Place du médecin traitant et sources d’information dans le choix du traitement de suppléance de la maladie rénale chronique stade V PDF Download
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Author: Cédric Bouyou-Mananga
Publisher:
ISBN:
Category :
Languages : fr
Pages : 98
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Book Description
Introduction : la maladie rénale chronique est un problème de santé publique, avec une prévalence et une incidence en constante augmentation, dont l’évolution est l’insuffisance rénale terminale avec nécessité de traitement de suppléance. L’objectif de notre travail est de déterminer les différentes ressources auxquelles les patients ont eu recours pour choisir leur traitement de suppléance, la fréquence des consultations médicales, et le degré de confiance des patients dans ces différentes ressources. Matériel et méthode : il s’agit d’une étude rétrospective multicentrique incluant des sujets atteints de maladie rénale chronique sous traitement de suppléance depuis moins de cinq ans, avec recueil des données via un questionnaire à paramètres quantitatifs et qualitatifs. Résultats : 101 sujets furent inclus, dont 54 sujets hémodialysés, 15 sujets dialysés péritonéaux et 32 sujets greffés, avec un âge moyen de 62,4 ans. La ressource la plus sollicitée était le néphrologue à 52,5%. Plus d’un tiers des sujets (35,6%) n’ont cherché d’information nulle part. Internet est une ressource plus sollicitée que le médecin généraliste (17,8% contre 8,9%). Malgré le peu d’informations demandées au médecin généraliste, il reste l’une des ressources en qui les sujets ont le plus confiance (74,3%). Les sujets ayant choisi la dialyse péritonéale ou la transplantation avaient vu plus fréquemment leur néphrologue durant l’année pré-suppléance (p = 0,001). Conclusion : une amélioration de la coordination et de la communication entre néphrologue et médecin généraliste semble essentielle pour l’amélioration du parcours de soins des insuffisants rénaux, en particulier au moment du choix du traitement de suppléance.
Author: Cédric Bouyou-Mananga
Publisher:
ISBN:
Category :
Languages : fr
Pages : 98
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Book Description
Introduction : la maladie rénale chronique est un problème de santé publique, avec une prévalence et une incidence en constante augmentation, dont l’évolution est l’insuffisance rénale terminale avec nécessité de traitement de suppléance. L’objectif de notre travail est de déterminer les différentes ressources auxquelles les patients ont eu recours pour choisir leur traitement de suppléance, la fréquence des consultations médicales, et le degré de confiance des patients dans ces différentes ressources. Matériel et méthode : il s’agit d’une étude rétrospective multicentrique incluant des sujets atteints de maladie rénale chronique sous traitement de suppléance depuis moins de cinq ans, avec recueil des données via un questionnaire à paramètres quantitatifs et qualitatifs. Résultats : 101 sujets furent inclus, dont 54 sujets hémodialysés, 15 sujets dialysés péritonéaux et 32 sujets greffés, avec un âge moyen de 62,4 ans. La ressource la plus sollicitée était le néphrologue à 52,5%. Plus d’un tiers des sujets (35,6%) n’ont cherché d’information nulle part. Internet est une ressource plus sollicitée que le médecin généraliste (17,8% contre 8,9%). Malgré le peu d’informations demandées au médecin généraliste, il reste l’une des ressources en qui les sujets ont le plus confiance (74,3%). Les sujets ayant choisi la dialyse péritonéale ou la transplantation avaient vu plus fréquemment leur néphrologue durant l’année pré-suppléance (p = 0,001). Conclusion : une amélioration de la coordination et de la communication entre néphrologue et médecin généraliste semble essentielle pour l’amélioration du parcours de soins des insuffisants rénaux, en particulier au moment du choix du traitement de suppléance.
Author: Agostino Paravicini-Bagliani
Publisher: University of Chicago Press
ISBN: 9780226034379
Category : History
Languages : en
Pages : 448
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Book Description
In contrast to the role traditionally fulfilled by secular rulers, the pope has been perceived as an individual person existing in a body subject to decay and death, yet at the same time a corporeal representation of Christ and the Church, eternity and salvation. Using an array of evidence from the eleventh through the fifteenth centuries, Agostino Paravicini- Bagliani addresses this paradox. He studies the rituals, metaphors, and images of the pope's body as they developed over time and shows how they resulted in the expectation that the pope's body be simultaneously physical and metaphorical. Also included is a particular emphasis on the thirteenth century when, during the pontificate of Boniface VIII (1294-1303), the papal court became the focus of medicine and the natural sciences as physicians devised ways to protect the pope's health and prolong his life. Masterfully translated from the Italian, this engaging history of the pope's body provides a new perspective for readers to understand the papacy, both historically and in our own time.
Author: Antoinette Burton
Publisher: Duke University Press
ISBN: 0822386453
Category : History
Languages : en
Pages : 460
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Book Description
From portrayals of African women’s bodies in early modern European travel accounts to the relation between celibacy and Indian nationalism to the fate of the Korean “comfort women” forced into prostitution by the occupying Japanese army during the Second World War, the essays collected in Bodies in Contact demonstrate how a focus on the body as a site of cultural encounter provides essential insights into world history. Together these essays reveal the “body as contact zone” as a powerful analytic rubric for interpreting the mechanisms and legacies of colonialism and illuminating how attention to gender alters understandings of world history. Rather than privileging the operations of the Foreign Office or gentlemanly capitalists, these historical studies render the home, the street, the school, the club, and the marketplace visible as sites of imperial ideologies. Bodies in Contact brings together important scholarship on colonial gender studies gathered from journals around the world. Breaking with approaches to world history as the history of “the West and the rest,” the contributors offer a panoramic perspective. They examine aspects of imperial regimes including the Ottoman, Mughal, Soviet, British, Han, and Spanish, over a span of six hundred years—from the fifteenth century through the mid-twentieth. Discussing subjects as diverse as slavery and travel, ecclesiastical colonialism and military occupation, marriage and property, nationalism and football, immigration and temperance, Bodies in Contact puts women, gender, and sexuality at the center of the “master narratives” of imperialism and world history. Contributors. Joseph S. Alter, Tony Ballantyne, Antoinette Burton, Elisa Camiscioli, Mary Ann Fay, Carter Vaughn Findley, Heidi Gengenbach, Shoshana Keller, Hyun Sook Kim, Mire Koikari, Siobhan Lambert-Hurley, Melani McAlister, Patrick McDevitt, Jennifer L. Morgan, Lucy Eldersveld Murphy, Rosalind O’Hanlon, Rebecca Overmyer-Velázquez, Fiona Paisley, Adele Perry, Sean Quinlan, Mrinalini Sinha, Emma Jinhua Teng, Julia C. Wells
Author: Ann Laura Stoler
Publisher: Univ of California Press
ISBN: 9780520231115
Category : History
Languages : en
Pages : 356
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Book Description
Looking at the way cultural competencies and sensibilities entered into the construction of race in the colonial context, this text proposes that 'cultural racism' in fact predates its postmodern discovery.
Author: Larry Jay Diamond
Publisher: Lynne Rienner Pub
ISBN: 9781555875411
Category : Political Science
Languages : en
Pages : 592
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Book Description
This text presents case studies of experiences with democracy in Asia, Affrica, Latin America and the Middle East, along with the editor's synthesis of the factors that facilitate and obstruct the development of democracy around the world. This second edition includes a chapter on South Africa.
Author: Marina Ottaway
Publisher: Carnegie Endowment
ISBN: 0870033328
Category : Political Science
Languages : en
Pages : 299
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Book Description
During the 1990s, international democracy promotion efforts led to the establishment of numerous regimes that cannot be easily classified as either authoritarian or democratic. They display characteristics of each, in short they are semi-authoritarian regimes. These regimes pose a considerable challenge to U.S. policymakers because the superficial stability of many semi-authoritarian regimes usually masks severe problems that need to be solved lest they lead to a future crisis. Additionally, these regimes call into question some of the ideas about democratic transitions that underpin the democracy promotion strategies of the United States and other Western countries. Despite their growing importance, semi-authoritarian regimes have not received systematic attention. Marina Ottaway examines five countries (Egypt, Azerbaijan, Venezuela, Croatia, and Senegal) which highlight the distinctive features of semi-authoritarianism and the special challenge each poses to policymakers. She explains why the dominant approach to democracy promotion isn't effective in these countries and concludes by suggesting alternative policies. Marina Ottaway is senior associate and codirector of the Democracy and Rule of Law Project at the Carnegie Endowment.
Author: Sten Hagberg
Publisher:
ISBN:
Category : Social Science
Languages : en
Pages : 140
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Book Description
A study that highlights the importance of addressing representations and realities of poverty in socially and culturally specific contexts, situations and relations.
Author: Clare Midgley
Publisher: Routledge
ISBN: 1134798806
Category : History
Languages : en
Pages : 523
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Book Description
This comprehensive study of women anti-slavery campaigners fills a serious gap in abolitionist history. Covering all stages of the campaign, Women Against Slavery uses hitherto neglected sources to build up a vivid picture of the lives, words and actions of the women who were involved, and their distinctive contribution to the abolitionist movement. It looks at the way women's participation influenced the organisation, activities, policy and ideology of the campaign, and analyses the impact of female activism on women's own attitudes to their social roles, and their participation in public life. Exploring the vital role played by gender in shaping the movement as a whole, this book makes an important contribution to the debate on `race' and gender.
Author: Jaan Puhvel
Publisher:
ISBN:
Category : Social Science
Languages : en
Pages : 298
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Book Description
This Book Is A Result Of The Ongoing Activity Centered On Discovering And Understanding The Mythic, Religions, Social And Legal Underpinnings Of The Ancient Indo-European-Speaking Continuum In Terms Of Their Oldest Or Most Archaic Manifestations. Without Dustcover, Spine Slightly Damaged At Bottom, Ex-Libris, Usual Library Stamps And Markings, Text Absolutely Clean, Condition Good.
Author: Antoinette Burton
Publisher: Univ of North Carolina Press
ISBN: 0807860654
Category : History
Languages : en
Pages : 318
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Book Description
In this study of British middle-class feminism in the late nineteenth and early twentieth centuries, Antoinette Burton explores an important but neglected historical dimension of the relationship between feminism and imperialism. Demonstrating how feminists in the United Kingdom appropriated imperialistic ideology and rhetoric to justify their own right to equality, she reveals a variety of feminisms grounded in notions of moral and racial superiority. According to Burton, Victorian and Edwardian feminists such as Josephine Butler, Millicent Garrett Fawcett, and Mary Carpenter believed that the native women of colonial India constituted a special 'white woman's burden.' Although there were a number of prominent Indian women in Britain as well as in India working toward some of the same goals of equality, British feminists relied on images of an enslaved and primitive 'Oriental womanhood' in need of liberation at the hands of their emancipated British 'sisters.' Burton argues that this unquestioning acceptance of Britain's imperial status and of Anglo-Saxon racial superiority created a set of imperial feminist ideologies, the legacy of which must be recognized and understood by contemporary feminists.
