Evaluation des motifs de recours spontanés au service d'accueil des urgences de strasbourg

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ISBN 13 :
Total Pages : 344 pages
Book Rating : 4.:/5 (819 download)

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Book Synopsis Evaluation des motifs de recours spontanés au service d'accueil des urgences de strasbourg by : Anne-Charlotte Didaux

Download or read book Evaluation des motifs de recours spontanés au service d'accueil des urgences de strasbourg written by Anne-Charlotte Didaux and published by . This book was released on 2012 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Evaluation du recours au service d'accueil des urgences par les médecins généralistes de ville et par les consultants spontanés

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ISBN 13 :
Total Pages : 112 pages
Book Rating : 4.:/5 (494 download)

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Book Synopsis Evaluation du recours au service d'accueil des urgences par les médecins généralistes de ville et par les consultants spontanés by : Julie Godement

Download or read book Evaluation du recours au service d'accueil des urgences par les médecins généralistes de ville et par les consultants spontanés written by Julie Godement and published by . This book was released on 2008 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Evaluation de la non pertinence de recours aux services d'urgence en Médecine générale

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ISBN 13 :
Total Pages : 40 pages
Book Rating : 4.:/5 (18 download)

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Book Synopsis Evaluation de la non pertinence de recours aux services d'urgence en Médecine générale by : Justin Meglinky

Download or read book Evaluation de la non pertinence de recours aux services d'urgence en Médecine générale written by Justin Meglinky and published by . This book was released on 2018 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Les services d'accueil des urgences sont saturés. L'évaluation de la pertinence de recours aux urgences en médecine générale permettrait d'identifier des situations pour lesquelles des solutions seraient envisageables en ville et ainsi de soulager les urgences. L'objectif principal est de déterminer le taux de recours non pertinent non justifié et l'objectif secondaire d'identifier les différents types de motifs. Méthode: Cette étude de cohorte monocentrique a inclus du 1er Septembre au 31 Octobre 2017 406 patients se présentant aux urgences du CH de Perpignan, avec un courrier d'un médecin généraliste, pendant les heures de permanence des soins. La pertinence a été déterminée à l'aide de la grille AEPf, ainsi que les différents motifs de recours. Résultats : 110 patients ont été identifiés non pertinents non justifiés soit 26.9% des patients adressés par un médecin généraliste et 1.9% des passages totaux sur la période. Le principal motif de recours était la demande d'un avis diagnostic ou thérapeutique à 71.8% suivi par les demandes de procédure diagnostique ou thérapeutique et les soutient psychologiques à 10% chacun et l'aide sociale à 8.2%. Conclusion : Le taux de patient adressé par un médecin généraliste de manière non pertinente non justifié, s'il ne représente pas la majorité des patients des urgences n'en est pas moins non négligeable. Le développement de lignes d'astreinte de spécialiste en ville, une meilleure visibilité des astreintes hospitalières ou des consultations spécialisées d'urgence en ville ou à l'hôpital permettrait d'en diminuer l'importance.

Les déterminants d'un recours spontané aux urgences sans avis médical préalable chez des patients relevant de la médecine générale

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ISBN 13 :
Total Pages : 50 pages
Book Rating : 4.:/5 (125 download)

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Book Synopsis Les déterminants d'un recours spontané aux urgences sans avis médical préalable chez des patients relevant de la médecine générale by : Mickael Joseph Soletchnik

Download or read book Les déterminants d'un recours spontané aux urgences sans avis médical préalable chez des patients relevant de la médecine générale written by Mickael Joseph Soletchnik and published by . This book was released on 2020 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le nombre de consultation dans les services d'accueil des urgences (SAU) hospitaliers ne cessent d'augmenter. Cette augmentation concerne principalement les consultations sans hospitalisation, relevant de prime abord de la médecine générale. L'objectif de cette étude était de comprendre pourquoi les patients relevant d'une consultation de médecine générale venaient au SAU sans avoir pris un avis médical préalablement? Les patients se présentant à des horaires d'ouverture de médecine de ville et dont le motif de venue relevait de la médecine générale ont été interrogés. Le questionnaire portait sur des données socio-économiques, leur parcours de soin et leur motif de consultation, ainsi que leurs habitudes d'utilisation des services de soins primaires. Une seconde partie du questionnaire a été rempli a postériori après analyse du degré de la classification clinique des malades des urgences (CCMU). L'analyse a porté sur 87 questionnaires remplis et analysés au cours d'entretien individuel. Les motifs rapportés par les patients étaient en premier lieu une impression de gravité de leur pathologie (20%) et le fait de ne pas avoir un accès rapide auprès de leur médecin généraliste (20%). 14% déclaraient n'avoir aucun médecin généraliste et venir aux urgences pour tout problème médical. Ces résultats sont en accords avec le fait que 60% ne connaissent aucun organisme dispensant des soins d'urgences autre que les SAU. L'analyse des dossiers montre que 51% des patients ont été classés en degré 1 de la CCMU, donc relevant simplement d'une consultation généraliste sans examen complémentaire ; et 33% en degré 2 donc nécessitant des examens complémentaires pouvant être réalisés en ville. Cette étude a permis de montrer que la majorité des patients ayant un recours spontané aux urgences sans avis médical préalable consultait de manière inappropriée. Leur prise en charge aurait pu être réalisée en ambulatoire et ne nécessitait ni SAU ni hospitalisation. Pour répondre à la demande de désengorgement des SAU, de nombreuses alternatives ont été créées (SAMI, Maison médicale de garde, téléconsultation, maisons et centres de santé pluridisciplinaires, permanence des soins) qui doivent être encore développés à l'avenir et faire l'objet d'une information des patients. Cette évolution permettrait de limiter la crise dont souffre l'hôpital public et permettrait de rendre aux urgences hospitalières sa vocation première : prendre en charge les urgences vitales.

The linguistic integration of adult migrants: from one country to another, from one language to another

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Publisher : Council of Europe
ISBN 13 : 928717962X
Total Pages : 58 pages
Book Rating : 4.2/5 (871 download)

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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.

The Human Rights Handbook

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ISBN 13 :
Total Pages : 328 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis The Human Rights Handbook by : Kathryn English

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.

Spaces and Identities in Border Regions

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Publisher : transcript Verlag
ISBN 13 : 3839426502
Total Pages : 385 pages
Book Rating : 4.8/5 (394 download)

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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.

Nature and Culture in the Democratic Republic of Congo

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ISBN 13 :
Total Pages : 172 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Nature and Culture in the Democratic Republic of Congo by :

Download or read book Nature and Culture in the Democratic Republic of Congo written by and published by . This book was released on 2004 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Geosimulation

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Publisher : John Wiley & Sons
ISBN 13 : 9780470843499
Total Pages : 320 pages
Book Rating : 4.8/5 (434 download)

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Book Synopsis Geosimulation by : Itzhak Benenson

Download or read book Geosimulation written by Itzhak Benenson and published by John Wiley & Sons. This book was released on 2004-08-20 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Geosimulation is hailed as ‘the next big thing’ in geographic modelling for urban studies. This book presents readers with an overview of this new and innovative field by introducing the spatial modelling environment and describing the latest research and development using cellular automata and multi-agent systems. Extensive case studies and working code is available from an associated website which demonstrate the technicalities of geosimulation, and provide readers with the tools to carry out their own modelling and testing. The first book to treat urban geosimulation explicitly, integrating socio-economic and environmental modelling approaches Provides the reader with a sound theoretical base in the science of geosimulation as well as applied material on the construction of geosimulation models Cross-references to an author-maintained associated website with downloadable working code for readers to apply the models presented in the book Visit the Author's Website for further information on Geosimulation, Geographic Automata Systems and Geographic Automata Software http://www.geosimulationbook.com

The Routledge Research Companion to Border Studies

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Publisher : Ashgate Publishing, Ltd.
ISBN 13 : 1409490165
Total Pages : 728 pages
Book Rating : 4.4/5 (94 download)

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Book Synopsis The Routledge Research Companion to Border Studies by : Professor Doris Wastl-Walter

Download or read book The Routledge Research Companion to Border Studies written by Professor Doris Wastl-Walter and published by Ashgate Publishing, Ltd.. This book was released on 2012-11-28 with total page 728 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive volume brings together a multidisciplinary team of leading scholars to provide an authoritative, state-of-the-art review of all aspects of borders and border research. It is global in scope and embraces the more traditional strands of the field including geopolitics, migration and territorial identities, and also recently emerging topics such as the role of borders in a seemingly borderless world; creating neighbourhoods, and border enforcement in the post-9/11 era.

Disinventing and Reconstituting Languages

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Publisher : Multilingual Matters
ISBN 13 : 1853599239
Total Pages : 266 pages
Book Rating : 4.8/5 (535 download)

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Book Synopsis Disinventing and Reconstituting Languages by : Sinfree Makoni

Download or read book Disinventing and Reconstituting Languages written by Sinfree Makoni and published by Multilingual Matters. This book was released on 2007 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book questions assumptions about the nature of language. Looking at diverse contexts from sign languages in Indonesia to literacy practices in Brazil, the authors argue that unless we change and reconstitute the ways in which languages are taught and conceptualized, language studies will not be able to improve the social welfare of language users.

Lamia Joreige

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Publisher :
ISBN 13 : 9786148035029
Total Pages : 328 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Lamia Joreige by : Patricia Falguières

Download or read book Lamia Joreige written by Patricia Falguières and published by . This book was released on 2018 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Reclaiming the Local in Language Policy and Practice

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Publisher : Routledge
ISBN 13 : 1135623511
Total Pages : 328 pages
Book Rating : 4.1/5 (356 download)

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Book Synopsis Reclaiming the Local in Language Policy and Practice by : A. Suresh Canagarajah

Download or read book Reclaiming the Local in Language Policy and Practice written by A. Suresh Canagarajah and published by Routledge. This book was released on 2005-01-15 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume inserts the place of the local in theorizing about language policies and practices in applied linguistics. It is unique in focusing specifically on the outcomes of globalization in and among the communities affected by these changes.

Managing Diversity in Education

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Publisher : Multilingual Matters
ISBN 13 : 1783090820
Total Pages : 294 pages
Book Rating : 4.7/5 (83 download)

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Book Synopsis Managing Diversity in Education by : David Little

Download or read book Managing Diversity in Education written by David Little and published by Multilingual Matters. This book was released on 2013-11-08 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diversity - social, cultural, linguistic and ethnic - poses a challenge to all educational systems. Some authorities, schools and teachers look upon it as a problem, an obstacle to the achievement of national educational goals, while for others it offers new opportunities. Successive PISA reports have laid bare the relative lack of success in addressing the needs of diverse school populations and helping children develop the competences they need to succeed in society. The book is divided into three parts that deal in turn with policy and its implications, pedagogical practice, and responses to the challenge of diversity that go beyond the language of schooling. This volume features the latest research from eight different countries, and will appeal to anyone involved in the educational integration of immigrant children and adolescents.

Writing Machines

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Publisher : MIT Press
ISBN 13 : 9780262582155
Total Pages : 148 pages
Book Rating : 4.5/5 (821 download)

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Book Synopsis Writing Machines by : N. Katherine Hayles

Download or read book Writing Machines written by N. Katherine Hayles and published by MIT Press. This book was released on 2002 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: A pseudo-autobiographical exploration of the artistic and cultural impact of the transformation of the print book to its electronic incarnations.

When Languages Die

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Publisher : Oxford University Press
ISBN 13 : 0195372069
Total Pages : 305 pages
Book Rating : 4.1/5 (953 download)

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Book Synopsis When Languages Die by : K. David Harrison

Download or read book When Languages Die written by K. David Harrison and published by Oxford University Press. This book was released on 2008 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is commonly agreed by linguists and anthropologists that the majority of languages spoken now around the globe will likely disappear within our lifetime. This text focuses on the question: what is lost when a language dies?

Vanishing Voices

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Publisher : Oxford : Oxford University Press
ISBN 13 : 0195136241
Total Pages : 254 pages
Book Rating : 4.1/5 (951 download)

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Book Synopsis Vanishing Voices by : Daniel Nettle

Download or read book Vanishing Voices written by Daniel Nettle and published by Oxford : Oxford University Press. This book was released on 2000 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nettle and Romaine paint a breathtaking landscape that shows why so many of the world's languages are disappearing-and more importantly, why it matters. - BOOK JACKET.