Download or read book tude des motifs de consultation spontan e aux Urgences de La Roche sur Yon written by Alexandre Yver and published by . This book was released on 2019 with total page 43 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction :depuis plusieurs années, le nombre de recours aux urgences augmente continuellement amenant ces services à une surcharge d'activité. Le service des urgences du CHD de La Roche-sur-Yon n'est pas épargné par ce constat, dans un département dont la démographie médicale est en recul. Malgré la présence d'une permanence des soins ambulatoires sur le territoire vendéen, nous constatons une hausse du nombre de patients consultant sans avis médical préalable. Nous avons voulu identifier leurs motivations et analyser la pertinence de ces consultations. Matériel et Méthode : étude prospective monocentrique durant une semaine basée sur un questionnaire standardisé distribué aux patients majeurs consultant, sans avis médical préalable, le service d'accueil des urgences du CHD de La Roche-sur-Yon. Un questionnaire à l'attention des médecins prenant en charge le patient est également distribué. Résultats : l'étude repose sur l'analyse de 248 questionnaires. Les consultations étaient appropriées dans 45,2 % des cas avec seulement 13,7 % de patients hospitalisés. Près d'un quart des patients n'ont pas eu d'examen complémentaire. Les motifs de consultation relevaient majoritairement de la prise en charge de symptômes douloureux et du besoin supposé d'examens. Les patients ont déclaré être suivi par un médecin généraliste dans 82,7 % des cas mais 17,3 % d'entre eux n'ont pas réussi à le joindre. Discussion : la faible proportion d'hospitalisations, le nombre de patients n'ayant pas eu d'examen complémentaire et la part d'examens prescrits pouvant être réalisés en ville rendent les consultations spontanées aux urgences inappropriées. La motivation des patients à consulter aux urgences peut s'expliquer par la nécessité supposée d'examens et la présence d'un plateau technique facile d'accès. De plus, du fait de sa démographie actuelle, la médecine générale est indisponible pour la prise en charge des soins non programmés qui sont alors traités aux urgences, souvent après plus de 12h d'évolution. Les délais de prise en charge des patients, ne nécessitant pas d'examen complémentaire, sont plus importants aux urgences comparés à examen en médecine de ville. Conclusion : la promotion de la permanence des soins ambulatoires auprès de la population et le développement de structures pouvant prendre en charge les soins non programmés en journée nous semble pertinent pour délester les services d'urgences.
Download or read book Prison Journal 19401945 written by Edouard Daladier and published by Routledge. This book was released on 2021-06-02 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: Even after fifty years, and in spite of the reams of documents now available, it remains difficult-especially in France-to form an objective view of what things were like in the period between the wars and in 1940.The greater, the swifter, the more unexpected the disaster, the less people are willing to deal with it squarely. Once a certain threshold of suffering, shame, and humiliation is reached, actual facts become unimportant, analyses become bothersome. History falls prey to myth and rumor.People refuse to hear any more, but they still need someone to blame. In France, the strangest of bedfellows have come to speak about it in one voice, and the good people have remained mu
Download or read book Old Babylonian Period 2003 1595 BC written by Douglas Frayne and published by University of Toronto Press. This book was released on 1990-01-01 with total page 904 pages. Available in PDF, EPUB and Kindle. Book excerpt: A short introduction for each inscription gives its general contents, place of origin, and relative dating. Also included are a detailed catalogue of exemplars, a brief commentary, bibliography, and text in transliteration facing an English translation.
Download or read book Babylonian Creation Myths written by Wilfred G. Lambert and published by Penn State Press. This book was released on 2013-09-26 with total page 657 pages. Available in PDF, EPUB and Kindle. Book excerpt: For much of the last half of the twentieth century, W. G. Lambert devoted much of his research energy and effort to the study of Babylonian texts dealing with Mesopotamian ideas regarding creation, including especially Enuma Elish. This volume, which appears almost exactly 2 years after Lambert’s death, distills a lifetime of learning by the world’s foremost expert on these texts. Lambert provides a full transliteration and translation of the 7 tablets of Enuma Elish, based on the known exemplars, as well as coverage of a number of other texts that bear on, or are thought to bear on, Mesopotamian notions of the origin of the world, mankind, and the gods. New editions of seventeen additional “creation tales” are provided, including “Enmesharra’s Defeat,” “Enki and Ninmah,” “The Slaying of Labbu,” and “The Theogony of Dunnu.” Lambert pays special attention, of course, to the connection of the main epic, Enuma Elish, with the rise and place of Marduk in the Babylonian pantheon. He traces the development of this deity’s origin and rise to prominence and elaborates the relationship of this text, and the others discussed, to the religious and political climate Babylonia. The volume includes 70 plates (primarily hand-copies of the various exemplars of Enuma Elish) and extensive indexes.
Download or read book Mesopotamian Protective Spirits written by F. A. M. Wiggermann and published by BRILL. This book was released on 1992 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt: Wiggerman's study of Mesopotamian monsters bridges the gap between text and image. Wooden and clay figures of monstrous spirits such as Hairy-One (lahmu), Bison-Bull (kusarikku), and Furious-Snake (mushussu) stand guard at the entrances to buildings to protect the inhavitants from demonic intruders. Deriving his information from the ritual texts that describe the production and installation of these figures, the author identifies the monsters of the texts with objects from the archaeological record and presents a detailed discussion of the identities and histories of a variety of Mesopotamian monsters.
Download or read book Born in Heaven Made on Earth written by Michael Brennan Dick and published by Eisenbrauns. This book was released on 1999 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pejoratively referred to as "idols" in the Hebrew Bible and in western tradition, the cult image occupied a central place in the cultures of the ancient Near East. In Mesopotamia, a ritual (mis pi) was used to "give birth" to the god represented by the cult image. In this volume, three separate essays examine the topic within different ancient Near Eastern cultures, and a fourth provides a modern analogy as counterpoint.
Download or read book The Canonical Lamentations of Ancient Mesopotamia written by Mark E. Cohen and published by . This book was released on 1988 with total page 843 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Before the Muses written by Benjamin Read Foster and published by Eisenbrauns. This book was released on 2005 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Comprehensive collection of ancient Akkadian literature spanning three millennia. This larger, completely new, 3rd edition contains many compositions not in the previous editions; new translations of previously included compositions; incorporation of new text fragments identified or excavated since the last publication; all new footnotes; references and commentary brought up to date to reflect scholarly work of the last 10 years; and 100 more pages than the old two-volume edition.
Download or read book The Babylonian Gilgamesh Epic written by A. R. George and published by . This book was released on 2003 with total page 412 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Babylonian Gilgamesh epic is the oldest long poem in the world, with a history going back four thousand years. It tells the fascinating and moving story of Gilgamesh's heroic deeds and lonely quest for immortality. This book collects for the first time all the known sources in the original cuneiform, including many fragments never published before. The author's personal study of every available fragment has produced a definitive edition and translation, complete with comprehensive introductory chapters that place the poem and its hero in context."--Publisher's description.
Download or read book The Induction of the Cult Image in Ancient Mesopotamia written by C. B. F. Walker and published by . This book was released on 2001-01-01 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Passion for Wings written by Robert Wohl and published by . This book was released on 1994-01-01 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: A prize-winning historian offers an exhilarating book--the first cultural history of the pioneering phase of aviation--which tells the stories of the artists, writers, and intellectuals whose imaginations were captured by the power of flight. Over 300 illustrations, some in color.
