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Author: Cécile Croizé-Pourcelet
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Book Description
Introduction : la longévité humaine a nettement augmenté, entraînant un vieillissement de la population et donc une augmentation du nombre de personnes âgées voire très âgées. En 2016 en France, il existait 21 000 centenaires ; et les projections nous prédisent 270 000 centenaires en 2070. La prise en charge médicale du patient centenaire s'inscrit dans une approche positive et globale, nécessitant une attention particulière. Objectifs : ce travail a eu pour objectif principal de repérer des critères de fragilité chez les patients centenaires vivant à domicile et en Établissement d'Hébergement pour Personnes Âgées Dépendantes (EHPAD) pris en charge par des médecins généralistes de Marseille et des environs en 2020. Les objectifs secondaires étaient de décrire puis de comparer leur profil gériatrique et leur prise en charge médicale et thérapeutique selon leur lieu de vie, l'existence d'une poly médication, d'une dénutrition ainsi que de leurs comorbidités. Méthode : réalisation d'une étude observationnelle, multicentrique, descriptive à partir des données démographiques, sociales, cliniques, gériatriques, biologiques et radiologiques transmises par les médecins coordonnateurs des EHPAD et les médecins traitants des patients à domicile. Résultats : au moins une fragilité ou un syndrome gériatrique était présent chez les 22 centenaires inclus, à savoir la perte d'autonomie, l'existence de troubles cognitifs, d'un syndrome dépressif, de chutes à répétition ou troubles de la mobilité, d'une dénutrition, d'une poly médication, d'une poly pathologie ou d'un isolement social. L'âge moyen était de 101 ans, il y avait 77.3% de femmes, 59.1% des patients vivaient en EHPAD. Tous les patients étaient dépendants sur les activités de la vie quotidienne. Chaque patient présentait en moyenne 5 comorbidités et consommait en moyenne 6.5 médicaments, amenant à 86.4% la proportion de patients rentrant dans les critères de poly médication. En EHPAD les patients présentaient tous une poly médication (p
Author: Cécile Croizé-Pourcelet
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
Get Book Here
Book Description
Introduction : la longévité humaine a nettement augmenté, entraînant un vieillissement de la population et donc une augmentation du nombre de personnes âgées voire très âgées. En 2016 en France, il existait 21 000 centenaires ; et les projections nous prédisent 270 000 centenaires en 2070. La prise en charge médicale du patient centenaire s'inscrit dans une approche positive et globale, nécessitant une attention particulière. Objectifs : ce travail a eu pour objectif principal de repérer des critères de fragilité chez les patients centenaires vivant à domicile et en Établissement d'Hébergement pour Personnes Âgées Dépendantes (EHPAD) pris en charge par des médecins généralistes de Marseille et des environs en 2020. Les objectifs secondaires étaient de décrire puis de comparer leur profil gériatrique et leur prise en charge médicale et thérapeutique selon leur lieu de vie, l'existence d'une poly médication, d'une dénutrition ainsi que de leurs comorbidités. Méthode : réalisation d'une étude observationnelle, multicentrique, descriptive à partir des données démographiques, sociales, cliniques, gériatriques, biologiques et radiologiques transmises par les médecins coordonnateurs des EHPAD et les médecins traitants des patients à domicile. Résultats : au moins une fragilité ou un syndrome gériatrique était présent chez les 22 centenaires inclus, à savoir la perte d'autonomie, l'existence de troubles cognitifs, d'un syndrome dépressif, de chutes à répétition ou troubles de la mobilité, d'une dénutrition, d'une poly médication, d'une poly pathologie ou d'un isolement social. L'âge moyen était de 101 ans, il y avait 77.3% de femmes, 59.1% des patients vivaient en EHPAD. Tous les patients étaient dépendants sur les activités de la vie quotidienne. Chaque patient présentait en moyenne 5 comorbidités et consommait en moyenne 6.5 médicaments, amenant à 86.4% la proportion de patients rentrant dans les critères de poly médication. En EHPAD les patients présentaient tous une poly médication (p
Author: Peter May
Publisher: Quercus
ISBN: 1623657946
Category : Photography
Languages : en
Pages : 440
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Book Description
Since the publication of The Blackhouse in 2011, the books of Peter May's groundbreaking Lewis Trilogy have enthralled millions of readers around the world with powerfully evocative descriptions of the Outer Hebrides. From its peat bogs and heather-coated hills, from its weather-beaten churches and crofters cottages to its cold clear rills choked with rainwater, the islands off the northwest coast of Scotland have been brought to vivid life by this accomplished novelist. Now, Peter May and photographer David Wilson present a photographic record of the countless locations around the Hebridean archipelago that so inspired May when he was bringing the islands of detective Fin McLeod's childhood to the page. From the tiny southern island of Barra to the largest and most northern island of Lewis, travel the storm-whipped North Atlantic scenery with May as he once again strolls the wild and breathtaking countryside that gave birth to his masterful trilogy of novels.
Author: Linda Deblanco
Publisher: Createspace Independent Pub
ISBN: 9781481016193
Category : Self-Help
Languages : en
Pages : 194
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Book Description
Life, liberty and the pursuit of happiness.How seriously are we taking our constitutional, inalienable rights these days? There is certainly plenty of focus on power, money and success. But where will that get you if in the end you fail to achieve the ultimate right – happiness? Time to get back on track and aim for what really matters – happiness.In SUPERMOM: The Lost Child we explore how, as children growing up in dysfunctional families, we got off track and lost the most precious aspect of ourselves – our inner child. Since, as we all know, there is nothing new under the sun, neither is there anything new in this book. So why bother to read it you might ask yourself? The only major and very important difference is that this book is approached from the perspective of the layperson – not the book learned professionals who preach what theories they learned in books or the loftiest of the lofty spiritual gurus. Here you will find the wisdom of a Jane Q Citizen who merely seized every possible opportunity to pursue happiness and actually did it!There are many roads to nirvana. Unfortunately specific disciplines (religions, philosophies, psychological theories, organizations, etc.) are inclined to push their own good ideas as the “way.” But let's face it. A cake made out of nothing but flour would be a pretty major failure. And a pursuit of happiness conjured up from only a finite number of possibilities would also prove to be a major disappointment in accomplishing that important ultimate goal.In keeping with what we hear will be the theme of the coming human cycle (beginning December 2012 and continuing on the the following 26,000 years), this book will approach the pursuit of happiness from the perspective of expanded consciousness – the inclusion of multiple approaches to finally achieving true happiness.This is not one more “way” but a recipe of lots of yummy possibilities to living a happier, more peaceful life.
Author: Catherine Barnard
Publisher: Bloomsbury Publishing
ISBN: 184731869X
Category : Law
Languages : en
Pages : 337
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Book Description
The Cambridge Yearbook of European Legal Studies provides a forum for the scrutiny of significant issues in EU Law, the law of the European Convention on Human Rights, and Comparative Law with a 'European' dimension, and particularly those issues which have come to the fore during the year preceding publication. The contributions appearing in the collection are commissioned by the Centre for European Legal Studies (CELS) Cambridge, a research centre in the Law Faculty of the University of Cambridge specialising in European legal issues. The papers presented are at the cutting edge of the fields which they address, and reflect the views of recognised experts drawn from the University world, legal practice, and the institutions of both the EU and its Member States. Inclusion of the comparative dimension brings a fresh perspective to the study of European law, and highlights the effects of globalisation of the law more generally, and the resulting cross fertilisation of norms and ideas that has occurred among previously sovereign and separate legal orders. The Cambridge Yearbook of European Legal Studies is an invaluable resource for those wishing to keep pace with legal developments in the fast moving world of European integration. INDIVIDUAL CHAPTERS Please click on the link below to purchase individual chapters from Volume 13 through Ingenta Connect: www.ingentaconnect.com SUBSCRIPTION TO SERIES To place an annual online subscription or a print standing order through Hart Publishing please click on the link below. Please note that any customers who have a standing order for the printed volumes will now be entitled to free online access. www.hartjournals.co.uk/cyels/subs Editorial Advisory Board: Albertina Albors-Llorens, John Bell, Alan Dashwood, Simon Deakin, David Feldman, Richard Fentiman, Angus Johnston, John Spencer Founding Editors: Alan Dashwood and Angela Ward Ius Commune Prize 2012 Alexandre Saydé wrote Chapter 15 in this volume entitled: 'One Law, Two Competitions: An Enquiry into the Contradictions of Free Movement Law' and we are delighted to announce that he has been awarded the Ius Commune Prize 2012.
Author: John E Tedstrom
Publisher: Routledge
ISBN: 9780367303211
Category :
Languages : en
Pages : 239
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Book Description
This book highlights that Soviet economic planners and politicians must come to recognize the need to make fundamental changes, not simply incremental refinements, in the failing Soviet system. It examines the dynamics of the process of perestroika and the complexity of individual economic issues.
Author: Henry Allan Ironside
Publisher:
ISBN:
Category : Bible
Languages : en
Pages : 464
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Author: D H Lawrence
Publisher: Independently Published
ISBN:
Category :
Languages : en
Pages : 100
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"The Ladybird is a long tale or novella by D. H. Lawrence.It was first drafted in 1915 as a short story entitled The Thimble. Lawrence rewrote and extended it under a new title in December 1921 and sent the final version to his English agent on 9 January 1922. It was collected with two other tales, The Captain's Doll and The Fox, and the three novellas were then published in London by Martin Secker in March 1923 under the title The Ladybird and in New York by Thomas Seltzer as The Captain's Doll in April 1923."
Author: Kenneth W. Abbott
Publisher: Oxford University Press
ISBN: 0192597248
Category : Political Science
Languages : en
Pages : 418
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Book Description
The Governor's Dilemma develops a general theory of indirect governance based on the tradeoff between governor control and intermediary competence; the empirical chapters apply that theory to a diverse range of cases encompassing both international relations and comparative politics. The theoretical framework paper starts from the observation that virtually all governance is indirect, carried out through intermediaries. But governors in indirect governance relationships face a dilemma: competent intermediaries gain power from the competencies they contribute, making them difficult to control, while efforts to control intermediary behavor limit important intermediary competencies, including expertise, credibility, and legitimacy. Thus, governors can obtain either high intermediary competence or strong control, but not both. This competence-control tradeoff is a common condition of indirect governance, whether governors are domestic or international, public or private, democratic or authoritarian; and whether governance addresses economic, security, or social issues. The empirical chapters analyze the operation and implications of the governor's dilemma in cases involving the governance of violence (e.g., secret police, support for foreign rebel groups, private security companies), the governance of markets (e.g., the Euro crisis, capital markets, EU regulation, the G20), and cross-cutting governance issues (colonial empires, "Trump's Dilemma"). Competence-control theory helps explain many features of governance that other theories cannot: why indirect governance is not limited to principal-agent delegation, but takes multiple forms; why governors create seemingly counter-productive intermediary relationships; and why indirect governance is frequently unstable over time.
Author: Jonathan L. Mayo
Publisher: Tab Books
ISBN: 9780830632220
Category : Crafts & Hobbies
Languages : en
Pages : 228
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Book Description
A manual for amateur radio enthusiasts discusses the history of packet radio, hardware systems, networking, setting up an amateur packet radio station, and equipment and accessories
Author: John Patrick Hawker
Publisher:
ISBN:
Category : Radio
Languages : en
Pages : 160
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