Academic literature on the topic 'Dialogue de prescription'
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Journal articles on the topic "Dialogue de prescription"
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Lascar, P. "ANHPP - Iatrogénie et psychiatrie au travers du dialogue pharmacien-psychiatre." European Psychiatry 29, S3 (2014): 670. http://dx.doi.org/10.1016/j.eurpsy.2014.09.071.
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La réflexion sur la iatrogénie de nos prescriptions médicamenteuses est plus que jamais d’actualité. En psychiatrie, la littérature concernant les effets indésirables des psychotropes de même que la médiatisation de certaines situations conduit à l’accroissement de la vigilance, aussi bien des professionnels de santé que des patients et de leurs familles. La iatrogénie serait effectivement responsable d’environ 330 000 à 490 000 hospitalisations par an, avec un risque particulièrement augmenté chez les sujets âgés. Pourtant près de la moitié des accidents médicamenteux recensés seraient évitables [1]. Plus particulièrement, la iatrogénie des benzodiazépines, consommées par 1 français sur 5, pose un problème majeur de santé publique. Outre leurs effets indésirables neuropsychiatriques, elles favorisent la morbidité, entre autre en augmentant le risque de chute, y compris avec les molécules à demi-vie courte, et notamment chez le sujet âgé [2]. Concernant les antidépresseurs, la survenue d’effets indésirables précoces favorise sensiblement la rupture thérapeutique dans les 12 premières semaines de traitement et récemment, des facteurs génétiques prédicteurs d’effets indésirables dus aux antidépresseurs ont été mis en évidence [3]. Chez l’enfant et l’adolescent, malgré le peu d’études cliniques sur l’usage des psychotropes dans cette population, leur prescription est de plus en plus fréquente, avec de nombreuses interrogations sur leurs effets iatrogènes, principalement métaboliques et endocriniens, et ce d’autant plus lorsqu’ils sont traités avec plusieurs molécules [4]. Dans toutes ces situations qui imposent une évaluation optimale de la balance bénéfice/risque, la collaboration pharmacien-psychiatre à tous les niveaux de prise en charge du patient est un outil essentiel. La méthodologie et la systématisation de cette collaboration doivent être promues.
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Corning, Peter A. "Continuing Dialogue the Sociobiology of Democracy Revisited: A Reply and a Reiteration." Politics and the Life Sciences 20, no. 2 (2001): 231–34. http://dx.doi.org/10.1017/s0730938400005517.
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The response by Somit and Peterson to my earlier commentary in this journal (Corning, 2000), which sharply criticized their little-noticed 1997 book (by their own admission), must seem like old news that should be relegated to the obituary pages. On the contrary, it concerns one of the central political issues of our time—what sustains modern democracy, and what are its future prospects. Somit and Peterson in their modest book offered both a diagnosis and a prescription. I concluded in my essay that the result was disappointing—more for what was omitted than for any commissions. My critique involved a rather subtle argument, and, judging by the authors' response (Somit and Peterson, 2001), it seems to have been lost on them as well.
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Sapozhnikova, Irina Evgen'evna, Elena Nikolaevna Anufrieva, Ekaterina Iosifovna Tarlovskaya, and Alexander Anatol'evich Sobolev. "Barriers for efficacious hypoglycemic therapy in clinical practice (results of the Dialogue study)." Diabetes mellitus 13, no. 4 (2010): 54–56. http://dx.doi.org/10.14341/2072-0351-6058.
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Aim. To analyse factors hampering the achievement of compensation of carbohydrate metabolism in patients with type 2 diabetes mellitus treated for3 months with diabeton MB at a daily dose of 90-120 mg under real practical conditions. Materials and methods. This open study included 70 patients with type 2 diabetes mellitus given gliclazide MB-based hypoglycemic therapy(90-120 mg/day); their HbA1c level was measured before and 3 months after the onset of therapy. Results. The treatment resulted in a significant decrease of the HbA1c level especially pronounced in patients capable of following the rational therapeuticstrategy. At the closing visit, each patient was prescribed a pathogenetically sound regime of combined hypoglycemic therapy. Conclusion. Poor efficacy of hypoglycemic treatment in real clinical practice is attributable to frequent prescription of monotherapy, untimely onsetof insulin administration, its correction and intensification to meet changing requirements
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Claire Van Hout, Marie. "“Doctor shopping and pharmacy hopping”: practice innovations relating to codeine." Drugs and Alcohol Today 14, no. 4 (2014): 219–34. http://dx.doi.org/10.1108/dat-03-2014-0014.
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Purpose – The misuse of pharmaceutical opioid analgesics is identified as a global public health concern. Codeine represents an interesting quandary in terms of its regulated status, with individuals varying in their metabolism of codeine, estimation of safe dosages, risk of adverse health consequences and abuse potential. Efforts to quantify and address hidden non-compliant medical codeine use, overuse and intentional misuse is compromised by availability to the public in prescribed and over the counter forms. The paper aims to discuss these issues. Design/methodology/approach – A review of literature on codeine use, misuse and dependence, and associated innovative medical and pharmacy interventions is presented, and was conducted as part of a larger scoping review on codeine. Findings – The review highlights the complexities associated with monitoring public health awareness of codeine's abuse potential, and customer/patients trends in non-compliant codeine use for therapeutic and recreational purposes. Aberrant codeine behaviours centre on visiting multiple doctors for prescriptions, repeated lost or stolen prescriptions, forging prescriptions and use of multiple pharmacies. Innovations to monitor misuse of codeine include national prescription databases and recent developments in real-time monitoring of dispensing activity. Practical implications – Further development of real-time monitoring processes with process evaluation is advised. Originality/value – This viewpoint is intended to demonstrate how efforts to quantify and address codeine use are compromised by its availability. It intends to encourage further policy and practitioner dialogue on how to monitor, support and intervene with consumers misusing codeine.
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Mathew, Mary R., Linu Mohan, Mammen Paul, Mahira Maideen, Liya Jose, and Minnu Ommanakuttan. "Evaluating effectiveness of patient counseling, teach back versus standard method." International Journal of Basic & Clinical Pharmacology 7, no. 1 (2017): 87. http://dx.doi.org/10.18203/2319-2003.ijbcp20175680.
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Background: The aim of the study was to assess memory retention of new prescription education by comparing Teach back method and standard counseling method. And also to evaluate association of age, sex, drug use in past and education in memory retention.Methods: A prospective experimental study was carried out for a period of six months. Eligible subjects visiting pulmonary medicine outpatient department were screened and grouped into standard groups and teach back group. Patients in the standard group are taught eight counseling points about the drugs by one way dialogue method and asked at the end if there are any questions. while patients in the teach back method builds on the standard method by asking three open ended questions to recall what was taught and correcting any misunderstandings by two way dialogue method.Results: The demographic information (age, sex, education, current prescription use) are collected from both groups. The post counseling score is assessed by evaluator using a scoring sheet. Scores were analyzed using Mann Whitney U test Teach back group shows statistically significant (p value = 0.0001) increase in score compared to standard group. The mean value of teach back scoring is 6.28 while that of standard is 4.44.Conclusions: All the demographic parameters (Age, sex, drug use in past three months and education) do not show any significant association with scoring and memory retention (p value >0.05 for chi square test). The group that received teach-back method of counseling showed a significant improvement in patient knowledge and memory retention.
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Arnold, Sif Helene, Jette Nygaard Jensen, Marius Brostrøm Kousgaard, Volkert Siersma, Lars Bjerrum, and Anne Holm. "Reducing Antibiotic Prescriptions for Urinary Tract Infection in Nursing Homes Using a Complex Tailored Intervention Targeting Nursing Home Staff: Protocol for a Cluster Randomized Controlled Trial." JMIR Research Protocols 9, no. 5 (2020): e17710. http://dx.doi.org/10.2196/17710.
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Background Urinary tract infection (UTI) is the most common reason for antibiotic prescription in nursing homes. Overprescription causes antibiotic-related harms in those who are treated and others residing within the nursing home. The diagnostic process in nursing homes is complicated with both challenging issues related to the elderly population and the nursing home setting. A physician rarely visits a nursing home for suspected UTI. Consequently, the knowledge of UTI and communication skills of staff influence the diagnosis. Objective The objective of this study is to describe a cluster randomized controlled trial with a tailored complex intervention for improving the knowledge of UTI and communication skills of nursing home staff in order to decrease the number of antibiotic prescriptions for UTI in nursing home residents, without changing hospitalization and mortality. Methods The study describes an open-label cluster randomized controlled trial with two parallel groups and a 1:1 allocation ratio. Twenty-two eligible nursing homes are sampled from the Capital Region of Denmark, corresponding to 1274 nursing home residents. The intervention group receives a dialogue tool, and all nursing home staff attend a workshop on UTI. The main outcomes of the study are the antibiotic prescription rate for UTI, all-cause hospitalization, all-cause mortality, and suspected UTI during the trial period. Results The trial ended in April 2019. Data have been collected and are being analyzed. We expect the results of the trial to be published in a peer-reviewed journal in the fall of 2020. Conclusions The greatest strengths of this study are the randomized design, tailored development of the intervention, and access to medical records. The potential limitations are the hierarchy in the prescription process, Hawthorne effect, and biased access to data on signs and symptoms through a UTI diary. The results of this trial could offer a strategy to overcome some of the challenges of increased antibiotic resistance and could have implications in terms of how to handle cases of suspected UTI. Trial Registration ClinicalTrials.gov NCT03715062; https://clinicaltrials.gov/ct2/show/NCT03715062 International Registered Report Identifier (IRRID) DERR1-10.2196/17710
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Tait-Jamieson, T. "A constructionist defence of environmental ethics: the case of the Swiss hunter." Geographica Helvetica 69, no. 3 (2014): 203–11. http://dx.doi.org/10.5194/gh-69-203-2014.
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Abstract. Castree argues that, due to implicit and explicit forms of material essentialism within many environmental ethicist arguments, a post-environmental ethics may be inevitable. The purpose of this article was to examine this claim by putting authors Castree and Proctor into a dialogue, situated within the social context of hunting in Switzerland, with the aim of navigating a path beyond the ontological mine field that environmental ethics has recently become. The results show that the critique that Castree offers can be turned into a mode of enquiry that highlights the need for environmental ethics to move beyond normative prescription to normative description. Such a move, as highlighted by the case of the Swiss hunter, allows for enquiry into how environmental ethics are socially discussed and produced, as well as offering avenues in which to interrogate and make sense of the different ways that people understand and interact with the natural world.
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Torres Sánchez, Rayiv David. "De la visión y el espanto: el tacto suspendido y la experiencia ante el límite." Laocoonte. Revista de Estética y Teoría de las Artes, no. 4 (December 12, 2017): 232. http://dx.doi.org/10.7203/laocoonte.0.4.11068.
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En la pintura del pintor bogotano Epifanio Garay (1849-1903), “La mujer del Levita”, la fascinación y el espanto entran en escena. El acto representado da pie para formular un diálogo con lo que sugería Pascal Quignard cuando decía que para los romanos “el sexo estaba ligado al espanto”. A partir de esta premisa, las próximas páginas se proponen dialogar con todo aquello que para los antiguos prefiguraba la interdicción ante todo cadáver: “no tocar”. Sin embargo, se verá que todo se juega en el momento en que, en la escena de la pintura, el tacto se suspende y la prohibición es puesta en suspenso. La mirada del horror, la mirada tautológica, los ojos del éxtasis, son algunos de los canales de entrada de este artículo para descubrir lo que yace detrás de una escena donde las posiciones no son estables y la mirada es discontinua. El gusto romano por “la bella muerte”, o bien, lo que Georges Bataille llamó la “nostalgia por la muerte”, dibuja para nosotros un paradigma con respecto a la sospecha de un lazo, no sólo entre la fascinación, la belleza, la muerte y el erotismo, sino también la prescripción de las imágenes que preservan para sí lo irrepresentable.In the painting of bogotan painter Epifanio Garay (1849-1903), “The woman of the Levite”, fascination and horror come into scene. The act helps developing a dialogue with the suggesting argument of Pascal Quignard when he said that forRomans “sex was linked to the terror”. From this premise, the following pages are proposed dialogue with all what the ancient foreshadowed the ban primarily corpse: “do not touch”. However, will be that everything is played at the time, on the stage of the painting, touch is suspended and the ban is put on hold. The look of horror, the tautological look, the eyes of ecstasy, are some of the channels of entry of this article to discover what lies behind a scene where the positions are not stable and the eyes is discontinuous. The Roman taste for“beautiful death”, or, what Georges Bataille called “nostalgia for death”, draws for us a paradigm with respect to the suspicion of a loop, not just among the fascination, beauty, death and eroticism, but also prescription of the images that preserve for himself the unrepresentable.
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StCharles, Meaghan, Vamsi K. Bollu, Elizabeth Hornyak, John Coombs, Christopher M. Blanchette, and Daniel J. DeAngelo. "Predictors of Treatment Non-Adherence in Patients Treated with Imatinib Mesylate for Chronic Myeloid Leukemia." Blood 114, no. 22 (2009): 2209. http://dx.doi.org/10.1182/blood.v114.22.2209.2209.
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Abstract Abstract 2209 Poster Board II-186 Introduction: Imatinib mesylate (IM), an oral tyrosine kinase inhibitor, is now standard front line therapy for the treatment of patients with chronic myeloid leukemia (CML). As demonstrated in the IRIS trial, IM has a 7-year over-all survival rate of 86%. While treatment with IM is effective, adherence among patients receiving IM is suboptimal. Methods: A retrospective cohort study was performed using Medstat Marketscan employer-based data from Jan 1, 2004 through October 1, 2008 for the purposes of identifying key factors associated with patients who are non-adherent to IM. Patients included in the study were adult patients below age 65, with a diagnosis of CML (ICD-9 205.1x), received two or more prescriptions for IM treatment, and are continuously eligible in the health plan. Patients were required to have a 12-month follow-up data of their complete medical and pharmacy events from their first IM prescription in the study period. Independent variables examined included patient demographics, CML disease complexity, frequency of medical treatment received for adverse events, plan type (PPO/HMO), duration of time on IM, duration of time between CML diagnosis and initiation of IM, average daily dose of starting IM, use of chemotherapies prior to initiation of IM, comorbid conditions, bone marrow/stem cell treatment, and the average percent of patient copayment. Patient adherence to IM treatment was measured by calculating average medication possession ratio (MPR) over the 12-month period. Patients were categorized as adhering to the treatment if they maintained on average an MPR of >85%. A sensitivity analysis was performed utilizing an MPR cut-off of 80%. Descriptive and multivariate statistics were conducted. Logistic regression models were developed to determine the factors that influenced odds of achieving an 80% and 85%, adherence rates. Results: A total of 522 patients had a CML diagnosis and received two or more prescriptions of IM treatment. After applying the exclusion criteria, the final sample included data from 430 patients. The mean age of the patients was 49 years and majority were male (54%). Only 15% of patients received additional chemotherapy during the study period. The number of unique medications consumed by patients averaged 14. The mean MPR in this patient group was 80%, with only 60% of patients categorized as adherent based on MPR of >85%. The following factors were found to be significantly associated with patients who had an MPR of '85%: lower age (p<0.05), shorter exposure to IM (p<0.001), starting IM dose of ≤400 mg (p<0.005), longer time lag between CML diagnosis to IM prescription fill (p<0.0005), higher concomitant prescriptions (p<0.05), and higher percentage of copayment (p<0.01). Conclusions: Approximately 40% of patients receiving IM treatment were categorized as non-adherent to the treatment. Understanding the factors associated with failure to adhere to the treatment regimen will help physicians assess and educate patients receiving CML treatment. Our findings suggest that duration on IM treatment, time lag between CML diagnosis and IM index date, starting IM dose, and patient cost-sharing to be strong predictors of IM non-adherence, suggesting a need for monitoring of these areas within patients with CML. Persistent monitoring, ongoing dialogue, and appropriate IM dosing is crucial to achieving optimal patient adherence in patients with CML. Disclosures: StCharles: Novartis Pharmaceuticals Corporation: Research Funding. Bollu:Novartis Pharmaceuticals Corporation: Employment. Hornyak:Novartis Pharmaceuticals Corporation: Employment. Coombs:Novartis Pharmaceuticals Corporation: Employment. Blanchette:Novartis Pharmaceuticals Corporation: Research Funding. DeAngelo:Enzon Pharmaceuticals: Research Funding; Celgene: Speakers Bureau; Bristol-Meyers Squibb: Speakers Bureau; Novartis: Speakers Bureau.
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Syakur, Abd, H. M. Zainuddin, and M. Afif Hasan. "Needs Analysis English For Specific Purposes (ESP) For Vocational Pharmacy Students." Budapest International Research and Critics in Linguistics and Education (BirLE) Journal 3, no. 2 (2020): 724–33. http://dx.doi.org/10.33258/birle.v3i2.901.
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Increased development of study programs in vocational education programs that are predicted to be a solution to increase human resources in Indonesia. This also underlies the improvement of English language competence in Indonesia as outlined in Minister of Education and Culture Decree No. 096/1967 December 12, 1967. The Ministry of Education and Culture developed the communicative abilities of English vocational education students who needed help listening, reading, writing and speaking. This study discusses the analysis of the needs of English courses (ESP) for educational students who need analysis of targets and learning needs. Data obtained from questionnaires and interviews. The results of data analysis about active communication skills (35%), grammar difficulties (25%), being able to read (25%) difficulty in content (10%) and writing (5%).Introduction to basic pharmacy (20%), prescription pharmacy (20%), Health and drugs (20%), Healthy lifestyle (20%) and microbiology and pharmacy (20%). The English language used in technology is English Media (40%), crosswords (20%, dialogue content (20%) and multiple choice (20%). The results of the study constitute an analysis of needs and targets referred to as part of the English learning process The results of the analysis of learning needs and the achievement of learning English obtained by students both reading, writing, grammar and other needs in order to prepare themselves to meet their needs going forward.
Dissertations / Theses on the topic "Dialogue de prescription"
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Aubin, Cédric. "Décider à l'hôpital : du dialogue de gestion aux dispositifs de prescription réciproque." Thesis, Lyon 3, 2013. http://www.theses.fr/2013LYO30041/document.
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Les politiques de régulation menées en France ces dernières années conduisent l’hôpital à des transformations en profondeur pour améliorer sa performance. Les individus et les groupes doivent s'organiser pour atteindre des objectifs en commun. Disposer d’un système d’information décisionnel (SID) approprié pour mieux décider devient plus que jamais un enjeu majeur. L’appui des processus de décision de gestion est rendu possible par l’utilisation d’outils et de procédures d’aide à la décision assurant un partage et une diffusion plus importante de l’information. La compréhension de ces mécanismes appuie la thèse que l’appropriation de tels dispositifs n’est possible que par la prise en compte d’un triptyque formé de trois dimensions : la conception, l’usage et le sens. Pour illustrer ce modèle d'analyse, une étude d’un cas unique est réalisée au sein d’un hôpital pendant quatre années, et porte sur l'analyse des mécanismes d'appropriation du SID pendant la transformation de l’organisation engagée dans l’établissement. Trois résultats principaux se dégagent. Concernant l'usage, l’élargissement des parties prenantes des décisions aux pôles cliniques montre à la fois l'effet de la structure organisationnelle sur les besoins en information décisionnelle et la difficulté pour les concepteurs à gérer la pluralité des usages. Concernant la conception, l'étude met en lumière le rôle capital d’un prescripteur bien identifié, l’observatoire médico-économique, qui assigne les objectifs de création et garantie l'équilibre entre les prescriptions et les stratégies individuelles de l'ensemble des acteurs inclus dans le projet de transformation. Enfin, le résultat le plus marquant concerne le double effet de la variable « création de sens » sur les usages : effet direct à travers l'engagement des décideurs des pôles dans l’élaboration du plan stratégique de l’hôpital et indirect via le processus de conception du système coopératif d’aide à la décision<br>Alongside increasing regulatory requirements in France, hospitals are conducting in-depth transformation programs in order to improve their performance. Groups and individuals need to organize themselves to achieve common goals and shared objectives. With this respect, having the right information systems to manage and steer performance has become, more than ever before, a major issue. By enabling wider information sharing and dissemination, dedicated tools and procedures are allowing hospitals making the right decisions at the right time. However, the key to an effective usage and adoption of those systems lies in a global approach that encapsulates three core dimensions: the design, the usage and the meaning. To illustrate this model, a study has been carried on a single case in a hospital for four years, focusing on the analysis of the adoption mechanisms during the transformation program conducted in the organization. Three major conclusions can be drawn. First of all, focusing on usage, the expansion of the stakeholders involved in decision-making to the clinical centers demonstrates both the impact of the organizational structure on the information needs and the challenge for designers to manage the diversity of the usage styles. About design, the study highlights the crucial role of a well-identified prescriber, the medico-economic observatory, which assigns the creation targets and ensures the balance between the requirements and the individual strategies of all actors involved in the transformation project. Finally, the most striking outcome affects the dual impact of the sense-making variable on usages: direct impact through leveraged engagement of the clinical centers directors to the strategic agenda, and indirect impact through the design process of the collaborative decision-making system itself
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Richard, Claude. "Importance et rôle du discours sur la médication dans l'entrevue médicale." Thèse, 2004. http://hdl.handle.net/1866/16958.
Full textBooks on the topic "Dialogue de prescription"
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Colander, David, and Craig Freedman. Where Economics Went Wrong. Princeton University Press, 2018. http://dx.doi.org/10.23943/princeton/9780691179209.001.0001.
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Milton Friedman once predicted that advances in scientific economics would resolve debates about whether raising the minimum wage is good policy. Decades later, Friedman's prediction has not come true. This book argues that it never will. Why? Because economic policy, when done correctly, is an art and a craft. It is not, and cannot be, a science. The book explains why classical liberal economists understood this essential difference, why modern economists abandoned it, and why now is the time for the profession to return to its classical liberal roots. Carefully distinguishing policy from science and theory, classical liberal economists emphasized values and context, treating economic policy analysis as a moral science where a dialogue of sensibilities and judgments allowed for the same scientific basis to arrive at a variety of policy recommendations. Using the University of Chicago—one of the last bastions of classical liberal economics—as a case study, the book examines how both the MIT and Chicago variants of modern economics eschewed classical liberalism in their attempt to make economic policy analysis a science. By examining the way in which the discipline managed to lose its bearings, the authors delve into such issues as the development of welfare economics in relation to economic science, alternative voices within the Chicago School, and exactly how Friedman got it wrong. Contending that the division between science and prescription needs to be restored, the book makes the case for a more nuanced and self-aware policy analysis by economists.
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Goodhart, Michael. Getting Real? Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780190692421.003.0004.
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Chapter 3 engages with realist political theory throughcritical dialogues with leading realist theorists. It argues that realist political theories are much more susceptible to conservatism, distortion, and idealization than their proponents typically acknowledge. Realism is often not very realistic either in its descriptions of the world or in its political analysis. While realism enables the critical analysis of political norms (the analysis of power and unmasking of ideology), it cannot support substantive normative critique of existing social relations or enable prescriptive theorizing. These two types of critique must be integrated into a single theoretical framework to facilitate emancipatory social transformation.
Book chapters on the topic "Dialogue de prescription"
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Aucher, Guillaume, Guido Boella, and Leendert van der Torre. "Prescriptive and Descriptive Obligations in Dynamic Epistemic Deontic Logic." In AI Approaches to the Complexity of Legal Systems. Complex Systems, the Semantic Web, Ontologies, Argumentation, and Dialogue. Springer Berlin Heidelberg, 2010. http://dx.doi.org/10.1007/978-3-642-16524-5_10.
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Thomas, Bronwen. "“Stand Out from the Crowd!”: Literary Advice in Online Writing Communities." In New Directions in Book History. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-53614-5_6.
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AbstractThis chapter provides a detailed analysis of the different levels of advice online writing communities offer aspiring writers, from the overt provision of “writing tips” and guidelines, to the role of authoritative intermediaries such as moderators and beta readers, and the peer-to-peer feedback provided by way of ongoing informal comments. Case studies will be taken from bespoke writing platforms such as Wattpad, but will also consider the role of fan communities and the kinds of support structures they offer. Analysis will focus on the extent to which advice is predicated on the traditional formal features of the writing (dialogue, characterization) or on reader engagement and self-promotion. It will also explore whether such advice is prescriptive and reflective of practices and norms inherited from traditional cultural gatekeepers, and the degree to which the work produced within these communities can ever be described as experimental, playful, or subversive.
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Gupta, Swapnil, Rebecca Miller, and John D. Cahill. "Deprescribing Antipsychotic Medications." In Deprescribing in Psychiatry, edited by Swapnil Gupta, Rebecca Miller, and John D. Cahill. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190654818.003.0009.
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This chapter discusses some of reasons for considering a deprescribing intervention with neuroleptic medications, including clear instances such as irrational antipsychotic polypharmacy and off-label use, as well as other situations driven by stakeholder pressures or medical comorbidity. The indefinite prescription of antipsychotic medications for psychotic disorders such as schizophrenia is commonly considered a recommended practice, although some uncertainty remains. The confidence of treatment recommendations also hinges on the accuracy of diagnoses—syndromes and classifications which typically evolve over time. This chapter describes a collaborative process of decision-making about the long-term use of antipsychotic medications as many patients wishing to attempt to decrease or discontinue these medications may do so without support of the prescriber, risking harm. The ability of current data to identify which patients may need long-term medication management versus those who may not is lacking. Considering the potential serious neurological and metabolic side effects of these medications, a patient’s preferences versus risks must be carefully weighed. Nonpharmacological interventions that may support the reduction of antipsychotic medications (but should not yet be presented as validated alternatives, alone) include psychoeducation, strategies for early identification and management of relapse, cognitive behavioral therapy for psychosis, and open dialogue are reviewed. The process is illustrated by case examples at the end of the chapter.
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Nadal Pasqual, Cèlia. "Iberisticamente: gli Studi Iberici e la postcritica." In Studi Iberici. Dialoghi dall’Italia. Fondazione Università Ca’ Foscari, 2021. http://dx.doi.org/10.30687/978-88-6969-505-6/010.
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In this epilogue, I frame the approach or the ‘attitude’ of Iberian Studies in the contemporary panorama of research and knowledge. Here, the use of terms such as ‘attitude’ or ‘subjectivity’ referred to this field has a metaphorical function and does not imply prescriptive intentions. The aim, instead, is to compare some particular characteristics of the Iberian Studies with other movements that are partly similar, like Postcritique. I explain why I call these movements ‘new’, especially from the point of view of the ‘attitude’, in order to analyse some dynamics and interactions with others movements that I call ‘old’.
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Moroz, Andrey. "Sebezh “Idol” Pestun: Family Values and Museum Mythology." In Slavic & Jewish Cultures Dialogue Similarities Differences. Sefer; Institute of Slavic Studies, Russian Academy of Sciences, 2020. http://dx.doi.org/10.31168/2658-3356.2020.15.
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The Sebezh History museum’s collection contains two stones that resemble anthropomorphic figures. Unfortunately, their origin is known only from the words of K.M. Gromov, the museum director in the 1953–1970s. According to K.M. Gromov, one stone was found in a swamp near the village of Tekhomichi, 6 km from Sebezh. The only testimony of the idol veneration is the note by peasant of this village E.E. Glushakov, dating back to 1906. It describes the veneration of the stone by the villagers as giving healing, in particular from infertility. Unfortunately, its source is not known. Having already become a museum piece, the statue acquired the name Sebezhsky idol and the name Pestun (Fosterer), grammatically male, despite the fact that, according to the remarks of the museum staff, it is a female figure. Museum staff since the 1960s–1970s support the idea that the idol heals infertility and gives children. In the 1990s–2000s rites with the idol acquire some new details and prescriptions. So, now we have not only a formed ritual of worshiping a museum exhibit, but also the structure of his cult and a program of ritual practices, persistently proposed by the museum staff.
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Boulouque, Clémence. "Modes of Interreligious Engagement." In Another Modernity. Stanford University Press, 2020. http://dx.doi.org/10.11126/stanford/9781503612006.003.0017.
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Chapter 16 examines the theory and practices of interreligious rapprochement, encounters, and dialogue in the nineteenth and twentieth centuries. Retracing the stages of such endeavors prior to the Second World War helps refine the categories used to describe these modes of interaction and to consider how they have applied to intellectual efforts and social practices, including the Second Vatican Council in 1965, against the conceptual legacy of Benamozegh. Because Benamozegh’s work aimed to bring about religious unity, and because he found a disciple in Aimé Pallière and a posthumous audience for his calls to promote coexistence, assessing the implementation of this prescriptive and convoluted thought is a necessary conclusion of this study.
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Murr, Dimitri El. "Kingly Intertwinement." In Plato's Statesman. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780192898296.003.0012.
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Chapter 12 discusses final section of the Statesman (308b10-311c10), where Plato applies the paradigm of weaving to elucidate the statesman’s task. This chapter examines in detail what this ‘royal intertwining’ consists in. Plato distinguishes carefully between the tasks assigned to education and those assigned to statesmanship: although these tasks are so tightly connected as to make education an art even more precious than the precious arts of rhetoric, strategy, and the judiciary, they differ nonetheless in nature and scope. In addition to supervising education and the precious subordinate arts, statesmanship is crucially involved in choosing the officeholders involved in these forms of expertise. ‘The intertwining that belongs to kingship’ (Plt. 306a1: basilikē sumplokē), which the Visitor seeks to unravel in the concluding pages of the dialogue, amounts to giving prescriptions to these officeholders with the aim of maintaining concord and friendship between the two antagonistic character types in the city.
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Connolly, Joy. "Dividual Advocacy." In The Life of Roman Republicanism. Princeton University Press, 2014. http://dx.doi.org/10.23943/princeton/9780691162591.003.0005.
Full textAbstract:
This chapter works toward a clearer normative but non-prescriptive, non-telic account of the play of concord and discord in the politics of a democratic republic, and an account of being a citizen that incorporates both the will to harmony ostensibly adopted by much classical writing and the presence of experiment and self-division that characterizes all our lives. Building from the argument made in Chapter 1 about Cicero's dialogues and speeches, it sketches out the kind of citizen who can live in a world where the drive to achieve concordia or consensus thrives within a framing of politics as conflict. This citizen is a virtuosic speaker of and to an acknowledged multiplicity, and the patterns of thought and action modeled by oratory have consequences for deliberative and judicial political institutions.
Conference papers on the topic "Dialogue de prescription"
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Kocabiyikoglu, Ali Can, Francois Portet, Herve Blanchon, and Jean-Marc Babouchkine. "Towards Spoken Medical Prescription Understanding." In 2019 International Conference on Speech Technology and Human-Computer Dialogue (SpeD). IEEE, 2019. http://dx.doi.org/10.1109/sped.2019.8906646.
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Kriukova, A. V. "CONSTRUCTIONS WITH LEXICAL REPETITIONS AND SHARED KNOWLEDGE: VARIETIES AND RESTRICTIONS." In International Conference on Computational Linguistics and Intellectual Technologies "Dialogue". Russian State University for the Humanities, 2020. http://dx.doi.org/10.28995/2075-7182-2020-19-1025-1035.
Full textAbstract:
The present paper looks into specific types of shared knowledge that speakers and hearers turn to when interpreting seemingly uninformative structures with lexical repetitions, particularly tautologies. It is feasible to consider the evoked knowledge along three parameters: metalinguistic vs. extralinguistic, descriptive vs. prescriptive, and common vs. local knowledge. The results show that while for the subclass of extralinguistic tautologies all four possible combinations are encountered, metalinguistic tautologies are always prescriptive and can only be based on common knowledge.
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Abaee, Mazyar. "Typo-morphology of Transformation: Reading typo-morphological changes in Tehran during ‘Modern’ and contemporary era for further prescriptions." In 24th ISUF 2017 - City and Territory in the Globalization Age. Universitat Politècnica València, 2017. http://dx.doi.org/10.4995/isuf2017.2017.6031.
Full textAbstract:
Effects of modern thoughts during past century have changed the fabric of most of the cities all over the world. The globalization process is another round which imposes many changes in cities. In this paper the history of formal changes of Tehran will be read hermeneutically according to this double round. The city of Tehran, like all others, faced many changes which transformed the urban fabric and this process will continue through the condition of globalization (like other cities worldwide). This paper gives a temporal cross section of changing typo-morphology of the city and shows how the traditional typo-morphological principles of the city is changed by the new and “modern” urban plans, from the most cellular single building lot to the structure of the city, drastically. In This paper the process of this change will be read in relation to legal and administrative process of change which selects and distributes specific kinds of building and block types to accelerate the development process. It will be described how this process ends to the condition which-in the city is right now. The modern changes brought the city to starting level of globalization changes and in past decades many new types have been penetrated the urban fabric. The present urban fabric is a combination of traditional, modern and contemporary types. At the end an agenda for a framework will be proposed which can lead the urban fabric to a situation which these three kinds of temporal typology have a dialogue with each other.