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Impact De Simulation In Situ Sur La Prise En Charge De La Douleur Pediatrique Aux Urgences
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Book Synopsis Impact de simulation in situ sur la prise en charge de la douleur pédiatrique aux urgences by : François Gauthier
Download or read book Impact de simulation in situ sur la prise en charge de la douleur pédiatrique aux urgences written by François Gauthier and published by . This book was released on 2016 with total page 150 pages. Available in PDF, EPUB and Kindle. Book excerpt: La prise en charge de la douleur chez l’enfant aux urgences est difficile et sa réalisation est souvent éloignée des standards. La simulation en santé progresse et son utilisation s’impose dans les domaines du soin aigu. Nous présentons ici une étude randomisée contrôlée, de type avant-après, qui compare l’effet de la simulation in situ à une formation théorique sous forme de réunions, sur la prise en charge de la douleur chez l’enfant aux urgences. Une partie évaluation mesurait l’évolution de la douleur au retour à domicile après un passage aux urgences, mesurée par une échelle d’hétéroévalution parentale: la PPMP-SF. Une partie analytique s’attachait à décrire les processus d’apprentissage, par l’observation directe des scénarios et des réunions, l’étude des débriefings et un questionnaire apprenant. Les scores de douleur mesurés au retour à domicile diminuaient dans le groupe simulation (3,36 +/- 0,34 avant formation 2,0 +/- 0,34 après, p=0,0058), mais pas dans le groupe réunion (2,52 +/- 0,27 avant formation 2,83 +/- 0,33 après formation, p=0,4625). Des situations typiques de soins, récurrentes se sont dégagées. La simulation in situ modifie les pratiques plus profondément que la formation traditionnelle et montre ici pour la première fois sur la prise en charge de la douleur un impact clinique. Cet outil a montré qu’il permettait de mobiliser des compétences des soignants, notamment par une logique de réflexion sur l’action. Notre démarche était à l’origine une démarche de formation dans un esprit d’accompagnement. Un glissement s’est effectué vers une analyse des pratiques. Dans ce travail, il est apparu que le soin de l’enfant douloureux est un processus complexe qui trouve un éclairage à travers le concept de la cognition située.
Book Synopsis Innovate Bristol by : Sven Boermeester
Download or read book Innovate Bristol written by Sven Boermeester and published by . This book was released on 2019-12 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Innovate Bristol highlights and celebrates those companies and individuals that are actively working at building a better tomorrow for all. Innovation Ecosystems thrive through the involvement and support of companies and individuals from all industries, which is why the Innovate series not only focuses on the innovators but also those people whom the Innovation Ecosystem, would not be able to thrive without.
Book Synopsis Renal Stone Disease 2 by : Andrew P. Evan
Download or read book Renal Stone Disease 2 written by Andrew P. Evan and published by American Institute of Physics. This book was released on 2008-11-04 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: Indianapolis, Indiana, 17-18 April 2008
Book Synopsis Emergency Psychiatric Care by : H. L. P. Resnik
Download or read book Emergency Psychiatric Care written by H. L. P. Resnik and published by Brady Publishing. This book was released on 1975 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Interprofessional Teamwork for Health and Social Care by : Scott Reeves
Download or read book Interprofessional Teamwork for Health and Social Care written by Scott Reeves and published by John Wiley & Sons. This book was released on 2011-06-09 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: PROMOTING PARTNERSHIP FOR HEALTH This book forms part of a series entitled Promoting Partnership for Health publishedin association with the UK Centre for the Advancement of Interprofessional Education (CAIPE). The series explores partnership for health from policy, practice and educational perspectives. Whilst strongly advocating the imperative driving collaboration in healthcare, it adopts a pragmatic approach. Far from accepting established ideas and approaches, the series alerts readers to the pitfalls and ways to avoid them. DESCRIPTION Interprofessional Teamwork for Health and Social Care is an invaluable guide for clinicians, academics, managers and policymakers who need to understand, implement and evaluate interprofessional teamwork. It will give them a fuller understanding of how teams function, of the issues relating to the evaluation of teamwork, and of approaches to creating and implementing interventions (e.g. team training, quality improvement initiatives) within health and social care settings. It will also raise awareness of the wide range of theories that can inform interprofessional teamwork. The book is divided into nine chapters. The first 'sets the scene' by outlining some common issues which underpin interprofessional teamwork, while the second discusses current teamwork developments around the globe. Chapter 3 explores a range of team concepts, and Chapter 4 offers a new framework for understanding interprofessional teamwork. The next three chapters discuss how a range of range of social science theories, interventions and evaluation approaches can be employed to advance this field. Chapter 8 presents a synthesis of research into teams the authors have undertaken in Canada, South Africa and the UK, while the final chapter draws together key threads and offers ideas for future of teamwork. The book also provides a range of resources for designing, implementing and evaluating interprofessional teamwork activities.
Book Synopsis Trauma Team Dynamics by : Lawrence M. Gillman
Download or read book Trauma Team Dynamics written by Lawrence M. Gillman and published by Springer. This book was released on 2015-11-02 with total page 323 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first book exploring the unique dynamics created by a multidisciplinary trauma team and how crisis management strategies can improve teamwork and communication and, potentially, improve patient resuscitation outcomes. Crisis resource management (CRM) is integral to the way that we manage ourselves, team members, and patients during emergency situations. It is essentially the ability to translate knowledge of what needs to be done into effective actions during a crisis situation. Building on the revolutionary American College of Surgeons Advanced Trauma Life Support (ATLS®) course, Trauma Team Dynamics illustrates the integration of the principles of CRM to team dynamics throughout the resuscitation –from the scene, through pre-hospital care and transport, to the trauma bay, and finally to definitive care and beyond. The editors and contributors are international experts in trauma, critical care, emergency medicine, nursing, respiratory therapy, and pre-hospital care and include NASA- and United States military-affiliated experts. Trauma Team Dynamics is intended for use as both a day-to-day clinical resource and a reference text, and includes self-assessment questions as well as guidance on CRM curriculum design and implementation.
Book Synopsis Conceptual Basis, Formalisations and Parameterization of the Stics Crop Model by : Nadine Brisson
Download or read book Conceptual Basis, Formalisations and Parameterization of the Stics Crop Model written by Nadine Brisson and published by Editions Quae. This book was released on 2009-01-19 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: The STICS crop model has been developed since 1996 at INRA in collaboration with other research and technical institutes. The model syntheses, illustrates and concretizes an important part of the French agronomic knowledge as a point of view on the field and cropping systems working. The formalisations of the STICS crop model presented in this book can be considered as references used in the framework of crop sciences. The book arrangement relies on the way the model designs the crop-soil system functioning, each chapter being devoted to a set of important functions such as growth initiation, yield onset, water uptake, transformation of organic matter etc. One chapter deals with the cropping system and long term simulations and the final chapter is about the involvement of the user in terms of option choices and parameterization. If this book is mainly intended for scientists who use the STICS model, it can also be useful for agronomists, crop modellers, students and technicians looking for elementary formalizations of the crop-soil system functioning.
Book Synopsis General Trauma Care and Related Aspects by : Hans-Jörg Oestern
Download or read book General Trauma Care and Related Aspects written by Hans-Jörg Oestern and published by Springer Science & Business Media. This book was released on 2013-10-22 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: There currently is a clear tendency to an increasing number of accidental injuries in elderly people, in sport injuries and car crashes also in countries which recently joined the European Union and candidates to join the European Union. Patients expect very good functional results even after serious injuries. But in contrast to this development, Trauma Surgery as an independent field, is not yet established in all European countries. Therefore, it seems mandatory to compile a book that covers the state-of-the-art in Trauma Surgery. The book also serves to harmonise the practice of Trauma Surgery within the European Union, and to prepare for the exam of the U.E.M.S.
Book Synopsis Interprofessional Capability Framework by : HIpE
Download or read book Interprofessional Capability Framework written by HIpE and published by . This book was released on 2011 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Artificial Intelligence for COVID-19 by : Diego Oliva
Download or read book Artificial Intelligence for COVID-19 written by Diego Oliva and published by Springer Nature. This book was released on 2021-07-19 with total page 594 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents a compilation of the most recent implementation of artificial intelligence methods for solving different problems generated by the COVID-19. The problems addressed came from different fields and not only from medicine. The information contained in the book explores different areas of machine and deep learning, advanced image processing, computational intelligence, IoT, robotics and automation, optimization, mathematical modeling, neural networks, information technology, big data, data processing, data mining, and likewise. Moreover, the chapters include the theory and methodologies used to provide an overview of applying these tools to the useful contribution to help to face the emerging disaster. The book is primarily intended for researchers, decision makers, practitioners, and readers interested in these subject matters. The book is useful also as rich case studies and project proposals for postgraduate courses in those specializations.
Book Synopsis Critical Care Nursing by : Linda Diann Urden
Download or read book Critical Care Nursing written by Linda Diann Urden and published by Saunders. This book was released on 2010 with total page 1242 pages. Available in PDF, EPUB and Kindle. Book excerpt: Focusing on critical care nursing, this full-color text provides an examination of the important aspects of critical care nursing. It is organized in ten units around alterations in body systems.
Book Synopsis Emergency Nursing Core Curriculum by : Emergency Nurses Association
Download or read book Emergency Nursing Core Curriculum written by Emergency Nurses Association and published by W.B. Saunders Company. This book was released on 1987 with total page 972 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis An insight into the metabolism of New Psychoactive Substances by : Jakob Wallgren
Download or read book An insight into the metabolism of New Psychoactive Substances written by Jakob Wallgren and published by Linköping University Electronic Press. This book was released on 2020-09-09 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: New Psychoactive Substances (NPS) is an umbrella term covering hundreds of substances across different drug groups. Many of these substances were originally developed for therapeutic use but have later appeared on the recreational drug market. The use of NPS has been associated with many outbreaks leading to hospitalizations and has been implicated in numerous fatalities worldwide. To be able to analytically detect drugs in a forensic setting is vital in the fight against the abuse of NPS. One of the most notable challenges in detection of NPS is the identification of major urinary metabolites for use as biomarkers. Furthermore, given the lack of reference standards in most metabolism studies, the major urinary metabolites can often only be tentatively determined. This thesis describes the synthesis and analysis of potential metabolites used to identify the exact structures of major metabolites of the synthetic cannabinoid AKB-48, fentanyl and five fentanyl analogues in authentic human urine samples and/or hepatocyte incubations. Synthetic targets were chosen based on previous metabolism studies by our research group. Subsequently, synthetic routes were developed to produce numerous potential metabolites across the studied NPS. The synthesized reference standards were analyzed by LC-QTOF-MS alongside hepatocyte drug incubations and authentic human urine samples. Comparison of the resulting analytical data was used to determine the exact structures of many metabolites. This includes urinary metabolites of AKB-48 with a single hydroxyl group situated on a secondary carbon of the adamantane moiety, or position 3 or 5 of the pentyl side chain. For the studied fentanyls, the ?-OH and the 4’-OH metabolites were abundant metabolites identified in hepatocyte incubations while the 4’-OH, 4’-OH-3’-OMe and 3’,4’-diOH were the favored metabolic motifs among the metabolites identified in urine. Additionally, a concise synthetic route to produce synthetic cannabinoid metabolites with the 4-OH-5F pentyl side chain motif was developed and demonstrated for four synthetic cannabinoids. These findings and the developed synthetic routes can be used to provide forensic toxicology laboratories with urinary biomarkers for drug detection. Moreover, the synthesized reference standards of major metabolites can be studied to better understand the toxicity of their parent drugs. Nya psykoaktiva substanser (NPS) är det officiella namnet för den grupp droger som tidigare har kallats för designerdroger, nätdroger eller internetdroger. NPS definieras som droger som utgör ett likvärdigt hot mot folkhälsan som droger som återfinns på Förenta Nationernas narkotikakonventioner men som själva inte återfinns under dessa konventioner. Det finns hundratals olika rapporterade NPS spridda över olika droggrupper, såsom syntetiska cannabinoider och syntetiska opioider. Vissa av dessa droger syntetiserades ursprungligen i forskningssyfte, men tog sig senare in på den illegala drogmarknaden. De mer nyligen framtagna NPS är ofta designade att efterlikna effekterna av etablerade droger, såsom morfin eller ?9-THC, vilket är den huvudsakliga psykoaktiva substansen i cannabis. Användandet av NPS har associerats till många kluster av intoxikationer som har lett till hospitaliseringar. Många har även dött till följd av användandet av NPS. Inte minst i USA där en grupp av NPS kallad för fentanylanaloger är högst delaktig i den pågående opioidkrisen. Den ständiga inströmningen av nya NPS leder till att detektion av och diskriminering mellan dem utgör en svår utmaning för forensiska toxikologilaboratorier. Tillgången av lämpliga referenssubstanser möter inte deras efterfrågan, delvis på grund av att vilka biomarkörer som är optimala för drogdetektion inte alltid är uppenbart. Till exempel så är metabolismen av syntetiska cannabinoider i regel både snabb och omfattande. Av den anledningen kan användandet av modersubstansen som biomarkör vid analys av urin leda till falskt negativa resultat. Urin som biologisk matris har många fördelar jämfört med blod. Till exempel så har urin ett längre detektionsfönster och högre drogkoncentrationer. För att kunna identifiera optimala biomarkörer för droganalys av urinprover så måste drogernas metabolism utredas. De flesta metabolismstudier använder sig av humana levermikrosomer eller hepatocyter som inkuberas tillsammans med droger för att generera metaboliter in vitro. Urinprover från individer i vilkas blod det har återfunnits droger används också men tillgången är tyvärr begränsad. Dessa metaboliter separeras sedan med hjälp av kromatografiska tekniker och deras kemiska strukturer bestäms med hjälp av masspektrometri. Dock så är utvärderingen av masspektrometridata komplicerad och det är heller inte möjligt att skilja på vissa positionsisomerer genom att enbart analysera masspektrometridata. För att kunna möjliggöra exakt strukturutredning så krävs referensstandarder. Därför var målet med denna avhandling att addera syntes och analys av referensstandarder till de etablerade tillvägagångssätten att studera metabolismen av NPS. Ett stort antal potentiella metaboliter av AKB-48 och andra syntetiska cannabinoider samt av fentanyl och fentanylanaloger syntetiserades. Genom att använda dessa referensstandarder i metabolismstudier så kunde de exakta kemiska strukturerna för många metaboliter bestämmas. Dessutom så identifierades mönster i de metaboliska profilerna bland fentanyl och fentanylanaloger. Dessa mönster kan användas för att förbättra predikteringen av metaboliter för andra nuvarande och kommande fentanylanaloger. Dessa resultat samt de utvecklade syntesvägarna kan nyttjas i framställningen av referenssubstanser i syfte att användas som biomarkörer för att i urin kunna detektera drogmissbruk. Referenssubstanserna kan även användas för att studera metaboliternas farmakologiska egenskaper vilket kan leda till en djupare förståelse kring toxiciteten hos modersubstanserna.
Book Synopsis Saving Lives, Improving Mothers' Care by :
Download or read book Saving Lives, Improving Mothers' Care written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Dead Women written by Alfred Bekker and published by Alfredbooks. This book was released on 2018-10-02 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Dead Women by Alfred Bekker The size of this book corresponds to 120 paperback pages. A freighter with gruesome cargo reaches the port. And the investigators are faced with a mystery. Not much remains of the victims of this eerie series of murders - and that little must be enough to convict the perpetrators!
Book Synopsis Artificial Nature by : Jeffrey Deitch
Download or read book Artificial Nature written by Jeffrey Deitch and published by Howell Press. This book was released on 1990 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Draconomicon written by Andy Collins and published by . This book was released on 2003-10 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: An art-filled sourcebook for all things draconic in the Dungeons & Dragons world, this title includes information on playing dragons and dragon-like creatures, how to run a dragon in a fight, and how to both fight dragons and work with them as allies. The book itself is designed in a prestige format, with heavy use of art throughout and constructed of premium materials. (Games/Gamebooks/Crosswords)
