Download or read book Perception par les internes de m decine g n rale de leur aptitude pratiquer les gestes d urgence et de premiers secours written by Clarisse Audouin épouse Delacroix and published by . This book was released on 2012 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book R les et besoins du m decin g n raliste face aux gestes de premier secours written by Bénédicte Haser and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : le médecin généraliste tient un rôle de pivot dans la prise en charge globale du patient ainsi qu'un rôle essentiel dans ce réseau structuré de l'urgence. Il est souvent le « premier maillon médical de la chaîne des secours », un facteur important dans l'alerte et dans la prise en charge initiale d'une urgence relative ou vitale. L'objectif de ce travail était d'évaluer les besoins et le ressenti des nouveaux médecins généralistes face aux gestes de premiers secours. Méthodes : une étude épidémiologique descriptive de type enquête transversale a été réalisée auprès des 376 anciens internes de médecine générale des promotions 2017 et 2018 inscrits à la Faculté d'Aix Marseille à l'aide d'un auto-questionnaire. Résultats : 119 sujets ont été inclus, 45,4% des nouveaux médecins généralistes n'ont pas renouvelé leur formation et environ 70% n'a jamais pratiqué de gestes de premiers secours. La moitié (48,7%) estime que leur principale difficulté est due à un manque d'expérience. Près de 95% ont estimé la formation actuelle perfectible et souhaitent pour une très large majorité une formation mixte pratique et théorique (54,6%) ou seulement pratique (38,7%) après la fin de leur internat. Discussion : les situations sanitaires exceptionnelles ainsi que la crise du système de santé que nous vivons actuellement, soulignent l'importance de préparer l'ensemble des médecins à réagir rapidement et efficacement dans de telles circonstances. En adéquation avec les besoins ressentis des médecins généralistes, il semble nécessaire d'envisager une formation obligatoire aux gestes de premiers secours en fin de cursus ou au début de leur carrière, grâce à un support adapté comme le e-learning ainsi qu'au moyen d'une nouvelle méthodologie comme le relais pédagogique ou la formation interprofessionnelle.
Download or read book Rapprocher les formations de m decine g n rale et de m decine d urgence written by Jane Kenaghan and published by . This book was released on 2017 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction Le Diplôme d'Etudes Spécialisées (DES) de médecine d'urgence va être créé en 2017 et séparé de la formation des internes de médecine générale (IMG). L'objectif de ce travail est de réaliser une fiche d'objectifs pédagogiques pour les IMG en stage des urgences en Ile-de-France (IDF) afin de rapprocher les propositions de formation par les médecins urgentistes des attentes des Départements de Médecine Générale (DMG). Méthode La méthode utilisée a été une étude qualitative par entretiens semi-directifs avec les sept représentants des DMG d'IDF et sept représentants urgentistes d'IDF. Résultats Cinq DMG ont répondu aux entretiens. Ils ont rappelé que la formation des IMG se faisait par l'acquisition de compétences et non par objectifs. Ils n'étaient pas opposés à la réalisation d'une fiche, mais ont affiché leur crainte d'une fiche réductrice des savoirs médicaux. Sept urgentistes ont pu être interrogés. Tous étaient favorables à la réalisation d'une fiche, quelle qu'en soit la forme. Discussion Bien que le projet ait intéressé tous les intervenants, il n'a pas été possible de réaliser une "fiche d'objectifs pédagogiques" en stage des urgences : ces objectifs seraient allés à l'encontre de la formation des IMG par l'acquisition de compétences. En revanche, un prototype de "fiche d'évaluation" a été créé, adaptable aux souhaits de formation des services et des internes. Conclusion Un prototype de "fiche d'évaluation" a été créé en tentant de répondre aux demandes des DMG et urgentistes, en tenant compte des contraintes d'une utilisation pratique réelle. Cette étude se révèle prometteuse pour une meilleure collaboration entre enseignants de différentes spécialités.
Download or read book Perception du degr d urgence m dicale par les patients adultes written by David Raynal and published by . This book was released on 2014 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: La notion d'urgence médicale est souvent mal perçue par les patients, il s'agit pour eux d'un sentiment très subjectif (notion d'urgence réelle et d'urgence ressentie). L'objectif de ce travail est d'évaluer la perception du degré d'urgence médicale par les patients adultes en étudiant la façon dont ils réagissent face aux symptômes qu'ils présentent. Il s'agit d'une enquête transversale, descriptive de type populationnelle ouverte, multicentrique, réalisée entre le 30 mai et le 30 août 2013. Un questionnaire à destinée des patients a été élaboré, composé de 10 items reprenant chacun une situation clinique évoquant une discipline médicale différente: gastro-entérite aiguë virale bénigne (n°1), rhinopharyngite (n°2), traumatisme crânien avec perte de connaissance (n°3), ventre chirurgical (n°4), douleur thoracique avec dyspnée (n°5), éruption cutanée bénigne type eczéma (n°6), pyélonéphrite (n°7), suspicion d'AVC (n°8), syndrome dépressif majeur avec critères de dangerosité (n°9), et brûlure étendue du membre supérieur (n°10). Cinq réponses étaient systématiquement proposées : faire le 15, aller aux urgences, consulter son médecin traitant dans la journée, s'auto-médiquer ou ne rien faire. Les questionnaires étaient disposés dans les salles d'attente de 7 cabinets de médecine générale. Le critère de jugement principal est la bonne perception du degré d'urgence médicale, évalué par le pourcentage de bonnes réponses pour l'ensemble des patients à chaque item. Les critères de jugement secondaires étaient la bonne perception ou non du degré d'urgence médicale en fonction du sexe, de l'âge et du type de cabinet (urbain, semi-rural ou rural). 295 patients, d'âge moyen 53 ans, dont 65,8% de femmes, ont été inclus. 4 des 10 items affichent des taux de réponses adéquates supérieurs à 90% ; 4 autres items affichent ce même taux compris entre 80% et 90% ; et les 2 derniers ont un taux compris entre 60 et 80%. Les sous-résultats permettent de dégager des grandes tendances : Les patients ne composent pas assez le 15 pour des pathologies graves telles que la douleur thoracique avec dyspnée et la suspicion d'AVC. Il y a un défaut de recours au système de soins pour des pathologies nécessitant un avis médical dans la journée telles que le TC avec PC, le ventre chirurgical, la pyélonéphrite et le syndrome dépressif avec critères de dangerosité. Ce phénomène est encore plus marqué pour la brûlure étendue de l'avant-bras. Il y a un excès de consultations chez le médecin généraliste pour des pathologies bénignes telles que la gastro-entérite aigüe virale bénigne, la rhino-pharyngite, et l'éruption cutanée bénigne de type eczéma. On n'observe pas de différence dans la perception du degré d'urgence médicale en fonction du sexe des patients ou du type de cabinet dans lequel ils consultent (urbain, semi-rural ou rural), mais on note une différence significative de réponses adaptées pour plusieurs pathologies en fonction de l'âge des patients. La perception du degré d'urgence médicale par les patients adultes est diversement appréciée. Il convient donc à chaque professionnel de santé de continuer à éduquer les patients au quotidien, mais il convient aussi aux pouvoirs publics de développer encore davantage les campagnes sanitaires destinées au grand public. Par ailleurs, d'autres pistes pourraient être explorées, comme le développement de "l'éducation sanitaire" dans les écoles, voire un meilleur balisage du parcours de soins pour mieux organiser le système de santé en France.
Download or read book valuation du ressenti et de la formation des m decins lib raux g n ralistes et sp cialistes sur la prise en charge pr hospitali re de l arr t cardio respiratoire written by Antoine Etcheverry and published by . This book was released on 2017 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte et objectifs: au lendemain de la publication des dernières recommandations internationales sur la prise en charge de l'arrêt cardiaque (ILCOR 2015) nous avons souhaité évaluer le ressenti des médecins libéraux landais, spécialistes et généralistes, sur la prise en charge de cette urgence vitale. Les objectifs secondaires étaient d'évaluer leur formation aux gestes de réanimation cardio-pulmonaire, leur connaissance sur le defibrillateur et leur désir de formation dans ce domaine. Méthode: Une enquête épidémiologique descriptive transversale a été réalisée via un questionnaire d'auto-évaluation présenté directement au cabinet de 174 médecins libéraux exerçant dans l'est des Landes entre le 1er octobre 2016 et le 27 février 2017. Résultats: 164 questionnaires analysés ont permis de mettre en évidence que 60% des praticiens libéraux reconnaissent n'être pas à l'aise dans la prise en charge de l'arrêt cardiaque. Les facteurs associés à ce manque d'aisance sont la pratique d'une spécialité médicale autre que la médecine générale, l'absence d'expérience de prise en charge d'un arrêt cardiaque, l'absence de formation aux gestes d'urgence et d'utilisation du defibrillateur. Concernant la formation, on constate que 35 % des médecins libéraux n'ont jamais été formés aux gestes des premiers secours. Ils sont encore plus nombreux à n'avoir jamais utilisé de defibrillateur (46%). On retrouve un désir prononcé de formation exprimé par 81% des professionnels de santé. Conclusion: Cette étude a montré que le corps médical libéral n'est pas à l'aise dans la gestion de l'urgence vitale que représente l'arrêt cardio-pulmonaire. Bien que rare à l'echelle individuelle du médecin, chaque praticien est supposé être apte à initier une réanimation cardio-pulmonaire. Promouvoir l'instauration de formation pratiques aux gestes de premiers secours apparaît aujourd'hui comme une véritable necessité pour les professionnels de santé.
Download or read book The Patient Will See You Now written by Eric Topol and published by Basic Books. This book was released on 2016-10-25 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: The essential guide by one of America's leading doctors to how digital technology enables all of us to take charge of our health A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"-but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical. In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system. The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result-better, cheaper, and more human health care-will be worth it. Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.
Download or read book Gender Matters written by Dennis van der Veur and published by Council of Europe. This book was released on 2007-01-01 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: "'Gender Matters' is a manual aimed to assist educators and youth leaders work on issues of gender and gender-based violence with young people. This publication presents theoretical information, methods and resources for education and training activities, along with concrete exercises that users can put into practice in their daily work. Violence is a serious issue which directly affects the lives of many young people. It often results in lasting damage to their well-being and integrity, putting even their lives at risk. Gender-based violence, including violence against women, remains a key human rights challenge in contemporary Europe and in the world. Working with young people on human rights education is one way of preventing gender-based violence from occurring. By raising awareness on why and how it manifests and exploring its impact on people and in society, gender-based violence will no longer go undetected. Gender really does matter, to women, to men, to young people - to all of us. This manual serves to explore these human rights issues and act upon them."--Book jacket.
Download or read book The Human Rights Handbook written by Kathryn English and published by . This book was released on 1997 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Human Rights Handbook is an essential guide to human rights, the structures that uphold them and their implementation. This is a text designed to be used practically. Informative and readable, The Human Rights Handbook is aimed at non-governmental organisations working within local communities. It is also vital to all law and public libraries.
Download or read book New Perspectives in African Education written by A. Babs Fafunwa and published by . This book was released on 1971 with total page 178 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Frequency Dictionary of French written by Deryle Lonsdale and published by Routledge. This book was released on 2009-03-25 with total page 974 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Frequency Dictionary of French is an invaluable tool for all learners of French, providing a list of the 5000 most frequently used words in the language. Based on a 23-million-word corpus of French which includes written and spoken material both from France and overseas, this dictionary provides the user with detailed information for each of the 5000 entries, including English equivalents, a sample sentence, its English translation, usage statistics, and an indication of register variation. Users can access the top 5000 words either through the main frequency listing or through an alphabetical index. Throughout the frequency listing there are thematically-organized lists of the top words from a variety of key topics such as sports, weather, clothing, and family terms. An engaging and highly useful resource, the Frequency Dictionary of French will enable students of all levels to get the most out of their study of French vocabulary. Former CD content is now available to access at www.routledge.com/9780415775311 as support material. Designed for use by corpus and computational linguists it provides the full text in a format that researchers can process and turn into suitable lists for their own research work. Deryle Lonsdale is Associate Professor in the Linguistics and English Language Department at Brigham Young University (Provo, Utah). Yvon Le Bras is Associate Professor of French and Department Chair of the French and Italian Department at Brigham Young University (Provo, Utah).
Download or read book Language Contact and Bilingualism written by René Appel and published by Amsterdam University Press. This book was released on 2005 with total page 229 pages. Available in PDF, EPUB and Kindle. Book excerpt: What happens – sociologically, linguistically, educationally, politically – when more than one language is in regular use in a community? How do speakers handle these languages simultaneously, and what influence does this language contact have on the languages involved? Although most people in the world use more than one language in everyday life, the approach to the study of language has usually been that monolingualism is the norm. The recent interest in bilingualism and language contact has led to a number of new approaches, based on research in communities in many different parts of the world. This book draws together this diverse research, looking at examples from many different situations, to present the topic in any easily accessible form. Language contact is looked at from four distinct perspectives. The authors consider bilingual societies; bilingual speakers; language use in the bilingual community; finally language itself (do languages change when in contact with each other? Can they borrow rules of grammar, or just words? How can new languages emerge from language contact?). The result is a clear, concise synthesis offering a much-needed overview of this lively area of language study.
Download or read book Conceptual Basis Formalisations and Parameterization of the Stics Crop Model written by Nadine Brisson and published by Editions Quae. This book was released on 2009-01-19 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: The STICS crop model has been developed since 1996 at INRA in collaboration with other research and technical institutes. The model syntheses, illustrates and concretizes an important part of the French agronomic knowledge as a point of view on the field and cropping systems working. The formalisations of the STICS crop model presented in this book can be considered as references used in the framework of crop sciences. The book arrangement relies on the way the model designs the crop-soil system functioning, each chapter being devoted to a set of important functions such as growth initiation, yield onset, water uptake, transformation of organic matter etc. One chapter deals with the cropping system and long term simulations and the final chapter is about the involvement of the user in terms of option choices and parameterization. If this book is mainly intended for scientists who use the STICS model, it can also be useful for agronomists, crop modellers, students and technicians looking for elementary formalizations of the crop-soil system functioning.
Download or read book Bilingualism written by Hugo Baetens Beardsmore and published by Multilingual Matters. This book was released on 1986 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: This revised edition of a major textbook provides an introduction to the queries that arise in connection with bilingualism and the effect it has on the personality. It underlines the normality of speaking and using more than one language and aims to dispel many myths and fears. It should interest all types of reader - parents, educators and policy makers, as well as language specialists.
Download or read book The Global Sporting Arms Race written by Veerle de Bosscher and published by Meyer & Meyer Verlag. This book was released on 2008 with total page 178 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title presents an international comparison of elite sports policies in six nations (Norway, Canada, Italy, Holland, the UK and Belgium). Drawing on research involving more than 1400 athletes, coaches, and performance directors, it evaluates and compares over 100 factors that lead to international sporting success.
Download or read book Algerian Sketches written by Pierre Bourdieu and published by Polity. This book was released on 2013-11-04 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the late 1950s, like tens of thousands of young men of his generation, Pierre Bourdieu, having recently passed the agrégation in philosophy, found himself immersed in the Algerian war. Motivated by an impulse that, as he himself says, ‘was civic rather than political’, nothing seemed more important to him than to understand the Algerian situation and provide the elements that would enable others to come to an informed judgement about it. In extremely tough conditions and along with a small group of students, Bourdieu undertook a series of studies across an Algeria that was tightly patrolled by the army, leading him to discover the shocking reality of the resettlement camps and to analyse the mechanisms of destruction of Algerian society of which they were emblematic. To achieve the objectives he had set himself, Bourdieu had to carry out a genuine intellectual conversion, acquiring an ethnographic understanding of Algerian society, learning sociological analysis at a breakneck pace and inventing new instruments - both theoretical and empirical - that would enable him to understand the relations of domination specific to colonialism. These new tools also enabled him to analyse the nature of the crisis that the war had both produced and manifested. This unique volume brings together the first texts written by Bourdieu in the midst of the Algerian conflict, as well as later writings and interviews in which he returns to the topic of Algeria and the decisive role it played in the development of his work.
Download or read book Current Research in Bilingualism and Bilingual Education written by Piotr Romanowski and published by Springer. This book was released on 2018-07-24 with total page 247 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers research topics in bilingual education, language policies, language contact, identity of bilingual speakers, early bilingualism, heritage languages, and more, and provides an overview of current theory, research and practice in the field of bilingualism. Each chapter is written by a specialist in the field. Part I focuses on the numerous and heterogeneous relations between languages as well as the implications arising from bilingual speech processing. In Part II, a series of contextualized studies on bilingual classrooms are presented, with diverse research designs applied in different educational settings being a key feature of these studies. Part III bridges theory and practice by offering an insight into mono- and multilingual school settings showcasing examples of educational institutions where bilingualism successfully soared and depicts the needs related to language education.
Download or read book Oedipus at Thebes written by Bernard Knox and published by Yale University Press. This book was released on 1998-01-01 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examines the way in which Sophocles' play "Oedipus Tyrannus" and its hero, Oedipus, King of Thebes, were probably received in their own time and place, and relates this to twentieth-century receptions and interpretations, including those of Sigmund Freud.
