Pr Paration Des Futurs M Decins G N Ralistes La Gestion De L Urgence Chez L Adulte En M Decine G N Rale
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Pr Paration Des Futurs M Decins G N Ralistes La Gestion De L Urgence Chez L Adulte En M Decine G N Rale
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Author : Mélanie Buguet
language : fr
Publisher:
Release Date : 2014
Pr Paration Des Futurs M Decins G N Ralistes La Gestion De L Urgence Chez L Adulte En M Decine G N Rale written by Mélanie Buguet and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with categories.
Introduction : De par son rôle de médecin de premier recours, un médecin généraliste se doit d'offrir à ses patients une prise en charge optimale. L'apprentissage de l'urgence fait partie intégrante de la formation des futurs médecins généralistes. Mais s'y sentent-ils suffisamment préparés ? L'objectif principal de notre étude était de mettre en parallèle la formation des futurs généralistes sur 7 gestes et 11 situations d'urgence adulte en médecine générale avec leur ressenti quant à leurs capacités à réaliser ces gestes et à prendre en charge ces situations nécessitant une intervention rapide. Matériel et Méthode : Une étude descriptive mono-centrique par auto-questionnaire a été menée auprès des promotions 2009 à 2013 des internes de médecine générale du CHU de Nantes. Résultats : Sur 674 envois, nous avons obtenus 152 réponses exploitables. 37,5% s'estiment « très bien » ou « plutôt bien » préparés, contre 62,5% qui s'estiment « un peu » voire « pas du tout » préparés. Les gestes pour lesquels le plus d'internes ont reçus une formation théorique et pratique sont la mise en position latérale de sécurité (93,4%), la réanimation cardio-pulmonaire (87,5%) et la libération des voies aériennes (85,5%) et sont également les mieux maîtrisés. Davantage d'internes ont reçu une formation théorique et pratique sur l'arrêt cardio respiratoire (71,7%), le malaise/la perte de connaissance (67,1%), le déficit neurologique brutal (65,1%), et le patient hyperalgique (63,8%). Ces 3 dernières situations sont également les mieux maîtrisées. Avoir déjà été confronté au geste ou à la situation est également toujours associé à une meilleure maîtrise, alors que le stage d'urgence et le nombre de semestres validés le sont de façon plus variable. Le stage praticien ou chez SOS médecin, le passage au SMUR, les gardes d'urgence ne montrent aucune différence significative. Conclusion : Un grand nombre d'internes a donc bénéficié de formations sur ces gestes et situations, qui semblent adaptées car en lien avec une maîtrise plus importante. Néanmoins, ces formations mériteraient d'être répétées et de contenir davantage de mises en situation afin d'optimiser les capacités des futurs médecins généralistes.
The Brugada Syndrome
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Author : Charles Antzelevitch
language : en
Publisher: John Wiley & Sons
Release Date : 2008-04-15
The Brugada Syndrome written by Charles Antzelevitch and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-04-15 with Medical categories.
Until recently, the cellular basis for sudden death, the BrugadaSyndrome, has largely remained an unknown to modernarrhythmologists and cardiologists, particularly in the absence ofany structural heart disease. Detailed observations of age-groups,especially the young, families and populations where sudden deathfrequently occurs, and improved understanding of its contributoryfactors and mechanisms are, however, showing the way forward. This addition to the Clinical Approaches to Tachyarrhythmias(CATA) Series, written by the investigators who discovered andprobed the Brugada Syndrome, discusses the history, etiology,pathology and clinical manifestations of sudden death. Fromdiagnosis, prognosis, to therapeutic approaches using the latest incathater ablation techniques, electrophysiological surgery, andgenetic appraisal, the work is a testimony to the author'sinvestigation. Using clinical cases in Thailand and Laos, theyfurther unravel the syndrome's molecular mechanisms, studyingrelated syndromes, such as the long-QT syndrome, infant death, andarryhthmogenic right ventricular cardiomyopathy. By being informed of the electrophysiological abnormalities thatcontribute to familial and genetic diseases, physicians,cardiologists and all those who care for patients with cardiacarrhythmias will be better able to identify and treat patients inwhom the Brugada Syndrome may strike next.
Method For Developing Arrangements For Response To A Nuclear Or Radiological Emergency
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Author : International Atomic Energy Agency. Radiation Safety Section
language : en
Publisher: IAEA
Release Date : 2003
Method For Developing Arrangements For Response To A Nuclear Or Radiological Emergency written by International Atomic Energy Agency. Radiation Safety Section and has been published by IAEA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003 with Architecture categories.
This publication provides a practical resource for emergency planning, and fulfils, in part, functions assigned to the IAEA in the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency. If used effectively, it will help users to develop a capability to adequately respond to a nuclear or radiological emergency.
Culture Urban Future
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Author : UNESCO
language : en
Publisher: UNESCO Publishing
Release Date : 2016-12-31
Culture Urban Future written by UNESCO and has been published by UNESCO Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-12-31 with Cities and towns categories.
Report presents a series of analyses and recommendations for fostering the role of culture for sustainable development. Drawing on a global survey implemented with nine regional partners and insights from scholars, NGOs and urban thinkers, the report offers a global overview of urban heritage safeguarding, conservation and management, as well as the promotion of cultural and creative industries, highlighting their role as resources for sustainable urban development. Report is intended as a policy framework document to support governments in the implementation of the 2030 Agenda for Sustainable Urban Development and the New Urban Agenda.
Investing Against Evidence
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Author : Marope, P.T.M.
language : en
Publisher: UNESCO Publishing
Release Date : 2015-08-17
Investing Against Evidence written by Marope, P.T.M. and has been published by UNESCO Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-08-17 with Education categories.
Nanotechnologies Ethics And Politics
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Author : H. ten Have
language : en
Publisher: UNESCO
Release Date : 2007
Nanotechnologies Ethics And Politics written by H. ten Have and has been published by UNESCO this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007 with Political Science categories.
Research in technologies at the atomic and molecular levels is rapidly growing worldwide. Their promising applications in medicine, manufacturing and communication range from the development of new drugs and diagnostic tools to pollutant removal and prevention, as well as to the production of stronger and lighter materials and revolutionary ways of storing, retrieving band disseminating information. Public opinion about nanotechnologies is already divided between hopes nourished by their potential benefits and the fear of their possible harmful effects on the environment and humankind. In the face of this divide, Nanotechnologies, Ethics and Politics engages in a rare kind of prospective ethical revolution: What health and environmental issues arise with the use of new materials produced by nanoscale technologies? How might nanoscale devices be controlled, and what concerns attend military and biomedical applications of nanotechnologies? What opportunities might these bring for international cooperation addressing the most pressing needs of developing countries? This volume brings together 14 experts from around the globe - advisors to the World Commission on the Ethics of Scientific Knowledge and Technology (COMEST) - who discuss the state of the art of nanotechnology, examine the controversy surrounding its definition and explore related ethical and political issues. The aim is stimulate a fruitful interdisciplinary dialogue about nanoscale technologies among scientists, ethicists, policymakers, special interest groups and the general public.
Netter S Internal Medicine E Book
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Author : Marschall S. Runge
language : en
Publisher: Elsevier Health Sciences
Release Date : 2008-05-13
Netter S Internal Medicine E Book written by Marschall S. Runge and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-05-13 with Medical categories.
Gain fast, easy visual access to the problems most often encountered in practice! This resource combines hundreds of exquisite Netter images – including several new paintings created especially for this book - with concise summaries of the most current medical thinking on common diseases/conditions, diagnostics, treatments, and protocols - for a single easy-to-use quick-reference guide. Instructive and memorable Netter plates provide a rich visual understanding of every concept. The result is a superb source for ongoing clinical reference as well as patient and staff education. Offers quick access to expert medical thinking on common diseases/conditions, diagnostics, treatments, and protocols. Presents more than 500 exquisite illustrated plates by master illustrator Frank H. Netter and other artists working in the Netter tradition to enhance your understanding of the material. Presents nearly 40 new chapters, many expanded chapters, and several new images to reflect the state of internal medicine today—including increasingly common issues like bariatric surgery and posttraumatic stress syndrome. Offers more tables and algorithms for enhanced “at-a-glance guidance. Features annotated citations for additional resources, including websites and other key sources for practice guidelines and patient education and support. Presents annotated evidence from key studies that have shaped the current standard of care.
Spina Bifida
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Author : M. Memet Özek
language : en
Publisher: Springer Science & Business Media
Release Date : 2008-08-29
Spina Bifida written by M. Memet Özek and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-08-29 with Medical categories.
The aim of this book to promote a multidisciplinary approach to Spina Bifida, providing the three main specialists categories involved – neurosurgeon, orthopedic surgeons, and urologists – with a concise reference that explains the main clinical problems to be faced in everyday clinical practice. The book also provides the busy specialist with an updated overview of surgical approaches.
Gender And The Information Revolution In Africa
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Author : International Development Research Centre (Canada)
language : en
Publisher: IDRC
Release Date : 2000
Gender And The Information Revolution In Africa written by International Development Research Centre (Canada) and has been published by IDRC this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000 with Communication and technology categories.
Gender and the Information Revolution in Africa
World Report On Disability
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Author : World Health Organization
language : en
Publisher:
Release Date : 2011
World Report On Disability written by World Health Organization and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with Medical categories.
The World Report on Disability suggests more than a billion people totally experience disability. They generally have poorer health, lower education and fewer economic opportunities and higher rates of poverty than people without disabilities. This report provides the best available evidence about what works to overcome barriers to better care and services.