Le médecin au centre: pour une approche de l'expérience vécue [Toward the lived experience of the physician].

For manyyears, a major focus of interest has been the patient, in the context of a constantly changing society and increasingly complex medical practices. We propose to shift this focus on the physician, who is entangled in a similar, but less evident way. In these three articles, we explore, in succession, the lived experience of the contemporary physician, the ethos which brings together the medical community, and the education of the future physician, using research projects currently under way within the Service of Liaison Psychiatry at Lausanne University Hospital. In this first article, we particularly raise the question of what is the lived experience of the physician and sketch the outline of <physician-centered> research.

La gestión de la reputación on-line por parte de las compañías hoteleras : El papel del community manager

Mi trabajo de disertación se desarrolla en el contexto del Grado de Comunicación de la UOC y la finalidad es establecer un marco teórico actualizado sobre el concepto de reputación on-line aplicable al sector hotelero. En este sentido entiendo necesario partir del análisis de tres hoteles de Palma de Mallorca para obtener un diagnóstico de reputación y poderafirmar que existe una relación entre su reputación on-line y la obtención de mayores ingresos. Por este motivo, llevaré a cabo un estudio de caso comparativo con la herramienta de monitorización SocialVane del Hotel Gran Meliá Victoria con sus competidores más directos.

Basketball match manager

Aplicació per a mòbils Android que permet la gestió d'entitats relacionades amb una competició de bàsquet i l'scouting d'un partit en curs mitjançant el recull de dades estadístiques en un dispositiu mòbil.

Accounting manager : Servei web gestor de comptabilitat

Aquest projecte consisteix en un petit servei web de comptabilitat desenvolupat amb Vaadin framework, MySQL i Java. Dita aplicació permet crear factures i altres documents i portar-ne unes estadístiques de les figures relacionades amb aquesta comptabilitat. El fet d'utilitzar Vaadin permet desenvolupar aquest servei web mitjançant Java. Aquesta entrega es composa d'una presentació, la memòria i el producte (servei web+BD+instruccions).

Patient and physician evaluation of the severity of acute asthma exacerbations

We studied the ability of patients not experienced in the use of peak expiratory flow meters to assess the severity of their asthma exacerbations and compared it to the assessment of experienced clinicians. We also evaluated which data of physical examination and medical history are used by physicians to subjectively evaluate the severity of asthma attacks. Fifty-seven adult patients (15 men and 42 women, with a mean (± SD) age of 37.3 ± 14.5 years and 24.0 ± 17.9 years of asthma symptoms) with asthma exacerbations were evaluated in a University Hospital Emergency Department. Patients and physicians independently evaluated the severity of the asthma attack using a linear scale. Patient score, physician score and forced expiratory volume at the first second (FEV1) were correlated with history and physical examination variables, and were also considered as dependent variables in multiple linear regression models. FEV1 correlated significantly with the physician score (rho = 0.42, P = 0.001), but not with patient score (rho = 0.03; P = 0.77). Use of neck accessory muscles, expiratory time and wheezing intensity were the explanatory variables in the FEV1 regression model and were also present in the physician score model. We conclude that physicians evaluate asthma exacerbation severity better than patients and that physician's scoring of asthma severity correlated significantly with objective measures of airway obstruction (FEV1). Some variables (the use of neck accessory muscles, expiratory time and wheezing intensity) persisted as explanatory variables in physician score and FEV1 regression models, and should be emphasized in medical schools and emergency settings.

[Portrait du manager de boxe] Morice : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 58712

[Le boxeur français Georges] Papin et son manager [François] Descamps (C.N. New-York) : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 59250

[Portrait du manager de boxe Charlie] Hellers : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 60709

Trainer, Coach, Player, and Manager

Likely a picture of Tom Kearney (Trainer), Al Kellogg (Coach), Eric Stevens (Player), and Randy Olling (Manager) circa 1971.

Nursing staffs' perceptions of a generic service manager position

The recent reengineering within the health care industry has challenged many assumptions regarding traditional structures and roles. Within a product-line management structure, the traditional viewpoint that those who manage patient care areas must have a nursing background, is an example of one such assumption being challenged. The nursing profession is often seen as the greatest obstacle to the implementation of a product-line management structure and generic manager positions (does not require a nursing background), due to the perceived loss of professional identity. This qualitative study focused on how nursing staff within a chronic care and rehabilitation facility perceived a generic service manager position. Focus groups were conducted in three phases, over a 14 month period of time. The data collected from the focus groups were then coded according to common themes. Each phase was analyzed independently, with the study concluding with an analysis and interpretation of the collective results. The results of this study revealed a significant shift in how the nursing staff perceived their professional identity and accountability in light of the implementation of the generic Service Manager position. Initial reactions of personal and professional vulnerability and resentment were seen to transform into an increased ability to explicitly articulate the role of nursing. Changes in behavior that were described included: increased consultation and collaboration with other

Letter addressed to Press and Radio Friends which is attached to an informal history of the Whirlpool Rapids Bridge. The letter was sent from A.E. Parsons, manager of the Whirlpool Rapids Bridge

Letter (10 typed pages) addressed to Press and Radio Friends which is attached to an informal history of the Whirlpool Rapids Bridge. The letter was sent from A.E. Parsons, manager of the Whirlpool Rapids Bridge, n.d.

Receipt from E. Carroll, manager of the Welland House, St. Catharines for board

Receipt from E. Carroll, manager of the Welland House, St. Catharines for board, Oct. 8, 1886.

Receipt from E. Carroll, manager of the Welland House, St. Catharines for board

Receipt from E. Carroll, manager of the Welland House, St. Catharines for board, Nov. 8, 1886.

Receipt from E. Carroll, manager of the Welland House, St. Catharines for board

Receipt from E. Carroll, manager of the Welland House, St. Catharines for board, Dec. 8, 1886

Receipt from E. Carroll, manager of the Welland House, St. Catharines for board

Receipt from E. Carroll, manager of the Welland House, St. Catharines for board, Jan. 8, 1887.