Prise en charge du syndrome métabolique chez les patients sous psychotropes par le médecin généraliste PDF Download
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Author: Gwendoline Reyss-Brion
Publisher:
ISBN:
Category :
Languages : fr
Pages : 188
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Book Description
Résumé: Les patients présentant une maladie mentale sévère ont des morbidités et une mortalité augmentées par rapport à la population générales. Les facteurs y contribuant sont multiples: le traitement psychotrope, le tabagisme, la sédentarité, une mauvaise alimentation, le syndrome métabolique et le moindre recours aux soins. Des recommandations françaises et américaines ont été formulées dès 2004 pour assurer son dépistage, son suivi et sa prise en charge adaptée. Nous avons mené une étude quantitative à la fois rétrospective et prospective sur 29 patients présentant un syndrome métabolique sous psychotrope, hospitalisés au Centre Hospitalier Montperrin. Dans l'étude rétrospective, nous avons retrouvé que les recommandations étaient peu suivies. Dans la phase prospective et interventionnelle, le suivi des recommandations a permis d'améliorer le syndrome métabolique dans 92% des cas à 4 mois d'étude. Cette prise en charge a été bénéfique pour 82% des patients. 77% des patients souhaitaient poursuivre ces recommandations à la fin de l'étude et 61% avec le médecin généraliste. Des progrès restent à faire concernant la prise en charge hospitalière de ce syndrome avec idéalement une consultation systématique de dépistage à l'entrée avec un généraliste puis une consultation au moins annuelle pour les patients hospitalisés au long cours.
Author: Gwendoline Reyss-Brion
Publisher:
ISBN:
Category :
Languages : fr
Pages : 188
Get Book Here
Book Description
Résumé: Les patients présentant une maladie mentale sévère ont des morbidités et une mortalité augmentées par rapport à la population générales. Les facteurs y contribuant sont multiples: le traitement psychotrope, le tabagisme, la sédentarité, une mauvaise alimentation, le syndrome métabolique et le moindre recours aux soins. Des recommandations françaises et américaines ont été formulées dès 2004 pour assurer son dépistage, son suivi et sa prise en charge adaptée. Nous avons mené une étude quantitative à la fois rétrospective et prospective sur 29 patients présentant un syndrome métabolique sous psychotrope, hospitalisés au Centre Hospitalier Montperrin. Dans l'étude rétrospective, nous avons retrouvé que les recommandations étaient peu suivies. Dans la phase prospective et interventionnelle, le suivi des recommandations a permis d'améliorer le syndrome métabolique dans 92% des cas à 4 mois d'étude. Cette prise en charge a été bénéfique pour 82% des patients. 77% des patients souhaitaient poursuivre ces recommandations à la fin de l'étude et 61% avec le médecin généraliste. Des progrès restent à faire concernant la prise en charge hospitalière de ce syndrome avec idéalement une consultation systématique de dépistage à l'entrée avec un généraliste puis une consultation au moins annuelle pour les patients hospitalisés au long cours.
Author: Sahra Gibbon
Publisher: Routledge
ISBN: 1134144725
Category : Health & Fitness
Languages : en
Pages : 387
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Book Description
Biosocialities, Genetics and the Social Sciences explores the social, cultural and economic transformations that result from innovations in genomic knowledge and technology. This pioneering collection uses Paul Rabinow’s concept of biosociality to chart the shifts in social relations and ideas about nature, biology and identity brought about by developments in biomedicine. Based on new empirical research, it contains chapters on genomic research into embryonic stem cell therapy, breast cancer, autism, Parkinson’s and IVF treatment, as well as on the expectations and education surrounding genomic research. It covers four main themes: novel modes of identity and identification, such as genetic citizenship the role of institutions, ranging from disease advocacy organizations and voluntary organizations to the state the production of biological knowledge, novel life-forms, and technologies the generation of wealth and commercial interests in biology. Including an afterword by Paul Rabinow and case studies on the UK, US, Canada, Germany, India and Israel, this book is key reading for students and researchers of the new genetics and the social sciences – particularly medical sociologists, medical anthropologists and those involved with science and technology studies.
Author: Marcel Gauchet
Publisher: Princeton University Press
ISBN: 1400822874
Category : Philosophy
Languages : en
Pages : 352
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Book Description
How the insane asylum became a laboratory of democracy is revealed in this provocative look at the treatment of the mentally ill in nineteenth-century France. Political thinkers reasoned that if government was to rest in the hands of individuals, then measures should be taken to understand the deepest reaches of the self, including the state of madness. Marcel Gauchet and Gladys Swain maintain that the asylum originally embodied the revolutionary hope of curing all the insane by saving the glimmer of sanity left in them. Their analysis of why this utopian vision failed ultimately constitutes both a powerful argument for liberalism and a direct challenge to Michel Foucault's indictment of liberal institutions. The creation of an artificial environment was meant to encourage the mentally ill to live as social beings, in conditions that resembled as much as possible those prevailing in real life. The asylum was therefore the first instance of a modern utopian community in which a scientifically designed environment was supposed to achieve complete control over the minds of a whole category of human beings. Gauchet and Swain argue that the social domination of the inner self, far from being the hidden truth of emancipation, represented the failure of its overly optimistic beginnings. Madness and Democracy combines rich details of nineteenth-century asylum life with reflections on the crucial role of subjectivity and difference within modernism. Its final achievement is to show that the lessons learned from the failure of the asylum led to the rise of psychoanalysis, an endeavor focused on individual care and on the cooperation between psychiatrist and patient. By linking the rise of liberalism to a chapter in the history of psychiatry, Gauchet and Swain offer a fascinating reassessment of political modernity.
Author: Marie-Pascale Pomey
Publisher: Springer Nature
ISBN: 3030141012
Category : Medical
Languages : en
Pages : 317
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Book Description
Patient-oriented approaches to healthcare management have been brought to the fore in recent years, yet this book underlines how even further change is needed in order to fully mobilise the experiential knowledge of patients, and ultimately improve our healthcare systems. With contributions from scholars and patients across the globe, this collection brings together a comprehensive overview of major achievements in patient engagement, analysing political, organizational and clinical contexts. By understanding the concept of care partnership, the authors explore how this patient revolution could transform, improve and innovate the ways in which care services are organized and delivered. Looking closely at the role of new technologies, this timely book will undoubtedly be of use to patients, managers and professionals within the healthcare industry, as well as those researching health policy and organization.
Author: Hartmut Porst
Publisher: John Wiley & Sons
ISBN: 1405178728
Category : Medical
Languages : en
Pages : 416
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Book Description
The new international standard reference work for sexual medicine Written under the auspices of the International Society for Sexual Medicine, (www.issm.info), the leading professional society in sexual medicine and founder of the most influential journal in the field, The Journal of Sexual Medicine, published by Blackwell Publishing Comprehensive coverage of the full range of diagnostic and treatment options in all aspects of male and female sexual dysfunctions Provides information on recent progress in pharmacologic approaches, including the highly successful drug treatments for ED Useful for any part of the patient-clinician consultation, from gathering symptoms to diagnosis to treatment to reports on potential and developing treatments
Author: Léon Chertok
Publisher: Pergamon
ISBN:
Category : Psychology
Languages : en
Pages : 200
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Book Description
Author: R. Robert Auger
Publisher: Springer Nature
ISBN: 3030438031
Category : Medical
Languages : en
Pages : 251
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Book Description
This book resolves to bridge the communication gap between research and clinical practice for circadian rhythm sleep-wake disorders. Beginning with a scientific background on biological timekeeping, opening chapters describe the crucial nature of maintaining delicate temporal organization of physiological and molecular events within the body. Following this are discussions on circadian physiology and methods of circadian assessments. Subsequent chapters then relay comprehensive information regarding the International Classification of Sleep Disorders-defined circadian rhythm sleep-wake disorders (CRSWDs), specifically discussing etiology and epidemiology, but focusing on evidence-based treatment data. Concluding discussions provide guidance for the application of light therapy and discuss future roles for optimized lighting environments. Nuanced and market-demanded, Circadian Rhythm Sleep-Wake Disorders: An Evidence-Based Guide for Clinicians and Investigators is an invaluable resource for Sleep Medicine clinicians, circadian researchers, and other interested parties.
Author: Edward Feldmann
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 424
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Book Description
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: Corinne Grenier
Publisher: John Wiley & Sons
ISBN: 1786307073
Category : Business & Economics
Languages : en
Pages : 72
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Book Description
How can healthcare systems be transformed by reimagining their multiple silos to favor processes and practices that are more responsive to local, horizontal initiatives? Altering Frontiers analyzes numerous experiences, using a multidisciplinary approach, paying attention to certain actors, collectives and organizational arrangements. Through this work, levers are identified that promote lasting transformation: recognizing the legitimacy of the practices of many who are often "invisible"; trusting those who know their intervention territory; investing in methodological support; taking advantage of tools and procedures such as instruments for strategic and managerial discussion; and developing the capacity to absorb innovative ideas and experiences that circulate within the environment.
