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Surveillance Des Infections Du Site Operatoire Aupres Des Patients Operes En Chirurgie Dun Jour Ou De Court Sejour
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Book Synopsis Surveillance des infections du site opératoire auprès des patients opérés en chirurgie d'un jour ou de court séjour by : Pauline Laplante
Download or read book Surveillance des infections du site opératoire auprès des patients opérés en chirurgie d'un jour ou de court séjour written by Pauline Laplante and published by . This book was released on 2001 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis La surveillance épidémiologique des infections du site opératoire avant et après la sortie de l'hôpital by : Hélène Ittah
Download or read book La surveillance épidémiologique des infections du site opératoire avant et après la sortie de l'hôpital written by Hélène Ittah and published by . This book was released on 2000 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: La prévention des infections nosocomiales est une priorité de santé publique. Les infections du site opératoire (ISO) sont fréquentes (prévalence : 4,5%), graves (létalité : 2,5% à 5%), coûteuses (environ 1 semaine d'hospitalisation supplémentaire, environ 3 000 dollars) et en partie évitables (Senic Project). La législation française, l'évolution jurisprudentielle des responsabilités, l'accréditation et les contraintes budgétaires font de la surveillance épidémiologique des ISO un enjeu de management des risques nosocomiaux. Dans un établissement de santé, l'organisation de la surveillance nécessite une bonne définition préalable des objectifs, des moyens nécessaires et des méthodes envisagées pour les atteindre. L'efficience de la méthode de surveillance choisie dépend en partie du suivi des patients après leur sortie de l'hôpital. La seconde partie de ce travail est une étude descriptive des IS0 diagnostiquées lors de ce suivi. Matériels et méthodes : Nous avons utilisé les données recueillies par INCISO, réseau de surveillance des ISO coordonné par le C-CLIN Paris Nord. Résultats : 15 085 interventions de chirurgie digestive ont été étudiées. La durée moyenne de séjour était de 9,5 jours. 759 ISO ont été diagnostiquées, 35,4% après la sortie de l'hôpital. 57% des ISO à NNIS 0 l'ont été après la sortie. La proportion d'ISO après sortie était inversement proportionnelle à la durée d'hospitalisation et le délai médian de diagnostic était de 12,5 jours. La plupart des facteurs de risque classiques d'ISO étaient associés après analyses unifactorielles, au risque d'ISO après sortie (NNIS index, classe de contamination, score ASA, durée d'intervention, expérience du chirurgien, urgence, chirurgie coelioscopique). Conclusions : Le taux d'incidence des ISO à NNIS 0 est un indicateur de qualité des soins chirurgicaux. Le suivi après sortie des patients opérés est le gage d'une surveillance épidémiologique de qualité procurant des taux d'incidence d'IS0 à NNIS 0 fiable.
Book Synopsis Première étude prospective avec suivi ambulatoire de la survenue des infections du site opératoire au Cambodge by : José Guerra
Download or read book Première étude prospective avec suivi ambulatoire de la survenue des infections du site opératoire au Cambodge written by José Guerra and published by . This book was released on 2013 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: La méthodologie de l’American Centers for Disease Control (CDC) fait référence pour la surveillance des infections du site opératoire (ISO). Dans les pays à ressources limitées, des obstacles à son utilisation ont été mis en évidence. Nous avons estimé l’incidence des ISO dans un hôpital cambodgien en utilisant différentes définitions et modes de collecte de l’information. Chaque opéré à l’hôpital Preah Kossamak était invité à donner son consentement pour être suivi 30 jours. Les critères de survenue d’ISO étaient évalués tous les deux jours au lit du patient. À la sortie d’hospitalisation, une carte de suivi était remise et il était demandé au patient de la présenter à chaque consultation ambulatoire. Les patients étaient ensuite appelés par téléphone 15 et 30 jours après l’intervention. Entre avril et juin 2011, sur 167 patients inclus, les critères du CDC ont mis en évidence 24 ISO (14 ISO / 100 opérés), contre 20 ISO en considérant la survenue d’un écoulement purulent. Les données de suivi ambulatoire ont été collectées pour 121 des 139 patients sortis sans ISO. Parmi eux, 9 patients supplémentaires ont présenté du pus sur la cicatrice opératoire d’après un professionnel de santé (20 ISO / 100 opérés) et 16 patients supplémentaires ont déclaré un écoulement de liquide blanc (29 ISO / 100 opérés). Cette première étude de surveillance des ISO au Cambodge a présenté un taux d’incidence élevé. L’utilisation d’un écoulement purulent comme critère diagnostique et le suivi ambulatoire des patients par une carte et des appels téléphoniques se sont révélés faisables et utiles pour la surveillance active des ISO dans un pays à ressources limitées.
Book Synopsis Surveillance des infections du site opératoire en chirurgie thoracique et cardiovasculaire by : Stéphanie Perron (docteur en pharmacie).)
Download or read book Surveillance des infections du site opératoire en chirurgie thoracique et cardiovasculaire written by Stéphanie Perron (docteur en pharmacie).) and published by . This book was released on 2003 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les infections du site opératoire (ISO) sont des infections sévères, rares, représentant la complication majeure de la chirurgie cardiaque (de 1 à 4% des sternotomies). Une surveillance des infections du site opératoire (ISO) a été mise en place durant un an dans le service de Chirurgie Thoracique et Cardiovasculaire du CHU de Nantes afin de déterminer les facteurs de risque d'ISO et d'évaluer l'impact d'un programme de prévention (modification de la prise en charge de la préparation cutanée au bloc opératoire). L'étude a inclus 1268 patients; le taux d'ISO était de 3%. Il variait de 1.4 % pour les ISO superficielles, à 1.6% pour les ISO profondes. Les résultats de la mise en place des mesures correctives sont très encourageants car on observe une diminution significative du taux des ISO superficielles (2.36% versus 0.68%, p
Download or read book Master's Theses Directories written by and published by . This book was released on 2002 with total page 412 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Education, arts and social sciences, natural and technical sciences in the United States and Canada".
Book Synopsis Focal Therapy in Prostate Cancer by : Hashim Uddin Ahmed
Download or read book Focal Therapy in Prostate Cancer written by Hashim Uddin Ahmed and published by John Wiley & Sons. This book was released on 2011-12-27 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book comprehensively reviews the potential of focal therapy and discusses why the changing face of prostate cancer warrants a change in the way we treat men with the disease. It deals with the mechanisms by which disease can be localized within the gland and then the different technologies used for focal ablation. Bringing together eminent contributors in one accessible reference, this book introduces focal therapy to all urologists, oncologists, and radiologists who are involved in the treatment of men with prostate cancer.
Book Synopsis Management of Penile Cancer by : Daniel J. Culkin
Download or read book Management of Penile Cancer written by Daniel J. Culkin and published by Springer Science & Business Media. This book was released on 2014-04-04 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: Management of Penile Cancer provides a comprehensive and state-of-the-art overview of the major issues specific to the field of penile cancer. The sections of the book are structured to review the overall scope of issues of penile cancer, including diagnosis and staging, surgical approaches and the treatment of advanced disease. As multidisciplinary care is an integral part of the treatment of penile cancer, this book is unique in the inclusion of collaborating authors from a variety of integrated disciplines, including urology, radiation oncology, medical oncology and reconstructive surgery. Written by recognized experts in their field, Management of Penile Cancer is a unique and valuable resource in the field of penile cancer, both for those currently in training and for those already in clinical or research practice.
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.
Download or read book Orthogeriatrics written by Paolo Falaschi and published by Springer Nature. This book was released on 2021 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.
Book Synopsis Pain in Infants, Children, and Adolescents by : Neil L. Schechter
Download or read book Pain in Infants, Children, and Adolescents written by Neil L. Schechter and published by Lippincott Williams & Wilkins. This book was released on 2003 with total page 924 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.
Book Synopsis NGOs in International Law by : Pierre-Marie Dupuy
Download or read book NGOs in International Law written by Pierre-Marie Dupuy and published by Edward Elgar Publishing. This book was released on 2008-01-01 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: The essays are persuasive and well-written and, all in all, the book makes an indelible contribution to the legal discourse surrounding this subject. Although the essays are presented with sufficient detail and structure for legal specialists, it would be extremely useful for lobbying practitioners. It is equally essential reading for larger NGOs who wish to improve existing partnership efforts as well as smaller NGOs in developing countries who would like to know more about the policy considerations underpinning current limitations to the NGO s role. Akima Paul, Vienna Online Journal on International Constitutional Law The increasing importance of NGOs has forced international institutions to pay attention to issues of participation and transparency. This excellent book provides comprehensive and insightful analyses of how international bodies accommodate NGOs and their concerns. It forthrightly addresses the uncertain legal status of NGOs in international law. Edith Brown Weiss, Georgetown University Law Center, US No one can deny the significance that NGOs have at the international level, or the dynamism some of them have shown in promoting change, whether in the context of the International Criminal Court or the environment, etc. This is a lively and well-informed account of the wide range of NGOs at the international level, their continuing search for status and (what is more important) access, and also of the abuses sometimes involved, e.g. with servile NGOs in the human rights field. This collection provides an important source of information about an important source of influence on our lives. James Crawford, Cambridge University, UK A timely and useful book that highlights the multi-faceted role of NGOs on the international scene and the rules and practices which have been designed to this end. Laurence Boisson de Chazournes, University of Geneva, Switzerland This book offers a refreshing and well-informed approach to the contentious issues of the role, legal status and consequences of NGOs in international law. The authors provide insightful and high quality analyses of the theories, applications and realities of NGO participation in a wide range of international activity. Robert McCorquodale, University of Nottingham, UK This is a timely and important contribution. It assists in our understanding of developments that have theoretical and practical implications for the changing international legal order. Philippe Sands, University College London, UK The increasing role that NGOs play at different levels of legal relevance from treaty-making to rule implementation, and from support to judges to aid delivery calls for reconsideration of the international legal status of those organizations. This book shows that the degree of flexibility currently enjoyed by NGOs in fields as varied as human rights, the environment and the European Union development cooperation policy constitutes the best arena for all actors involved, with the consequences that the instances where more strict regulation of NGOs participation is desirable are very limited. With each chapter focusing on a different modality of NGO participation in international affairs (from formalised legal statuses to informal ways of dealing with issues of international relevance), this book will be of great interest to academics specialised in international law, political scientists, international officials working for both international organisations and non-governmental organisations, and legal practitioners (legal counsels of international organisations, lawyers and judges).
Book Synopsis Trauma Induced Coagulopathy by : Hunter B. Moore
Download or read book Trauma Induced Coagulopathy written by Hunter B. Moore and published by Springer Nature. This book was released on 2020-10-12 with total page 802 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first edition of this publication was aimed at defining the current concepts of trauma induced coagulopathy by critically analyzing the most up-to-date studies from a clinical and basic science perspective. It served as a reference source for any clinician interested in reviewing the pathophysiology, diagnosis, and management of the coagulopathic trauma patient, and the data that supports it. By meticulously describing the methodology of most traditional as well as state of the art coagulation assays the reader is provided with a full understanding of the tests that are used to study trauma induced coagulopathy. With the growing interest in understanding and managing coagulation in trauma, this second edition has been expanded to 46 chapters from its original 35 to incorporate the massive global efforts in understanding, diagnosing, and treating trauma induced coagulopathy. The evolving use of blood products as well as recently introduced hemostatic medications is reviewed in detail. The text provides therapeutic strategies to treat specific coagulation abnormalities following severe injury, which goes beyond the first edition that largely was based on describing the mechanisms causing coagulation abnormalities. Trauma Induced Coagulopathy 2nd Edition is a valuable reference to clinicians that are faced with specific clinical challenges when managing coagulopathy.
Book Synopsis Social Media in Industrial China by : Xinyuan Wang
Download or read book Social Media in Industrial China written by Xinyuan Wang and published by UCL Press. This book was released on 2016-09-13 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: Life outside the mobile phone is unbearable.’ Lily, 19, factory worker. Described as the biggest migration in human history, an estimated 250 million Chinese people have left their villages in recent decades to live and work in urban areas. Xinyuan Wang spent 15 months living among a community of these migrants in a small factory town in southeast China to track their use of social media. It was here she witnessed a second migration taking place: a movement from offline to online. As Wang argues, this is not simply a convenient analogy but represents the convergence of two phenomena as profound and consequential as each other, where the online world now provides a home for the migrant workers who feel otherwise ‘homeless’. Wang’s fascinating study explores the full range of preconceptions commonly held about Chinese people – their relationship with education, with family, with politics, with ‘home’ – and argues why, for this vast population, it is time to reassess what we think we know about contemporary China and the evolving role of social media.
Book Synopsis Cambridge Handbook of Engineering Education Research by : Aditya Johri
Download or read book Cambridge Handbook of Engineering Education Research written by Aditya Johri and published by Cambridge University Press. This book was released on 2014-02-10 with total page 1124 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Cambridge Handbook of Engineering Education Research is the critical reference source for the growing field of engineering education research, featuring the work of world luminaries writing to define and inform this emerging field. The Handbook draws extensively on contemporary research in the learning sciences, examining how technology affects learners and learning environments, and the role of social context in learning. Since a landmark issue of the Journal of Engineering Education (2005), in which senior scholars argued for a stronger theoretical and empirically driven agenda, engineering education has quickly emerged as a research-driven field increasing in both theoretical and empirical work drawing on many social science disciplines, disciplinary engineering knowledge, and computing. The Handbook is based on the research agenda from a series of interdisciplinary colloquia funded by the US National Science Foundation and published in the Journal of Engineering Education in October 2006.
Download or read book Engineering written by Unesco and published by UNESCO. This book was released on 2010-01-01 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report reviews engineering's importance to human, economic, social and cultural development and in addressing the UN Millennium Development Goals. Engineering tends to be viewed as a national issue, but engineering knowledge, companies, conferences and journals, all demonstrate that it is as international as science. The report reviews the role of engineering in development, and covers issues including poverty reduction, sustainable development, climate change mitigation and adaptation. It presents the various fields of engineering around the world and is intended to identify issues and challenges facing engineering, promote better understanding of engineering and its role, and highlight ways of making engineering more attractive to young people, especially women.--Publisher's description.
Book Synopsis The European Court of Human Rights Between Law and Politics by : Jonas Christoffersen
Download or read book The European Court of Human Rights Between Law and Politics written by Jonas Christoffersen and published by Oxford University Press. This book was released on 2011-06-09 with total page 255 pages. Available in PDF, EPUB and Kindle. Book excerpt: Leading scholars and practitioners cast new light on the substantial jurisprudence and ongoing political reform of the European Court of Human Rights. The analysis in this edited collection traces the development of the supranational European human rights system and provides original insights into the challenges facing the Court.
Book Synopsis Joint Arthroplasty by : Shinichi Imura
Download or read book Joint Arthroplasty written by Shinichi Imura and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: The introduction of total joint arthroplasty throughout the world has contributed manifold benefits to patients who suffer from joint diseases. Concurrently, however, there has been an increase in revision surgery. Many orthopedic surgeons agree that durability of prostheses is an eternal problem. In particular, periprosthetic osteolysis recently has been identified as one of the serious problems affecting prosthetic dura bility. To improve durability, osteolysis and many other problems must be investi gated and solved both experimentally and clinically with respect to such aspects as prosthetic material, design, and biological and biomechanical behavior. This book comprises 37 papers that were presented by orthopedic surgeons and biomedical engineers at the 28th Annual Meeting of the Japanese Society for Replace ment Arthroplasty, held in March 1998 in Kanazawa, Japan. The volume is thus a compilation of the latest knowledge about the pathogenesis and reduction of osteolysis and wear, newly developed total hip prostheses, and other current topics of total knee arthroplasty. We earnestly hope that this book will be of benefit to clinicians and researchers, and that it will contribute to the creation of more durable total joint prostheses in the future. SHINICHI IMURA v Contents Preface .................... '" .. .. .. ... . .. .. .. . ... .. . . .. . ... . . .. . V List of Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XI . . . . . . . . . . . . Part 1 Wear and Pathogenesis of Osteolysis Friction and Wear of Artificial Joints: A Historical Review N. AKAMATSU ................................................ , 3 Matrix Degradation in Osteoclastic Bone Resorption Under Pathological Conditions .
