988 resultados para Joseph--(Son of Jacob)
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[Traditions. Asie. Inde. Chotā Nāgpur]
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[Traditions. Asie. Inde. Madhya Pradesh. Chhattisgarh]
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[Traditions. Asie. Inde. Madhya Pradesh. Chhattisgarh]
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[Traditions. Asie. Inde. Madhya Pradesh. Chhattisgarh]
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[Traditions. Asie. Inde. Madhya Pradesh]
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[Traditions. Asie. Inde. Madhya Pradesh. Maharashtra]
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[Traditions. Asie. Inde. Madhya Pradesh. Chhattisgarh]
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[Traditions. Asie. Inde. Chotā Nāgpur. État du Jharkhand]
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[Traditions. Asie. Inde. Etat du Karnataka. Dharwad]
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[Traditions. Asie. Inde. État du Gujarat. Ahmadabad]
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Back pain is a considerable economical burden in industrialised countries. Its management varies widely across countries, including Switzerland. Thus, the University Hospital and University of Lausanne (CHUV) recently improved intern processes of back pain care. In an already existing collaborative context, the two university hospitals in French-speaking Switzerland (CHUV, University Hospital of Geneva), felt the need of a medical consensus, based on a common concept. This inter-hospital consensus produced three decisional algorithms that bear on recent concepts of back pain found in literature. Eventually, a fast track was created at CHUV, to which extern physicians will have an organised and rapid access. This fast track aims to reduce chronic back pain conditions and provides specialised education for general practitioners-in-training.
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Suite à des essais cliniques randomisés démontrant l'efficacité du dépistage de l'anévrisme de l'aorte abdominale (AAA) par échographie, plusieurs recommandations ont été publiées dans de nombreux pays en faveur du dépistage dans une partie de la population générale. De plus, au-delà de la rupture aortique, le dépistage d'un petit AAA semble être une bonne occasion d'appliquer les stratégies de prévention secondaire, permettant une amélioration globale du pronostic cardiovasculaire du patient. Ces recommandations sont cependant peu suivies; les campagnes de dépistage systématique sont rares, laissant la responsabilité du dépistage au médecin généraliste. Cet article se propose de discuter les raisons de la non-implantation du dépistage de l'AAA. [Abstract] Following the evidence of benefits of ultrasound screening for abdominal aorta aneurysms (AAA), several guidelines support this screening in population. Beyond the prompt diagnosis of AAA prior to its rupture of grim vital prognosis, small AAA can beconsidered as a prognostic marker for cardiovascular diseases (CVD). Yet, its detection is an opportunity for secondary prevention to reduce CVD mortality. Despite, these guidelines are poorly applied: systematic screening campaigns are infrequent, making the screening of family physicians responsibility. While the major benefit from this screening strategy is to reduce AAA-related death (but only trivial effect on long-term total mortality), this explains only partially the lack of guidelines implementation. The reasons of the poor implementation of these guidelines are discussed herein.