Дисертації з теми "Variation de charge active"
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Capelli, Thomas. "Amplificateur de puissance pour réseaux phasés d’antenne 5G multi-bande en technologie ST CMOS065SOIMMW." Thesis, Bordeaux, 2022. http://www.theses.fr/2022BORD0176.
Повний текст джерелаMobile telecommunications, in order to support its insatiable needs, has been finding ways to improve its capabilities for over thirty years now. In 2019 the fifth generation (5G) is on trial to ensure connection not only to the ever-growing cell phone market, but also to the vast world of the Internet of Things (IoT). In order to meet its goals, 5G marks an unprecedented expansion in the frequency bands used. Indeed, bands up to 60 GHz and beyond are part of the network's ambitions and this implies radical technological changes that impact all dedicated electronics. New higher frequencies, higher propagation losses in the air, and higher requirements, antenna phased arrays are introduced to overcome all these constraints and impose a completely new system architecture and interface for the RF front-end of mobile communications.In this work, we propose an analysis of these phased antenna arrays and the constraints they represent particularly for power amplifiers (PA), such as the parasitic load variation and the behavior of the components generated by the non-linear behavior of the latter. An evaluation of the active load variation due to the different coupling existing in the antenna networks is proposed as well as its impact on the performance of the amplifiers, particularly in terms of power added efficiency (PAE). The behavior of nonlinearities such as third-order intermodulation products (IMD3) is shown in antenna arrays. A concept using the principle of beam generation and steering of antenna arrays is proposed, allowing for relaxing the linearity constraints of 5G amplifiers and thus allowing a reduction of their power consumption. An implementation of an AP using this principle is demonstrated in ST CMOS 65 nm PD-SOI technology at 28 GHz
Leclerc, Julien. "Utilisation innovatrice de l'aluminium dans les ponts : effets de la variation de la température sur le comportement structural d'un tablier à platelage d'aluminium sur poutres d'acier, à action composite." Master's thesis, Université Laval, 2018. http://hdl.handle.net/20.500.11794/30272.
Повний текст джерелаThis project concerns the use of a new aluminium bridge deck that is being developed at Université Laval. It is a 200 mm deep aluminium bridge deck, which represents an alternative to the reinforced concrete slabs in bridges. This project proposes to connect the aluminium bridge deck to steel girders using galvanized ASTM F3125/F3125M-15a grade A325 bolts of diameter M20 in a slip-critical connection. Full composite action between the deck and the girders is expected in order to develop the full capacity of the composite section. However, the coefficient of thermal expansion of aluminium, being twice that of steel, differential movements may occur during temperature changes. To understand the behavior of the bolted connection under such thermal loadings, this project uses finite element model with the Abaqus software. The combinations of dead, live and thermal loads at the ultimate limit state (ULS) and serviceability limit state (SLS) are studied. The loads are calculated according to the Canadian Highway Bridge Design Code (CAN/CSA S6-14). Results confirm that full composite action between the aluminium deck and the steel girders can be achieved. Moreover, by following the recommendations of this study, it is possible to eliminate the sliding that may occur during the thermal loading of the beam at the serviceability limit state (SLS). This study also offers a solution to prevent the failure of the bolted connections following the combination of thermal and mechanical loads.
Chuang, Ying-Chieh. "Floating capacitor active charge balancing for PHEV applications." Connect to resource, 2010. http://hdl.handle.net/1811/45430.
Повний текст джерелаVaughan, Joshua Eric. "Use of Active and Semi-Active Control to Counter Vehicle Payload Variation." Thesis, Georgia Institute of Technology, 2004. http://hdl.handle.net/1853/5251.
Повний текст джерелаSchoenenberger, Sandrine. "Variation de prise en charge des patients : discrimination dans les soins et/ou charge de travail élevée." Thesis, Université de Lorraine, 2012. http://www.theses.fr/2012LORR0419/document.
Повний текст джерелаThe French studies about discrimination in medical settings are focused on the general practitioners’ refusal to provide care depending on the patient’ insurance cover. Anglo-Saxon research examines the differences in care according to the patient’s ethnicity. Burgess (2010) suggests that discriminations in healthcare settings may happen more frequently when health care providers are put under high levels of cognitive load. Research in the fields of occupational psychology and ergonomics indicates that in cases of work overload, workers change their activity. Behavior described as discriminatory might result from regulation mechanisms of work overload regulation mechanisms. Two waves of interviews with healthcare providers (N = 22 for the first time and N = 6 for the second time) point to a link between discrimination and workload. Observations conducted in hospital settings and associated with a questionnaire as well as the NASA-TLX (N = 121) have shown that discriminations in a medical environment are limited. They are only related to the interpersonal aspect of care: medical acts (examination, care) are properly completed. The variations in the healthcare providers’ behavior occur when dealing with stigmatized patients and patients who are difficult to manage
Greig, Thomas Alexander. "Development of CMOS active pixel sensors." Thesis, Brunel University, 2008. http://bura.brunel.ac.uk/handle/2438/5345.
Повний текст джерелаAttallah, Faouzi. "Variation des périodes radioactives en fonction de l'état de charge atomique : cas du ¹²⁵Te." Bordeaux 1, 1994. http://www.theses.fr/1995BOR1A522.
Повний текст джерелаSIVERTI, ARNAUD. "Commande a structure variable appliquee au positionnement d'une charge mecanique a forte variation parametrique." Amiens, 2000. http://www.theses.fr/2000AMIE0113.
Повний текст джерелаLavallée, Bernard. "Variation du taux de dépérissement de la biomasse active hétérotrophe du modèle ASM1." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ57817.pdf.
Повний текст джерелаPan, Fangfang [Verfasser]. "Crystal Engineering and Charge Density Studies on Pharmaceutically Active Derivatives of Sulfonamides / Fangfang Pan." Aachen : Shaker, 2013. http://d-nb.info/1050344375/34.
Повний текст джерелаBapela, Mahwahwatse Johanna. "Variation of active constituents in Euclea natalensis based on seedling stages, seasons, and fertilizers." Pretoria : [s.n.], 2007. http://upetd.up.ac.za/thesis/available/etd-06262008-095522/.
Повний текст джерелаLi, Shuo. "6 GHz RF CMOS Active Inductor Band Pass Filter Design and Process Variation Detection." Wright State University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=wright1420812588.
Повний текст джерелаBapela, Mahwahwatse Johanna. "Variation of active constituents in Euclea natalensis based on seedling stages, seasons, and fertilizers." Diss., University of Pretoria, 2008. http://hdl.handle.net/2263/25856.
Повний текст джерелаDissertation (MSc (Plant Science))--University of Pretoria, 2008.
Plant Production and Soil Science
unrestricted
Grigoriev, Igor. "Turbulence modeling of compressible flows with large density variation." Doctoral thesis, KTH, Turbulens, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-183452.
Повний текст джерелаQC 20160314
Hicks, Kiley Ann. "Causes and Consequences of Mitochondrial Variation in Caenorhabditid Nematodes." PDXScholar, 2012. https://pdxscholar.library.pdx.edu/open_access_etds/928.
Повний текст джерелаThomas, Louis Ignatius Jr. "Semi-active vibration control by means of an electrorheological fluids : from robust to fuzzy control." Thesis, Georgia Institute of Technology, 1994. http://hdl.handle.net/1853/17252.
Повний текст джерелаYarlagadda, Sriram. "A Battery Management System Using an Active Charge Equalization Yechnique Based on DC-DC Converter Topology." University of Akron / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=akron1306852610.
Повний текст джерелаNäsström, David. "Flow- and concentration variation between the cylinders of a diesel engine." Thesis, Linköping University, Department of Electrical Engineering, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-10175.
Повний текст джерелаThe demands on tomorrows diesel engines regarding fuel consumption and emission levels keep getting more difficult to fulfill. Due to this fact, the control demand is getting bigger and bigger. To be able to comply with the Euro 6 standards, it is believed that engine control need to be conducted individually from cylinder to cylinder if the need for after-treatment systems should be minimized.
Scania’s approach to handle emission levels so far has been to use exhaust gas recirculation (EGR). To be able to optimize the use of EGR it is necessary to know how the inert gases, water and carbon dioxide, are distributed between the cylinders. The distribution variation become even more difficult to predict since the EGR is cooled, sometimes leading to condensation of some of the water content. The condensation of water and its behavior in the inlet manifold is studied in this thesis.
Different ways of measuring non-uniformity in the gas composition between cylinders with respect to EGR in general and water content in particular are evaluated. Using these results, measurements have been conducted on an engine and conclusions are drawn from them.
The conclusions are that uneven distribution of above all liquid water, due to puddle formation, have an impact on emission formation that should be accounted for in some of the examined operating conditions.
Subrenat, Albert. "Procedes de traitement d'air charge en c. O. V. Par adsorption-desorption sur tissu de carbone active." Nantes, 1999. http://www.theses.fr/1999NANT2028.
Повний текст джерелаJung, Giman. "The Charge-Relay System in Enzyme Catalysis : Construction and Function of Active Site Residues in Carboxypeptidase Y." Kyoto University, 1999. http://hdl.handle.net/2433/181885.
Повний текст джерела0048
新制・課程博士
博士(農学)
甲第7876号
農博第1034号
新制||農||776(附属図書館)
学位論文||H11||N3239(農学部図書室)
UT51-99-G470
京都大学大学院農学研究科農芸化学専攻
(主査)教授 林 力丸, 教授 佐藤 文彦, 教授 江崎 信芳
学位規則第4条第1項該当
Cament, Riveros Leonardo. "Enhancements by weighted feature fusion, selection and active shape model for frontal and pose variation face recognition." Tesis, Universidad de Chile, 2015. http://repositorio.uchile.cl/handle/2250/132854.
Повний текст джерелаFace recognition is one of the most active areas of research in computer vision because of its wide range of possible applications in person identification, access control, human computer interfaces, and video search, among many others. Face identification is a one-to-n matching problem where a captured face is compared to n samples in a database. In this work a new method for robust face recognition is proposed. The methodology is divided in two parts, the first one focuses in face recognition robust to illumination, expression and small age variation and the second part focuses in pose variation. The proposed algorithm is based on Gabor features; which have been widely studied in face identification because of their good results and robustness. In the first part, a new method for face identification is proposed that combines local normalization for an illumination compensation stage, entropy-like weighted Gabor features for a feature extraction stage, and improvements in the Borda count classification through a threshold to eliminate low-score Gabor jets from the voting process. The FERET, AR, and FRGC 2.0 databases were used to test and compare the proposed method results with those previously published. Results on these databases show significant improvements relative to previously published results, reaching the best performance on the FERET and AR databases. Our proposed method also showed significant robustness to slight pose variations. The method was tested assuming noisy eye detection to check its robustness to inexact face alignment. Results show that the proposed method is robust to errors of up to three pixels in eye detection. However, face identification is strongly affected when the test images are very different from those of the gallery, as is the case in varying face pose. The second part of this work proposes a new 2D Gabor-based method which modifies the grid from which the Gabor features are extracted using a mesh to model face deformations produced by varying pose. Also, a statistical model of the Borda count scores computed by using the Gabor features is used to improve recognition performance across pose. The method was tested on the FERET and CMU-PIE databases, and the performance improvement provided by each block was assessed. The proposed method achieved the highest classification accuracy ever published on the FERET database with 2D face recognition methods. The performance obtained in the CMU-PIE database is among those obtained by the best published methods. Extensive experimental results are provided for different combinations of the proposed method, including results with two poses enrolled as a gallery.
Wang, Jianren. "Nanostructured Redox-Active Mesoporous Silica Films Based on An Electron-Hopping Mechanism : Charge Transfer Behaviors And Energy Storage Potentials." Electronic Thesis or Diss., Université de Lorraine, 2020. http://www.theses.fr/2020LORR0216.
Повний текст джерелаA new type of silica-based energy storage materials operating with electron-hopping mechanism has been prepared by combining electrochemically-induced self-assembly method (EASA) and a copper-catalyzed azide-alkyne click (CuAAC) reaction. The redox active centers (ferrocene or cobaltocenium molecules) distributed on the surface of the silica film can directly commute electrons via the electron-hopping process. The results demonstrate this charge transfer mechanism is able to deliver a fast electron transfer rate even on the insulating silica substrate, resulting in a superior rate performance in comparison to the traditional faradic materials. The high density of redox molecules and the smooth counter ions diffusion pathway have been identified playing a pivotal role to ensure the fast electron-hopping process. Besides, the large-scale assembly of the electron-hopping system has been achieved by further generating the ferrocene functionalized silica film on a free-standing graphene foam electrode, exhibiting a 100-times higher capacity density, in comparison to that generating on ITO electrode, while maintaining the high rate performance. Finally, an attempt has been tried to assemble the graphene-supported ferrocene-functionalized silica into a flexible planar device, and the preliminary results has proved the feasibility of our proposed idea. Overall, in this thesis, the systematical study for the potential of the electron-hopping process in the energy storage field, which may pave a new way for the construction of energy storage materials
Smith, Aubrey L. "Facilitating multi-electron reactivity at low-coordinate cobalt complexes using redox-active ligands." Diss., Georgia Institute of Technology, 2011. http://hdl.handle.net/1853/42745.
Повний текст джерелаBurgun, Alexandre. "Oxidative activation of iron- and ruthenium-alkynyl complexes : toward square-shaped molecules with four redox-active metal centres." Rennes 1, 2011. http://www.theses.fr/2011REN1S081.
Повний текст джерелаButz, Natalie [Verfasser], and Yiannos [Akademischer Betreuer] Manoli. "Design and implementation of cause-based and consequence-based control circuits for active charge balancing in CMOS integrated neural stimulator." Freiburg : Universität, 2021. http://d-nb.info/1240610238/34.
Повний текст джерелаHayakawa, Naoki, Hiroshi Inano, Yusuke Nakamura, and Hitoshi Okubo. "Time Variation of Partial Discharge Activity Leading to Breakdown of Magnet Wire under Repetitive Surge Voltage Application." IEEE, 2008. http://hdl.handle.net/2237/12126.
Повний текст джерелаDeltenre, Pierre. "Hépatite C: contribution à l'évaluation de l'histoire naturelle et à la prise en charge thérapeutique de l'hépatite chronique." Doctoral thesis, Universite Libre de Bruxelles, 2012. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/209708.
Повний текст джерелаLes travaux réalisés dans le cadre de cette thèse ont permis d’identifier des critères virologiques autorisant l’arrêt d’un traitement inefficace dès le terme de la 4ème semaine chez les malades présentant des transaminases normales et chez les malades non répondeurs à un premier traitement, de quantifier la perte de chance de réponse virologique lorsque la durée du traitement est limitée à 24 semaines chez les malades infectés par un génotype 1, d’évaluer la place de l’amantadine dans l’arsenal thérapeutique, de quantifier l’impact d’une insulino-résistance sur le taux de réponse virologique, de contribuer à l’élaboration d’une stratégie thérapeutique permettant une meilleure tolérance hématologique chez les malades hémodialysés et de quantifier l’impact des polymorphismes de l’interleukine 28B sur le taux réponse virologique des malades infectés par un génotype 2 ou 3. Nos travaux ont également permis de mesurer l’impact d’une consommation excessive d’alcool sur la morbi-mortalité liée au virus de l’hépatite C à l’échelle d’une population et de quantifier l’impact des mesures thérapeutiques actuelles et de stratégies thérapeutiques alternatives sur cette morbi-mortalité.
Au cours de la prochaine décennie, le traitement de l’hépatite chronique C sera articulé autour des molécules antivirales spécifiques agissant directement contre le virus de l’hépatite C. De nouvelles stratégies thérapeutiques intégrant la cinétique virale et les marqueurs génétiques prédictifs de la réponse virologique soutenue devront être élaborées afin d’offrir les meilleures chances d’éradication virologique au plus grand nombre de malades.
Doctorat en sciences médicales
info:eu-repo/semantics/nonPublished
Li, Yan. "Recherche et Développement de Capteurs Actifs Monolithiques CMOS pour la Détection de Particules Elémentaires." Paris 11, 2007. http://www.theses.fr/2007PA112118.
Повний текст джерелаIn order to develop high spatial resolution and readout speed vertex detectors for the future International Linear Collider (ILC), fast CMOS Monolithic Active Pixel Sensors (MAPS) are studied on this work. Two prototypes of MAPS, MIMOSA 8 and MIMOSA 16, based on the same micro-electronic architecture were developed in CMOS processes with different thickness of epitaxial layer. The size of pixel matrix is 32x128: 8 columns of the pixel array are readout directly with analog outputs and the other 24 columns are connected to the column level auto-zero discriminators. The Correlated Double Sampling (CDS) structures are successfully implemented inside pixel and discriminator. The photo diode type pixels with different diode sizes are used in these prototypes. With a 55Fe X ray radioactive source, the important parameters, such as Temporal Noise, Fixed Pattern Noise (FPN), Signal-to-Noise Ratio (SNR), Charge-to-Voltage conversion Factor (CVF) and Charge Collection Efficiency (CCE), are studied as function of readout speed and diode size. For MIMOSA 8, the effect of fast neutrons irradiation is also. Two beam tests campaigns were made: at DESY with a 5 GeV electrons beam and at CERN with a 180 GeV pions beam. Detection Efficiency and Spatial Resolution are studied in function of the discriminator threshold. For these two parameters, the influences of diode size and SNR of the central pixel of a cluster are also discussed. In order to improve the spatial resolution of the digital outputs, a very compact (25µmx1mm) and low consumption (300 µW) column level ADC is designed in AMS 0. 35 µm OPTO process. Based on successive approximation architecture, the auto-offset cancellation structure is integrated. A new column level auto-zero discriminator using static latch is also designed
Andersson, Peter. "Charge Transport Modulation and Optical Absorption Switching in Organic Electronic Devices." Doctoral thesis, Norrköping : Department of Science and Technology, Linköping University, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-10271.
Повний текст джерелаBahr, Emilie S. "Cycling in the Crescent City: An exploration of the spatial variation in bicycle commuting in New Orleans." ScholarWorks@UNO, 2013. http://scholarworks.uno.edu/td/1607.
Повний текст джерелаDarcel, Laurence. "Synthèse et réalisations de filtres actifs micro-ondes intégrés en technologie MMIC : intégration de la méthode dans un outil de CAO." Paris 6, 2005. http://www.theses.fr/2005PA066492.
Повний текст джерелаJosse, Stève. "Transportabilité de fonctions analogiques en technologies CMOS submicroniques : application : contrôle du retard des fronts d'horloges d'un imageur CCD." Toulouse, INPT, 2003. http://www.theses.fr/2003INPT029H.
Повний текст джерелаDelmas, Pierre. "Génération active des déplacements d'un véhicule agricole dans son environnement." Phd thesis, Université Blaise Pascal - Clermont-Ferrand II, 2011. http://tel.archives-ouvertes.fr/tel-00669534.
Повний текст джерелаDjouani, Mohamed. "Recherche d'information dans les documents numériques : vers une variation des modalités d'exécution procédurale." Phd thesis, Université de Bourgogne, 2013. http://tel.archives-ouvertes.fr/tel-00945859.
Повний текст джерелаMcBeth, Rafe A. "Active Radiation Detectors for Use in Space Beyond Low Earth Orbit| Spatial and Energy Resolution Requirements and Methods for Heavy Ion Charge Classification." Thesis, Colorado State University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10604769.
Повний текст джерелаSpace radiation exposure to astronauts will need to be carefully monitored on future missions beyond low earth orbit. NASA has proposed an updated radiation risk framework that takes into account a significant amount of radiobiological and heavy ion track structure information. These models require active radiation detection systems to measure the energy and ion charge Z.
However, current radiation detection systems cannot meet these demands. The aim of this study was to investigate several topics that will help next generation detection systems meet the NASA objectives. Specifically, this work investigates the required spatial resolution to avoid coincident events in a detector, the effects of energy straggling and conversion of dose from silicon to water, and methods for ion identification (Z) using machine learning.
The main results of this dissertation are as follows: 1. Spatial resolution on the order of 0.1 cm is required for active space radiation detectors to have high confidence in identifying individual particles, i.e., to eliminate coincident events. 2. Energy resolution of a detector system will be limited by energy straggling effects and the conversion of dose in silicon to dose in biological tissue (water). 3. Machine learning methods show strong promise for identification of ion charge (Z) with simple detector designs.
Dawson, Jill Margaret. "Variation in sexual behaviour, use of HIV testing and other health care facilities amongst homosexually active men in response to HIV/AIDS." Thesis, University of Oxford, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.358631.
Повний текст джерелаGhanem, Mahmoud. "On the Mechanistic Roles of the Protein Positive Charge Close to the N(1)Flavin Locus in Choline Oxidase." Digital Archive @ GSU, 2006. http://digitalarchive.gsu.edu/chemistry_diss/3.
Повний текст джерелаFerreira, de Sousa Marcus Alexandre. "Contribution à la conception de lois de commande à caractère robuste pour une machine synchrone entraînant une charge élastique à inertie variable." Phd thesis, Toulouse, INPT, 2007. http://oatao.univ-toulouse.fr/7601/1/ferreira.pdf.
Повний текст джерелаCoupat, Jean-Marc. "Synthèse expérimentale d'impédances par la technique de la charge active : application à la conception d'un système de caractérisation de composants microondes de puissance fortement désadaptés." Limoges, 1994. http://www.theses.fr/1994LIMO0026.
Повний текст джерелаMartinez, Laurent. "Intérêt de la compression-décompression active dans la prise en charge des arrêts cardio-ventilatoires extra-hospitaliers par le SMUR du bataillon de marins pompiers de Marseille." Montpellier 1, 1995. http://www.theses.fr/1995MON11097.
Повний текст джерелаLi, Shuo. "CMOS Receiver Design for 802.11ac Standard Using Offline Calibrated Active Inductor Based Band Pass Filter in 90 nm Technology." Wright State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=wright1576887184235935.
Повний текст джерелаCao, Weimin. "Adsorption of surface active elements on the iron (100) surface a study based on ab initio calculations /." Licentiate thesis, Stockholm : Skolan för industriell teknik och management, Kungliga Tekniska högskolan, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-11234.
Повний текст джерелаDanilovic, Milisav. "Active Source Management to Maintain High Efficiency in Resonant Conversion over Wide Load Range." Diss., Virginia Tech, 2015. http://hdl.handle.net/10919/76618.
Повний текст джерелаPh. D.
Pouchkova, Meyer Svetlana. "Vers un dictionnaire des mots à Charge Culturelle Partagée comme voie d'accès à une culture étrangère (FLE) : le cas des apprenants immigrés adultes multiculturels." Strasbourg, 2010. https://publication-theses.unistra.fr/public/theses_doctorat/2010/POUCHKOVA_MEYER_Svetlana_2010.pdf.
Повний текст джерелаThe culture of comportment of the majority can 't try to get the confession in the society side by side with the scientific culture. The French linguist R. GALISSON called this culture as "generally accepted", so the majority bearers of language posses il. It is nowhere studied, it is taken outside of school during the process of the daily life. Nevertheless, it is very important because it indicates at the same time: The sign of identify between people who rank themselves among the same society; The model of socio- cultural comportment (the conditional model) in the daily life's situations; The sign of benevolence or, in the other words, the common denominator for the best comprehension and tolerance. If this the most important culture is acquired by the bearers of language during the everyday life, it can be described and studied by the foreign students at the French lessons. Lt takes place thanks to the specific words which carry the vast layer of the "generally accepted" culture. These words must be defioed and entered in the special cultural dictionary, the purpose of which is to facilitate the perception of the socio- cultural component in the discourse and the comportment of the bearers oflanguage for the foreign students
Mercier, Charles Symphorien. "Evaluations de la prise en charge multidisciplinaire en hospitalisation complète de l'adolescent obèse : apports de l'étude de la variation du métabolome et recherche de marqueurs précoces du pronostic." Thesis, Aix-Marseille 2, 2011. http://www.theses.fr/2011AIX20671/document.
Повний текст джерелаObesity in childhood must be considered as a major issue in Public Health. Since the 1970s, all developed countries must have faced an increasing prevalence of this metabolic disorder. However since the epidemic of obesity has multifactorial causes, and without the availability of a positive benefit/risk balance for chemical drugs and clear-cut indications for bariatric surgery, it is easy to understand that obesity is a complex issue. This complexity induced different schemes of care the comparison of which is made difficult by the absence of clear criteria for judging therapeutic efficacy. This work was aimed to determine the efficacy of a 8-months residential treatment program performed by a multidisciplinary team in the Care Centre “Les Oiseaux”. In order to demonstrate whether the treatment was of benefit for the patients, 1063 of those treated between 1991 and 2007 have been included in a retrospective study. 746 patients returned the questionnaire after 2 years and 185 patients, 5 years later. Among these patients 75 % were actually able to control their weight since they maintained at least half their weight loss. To unveil early parameters of therapeutic efficacy, we have set up a monitoring record of more than 895 clinical, psychological, and biological parameters as well as an accurate recording of the physical activity of adolescents during their stay in the Care Centre. In addition a metabolic profiling of urine samples has been performed. Each parameter was tested for its discrepancy power as well as its practical aspects. Sixteen female adolescents have then been followed for the duration of their stay according to our monitoring program. By multivariate analysis, we deduced that the maintaining of their weight loss was positively correlated with the psychological care, the family involvement, as well as the ability to keep a sufficient physical activity, which was sustained by the recovery of their self-esteem
Johansson, Arvid. "Aktivt Pansar : Att nå verkan med dagens vapensystem i morgondagens pansar." Thesis, Försvarshögskolan, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:fhs:diva-4642.
Повний текст джерелаSince today's weapons systems are becoming more efficient with higher penetration and greater efficacy, it is no longer possible to only put on more armor to get adequate protection. The vehicles become too heavy and mobility is adversely affected to an excessive degree, because of this systems for active protection are now breaking into the market. These systems are actively scanning the vehicle's surroundings and shoot down incoming threats such as rockets and robots and are already implemented in a number of countries in our region. The infantry's main armament against armored units, which traditionally have been just missiles, rockets and grenades are in many cases useless meeting with active protection systems. The paper examines the possibilities of reaching effect in targets equipped with active armor using the equipment available to the Swedish armed forces today. The existing active protection systems Trophy, Iron Curtain and Arena have been chosen as example systems. The weapons systems examined are STRIX , Rb56 , Pskott m/86 , Grg m/86 and Fordonsmina 14. One conclusion is that the audited systems all lack the ability to protect the vehicle from threats that come from directly above; this means that STRIX is fully functional to a vehicle protected by an active protection system.
Cardwell, Drew. "Investigation of electrically-active defects in AlGaN/GaN high electron mobility transistors by spatially-resolved spectroscopic scanned probe techniques." The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1373894407.
Повний текст джерелаDubost-Fontaine, Véronique. "Effets induits par une tâche attentionnelle sur la marche humaine : rôle respectifs de la variation de la vitesse de marche et de la charge attentionnelle sur la variabilité du pas." Saint-Etienne, 2005. http://www.theses.fr/2005STET007T.
Повний текст джерелаHuman walking is considered as an automatic motor activity which is controlled by the subcortical and spinal regions, involving few attentional resources. Age-related changing of spatio-temporal gait parameters has been related to the loss of the automatic caracter of gait control and involvement of attentionnal control. The study of the relationship between attention and gait control is interesting to evaluate the risk of falls in older adults and may be obtained using dual-task paradigms. Mean gait parameters are well known, however, stride-to-stride variability has been less studied, in spite of the gait variability is a sensitive marker reflecting the control of gait by the CNS. A high variability is used as a clinical index of gait unsteadiness in relation with attentional control of the cortical regions. There are several validity concerns related to the methodology used to study locomotor control. The most common concern consists of the association of stride variability with stride velocity of the tested subjects. Stride velocity has been demonstrated to influence stride time variability. Because stride velocity often decreases under dual-task condition, the dual-task related increase in stride time variability therefore could be provoked by either the decrease in walking speed, the attention-demanding task itself, or both. Thus, the aims of this study is to answer to the following questions: 1) What is the influence of gait velocity on stride-to-stride variability? and 2) Is attention required to control the rhythmic steping mechanism of walking in helathy young adults? We used a dual-task paradigm, i. E. Gait while backward counting or gait while verbal fluency task, and analysed both cognitive performance and gait parameters, adjusted for gait velocity. Whatever the subject's group and the nature of the attentional task tested, our results showed dual-task related changes, especially, gait velocity decrease (in relation with stride time increase), and stride time variability increase. This increased variability under dual-task was not related to the decrease of stride velocity, thus demonstrating the attentional control of the rhythmic stepping mechanism not only in older adults, but also in healthy young adults
Chocron, Richard. "Analyse de l'influence des modalités de prise en charge sur le pronostic des patients victimes d'un arrêt cardiaque extra-hospitalier." Thesis, Sorbonne Paris Cité, 2019. http://www.theses.fr/2019USPCB015.
Повний текст джерелаDespite efforts to improve the treatment of OHCA, in France the survival rate is stable around 8%. The Outcome depends mainly on the efficiency of the chain of survival of cardiac arrest7. All links of the chain of survival are crucial in order to provide optimum medical care. Being the last link of this chain, post-cardiac arrest (PCA) care is nowadays considered as an important determinant of outcome for patients with sustained return of spontaneous circulation (ROSC). The emergency medical service (EMS) response is also recognized as a key element. The number of ambulances providing basic life support (BLS) and advanced life support (ALS), is crucial to provide primary care. In OHCA patients with sustained (ROSC), current evidence demonstrates considerable variability in survival rates across receiving hospital and according to characteristics of neighborhoods without possibility to discern the respective influence of patients’ profile or the potential role of Emergency Medical Service (EMS) organization. Using a population-based registry serving a large population in the Greater Paris area, we aimed to assess the influence of care level center and the influence of allocated ambulance resources on outcome in OHCA patients. Method: We retrospectively analyzed a Utstein and in-hospital data prospectively collected for all non-traumatic OHCA patients from a large metropolitan area (Great Paris). Cases were geocoded according to 19 neighborhoods and the number of BLS (firefighters performing cardiopulmonary resuscitation and applying automated external defibrillator) and ALS ambulances (medicalized team providing advanced care) was collected. Receiving hospitals were categorized in 3 groups as follows: A centers (high-case volume with cath-lab 24/7), B centers (intermediate-case volume with cath-lab partly available) and C centers (low-case volume and no cath-lab). We assessed the respective influence of Utstein parameters, socio-economic characteristics and ambulance resources using a mixed-effect model with ROSC as the primary endpoint and survival at hospital discharge as a secondary endpoint. Results: Between May 2011 and December 2013, 1476 patients were admitted in 48 hospitals. Overall survival rate at discharge was 30%. Patients’ baseline characteristics significantly differed, as hospitals from group A received younger patients with a higher rate of shockable cardiac rhythms (p<0.001). Unadjusted survival rate differed significantly among the 3 groups of hospitals (respectively 34%, 25% and 15.4% for A, B, C, p<0.01). In multivariate analysis, the category of receiving hospital was no longer associated with survival. From May 2011 to January 2016, 8754 non-traumatic OHCA occurred in the Greater Paris area. Overall ROSC and survival rate at hospital discharge ranged from 33% to 51.1% and from 4.4% to 14.5 % respectively, according to neighborhoods (p<0.001). Patients’ and socio-demographics’ characteristics significantly differed between neighborhoods (p for trend< 0.001). After adjustment, a higher density of ambulances was associated with successful ROSC (respectively aOR=1.31 (1.14-1.51); p<0.001 and aOR=1.21 (1.04-1.41); p=0.01 for ALS and BLS ambulances respectively). Regarding survival at discharge, only the number of ALS ambulances >1.5 per neighborhood was significant (aOR= 1.30 (1.06-1.59) p=0.01). Conclusion: First, we observed wide disparities in crude in-hospital survival rate in the Greater Paris. After adjustment, the level of medical resources (ALS) was associated with prognosis. In addition, the type of receiving center no longer influenced either survival or neurological prognosis, which could result from a targeted EMS triage strategy. Our results suggest that a territorial adaptation in EMS resources and the implementation of a targeted triage strategy based on the patient's profile may be used in order to reduce disparities in prognosis of patients with OHCA
Diguisto, Caroline. "Prise en charge anténatale et conséquences néonatales chez les enfants nés extrêmes prématurés en France Providing active antenatal care depends on the place of birth for extremely preterm births: the EPIPAGE 2 cohort study Neonatal outcomes in extremely preterm newborns admitted to intensive care after no active antenatal management: a population-based cohort study." Thesis, Sorbonne Paris Cité, 2019. http://www.theses.fr/2019USPCB001.
Повний текст джерелаSurvival rates of extremely preterm neonates, infants born between 22 and 26 Weeks of Gestation (WG), are lower in France than in England, Sweden, the United States or Japan. This may be related to differences in the management of extreme preterm births and in particular to differences in antenatal practices. In the case of preterm births, obstetricians are the first to meet the mothers-to-be. They decide whether or not to implement antenatal measures to improve outcomes of these unborn children: corticosteroids, caesarean sections or magnesium sulphate for neuroprotective purposes. The provision of optimal antenatal care is key to the management and survival of extremely preterm births and obstetrical teams thus play a major role. Factors associated with active antenatal care have never been studied. The first objective of our work was to identify, for extreme preterm births in France, individual or organisational determinants associated with active antenatal care. Gestational age is a well-known decision-making factor, but care could also depend on individual factors related to women or their pregnancy, practitioners or maternity units. Some extremely preterm neonates are born without having received active antenatal care. For newborns who have not received such treatment, the risk of peripartum and delivery room death is high. However some extremely preterm neonates for whom active antenatal was either voluntarily withheld or not provided because of insufficient time are resuscitated and admitted to a Neonatal Intensive Care Unit (NICU). Neonatal outcomes for these children raise medical and ethical difficulties and are poorly known. Our second objective was to study neonatal outcomes of extremely preterm neonates admitted to NICU without prior active antenatal care. Data from the EPIPAGE 2 cohort were used to answer these questions. We have shown that antenatal management for extreme preterm births varies widely between regions with regional active antenatal care rates ranging from 22% (95% CI 0.05-0.38) to 61% (95% CI 0.44-0.78). Active antenatal care was more frequent for births occurring at 25 and 26 WG than for births occurring at 24 WG. Even after adjusting for individual and organisational characteristics, active antenatal care rates varied by maternity unit of birth (p = 0.03). We also underlined that children admitted to NICU without having received active antenatal care have an increased risk of neonatal morbidity and mortality compared to children who have (crude OR of 2.60, (95% CI 1.44-4.66), adjusted OR of 1.86, (95% CI 1.09-3.20)). Differences in antenatal management between maternity units raise the issue of equality of care, especially since these practices have an impact on neonatal outcomes. These findings have led French teams to reassess the decision-making process around extreme preterm births and to the elaboration of guidelines for the management of extreme preterm births