998 resultados para course description
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Collection : Bibliothèque de l'enseignement technique
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BACKGROUND: Migration is considered a depression risk factor when associated with psychosocial adversity, but its impact on depression's clinical characteristics has not been specifically studied. We compared 85 migrants to 34 controls, examining depression's severity, symptomatology, comorbidity profile and clinical course. METHOD: A MINI interview modified to assess course characteristics was used to assign DSM-IV axis I diagnoses; medical files were used for Somatoform Disorders. Severity was assessed with the Montgomery-Asberg scale. Wherever possible, we adjusted comparisons for age and gender using logistic and linear regressions. RESULTS: Depression in migrants was characterized by higher comorbidity (mostly somatoform and anxiety disorders), higher severity, and a non-recurrent, chronic course. LIMITATIONS: Our sample comes from a single center, and should be replicated in other health care facilities and other countries. Somatoform disorder diagnoses were solely based on file-content. CONCLUSION: Depression in migrants presented as a complex, chronic clinical picture. Most of our migrant patients experienced significant psychosocial adversity before and after migration: beyond cultural issues, our results suggest that psychosocial adversity impacts on the clinical expression of depression. Our study also suggests that migration associated with psychosocial adversity might play a specific etiological role, resulting in a distinct clinical picture, questioning the DSM-IV unitarian model of depression. The chronic course might indicate a resistance to standard therapeutic regimen and hints at the necessity of developing specific treatment strategies, adapted to the individual patients and their specific context.
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Fables (Douze) de Fleuves ou Fontaines (1585)
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Charles Quint, roi d'Espagne et empereur d'Allemagne, d'abord archiduc d'Autriche. Le Voyage et Expedition de Charles le quint en Africque contre la ville de Argiere (1542)
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Objective To explores nursing faculty members’ attitudes towards older people, their thoughts about gerontological nursing education. Method Five focus groups and a survey were used with nursing faculty members 132 at the three nursing schools to explore their attitudes towards the care of older people and the perceived status of gerontological nursing education. The survey was given to 132 faculty members, including 76 clinical instructors, 40 associate professors and 16 professors. The nursing faculty in general had a positive attitude toward older people (M=3.36, SD 0.25), and teachers’ attitudes were higher than those of their nursing students (M=3.18, SD0.29). Results This study results suggests that Saudi nursing curricula should include more extensive gerontology content and clinical experience with older people. Conclusion This is the first time in Saudi Arabia that research has listened to their voices and examined their commitments toward gerontology education.
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Based on testimonies by Cape Verdean individuals with different social condition and institutional responsibility on one hand and, on the other hand, on the consideration of the historical burden and the policies adopted after the independence, this article is focused on the creation of a social conscience about poverty and the manifestations of micro-violence through the action of institutions and NGOs committed in the eradication of poverty and prevention of behaviors potentially generating and perpetuating micro-violence and social exclusion. The political environment and the perception of an involvement of Cape Verdeans in a common destiny are deemed crucial to the achievement of these purposes.
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The larva of Houardodiplosis rochae Tavares, 1925 is described and illustrated for the first time. A new record of pseudoscorpion (Olpiidae) collected from galls is presented.
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Polietina Schnabl & Dziedzicki, 1911 (Diptera, Muscidae) is a New World genus of Muscini, which comprises 18 species. The male of P. major Albuquerque, 1956 and the female of P. wulpi Couri & Carvalho, 1997 are herein described and illustrated for the first time. New geographical localities are recorded for both species.
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A new genus and new species of Phlebotominae, Edentomyia piauiensis (Diptera, Psychodidae) from a cave in Piauí State, Brazil, are described. This new genus belongs to Phlebotomini, but its inclusion in any subdivision of this tribe depends on further study.
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Mature larvae of Mauritinus seferi Bondar, 1960 were collected in the mesocarp of murity palm (Mauritia flexuosa Linnaeus), in the State of Pará, Brazil. Larvae were reared to pupa and adults in the laboratory. Mature larva and pupa are described and adult redescribed. Adult and immature are illustrated for the first time. Observations about bionomy are included and discussed.
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Dealing at patient's home with an acute abdominal pain may be particularly challenging for the primary care physician. In such a clinical situation, the part of laboratory and radiological investigations is increasing in the diagnostic process. The decision to keep the patient at home based on a clinical evaluation alone may represent a great medical responsibility for the physician. Emergency departments (ED) are of course in charge of investigating such patients with a wide panel of investigation techniques. But these structures are chronically overcrowded resulting frequently in long and difficult periods of waiting. Based on a literature review, a description of useful clinical symptoms and signs is summarized and should help the decision process for the orientation of the patient.