323,959 research outputs found
to which is prefixed a short answer to Volney's contradictions on Ali-Bey's history and revolt ...
No full texttranslated from the original into English by the author. to which is prefixed a short answer to Volney's contradictions on Ali-Bey's history and revolt ... / by S.L. [Sauveur Lusignan] KosmopolitesBd. 2, Paginierung springt von S. 254 auf S. 25
Detecting referral and selection bias by the anonymous linkage of practice, hospital and clinic data using Secure and Private Record Linkage (SAPREL): case study from the evaluation of the Improved Access to Psychological Therapy (IAPT) service.
No full textBACKGROUND: The evaluation of demonstration sites set up to provide improved access to psychological therapies (IAPT) comprised the study of all people identified as having common mental health problems (CMHP), those referred to the IAPT service, and a sample of attenders studied in-depth. Information technology makes it feasible to link practice, hospital and IAPT clinic data to evaluate the representativeness of these samples. However, researchers do not have permission to browse and link these data without the patients' consent.
OBJECTIVE: To demonstrate the use of a mixed deterministic-probabilistic method of secure and private record linkage (SAPREL)--to describe selection bias in subjects chosen for in-depth evaluation.
METHOD: We extracted, pseudonymised and used fuzzy logic to link multiple health records without the researcher knowing the patient's identity. The method can be characterised as a three party protocol mainly using deterministic algorithms with dynamic linking strategies; though incorporating some elements of probabilistic linkage. Within the data providers' safe haven we extracted: Demographic data, hospital utilisation and IAPT clinic data; converted post code to index of multiple deprivation (IMD); and identified people with CMHP. We contrasted the age, gender, ethnicity and IMD for the in-depth evaluation sample with people referred to IAPT, use hospital services, and the population as a whole.
RESULTS: The in IAPT-in-depth group had a mean age of 43.1 years; CI: 41.0-45.2 (n=166); the IAPT-referred 40.2 years; CI: 39.4-40.9 (n=1118); and those with CMHP 43.6 years SEM 0.15. (n=12210). Whilst around 67% of those with a CMHP were women, compared to 70% of those referred to IAPT, and 75% of those subject to in-depth evaluation (Chi square p<0.001). The mean IMD score for the in-depth evaluation group was 36.6; CI: 34.2-38.9; (n=166); of those referred to IAPT 38.7; CI: 37.9-39.6; (n=1117); and of people with CMHP 37.6; CI 37.3-37.9; (n=12143).
CONCLUSIONS: The sample studied in-depth were older, more likely female, and less deprived than people with CMHP, and fewer had recorded ethnic minority status. Anonymous linkage using SAPREL provides insight into the representativeness of a study population and possible adjustment for selection bias
Langue et société dans le Nord de la France : le picard comme langue des administrations publiques (XIIIe-XIVe s.)
No full textLusignan Serge. Langue et société dans le Nord de la France : le picard comme langue des administrations publiques (XIIIe-XIVe s.). In: Comptes rendus des séances de l'Académie des Inscriptions et Belles-Lettres, 151ᵉ année, N. 3, 2007. pp. 1275-1295
C. Bourlet, C. Doutrelepont et S. Lusignan. - Ordinateur et études médiévales. Bibliographie I, 1982
No full textPellen René. C. Bourlet, C. Doutrelepont et S. Lusignan. - Ordinateur et études médiévales. Bibliographie I, 1982. In: Cahiers de civilisation médiévale, 28e année (n°110-111), Avril-septembre 1985. pp. 244-246
Les arts mécaniques au Moyen Âge
No full textCollection : Cahiers d'études médiévales ; 7Le présent recueil est le fruit d’une étude pluridimensionnelle
des arts mécaniques au Moyen Âge, poursuivie par un groupe de
médiévistes réunis autour de l’Institut d’études médiévales de
l’Université de Montréal, à l’occasion de son 8e colloque annuel.Théories. Les arts mécaniques aux yeux de l’idéologie médiévale / Guy H. Allard ; Les arts mécaniques dans le Speculum Doctrinale de Vincent de
Beauvais / Serge Lusignan. Pratiques. La navigation d’après Hugues de Saint-Victor et d’après la pratique au XL siècle / André Vermeirre ; Les hommes et la terre en Provence à la fin du Moyen Âge : l’exploitation du sol et les rapports sociaux / Benoît Beaucage ; Réalisation matérielle et technique de représentations dramatiques à la fin du Moyen Âge / Diane Saint-Jacques Côté ; Théories et pratiques. Le rôle des techniques dans les principales mutations de l’architecture gothique / Roland Sanfaçon ; Alchimie, techniques et technologie / Claude Gagnon ; Production et diffusion de certains traités de techniques au Moyen Âge / Bert S. Hal
C. Bourlet, Ch. Doutrelepont, S. Lusignan, Ordinateur et études médiévales : Bibliographie, I (Montréal, Institut d’études médiévales, 1982)
No full textKlapisch Christiane. C. Bourlet, Ch. Doutrelepont, S. Lusignan, Ordinateur et études médiévales : Bibliographie, I (Montréal, Institut d’études médiévales, 1982). In: Le médiéviste et l'ordinateur, N°8, automne 1982. Les cadastres médiévaux : qu'en faire ? p. 20
Community nursing needs more silver surfers: a questionnaire survey of primary care nurses' use of information technology.
No full textBACKGROUND: In the UK the health service is investing more than ever before in information technology (IT) and primary care nurses will have to work with computers. Information about patients will be almost exclusively held in electronic patient records; and much of the information about best practice is most readily accessible via computer terminals. OBJECTIVE: To examine the influence of age and nursing profession on the level of computer use.
METHODS: A questionnaire was developed to examine: access, training received, confidence and use of IT. The survey was carried out in a Sussex Primary Care Trust, in the UK.
RESULTS: The questionnaire was sent to 109 nurses with a 64% response rate. Most primary care nurses (89%) use their computer regularly at work: 100% of practice nurses daily, compared with 60% of district nurses and 59% of health visitors (p < 0.01). Access to IT was not significantly different between different age groups; but 91% of practice nurses had their own computer while many district nurses and health visitors had to share (p < 0.01). Nurses over 50 had received more training that their younger colleagues (p < 0.01); yet despite this, they lacked confidence and used computers less (p < 0.001). 96% of practice nurses were confident at in using computerised medical records, compared with 53% of district nurses and 44% of health visitors (p < 0.01.) One-to-one training and workshops were the preferred formats for training, with Internet based learning and printed manuals the least popular (p < 0.001).
CONCLUSIONS: Using computers in the surgery has become the norm for primary care nurses. However, nurses over 50, working out in the community, lack the confidence and skill of their younger and practice based colleagues
C. Bourlet, Ch. Doutrelepont, S. Lusignan, Ordinateur et études médiévales : Bibliographie, I (Montréal, Institut d’études médiévales, 1982)
No full textKlapisch Christiane. C. Bourlet, Ch. Doutrelepont, S. Lusignan, Ordinateur et études médiévales : Bibliographie, I (Montréal, Institut d’études médiévales, 1982). In: Le médiéviste et l'ordinateur, N°8, automne 1982. Les cadastres médiévaux : qu'en faire ? p. 20
Clinicians were oblivious to incorrect logging of test dates and the associated risks in an online pathology application: a case study
No full textBackground: UK primary care physicians receive their laboratory test results electronically. This study reports a computerised physician order entry (CPOE) system error in the pathology test request date that went unnoticed in family practices.Method: We conducted a case study using a causation of risk theoretical framework; comprising interviews with clinicians and the manufacturer to explore the identification of and reaction to the error. The primary outcome was the evolution and recognition of and response to the problem. The secondary outcome was to identify other issues with this system noted by users.Results: The problem was defined as the incorrect logging of test dates ordered through a CPOE system. The system assigned the test request date to the results, hence a blood test taken after a therapeutic intervention (e.g. an increase in cholesterol-lowering therapy) would appear in the computerised medical record as though it had been tested prior to the increase in treatment. This case demonstrates that: the manufacturers failed to understand family physician workflow; regulation of medical software did not prevent the error; and inherent user trust in technology exacerbated this problem. It took three months before users in two practices independently noted the date errors.Conclusion: This case illustrates how users take software on trust and suppliers fail to make provision for risks associated with new software. Resulting errors led to inappropriate prescribing, follow-up, costs and risk. The evaluation of such devices should include utilising risk management processes (RMP) to minimise and manage potential risk
Description de toute l' isle de Cypre et des roys, princes et seigneurs, [tant payens que chretiens qui ont commandé en icelle: Contenant l' entiere histoire de tout ce qui s' y est passé depuis le deluge universel, l' an 142 et du monde, 1798 iusques en
No full textPreface.Appendix.Dedication:Content description: TitlePagination: PP10+292P+18PVolumes: 1Text Genre:Pros
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