La prévention des IST par les sages-femmes lors de la première consultation gynécologique PDF Download
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Author: Marie Villain
Publisher:
ISBN:
Category :
Languages : fr
Pages : 156
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Book Description
Véritable enjeu de santé publique, la plupart des infections sexuellement transmissibles sont actuellement en recrudescence alors qu'elles ne sont pas sans conséquences médicales. De plus, les connaissances des jeunes concernant les IST, leurs moyens de prévention, leurs symptômes et leurs conséquences sont faibles. C'est dans ce contexte que des actions sont mises en place et des objectifs ont été fixés afin de réduire l'incidence et les conséquences des IST en France en généralisant et en améliorant la prévention. Nous avons réalisé une étude descriptive quantitative auprès des sages-femmes de Champagne-Ardenne et de Lorraine réalisant des consultations gynécologiques. Notre recherche a consisté en un état des lieux des pratiques des sages-femmes en matière de prévention des IST lors de la première consultation gynécologique. Nous avons obtenu 94 réponses à notre questionnaire. 67% des sages-femmes réalisent une prévention systématique des IST. 54% des sages-femmes proposent la prescription de préservatif en systématique. 64,9% d'entre elles proposent systématiquement la vaccination HPV aux filles entre 11 et 14 ans et le rattrapage. 60,9% des sages-femmes ne proposent pas le vaccin contre l'hépatite B. Enfin, 75,5% des sages-femmes estiment avoir besoin de dépliants à destination des patientes et 54,3% aimeraient recevoir des fiches sur le thème des IST à destination des professionnels afin d'améliorer la prévention réalisée. Nous avons pu démontrer que la prévention des IST par des informations, par la prescription de préservatifs, par la vaccination, n'est pas encore systématique chez les sages-femmes et qu'il existe des freins à cette prévention. Une disparité des informations données en fonction des types d'exercices, des connaissances des sages-femmes a été également observée.
Author: Marie Villain
Publisher:
ISBN:
Category :
Languages : fr
Pages : 156
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Book Description
Véritable enjeu de santé publique, la plupart des infections sexuellement transmissibles sont actuellement en recrudescence alors qu'elles ne sont pas sans conséquences médicales. De plus, les connaissances des jeunes concernant les IST, leurs moyens de prévention, leurs symptômes et leurs conséquences sont faibles. C'est dans ce contexte que des actions sont mises en place et des objectifs ont été fixés afin de réduire l'incidence et les conséquences des IST en France en généralisant et en améliorant la prévention. Nous avons réalisé une étude descriptive quantitative auprès des sages-femmes de Champagne-Ardenne et de Lorraine réalisant des consultations gynécologiques. Notre recherche a consisté en un état des lieux des pratiques des sages-femmes en matière de prévention des IST lors de la première consultation gynécologique. Nous avons obtenu 94 réponses à notre questionnaire. 67% des sages-femmes réalisent une prévention systématique des IST. 54% des sages-femmes proposent la prescription de préservatif en systématique. 64,9% d'entre elles proposent systématiquement la vaccination HPV aux filles entre 11 et 14 ans et le rattrapage. 60,9% des sages-femmes ne proposent pas le vaccin contre l'hépatite B. Enfin, 75,5% des sages-femmes estiment avoir besoin de dépliants à destination des patientes et 54,3% aimeraient recevoir des fiches sur le thème des IST à destination des professionnels afin d'améliorer la prévention réalisée. Nous avons pu démontrer que la prévention des IST par des informations, par la prescription de préservatifs, par la vaccination, n'est pas encore systématique chez les sages-femmes et qu'il existe des freins à cette prévention. Une disparité des informations données en fonction des types d'exercices, des connaissances des sages-femmes a été également observée.
Author: Marie Lamblin
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Book Description
INTRODUCTION/CONTEXTE : Depuis la loi HPST du 21 juillet 2009, les sages-femmes peuvent assurer le suivi gynécologique chez toutes les femmes en bonne santé. Elles peuvent ainsi réaliser la première consultation de prescription de contraception. Ce mémoire a pour but d'analyser les pratiques professionnelles des sages-femmes lors de la première consultation de prescription de contraception. La problématique est la suivante : En quoi les recommandations de la H.A.S. sur la prescription de la contraception lors de la consultation gynécologique sont-elles respectées ? MÉTHODE : Une étude épidémiologique et observationnelle non interventionnelle a été réalisée du 22 novembre 2017 au 21 février 2018 afin d'analyser les pratiques professionnelles des sages-femmes de Moselle et Meurthe-et-Moselle. Les sages-femmes libérales ont été inclues dans l'étude. Les sages-femmes libérales ne réalisant pas la consultation gynécologique ont été exclues à la lecture du questionnaire.RÉSULTATS : 81 sages-femmes sur 163 ont répondu à cette étude. La totalité des répondantes suivent les recommandations sur la recherche des contre-indications à une méthode contraceptive et proposent plusieurs méthodes de contraception adaptées à leurs patientes. Une grande majorité des répondantes respectent les informations à transmettre aux patientes. Les recommandations les moins respectées sont l'information sur l'importance de signaler à tout médecin la prise d'une contraception hormonale et l'information sur la prévention des IST. Enfin, 99% des sages-femmes respectent la durée de consultation recommandée. CONCLUSION : Malgré des résultats encourageants, le taux de réponse de 49,7% ne permet pas de conclure sur l'ensemble des sages-femmes libérales de Moselle et Meurthe-et-Moselle. De plus, les recommandations étant nombreuses, elles n'ont pas pu toutes être abordées dans le questionnaire.
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: 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: Diane Publishing Staff
Publisher: DIANE Publishing
ISBN: 9780788143427
Category :
Languages : en
Pages : 426
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Book Description
Author: Steven Watts
Publisher: Wiley
ISBN: 0470501359
Category : Biography & Autobiography
Languages : en
Pages : 544
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Book Description
The real Hugh Hefner-the extraordinary inside story of an American icon "Riveting... Watts packs in plenty of gasp-inducing passages."-Newark Star Ledger "Like it or not, Hugh Hefner has affected all of us, so I treasured learning about how and why in the sober biography."-Chicago Sun Times "This is a fun book. How could it not be? Watts aims to give a full account of the man, his magazine and their place in social history. Playboy is no longer the cultural force it used to be, but it made a stamp on society."-Associated Press "In Steven Watts' exhaustive, illuminating biography Mr. Playboy, Hefner's ideal for living -- marked by his allegiances to Tarzan, Freud, Pepsi-Cola and jazz -- proves to be a kind of gloss on the Protestant work ethic."-Los Angeles TimesGorgeous young women in revealing poses; extravagant mansion parties packed with celebrities; a hot-tub grotto, elegant smoking jackets, and round rotating beds; the hedonistic pursuit of uninhibited sex. Put these images together and a single name springs to mind-Hugh Hefner. From his spectacular launch of Playboy magazine and the dizzying expansion of his leisure empire to his recent television hit The Girls Next Door, the publisher has attracted public attention and controversy for decades. But how did a man who is at once socially astute and morally unconventional, part Bill Gates and part Casanova, also evolve into a figure at the forefront of cultural change?In Mr. Playboy, historian and biographer Steven Watts argues that, in the process of becoming fabulously wealthy and famous, Hefner has profoundly altered American life and values. Granted unprecedented access to the man and his enterprise, Watts traces Hef's life and career from his midwestern, Methodist upbringing and the first publication of Playboy in 1953 through the turbulent sixties, self-indulgent seventies, reactionary eighties, and traditionalist nineties, up to the present. He reveals that Hefner, from the beginning, believed he could overturn social norms and take America with him.This fascinating portrait illustrates four ways in which Hefner and Playboy stood at the center of several cultural upheavals that remade the postwar United States. The publisher played a crucial role in the sexual revolution that upended traditional notions of behavior and expectation regarding sex. He emerged as one of the most influential advocates of a rapidly developing consumer culture, flooding Playboy readers with images of material abundance and a leisurely lifestyle. He proved instrumental-with his influential magazine, syndicated television shows, fashionable nightclubs, swanky resorts, and movie and musical projects-in making popular culture into a dominant force in many people's lives. Ironically, Hefner also became a controversial force in the movement for women's rights. Although advocating women's sexual freedom and their liberation from traditional family constraints, the publisher became a whipping boy for feminists who viewed him as a prophet for a new kind of male domination.Throughout, Watts offers singular insights into the real man behind the flamboyant public persona. He shows Hefner's personal dichotomies-the pleasure seeker and the workaholic, the consort of countless Playmates and the genuine romantic, the family man and the Gatsby-like host of lavish parties at his Chicago and Los Angeles mansions who enjoys well-publicized affairs with numerous Playmates, the fan of life's simple pleasures who hobnobs with the Hollywood elite.Punctuated throughout with descriptions and anecdotes of life at the Playboy Mansions, Mr. Playboy tells the compelling and uniquely American story of how one person with a provocative idea, a finger on the pulse of popular opinion, and a passion for his work altered the course of modern history. Spans from Hefner's childhood to the launch of Playboy magazine and the expansion of the Playboy empire to the present Puts Hefner's life and work into the cultural context of American life from the mid-twentieth-century onwards Contains over 50 B/W and color photos, including an actual fold-out centerfold
Author: Kia Marlene
Publisher:
ISBN:
Category : Poetry
Languages : en
Pages : 444
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Book Description
Evolution of Awareness, the debut poetry collection from Kia Marlene, is a book about a spiritual journey towards enlightenment. The collection consists of 6 chapters, titled "The Egg," "The Caterpillar," "Intermission (heartbreak&love)," "The Cocoon," "The Butterfly," and a chapter titled "Knock Knock." Through numerous poems this book outlines various thoughts, questions and eventual answers concerning our collective greater purpose in life, self love, consciousness, and personhood. The author intends for this book to help broaden the reader's general perception, view of their environment, awareness, and sense of self.
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: Shahirose Sadrudin Premji
Publisher: Springer
ISBN: 9783319943510
Category : Medical
Languages : en
Pages : 154
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Book Description
This volume analyses the distinct care needs of late preterm infants and their parents by reflecting on the best available evidence to inform practice and latest innovations in care. It addresses the spectrum of issues experienced by late preterm infants and their parents and ways to ensure healthy transitions from hospital to community. We define late preterm infants as those born between 340/7 to 366/7 weeks’ gestational age. The book uses creative writing prompts and a narrative style to gain insight and be self-reflection in and on practice to move the reader to embrace best practices. Issues such as mother’s physical and emotional health, father’s burden in postpartum period, the work organization of nurses caring for late preterm infants, feeding and jaundice which threaten readmission, and neurodevelopmental outcomes of late preterm infants are specifically addressed. Areas of innovation are shared for consideration to prompt readers to think about continuous improvement in quality of care. The book shares local and global perspectives to address the common concerns related to care of late preterm infants and their parents, and fosters a partnership in promoting health of late preterm infants and their parents all across the globe. It is intended for any health care providers such as nurses, midwives, physicians and other allied care professionals like health visitors, community health workers.
Author: Joanna Cannon
Publisher: Simon and Schuster
ISBN: 1501187406
Category : Fiction
Languages : en
Pages : 400
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Book Description
The bestselling author of The Trouble with Goats and Sheep delivers a suspenseful and emotionally satisfying novel “infused with warmth and humor” (People) about a lifelong friendship, a devastating secret, and the small acts of kindness that bring people together. There are three things you should know about Elsie. The first thing is that she’s my best friend. The second is that she always knows what to say to make me feel better. And the third thing…might take a bit more explaining. Eighty-four-year-old Florence has fallen in her flat at Cherry Tree Home for the Elderly. As she waits to be rescued, she thinks about her friend Elsie and wonders if a terrible secret from their past is about to come to light. If the charming new resident is who he claims to be, why does he look exactly like a man who died sixty years ago? From the acclaimed, bestselling author of The Trouble with Goats and Sheep, Three Things About Elsie “breathes with suspense, providing along the way piercing, poetic descriptions, countless tiny mysteries, and breathtaking little reveals…a rich portrait of old age and friendship stretched over a fascinating frame” (Kirkus Reviews, starred review). This is an “amusing and heartbreaking” (Publishers Weekly) story about forever friends on the twisting path of life who come to understand how the fine threads of humanity connect us all.
