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Author: Betty Kunze
Publisher:
ISBN:
Category :
Languages : fr
Pages : 118
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Book Description
Malgré l’efficacité contraceptive du Dispositif intra-utérin (DIU), celui-ci est sous utilisé en France, notamment chez la nullipare. Outre le manque de formation, la crainte des échecs et des douleurs à l’insertion sont des explications possibles. Des médecins expérimentés utilisent la technique dite "de la torpille" et sans pince de Pozzi. Quel est l’impact d’une formation auprès des professionnels habilités à la pose des DIU sur leurs pratiques de prescription et de pose ? Les participants, adoptent-ils les techniques alternatives présentées lors de la formation ? Etude quantitative, comparative, type "enquête de pratiques", "avant-après" une formation standardisée sur les techniques de pose des DIU. L’étude s’est déroulée de mars 2012 à juillet 2013 en Rhône Alpes. 48 questionnaires "avant/après" ont été analysés. Le nombre de "poseurs" a été augmenté chez les multipares et les nullipares. Malgré des réticences persistantes, les professionnels étaient plus nombreux à proposer et prescrire des DIU aux nullipares. Ils utilisaient moins la pince de Pozzi et s’appropriaient la pose en "torpille". La formation a eu un impact positif sur les pratiques d’utilisation des DIU par les participants. Des ateliers pratiques en fin de Diplôme d’études spécialisées (DES), suivis de pose à quatre mains permettraient d’augmenter le nombre de "poseurs". Il serait intéressant de comparer les techniques classiques et alternatives. Une étude prospective, évaluant le vécu des femmes, celui des professionnels, ainsi que les complications, serait utile
Author: Betty Kunze
Publisher:
ISBN:
Category :
Languages : fr
Pages : 118
Get Book Here
Book Description
Malgré l’efficacité contraceptive du Dispositif intra-utérin (DIU), celui-ci est sous utilisé en France, notamment chez la nullipare. Outre le manque de formation, la crainte des échecs et des douleurs à l’insertion sont des explications possibles. Des médecins expérimentés utilisent la technique dite "de la torpille" et sans pince de Pozzi. Quel est l’impact d’une formation auprès des professionnels habilités à la pose des DIU sur leurs pratiques de prescription et de pose ? Les participants, adoptent-ils les techniques alternatives présentées lors de la formation ? Etude quantitative, comparative, type "enquête de pratiques", "avant-après" une formation standardisée sur les techniques de pose des DIU. L’étude s’est déroulée de mars 2012 à juillet 2013 en Rhône Alpes. 48 questionnaires "avant/après" ont été analysés. Le nombre de "poseurs" a été augmenté chez les multipares et les nullipares. Malgré des réticences persistantes, les professionnels étaient plus nombreux à proposer et prescrire des DIU aux nullipares. Ils utilisaient moins la pince de Pozzi et s’appropriaient la pose en "torpille". La formation a eu un impact positif sur les pratiques d’utilisation des DIU par les participants. Des ateliers pratiques en fin de Diplôme d’études spécialisées (DES), suivis de pose à quatre mains permettraient d’augmenter le nombre de "poseurs". Il serait intéressant de comparer les techniques classiques et alternatives. Une étude prospective, évaluant le vécu des femmes, celui des professionnels, ainsi que les complications, serait utile
Author: Dennis A. Ahlburg
Publisher: Springer Science & Business Media
ISBN: 3662032392
Category : Political Science
Languages : en
Pages : 363
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Book Description
This book examines the nature and significance of the impact of population growth on the weIl-being of developing countries-in particular, the effects on economic growth, education, health, food supply, housing, poverty, and the environment. In addition, because family planning programmes often significantly affect population growth, the study examines the impacts of family planning on fertility and health, and the human rights implications of family planning programmes. In considering the book's conclusions about the impact of population growth on development, four caveats should be noted. First, the effects of population growth vary from place to place and over time. Thus, blanket statements about overall effects often cannot be made. Where possible, the authors note the contexts in which population effects are strongest and weakest. Second, all of the outcomes examined in this book are influenced by factors other than population growth. Moreover, the impact of population growth may itself vary according to the presence or absence of other factors. This again makes bl anket statements about the effects of population growth difficult. Throughout the chapters, the authors try to identify other relevant factors that influence the outcomes we discuss or that influence the impact of population growth on those outcomes.
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.
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.
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:
Publisher: Commonwealth Secretariat
ISBN: 9780850926552
Category : Health & Fitness
Languages : en
Pages : 190
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Book Description
Women, especially young women, have increasing infection rates from HIV/AIDS and the death rate among women is now almost as high as men.
Author: Claude Combes
Publisher: University of Chicago Press
ISBN: 022677872X
Category : Science
Languages : en
Pages : 298
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Book Description
Parasites are a masterful work of evolutionary art. The tiny mite Histiostoma laboratorium, a parasite of Drosophila, launches itself, in an incredible display of evolutionary engineering, like a surface-to-air missile at a fruit fly far above its head. Gravid mussels such as Lampsilis ventricosa undulate excitedly as they release their parasitic larval offspring, conning greedy predators in search of a tasty meal into hosting the parasite. The Art of Being a Parasite is an extensive collection of these and other wonderful and weird stories that illuminate the ecology and evolution of interactions between species. Claude Combes illustrates what it means to be a parasite by considering every stage of its interactions, from invading to reproducing and leaving the host. An accessible and engaging follow-up to Combes's Parasitism, this book will be of interest to both scholars and nonspecialists in the fields of biodiversity, natural history, ecology, public health, and evolution.
Author: Kenneth D. S. Lapatin
Publisher:
ISBN: 9780198153115
Category : Mediterranean Region
Languages : en
Pages : 374
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Book Description
Composite statues of gold (chrysos), ivory (elephas), and other precious materials were the most celebrated artworks of classical antiquity. Greek and Latin authors leave no doubt that such images provided a centrepiece for religious and civic life and that vast sums were spent to producethem. A number of these statues were the creations of antiquity's most highly acclaimed artists: Polykleitos, Alkamenes, Leochares, and, of course, Pheidias, whose magnificent Zeus Olympios came to be ranked among the Seven Wonders of the World. Although a few individual images such as Pheidias'Athena Parthenos have been the subject of detailed scholarly analysis, chryselephantine statuary as a class, from the exquisite statuettes of Minoan Crete to the majestic temple images constructed by classical Greek city-states and imitated by the Romans, has not received comprehensive study since1815. This book presents not only the ancient literary and epigraphical evidence for lost statues and examines representations of them in other media, but also assembles and analyses much-neglected physical survivals, elucidating throughout the innovative techniques, such as ivory-bending, employedin their production as well as the variety of social, religious, and political roles they played within the ancient societies that produced them.
Author: Sue Churchill
Publisher: Allen & Unwin
ISBN: 1741766974
Category : Nature
Languages : en
Pages : 256
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Book Description
An identification guide to all 75 known species of Australian bats. Species are illustrated with colour photographs, and each species account includes a detailed description of the bat, measurements, a distribution map and notes on where they live, what they eat, and how they find food and reproduce. Australian Bats also provides general information on these fascinating animals: their evolution, why they hang upside down, roosting and reproduction, echolocation, and how to catch, survey and care for bats, including health hazards for carers. An identification key to the bat families is included, with important features illustrated by line drawings and photographs, as well as illustrated keys to all the species.
Author:
Publisher:
ISBN:
Category : Radiation
Languages : en
Pages : 0
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Book Description
