الصفحة 1
الصفحة 1
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Gesundheitsversorgung am Lebensende : Soziale Ungleichheit in Bezug auf Institutionsaufenthalte und Sterbeorte = Health care at the end of life : Social inequality in relation to institutional stays and places of death

Damian Hedinger examines the question of health care at the end of life, which is becoming more and more important due to demographic aging and increasing life expectancy. He proceeds from both a scientific and a socio-political perspective and uses administrative data from Switzerland to find out why one spends a longer or shorter period in a home or hospital and why one dies where. It turns out that in addition to medical factors, socio-economic, familial and cultural determinants also have a significant influence on health care before death.

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Food-Borne Parasitic Zoonoses : Fish and Plant-Borne Parasites

The focus of this book is on those zoonoses that are transmitted by fish, plant and invertebrate foods. While people, especially those living in developed countries, are commonly aware of meat-borne zoonoses such as trichinellosis and cysticercosis, fewer are acquainted with parasitic diseases caused by liver, lung and intestinal flukes, fish-borne tapeworms, and tissue roundworms. This book reviews not only the prevalence and distribution of these zoonoses, including available health and economic impact data, but also highlights gaps in our knowledge base that must be filled in order to gain insights on approaches to prevention. The topics on epidemiology, diagnosis, and clinical aspects emphasize knowledge gaps that limit a full understanding of these zoonoses, and target where greater research investments on these parasitic diseases should be focused.

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Dépistage et cancers cutanés = Skin cancer screening

This work takes stock of the epidemiological aspects of these tumors in France and their clinical aspects. It offers an identification of risk markers and predisposing lesions specific to each tumor type. A strategy for the early diagnosis of carcinoma on the one hand and of melanoma on the other is proposed, relying, in particular for melanoma, on the new methods of care offered today to the patient.

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Les cancers digestifs = Digestive cancers

Digestive tumors are among the most common malignant tumors and represent a major public health problem. This is one of the areas that has evolved the most in recent years in oncology due to significant progress in diagnostic strategies and therapeutic management. It seems essential that this progress be implemented in the daily practice of physicians treating these tumors. This book, the result of multidisciplinary work, provides a practical and up-to-date approach to the management of malignant digestive tumors. The first chapters are devoted to general and original subjects such as epidemiology, genetics, the management of elderly subjects. A second part approaches in a pragmatic and practical way the principles of diagnostic and therapeutic management by localization. A third part, devoted to the practical realization of chemotherapy, takes stock of new therapeutic approaches, oral or locoregional chemotherapy. Finally, the last part of the book is dedicated to digestive cancer emergencies and the palliative management of these tumors.

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Le Cancer du rein = Kidney cancer

Localized tumors are discovered at an earlier stage. The concept of active surveillance emerges. Minimally invasive treatments such as cryotherapy or radiofrequency for selected cases are now available. The indications for elective open partial nephrectomy are expanding and laparoscopic and then robotic partial nephrectomy are being evaluated.

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Cancer du sujet âgé = Cancer in the elderly

Etablir un diagnostic précoce, définir une stratégie adaptée et offrir une meilleure qualité de vie chez le sujet âgé atteint de cancer constituent les défis de l’Oncologie de ce début de siècle. Cet ouvrage a pour objectif de proposer aux médecins et aux étudiants un condensé des différents aspects de l’oncologie sur le sujet âgé. Dans une première partie, les aspects épidémiologiques et biologiques ainsi que l’évaluation gériatrique multiparamétrique sont abordés. Les particularités de l’application de la chimiothérapie, de la radiothérapie et de la chirurgie au sujet âgé sont passées en revue. Dans une troisième partie, la stratégie thérapeutique multidisciplinaire est ensuite détaillée par site.

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Biologie und epidemiologie der hormonersatztherapie : Diskussionen zur postmenopausalen gesundheit = Biology and epidemiology of hormone replacement therapy : Discussions on postmenopausal health

The advantages and disadvantages of hormone replacement therapy (HRT) are discussed by a group of experts with regard to the epidemiological evidence. However, the focus of the discussion is the problem of breast cancer risk. Among other things, it is shown that the results derived from epidemiological studies do not coincide with the growth characteristics of these tumors, so that further population studies with the inclusion of pathobiological expertise appear necessary. The benefits and risks of hormone replacement therapy (HRT) are discussed by a group of experts with a view towards the evidence provided by recent epidemiological studies. Although all aspects of HRT indications and contra-indications are reviewed, the particular emphasis of this discussion is on breast cancer. Among other things, it is shown that the evidence on breast cancer provided in epidemiological studies does not match the growth characteristics of the tumors, and that further population research incorporating pathobiological assessments is required.

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Au-delà de linformation, la prévention : Par l’équipe du département de prévention Épidaure = Prevention goes beyond information : By the Epidaure Prevention department team

The prevention of the most frequent and deadly pathologies (cancers, cardiovascular diseases, accidents) essentially involves modifying risky behavior, a challenge which cannot be resolved by the simple dissemination of information. To be able to modify behavior, it is necessary to take into account, on the one hand, the individuals themselves and what leads them to change their ways of living and, on the other hand, the cultural, social, physical and economic environment. who shapes people and whose modifications are necessary for individual changes. Thus, preventive health actions are effective as long as they strengthen the ability to exercise control over individual and collective health determinants.

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