Exploration des prises en charges des médecins généralistes des grossesses non planifiées

Exploration des prises en charges des médecins généralistes des grossesses non planifiées PDF Author: Christine Maloumbi Nzoungou
Publisher:
ISBN:
Category :
Languages : fr
Pages : 32

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Book Description
Introduction : la prévention des grossesses non planifiées a été améliorée en France par la meilleure diffusion des méthodes contraceptives. Pourtant, même si le taux de grossesses non planifiées (GNP) a diminué, un tiers des grossesses reste imprévu. Le rôle et l'impact du médecin généraliste (MG) dans la prise en charge des femmes en situation de GNP nécessitaient une étude pour explorer la place du MG vis-à-vis du devenir des GNP. Méthodes : étude qualitative explorant les pratiques et le vécu des MG par entretiens semi-dirigés individuels. Les MG ont été recrutés de façon raisonnée et diversifiée dans les régions de Bretagne, Normandie, et Pays de la Loire jusqu'à saturation des données. Le codage a été triangulé par deux chercheurs indépendants. Résultats : seize entretiens ont été réalisés entre octobre et décembre 2018. Les MG prenaient en charge les GNP de façon similaire : confirmation de la grossesse, évaluation du contexte psychosocial, évaluation du désir de la grossesse, puis orientation adaptée de la patiente en fonction de sa décision. En cas d'indécision, la patiente était revue en consultation après un temps de réflexion. L'accouchement « sous X » n'était jamais proposé si la patiente était dans les délais pour une interruption volontaire de grossesse. Les MG rencontraient diverses difficultés lors de leur prise en charge. Seule une partie des MG pensaient faire attention à ne pas influencer les femmes. Conclusion : les MG caractérisaient diversement leur rôle dans la prise de décision des patientes et les suites à donner pour les GNP.

Exploration des prises en charges des médecins généralistes des grossesses non planifiées

Exploration des prises en charges des médecins généralistes des grossesses non planifiées PDF Author: Christine Maloumbi Nzoungou
Publisher:
ISBN:
Category :
Languages : fr
Pages : 32

Get Book Here

Book Description
Introduction : la prévention des grossesses non planifiées a été améliorée en France par la meilleure diffusion des méthodes contraceptives. Pourtant, même si le taux de grossesses non planifiées (GNP) a diminué, un tiers des grossesses reste imprévu. Le rôle et l'impact du médecin généraliste (MG) dans la prise en charge des femmes en situation de GNP nécessitaient une étude pour explorer la place du MG vis-à-vis du devenir des GNP. Méthodes : étude qualitative explorant les pratiques et le vécu des MG par entretiens semi-dirigés individuels. Les MG ont été recrutés de façon raisonnée et diversifiée dans les régions de Bretagne, Normandie, et Pays de la Loire jusqu'à saturation des données. Le codage a été triangulé par deux chercheurs indépendants. Résultats : seize entretiens ont été réalisés entre octobre et décembre 2018. Les MG prenaient en charge les GNP de façon similaire : confirmation de la grossesse, évaluation du contexte psychosocial, évaluation du désir de la grossesse, puis orientation adaptée de la patiente en fonction de sa décision. En cas d'indécision, la patiente était revue en consultation après un temps de réflexion. L'accouchement « sous X » n'était jamais proposé si la patiente était dans les délais pour une interruption volontaire de grossesse. Les MG rencontraient diverses difficultés lors de leur prise en charge. Seule une partie des MG pensaient faire attention à ne pas influencer les femmes. Conclusion : les MG caractérisaient diversement leur rôle dans la prise de décision des patientes et les suites à donner pour les GNP.

Rating Scales in Mental Health

Rating Scales in Mental Health PDF Author: Martha Sajatovic
Publisher: JHU Press
ISBN: 1421406667
Category : Medical
Languages : en
Pages : 513

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Book Description
An extensive and up-to-date collection and analysis of mental health ratings scales. Rating Scales in Mental Health is ideal for mental health clinicians and researchers who use psychometric instruments in their practice. The updated edition of this highly regarded compendium describes and analyzes 116 scales arranged in 20 categories, including anxiety, bipolar disorder, depression, eating disorders, geriatrics, psychosis, sexual disorders, substance abuse, and suicide risk. Material on each rating scale consists of • an overview • general applications • selected psychometric properties • references and copyright information • time needed to complete scale • a representative study Samples of many scales are included, as are tables in a quick-reference format.

Contemporary Indonesian Fashion

Contemporary Indonesian Fashion PDF Author: Alessandra Lopez y Royo
Publisher: Bloomsbury Publishing
ISBN: 1350061328
Category : Design
Languages : en
Pages : 255

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Book Description
Indonesian fashion has undergone a period of rapid growth over the last three decades. This book explores how through years of social, political, and cultural upheaval, the country's fashion has moved away from “colonial fashion” and “national dress” to claim its own distinct identity as contemporary fashion in a global world. With specific reference to women's wear, Contemporary Indonesian Fashion explores the diversity and complexity of the country's sartorial offerings, which weave together local textile traditions like batik and ikat-making with contemporary narratives. The book questions concepts of “tradition” and “modernity” in the developing world, taking stock of the elite consumption of luxury brands and the large-scale manufacturing of fast fashion, and introduces us to the rise of new trends such as busana muslim (or “modest wear”), creating a portrait of a vibrant and growing national and, increasingly, international, industry. Exploring clothing in shopping malls, on the catwalk, in magazines, and online, the book examines how Indonesian fashion is made, presented, and consumed, combining research in Indonesia with analysis and personal reflection. Contemporary Indonesian Fashion ultimately questions the deeply entrenched eurocentrism of "global fashion", simultaneously interrogating current homogenizing beauty and body image discourses posited as universal, by pointing to absences, silences, and erasures as reflected by contemporary Indonesian fashion- hence the "looking glass" of the title. Aptly illustrated, the book offers a new perspective on a rapidly developing new fashion capital, Jakarta.

Placenta Accreta Syndrome

Placenta Accreta Syndrome PDF Author: Robert Silver
Publisher: CRC Press
ISBN: 1498746004
Category : Medical
Languages : en
Pages : 232

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Book Description
Placenta accreta comprises a spectrum of disorders where all or part of the placenta becomes attached to the muscular wall of the uterus, which can result in life-threatening hemorrhage at the time of delivery. Previous surgical procedures (including cesarean delivery) and placenta previa are important risk factors, and the incidence is dramatically increasing. This important practical guide to how clinicians should diagnose and manage placenta accreta will be an invaluable reference for all obstetricians and maternal-fetal specialists.

New American Teenagers

New American Teenagers PDF Author: Barbara Jane Brickman
Publisher: Bloomsbury Publishing USA
ISBN: 1628922788
Category : Performing Arts
Languages : en
Pages : 281

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Book Description
The author challenges the neglect of the 1970s in studies on teen film and youth culture by locating a number of subversive and critical narratives.

Watsuji Tetsuro's Rinrigaku

Watsuji Tetsuro's Rinrigaku PDF Author: Tetsur? Watsuji
Publisher: SUNY Press
ISBN: 9780791430934
Category : Philosophy
Languages : en
Pages : 398

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Book Description
Watsuji Tetsuro's Rinrigaku (literally, the principles that allow us to live in friendly community) has been regarded as the definitive study of Japanese ethics for half a century. In Japan, ethics is the study of human being or ningen. As an ethical being, one negates individuality by abandoning one's independence from others. This selflessness is the true meaning of goodness.

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.

Mood and Anxiety Disorders During Pregnancy and Postpartum

Mood and Anxiety Disorders During Pregnancy and Postpartum PDF Author: Lee S. Cohen
Publisher: American Psychiatric Pub
ISBN: 1585627046
Category : Medical
Languages : en
Pages : 170

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Book Description
Mood and Anxiety Disorders During Pregnancy and Postpartum earns its important place in the literature by detailing our current understanding of the course, diagnosis, and treatment of psychiatric illness during pregnancy and postpartum, including breast-feeding -- a top priority today because we now know that active maternal psychiatric illness during pregnancy and postpartum can exert long-term negative effects on child development and cause significant morbidity for the mother. In just five concise richly informative chapters, the nine distinguished contributors to Mood and Anxiety Disorders During Pregnancy and Postpartum dispel prevailing beliefs and offer invaluable guidance in treating women during pregnancy and postpartum: Course of Psychiatric Illness During Pregnancy and the Postpartum Period -- Despite the enduring belief that pregnancy is a time of emotional well-being for women, emerging data show that pregnancy is instead a time of increased vulnerability to psychiatric illness. Diagnosis and Treatment of Mood and Anxiety Disorders During Pregnancy -- Though the use of psychotropic medications during pregnancy and postpartum raises concerns, the accumulating data support the use of certain SSRIs/tricyclic antidepressants, especially when balanced against the risk to both mother and child of depression during pregnancy. Management of Bipolar Disorder During Pregnancy and the Postpartum Period: Weighing the Risks and Benefits -- Although the onset of bipolar disorder (BP) tends to occur during women's reproductive years, surprisingly little is known about the impact of the menstrual cycle, pregnancy, postpartum, breast-feeding, and menopause on the course and treatment of bipolar disorder. Postpartum Mood Disorders -- Women experience a dramatic increase in their risk of developing severe psychiatric illness during postpartum for a full year after delivery. Often overlooked, postpartum disorders must be identified and treated as early as possible to reduce the mother's risk for recurrent and treatment-refractory illness and the child's risk for long-term development problems due to the detrimental effect of maternal depression. Use of Antidepressants and Mood Stabilizers in Breast-feeding Women -- This expanded clinical appraisal of the literature on antidepressant and mood stabilizer use in breast-feeding women shows that additional detailed pharmacokinetic investigations are urgently needed to enhance our understanding of nursing infant exposure and the role(s) of pharmacogenomics in determining infant exposure. Meticulously referenced and remarkably succinct, Mood and Anxiety Disorders During Pregnancy and Postpartum provides critical information about the course of illness during pregnancy and postpartum to help guide effective individualized treatment decisions-decisions that are ultimately based on the patient's wishes.

Tabwa

Tabwa PDF Author: Evan M. Maurer
Publisher:
ISBN:
Category : Art
Languages : en
Pages : 312

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Book Description


The Bear

The Bear PDF Author: Michel Pastoureau
Publisher: Belknap Press
ISBN: 9780674047822
Category : Animals and civilization
Languages : en
Pages : 0

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Book Description
From antiquity to the Middle Ages, the bear's centrality in cults and mythologies left traces in European languages, literatures, and legends. Michel Pastoureau considers how this once venerated creature was deposed by Christianity and continued to sink lower in the symbolic bestiary before rising again in Pyrrhic triumph as the teddy bear.