La serrurerie d'art : compositions sur les styles renaissance, Louis XIV, Louis XV, Louis XVI ...

Copia digital. España : Ministerio de Cultura y Deporte. Subdirección General de Coordinación Bibliotecaria, 2018Fecha 1890 tomada del catálogo Copa

Geneva. An Urban Sociodemographic Database

The Geneva databases are a data resource covering the period 1800–1880 for the city of Geneva, and occasionally the canton of Geneva. The research team adopted an alphabetical sampling approach, collecting data on individuals whose surname begins with the letter B. The individuals and households belonging to this sample in six population censuses between 1816 and 1843 were digitised and linked. A second database collected marriage and divorce records for the period 1800–1880. A third collection of data included residence permits. All these sources were used for a massive reconstitution of families. This article presents the sources, the linking methods, the typologies used to code places and occupations, to study household structures and forms of solitude. Combined with qualitative information extracted from the archives of public administrations and the National Protestant Church, as well as from newspapers, these databases were used to study the transformation of a medium-sized European city, sociopolitical tensions embedded in demographic and social structures, and the impact of the immigrants who made the 'Calvinist Rome' a religiously mixed city

Temps et satisfaction aux urgences

Peu d études traitent spécifiquement du temps d attente aux urgences. L objectif principal de l'étude a consisté en l'évaluation de la satisfaction du délai de prise en charge médicale.Patients et Méthodes293 patients des Urgences du CHU d Angers ont été inclus du 18 au 24 novembre 2013 après avoir répondu à un premier questionnaire avant de voir un médecin. Un deuxième questionnaire était complété par téléphone à J+7 de la sortie des urgences par le même Interne. 181 patients ont répondu au deuxième questionnaire. Le critère de jugement principal a été évalué sur la notation (de 0 à 10) de la satisfaction concernant le délai de prise en charge médicale.Résultats Les satisfactions moyennes concernant le délai de prise en charge médicale et la durée de prise en charge sont respectivement de 6,77 et 6,08/10. Les délais de prise en charge moyens envisagé, acceptable, réel et ressenti étaient respectivement de 63, 62, 74 et 86 minutes. 67 % des patients auraient mieux vécu leur attente si on leur avait annoncé le délai prévisionnel de prise en charge médicale dès l arrivée aux Urgences. Seulement 10 % des patients interrogés ont correctement estimé leurs délais de prise en charge médicale. Les examens biologiques, la réalisation de scanner ou la demande d'avis spécialisés allongent la durée de prise en charge de manière significative. Conclusion L obtention de l information concernant le délai de prise en charge médicale prévisionnel après évaluation par l infirmière d'accueil pourrait être un moyen d'améliorer la satisfaction des patients consultant aux urgences.Only few studies deal specifically with waiting time in emergencies departments. The main objective of the study consisted in evaluating the physician waiting time satisfaction. Patients and Methods We conducted this study from November 18th to 24th at Angers university hospital center. 293 Emergency department patients were included. They answered a first questionnaire from an Intern before seeing a doctor. The second questionnaire was completed by the same Intern on the phone seven days after the patient went out from the Emergency department. 181 patients answered the second questionnaire. The main assessment criterion was the rating (from 0 to 10) of the physician waiting time satisfaction Results The average satisfactions concerning the physician waiting time and total waiting time are respectively 6,77 and 6,08/10. The average physician waiting time imagined, acceptable, real and felt were respectively 63, 62, 74 and 86 minutes. Were they announced the projected waiting time at the moment of admission, 67 % of the patients would have had a better experience of their hospitalization. Only 10 % of the patients estimated correctly their physician waiting time. The biological examinations, the realization of scanner or the specialized requests lengthen significantly the duration of Emergency total waiting time. ConclusionThe obtaining of the information concerning the physician waiting time after evaluation by the nurse could be a way to improve patient satisfaction.ANGERS-BU Médecine-Pharmacie (490072105) / SudocSudocFranceF

Role Clarification Processes for Better Integration of Nurse Practitioners into Primary Healthcare Teams: A Multiple-Case Study

Cet article s'intéresse aux processus de clarification des rôles professionnels lors de l'intégration d'une infirmière praticienne spécialisée dans les équipes de première ligne au Québec.Role clarity is a crucial issue for effective interprofessional collaboration. Poorly defined roles can become a source of conflict in clinical teams and reduce the effectiveness of care and services delivered to the population. Our objective in this paper is to outline processes for clarifying professional roles when a new role is introduced into clinical teams, that of the primary healthcare nurse practitioner (PHCNP). To support our empirical analysis we used the Canadian National Interprofessional Competency Framework, which defines the essential components for role clarification among professionals. A qualitative multiple-case study was conducted on six cases in which the PHCNP role was introduced into primary care teams. Data collection included 34 semistructured interviews with key informants involved in the implementation of the PHCNP role. Our results revealed that the best performing primary care teams were those that used a variety of organizational and individual strategies to carry out role clarification processes. From this study, we conclude that role clarification is both an organizational process to be developed and a competency that each member of the primary care team must mobilize to ensure effective interprofessional collaboration.IRSC, MSS

New resonance approach to competitiveness interventions in lagging regions: the case of Ukraine before the armed conflict

Regional competitiveness is considered to be an alternative basis for the determination of regional interventions. However, the composite competitiveness indicator is quite sensitive to the weights of sub-indicators, no matter what methodology is being used. To avoid this uncertainty in the determination of regional interventions, we proposed a new non-compensatory resonance approach that is focused on the hierarchical coincidence between weaknesses of NUTS 1 and NUTS 2 regions measuring the extensive and intensive components of competitiveness. Such a coincidence, being perceived as a resonance effect, is supposed to increase the effectiveness of interventions triggering synergetic effects and stirring up local regional potentials. The components of competitiveness are obtained through synthesising DEA methodology and Hellwig's index, correspondingly focusing on the measurement of technical efficiency and resource level. In analysing Ukrainian regions, no correlation between resonance interventions and the composite competitiveness indicator or GDP per capita was found, pointing toward a completely different direction in resonance approach. In western Ukraine, the congestion of six NUTS 2 regions was defined as a homogeneous area of analogous resonance interventions focused on improving business efficiency.Web of Science171562