Book Description
CONTEXTE : au fil des années, les services d'urgence connaissent une forte croissance des demandes de consultations. Cette augmentation du nombre de passages est un des facteurs participant à la saturation progressi ve de ces structures de soins. Parallèlement, on constate depuis quelques années un accès facilité aux GAFA (Google, Amazon, Facebook, Apple) permettant aux patients d'avoir accès 24h sur 24h à des informations médicales via des sites internet, blogs et le s réseaux sociaux. Ce surplus d'informations médicales souvent non fiables peut induire une ambiguïté chez les patients quant à la nécessité d'une prise en charge urgente ou différée de leur symptôme. A notre connaissance, aucune étude française n'a évalué l'impact et la prévalence de la consultation d'un site internet à visée médicale avant l'admission aux urgences. L'objectif de notre travail est d'évaluer, chez les patients se présentant dans un service d'urgence, la consultation préalable d'information médicale sur un site internet et la pertinence de cette consultation. METHODE : il s'agit d'une étude pilote, observationnelle, mono centrique , prospective réalisée au sein du service des urge nces adultes du CHU de Clermont Ferrand sur la période du 1 1/03/2019 au 24/03/2019, avec recueil anonyme de données à partir de questionnaires remis aux patients dès l'accueil. (NCT03881839) RESULTATS : parmi les 462 patients inclus dans notre étude, 14 % des patients ont consulté internet versus 86%, a vec respec tivement 50,8 % et 58,8 % de diagnostics qualifiant le passage aux urgences de « justifié/pertinent ». Les patients consultant internet ont plus fréquemment entre 18 et 24 ans, un niveau d'étude plus élevé et un téléphone portable. Ils ont confié rechercher une information médicale plusieurs fois par jour ou du moins rechercher des information s médicales très souvent et des symptômes qui ont débuté depuis moins de 5 jours. Après analyse multivariée, le caractère « justifié/pertinent » du passage est moins fré quent chez les patients qui consultent internet tous les jours (OR=0.48, IC95% : 0.28 0.84, p=0.01) et chez ceux consultant d es sites internet d'information médicale (OR=0.51, IC95% : 0.24 1.06, p=0.072). En revanche, le caractère « justifié/pertinent » du passage apparaît plus fréquent chez les patients qui présentent des symptômes évoluant depuis moins de 24h (OR=1.85, IC95% : 1.25 2.72, p=0.002) et pour ceux ayant consulté internet (OR=2.11, IC95% : 1.25 3.56, p=0.005). CONCLUSION : notre étude a principalement montré l'influence sur la venue aux urgences de certains critères comme: l'âge, le niveau d'étude et la date de début des symptômes
Author: Manal Guirguis-Younger Publisher: University of Ottawa Press ISBN: 0776621483 Category : Medical Languages : en Pages : 331
Book Description
"Brings together leading and emerging researchers to advance understanding of the complex relationships between homelessness and health. Covering a wide range of topics from youth homelessness to end-of-life care, contributors outline policy and practice recommendations to respond to this public health crisis."--Back cover.
Author: Publisher: ISBN: Category : Family violence Languages : en Pages :
Book Description
"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."
Author: Bihini won wa Musiti Publisher: IUCN ISBN: 2831706904 Category : Conservation of natural resources Languages : ru Pages : 344
Book Description
This bilingual publication results from a four-day symposium aimed at capturing the general directions and analytical issues that characterize approaches to sustainable use in Africa. The papers included in this work are organized under four major headings: modes of use, devolution, scale issues and external issues. Authors explore these themes through the use of case studies and the description of specific regional experiences. External issues are further explored in a series of commissioned policy papers which have also been included.
Author: Linda Strande Publisher: IWA Publishing ISBN: 1780404735 Category : Technology & Engineering Languages : en Pages : 428
Book Description
It is estimated that literally billions of residents in urban and peri-urban areas of Africa, Asia, and Latin America are served by onsite sanitation systems (e.g. various types of latrines and septic tanks). Until recently, the management of faecal sludge from these onsite systems has been grossly neglected, partially as a result of them being considered temporary solutions until sewer-based systems could be implemented. However, the perception of onsite or decentralized sanitation technologies for urban areas is gradually changing, and is increasingly being considered as long-term, sustainable options in urban areas, especially in low- and middle-income countries that lack sewer infrastructures. This is the first book dedicated to faecal sludge management. It compiles the current state of knowledge of the rapidly evolving field of faecal sludge management, and presents an integrated approach that includes technology, management, and planning based on Sandecs 20 years of experience in the field. Faecal Sludge Management: Systems Approach for Implementation and Operation addresses the organization of the entire faecal sludge management service chain, from the collection and transport of sludge, and the current state of knowledge of treatment options, to the final end use or disposal of treated sludge. The book also presents important factors to consider when evaluating and upscaling new treatment technology options. The book is designed for undergraduate and graduate students, and engineers and practitioners in the field who have some basic knowledge of environmental and/or wastewater engineering.
Author: UNICEF. Publisher: UNICEF ISBN: 9280641948 Category : Education Languages : en Pages : 72
Book Description
The sixth issue of Progress for Children reports on the status of child-specific targets set by world leaders at the May 2002 UN General Assembly Special Session on Children. This special edition examines more than 35 key indicators in the four broad areas identified at the Special Session as requisite to building ’A World Fit for Children'. It also analyses the Millennium Development Goals and provides information on the state of child protection.
Author: Rick Mayes Publisher: JHU Press ISBN: 0801888875 Category : Medical Languages : en Pages : 274
Book Description
This is the definitive work on Medicare’s prospective payment system (PPS), which had its origins in the 1972 Social Security Amendments, was first applied to hospitals in 1983, and came to fruition with the Balanced Budget Act of 1997. Here, Rick Mayes and Robert A. Berenson, M.D., explain how Medicare’s innovative payment system triggered shifts in power away from the providers (hospitals and doctors) to the payers (government insurers and employers) and how providers have responded to encroachments on their professional and financial autonomy. They conclude with a discussion of the problems with the Medicare Modernization Act of 2003 and offer prescriptions for how policy makers can use Medicare payment policy to drive improvements in the U.S. health care system. Mayes and Berenson draw from interviews with more than sixty-five major policy makers—including former Treasury secretary Robert Rubin, U.S. Representatives Pete Stark and Henry Waxman, former White House chief of staff Leon Panetta, and former administrators of the Health Care Financing Administration Gail Wilensky, Bruce Vladeck, Nancy-Ann DeParle, and Tom Scully—to explore how this payment system worked and its significant effects on the U.S. medical landscape in the past twenty years. They argue that, although managed care was an important agent of change in the 1990s, the private sector has not been the major health care innovator in the United States; rather, Medicare’s transition to PPS both initiated and repeatedly intensified the economic restructuring of the U.S. health care system.
Author: Kia Marlene Publisher: ISBN: Category : Poetry Languages : en Pages : 444
Book Description
Evolution of Awareness, the debut poetry collection from Kia Marlene, is a book about a spiritual journey towards enlightenment. The collection consists of 6 chapters, titled "The Egg," "The Caterpillar," "Intermission (heartbreak&love)," "The Cocoon," "The Butterfly," and a chapter titled "Knock Knock." Through numerous poems this book outlines various thoughts, questions and eventual answers concerning our collective greater purpose in life, self love, consciousness, and personhood. The author intends for this book to help broaden the reader's general perception, view of their environment, awareness, and sense of self.
Author: Camille Auroux
Author: Manal Guirguis-Younger
Author: Chanthalangsy, Phinith
Author: Roué, Marie
Author: 
Author: Bihini won wa Musiti
Author: Linda Strande
Author: UNICEF.
Author: Rick Mayes
Author: Kia Marlene