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Author: Béatrice Lan Yu Shum-Laurent Publisher: ISBN: Category : Languages : fr Pages : 124
Book Description
Parmi les complications du diabète, les troubles trophiques du pied diabétique comptent parmi les plus préoccupantes en raison de leurs répercussions humaines et sociales. Leur prise en charge nécessite une approche multidisciplinaire. L'objectif de notre étude est de préciser les intérêts de la télémédecine dans la prise en charge de ces lésions. Nous avons réalisé un essai pragmatique, prospectif et comparatif au Centre Hospitalier Intercommunal du Val d'Ariège. Pendant six mois, nous avons suivi deux groupes de patients diabétiques présentant des troubles trophiques. Un groupe de sept patients a été suivi uniquement en consultation classique et un groupe de onze patients a bénéficié de téléconsultations. L'étude a confirmé que la télémédecine est un atout dans la prise en charge de ces lésions. En optimisant les démarches diagnostique et thérapeutique, elle permet d'obtenir un bon taux de cicatrisation sur des lésions aux grades de Wagner sévères et de limiter les amputations hautes. En effet au terme de l'étude, sept patients ont été amputés. Seuls deux d'entre eux ont eu une amputation de cuisse. De plus, la télémédecine favorise l'adhésion du patient au projet de soins. Les patients sont satisfaits de recevoir un deuxième avis spécialisé sans devoir effectuer de longs trajets. La télémédecine participe à la formation médicale et facilite l'accès à un réseau de soins. Elle contribue au renforcement du maillage régional de l'offre de soins et favorise l'égalité de l'accès aux soins pour tous les diabétiques de la Région. La télémédecine représente donc une valeur ajoutée dans la prise en charge des troubles trophiques diabétiques en favorisant les approches multidisciplinaires et concertées.
Author: Béatrice Lan Yu Shum-Laurent Publisher: ISBN: Category : Languages : fr Pages : 124
Book Description
Parmi les complications du diabète, les troubles trophiques du pied diabétique comptent parmi les plus préoccupantes en raison de leurs répercussions humaines et sociales. Leur prise en charge nécessite une approche multidisciplinaire. L'objectif de notre étude est de préciser les intérêts de la télémédecine dans la prise en charge de ces lésions. Nous avons réalisé un essai pragmatique, prospectif et comparatif au Centre Hospitalier Intercommunal du Val d'Ariège. Pendant six mois, nous avons suivi deux groupes de patients diabétiques présentant des troubles trophiques. Un groupe de sept patients a été suivi uniquement en consultation classique et un groupe de onze patients a bénéficié de téléconsultations. L'étude a confirmé que la télémédecine est un atout dans la prise en charge de ces lésions. En optimisant les démarches diagnostique et thérapeutique, elle permet d'obtenir un bon taux de cicatrisation sur des lésions aux grades de Wagner sévères et de limiter les amputations hautes. En effet au terme de l'étude, sept patients ont été amputés. Seuls deux d'entre eux ont eu une amputation de cuisse. De plus, la télémédecine favorise l'adhésion du patient au projet de soins. Les patients sont satisfaits de recevoir un deuxième avis spécialisé sans devoir effectuer de longs trajets. La télémédecine participe à la formation médicale et facilite l'accès à un réseau de soins. Elle contribue au renforcement du maillage régional de l'offre de soins et favorise l'égalité de l'accès aux soins pour tous les diabétiques de la Région. La télémédecine représente donc une valeur ajoutée dans la prise en charge des troubles trophiques diabétiques en favorisant les approches multidisciplinaires et concertées.
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: Christine Parent Publisher: Springer Science & Business Media ISBN: 354030326X Category : Computers Languages : en Pages : 475
Book Description
From environmental management to land planning and geo-marketing, the number of application domains that may greatly benefit from using data enriched with spatio-temporal features is expanding very rapidly. This book shows that a conceptual design approach for spatio-temporal databases is both feasible and easy to apprehend. While providing a firm basis through extensive discussion of traditional data modeling concepts, the major focus of the book is on modeling spatial and temporal information.
Author: Andrea Bianchi Publisher: Hart Publishing ISBN: 9781849461375 Category : Law Languages : en Pages : 407
Book Description
This book carefully and thoroughly analyses the legal questions raised by the phenomenon of terrorism, and past and recent efforts to fight it, from the perspective of international humanitarian law (IHL). The objective is to substantially contribute to a better understanding of the issues surrounding the content and applicability of IHL as it applies to terrorism as well as to analyse and contextualise the current debates on these controversial and critically important questions. While due heed is paid to doctrinal debates, particular emphasis is placed on the practice of social actors, particularly, although not exclusively, States. The analysis of their actual conduct as well as their expectations about the interpretation and application of the law is crucial to establishing an interpretive consensus on when and how IHL is relevant to regulate acts of terrorism. The approach of the book is analytical and discursive, rather than prescriptive. Thus the reader will find the relevant rules of IHL and other legal regimes as regards terrorism, but also the debates over their application, the contradictions in State practice and the impact these may have upon IHL's evolution and implementation. The aim is to provide legal practitioners, as well as those in military, political and academic circles, with a useful reference point. Hopefully the book will also prove useful to other readers who will find its content and easy-to-read style an encouragement to getting acquainted with a topical subject, traditionally thought to be reserved for legal specialists. This book was cited with approval by the US Court of Appeals in Salim Ahmed Hamdan v United States of America, 16th October 2012
Author: Ingeborg H. Schwenzer Publisher: ISBN: 9789050955904 Category : Domestic relations Languages : en Pages : 0
Book Description
This Model Family Code aims at contributing to future discussion on the harmonization, and hopefully even unification of family law. The Model Family Code has attempted to address all aspects of Partnerships and of Parents and Children, which constitute the core areas of any family law. It is elaborated from a global, rather than a European perspective
Author: Thierry J.-L. Courvoisier Publisher: Springer Science & Business Media ISBN: 3642309704 Category : Science Languages : en Pages : 333
Book Description
High-energy astrophysics has unveiled a Universe very different from that only known from optical observations. It has revealed many types of objects in which typical variability timescales are as short as years, months, days, and hours (in quasars, X-ray binaries, etc), and even down to milli-seconds in gamma ray bursts. The sources of energy that are encountered are only very seldom nuclear fusion, and most of the time gravitation, a paradox when one thinks that gravitation is, by many orders of magnitude, the weakest of the fundamental interactions. The understanding of these objects' physical conditions and the processes revealed by high-energy astrophysics in the last decades is nowadays part of astrophysicists' culture, even of those active in other domains of astronomy. This book evolved from lectures given to master and PhD students at the University of Geneva since the early 1990s. It aims at providing astronomers and physicists intending to be active in high-energy astrophysics a broad basis on which they should be able to build the more specific knowledge they will need. While in the first part of the book the physical processes are described and derived in detail, the second part studies astrophysical objects in which high-energy astrophysics processes are crucial. This two-pronged approach will help students recognise physical processes by their observational signatures in contexts that may differ widely from those presented here.
Author: Manny Rayner Publisher: Cambridge University Press ISBN: 9780521770774 Category : Computers Languages : en Pages : 360
Book Description
This book describes the Spoken Language Translator (SLT), one of the first major projects in the area of automatic speech translation.
Author: Béatrice Lan Yu Shum-Laurent
Author: Béatrice Lan Yu Shum-Laurent
Author: Jean Mallet (médecin).)
Author: World Bank
Author: Christine Parent
Author: Andrea Bianchi
Author: Lizhi Fang
Author: Leon Mead
Author: Ingeborg H. Schwenzer
Author: Thierry J.-L. Courvoisier
Author: Manny Rayner