Suivi de grossesse normale et réalisation du frottis cervico-utérin

Suivi de grossesse normale et réalisation du frottis cervico-utérin PDF Author: Djamila Gaouar
Publisher:
ISBN:
Category :
Languages : fr
Pages : 56

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Book Description
Introduction : le médecin généraliste est reconnu légitime par la Haute Autorité de Santé pour le suivi gynécologique. Il paraissait intéressant d’évaluer les connaissances et les gestes techniques acquis des internes de médecine d’Amiens pour le suivi de grossesse normale et la réalisation du frottis cervico-utérin. Méthode : une étude descriptive déclarative quantitative a été réalisée auprès des internes de médecine générale de la faculté d’Amiens. Les internes ont été interrogés par questionnaire sur leurs connaissances théoriques et l’acquisition des gestes permettant le suivi de grossesse normale et la réalisation du frottis. Résultats : 52 internes (38 femmes et 14 hommes) ont répondu au questionnaire. 42 internes souhaitaient inclure le suivi gynécologique dans leur pratique professionnelle. Seuls 9 internes avaient effectué un stage en gynécologie. Un semestre dédié à la gynécologie était estimé nécessaire pour 59,6% des internes. Des lacunes dans les connaissances théoriques sur le suivi de grossesse ont été relevées. Pour les gestes techniques, le stage chez le médecin généraliste était le principal lieu d’acquisition mais 36,6% des internes n’avaient jamais réalisé seul de frottis au cours de l’internat. Les internes ne se sentaient pas compétents à 38,5% pour le suivi de grossesse normale et à 34,6% pour réaliser un frottis. Discussion : un nombre plus important de stages réalisés chez le médecin généraliste permettrait à l’interne de mieux se confronter au suivi gynéco-obstétrical. Conclusion : cette étude a montré la nécessité d’améliorer la formation en gynécologie-obstétrique des internes de médecin générale.

Suivi de grossesse normale et réalisation du frottis cervico-utérin

Suivi de grossesse normale et réalisation du frottis cervico-utérin PDF Author: Djamila Gaouar
Publisher:
ISBN:
Category :
Languages : fr
Pages : 56

Get Book Here

Book Description
Introduction : le médecin généraliste est reconnu légitime par la Haute Autorité de Santé pour le suivi gynécologique. Il paraissait intéressant d’évaluer les connaissances et les gestes techniques acquis des internes de médecine d’Amiens pour le suivi de grossesse normale et la réalisation du frottis cervico-utérin. Méthode : une étude descriptive déclarative quantitative a été réalisée auprès des internes de médecine générale de la faculté d’Amiens. Les internes ont été interrogés par questionnaire sur leurs connaissances théoriques et l’acquisition des gestes permettant le suivi de grossesse normale et la réalisation du frottis. Résultats : 52 internes (38 femmes et 14 hommes) ont répondu au questionnaire. 42 internes souhaitaient inclure le suivi gynécologique dans leur pratique professionnelle. Seuls 9 internes avaient effectué un stage en gynécologie. Un semestre dédié à la gynécologie était estimé nécessaire pour 59,6% des internes. Des lacunes dans les connaissances théoriques sur le suivi de grossesse ont été relevées. Pour les gestes techniques, le stage chez le médecin généraliste était le principal lieu d’acquisition mais 36,6% des internes n’avaient jamais réalisé seul de frottis au cours de l’internat. Les internes ne se sentaient pas compétents à 38,5% pour le suivi de grossesse normale et à 34,6% pour réaliser un frottis. Discussion : un nombre plus important de stages réalisés chez le médecin généraliste permettrait à l’interne de mieux se confronter au suivi gynéco-obstétrical. Conclusion : cette étude a montré la nécessité d’améliorer la formation en gynécologie-obstétrique des internes de médecin générale.

Comprehensive Cervical Cancer Control

Comprehensive Cervical Cancer Control PDF 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.

World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses

World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses PDF 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.

HPV and Cervical Cancer

HPV and Cervical Cancer PDF Author: Franco Borruto
Publisher: Springer Science & Business Media
ISBN: 1461419883
Category : Medical
Languages : en
Pages : 405

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Book Description
This book is meant to provide a complete overview of the research of HPV and its connection to cervical cancer.

Cancer Pain Relief

Cancer Pain Relief PDF 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.

Livestock Policy Analysis

Livestock Policy Analysis PDF Author: International Livestock Research Institute
Publisher: ILRI (aka ILCA and ILRAD)
ISBN: 9789291460038
Category : Animal industry
Languages : en
Pages : 268

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Book Description
Policy concepts; Identification of policy issues; Production systems, supply and demand; Market, price and trade policies; Marketing and distribution systems; Budget and manpower planning; Land tenure police for the livestock sector; Policy analysis report writing and communication; Livestock production and marketing in alphabeta - a case study.

Global Burden of Disease and Risk Factors

Global Burden of Disease and Risk Factors PDF Author: Alan D. Lopez
Publisher: World Bank Publications
ISBN: 0821362631
Category : Medical
Languages : en
Pages : 511

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Book Description
Strategic health planning, the cornerstone of initiatives designed to achieve health improvement goals around the world, requires an understanding of the comparative burden of diseases and injuries, their corresponding risk factors and the likely effects of invervention options. The Global Burden of Disease framework, originally published in 1990, has been widely adopted as the preferred method for health accounting and has become the standard to guide the setting of health research priorities. This publication sets out an updated assessment of the situation, with an analysis of trends observed since 1990 and a chapter on the sensitivity of GBD estimates to various sources of uncertainty in methods and data.

Principles and Practice of Gynecologic Oncology

Principles and Practice of Gynecologic Oncology PDF Author: Richard R. Barakat
Publisher: Lippincott Williams & Wilkins
ISBN: 078177845X
Category : Medical
Languages : en
Pages : 1104

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Book Description
Providing comprehensive coverage of the biology of gynecologic cancer, the therapeutic modalities available, and the diagnosis and treatment of site-specific malignancies, this edition has 30 percent new contributing authors and new material. A companion Web site offers a fully searchable text.

Cervical Cancer Screening in Developing Countries

Cervical Cancer Screening in Developing Countries PDF Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241545720
Category : Medical
Languages : en
Pages : 90

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Book Description
Cervical cancer is the second most common cancer among women worldwide, with 80 per cent of deaths occurring in developing countries. It is an important area for cancer control programmes because of the burden of the disease and the potential for effective prevention via screening. This publication is based on a comprehensive consultation undertaken by WHO in 2001, involving leading experts in the field of cancer epidemiology, screening and treatment. It focuses on the current situation in low and middle income countries, discusses the efficacy of screening methods available, and assesses potential future developments.

Epidemiology of Injury in Adventure and Extreme Sports

Epidemiology of Injury in Adventure and Extreme Sports PDF Author: Travis W. Heggie
Publisher: Karger Medical and Scientific Publishers
ISBN: 3318021644
Category : Medical
Languages : en
Pages : 185

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Book Description
The first comprehensive examination of injuries associated with adventure and extreme sports This book reviews the existing data on the frequency and distribution of injuries and the factors contributing to injuries in adventure and extreme sports. Further, it suggests injury prevention strategies and provides recommendations for future research. Providing the first comprehensive compilation of epidemiological data over a range of new age sports considered to be adventurous and extreme, this publication is also the first of its kind to track down all of the major literature associated with the topic. A uniform and evidence-based approach to organizing and interpreting the literature is used in all chapters. All of the sport-specific chapters are laid out with the same basic headings making it easier for the reader to find common information across chapters. Sports physicians, physical therapists, recreation managers, researchers, injury prevention specialists, the adventure and extreme sport industry, and the adventure and extreme sport participants themselves will find the book useful in identifying problem areas in which appropriate preventive measures can be initiated to reduce the risk and severity of injuries. They will also want to use the book as a source for future research related to injuries in adventure and extreme sports.