patient en consultation de médecine générale ou de gériatrie hospitalière, sur l'acceptation des médicaments génériques des patients de 70 ans et plus. Méthode: Un questionnaire a été soumis à 94 patients, en consultation de médecine générale ou gériatrique, avant puis après lecture de la brochure inspirée de la fiche d'information de l'HAS sur les médicaments génériques. Résultats: Cette brochure améliore significativement l'acceptation de la galénique, des effets indésirables et de la marque du médicament générique de respectivement 71,28 % à 80 % (p-valeur : 0,01), de 22,1 % à 43,2 % (p-valeur : 0,0001) et de 84,62 % à 88,89 % (pvaleur : 0,04). L'auto-évaluation de leur confiance augmente d'une moyenne de 6,4/10 avant information à 7/10 après. Malgré ce score, il persiste des doutes sur l'efficacité (24,4%) et la tolérance (34,04%) des médicaments génériques. Conclusion: La brochure d'information apparait, pour le médecin généraliste, comme un outil d'aide à l'amélioration de l'acceptation des médicaments génériques chez les patients de 70 ans et plus.
Author: Ariane Bell
Publisher:
ISBN:
Category :
Languages : fr
Pages : 58
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Book Description
Introduction : Depuis plusieurs décennies, la part du PIB consacrée aux dépenses de santé augmente en France. Les patients âgés de 65 ans et plus représentent 44% de ces dépenses par leur consommation de médicaments de ville. Pour enrayer cette augmentation, les médicaments génériques ont été commercialisés. Des fiches d'information ont été réalisées par les organismes de santé pour améliorer l'acceptation de ces derniers. Mais sont-elles adaptées aux personnes âgées ? Objectif : Nous avons voulu évaluer l'effet d'une information simplifiée, délivrée par le médecin généraliste lors d'un entretien avec le patient en consultation de médecine générale ou de gériatrie hospitalière, sur l'acceptation des médicaments génériques des patients de 70 ans et plus. Méthode: Un questionnaire a été soumis à 94 patients, en consultation de médecine générale ou gériatrique, avant puis après lecture de la brochure inspirée de la fiche d'information de l'HAS sur les médicaments génériques. Résultats: Cette brochure améliore significativement l'acceptation de la galénique, des effets indésirables et de la marque du médicament générique de respectivement 71,28 % à 80 % (p-valeur : 0,01), de 22,1 % à 43,2 % (p-valeur : 0,0001) et de 84,62 % à 88,89 % (pvaleur : 0,04). L'auto-évaluation de leur confiance augmente d'une moyenne de 6,4/10 avant information à 7/10 après. Malgré ce score, il persiste des doutes sur l'efficacité (24,4%) et la tolérance (34,04%) des médicaments génériques. Conclusion: La brochure d'information apparait, pour le médecin généraliste, comme un outil d'aide à l'amélioration de l'acceptation des médicaments génériques chez les patients de 70 ans et plus.
Author: Leslie Rainer
Publisher: Getty Publications
ISBN: 1606060430
Category : Architecture
Languages : fr
Pages : 438
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Book Description
Earthen architecture constitutes one of the most diverse forms of cultural heritage and one of the most challenging to preserve. It dates from all periods and is found on all continents but is particularly prevalent in Africa, where it has been a building tradition for centuries. Sites range from ancestral cities in Mali to the palaces of Abomey in Benin, from monuments and mosques in Iran and Buddhist temples on the Silk Road to Spanish missions in California. This volume's sixty-four papers address such themes as earthen architecture in Mali, the conservation of living sites, local knowledge systems and intangible aspects, seismic and other natural forces, the conservation and management of archaeological sites, research advances, and training.
Author: Edwin A. Lovatt
Publisher: Routledge
ISBN: 1134930623
Category : Foreign Language Study
Languages : en
Pages : 574
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Book Description
First published in 1987. Routledge is an imprint of Taylor & Francis, an informa company.
Author: World Health Organization
Publisher:
ISBN: 9789241548533
Category : Medical
Languages : en
Pages : 0
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Book Description
Mental health and psychosocial support (MHPSS) is a term used to describe a wide range of actions that address social, psychological and psychiatric problems that are either pre-existing or emergency-induced. These actions are carried out in highly different contexts by organizations and people with different professional backgrounds, in different sectors and with different types of resources. All these different actors--and their donors--need practical assessments leading to recommendations that can be used immediately to improve people's mental health and well-being. Although a range of assessment tools exist, what has been missing is an overall approach that clarifies when to use which tool for what purpose. This document offers an approach to assessment that should help you review information that is already available and only collect new data that will be of practical use, depending on your capacity and the phase of the humanitarian crisis. This document is rooted in two policy documents, the IASC Reference Group s (2010) "Mental Health and Psychosocial Support in Humanitarian Emergencies: What Should Humanitarian Health Actors Know?" and the "Sphere Handbook's Standard on Mental Health" (Sphere Project, 2011). It is written primarily for public health actors. As the social determinants of mental health and psychosocial problems occur across sectors, half of the tools in the accompanying toolkit cover MHPSS assessment issues relevant to other sectors as well as the health sector.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241547006
Category : Health & Fitness
Languages : en
Pages : 284
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Book Description
Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309091586
Category : Medical
Languages : en
Pages : 639
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Book Description
Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate The Dietary Reference Intakes (DRIs) are quantitative estimates of nutrient intakes to be used for planning and assessing diets for healthy people. This new report, the sixth in a series of reports presenting dietary reference values for the intakes of nutrients by Americans and Canadians, establishes nutrient recommendations on water, potassium, and salt for health maintenance and the reduction of chronic disease risk. Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate discusses in detail the role of water, potassium, salt, chloride, and sulfate in human physiology and health. The major findings in this book include the establishment of Adequate Intakes for total water (drinking water, beverages, and food), potassium, sodium, and chloride and the establishment of Tolerable Upper Intake levels for sodium and chloride. The book makes research recommendations for information needed to advance the understanding of human requirements for water and electrolytes, as well as adverse effects associated with the intake of excessive amounts of water, sodium, chloride, potassium, and sulfate. This book will be an invaluable reference for nutritionists, nutrition researchers, and food manufacturers.
Author: Alan D. Lopez
Publisher: World Bank Publications
ISBN: 0821362631
Category : Medical
Languages : en
Pages : 511
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Book Description
Strategic health planning, the cornerstone of initiatives designed to achieve health improvement goals around the world, requires an understanding of the comparative burden of diseases and injuries, their corresponding risk factors and the likely effects of invervention options. The Global Burden of Disease framework, originally published in 1990, has been widely adopted as the preferred method for health accounting and has become the standard to guide the setting of health research priorities. This publication sets out an updated assessment of the situation, with an analysis of trends observed since 1990 and a chapter on the sensitivity of GBD estimates to various sources of uncertainty in methods and data.
Author: Deryle Lonsdale
Publisher: Routledge
ISBN: 1135973504
Category : Foreign Language Study
Languages : en
Pages : 974
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Book Description
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).
Author: Canada. Industry Canada
Publisher:
ISBN:
Category : Language Arts & Disciplines
Languages : en
Pages : 56
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Book Description
Author: Christian Pozzi
Publisher: Springer Nature
ISBN: 3030357317
Category : Medical
Languages : en
Pages : 169
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Book Description
This book focuses on evidence-based occupational therapy in the care of older adults in different clinical settings, from home to acute hospital, from intensive care unit to rehabilitation centers and nursing homes. Occupational therapy has progressively developed as a new discipline aiming to improve the daily life of individuals of different ages, from children to older adults. The book first reviews the interaction between occupational therapy and geriatrics and then discusses in depth how occupational therapy interventions are applied in the community, in the acute hospital and in the nursing home. It highlights the key role of occupational therapy in the management of frail patients, including critically ill older patients and persons with dementia, and describes in detail how to maintain occupational therapy interventions across different settings to avoid the fragmentation of care. The ageing population requires new innovative approaches to improve the quality of life, and as such this book provides clinicians with handy, key information on how to implement occupational therapy in the daily clinical care of older adults based on the current scientific evidence.
