31 research outputs found

    Intervention minimale en cariologie : Ă©cart entre CCAM et preuves scientifiques

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    En juin 2014, la Nomenclature Générale des Actes Professionnels a laissé place à la Classification Commune des Actes Médicaux (CCAM) pour la codification et la facturation des honoraires des actes techniques dans les cabinets dentaires. Cette transition devrait permettre, à terme, une meilleure connaissance qualitative et quantitative de la consommation de soins pris en charge par l'Assurance Maladie dans une optique d'amélioration de la gestion du risque et de la santé publique. Le présent travail se propose de mettre en parallèle la CCAM avec les bonnes pratiques actuelles en cariologie (concept d'Intervention Minimale) afin de discuter si la CCAM permet une prise en charge de la maladie carieuse en adéquation avec les preuves scientifiques les plus récentes. Après un rappel sur la CCAM, ses principes, sa structuration seront abordés les thèmes suivants : l'éducation à l'hygiène et à l'alimentation, le scellement prophylactique, le scellement thérapeutique, le Caséine PhosphoPeptide - Phosphate de Calcium Amorphe (CPP-ACP), l'infiltration résineuse et le suivi (consultation femme enceinte, Examen Bucco-Dentaire (EBD) et suivi ODF)

    Circular Sedimentary Figures of Anthropic Origin in a Sediment Stability Context

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    International audienceThe French POSA project studies the seismic energy released by bomb and mine blasting. This project is based on seismological and acoustical measurements recording during blasting actions in order to study seismic wave propagation nucleated by controlled sources (location and explosive energy). These measurements are compared to numerical modeling of the acoustic and seismic wave propagation based on the most faithful 3D representation of the seabed sediments and underlying rocks. This project first focused on the 3D environment representation based on specific surveys and on two blasting experiments which consist in exploding bombs of different loads at two distinct environmental places. The in-situ measurements reveal several hundred circular figures with very specific characteristics which clearly differentiate them from other sedimentary, biological and geological figures encountered on the seabed. They are found within the whole studied area and their diameter is from 10 to 130 m. About 30 circles by kilometer square are observed without correlation with the depth which varies from 10 to 150m. These sedimentary structures indicate that they have been generated by the explosion of bombs, but at different periods. The oldest ones most probably result from bombs dropped in 1940 and 1944 during the landing of the Allied forces in the region of Toulon. These original anthropic sedimentary figures and their differences compared with other circular structures observed on the seabed are described

    Circular Sedimentary Figures of Anthropic Origin in a Sediment Stability Context

    No full text
    International audienceThe French POSA project studies the seismic energy released by bomb and mine blasting. This project is based on seismological and acoustical measurements recording during blasting actions in order to study seismic wave propagation nucleated by controlled sources (location and explosive energy). These measurements are compared to numerical modeling of the acoustic and seismic wave propagation based on the most faithful 3D representation of the seabed sediments and underlying rocks. This project first focused on the 3D environment representation based on specific surveys and on two blasting experiments which consist in exploding bombs of different loads at two distinct environmental places. The in-situ measurements reveal several hundred circular figures with very specific characteristics which clearly differentiate them from other sedimentary, biological and geological figures encountered on the seabed. They are found within the whole studied area and their diameter is from 10 to 130 m. About 30 circles by kilometer square are observed without correlation with the depth which varies from 10 to 150m. These sedimentary structures indicate that they have been generated by the explosion of bombs, but at different periods. The oldest ones most probably result from bombs dropped in 1940 and 1944 during the landing of the Allied forces in the region of Toulon. These original anthropic sedimentary figures and their differences compared with other circular structures observed on the seabed are described

    Physical rehabilitation for older people in long-term care.

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    The worldwide population is progressively ageing, with an expected increase in morbidity and demand for long-term care. Physical rehabilitation is beneficial in older people, but relatively little is known about effects on long-term care residents. This is an update of a Cochrane review first published in 2009
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