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Search Results: 1 - 10 of 1896 matches for " MC Hardy-Bayle "
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Differing mental health practice among general practitioners, private psychiatrists and public psychiatrists
N Younès, MC Hardy-Bayle, B Falissard, V Kovess, MP Chaillet, I Gasquet
BMC Public Health , 2005, DOI: 10.1186/1471-2458-5-104
Abstract: All GPs (n = 492), PrPs (n = 82) and PuPs (n = 78) in the South-Yvelines area in France were informed of the implementation of a local mental health program. Practitioners interested in taking part were invited to include prospectively all patients with mental health problem they saw over an 8-day period and to complete a 6-month retrospective questionnaire on their mental health practice. 180 GPs (36.6%), 45 PrPs (54.9%) and 63 PuPs (84.0%) responded.GPs and PrPs were very similar but very different from PuPs for the proportion of patients with anxious or depressive disorders (70% v. 65% v. 38%, p < .001), psychotic disorders (5% v. 7% v. 30%, p < .001), previous psychiatric hospitalization (22% v. 26 v. 61%, p < .001) and receiving disability allowance (16% v. 18% v. 52%, p < .001). GPs had fewer patients with long-standing psychiatric disorders than PrPs and PuPs (52%, 64% v. 63%, p < .001). Time-lapse between consultations was longest for GPs, intermediate for PuPs and shortest for PrPs (36 days v. 26 v. 18, p < .001). Access to care had been delayed longer for Psychiatrists (PrPs, PuPs) than for GPs (61% v. 53% v. 25%, p < .001). GPs and PuPs frequently felt a need for collaboration for their patients, PrPs rarely (42% v. 61%. v. 10%, p < .001).Satisfaction with mental health practice was low for all categories of physicians (42.6% encountered difficulties hospitalizing patients and 61.4% had patients they would prefer not to cater for). GPs more often reported unsatisfactory relationships with mental health professionals than did PrPs and PuPs (54% v. 15% v. 8%, p < .001).GP patients with mental health problems are very similar to patients of private psychiatrists; there is a lack of the collaboration felt to be necessary, because of psychiatrists' workload, and because GPs have specific needs in this respect. The "Yvelines-Sud Mental Health Network" has been created to enhance collaboration.In developed countries, mental health problems, especially anxious an
Long term GP opinions and involvement after a consultation-liaison intervention for mental health problems
Nadia Younès, Christine Passerieux, Marie-Christine Hardy-Bayle, Bruno Falissard, Isabelle Gasquet
BMC Family Practice , 2008, DOI: 10.1186/1471-2296-9-41
Abstract: All the 139 collaborating GPs (response rate: 84.9%) were invited two years after the intervention to complete a retrospective telephone survey for each patient (181 patients; response rate: 69.6%).91.2% of GPs evaluated effects as positive for primary care management (mainly as support) and 58.9% noted positive effects for patient medical outcome. Two years post-intervention, management was shared care for 79.7% of patients (the GP as the psychiatric care provider) and care by a psychiatrist for 20.3% patients. Secondary referral occurred finally in 44.2% of cases.The intervention supported GP partners in their management of patients with common mental health problems. Further studies are required on the appropriateness of the care provider.The care of common mental health problems, mainly provided in primary care, is known to be insufficient and to represent a major public health challenge. Collaborative care between Psychiatry and Primary care has been developed in several countries to address this problem [1,2]. Evaluation of this kind of care is necessary. M Craven and R Bland reviewed the changing trends in collaborative care research: early studies were descriptive, and concerned with the impact on system outcomes. Then they focused on patient-level outcomes and quality improvement initiatives. Recently the ability of research-based programs to be translated into "real-world" settings has been examined [3]. Existing studies of shared mental health care considering a long-term outcome (more than a year) have focused on the patient [4]. They did not explore long-term GP opinions and long-term care delivery.Two objectives were thus set out for the present study. First, to provide data on GP's opinions on the impact of the consultation-liaison system (after sufficient time had passed to enable a more "objectively" based view of the consultation system outcome), on their management of the patients they referred (rather than transferred) to the collaborative system
What makes people decide who to turn to when faced with a mental health problem? Results from a French survey
Viviane Kovess-Masféty, Delphine Saragoussi, Christine Sevilla-Dedieu, Fabien Gilbert, Agnieszka Suchocka, Nathalie Arveiller, Isabelle Gasquet, Nadia Younes, Marie-Christine Hardy-Bayle
BMC Public Health , 2007, DOI: 10.1186/1471-2458-7-188
Abstract: 441 adults aged 18 to 70 were randomly selected from the general population of two suburban districts near Paris and agreed to participate in the study (response rate = 60.4%). The 412 respondents with no mental health problems based on the CIDI-SF and the CAGE, who had not consulted for a mental health problem in the previous year, were asked in detail about their intentions to seek help in case of a psychological disorder and about their opinion of mental health treatments. The links between the respondents' characteristics and intentions and opinions were explored.More than half of the sample (57.8%) would see their general practitioner (GP) first and 46.6% would continue with their GP for follow-up. Mental health professionals were mentioned far less than GPs. People who would choose their GP first were older and less educated, whereas those who would favor mental health specialists had lower social support. For psychotherapy, respondents were split equally between seeing a GP, a psychiatrist or a psychologist. People were reluctant to take psychotropic drugs, but looked favorably on psychotherapy.GPs are often the point of entry into the mental health care system and need to be supported. Public information campaigns about mental health care options and treatments are needed to educate the public, eliminate the stigma of mental illness and eliminate prejudices.There has been major concern about the unequal use of mental health care, even in countries with universal coverage such as Canada [1] where, despite such coverage, people from higher socioeconomic backgrounds receive more psychiatric care than those from lower socioeconomic backgrounds for equivalent mental health problems.In addition to universal coverage, mental health literacy has been established as an important factor in the provision of adequate care, not only for people to be able to recognize specific disorders, but also for them to believe help is possible and available. People need to have the
General Practitioners' opinions on their practice in mental health and their collaboration with mental health professionals
Nadia Younes, Isabelle Gasquet, Pierre Gaudebout, Marie-Pierre Chaillet, Viviane Kovess, Bruno Falissard, Marie-Christine Hardy Bayle
BMC Family Practice , 2005, DOI: 10.1186/1471-2296-6-18
Abstract: All GPs in the South Yvelines area in France (n = 492) were informed of the implementation of a local mental health program. GPs interested in taking part (n = 180) were invited to complete a satisfaction questionnaire on their practice in the field of Mental Health and to include prospectively all PMHP consultants over an 8-day period (n = 1519). For each PMHP, data was collected on demographic and clinical profile, and on needs (met v. unmet) for collaboration with MHPro.A majority of GPs rated PMHP as requiring more care (83.4%), more time (92.3%), more frequent consultations (64.0%) and as being more difficult to refer (87.7%) than other patients. A minority of GPs had a satisfactory relationship with private psychiatrists (49.5%), public psychiatrists (35%) and social workers (27.8%). 53.9% had a less satisfactory relationship with MHPro than with other physicians.Needs for collaboration with a MHPro were more often felt in caring for PMHP who were young, not in employment, with mental health problems lasting for more than one year, with a history of psychiatric hospitalization, and showing reluctance to talk of psychological problems and to consult a MHPro.Needs for collaboration were more often met among PMHP with past psychiatric consultation or hospitalization and when the patient was not reluctant to consult a MHPro. Where needs were not met, GP would opt for the classic procedure of mental health referral for only 31.3% of their PMHP.GPs need targeted collaboration with MHPro to support their management of PMHP, whom they are willing to care for without systematic referral to specialists as the major therapeutic option.In developed countries, mental health problems, especially anxious and depressive disorders, are frequent and a leading cause of disability [1-4]. Since they are potentially remediable when adequately treated, they represent a major public health challenge [5,6]. A major obstacle to the instatement of adequate care is that when people do se
Emergencia académica en el Cono Sur. El programa de reubicación de los cientistas sociales
Paola Bayle
Iconos : Revista de Ciencias Sociales , 2008,
Abstract: Este artículo intenta reconstruir las estrategias llevadas a cabo por el Consejo Latinoamericano de Ciencias Sociales (CLACSO), en articulación con un conjunto de instituciones de la región, para relocalizar a cientistas sociales luego de los golpes militares que comenzaron con Chile, en el a o 1973. En este trabajo sostenemos que CLACSO pudo realizar esta tarea gracias a las relaciones de recursos que entabló desde su creación con instituciones académicas y filantrópicas de distintos países del mundo. En consonancia con los planteamientos que venían desarrollándose desde la década anterior entre los cientistas sociales latinoamericanos -en relación con la autonomía de los centros de investigación y el brain drain (fuga de cerebros) hacia países industrializados- esta política de reubicación echa luz sobre un conjunto de momentos clave del proceso de institucionalización y desinstitucionalización de las ciencias sociales en el Cono Sur.
Speculation on graph computation architectures and computing via synchronization
Bayle Shanks
Computer Science , 2004,
Abstract: A speculative overview of a future topic of research. The paper is a collection of ideas concerning two related areas: 1) Graph computation machines ("computing with graphs"). This is the class of models of computation in which the state of the computation is represented as a graph or network. 2) Arc-based neural networks, which store information not as activation in the nodes, but rather by adding and deleting arcs. Sometimes the arcs may be interpreted as synchronization. Warnings to readers: this is not the sort of thing that one might submit to a journal or conference. No proofs are presented. The presentation is informal, and written at an introductory level. You'll probably want to wait for a more concise presentation.
Correlated X-ray/Ultraviolet/Optical variability in the very low mass AGN NGC 4395
D. T. Cameron,I. Mc Hardy,T. Dwelly,E. Breedt,P. Uttley,P. Lira,P. Arevalo
Physics , 2012, DOI: 10.1111/j.1365-2966.2012.20677.x
Abstract: We report the results of a one year Swift X-ray/UV/optical programme monitoring the dwarf Seyfert nucleus in NGC 4395 in 2008-2009. The UV/optical flux from the nucleus was found to vary dramatically over the monitoring period, with a similar pattern of variation in each of the observed UV/optical bands (spanning 1900 - 5500 {\AA}). In particular, the luminosity of NGC 4395 in the 1900 {\AA} band changed by more than a factor of eight over the monitoring period. The fractional variability was smaller in the UV/optical bands than that seen in the X-rays, with the X-ray/optical ratio increasing with increasing flux. Pseudo-instantaneous flux measurements in the X-ray and each UV/optical band were well correlated, with cross correlation coefficients of >0.7, significant at 99.9 per cent confidence. Archival Swift observations from 2006 sample the intra-day X-ray/optical variability on NGC 4395. These archival data show a very strong correlation between the X-ray and b bands, with a cross-correlation coefficient of 0.84 (significant at >99 per cent confidence). The peak in the cross correlation function is marginally resolved and asymmetric, suggesting that X-rays lead the b band, but by 1 hour. In response to recent (August 2011) very high X-ray flux levels from NGC4395 we triggered Swift ToO observations, which sample the intra-hour X-ray/UV variability. These observations indicate, albeit with large uncertainties, a lag of the 1900 {\AA} band behind the X-ray flux of ~400 s. The tight correlation between the X-ray and UV/optical lightcurves, together with the constraints we place on lag time-scale are consistent with the UV/optical variability of NGC 4395 being primarily due to reprocessing of X-ray photons by the accretion disc.
Quantum Tunneling of the Magnetization in the Ising Chain Compound Ca3Co2O6
A. Maignan,V. Hardy,S. Hebert,M. Drillon,M. R. Lees,O. Petrenko,D. Mc K. Paul,D. Khomskii
Physics , 2004,
Abstract: The magnetic behavior of the Ca3Co2O6 spin chain compound is characterized by a large Ising-like character of its ferromagnetic chains, set on triangular lattice, that are antiferromagnetically coupled. At low temperature, T < 7K, the 3D antiferromagnetic state evolves towards a spin frozen state. In this temperature range, magnetic field driven magnetization of single crystals (H//chains) exhibits stepped variations. The occurrence of these steps at regular intervals of the applied magnetic field, Hstep=1.2T, is reminiscent of the quantum tunneling of the magnetization (QTM) of molecular based magnets. Magnetization relaxation experiments also strongly support the occurrence of this quantum phenomenon. This first observation of QTM in a magnetic oxide belonging to the large family of the A3BBO6 compounds opens new opportunities to study a quantum effect in a very different class of materials from molecular magnets.
O demente, a família e as suas necessidades
Bayle,Filomena C.;
Análise Psicológica , 2004,
Abstract: in the last forty years, the percentage of the elderly in the population doubled due to a better quality of life and to a higher medical efficiency, resulting in a longer life and an improved expectation of life without disability. still, aging in bad conditions such as a handicap, disability, dependency and dementia frequently causes fear and anguish, sometimes superior to those caused by death itself. health psychology is essential for aging people, and specially the demented, in two ways: individually and, as shown hereafter, collectively. isolated families of demented people sometimes get totally "burnt out". the purpose of this work is to focus on the needs of the demented and their families in order to improve their quality of life.
Conscience et devoilement de la verité. Modus & Dictum dans Verité de Zola
Guy Achard-Bayle
Studi Linguistici e Filologici Online , 2006,
Abstract: In the first part of this paper, I analyze the arguments of last D. Cohn’s essay (The Distinction of Fiction, 1999, French translation 2001) on the logic of fiction and fictionality: the deal is to find formal and more precisely linguistic marks which allow to distinguish fictional vs historical narratives. In a second part, I study and I try to apply this model to Zola’s novel: Vérité (Truth). In this novel, which is the last in Zola’s works, and which reproduces the Dreyfus case, the problem the novelist must face is to conciliate the “documentary” -or the historical truth with his naturalist esthetics which favors indirect free speech -or what D. Cohn (op. cit.) calls the “mental quotations”.
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