Search results for "Issues"
showing 10 items of 669 documents
What are the ethical issues in relation to the role of the family in intensive care?
2017
International audience; A large proportion of patients admitted to the intensive care unit (ICU) are unable to express themselves, often due to acute illness, shock or trauma, and this precludes any communication and/or consent for care that might reflect their wishes and opinions. In such cases, the only solution for the ICU physician is to include the patient's family in the healthcare decisions. This can represent a significant burden on the family, on top of the psychological distress of the ICU environment and hospitalisation of their relatives, and many family members may suffer from anxiety, depression or symptoms of post-traumatic stress disorder (PTSD) during or after the hospitali…
Akzeptanz und Nutzung öffentlicher Automaten durch Ältere: Ergebnisse einer europÄischen Untersuchung
2000
Die Autoren dieses Beitrags stellen Befunde uber altere Manner und Frauen als Nutzer von Fahrkartenautomaten, Bankautomaten und Kartentelefonen vor. Basis der Analysen bilden Daten, die im Rahmen des internationalen Kooperationsprojektes „Keeping the Elderly Mobile“ in vier europaischen Stadten erhoben wurden. Die Untersuchungen fanden 1995 in Mannheim (Westdeutschland) mit 404, in Chemnitz (Ostdeutschland) mit 400, in Ancona (Italien) mit 600 und in Jyvaskyla (Finnland) mit 618 in Privathaushalten lebenden Befragten statt, die aus den jeweiligen Einwohnermeldedregistern zufallig ausgewahlt wurden. Die nach Geschlecht und Alter disproportional geschichtete Stichprobe setzte sich zu gleichen…
Qu’est-ce qu’un sens clinique sensible ? Dimension haptique du soin
2014
Resume La sensibilite hospitaliere proscrit d’une certaine maniere le sensible. La professionnalite requise des soignants appelle une image de dexterite et de maitrise, reconnaissable sur un visage que l’on veut infaillible et impassible. En ce sens, on se demandera dans quelle mesure la clinique peut avoir une valeur sensible ? Faut-il en effet rejeter ou accepter d’etre traverse par des sensations ou des emotions ? Quel apport du sensible face a la technicite et la precision de l’imagerie medicale ? La dimension haptique du soin envisage la reciprocite du toucher et prend en compte les determinants tacites de la relation : ce qui entoure, ou et comment s’inscrit le regard clinique. Au tra…
L'incertitude en médecine générale : sources, formes et accommodements possibles
2008
Cet article analyse la maniere dont l’incertitude se presente en medecine generale, a partir d’une enquete sociologique qualitative conduite sur plusieurs annees aupres de medecins generalistes francais. Les sources et formes de l’incertitude medicale y sont d’abord envisagees a la lumiere des categories classiques de Fox et des caracteristiques du contexte historique, economique et social d’exercice de la medecine generale en France. On examine ensuite la facon dont les generalistes s’accommodent de l’incertitude et stabilisent plus ou moins une attitude par rapport a cette donnee importante de leur pratique. Le propos aboutit a une cartographie des positionnements des generalistes qui ren…
Walking a tightrope - as a next-of-kin to an adolescent or young adult with cancer facing eating difficulties
2022
Purpose: Eating difficulties cause reduced food intake and poor quality of life among adolescents and young adults (AYAs) with cancer. Therefore, next-of-kin eating support is crucial. The purpose of this study was to explore the lived experiences of being close to AYAs with cancer in the context of eating when they are at home between high-emetogenic chemotherapy (HEC) sessions. Method: In-depth interviews were conducted with 12 next-of-kin to AYAs (15–29 years old) with oncological or haematological diseases, treated with HEC. Van Manen’s hermeneutic-phenomenological approach guided the design. Results: The essential meaning of the next-of-kin experiences is reflected in the overarching t…
Toiminnanohjausjärjestelmän käyttöönoton ongelmat
2015
Monet yritykset ovat ottaneet toiminnanohjausjärjestelmän, eli ERP-järjestelmän (Enterprise resource planning) käyttöön tukemaan päivittäistä lii-ketoimintaansa. Toiminnanohjausjärjestelmä voi parhaimmillaan tarjota yrityk-selle monenlaisia etuja, kuten esimerkiksi kulujen pienentymistä, asiakastyyty-väisyyden parantumista, tehokkaampaa toimitusketjua, reagoinnin parantumista ja kilpailuetua muihin yrityksiin nähden. Mahdollisista eduista huolimatta erilaiset ongelmat toiminnanohjausjärjestelmän käyttöönotossa ovat olleet yleisiä. Tämä tutkielma on kirjallisuuskatsauksena toteutettu tutkimus, jossa sel-vitetään toiminnanohjausjärjestelmän käyttöönoton eri vaiheissa mahdollisesti esiintyviä …
Interactions, spillovers de connaissance et croissance des villes européennes. Faut-il préférer la géographie, le climat institutionnel ou les réseau…
2013
Knowledge spillovers within urban economies are also sources of spillovers between cities. We examine how knowledge spillovers influenced the economic growth of 82 European metropolises over the 1990-2005 period. We model knowledge spillovers between cities on the basis of five specific interaction patterns based on geography, networks of multinational firms in advanced services, institutional climate and two combinations of these factors. Spatial models are estimated to detail the effects of growth factors in terms of spillovers and externalities. We show that spillovers are local rather than global and that interactions among cities accelerate the convergence process based on gross value …
Is the French mobile phone cartel really a cartel?
2009
International audience; France Telecom (FT), SFR and Bouygues Telecom (BT) have been fined by France's Conseil de la Concurrence (CC) for organizing a mobile phone cartel with stable market shares (one-half, one-third and one-sixth, respectively) and for directly exchanging commercial information. While not contesting the legal decision, it is argued here that the economic reasoning is flawed. (1) As the CC made much of the firms' stable market shares, we have first followed this line of reasoning by considering that the market shares are quotas under uniform costs. Even if there is a general incentive to form a monopolistic cartel, BT was too small for it to be worth its while to join it; it i…
L’interaction agglomération-croissance en économie géographique
1999
International audience
Ethical issues of gamified ICT tools for higher education
2015
A recent trend in e-learning is the development of ICT tools with game elements to increase the motivation of using new technology in teaching and learning. In most cases, games possess different ethical constraints than regular e-learning systems. For this reason, additional implications and issues deriving from the combined development of games and e-learning technology have to be considered. During the development process of gamified e-learning systems as well as during the use of gamified ICT tools in education special attention must be paid to ethical constraints. This paper presents ethical considerations as to how to properly motivate teachers to adopt new technology in their teachin…