Patient de 75 ans et plus présentant une fracture à basse énergie aux urgences chirurgicales du CHRU de Lille

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ISBN 13 :
Total Pages : 214 pages
Book Rating : 4.:/5 (835 download)

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Book Synopsis Patient de 75 ans et plus présentant une fracture à basse énergie aux urgences chirurgicales du CHRU de Lille by : Jérome Olivier

Download or read book Patient de 75 ans et plus présentant une fracture à basse énergie aux urgences chirurgicales du CHRU de Lille written by Jérome Olivier and published by . This book was released on 2012 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : La pathologie fracturaire chez la personne âgée est un motif fréquent d’admission aux urgences. Elle résulte d’un mécanisme lésionnel simple (la chute) survenant sur un terrain prédisposant (la fragilité osseuse). La Haute Autorité de Santé a émis des recommandations concernant la prise en charge des patients âgés aux urgences, des patients âgés chuteurs et de l’ostéoporose. En revanche, peu de données sont disponibles sur la mise en pratique de ces recommandations sur le terrain. Méthode : Etude descriptive, rétrospective, réalisée au CHRU de Lille. A chaque étape du parcours hospitalier, recueil des données socio-démographiques, des principaux facteurs de risque modifiables de chute et d’ostéoporose, ainsi que des principaux facteurs de risque de morbi-mortalité post-fracturaire des patients de 75 ans et plus hospitalisés pour fracture à basse énergie, à partir de leur dossier informatisé et papier. Résultats : 105 patients ont été inclus, avec une hospitalisation à l’issue des urgences dans 83% des cas, dont les 3⁄4 en traumotologie. Une chirurgie était nécessaire dans 72% des cas. En cas de fracture, des facteurs de risque comme la prise de psychotropes, la polymédication et la carence en calcium ont été recherchés dans plus de 90% des cas. D’autres facteurs de risque, pourtant simples à rechercher, comme une hypotension orthostatique ou un déficit en vitamine D sont largement délaissés et recherchés dans moins de 20% des cas. En cas de pathologie fracturaire, l’évaluation et la prise en charge de la douleur est assurée chez plus de 9 patients sur 10. La prévention des morbi-mortalités liées au décubitus prolongé est réalisée dans plus des 3⁄4 des cas lorsque le patient est hospitalisé en traumatologie, en CSG ou en SSR. Cette prévention n’est réalisée que dans moins de 15% des cas au SAU chirurgical. Conclusion : Les principaux facteurs de risque de fracture du sujet âgé restent largement sous-évalués durant le parcours de soin hospitalier. La prévention des facteurs de risque de morbi-mortalité post-fracturaire semble également perfectible. Pour améliorer le pronostic vital et fonctionnel de ces patients, le développement de stratégies de prise en charge multidisciplinaires « orthogériatriques » parait souhaitable.

Health System Performance Comparison: an Agenda for Policy, Information and Research

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 033524727X
Total Pages : 418 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis Health System Performance Comparison: an Agenda for Policy, Information and Research by : Irene Papanicolas

Download or read book Health System Performance Comparison: an Agenda for Policy, Information and Research written by Irene Papanicolas and published by McGraw-Hill Education (UK). This book was released on 2013-06-16 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt: International comparison of health system performance has become increasingly popular, made possible by the rapidly expanding availability of health data. It has become one of the most important levers for prompting health system reform. Yet, as the demand for transparency and accountability in healthcare increases, so too does the need to compare data from different health systems both accurately and meaningfully. This timely and authoritative book offers an important summary of the current developments in health system performance comparison. It summarises the current state of efforts to compare systems, and identifies and explores the practical and conceptual challenges that occur. It discusses data and methodological challenges, as well as broader issues such as the interface between evidence and practice. The book draws out the priorities for future work on performance comparison, in the development of data sources and measurement instruments, analytic methodology, and assessment of evidence on performance. It concludes by presenting the key lessons and future priorities, and in doing so offers a rich source of material for policy-makers, their analytic advisors, international agencies, academics and students of health systems.

Urban Travel and Sustainable Development

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Publisher :
ISBN 13 :
Total Pages : 250 pages
Book Rating : 4.3/5 (555 download)

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Book Synopsis Urban Travel and Sustainable Development by :

Download or read book Urban Travel and Sustainable Development written by and published by . This book was released on 1995 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Color Atlas of Equine Pathology

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Publisher : John Wiley & Sons
ISBN 13 : 0470962844
Total Pages : 565 pages
Book Rating : 4.4/5 (79 download)

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Book Synopsis Color Atlas of Equine Pathology by : Claus D. Buergelt

Download or read book Color Atlas of Equine Pathology written by Claus D. Buergelt and published by John Wiley & Sons. This book was released on 2014-01-28 with total page 565 pages. Available in PDF, EPUB and Kindle. Book excerpt: Color Atlas of Equine Pathology offers a practical guide to identifying equine diseases, presenting a single resource with more than 1000 images showing predominantly gross pathology. Organized by body systems, the book allows for picture matching during or after an equine necropsy. In this user-friendly atlas, each chapter takes a common format, presenting the disease process as well as congenital, degenerative, inflammatory, and neoplastic sequences, with text boxes offering quick reference to key information. The book begins with an introductory chapter summarizing the principles of the equine field necropsy, and subsequent organ-based chapters depict gross features of disease, focusing on macroscopic digital images supplemented by histology and immunohistochemistry when necessary. Some clinical information for correlation with pathology is included. Color Atlas of Equine Pathology is an essential resource for diagnostic veterinary pathologists and pathology residents, as well as for equine practitioners performing necropsies in the field.

Encyclopedia of AIDS

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Publisher :
ISBN 13 : 9781461496106
Total Pages : pages
Book Rating : 4.4/5 (961 download)

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Book Synopsis Encyclopedia of AIDS by : Thomas J. Hope

Download or read book Encyclopedia of AIDS written by Thomas J. Hope and published by . This book was released on with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Molecular Mechanisms of Hormone Action

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Publisher :
ISBN 13 :
Total Pages : 224 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Molecular Mechanisms of Hormone Action by : Gesellschaft für Biologische Chemie. Colloquium

Download or read book Molecular Mechanisms of Hormone Action written by Gesellschaft für Biologische Chemie. Colloquium and published by . This book was released on 1989 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Biohydrogen

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Publisher : Elsevier Inc. Chapters
ISBN 13 : 0128083638
Total Pages : 39 pages
Book Rating : 4.1/5 (28 download)

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Book Synopsis Biohydrogen by : Kuan-Yeow Show

Download or read book Biohydrogen written by Kuan-Yeow Show and published by Elsevier Inc. Chapters. This book was released on 2013-06-11 with total page 39 pages. Available in PDF, EPUB and Kindle. Book excerpt: In combating global warming and other environmental issues over the use of fossil fuels, extensive research has been focusing on developing hydrogen production from biological processes. Biohydrogen is considered a promising future biofuel because of its intrinsic clean and high-energy content properties and the way it is produced. In addition to being produced through environmentally friendly biological means, its conversion to energy yields only pure water, which is an ideal energy carrier in reducing greenhouse gas emissions from fossil fuel combustion. Unlike other well-developed biofuels such as bioethanol and biodiesel, biohydrogen production is still in the early stage of development. A variety of technologies are being developed for biohydrogen production. This chapter presents a review of the state-of-the-art and perspectives of bioprocess design for biohydrogen production research in the context of pathways, microorganisms, metabolic flux analysis, process design, and reactor system. Challenges and prospects of biohydrogen production are also outlined.

The Industrial Enterprise and Its Environment

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Publisher :
ISBN 13 :
Total Pages : 264 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Industrial Enterprise and Its Environment by : Sergio Conti

Download or read book The Industrial Enterprise and Its Environment written by Sergio Conti and published by . This book was released on 1995 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: The volume has three main objectives: to illustrate the trends of theoretical analysis in contemporary industrial geography; to establish the strategic central role of company spatial behaviour through the understanding of new theories developed in the framework of managerial sciences and theoretically and conceptually advanced in industrial geography; to reconceptualise in terms of complex systems theory the dynamic of industrial enterprise.

Scientific Canadian Mechanics' Magazine and Patent Office Record

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ISBN 13 :
Total Pages : 1070 pages
Book Rating : 4.E/5 ( download)

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Book Synopsis Scientific Canadian Mechanics' Magazine and Patent Office Record by : Canada. Patent Office

Download or read book Scientific Canadian Mechanics' Magazine and Patent Office Record written by Canada. Patent Office and published by . This book was released on 1966-03 with total page 1070 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Marine Bioenergy

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Publisher : CRC Press
ISBN 13 : 1482222388
Total Pages : 754 pages
Book Rating : 4.4/5 (822 download)

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Book Synopsis Marine Bioenergy by : Se-Kwon Kim

Download or read book Marine Bioenergy written by Se-Kwon Kim and published by CRC Press. This book was released on 2015-05-21 with total page 754 pages. Available in PDF, EPUB and Kindle. Book excerpt: Marine Bioenergy: Trends and Developments features the latest findings of leading scientists from around the world. Addressing the key aspects of marine bioenergy, this state-of-the-art text:Offers an introduction to marine bioenergyExplores marine algae as a source of bioenergyDescribes biotechnological techniques for biofuel productionExplains th

Quality of Life Through Quality of Information

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Publisher : IOS Press
ISBN 13 : 1614991014
Total Pages : 1284 pages
Book Rating : 4.6/5 (149 download)

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Book Synopsis Quality of Life Through Quality of Information by : European Federation for Medical Informatics

Download or read book Quality of Life Through Quality of Information written by European Federation for Medical Informatics and published by IOS Press. This book was released on 2012-08-16 with total page 1284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical informatics and electronic healthcare have many benefits to offer in terms of quality of life for patients, healthcare personnel, citizens and society in general. But evidence-based medicine needs quality information if it is to lead to quality of health and thus to quality of life. This book presents the full papers accepted for presentation at the MIE2012 conference, held in Pisa, Italy, in August 2012. The theme of the 2012 conference is ‘Quality of Life through Quality of Information’. As always, the conference provides a unique platform for the exchange of ideas and experiences among the actors and stakeholders of ICT supported healthcare. The book incorporates contributions related to the latest achievements in biomedical and health informatics in terms of major challenges such as interoperability, collaboration, coordination and patient-oriented healthcare at the most appropriate level of care. It also offers new perspectives for the future of biomedical and health Informatics, critical appraisal of strategies for user involvement, insights for design, deployment and the sustainable use of electronic health records, standards, social software, citizen centred e-health, and new challenges in rehabilitation and social care informatics. The topics presented are interdisciplinary in nature and will be of interest to a variety of professionals; physicians, nurses and other allied health providers, health informaticians, engineers, academics and representatives from industry and consultancy in the various fields.

The Ladybird Illustrated

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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."

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.

American Fertilizers

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Publisher :
ISBN 13 :
Total Pages : 26 pages
Book Rating : 4.:/5 (31 download)

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Book Synopsis American Fertilizers by : Perry Eugene Howard

Download or read book American Fertilizers written by Perry Eugene Howard and published by . This book was released on 1932 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this publication is given a brief description of the production of commercial fertilizer. It is believed that this description, which complex technical discussion and statistics are avoided, will be of use to students, as well as farmers and gardeners.

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:

Cambridge Yearbook of European Legal Studies, Vol 13, 2010-2011

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Publisher : Bloomsbury Publishing
ISBN 13 : 184731869X
Total Pages : 337 pages
Book Rating : 4.8/5 (473 download)

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Book Synopsis Cambridge Yearbook of European Legal Studies, Vol 13, 2010-2011 by : Catherine Barnard

Download or read book Cambridge Yearbook of European Legal Studies, Vol 13, 2010-2011 written by Catherine Barnard and published by Bloomsbury Publishing. This book was released on 2011-12-15 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Cambridge Yearbook of European Legal Studies provides a forum for the scrutiny of significant issues in EU Law, the law of the European Convention on Human Rights, and Comparative Law with a 'European' dimension, and particularly those issues which have come to the fore during the year preceding publication. The contributions appearing in the collection are commissioned by the Centre for European Legal Studies (CELS) Cambridge, a research centre in the Law Faculty of the University of Cambridge specialising in European legal issues. The papers presented are at the cutting edge of the fields which they address, and reflect the views of recognised experts drawn from the University world, legal practice, and the institutions of both the EU and its Member States. Inclusion of the comparative dimension brings a fresh perspective to the study of European law, and highlights the effects of globalisation of the law more generally, and the resulting cross fertilisation of norms and ideas that has occurred among previously sovereign and separate legal orders. The Cambridge Yearbook of European Legal Studies is an invaluable resource for those wishing to keep pace with legal developments in the fast moving world of European integration. INDIVIDUAL CHAPTERS Please click on the link below to purchase individual chapters from Volume 13 through Ingenta Connect: www.ingentaconnect.com SUBSCRIPTION TO SERIES To place an annual online subscription or a print standing order through Hart Publishing please click on the link below. Please note that any customers who have a standing order for the printed volumes will now be entitled to free online access. www.hartjournals.co.uk/cyels/subs Editorial Advisory Board: Albertina Albors-Llorens, John Bell, Alan Dashwood, Simon Deakin, David Feldman, Richard Fentiman, Angus Johnston, John Spencer Founding Editors: Alan Dashwood and Angela Ward Ius Commune Prize 2012 Alexandre Saydé wrote Chapter 15 in this volume entitled: 'One Law, Two Competitions: An Enquiry into the Contradictions of Free Movement Law' and we are delighted to announce that he has been awarded the Ius Commune Prize 2012.