Vertaling van "many-to-many service " (Engels → Nederlands) :

Definition: The main features are multiple, recurrent and frequently changing physical symptoms of at least two years' duration. Most patients have a long and complicated history of contact with both primary and specialist medical care services, during which many negative investigations or fruitless exploratory operations may have been carried out. Symptoms may be referred to any part or system of the body. The course of the disorder is chronic and fluctuating, and is often associated with disruption of social, interpersonal, and family behaviour. Short-lived (less than two years) and less striking symptom patterns should be classified u ...[+++]nder undifferentiated somatoform disorder (F45.1). | Briquet's disorder Multiple psychosomatic disorder

Definition: A disorder characterized by repeated episodes of depression as described for depressive episode (F32.-), without any history of independent episodes of mood elevation and increased energy (mania). There may, however, be brief episodes of mild mood elevation and overactivity (hypomania) immediately after a depressive episode, sometimes precipitated by antidepressant treatment. The more severe forms of recurrent depressive disorder (F33.2 and F33.3) have much in common with earlier concepts such as manic-depressive depression, melancholia, vital depression and endogenous depression. The first episode may occur at any age from c ...[+++]hildhood to old age, the onset may be either acute or insidious, and the duration varies from a few weeks to many months. The risk that a patient with recurrent depressive disorder will have an episode of mania never disappears completely, however many depressive episodes have been experienced. If such an episode does occur, the diagnosis should be changed to bipolar affective disorder (F31.-). | recurrent episodes of:depressive reaction | psychogenic depression | reactive depression | seasonal depressive disorder

Definition: This block contains a wide variety of disorders that differ in severity and clinical form but that are all attributable to the use of one or more psychoactive substances, which may or may not have been medically prescribed. The third character of the code identifies the substance involved, and the fourth character specifies the clinical state. The codes should be used, as required, for each substance specified, but it should be noted that not all fourth character codes are applicable to all substances. Identification of the psychoactive substance should be based on as many sources of information as possible. These include self-report data, analysis of blood and other body fluids, characteristic physical and psychological symptom ...[+++]s, clinical signs and behaviour, and other evidence such as a drug being in the patient's possession or reports from informed third parties. Many drug users take more than one type of psychoactive substance. The main diagnosis should be classified, whenever possible, according to the substance or class of substances that has caused or contributed most to the presenting clinical syndrome. Other diagnoses should be coded when other psychoactive substances have been taken in intoxicating amounts (common fourth character .0) or to the extent of causing harm (common fourth character .1), dependence (common fourth character .2) or other disorders (common fourth character .3-.9). Only in cases in which patterns of psychoactive substance-taking are chaotic and indiscriminate, or in which the contributions of different psychoactive substances are inextricably mixed, should the diagnosis of disorders resulting from multiple drug use (F19.-) be used. | Modifiers The following fourth-character subdivisions are for use with categories F10-F19: Code Title .0 Acute intoxication A condition that follows the administration of a psychoactive substance resulting in disturbances in level of consciousness, cognition, perception, affect or behaviour, o ...

Services of General Economic Interest are present in many service sectors; they are more specifically addressed in the Commission's Communication of 20 December 2011 on 'A quality framework for Services of General Interest in Europe'.

I also remember personally, as the rapporteur for the trade and services report, the great controversy when I spoke about the need to liberalise many services – financial services, health services, education services, water services – to provide consumers with more choice and better services, rather than relying on clapped-out old state monopolies, which quite often taxpayers were underfunding.

Some sectors have been liberalised and that did not mean that more people were excluded from access to those services, but quite the contrary: many services have come within reach of many more people, which is extremely social.

10. Calls on the Member States firmly to support forward-looking investments, by promoting investments and competition in research, including basic research, and development, high technology, environmentally-friendly technologies and trans-European infrastructures and networks and education and life-long training; recommends increasing public funding for science and research; takes the view that investments in social services, in particular in childcare, are essential if there is to be genuine equality between men and women and if female employment is to increase; calls the Commission's attention to the under-exploitation of many late ...[+++]nt skilled jobs in the services sector - which are all the more valuable because they are essentially local - in both the private sector and the public sector; stresses the need to invest in and promote jobs in services, in particular educational services, local social services, childcare, care for the elderly and help in the home; believes that account should be taken of the ageing of the population, since this will necessarily lead to the working population itself ageing; notes that older workers often have career development problems and are sometimes regarded as too old and too expensive to be promoted or trained; considers accordingly that it is essential to have tailor-made initiatives on counselling and advice and specific training systems for such persons;