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Etat Des Lieux Des Consultations Spontanees Au Service Daccueil Des Urgences En 2017
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Book Synopsis Etat des lieux des consultations spontanées au Service d'Accueil des Urgences en 2017 by : Julien Sorcinelli
Download or read book Etat des lieux des consultations spontanées au Service d'Accueil des Urgences en 2017 written by Julien Sorcinelli and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectifs : Le but de notre étude était d'observer les patients se présentant de façon spontanée au sein de notre SU, c'est-à-dire sans y avoir été adressé par un médecin. L'objectif principal était d'évaluer le recours au SAU de ces patients afin de voir si leur motif de consultation était gérable en médecine de ville ou si le recours au SAU était justifié. Les objectifs secondaires étaient d'observer les heures de consultation, les motifs et le devenir de ces patients. Matériel et Méthodes : Il s'agit d'une étude épidémiologique, observationnelle, prospective et mono centrique s'étant déroulée sur toute l'année 2017 au Service d'Accueil des Urgences du CHR de Thionville. Chaque patient consultant de façon spontanée au SAU était inclus via le logiciel Résurgence selon les renseignant de l'IAO. Le médecin ayant pris en charge le patient confirmait ensuite l'inclusion et évaluait le recours. Résultats : 11798 patients ont pu être inclus dans cette étude soit 31% des patients ayant consulté au SU de Thionville en 2017. On y retrouvait un sexe ratio Homme-Femme à 1.18. La moyenne d'âge était de 41.6 ans avec un écart type de 12 ans. La majorité des patients (55.9%) consultaient pour un motif médical, 41.6% d'entre eux consultaient pour un motif traumatologique et 2.5% consultaient pour motif psychiatrique. Parmi les patients de notre effectif, 50.2 % consultaient pour des motifs estimés comme gérables en médecine de ville. Enfin, 11% de notre effectif a été hospitalisé. Conclusion : Les patients s'étant présentés de façon spontanée au service d'accueil des urgences de Thionville auraient pu, dans la majorité des cas, avoir eu recours à leur médecin traitant ou à la permanence des soins. Cependant, nombre de ces patients ne relevaient pas d'une simple consultation et nécessitaient des soins parfois spécialisés ainsi qu'une hospitalisation pour un nombre non négligeable d'entre eux. Il est donc nécessaire de porter attention à chaque patient quel que soit son motif de consultation. Par ailleurs, une amélioration du système de permanence des soins de santé ambulatoire permettrait de réduire le nombre de consultations au sein des SU et de réduire les temps de passage.
Book Synopsis État des lieux de la coordination entre les services d'accueil des urgences et les médecins généralistes de la zone Centre-Manche (Saint-Lô et Coutances) et perspectives d'amélioration by : Cécile Carville
Download or read book État des lieux de la coordination entre les services d'accueil des urgences et les médecins généralistes de la zone Centre-Manche (Saint-Lô et Coutances) et perspectives d'amélioration written by Cécile Carville and published by . This book was released on 2020 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : la coordination entre médecins généralistes (MG) et urgentistes est primordiale pour garantir la continuité et la qualité des soins lors d'une consultation aux urgences même lorsqu'elle n'est pas suivie d'une hospitalisation. L'objectif de notre étude était de dresser un état des lieux de la communication entre les MG et les urgentistes de la zone Centre-Manche et d'en extraire des perspectives d'amélioration. Matériel et méthode : nous avons réalisé une étude observationnelle descriptive bi-centrique (CH Saint-Lô et Coutances), composée de deux parties : - Un questionnaire afin d'étudier les modalités d'adressage du patient aux urgences par son MG, - Puis, un entretien avec ces mêmes MG afin de déterminer les retours qu'ils ont eu de cette consultation aux urgences. Résultats : pour 91,17% des patients adressés par leur MG, les urgences ont bénéficié d'informations de la part de celui-ci, avec comme mode de transmission privilégié le courrier papier (88,71%). Les MG ont eu un retour d'information de la part des urgences dans 55,55% des cas, sous un délai
Book Synopsis Étude des motifs de consultation spontanée aux Urgences de La Roche-sur-Yon by : Alexandre Yver
Download or read book Étude des motifs de consultation spontanée 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.
Book Synopsis Etat des lieux des recours et devenir des patients pris en charge aux urgences by : Morgane Le Ho
Download or read book Etat des lieux des recours et devenir des patients pris en charge aux urgences written by Morgane Le Ho and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : Le phénomène d'engorgement des urgences constitue un enjeu de santé publique. Le nombre de consultations a doublé en 20 ans et cette hausse semble parallèle à la multiplication des « consultations non programmées ». L'objectif de cette étude était de décrire le parcours de soins et le devenir des patients pris en charge aux urgences afin de proposer des solutions pour que perdure notre système de soins. Méthode : Nous avons réalisé une étude observationnelle, prospective, monocentrique aux urgences du centre hospitalier de Brive la Gaillarde entre le 1 et le 7 octobre 2021. Résultats : Les données ont été analysées pour 71% des personnes ayant consulté. La classe d'âge la plus représentée concernait les moins de 30 ans. La majorité des patients sont venus par leurs propres moyens, sans avis médical préalable pour une urgence ressentie. 80% étaient suivis par un médecin traitant. Moins de 15% des consultations spontanées faisaient suite à l'indisponibilité du médecin généraliste. Les patients ont consulté plutôt pendant les horaires d'ouverture des cabinets médicaux entre 8h et 20h. 70% ont bénéficié d'examens complémentaires et 30% ont été hospitalises. 80% des hospitalisés ont été adressés par le 15 ou leur médecin traitant. Conclusion : Le renforcement de l'éducation des patients concernant le parcours de soins coordonnés et la mise en place d'une organisation spécifique dédiée à la prise en charge des soins non programmés font partie des solutions à envisager.
Book Synopsis Global Burden of Disease and Risk Factors by : Alan D. Lopez
Download or read book Global Burden of Disease and Risk Factors written by Alan D. Lopez and published by World Bank Publications. This book was released on 2006-04-02 with total page 511 pages. Available in PDF, EPUB and Kindle. Book excerpt: Strategic health planning, the cornerstone of initiatives designed to achieve health improvement goals around the world, requires an understanding of the comparative burden of diseases and injuries, their corresponding risk factors and the likely effects of invervention options. The Global Burden of Disease framework, originally published in 1990, has been widely adopted as the preferred method for health accounting and has become the standard to guide the setting of health research priorities. This publication sets out an updated assessment of the situation, with an analysis of trends observed since 1990 and a chapter on the sensitivity of GBD estimates to various sources of uncertainty in methods and data.
Book Synopsis The linguistic integration of adult migrants: from one country to another, from one language to another by : Council of Europe
Download or read book The linguistic integration of adult migrants: from one country to another, from one language to another written by Council of Europe and published by Council of Europe. This book was released on 2014-01-01 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: The linguistic integration of migrants affects every aspect of settling in a new country (employment, health, etc.). The aim of this collection of texts is to propose a number of specific measures member states can take to help adult migrants become acquainted with the language of the host country. The main focus is on organising language courses that meet migrants’ real communication needs. It is not enough for authorities simply to consider the technical aspects of such courses, they should also design and conduct them in accordance with the fundamental values of the Council of Europe. A number of issues concerning the linguistic integration of adult migrants are presented here, beginning with the notion of linguistic integration itself. Family reunion, the nature of citizenship and the function of language tests, among others, are dealt with from the point of view of language and language use. Readers are invited to reflect on the type of language competences that need to be acquired as well as an appropriate use of the Common European Framework of Reference for Languages. The collection also sets out approaches and instruments designed to assist in implementing effective policies.
Book Synopsis Office Emergencies by : Marjorie A. Bowman
Download or read book Office Emergencies written by Marjorie A. Bowman and published by . This book was released on 2003 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt: Inside, you'll find practical information on how to handle the most common emergencies that present in primary care offices and urgent care centers -- whether in person or over the telephone.
Book Synopsis Monitoring soils in the environment with remote sensing and gis by : Richard Escadafal
Download or read book Monitoring soils in the environment with remote sensing and gis written by Richard Escadafal and published by IRD Orstom. This book was released on 1996 with total page 674 pages. Available in PDF, EPUB and Kindle. Book excerpt: ISSS congress remote sensing
Download or read book Glaucoma written by Graham E. Trope and published by University of Toronto Press. This book was released on 2001-01-01 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential information about glaucoma and its treatment is presented here in a simple question and answer format to allow patients to participate actively in the decision-making process along the road to successful maintenance of their vision.
Book Synopsis The Interesting History of Income Tax by : William J. Federer
Download or read book The Interesting History of Income Tax written by William J. Federer and published by Amerisearch, Inc.. This book was released on 2004 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Interesting History of Income Tax William J. Federer "The only things certain are death and taxes" - Benjamin Franklin Yet few know America's interesting history of Income Tax, such as: *1787 - U.S. Constitution prohibited a "direct" Federal tax *1862 - "Revenue Tax" on incomes went into effect to finance the Union during the Civil War *1895 - Supreme Court made Income Tax unconstitutional *Woodrow Wilson thought tariffs on imports caused wars, so he worked to replace them with an Income Tax. *1913 - Income Tax was only a 1% tax on the top 1% richest people in America. *1943 - Paycheck Withholding began as an emergency effort to get funds to finance WWII. John F. Kennedy - "Lower rates of taxation will stimulate economic activity and so raise the levels of personal and corporate income as to yield within a few years an increased flow of revenues to the Federal Government." (Annual Budget Message, Jan. 17, 1963) Thomas Jefferson - "It is an encouragement to proceed as we have begun in substituting economy for taxation" (2nd Annual Message, 1802) (176 pages, includes pictures)
Book Synopsis Adams and Victor's Principles of Neurology 10th Edition by : Allan H. Ropper
Download or read book Adams and Victor's Principles of Neurology 10th Edition written by Allan H. Ropper and published by McGraw Hill Professional. This book was released on 2014-05-25 with total page 1669 pages. Available in PDF, EPUB and Kindle. Book excerpt: The gold-standard text that has defined neurology – updated for today’s practice in full color The definitive text on the full-spectrum of neurology for decades, Adams and Victor's provides the treatment and management strategies needed to confidently handle both common and rare neurologic conditions. Written in a clear, consistent tone, this classic resource will meet the needs of the seasoned professional or the aspiring clinician. Written from the perspective of the general neurologist, Adams and Victor's has been hailed as the most detailed, thorough, and authoritative text available on the subject. Adams and Victor's Principles of Neurology, Tenth Edition describes the various categories of neurologic disease and the main diseases that constitute each. Each subject is introduced by a detailed discussion of the symptoms and signs of disordered nervous function, their anatomic and physiologic bases, and their clinical implications. Adams and Victor's Principles of Neurology is logically divided into six parts: The Clinical Method of Neurology Cardinal Manifestations of Neurologic Disease Growth and Development of the Nervous System in the Neurology of Aging Major Categories of Neurologic Disease Diseases of the Spinal Cord, Peripheral Nerve, and Muscle Psychiatric Disorders The Tenth Edition is highlighted by the welcome addition of full-color photographs, expanded coverage of important subspecialties, and an increased number of tables and figures. Edition after edition, Adams and Victor's has stayed true to its original mission: to provide a well-written, readable text emphasizing a disciplined presentation of clinical data and lucid descriptions of underlying disease processes.
Download or read book Pediatric AIDS written by Philip A. Pizzo and published by Lippincott Williams & Wilkins. This book was released on 1998 with total page 849 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recommended in the Brandon/Hill selected list of print books and journals for the small medical library - April 2001 & 2003 The Third Edition of this very popular book offers the most authoritative and comprehensive review of the impact of the HIV disease in infants, children, and adolescents.
Book Synopsis Plum and Posner's Diagnosis and Treatment of Stupor and Coma by : Jerome B. Posner
Download or read book Plum and Posner's Diagnosis and Treatment of Stupor and Coma written by Jerome B. Posner and published by Contemporary Neurology. This book was released on 2019 with total page 521 pages. Available in PDF, EPUB and Kindle. Book excerpt: Plum and Posner's Diagnosis and Treatment of Stupor and Coma, 5th edition, is a major update of the classic work on diagnosing the cause of coma, with the addition of completely new sections on treatment of comatose patients, by Dr. Jan Claassen, the Director of the Neuro-ICU at Columbia New York Presbyterian Hospital. The first chapter of the book provides an up-to-date review on the brain mechanisms that maintain a conscious state in humans, and how lesions that damage these mechanisms cause loss of consciousness or coma. The second chapter reviews the neurological examination of the comatose patient, which provides the basis for determining whether the patient is suffering from a structural brain injury causing the coma, or from a metabolic disorder of consciousness. The third and fourth chapters review the pathophysiology of structural lesions causing coma, and the specific disease states that result in coma. Chapter five is a comprehensive treatment of the many causes of metabolic coma. Chapter 6 review psychiatric causes of unresponsiveness and how to identify and treat them. Chapters 7 and 8 review the overall emergency treatment of comatose patients, followed by the treatment of specific causes of coma. Chapter 9 examines the long term outcomes of coma, including the minimally conscious state and the persistent vegetative state, and how they can be distinguished, and their implications for eventual useful recovery. Chapter 10 reviews the topic of brain death and the standards for examination of a patient that are required to make the determination of brain death. The final chapter 11 is by J.J. Fins, a medical ethicist who was invited by the other authors to write an essay on the ethics of diagnosis and treatment of patients who, by definition, have no way to approve of or communicate about their wishes. While providing detailed background for neurological and neurosurgical specialists, the practical nature of the material in this book has found its greatest use among Internists, Emergency Medicine, and Intensive Care specialists, who deal with comatose patients frequently, but who may not have had extensive neurological training.
Book Synopsis Standards for Sexuality Education in Europe : a framework for policy makers, educational and health authorities and specialists by : Bundeszentrale für Gesundheitliche Aufklärung
Download or read book Standards for Sexuality Education in Europe : a framework for policy makers, educational and health authorities and specialists written by Bundeszentrale für Gesundheitliche Aufklärung and published by . This book was released on 2010 with total page 63 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Germ Code written by Jason Tetro and published by Doubleday Canada. This book was released on 2013-11-05 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the dawn of the human race, germs have been making us sick. Whether the ailment is a cold, the flu, diabetes, obesity or certain cancers, the likely cause is germs. Our ancient enemies have four families - bacteria, viruses, fungi, and protozoa - and many names: Ebola, E. coli, salmonella, norovirus, gonorrhea. . . Human beings are engaged in a "war on germs," in which we develop ever-more sophisticated weapons and defensive strategies. But it is a war we can never win. Our best plan for staying as healthy is to choose our battles carefully, and try to co-exist with germs as best we can. The Germ Code is a wise, witty and wonderfully readable guide to our relationship with these infinitesimal but infinitely powerful creatures. Microbiologist Jason Tetro takes us outside the lab and shows the enormous influence of germs upon humanity's past, present and future. He unlocks the mysteries of "the germ code" to reveal how these organisms have exploited our every activity and colonized every corner of the earth. From his own research and personal experience, Tetro relates how the most recent flu pandemic happened, how others may have been averted and how more may come about if we aren't careful. He also explains that not every germ is our foe, and offers advice on harnessing the power of good germs to stay healthy and make our planet a better place. The Germ Code is a fascinating journey through an unseen world, an essential manual to living in harmony with germs and a life-enhancing (as well as life-saving!) good read.
Book Synopsis Spaces and Identities in Border Regions by : Christian Wille
Download or read book Spaces and Identities in Border Regions written by Christian Wille and published by transcript Verlag. This book was released on 2015-11-30 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: Spatial and identity research operates with differentiations and relations. These are particularly useful heuristic tools when examining border regions where social and geopolitical demarcations diverge. Applying this approach, the authors of this volume investigate spatial and identity constructions in cross-border contexts as they appear in everyday, institutional and media practices. The results are discussed with a keen eye for obliquely aligned spaces and identities and relinked to governmental issues of normalization and subjectivation. The studies base upon empirical surveys conducted in Germany, France, Belgium and Luxembourg.
Book Synopsis Clean Hands Save Lives by : Thierry Crouzet
Download or read book Clean Hands Save Lives written by Thierry Crouzet and published by Thaulk. This book was released on 2014-04-28 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: You may not know it, but an innovation has made our world a better place. The use of alcohol-based handrubs protects us from infectious diseases and saves millions of lives each year through safer health care. Here is the story of this revolutionary formulation, made available without patent and offered as a gift to humanity by Professor Didier Pittet and his team at Hôpitaux Universitaires de Genève (HUG). From bush doctors to giant pharmaceutical corporations, everyone can now produce effective handrubs, cheaply and easily. Didier Pittet’s medical odyssey has taken him to the four corners of the Earth. It also reveals a new path open to human society, one that pro- mises a radical shift from a predatory economic system to an economy of peace. Thierry Crouzet — blogger, essay writer, and novelist — is fascinated by contemporary issues located at the nexus of technology, politics, and lite- rature. A former journalist, his published works in French include Le Peuple des connecteurs [The Connected People], a reflection on our networked society; J’ai débranché [How I Unplugged], a tale of digital burnout; and La Quatrième Théorie [The Fourth Theory], a political techno-thriller.
