Soins; la revue de référence infirmière
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The infection protection and control team and occupational health service come together every year to promote the flu vaccine among health professionals. In 2020, the risk of the co-circulation of the flu virus and SARS-CoV-2 strengthened their case. During the last trimester, we surveyed health professionals to find out their intention with regard to the flu and covid-19 vaccines: 42% said they wanted to be vaccinated against the flu, but only 23% were willing to have the covid-19 vaccine.
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COVID-19 was initially considered exclusively as a respiratory disease. It now appears that it is also a systemic disease with vascular inflammation and thromboses. ⋯ The treatment of this syndrome, which causes hypoxemia, requires urgent oxygen therapy. While initial recommendations favoured the rapid use of intubation and mechanical ventilation, experience seems to confirm that it must be delayed as long as possible, in favour of non-invasive ventilation, less aggressive for the patient.
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In many countries, health systems are facing major difficulties in maintaining the quality, continuity and safety of the care provision. That is why healthcare systems are being reformed across the world. ⋯ It must deal with the evolution of techniques and technologies, the increase in knowledge as well as an evolution in the needs of patients with cancer. In France, advanced practice nurses appear to have found their place in oncology as they can take an active part in the priorities fixed by the different national cancer plans, notably through the prevention role which is one of the objectives.
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Artificial intelligence (AI) is rapidly being extended across health systems with multiple cases of its use already reported. The most operational technique is machine learning with image recognition in imaging. Solutions derived from this approach, as well as other applications of AI, are presented in two major fields: cancer management and geriatric care.
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The use of artificial intelligence and robotics in health care means ethical principles need to be established. Artificial and human intelligence must be implemented in such as way as to complement each other. From humanism to anthropotechnics, the definitions of human and humanism are not set in stone. A philosophical reflection can enable their definition to be shaped.