Prévention

预防
  • 文章类型: English Abstract
    自杀预防是一个重大的公共卫生问题,国内和国际。离开急诊科的自杀患者的管理对于预防自杀复发的风险至关重要。精神病学和心理健康方面的高级执业护士可以通过他们的专业培训提供真正的附加值,他们进行全面和详细的临床评估的能力,他们对药物和非药物治疗干预的掌握,他们协调参与护理途径的各种参与者的技能,他们对预防的承诺以及他们支持护理和研究团队技能发展的技能。
    Suicide prevention is a major public health issue, both nationally and internationally. The management of suicidal patients leaving emergency departments is crucial to preventing the risk of suicidal recurrence. Advanced practice nurses in psychiatry and mental health can provide real added value thanks to their specialist training, their ability to carry out a comprehensive and detailed clinical assessment, their mastery of medicinal and non-medicinal therapeutic interventions, their skills in coordinating the various players involved in the care pathway, their commitment to prevention and their skills in supporting the development of the skills of care and research teams.
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  • 文章类型: Journal Article
    在医疗保健日益恶化的背景下,95%的法国人将药剂师视为“易于接触”的医疗保健专业人员。作为简化护理过程的一部分,他们被赋予新的任务,扩大患者护理范围。这个为患者服务的新组织有助于丰富当地的医疗保健服务,正如圣马塞尔一家药店的药剂师所证明的那样,在Eure地区。
    Against a backdrop of deteriorating access to healthcare, 95 % of French people see pharmacists as \"easy-to-reach\" healthcare professionals. As part of this drive to simplify the care process, they are being entrusted with new missions, broadening the scope of patient care. This new organization at the service of the patient contributes to enriching the local healthcare offer, as testified by the pharmacist in charge of a pharmacy in Saint-Marcel, in the Eure region.
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  • 文章类型: Journal Article
    1982年的权力下放法,被称为Defferre法,创建了当地公务员制度,赋予地方当局在社会行动和医疗保健等领域的权力。塞纳河-圣丹尼斯省是一个混合地区,具有令人担忧的健康和社会特征。为了应对这些挑战,塞纳河-圣丹尼斯省委员会采取了强有力的预防政策。作为多学科团队的一部分,国家合格的护士在实施这些不同的预防任务中起着核心作用。
    The decentralization laws of 1982, known as the Defferre law, created the local civil service, giving local authorities powers in areas such as social action and healthcare. The department of Seine-Saint-Denis is a mixed territory with worrying health and social characteristics. To meet these challenges, the Seine-Saint-Denis departmental council has adopted a strong prevention policy. As part of multi-disciplinary teams, state-qualified nurses play a central role in implementing these various preventive missions.
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  • 文章类型: English Abstract
    虽然现在很明显,在遭受痛苦的情况下转向医疗保健专业人员,当陪伴病人的照顾者(或家人)遇到困难时,情况就不那么严重了。的确,那些接近病人的人往往不考虑寻求帮助,或者不知道去哪里寻求支持。本文着眼于N先生的情况,他的旅程以及他所承担的新角色所提出的问题,并描述了移动护理人员支持团队的工作。通过磋商,该团队旨在通过预防促进护理人员健康。
    While it\'s obvious these days to turn to a healthcare professional in the event of suffering, it\'s less so when the caregiver (or family) accompanying a sick person is experiencing difficulties. Indeed, those close to the patient often don\'t think about seeking help, or don\'t know where to turn for support. This article looks at the situation of Mr. N., his journey and the questions raised by the new role he has taken on, and describes the work of the mobile caregiver support team. Through its consultations, this team aims to promote caregiver health through prevention.
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  • 文章类型: English Abstract
    在法国,临床预防措施仍然不发达和正规化,特别是由于缺乏指导方针,尽管所有医疗保健专业人员参与的积极和系统的预防和健康促进战略似乎至关重要。P3C计划旨在鼓励医疗保健专业人员进行预防性临床实践,从而有助于共同预防文化的出现。
    In France, clinical preventive practices are still underdeveloped and formalized, notably due to a lack of guidelines, despite the fact that a proactive and systematic prevention and health promotion strategy involving all healthcare professionals seems essential. The P3C program aims to encourage preventive clinical practices among healthcare professionals, and thus contribute to the emergence of a common culture of prevention.
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  • 文章类型: English Abstract
    近年来,特别是自2017年国家卫生战略以来,预防已成为法国医疗保健系统的优先事项之一。重要的是要理解为什么这个主题出现了改变卫生部的标题,现在被称为卫生和预防部。同样重要的是要看看整个医疗系统,最重要的是护理系统,可以动员起来在我国发展预防,从而使我们的同胞能够尽可能长时间地健康生活。
    In recent years, and particularly since the 2017 national health strategy, prevention has become one of the priorities in the French healthcare system. It\'s important to understand why this theme has emerged to the point of changing the title of the Ministry of Health, which is now called the Ministry of Health and Prevention. It is also essential to see how the entire healthcare system, and above all the care system, can mobilize to develop prevention in our country, and thus enable our fellow citizens to live as long as possible in good health.
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  • 文章类型: English Abstract
    精神病医生是受过身心方法训练的医疗保健专业人员。他们考虑到感官,运动技能,认知,心理和情绪与个体的环境和障碍的表达有关。它是治疗创伤后应激障碍不可或缺的一部分。几年来,精神科医生一直是医疗心理应急部门志愿者团队的一部分,他们提供了一种综合的方法。以身体和调解为工作工具,他们依靠非语言交流和肢体语言使患者在一个令人放心的框架内回到现在。
    The psychomotrician is a healthcare professional trained in mind-body approaches. They take into account sensoriality, motor skills, cognition, psyche and emotions in relation to the individual\'s environment and the expression of disorders. It  is an integral part of the treatment of post-traumatic stress disorder. For some years now, psychomotricians have been part of volunteer teams in medical-psychological emergency units, where they offer an integrative approach. Using the body and mediation as their working tools, they rely on non-verbal communication and body language to bring the patient back to the present moment within a reassuring framework.
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  • 文章类型: Case Reports
    背景:眼部弓形虫病是一种罕见的疾病,主要影响儿童和青少年,通常表现为单侧后葡萄膜炎。我们报告了一例与浆液性视网膜脱离相关的弓形虫病患儿。
    方法:一名8岁无弓形虫病史的儿童因视力下降1年而被转诊,没有通过光学校正得到改善,检查时玻璃体凝结,没有中枢或外周肉芽肿,OCT上的浆液性视网膜脱离。诊断是经过广泛的询问后做出的,与狗接触和血清学阳性的证据。开始了结合皮质类固醇治疗和抗寄生虫治疗的药物治疗,临床表现有所改善。
    结论:眼部弓形虫病是一种罕见的感染,90%的病例是单方面的。其临床表现为小儿扁平疣,后葡萄膜炎与玻璃体视网膜牵引和/或周围肉芽肿相关的后极脉络膜视网膜病灶。在我们的案例中,患者仅出现玻璃体冷凝,OCT浆液性视网膜脱离,无周围性或中央性肉芽肿。阳性血浆血清学或眼部样本证实了诊断。
    结论:在没有典型临床表现的情况下,不应排除眼部弓形虫病,和血清阳性可以在临床怀疑时确认诊断。
    BACKGROUND: Ocular toxocariasis is a rare disease, predominantly affecting children and young adolescents, and usually presenting as unilateral posterior uveitis. We report the case of a child with toxocariasis associated with serous retinal detachment.
    METHODS: A 8-year-old child with no previous history of toxocariasis was referred for a 1-year decline in visual acuity, unimproved by optical correction, with vitreous condensation on examination, without central or peripheral granulomas, and serous retinal detachment on OCT. The diagnosis was made after extensive questioning, with evidence of contact with dogs and positive serology. Medical treatment combining corticosteroid therapy and antiparasitic therapy was initiated, and the clinical picture improved.
    CONCLUSIONS: Ocular toxocariasis is a rare infection, unilateral in 90% of cases. Its clinical manifestation in children is pars planitis, posterior uveitis with a posterior pole chorioretinal focus associated with vitreoretinal traction and/or peripheral granuloma. In our case, the patient presented with vitreous condensation only, with OCT serous retinal detachment and no peripheral or central granulomas. Positive plasma serology or ocular samples confirmed the diagnosis.
    CONCLUSIONS: Ocular toxocariasis should not be ruled out in the absence of a typical clinical picture, and seropositivity enables confirmation of the diagnosis when clinical suspicion arises.
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  • 文章类型: English Abstract
    照顾患有阿尔茨海默病和相关疾病的人是一个复杂的过程,慢性疾病。与痴呆相关的心理和行为症状可以不同程度地出现在所有神经退行性疾病中,并取决于需要了解的众多因素,以便采取适当的行动。我们提出了一种针对心理和行为症状的系统方法,以防止其发作或减轻其严重程度。
    Caring for people with Alzheimer\'s disease and related disorders is a complex process, that of a chronic illness. Psychological and behavioral symptoms associated to dementia can appear in all neuro-degenerative diseases to varying degrees, and depend on numerous factors that need to be understood in order to take appropriate action. We propose a systemic approach to psychological and behavioral symptoms, with a view to preventing their onset or reducing their severity.
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  • 文章类型: Editorial
    暂无摘要。
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