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     <dc:title xml:lang="fr">Intervention Pharmaceutique à Visée Environnementale à l'Officine</dc:title>
     <dcterms:alternative xml:lang="en">Pharmaceutical Intervention with Environmental Aim in Community Pharmacies</dcterms:alternative>
     <dc:subject xml:lang="fr">Pharmacie</dc:subject><dc:subject xml:lang="fr">Intervention Pharmaceutique</dc:subject><dc:subject xml:lang="fr">Environnement</dc:subject><dc:subject xml:lang="fr">Décarbonation</dc:subject><dc:subject xml:lang="fr">Dérèglement Climatique</dc:subject><dc:subject xml:lang="fr">Ecotoxicité</dc:subject><dc:subject xml:lang="fr">Hazard Score</dc:subject><dc:subject xml:lang="fr">Norflurane</dc:subject>
     <dc:subject xml:lang="en">Pharmacy</dc:subject><dc:subject xml:lang="en">Pharmaceutical Intervention</dc:subject><dc:subject xml:lang="en">Environment</dc:subject><dc:subject xml:lang="en">Decarbonation</dc:subject><dc:subject xml:lang="en">Climate Change</dc:subject><dc:subject xml:lang="en">Ecotoxicity</dc:subject><dc:subject xml:lang="en">Hazard Score</dc:subject><dc:subject xml:lang="en">Norflurane</dc:subject><tef:sujetRameau><tef:vedetteRameauNomCommun>
						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="029162971">Pratique pharmaceutique</tef:elementdEntree>
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						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="175026882">Pollution médicamenteuse‎</tef:elementdEntree>
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						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="040701182">Pollution de l'environnement</tef:elementdEntree>
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						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="027678865">Hygiène du milieu</tef:elementdEntree>
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						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="027313832">Écotoxicologie</tef:elementdEntree>
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						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="03403076X">Tétrafluoréthane</tef:elementdEntree>
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     <dcterms:abstract xml:lang="fr">L’intervention pharmaceutique est un outil communément employé par les pharmaciens à l’officine pour optimiser une prise en charge médicamenteuse et résoudre des problèmes liés à la thérapeutique. Les données sur la toxicité environnementale des médicaments se multipliant, ce travail de thèse soulève, à travers plusieurs exemples, le partage d’un questionnaire, et le retour de professionnels de santé compétents, la possibilité pour les pharmaciens d’officine d’utiliser l’intervention pharmaceutique pour contribuer à limiter la toxicité environnementale des médicaments, en proposant aux prescripteurs des alternatives thérapeutiques à bénéfice thérapeutique égal pour le patient et moins nocives pour l’environnement.</dcterms:abstract>
     <dcterms:abstract xml:lang="en">The « Intervention Pharmaceutique » is a tool commonly used by community pharmacists to optimize medication management and resolve problems related to therapy. As data on drugs’ environmental toxicity is increasing, this thesis is focusing, through several examples, the sharing of a questionnaire, and competent health pofessionals’ feedback, on the possibility for community pharmacists to use the intervention pharmaceutique to contribute to help limit drugs‘ ecotoxicity, by offering prescribers therapeutic alternatives that will offer equal therapeutic benefit for the patient, and that will be less harmful for the environment.</dcterms:abstract>
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