Download or read book Relation m decin g n raliste m decin urgentiste written by Damien D'Angelo and published by . This book was released on 2014 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: Au cours de l'année 2000, 12 720 000 passages aux urgences ont été enregistrés en France 16 % ont été adressés via leur médecin traitant soit, environ, 2 035 200 passages d'où l'importance de l’interaction entre médecins traitant et médecins urgentistes. Le but de cette étude est d'évaluer la relation entre médecins généralistes (MG) et médecins urgentistes (MU) afin de rechercher des moyens d'améliorer celle ci pour faciliter leurs exercices et ainsi faciliter l'accès aux soins hospitaliers aux patients si possible sans passages obligatoires par les SAU. Il s'agit d'une étude prospective du 1er décembre 2013 au 15 février 2014. L'étude a permis d'obtenir les réponses de 210 MU et les réponses de 527 MG. Les 2 professionnels avouent ne pas se connaître et avoir des problèmes de compréhension. Les MG avouent avoir de grandes difficultés pour accéder au plateau technique de l'hôpital. Ils sont aussi d'accord pour dire que certains passages aux urgences pourraient être mais faute d'autre solution nécessaire. Les 2 professions ont noté leur relation de 0 à 10 ils la jugent tous deux moyenne (entre 5 et 7). Pour eux ce qui altère leur relation est principalement le manque de connaissance et de compréhension mutuelle associé à un service d'urgences souvent surchargé. Les deux professions s'accordent pour dire que mieux se connaître améliorerait leurs relations ils sont d'ailleurs en grande majorité prêt à se rencontrer. Tout deux pensent que l'utilisation d'un interlocuteur au sein de l'hôpital pour les demandes des MG serait nécessaire et pour tous deux cette personne devrait être un médecin. Il reste à convaincre les autres praticiens car cette personne pourrait les privées de certains lits. L'étude a montré que leurs relations étaient correctes mais qu'il existe des solution pour l'améliorer. L'étude n'a pas montré de grandes tensions entre ces deux professions ce qui est rassurant car ils sont déjà en difficulté dans leur exercice quotidien
Download or read book Les relations professionnelles interdisciplinaires entre m decin traitant et m decin urgentiste written by Julien Batifol and published by . This book was released on 2011 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: la prise en charge des patients au SAU n'est pas une chose aisée du fait que l'histoire médicale des patients n'est pas connue par les médecins urgentistes. Une bonne communication entre médecin traitant et médecin urgentiste est nécessaire pour l'optimisation de la prise en charge du patient. Objectif: évaluer les relations entre médecin traitant et médecin urgentiste afin de déterminer les paramètres à améliorer pour le bien du patient. Matériels et Méthodes: Deux études ont été menées. Un questionnaire a été envoyé aux médecins généralistes du bassin montpelliérain concernant leur rapport avec les urgences (étude1) et une évaluation du degré d'information des courriers d'admission des patients aux urgences adultes du CHU de Lapeyronie à Montpellier a été réalisée (étude2). Une analyse descriptive a été faite. Résultats: Pour l'étude 1, 160 médecins traitants sur 464 ont répondu (34.5%). les relations avec les urgences sont jugées comme satisfaisantes. Il n'est cependant pas facile de contacter un médecin des urgences. La qualité des lettres accompagnants les patients est souvent influencée par la situation d'urgence. Plus de la moitié des médecins traitants interrogés (59%) sont prêts à suivre une formation concernant la gestion des situations de crise. Pour l'étude 2, 493 patients inclus dont 63 adressés par les médecins traitants (12.8%) et 171 adressés après une régulation du centre 15 (34.7%). 90.5% des patients adressés par les médecins traitants avaient un courrier avec un degré moyen d'information du courrier de 7,31/10. 56.7% des patients adressés par le centre 15 avaient un courrier avec un degré moyen d'information du courrier de 6.64/10. Conclusion: Ces études montrent des résultats plutôt satisfaisant dans le bassin montpelliérain comparativement à d'autres études. Il existe cependant des paramètres à améliorer notamment la joignabilité des médecins urgentistes et le retour d'information aux médecins traitants après le passage du patient aux urgences
Download or read book La reconversion des m decins urgentistes vers la m decine g n rale dans le Languedoc Roussillon written by Hugo Krebs (médecin).) and published by . This book was released on 2016 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : La réorientation professionnelle des médecins ne fait pas exception et ces dernières années celle des urgentistes a été placée au centre des débats avec en ligne de mire la pénibilité au travail. L’objectif de notre étude était d’étudier les facteurs et motivations de la réorientation vers la médecine générale d’anciens urgentistes. Les objectifs secondaires étaient de recueillir leurs opinions sur la mise en place du DES de médecine d’urgence à l’horizon 2017 et d’évaluer les apports et limites d’une pratique préalable de la médecine d’urgence à la médecine générale. Matériel et Méthodes : Etude qualitative menée par entretiens semi-dirigés de médecins généralistes anciennement urgentistes dans le Languedoc-Roussillon, avec le support d’un guide d’entretien, et réalisés jusqu’à saturation des données. L’analyse des résultats a été thématique. Résultats : Huit entretiens ont été réalisés. Les motivations principales à la réorientation étaient d’une part les facteurs liés à la pratique de médecine d’urgence, le rythme et les conditions de travail, l’évolution de la médecine d’urgence et la peur de l’erreur médicale et d’autre part les facteurs liés à la médecine générale, la relation médecin-patient, le choix du type de pratique, la vocation, l’indépendance et l’auto-détermination. Des difficultés ont été rencontrées lors de la reconversion mais elles ont pu être surmontées par le recours à des formations, au partage d’expérience entre confrère et à un support logistique. Les opinions sur la création du DES de médecine d’urgence divergent. Malgré un apport certain en terme de formation et de reconnaissance de la filière universitaire, des craintes subsistent concernant les possibilités de réorientation. Conclusion : La création du DES de médecine d’urgence va considérablement limitée les trajectoires de réorientation telles que celles empruntées par ces anciens urgentistes. Mais les motivations présentées par ces médecins reconvertis offrent des pistes de réflexion aux instances décisionnaires concernant la démographie médicale actuelle de la médecine générale et de la médecine d’urgence
Download or read book Ecritures digitales written by Claire Clivaz and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ecritures digitales aims to demonstrate how digital writing, as new technology, contributes to the emergence of a reconfigured relationship between the human body and the machines, and how this transition influences the Jewish-Christian textual corpus referred to as "the Scriptures". Ecritures digitales souhaite démontrer de quelle manière l'écriture digitale, en tant que nouvelle technologie, contribue à l'émergence d'une relation innovante entre le corps humain et les machines, et influence le corpus textuel judéo-chrétien désigné comme «les Ecritures».
Download or read book Listening to Spoken English written by Gillian Brown and published by Routledge. This book was released on 2017-09-19 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: For those who are familiar with the first edition, it will be convenient to have some indication of where the main changes lie. Chapter one has been largely rewritten to give an outline of current approaches to a model of comprehension of spoken language. Chapter two has a new initial section but otherwise remains as it was. Chapter three incorporates a new section on "pause" and how this interacts with rhythm, and rather more on the function of stress. Chapter four has an extended initial section but otherwise remains largely as it was. Chapter five on intonation contains several sections which have been rewritten to varying extents. Chapter six of the first edition has disappeared: in 1977, very little work had been published on "fillers" and it seemed worthwhile incorporating a chapter that sat rather oddly with the phonetic/phonological interests of the rest of the book. Not that there is a great industry of descriptions of the forms and functions of these and similar phenomena there seems no reason to retain this early but admittedly primitive account. The chapter on "paralinguistic vocal features", now chapter six, has some rewriting in the early part but considerable rewriting in the last sections. The final chapter on "teaching listening comprehension" has grown greatly in length. It still incorporates some material from the original chapter but most of it is completely rewritten.
Download or read book Marxism in the Twentieth Century written by Roger Garaudy and published by HarperCollins. This book was released on 1970 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Africa from the Sixteenth to the Eighteenth Century written by Bethwell A. Ogot and published by Univ of California Press. This book was released on 1992 with total page 1088 pages. Available in PDF, EPUB and Kindle. Book excerpt: The result of years of work by scholars from all over the world, The UNESCO General History of Africa reflects how the different peoples of Africa view their civilizations and shows the historical relationships between the various parts of the continent. Historical connections with other continents demonstrate Africa's contribution to the development of human civilization. Each volume is lavishly illustrated and contains a comprehensive bibliography. This fifth volume of the acclaimed series covers the history of the continent from the beginning of the sixteenth century to the close of the eighteenth century in which two themes emerge: first, the continuing internal evolution of the states and cultures of Africa during this period second, the increasing involvement of Africa in external trade--with major but unforeseen consequences for the whole world. In North Africa, we see the Ottomans conquer Egypt. South of the Sahara, some of the larger, older states collapse, and new power bases emerge. Traditional religions continue to coexist with both Christianity (suffering setbacks) and Islam (in the ascendancy). Along the coast, particularly of West Africa, Europeans establish a trading network which, with the development of New World plantation agriculture, becomes the focus of the international slave trade. The immediate consequences of this trade for Africa are explored, and it is argued that the long-term global consequences include the foundation of the present world-economy with all its built-in inequalities.
Download or read book One Health 2nd Edition written by Jakob Zinsstag and published by CABI. This book was released on 2020-09-30 with total page 459 pages. Available in PDF, EPUB and Kindle. Book excerpt: One Health, the concept of combined veterinary and human health, has now expanded beyond emerging infectious diseases and zoonoses to incorporate a wider suite of health issues. Retaining its interdisciplinary focus which combines theory with practice, this new edition illustrates the contribution of One Health collaborations to real-world issues such as sanitation, economics, food security and vaccination programmes. It includes more non-infectious disease issues and climate change discussion alongside revised case studies and expanded methodology chapters to draw out implications for practice. Promoting an action-based, solutions-oriented approach, One Health: The Theory and Practice of Integrated Health Approaches highlights the lessons learned for both human and animal health professionals and students.
Download or read book Africa Since 1935 written by Unesco. International Scientific Committee for the Drafting of a General History of Africa and published by Univ of California Press. This book was released on 1999 with total page 1076 pages. Available in PDF, EPUB and Kindle. Book excerpt: The hardcover edition of volume 8 was published in 1994. This paperback edition is the eighth and final volume to be published in the UNESCO General History of Africa. Volume 8 examines the period from 1935 to the present, and details the role of African states in the Second World War and the rise of postwar Africa. This is one of the most important books in the entire series, and as such, it is an unabridged paperback.
Download or read book UNESCO General History of Africa Vol I Abridged Edition written by Jacqueline Ki-Zerbo and published by Univ of California Press. This book was released on 1990 with total page 372 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This volume covers the period from the end of the Neolithic era to the beginning of the seventh century of our era. This lengthy period includes the civilization of Ancient Egypt, the history of Nubia, Ethiopia, North Africa and the Sahara, as well as of the other regions of the continent and its islands."--Publisher's description
Download or read book Stuck written by Marc Sommers and published by University of Georgia Press. This book was released on 2012 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: Young people are transforming the global landscape. As the human population today is younger and more urban than ever before, prospects for achieving adulthood dwindle while urban migration soars. Devastated by genocide, hailed as a spectacular success, and critiqued for its human rights record, the Central African nation of Rwanda provides a compelling setting for grasping new challenges to the world's youth. Spotlighting failed masculinity, urban desperation, and forceful governance, Marc Sommers tells the dramatic story of young Rwandans who are “stuck,” striving against near-impossible odds to become adults. In Rwandan culture, female youth must wait, often in vain, for male youth to build a house before they can marry. Only then can male and female youth gain acceptance as adults. However, Rwanda's severe housing crisis means that most male youth are on a treadmill toward failure, unable to build their house yet having no choice but to try. What follows is too often tragic. Rural youth face a future as failed adults, while many who migrate to the capital fail to secure a stable life and turn fatalistic about contracting HIV/AIDS. Featuring insightful interviews with youth, adults, and government officials, Stuck tells the story of an ambitious, controlling government trying to govern an exceptionally young and poor population in a densely populated and rapidly urbanizing country. This pioneering book sheds new light on the struggle to come of age and suggests new pathways toward the attainment of security, development, and coexistence in Africa and beyond. Published in association with the United States Institute of Peace
Download or read book Pronunciation of the French language written by Félix Émile Darqué and published by . This book was released on 1859 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Radioactive Aerosols written by Constantin Papastefanou and published by Elsevier. This book was released on 2011-07-28 with total page 187 pages. Available in PDF, EPUB and Kindle. Book excerpt: Whenever radioactivity is released to the atmosphere, for example by the detonation of nuclear weapons or the testing of nuclear weapons or from nuclear reactor accidents that fraction of it which remains airborne for more than a few hours is liable to be attached to aerosol particles. The resulting radioactive aerosols are carried by atmospheric mixing processes until they settle out or are scavenged by precipitation. The radiation exposure pathway of maximum concern to humans is by inhalation of aerosols and their deposition in the respiratory tract. In this context, it is important to note that radioactive aerosols are commonly of natural origin alos. In particular, the associated radionuclides can be of natural terrestrial origin, such as the decay products of radon gas, or they can e cosmogenic, such as beryllium-7. The exposure of miners of uranium and other ores and minerals to radon and its aerosol-borne decay products is of major significance. The book describes the formation of aerosols, their aerodynamic size distribution, their atmospheric residence time, their sampling and measurement, the range of radioactive aerosols found and studied thus far, including man-made nuclides and radon decay products and their interaction with man, including deposition in the lung and subsequent health effects. - Advanced level science handbook for researchers, scientists and academics - Covers all aspects of radiation exposure in humans, including subsequent health implications - Presents the latest findings and analysis in this highly topical area
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 Nuclear Emergencies written by Georg Steinhauser and published by Springer Nature. This book was released on 2019-08-20 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book discusses nuclear events that may become imminent threats to the fabric of our society, and elucidates strategies for preventing these threats or mitigating their adverse effects. It addresses multidisciplinary aspects of various nuclear emergencies, including nuclear accidents, terror attacks involving nuclear materials, illicit trafficking of nuclear materials, and problems related to nuclear forensics and strikes with nuclear weapons/warheads. Very often, nuclear emergencies are only discussed within certain, specific communities. However, this volume brings together experts from various fields to provide a more holistic approach to the problem. Physical, chemical, environmental, social, and medical scientists, together with representatives from the media and authorities, present their views on and strategies for events that cause fear and anxiety among the public – an aspect that can be even more threatening than the direct health effects. The book offers a valuable guide for nuclear scientists, such as radioecologists, health physicists, radioanalytical scientists and nuclear engineers, as well as decision-makers and national/international authorities.
Download or read book In Pursuit of History written by Carolyn Keyes Adenaike and published by Heinemann Educational Publishers. This book was released on 1996 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: Paper Edition. A fascinating collection of papers on fieldwork in Africa-mostly from younger scholars who have conducted their research within the past decade.
Download or read book Local Governance in Developing Countries written by Anwar Shah and published by World Bank Publications. This book was released on 2006 with total page 492 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a new institutional economics perspective on alternative models of local governance, offering a comprehensive view of local government organization and finance in the developing world. The experiences of ten developing/transition economies are reviewed to draw lessons of general interest in strengthening responsive, responsible, and accountable local governance. The book is written in simple user friendly language to facilitate a wider readership by policy makers and practitioners in addition to students and scholars of public finance, economics and politics.
