10 research outputs found
105. 22 février 1919 : Circulaire sur le choix des listes d'auteurs à l'examen du brevet supérieur
Lafferre Louis. 105. 22 fĂ©vrier 1919 : Circulaire sur le choix des listes d'auteurs Ă l'examen du brevet supĂ©rieur. In: L'enseignement du Français Ă l'Ă©cole primaire â Textes officiels. Tome 2 : 1880-1939. Paris : Institut national de recherche pĂ©dagogique, 1995. pp. 269-270. (BibliothĂšque de l'Histoire de l'Education, 5
104. 16 janvier 1919 : ArrĂȘtĂ© modifiant le rĂšglement sur les listes d'auteurs au brevet supĂ©rieur
Lafferre Louis. 104. 16 janvier 1919 : ArrĂȘtĂ© modifiant le rĂšglement sur les listes d'auteurs au brevet supĂ©rieur. In: L'enseignement du Français Ă l'Ă©cole primaire â Textes officiels. Tome 2 : 1880-1939. Paris : Institut national de recherche pĂ©dagogique, 1995. p. 269. (BibliothĂšque de l'Histoire de l'Education, 5
104. 16 janvier 1919 : ArrĂȘtĂ© modifiant le rĂšglement sur les listes d'auteurs au brevet supĂ©rieur
Lafferre Louis. 104. 16 janvier 1919 : ArrĂȘtĂ© modifiant le rĂšglement sur les listes d'auteurs au brevet supĂ©rieur. In: L'enseignement du Français Ă l'Ă©cole primaire â Textes officiels. Tome 2 : 1880-1939. Paris : Institut national de recherche pĂ©dagogique, 1995. p. 269. (BibliothĂšque de l'Histoire de l'Education, 5
Dysplasie anale chez les patients porteurs d'une condylomatose diffuse : mosaïque ou homogénéité ?
REIMS-BU Santé (514542104) / SudocSudocFranceF
The war and education;
"Four of the addresses, here printed with slight additions, were previously published in the Educational review, in School and society or in the Evening post."--Note.Mode of access: Internet
Positive clinical outcomes are synergistic with positive educational outcomes when using telehealth consulting in general practice: a mixed-methods study
Background: The use of telehealth technology to enable real-time consultations between patients and specialist services (to whom travel may be an impediment to the patient\u27s care) has recently been encouraged in Australia through financial incentives. However, the uptake has been both fragmented and inconsistent. The potential benefits for patients include access to a broader range of specialist referral services, cost and time saving, and more rapid access to specialist services and a continuum of care through the triangulation of interaction between patient, primary health care providers (general practitioners and nurses), and specialists. Enhanced broadband connectivity and higher-grade encryption present an opportunity to trial the use of telehealth consulting as an intrinsic element of medical education for both medical students and doctors-in-training within rural practices and Aboriginal Medical Services. Objective: This paper discusses the reported, and varied, benefits of telehealth consulting arising from a multisite trial in New South Wales, Australia. The purpose of this study is to encourage the use of selected telehealth consultations between patients in a primary care setting with a specialist service as an integral aspect of medical education. Methods: The trial closely followed the protocol developed for this complex and multiaspect intervention. This paper discuses one aspect of the research protocol-using telehealth consultations for medical education-in detail. Results: Qualitative and quantitative analyses were conducted. In the quantitative analysis, free-text comments were made on aspects of Telehealth Consulting for the patient, concerning the quality of the interactions, and the time and cost saving, and also on the leaning opportunities. Students commented that their involvement enhanced their learning. All respondents agreed or strongly agreed that that the interpersonal aspects were satisfactory, with some brief comments supporting their views. In the analysis of the qualitative data, five themes emerged from the analyses concerning the educational benefits of Telehealth Consulting for different levels of learners, while three themes were identified concerning clinical benefits. Conclusions: The results demonstrated strong synergies between the learning derived from the telehealth consulting and the clinical benefits to the patient and clinicians involved
Anal Dysplasia Among Patients With Multiple Human Papillomavirus Anal Lesions: Mosaic or Homogeneity?
Purpose: Anal dysplasia is caused by chronic infection with the human papillomavirus and exposes to the risk of anal cancer. The aim of this study was to evaluate the distribution of dysplasia anal grade among patients operated on for multiple anal condylomas with no macroscopic differences.Methods: This is a cross-sectional study of patients operated on for multiple anal condylomas including a mapping of dysplasia by performing systematically for each patient one biopsy on visible lesion from each of the 4 quadrants on anal margin and in anal canal. All biopsies were read independently by 2 different pathologists.Results: Among 72 patients, 60 were men and 48 were human immunodeficiency virus (HIV)-infected with a median age of 37.5 years. The proportion of high-grade squamous intraepithelial lesion (HSIL) was higher in the anal canal (41.7%) compared to the margin (20.8%) (P = 0.004). HSIL frequency did not differ according to the quadrant (anterior, posterior, right, and left) of the 2 areas. HSIL on anal canal was not associated with HSIL on anal margin and vice versa (P = 0.390). Neither age nor sex was associated to HSIL but HIV positivity increased the risk of HSIL on the anal margin (P = 0.010).Conclusion: Anal dysplasia is heterogeneously distributed in the anal canal as well as between anal canal and anal margin. The diagnostic of the grade of dysplasia for a person should require multiple biopsies on the canal and anal margin