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Author: Emmanuelle Doucet
Publisher:
ISBN:
Category :
Languages : fr
Pages : 99
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Book Description
Contexte : Les différents symptômes physiques, la détresse émotionnelle et les complications neuropsychiatriques prédisposent les individus atteints de cancer avancé à consommer beaucoup de médicaments. Objectifs : Les objectifs de ce projet sont de décrire le profil psychopharmacologique des participants à une étude visant l'amélioration de la qualité de vie en phase avancée de cancer et d'explorer l'impact potentiel d'une intervention psychologique sur les doses consommées. Méthodes : Une analyse des profils pharmacologiques ainsi qu'une validation téléphonique de la consommation réelle de médicaments ont été réalisées à cinq reprises sur six mois auprès des 137 participants répartis aléatoirement en deux groupes : intervention (n=71) et témoin (n=66). Des doses moyennes quotidiennes consommées ont été calculées pour tous les participants et des analyses descriptives ont été réalisées pour décrire les ordonnances et l'usage des différents médicaments. Dans un deuxième temps, pour vérifier l'effet de l'intervention sur les doses consommées à travers les cinq périodes de suivi, des analyses de régression linéaire de type GEE (generalized estimating equation) ont été réalisées. Résultats : Près des trois quarts des participants avaient minimalement un psychotrope à leur profil pharmacologique et plus du tiers d'entre eux consommaient trois classes ou plus de médicaments simultanément. Les classes les plus fréquemment utilisées étaient les coanalgésiques (41,2 %), les analgésiques non opioïdes (40,5 %) et les benzodiazépines (39,9 %). L'influence potentielle de l'intervention psychologique sur l'usage des médicaments n'a pas pu être démontrée statistiquement, mais des corrélations d'intensité « faibles » et « moyennes » ont pu être confirmées entre les scores aux échelles de mesure de la détresse et de la qualité de vie et les doses de médicaments. Conclusion : Ce projet a permis de confirmer que la gestion de la douleur et des symptômes émotionnels occupe une place importante dans le profil pharmacologique des patients atteints de cancer avancé. Il ouvre la porte à d'autres études descriptives sur l'usage des médicaments et sur l'influence potentielle d'interventions non pharmacologiques sur les doses consommées par les patients atteints de cancer avancé.
Author: Emmanuelle Doucet
Publisher:
ISBN:
Category :
Languages : fr
Pages : 99
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Book Description
Contexte : Les différents symptômes physiques, la détresse émotionnelle et les complications neuropsychiatriques prédisposent les individus atteints de cancer avancé à consommer beaucoup de médicaments. Objectifs : Les objectifs de ce projet sont de décrire le profil psychopharmacologique des participants à une étude visant l'amélioration de la qualité de vie en phase avancée de cancer et d'explorer l'impact potentiel d'une intervention psychologique sur les doses consommées. Méthodes : Une analyse des profils pharmacologiques ainsi qu'une validation téléphonique de la consommation réelle de médicaments ont été réalisées à cinq reprises sur six mois auprès des 137 participants répartis aléatoirement en deux groupes : intervention (n=71) et témoin (n=66). Des doses moyennes quotidiennes consommées ont été calculées pour tous les participants et des analyses descriptives ont été réalisées pour décrire les ordonnances et l'usage des différents médicaments. Dans un deuxième temps, pour vérifier l'effet de l'intervention sur les doses consommées à travers les cinq périodes de suivi, des analyses de régression linéaire de type GEE (generalized estimating equation) ont été réalisées. Résultats : Près des trois quarts des participants avaient minimalement un psychotrope à leur profil pharmacologique et plus du tiers d'entre eux consommaient trois classes ou plus de médicaments simultanément. Les classes les plus fréquemment utilisées étaient les coanalgésiques (41,2 %), les analgésiques non opioïdes (40,5 %) et les benzodiazépines (39,9 %). L'influence potentielle de l'intervention psychologique sur l'usage des médicaments n'a pas pu être démontrée statistiquement, mais des corrélations d'intensité « faibles » et « moyennes » ont pu être confirmées entre les scores aux échelles de mesure de la détresse et de la qualité de vie et les doses de médicaments. Conclusion : Ce projet a permis de confirmer que la gestion de la douleur et des symptômes émotionnels occupe une place importante dans le profil pharmacologique des patients atteints de cancer avancé. Il ouvre la porte à d'autres études descriptives sur l'usage des médicaments et sur l'influence potentielle d'interventions non pharmacologiques sur les doses consommées par les patients atteints de cancer avancé.
Author: Giulia Binarelli
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
Cancer-related cognitive impairment (CRCI) is a common side effect with substantial implications for patients'daily lives, work, and treatment adherence. Many patients would benefit from interventions such as cognitiveand physical training and psychological support. However, CRCI remains relatively unrecognized byhealthcare professionals, and access to interventions in clinical practice is limited. While digital technologieshold promises for expanding intervention access, their acceptance and feasibility, particularly among olderpatients, require further investigation. Multimodal interventions offer potential solutions with enhancedefficacy. Nevertheless, their feasibility demands thorough examination. The primary aim of the Cog-Stimresearch program was to enhance our understanding of feasible and effective interventions for CRCIaccessible to a broader population. Our results demonstrated the feasibility and efficacy of a multimodaldigital intervention, combining non-simultaneous cognitive and physical training, among breast cancerpatients. Additionally, we established the feasibility of implementing a digital cognitive intervention amongelderly breast cancer patients. Notably, both studies underscored the pivotal role of expert supervision as afacilitator for successful intervention outcomes. To implement these interventions in clinical practice, keyconsiderations include patient motivation, preferences regarding intervention format (home-based/on-site,supervised/unsupervised), and the presence of significant cognitive complaints. In summary, addressing CRCInecessitates a multifaceted approach, integrating diverse interventions and patient-centered considerationsto enhance the quality of life for individuals throughout their journey after cancer.
Author: Stirling Moorey
Publisher: American Psychiatric Publishing
ISBN:
Category : Cancer
Languages : en
Pages : 264
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Book Description
Author: Richard J. Wassersug, PhD
Publisher: Springer Publishing Company
ISBN: 0826183956
Category : Health & Fitness
Languages : en
Pages : 247
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Book Description
Praise for Androgen Deprivation Therapy: "To my knowledge [this] is the only book written in plain language (no medical jargon) explaining what’s happening during ADT, and detailing how to limit and often solve most associated side effects. It should be read by every man undergoing ADT, as well as family members and also healthcare providers. They will find all the details they need to get the most from this treatment..." Prof. N. Mottet, MD, PhD, Urologist, Medical Oncologist, Head of the Prostate Cancer Guidelines panel of the European Association of Urology Androgen Deprivation Therapy is the only guide written exclusively about the side effects of hormone therapy. The authors have collaborated with the European Association of Urology to produce this specially revised new edition to serve men affected by ADT across the globe. This comprehensive workbook for prostate cancer patients and their loved ones is filled with practical advice from experts in the field. The book covers a wealth of strategies to help men cope with ADT and maintain a good quality of life while on this treatment. It is not only an informational manual, but a guide for both patients and partners about ways to make changes in their lives that can keep them healthy and positive when the patient is on ADT. New to this Edition: Updates on the physical side effects of ADT and management strategies Expanded information on exercise and nutrition for men diagnosed with prostate cancer Updates on the primary drugs used to treat prostate cancer and extensive drug tables with common brand names worldwide Revisions throughout based on critical feedback from international medical experts in the field of prostate cancer and related disciplines Exercises, activities, worksheets, and other tools to promote discussion and inspire behavioural changes that can reduce the burden of ADT Officially endorsed by the European Association of Urology
Author: Brock Bastian
Publisher: Penguin UK
ISBN: 0241239850
Category : Psychology
Languages : en
Pages : 251
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Book Description
'Required reading ... Brock Bastian expertly picks apart the fundamental idea that humans thrive when they approach pleasure and avoid pain, explaining why hardship sometimes yields richer lives that are laden with meaning, deep social connections, and unexpected bliss' Adam Alter, author of Drunk Tank Pink In today's culture, happiness has become the new marker of success, while hardships are viewed as personal weaknesses, or problems to be fixed. We increasingly try to eradicate pain through medication and by insulating ourselves from risk and offence, despite being the safest generation to have ever lived. Yet in his research, renowned social psychologist Brock Bastian has found that suffering and sadness are neither antithetical to happiness nor incidental to it: they are a necessary ingredient for emotional well-being. Drawing on psychology, neuroscience and internationally acclaimed findings from Bastian's own lab, The Other Side of Happiness encourages us to take a more fearless approach to living. The most thrilling moments of our lives are often balanced on a knife edge between pleasure and pain, whether it is finding your true love, holding your new-born for the first time, finishing a marathon or even plunging into an icy sea. This is because pain and the threat of loss quite literally increase our capacity for happiness, as Bastian reveals, making us stronger, more resilient, more connected to other people and more attuned to what truly matters. Pain even makes us more mindful, since in our darkest moments we are especially focused and aware of the world around us. Our addiction to positivity and the pursuit of pleasure is actually making us miserable. Brock Bastian shows that, without some pain, we have no real way to achieve and appreciate the kind of happiness that is true and transcendent.
Author: Nadia Kiwan
Publisher:
ISBN: 9781526160799
Category :
Languages : en
Pages : 252
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Book Description
This book examines the thought of Abdennour Bidar, MalekChebel, Leïla Babès, AbdelwahabMeddeb and Dounia Bouzar. In doing so it investigates how these five figures allcontribute in their diverse and varying ways to broader understandings of therelationship between Islam and secularism in contemporary French society.
Author: Christopher Hart
Publisher: John Benjamins Publishing
ISBN: 9027206341
Category : Language Arts & Disciplines
Languages : en
Pages : 241
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Book Description
Critical Discourse Studies (CDS) is an exciting research enterprise in which scholars are concerned with the discursive reproduction of power and inequality. However, researchers in CDS are increasingly recognising the need to investigate the cognitive dimensions of discourse and context if they want to fully account for any connection between language, legitimisation and social action. This book presents a collection of papers in CDS concerned with various ideological discourses. Analyses are firmly rooted in linguistics and cognition constitutes a major focus of attention. The chapters, which are written by prominent researchers in CDS, come from a broad range of theoretical perspectives spanning pragmatics, cognitive psychology and cognitive linguistics. The book is essential reading for anyone working at the cutting edge of CDS and especially for those wishing to explore the central place that cognition must surely hold in the relationship between discourse and society.
Author: Eric J. Cassell
Publisher: Oxford University Press
ISBN: 0199748004
Category : Medical
Languages : en
Pages : 336
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Book Description
This is a revised and expanded edtion of a classic in palliative medicine, originally published in 1991. With three added chapters and a new preface summarizing our progress in the area of pain management, this is a must-hve for those in palliative medicine and hospice care. The obligation of physicians to relieve human suffering stretches back into antiquity. But what exactly, is suffering? One patient with metastic cancer of the stomach, from which he knew he would shortly die, said he was not suffering. Another, someone who had been operated on for a mior problem--in little pain and not seemingly distressed--said that even coming into the hospital had been a source of pain and not suffering. With such varied responses to the problem of suffering, inevitable questions arise. Is it the doctor's responsibility to treat the disease or the patient? And what is the relationship between suffering and the goals of medicine? According to Dr. Eric Cassell, these are crucial questions, but unfortunately, have remained only queries void of adequate solutions. It is time for the sick person, Cassell believes, to be not merely an important concern for physicians but the central focus of medicine. With this in mind, Cassell argues for an understanding of what changes should be made in order to successfully treat the sick while alleviating suffering, and how to actually go about making these changes with the methods and training techniques firmly rooted in the doctor's relationship with the patient. Dr. Cassell offers an incisive critique of the approach of modern medicine. Drawing on a number of evocative patient narratives, he writes that the goal of medicine must be to treat an individual's suffering, and not just the disease. In addition, Cassell's thoughtful and incisive argument will appeal to psychologists and psychiatrists interested in the nature of pain and suffering.
Author: Michael J. Fimian
Publisher: John Wiley & Sons
ISBN: 9780884221029
Category : Stress (Psychology)
Languages : en
Pages : 88
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Book Description
Author: Epicurus
Publisher: Hackett Publishing
ISBN: 1603845828
Category : Philosophy
Languages : en
Pages : 129
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Book Description
TABLE OF CONTENTS: Introduction The ancient biography of Epicurus The extant letters Ancient collections of maxims Doxographical reports The testimony of Cicero The testimony of Lucretius The polemic of Plutarch Short fragments and testimonia from known works: * From On Nature * From the Puzzles * From On the Goal * From the Symposium * From Against Theophrastus * Fragments of Epicurus' letters Short fragments and testimonia from uncertain works: * Logic and epistemology * Physics and theology * Ethics Index
