Qualité subjective de la vie et réadaptation : émergence et évolution conceptuelle

La qualité subjective de la vie émerge ces dernières années comme un concept central dans les prises en charge thérapeutiques. Cependant la préoccupation de la réintégration des malades mentaux apparaît dès le début de la psychiatrie (1798). Différentes stratégies réadaptatives anglo-saxonnes, germaniques et latines ont été développées, en particulier depuis les années 1950. Une approche au départ objective, le concept de qualité de la vie évolue vers une approche contemporaine essentiellement subjective. L'auteur propose un modèle compréhensif des variables sous-tendant ce concept dans le cadre de la pratique clinique.In recent years, subjective quality of life has increasingly become a central concept in therapeutic treatment. However, the concern to reintegrate mental health patients has existed since the very beginning of psychiatry (1798). As a result, various Anglo-Saxon, Germanic and Latin readaptation strategies were developed, particularly since the 1950s. Considered objective at first, the concept of quality of life evolved toward a contemporary approach which is essentially subjective. To discuss the matter, the author presents a comprehensive model of the variables underlying this concept in the context of clinical practice

TUmor-volume to breast-volume RAtio for improving COSmetic results in breast cancer patients (TURACOS); a randomized controlled trial

Background: Cosmetic result following breast conserving surgery (BCS) for cancer influences quality of life and psychosocial functioning in breast cancer patients. A preoperative prediction of expected cosmetic result following BCS is not (yet) standard clinical practice and therefore the choice for either mastectomy or BCS is still subjective. Recently, we showed that tumour volume to breast volume ratio as well as tumour location in the breast are independent predictors of superior cosmetic result following BCS. Implementation of a prediction model including both factors, has not been studied in a prospective manner. This study aims to improve cosmetic outcome by implementation of a prediction model in the treatment decision making for breast cancer patients opting for BCS. Methods/design: Multicentre, single-blinded, randomized controlled trial comparing standard preoperative work-up to a preoperative work-up with addition of the prediction model. Tumour volume to bre

TRAJECTOIRES DES SUICIDANTS ET TYPES DE GARDES D'HOPITAUX GENERAUX

SCOPUS: ar.jinfo:eu-repo/semantics/publishe

PROFIL D'HOSPITALISATION DANS UN SERVICE PSYCHIATRIQUE D'HOPITAL GENERAL

The first part of the study indicates that this small unit has a rapid turnover, that the population is young and that there are fresh cases. The main reason for admission in males are first alcoholism and secondly schizophrenia, and for women first depression and neurotic troubles and secondly endogenous depressions. The second part of this study deals with length of stays and shows that it behaves like random variables of Pascal, with a mean stay of 34 days and a peak within the three first days of hospitalisation.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

ATTITUDES FACE AUX SUICIDANTS ET GARDES D'HOPITAUX GENERAUX ETUDE STATISTIQUE

SCOPUS: NotDefined.jinfo:eu-repo/semantics/publishe

Alcoholics and drug addicts at the emergency room of the hospital. Analysis of the staff behavior and patients' progressions

The statistical analysis of a large sample (1.707 cases) was carried out using objective variables. These variables consist of the key points in the progression of alcoholics and drug addicts within two emergency departments situated in general hospitals. This study pinpoints a lack of therapeutic work at the emergency room where neither medical diagnoses nor psychopathological analyses seem to be done.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Crisis intervention in emergency department of general hospitals

Two general hospitals of Brussels tapped, in 1977, 47% of all the emergency ambulance traffic. More than 50,000 patients were examined there in one year. A randomized sample of 12,000 records were analyzed. From this file, 1707 psychosocial cases were carried out. The study will follow the progression of the patients during this crisis situation. Statistic tests pinpoint that the most determining variable is the symptom. Seven symptoms cover more than 95% of the interventions. These symptoms are: alcoholism, suicide attempts, abnormal behavior, psychologic complaints, somatic complaints, violence, drug-addiction. Statistic analysis reveals that the two most important variables to draw crisis interventions at the emergency room were the time used by patient and the frequency of call of the psychiatrist. Other variables used to draw up the progression of the patients were: way of arrival, diagnosis and final destination.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Projet de déclaration d'interprétation de la Convention européenne des droits de l'homme

info:eu-repo/semantics/publishe

TROUBLES DU COMPORTEMENT ET URGENCES PSYCHIATRIQUES A LA GARDE D'HOPITAUX PUBLICS ETUDE STATISTIQUE

SCOPUS: NotDefined.jinfo:eu-repo/semantics/publishe