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La BPCO est une maladie pulmonaire grave dont la prévalence ne cesse de croitre. Elle deviendra en 2020, la 3ième source de mortalité dans le monde. Un traitement de seconde ligne, les corticostéroïdes inhalés est bien plus utilisé que ce préconisent les recommandations GOLD 2017. De ce fait, le patient se retrouve exposé à des effets secondaires qui peuvent être délétères. Le but de ce mémoire est d’une part de synthétiser les différents effets secondaires auxquels s’expose le patient, et d’autre part de s’interroger sur le rôle de conseiller que peut endosser le pharmacien d’officine. Il a également pour objectif de définir les différents aspects de la mission du professionnel de la santé, aussi bien dans la prévention, la détection, l’accompagnement de la délivrance et le suivi du patient. COPD is a serious lung disease whose prevalence continues to grow. It will become in 2020, the third largest source of mortality in the world. A second-line treatment, inhaled corticosteroids, is used much more than recommended by the 2017 GOLG recommendations. As a result, the patient is exposed to side effects that can be deleterious? The aim of this dissertation is, one the hand to question the role of adviser that can be endorsed by the pharmacist. It also aims to define the different aspects of the health professional’s mission, as well as in the prevention, detection, accompaniment of the delivery and the follow-up of the patient.

Bronchopneumonia --- Receptors, Steroid --- Administration, Inhalation

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This book introduces one of the most controversial issues in modern society--steroid abuse among athletes--as well as to the ongoing debate over the use and misuse of illegal substances in amateur and professional sporting events. It provides readers with updated critical and objective information about steroids and doping in sports in the United States and worldwide, and discusses the history and background, current problems, controversies, and possible solutions.

Doping in sports --- Anabolic steroids --- Steroid drugs --- Health aspects

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Vitamin D. --- Vitamin D --- Calcium regulating hormones --- Steroid hormones --- Vitamins, Fat-soluble

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While the skeletal effects of vitamin D are well-documented, the role and importance of vitamin D outside of bone health has not been well-established. Vitamin D receptors are located in nearly every tissue of the body, and low levels of vitamin D are associated with a range of various diseases. This book provides an in-depth examination of these extraskeletal effects of vitamin D and the associations between vitamin D deficiency and various disease states. Beginning with a review of the biochemistry and physiology of vitamin D, subsequent chapters investigate its relationship to autoimmune and infectious diseases, various forms of cancer, endocrine issues such as diabetes, obesity and reproductive function, cardiovascular disease and muscle weakness. Concluding chapters discuss the role of vitamin D in neurological disorders, including Alzheimer's Disease, and cognitive function. Focusing on extraskeletal effects only across a range of conditions, Extraskeletal Effects of Vitamin D will be an important resource for clinical endocrinologists and primary care physicians.

Vitamin D. --- Vitamin D in the body. --- Medicine. --- Endocrinology. --- Clinical nutrition. --- Medicine & Public Health. --- Clinical Nutrition. --- Clinical nutrition --- Diet --- Diet and disease --- Dietotherapy --- Food --- Medical nutrition therapy --- MNT (Medical nutrition therapy) --- Nutrition therapy --- Dietetics --- Therapeutics, Physiological --- Internal medicine --- Hormones --- Clinical sciences --- Medical profession --- Human biology --- Life sciences --- Medical sciences --- Pathology --- Physicians --- Therapeutic use --- Body composition --- Calcium regulating hormones --- Steroid hormones --- Vitamins, Fat-soluble --- Personal health and hygiene. --- Endocrinology .