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Mestnikov, N. P., P. F. Vasilyev, G. I. Davydov, A. M. Khoyutanov, and A. M. N. Alzakkar. "Applicability of photoelectrical solar units inside domical structures in northern conditions." Proceedings of Irkutsk State Technical University 25, no. 4 (2021): 435–49. http://dx.doi.org/10.21285/1814-3520-2021-4-435-449.
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The possibility of installing photoelectrical solar units inside domical structures with the maintenance of their power generation level was investigated; an optimal distance between a photoelectrical solar unit and the transparent walls of the respective domical structure was determined. The experiments were carried out at the North-Eastern Federal University in the central part of the Republic of Sakha (Yakutia) by determining reduction in the electrical energy efficiency of photoelectrical solar units when changing their location. An optimal distance for installing such units within transparent domical structures was found based on graphical interpretations and gradients. The authors obtained reference parameters for light flux reduction, the generation power of a photoelectrical solar unit when changing the operation medium, and the optimal distance of a photoelectrical solar unit inside a domical structure for reducing the surface contamination of the unit. It was found that, when photoelectrical solar units are operated within a transparent domical structure, the power generation falls by 25.61% as compared to actual results in open space. It was found that an increase in the distance between the transparent walls of the domical structure and the unit led to a decrease in the power generation by ~23.01% and the light flux power by 5.224% at 1.5 m. This method of installing photoelectrical solar units can be used in the construction and designing of smart home systems and autonomous power generation facilities in northern regions of Russia.
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Volvenko, Igor V. "The multidimensional space of the integral characteristics of biocenotic assemblages: invariance of its structure relative to various measures (and units) of these characteristics." Izvestiya TINRO 176, no. 1 (2014): 37–50. http://dx.doi.org/10.26428/1606-9919-2014-176-37-50.
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In a virtual multidimensional space with the axes represented by integral characteristics as abundance and size of individuals and parameters of species diversity, the points corresponded to samples from different biocenotic assemblages form similar multilayer domical shapes. There is shown on cited data and original data analysis that such structures are typical for stable state of biocenotic systems and the laws and processes of their forming do not depend on observer - i.e. on measures and units describing the major integral characteristics of these systems.
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Altaç, Zekeriya. "TWO- AND THREE-DIMENSIONAL TRANSIENT ANALYSIS OF FLOW AND HEAT TRANSFER IN STRUCTURES WITH DOMICAL AND CURVED ROOFS." Journal of Thermal Engineering 3, no. 5 (2017): 1489–97. http://dx.doi.org/10.18186/journal-of-thermal-engineering.338895.
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Kehlenbeck, M. M., and S. P. Cheadle. "Structural cross sections based on a gravity survey of parts of the Quetico and Wawa subprovinces near Thunder Bay, Ontario." Canadian Journal of Earth Sciences 27, no. 2 (1990): 187–99. http://dx.doi.org/10.1139/e90-019.
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In this study, gravity data from 350 new gravity stations are combined with those from 50 previously surveyed stations in a detailed Bouguer anomaly map of a portion of the Quetico and Wawa subprovinces north and west of Thunder Bay, Ontario.In general, high gravity values characterize the southern and southwestern part of the area where metavolcanic rocks of the Wawa subprovince dominate. Much of the Quetico subprovince forms a broad gravitational low, reflecting extensive exposures of gneisses, schists, and migmatites. Well-defined gravity lows are associated with several granitic intrusive bodies.Three- and [Formula: see text]-dimensional gravity models of subsurface configuration of the density contrasts, representative of major rock units, indicate a trough-like structure for the metavolcanic rocks of the Wawa subprovince. This trough-like structure is flanked by a domical feature in the granitoid rocks to the south. North of the metavolcanic rocks, a succession of low-grade greywackes and slates occupies a basinal structure. These structures form the principal subsurface elements of the Wawa subprovince in this area.The gneisses, schists, and migmatites of the Quetico subprovince form a thick, southward-dipping, wedge-shaped structure that may extend under the structures of the Wawa subprovince. This wedge-shaped structure is underlain by a model unit of greater density representative of mafic gneisses and amphibolites. The denser substratum is modelled with local abrupt changes in dip corresponding in position with the Quetico and Hawkeye Lake faults.
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Bertolini-Cestari, Clara, Filiberto Chiabrando, Stefano Invernizzi, Tanja Marzi, and Antonia Spanò. "Terrestrial Laser Scanning and Settled Techniques: A Support to Detect Pathologies and Safety Conditions of Timber Structures." Advanced Materials Research 778 (September 2013): 350–57. http://dx.doi.org/10.4028/www.scientific.net/amr.778.350.
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Nowadays, there is an increasing demand for detailed geometrical representation of the existing cultural heritage, in particular to improve the comprehension of interactions between different phenomena and to allow a better decisional and planning process. The LiDAR technology (Light Detection and Ranging) can be adopted in different fields, ranging from aerial applications to mobile and terrestrial mapping systems. One of the main target of this study is to propose an integration of innovative and settled inquiring techniques, ranging from the reading of the technological system, to non-destructive tools for diagnosis and 3D metric modeling of buildings heritage. Many inquiring techniques, including Terrestrial Laser Scanner (TLS) method, have been exploited to study the main room of the Valentino Castle in Torino. The so-called “Salone delle Feste”, conceived in the XVIIth century under the guidance of Carlo di Castellamonte, has been selected as a test area. The beautiful frescos and stuccoes of the domical vault are sustained by a typical Delorme carpentry, whose span is among the largest of their kind. The dome suffered from degradation during the years, and a series of interventions were put into place. A survey has revealed that the suspender cables above the vault in the region close to the abutments have lost their tension. This may indicate an increase of the vault deformation; therefore a structural assessment of the dome is mandatory. The high detailed metric survey, carried out with integrated laser scanning and digital close range photogrammetry, reinforced the structural hypothesis of damages and revealed the deformation effects. In addition, the correlation between the survey-model of the intrados and of the extrados allowed a non-destructive and extensive determination of the dome thickness. The photogram-metrical survey of frescos, with the re-projection of images on vault surface model (texture mapping), is purposed to exactly localize formers restoration and their signs on frescos continuity. The present paper illustrates the generation of the 3D high-resolution model and its relations with the results of the structural survey; both of them support the Finite Element numerical simulation of the dome.
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Nasar, Adrianus, and Yasinta Embu Ika. "Faktor Dominan Penerapan Prinsip Inkuiri dalam Pembelajaran IPA SMP." EDUKATIF : JURNAL ILMU PENDIDIKAN 4, no. 2 (2022): 2978–85. http://dx.doi.org/10.31004/edukatif.v4i2.2488.
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Penelitian ini bertujuan untuk mengetahui: 1) tingkat kekerapan guru menggunakan level inkuiri dalam pembelajaran IPA di sekolah; 2) level inkuiri yang dominan digunakan guru dalam pembelajaran di kelas. Populasi adalah guru IPA SMP di Pulau Flores dan Lembata dengan sampel diperoleh secara acak dengan jumlah 140 orang. Pengumpulan data menggunakan kuesioner yang disebarkan menggunakan google form. Instrumen penelitian menggunakan skala likert berjumlah 27 butir, yang terdiri atas 9 butir untuk masing-masing level inkuiri. Analisis deskriptif digunakan untuk tingkat kekerapan level inkuiri dan analisis faktor digunakan untuk menentukan inkuiri yang dominan digunakan guru dalam pembelajaran IPA di kelas. Hasil penelitian menunjukkan 1) Tingkat kekerapan guru menggunakan prinsip inkuiri dalam pembelajaran IPA di kelas adalah selalu menerapkan untuk structured inquiry (4,23), biasa menerapkan untuk guided inquiry (4,10) dan biasa menerapak untuk open inquiry (3,83); 2) Structured inquiry merupakan faktor dominan bagi guru dalam menerapkan pembelajaran IPA di kelas dengan kontribusi sebesar 74,291%.
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Buthion, Valérie, Thierry Lagrange, and Anouar Fanidi. "La chimiothérapie à domicile : complémentarité ou concurrence dans la stratégie des structures hospitalières ?" Journal de gestion et d'économie médicales 29, no. 1 (2011): 18. http://dx.doi.org/10.3917/jgem.111.0018.
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di Paola, Robert A., and Alex Heller. "Dominical categories: recursion theory without elements." Journal of Symbolic Logic 52, no. 3 (1987): 594–635. http://dx.doi.org/10.1017/s0022481200029649.
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Dominical categories are categories in which the notions of partial morphisms and their domains become explicit, with the latter being endomorphisms rather than subobjects of their sources. These categories form the basis for a novel abstract formulation of recursion theory, to which the present paper is devoted. The abstractness has of course its usual concomitant advantage of generality: it is interesting to see that many of the fundamental results of recursion theory remain valid in contexts far removed from their classic manifestations. A principal reason for introducing this new formulation is to achieve an algebraization of the generalized incompleteness theorem, by providing a category-theoretic development of the concepts and tools of elementary recursion theory that are inherent in demonstrating the theorem.Dominical recursion theory avoids the commitment to sets and partial functions which is characteristic of other formulations, and thus allows for an intrinsic recursion theory within such structures as polyadic algebras. It is worthy of notice that much of elementary recursion theory can be developedwithout referencetoelements.By Gödel's generalized incompleteness theorem for consistent arithmetical systemTwe mean any statement of the following sort:(1) if every recursive set is definable inT, thenTis essentially undecidable [41]; or(2) if all recursive functions are definable inT, thenTis essentially undecidable [41]; or(3) if every recursive set is definable inT, thenT0andR0(the sets of Gödel numbers of the theorems and refutables ofT) are recursively inseparable [39]; or(4) if all re sets are representable inT, thenT0is creative [28], [39]; or(5) ifTis a Rosser theory (i.e., all disjoint re sets are strongly separable inT), thenT0andR0are effectively inseparable [39].
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Gendron, Jean-Louis, Céline Archambault, Johanne Fluet, and Pierre Richard. "Structures de pouvoir et services à domicile dans trois centres locaux de services communautaires." Service social 35, no. 1-2 (1986): 214. http://dx.doi.org/10.7202/706302ar.
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Navarro, N., A. Pham-Van, K. Parera, C. Jung, and F. Olivier. "Recensement des services d’hospitalisation à domicile psychiatriques en France en 2015." European Psychiatry 30, S2 (2015): S140. http://dx.doi.org/10.1016/j.eurpsy.2015.09.276.
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L’hospitalisation à domicile (HAD) est une alternative à l’hospitalisation à temps complet classique, dans laquelle des soins intensifs sont effectués au domicile du patient. La circulaire DHOS du 4 février 2004 a, plus particulièrement, défini les modalités de l’HAD en psychiatrie : « elle prépare, raccourcit, prend le relais, évite ou remplace l’hospitalisation classique ». Il est important que l’HAD s’intègre dans l’organisation des soins psychiatriques et du secteur déjà existant. Elle renforce la diversité de l’offre de soin, facilite souvent l’accès au suivi psychiatrique et la continuité du parcours de soins. Les structures d’HAD sont disséminées sur l’ensemble du territoire français et leur nombre s’accroît régulièrement sans que puissent se coordonner les différentes équipes de psychiatrie porteuses de ce projet. En effet, à ce jour, il est difficile de trouver des données centralisées concernant les différents services d’HAD psychiatriques en France. Cette communication présente les résultats d’une enquête téléphonique réalisée en 2015 à partir du service d’HAD psychiatrique du centre hospitalier de Montauban (82). Il présente la répartition et la localisation des services d’HAD psychiatrique en France en 2015. Ce recensement a pour but de donner ainsi une vision simple et globale de l’implantation des structures d’hospitalisation à domicile en psychiatrie, avec le projet ultérieur de faciliter les échanges des pratiques dans ce domaine et peut-être de proposer une coordination nationale.
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Nurmiah and Rahmayanti. "Analisis Faktor Dominan Dalam Perencanaan Rumah Bebas Stunting." Jurnal Teknik 19, no. 1 (2021): 12–22. http://dx.doi.org/10.37031/jt.v19i1.125.
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According to existing data, stunting in Pohuwato Regency prevalence is still high, hence the plan for a stunting-free house is needed. The purpose of this study was to determine the description and the influencing factors to find a strategy for planning a stunting-free house. So that the planning of this stunting-free house can fulfill the needs of village development as well as supporting the Pohuwato government stunting-free program. This research is a retrospective study with a case-control design. Data were collected by semi-structured interviews with mothers of children under five using questionnaire sheets. There are 7 (seven) samples in each case group. From the results of the study, it was found that 3 (three) dominant factors were in the houses of stunting sufferers which could be used as a reference for stunting-free house designs. The most dominant indicator is the land indicator in the OC:BC comparison assessment and the use of the front of the house border. The second indicator that is very dominantly influential is the condition of the sanitation system and the height of the floor slab. The third influential factor is user activity with the assessment of natural lighting systems for stunting-free homes.
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Laugier, Françoise, Anastasia Toliou, and Vassilis Kapsambelis. "L’accueil des patients psychotiques au long cours dans le système français de psychiatrie publique." Santé mentale au Québec 37, no. 1 (2012): 103–17. http://dx.doi.org/10.7202/1012647ar.
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Cet article aborde la réhabilitation des patients psychotiques chroniques telle qu’elle a été pensée et développée en France au cours de ces 60 dernières années. Après un tour d’horizon des aspects historiques et législatifs du mouvement de réhabilitation psychosociale, nous décrivons les différents aspects que peut couvrir cette terminologie, et donnons un aperçu des différentes structures qui existent aujourd’hui en France. Afin d’éclairer notre propos, nous développons particulièrement la spécificité des soins de réhabilitation telle qu’elle a été conçue à l’Association Santé mentale dans le 13e arrondissement de Paris, créée en 1958 comme expérience pilote de la future sectorisation en France. La conception des soins qui est la nôtre a voulu favoriser la mise en place de structures qui vont du foyer sanitaire accueillant les patients les moins autonomes, à l’accompagnement à domicile le plus éloigné des soins psychiatriques à proprement parler. Entre ces deux pôles, nous avons à la fois créé des structures intermédiaires, mais également développé un partenariat avec les structures médico-sociales et sociales pour favoriser le passage de l’institution à la cité.
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Dupré-Lévêque, Delphine. "Les « effets tertiaires » du médicament psychotrope. Bilan d’une recherche anthropologique menée dans le Sud-Ouest de la France auprès de consommateurs âgés." Dossier : Médicaments psychotropes : aspects psychosociaux 22, no. 1 (2008): 183–99. http://dx.doi.org/10.7202/502102ar.
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RÉSUMÉ Cet article expose une partie des résultats d'une recherche menée, dans le Sud-Ouest de la France, sur la consommation de psychotropes par les personnes âgées. À partir de deux institutions pour personnes âgées, nous avons cherché à mesurer la consommation de psychotropes avant et pendant l'institutionnalisation, à l'aide d'un questionnaire médical distribué aux médecins intervenants dans ces structures. Le second objectif de cette étude était de comprendre l'impact de cette consommation sur les relations sociales, à domicile et en institution, grâce à une étude anthropologique. Des personnes âgées, des membres de leur famille, des médecins ainsi que tous les autres acteurs concernés par cette consommation ont été interrogés, sous formes d'entretiens semi-directifs. Outre la consommation générale de psychotropes dans les deux institutions, dont on visait à comprendre l'ampleur, seules les modifications des rapports familiaux après la prise de psychotropes à domicile sont exposées dans cet article.
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SHEPELEV, Alexandr P., Rustam R. IBATULLIN, and Andrey N. ALESHIN. "ASSESSMENT OF THE TECHNICAL CONDITION OF LARGE-SPAN COVERINGS OF RELIGIOUS BUILDINGS." Urban construction and architecture 10, no. 4 (2021): 29–35. http://dx.doi.org/10.17673/vestnik.2020.04.4.
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The article examines the features of the calculation of large-span structures for covering religious buildings using the example of covering the middle part and the refectory of the church in honor of the holy unmercenaries Kosma and Domian of Asi, located in the village of Sezzhee, Bogatovsky district, Samara region. At the time of the work, the facility was undergoing a largescale reconstruction. Based on the data of the detailed examination of the technical condition of the building structures of the church roofi ng, calculations were made in a physically nonlinear sett ing, allowing to fully assess the stress-strain state of the monolithic reinforced concrete structure of the cover of the middle part and the refectory, which is a complex single continuous system of thin-walled spatial structures of various along the outline of the median surfaces.
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Wijaya, Hendi, and Basuki Anondho. "Analisis Faktor Eksternal Yang Dominan Terhadap Biaya Overhead Proyek Konstruksi." JMTS: Jurnal Mitra Teknik Sipil 4, no. 4 (2021): 811. http://dx.doi.org/10.24912/jmts.v4i4.12592.
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ABSTRACTOverhead costs are one of the cost components that play an important role in the company's performance in maintaining good quality work. However, the overhead costs in a project are different and are influenced by several factors. One of the factors that influence it is the external factor of the project. The external factors of each project are different. This is because each project must adapt the workplace environment to certain functions, designs, and preferences. On that basis, to be able to better estimate the overhead in a project, further costs are needed for any external factors that affect construction overhead project costs, and a few percent of the direct costs of construction projects to anticipate the risks caused by overhead costs. . Data was collected through a structured questionnaire distributed to some people working in the construction sector from contractors in several regions in Indonesia. The analysis results obtained as many as 3 groups of external factors that affect construction project overhead costs, namely economic factors, legal factors, and sociocultural factors related to the COVID-19 pandemicABSTRAKBiaya overhead merupakan salah satu komponen biaya yang berperan dan berpengaruh penting terhadap kinerja perusahaan konstruksi dalam menjaga kualitas pekerjaan yang baik. Akan tetapi biaya overhead dalam suatu proyek berbeda-beda, dan dipengaruhi oleh beberapa faktor. Salah satu faktor yang mempengaruhinya ialah faktor eksternal proyek. Faktor eksternal dari setiap proyek berbeda-beda. Hal ini dikarenakan setiap proyek harus menyesuaikan lingkungan tempat kerja dengan fungsi, desain, serta prefensi tertentu. Atas dasar itu, untuk dapat lebih baik dalam mengestimasi biaya overhead dalam sebuah proyek maka diperlukan identifikasi lebih jauh terhadap faktor-faktor eksternal apa saja yang dominan berpengaruh terhadap biaya overhead proyek konstruksi, dan menyisihkan beberapa persen dari biaya langsung proyek konstruksi untuk mengantisipasi resiko yang disebabkan oleh biaya overhead. Data dikumpulkan melalui kuesioner terstruktur yang disebarkan kepada sejumlah orang yang bekerja di bidang konstruksi dari pihak kontraktor di beberapa wilayah di Indonesia. Dari hasil analisis diperoleh sebanyak 3 kelompok faktor eksternal yang dominan mempengaruhi biaya overhead proyek konstruksi, yaitu faktor ekonomi, faktor legal, dan faktor sosial-budaya yang juga berkenaan dengan adanya pandemi COVID-19.
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Niswati, Ainin, Dermiyati, and Mas Achmad Syamsul Arif. "Perubahan Populasi Protozoa dan Alga Dominan pada Air Genangan Tanah Padi Sawah yang Diberi Bokashi Berkelanjutan." Journal of Tropical Soils 13, no. 3 (2008): 225–31. http://dx.doi.org/10.5400/jts.2008.v13i3.225-231.
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Protozoa and alga play important roles in biogeochemical nutrient cycles in freshwater environment, especially in the paddy fields. The changes from the conventional technologies to organic technologies will change the communities structures of organisms lived in the paddy fields environment. The fields experiment was conducted to study the population dynamic of protozoa and algae dominant inhabited in the floodwater of the paddy fields subjected by continues ‘bokashi’ application. The results showed that protozoa and algae inhabited in the paddy fields in present study were dominated by Euglena, Pleodorina, Volvox, and Diatom. The continued application of bokashi for 4 years significantly increased the total population of protozoa and algae, however, the significantly effect was obtained in the population of Volvox only. The population of protozoa and algae were affected by the time of flooding of paddy fields where it increases exponentially at the 20 and 30 days after flooding and stable after that, ecxept for Euglena where it increases little by little with time of flooding.
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Alba, Joseph, Chris Janiszewski, Richard Lutz, et al. "Achat interactif à domicile : Quels avantages pour les consommateurs, les distributeurs et les producteurs présents sur le marché électronique?" Recherche et Applications en Marketing (French Edition) 13, no. 3 (1998): 79–102. http://dx.doi.org/10.1177/076737019801300306.
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Les auteurs examinent les conséquences du commerce électronique pour les consommateurs, les distributeurs et les producteurs. Ils prennent pour l'hypothèse qu'à court terme les développements technologiques offriront des opportunités incomparables concernant la localisation et la comparaison des offres de produits. Ils étudient ces avantages comme une fonction des buts du consommateur typique et des catégories de produits et services recherchés, et ils proposent des conclusions relatives aux avantages et aux inconvénients perçus dans l'achat interactif à domicile par rapport aux formes de distribution traditionnelles. Les auteurs discutent enfin les implications de leur recherche pour les structures industrielles, en termes de concurrence entre distributeurs, entre producteurs, et de relations producteurs — distributeurs.
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Indrastomo, Frederikus Dian, I. Gde Sukadana, and Suharji Suharji. "Identifikasi Pola Struktur Geologi Sebagai Pengontrol Sebaran Mineral Radioaktif Berdasarkan Kelurusan Pada Citra Landsat-8 di Mamuju, Sulawesi Barat." EKSPLORIUM 38, no. 2 (2017): 71. http://dx.doi.org/10.17146/eksplorium.2017.38.2.3874.
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AbstrakDaerah Mamuju dan sekitarnya tersusun atas batuan gunung api dengan komposisi mineral mengandung unsur radioaktif seperti uranium (U) dan thorium (Th). Konsentrasi unsur radioaktif di daerah ini mencapai 1.529 ppm eU dan 817 ppm eTh. Mineral-mineral radioaktif yang teridentifikasi terdiri dari thorianite, davidite, gummite, dan autunite. Aktivitas tektonika kemunculan gunung api menyebabkan terbentuknya struktur-struktur geologi yang mengontrol pembentukan kompleks gunung api dan mineralisasi U-Th di daerah tersebut. Identifikasi struktur geologi regional dan rinci di lapangan sangat sulit dilakukan karena vegetasi yang lebat dan tingkat pelapukan yang tinggi. Kelurusan hasil interpretasi dari citra Landsat-8 merupakan manifestasi keberadaan struktur geologi yang mengontrol keberadaan U dan Th. Analisis kelurusan punggung bukit menggunakan formula Sastratenaya digunakan untuk mengetahui umur dan kronologi kelurusan yang terbentuk. Pengukuran laju dosis di daerah penelitian menunjukkan kecenderungan arah sebaran anomali radioaktivitas berarah tenggara–baratlaut. Hasil analisis menggunakan formula Sastratenaya menunjukkan bahwa struktur yang terbentuk adalah struktur berumur relatif tua dan memiliki arah dominan tenggara–baratlaut (N 140–150o E). Berdasarkan interpretasi kelurusan, arah dominan memiliki kemiripan dengan arah sebaran gunung api dan sebaran radioaktivitas. Struktur yang mengontrol pembentukan gunung api dan terkait dengan mineralisasi U dan Th secara umum merupakan struktur berarah tenggara–baratlaut dan terbentuk bersamaan dengan proses mineralisasi U dan Th. AbstractMamuju area and its surrounding are composed of volcanic rock containing uranium (U) and thorium (Th) elements. Radioelements concentrations in the area reach 1,529 ppm eU and 817 ppm eTh. Radioactive minerals identified in the area are thorianite, davidite, gummite, and autunite. The geological structures were formed by tectonic activities which controlled the creation of volcanic complex and U-Th mineralization in the complex. Identification of geological structure in the field is very difficult due to densely vegetation and higly degree of weathering. The interpreted lineaments from Landsat-8 imagery are the manifestation of geological structures which have controlled the existence of U and Th. Lineaments analysis using Sastratenaya formula is used to obtain the relative age and chronologies of the lineaments. Dose rate measurements in the area show the trend of radioactivitiy anomalies are trending northwest–southeast. The Sastratenaya formula results the formed structures are relatively older and dominantly directing northwest–southeast (N 140o–150o E). Based on the linement interpretation, the dominant direction has similliarity with volcanic and radioactivity distribution. Structures which controlling the volcanic formation and related to U and Th mineralization generally are the northwest–southeast trending structures, which were created along with U and Th mineralization.
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King, M. Ryan, Andrew D. La Croix, Terry A. Gates, Paul B. Anderson, and Lindsay E. Zanno. "Glossifungites gingrasi n. isp., a probable subaqueous insect domicile from the Cretaceous Ferron Sandstone, Utah." Journal of Paleontology 95, no. 3 (2021): 427–39. http://dx.doi.org/10.1017/jpa.2020.115.
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AbstractA new ichnospecies, Glossifungites gingrasi n. isp., is described from multiple locations in basal sand-filled coastal plain distributary channels of the Turonian (Upper Cretaceous) Ferron Sandstone (central Utah). Glossifungites gingrasi n. isp. is attributed to the ichnogenus Glossifungites based on the presence of scratch imprints, passive fill, and a tongue-shaped structure, yet the new ichnospecies is distinct because it displays transverse bioglyphs that run perpendicular to the planiform structure, which contrasts to the axis parallel bioglyphs present in the ichnospecies G. saxicava. The transverse arrangement of ornamentation exhibited by G. gingrasi n. isp. is observed in modern subaqueous insect burrows produced by mayfly and chironomid larvae, and constitutes a way to differentiate insect-generated burrows from structures produced by crustaceans that are known to create other Glossifungites ichnospecies. Differentiating insect- from crustacean-generated burrows is significant because it provides a way to distinguish bioturbation by marine-recruited fauna from that produced by freshwater fauna in the rock record, making G. gingrasi n. isp. a valuable ichnological tool for paleoenvironmental and stratigraphic interpretation. While G. gingrasi n. isp. may represent a burrow created by a variety of filter-feeding subaqueous insects, the large size of G. gingrasi n. isp. in the Ferron Sandstone suggests that the largest specimens are probable mayfly burrows and supports the assertion that burrowing mayflies (e.g., Polymitarcyidae and Ephemeridae) adapted to domicile filter-feeding during or prior to the Turonian.UUID: http://zoobank.org/a033b22f-bf09-481a-975e-3a1b096154cc
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Keigher, Sharon M. "The Limits of Consumer Directed Care as Public Policy in an Aging Society." Canadian Journal on Aging / La Revue canadienne du vieillissement 18, no. 2 (1999): 182–210. http://dx.doi.org/10.1017/s0714980800009776.
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RÉSUMÉCette communication porte sur l'émergence d'une philosophie «d'orientation du consommateur» dans les soins personnels, à domicile et communautaires offerts aux personnes âgées dépendantes en Amérique du Nord et en Europe. L'orientation du consommateur est associée au paiement direct et autres mécanismes qui appuient l'usager dans ses choix d'achat de soins, de prise en charge personnelle et d'indépendance. Pour illustrer les forces et les faiblesses de l'orientation du consommateur dans la pratique, les auteurs analysent des données d'entrevues menées auprès d'utilisateurs et de fournisseurs de soins dans lesquels les aîné(e)s et leurs familles ont choisi et/ou retenu, supervisé et géré leurs «propres» soignants à domicile, qui sont des travailleurs autonomes. Les entrevues, menées séparément avec les bénéficiaires et les fournisseurs de soins illustrent l'effet des pouvoirs structurels et interpersonnels reliés aux facteurs financiers, sociaux et géographiques sur la façon dont les arrangements de soins indépendants sont négociés et gérés. Les questions de pouvoir incluses dans les arrangements proposés suggèrent qu'il faut faire preuve de prudence devant l'adoption globale des principes du marché dans la provision de services de soins aux aînés.
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Warlinda, Iis, Agus Perdana Windarto, and M. Fauzan. "Analisis Metode Analytic Network Process pada Pemilihan Faktor Dominan Siswa Berprestasi di MTS Pembina." Jurasik (Jurnal Riset Sistem Informasi dan Teknik Informatika) 6, no. 1 (2021): 120. http://dx.doi.org/10.30645/jurasik.v6i1.276.
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School is a place for students to gain knowledge. Every school has a goal which is to improve the quality of the education world, as well as the MTS Pembina Maligas Bayu school. To realize this goal there must be improvements in service, teaching and assessment in order to make a quality school. In this case the homeroom teacher is faced with a problem that is the selection of high achieving students who fit the criteria desired by the school. The purpose of this study is to analyze which factors are the most dominant in determining student achievement. The selection of high achieving students has many factors and has different values, so we need an Analytic Network Process (ANP) method to overcome them. Analytic Network Process (ANP) methods including decision support system techniques, Analytic Network Process (ANP) is a mathematical theory that allows dealing with interrelated factors and feedback in a structured manner. The data of this study came from student questionnaires which had a rating of 1-10. With alternative morals (A1), Grades (A2), Discipline (A3), Absence (A4), The role of the teacher (A5). Whereas A1 0.16%, A2 0.02%, A3 0.02%, A4 0.07% and A5 0.06%. It is hoped that this research can provide input to the MTS Pembina schools to focus on the dominant factor in the selection of outstanding students so as to increase the number of outstanding students.
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Koh, Jerry, and Jonathan Lee. "The increasing popularity of private funds." Journal of Investment Compliance 21, no. 1 (2020): 69–75. http://dx.doi.org/10.1108/joic-09-2020-0023.
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Purpose To introduce the various private fund structuring options available in Singapore, an important fund management hub that has increasingly also come to be recognized as a popular fund domicile with its pro-business environment, transparent and robust regulatory regime and government support through tailored investment structures, tax incentives and extensive double taxation treaties. Design/methodology/approach This article provides an overview of the available private fund structures as well as the key legal issues and considerations that fund managers and investors should take into account when structuring a private fund. It also provides a brief summary of the available tax incentive schemes for funds in Singapore. Findings With growth in private market assets under management fueled by private equity funds over the last decade, the use of private investment funds established in Singapore has become a popular means to tap the large capital inflows into Asia. Singapore offers a wide range of fund structures to suit different fund strategies and considerations, including the variable capital company (“VCC”) structure, a legal structure tailored for use as investment funds that was introduced in January 2020. Practical implications There are a range of Singapore private fund structures available with different features, including the VCC, which is a corporate structure that allows for umbrella-sub-fund structures with segregated assets and liabilities, and the limited partnership, which is familiar to international investors and permits a large degree of contractual flexibility. Other structures such as unit trusts and private companies may also be suitable depending on the particular circumstances and objectives of the fund. Fund managers who are exploring setting up fund vehicles to tap Asian capital or to invest in Asia should be aware of the possible options, and their pros and cons. Originality/value Practical analysis and guidance and market commentary from experienced investment funds lawyers.
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Breton-Carbonneau, Gabrielle, and Monica Heller. "Le rapport centre-périphérie et les mobilités structurées : les jeunes Franco-Manitobains et Montréal." Francophonies d'Amérique, no. 52 (October 22, 2021): 85–103. http://dx.doi.org/10.7202/1082863ar.
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Cet article explore les relations ambivalentes de jeunes Franco-Manitobains pris entre deux pôles d’attraction, le domicile et le Montréal cosmopolite. Cette ambivalence émerge des tensions entre deux sources de légitimité francophone : Montréal en tant que métropole et capitale culturelle du Canada français, ainsi que ville internationale et cosmopolite attrayante, et le Manitoba en tant que lieu d’origine authentique et centre de la francophonie de l’Ouest, issu d’une histoire de colonialisme de peuplement. Déménager à Montréal met ces tensions au premier plan : on risque d’être perçu comme traître à la cause du développement de la communauté francophone minoritaire et du français au Manitoba, d’une part, et, d’autre part, on ignore si l’on sera accepté comme un francophone légitime par les Québécois francophones. Visibles dans la recherche d’amarrage chez les jeunes Franco-Manitobains, dans leurs allers-retours entre les deux pôles et leurs va-et-vient dans les réseaux sociaux et linguistiques, ces tensions rejoignent des tensions contemporaines plus larges entre le colonialisme de peuplement, l’ethnonationalisme minoritaire et le cosmopolitisme mondialisé.
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Alencar, Lucienne Christine Estevez de, and Eliane Maria Fleury Seidl. "Breast milk donation and social support: reports of women donors." Revista Latino-Americana de Enfermagem 18, no. 3 (2010): 381–89. http://dx.doi.org/10.1590/s0104-11692010000300013.
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The study aimed to characterize the behavior of human milk donation and to describe the informal social and formal institutional support, according to reports from women donors. It is an exploratory, cross-sectional, descriptive study using domicile interviews based on structured and semi-structured scripts. The participants were 36 women enrolled in two human milk banks of the public health system of the Federal District. Statistical analysis of quantitative data and categorical content analysis of qualitative data were performed. Categories of reasons that most influenced the frequency of expressing were: food, time availability, negative emotions and fluid intake. The manual expressing technique was reported as predominant. The use of breast shells was cited by almost a third of the donors. Most frequent suggestions for improving institutional support were more attention and support from the milk banks for the donor. The study may serve as a stimulus for the implementation of technical and political strategies to encourage this practice.
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Kahya, Evrim Hilal, Hüseyin Yiğit Ersen, Cumhur Ekinci, Oktay Taş, and Koray D. Simsek. "Determinants of capital structure for firms in an Islamic equity index: comparing developed and developing countries." Journal of Capital Markets Studies 4, no. 2 (2020): 167–91. http://dx.doi.org/10.1108/jcms-07-2020-0023.
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PurposeThe paper aims to identify the differences between developed and developing country firms with respect to firm-specific and country-level determinants of their capital structure. For this purpose, all constituent firms in one of the oldest Islamic equity indices, Dow Jones Islamic Market World Index (DJIM), are considered and the Muslim-majority status of each firm's domicile country is recognized.Design/methodology/approachThe study employs Hausman–Taylor random effects regression with endogenous covariates to explain the debt ratios of firms in DJIM by separating them into developed and developing country subsamples in an unbalanced panel data setting. Developing country subsample is further split into two based on the Muslim-majority status of each firm's domicile country.FindingsConsistent with the previous literature, this study finds that firm-specific characteristics are the main determinants of their capital structure. Additionally, the paper shows that country-level characteristics have an impact on the debt ratio, however, the types of factors vary across developed and developing countries. Debt ratios in developing country firms are lower than those in developed country firms, largely due to the significantly smaller leverage ratios of firms in Muslim-majority countries. Although the debt ratios of DJIM firms are higher in “non-Muslim” countries, the set of firm-level capital structure determinants are not statistically explained by operating in a “Muslim” country. The study also documents that, before the global financial crisis of 2008, companies in developing countries have gradually become less leveraged worldwide.Originality/valueThis paper provides a new perspective into the differences between developed and developing country firms' capital structures by focusing on a relatively homogeneous data set restricted by leverage screening rules of an Islamic equity index and recognizing the Muslim-majority status of each firm's domicile country.
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Sadeli, Marrietta Sugiarti, Made Wardhana, Martina Windari, and Ana Rahmawati. "GAMBARAN KLINIS DAN FITUR DERMOSKOPI KERATOSIS SEBOROIK DI RUMAH SAKIT SANGLAH, DENPASAR." E-Jurnal Medika Udayana 10, no. 10 (2021): 8. http://dx.doi.org/10.24843/mu.2021.v10.i10.p02.
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Latar belakang: Keratosis seboroik (KS) merupakan merupakan tumor jinak kulit yang sering dijumpai pada usia lanjut, sekitar 80 % dari populasi lanjut usia menderita tumor ini, walaupun hampir tidak pernah menjadi keganasan, tapi KS ini dapat sebagai manifestasi kelainan sistemik seperti Parkinson, sindroma metabolik dan sebagainya. Secara klinis KS mempunyai banyak varian, demikian juga dengan pemeriksaan dermoskopi memberikan gambaran yang beragam.
 Tujuan: Penelitian ini bertujuan untuk mencari korelasi antara varian klinis dengan gambaran dermoskopi pada SK.
 Metode: Penelitian ini dilakukan secara retrospektif, dari Januari 2013 sampai Desember 2014 di poliklinik kulit RSUP Sanglah Denpasar dengan melakukan analisis kasus SK secara klinis dan dilakukan pemeriksaan dermoskopi untuk melihat signifikansinya.
 Hasil: tercatat 67 kasus KS dengan varian klinis terdiri dari: common seborrheic keratosis (CSK), dermatosis papulosa nigra (DPN), pedunculated seborrheic keratoses (PSK), flat seborrheic keratoses (FSK) dan ada beberapa tipe yang jarang. Tipe CSK, sebanyak 44 orang (70,2 %), dengan gambaran dermoskopi dominan, comedo-like opening, millia-like cyst. Tipe PSK, 14 orang (20,9 %) dengan gambaran dermoskopi, millia-like cyst, fisura & ridges (brain-like appearance), tipe DPN 6 orang (8,9 %), gambaran dermoskopi dominan tampak comedo-like opening, hairpin blood vessel, dan tipe FSK 3 orang (4,5 %) gambaran dermoskopi dominan tampak comedo-like opening, millia-like cyst, dan sharp dermacation. Diantaranya terdapat 6 kasus sangat mirip dengan nevus melanositik yang hampir dilakukan bedah eksisi, namun dengan pemeriksaan dermoskopi sesuai dengan KS, sehingga cukup dilakukan bedah listrik saja. Ditemukan juga beberapa bentuk gambaran dermoskopi yang jarang seperti, Moth-eaten border dan network-like structures
 Kesimpulan: Klasifikasi SK berdasarkan dermoskopi memberikan gambaran yang lebih rinci sehingga dengan jelas dapat membedakan dengan tumor-tumor jinak kulit lainnya, sehingga pemeriksaan dermoskopi sangat diperlukan untuk merencanakan tindakan yang bakan dilakukan.
 
 Kata kunci: seboroik keratosis, dermoskopi, lesi kulit jinak lain.
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Ruqeeb Jan, Rais Ahmad, Shabnam Ara, et al. "Effectiveness of structured teaching programme on knowledge regarding importance of mental health among B. Sc nursing students at Government College of Nursing Dewan-bagh Srinagar, Kashmir." World Journal of Advanced Research and Reviews 17, no. 2 (2023): 138–43. http://dx.doi.org/10.30574/wjarr.2023.17.2.0218.
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The study aims to assess the effectiveness of structured teaching programme on knowledge regarding importance of mental health among B.Sc Nursing Students of first year at Govt. College of Nursing Dewan-bagh, GMC Srinagar, Kashmir. The methodology of the presents study was a pre experimental one pretest post test research design. Sample size of the study was 30 selected with purposive sampling technique. Self-structured knowledge questionnaire on importance of mental health was used for data collection. Data collection was done in the month of October 2022. Results: The study findings reveal with regard to the group the pre - test value is 11.6000 (SD±3.42) and the post-test value is 20.8667 (SD ±2.50). The difference between knowledge scores of pre-test and post-test was found statistically significant at P value 0.001. Hence structured teaching programme on knowledge regarding importance of mental health among B.Sc Nursing students of first year was effective and has increased the level of knowledge among them. There was a statistically significant association between pre-test levels of knowledge of samples with socio demographic variables (age, gender, domicile and source of information). Conclusion: The study concluded that the structured teaching programme was effective in enhancing the knowledge regarding importance of mental health among B.Sc Nursing students of first year students studying at Govt. College of Nursing Dewan-bagh, GMC Srinagar, Kashmir.
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Lukic, Vesna. "Sociodemographic characteristics of the elderly forced migrants in Serbia." Stanovnistvo 53, no. 1 (2015): 39–60. http://dx.doi.org/10.2298/stnv1501039l.
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In the context of the needs and rights of older migrants, migration history is particularly important where the elderly forced migrants are twice as vulnerable. Bearing in mind the intense process of population aging in Serbia which holds the attention of scientists and experts, and the large number of refugees who immigrated in the 90-ies from the former Yugoslav republics, selected sociodemographic structures of the elderly forced migrants in Serbia were analyzed as well as the relevant legal and strategic framework. The aim was to contribute to increasing knowledge of the demographic challenges of this subpopulation of forced migrants, as well as the differences relative to the domicile aging population. The data used in this study included a contingent of forced migrants aged 65 and over, on the basis of additionally processed Census data from 2011, based on questions about the place of birth of the person, year of arrival, the country in which the person lived and the reasons for migration. Hence, the category which is the subject of research, is not defined on the basis of formal refugee status. A comparison of selected sociodemographic characteristics was made in relation to the domicile population, which in the paper means the population of Serbia without forced migrants. The research results indicate that older forced migrants in Serbia have characteristics of the general population of older people in Serbia. Their age gender and marital structures are relatively similar. Most older women are widows who are heads of households, while a significant number are persons with disabilities as well. However, the process of aging of the elderly, present within the local population has not affected forced migrants yet, so this population is to some extent more vital. Data on the economic activity of the elderly forced migrants in Serbia point out to the lack of income as the main problem they are faced with. Older forced migrants are economically active to a lesser extent compared to the domicile elderly population, while the major differences between the two subgroups of the population are observed among the economically inactive persons. There is a noticeable smaller share of pensioners and a significantly higher share of persons who perform only housework in their households of elderly forced migrants than for the domicile aging population, largely owing to the female population. This can be explained by the lower level of female employment of forced migrants in countries of origin but could also result from the circumstances of exile. Single person elderly households of forced migrants are twice as vulnerable in economic terms than the domicile one, which confirms the high dependence of these groups of older migrants on financial aid. The lack of income of one part of the elderly forced migrants is a consequence of the unresolved issue of pension payments from Croatia, as most of the older forced migrants in Serbia are people from that former republic of Yugoslavia. The older forced migrants in Serbia from the former Yugoslav republics are relatively few in number, but a sensitive population that has legally integrated into the community since 2001 and is facing the same challenges as the local elderly population. Due to the circumstances of refugeeism in Serbia, these persons, as opposed to older migrants in other countries, have no linguistic or cultural barriers that could potentially hinder their integration within society but also within the social welfare and health care. However, although they have all legal rights as the local population, refugeeism gives a specific earmark to the social aspects of aging of these persons, and hinders their integration into economic and social life.
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Tykkyläinen, Markku. "Commuting with on-site accommodation in the mining industry and its effects on spatial structures." Fennia - International Journal of Geography 174, no. 2 (2013): 223–43. http://dx.doi.org/10.11143/fennia.8914.
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An analysis is made of experiences and spatial effects of commuting by air with on-site accommodation for the purposes of resource extraction in sparsely populated areas. The case concerned is that of the Forrestania Nickel Mines in Western Australia, owned by the Outokumpu Group and opened in January 1993. Comparison is made with the Zaldivar Mine in Chile. This case study demonstrates that the reasons for the growth of airborne long-distance commuting lie in the increasing technical and economic possibilities for organising commuting between urban agglomerations and remote working sites, the introduction of compressed and rotational work schedules and the lifestyle and behaviour of the employees themselves, all of which factors favour long-distance commuting. Long-distance commuting causes a marked bifurcation in the life of an employee, as his working life and home life are entirely separate. His social ties and family are rooted in the social networks of his actual domicile, and many employees aspire to live in a metropolitan environment, as the availability of services, lifestyle, environment and social networks to be found there foster an attachment with their domiciles, whereas rural mining localities are not attractive for permanent dwelling and are thus not viable housing options if long-distance commuting is available. This increasing long-distance commuting restructures urban and rural housing and infrastructures. The spatial structure related to mining becomes fragmented, and it becomes a combination of various resource communities connected to home localities by different models of commuting operating over unpredictable. The paper demonstrates clearly that sophisticated technology, efforts to improve economic efficiency and individual preferences may lead to fundamental changes in the spatial structures of sparsely populated areas.
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Simard, Majella, Suzanne Dupuis-Blanchard, Lita Villalon, Odette Gould, Sophie Éthier, and et Caroline Gibbons. "L'influence du contexte sociolinguistique minoritaire sur le maintien à domicile des aînés en milieu rural dévitalisé: le cas d’Acadieville au Nouveau-Brunswick." Canadian Journal on Aging / La Revue canadienne du vieillissement 34, no. 2 (2015): 194–206. http://dx.doi.org/10.1017/s0714980815000069.
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ABSTRACTNew Brunswick is one of the provinces most affected by the aging of the population. Moreover, aging at home in Francophone minority communities is a major challenge in rural areas. The goal of this paper is to identify the main advantages and disadvantages of aging at home and to expose organizational strategies deployed by seniors and their families in order to promote aging in place. The case study is the method of analysis that we have recommended. Our methodology is based on content analysis of 13 semi-structured interviews with seniors and their children. The results show that family and community support, resourcefulness and resiliency, the practice of leisure activities as well as the living environment are among the principal means used by older adults to promote aging at home.
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Kumar, Satayendra, L. B. Rawal, and Saudan Singh. "GEOGRAPHICAL ANALYSIS OF SIZE AND PATTERN OF VILLAGES IN RAMPUR DISTRICT." International Journal of Research -GRANTHAALAYAH 8, no. 7 (2020): 46–49. http://dx.doi.org/10.29121/granthaalayah.v8.i7.2020.577.
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Habitat geography is the new sprout branch of human geography. Both rural domicile and urban domicile are the two main strands of geography. Habitat geography studies the effect of physical and cultural considerations on man-made habitats, just as human geography describes the environment and human interactions. Human occupancy is the focal center within and around which man builds his culture. Human occupancy refers to all the natural elements and man-made structures that the process of habitat establishes, habitat boundaries that separate them from each other, spatial relationships that link them to both adjacent and remote areas, and The institute, which has been set up to maintain its social and cultural, economic, political and other importance.
 अधिवास भूगोल मानव भूगोल की नवीन अंकुरित शाखा है। ग्रामीण अधिवास और नगरीय अधिवास दोनों ही अधिवास भूगोल के दो प्रमुख तन्तु है। अधिवास भूगोल मानव द्वारा निर्मित आवासों पर भौतिक तथा सांस्कृतिक बातों के प्रभाव का अध्ययन करता है, ठीक उसी भाॅंति जिस प्रकार मानव भूगोल वातावरण तथा मानव के पारस्परिक सम्बन्धों का विष्लेशण करता है। मानव अधिवास वह नाभीय केन्द्र है जिनके भीतर व जिसके चारों ओर मानव अपनी संस्कृति का निर्माण करता है। मानव अधिवास उन सभी प्राकृतिक तत्वों और मानव निर्मित संरचनाओं की ओर संकेत करता है जो बसाव स्थापन की प्रक्रिया आवासों का स्थापन, मानवीय सीमाएँ जो उनको एक-दूसरे से अलग करती है, स्थानिक सम्बन्ध जो उसको समीपवर्ती तथा दूरस्थ दोनों ही क्षेत्रों से जोड़ते है तथा वह संस्थान सामाजिक सांस्कृतिक, आर्थिक, राजनीतिक तथा अन्य जिनका स्थापन उसे संचालित व प्रधानता बनाये रखने के लिए किया गया है।
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Jurus, M. "Le polymorphisme du psychiatre : caméléon ou girouette ? Ou l’itinéraire d’un psychiatre." European Psychiatry 28, S2 (2013): 78. http://dx.doi.org/10.1016/j.eurpsy.2013.09.207.
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La formation initiale du jeune psychiatre offre peu de moyens de découvrir la diversité des pratiques possibles en psychiatrie après des années de formation clinique publique hospitalière. Nous apportons ici le témoignage des expériences vécues, après notre internat, comme la consultation en cabinet, la découverte de l’hospitalisation à domicile et de la psychiatrie communautaire, de psychiatre attaché en médecine interne et en urgences médicales mais aussi la création d’un service d’urgence psychiatrique en pratique libérale. L’exercice privé permet de se confronter à des configurations particulières sans la protection rassurante mais rigide de l’institution. Il autorise la création de structures souples qui s’adaptent à la demande, mais exige du psychiatre un polymorphisme dans son attitude clinique. Son comportement doit changer quand il rencontre un malade à son domicile, ou quand il fait un entretien dans un couloir, à travers une porte ou sur un banc publique. La diversité de la pratique provoque la rencontre avec des interlocuteurs multiples : famille, travailleurs sociaux, médicaux ou paramédicaux, et la nécessité de déterminer ce que l’on peut dire et comment le dire, de ce que l’on peut faire et comment le faire. Le psychiatre doit faire preuve d’une véritable polyvalence qui demande une souplesse de fonctionnement bien éloignée de ce que la psychiatrie hospitalière impose. L’adaptation à des terrains nouveaux nécessite de faire constamment une analyse de la pratique pour préserver une cohérence interne. La pratique éveille une théorisation en mouvement. Le psychiatre reste le même et s’adapte au milieu pour permettre un soin.
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Figueiredo, Cristina. "Perdre l’appétit. Le refus de l’autre comme quête de soi. Exemples sahariens, japonais et français." Estilos da Clinica 28, no. 1 (2023): 115–33. http://dx.doi.org/10.11606/issn.1981-1624.v28i1p115-133.
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Cette réflexion anthropologique s’appuie sur une recherche menée auprès de jeunes garçons, de 13 à 25 ans, cloîtrés dans leur chambre. Leur immobilité, que ne justifie aucun handicap physique ou psychique, interroge la place du corps au moment du passage à l’âge adulte. Ces jeunes expriment une absence d’appétit de l’autre qui va de pair avec l’abstinence sexuelle que leur retrait oblige. L’hypothèse émise est qu’ils vivent un rapport au corps, à leur identité sexuelle - et à leur sexualité- ainsi qu’à l’alimentation, comparable aux jeunes filles souffrant d’anorexie mentale mais de manière inversée. Ces conduites interrogent les rapports de genre et la distribution des rôles au sein de la famille. À partir d’entretiens et d’observations, à domicile et dans des structures de soin, cet article montre que ces corps adolescents invisibilisés par l’enfermement ou l’extrême maigreur sont paradoxalement une expression ostentatoire d’une dépossession de soi. Un appétit nouveau est possible lorsque le désir de différenciation émerge et permet de nouvelles rencontres.
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Spittler, Juliette, and Alain Mercuel. "Équipes Mobiles Psychiatrie-Précarité : entre antenne avancée et voiture-balai du Secteur psychiatrique ?" Perspectives Psy 61, no. 4 (2022): 346–52. http://dx.doi.org/10.1051/ppsy/2022614346.
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Dès la fin des années 90, certains secteurs psychiatriques ont développé une démarche pro-active envers un public particulier : personnes en grande précarité et exclusion ET présentant une souffrance psychique nécessitant des soins spécialisés en psychiatrie. Cesdispositifs préfiguraient ce que deviendront plus tard les Équipes Mobiles Psychiatrie Précarité (EMPP). Faire accéder ce public aux soins et aider à leur maintien dans les soins devenait le pivot de leur activité. Au fil des décennies ces actions se sont précisées et venues combler les difficultés du Secteur Psychiatrique quant à l’accès aux soins de ce public. Population L’acronyme « SDF » ne suffit plus à caractériser le public vers lequel se tourne les EMPP. En effet, peine supplémentaire, ces personnes doivent être porteuses de trouble psychique. Depuis une petite décennie ce public évolue, auquel viennent maintenant s’adjoindre les personnes migrantes, dont la souffrance psychique est apparue dans leur pays d’origine et/ou lors du parcours d’exil, voire même depuis leur arrivée sur le territoire national. Missions En premier, aller à la rencontre des « SDF », psychotiques ou pas, afin d’accompagner un parcours d’accès aux soins ou un retour aux soins psychiatriques. Parallèlement, auprès des acteurs de première ligne, il s’agit de faciliter les liens avec les structures sociales ou médico-sociales venant appuyer, compléter, soutenir le projet de soin. Toujours auprès de ces acteurs, la mission des EMPP est d’intervenir en appui et en soutien aux structures d’accueil et d’hébergement. Fonctionnement Les EMPP sont des équipes pluridisciplinaires composées de psychiatres, infirmiers, assistants de service social, psychologues… Une fois la personne en souffrance psychique signalée à l’équipe par les acteurs de première ligne, une visite à domicile pour sans domicile s’organise au plus près du patient (en rue, centre d’hébergement, accueil de jour…). Cette démarche d’aller vers permet une première rencontre, puis d’autres, afin d’évaluer la situation médicale, psychiatrique et sociale de la personne concernée et de la faire accéder aux soins les plus adaptés à son état. Les actions des EMPP s’effectuent aussi auprès des acteurs de première ligne visent à sensibiliser, informer et former à la souffrance psychique, à la psychiatrie en précarité. Des analyses de pratique et autres échanges d’appui et de soutien viennent compléter ces actions aidantes. Travail en réseau Le réseau avec lequel travaillent les EMPP est particulièrement étendu dans la mesure où il concerne tous les acteurs de la Cité, des Communes, des Communautés de Communes, du territoire couvert par l’EMPP concernée. De fait, cela implique les Conseils Locaux de Santé Mentale (CLSM), les réseaux solidarité, les membres des veilles sociales, les coordinations de maraudes, d’une façon générale tous les acteurs de première ligne, tous les accueillants des structures, et bien sûr tous les Secteurs de psychiatrie. Dans les petites communes les partenaires se rencontrent assez facilement, mais cela s’avère plus complexe lorsque les territoires sont très étendus ou dans les mégapôles où le nombre de partenaires varie au gré des mouvements des structures d’accueil et d’hébergement. Nombre, durée et lieux d’intervention Les EMPP n’ont pas vocation à augmenter en permanence leur file active mais représentent parfois pour les plus démunis une première rencontre et doivent plutôt assurer une noria, avec un accès aux soins de relais dans les structures de droit commun et, une fois allégées de ces missions, aller à la rencontre d’autres personnes. Chaque équivalent temps plein (ETP) de professionnel accompagne entre 50 et 80 personnes par an. L’activité est donc ETP dépendante. La durée est celle suffisante à l’accompagnement vers ces structures, parfois quelques heures, parfois quelques années… En principe les lieux d’intervention sont représentés par tout lieu de vie ne correspondant pas à un habitat personnel (rues, parcs, jardins, bois et forêts, squats, lieux d’accueils et d’hébergements, etc.). Tout lieu où le secteur de psychiatrie ne se déploie pas. Conclusion Le maillon faible du Secteur psychiatrique est le soin aux plus démunis. Les EMPP tentent de combler ce manque. Les disparités géo-populationnelles entraînent une grande variabilité des acteurs et des actions. La force des EMPP réside dans leur souplesse, adaptabilité et proactivité.
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Purwanto, Budi, ,. Zulfachmi Zulfachmi, and Pramana Budi Purwaka. "Pengukuran Getaran Mekanik Berdasarkan Jenis Bangunan." Jurnal Ecolab 16, no. 1 (2022): 31–38. http://dx.doi.org/10.20886/jklh.2022.16.1.31-38.
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Pengukuran Getaran Mekanik Berdasarkan Jenis Bangunan. Dampak getaran diketahui menjadi salah satu isu yang diangkat masyarakat yang mengklaim terdampak suatu kegiatan selain pencemaran udara, air maupun tanah. Getaran dianggap mengganggu kenyamanan dan kesehatan, serta pada tahap yang lebih tinggi dapat merusak struktur bangunan yang telah dihuni masyarakat sekitar kegiatan. KEPMENLH 49/1996 telah mengatur tentang baku tingkat getaran dan metode pengukurannya, namun seiring waktu maka perlu dimutakhirkan mengingat ada perbedaan rentang frekuensi dominan bagi beberapa jenis pengukuran tingkat getaran. Metode pengukuran yang terdapat pada Lampiran V KEPMENLH 49/1996 juga perlu ditinjau ulang karena masih menggunakan metode pengukuran yang sama walaupun pada beberapa jenis pengukuran tingkat getaran yang berbeda. Penelitian ini bertujuan untuk membandingkan metode pengukuran tingkat getaran pada Lampiran V KEPMENLH No 49/1996 terhadap metoda pengukuran lain yang tersedia dan diakui serta dapat diterapkan menggunakan peralatan yang tersedia saat ini. Pengambilan data dilakukan pada beberapa titik di Provinsi DKI Jakarta, Sulawesi Selatan dan Jawa Tengah pada bulan April – Juli 2016 oleh tim PSIKLH menggunakan alat Instantel Minimate Pro 6. Setiap sesi pengukuran dilakukan pengambilan data pada dua titik ukur secara simultan dengan masing-masing titik ukur diperoleh nilai tingkat getaran pada tiga sumbu ortogonal (sumbu X, Y dan Z). Hasil penelitian ini mendapatkan bahwa pengukuran getaran di beberapa kota di Indonesia masih memiliki nilai tingkat getaran yang belum melampaui baku tingkat getaran yang dipersyaratkan pada Lampiran III KEPMENLH 49/1996, sehingga dapat disimpulkan bahwa metode pengukuran International Organization for Standardization ISO 4866 Mechanical vibration and shock - Vibration of fixed structures - Guidelines for the measurement of vibrations and evaluation of their effects on structures dapat menjadi rujukan untuk mengevaluasi dampak getaran terhadap bangunan.
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Samuel, George Willcox, and Elvia Rosantina Shauki. "Analisa dan Evaluasi Gangguan Teknologi Dalam Operasional Bisnis dan Pengaruhnya Terhadap Penetapan Harga pada UMKM Perdagangan Tekstil." Jurnal ASET (Akuntansi Riset) 12, no. 1 (2020): 73–93. http://dx.doi.org/10.17509/jaset.v12i1.24110.
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Perkembangan teknologi informasi secara pesat saat ini yang menyebabkan timbulnya gangguan teknologi dalam rantai pasokan dapat berakibat pada ketidakpastian (uncertainty) kondisi pasar sehingga pelaku usaha mengalami kesulitan dalam menentukan penetapan harga. Hal ini dapat memicu penurunan jumlah permintaan pelanggan, menyebabkan banyak perusahaan mengalami kerugian serta tidak mampu mempertahankan keberlanjutan usahanya (going concern). Penelitian ini bertujuan untuk menganalisis dan mengevaluasi dalam rangka penyelesaian masalah berdasarkan gangguan dalam rantai pasokan yang terjadi karena adanya disrupsi teknologi yang berdampak pada ketidakakuratan dalam penentuan harga. Penelitian ini menggunakan studi kasus sebagai strategi penelitian di mana analisis konten dan analisis tematik diterapkan untuk menganalisis instrumen penelitian dalam bentuk analisa dokumen dan semi structured interview. Dalam hal ini, peneliti menemukan bahwa terdapat tiga disrupsi teknologi dominan yang terjadi dalam rantai pasokan UMKM perdagangan tekstil. Selain itu, penelitian ini menemukan bahwa hambatan dalam menentukan atau menerapkan strategi penetapan harga adalah ketidaksiapan bisnis itu sendiri untuk menarik loyalitas pelanggan melalui penawaran seperti harga khusus membersip. Hal ini dapat menimbulkan pengambilan keputusan yang salah oleh pelaku bisnis dalam menetapkan harga produknya dan juga hilangnya permintaan konsumen yang tidak dapat diakomodir.
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Fernández Cánovas, M. "Torres de vigilancia en la costa del antiguo reino de Granada (S XV-XVIII)." Informes de la Construcción 71, no. 553 (2019): 276. http://dx.doi.org/10.3989/ic.67478.
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A lo largo de nuestras costas mediterráneas nos encontramos con una serie continua de torres de diferentes formas situadas en altozanos que dominan el mar, separadas, unas de otras, a la distancia suficiente para que puedan verse y comunicarse entre sí con facilidad. Son torres de vigilancia o torres almenaras, que detectan la aproximación de embarcaciones intrusas que llegan del norte de África con intenciones poco pacíficas. A estas torres –patrimonio histórico, cultural y turístico– que se construyeron entre los siglos XV y XVIII, se refiere este artículo en el que de forma somera se describe su importancia defensiva a lo largo del tiempo, su organización, su tipología, materiales empleados en su construcción y su conservación.
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ROY, C. "La place du vétérinaire en milieu de montagne : évolution et futur." INRAE Productions Animales 27, no. 1 (2014): 41–48. http://dx.doi.org/10.20870/productions-animales.2014.27.1.3053.
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En France, les vétérinaires praticiens bien qu’exerçant tous la même profession n’exercent pas tous le même métier : on peut opposer notamment les vétérinaires des villes à ceux des campagnes. Pour ces derniers, des différences apparaissent aussi selon leur domicile professionnel. En montagne notamment, il existe des contraintes particulières pour l’exercice de la médecine et de la chirurgie des animaux qui sont décrites dans cet article. Ces zones sont victimes d’une intense désertification qui concerne aussi et malheureusement les vétérinaires. En réponse à cette situation, les vétérinaires ont dû s’adapter pour maintenir une offre de service aussi efficace et performante qu’en ville ou qu’en zone de plaine pour les éleveurs et les propriétaires d’animaux de compagnie. Le recrutement de jeunes vétérinaires est devenu essentiel à la survie des entreprises vétérinaires et donc pour le réseau sanitaire. En effet, la veille sanitaire permise par ces structures est très importante en montagne, sans doute plus qu’ailleurs étant donné les risques sanitaires liés à l’élevage dans ces régions. Les éleveurs, devenus très performants ici comme en plaine, exigent les meilleurs soins et conseils de la part de leur vétérinaire traitant. Mais l’implication du vétérinaire de montagne va bien souvent au-delà d’un simple contrat de soin et nécessite de sa part un investissement personnel particulier.
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Gimenez, Laëtitia, Pascale Grosclaude, Vladimir Druel, et al. "Study protocol of the CREDO randomised controlled trial: evaluation of a structured return home consultation for patients suffering from metastaticcancer." BMJ Open 13, no. 1 (2023): e062219. http://dx.doi.org/10.1136/bmjopen-2022-062219.
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IntroductionPatients suffering from cancer are often managed by multiple health professionals. General practitioners with specific skills in oncology could facilitate care coordination between hospital and general practice in the management of these patients. To explore this hypothesis, we run a randomised clinical trial, called ‘Concertation de REtour à DOmicile, CREDO’. The main objective is to explore the effectiveness of a ‘return home’ consultation compared with standard care. The number of unscheduled visits to care centres is used to evaluate the effectiveness of the treatment.Methods and analysisCREDO is a multicentre, randomised, open-label, prospective trial. It takes place in two specialised cancer care centres in southern France (Occitania region). Patient inclusion criteria are: be over 18 years old; be treated with a first cycle of metastatic chemotherapy in a specialised cancer care centre; have a metastatic solid cancer and be returning home after treatment. Patients are randomised in two arms: standard-arm (conventional management) or intervention-arm (CREDO management). In the intervention arm, a ‘return home’ consultation is carried out in three steps. First, the investigating GP (GP with specific skills in oncology) from the specialised care centre collects information about the patient and patient’s management choices. Then, the investigating GP conducts an interview with the patient’s referring GP to quickly communicate and discuss information about the patient. Finally, the investigating GP summarises these exchanges and transmits this information to the care centres chosen by the patient.All the patients are followed for 1 year.Statistical and medicoeconomic analysis are planned.Ethics and disseminationThis clinical trial is registered under ClinicalTrials.gov identifier and was approved by the ethics committee of South-Western French Committee for the Protection of Persons (number: 2016-A01587-44) and from the French National Drug Safety Agency (ANSM, number: 2016111500034).An international publication of the final results and conference presentations will be planned.Trial registration numberNCT02857400.
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Margier, J., N. Moumjid, and A. Gafni. "Mesure des préférences des consommateurs de soins pour les soins à l’hôpital, à domicile ou en structures de proximité : développement d’un outil d’information et d’aide à la décision intégrant une évaluation contingente." Revue d'Épidémiologie et de Santé Publique 66 (May 2018): S183. http://dx.doi.org/10.1016/j.respe.2018.03.311.
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Heller, Alex. "An existence theorem for recursion categories." Journal of Symbolic Logic 55, no. 3 (1990): 1252–68. http://dx.doi.org/10.2307/2274486.
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Recursion theory has been dominated by one example. The notion of a dominical category was introduced (see [2] and [3]) at least in part in the hope of subverting this dominance. The structures of number theory, freed from this original context, led to much of modern algebra with a consequent enrichment of number theory itself: it seemed not unreasonable to attempt to contribute, however modestly, to a similar development of recursion theory. Thus (in the loosest sort of analogy) recursion categories are intended to stand in relation to the class of partial recursive functions as rings do to the rational integers.But if such a generalization is to serve its intended purpose, it ought to allow examples substantially different in spirit from the prototype. Recursion categories are, of course, the proper generalization of classical recursion theory. As a novice in this formidable field I am incapable of encompassing its full extent and must rely on the advice of others (I thank in particular R. DiPaola) in concluding that most of these earlier generalizations are not of this character. Indeed, the examples of recursion categories so far adduced (cf., in addition to the references above, [1] and [4]) are themselves closely tied to the classical one.We attempt here to open the door to radically disparate examples by proving an existence theorem allowing the construction of recursion categories in a wide, and so far unexplored, variety of contexts very distant from that of the natural or ordinal numbers and their subsets, the locus of the traditional theory.In order to do this, it has been necessary to introduce a number of unfamiliar notions—unfamiliar, that is, even in the context of the earlier discussion of dominical categories. This novelty is perhaps mitigated by the fact that, however unfamiliar, they cannot be said to be unusual, as the discussion later will show. We mention in particular those of a “formally free semigroup”, which retains the indexation function of a free semigroup, while giving up the characteristic universal property and that of “uniform generation”, which generalizes finite generation in the fashion assorted to our argument.
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Li, Hewen, and Lewis C. Schmidt. "Ultimate Load Test and Analysis of a Retrofitted Model Steel Dome." International Journal of Space Structures 13, no. 2 (1998): 53–63. http://dx.doi.org/10.1177/026635119801300201.
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This paper concerns the test and analysis of a retrofitted post-tensioned and shaped steel dome that failed in an original loading test. The post-tensioned and shaped steel dome was formed by a post-tensioning operation from a planar layout constituted of hexagonal grids. After its first loading to failure, the dome was retrofitted in situ. The retrofitting method and the results of a subsequent ultimate load test and nonlinear finite element analyses of the retrofitted dome are presented. It is found that the retrofitted dome has a much greater ultimate load capacity than the original dome. The results of finite element analyses show that the prestress member forces caused during shape formation can cause a reduction of ultimate load capacity, and that the post-tensioned and shaped steel dome investigated here is sensitive to geometrical imperfections. It is also noted that the retrofitting process can be used to erect a domic structure from a near flat layout. The proposed method of considering prestress forces can be useful in nonlinear analysis of structures involving prestress forces.
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Weinberg, Diego, Maria Florencia Casale, Rosa Graciela Cejas, et al. "Chagas prevention and control in an endemic area from the Argentinian Gran Chaco Region: Data from 14 years of uninterrupted intervention." PLOS Neglected Tropical Diseases 17, no. 6 (2023): e0011410. http://dx.doi.org/10.1371/journal.pntd.0011410.
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Background Chagas Disease (ChD) is a Neglected Tropical Disease (NTD) affecting 6 to 7 million people worldwide, mostly from Latin America. In Argentina, a national control program has been implemented since 1962, yet there are still an estimated 1.6 million infected individuals. Control programs were based almost exclusively on entomological surveillance and chemical control of households and were not continuous given a lack of coordination and resources. Argentina´s ChD program was originally vertical and centralized; later, it was partially and, in general, unsuccessfully transferred to the provinces. Herein, we describe the implementation of a control program for ChD with an ecohealth approach in rural settlements around the city of Añatuya, Santiago del Estero. Methods The program included yearly household visits for entomological surveillance and control, health promotion workshops, and structural house improvements. Improved structures included internal and external walls and roofs, as well as the construction of water wells and latrines, and the organization and improvement of peri-domestic structures. Activities were carried out by specifically trained personnel except for house improvements, which were performed by the community, under technical guidance and provision of materials. Data was collected using standardized questionnaires for household characterization, entomological infestation status and chemical control activities. Results This program was continuously implemented since 2005 with high community participation and adherence, incorporating 13 settlements and 502 households. During the surveillance phase, 4,193 domiciliary inspections were performed, and both the intra- and peri-domestic infestation rate were reduced from 17.9% to 0.2% (P < 0.01) and from 20.4% to 3%, respectively. Additionally, 399 households were structurally improved. Conclusion The program is still ongoing and, after 14 years of implementation, has built social networks and collaboration between implementers and beneficiaries with a reduction of T. infestans infestation in the intra- and peri-domicile. This reduction, especially inside the household, has enabled access to diagnosis and treatment of the population, with minimal risk of re-infection.
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Sahota, T. S., I. Leal, E. White, J. F. Manville, A. Ibaraki, and J. Hollmann. "ACETONE AFFECTS FLIGHT BEHAVIOUR AND EXPRESSION OF THE VITELLOGENIN GENE OF PISSODES STROBI." Canadian Entomologist 130, no. 3 (1998): 383–84. http://dx.doi.org/10.4039/ent130383-3.
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During their reproductive period, white pine weevils, Pissodes strobi Peck., remain on susceptible Sitka spruce trees, Picea sitchensis (Bong) Carr., that are suitable for their reproduction and progeny development. Weevils depart from resistant Sitka spruce trees, where weevil reproduction is inhibited or blocked by resistance (Sahota et al. 1994). This resistance appears to work by interfering with the juvenile hormone (JH) system of the weevil (Sahota et al. 1994; Leal et al. 1997). In our experiments to investigate whether or not interference with JH could also account for the weevils' domicile at susceptible trees and their departure from resistant trees (see Sahota et al. 1994), we routinely treat weevils with hormones and study their flight behaviour in the laboratory and field.
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Hendrickx, François M. M. "From weavers to workers: demographic implications of an economic transformation in Twente (the Netherlands) in the nineteenth century." Continuity and Change 8, no. 2 (1993): 321–55. http://dx.doi.org/10.1017/s0268416000002101.
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Partant des aspects démographiques de la proto-industrialisation, on examine le processus de transition qui mène soit à une industrialisation réelle, soit au contraire à un retour aux travaux des champs. Deux villages des Pays-Bas sont etudies à cette fin, situés dans la région de Twente, où domine une industrie textile enracinée dans l'agriculture. L'organisation de Pagriculture subit au début du 19e siècle des changements structurels, accompagnés d'une intervention de l'Etat dans l'économie régionale, avec pour conséquence un boom du tissage à domicile, ce qui, dans certaines communautés, conduit à l'industrie mécanisée et dans d'autres au contraire à un retour à la terre. La reconstitution des families permet à l'auteur de suivre le comportement démographique tant à l'époque de la protoindustrialisation qu'après, suivant l'un ou l'autre processus d'évolution. II s'avère que ni la proto-industrialisation, ni l'industrialisation, ni le retour à la terre n'ont, dans les deux villages étudiés, d'influence profonde sur le comportement démographique. II n'y a en effet pas de différences spectaculaires quant à l'âge au mariage ou à la dimension de la famille complète, entre groupes professionnels ou entre communautés; il n'y a pas non plus de changement majeur en ce domaine au long de la période étudiée.
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Rodrigues, Fernanda Cristina Santos, Izabella Cristina Alves de Souza, Alexandra Paiva Araújo Vieira, Janice Maria Borba, Liléia Gonçalves Diotaiuti, and Raquel Aparecida Ferreira. "Equipe de enfermagem: percepção sobre a doença de Chagas." Revista Recien - Revista Científica de Enfermagem 10, no. 32 (2020): 367–72. http://dx.doi.org/10.24276/rrecien2020.10.32.367-372.
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O Sistema Único de Saúde enfrenta desafios em relação à doença de Chagas devido ao elevado número de portadores crônicos no Brasil. Os enfermeiros e auxiliares/técnicos de enfermagem são os profissionais que prestam acolhimento e encaminhamento dos portadores nas Unidades Básicas de Saúde. Objetivou-se analisar a percepção da equipe de enfermagem sobre a doença de Chagas e serviços de saúde relacionados nos municípios da microrregional de saúde de Itaúna, Minas Gerais. Foram aplicados questionários semiestruturados aos profissionais de enfermagem. Os profissionais dominam aspectos relacionados aos vetores, sintomas, exames diagnósticos e fluxo de exames. Há ausência de ações de promoção à saúde voltadas a doença, problemas no rastreamento dos portadores na Atenção Primária à Saúde, e ausência de capacitações para os profissionais abordando o manejo clínico da doença. Sugere-se a realização de capacitações com foco técnico/clínico voltadas à equipe de enfermagem, e implantação de ações de promoção a saúde nos municípios.Descritores: Atenção Primária à Saúde, Estratégia de Saúde da Família, Serviços de Saúde. Nursing team: perception of Chagas diseaseAbstract: The primany health care in Brazil, faces challenges in relation to Chagas disease due to the high number of chronic carriers in Brazil. Nurses and nursing assistants / technicians are professionals who provide care and referrals to patients in Basic Health Units. The objective of this study was to analyze the perception of the nursing team about Chagas disease and related health services in the municipalities of the micro health region. Itaúna, Minas Gerais. Semi-structured questionnaires were applied to nursing professionals. Professionals master aspects related to vectors, symptoms, diagnostic tests and flow of tests. There is an absence of health promotion actions aimed at disease, problems in tracking patients in Primary Health Care, and an absence of training for professionals addressing the clinical management of the disease. It is suggested to carry out training with a technical/clinical focus on the nursing team, and to implement health promotion actions in the municipalities.Descriptors: Chagas Disease, Family Health Team, Primary Health Care, Health Services. Equipo de enfermería: percepción de la enfermedad de ChagasResumen: El Sistema Único de Salud enfrenta desafíos en relación con la enfermedad de Chagas debido a la gran cantidad de portadores crónicos en Brasil. Las enfermeras y los asistentes / técnicos de enfermería son profesionales que brindan atención y derivaciones a pacientes en Unidades Básicas de Salud. El objetivo de este estudio fue analizar la percepción del equipo de enfermería sobre la enfermedad de Chagas y los servicios de salud relacionados en los municipios de la región de micro salud. Itaúna, Minas Gerais. Se aplicaron cuestionarios semiestructurados a profesionales de enfermería. Los profesionales dominan aspectos relacionados con vectores, síntomas, pruebas de diagnóstico y flujo de pruebas. Hay una ausencia de acciones de promoción de la salud dirigidas a la enfermedad, problemas en el seguimiento de pacientes en Atención Primaria de Salud y una falta de capacitación para profesionales que aborden el manejo clínico de la enfermedad. Se sugiere llevar a cabo capacitación con un enfoque técnico / clínico en el equipo de enfermería e implementar acciones de promoción de la salud en los municipios.Descriptores: Atención Primaria de Salud, Estrategia de Salud Familiar, Servicios de Salud.
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Berg, Shannon, Sam Sheps, Morris Barer, Sabrina T. Wong, Margaret McGregor, and Ying C. MacNab. "The Experience of Family Physicians and Home Health Staff Involved in an Intervention to Increase Patient-Related Collaboration." Canadian Journal on Aging / La Revue canadienne du vieillissement 38, no. 4 (2019): 493–506. http://dx.doi.org/10.1017/s071498081900014x.
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RÉSUMÉLes médecins de famille (MF) et le personnel de soins de santé à domicile (PSD) canadiens rencontrent d’importants obstacles lorsqu’ils doivent collaborer pour la prestation de soins aux patients qu’ils ont en commun. Cette étude à méthodologie mixte visait à évaluer la qualité et la viabilité de l’utilisation de l’audioconférence sécurisée dans une optique d’amélioration de la planification des soins pour ces patients. Les données primaires incluaient les résultats d’un sondage réalisé avant et après l’intervention, ainsi que des entretiens semi-structurés et des groupes de discussion post-intervention. Des méthodes statistiques non paramétriques ont été utilisées pour analyser les résultats du sondage, et les données qualitatives ont fait l’objet d’une analyse thématique de contenu. Les résultats des analyses quantitatives et qualitatives ont ensuite été intégrés afin de faire ressortir les inférences reflétant les approches des MF et du PSD relatives aux obstacles et aux avantages de la planification interdisciplinaire des soins. Les MF et le PSD ont montré que des obstacles structurels limitent leur capacité à collaborer. Le PSD et les MF ont également convenu que les rencontres entre les intervenants des deux services étaient bénéfiques pour les patients et que l’utilisation de l’audioconférence constituait une méthode efficiente de planification collaborative des soins. Les limites comprenaient la petite taille de l’échantillon et la courte période d’intervention, compte tenu de l’ampleur des changements attendus.
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Pardede, Tanti Eviliana, Sugiatno Sugiatno, and Dede Suratman. "PROBLEM POSING DAN STRATEGI METAKOGNISI PESERTA DIDIK DALAM MATERI BANGUN RUANG DI SMK." VOX EDUKASI: Jurnal Ilmiah Ilmu Pendidikan 12, no. 2 (2021): 228–36. http://dx.doi.org/10.31932/ve.v12i2.1386.
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ABSTRAKProblem posing dan strategi metakognisi merupakan keterampilan berpikir tingkat tinggi dan sangat penting dikuasai oleh peserta didik. Penelitian ini bertujuan untuk mendeskripsikan kemampuan problem posing, strategi metakognisi peserta didik, hubungan kemampuan problem posing dan strategi metakognisi peserta didik. Penelitian ini menggunakan metode kombinasi sequential exploratory. Sumber data penelitian ini adalah peserta didik kelas XI Multimedia. Data berupa hasil tes uraian dan hasil wawancara semi-terstruktur. Tes uraian terdiri sebanyak tiga soal yang meminta peserta didik untuk mengajukan masalah berdasarkan indikator situasi problem posing yang telah ditetapkan pada soal. Peserta didik diminta untuk mengajukan masalah matematis bangun ruang sisi lengkung pada situasi bebas, situasi semi-terstruktur, dan situasi terstruktur. Menyelesaikan masalah matematis bangun ruang sisi lengkung mengggunakan strategi metakognisi. Setelah itu akan dilakukan wawancara semi-terstruktur terhadap tiga peserta didik untuk memperdalam data dan mengungkap lebih lanjut mengenai kemampuan problem posing dan strategi metakognisi yang tidak terlihat pada hasil tes uraian. Kemampuan peserta didik dalam mengajukan masalah lebih dominan pada situasi bebas dan semi-terstruktur. Strategi metakognisi secara signifikan mempengaruhi kinerja aktual keterampilan pengajuan masalah dan penyelesaian masalah matematis. Hasil penelitian juga menunjukkan hubungan kemampuan problem posing dan strategi metakognisi dengan Pearson Correlation sebesar 0,72 yang berarti merupakan korelasi kuat dan memiliki hubungan yang positif.Kata Kunci: Problem Posing, Strategi Metakognisi, Bangun Ruang Sisi LengkungABSTRACTProblem-posing and metacognition strategies are high-level thinking skills and are very important to be mastered by students. This study aims to describe problem-posing abilities, students' metacognition strategies, the relationship between problem-posing abilities and students' metacognition strategies. This study uses a sequential exploratory combination method. The data sources of this research are students of class XI Multimedia. The data are in the form of description test results and semi-structured interview results. The description test consists of three questions that ask students to pose problems based on the problem-posing situation indicators set on the questions. Students are asked to pose a mathematical problem of solid geometry in free situations, semi-structured situations, and structured situations. They are solving mathematical problems of solid geometry using metacognition strategies. After that, interviews with three students will be conducted to deepen the data and reveal more about problem-posing abilities and metacognition strategies that are not seen in the results of the description test. The ability of students to pose problems is more dominant in free and semi-structured situations. Metacognition strategies significantly affect the actual performance of problem-posing and mathematical problem-solving skills. The results also show the relationship between problem-posing abilities and metacognition strategies with the Pearson Correlation of 0.72, which means it is a strong correlation and has a positive relationship.Keywords: Problem Posing, Metacognition Strategy, Solid Geometry
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Petit, A., L. Berton, L. de Bastard, A. Ben Hellal, F. Prudhomme, and O. Richard. "Collaboration ville–aide médicale urgente–hôpital à l’épreuve de la crise Covid-19, l’expérience des Yvelines." Annales françaises de médecine d’urgence 10, no. 4-5 (2020): 212–17. http://dx.doi.org/10.3166/afmu-2020-0261.
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L’évolution actuelle de la demande de soins non programmés porte autant sur une augmentation de volume que sur sa nature. Les missions assurées par les structures d’urgence se sont décentrées vers la prise en charge des complications des pathologies chroniques et des problématiques médicosociales. Une démarche collaborative entre la médecine de ville et l’aide médicale urgente (AMU) a été initiée depuis deux ans dans les Yvelines, entre le Samu 78, l’hôpital de Versailles, le Conseil de l’ordre des médecins 78 et l’Association Plateforme territoriale d’appui 78. Ses objectifs visent, par un travail de coordination multidisciplinaire, à éviter les ruptures de parcours des patients complexes, à favoriser le maintien à domicile et à réorienter les patients vers la ville après un recours à l’hôpital. La crise sanitaire liée au Covid-19 a permis d’accélérer le processus de collaboration ville– AMU avec des objectifs propres à cette crise, notamment grâce à des outils numériques dédiés. Les principaux axes de travail ont été de répondre à l’urgence de la crise sanitaire en organisant une offre de soins sécurisée, d’organiser les parcours des patients fragiles pendant le confinement puis de préparer et d’accompagner le déconfinement grâce à une cellule d’appui et de suivi des cas positifs et de leurs contacts. Les difficultés organisationnelles ou liées à l’acceptabilité de ces nouveaux outils de surveillance et de coordination ont trouvé leurs solutions grâce à un environnement institutionnel favorable et l’implication de leaders intéressés par la conduite de projets innovants. Cette expérience peut préfigurer le futur service d’accès aux soins (SAS).
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Primadani, Rohmah, Tukiran Tukiran, and Budi Jatmiko. "PENGEMBANGAN PERANGKAT PEMBELAJARAN FISIKA MODEL STRUCTURED INQUIRY UNTUK MENINGKATKAN KETERAMPILAN PEMECAHAN MASALAH SISWA PADA MATERI FLUIDA STATIS." JPPS (Jurnal Penelitian Pendidikan Sains) 6, no. 1 (2017): 1235. http://dx.doi.org/10.26740/jpps.v6n1.p1235-1245.
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Curriculum 2013 emphasizes learning not only the achievement of knowledge, but also emphasizes the skills of students by providing sufficient space for students to develop their creativity and independence so that it has the ability to think logical, critical, creative thinkings and have problem solving skills. The lack of student’s skill in problem solving may be caused partly because of the lack of teaching materials that are specifically designed to enhance student’s skill in problem solving. Therefore in this study it is developed a physics teaching materials based on structured inquiry model as an effort to improve student’s skill in problem solving. Development of the teaching materials used 4D models and tried out at class X SMAN 1 Krian in 2014/2015. The materials are tried out using One Group Pre-test and post-test design. Data collection methods was conducted using validation, testing, observation, and questionnaires. Data analysis technique was conducted using quantitative and qualitative descriptive. Based on the data analysis and discussion, it is obtained: 1) teaching materials developed is classified as valid; 2) book and student’s worksheet readability has a high category; 3) the implementation of lesson plans is performed well, although there are still several problems (time for managing class and the difficulty is using equipments); 4) dominant activity of students is to implement problem-solving plan; 5) problem solving skills of students after learning increases significantly with high category; and 6) the student’s response to the learning model of structured inquiry is classified as positive. Based on the data analysis and discussion, it can be concluded that the developed teaching materials was feasible to be used in learning process to improve student’s skill in problem-solving for static fluid. Kurikulum 2013 menekankan pembelajaran selain pada pencapaian pengetahuan, juga menekankan pada keterampilan siswa dengan memberi ruang yang cukup bagi siswa untuk mengembangkan kreativitas dan kemandirian mereka sehingga memiliki kemampuan berpikir logis, kritis, dan kreatif serta memiliki keterampilan pemecahan masalah. Kurangnya keterampilan pemecahan masalah siswa dapat disebabkan antara lain karena belum adanya perangkat pembelajaran yang khusus dirancang untuk meningkatkan keterampilan pemecahan masalah siswa. Untuk itu dalam penelitian ini dikembangkan perangkat pembelajaran fisika model structured inquiry sebagai usaha meningkatkan keterampilan pemecahan masalah siswa. Pengembangan perangkat pembelajaran menggunakan model 4D dan diujicobakan pada siswa kelas X di SMAN 1 Krian pada semester genap tahun pelajaran 2014/2015. Desain ujicoba perangkat menggunakan One Group Pre-test and Post-test Design. Metode pengumpulan data yang digunakan adalah validasi, tes, observasi, dan angket. Sedangkan teknik analisis data menggunakan analisis deskriptif kuantitatif dan deskriptif kualitatif. Berdasarkan analisis dan pembahasan diperoleh beberapa temuan, yaitu: 1) perangkat pembelajaran yang dikembangkan tergolong valid; 2) keterbacaan BAS dan LKS tergolong tinggi; 3) pada pelaksanaan ujicoba diperoleh RPP terlaksana dengan baik, meskipun masih ada beberapa kendala (waktu untuk mengelola kelas dan kesulitan dalam menggunakan alat ukur); 4) aktivitas siswa yang dominan adalah melaksanakan rencana pemecahan masalah; 5) keterampilan pemecahan masalah siswa setelah pembelajaran meningkat signifikan dengan kategori tinggi; dan 6) respon siswa terhadap pembelajaran model structured inquiry tergolong positif. Berdasarkan hasil analisis dan diskusi penelitian dapat disimpulkan bahwa perangkat pembelajaran yang dikembangkan mempunyai kualitas yang layak digunakan dalam pembelajaran untuk meningkatkan keterampilan pemecahan masalah siswa pada materi fluida statis.