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Performance Des Medecins Urgentistes Dans La Gestion Des Situations Critiques A Vingt Quatre Heures De La Fin Dune Garde
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Book Synopsis Performance des médecins urgentistes dans la gestion des situations critiques à vingt-quatre heures de la fin d'une garde by : Laetitia Gicquel
Download or read book Performance des médecins urgentistes dans la gestion des situations critiques à vingt-quatre heures de la fin d'une garde written by Laetitia Gicquel and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: La médecine d'urgence intègre dans son temps de travail une activité nocturne importante. Or, de nombreuses études associent la privation de sommeil avec une dégradation de la qualité des soins. Alors que la baisse de performance est maintenant bien établie en sortie de garde, aucune étude à ce jour n'évalue l'éventuelle persistance de cette baisse après la période de récupération. Cette thèse présente un protocole de recherche pour la réalisation d'une étude pilote visant à évaluer les compétences non-techniques grâce à l'échelle Ottawa GRS (qui teste leadership, communication, gestion des ressources, résolution de problème, conscience situationelle) face à une situation de crise à vingt-quatre heures de la fin d'une garde. L'étude, basée au CHU de Toulouse, évaluera environ 40 médecins urgentistes, tour à tour au repos et en post-récupération, grâce à l'utilisation de la simulation.
Book Synopsis Comparaison des effets biologiques de deux systèmes de garde by : Frédéric Dutheil
Download or read book Comparaison des effets biologiques de deux systèmes de garde written by Frédéric Dutheil and published by . This book was released on 2010 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les médecins urgentistes ressentent une pénibilité, une fatigue et un temps de récupération plus long lors d'une garde de 24 heures (G24) comparée à une garde de nuit de 14 heures (G14). Aucun biomarqueur de stress ne faisant consensus, une analyse objective de certains d'entre eux pourrait faire émerger des indicateurs potentiels. Il s'agit d'une étude de faisabilité comparant la variation des principales hormones du stress et de la variabilité sinusale chez les médecins urgentistes du CHU de Clermont-Ferrand pour 2 systèmes de garde : 14 heures versus 24 heures. Il s'agit également d'une étude de récupération par un suivi post-garde de 48 heures. Le comité de protection des personnes a émis un avis favorable pour cette étude observationnelle sur 19 médecins urgentistes volontaires. Sont comparés les taux des hormones du stress et les marqueurs de variabilité sinusale les 3 jours consécutifs d'une G24/G14, et lors d'une journée témoin au retour de vacances (JARV) : J0 est le jour de la G14/G24, J1 le repos de sécurité, J2 une journée administrative (JA) (JAG24/JAG14). Les paramètres suivis sont : urinaires (cortisol, catécholamines, IL8), salivaires (cortisol, DHEA-S, leptine, IgAs, lysozyme), variabilité sinusale (holter), charge de travail (nombre total d'entrées, de lits disponibles et de déchocs), stress et fatigue physique/mentale (EVA), psychologiques (Hamilton, Maslach Burn-out Inventory, HAD, Karasek). Les prélèvements salivaires sont recueillis toutes les 12 heures sur 3 jours. Les prélèvements urinaires et la variabilité sinusale sont analysés en G24/G14 et en JAG24/JAG14. Outre le suivi de tous ces paramètres, la journée témoin permet la passation des questionnaires psychologiques. La variabilité sinusale est exploitée en analyse temporelle avec l'intervalle de temps moyen entre des complexes QRS normaux (NN), le pourcentage de NN variant de plus de 50 ms (pNN50) et la racine carrée de la différence des intervalles NN successifs élevée au carré (r-MSSD pour the square root of the mean of the sum of the squares of differences between adjacent NN intervals). pNN50 et r-MSSD élevés traduisent une forte activité parasympathique. L'analyse spectrale des espaces NN distingue un intervalle à Haute Fréquence (HF pour High Frequency) lié à l'activité parasympathique et un intervalle à Basse Fréquence (LF pour Low Frequency) lié préférentiellement à l'activité sympathique. Un logarithme LF/HF faible traduit un équilibre en faveur du parasympathique. 17/19 médecins urgentistes ont réalisé le protocole en entier. Fatigues physique et mentale sont supérieures lors d'une G24 versus G14, avec des effets prolongés dans le temps (résultats toujours significatifs au 3e jour). L'analyse de la variabilité sinusale retrouve une activité sympathique supérieure lors d'une G24 (pNN50 G24 G14, p = 0,0318 ; r-MSSD G24
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309450063 Total Pages :137 pages Book Rating :4.3/5 (94 download)
Book Synopsis The Ebola Epidemic in West Africa by : National Academies of Sciences, Engineering, and Medicine
Download or read book The Ebola Epidemic in West Africa written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-12-30 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most recent Ebola epidemic that began in late 2013 alerted the entire world to the gaps in infectious disease emergency preparedness and response. The regional outbreak that progressed to a significant public health emergency of international concern (PHEIC) in a matter of months killed 11,310 and infected more than 28,616. While this outbreak bears some unique distinctions to past outbreaks, many characteristics remain the same and contributed to tragic loss of human life and unnecessary expenditure of capital: insufficient knowledge of the disease, its reservoirs, and its transmission; delayed prevention efforts and treatment; poor control of the disease in hospital settings; and inadequate community and international responses. Recognizing the opportunity to learn from the countless lessons of this epidemic, the National Academies of Sciences, Engineering, and Medicine convened a workshop in March 2015 to discuss the challenges to successful outbreak responses at the scientific, clinical, and global health levels. Workshop participants explored the epidemic from multiple perspectives, identified important questions about Ebola that remained unanswered, and sought to apply this understanding to the broad challenges posed by Ebola and other emerging pathogens, to prevent the international community from being taken by surprise once again in the face of these threats. This publication summarizes the presentations and discussions from the workshop.
Book Synopsis Preventing Intimate Partner and Sexual Violence Against Women by :
Download or read book Preventing Intimate Partner and Sexual Violence Against Women written by and published by . This book was released on 2010 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "Intimate partner violence and sexual violence are significant global health problems and human rights issues. Under the rubric of violence against women the two overlapping issues have received increasing attention. Much of the response to these forms of violence has focussed either on advocacy, providing adequate health and legal services and ensuring safety of victims once violence is disclosed, or on screening for violence in the context of health services. When the word "prevention" is used, it is usually in reference to secondary and tertiary prevention - helping women get out of violent situations and preventing further violence. Little attention has been given to primary prevention - addressing the root causes with the goal of reducing the number of new cases. Recent hallmark publications have called for increased investment in primary prevention. As part of the Global Campaign for Violence Prevention, WHO is giving increased attention to the primary prevention of intimate partner violence and sexual violence. Preventing intimate partner and sexual violence against women: taking action and generating evidence is an important new tool for violence prevention researchers, practitioners and advocates provides a planning framework for developing policies and programmes for the prevention of intimate partner and sexual violence. This guide outlines the nature, magnitude, risks and consequences of intimate partner and sexual violence. It outlines strategies to prevent these forms of violence against women and describes how these can be tailored to the needs, capacities and resources of particular settings. It also emphasizes the importance of integrating scientific evaluation into all prevention activities in order to expand current knowledge of what works. The manual describes interventions of known effectiveness, those supported by emerging evidence, and those that could potentially be effective, but have yet to be sufficiently evaluated for their impact. For instance, school-based programmes to prevent violence occurring in "dating relationships" have been shown to be effective in randomized trials in the USA and Canada. Evidence is emerging for the effectiveness of empowerment approaches which use microfinance combined with gender-equality training or are based on communications and relationship skills training such as the Stepping Stones training package, which has been widely used in low- and middle-income countries. Strategies that aim to prevent intimate partner and sexual violence through reducing the harmful use of alcohol also show promise. A six-step framework for planning, implementing and evaluating such prevention programmes and policies is presented. This document is primarily aimed at policy-makers, programme planners and donors from public health and related sectors who seek to advance the prevention of intimate partner and sexual violence against women. In addition to the principal audience, other interested parties will include those working in other government sectors such as education, child welfare, social care, criminal justice and departments of women or gender equality; advocates from civil society organizations; local authorities; environmental and urban planners; and researchers."
Book Synopsis On the Trail of the Serpent by : Richard Neville
Download or read book On the Trail of the Serpent written by Richard Neville and published by Random House. This book was released on 2020-08-06 with total page 358 pages. Available in PDF, EPUB and Kindle. Book excerpt: ***NOW THE SUBJECT OF THE MAJOR BBC TV SERIES *** DISCOVER THE INCREDIBLE TRUE CRIME STORY OF SERIAL KILLER, CHARLES SOBHRAJ, AND THE RACE TO BRING HIM TO JUSTICE Charles Sobhraj remains one of the world's great con men, and as a serial killer, the story of his life and capture endures as legend. Born in Vietnam to a Vietnamese mother and Indian father, Sobhraj grew up with a fluid sense of identity, moving to France before being imprisoned and stripped of his multiple nationalities. Driven to floating from country to country, continent to continent, he became the consummate con artist, stealing passports, smuggling drugs and guns across Asia, busting out of prisons and robbing wealthy associates. But as his situation grew more perilous, he turned to murder, preying on Western tourists dropping out across the 1970s hippie route, leaving a trail of dead bodies and gruesome crime scenes in his wake. First published in 1979, but updated here to include new material, On the Trail of the Serpent draws its readers into the story of Sobhraj's life as told exclusively to journalists Richard Neville and Julie Clarke. Blurring the boundaries between true crime and novelisation, this remains the definitive book about Sobhraj - riveting tale of sex, drugs, adventure and murder.
Download or read book We Created Chávez written by Geo Maher and published by Duke University Press. This book was released on 2013-04-17 with total page 347 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since being elected president in 1998, Hugo Chávez has become the face of contemporary Venezuela and, more broadly, anticapitalist revolution. George Ciccariello-Maher contends that this focus on Chávez has obscured the inner dynamics and historical development of the country’s Bolivarian Revolution. In We Created Chávez, by examining social movements and revolutionary groups active before and during the Chávez era, Ciccariello-Maher provides a broader, more nuanced account of Chávez’s rise to power and the years of activism that preceded it. Based on interviews with grassroots organizers, former guerrillas, members of neighborhood militias, and government officials, Ciccariello-Maher presents a new history of Venezuelan political activism, one told from below. Led by leftist guerrillas, women, Afro-Venezuelans, indigenous people, and students, the social movements he discusses have been struggling against corruption and repression since 1958. Ciccariello-Maher pays particular attention to the dynamic interplay between the Chávez government, revolutionary social movements, and the Venezuelan people, recasting the Bolivarian Revolution as a long-term and multifaceted process of political transformation.
Download or read book Managing Epidemics written by and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Adventure Tourism written by Colin Beard and published by Routledge. This book was released on 2012-05-16 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: Looking at the past, present and future of adventure tourism, Adventure Tourism: the new frontier examines the product, the adventure tourist profile, and issues such as supply, geography and sustainability. International case studies are used to illustrate these issues, including: Gorilla watching holidays,Trekking on Mount Everest, Diving holidays, and Outward Bound packages. Analysis of the development and nature of adventure tourism accompanies these studies, ensuring that the title is useful both for undergraduate and postgraduate students of tourism and for professionals involved in managing adventure tourism enterprises. There is also a companion website with additional cases, which can be found at www.bh/com/companions/0750651865.
Book Synopsis Digitalizing the Port Call Process by :
Download or read book Digitalizing the Port Call Process written by and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This document identifies the principal tensions and opportunities arising that are impacting the inevitable and ongoing digitalization process that is underway in the maritime sector, particularly through the authors' experience in the development and subsequent validation of the Port Collaborative Decision Making (PortCDM) concept. The document also identifies the trends of development at large and those associated with the many stakeholders that are involved in global maritime operations..."--Page 6.
Book Synopsis Rethinking Venezuelan Politics by : Steve Ellner
Download or read book Rethinking Venezuelan Politics written by Steve Ellner and published by Lynne Rienner Publishers. This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offers a fresh look at Venezuelan politics, emphasizing the central significance of the country's economic and social cleavages. This work explores the rise of Chavismo, opposition within the country and abroad, internal tensions in the Chavista movement, and the trajectory of the Hugo Chavez government domestically and on the international stage.
Book Synopsis Violence Against Children in the Family and the Community by : Penelope K. Trickett
Download or read book Violence Against Children in the Family and the Community written by Penelope K. Trickett and published by Amer Psychological Assn. This book was released on 1998 with total page 511 pages. Available in PDF, EPUB and Kindle. Book excerpt: Children in the United States experience violence in many forms. They are the victims of physical and sexual abuse within their families, they witness battering of and by their parents, and they experience or witness violence in their schools and communities. Poor children are especially at risk for experiencing these forms of violence. Recently, considerable research has accumulated documenting the psychological impact of such violence on children's development. This book brings together in one volume the latest findings from researchers on violence, with the aim of integrating findings and pointing out gaps in our knowledge that future research will need to address. The book also describes promising interventions that have helped children already damaged by violence and suggests strategies for preventing violence before it occurs. The book is divided into five sections that cover developmental consequences, causes, interventions, prevention, and future research and public policy issues. This volume will be a resource for developmental psychologists, violence researchers, social workers, and policy makers.
Book Synopsis The Kanuri of Bornu by : Ronald Cohen
Download or read book The Kanuri of Bornu written by Ronald Cohen and published by . This book was released on 1967 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Boko Haram: Islamism, Politics, Security, and the State in Nigeria by : Marc-Antoine Perouse De Montclos
Download or read book Boko Haram: Islamism, Politics, Security, and the State in Nigeria written by Marc-Antoine Perouse De Montclos and published by Tsehai Publishers. This book was released on 2015-02-01 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is the first attempt to understand Boko Haram in a comprehensive and consistent way. It examines the early history of the sect and its transformation into a radical armed group. It analyses the causes of the uprising against the Nigerian state and evaluates the consequences of the on-going conflict from a religious, social and political point of view. The book gives priority to authors conducting fieldwork in Nigeria and tackles the following issues: the extent to which Boko Haram can be considered the product of deprivation and marginalisation; the relationship of the sect with almajirai, Islamic schools, Sufi brotherhoods, Izala, and Christian churches; the role of security forces and political parties in the radicalisation of the sect; the competing discourses in international and domestic media coverage of the crisis; and the consequences of the militarisation of the conflict for the Nigerian government and the civilian population, Christian and Muslim. About the Editor: Marc-Antoine Perouse de Montclos is a Doctor in Political Science and a Professor at the French Institute of Geopolitics in the University of Paris 8. A specialist on armed conflicts in Africa south of the Sahara, he graduated from the Institut d'etudes politiques de Paris (IEP), where he teaches, and is a researcher at the Institut de recherche pour le developpement (IRD). He lived for several years in Nigeria, South Africa and Kenya. He has published some eighty articles and books, including Le Nigeria (1994), Violence et securite urbaines (1997), L'aide humanitaire, aide a la guerre? (2001), Villes et violences en Afrique subsaharienne (2002), Diaspora et terrorisme (2003), Guerres d'aujourd'hui (2007), Etats faibles et securite privee en Afrique noire (2008), Les humanitaires dans la guerre (2013), and La tragedie malienne (2013). Reviews For scholars, government officials, journalists, and civic actors, this book expands our understanding of this enigmatic jihadist movement, its genesis, evolution, and political implications. In light of the global significance of militant Islam, the book is indispensable for students of Nigeria, Africa, Muslim societies, and armed conflicts.-Richard Joseph, John Evans Professor of International History and Politics, Northwestern University This collection of essays on Boko Haram is much the best yet-well informed, coolly competent. With the insurgency still evolving, we really need this guide to its early days.-Murray Last, Emeritus Professor of Anthropology, University College of London This valuable collection assembles notable experts who analyze the messages and behavior of Boko Haram. The collection also provides nuanced treatments of actors involved in the conflict, including the Nigerian state and Nigerian Christians.-Alex Thurston, Visiting Assistant Professor, African Studies Program, Georgetown University
Book Synopsis Understanding Boko Haram by : James J. Hentz
Download or read book Understanding Boko Haram written by James J. Hentz and published by Taylor & Francis. This book was released on 2017-05-08 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: The primary objective of this book is to understand the nature of the Boko Haram insurgency in northeast Nigeria. Boko Haram’s goal of an Islamic Caliphate, starting in the Borno State in the North East that will eventually cover the areas of the former Kanem-Borno Empire, is a rejection of the modern state system forced on it by the West. The central theme of this volume examines the relationship between the failure of the state-building project in Nigeria and the outbreak and nature of insurgency. At the heart of the Boko Haram phenomenon is a country racked with cleavages, making it hard for Nigeria to cohere as a modern state. Part I introduces this theme and places the Boko Haram insurgency in a historical context. There are, however, multiple cleavages in Nigeria ̶ ethnic, regional, cultural, and religious ̶ and Part II examines the different state-society dynamics fuelling the conflict. Political grievances are common to every society; however, what gives Boko Haram the space to express such grievances through violence? Importantly, this volume demonstrates that the insurgency is, in fact, a reflection of the hollowness within Nigeria’s overall security. Part III looks at the responses to Boko Haram by Nigeria, neighbouring states, and external actors. For Western actors, Boko Haram is seen as part of the "global war on terror" and the fact that it has pledged allegiance to ISIS encourages this framing. However, as the chapters here discuss, this is an over-simplification of Boko Haram and the West needs to address the multiple dimension of Boko Haram. This book will be of much interest to students of terrorism and political violence, insurgencies, African politics, war and conflict studies, and IR in general.
Author :Great Britain. Department of Health Publisher :The Stationery Office ISBN 13 :9780101626828 Total Pages :94 pages Book Rating :4.6/5 (268 download)
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.
Book Synopsis The Billy Meier Contacts Reports: Book 1 by : Billy Meier
Download or read book The Billy Meier Contacts Reports: Book 1 written by Billy Meier and published by . This book was released on 2012-11-30 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Billy Meier Contact Reports: Book 1This is Book 1 of the long desired series that will eventually contain all of the translated Contact Reports, including corrected versions of the translations done by Wendelle Stevens. The contact numbers will be listed on the cover of each volume, as is the case in the first edition above.This is the perfect way to have your own copies of this invaluable information.
Book Synopsis Health for all Children by : David M B Hall
Download or read book Health for all Children written by David M B Hall and published by OUP Oxford. This book was released on 2006-09-07 with total page 423 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since publication of the fourth edition of this highly successful book, there have been a number of Government initiatives, reports and policies on how the health of children can best be protected and promoted. This revised fourth edition incorporates recent material on the National Service Framework, 'Every Child Matters', the public health report 'Choosing Health', and the Children Act. It has also been informed by new research on a variety of topics including Sure Start, obesity, Sudden Infant Death Syndrome (SIDS) and language acquisition. Health for all Children 4/e (revised) continues the themes of previous editions, in particular highlighting the growing evidence that behavioural problems and educational failure are not inevitable, and can be prevented. Thus the role of screening for developmental problems, while not ignored, is set in the context of what can be done to promote language development, reading, and enthusiasm for learning. Changes made to the fourth edition, and continued in this revised edition, include dealing with the health care needs of children of school age as well as pre-school children. It also outlines the needs of special groups of children, including those who are vulnerable or disabled and those living in unusual circumstances. The legislative framework is outlined and hallmarks of good practice described. Promoting children's health is a key focus, with updated information on nutrition and injury prevention, and emphasis on the importance of parent education and support, language, and literacy skills, with a review of behavioural management programmes for parents. It also describes the duties laid on PCTs with regard to education and social services support. This established and successful book continues to be essential reading for all health professionals who work with children, whether in the community or at the receiving end of referrals. It will also provide vital background knowledge for those charged with the responsibility of planning, commissioning and monitoring. This revised fourth edition provides the most up to date evidence in a rapidly changing field.
