La prescription d'activité physique chez les maîtres de stage de médecine générale d'Aquitaine

La prescription d'activité physique chez les maîtres de stage de médecine générale d'Aquitaine PDF Author: Julien Cournet
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

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Introduction : l'activité physique est une thérapeutique non médicamenteuse qui a fait la preuve de son efficacité dans de nombreuses pathologies fréquentes en médecine générale. La lutte contre la sédentarité est un enjeu de santé publique et la prescription d'activité physique est une pratique faisant l'objet d'un nombre croissant de recommandations. Objectif : quantifier et décrire les pratiques de prescription d'activité physique (AP) par les médecins généralistes maîtres de stage des universités. Méthode : étude observationnelle transversale d'un échantillon randomisé de médecins généralistes maîtres de stage des universités. L'observation était réalisée par les internes durant la phase d'observation du stage de premier niveau à l'aide d'une grille de recueil. Les médecins ignoraient l'objet de l'observation. Résultats : l'activité de 34 médecins a été observée pendant 4 demi-journées soit un total de 1026 consultations. 30 médecins ont prescrit ou conseillé au moins une fois une AP à leurs patients. Cette prescription était présente dans 12 % des actes. Dans 81 % des cas sous forme de conseil oral. Cette prescription est liée de manière statistiquement significative au nombre de motifs de consultation, à l'âge des patients, et aux pathologies motivant la consultation (prescription significativement plus fréquente en cas de diabète non insulino-dépendant, de dyslipidémie, d'HTA ou d'obésité). Elle est deux fois plus fréquente en présence d'un ou plusieurs facteurs de risque cardio-vasculaire. Les principales raisons de non prescription étaient des priorités plus importantes, un handicap du patient ou une AP déjà suffisamment pratiquée par le patient. Conclusion : les médecins généralistes conseillent et prescrivent l'AP. La plupart du temps cette prescription se fait dans des indications pour lesquelles elle présente un intérêt reconnu pour la prise en charge du patient. Cette prescription pourrait être plus large. Certaines limites, liées au patient ou au contexte de la consultation ont été retrouvées.

La prescription d'activité physique chez les maîtres de stage de médecine générale d'Aquitaine

La prescription d'activité physique chez les maîtres de stage de médecine générale d'Aquitaine PDF Author: Julien Cournet
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

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Book Description
Introduction : l'activité physique est une thérapeutique non médicamenteuse qui a fait la preuve de son efficacité dans de nombreuses pathologies fréquentes en médecine générale. La lutte contre la sédentarité est un enjeu de santé publique et la prescription d'activité physique est une pratique faisant l'objet d'un nombre croissant de recommandations. Objectif : quantifier et décrire les pratiques de prescription d'activité physique (AP) par les médecins généralistes maîtres de stage des universités. Méthode : étude observationnelle transversale d'un échantillon randomisé de médecins généralistes maîtres de stage des universités. L'observation était réalisée par les internes durant la phase d'observation du stage de premier niveau à l'aide d'une grille de recueil. Les médecins ignoraient l'objet de l'observation. Résultats : l'activité de 34 médecins a été observée pendant 4 demi-journées soit un total de 1026 consultations. 30 médecins ont prescrit ou conseillé au moins une fois une AP à leurs patients. Cette prescription était présente dans 12 % des actes. Dans 81 % des cas sous forme de conseil oral. Cette prescription est liée de manière statistiquement significative au nombre de motifs de consultation, à l'âge des patients, et aux pathologies motivant la consultation (prescription significativement plus fréquente en cas de diabète non insulino-dépendant, de dyslipidémie, d'HTA ou d'obésité). Elle est deux fois plus fréquente en présence d'un ou plusieurs facteurs de risque cardio-vasculaire. Les principales raisons de non prescription étaient des priorités plus importantes, un handicap du patient ou une AP déjà suffisamment pratiquée par le patient. Conclusion : les médecins généralistes conseillent et prescrivent l'AP. La plupart du temps cette prescription se fait dans des indications pour lesquelles elle présente un intérêt reconnu pour la prise en charge du patient. Cette prescription pourrait être plus large. Certaines limites, liées au patient ou au contexte de la consultation ont été retrouvées.

La prescription d'exercice physique en médecine générale

La prescription d'exercice physique en médecine générale PDF Author: Christian Tiefenauer
Publisher:
ISBN:
Category :
Languages : fr
Pages : 170

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Dictionary of Foreign Quotations

Dictionary of Foreign Quotations PDF Author: Robert Collison
Publisher: Springer
ISBN: 1349048984
Category : Literary Criticism
Languages : en
Pages : 415

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Logic in Reality

Logic in Reality PDF Author: JOSEPH BRENNER
Publisher: Springer Science & Business Media
ISBN: 1402083750
Category : Philosophy
Languages : en
Pages : 378

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Book Description
This book is both dif?cult and rewarding, affording a new perspective on logic and reality, basically seen in terms of change and stability, being and becoming. Most importantly it exemplifies a mode of doing philosophy of science that seems a welcome departure from the traditional focus on purely analytic arguments. The author approaches ontology, metaphysics, and logic as having offered a number of ways of constructing the description of reality, and aims at deepening their relationships in a new way. Going beyond the mere abstract and formal aspects of logical analysis, he offers a new architecture of logic that sees it as applied not only to the “reasoning processes” belonging to the first disciplinary group – ontology – but also directly concerned with en- ties, events, and phenomena studied by the second one – metaphysics. It is the task of the book to elaborate such a constructive logic, both by offering a lo- cal view of the structure of the reality in general and by proffering a wealth of models able to encompass its implications for science. In turning from the merely formal to the constructive account of logic Brenner overcomes the limitation of logic to linguistic concepts so that it can be not only a logic “of” reality but also “in” that reality which is constitutively characterized by a number of fundamental dualities (observer and observed, self and not-self, internal and external, etc.

Algerian Sketches

Algerian Sketches PDF Author: Pierre Bourdieu
Publisher: Polity
ISBN: 0745646956
Category : History
Languages : en
Pages : 398

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Book Description
In the late 1950s, like tens of thousands of young men of his generation, Pierre Bourdieu, having recently passed the agrégation in philosophy, found himself immersed in the Algerian war. Motivated by an impulse that, as he himself says, ‘was civic rather than political’, nothing seemed more important to him than to understand the Algerian situation and provide the elements that would enable others to come to an informed judgement about it. In extremely tough conditions and along with a small group of students, Bourdieu undertook a series of studies across an Algeria that was tightly patrolled by the army, leading him to discover the shocking reality of the resettlement camps and to analyse the mechanisms of destruction of Algerian society of which they were emblematic. To achieve the objectives he had set himself, Bourdieu had to carry out a genuine intellectual conversion, acquiring an ethnographic understanding of Algerian society, learning sociological analysis at a breakneck pace and inventing new instruments - both theoretical and empirical - that would enable him to understand the relations of domination specific to colonialism. These new tools also enabled him to analyse the nature of the crisis that the war had both produced and manifested. This unique volume brings together the first texts written by Bourdieu in the midst of the Algerian conflict, as well as later writings and interviews in which he returns to the topic of Algeria and the decisive role it played in the development of his work.

The Social Structures of the Economy

The Social Structures of the Economy PDF Author: Pierre Bourdieu
Publisher: John Wiley & Sons
ISBN: 0745681654
Category : Social Science
Languages : en
Pages : 456

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Book Description
Much orthodox economic theory is based on assumptions which are treated as self-evident: supply and demand are regarded as independent entities, the individual is assumed to be a rational agent who knows his interests and how to make decisions corresponding to them, and so on. But one has only to examine an economic transaction closely, as Pierre Bourdieu does here for the buying and selling of houses, to see that these abstract assumptions cannot explain what happens in reality. As Bourdieu shows, the market is constructed by the state, which can decide, for example, whether to promote private housing or collective provision. And the individuals involved in the transaction are immersed in symbolic constructions which constitute, in a strong sense, the value of houses, neighbourhoods and towns. The abstract and illusory nature of the assumptions of orthodox economic theory has been criticised by some economists, but Bourdieu argues that we must go further. Supply, demand, the market and even the buyer and seller are products of a process of social construction, and so-called ‘economic' processes can be adequately described only by calling on sociological methods. Instead of seeing the two disciplines in antagonistic terms, it is time to recognize that sociology and economics are in fact part of a single discipline, the object of which is the analysis of social facts, of which economic transactions are in the end merely one aspect. This brilliant study by the most original sociologist of post-war France will be essential reading for students and scholars of sociology, economics, anthropology and related disciplines.

When Information Came of Age

When Information Came of Age PDF Author: Daniel R. Headrick
Publisher: Oxford University Press
ISBN: 0198031084
Category : History
Languages : en
Pages : 257

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Book Description
Although the Information Age is often described as a new era, a cultural leap springing directly from the invention of modern computers, it is simply the latest step in a long cultural process. Its conceptual roots stretch back to the profound changes that occurred during the Age of Reason and Revolution. When Information Came of Age argues that the key to the present era lies in understanding the systems developed in the eighteenth and early nineteenth centuries to gather, store, transform, display, and communicate information. The book provides a concise and readable survey of the many conceptual developments between 1700 and 1850 and draws connections to leading technologies of today. It documents three breakthroughs in information systems that date to the period: the classification and nomenclature of Linnaeus, the chemical system devised by Lavoisier, and the metric system. It shows how eighteenth-century political arithmeticians and demographers pioneered statistics and graphs as a means for presenting data succinctly and visually. It describes the transformation of cartography from art to science as it incorporated new methods for determining longitude at sea and new data on the measure the arc of the meridian on land. Finally, it looks at the early steps in codifying and transmitting information, including the development of dictionaries, the invention of semaphore telegraphs and naval flag signaling, and the conceptual changes in the use and purpose of postal services. When Information Came of Age shows that like the roots of democracy and industrialization, the foundations of the Information Age were built in the eighteenth and early nineteenth century.

Office of Ambassador

Office of Ambassador PDF Author: Donald E. Queller
Publisher: Princeton University Press
ISBN: 1400887577
Category : History
Languages : en
Pages : 266

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Book Description
The evolution of the office of the ambassador from the primitive messenger (nuncius) through the Roman law procurator to the nearly modern resident ambassador is traced in this study of the ambassador of representative institutions to the relations among states in the Middle Ages. The book makes use of official diplomatic documents, many unpublished, and most of them drawn from archives in Venice, England, and Flanders, reflecting the diplomatic activities of a great Italian city-state, a national monarchy, and a powerful feudal county. Chronicles have been used as supplementary sources, especially when the chronicler was an experienced diplomat, such as Villehardouin or Commines. Originally published in 1967. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

The Marvelous Clouds

The Marvelous Clouds PDF Author: John Durham Peters
Publisher: University of Chicago Press
ISBN: 022625397X
Category : Philosophy
Languages : en
Pages : 419

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Book Description
“An ambitious re-writing—a re-synthesis, even—of concepts of media and culture . . . It is nothing less than an attempt at a history of Being.” —Los Angeles Review of Books When we speak of clouds these days, it is as likely that we mean data clouds or network clouds as cumulus or stratus. In their sharing of the term, both kinds of clouds reveal an essential truth: that the natural world and the technological world are not so distinct. In The Marvelous Clouds, John Durham Peters argues that though we often think of media as environments, the reverse is just as true—environments are media. Peters defines media expansively as elements that compose the human world. Drawing from ideas implicit in media philosophy, Peters argues that media are more than carriers of messages: they are the very infrastructures combining nature and culture that allow human life to thrive. Through an encyclopedic array of examples from the oceans to the skies, The Marvelous Clouds reveals the long prehistory of so-called new media. Digital media, Peters argues, are an extension of early practices tied to the establishment of civilization such as mastering fire, building calendars, reading the stars, creating language, and establishing religions. New media do not take us into uncharted waters, but rather confront us with the deepest and oldest questions of society and ecology: how to manage the relations people have with themselves, others, and the natural world. A wide-ranging meditation on the many means we have employed to cope with the struggles of existence—from navigation to farming, meteorology to Google—The Marvelous Clouds shows how media lie at the very heart of our interactions with the world around us.

Sketch for a Self-analysis

Sketch for a Self-analysis PDF Author: Pierre Bourdieu
Publisher: Polity
ISBN: 0745635261
Category : Social sciences
Languages : en
Pages : 129

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Book Description
Over the past four decades, French sociologist Pierre Bourdieu produced one of the most imaginative and subtle bodies of social theory of the postwar era. When he died in 2002, he was considered to be the most influential sociologist in the world and a thinker on a par with Foucault and Levi-Strauss - a public intellectual as important to his generation as Sartre was to his. Sketch for a Self-Analysis is the ultimate outcome of Bourdieu's lifelong preoccupation with reflexivity. Vehemently not an autobiography, this unique book is instead an application of Bourdieu's theories to his own life and intellectual trajectory; along the way it offers compelling and intimate insights into the most important French intellectuals of the time - including Foucault, Sartre, Aron, Althusser, and de Beauvoir - as well as Bourdieu's own formative experiences at boarding school and his moral outrage at the colonial war in Algeria.