Hospitalisation après un passage dans une Structure d'Urgences

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Publisher :
ISBN 13 :
Total Pages : 112 pages
Book Rating : 4.:/5 (8 download)

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Book Synopsis Hospitalisation après un passage dans une Structure d'Urgences by : Sarah Kdouh

Download or read book Hospitalisation après un passage dans une Structure d'Urgences written by Sarah Kdouh and published by . This book was released on 2011 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: INTRODUCTION : Devant le nombre croissant d'admissions dans les structures d'Urgences, le personnel soignant peut rencontrer des difficultés à gérer ce flux. La problématique f(engorgement résulte de difficultés rencontrées en amont de l'hôpital et en aval des urgences. Les conséquences pour les patients, pour les professionnels de santé et pour l'économie de santé publique sont non négligeables. Afin de tenter de réduire ce flux, l'objectif de cette thèse est d'analyser les admissions inappropriées aux Urgences du CHR Felix Guyon eet d'étudier l'intérêt et la possibilité d'optimiser la filière d'hospitalisation directe. MATERIEL ET METHODES : Nous avons entrepris une étude rétrospective observationnelle descriptive sur 2 mois, incluant 88 patients adressés par leur médecin traitant aux Urgences puis hospitalisés dans les services de Médecine à des horaires compatibles avec une entrée directe. Les dossiers des patients ont d'abord été analysés d'après les critères de sévérité clinique de la grille AEPf (Apprpriateness Evaluation Protocol français) puis ont été expertisés par 3 médecins afin de juger de la justification ou non de l'admission aux Urgences avant 'hospitalisation. RESULTATS : Après analyse des dossiers par la grille AEPf, 61 % des passages aux Urgences sont considérés comme non pertinents car ne répondant pas aux critères de sévérité clinique. L'expertise des dossiers a révélé que 39 % des 88 patients auraient pu être admis directement dans un service de Médecine sans préjudice pour leur prise en charge. CONCLUSION : Les admissions inappropriées aux Urgences sont nombreuses mais il existe des possibilités afin de réduire les passages non pertinents dont l'optimisation de la filière d'hospitalisation directe au CHR F.G. Pour tenter de résoudre cette problématique, nous proposons de mettre en place une assistance téléphonique dans les services de Médecine ; les médecins généralistes pourront avoir directement un sénior au téléphone pour avoir un avis spécialisé ou programmer une hospitalisation.

Safer Childbirth?

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Publisher :
ISBN 13 : 9781853434266
Total Pages : 0 pages
Book Rating : 4.4/5 (342 download)

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Book Synopsis Safer Childbirth? by : Marjorie Tew

Download or read book Safer Childbirth? written by Marjorie Tew and published by . This book was released on 1998 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the text's first edition, Marjorie Tew showed through her painstaking statistical analysis of perinatal mortality rates for hospital and home, that for some women hospital birth might actually be more dangerous than home birth. These findings and further compelling evidence gathered by the House of Commons Health Committee in 1992 should have revolutionized the direction of maternity care. This third edition considers the evidence on which the recommended changes in policy were made and the implications of implementing them.

Fiscal Space for Health in Latin America and the Caribbean

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Publisher : Pan American Health Organization
ISBN 13 : 9789275220009
Total Pages : 128 pages
Book Rating : 4.2/5 (2 download)

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Book Synopsis Fiscal Space for Health in Latin America and the Caribbean by : Pan American Pan American Health Organization

Download or read book Fiscal Space for Health in Latin America and the Caribbean written by Pan American Pan American Health Organization and published by Pan American Health Organization. This book was released on 2020-06-30 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: Countries that have made the most progress toward universal coverage have public expenditures in health equivalent to at least 6% of their gross domestic product (GDP), which is the percentage established in PAHO's universal health strategy as the benchmark for the countries. However, while higher expenditure is a prerequisite, it is not enough to combat inequities and advance toward universal health. In addition to greater resources, the quality of the expenditure must be improved, reducing health system inefficiencies. Moreover, public expenditure in health should be sustainably increased in a fiscally responsible manner. The concept of fiscal space for health refers to the ability of governments to provide additional budgetary resources for the health system without affecting the financial position of the public sector or supplanting other socially necessary expenditures. Any analysis of fiscal space, therefore, will attempt to identify the prospects for increasing health expenditure in the short and medium term to address a series of clearly established health needs. These efforts are under way at a critical time in the Region of the Americas, particularly in the countries of Latin America and the Caribbean, which are engaged in a singular health system reform process. For the first time in history, these countries have formalized their intention of increasing public expenditure in health, putting themselves firmly on the path to real and effective access to health care through the universal health strategy. Without achieving basic well-being at this level, it will be impossible to improve social cohesion and social development in the countries of the Region. This publication brings together and summarizes PAHO's studies on fiscal space for universal health in the Americas and draws on the contributions of the regional forum held in Washington, D.C. on 7-8 December 2015. With this publication, whose target audience is the technical personnel responsible for policy development, decision-makers, and authorities, PAHO hopes to contribute to the analysis and discussion of health financing policies on the path toward universal health.

Risk

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Publisher : Psychology Press
ISBN 13 : 0415183340
Total Pages : 201 pages
Book Rating : 4.4/5 (151 download)

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Book Synopsis Risk by : Deborah Lupton

Download or read book Risk written by Deborah Lupton and published by Psychology Press. This book was released on 1999 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this lively and engaging introduction to one of today's major sociocultural concepts, Deborah Lupton examines why risk has come to such prominence recently.

The NHS Improvement Plan

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Publisher : The Stationery Office
ISBN 13 : 9780101626828
Total Pages : 94 pages
Book Rating : 4.6/5 (268 download)

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Book Synopsis The NHS Improvement Plan by : Great Britain. Department of Health

Download or read book The NHS Improvement Plan written by Great Britain. Department of Health and published by The Stationery Office. This book was released on 2004 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt: This document sets out the priorities for the NHS up to 2008 based on the process of reform set out in the NHS Plan (Cm. 4818-I ISBN 0101481829). It is in three sections. The first 'Laying the foundations' looks at the progress so far in NHS reform. The second section 'Offering a better service' sets out the objectives of the policy under the headings of personalised care, supporting people with long-term conditions, and a healthier and fitter population. One of the aims is to change the NHS from a sickness service to a service that gives a higher priority to the prevention of disease and a reduction of health inequalities. The third section is called 'Making it happen' and it covers investment and diversity of provision, staff and working practices and information systems.

The Ladybird Illustrated

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Publisher :
ISBN 13 :
Total Pages : 100 pages
Book Rating : 4.5/5 (61 download)

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Book Synopsis The Ladybird Illustrated by : D H Lawrence

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."

Notes on the Minor Prophets

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Publisher :
ISBN 13 :
Total Pages : 464 pages
Book Rating : 4.:/5 (54 download)

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Book Synopsis Notes on the Minor Prophets by : Henry Allan Ironside

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:

Midwifery and the Medicalization of Childbirth

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Publisher : Nova Publishers
ISBN 13 : 9781594540318
Total Pages : 416 pages
Book Rating : 4.5/5 (43 download)

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Book Synopsis Midwifery and the Medicalization of Childbirth by : Edwin R. Van Teijlingen

Download or read book Midwifery and the Medicalization of Childbirth written by Edwin R. Van Teijlingen and published by Nova Publishers. This book was released on 2004 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides an introduction to the sociological study of midwifery. The readings have been selected to highlight the interplay between midwifery and medicine, reflecting the medicalization of childbirth. It highlights the major themes in both a historical and a current context, as well as western and non-western societies. Two major themes underlie the organization of this book: that the conception of midwifery must be broadened to encompass a sociological perspective; and that the ongoing trend toward the medicalization of midwifery is crucial to an understanding of the historical, current, and future status of midwifery. By medicalization of childbirth and midwifery the author mean the increasing tendency for women to prefer a hospital delivery to a home delivery, the increasing trend toward the use of technology and clinical intervention in childbirth, and the determination of medical practitioners to confine the role played by midwives in pregnancy and childbirth, if any, to a purely subordinate one.

Health for all Children

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Publisher : OUP Oxford
ISBN 13 : 0191015628
Total Pages : 423 pages
Book Rating : 4.1/5 (91 download)

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Book Synopsis Health for all Children by : David M B Hall

Download or read book Health for all Children written by David M B Hall and published by OUP Oxford. This book was released on 2006-09-07 with total page 423 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since publication of the fourth edition of this highly successful book, there have been a number of Government initiatives, reports and policies on how the health of children can best be protected and promoted. This revised fourth edition incorporates recent material on the National Service Framework, 'Every Child Matters', the public health report 'Choosing Health', and the Children Act. It has also been informed by new research on a variety of topics including Sure Start, obesity, Sudden Infant Death Syndrome (SIDS) and language acquisition. Health for all Children 4/e (revised) continues the themes of previous editions, in particular highlighting the growing evidence that behavioural problems and educational failure are not inevitable, and can be prevented. Thus the role of screening for developmental problems, while not ignored, is set in the context of what can be done to promote language development, reading, and enthusiasm for learning. Changes made to the fourth edition, and continued in this revised edition, include dealing with the health care needs of children of school age as well as pre-school children. It also outlines the needs of special groups of children, including those who are vulnerable or disabled and those living in unusual circumstances. The legislative framework is outlined and hallmarks of good practice described. Promoting children's health is a key focus, with updated information on nutrition and injury prevention, and emphasis on the importance of parent education and support, language, and literacy skills, with a review of behavioural management programmes for parents. It also describes the duties laid on PCTs with regard to education and social services support. This established and successful book continues to be essential reading for all health professionals who work with children, whether in the community or at the receiving end of referrals. It will also provide vital background knowledge for those charged with the responsibility of planning, commissioning and monitoring. This revised fourth edition provides the most up to date evidence in a rapidly changing field.

Ordo Dracul

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Publisher : White Wolf Publishing
ISBN 13 : 9781588462572
Total Pages : 0 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Ordo Dracul by : Will Hindmarch

Download or read book Ordo Dracul written by Will Hindmarch and published by White Wolf Publishing. This book was released on 2005 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Providing settings, antagonists, and story seeds for Storytellers, this new covenant guide is designed for use with the "World of Darkness( Rulebook" and "Vampire: The Requiem." Suggested for mature readers.

Guide to Glorantha

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Publisher :
ISBN 13 : 9780977785377
Total Pages : pages
Book Rating : 4.7/5 (853 download)

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Book Synopsis Guide to Glorantha by : Greg Stafford

Download or read book Guide to Glorantha written by Greg Stafford and published by . This book was released on 2014-06-15 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Pathfinder Player Companion

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Publisher :
ISBN 13 : 9781601259363
Total Pages : 0 pages
Book Rating : 4.2/5 (593 download)

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Book Synopsis Pathfinder Player Companion by : Paizo

Download or read book Pathfinder Player Companion written by Paizo and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Light shines brightest in the darkest night! From the impossible depths of the earth crawl horrible foes, but bold heroes rise to face them. Join these champions' ranks with Pathfinder Player Companion: Heroes of the Darklands. This player-friendly chronicle of the Pathfinder world's underground realms explores the distinct regions of the Darklands, preparing characters for their descent into the endless night. Incredible powers array themselves as a host of new character options, including new archetypes, feats, spells, magic items, and more--many perfect for high-level play. The Darklands may be deadly, but they're not a death sentence for those who prepare. Make Pathfinder Player Companion: Heroes of the Darklands your guide to surviving the deadliest depths.

The Governor's Dilemma

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Publisher : Oxford University Press
ISBN 13 : 0192597248
Total Pages : 418 pages
Book Rating : 4.1/5 (925 download)

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Book Synopsis The Governor's Dilemma by : Kenneth W. Abbott

Download or read book The Governor's Dilemma written by Kenneth W. Abbott and published by Oxford University Press. This book was released on 2020-02-27 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Governor's Dilemma develops a general theory of indirect governance based on the tradeoff between governor control and intermediary competence; the empirical chapters apply that theory to a diverse range of cases encompassing both international relations and comparative politics. The theoretical framework paper starts from the observation that virtually all governance is indirect, carried out through intermediaries. But governors in indirect governance relationships face a dilemma: competent intermediaries gain power from the competencies they contribute, making them difficult to control, while efforts to control intermediary behavor limit important intermediary competencies, including expertise, credibility, and legitimacy. Thus, governors can obtain either high intermediary competence or strong control, but not both. This competence-control tradeoff is a common condition of indirect governance, whether governors are domestic or international, public or private, democratic or authoritarian; and whether governance addresses economic, security, or social issues. The empirical chapters analyze the operation and implications of the governor's dilemma in cases involving the governance of violence (e.g., secret police, support for foreign rebel groups, private security companies), the governance of markets (e.g., the Euro crisis, capital markets, EU regulation, the G20), and cross-cutting governance issues (colonial empires, "Trump's Dilemma"). Competence-control theory helps explain many features of governance that other theories cannot: why indirect governance is not limited to principal-agent delegation, but takes multiple forms; why governors create seemingly counter-productive intermediary relationships; and why indirect governance is frequently unstable over time.

Libreté

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Publisher :
ISBN 13 : 9781735605609
Total Pages : pages
Book Rating : 4.6/5 (56 download)

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Book Synopsis Libreté by : Vivien Féasson Féasson

Download or read book Libreté written by Vivien Féasson Féasson and published by . This book was released on 2020-08-12 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: A tabletop role-playing game of children trying to survive in a world without adults.

Pathfinder Player Companion

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Publisher :
ISBN 13 : 9781601259417
Total Pages : 0 pages
Book Rating : 4.2/5 (594 download)

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Book Synopsis Pathfinder Player Companion by : Paizo Publishing

Download or read book Pathfinder Player Companion written by Paizo Publishing and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: All the trickery and wild power of the fey are yours to command with Pathfinder Player Companion: Legacy of the First World. Let the wilderness inspire your heroes with a spectrum of new ways to play fey-touched characters, along with new powers for classes seeking to strengthen their bonds to nature. Choose whether you draw your might from the vibrant liveliness of the land, the brutality of vicious beasts, or even faith in the fey realm's inscrutable masters, the Eldest. With a host of new archetypes, feats, magic items, spells, and other fey-inspired character options, Pathfinder Player Companion: Legacy of the First World is your gateway to all the secrets and savagery of nature's wildest denizens!

One Ring Bree

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Publisher :
ISBN 13 : 9780857443182
Total Pages : 111 pages
Book Rating : 4.4/5 (431 download)

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Book Synopsis One Ring Bree by : Cubicle 7

Download or read book One Ring Bree written by Cubicle 7 and published by . This book was released on 2017-11-15 with total page 111 pages. Available in PDF, EPUB and Kindle. Book excerpt: Welcome to Bree and The Inn of the Prancing Pony!

Adventures in Middle Earth Wilderland Ad

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Publisher : Cubicle 7 Entertainment
ISBN 13 : 9780857443199
Total Pages : 159 pages
Book Rating : 4.4/5 (431 download)

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Book Synopsis Adventures in Middle Earth Wilderland Ad by : Cubicle 7

Download or read book Adventures in Middle Earth Wilderland Ad written by Cubicle 7 and published by Cubicle 7 Entertainment. This book was released on 2017-08-23 with total page 159 pages. Available in PDF, EPUB and Kindle. Book excerpt: There Are No Safe Paths In This Part Of The World. Remember You Are Over The Edge Of The Wild Now, And In For All Sorts Of Fun Wherever You Go. Wilderland Adventures Contains Seven Ready-To-Play Adventures For The 5E Ogl-Compatible Adventures In Middle-Earth Complete Scenarios That Can Be Played Separately, Or As An Epic Campaign.