Ressentis et expériences en matière d'activité physique au cours de la grossesse, par les sages-femmes libérales du Doubs

Ressentis et expériences en matière d'activité physique au cours de la grossesse, par les sages-femmes libérales du Doubs

Author: Marine Bonneaud

Publisher:

Published: 2020

Total Pages: 133

ISBN-13:

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Introduction : Les bénéfices de l'activité physique de loisir au quotidien chez la femme enceinte ne sont plus à démontrer. Malgré les nombreuses études ayant mis en avant l'impact positif en matière de prévention materno-fœtale, moins de 25% des parturientes suivraient les recommandations actuelles, principalement par peur et manque d'informations de la part des professionnels de santé les accompagnant. Face à cette constatation, nous avons choisi de nous intéresser au ressenti et à l'expérience des sages-femmes et des médecins généralistes du Doubs quant à la pratique d'une activité physique au cours de la grossesse, afin de répondre à la problématique : « Le message transmis par les professionnels de santé est-il le même concernant l'activité physique au cours de la grossesse ? » - Matériel et méthode : Il s'agissait d'une étude qualitative par la réalisation d'entretiens semi-directifs. Elle a été menée entre février 2019 et mars 2020 auprès de 9 sages-femmes libérales installées dans le Doubs. - Résultats : La grande majorité des sages-femmes porte un grand intérêt pour notre sujet et s'accorde pour décrire spontanément les bénéfices. Elles y dédient systématiquement un temps pour accompagner de façon adaptée leurs patientes. Elles ressentent cependant une impression de manque d'appui scientifique ressource et d'échange pluri-professionnel. La création d'une nouvelle forme de préparation à la naissance est soulevée. - Discussion : Malgré des approches différentes selon les protagonistes, tous les professionnels de santé s'accordent sur l'intérêt du sujet, regrettent le manque de recommandations, qui s'avèrent méconnues, et souhaitent améliorer la communication pluriprofessionnelle afin de permettre un meilleur accompagnement des patientes. - Conclusion : Cette étude a permis de croiser le regard entre deux professions étant amenées à suivre des grossesses. Une des pistes soulevées par notre travail serait la création de focus groupes pluri-professionnels.


Glucocorticoid-induced Osteoporosis

Glucocorticoid-induced Osteoporosis

Author: Andrea Giustina

Publisher: Karger Medical and Scientific Publishers

Published: 2002

Total Pages: 213

ISBN-13: 3805572964

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Osteoporosis is one of the most clinically relevant disabling chronic disease encountered in clinical practice. A common cause of osteoporosis is glucocorticoid excess, as glucocorticoids may increase bone resorption, inhibit bone formation, have indirect actions on bone by decreasing intestinal calcium absorption and induce hypercalciuria. This book presents a comprehensive overview of the effects of glucocorticoids on bone metabolism and structure and on the diagnosis and treatment of glucocorticoid-induced osteoporosis. It aims at providing updated information on the pathogenesis, diagnosis and treatment of this often dramatic complication of glucocorticoid excess. Being one of the few publications completely devoted to glucocorticoid-induced osteoporosis it will heighten the awareness of specialists who prescribe glucocorticoids of the clinical relevance of this treatment complication. 'Glucocorticoid-Induced Osteoporosis' is addressed to clinical experts as well as to general practitioners who will both benefit from the comprehensive and integrative view of the management of patients exposed to glucocorticoids.


General Practice

General Practice

Author: John Murtagh

Publisher: McGraw-Hill Professional Publishing

Published: 1998

Total Pages: 1296

ISBN-13:

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From a leading figure in Australian medicine comes this edition of thi s immmensely user-friendly reference that employs a symptom-based appr oach to clinical practice. For the full range of conditions met in pri mary practice, you'll review approach to the patient, the physical exa m, probable causes, differential diagnosis, and treatment strategies. Throughout, Dr. Murtagh adds his own clinical pearls that are both ins ightful and a delight to read. Superb illustrations demonstrate examin ation technqiue and abundant use of tables and charts makes diagnosis quick and easy. Most importantly, the clinical insights of internation ally recognized authority Dr. John Murtagh make this a unique and usef ul resource for the physician, nurse practitioner or physician assista nt.


Comprehensive Cervical Cancer Control

Comprehensive Cervical Cancer Control

Author: World Health Organization

Publisher: World Health Organization

Published: 2006

Total Pages: 284

ISBN-13: 9241547006

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Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.


Education and Support for Parenting

Education and Support for Parenting

Author: Mary L. Nolan

Publisher: Bailliere Tindall

Published: 2002-01

Total Pages: 219

ISBN-13: 9780702026416

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How can future parents best be prepared for parenting? How can new parents be helped to achieve optimum parenting in their particular circumstances? This book explores the thinking behind the Governments "Sure Start" scheme which aims to provide education for parents in "at risk" social groups.


Doing Business 2020

Doing Business 2020

Author: World Bank

Publisher: World Bank Publications

Published: 2019-11-21

Total Pages: 241

ISBN-13: 1464814414

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Seventeen in a series of annual reports comparing business regulation in 190 economies, Doing Business 2020 measures aspects of regulation affecting 10 areas of everyday business activity.


Opening Doors

Opening Doors

Author: The World Bank

Publisher: World Bank Publications

Published: 2013-02-07

Total Pages: 209

ISBN-13: 0821397648

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The report analyzes key challenges for improving gender equality in the MENA region and provides policy priorities that Governments could consider to address these challenges. By and large the critical areas are in improving economic and political participation of females.


Revisiting Moroccan Migrations

Revisiting Moroccan Migrations

Author: Mohammed Berriane

Publisher: Routledge

Published: 2018-02-02

Total Pages: 232

ISBN-13: 1317215303

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Over the 20th century, Morocco has become one of the world’s major emigration countries. But since 2000, growing immigration and settlement of migrants from sub-Saharan Africa, the Middle East, and Europe confronts Morocco with an entirely new set of social, cultural, political and legal issues. This book explores how continued emigration and increasing immigration is transforming contemporary Moroccan society, with a particular emphasis on the way the Moroccan state is dealing with shifting migratory realities. The authors of this collective volume embark on a dialogue between theory and empirical research, showcasing how contemporary migration theories help understanding recent trends in Moroccan migration, and, vice-versa, how the specific Moroccan case enriches migration theory. This perspective helps to overcome the still predominant Western-centric research view that artificially divide the world into ‘receiving’ and ‘sending’ countries and largely disregards the dynamics of and experiences with migration in countries in the Global South. This book was previously published as a special issue of The Journal of North African Studies.


Cancer Pain Relief

Cancer Pain Relief

Author: World Health Organization

Publisher: World Health Organization

Published: 1996

Total Pages: 74

ISBN-13: 9789241544825

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The second edition of a guide, which introduced a simple, yet highly effective method for the relief of cancer pain. Thoroughly revised and updated, the new edition further refines the WHO method, which advocates the use of a small number of relatively inexpensive drugs, including morphine. Revisions draw on experiences with millions of patients around the world as well as new knowledge about the specific pain syndromes unique to cancer. Completely new are chapters describing the international system by which morphine and other opioids are made available for medical purposes. The book has two parts. Part one provides a practical guide to the relief of cancer pain, concentrating on drug treatment as the mainstay of pain management. The most extensive section sets out detailed guidelines for the selection and prescribing of non-opioid analgesics, opioid analgesics, drugs for neuropathic pain, and adjuvant drugs for the treatment of adverse effects, the enhancement of pain relief and the management of concomitant psychological disturbances. Information ranges from explanations of how specific drugs work, through the precautions to take in the presence of certain disorders, to a list of factors that influence the effectiveness of opioids. Concerning the use of opioids, readers are reminded that psychological dependence does not occur in cancer patients and that the only correct dose of morphine is the one that relieves the pain. Part two provides a guide to opioid availability. A discussion of the reasons why opioids continue to be underprescribed or difficult to obtain is followed by an explanation of the Single Convention on Narcotic Drugs.


World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses

World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses

Author: World Health Organization

Publisher:

Published: 2012

Total Pages: 166

ISBN-13: 9789241548120

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These guidelines have been developed to support countries to relieve pain in their paediatric populations. These guidelines address persisting pain in children caused by conditions such as cancer, HIV/AIDS, sickle-cell disease, burns, trauma, and phantom limb pain. Recommendations -- developed following a careful and transparent appraisal of available evidence -- are presented for the pharmacological treatment of mild, moderate and severe pain. The guidelines include chapters on the various systems used to classify pain and on the evaluation of pain, which reviews the available tools for routine pain measurement in children. Provision of sustainable pain relief within health care systems is covered in a separate chapter. Since morphine and other opioid analgesics -- required for the relief of moderate-to-severe pain in children -- are listed under the 1961 UN Single Convention on Narcotic Drugs, the new guidelines include an annex explaining the Convention's requirements for the handling and procurement of opioid analgesics for the relief of pain.