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Author: Pierre Rivière
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Book Description
Introduction : malgré les recommandations vaccinales du Haut Conseil de Santé Publique, la couverture vaccinale des patients immunodéprimés demeure faible. Les études de couverture vaccinale sont rares et peu de données sont disponibles. Par ailleurs, les médecins sont aussi demandeurs de formations professionnelles sur la vaccination. Dans ce contexte, nous avons mis en place deux études de couverture vaccinale avant et après un rappel des recommandations vaccinales avec remise d'un protocole de vaccination. L'objectif principal était d'évaluer la couverture des patients d'oncologie médicale en hôpital de jour sur une semaine, l'objectif secondaire était d'évaluer l'impact de ce rappel des recommandations vaccinales et d'améliorer les pratiques. Matériel et méthodes : la première étude CANVAX1 s'est déroulée la semaine du 02/12/2019 au Centre Hospitalier Universitaire de Lille, au Centre Oscar Lambret et au Centre Hospitalier de Boulogne-sur-mer. Un questionnaire était rempli par le médecin pour évaluer la couverture vaccinale contre le DTP, la grippe et le pneumocoque. Sur 500 patients incluables, 272 ont été inclus. Le rappel des recommandations vaccinales auprès des médecins a eu lieu début janvier 2020 au Centre Hospitalier de Boulogne-sur-mer et fin janvier 2020 au Centre Hospitalier Universitaire de Lille. Il n'a pas pu avoir lieu au Centre Oscar Lambret en raison de la pandémie de COVID-19. La réévaluation (CANVAX2) a eu lieu début mars 2020 au Centre Hospitalier Universitaire de Lille et au Centre Hospitalier de Boulogne-sur-mer où 156 patients ont été inclus sur les 210 incluables. Résultats : pour CANVAX1, la couverture vaccinale était de 37,1 % pour le DTP, 42,6 % pour la grippe et 11,8 % pour le pneumocoque. Pour CANVAX2, la couverture vaccinale était de 38,5 % pour le DTP, 55,1 % pour la grippe et 15,4 % pour le pneumocoque. Le rappel des recommandations vaccinales permettait d'améliorer la couverture vaccinale de la grippe de manière significative mais avec des facteurs confondants. Il n'y avait pas d'amélioration significative de la couverture vaccinale contre le pneumocoque. Conclusion : ces deux études mettent en évidence des couvertures vaccinales insuffisantes mais comparables avec les données de la littérature. L'impact précoce du rappel des recommandations vaccinales sur ces dernières semble peu évident. La mise en place d'une coopération renforcée entre oncologue et infectiologue pourrait permettre d'améliorer les pratiques.
Author: Pierre Rivière
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Book Description
Introduction : malgré les recommandations vaccinales du Haut Conseil de Santé Publique, la couverture vaccinale des patients immunodéprimés demeure faible. Les études de couverture vaccinale sont rares et peu de données sont disponibles. Par ailleurs, les médecins sont aussi demandeurs de formations professionnelles sur la vaccination. Dans ce contexte, nous avons mis en place deux études de couverture vaccinale avant et après un rappel des recommandations vaccinales avec remise d'un protocole de vaccination. L'objectif principal était d'évaluer la couverture des patients d'oncologie médicale en hôpital de jour sur une semaine, l'objectif secondaire était d'évaluer l'impact de ce rappel des recommandations vaccinales et d'améliorer les pratiques. Matériel et méthodes : la première étude CANVAX1 s'est déroulée la semaine du 02/12/2019 au Centre Hospitalier Universitaire de Lille, au Centre Oscar Lambret et au Centre Hospitalier de Boulogne-sur-mer. Un questionnaire était rempli par le médecin pour évaluer la couverture vaccinale contre le DTP, la grippe et le pneumocoque. Sur 500 patients incluables, 272 ont été inclus. Le rappel des recommandations vaccinales auprès des médecins a eu lieu début janvier 2020 au Centre Hospitalier de Boulogne-sur-mer et fin janvier 2020 au Centre Hospitalier Universitaire de Lille. Il n'a pas pu avoir lieu au Centre Oscar Lambret en raison de la pandémie de COVID-19. La réévaluation (CANVAX2) a eu lieu début mars 2020 au Centre Hospitalier Universitaire de Lille et au Centre Hospitalier de Boulogne-sur-mer où 156 patients ont été inclus sur les 210 incluables. Résultats : pour CANVAX1, la couverture vaccinale était de 37,1 % pour le DTP, 42,6 % pour la grippe et 11,8 % pour le pneumocoque. Pour CANVAX2, la couverture vaccinale était de 38,5 % pour le DTP, 55,1 % pour la grippe et 15,4 % pour le pneumocoque. Le rappel des recommandations vaccinales permettait d'améliorer la couverture vaccinale de la grippe de manière significative mais avec des facteurs confondants. Il n'y avait pas d'amélioration significative de la couverture vaccinale contre le pneumocoque. Conclusion : ces deux études mettent en évidence des couvertures vaccinales insuffisantes mais comparables avec les données de la littérature. L'impact précoce du rappel des recommandations vaccinales sur ces dernières semble peu évident. La mise en place d'une coopération renforcée entre oncologue et infectiologue pourrait permettre d'améliorer les pratiques.
Author: Carolyn Côté-Lussier
Publisher: University of Ottawa Press
ISBN: 0776628720
Category : Social Science
Languages : en
Pages : 396
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Book Description
Contemporary Criminological Issues tackles some of today’s most pressing social issues, from the criminalization of Indigenous peoples to interpersonal violence, border control, and armed conflicts. This book advances cutting-edge theories and methods, with the aim of moving beyond the scholarship that reproduces insecurity and exclusion. The breadth of approaches encompasses much of the current critical criminological scholarship, serving as a counterpoint to the growth of managerial and administrative criminologies and the rise of explicitly exclusionary and punitive state policies and practices with respect to ‘crime’ and ‘security.’ This edited collection featuring two books, one in English and one in French, includes important contributions to knowledge and public policy by eminent experts and emerging scholars. This book is published in English.
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: Eric Topol
Publisher: Basic Books
ISBN: 0465094473
Category : Medical
Languages : en
Pages : 386
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Book Description
The essential guide by one of America's leading doctors to how digital technology enables all of us to take charge of our health A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"-but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical. In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system. The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result-better, cheaper, and more human health care-will be worth it. Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.
Author: World Health Organization
Publisher:
ISBN: 9789241548120
Category : Medical
Languages : en
Pages : 166
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Book Description
These guidelines have been developed to support countries to relieve pain in their paediatric populations. These guidelines address persisting pain in children caused by conditions such as cancer, HIV/AIDS, sickle-cell disease, burns, trauma, and phantom limb pain. Recommendations -- developed following a careful and transparent appraisal of available evidence -- are presented for the pharmacological treatment of mild, moderate and severe pain. The guidelines include chapters on the various systems used to classify pain and on the evaluation of pain, which reviews the available tools for routine pain measurement in children. Provision of sustainable pain relief within health care systems is covered in a separate chapter. Since morphine and other opioid analgesics -- required for the relief of moderate-to-severe pain in children -- are listed under the 1961 UN Single Convention on Narcotic Drugs, the new guidelines include an annex explaining the Convention's requirements for the handling and procurement of opioid analgesics for the relief of pain.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9789241544825
Category : Analgesia
Languages : en
Pages : 74
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Book Description
The second edition of a guide, which introduced a simple, yet highly effective method for the relief of cancer pain. Thoroughly revised and updated, the new edition further refines the WHO method, which advocates the use of a small number of relatively inexpensive drugs, including morphine. Revisions draw on experiences with millions of patients around the world as well as new knowledge about the specific pain syndromes unique to cancer. Completely new are chapters describing the international system by which morphine and other opioids are made available for medical purposes. The book has two parts. Part one provides a practical guide to the relief of cancer pain, concentrating on drug treatment as the mainstay of pain management. The most extensive section sets out detailed guidelines for the selection and prescribing of non-opioid analgesics, opioid analgesics, drugs for neuropathic pain, and adjuvant drugs for the treatment of adverse effects, the enhancement of pain relief and the management of concomitant psychological disturbances. Information ranges from explanations of how specific drugs work, through the precautions to take in the presence of certain disorders, to a list of factors that influence the effectiveness of opioids. Concerning the use of opioids, readers are reminded that psychological dependence does not occur in cancer patients and that the only correct dose of morphine is the one that relieves the pain. Part two provides a guide to opioid availability. A discussion of the reasons why opioids continue to be underprescribed or difficult to obtain is followed by an explanation of the Single Convention on Narcotic Drugs.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241545720
Category : Medical
Languages : en
Pages : 90
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Book Description
Cervical cancer is the second most common cancer among women worldwide, with 80 per cent of deaths occurring in developing countries. It is an important area for cancer control programmes because of the burden of the disease and the potential for effective prevention via screening. This publication is based on a comprehensive consultation undertaken by WHO in 2001, involving leading experts in the field of cancer epidemiology, screening and treatment. It focuses on the current situation in low and middle income countries, discusses the efficacy of screening methods available, and assesses potential future developments.
Author: American Society of Health System Pharmacists
Publisher:
ISBN: 9781585286119
Category :
Languages : en
Pages : 840
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Book Description
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241547111
Category : Business & Economics
Languages : en
Pages : 57
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Book Description
In 2005, 7.6 million people died of cancer. More than 70% of those deaths occured in low and middle income countries. WHO has developed a series of six modules that provides practical advice for programme managers and policy-makers on how to advocate, plan and implement effective cancer control programmes, particularly in low and middle income countries.The WHO guide is a response to the World Health Assembly resolution on cancer prevention and control (WHA58.22), adopted in May 2005, which calls on Member States to intensify action against cancer by developing and reinforcing cancer control programmes.
Author: Mary Bosworth
Publisher: OUP Oxford
ISBN: 0191635413
Category : Law
Languages : en
Pages : 588
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Book Description
Criminology is a booming discipline, yet one which can appear divided and fractious. In this rich and diverse collection of 34 essays, some of the worlds leading criminologists respond to a series of questions designed to investigate the state, impact and future challenges of the discipline: What is criminology for? What is the impact of criminology? How should criminology be done? What are the key issues and debates in criminology today? What challenges does the discipline of criminology face? How has criminology as a discipline changed over the last few decades? The resulting essays identify a series of intellectual, methodological and ideological borders. Borders, in criminology as elsewhere, are policed, yet they are also frequently transgressed; criminologists can and do move across them to plunder, admire, or learn from other regions. While some boundaries may be more difficult or dangerous to cross than others it is rare to find an entirely secluded locale or community. In traversing ideological, political, geographical and disciplinary borders, criminologists bring training, tools and concepts, as well as key texts to share with foreigners. From such exchanges, over time, borders may break down, shift, or spring up, enriching those who take the journey and those who are visited. It is, in other words, in criminologys capacity for and commitment to reflexivity, on which the strength of the field depends.
