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Copyright of Management international / International Management / Gestiòn Internacional is the property of Management International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Canadian Journal of Hospital Pharmacy / Journal Canadien de la Pharmacie Hospitalière is the property of Canadian Society of Hospital Pharmacists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Canadian Journal of Hospital Pharmacy / Journal Canadien de la Pharmacie Hospitalière is the property of Canadian Society of Hospital Pharmacists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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Copyright of Revue Française de Gestion is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revue Française de Gestion is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Le motif de l’enfermement dans le traitement de la folie est étudié à travers l’exemple de l’Hôpital Nuestra Señora de Gracia de Saragosse, connu depuis le XIXe siècle pour la supposée modernité de son approche de la maladie mentale. Même si les textes fondateurs faisaient de l'enfermement une nécessité pour des raisons médicales et de protection, les témoignages et les archives judiciaires révèlent que la réclusion était le plus souvent fictive en raison des problèmes financiers de l'institution. L’hôpital utilisait les fous comme main d’œuvre à l’extérieur des murs mais ceux-ci parvenaient également à s’enfuir en échappant à la vigilance d’un personnel en sous-effectif. Cette recherche met donc en lumière la dualité de la notion de réclusion hospitalière et montre qu’elle est un reflet de la complexité de la relation entre la société et la folie à l’époque moderne.

La sociologie est une étude scientifique des faits et des phénomènes sociaux. La santé est un fait social impliquant divers facteurs sociaux. Le rapport entre la sociologie et la santé reste encore théorique notamment dans les pays en développement comme la RD Congo. La médecine, malgré sa progression au cours de dernières décennies ne parvient toujours pas à résoudre de manière définitive les problèmes de santé de l’humanité qui se posent en grand nombre. Les épidémies et les pandémies, la complexité des faits, l’explosion démographique, la raréfaction de certaines ressources naturelles et l’industrialisation suscitent et contribuent à élargir des questionnements en sociologie de la santé. L’étude s’inscrit dans cette perspective lorsqu’elle se propose de démontrer ce qui intéresse la sociologie dans le domaine de la santé, de situer la portée sémantique des notions de base et de recenser les travaux à travers les thèmes fréquemment étudiés par les sociologues en matière de santé. En partant de la littérature spécialisée et de l’analyse des effets socio-culturels liés à la santé, il s’est avéré que la sociologie de la santé en RD Congo, contrairement à son émergence en Europe et aux U.S.A., est encore dans son état embryonnaire.

Caterina Fieschi (1447-1510) était une aristocrate de Gênes, souhaitant s’engager dans la vie religieuse mais forcée au mariage par sa famille. Après avoir eu une vision mystique, elle consacra toute son existence aux miséreux et aux malades, impliquant même son mari dans sa pratique de rigueur morale. Il choisira en effet de la soutenir dans ses activités caritatives et d’assistanat à l’hôpital de Pammatone (dont elle prendra la gestion), à l’Hôpital degli Incurabili et à la Léproserie de San Lazzaro.

Copyright of Gériatrie et Psychologie Neuropsychiatrie du Vieillissement is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Gériatrie et Psychologie Neuropsychiatrie du Vieillissement is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of International Journal of Organizations / Revista Internacional de Organizaciones (RIO) is the property of Analisi Social i Organitzativa grup de recerca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

En France, alors que les morgues hospitalières sont critiquées dès le xixe siècle, les décès vont se concentrer dans les établissements de santé. Plus encore, un défunt sur deux passe aujourd’hui dans les chambres mortuaires des hôpitaux scientifiques. Expliquer cet apparent paradoxe exige de comprendre le travail de légitimation réalisé par des médecins et administrateurs d’hôpitaux pour conserver un contrôle sur le corps des malades tout en reconnaissant aux familles un droit de participation pour les rituels funéraires. Il devient nécessaire de rappeler les résistances qui ont fait de ces lieux un problème public local, puis national, jusqu’à ce qu’ils soient transformés. Dans cet article, nous défendons l’idée qu’un conflit de modernisation s’est opéré, depuis le xixe siècle, dans les morgues des hôpitaux pour décider du traitement appliqué au corps mort. De manière inattendue, ce conflit a débouché sur la création de chambres mortuaires dans lesquelles les morts sont, de manière potentiellement contradictoire, traités comme un matériel biologique et technique, placés sous surveillance médicale, comme des personnes défuntes dont il convient de respecter l’intégrité et la subjectivité historique. L’étude de ce conflit de modernisation permet alors de comprendre pourquoi ces services font aujourd’hui l’objet de tensions sociales, dès lors que l’un de ces deux traitements est abandonné, comme cela a pu être le cas au début de l’épidémie de Covid-19 en France.

Copyright of Gestion et Management Public is the property of Association Internationale de Recherche en Management Public (AIRMAP) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Interventions Économiques is the property of Association d'Economie Politique and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Context: Drug shortages impact patients from all countries. According to the Pharmaceutical Group of the European Union, most Europe countries reported a worsening of shortages in 2023., Objective: To describe drug shortage episodes in Canada over a recent 4-year period., Methods: This study focused on drug shortage episodes over the 52-month period from September 1, 2019, to December 31, 2023. Two data sources were used: the Canadian mandatory reporting website (both community and hospital settings) and hospital wholesaler data. Only descriptive statistical analyses were performed., Results: From September 1, 2019, to December 31, 2023, a total of 10,975 drug shortage episodes and 1087 discontinuations were reported on the Canadian website, whereas 2562 drug shortage episodes were reported by the hospital wholesaler. The median duration of episodes was 51days according to reports at the Canadian website data versus 145days according to the wholesaler's data. The Canadian website data referred to a total of 184 manufacturers, whereas wholesaler data encompassed 83 manufacturers. Only 86 episodes were rated as Tier 3., Conclusions: This study highlights the high number of drug shortages in Canada in recent years, both in the overall market and in the hospital market. Although the median duration of episodes has decreased across the country, the number of manufacturers involved has increased. The danger lies in considering the current situation as inevitable, normal and persistent., Competing Interests: Disclosure of interest The authors declare that they have no competing interest., (Copyright © 2024. Published by Elsevier Masson SAS.)

This paper reflects on the place that the analyst can occupy in cases of end-of- -life care patients at the hospital setting. The possibility of imminent death in this type of care fatally embodies the encounter with the real as impossible, the motto of psychoanalysis in any circumstance. Based on the case report of a patient's last day of life, the article emphasizes the effects made possible by a psychoanalytical listening, insofar as it gave room to the anguishes and desires of subjects involved, concluding on the importance of such an listening against that provided by the medical team. In discussing palliative care, it both underlines the professionals' difficulties in dealing with patient death, and problematizes the impasses posed by the lack of integration of this practice. [ABSTRACT FROM AUTHOR]

Introduction : La stérilisation des dispositifs médicaux (DM) dans les hôpitaux est primordiale dans la lutte contre les infections associées aux soins. Le but de ce travail était d’évaluer l’activité de stérilisation dans le Centre hospitalier universitaire pédiatrique Charles de Gaulle (CHUP-CDG). Matériels et méthodes: Il s’agissait d’une étude descriptive transversale et prospective réalisée dans cinq unités de soins du CHUP-CDG. Les données ont été recueillies à l’aide d’entretiens et d’observations directes des pratiques. Elles ont été analysées conformément au référentiel des bonnes pratiques de la pharmacie hospitalière française. Résultats : De nombreuses insuffisances ont été relevées. Au niveau organisationnel, elles concernaient principalement l’absence de suivi pharmaceutique de l’activité de stérilisation des DM, sa dispersion dans les unités de soins, l’insuffisance de formation et de moyens de protection du personnel, l’inadéquation architecturale et organisationnelle des locaux, l’absence ou l’inadéquation de certains matériels et produits spécifiques, l’absence d’un système d’assurance qualité. Au niveau de la pratique de l’activité, les insuffisances étaient principalement les non-respects des mesures d’hygiène et de protection individuelles, des concentrations des produits et des temps de trempage inadaptés. En outre, l’utilisation de la stérilisation à la chaleur sèche, l’absence de contrôle et de traçabilité du processus ont été observées. Conclusion : L’activité de stérilisation des DM au CHUP-CDG présente de nombreuses insuffisances qui nécessitent impérativement la mise en œuvre de mesures correctives.

La psychiatrie a une place à part parmi les spécialités médicales concernant les hospitalisations contre la volonté du patient. Jusqu’en 2012 il s’agissait de privation de liberté à de fin d’assistance. A partir du 1.01.2013 un nouveau Code Civil a été adopté en Suisse. Les articles 426 à 429 mettent en place le placement à des fins d’assistance (PAFA), une mesure de protection pour la personne. Notre étude rétrospective du 2014-2016 a comme objectives (1) d’amener des connaissances de certains paramètres expliquant les hospitalisations non volontaires ; (2) de répondre à la question : Pouvons-nous considérer ce type d’hospitalisation comme une expérience clinique ? Les résultats principaux démontrent : Deux facteurs étaient significatifs à un niveau de valeur p ≤ 0,05 : (a) Vivre dans un établissement d'accueil (foyer), augmente la probabilité d'avoir un PAFA (p = 0,04) ; (b) Le fait d'être diagnostiqué comme ayant des troubles psychotiques, liés à des substances psychoactives augmente la probabilité d'avoir du PAFA (p = 0,01). Trois facteurs supplémentaires sont significatifs : être un homme (p = 0,0655) et vivre seul (p = 0,05) augmente la probabilité d'avoir un PAFA, cependant la variable âge (p = 0,03) diminue la probabilité d'avoir un PAFA (ce qui signifie que plus vous êtes âgé, plus la probabilité d'avoir un PAFA est faible). Les hospitalisations sous contrainte trouvent une place d'exception dans le champ médical de la psychiatrie. Et pourtant ne sont pas une fatalité. Les implications éthiques, légaux, cliniques qui sont lies aux hospitalisations non volontaires amènent une lumière particulière à ce type de prise en charge psychiatrique.

Copyright of Canadian Journal of Hospital Pharmacy / Journal Canadien de la Pharmacie Hospitalière is the property of Canadian Society of Hospital Pharmacists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Cet entretien cherche à réfléchir sur les enjeux actuels de transformation du fonctionnement de l'hôpital public aujourd'hui, à partir d'une rencontre avec le Professeur Stéphane Velut, neurochirurgien et écrivain. Ces dernières années, il a fait entendre sa parole dans le débat public en publiant plusieurs essais et tracts. Cet entretien est l'occasion d'approfondir certaines de ses thèses, en donnant à entendre son expérience sous la forme d'une parole vive et passionnée, en constant dialogue avec les sciences humaines et la littérature. Son goût des mots l'amène notamment à développer une sensibilité et une critique à l'égard des formes rhétoriques des énoncés employés par les administrateurs contemporains de l'hôpital. Ce dialogue est fondé sur un questionnement libre, S. Velut est interrogé sur sa propre expérience de chef de service et de chirurgien. L'entretien permet de croiser de nombreuses influences, de Victor Klemperer à Régis Debray, qui l'aident à penser l'époque et les problématiques qui lui sont spécifiques. L'analyse du contexte social et politique de la médecine française de ses quarante dernières années est largement évoquée : de l'émergence de la démocratie sanitaire avec l'épidémie de SIDA aux plus récents bouleversements engendrés par la pandémie du SARS-CoV-2. Les nouvelles logiques de soin, qui évoluent vers une toujours plus grande exigence de technicité, de systématicité et d'évaluabilité, aboutissent à une normalisation de l'exercice médical, qui tend à faire disparaître toute singularité, aussi bien celle du patient que du soignant. Les administratifs, les économistes et les communicants semblent aujourd'hui détenir le pouvoir de décider de ce qui est souhaitable pour l'hôpital. L'analyse de leur langage, nommé par S. Velut « métalangage » fait apparaître une entreprise singulière d'édulcoration, qui irréalise le réel des objets concrets du soignant : la maladie, le soin, la mort. Ce métalangage s'oppose à celui des cliniciens, qui sont aux prises avec une autre réalité que celle de l'évaluation et de la quantification, quand ils sont au plus près de la souffrance de chaque patient. La gestion néolibérale de l'hôpital, subordonnée à des impératifs économiques ; les formes modernes de management, indexées contre le principe de subsidiarité ; enfin, les nouvelles conceptions systématisées et protocolisées des soins amènent à une perte d'autonomie des cliniciens et des soignants qui ne sont plus envisagés comme des acteurs susceptibles de penser par eux-mêmes. L'exercice concret de la chirurgie, qui donne une place irremplaçable au travail de la main, et qui se rapproche en cela du métier d'artisan, trouve au contraire à valoriser la dimension de la clinique comme rencontre singulière, propice à l'invention et à la prise en compte du plus singulier de chacun, dans une perspective qui trouve de nombreux points communs avec la pratique de la psychiatrie. This interview with Professor Stéphane Velut, neurosurgeon and writer, is an occasion to reflect on the current challenges of transforming the functioning of public hospitals today. In recent years, he has made his voice heard in public debate by publishing several essays and tracts. This interview allows him to expand upon some of his theses, by giving voice to his experience. Professor Velut's lively and passionate speech is in constant dialogue with the human sciences and literature. His taste for words led him in particular to develop a sensitivity to and a critique of the rhetoric employed by contemporary hospital administrators. This dialogue is based on open questioning. Professor Velut is asked about his own experience as head of department and surgeon. The interview makes it possible to explore the many influences, from Victor Klemperer to Régis Debray, which help him think about the era and the issues specific to it. The analysis of the social and political context of French medicine over the last forty years is widely discussed: from the emergence of health democracy with the AIDS epidemic to the most recent upheavals caused by the SARS-CoV-2 pandemic. The new logics of care, evolving towards an ever greater requirement of technicality, systematicity, and evaluability, lead to a standardization of medical practice, which tends to eliminate any singularity, both that of the patient and the clinician. Today, it is administrators, economists, and communicators who seem to hold the power to decide what is desirable for the hospital. The analysis of their "metalanguage" reveals a singular enterprise of watering down, which de-realizes the reality of the concrete objects of the caregiver: illness, care, death. This metalanguage contrasts with the language of clinicians, grappling with a reality other than that of evaluation and quantification, in their proximity to the suffering of each patient. The neoliberal management of the hospital, controlled by economic imperatives; modern forms of management, indexed against the principle of subsidiarity; finally, the new systematized and protocolized conceptions of care lead to a loss of autonomy for clinicians and caregivers who are no longer expected to be actors capable of thinking for themselves. In contrast, the concrete, even artisanal exercise of surgeon, in which the work of the surgeon's hand (like that of the craftsman) is irreplaceable, is a form of clinical practice that preserves the singularity of the encounter and the possibility of inventiveness. The practice of surgery allows the practitioner to take the singularity of each participant into account; in this, it can be compared to the practice of psychiatry. [ABSTRACT FROM AUTHOR]

Child abuse and neglect can have a serious impact on the physical, psychological, social, sexual and reproductive health of children and adolescents during their development and also in adulthood. These situations concern 10 to 15% of minors, with an overrepresentation in the hospital environment. There is therefore, a strong need to identify, diagnose and then treat them in an integrated and ethical approach. The professionals concerned must work in an interdisciplinary and interinstitutional collaboration. The forensic pediatrics allows for better diagnosis identify child abuse and neglect, with a collective approach and a dynamic process in health care. The hospital has always been a place of shelter and protection for children and adolescents in danger. The instruction N8DGOS/R4/ R3/R2/2021/220 of November 3, 2021 relating to the structuring of healthcare pathways for child victims of violence, allows Child Advocacy Centers in chidren's hospitals, for assessment consultations, forensic examination, and forensic interview recordings, and regional referral hospital team for child abuse and neglect. This is a real step forward for minors victims care. [ABSTRACT FROM AUTHOR]

Résumé: La diffusion de données et d'indicateurs à l'équipe de la pharmacie comporte plusieurs bénéfices théoriques, mais ceux-ci sont peu diffusés et doivent être adaptés aux besoins de l'équipe. Méthodes. Étude descriptive transversale. L'objectif est de décrire l'utilisation actuelle et projetée d'indicateurs de gestion en pharmacie hospitalière au sein d'un centre hospitalier universitaire. La situation actuelle de la diffusion et de l'utilisation de données et d'indicateurs a été décrite. Des indicateurs et données d'intérêt ont été identifiés par revue de la littérature et en consultant les chefs d'équipe des secteurs visés. Un sondage a été envoyé à l'équipe. Chaque répondant devait coter les indicateurs d'intérêt de leur(s) secteur(s) de pratique selon un score de priorité d'affichage, permettant de calculer un score pondéré pour chaque donnée et indicateur. Résultats. Cinquante-sept réponses ont été obtenues (taux de participation de 63,3 % ; 57/90 personnes disponibles, soit 31 pharmaciens, 23 préparateurs, 2 membres non identifiés et 1 membre autre). Des 93 données et indicateurs proposés, le score pondéré de priorité d'affichage varie de 1,44 à 4,05 par item (moyenne de 2,69 ± 0,52). En utilisant arbitrairement un seuil de 2,5 ou moins, 37 de ces données et indicateurs ont été priorisés. Conclusion. Cette étude décrit une démarche structurée pour évaluer et sélectionner des données et indicateurs en vue de les diffuser aux membres d'un département de pharmacie via un tableau de bord. Un total de 93 données et indicateurs ont été identifiés par les membres de l'équipe afin de soutenir les pratiques en pharmacie hospitalière. Several theoretical benefits of disseminating data and indicators to the pharmacy team exist, but they are not usually distributed, and they must be adapted to the pharmacy team's needs. Methods: This is a descriptive cross-sectional study. The objective is to describe the current and projected use of hospital pharmacy management indicators within a university hospital center. The current state of dissemination and use of data and indicators was described. Indicators and data of interest were identified from a literature review and by consulting targeted sectors' team leaders. A survey was sent to the team where each respondent rated the indicators of interest for their area(s) of practice according to a display priority score, allowing for a weighted score to be calculated for each data and indicator. Results: Fifty-seven responses were obtained (participation rate of 63.3%; 57/90 people available, i.e., 31 pharmacists, 23 preparers, 2 unidentified members and 1 other member). Of the 93 data and indicators available, the weighted display priority score ranges from 1.44 to 4.05 per item (average of 2.69 ± 0.52). Using an arbitrary threshold of 2.5 or less, 37 of these data and indicators were prioritized. Conclusion: This study describes a structured process for evaluating and selecting data and indicators with the objective to share them to members of a pharmacy department via a dashboard. A total of 93 data and indicators were identified by team members to support hospital pharmacy practices. [ABSTRACT FROM AUTHOR]

We confer to the "prelude to the interviews" a relevant treatment device in psychoanalysis. This paper aims to propose, through the presentation of some case reports and the theoretical elaboration on the referred cases, a treatment device prior to the preliminary interviews. The path for writing the text was built from the clinical practice of a psychologist, guided by psychoanalysis, in a hospital of the Santa Casa de Misericórdia complex. The bibliographical references used for theorizing the praxis were borrowed from the work and teaching of both Sigmund Freud and Jacques Lacan, as well as from contemporary psychoanalysts commenting on them. Thus, we designate the prelude to the interviews as the major contribution of the praxis in the context of hospital emergencies, and it proves to be, in this sense, a beneficial tool for the practice of psychoanalysis in institutions. [ABSTRACT FROM AUTHOR]

Copyright of Estilos da Clínica is the property of FEUSP - Faculdade de Educacao da USP - Universidade de Sao Paulo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Canadian Journal of Hospital Pharmacy / Journal Canadien de la Pharmacie Hospitalière is the property of Canadian Society of Hospital Pharmacists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Le but de cette étude est d'identifier les spécificités des motifs de leurs admissions afin de mieux définir les besoins de cette tranche d'âge pour une meilleure organisation de leur accueil et accompagnement en situation d'urgence. Une enquête transversale descriptive auprès d'adolescents consultants au service des urgences pédiatriques de l'hôpital d'enfant de Rabat a été réalisée durant un mois du 1er août au 1er septembre 2018. L'analyse des données a retrouvé un taux de passage de 12 %, un âge moyen de 13 ans avec un sexe ratio de 1,31. Un tiers des patients ont consulté entre 8 heures et 15 heures avec un taux d'autoréférence de 63,2 %. Les motifs médicaux étaient les plus fréquents avec un délai de consultation moins de 24 heures dans 60 % des cas. Deux motifs principaux de recours se sont dégagés : le traumatisme et la douleur. Les accidents représentaient 27,7 %, les affections organiques non accidentelles 66,7 % et les problèmes de santé mentale 5,6 %. Seuls 31 % des cas ont été hospitalisés au terme de leur consultation. Au travers de l'étude, les adolescents au Maroc utilisent les services d'urgences comme source de soins primaires et leur motif de recours reste superposable à celle de la médecine de ville. La présente étude a été réalisée avant l'avènement de la pandémie du COVID 19. The aim of this study is to identify the specificities of admission reasons in order to better define the needs of this unit. age for a better organization of the reception of teenagers in emergency situation. A descriptive cross-sectional surveys of a sample of 408 adolescents in the pediatric emergency department of the Rabat Children's Hospital was carried out during a month from August 1 to September 1, 2018. Analysis of the data found a passage rate of 12 %, an average age of 13 years with a sex-ratio of 1.31. A third of patients consulted between 8 :00 a.m. and 3:00 p.m. with a self-referral rate of 63.2 %. Medical reasons were the most frequent with a consultation period of less than 24 hours in 60 % of the cases. Two main grounds for recourse emerged: trauma and pain. Accidents represented 27.7 %, non-accidental organic ailments 66.7 % and mental health problems 5.6 %. Only 31 % of cases were hospitalized after their consultation. Throughout the study, adolescents in Morocco use emergency services as à source of primary care and their reasons for seeking help overlap with that of city medicine. [ABSTRACT FROM AUTHOR]

This article proposes a re-evaluation of the transition of charity hospitals for the poor to commercial hospitals for paying patients based on the analysis of socio-demographic characteristics of patients from three general hospitals in Montreal in 1911. In analyzing this transition, historiography has emphasized the respective roles of doctors, the Church, and the State, as well as the growing recourse to the commercialization of hospital services in order to increase the institutions' revenues. However, it has focused less on the social demand for free hospital care and its impact on the transformation of hospitals. To shed light on this aspect, we have compiled the information of some 10,000 patients from the admission records of Montreal's Hôtel-Dieu, Notre-Dame, and Royal Victoria hospitals in 1911. This previously unpublished data records the socio-demographic composition of patients according to their place of residence, ethnicity, age, gender, occupation, and, finally, whether or not they paid for their hospitalization. The data thus help us identify a transitional time for Montreal hospitals during which indigent and paying patients had separate rooms in the establishments. It sheds new light on the paradoxical situation of hospital administrations which, to strengthen their commitment to the commercialization of services, had to demand public subsidies to alleviate the burden of the costs associated with the growing need for free care. [ABSTRACT FROM AUTHOR]

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Copyright of Canadian Journal of Occupational Therapy is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

La conception des temps de travail peut être considérée comme une innovation sociale dans les solutions retenues et dans leur processus de création. Portant le point de vue de l’ergonomie, cette thèse propose une démarche de conception du travail en horaires atypiques. Conduite en milieu hospitalier, cette démarche est une opportunité d’engager la diversité des acteurs dans une réflexion collective sur les conditions et les règles du travail concerné.

Introduction: Medication reconciliation (MedRec) reduces the risk of preventable medication-related adverse events (ADEs). A best possible medication discharge plan (BPMDP) is a revised list of medications a patient will take when discharged from hospital; a pharmacist review ensures accuracy. For many hospitals, on-site pharmacists are non-existent. Extension of a visual presence via a mobile robotic platform with real-time audiovisual communication by pharmacists to conduct MedRec remains unstudied. This study explored patient perceptions of a pharmacist-led BPMDP using a telepresence robot. Time requirements, unintentional discharge medication discrepancies (UMD), programme inefficiencies/ barriers and facilitators involved in pharmacist review of the discharge medication list and patient interviews were also described. Methods: This prospective cohort study enrolled adult patients admitted to a 12-bed community hospital at high risk of an ADE. Remote pharmacists reviewed the discharge prescription list, identified/resolved UMDs, and interviewed/counselled patients using a telepresence robot. Thereafter, patients completed an anonymous satisfaction questionnaire. Prescriber discharge UMDs were classified, and barriers/inefficiencies and facilitators were documented. Results: Nine patients completed an interview, with a 75% interview agreement rate. All patients were comfortable with the robot and 76% felt their care was better. With a median of 11 discharge medications/patient, the UMD rate was 78%; 71% had omitted medications, 43% involved a cardiovascular medication, 88% were due to a hospital system cause, and 43% were specifically due to an inaccurate best possible admission medication history. Median times for interview preparation, interview and UMD/drug therapy problem resolution were 45, 15 and 10 min, respectively. Conclusion: Using a telepresence robot to provide pharmacist-led BPMDPs is acceptable to patients and an innovative, effective solution to identify/resolve UMDs. [ABSTRACT FROM AUTHOR]

La conception des temps de travail peut être considérée comme une innovation sociale dans les solutions retenues et dans leur processus de création. Portant le point de vue de l'ergonomie, cette thèse propose une démarche de conception du travail en horaires atypiques. Conduite en milieu hospitalier, cette démarche est une opportunité d'engager la diversité des acteurs dans une réflexion collective sur les conditions et les règles du travail concerné. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Journal of Hospital Pharmacy / Journal Canadien de la Pharmacie Hospitalière is the property of Canadian Society of Hospital Pharmacists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The article focuses on collapse of communism left only one model to persist as capitalism and its need for endless growth. Topics include examines gradually the need for social progress no longer had any reason to exist in the absence of a rival to capitalism and considered neoliberalism has dominated since the 1980s with the theorization of a model of wealth creation widely promoted by the United States/United Kingdom couple.

Introduction: The 2009 Hospital Patient Health Territory Law included Therapeutic Patient Education of the patient (TPE) in the patient care journey and established a regulatory framework. Nevertheless, the organization and funding of the TPE at the hospital seems to vary between regions or between institutions. Objective: To realize a national inventory of the TPE organization at the hospital and to identify possible difficulties and levers. Methods: This qualitative survey by semi-directional interviews was conducted by telephone using an interview guide to the 29 cross units patient education (UTEP) identified in the University or Regional Hospitals of France. Results: Twenty-four UTEPs (83%) responded. The number of approved programs ranges from 6 to 307 with few cross-cutting and rare disease programs. The TPE is funded by outpatient activity, but the method of calculation varies according to the Health Regional Agency. Seven hospitals have integrated the education file into the shared computer file. The main difficulties are lack of time, funding and bringing patients back. The levers are the coordination of the TPE within the institution (place of the UTEP and collaboration with the directions and authorities), the motivation and involvement of the TPE teams, communication. Discussion and conclusion: Several courses of action can be proposed, such as the development of e-TPE and the development of the care partnership. [ABSTRACT FROM AUTHOR]

This article studies the impact of the Bourbon Reforms on the hospital of Tunja, in the viceroyalty of New Granada, between the end of the 18th century and the first decades of the 19th century. Through the analysis of archival sources and a critical reading of secondary sources, the sanitary problem caused by the transfer of the hospital to a corner of the main square of Tunja is reconstructed. The confrontations between the religious orders, secular clergy and neighbours, represented by the town council and the Temporalities Committee, the Royal Court and the Viceroy of Santafé (Bogotá), were caused by the miasma produced from the infirmaries, latrines and cemetery of the conventhospital and the miasmatic explanations for and against its transfer. The Bourbon Reforms had particularities in regional contexts, such as the one under study, which makes it possible to differentiate between the reforms in the medical and health fields and those applied to religious orders in fulfilment of the Royal Patronage and regalian control of charitable hospital institutions. Finally, it was the Republic that decided on the transfer of the hospital, and resolved the problem caused by the miasmas, and took administrative control of its revenue, displacing and extinguishing the Hospitaller Order. [ABSTRACT FROM AUTHOR]

Copyright of Gestion et Management Public is the property of Association Internationale de Recherche en Management Public (AIRMAP) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Canadian Journal of Hospital Pharmacy / Journal Canadien de la Pharmacie Hospitalière is the property of Canadian Society of Hospital Pharmacists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

L'internat en pharmacie est une formation spécialisée de troisième cycle, à la fois universitaire et hospitalière, accessible par concours. Dispensée en quatre ou cinq années, elle conduit à l'obtention d'un diplôme d'études spécialisées, notamment de biologie médicale et de pharmacie hospitalière. The internship in pharmacy is a specialized postgraduate training program, both university and hospital-based, accessible by competitive examination. It lasts four or five years and leads to a diploma of specialized studies, particularly in medical biology and hospital pharmacy. [ABSTRACT FROM AUTHOR]

Background: Nigeria joined the global community in monitoring antimicrobial prescribing practices since 2015. Results of individual hospital Global Point Prevalence Survey (Global-PPS) have stimulated efforts at instituting hospital-based antimicrobial stewardship (AMS) programmes. We report the trends of antimicrobial prescribing rates and quality indicators for 3 surveillance periods; 2015, 2017 and 2018. Methodology: The web-based Global-PPS for surveillance of antimicrobial use in hospitals (www.globalpps. com) was completed by each participating hospital site for all inpatients receiving antimicrobials on a selected day in 2015, 2017 and 2018. Data included details on antimicrobial agents, reasons and indications for treatment and a set of quality prescribing indicators. Data were validated by the web-based data management system of University of Antwerp, exported into Microsoft Excel and analyzed with EPI INFO version 7.2. Results: Thirteen hospitals participated in the survey involving a total of 5,174 inpatients. Mean weighted overall antimicrobial prescribing prevalence was 70.7% which declined over the years from 71.7% in 2015 to 59.1% in 2018 (p<0.001). The rate of documentation of date for post prescription review improved from 27.9% in 2015 to 48.5% in 2018 (p<0.001) while the rates of targeted treatment declined from 12.0% in 2015 to 5.2% in 2018 (p<0.001). There was no significant change in the choice of parenteral drug administration (64.5% in 2015, 65.1% in 2017 and 62.6% in 2018; p=0.6803), and but there was significant increase in documentation of reasons for prescription in case notes (62.2% in 2015, 74.5% in 2017, and 70.9% in 2018; p=0.008). Overall, the main indications for therapeutic prescribing were skin and soft tissue infections (20.8%), sepsis (15.9%) and pneumonia (11.6%). The top three antibiotics for therapeutic use were ceftriaxone (18.2%), metronidazole (15.3%) and ciprofloxacin (10.4%). Conclusions: The survey showed reduction in the overall antimicrobial prescribing rate especially in hospitals that had introduced AMS programmes. Among the quality prescribing indicators, documentation of post prescription review date showed improvement. The Global-PPS serves as a cost effective, flexible and userfriendly tool in instituting AMS programmes in hospitals. [ABSTRACT FROM AUTHOR]