Recherche de critères associés à la qualité de vie du médecin généraliste

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (136 download)

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Book Synopsis Recherche de critères associés à la qualité de vie du médecin généraliste by : Benjamin Danel

Download or read book Recherche de critères associés à la qualité de vie du médecin généraliste written by Benjamin Danel and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : Notre société attache un intérêt grandissant à la qualité de vie. Les médecins généralistes déjà installés anticipent leur départ, voire changent complètement d’orientation professionnelle à la recherche d’une meilleure qualité de vie. Les jeunes médecins généralistes retardent de plus en plus leur installation de peur d’une mauvaise qualité de vie. Question : Quels sont les critères influençant la qualité de vie des médecins généralistes ? Hypothèse : La quantité de travail importante altère la qualité de vie globale. Matériel et méthodes : Etude transversale basée sur la distribution de 208 questionnaires lors d’une formation de médecine générale. Ils comptaient 35 questions fermées (5 échelles visuelles analogiques (E.V.A), 20 questions de profil et 10 questions de ressenti). Les critères d’inclusion étaient : exercice de la médecine générale, en libéral et installé. Les variables ont été analysées et des tests de corrélation effectués (Kruskall-Wallis et Spearman). Résultats : 94 questionnaires ont été récupérés et 82 inclus. Notre population était composée de 58,5% d’hommes, elle était âgée en moyenne de 48,8 ans, elle avait une activité mixte dans 10% des cas. La moyenne de la qualité de vie globale était de 6,54/10. La meilleure qualité de vie était la familiale (6,79) et la moins bonne la professionnelle (6,53). Dans les critères liés au profil, la qualité de vie globale augmentait en même temps que le nombre de gardes, et avec la pratique d’une activité dérivative. Concernant ceux liés au ressenti, ce sont la pénibilité du travail et la sensation de ne pas être présent pour ses proches qui influençaient le plus la qualité de vie globale. A noter que dans notre échantillon les médecins avaient la sensation de trop travailler (70%) mais cette quantité de travail n’était pas corrélée à la qualité de vie. Soulignons que 9% des médecins déclaraient n’avoir « plutôt pas » une bonne image d’eux même et que 10% ne se sentaient pas en sécurité au travail. Par ailleurs 94% des médecins interrogés se plaignaient de trop de charges économiques. Cependant, les médecins se sentaient utiles à leurs patients à 98% et pensaient bien s’entendre avec eux à 98% également. Conclusion : Plusieurs critères sont liés à la qualité de vie globale. Les seuls modifiables directement par le médecin généraliste sont la pratique d’activités dérivatives et le nombre de gardes. Les autres critères ne dépendent pas que du médecin et sont donc plus difficiles à améliorer.

Caractéristiques socioprofessionnelles associées à la qualité de vie des médecins généralistes de la région PACA

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ISBN 13 :
Total Pages : 296 pages
Book Rating : 4.:/5 (8 download)

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Book Synopsis Caractéristiques socioprofessionnelles associées à la qualité de vie des médecins généralistes de la région PACA by : Solena Le Pelleter

Download or read book Caractéristiques socioprofessionnelles associées à la qualité de vie des médecins généralistes de la région PACA written by Solena Le Pelleter and published by . This book was released on 2011 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: La qualité de vie est une notion multifactorielle qui a d’abord été évaluée grâce à des questionnaires standardisés, pour des populations de malades. Elle est devenue un objectif individuel dans la population générale. Les différences de ressentis des médecins généralistes installés et la désaffection des jeunes médecins généralistes pour l’installation en libéral, nous ont conduit à chercher les caractéristiques sociales et professionnelles qui sont associées à la qualité de vie des médecins généralistes. Les objectifs secondaires étaient d’établir des modes de pratiques professionnelles et des propositions afin d’améliorer la qualité de vie des médecins généralistes, et d’établir les caractéristiques plus fréquemment associées aux médecins en difficulté pour permettre un dépistage plus efficace. Matériel et méthodes : Nous avons envoyé un questionnaire à 764 médecins généralistes de la région PACA, à l’exclusion des médecins dont l’activité principale est l’homéopathie, l’acupuncture, la phytothérapie, ou la médecine thermale. Ce questionnaire comportait entre autres les Coop/Wonca Charts, test permettant d’évaluer le statut fonctionnel (santé, émotionnel, relationnel, activités quotidiennes), y compris dans la population générale. Le statut fonctionnel définit en partie la qualité de vie. Il a été complété par d’autres variables de la qualité de vie plus adaptées aux médecins généralistes. Grâce aux 222 questionnaires renvoyés exploitables, nous avons pu mettre en évidence par analyses univariées et multivariées, des facteurs sociaux ou professionnels liés à la qualité de vie. Ces résultats ont également été comparés à d’autres études. Résultats : Le fait d’être une femme est plus à risque de perturbation émotionnelle, de difficultés à réaliser les activités quotidiennes et de limitation dans les activités sociales. Exercer depuis plus longtemps en libéral est également lié à une plus grande difficulté à réaliser les activités quotidiennes. Le fait de s’être surinvesti lors des stages étudiants est plus à risque d’être perturbé émotionnellement. La charge de travail est tantôt négative et tantôt positive vis-à-vis de la qualité de vie. Faire moins d’actes par semaine (en moyenne 70.9) est associé à une plus grande perturbation émotionnelle. Travailler plus d’heures par semaine est associé à une plus grande insatisfaction de la relation avec les médecins hospitaliers, à plus de difficultés à réaliser les activités quotidiennes (en moyenne 61.1 heures), à une plus grande insatisfaction des revenus (en moyenne 52.4 heures), du temps passé avec la famille (en moyenne 56.6 heures) et pour les loisirs (en moyenne 53.9 heures). Des critères associés plus souvent à la présence d’idées suicidaires ont également été retrouvés : un plus grand nombre d’heures de travail par semaine (en moyenne 57.4 heures) et le fait de s’être surinvesti lors des stages étudiants. En conclusion, chaque médecin est particulier et cherche des solutions personnalisées et forcément subjectives, pour améliorer sa qualité de vie, tant dans l’organisation de son cabinet que dans celle de sa vie privée. Une approche collective doit également être envisagée. Aborder les solutions collectivement en mutualisant les moyens permettrait de renforcer le soutien et la prise en compte des problèmes spécifiques de la profession par les instances représentatives.

Your Mindful Compass

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ISBN 13 : 9780615928791
Total Pages : 318 pages
Book Rating : 4.9/5 (287 download)

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Book Synopsis Your Mindful Compass by : Andrea Maloney Schara

Download or read book Your Mindful Compass written by Andrea Maloney Schara and published by . This book was released on 2013-12-01 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Your Mindful Compass" takes us behind the emotional curtain to see the mechanisms regulating individuals in social systems. There is great comfort and wisdom in knowing we can increase our awareness to manage the swift and ancient mechanisms of social control. We can gain greater flexibility by seeing how social controls work in systems from ants to humans. To be less controlled by others, we learn how emotional systems influence our relationship-oriented brain. People want to know what goes on in families that give rise to amazing leaders and/or terrorists. For the first time in history we can understand the systems in which we live. The social sciences have been accumulating knowledge since the early fifties as to how we are regulated by others. S. Milgram, S. Ashe, P. Zimbardo and J. Calhoun, detail the vulnerability to being duped and deceived and the difficulty of cooperating when values differ. Murray Bowen, M.D., the first researcher to observe several live-in families, for up to three years, at the National Institute of Mental Health. Describing how family members overly influence one another and distribute stress unevenly, Bowen described both how symptoms and family leaders emerge in highly stressed families. Our brain is not organized to automatically perceive that each family has an emotional system, fine-tuned by evolution and "valuing" its survival as a whole, as much as the survival of any individual. It is easier to see this emotional system function in ants or mice but not in humans. The emotional system is organized to snooker us humans: encouraging us to take sides, run away from others, to pressure others, to get sick, to blame others, and to have great difficulty in seeing our part in problems. It is hard to see that we become anxious, stressed out and even that we are difficult to deal with. But "thinking systems" can open the doors of perception, allowing us to experience the world in a different way. This book offers both coaching ideas and stories from leaders as to strategies to break out from social control by de-triangling, using paradoxes, reversals and other types of interruptions of highly linked emotional processes. Time is needed to think clearly about the automatic nature of the two against one triangle. Time and experience is required as we learn strategies to put two people together and get self outside the control of the system. In addition, it takes time to clarify and define one's principles, to know what "I" will or will not do and to be able to take a stand with others with whom we are very involved. The good news is that systems' thinking is possible for anyone. It is always possible for an individual to understand feelings and to integrate them with their more rational brains. In so doing, an individual increases his or her ability to communicate despite misunderstandings or even rejection from important others. The effort involved in creating your Mindful Compass enables us to perceive the relationship system without experiencing it's threats. The four points on the Mindful Compass are: 1) Action for Self, 2) Resistance to Forward Progress, 3) Knowledge of Social Systems and the 4) The Ability to Stand Alone. Each gives us a view of the process one enters when making an effort to define a self and build an emotional backbone. It is not easy to find our way through the social jungle. The ability to know emotional systems well enough to take a position for self and to become more differentiated is part of the natural way humans cope with pressure. Now people can use available knowledge to build an emotional backbone, by thoughtfully altering their part in the relationship system. No one knows how far one can go by making an effort to be more of a self-defined individual in relationships to others. Through increasing emotional maturity, we can find greater individual freedom at the same time that we increase our ability to cooperate and to be close to others.

The Patient Will See You Now

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Publisher : Basic Books
ISBN 13 : 0465094473
Total Pages : 386 pages
Book Rating : 4.4/5 (65 download)

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Book Synopsis The Patient Will See You Now by : Eric Topol

Download or read book The Patient Will See You Now written by Eric Topol and published by Basic Books. This book was released on 2016-10-25 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: The essential guide by one of America's leading doctors to how digital technology enables all of us to take charge of our health A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"-but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical. In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system. The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result-better, cheaper, and more human health care-will be worth it. Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.

Social Lives of Medicines

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Publisher : Cambridge University Press
ISBN 13 : 9780521804691
Total Pages : 212 pages
Book Rating : 4.8/5 (46 download)

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Book Synopsis Social Lives of Medicines by : Susan Reynolds Whyte

Download or read book Social Lives of Medicines written by Susan Reynolds Whyte and published by Cambridge University Press. This book was released on 2002 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: An anthropological study of the social functions and meanings of medicines in different cultures.

In the Shadow of the Mexican Revolution

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Publisher : Univ of TX + ORM
ISBN 13 : 0292757077
Total Pages : 439 pages
Book Rating : 4.2/5 (927 download)

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Book Synopsis In the Shadow of the Mexican Revolution by : Héctor Aguilar Camín

Download or read book In the Shadow of the Mexican Revolution written by Héctor Aguilar Camín and published by Univ of TX + ORM. This book was released on 2010-06-04 with total page 439 pages. Available in PDF, EPUB and Kindle. Book excerpt: An authoritative and comprehensive history of post-revolutionary Mexico by two of the country’s leading intellectuals. Héctor Aguilar Camín and Lorenzo Meyer set out to fill a void in the literature on Mexican history: the lack of a single text to cover the history of Mexico during the twentieth century. In the Shadow of the Mexican Revolution, covers the Mexican Revolution itself, the gradual consolidation of institutions, the Cárdenas regime, the “Mexican economic miracle” and its subsequent collapse, and the recent transition toward a new historical period. The authors explore Mexico’s turbulent recent history as it becomes increasingly intertwined with that of the United States. First published in Spanish as A la sombra de la Revolución Mexicana, this English-language edition offers US readers an intelligent and accessible study of their neighbor to the south.

Sleep Disorders in Adolescents

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Publisher : Springer
ISBN 13 : 3319417428
Total Pages : 213 pages
Book Rating : 4.3/5 (194 download)

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Book Synopsis Sleep Disorders in Adolescents by : Sanjeev V. Kothare

Download or read book Sleep Disorders in Adolescents written by Sanjeev V. Kothare and published by Springer. This book was released on 2016-09-21 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: This clinical casebook presents a comprehensive review of common sleep problems in adolescents in a concise, easy-to-read format. Each chapter thoroughly addresses a unique sleep disorder in teenagers through illustrative cases, reviews of relevant literature, and pearls of wisdom for both the practicing sleep specialist and other practitioners involved in the care of adolescents. Early chapters address various sleep disorders in detail: parasomnias, narcolepsy, obstructive sleep apnea, and delayed sleep-wake phase disorder, providing clear treatment considerations. Later chapters address sleep when complicated by issues of major depression, PTSD, epilepsy, and Traumatic Brain Injury. In-depth discussions and differential diagnosis engage the reader, and offer a multitude of research-based and clinically guided recommendations for the evaluation and treatment of sleep disorders in the adolescent. An ideal, practical resource for clinicians at all levels, Sleep Disorders In Adolescents provides a valuable contribution to adolescent care.

Cancer on Trial

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Publisher : University of Chicago Press
ISBN 13 : 022614304X
Total Pages : 475 pages
Book Rating : 4.2/5 (261 download)

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Book Synopsis Cancer on Trial by : Peter Keating

Download or read book Cancer on Trial written by Peter Keating and published by University of Chicago Press. This book was released on 2014-04-18 with total page 475 pages. Available in PDF, EPUB and Kindle. Book excerpt: There were no medical oncologists until a few decades ago. In the early 1960s, not only were there no such specialists, many practitioners regarded the treatment of terminally-ill cancer patients with heroic courses of chemotherapy as highly questionable. Physicians loath to assign patients randomly to competing treatments also expressed their outright opposition to the randomized clinical trials that were then relatively rare. And yet today these trials form the basis of medical oncology. How did such a spectacular change occur? How did medical oncology move from a non-entity and in some regards a reviled practice to the central position it now occupies in modern medicine? Cancer on Trial answers these questions by exploring how practitioners established a new style of practice, at the center of which lies the cancer clinical trial.

Contemporary Criminological Issues

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Publisher : University of Ottawa Press
ISBN 13 : 0776628720
Total Pages : 396 pages
Book Rating : 4.7/5 (766 download)

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Book Synopsis Contemporary Criminological Issues by : Carolyn Côté-Lussier

Download or read book Contemporary Criminological Issues written by Carolyn Côté-Lussier and published by University of Ottawa Press. This book was released on 2020-05-05 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contemporary Criminological Issues tackles some of today’s most pressing social issues, from the criminalization of Indigenous peoples to interpersonal violence, border control, and armed conflicts. This book advances cutting-edge theories and methods, with the aim of moving beyond the scholarship that reproduces insecurity and exclusion. The breadth of approaches encompasses much of the current critical criminological scholarship, serving as a counterpoint to the growth of managerial and administrative criminologies and the rise of explicitly exclusionary and punitive state policies and practices with respect to ‘crime’ and ‘security.’ This edited collection featuring two books, one in English and one in French, includes important contributions to knowledge and public policy by eminent experts and emerging scholars. This book is published in English.

Global Health Risks

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Publisher : World Health Organization
ISBN 13 : 9241563877
Total Pages : 71 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Global Health Risks by : World Health Organization

Download or read book Global Health Risks written by World Health Organization and published by World Health Organization. This book was released on 2009-10-28 with total page 71 pages. Available in PDF, EPUB and Kindle. Book excerpt: This publication is a comprehensive assessment of leading risks to global health. It provides detailed global and regional estimates of premature mortality, disability and loss of health attributable to 24 global risk factors.--Publisher's description.

Institutionalizing Madness

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Publisher :
ISBN 13 :
Total Pages : 280 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Institutionalizing Madness by : Joel Elizur

Download or read book Institutionalizing Madness written by Joel Elizur and published by . This book was released on 1989-12-21 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychologist Elizur and family therapist Minuchin dramatize the dehumanizing force of mental health systems, using four actual family cases to explore the interaction of families, patients, and institutions. The cases illustrate the disastrous consequences of professional biases and institutional failures. As a viable alternative to hospitalization, the authors describe a variety of community-based services that provide social support and structured programs. A very powerful analysis. Annotation copyrighted by Book News, Inc., Portland, OR

Developmental Work Research

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Publisher : Lehmanns Media
ISBN 13 : 3865410693
Total Pages : 492 pages
Book Rating : 4.8/5 (654 download)

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Book Synopsis Developmental Work Research by : Yrjö Engeström

Download or read book Developmental Work Research written by Yrjö Engeström and published by Lehmanns Media. This book was released on 2005-01-01 with total page 492 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Developmental work research is an innovative approach to the study and reshaping of work and learning. It expands cultural-historical activity theory by bringing it to the domains of work, technology and organizations. The world of work is in turmoil, increasingly dominated by 'runaway objects' generated by globalization and greed (global markets are such massive objects out of control). Yet it is the object that motivates work and generates visons of better future. The use values of objects have not vanished, although they are more difficult to grasp than perhaps ever before. Developmental work research rediscovers and expands use values in runaway objects. In workplace interventions it engages practitioners in expansive re-forging of the objects of their work."--Cover.

Health Inequities in Canada

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Publisher : UBC Press
ISBN 13 : 0774819782
Total Pages : 414 pages
Book Rating : 4.7/5 (748 download)

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Book Synopsis Health Inequities in Canada by : Olena Hankivsky

Download or read book Health Inequities in Canada written by Olena Hankivsky and published by UBC Press. This book was released on 2011-05-28 with total page 414 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is a growing recognition that existing theories on, and approaches to, health inequities are limited in their ability to capture how these inequities are produced through changing, co-constituted, and intersecting effects of multiple forms of oppression. Intersectionality responds to this problem by considering the interactions and combined impacts of social locations and structural processes on the creation and perpetuation of inequities. It offers unique insights into, and possible solutions to, some of Canada’s most pressing health disparities. This volume brings together Canadian activists, community-based researchers, and scholars from a range of disciplines to apply interpretations of intersectionality to health and organizational governance cases. By addressing specific health issues, this book advances methodological applications of intersectionality in health research, policy, and practice. Most importantly, it demonstrates that health inequities cannot be understood or addressed without the interrogation of power and diverse social locations and structures that shape lives and experiences of health.

Environmental Scanning and Sustainable Development

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Publisher : John Wiley & Sons
ISBN 13 : 1118601920
Total Pages : 341 pages
Book Rating : 4.1/5 (186 download)

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Book Synopsis Environmental Scanning and Sustainable Development by : Nicolas Lesca

Download or read book Environmental Scanning and Sustainable Development written by Nicolas Lesca and published by John Wiley & Sons. This book was released on 2013-01-24 with total page 341 pages. Available in PDF, EPUB and Kindle. Book excerpt: This work is an initial exploration of the relationship between scanning and sustainable development. In ten chapters, the authors examine the application, characteristics and implementation of scanning oriented toward sustainable development. Thus the work offers some answers to the questions “what is sustainable scanning?”, “what new issues does it raise for management practice and management science?”, “what forms can it take?” and “how...?”

Migration And Health In The European Union

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335245676
Total Pages : 282 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis Migration And Health In The European Union by : Rechel, Bernd

Download or read book Migration And Health In The European Union written by Rechel, Bernd and published by McGraw-Hill Education (UK). This book was released on 2011-12-01 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This book can be read by anyone with an interest in migration and health, whether as an advocate for migrants health, as a student in a health profession, researcher or policy maker. It provides an ample orientation to the field in the European context. Among other important raised issues, it underlines an all too often neglected fact; health is a human right. By involving broad issues and problem areas from a variety of perspectives, the volume illustrates that migration and health is a field that can not be allocated to a single discipline." Carin Bjrngren Cuadra, Senior Lecturer, Malm University, Sweden Migrants make up a growing share of European populations. However, all too often their situation is compounded by problems with accessing health and other basic services. There is a need for tailored health policies, but robust data on the health needs of migrants and how best these needs can be met are scarce. Written by a collaboration of authors from three key international organisations (the European Observatory on Health Systems and Policies, the EUPHA Section on Migrant and Ethnic Minority Health, and the International Organization for Migration), as well as leading researchers from across Europe, the book thoroughly explores the different aspects of migration and health in the EU and how they can be addressed by health systems. Structured into five easy-to-follow sections, the volume includes: Contributions from experts from across Europe Key topics such as: access to human rights and health care; health issues faced by migrants; and the national and European policy response so far Conclusions drawn from the latest available evidence Comprehensive information on different aspects of health and migration and how they can best be addressed by health systems is still not easy to find. This book addresses this shortfall and will be of major value to researchers, students, policy-makers and practitioners concerned with migration and health in an increasingly diverse Europe.

Buyology

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Publisher : Currency
ISBN 13 : 0385523890
Total Pages : 274 pages
Book Rating : 4.3/5 (855 download)

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Book Synopsis Buyology by : Martin Lindstrom

Download or read book Buyology written by Martin Lindstrom and published by Currency. This book was released on 2010-02-02 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: NEW YORK TIMES BESTSELLER • “A fascinating look at how consumers perceive logos, ads, commercials, brands, and products.”—Time How much do we know about why we buy? What truly influences our decisions in today’s message-cluttered world? In Buyology, Martin Lindstrom presents the astonishing findings from his groundbreaking three-year, seven-million-dollar neuromarketing study—a cutting-edge experiment that peered inside the brains of 2,000 volunteers from all around the world as they encountered various ads, logos, commercials, brands, and products. His startling results shatter much of what we have long believed about what captures our interest—and drives us to buy. Among the questions he explores: • Does sex actually sell? • Does subliminal advertising still surround us? • Can “cool” brands trigger our mating instincts? • Can our other senses—smell, touch, and sound—be aroused when we see a product? Buyology is a fascinating and shocking journey into the mind of today's consumer that will captivate anyone who's been seduced—or turned off—by marketers' relentless attempts to win our loyalty, our money, and our minds.

Clinical Pediatric Oncology

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Publisher :
ISBN 13 :
Total Pages : 982 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Clinical Pediatric Oncology by : Wataru Walter Sutow

Download or read book Clinical Pediatric Oncology written by Wataru Walter Sutow and published by . This book was released on 1984 with total page 982 pages. Available in PDF, EPUB and Kindle. Book excerpt: