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Quote drt585dg Replybullet Topic: michael kors outlet store PRD
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Quote wmm21011 Replybullet Posted: May 16 2013 at 8:20am
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Quote etyefldfgqrek Replybullet Posted: May 17 2013 at 8:37pm
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Quote yfk9p965 Replybullet Posted: May 18 2013 at 12:33am
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Joined: Apr 23 2013
Location: United Kingdom
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Posts: 46
Quote cdvrfcghr Replybullet Posted: May 20 2013 at 4:26pm
t dire que la maintenance est satisfaisante à la SNCF en général ? Jean-Michel Dieudonné. Ce n'est pas la première fois qu'il y a des débuts d'incendie dans les trains mais, avec de telles conséquences, c'est la première fois. Nous, nous alertons toujours sur la nécessité d'une maintenance performante du matériel. Dans le cas de ce wagon, cela relevait des Allemands. Mais d'une manière générale, les mesures de sécurité sur les trains de nuit prises par l'entreprise, l'année dernière, conduisent à ce qu'il y ait moins d'arrêts sur les parcours. On supprime ainsi la présence humaine dans les gares intermédiaires, on a donc moins de personnes susceptibles d'intervenir rapidement sur d'éventuels incidents. La politique du risque calculé ou de l'abaissement du coût de la maintenance peut avoir des incidences graves. Entretien réalisé par Françoise Escarpit 0 commentaire La discussion est fermée : vous ne pouvez pas poster de nouveaux commentaires.Société -    le 9 Novembre 2002   Santé. Hier considéré comme un mal nécessaire, un deuxième plan de lutte contre la douleur a été mis en place pour 2002-2005. Lutte contre la douleur : fin d un dogme   Un Centre national de ressource de lutte contre la douleur va ouvrir ses portes en janvier. Son but : ancrer une culture antidouleur au sein du corps médical. Un pas de plus vers une humanisation des pratiques, notamment envers la douleur de l'enfant, longtemps niée. Hélène a trente-cinq ans lorsque le diagnostic tombe : la jeune mère de famille est atteinte de deux maladies. L'une, génétique, attaque les articulations, l'autre attaque son système immunitaire. Pendant quatre longues années, elle souffrira le martyre. Sans qu'aucun des spécialistes qui la suivent ne songe un instant à soulager son calvaire quotidien. Il faudra attendre la rencontre avec un médecin généraliste qui,sacs longchamp, la première, tirera la sonnette d'alarme. Hélène est enfin mise en arrêt maladie et la morphine lui ouvre les portes du sommeil. " Je me souviens avoir dormi pendant trois heures sans me réveiller. Au bout de trois semaines, j'étais une autre femme. " Et que dire de ces enfants qui, il y a à peine quelques années, se faisaient opérer des végétations sans anesthésie ou des enfants brûlés à qui il y a plus de vingt ans, on faisait prendre des bains quotidiennement,sac longchamp solde, sans aucun antalgique. Un souvenir qui a marqué Daniel Annequin, à l'époque jeune anesthésiste et qui, aujourd'hui, est chef du programme de lutte contre la douleur et responsable de l'unité douleur à l'hôpital d'enfants Armand Trousseau. Malgré des avancées certaines observées depuis cinq ans, date du lancement des premiers plans douleur par Bernard Kouchner,sac longchamp pliage, beaucoup de progrès restent à faire pour la lutte contre la douleur, car des résistances et des dysfonctionnements persistent. Le " meilleur " peut côtoyer le " pire " au sein d'un même établissement et d'un même service. Le deuxième plan national de lutte contre la douleur 2002-2005 a trois priorités : la douleur provoquée par les soins et la chirurgie, la douleur de l'enfant, la prise en charge de la migraine. Un Centre national de ressource de lutte contre la douleur est peu à peu mis en place dans les locaux de l'hôpital Trousseau. Opérationnel dès janvier prochain, son rôle sera d'améliorer la formation des personnels de santé, renforcer le rôle des infirmiers qui sont les premiers à attirer l'attention des médecins sur la douleur éprouvée par leur patient. " Nous jouons sur deux tableaux, affirme Daniel Annequin, à la fois diffuser l'information au sein du grand public et sensibiliser les professionnels pour les rendre insatisfaits, c'est-à-dire les convaincre de changer leurs habitudes de soins. " En fait, il s'agit d'ancrer une " culture de la douleur " au sein du corps médical et, selon les voux de Jean-François Mattei, nouveau ministre de la Santé, " créer un centre antidouleur dans chaque département d'ici à quatre ans. " " L'expression de la douleur constitue un repère rass
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