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Search Results: 1 - 10 of 809 matches for " Allier department "
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The Bocage Landscape in the ‘Bourbonnais’ (Allier Department, France): between Heritage and Modern Dynamics
Romanian Review of Regional Studies , 2006,
Abstract: The Allier department has an incredible range of landscapes among which the bocage is the most representative. The bocage is an enclosed field with scattered households. Some areas are also totally free of hedge. We did not want to compare the openfield and the bocage but we tried to prove that there was a different type of bocage. So we studied two opposed sectors situated in the East and in the West of this department. The use of aerial shootings and their processing in a G.I.S. (Geographical Information System) allowed us to map the differences between the two areas in the last 50 years. This objective description obtained from actual and past data helped us analyse the change factors in the whole bocage of the Allier department.
étude de deux digues d’étangs en terre recoupées par le tracé de la RCEA à Pierrefitte-sur-Loire et Coulanges (Allier) Study of two earthen pond dykes tied in with the route of the RCEA at Pierrefitte-sur-Loire and Coulanges (Allier)
Sophie Liegard,Alain Fourvel
Revue Archéologique du Centre de la France , 2006,
Abstract: Les investigations archéologiques préventives liées au tracé routier de la RCEA en Sologne bourbonnaise ont suscité la découverte de deux digues d’étangs en terre. L’approche technique de ces ouvrages d’époque moderne a été privilégiée, afin d’étudier notamment leurs modes de construction. Sous une apparente homogénéité, il s’avère, en fait, que ces aménagements appartiennent à deux types de digues élaborées selon différents procédés qui sont toujours en usage de nos jours. The rescue archaeological work linked to the road route of the RCEA in Bourbon Sologne sparked the discovery of two earthen pond dykes. The technical approach of these modern works has been made a priority in order to study their construction method in particular. Apparently homogeneous, it turns out in fact that the improvements belong to two types of dykes developed in accordance with different processes which are still in use nowadays.
The Aging Waistline: Impact of the Geriatric Obesity Epidemic on an Urban Emergency Department: Original Communication  [PDF]
Heather M. Prendergast, Ernest Waintraub, Brad Bunney, Lisa Gehm, Carissa Tyo, Armando Marquez, John Williams, Angela Bailey, Diego Marquez, Marcia Edison, Mark Mackey
International Journal of Clinical Medicine (IJCM) , 2013, DOI: 10.4236/ijcm.2013.45047

Purpose: Reviews adult emergency department (ED) visits for patients age 65 and older during one calendar year; determine the prevalence of weight classifications; identifies trends between BMI and discharge/admitting diagnoses, vital signs, and severity index.Methods: The electronic medical records system and data from the ED billing service was reviewed for an urban academic institution with an annual volume of 125,000 for patients age > 65. Using a random number table, a retrospective cohort of 328 elderly patients was selected for review, representing a convenience sample of 2.6% of elderly ED visits. Body Mass Index (BMI) was calculated, using the Center for Disease Control (CDC) formula with underweight (<18.5), normal (18.5 - 24.9), overweight (25 - 29.9), and obese (≥30). Results: The majority of the cohort in this study was African-American and Hispanic (60% and 27% respectively), and there were a higher percentage of females than males (60% and 40% respectively). Approximately 29% of the patients were classified as normal weight, 35% classified as overweight, and 36% as obese. The older the patient, the more likely that patient belonged to a lower weight classification (p < 0.01). Those presenting with neurological, pulmonary or gastrointestinal complaints were more likely to be of a higher weight classification (p < 0.05). Patients who were hypertensive on arri

L’Allier, Louis. Les cendres de l’Etna
Tessa Lofthouse
Voix Plurielles , 2012,
Abstract: L’Allier, Louis. Les cendres de l’Etna. Compte rendu
L'établissement rural des ixe-xe siècles des “ Jeanrais ” à Saint-Prix (Allier) The 9th-10th century rural establishment of “Jeanrais” at Saint-Prix (Allier)
Sophie Liegard,Alain Fourvel
Revue Archéologique du Centre de la France , 2011,
Abstract: Le site des “ Jeanrais ” a été découvert en 1999 lors du diagnostic préalable à l'aménagement du contournement routier de Lapalisse/Saint-Prix par la route nationale 7. La fouille préventive conduite en 2003 a permis d'étudier près de 4000 m2 de ce vaste établissement rural d'époque carolingienne qui se prolonge de part et d'autre de l'emprise routière et dont l'occupation s'étend sur au moins deux siècles. Les vestiges mis au jour témoignent d'une organisation rigoureuse de l'espace qui ne trouve pas de parallèle régionalement. Le bon état de conservation des vestiges a permis l'identification de plusieurs plans de batiments sur poteaux dont un qui abritait un aménagement semi-excavé de plan en “ U ”. Le mobilier recueilli comprend des éléments peu communs tels que des ratés de cuisson de céramique gla urée et du mobilier équestre. L'ensemble des données recueillies dans les deux zones successives d'occupation révèle des caractéristiques inhabituelles qui conduisent à s'interroger sur le statut de cette implantation. The site of “Jeanrais” was discovered in 1999 during the diagnosis preliminary to the construction of a bypass for Lapalisse/Saint-Prix by trunk road N7. The rescue dig carried out in 2003 was used to study near to 4000 m2 of this vast rural settlement of the Carolingian period which extends on either side of the road expropriation and whose occupation spans at least two centuries. The remains uncovered evidence of meticulous organization of space that has no regional parallel. The good state of preservation of the remains has led to the identification of several plans of post buildings one of which housed a semi-excavated development in the shape of a “U”. The collected furnishings include items such as unusual glazed ceramic firing failures and some horse fittings. The data collected in the two successive zones of occupation reveal unusual features which raise questions about the status of this settlement.
La conversion des peuples dits non-civilisés chez Raoul Allier (1862-1939) Conversion of supposedly non-civilized peoples in Raoul Allier (1862-1939)
Hélène Baillot
Cahiers d'études du Religieux , 2010, DOI: 10.4000/cerri.66
Abstract: C’est à travers l’ uvre de Raoul Allier, intellectuel protestant du début du XXème siècle, très engagé dans les débats de son temps, que le processus de conversion des peuples indigènes est appréhendé. S’appuyant sur les écrits des missionnaires et des entretiens avec ceux-ci, Raoul Allier a développé une approche psycho-anthropologique de la conversion. Raoul Allier se situant dans une perspective humaniste, la conversion occupe, dès lors, une place centrale. Le fait que certains indigènes se convertissent profondément est, aux yeux de Raoul Allier, la preuve de l’unicité de l’espèce humaine.
Application of Life Style Model to Analyze the Market of Department Stores  [PDF]
Cheng-Wei Chung, Jiun-Jia Hsu
Journal of Service Science and Management (JSSM) , 2012, DOI: 10.4236/jssm.2012.53036
Abstract: This paper is focus on satisfaction of consumer behaviors in different department stores and using life style model to analyze their market difference. Customers were randomly selected from six different large department stores in Kaohsiung City during anniversary periods. The results were shown that total amount spent was below NT$3000 and most of them were for apparel. Anniversary sales, promotion, recommendation from families and friends are three mains reasons to shop in a department store. The life styles were defined in six types and they are confidence, unique, self-oriented, well budgeted, limited budgeted and simple. There are five different life style groups after K-mean analysis. There are busy-confidence group, rational discrete group, urban-city group, easy-relax group, and fashion-shopping group. These five life style groups have significant differences in term of shopping behavior, individual social economic background and willingness for re-purchasing.
A psychiatric whodunit: Serotonin syndrome in the emergency department  [PDF]
Christopher Rodgman, Megan Thompson, Nicolas Vergara, Christopher Rodgman
Open Journal of Psychiatry (OJPsych) , 2012, DOI: 10.4236/ojpsych.2012.24039
Abstract: Serotonin syndrome is a life-threatening reaction associated with serotonergic agents. Its mortality is estimated around 11%, hence prompt diagnosis is necessary [1]. Given the variability of its presentation, physicians often misdiagnose this devastating condition. We present a case of serotonin syndrome seen in the Emergency Department by an on-call psychiatric resident and review the Hunter Serotonin Toxicity Criteria, emphasizing the importance of physician familiarity with these criteria.
Prevalence of Hematuria among Emergency Department Healthcare Workers  [PDF]
Ho-Hsing Lin, Chi-Wen Juan, Li-Ya Lin, Chi-Wei Lee, Chien-Jen Huang
International Journal of Clinical Medicine (IJCM) , 2014, DOI: 10.4236/ijcm.2014.519154
Abstract: Background: In Taiwan, emergency departments are so busy that it is not uncommon for staffs (doctors and nurses) to be deprived of their lunch breaks or breaks to go to the restroom. As a consequence, during their busy shifts some emergency department healthcare workers choose to limit their water intake and no time to micturate which are both risk factors of urinary tract infection or urolithiasis. Hematuria is a common laboratory finding due to urinary tract infection and urolithiasis. Objective: To assess the prevalence of hematuria among the emergency department healthcare workers, we conducted a retrospective study in a district hospital in Taiwan. Documented data included those of healthcare workers who worked in the emergency department, as well as other departments of the same hospital. Methods: We reviewed the three-year records of general body checkup of hospital staffs who served in the emergency room and other departments of the same hospital between January 1, 2009 and December 31, 2011. Statistical software SPSS statistical analysis of survey data recovery is applied; data and test results by the questionnaire analysis patterns are associated with the urinary system abnormalities to ANOVA analysis to explore the hospital group whether there is a significant sex differences, and the other to analyze and verify the correlation analysis to the Scheffe post-hoc comparison method. Results: A higher prevalence of hematuria was observed among emergency department healthcare workers when compared with their colleagues who work in other departments of the same hospital. Female workers have higher risk of urinary system abnormalities than male workers. Nurses in the urinary system abnormalities are higher than other positions category. Shift work system has a negative effect on the urinary system. Conclusion: In conclusion, hematuria is more prevalent among emergency department healthcare workers than healthcare workers working in the inpatient wards. Hematuria might well be due to urinary tract infection which in turns caused by the overwhelmingly busy nature of the emergency department duty that deprived the emergency department healthcare workers from frequent voiding and sufficient intake of fluid.
Evaluation of the Use of Ketamine for Acute Pain in the Emergency Department at a Tertiary Academic Medical Center  [PDF]
Nahal Beik, Katelyn Sylvester, Megan Rocchio, Michael B. Stone
Pharmacology & Pharmacy (PP) , 2016, DOI: 10.4236/pp.2016.71003
Abstract: Introduction: At subdissociative doses of 0.1 - 0.5 mg/kg, ketamine provides effective analgesia when used alone or as an adjunct to opioid analgesics without causing cardiovascular or respiratory compromise. Ketamine is a beneficial analgesic agent in the emergency department (ED), particularly in patients with opioid-resistant pain or polytrauma patients who are hemodynamically unstable. Purpose: The purpose of this study was to evaluate current practice and describe clinical outcomes associated with the use of low-dose ketamine for acute pain in the ED. Methods: Adult patients receiving ketamine were retrospectively evaluated between March 1, 2012 and March 31, 2013. Patients were included if they were ordered for ketamine in the ED to treat acute pain. Outcomes included dose administered, cumulative doses, concurrent opioid administration, and any efficacy or adverse events documented after the administration of ketamine. Continuous variables are reported as mean (standard deviation [SD]) or median (interquartile range [IQR]). Results: A total of 46 patients were evaluated for inclusion. Of the 25 patients included, 38 doses of ketamine were documented. The mean age was 41 years old with 64% of the patients being female. The average initial ketamine dose was 0.12 ± 0.06 mg/kg and 8 (32%) patients received multiple doses of ketamine (1.5 ± 0.8 doses per patient). Ketamine was added to opioid therapy in 23 (92%) patients. Pain scores decreased post administration of ketamine from 10 (9 - 10) to 5 (4 - 7). Adequate pain relief was documented in 11 (44%) patients (felt comfortable going home); partial pain relief was noted in 5 (20%) patients; 3 (12%) patients reported no pain relief; 3 (12%) patients were able to have a procedure done, and efficacy was not documented in 3 (12%) patients. Anxiety and agitation were documented in 2 (8%) patients. No adverse outcomes were documented in 84% of patients. Conclusion: Administration of low-dose ketamine for acute pain in the ED demonstrated improvement in patients’ pain scores with minimal documented adverse outcomes.
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