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Search Results: 1 - 10 of 714197 matches for " Musset A-M "
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Assessment of fluoride intake and prescription in children of Eastern France. Their dental status
Joseph N,Perreau T,Musset A-M,Brisset L
Pratiques et Organisation des Soins , 2008,
Abstract: Aims: Three Eastern French regions decided to assess the practice of use and prescription of systemic fluoride according to the French agency for medical safety of health products (AFSSAPS) and World Health Organization (WHO) references and the medico-economic and public health issues. The oral health of the study population was assessed.Methods: A fluoride intake assessment of a sample of 0-12 year old children was generated. A specific tool was especially drawn up for this study. It enabled to calculate the fluoride intake of 4-12 year olds during an examination carried out by practitioners of publichealth. The data about fluoride prescription and oral/dental status of this cohort were collected among their prescribers, families or children.Results: The fluoride intakes were lower than the recommended doses from Afssaps/WHO in 86% of children aged zero to three, 33,6% of 4-12 year old children with prescription and 56% of children aged 4-12 without prescription. According to the families, 42% of the children were not following prescribed systemic fluoride drugs costed 622,000 euros to the health insurance in these three regions. Furthermore, only 45% of 12 year old children had no caries and more than 20% had 4 decayed, missing or filled teeth, with an average of two to three surfaces being affected.Conclusion: Carrying out an optimal fluoroprophylaxis is intricate and unadequately handled by the various actors. The lack of information about the fluoride rate in bottled and tap water may be a source of explanation.Prat Organ Soins 2008;39(4):297-309
The development of a strategy for the facilitation of income-generating projects in rural communities: an insider account
A-M Trollip
Journal of Family Ecology and Consumer Sciences /Tydskrif vir Gesinsekologie en Verbruikerswetenskappe , 2001,
Abstract: Die grondslae en ontwikkeling van 'n strategie vir die fasilitering van inkomstegenererende kunshandwerkprojekte in landelike gemeenskappe word kortliks uiteengesit. Die uiteensetting berus op gegewens wat verkry is tydens twee opeenvolgende fases van 'n navorsingsprojek in die Noordelike Provinsie van die Republiek van Suid-Afrika. Drie projekte wat sonder, en drie wat onder die leiding van een of meer fasiliteerders gefunksioneer het, is in die eerste fase van die navorsing bestudeer. Faktore wat doeltreffende funksionering inhibeer is ge dentifiseer en die rol en funksie van projekfasiliteerders is ondersoek. 'n Aktiwiteitsmodel vir die fasilitering van inkomstegenererende projekte is op grond van die navorsingsresultate en aan die hand van die prestasiemodel van Blumberg en Pringle (1982; aangepas deur Robbins, 1993) ontwikkel. Gedurende die tweede fase van die navorsing is daar by die aktiwiteite van 'n inkomstegenererings - projek in die Winterveldt naby Pretoria ingeskakel. Die eerstehandse insig wat so verkry is, is gebruik om die voorgenoemde aktiwiteitsmodel te verfyn. Daar is tot die gevolgtrekking gekom dat 'n ontwikkelingstrategie voorsiening moet maak vir die ontwikkeling van menslike hulpbronne en dat die konteks waarbinne projekte funksioneer deurentyd in ag geneem moet word. Die doeltreffende funksionering van projekte word deur velerlei sosiokultu - rele en ander faktore ge nhibeer. Dit is ook noodsaaklik dat daar van owerheidswe inligtings - en ander hulpstrukture geskep en in stand gehou moet word om mikro-ondernemings te ondersteun om winsgewend te funksioneer.
Editorial
Malik A-M
Pratiques et Organisation des Soins , 2010,
Abstract: L’Association latine pour l’analyse des systèmes de santé (ALASS) a des objectifs d’échanges scientifiques et de formations de réseaux entre professionnels de différents pays latins, d’Europe, des Amériques et d’Afrique. Les thèmes de recherche et de débat de ses membres sont principalement les maladies chroniques, la santé mentale, les ressources humaines, la décentralisation, la qualité des soins, la planification, la gestion, le financement et tous les sujets concernant la pratique et l’organisation des soins.C’est aussi un espace d’échanges multiprofessionnels entre des médecins, des infirmiers et d’autres professionnels des soins, aussi bien que des gestionnaires, des économistes et des juristes. Chaque sujet est discuté sous des points de vue différents, dans un esprit de respect mutuel. Le résultat de ces discussions est souvent une synthèse où tous les participants se retrouvent.Ce numéro spécial de la revue Pratiques et organisation des soins présente six articles issus de communications du Congrès de 2009 de l’ALASS qui s’est tenu au Luxembourg. Ces articles ont été sélectionnés par un comité de lecture issu de l’association 1.Le premier article, écrit par des universitaires de Mexico, montre une relation entre le niveau de financement public de la santé et la distribution des revenus dans la population, ainsi que les taux de mortalité maternelle et infantile. Ce thème n’est pas nouveau, mais avec les nouvelles technologies, il faut revenir vers les hypothèses considérées confirmées et les réexaminer.Le deuxième vient du groupe hospitalier Lariboisière-Fernand Vidal (Assistance publique – H pitaux de Paris). L’article identifie les causes de la surprescription d’actes de biologie à l’h pital et propose des pistes d’amélioration. Il s’agit là d’une préoccupation constante des gestionnaires et il est opportun d’en faire une analyse objective sur des données réelles. Le troisième avance l’hypothèse que les professionnels de la santé ont une formation et des attitudes normatives. Cet article montre qu’il est possible d’échanger entre pays assez différents : les auteurs sont deux brésiliennes et une canadienne.Dans le quatrième, un ma tre de conférence de l’Université de Rennes (France) et des cadres soignants hospitaliers, identifient les systèmes de valeurs des patients et des soignants. Ces systèmes aident à comprendre les déterminants de l’autonomisation du patient.En Suisse, où la prise en charge hospitalière est d’une durée plafonnée, le Centre hospitalier universitaire de Lausanne étudie les variables liées à la durée de séjour. Les résultat
On the classification of the Lie algebras
L. A-M. Hanna
International Journal of Mathematics and Mathematical Sciences , 2004, DOI: 10.1155/s016117120430222x
Abstract: The Lie algebras Lr,ts introduced by the author (2003) are classified from an algebraic point of view. A matrix representation of least degree is given for each isomorphism class.
Income-generating projects in rural communities: from theory to practice - a personal report
A-M Trollip, E Boshoff
Journal of Family Ecology and Consumer Sciences /Tydskrif vir Gesinsekologie en Verbruikerswetenskappe , 2001,
Abstract: Hierdie artikel berig oor die derde fase van en studie vir die ontwikkeling van en strategie vir die fasilitering van projekte wat poog om inkomste te genereer deur hoofsaaklik handvervaardigde goedere te produseer. Die artikel word ook aangebied as en voorbeeld vir deelnemende ontwikkeling (participatory development). Die volgende doelstellings is vir hierdie fase van die studie gestel: . Om die aannames van die aktiwiteitsmodel (Trollip, 2001) te toets en te verfyn vir toepassing in opleidingsprogramme vir inkomstegenereringsprojekte . Om PLA-metodes (plan, leer en aksie-metodes) te toets om onafhanklikheid te bevorder en ontwikkeling te fasiliteer . Om die rolspelers bewus te maak van probleme rondom inkomste-genereringsprojekte en hulle by die ontwikkeling van en ondersteuningstruktuur vir hierdie tipe projekte te betrek. en Groep vroue in die omgewing van die Tswaing Krater-museum wat die behoefte uitgespreek het om inkomste te genereer deur kunshandwerkartikels te produseer, het aan die studie deelgeneem. Die omstandighede / konteks van die vroue was tipies van baie agtergeblewe vroue in die noorde van Suid-Afrika. Hulle woon in en gebied sonder water en elektrisiteit, vervoer is beskikbaar maar duur, die gemiddelde geletterdheidsvlak is laag, en veral die ouer en minder geletterde vroue handhaaf nog in en mate die gebruike van en eie kultuur. Tydens dialoog en waarnemeing is behoeftes bepaal. Met behulp van deelnemende waarnemingsmetodes soos dialoog, rolspel, selfleer in werklike situasies, nadoen en uittoets is die groep gefasiliteer om en inkomste-generingsprojek aan te pak. Die aannames en aktiwitieite wat in Trollip (2001) se aktiwiteitsmodel uiteengesit is, het die studie gerig. Hoewel die konteks van verskillende groepe of projekte waarskynlik sal verskil, blyk dit uit die sukses wat met hierdie projek behaal is dat die aktiwiteitsmodel toepassingsmoontlikhede het. Daar word beoog om die model in die volgende fase van die studie in en programraamwerk te formuleer. Die raamwerk kan dan aangewend word om soortgelyke studies te rig en as grondslag vir impakstudies te dien.
Die vergelyking van produksiestelsels in ‘n simulasie-eksperiment
A-M Tollip, R Haynes
Journal of Family Ecology and Consumer Sciences /Tydskrif vir Gesinsekologie en Verbruikerswetenskappe , 1998,
Abstract: The aims of this simulation experiment were 1 to provide clothing management students with an opportunity to experience and evaluate the efficiencies of three apparel production systems, namely bundle, kanban and modular, and 2 to evaluate the utilisation of this simulation experiment as a training model in the clothing construction and production classroom. The findings of this simulation experiment supported the findings of a similar experiment by Oliver et al (1994). It proved to be an excellent tool for teaching manufacturing processes. — Prof A-M Trollip — Mej R Haynes Departement Huishoudkunde, Universiteit van Pretoria ¨ Romanda Haynes het die eksperiment help beplan ter gedeeltelike vervulling van die vereistes vir die vakdissipline projek 410. Sy het as produksiebestuurder tydens die uitvoering van die eksperiment opgetree.
Simulation of the thermal borehole resistance in groundwater filled borehole heat exchanger using CFD technique
A-M. Gustafsson, L. Westerlund
International Journal of Energy and Environment , 2010,
Abstract: The thermal borehole resistance in a groundwater-filled borehole heat exchanger (BHE) is affected of both conductive and convective heat transfer through the borehole water. To calculate this heat transport, different models are required compared to calculation of only conductive heat transfer in a back-filled BHE. In this paper some modelling approximations for groundwater-filled, single U-pipe BHEs were investigated using a 3D CFD model. The purpose is to find approximations that enable to construct a fast, simple model including the convective heat transfer that may be used in thermal response test analyses and BHE design programs. Both total heat transfer calculations (including convective and conductive heat transport) and only conductive heat transfer calculations were performed for comparison purposes. The approximations that are investigated are the choice of boundary condition at the U-pipe wall and using a single pipe in the middle of the borehole instead of the U-pipe. For the total heat transfer case, it is shown that the choice of boundary condition hardly affects the calculated borehole thermal resistance. For the only conductive heat transfer case, the choice of boundary condition at the pipe wall gives large differences in the result. It is also shown that using an annulus model (single pipe in the middle of the borehole) results in similar heat transfer as the U-pipe model provided that the equivalent radius is chosen appropriately. This approximation can radically decrease the number of calculation cells needed.
Bohr-Sommerfeld conditions for several commuting Hamiltonians
C. Anne,A-M. Charbonnel
Physics , 2002,
Abstract: The goal of this paper is to find the quantization conditions of Bohr-Sommerfeld of k quantum Hamiltonians acting on the euclidian space of dimension n, depending on a small parameter h, and which commute to each other. That is we determine, around a regular energy level E of the euclidian space of dimension k the principal term of the asymptotics in h of the eigenvalues of the operators that are associated to a common eigenfunction. Thus we localize the so-called joint spectrum of the operators. Under the assumption that the classical Hamiltonian flow of the joint principal symbol is periodic with constant periods on the energy level of E(a submanifold of codimension k) we prove that the part of the joint spectrum lying in a small neighbourhood of E is localized near a lattice of size h determined in terms of actions and Maslov indices. The multiplicity of the spectrum is also determined.
The medical uncertainty felt by women in the support for breast cancer
Benoit M,Dragon J,Lavoie A-M
Pratiques et Organisation des Soins , 2011,
Abstract: Aim: This article focuses on how patients with breast cancer receive the information transmitted to them by health professionals of the malignancy with which they suffer. Our objective was to clarify the perception, by patients with breast cancer, of the information transmitted by health professionals on Cancer Pathology for which they have been diagnosed. Methods: We opted for an analytical approach akin to the analysis of the speech, to question 19 written testimonies of women who tell of their experience. Results: This approach helped to define the concept of medical uncertainty and elucidate the concept of trust through three different levels of theoretical meanings that are reasoned confidence and decided or provided confidence (Luhmann N. Réseaux. 2001;108:15). The analysis of the testimony of women on the medical uncertainty they feel the announcement of a diagnosis of breast cancer has shown changes in the work habits of physicians and caregivers about “the announcement of the diagnosis”. Conclusion: Three proposals appear as important: (1) integrate the patient in active relationships with caregivers. (2) reflect on models of care taking into account the difficulties outlined in the announcement of the diagnosis; (and 3) the fact that the person be at any time, at the centre of a human practice of oncology care. In conclusion we argue for a change of attitude of doctors, on the basis of trust between physician and patient. Prat Organ Soins. 2011;42(3):187-94
Large-bore vacuum-assisted biopsy of axillary lymphadenopathy
ND Forester, P Burrows, A Jack, A-M Wason
Breast Cancer Research , 2011, DOI: 10.1186/bcr2963
Abstract: Eight patients (seven male, one female; median age 52, range 27 to 65) underwent ultrasound-guided, 8G vacuum-assisted biopsy of axillary lymphadenopathy between March 2009 and February 2011. The median largest node size was 28 mm (range 14 to 87 mm). Three patients had previous ultrasound-guided 18G core biopsies, which were insufficient for diagnosis. Between three and 15 cores were obtained (median = 7) and sent fresh to the Haematological Malignancy Diagnostic Services.In seven patients, 8G vacuum-assisted biopsy provided sufficient histologically intact nodal material to be fully diagnostic. In one patient, tissue was suspicious for lymphoma, but insufficient for final diagnosis. In seven patients with adequate tissue sampling, six had lymphoma and one had reactive lymphadenopathy. Of the lymphoma diagnoses, four were new diagnoses (two Hodgkin, one follicular, one diffuse large B-cell lymphoma) and two were recurrent lymphomas. No procedure-related complications occurred.Ultrasound-guided large-bore vacuum-assisted biopsy can safely biopsy axillary lymphadenopathy. Furthermore, samples obtained have sufficiently preserved tissue architecture to allow a conclusive diagnosis of lymphoma, without requiring surgical intact node excision. In our institution, this technique has proved useful in high-risk surgical candidates, and where nodal size would have made surgery technically difficult.
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