Prévention et prise en charge de la drépanocytose chez l'enfant et l'adolescent

Prévention et prise en charge de la drépanocytose chez l'enfant et l'adolescent PDF Author: Awa Beye
Publisher:
ISBN:
Category :
Languages : fr
Pages : 72

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Book Description
La drépanocytose est une anomalie héréditaire de l'hémoglobine entraînant une falciformation de l'hématie. Elle est présente principalement en Afrique, Amérique du Sud, Inde et chez les populations originaires de ces pays. Cette pathologie se manifeste principalement par ces crises vasa-occlusives douloureuses, des complications et une sensibilité aux infections. Les traitements symptomatiques sont coûteux et le seul curatif reste cher. La population sénégalaise n'ayant pas les moyens financiers se tourne bien souvent vers les plantes traditionnelles pour se soigner. Le but de cette thèse est de comprendre la pathologie, établir l'état des lieux des actions au Sénégal et déterminer le rôle du pharmacien d'officine dans la sensibilisation sur la drépanocytose : éclaircir les notions, le mode de transmission et surtout éduquer les patients.

Prévention et prise en charge de la drépanocytose chez l'enfant et l'adolescent

Prévention et prise en charge de la drépanocytose chez l'enfant et l'adolescent PDF Author: Awa Beye
Publisher:
ISBN:
Category :
Languages : fr
Pages : 72

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Book Description
La drépanocytose est une anomalie héréditaire de l'hémoglobine entraînant une falciformation de l'hématie. Elle est présente principalement en Afrique, Amérique du Sud, Inde et chez les populations originaires de ces pays. Cette pathologie se manifeste principalement par ces crises vasa-occlusives douloureuses, des complications et une sensibilité aux infections. Les traitements symptomatiques sont coûteux et le seul curatif reste cher. La population sénégalaise n'ayant pas les moyens financiers se tourne bien souvent vers les plantes traditionnelles pour se soigner. Le but de cette thèse est de comprendre la pathologie, établir l'état des lieux des actions au Sénégal et déterminer le rôle du pharmacien d'officine dans la sensibilisation sur la drépanocytose : éclaircir les notions, le mode de transmission et surtout éduquer les patients.

La drépanocytose de l'enfant et l'adolescent

La drépanocytose de l'enfant et l'adolescent PDF Author: Marianne de Montalembert
Publisher: Elsevier Health Sciences
ISBN: 2294761413
Category : Medical
Languages : fr
Pages : 250

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Book Description
Les ouvrages de la collection Pedia sont écrits par les spécialistes du domaine pour les pédiatres hospitaliers et libéraux, les internes des services de pédiatrie ainsi que pour les médecins généralistes et parfois des spécialistes de médecine pour adulte. Précis et didactiques, ils fournissent à ces praticiens : - les éléments indispensables pour détecter et reconnaître les pathologies ; - des réponses claires à des situations cliniques précises ; - des critères d'orientation et des propositions de conduites à tenir.Maladie héréditaire de l'hémoglobine, la drépanocytose touche plus de cinq millions de personnes à travers le monde et est actuellement considérée comme la maladie monogénique la plus répandue. De sévérité et d'évolution très variables, les manifestations de la drépanocytose sont multiples : anémie, crises vaso-occlusives douloureuses, accidents vasculaires cérébraux, susceptibilité accrue aux infections, méningites et ostéomyélites notamment, atteintes chroniques d'organe. En France, grâce à une prise en charge précoce, la drépanocytose n'entraîne désormais qu'une exceptionnelle mortalité dans l'enfance, contrastant cependant avec une importante morbidité. Pour répondre aux besoins des pédiatres et médecins généralistes qui, dans leur pratique quotidienne, peuvent être amenés à prendre en charge ces patients, l'ouvrage fait le point sur la drépanocytose « vie entière », les situations d'urgence, les atteintes chroniques d'organe et la thérapeutique.

Clinical Management of Patients with Viral Haemorrhagic Fever

Clinical Management of Patients with Viral Haemorrhagic Fever PDF Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241549602
Category : Medical
Languages : en
Pages : 203

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Book Description
First published in March 2014 under the title "Clinical management of patients with viral haemorrhagic fever: a pocket guide for front-line health workers: interim emergency guidance for West Africa".

The Management of Sickle Cell Disease

The Management of Sickle Cell Disease PDF Author: U. S. Department of Health
Publisher: Createspace Independent Publishing Platform
ISBN: 9781495279157
Category : Sickle cell anemia
Languages : en
Pages : 0

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Book Description
#1 Best Seller on Sickle Cell Disease (SCD). Sickle cell disease is a group of blood disorders passed down from parents to children. Sickle cell anemia shortens life expectancy by 30 years via bacterial infections, painful swellings, fever, arthritis, leg ulcers, eye, lung & heart damage. Over 100,000 people, mostly African-Americans, in the United States have sickle cell disease. Over 2 million people have sickle cell trait in America. It is estimated that more than 300,000 children are born each year with SCD around the world. This edition of The Management of Sickle Cell Disease (SCD) is organized into four parts: 1. Diagnosis and Counseling 2. Health Maintenance 3. Treatment of Acute and Chronic Complications 4. Special Topics. The original intent was to incorporate evidence-based medicine into each chapter, but there was variation among evidence-level scales, and some authors felt recommendations could be made, based on accepted practice, without formal trials in this rare disorder. The best evidence still is represented by randomized, controlled trials (RCTs), but variations exist in their design, conduct, endpoints, and analyses. It should be emphasized that selected people enter a trial, and results should apply in practice specifically to populations with the same characteristics as those in the trial. Randomization is used to reduce imbalances between groups, but unexpected factors sometimes may confound analysis or interpretation. In addition, a trial may last only a short period of time, but long-term clinical implications may exist. Another issue is treatment variation, for example, a new pneumococcal vaccine developed after the trial, which has not been tested formally in a sickle cell population. Earlier trial results may be accepted, based on the assumption that the change is small. In some cases, RCTs cannot be done satisfactorily (e.g., for ethical reasons, an insufficient number of patients, or a lack of objective measures for sickle cell "crises"). Thus the bulk of clinical experience in SCD still remains in the moderately strong and weaker categories of evidence. Not everyone has an efficacious outcome in a clinical trial, and the frequency of adverse events, such as with long-term transfusion programs or hematopoietic transplants, might not be considered. Thus, an assessment of benefit-to-risk ratio should enter into translation of evidence levels into practice recommendations. A final issue is that there may be two alternative approaches that are competitive (e.g., transfusions and hydroxyurea). In this case the pros and cons of each course of treatment should be discussed with the patient. This book is B&W copy of the government agency publication.

Protected Area Management

Protected Area Management PDF Author: Barbara Sladonja
Publisher: BoD – Books on Demand
ISBN: 953510697X
Category : Science
Languages : en
Pages : 242

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Book Description
Protected areas are at the base of the most national and international conservation strategies. Due to the many unpredictable elements in ecology matters, each protected area requires a case-specific set of guidelines but a common issue is how to cope with human interaction. The management of protected areas is replete with challenges and the only way to gain understanding and achieve greater management possibilities is to exchange experiences and knowledge. Environmental managers are aware of that and together with scientists are looking for more modern and better solutions, both with respect to natural resources and human interactions in many issues regarding nature protection. This publication presents reviews and research results on protected areas management, as well as 12 case studies derived from around the world with the aim of improving management effectiveness of the protected areas.

Community Control of Genetic and Congenital Disorders

Community Control of Genetic and Congenital Disorders PDF Author: Alaʻdin A. S. Alwan
Publisher: World Health Organization
ISBN:
Category : Medical
Languages : en
Pages : 226

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Book Description
A comprehensive guide to recommended strategies for controlling genetic and congenital disorders in Eastern Mediterranean countries. Addressed to policy-makers and service providers, the book aims to heighten awareness of these disorders while also increasing understanding of the interventions available for prevention and control. Although all major hereditary disorders are covered, particular attention is given to haemoglobin disorders, including thalassaemia and sickle cell disease, which are extremely common in these countries. The book has fourteen chapters presented in four parts. Part one introduces the growing problem of genetic disorders, outlines options for treatment and prevention, and explains the principals of diagnosis. Current and future applications of genetic technology are also briefly discussed. Chapters in part two assess the epidemiological situation in Eastern Mediterranean countries for congenital malformation and chromosomal disorders, single gene disorders, and several common diseases, such as hypertension, diabetes, coronary heart disease, and some cancers that are now know to have a hereditary component. The genetic implications of consanguineous marriage, which remains common in some of these countries, are considered in particular detail. Available approaches for prevention are described in part three. Separate chapters cover primary health care approaches, the use of family history and population screening to identify couples or families at risk, and the roles of counseling, prenatal diagnosis, and neonatal screening. Part four offers practical advice on policies and services for prevention.

Black Ethnics

Black Ethnics PDF Author: Christina M. Greer
Publisher: Oxford University Press, USA
ISBN: 0199989311
Category : Business & Economics
Languages : en
Pages : 226

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Book Description
In an age where racial and ethnic identity intersect, intertwine, and interact in increasingly complex ways, Black Ethnics: Race, Immigration, and the Pursuit of the American Dream offers a superb and rigorous analysis of black politics and coalitions in the post-Civil Rights era. Using an original survey of a New York City labor population and multiple national data sources, author Christina M. Greer explores the political significance of ethnicity for new immigrant and native-born blacks. Black Ethnics concludes that racial and ethnic identities affect the ways in which black ethnic groups conceptualize their possibilities for advancement and placement within the American polity. The ethnic and racial dual identity for blacks leads to significant distinctions in political behavior, feelings of incorporation, and policy choices in ways not previously theorized. The steady immigration of black populations from Africa and the Caribbean over the past few decades has fundamentally changed the racial, ethnic, and political landscape in the U.S. An important question for social scientists is how these 'new' blacks will behave politically in the US. Should we expect new black immigrants to orient themselves to politics in the same manner as native Blacks? Will the different histories of the new immigrants and native-born blacks lead to different political orientations and behavior, and perhaps to political tensions and conflict among black ethnic groups residing in America? And to what extent will this new population fracture the black coalition inside of the Democratic party? With increases in immigration of black ethnic populations in the U.S., the political, social, and economic integration processes of black immigrants does not completely echo that of native-born American blacks. The emergent complexity of black intra-racial identity and negotiations within the American polity raise new questions about black political incorporation, assimilation, acceptance, and fulfillment of the American Dream. By comparing Afro-Caribbean and African groups to native-born blacks, this book develops a more nuanced and accurate understanding of the 'new black America' in the twenty-first century. Lastly, Black Ethnics explores how foreign-born blacks create new ways of defining and understanding black politics and coalitions in the post-Civil Rights era.

Cognitive Hypnotherapy

Cognitive Hypnotherapy PDF Author: Assen Alladin
Publisher: John Wiley & Sons
ISBN: 0470032472
Category : Medical
Languages : en
Pages : 324

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Book Description
Cognitive Behavioural Therapy (CBT) is now in use worldwide, while hypnosis as a technique continues to attract serious interest from the professional community. Integrating the two, the field of cognitive hypnotherapy uses the natural trance states of clients to unlock unconscious thoughts and memory patterns that can generate and sustain problems. Cognitive hypnotherapists work within the client’s model of the world, so that changes are more likely to be subconsciously accepted and become permanent. This practical guide shows how cognitive hypnotherapy can be used to treat a range of emotional disorders including depression, sleep disorders, anxiety, eating disorders and PTSD.

Abnormal Hemoglobins in Human Populations

Abnormal Hemoglobins in Human Populations PDF Author: Frank B. Livingstone
Publisher: Transaction Publishers
ISBN: 0202364038
Category : Science
Languages : en
Pages : 490

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Book Description
Research on abnormal human hemoglobins (protein in blood that carries oxygen), has taught us about the inheritance, biochemistry, and distribution of these traits. Th is knowledge, coupled with mathematical research using computer models of population genetics, has enabled researchers to marry biological fact and genetic theory. This volume places medical understanding in an evolutionary framework. Using published data on the frequencies of abnormal hemoglobins in the world's populations, Livingston analyzes and interprets these frequencies in the light of world distribution of diff erent forms of diseases such as malaria. He further develops the genetic theory of the evolutionary homeostasis. Livingston discusses the relation of abnormal hemoglobins to endemic malaria and, shows how natural selection pressures explain the known distribution of these traits. Where non-coinciding distributions arise, the book presents other genetic, anthropological, evolutionary, and epidemiological evidence to explain these discrepancies. This classic work remains a useful sourcebook for professors and graduate students of anthropology, genetics, epidemiology, and hematology. Frank B. Livingstone was professor emeritus of biological anthropology at the University of Michigan. He recieved the Martin Luther King Award from the Southern Christian Leadership Conference for his groundbreaking research on sickle cell anemia and is the author of Data on the Abnormal Hemoglobin's and Glucose-Six-Phosphate Deficiency in Human Populations. Jonathan Marks is a professor of anthropology, at the University of North Carolina, Charlotte.

The NHS Improvement Plan

The NHS Improvement Plan PDF Author: Great Britain. Department of Health
Publisher: The Stationery Office
ISBN: 9780101626828
Category : Medical
Languages : en
Pages : 94

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Book Description
This document sets out the priorities for the NHS up to 2008 based on the process of reform set out in the NHS Plan (Cm. 4818-I ISBN 0101481829). It is in three sections. The first 'Laying the foundations' looks at the progress so far in NHS reform. The second section 'Offering a better service' sets out the objectives of the policy under the headings of personalised care, supporting people with long-term conditions, and a healthier and fitter population. One of the aims is to change the NHS from a sickness service to a service that gives a higher priority to the prevention of disease and a reduction of health inequalities. The third section is called 'Making it happen' and it covers investment and diversity of provision, staff and working practices and information systems.