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Author: Oussama Gasmi
Publisher:
ISBN:
Category :
Languages : fr
Pages : 62
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Book Description
Les patients atteints de drépanocytose souffrent d'une dysfonction splénique à l'origine d'une susceptibilité accrue aux infections bactériennes. La fièvre constitue ainsi un point d'appel important amenant une consultation aux urgences et la mise en place d'une antibiothérapie intraveineuse à large spectre. L'objectif principal de notre étude était de mesurer la prévalence des infections bactériennes des enfants drépanocytaires consultant aux urgences pédiatriques du CHU de Nantes. L'objectif secondaire était d'évaluer les facteurs de risque de ces infections en vue de construire un algorithme d'aide à la décision. Il a été constaté 17 infections bactériennes (13.2 % [IC 95% 7,3-19,1]) dans cette population de patients, parmi lesquelles 3 infections bactériennes invasives (2.3 % [IC 95% 0-4,9]) et 14 infections bactériennes sévères (10,9% [IC 95% 5,5-16,3]). La CRP et la PCT étaient significativement supérieures dans les cas d'infections bactériennes par rapport aux épisodes de fièvre sans infection bactérienne. L'algorithme d'aide à la décision que nous avons proposé devra être validé sur une autre population puis évalué à l'occasion d'une étude clinique prospective et multicentrique.
Author: Oussama Gasmi
Publisher:
ISBN:
Category :
Languages : fr
Pages : 62
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Book Description
Les patients atteints de drépanocytose souffrent d'une dysfonction splénique à l'origine d'une susceptibilité accrue aux infections bactériennes. La fièvre constitue ainsi un point d'appel important amenant une consultation aux urgences et la mise en place d'une antibiothérapie intraveineuse à large spectre. L'objectif principal de notre étude était de mesurer la prévalence des infections bactériennes des enfants drépanocytaires consultant aux urgences pédiatriques du CHU de Nantes. L'objectif secondaire était d'évaluer les facteurs de risque de ces infections en vue de construire un algorithme d'aide à la décision. Il a été constaté 17 infections bactériennes (13.2 % [IC 95% 7,3-19,1]) dans cette population de patients, parmi lesquelles 3 infections bactériennes invasives (2.3 % [IC 95% 0-4,9]) et 14 infections bactériennes sévères (10,9% [IC 95% 5,5-16,3]). La CRP et la PCT étaient significativement supérieures dans les cas d'infections bactériennes par rapport aux épisodes de fièvre sans infection bactérienne. L'algorithme d'aide à la décision que nous avons proposé devra être validé sur une autre population puis évalué à l'occasion d'une étude clinique prospective et multicentrique.
Author: Alan D. Lopez
Publisher: World Bank Publications
ISBN: 0821362631
Category : Medical
Languages : en
Pages : 511
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Book Description
Strategic health planning, the cornerstone of initiatives designed to achieve health improvement goals around the world, requires an understanding of the comparative burden of diseases and injuries, their corresponding risk factors and the likely effects of invervention options. The Global Burden of Disease framework, originally published in 1990, has been widely adopted as the preferred method for health accounting and has become the standard to guide the setting of health research priorities. This publication sets out an updated assessment of the situation, with an analysis of trends observed since 1990 and a chapter on the sensitivity of GBD estimates to various sources of uncertainty in methods and data.
Author:
Publisher:
ISBN: 9781433820632
Category : Psychoanalysis
Languages : en
Pages :
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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: Great Britain. Department of Health
Publisher: The Stationery Office
ISBN: 9780101626828
Category : Medical
Languages : en
Pages : 94
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Book Description
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.
Author: Wangari Maathai
Publisher: Anchor
ISBN: 0307378098
Category : Political Science
Languages : en
Pages : 337
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Book Description
In this groundbreaking work, the Nobel Peace Prize-winner and founder of the Green Belt Movement offers a new perspective on the troubles facing Africa today. Too often these challenges are portrayed by the media in extreme terms connoting poverty, dependence, and desperation. Wangari Maathai, the author of Unbowed, sees things differently, and here she argues for a moral revolution among Africans themselves. Illuminating the complex and dynamic nature of the continent, Maathai offers “hardheaded hope” and “realistic options” for change and improvement. She deftly describes what Africans can and need to do for themselves, stressing all the while responsibility and accountability. Impassioned and empathetic, The Challenge for Africa is a book of immense importance.
Author: Christina Maslach
Publisher: John Wiley & Sons
ISBN: 0470423560
Category : Psychology
Languages : en
Pages : 200
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Book Description
Today's workforce is experiencing job burnout in epidemic proportions. Workers at all levels, both white- and blue-collar, feel stressed out, insecure, misunderstood, undervalued, and alienated at their workplace. This original and important book debunks the common myth that when workers suffer job burnout they are solely responsible for their fatigue, anger, and don't give a damn attitude. The book clearly shows where the accountability often belongs. . . .squarely on the shoulders of the organization.
Author: David M B Hall
Publisher: OUP Oxford
ISBN: 0191015628
Category : Political Science
Languages : en
Pages : 423
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Book Description
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.
Author: Alistair Croll
Publisher: "O'Reilly Media, Inc."
ISBN: 1098168151
Category : Business & Economics
Languages : en
Pages : 403
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Book Description
Whether you're a startup founder trying to disrupt an industry or an entrepreneur trying to provoke change from within, your biggest challenge is creating a product people actually want. Lean Analytics steers you in the right direction. This book shows you how to validate your initial idea, find the right customers, decide what to build, how to monetize your business, and how to spread the word. Packed with more than thirty case studies and insights from over a hundred business experts, Lean Analytics provides you with hard-won, real-world information no entrepreneur can afford to go without. Understand Lean Startup, analytics fundamentals, and the data-driven mindset Look at six sample business models and how they map to new ventures of all sizes Find the One Metric That Matters to you Learn how to draw a line in the sand, so you'll know it's time to move forward Apply Lean Analytics principles to large enterprises and established products
