Author: Marie Estevenon
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Book Description
Introduction : Les hémorragies du post-partum constituent la première cause de mortalité maternelle en France et représentent une priorité nationale de santé maternelle. Les hémorragies de la délivrance par atonie utérine en sont les principales causes. Une politique d'amélioration de la prise en charge de cette pathologie a été mise en œuvre depuis 2006 au sein du réseau santé périnatal d'Auvergne, par la mise en place et un suivi des analyses des pratiques professionnelles, dans le but de diminuer la morbi-mortalité maternelle. Les sages- femmes sont des acteurs de première ligne dans la prévention, le dépistage et la prise en charge des hémorragies immédiates du post-partum. Ce travail a été réalisé dans le but d'évaluer l'évolution de ce travail de prévention et de traitement de l'hémorragie du post-partum au sein du Centre Hospitalo-Universitaire d'Estaing à Clermont-Ferrand. Matériels et méthodes : Nous avons travaillé sur l'ensemble des accouchements, au-delà de 22SA, par voie basse et par césarienne, compliqués d'une hémorragie de la délivrance entre le 01/01/2012 et le 31/12/2019 au CHU de Clermont-Ferrand. Résultats : Les chiffres montrent que l'incidence des hémorragies du post-partum augmentent au CHU Estaing entre 2012 et 2019 pour les accouchements voie basse et diminue pour les accouchements par césarienne. L'incidence des hémorragies sévères du post-partum reste stationnaire au fil des années. De plus l'incidence des traitements de seconde ligne diminue (embolisation, transfusion, chirurgie). Conclusion : Même si l'incidence de l'HPP semble être en légère augmentation sur les années 2018 et 2019, l'incidence des thérapeutiques de seconde ligne, quant à elle diminue. Cela démontre une qualité du diagnostic précoce et de la prise en charge de l'HPP au CHU Estaing.
Author: Emilie Regnault Mirouse
Publisher:
ISBN:
Category :
Languages : fr
Pages : 208
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Author: Irene Papanicolas
Publisher: McGraw-Hill Education (UK)
ISBN: 033524727X
Category : Medical
Languages : en
Pages : 418
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Book Description
International comparison of health system performance has become increasingly popular, made possible by the rapidly expanding availability of health data. It has become one of the most important levers for prompting health system reform. Yet, as the demand for transparency and accountability in healthcare increases, so too does the need to compare data from different health systems both accurately and meaningfully. This timely and authoritative book offers an important summary of the current developments in health system performance comparison. It summarises the current state of efforts to compare systems, and identifies and explores the practical and conceptual challenges that occur. It discusses data and methodological challenges, as well as broader issues such as the interface between evidence and practice. The book draws out the priorities for future work on performance comparison, in the development of data sources and measurement instruments, analytic methodology, and assessment of evidence on performance. It concludes by presenting the key lessons and future priorities, and in doing so offers a rich source of material for policy-makers, their analytic advisors, international agencies, academics and students of health systems.
Author: Alain Reinberg
Publisher: CRC Press
ISBN:
Category : Design
Languages : en
Pages : 268
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Book Description
Periodical and predictable changes in biological susceptibility and response to a large variety of chemical agents, including drugs and food, have been documented since the early 1970s. This book provides a survey of clinically-documented research in chronopharmacology.
Author: Robert A. Hoekelman
Publisher: Mosby Incorporated
ISBN: 9780323008297
Category : Medical
Languages : en
Pages : 1936
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Book Description
-- An outstanding offer, both the New Hoekelman book & CD! -- Important new information at your fingertips, whether at the office or home.
Author: Sue Blattes
Publisher: L'Editeur : EDP Sciences
ISBN: 9782868835888
Category : English language
Languages : fr
Pages : 264
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Book Description
Cet ouvrage, devenu célèbre sous son sigle MCSE, a déjà été utilisé par plus de 50 000 étudiants, chercheurs, professionnels. L'objectif est de lire et écrire des textes en anglais scientifique avec facilité et pertinence. L'ouvrage est conçu pour que l'apprenant devienne un véritable utilisateur de l'anglais. La méthode originale repose sur l'analyse des fonctions et structures nécessaires : measurement, frequency, comparison, modification, link words, time, cause and consequence, hypothesis, modality, purpose and process, impersonal forms, compound nouns and adjectives. Dans chaque unit, des tests d'auto-évaluation permettent de se situer et de construire son parcours de formation, d'abord en définissant ses objectifs à l'aide des key points et du lexis, puis, de façon plus personnalisée, en puisant dans les examples in context, checkpoints (back to basics, word web), web search, FAQs... MCSE est l'outil de base d'une méthode qui comprend aussi d'autres outils dans la même collection (Listening Comprehension for Scientiflc English et Speaking Skills in Scientitic English). L'ouvrage est destiné à tout apprenant de niveau baccalauréat qui désire acquérir une réelle compétence dans l'écriture et la lecture de textes en anglais scientifique.
Author: Jacques Lafontaine
Publisher: Springer
ISBN: 3319207350
Category : Mathematics
Languages : en
Pages : 408
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Book Description
This book is an introduction to differential manifolds. It gives solid preliminaries for more advanced topics: Riemannian manifolds, differential topology, Lie theory. It presupposes little background: the reader is only expected to master basic differential calculus, and a little point-set topology. The book covers the main topics of differential geometry: manifolds, tangent space, vector fields, differential forms, Lie groups, and a few more sophisticated topics such as de Rham cohomology, degree theory and the Gauss-Bonnet theorem for surfaces. Its ambition is to give solid foundations. In particular, the introduction of “abstract” notions such as manifolds or differential forms is motivated via questions and examples from mathematics or theoretical physics. More than 150 exercises, some of them easy and classical, some others more sophisticated, will help the beginner as well as the more expert reader. Solutions are provided for most of them. The book should be of interest to various readers: undergraduate and graduate students for a first contact to differential manifolds, mathematicians from other fields and physicists who wish to acquire some feeling about this beautiful theory. The original French text Introduction aux variétés différentielles has been a best-seller in its category in France for many years. Jacques Lafontaine was successively assistant Professor at Paris Diderot University and Professor at the University of Montpellier, where he is presently emeritus. His main research interests are Riemannian and pseudo-Riemannian geometry, including some aspects of mathematical relativity. Besides his personal research articles, he was involved in several textbooks and research monographs.
Author: A. Sollberger
Publisher:
ISBN:
Category : Biological rhythms
Languages : en
Pages : 472
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Author: Michael J. Ford
Publisher: Elsevier Health Sciences
ISBN: 0443074178
Category : Medical
Languages : en
Pages : 190
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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: Dorothy T. Krieger
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 352
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Book Description
