text:
Le Centre hospitalier de Mayotte (CHM) est un centre hospitalier français dont le siège social est situé à Mamoudzou, sur l'île de Grande-Terre, à Mayotte, dans le sud-ouest de l'océan Indien. Il s'agit du seul centre hospitalier du département, et à ce titre, est composé de différents sites (18 sites dont 1 hôpital central, 4 hôpitaux périphériques et 13 centres de consultations médicales) pour couvrir les besoins de l'intégralité du territoire. Son budget est en augmentation régulière (+41 % en 4 ans). Il dépasse, en 2018, les  d'euros puis, en 2021, les 300 millions d'euros, ce qui le range parmi les budgets les plus importants des Centres Hospitaliers généraux français. Les effectifs dépassent les , ce qui correspond à 6% de la population active occupée de Mayotte.

L'hôpital est connu pour sa maternité, une des plus importantes de France voire d'Europe, qui dépasse les  par an en 2018 et 2019. En 2021, le nombre de naissances dépasse les 10 000.

De par sa situation géographique particulière, l'établissement n'appartient à aucun Groupement hospitalier de territoire.

Des augmentations capacitaires majeures sont prévues dans les prochaines années dont la rénovation du site central entre 2022 et 2024 et la construction d'un hôpital supplémentaire à un emplacement encore indéterminé.

Histoire
Le premier hôpital des Comores était situé sur Petite-Terre dès 1848, à Dzaoudzi. Toutefois, dans les années 1930, un site fut construit à Mamoudzou afin de répondre aux besoins de la population de Grande-Terre qui s'est progressivement agrandi jusqu'à devenir le siège du Centre Hospitalier de Mayotte. L'établissement a pris sa forme moderne en 1960, avec une capacité de 38 lits. Depuis le début des années 1990, l'établissement connait un développement particulièrement rapide. En 1996, le Centre Hospitalier et les autres établissements de Mayotte fusionnent au sein d'un établissement unique. En 2004, une autre fusion a lieu avec tous les dispensaires de l'île.

On notera de grandes périodes de travaux et d'extension à partir des années 2000, l'ouverture d'un SMUR, d'un service d'hospitalisation à domicile, du SAMU et l'arrivée de nouvelle techniques de soins, d'imagerie et de déplacement (caisson hyperbare, IRM, hélisurface, coroscanner, acquisition d'un avion et d'un hélicoptère, réalisation d'une unité de production d'oxygène autonome) entre 2005 et 2020.

En 2021, on observe l'ouverture sur Petite Terre de deux nouveaux sites :
 Le site Martial Henry, composé notamment de lits de Soins de suite et de réadaptation et de gynéco-obstétrique ;
 Le troisième Centre médico-psychologique du département.

En 2022, un quatrième centre médico-psychologique devrait entrer en activité au centre de l'île.

À la suite d'une promesse présidentielle d'Emmanuel Macron et dans le cadre du plan d'action de l'État pour l'avenir de Mayotte, un deuxième hôpital central va prochainement être construit, il serait rattaché au Centre Hospitalier de Mayotte.

Organisation hospitalière
Le Centre Hospitalier de Mayotte est un établissement public de santé. Il est doté de la personnalité morale et est organisé en Pôle hospitalier d'activité. Il est ainsi divisé en 9 pôles et en 9 directions fonctionnelles. Bien que réparti sur de multiples communes de Mayotte, le siège social de l'établissement est situé à Mamoudzou.

L'établissement assure des missions d'enseignement notables avec notamment la gestion d'un Institut de Formation aux Soins Infirmiers (ISFI), d'un Institut de Formation des Aides Soignants (IFAS), d'un Institut de Formation des Auxiliaires de Puériculture (IFAP)  et d'une École de puériculture (EP), formant une centaine d'étudiants par an.

Initialement membre du groupement hospitalier de territoire du Centre hospitalier universitaire de La Réunion, l'établissement n'appartient maintenant à plus aucun Groupement hospitalier de territoire depuis mars 2019.

L'activité hospitalière

Une contrainte démographique forte et des besoins en offre de santé en augmentation
Mayotte connait une forte croissance démographique depuis une cinquantaine d'années, passant de  en 1966 à plus de  en 2019. Entre 2012 et 2017, la croissance démographique est d'environ 3,8% par an. Par ailleurs, des facteurs géographiques (climat tropical, insularité), sociaux (pauvreté, insalubrité de certains logements, manque de diversité alimentaire) et comportementaux (alcoolisme) viennent dégrader les principaux indicateurs de santé publique au sein de l'île et augmenter la prévalence des maladies chroniques. Cela n'est pas sans entraîner une augmentation importante des besoins en offre de soins : entre 2014 et 2018, le nombre de séjours hospitaliers a augmenté de 11,4%. À cause de la faiblesse de l'activité privée et libérale sur l'île en matière de santé, le Centre Hospitalier de Mayotte est amené à assurer la presque intégralité des soins de la population de l'île.

Le Centre Hospitalier a une activité d'obstétrique particulièrement importante : en ,  ont été prises en charge au CHM. Environ 60 % de ces naissances ont lieu à l'hôpital central de Mamoudzou, les autres ayant lieu dans les quatre hôpitaux périphériques. En 2007, 62 % des femmes qui y ont accouché n'étaient pas affiliées à la Sécurité sociale : parmi elles se trouvent de nombreuses Anjouanaises et autres Malgaches entrées illégalement sur le territoire. En 2018, 9 674 nouveau-nés y vont vu le jour.

L'hôpital central de Mamoudzou assure la régulation médicale du département (Service d'aide médicale urgente).

Pôles médicaux
L'activité de l'établissement est répartie en 9 pôles médicaux, qui sont les suivants :

 Pôle gynécologie - obstétrique
 Pôle enfant
 Pôle URSEC (Urgences - Réanimation - SAMU/SMUR - EVASAN - Caisson Hyperbare)
 Pôle BACS (Bloc - Anesthésie - Chirurgies - Spécialités)
 Pôle Médecine, rééducation et soins à domicile
Pôle Santé Mentale (qui comprend notamment trois Centre médico-psychologique et un Centre d'activité thérapeutique à temps partiel)
 Pôle Santé Publique et Vigilances
 Pôle Médico-Technique
 Pôle MEDSEC (Médecine de Secteurs)

Équipements techniques
Le Centre Hospitalier dispose d'équipements modernes aussi bien en imagerie (scanners, coroscanner, IRM, échographes), qu'au bloc opératoire, au laboratoire d'analyse, et dans les services de soins (caisson hyperbare). Au niveau logistique, il gère par ailleurs plusieurs lingeries, une cuisine, une hélisurface, des magasins et des pharmacies. L'établissement dispose également d'un hélicoptère, partagé avec la Gendarmerie.

Organisation géographique
Les hôpitaux périphériques, officiellement appelés "Centre de Soins et d'Accouchement", sont au nombre de quatre. Ils accueillent tous des activités de consultations, d'obstétriques et d'odontologie et constituent une offre de soins de proximité. Ils sont situés à Dzoumogné, Kahani, Mramadoudou et Petite-Terre.

En outre, treize centres de consultations médicales, anciennement des dispensaires, s'apparentent à des maisons de santé et sont rattachés à des hôpitaux périphériques ou à l'hôpital central selon leur localisation sur l'île. Ils sont situés à Labattoir, Pamandzi, Mtsapéré, Passamaïnty, Dembeni, Bouéni, Sada, M'Tsangamouji, Acoua, Mtsamboro, Koungou et Bandrele.

Situation et accès
L'hôpital central est situé au centre-ville de Mamoudzou. Mayotte étant un territoire insulaire composé de plusieurs îles, l'accès par Petite Terre implique donc de prendre un bateau de transport ou une navette maritime.

Un service d'évacuation sanitaire aérien a été mis en place en 2004 pour organiser les transferts de patients en direction de la France métropolitaine ou de La Réunion, appelé EVASAN.

Ressources Humaines
Le Centre Hospitalier est, en 2016, le  employeur du département de Mayotte derrière le Conseil départemental de Mayotte (3219 agents).

Les agents de l'établissement appartiennent en grande partie à la Fonction publique hospitalière. Ils peuvent bénéficier du régime dérogatoire propre aux Département et région d'outre-mer (indemnité de sujétion géographique correspondant à 20 mois de traitement pendant les quatre premières années, majoration de 40% du traitement, remboursement des frais de changement de résidence, retraite bonifiée -pour chaque période de 2 ans passée à Mayotte, un fonctionnaire reçoit 1 an de bonification de sa durée d'assurance, etc.).

Financement et budget
En 2018, Le Centre Hospitalier connait un excédent budgétaire de 17,7 millions d'euros. Contrairement aux autres établissements de santé, le Centre Hospitalier de Mayotte n'applique pas la Tarification à l'activité (T2A) mais touche une dotation annuelle de l'assurance maladie. Cette dotation connait une hausse très importante pour répondre à la forte croissance démographique de l'île. Par ailleurs, de manière dérogatoire, les étrangers en situation irrégulière amenés à fréquenter le système public sont soumis au paiement d'une consignation représentant une part de la prestation dispensée depuis l'application de l'ordonnance  du 12 juillet 2004.

Notes et références

Voir aussi

Articles connexes
 Démographie de Mayotte
 Santé à Mayotte

Liens externes

 Site officiel du Centre hospitalier de Mayotte

Hôpital à Mayotte
Soins de santé à Mayotte
Mamoudzou

redpajama_set_name: RedPajamaWikipedia


The population of this county (or equivalent) in 1990 was 49,216; in 2000 it was 56,325. The total population changed 14.4%. The unadjusted adherent totals of the religious groups listed above (25,701) include 45.6% of the total population in 2000. The adjusted total adherents (28,302) include 50.2% of the population.


June 2014 is set to be the most exciting time for Brazil hotel industry as the country hosts the world's biggest sporting event - the FIFA World Cup. The event which is expected to bring some 600,000 domestic and international tourists - will undoubtedly lead to major boom for the hospitality industry in the country.
According to a study conducted by Embratur, the Brazilian Tourism Board shows that the room rates in Brazil will rise up to five times higher than the normal rates during the World Cup tournament. The average cost for a hotel room in Rio during the football tournament is expected to be around $460, around 50% more than what it would be during Summer Olympics in 2016, as stated by Rio's Olympic bid document. An alarmed Brazil Tourist Board has already asked FIFA to help bring down the hotel room rates.
Has the governing body been right in raising the red flag? Or has the hotel industry justified in increasing the prices thinking it's time for the kill?
Typically, super high rates would be applied immediately with the expectation that people will be desperate enough to book at any rate. Ernst & Young estimates that International tourist arrivals may rise by up to 79% in 2014. The magnitude of having the World Cup in a country, where football is everything, also plays a role in difference in prices. It's also the simple economics of supply and demand: more fans are expected during the World Cup than the Olympics, and more hotel rooms will be available during the 2016 games because of ongoing construction of new facilities.
Experience from past events suggest there needs to be more strategy behind these rates to better align them with customer expectations as this will help build better relationships with potential customers. A classic case study of how prices can fall dramatically after a major sports event is South Africa, which hosted the last FIFA World Cup in 2010. The country saw its average room rate tumble by 17%, with host cities Cape Town down by 20% and Johannesburg by 13% according to Hotel Price Index by Hotels.com.
How is it going to unfold for the Brazil hotel industry? Is it going to be like Barcelona, where the legacy effect of a mega event like Olympics has been positive? Or is it going to be a repeat show of South Africa? Only time will tell, but here are a few Dos and Don'ts for the Brazilian hotel industry.


text:
Very hot weather set to continue, says Met Office
Rain warnings are in pace for some areas - and could be upgraded to storm warnings
Neil ShawNetwork Content Editor (Live and Trends)
Sweltering temperatures will only fall slightly despite England's unprecedented extreme heat warning coming to an end.
Sun worshippers do not need to fret that they have basked in their final rays as the mercury will still be climbing towards 30C as the heatwave continues.
England reached its hottest temperature of the year on Tuesday when 32.2C was recorded at Heathrow Airport in west London, and on Thursday a sizzling 31.1C high was recorded in Ross-on-Wye, Herefordshire.
Despite the amber heat warning expiring in England just before midnight on Thursday, temperatures are expected to hit balmy highs of 27C or 28C in Ross-on-Wye on Friday.
Wales basked in its highest temperature of the year so far on Thursday with 31.2C in Gogerddan – and it will remain hot on Friday with the mercury climbing to as high as 29C.
Parents warned over virus spreading among children with Covid-like symptoms
Supermarket workers and others in food supply will not have to isolate
Scotland also recorded its highest temperature of the year so far with 29.3C in Threave.
Meanwhile, the scorching 31.4C experienced in Armagh at 3.20pm on Thursday is Northern Ireland's highest temperature on record – with the chance of the figure being broken yet again on Friday.
Speaking about the extreme heat warning that was in place in England, Met Office meteorologist Alex Burkill said: "It's an amber warning so it's quite an extreme one, and it's for extreme heat.
"So whilst temperatures aren't plummeting, they are still going to be on the high side, it's less likely to cause significant impacts like we've seen over the past couple of days."
The heat warning remains in place in Northern Ireland, and speaking on Thursday night, Mr Burkill said: "Temperatures there could be even higher than today.
"So for a few days we've had their highest ever temperature. It was beaten yesterday, it was beaten again today, and it could well be beaten again tomorrow.
"So I think it could be four days within a week where they've recorded their highest ever temperature."
There are currently yellow warnings for rain in place for much of England and Wales for over the weekend, but there is a chance these may be changed to thunderstorm warnings.
Meanwhile, the Royal Life Saving Society UK (RLSS UK) said it is aware of 17 incidents of accidental loss of life in the water between July 17-20.
Lee Heard, RLSS UK's charity director, said: "Whilst we recognise how tempting it is to cool off in the UK's beautiful waterways, they hide hazards that tragically take lives each year and we urge the public to use caution when entering the water, getting acclimatised to the water temperature before jumping in.
"The difference between the air temperature and water temperature can literally take your breath away; this is called cold water shock. It is silent, invisible and deadly.
"Water can also hide debris, strong currents and sudden changes in depth that can catch out even the strongest swimmers.
"The Royal Life Saving Society UK urge everyone to learn vital skills and knowledge to prevent future accidental drownings."
There were also two further reports of people going missing in the water.
All the incidents occurred in England, except for one which happened in Northern Ireland.
Dad who caught fatal Covid watching Euros said he wished he'd had jab
Cinema fined £750,000 after dad, 24, died when head got stuck in chair

redpajama_set_name: RedPajamaCommonCrawl


Monforts, a leading textile machinery manufacturer, will provide information on the latest developments for its advanced Montex stenters at the upcoming ITM trade fair, which takes place from 14-17 April 2018 in Istanbul, Turkey. "As the bridge between Europe and Asia, Turkey remains the central hub for the textiles manufacturing industry, making the 2018 ITM textile machinery exhibition a must-attend event for Monforts," the company explains.
Integrated heat recovery and exhaust air cleaning systems are two of the latest innovations, allowing manufacturers to maximise productivity and keep energy consumption down, by containing and recycling both process heat and exhaust fumes. These devices can now be integrated into the design of complete finishing lines without needing additional floor space.
Intuitive, fingertip control of all parameters is provided with the latest Qualitex 800 PLC-controlled visualisation system and its accompanying 24-inch monitor system.
With Qualitex 800, all parameters for setting up a machine can be pre-selected to a range of stored recipes specific to the weight, construction and fibre content of the individual fabric being processed. The machine can then be set to Monformatic Mode to allow it to operate automatically, based on maximised pre-set values in respect of parameters such as machine speed, fabric dwell time and the fixation temperature for specific finishing operations.
A series of checks and balances has been built in for both the machine and the operator, with actual performance constantly compared to the pre-set values and compensatory measures introduced either automatically or by simple manual intervention. All machine parameters are stored for further evaluation and the creation of historic trend charts and any potential problems are flagged up by instant alarms for later performance analysis.
In addition to Montex stenters, Qualitex 800 is now also available for Thermex hot flues and condensation units, as well as the Monfortex and Toptex compressive shrinking units for woven and knitted fabrics respectively.
A further development is the new Web-UI app, allowing remote visualisation via smart phones and tablet devices. Other industry-leading Monforts systems now finding rapid acceptance with manufacturers, according to the manufacturer, include the texCoat modular coating unit, offering a range of coating options, and the Eco Applicator, an alternative to the traditional wet padder for reducing energy and raw material costs.
The Eco Applicator has been highly successful since its introduction in 2011, both integrated into new finishing lines and retro-fitted to existing ones.
In many of Turkey's textiles mills, the cost of running integrated manufacturing lines – especially those for fabric finishing that can involve numerous sequences of heating and subsequent drying – is now eclipsing the cost of paying people to operate them.


text:
Q: Making executable cx_freeze with pywin32 code = error no module named win32 So I have this PDF printer code (the code runs from console perfectly) and I wanted to make it executable .exe.
I tried with Python 3.8.2, cx_freeze, by issuing the cxfreeze-quickstart.exe command. Filling basic data, and selecting (G) as GUI option. All went well and got the program pdfprinter.exe, but when I try to run it on Windows 10, i get error message "no module named win32".
Can someone help how to make an executable from this code?
Error message picture
import win32api
import win32print
import traceback

from tkinter.filedialog import askopenfilename
from tkinter import *
from tkinter import font # * doesn't import font or messagebox
from tkinter import messagebox

root = Tk()
root.title("Python Printer")
root.geometry("410x310")
root.resizable(False, False)
root.tk.call('encoding', 'system', 'utf-8')

def font_size(fs):
    return font.Font(family='Helvetica', size=fs, weight='bold')

# Add a grid
mainframe = Frame(root)
#mainframe.grid(column=0,row=0, sticky=(N,W,E,S) )
mainframe.grid(column=0,row=0, sticky=(N) )
mainframe.columnconfigure(0, weight = 1)
mainframe.rowconfigure(0, weight = 1)
mainframe.pack(pady = 10, padx = 0)

# Create a _printer variable
_printer = StringVar(root)
# Create a _color variable
_color = StringVar(root)
_filename = ""

# on change dropdown value
def sel_printer(*args):
    print( _printer.get() )
# link function to change dropdown
_printer.trace('w', sel_printer)

def sel_color(*args):
    print( _color.get() )
# link function to change dropdown
_color.trace('w', sel_color)

def UploadAction(event=None):
    global _filename
    _filename = filedialog.askopenfilename()
    #print('Selected:', _filename)

def PrintAction(event=None):

    PRINTER_DEFAULTS = {"DesiredAccess":win32print.PRINTER_ALL_ACCESS}
    pHandle = win32print.OpenPrinter(_printer.get(), PRINTER_DEFAULTS)
    properties = win32print.GetPrinter(pHandle, 2)
    properties['pDevMode'].Color = 1 if str(_color.get()) == "Color" else 2
    properties['pDevMode'].Copies = 1
    win32print.SetPrinter(pHandle, 2, properties, 0)

    if not _filename:
        messagebox.showerror("Error", "No File Selected")
        return
    elif not _printer.get():
        messagebox.showerror("Error", "No Printer Selected")
        return

    try:
        #win32print.SetDefaultPrinter(_printer.get())
        win32api.ShellExecute(0, "print", _filename, None,  ".",  0)
        win32print.ClosePrinter(pHandle)
    except:
        pass
        messagebox.showerror("Error", "There was an error printing the file :(")

choices = [printer[2] for printer in win32print.EnumPrinters(2)]
_printer.set(win32print.GetDefaultPrinter()) # set the default option

popupMenu = OptionMenu(mainframe, _printer, *choices)
popupMenu['font'] = font_size(12)
Label(mainframe, text="SELECT PRINTER").grid(row = 1, column = 1)
popupMenu.grid(row = 2, column =1)

# Dictionary with options
choices = ["COLOR", "MONOCHROME"]
_color.set("COLOR") # set the default option

popupMenu2 = OptionMenu(mainframe, _color, *choices)
popupMenu2['font'] = font_size(12)
Label(mainframe, text="COLOR MODE").grid(row = 3, column = 1)
popupMenu2.grid(row = 4, column =1)

Label(mainframe, text="SELECT FILE").grid(row = 5, column = 1)
button = Button(mainframe, text=u"\uD83D\uDCC1" ' BROWSE', command=UploadAction)
button['font'] = font_size(12)
button.grid(row = 6, column =1)

_copies = IntVar()
_copies.set(1)

def copies_increase(event=None):
    _copies.set(_copies.get() + 1)

def copies_decrease(event=None):
    _copies.set(_copies.get() - 1)
    if _copies.get() < 1 :
        _copies.set(1)

Label(mainframe, textvariable=_copies).grid(columnspan=2)
button_frame = Frame(mainframe)
button_frame.grid(columnspan=2)

dec_button = Button(button_frame, text=u"\u2212", command=copies_decrease, fg="dark green", bg = "white", height=1, width=3 )
dec_button['font'] = font_size(10)

inc_button = Button(button_frame, text=u"\uFF0B", command=copies_increase, fg="dark green", bg = "white", height=1, width=3 )
inc_button['font'] = font_size(10)

button_frame.columnconfigure(0, weight=1)
button_frame.columnconfigure(1, weight=1)

dec_button.grid(row=0, column=0, sticky=W+E)
inc_button.grid(row=0, column=1, sticky=W+E)

Label(mainframe).grid(row = 10, column = 1)
p_button = Button(mainframe, text=u'\uD83D\uDDB6' + " PRINT", command=PrintAction, fg="dark green", bg = "white")
p_button['font'] = font_size(18)
p_button.grid(row = 11, column =1)

root.mainloop()

redpajama_set_name: RedPajamaStackExchange


text:
Takayo Fischer
Her Approach to Preparing for Roles
(b. 1932) Nisei American stage, film, and TV actress
Keeping Japanese Performance Arts Alive in the Camps Passing Time in the Camps with Baton Twirling Takayo Fischer's Love of Acting Started with Shibai Facing Prejudice as a Japanese American Teenager in Chicago after the War Takayo Fischer on Her First Time Expressing Outward Affection to Her Parents Being Confused about Racial Identity in Postwar United States Shock of Her Granddaughter Not Knowing Her Japanese Heritage On the Difference between Being a Role and Playing a Role Working on the Set of Pirates of the Caribbean and Meeting Keith Richards The Emotional Toll of Being Incarcerated in Camp during World War II Representing her Family and the Japanese American Community in Acting Sister's Trauma from being Incarcerated during World War II Her Approach to Preparing for Roles Getting the Role of Gwennie in The World of Suzie Wong
Transcripts available in the following languages:
I mean, you know, you just have to make your choice yourself. No one's there, no one's – when you audition, no one's there telling you what to do unless you go to an acting coach and take private lessons. But I didn't usually do that, I would just make up my own mind how to do the role. And when I did Mistress Ching, you know, playing the Chinese lord there, I – it's just out of my head, you know. No one taught me or no one said, "This is how you should do it." I just thought she would be very dramatic. So it's mostly – whenever I've done something, it's choices that I make as to how to do the role. If you're doing a stage play and you're rehearsing, and rehearsing, then you work with a director and maybe they give you adjustments, or something, but movies or television it – you know… Movies it takes a little more time, but television it's very fast-paced. You just do it, and then move onto the next scene, next scene. What I like about plays is that you're working on it – you're fine-tuning that role, your relationship with the other characters. I feel like it's always growing.
Location: California, US
Interviewer: June Berk
Contributed by: Watase Media Arts Center, Japanese American National Museum
acting actor movies roles television
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