83 research outputs found

    Bibliothèques numériques et coopération : comparaisons internationales

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    Mémoire de fin d\u27étude du diplôme de conservateur, promotion DCB 21, portant sur la coopération entre bibliothèques numériques en France et à l\u27étranger

    Development and Validation of New Exercises to Promote Physical Activity in Nursing Home Settings.

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    peer reviewedBACKGROUND: GAMotion is a giant physical activity board game intended to improve levels of physical activity and a broader array of physical and psychological outcomes among nursing home residents. OBJECTIVE: The aim of the present study is to develop and validate new balance, flexibility, muscle strength, and walking exercises to be included in GAMotion. METHODS: A two-step design combining the Focus group and Delphi method was conducted among healthcare professionals divided into two independent samples of experts. The first sample was asked to develop exercises during a focus group. The second sample participated in a two-round Ranking-type Delphi method. During the first round, the participants were asked to rate the exercises developed during the focus group on a four-point Likert scale (from 1: not adapted at all to 4: very adapted). The exercises that did not reach consensus were removed (consensus established: median ≥ 3 on the Likert scale and at least 75% of experts rating the exercises as « adapted » or « very adapted »). During the second round, it was asked to rank the exercises selected at the end of the first round from most suitable to least suitable. RESULTS: The Focus group developed nine balance, twelve flexibility, twelve strength, and nine walking exercises. Following the first round of the Delphi method, two exercises in each category did not reach a consensus and were then removed. In the second round, the remaining seven balance, ten flexibility, ten strength, and seven walking exercises were ranked by the experts, and this classification allowed us to determine the four most suitable exercises from each category to be included in the GAMotion. CONCLUSION: A consensus-based approach among healthcare professionals allowed us to contribute to the development of new exercises to promote physical activity in nursing homes. These validated exercises can be included in the GAMotion board game

    Int J Environ Res Public Health

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    BACKGROUND: Female surgeons are exposed to physical and mental stressors that differ from those of other specialties. We aimed to assess whether female surgeons are more at risk of pregnancy complications than women in other medical specialties. METHODS: We used a cross-sectional electronic survey of female physicians working in the French Region Nouvelle-Aquitaine who were pregnant between 2013 and 2018. A pregnancy complication was defined as the occurrence of miscarriage, ectopic pregnancy, fetal growth restriction, prematurity, fetal congenital malformation, stillbirth, or medical termination of the pregnancy. Multivariate logistic regression models were used to evaluate the risk of pregnancy complications for female surgeons relative to women practicing in other medical specialties. RESULTS: Among the 270 women included, 52 (19.3%) experienced pregnancy complications and 28 (10.4%) were surgeons. In the multivariate analysis, female surgeons had a higher risk of pregnancy complications: adjusted odds ratio = 3.53, 95% confidence interval [1.27-9.84]. CONCLUSION: Further research is necessary to identify the hazards specifically involved in the practice of surgery to be able to propose preventive actions targeted to female surgeons during their pregnancy

    COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

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    Background: The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms. Methods: International, prospective observational study of 60 109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms. Results: ‘Typical’ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (≤ 18 years: 69, 48, 23; 85%), older adults (≥ 70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P < 0.001). The most common atypical presentations under 60 years of age were nausea and vomiting and abdominal pain, and over 60 years was confusion. Regression models showed significant differences in symptoms with sex, age and country. Interpretation: This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men

    Plus de 200 revues publiées par Brill accessibles en texte intégral à la BULAC !

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    [Annonce] Mis en place en 2012, le projet d'investissement d'avenir ISTEX a pour ambition de mettre en place une Bibliothèque scientifique numérique au profit de tous les établissements publics français (situés ou non sur le territoire français) ayant des missions d’enseignement supérieur et/ou de recherche ainsi que de toutes les bibliothèques publiques. L'objectif et de négocier avec les principaux éditeurs scientifique des licences nationales, permettant d'acquérir, à l'échelle nationale, ..

    Une licence nationale pour les revues publiées par Oxford University Press

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    [Annonce] Une licence nationale a été signée avec Oxford University Press dans le cadre du projet ISTEX, ouvrant l'accès à un corpus pluridisciplinaire de plus de 250 revues en ligne pour tous les établissements de l'Enseignement supérieur et de la recherche. Attention, seuls les numéros d'archives (jusqu'en 2010) sont concernés par cette licence. Ces titres sont désormais accessibles à la BULAC, depuis le portail de la documentation en ligne. Retrouvez ainsi le Journal of Semitic Studies, le..

    Le corpus de la littérature francophone d'Afrique noire accessible à distance

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    [Annonce] (Re)découvrez le corpus de la littérature francophone d'Afrique noire, désormais accessible à distance.  Ce corpus rassemble des textes de la fin du XVIIIe siècle, jusqu'aux années 1960. Les documents peuvent être recherchés par auteur, titre, mais aussi par genre littéraire, pays, ou ethnie.  Pour cela, rendez-vous sur le portail de la documentation en ligne, rubrique "Afrique-Moyen Orient", ou à distance, en vous identifiant avec votre login et mot de passe lecteur.  Bonne lecture
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