Author: Edouard Baudouin
Publisher:
ISBN:
Category :
Languages : fr
Pages : 122
Get Book Here
Book Description
L’espérance de vie à la naissance en France n’a cessé de croître, ce qui se traduit par une augmentation de la population des personnes de plus de 75 ans. La gériatrie, a été évaluée au travers divers indicateurs dont récemment la ré-hospitalisation à 30 jours (RH30) évaluant l’articulation et la coordination entre les services de ville et hospitaliers. Cette transition peut passer au travers de l’hospitalisation à domicile (HAD) qui a montré son efficacité dans la prise en charge au domicile des personnes âgées. L’objectif ici est d’évaluer un suivi gériatrique en amont d’une prise en charge HAD sur le critère des RH30 jours en comparant les patients ayant bénéficié d’un passage en gériatrie aiguë à ceux n’en ayant pas eu. Il s’agit d’une étude rétrospective portant sur les années 2016 à 2018. Les données ont été extraites de la base de données nationales du Programme de Médicalisation des systèmes d’information (PMSI) HAD chainées aux données du PMSI de médecine chez des patients âgés d’au moins 75 ans ayant bénéficié d’un séjour en HAD après un passage en hospitalisation conventionnelle avec hébergement. 75108 patients ont été inclus, avec un âge moyen de 83.4 ans [± 5.7], majoritairement des hommes (52.4%) et un index de Karnofsky (IK) 38.4 (± 13.2). L’OR d’une prise en charge gériatrique sur la RH30 jours était de 0.81 (0.77 – 0.85) après ajustement sur l’âge, le sexe, l’IK, le mode de prise en charge principal, le type de groupe homogène de malade, la sévérité du séjour, la durée du séjour en hospitalisation, la provenance du patient, son type de domicile. Le passage par une unité de gériatrie en amont d’une prise en charge HAD tendrait à diminuer les RH30.
Author: Héctor Aguilar Camín
Publisher: Univ of TX + ORM
ISBN: 0292757077
Category : History
Languages : en
Pages : 439
Get Book Here
Book Description
An authoritative and comprehensive history of post-revolutionary Mexico by two of the country’s leading intellectuals. Héctor Aguilar Camín and Lorenzo Meyer set out to fill a void in the literature on Mexican history: the lack of a single text to cover the history of Mexico during the twentieth century. In the Shadow of the Mexican Revolution, covers the Mexican Revolution itself, the gradual consolidation of institutions, the Cárdenas regime, the “Mexican economic miracle” and its subsequent collapse, and the recent transition toward a new historical period. The authors explore Mexico’s turbulent recent history as it becomes increasingly intertwined with that of the United States. First published in Spanish as A la sombra de la Revolución Mexicana, this English-language edition offers US readers an intelligent and accessible study of their neighbor to the south.
Author: Marie-Pascale Pomey
Publisher: Springer Nature
ISBN: 3030141012
Category : Medical
Languages : en
Pages : 317
Get Book Here
Book Description
Patient-oriented approaches to healthcare management have been brought to the fore in recent years, yet this book underlines how even further change is needed in order to fully mobilise the experiential knowledge of patients, and ultimately improve our healthcare systems. With contributions from scholars and patients across the globe, this collection brings together a comprehensive overview of major achievements in patient engagement, analysing political, organizational and clinical contexts. By understanding the concept of care partnership, the authors explore how this patient revolution could transform, improve and innovate the ways in which care services are organized and delivered. Looking closely at the role of new technologies, this timely book will undoubtedly be of use to patients, managers and professionals within the healthcare industry, as well as those researching health policy and organization.
Author: Yasser Khazaal
Publisher: Frontiers Media SA
ISBN: 2889454967
Category : Video games in education
Languages : en
Pages : 311
Get Book Here
Book Description
Recent years have seen important developments in the computer and game industry, including the emergence of the concept of serious games. It is hypothesized that tools such as games, virtual reality, or applications for smartphones may foster learning, enhance motivation, promote behavioral change, support psychotherapy, favor empowerment, and improve some cognitive functions. Computers and games may create supports for training or help people with cognitive, emotional, or behavioral change. Games take various formats, from board games to informatics to games with interactive rules of play. Similarly, computer tools may vary widely in format, from self-help or assisted computerized training to virtual reality or applications for smartphones. Some tools that may be helpful for mental health were specifically designed for that goal, whereas others were not. Gamification of computer-related products and games with a numeric format tend to reduce the gap between games and computers tools and increase the conceptual synergy in such fields. Games and computer design share an opportunity for creativity and innovation to help create, specifically design, and assess preventive or therapeutic tools. Computers and games share a design conception that allows innovative approaches to overcome barriers of the real world by creating their own rules. Yet, despite the potential interest in such tools to improve treatment of mental disorders and to help prevent them, the field remains understudied and information is under-disseminated in clinical practice. Some studies have shown, however, that there is potential interest and acceptability of tools that support various vehicles, rationales, objectives, and formats. These tools include traditional games (e.g., chess games), popular electronic games, board games, computer-based interventions specifically designed for psychotherapy or cognitive training, virtual reality, apps for smartphones, and so forth. Computers and games may offer a true opportunity to develop, assess, and disseminate new prevention and treatment tools for mental health and well-being. Currently, there is a strong need for state-of-the-art information to answer questions such as the following: Why develop such tools for mental health and well-being? What are the potential additions to traditional treatments? What are the best strategies or formats to improve the possible impact of these tools? Are such tools useful as a first treatment step? What is the potential of a hybrid model of care that combines traditional approaches with games and/or computers as tools? What games and applications have already been designed and studied? What is the evidence from previous studies? How can such tools be successfully designed for mental health and well-being? What is rewarding or attractive for patients in using such treatments? What are the worldwide developments in the field? Are some protocols under development? What are the barriers and challenges related to such developments? How can these tools be assessed, and how can the way that they work, and for whom, be measured? Are the potential benefits of such products specific, or can these additions be attributed to nonspecific factors? What are the users’ views on such tools? What are the possible links between such tools and social networks? Is there a gap between evidence-based results and market development? Are there any quality challenges? What future developments and studies are needed in the field?
Author: Corinne Grenier
Publisher: John Wiley & Sons
ISBN: 1786307073
Category : Business & Economics
Languages : en
Pages : 72
Get Book Here
Book Description
How can healthcare systems be transformed by reimagining their multiple silos to favor processes and practices that are more responsive to local, horizontal initiatives? Altering Frontiers analyzes numerous experiences, using a multidisciplinary approach, paying attention to certain actors, collectives and organizational arrangements. Through this work, levers are identified that promote lasting transformation: recognizing the legitimacy of the practices of many who are often "invisible"; trusting those who know their intervention territory; investing in methodological support; taking advantage of tools and procedures such as instruments for strategic and managerial discussion; and developing the capacity to absorb innovative ideas and experiences that circulate within the environment.
Author: Esther Strauss
Publisher: Oxford University Press, USA
ISBN: 0195159578
Category : Medical
Languages : en
Pages : 1235
Get Book Here
Book Description
This compendium gives an overview of the essential aspects of neuropsychological assessment practice. It is also a source of critical reviews of major neuropsychological assessment tools for the use of the practicing clinician.
Author: Paolo Falaschi
Publisher: Springer Nature
ISBN: 3030481263
Category : Anesthesiology
Languages : en
Pages : 355
Get Book Here
Book Description
This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.
Author: K. H. E. Kroemer
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 794
Get Book Here
Book Description
Written by a practicing ergonomics engineer, this new text explores the "why" and "how" of human engineering/ergonomics. It discusses physical as well as mental capacities of the human; considers how to design the work task, tools, the interface with the machine, and safe work procedures; and addresses the issues of cumulative trauma, back problems, design fof the handicapped; and more.
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309180090
Category : Social Science
Languages : en
Pages : 368
Get Book Here
Book Description
In sub-Saharan Africa, older people make up a relatively small fraction of the total population and are supported primarily by family and other kinship networks. They have traditionally been viewed as repositories of information and wisdom, and are critical pillars of the community but as the HIV/AIDS pandemic destroys family systems, the elderly increasingly have to deal with the loss of their own support while absorbing the additional responsibilities of caring for their orphaned grandchildren. Aging in Sub-Saharan Africa explores ways to promote U.S. research interests and to augment the sub-Saharan governments' capacity to address the many challenges posed by population aging. Five major themes are explored in the book such as the need for a basic definition of "older person," the need for national governments to invest more in basic research and the coordination of data collection across countries, and the need for improved dialogue between local researchers and policy makers. This book makes three major recommendations: 1) the development of a research agenda 2) enhancing research opportunity and implementation and 3) the translation of research findings.
Author: Jorge Saba Arbache
Publisher: World Bank Publications
ISBN: 0821380664
Category : Social Science
Languages : en
Pages : 454
Get Book Here
Book Description
"A copublication of the Agence franðcaise de dâeveloppement and the World Bank."--T.p.
