Download or read book Acceptation et r ticences vis vis des aides externes dans la maladie d Alzheimer written by Nadège Equis-Flouret and published by . This book was released on 2007 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: La mise en oeuvre d'un soutien professionnel est une facette importante du soin pour les patients soufrant d'une maladie d'Alzheimer ou d'un syndrome apparenté car, dans la majorité des cas, la perte d'identité et la modification des liens familiaux engendrées par la maladie, provoquent un stress traumatique pour l'aidant principal avec un épuisement (selon l'étude Pixel, 47% des aidant développent un sentiment dépressif réactionnel). Mettre en place une aide professionnelle efficace susceptible de réduire la charge psychologique s'inscrit dans l'objectif de préserver la qualité de vie de l'aidant au fur et à mesure de la progression de la maladie, mais cette aide doit nécessairement être acceptée et faire l'objet d'une négociation pour organiser la venue de tiers à domicile. Nous avons voulu connaître le type d'aides proposées à domicile en fonction du profil du patient, ainsi que leur acceptation en fonction du type d'hospitalisation et l'impact de cette acceptation sur le devenir du patient. 100 patients avec troubles cognitifs hospitalisés soit en hospitalisation de jour (groupe G1 : 50 patients), soit en hospitalisation complète (groupe G2 : 50 patients), ont fait l'objet d'un bilan répété du plan d'aide au temps T0, temps du diagnostic, au temps T1, c'est-à-dire lors de l'entrée en hospitalisation, au temps T2 au moment de la sortie, et au temps T3, soit 6 mois après la sortie par enquête téléphonique ainsi que d'une étude du fardeau de l'aidant et du devenir des patients. L'âge moyen des malades était de 80,3 ± 5,3 ans avec 87% de femmes. 85% d'entre eux souffraient d'une maladie d'Alzheimer. Le MMS moyen était à 17,4 ± 6,4, le GIR moyen à 3,8 ± 1,3. 81% avaient une pathologie cardiovasculaire associée et 37% un handicap sensoriel. L'aidant principal était un enfant dans 58% des cas, un conjoint pour 27%, un autre aidant pour 11%; enfin, 4% étaient isolés. Au temps T1: 81% des patients avaient eu des propositions d'aides professionnelles; dans 33% des situations, les aides n'avaient pas été mises en place. Au temps T2 : les aides ont été systématiquement proposées (infirmière : 97%, aide ménagère : 88%, portage des repas : 33%). Au temps T3 : les aides n'étaient pas mises en place dans 18% des cas ou partiellement dans 54% des cas. L'observance était plus élevée après une hospitalisation complète (G1 : 33% versus G2 : 82,5%). Les causes de non mise en place ou de mise en place partielle sont multiples : échec de mise en place : 12%, indisponibilité des aides : 15%, refus soit du patient, soit de l'aidant : 73%. Au terme de ce suivi de 6 mois, 43% ont été ponctuellement réhospitalisés dont 70% n'avaient accepté qu'une aide partielle, 26% sont entrés en EHPAD dont 62% avaient eu une proposition à T2 d'entrée en EHPAD, 15% sont décédés et 47% ont pu rester à domicile. Les survenues d'évènements intercurrents étaient liés à l'acceptation des aides ainsi que la fardeau de l'aidant. Une observance partielle du plan d'aide a semblé plus délétère qu'un refus total. L'aide familiale est influencée par les relations de dépendance et de protection existant dans la dynamique familiale. En acceptant les services de soutien, les aidants craignent de perdre leur liberté, le droit à choisir son mode de vie; c'est l 'un des paradoxes de l'aide proposée et refusée car « c'est sortir d'une dépendance par le recours obligée à une autre; la recherche de l'aide est toujours une cation risquée » (G. Coudin). Il paraît fondamental de prendre le temps de modifier la représentation sociale et familiale de l'aide formelle.
Download or read book Alphaherpesviruses written by Sandra Knowles Weller and published by Caister Academic Press Limited. This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Alphaherpesviruses are a fascinating group of DNA viruses that includes important human pathogens such as herpes simplex virus type 1 (HSV-1), HSV-2, and varicella-zoster virus (VZV): the causative agents of cold sores, genital ulcerous disease, and chickenpox/shingles, respectively. A key attribute of these viruses is their ability to establish lifelong latent infection in the peripheral nervous system of the host. Such persistence requires subversion of the host's immune system and intrinsic antiviral defense mechanisms. Understanding the mechanisms of the immune evasion and what triggers viral reactivation is a major challenge for today's researchers. This has prompted enormous research efforts into understanding the molecular and cellular biology of these viruses. This up-to-date and comprehensive volume aims to distill the most important research in this area providing a timely overview of the field. Topics covered include: transcriptional regulation, DNA replication, translational control, virus entry and capsid assembly, the role of microRNAs in infection and oncolytic vectors for cancer therapy. In addition there is coverage of virus-host interactions, including apoptosis, subversion of host protein quality control and DNA damage response pathways, autophagy, establishment and reactivation from latency, interferon responses, immunity and vaccine development. Essential reading for everyone working with alphaherpesviruses and of interest to all virologists working on latent infections.
Download or read book Instructional Techniques to Facilitate Learning and Motivation of Serious Games written by Pieter Wouters and published by Springer. This book was released on 2016-10-31 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book introduces techniques to improve the effectiveness of serious games in relation to cognition and motivation. These techniques include ways to improve motivation, collaboration, reflection, and the integration of gameplay into various contexts. The contributing authors expand upon this broad range of techniques, show recent empirical research on each of these techniques that discuss their promise and effectiveness, then present general implications or guidelines that the techniques bring forth. They then suggest how serious games can be improved by implementing the respective technique into a particular game.
Download or read book Didactics of Smart Pedagogy written by Linda Daniela and published by Springer. This book was released on 2018-11-27 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: The focus on smart education has become a new trend in the global educational field. Some countries have already developed smart education systems and there is increasing pressure coming from business and tech communities to continue this development. Simultaneously, there are only fragmented studies on the didactic aspects of technology usage. Thus, pedagogy as a science must engage in a new research direction—smart pedagogy. This book seeks to engage in a new research direction, that of smart pedagogy. It launches discussions on how to use all sorts of smart education solutions in the context of existing learning theories and on how to apply innovative solutions in order to reduce the marginalization of groups in educational contexts. It also explores transformations of pedagogical science, the role of the educator, applicable teaching methods, learning outcomes, and research and assessment of acquired knowledge in an effort to make the smart education process meaningful to a wide audience of international educators, researchers, and administrators working within and tangential to TEL.
Download or read book Scientific Canadian Mechanics Magazine and Patent Office Record written by Canada. Patent Office and published by . This book was released on 1966-03 with total page 1070 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Cheshire Parish Registers V 3 written by London Issued to the Subscribers by and published by Legare Street Press. This book was released on 2021-09-10 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: This work has been selected by scholars as being culturally important and is part of the knowledge base of civilization as we know it. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. To ensure a quality reading experience, this work has been proofread and republished using a format that seamlessly blends the original graphical elements with text in an easy-to-read typeface. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.
Download or read book A Primer on Property Tax written by William J. McCluskey and published by John Wiley & Sons. This book was released on 2012-10-04 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'The chapters in this book explore in detail the choices regarding both the structure and administration of the property tax, drawing on the extensive knowledge the authors have acquired in studying property taxes around the world. The chapters provide a wide-ranging treatment of the design choices and administrative tasks, both in terms of the breadth of design options and administrative tasks covered and the depth of the discussion. The authors describe the range of design choices, discuss the associated issues and the advantages and disadvantages for each, and present the criteria to help choose among the options.’ From the book’s Foreword by David L. Sjoquist, Professor of Economics and Dan E. Sweat Scholar Chair in Educational and Community Policy, Georgia State University Property taxation is a key element in providing a solid foundation and a stable funding source for basic public services. Developing and implementing a property tax system is a complex task. This complexity is compounded by the diversity of legal, cultural and historical contexts of policymakers and tax administrators. The World Development Report (1999-2000), Entering the 21st Century puts fiscal decentralization at the top of the development agenda. This makes local taxation - and especially the property tax option - of critical importance to both tax and land policy, as well as the broader development agenda. A Primer on Property Tax: Administration and Policy provides the reader with an analysis of issues surrounding property tax, including economics, law, public finance, decentralisation, valuation, GIS and property tax reform. A key strength of the book lies in the vast international experience of the authors and the book will provide for the first time material which is topical, cutting-edge and highly relevant to many of the disciplines involved in property taxation. The authors examine the criteria applied to evaluate the strengths and weaknesses of property tax, discuss the main valuation methods and the economic principles underpinning them and review the legal and administrative aspects of property tax worldwide.
Download or read book Notebook written by Funny Notebooks Bekaydesign and published by . This book was released on 2019-12-08 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt: Notebook 6x9" This cool Notebook is perfect for recording your Notes, eg Ideas for traveling and holidays, new creative ideas, checklists, new tasks and even getting started for something even bigger! This notebook is a thoughtful and useful gift for world travelers, teachers, colleagues, young moms and dads, newlyweds, bachelors, best friends and graduates. Features and Use of this Notebook: 6 Inches x 9 Inches - Fits easily in backpacks, tote bags and handbags. 100 Pre-Made Pages - 90 White GSM Quality Paper Premium Designed Matte Cover - absorbs scratches For use as a travel journal, checklist book, to set goals, record, create lists and more! Buy this beautiful notebook today and get started! To find other books from us, just click on the author's name under the title.
Download or read book The Ladybird Illustrated written by D H Lawrence and published by . This book was released on 2020-11-09 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Ladybird is a long tale or novella by D. H. Lawrence. It was first drafted in 1915 as a short story entitled The Thimble. Lawrence rewrote and extended it under a new title in December 1921 and sent the final version to his English agent on 9 January 1922. It was collected with two other tales, The Captain's Doll and The Fox, and the three novellas were then published in London by Martin Secker in March 1923 under the title The Ladybird and in New York by Thomas Seltzer as The Captain's Doll in April 1923."
Download or read book Notes on the Minor Prophets written by Henry Allan Ironside and published by . This book was released on 1955 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Sociological Eye written by Everett Cherrington Hughes and published by Transaction Publishers. This book was released on 1971 with total page 584 pages. Available in PDF, EPUB and Kindle. Book excerpt: This major expression of one of the leaders of the Chicago School, one of the most important schools of thought in contemporary American sociology, includes his recognized masterpieces of sociological research and writing. Hughes pioneered studies in a variety of sociological subjects: social institutions, racial interaction, work and occupations, and research methodology. Cumulatively, these essays show the obvious magnitude and scope of thought of one of the century's most distinguished scholars. In their introduction to this edition, Riesman and Becker provide a biographical background to Hughes' writing, describing his pervading influence on the field of sociology and on younger sociologists through his teaching, fieldwork, work in professional associations, and personality. The essays are grouped into four sections: the relationship of social institutions to changes in their surroundings and to the personalities and careers of persons; problems of multi-ethnic societies; the development of occupations, the monopoly license of professions, the determination of public policy about a line of work, and the relations between work and social role; and social observation and analysis.
