Download or read book Evaluation des chutes domicile des personnes g es de plus de 80 ans se pr sentant au service d accueil des urgences SAU de l H tel Dieu de Paris en 2009 written by Nicolas Rahou and published by . This book was released on 2012 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Les consultations pour chute dans les services d’accueil des urgences (SAU) représentent de l’ordre de 5 à 10 % des motifs de consultation des personnes âgées. En raison du vieillissement de la population, elles représentent (et représenteront de plus en plus) un problème de santé publique. Le but de ce travail est d’évaluer les chutes à domicile des patients de plus de 80 ans, se présentant au SAU. Méthodes et patients: Evaluation prospective, observationnelle et mono-centrique des caractéristiques des patients de plus de 80 ans admis pour chute à domicile, dans le SAU de l’Hôtel Dieu de Paris durant l’année 2009. L’objectif principal était une analyse des chutes chez les sujets de plus de 80 ans et d’en dresser un état des lieux, travail préliminaire à une analyse des facteurs de risque. Tous les patients admis dans un contexte de chute, exclusivement à domicile (ou maison de retraite) ou dans les parties communes de ce domicile, ont été inclus. Résultats: Parmi les 45 000 patients venus aux urgences en 2009, 12% étaient âgés de plus de 80 ans Les consultations dans un contexte de chute (n=200) représentaient 3,7% de ce collectif [(sexe féminin : 62%), (80-90 ans : 132 ; 90-100 ans : 50 ; > 100 ans : 18)]. 125 ont chuté à domicile (32 vivaient seuls et 102 avaient une aide à domicile) et 75 en institutions. L’état antérieur cognitif était bon dans 145 cas (72%), altéré dans 35 (18%) et 20 (10%) patients étaient déments. L’autonomie était bonne chez 132 patients (66%). Au moins une comorbidité était présente dans 146 cas (dont 38 maladies de Parkinson). 115 patients (58%) avaient fait au moins deux chutes dans l’année. La chute était accidentelle dans 68% des cas et liée à un malaise dans 32 % des cas. Le délai entre la chute et l’arrivée au SAU (connu pour 181 patients) était supérieur à 4 heures dans 63 % des cas. Les conséquences de la chute (plusieurs conséquences possibles) étaient traumatologiques (n=45, 23%), métaboliques (n=112, 56%), cardiovasculaires (n=82, 41%), respiratoires (n=48, 24%) ou neuropsychiques (n=63 ; 32 %). 135 patients (68%) ont nécessité une hospitalisation en MCO, 32 (16%) en gériatrie aiguë, 13 en moyen séjour (7%) et seulement 20 (10%) ont pu retourner directement à domicile (ou en institution). La mortalité à 7 jours est de 3,5% (n=7, dont 2 dans les 48 heures). Plus de la moitié des patients (57%) ont été réadmis aux urgences dans l’année suivante, dont 18 % dans un contexte de chute.Conclusion: Dans ce travail, 3,7 % des patients de plus de 80 ans qui consultent dans un SAU le font à la suite d’une chute à domicile. Plus d’une fois sur deux, le délai entre la chute et sa découverte est supérieur à 4 h. Les conséquences de la chute ne sont traumatologiques que dans 23% des cas. Seulement 10% des patients ont pu retourner à domicile le jour même. La mortalité à 7 j est de 3,5%. Ces résultats montrent que la survenue d’une chute à domicile, chez une personne âgée de plus de 80 ans, qui a nécessité une consultation dans un SAU, remet souvent en question à court terme, un mode de vie autonome. Dans ce contexte, ce travail devrait être préliminaire à une analyse des facteurs de risque mais également à celle des conséquences à moyen/long termes.
Download or read book Evaluation d un protocole chez les patients de 65 ans et plus vivant domicile vus aux urgences suite une chute en vue d am liorer la pr vention du risque de r cidive et la prise en charge des facteurs de risque de chute written by Céline Fuseau and published by . This book was released on 2018 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte. Les chutes des personnes âgées sont un enjeu majeur de santé publique, par leur fréquence et leur impact socio-économique. Chaque année, une personne âgée de plus de 65 ans sur trois chute. Cet évènement est responsable de comorbidités majeures et constitue une réelle entrée dans la perte d'autonomie. La prise en charge effective des chutes des personnes âgées reste limitée et la consultation médicale post chute recommandée par la Haute Autorité de Santé est peu réalisée. L'objectif de cette étude était d'évaluer l'impact d'un protocole remis aux patients chuteurs lors de leur passage aux urgences sur la réalisation de la consultation post chute chez le médecin généraliste. Les objectifs secondaires étaient d'évaluer l'impact de ce protocole sur la réalisation des autres examens recommandés (bilan biologique, kinésithérapie, ophtalmologue, pédicure/podologue). Méthodes. étaient inclus les patients de 65 ans et plus vivant à domicile et pris en charge aux urgences de l'Hôpital Foch suite à une chute. Pour évaluer l'impact du protocole d'étude, les patients ont été répartis en deux groupes (avec ou sans protocole) et un questionnaire téléphonique a été réalisé dans 15 jours suivant la consultation pour chaque patient inclus. Résultats. Au total, 50 patients ont été inclus de mai à juillet. Ils ont été répartis en deux groupes de population homogène. Dix patients n'ont pas pu être recontactés à distance (1 patient du groupe avec protocole et 9 du groupe sans protocole). Pour ceux recontactés, la consultation post chute chez le médecin généraliste a été réalisée dans 75% des cas dans le groupe avec protocole (24 patients) contre 32% des cas sans protocole avec une différence significative (p= 0.04). Pour les autres examens recommandés, il n'existait pas de différence significative entre les deux groupes excepté pour la réalisation du bilan biologique (p=0.04). Cependant, leur réalisation était plus fréquente lorsque les patients avaient reçu le protocole de conduite à tenir post chute. Conclusion. La mise en place du protocole de conduite à tenir post chute chez les personnes âgées lors de leur passage aux urgences pour chute permet d'augmenter la fréquence de réalisation de cette consultation et ainsi améliore la prévention du risque de récidive de chute. Les mesures de prévention passent avant tout par l'information des patients et la remise d'un document écrit semble permettre une meilleure adhésion de ces patients au projet de soins.
Download or read book Reason Illusion and Passion written by Émilie du Châtelet and published by . This book was released on 2019-09-16 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: The amazing scientist, mathematician, philosopher Émilie du Châtelet (1706-49) has widely been hailed as a rare female intellectual in the Enlightenment. At the same time, her own ideas and contributions remain largely unknown and her writings are rarely read. This is unfortunate, since she has interesting contributions to and explanations of physics, metaphysics, religion, translation, the equality of the sexes, and ethics.This book is a selection of du Châtelet's philosophical writings, in new English translations: -Foreword to "Foundations of Physics"-On the Principles of Our Knowledge (From "Foundations of Physics")-On the Existence of God (From "Foundations of Physics")-On Liberty-Translator's Preface to Mandeville's "Fable of the Bees"-On the Resurrection of the Dead (from "Examinations of the Bible")-On Happiness
Download or read book Geosimulation written by Itzhak Benenson and published by John Wiley & Sons. This book was released on 2004-08-20 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Geosimulation is hailed as ‘the next big thing’ in geographic modelling for urban studies. This book presents readers with an overview of this new and innovative field by introducing the spatial modelling environment and describing the latest research and development using cellular automata and multi-agent systems. Extensive case studies and working code is available from an associated website which demonstrate the technicalities of geosimulation, and provide readers with the tools to carry out their own modelling and testing. The first book to treat urban geosimulation explicitly, integrating socio-economic and environmental modelling approaches Provides the reader with a sound theoretical base in the science of geosimulation as well as applied material on the construction of geosimulation models Cross-references to an author-maintained associated website with downloadable working code for readers to apply the models presented in the book Visit the Author's Website for further information on Geosimulation, Geographic Automata Systems and Geographic Automata Software http://www.geosimulationbook.com
Download or read book Street Fighter Memorial Archive Beyond the World written by Capcom and published by Udon Entertainment. This book was released on 2021-08-31 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Celebrating over 30 years of the king of fighting games, from Street Fighter to Street Fighter V! In Street Fighter: Memorial Archive, learn the history of the franchise from classic game art galleries and multiple interviews with artists, designers, and developers. Dive into Street Fighter lore through hundreds of character profiles pulled from the Shadaloo Combat Research Institute. Be blown away by epic tribute artwork from the likes of Katsuya Terada, Yusuke Murata, Rockin'Jelly Bean, Bengus, Akiman, Shinkiro, Kiki, Kinu Nishimura, and many more top illustrators from the worlds of manga, animation, and video games. There's something for every Street Fighter fan in this jam-packed titanic tome!
Download or read book When Languages Die written by K. David Harrison and published by Oxford University Press. This book was released on 2008 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is commonly agreed by linguists and anthropologists that the majority of languages spoken now around the globe will likely disappear within our lifetime. This text focuses on the question: what is lost when a language dies?
Download or read book Vanishing Voices written by Daniel Nettle and published by Oxford : Oxford University Press. This book was released on 2000 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nettle and Romaine paint a breathtaking landscape that shows why so many of the world's languages are disappearing-and more importantly, why it matters. - BOOK JACKET.
Download or read book Virtual Geographic Environments written by Hui Lin and published by ESRI Press. This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Virtual Geographic Environments, edited by Hui Lin and Michael Batty, collects key papers that define the current momentum in GIS and "virtual geographies." Contributions by leading members of the geospatial community to Virtual Geographic Environments illustrate the cutting edge of GIScience, as well as new applications of GIS with the processing and delivery of geographic information through the Web and handheld devices, forming two major directions to these developments. The four-part organization leads from a primer on VGEs to virtual cities and landscapes, interface design and public participation, and finally mobile and networked VGEs. Current topics, such as crowd sourcing and related services, point to the development of new business models that merge proprietary and nonproprietary systems.
Download or read book Language Contact and Contact Languages written by Peter Siemund and published by John Benjamins Publishing. This book was released on 2008 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new volume on language contact and contact languages presents cutting-edge research by distinguished scholars in the field as well as by highly talented newcomers. It has two principal aims: to analyze language contact from different perspectives notably those of language typology, diachronic linguistics, language acquisition and translation studies; and to describe, explain, and elaborate on universal constraints on language contact. The individual chapters offer systematic comparisons of a wealth of contact situations and the book as a whole makes a valuable contribution to deepening our understanding of contact-induced language change. With its broad approach, this work will be welcomed by scholars of many different persuasions.
Download or read book We are Not French written by Maryon McDonald and published by Routledge. This book was released on 1989-01-01 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Out of Our Minds written by Ken Robinson and published by John Wiley & Sons. This book was released on 2011-06-23 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: "It is often said that education and training are the keys to the future. They are, but a key can be turned in two directions. Turn it one way andyou lock resources away, even from those they belong to. Turn it the otherway and you release resources and give people back to themselves. To realizeour true creative potential—in our organizations, in our schools and in our communities—we need to think differently about ourselves and to actdifferently towards each other. We must learn to be creative." —Ken Robinson PRAISE FOR OUT OF OUR MINDS "Ken Robinson writes brilliantly about the different ways in which creativity is undervalued and ignored . . . especially in our educational systems." —John Cleese "Out of Our Minds explains why being creative in today'sworld is a vital necessity. This book is not to be missed." —Ken Blanchard, co-author of The One-minute Manager and The Secret "If ever there was a time when creativity was necessary for the survival andgrowth of any organization, it is now. This book, more than any other I know, providesimportant insights on how leaders can evoke and sustain those creative juices." —Warren Bennis, Distinguished Professor of Business, University of Southern California; Thomas S. Murphy Distinguished Rresearch Fellow, Harvard Business School; Best-selling Author, Geeks and Geezers "All corporate leaders should read this book." —Richard Scase, Author and Business Forecaster "This really is a remarkable book. It does for human resources what Rachel Carson's Silent Spring did for the environment." —Wally Olins, Founder, Wolff-olins "Books about creativity are not always creative. Ken Robinson's is a welcome exception" —Mihaly Csikszentmihalyi, c.s. and d.j. Davidson Professor of Psychology, Claremont Graduate University; Director, Quality of Life Research Center; Best-selling Author, Flow "The best analysis I've seen of the disjunction between the kinds of intelligence that we have traditionally honored in schools and the kinds ofcreativity that we need today in our organizations and our society." —Howard Gardner, a. hobbs professor in cognition and education, Harvard Graduate School of Education, Best-selling Author, Frames of Mind
Download or read book Urban Remote Sensing written by Xiaojun Yang and published by John Wiley & Sons. This book was released on 2011-04-25 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Urban Remote Sensing is designed for upper level undergraduates, graduates, researchers and practitioners, and has a clear focus on the development of remote sensing technology for monitoring, synthesis and modeling in the urban environment. It covers four major areas: the use of high-resolution satellite imagery or alternative sources of image date (such as high-resolution SAR and LIDAR) for urban feature extraction; the development of improved image processing algorithms and techniques for deriving accurate and consistent information on urban attributes from remote sensor data; the development of analytical techniques and methods for deriving indicators of socioeconomic and environmental conditions that prevail within urban landscape; and the development of remote sensing and spatial analytical techniques for urban growth simulation and predictive modeling.
Download or read book Urban Remote Sensing written by Xiaojun X. Yang and published by John Wiley & Sons. This book was released on 2021-10-11 with total page 532 pages. Available in PDF, EPUB and Kindle. Book excerpt: Urban Remote Sensing The second edition of Urban Remote Sensing is a state-of-the-art review of the latest progress in the subject. The text examines how evolving innovations in remote sensing allow to deliver the critical information on cities in a timely and cost-effective way to support various urban management activities and the scientific research on urban morphology, socio-environmental dynamics, and sustainability. Chapters are written by leading scholars from a variety of disciplines including remote sensing, GIS, geography, urban planning, environmental science, and sustainability science, with case studies predominately drawn from North America and Europe. A review of the essential and emerging research areas in urban remote sensing including sensors, techniques, and applications, especially some critical issues that are shifting the directions in urban remote sensing research. Illustrated in full color throughout, including numerous relevant case studies and extensive discussions of important concepts and cutting-edge technologies to enable clearer understanding for non-technical audiences. Urban Remote Sensing, Second Edition will be of particular interest to upper-division undergraduate and graduate students, researchers and professionals working in the fields of remote sensing, geospatial information, and urban & environmental planning.
