Détecter et gérer les intéractions médicamenteuses entre anticancéreux oraux et antithrombotiques

Détecter et gérer les intéractions médicamenteuses entre anticancéreux oraux et antithrombotiques PDF Author: Justine Ortholand
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

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Book Description
Les cancers représentent le premier facteur de risque de thrombose, justifiant une fréquence importante de co-prescriptions entre anticancéreux oraux et antithrombotiques, associations potentiellement à risque d'interactions médicamenteuses. L'objectif était d'élaborer un outil synthétique permettant de visualiser les interactions entre anticancéreux oraux et antithrombotiques, puis de proposer une première évaluation de son utilité en pratique quotidienne. Toutes les interactions médicamenteuses ont été recherchées dans Drugs.com® et Thériaque®, puis lors d'une interaction avérée sur DDI Predictor® et PubMed. Les mécanismes d'action et les interactions avec les cytochromes ont également été recensés. L'outil a été testé grâce à une analyse rétrospective des bilans médicamenteux des patients ambulatoires sous anticancéreux oraux bénéficiant du suivi pluridisciplinaire ville-hôpital Oncoral aux Hospices Civils de Lyon entre le 1er janvier 2018 et le 31 décembre 2019. Au total, 23% de toutes les combinaisons testées faisaient l'objet d'une mise en garde. La population choisie pour tester l'outil regroupait 228 patients traités par ATCO et ATH. Le top 3 des IM ATCO/ATH de grade majeur/contre-indiqué était Ibrutinib/Apixaban (n=5), Ibrutinib/Enoxaparine (n=3) et Ibrutinib/Acétylsalicylate de Lysine (n=2). Des effets indésirables hématologiques (n=22) pouvant être imputés aux interactions ATCO/ATH ont été retrouvés chez 11/29 patients présentant une IM ATCO/ATH. L'outil développé a permis d'identifier une interaction médicamenteuse ATCO/ATH chez 13% (n=29/228) de la population, dont 38% (n=11/29) ayant développé des effets indésirables hématologiques pouvant être imputés à cette interaction Cet outil issu de l'expérience Oncoral constitue un support incontournable pour détecter les interactions médicamenteuses ATCO/ATH et les gérer en temps réel.

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.

Stockley's Herbal Medicines Interactions

Stockley's Herbal Medicines Interactions PDF Author: Elizabeth M. Williamson
Publisher:
ISBN: 9780853697602
Category : Medical
Languages : en
Pages : 423

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Book Description
This book contains data on over 150 of the most commonly used herbal medicines, dietary supplements and nutraceuticals.

Critical Care Nursing

Critical Care Nursing PDF Author: Linda Diann Urden
Publisher: Saunders
ISBN:
Category : Medical
Languages : en
Pages : 1242

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Book Description
Focusing on critical care nursing, this full-color text provides an examination of the important aspects of critical care nursing. It is organized in ten units around alterations in body systems.

NanoBioMaterials

NanoBioMaterials PDF Author: Bhupinder Singh
Publisher: CRC Press
ISBN: 1351138642
Category : Medical
Languages : en
Pages : 0

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Book Description
The present book volume presents a holistic view of the aspects of nanobiomaterials incl. their stellar merits and limitations, applications in diverse fields, their futuristic promise in the fields of biomedical science and drug delivery. The federal & regulatory issues on the usage of nanobiomaterials have been assigned due consideration.

Functional Chitosan

Functional Chitosan PDF Author: Sougata Jana
Publisher: Springer Nature
ISBN: 9811502633
Category : Medical
Languages : en
Pages : 489

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Book Description
Thanks to their unique properties, chitosan and chitosan-based materials have numerous applications in the field of biomedicine, especially in drug delivery. This book examines biomedical applications of functional chitosan, exploring the various functions and applications in the development of chitosan-based biomaterials. It also describes the chemical structure of chitosan and discusses the relationship between their structure and functions, providing a theoretical basis for the design of biomaterials. Lastly, it reviews chemically modified and composite materials of chitin and chitosan derivatives for biomedical applications, such as tissue engineering, nanomedicine, drug delivery, and gene delivery.

The Challenge for Africa

The Challenge for Africa PDF Author: Wangari Maathai
Publisher: Anchor
ISBN: 0307378098
Category : Political Science
Languages : en
Pages : 337

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Book Description
In this groundbreaking work, the Nobel Peace Prize-winner and founder of the Green Belt Movement offers a new perspective on the troubles facing Africa today. Too often these challenges are portrayed by the media in extreme terms connoting poverty, dependence, and desperation. Wangari Maathai, the author of Unbowed, sees things differently, and here she argues for a moral revolution among Africans themselves. Illuminating the complex and dynamic nature of the continent, Maathai offers “hardheaded hope” and “realistic options” for change and improvement. She deftly describes what Africans can and need to do for themselves, stressing all the while responsibility and accountability. Impassioned and empathetic, The Challenge for Africa is a book of immense importance.

The Truth About Burnout

The Truth About Burnout PDF Author: Christina Maslach
Publisher: John Wiley & Sons
ISBN: 0470423560
Category : Psychology
Languages : en
Pages : 200

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Book Description
Today's workforce is experiencing job burnout in epidemic proportions. Workers at all levels, both white- and blue-collar, feel stressed out, insecure, misunderstood, undervalued, and alienated at their workplace. This original and important book debunks the common myth that when workers suffer job burnout they are solely responsible for their fatigue, anger, and don't give a damn attitude. The book clearly shows where the accountability often belongs. . . .squarely on the shoulders of the organization.

Capillary Electrophoresis - Mass Spectrometry (CE-MS)

Capillary Electrophoresis - Mass Spectrometry (CE-MS) PDF Author: Gerhardus de Jong
Publisher: John Wiley & Sons
ISBN: 3527339248
Category : Science
Languages : en
Pages : 364

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Book Description
Diese Monographie bietet einen vollständigen Überblick über die Prinzipien und Anwendungen der Kapillarelektrophorese (CE) und der Massenspektrometrie (MS) und legt den Nachdruck insbesondere auf Kopplungsschnittstellen. Ausführlich erläutert werden auch alle relevanten Substanzklassen. Ein einzigartiges Wissenskompendium für alle, die sich CE-MS beschäftigen!

Ahfs Drug Information 2020

Ahfs Drug Information 2020 PDF Author: American Society of Health System Pharmacists
Publisher:
ISBN: 9781585286119
Category :
Languages : en
Pages : 840

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Book Description