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Author: Marie Chambost Publisher: ISBN: Category : Languages : fr Pages : 236
Book Description
Bien que la nécessité de recourir à une EER dans un contexte d'urgence chez l'enfant soit rare les modalités de prise en charges sont riches et complexes. L'objectif principal de notre étude était d'évaluer les pratiques au sein de l'unité de réanimation pédiatrique du CHU de Caen et de les confronter aux recommandations existantes sur le sujet. Notre étude rétrospective a porté sur une période de 10 ans (janvier 2004-décembre 2014) et a inclut 51 patients. La DP et les méthodes d'EEC continues sont utilisées dans des proportions équilibrées dans l'unité de réanimation pédiatrique du CHU de Caen. Nos pratiques sont globalement conformes aux recommandations. Une analyse multivariée a révélé que seuls l'âge et la pathologie sous jacente à l'indication de dialyse en urgence influent de manière significative le choix de la méthode. Plus l'enfant est jeune et plus la méthode choisie en première intention sera la DP. Une maladie rénale primitive conduit significativement plus fréquemment à réaliser une DP en première intention (dans 95.5% des cas) alors qu'une maladie extra rénale conduit plus fréquemment (dans 58.6% des cas) à réaliser une méthode d'EEC continue en première intention (p=0.03). Les pistes d'amélioration pour harmoniser nos pratiques avec les recommandations concernent : la traçabilité des cathéters (de DP et d'EEC continue), l'antibiothérapie péri opératoire entourant la pose du cathéter de DP, la surveillance des orifices de sortie des cathéters de DP, la formation de l'équipe médicale du service à l'échorepérage et à l'échoguidage pour la pose des cathéters d'EEC, la formation continue de l'équipe infirmière aux méthodes d'épuration.
Author: Marie Chambost Publisher: ISBN: Category : Languages : fr Pages : 236
Book Description
Bien que la nécessité de recourir à une EER dans un contexte d'urgence chez l'enfant soit rare les modalités de prise en charges sont riches et complexes. L'objectif principal de notre étude était d'évaluer les pratiques au sein de l'unité de réanimation pédiatrique du CHU de Caen et de les confronter aux recommandations existantes sur le sujet. Notre étude rétrospective a porté sur une période de 10 ans (janvier 2004-décembre 2014) et a inclut 51 patients. La DP et les méthodes d'EEC continues sont utilisées dans des proportions équilibrées dans l'unité de réanimation pédiatrique du CHU de Caen. Nos pratiques sont globalement conformes aux recommandations. Une analyse multivariée a révélé que seuls l'âge et la pathologie sous jacente à l'indication de dialyse en urgence influent de manière significative le choix de la méthode. Plus l'enfant est jeune et plus la méthode choisie en première intention sera la DP. Une maladie rénale primitive conduit significativement plus fréquemment à réaliser une DP en première intention (dans 95.5% des cas) alors qu'une maladie extra rénale conduit plus fréquemment (dans 58.6% des cas) à réaliser une méthode d'EEC continue en première intention (p=0.03). Les pistes d'amélioration pour harmoniser nos pratiques avec les recommandations concernent : la traçabilité des cathéters (de DP et d'EEC continue), l'antibiothérapie péri opératoire entourant la pose du cathéter de DP, la surveillance des orifices de sortie des cathéters de DP, la formation de l'équipe médicale du service à l'échorepérage et à l'échoguidage pour la pose des cathéters d'EEC, la formation continue de l'équipe infirmière aux méthodes d'épuration.
Author: Renate Mayntz Publisher: Routledge ISBN: 1000315878 Category : Social Science Languages : en Pages : 238
Book Description
This book is an outcome of the conference on the development of large technical systems held in Berlin in 1986. It focuses on the comparative analysis of the development of large technical systems, particularly electrical power, railroad, air traffic, telephone, and other forms of telecommunication.
Author: Philip A. Pizzo Publisher: Lippincott Williams & Wilkins ISBN: 9780683303995 Category : Medical Languages : en Pages : 849
Book Description
Recommended in the Brandon/Hill selected list of print books and journals for the small medical library - April 2001 & 2003 The Third Edition of this very popular book offers the most authoritative and comprehensive review of the impact of the HIV disease in infants, children, and adolescents.
Author: International Union for Conservation of Nature and Natural Resources. Commission on Environmental Law Publisher: IUCN ISBN: 9782831705248 Category : Business & Economics Languages : en Pages : 226
Book Description
This is an updated edition of the 1995 version. In the mid-1980's, the IUCN CEL, in consultation with leading experts from around the world, began to respond to a need later identified by Agenda 21: the preparation of an integrated framework for international environmental law.
Author: Wouter van Ginneken Publisher: International Labour Organization ISBN: 9789221108566 Category : Social security Languages : en Pages : 220
Book Description
The large majority of workers in developing countries are excluded from social security protection. Social Security for the Excluded Majority examines this problem in Benin, China, El Salvador, India, and the United Republic of Tanzania. This book pleads for a participatory approach to the extension of social security and explores ways in which governments and organizations can come together to create practical, workable policies to bring social security protection to all.Through a series of detailed case studies compiled by an international array of policy experts, this book looks closely at the workings of self-financed schemes for informal workers that emerged in the 1990s, and highlights the schemes that have been most beneficial. It focuses on how NGOs, cooperatives, and other social organizations have been able to develop institutions and policies more in line with the requirements and contributory capacity of the informal sector.The authors evaluate various approaches to the extension of formal sector social insurance to informal sector workers, including the self-employed. In addition, they explore how social assistance programs, although often requiring sophisticated administration, can help ensure that benefits reach the population most in need, such as children, the disabled, and the elderly.
Author: Richard Swedberg Publisher: Russell Sage Foundation ISBN: 9780871548405 Category : Business & Economics Languages : en Pages : 506
Book Description
Since the mid-1980s, as public discourse has focused increasingly on the troubled economy, many social scientists have argued the need for more analysis of the social relationships that undergird economic life. The original essays in Explorations in Economic Sociology represent the most important work in this renewed field and employ a rich variety of research methods—theoretical, ethnographic, and historical—to illustrate its key concerns. Explorations in Economic Sociology forges innovative social theories of such economic institutions as money, markets, and industry. Although traditional economists have identified markets as driven solely by the forces of supply and demand, social factors frequently intervene. Sales at auction are determined not simply by a seller's personal knowledge of customers. Shareholder attitudes and employee organization influence everything from the way firms borrow money to the way corporate performance is measured. Firms themselves operate in social networks in which trust is a crucial factor in settling the terms for cooperation or competition. Throughout the essays in this volume, the contributors point the way to developing a more healthy economy by fostering productive industrial networks, avoiding disintegration at management levels, and anticipating the consequences of the shift from manufacturing to service industries. Explorations in Economic Sociology is a pioneering work that bridges the gap between social theory and economic analysis and demonstrates the importance of this union in achieving an effective understanding of economic issues. The book should stimulate new interest in economic sociology by bringing together many of its most fundamental voices.
Author: Publisher: ISBN: 9781433820632 Category : Psychoanalysis Languages : en Pages :
Book Description
"In Relational Psychodynamic Psychotherapy Supervision, guest expert supervisor, Dr. Joan E. Sarnat, demonstrates and discusses this approach to supervision. The goal of relational psychodynamic supervision is to create a more experiential, participatory, and relationship-focused form of supervision, one that not only provides usable psychotherapeutic knowledge and skills, but also facilitates the emotional and relational development that is essential to becoming an effective psychodynamic psychotherapist. In this video, Sarnat and her supervisee engage in a supervisory session, and host Dr. Hanna Levenson interviews them about their work together, exploring the constructs of this model and the nature of the supervisory relationship. In the session, Dr. Sarnat's supervisee conveys that she is frustrated by how her patient is discounting her during the termination phase of therapy. By becoming aware of and working with her own feelings of frustration within the session, Dr. Sarnat demonstrates the art of using a reenactment to help the supervisee deepen her awareness and thereby facilitate the therapy."--
Author: World Bank Publisher: World Bank Publications ISBN: 0821385631 Category : Social Science Languages : en Pages : 114
Book Description
This report provides the most comprehensive and rigorous analysis of Iraqi income and expenditure in several decades. The report makes extensive use of the Iraq Household Socio-Economic Survey, the first nationwide income and expenditure survey since 1988. IHSES data is complemented income and expenditure data from a wide range of other measures of living standards, allowing us to analyze living standards in a holistic way. The analysis presented here was performed with two main goals first, to inform the Government s Poverty Reduction Strategy; and second, to serve as a baseline for future assessments of changes in living standards and the identification of critical issues for deeper examination. Iraqi living standards have two unusual characteristics. First, they have fallen over the past generation. Second, they feature surprisingly little inequality. These characteristics are both rooted in Iraq s recent history of authoritarian government, war, military occupation, insurgency, and civil strife leading to infrastructure destruction and population displacement. There have been few opportunities for individuals to prosper from professional or entrepreneurial activities. Decades of neglected investment have resulted in deterioration of social services and economic infrastructure. Consequently, individuals have lacked capabilities to prosper and an investment climate conducive to prosperity. School enrollment and life expectancy have declined. Extremely low returns to education reflect the combination of poor educational quality and lack of employment opportunities. In terms of economic infrastructure, access to reliable electricity and water, and even access to paved roads are low, are further reflections of decades of neglect. While the upper end of the distribution has been pulled down by a lack of opportunities, the lower end has been supported by direct government provision of food. The Public Distribution System (PDS) provides 85 percent of food needs. While PDS has been useful as a safety net for the poor and the vulnerable, the system is expensive, inefficient, and fiscally risky. Indeed, PDS food rations account for a far greater share of public spending than does education or health. Going forward, Iraq faces two main challenges. First, although Iraq does not have to develop from scratch, it faces a formidable challenge in re-development. Second, a shift by the Government is required from direct provision of basic subsistence toward investment in human capacities. The Government can provide an enabling environment through investments in economic infrastructure and services to business and citizens, thus allowing the population to make productive use of education and their own labor. Both challenges are now being taken up by the Poverty Reduction Strategy, which articulates a detailed set of required actions and outlines priorities for government spending.
Author: Marie Chambost
Author: Marie Chambost
Author: Renate Mayntz
Author: Philip A. Pizzo
Author: 
Author: International Union for Conservation of Nature and Natural Resources. Commission on Environmental Law
Author: Wouter van Ginneken
Author: Richard Swedberg
Author: 
Author: World Bank
Author: Kofi Kumado