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Sample records for praeliminaer rapport hvidovre

  1. Rapport in Distance Education

    ERIC Educational Resources Information Center

    Murphy, Elizabeth; Rodriguez-Manzanares, Maria A.

    2012-01-01

    Rapport has been recognized as important in learning in general but little is known about its importance in distance education (DE). The study we report on in this paper provides insights into the importance of rapport in DE as well as challenges to and indicators of rapport-building in DE. The study relied on interviews with 42 Canadian…

  2. Games of Rapport.

    ERIC Educational Resources Information Center

    Corbin, Sandra J.

    1980-01-01

    Board games called Games of Rapport are being developed at the University of Alberta. The first, "Angels and Devils," is designed for play by nursing home residents. Results of a study involving "Angels and Devils" show that board games are useful in communicating rehabilitative objectives and sources of conflict. (Author/BEF)

  3. Intentionally Building Rapport with Students

    ERIC Educational Resources Information Center

    Starcher, Keith

    2011-01-01

    Developing rapport with students is important. Carson (1996) found that when alumni reflected on professors they had encountered 30 years ago, the quality most frequently associated with effective teachers was this: their attitude toward and relationship with students. In this article, the author shares the positive consequences of intentionally…

  4. Now It's Personal: Antecedents and Outcomes of Rapport between Business Faculty and Their Students

    ERIC Educational Resources Information Center

    Granitz, Neil A.; Koernig, Stephen K.; Harich, Katrin R.

    2009-01-01

    "Rapport" refers to when two people "click." Although business education researchers have begun to study rapport, past research has principally focused on students' perceptions of rapport, whereas faculty's perceptions of rapport have never been studied or contrasted with those of students. Understanding this is critical as rapport between faculty…

  5. Examining the positive effects of rapport building: when and why does rapport building benefit adult eyewitness memory?

    PubMed

    Kieckhaefer, Jenna Mitchell; Vallano, Jonathan Patrick; Schreiber Compo, Nadja

    2014-01-01

    Most investigative interviewing protocols recommend building rapport with cooperative adult witnesses to increase the accuracy of their reports. Although a few recent studies support the benefits of rapport building on adult witness recall, no study has examined whether the timing of rapport in relation to post-event misinformation affects recall accuracy, and whether these effects are related to witness anxiety levels throughout the interview. The present study provided two hundred and thirty-three undergraduates with a videotaped mock crime followed by building high or low rapport either before or after they received post-event misinformation. All witnesses were then interviewed about the mock crime. Results indicated that high rapport before misinformation increased the amount of accurate information reported in a subsequent witness interview compared to low rapport. However, these recall benefits were not due to a reduction in anxiety. Theoretical implications and practical recommendations for police interviewing practices are discussed. PMID:24304449

  6. Psychometric Characteristics of the Professor-Student Rapport Scale

    ERIC Educational Resources Information Center

    Ryan, Rebecca G.; Wilson, Janie H.; Pugh, James L.

    2011-01-01

    In this study, the authors assessed the psychometric properties of the Professor-Student Rapport Scale, the first scale to measure professor-student rapport. The scale was found to have adequate test-retest and internal-consistency reliability. In addition to these findings, measures used to determine convergent validity included the Working…

  7. Neuro-Linguistic Programming, Matching Sensory Predicates, and Rapport.

    ERIC Educational Resources Information Center

    Schmedlen, George W.; And Others

    A key task for the therapist in psychotherapy is to build trust and rapport with the client. Neuro-Linguistic Programming (NLP) practitioners believe that matching the sensory modality (representational system) of a client's predicates (verbs, adverbs, and adjectives) improves rapport. In this study, 16 volunteer subjects participated in two…

  8. Professor-Student Rapport Scale: Six Items Predict Student Outcomes

    ERIC Educational Resources Information Center

    Wilson, Janie H.; Ryan, Rebecca G.

    2013-01-01

    Rapport between students and teachers leads to numerous positive student outcomes, including attitudes toward the teacher and course, student motivation, and perceived learning. The recent development of a Professor-Student Rapport scale offers assessment of this construct. However, a Cronbach's [alpha] of 0.96 indicated item redundancy, and the…

  9. Rapport in Negotiation: The Contribution of the Verbal Channel

    ERIC Educational Resources Information Center

    Bronstein, Ilan; Nelson, Noa; Livnat, Zohar; Ben-Ari, Rachel

    2012-01-01

    This study examined the contribution of verbal behavior to the creation of rapport in negotiation, while methodologically addressing the issue of dependence between dyadic measures, which is inherent to the concept of rapport, with the Actor-Partner Interdependence model. The approach adopted is substantially different from that of past research,…

  10. The Stitches Stayed: Creating Rapport around Women's Work

    ERIC Educational Resources Information Center

    Wall, Mary Clementine; Stasz, Bird

    2010-01-01

    Establishing rapport between researcher and participants when conducting ethnography is essential to the successful outcome of the research. However, when participants are unwilling to engage, a different approach must be adopted. This article is an examination of the appropriation of a situated learning model during fieldwork with a group of…

  11. Peak Alert Time and Rapport between Residence Hall Roommates.

    ERIC Educational Resources Information Center

    Carey, John C.; And Others

    1988-01-01

    Examined whether peak alert time is related to compatibility for college roommates. Data from 66 male pairs and from 55 female pairs of roommates revealed that pairs who were similar on self-reported peak circadian alertness had higher levels of rapport. (Author/NB)

  12. Using Courthouse Portfolios to Establish Rapport and Motivate College Students

    ERIC Educational Resources Information Center

    Gentry, Ruben

    2013-01-01

    Motivation enhances student learning (Wang, 2012). One means for an instructor to stimulate students and get them actively involved is to establish good rapport with them (Cottringer & Sloan, 2003). For this study, county courthouse portfolios were developed and used to build relationships and motivate college students. The strategy was…

  13. Student Views of Instructor-Student Rapport in the College Classroom

    ERIC Educational Resources Information Center

    Webb, Nathan G.; Barrett, Laura Obrycki

    2014-01-01

    Building upon past research on the positive learning outcomes associated with rapport building in the classroom, this study examines the specific behaviors instructors utilize in college classrooms to build rapport with undergraduate students. Participants (N = 230) answered open-ended survey questions about their instructors'…

  14. Instructor-Student and Student-Student Rapport in the Classroom

    ERIC Educational Resources Information Center

    Frisby, Brandi N.; Martin, Matthew M.

    2010-01-01

    This study examined the relationships between instructors and their students, and between students, to determine their roles in building positive relationships and an overall positive classroom environment. Of particular interest was the examination of instructor rapport with students and rapport between students. Students (N = 232) reported on…

  15. Training in Compensatory Strategies Enhances Rapport in Interactions Involving People with Möbius Syndrome.

    PubMed

    Michael, John; Bogart, Kathleen; Tylén, Kristian; Krueger, Joel; Bech, Morten; Østergaard, John Rosendahl; Fusaroli, Riccardo

    2015-01-01

    In the exploratory study reported here, we tested the efficacy of an intervention designed to train teenagers with Möbius syndrome (MS) to increase the use of alternative communication strategies (e.g., gestures) to compensate for their lack of facial expressivity. Specifically, we expected the intervention to increase the level of rapport experienced in social interactions by our participants. In addition, we aimed to identify the mechanisms responsible for any such increase in rapport. In the study, five teenagers with MS interacted with three naïve participants without MS before the intervention, and with three different naïve participants without MS after the intervention. Rapport was assessed by self-report and by behavioral coders who rated videos of the interactions. Individual non-verbal behavior was assessed via behavioral coders, whereas verbal behavior was automatically extracted from the sound files. Alignment was assessed using cross recurrence quantification analysis and mixed-effects models. The results showed that observer-coded rapport was greater after the intervention, whereas self-reported rapport did not change significantly. Observer-coded gesture and expressivity increased in participants with and without MS, whereas overall linguistic alignment decreased. Fidgeting and repetitiveness of verbal behavior also decreased in both groups. In sum, the intervention may impact non-verbal and verbal behavior in participants with and without MS, increasing rapport as well as overall gesturing, while decreasing alignment. PMID:26500605

  16. Training in Compensatory Strategies Enhances Rapport in Interactions Involving People with Möbius Syndrome

    PubMed Central

    Michael, John; Bogart, Kathleen; Tylén, Kristian; Krueger, Joel; Bech, Morten; Østergaard, John Rosendahl; Fusaroli, Riccardo

    2015-01-01

    In the exploratory study reported here, we tested the efficacy of an intervention designed to train teenagers with Möbius syndrome (MS) to increase the use of alternative communication strategies (e.g., gestures) to compensate for their lack of facial expressivity. Specifically, we expected the intervention to increase the level of rapport experienced in social interactions by our participants. In addition, we aimed to identify the mechanisms responsible for any such increase in rapport. In the study, five teenagers with MS interacted with three naïve participants without MS before the intervention, and with three different naïve participants without MS after the intervention. Rapport was assessed by self-report and by behavioral coders who rated videos of the interactions. Individual non-verbal behavior was assessed via behavioral coders, whereas verbal behavior was automatically extracted from the sound files. Alignment was assessed using cross recurrence quantification analysis and mixed-effects models. The results showed that observer-coded rapport was greater after the intervention, whereas self-reported rapport did not change significantly. Observer-coded gesture and expressivity increased in participants with and without MS, whereas overall linguistic alignment decreased. Fidgeting and repetitiveness of verbal behavior also decreased in both groups. In sum, the intervention may impact non-verbal and verbal behavior in participants with and without MS, increasing rapport as well as overall gesturing, while decreasing alignment. PMID:26500605

  17. Do Prosecutors Use Interview Instructions or Build Rapport with Child Witnesses?

    PubMed

    Ahern, Elizabeth C; Stolzenberg, Stacia N; Lyon, Thomas D

    2015-08-01

    This study examined the quality of interview instructions and rapport-building provided by prosecutors to 168 children aged 5-12 years testifying in child sexual abuse cases, preceding explicit questions about abuse allegations. Prosecutors failed to effectively administer key interview instructions, build rapport, or rely on open-ended narrative producing prompts during this early stage of questioning. Moreover, prosecutors often directed children's attention to the defendant early in the testimony. The productivity of different types of wh- questions varied, with what/how questions focusing on actions being particularly productive. The lack of instructions, poor quality rapport-building, and closed-ended questioning suggest that children may not be adequately prepared during trial to provide lengthy and reliable reports to their full ability. PMID:26206485

  18. Do Prosecutors Use Interview Instructions or Build Rapport with Child Witnesses?

    PubMed Central

    Ahern, Elizabeth C.; Stolzenberg, Stacia N.; Lyon, Thomas D.

    2015-01-01

    This study examined the quality of interview instructions and rapport-building provided by prosecutors to 168 children aged 5–12 years testifying in child sexual abuse cases, preceding explicit questions about abuse allegations. Prosecutors failed to effectively administer key interview instructions, build rapport, or rely on open-ended narrative producing prompts during this early stage of questioning. Moreover, prosecutors often directed children's attention to the defendant early in the testimony. The productivity of different types of wh- questions varied, with what/how questions focusing on actions being particularly productive. The lack of instructions, poor quality rapport-building, and closed-ended questioning suggest that children may not be adequately prepared during trial to provide lengthy and reliable reports to their full ability. PMID:26206485

  19. Preservice Music Teachers' and Therapists' Nonverbal Behaviors and Their Relationship to Perceived Rapport

    ERIC Educational Resources Information Center

    Darrow, Alice-Ann; Johnson, Christopher

    2009-01-01

    The purpose of the two studies reported in the article was to determine whether or not a relationship exists between preservice music therapists' and teachers' nonverbal behaviors and their perceived rapport. In study 1, evaluators (N = 56) viewed a stimulus tape consisting of 15 45-second segments of 15 preservice music therapists leading songs…

  20. Managing Rapport in Lingua Franca Sales Negotiations: A Comparison of Professional and Aspiring Negotiators

    ERIC Educational Resources Information Center

    Planken, B.

    2005-01-01

    This article presents selective findings from a study that investigated how facework is used to achieve interpersonal goals in intercultural sales negotiations. The article reports on linguistic analyses of what Spencer-Oatey has termed ''rapport management'' which, in a negotiation context, is aimed primarily, but not exclusively, at building a…

  1. Reconsidering Rapport with Urban Teachers: Negotiating Shifting Boundaries and Legitimizing Support

    ERIC Educational Resources Information Center

    Rinke, Carol R.; Mawhinney, Lynnette

    2014-01-01

    This paper addresses Lincoln's [2010. "'What a long, strange trip it's been …': Twenty-five years of qualitative and new paradigm research." "Qualitative Inquiry" 16, no. 1: 3-9] call for greater attention to the question of rapport in qualitative research through a reflexive examination of…

  2. Saving Face: Managing Rapport in a Problem-Based Learning Group

    ERIC Educational Resources Information Center

    Robinson, Leslie; Harris, Ann; Burton, Rob

    2015-01-01

    This qualitative study investigated the complex social aspects of communication required for students to participate effectively in Problem-Based Learning and explored how these dynamics are managed. The longitudinal study of a group of first-year undergraduates examined interactions using Rapport Management as a framework to analyse communication…

  3. Who Is Controlling the Interaction? The Effect of Nonverbal Mirroring on Teacher-Student Rapport

    ERIC Educational Resources Information Center

    Jiang-yuan, Zhou; Wei, Guo

    2012-01-01

    This study investigated the effect of nonverbal mirroring on teacher-student rapport in one-on-one interactions. Nonverbal mirroring refers to the unconscious mimicry of the postures, mannerisms, facial expressions, and other behaviors of one's interaction partner in social interactions. In a within-subjects paradigm, students had four…

  4. Humor, Rapport, and Uncomfortable Moments in Interactions with Adults with Traumatic Brain Injury

    ERIC Educational Resources Information Center

    Kovarsky, Dana; Schiemer, Christine; Murray, Allison

    2011-01-01

    We examined uncomfortable moments that damaged rapport during group interactions between college students in training to become speech-language pathologists and adults with traumatic brain injury. The students worked as staff in a community-based program affiliated with a university training program that functioned as a recreational gathering…

  5. Establishing rapport: Physicians’ practice and attendees’ satisfaction at a Primary Health Care Center, Dammam, Saudi Arabia, 2013

    PubMed Central

    Al Ali, Ayat A.; Elzubair, Ahmed G.

    2016-01-01

    Background: Establishing rapport is an important step in physician–patient communication resulting in a positive effect on patient satisfaction and overall clinical outcomes. However, there is a dearth of studies on the condition of doctor–patient relations in Saudi Arabia. This study was performed to estimate the proportion of physicians who have a good rapport with patients in their practice and the proportion of satisfied attendees. Materials and Methods: A cross-sectional study was conducted at a Primary Health Care Center, Dammam, KSA. The data were collected through a structured self-administered questionnaire given to samples of attendees and physicians to estimate patient satisfaction and the practice of rapport by physicians. Results: A total of 374 attendees and 27 physicians participated in the study. The percentage of physicians who had good rapport was 51.9%. Factors that showed significant relationship with rapport practice were: Physician's age (p = 0.016), physician's experience (p = 0.043), and professional status (p = 0.031). The attendees satisfied with their physician's rapport with them were 50.5%. Factors that showed significant relationship with satisfaction were: Attendee's age (p < 0.0001), educational level (p < 0.0001), having a chronic illness (p < 0.0001), having appointment (p < 0.0001), physicians' professional status (p < 0.0001), and a nonsurgical specialty (p < 0.0001). Conclusion and Recommendation: Physicians' rapport with patients and patients' satisfaction with physicians' empathy is not high. Training is required to optimize physician–patient communication. PMID:26929724

  6. Eliciting Maltreated and Non-maltreated Children's Transgression Disclosures: Narrative Practice Rapport Building and a Putative Confession

    PubMed Central

    Lyon, Thomas D.; Wandrey, Lindsay; Ahern, Elizabeth; Licht, Robyn; Sim, Megan; Quas, Jodi A.

    2014-01-01

    This study tested the effects of narrative practice rapport building (asking open-ended questions about a neutral event) and a putative confession (telling the child an adult “told me everything that happened and he wants you to tell the truth”) on 4- to 9-year-old maltreated and nonmaltreated children's reports of an interaction with a stranger who asked them to keep toy breakage a secret (N = 264). Only one-third of children who received no interview manipulations disclosed breakage; in response to a putative confession, one-half disclosed. Narrative practice rapport building did not affect the likelihood of disclosure. Maltreated children and nonmaltreated children responded similarly to the manipulations. Neither narrative practice rapport building nor a putative confession increased false reports. PMID:24467688

  7. Winning Their Hearts. Members Speak Out: In performances, How do You Establish Rapport between Your Choir and Young Audiences?

    ERIC Educational Resources Information Center

    Montague, Matthew G.

    2005-01-01

    The author discusses techniques on how to establish rapport between the choir and young audiences. According to him, one of the choir's most important assets just might be something he calls access-ability. One of Webster's definitions of "access "is" permission, liberty, or ability to enter, approach, or communicate with." When it comes to…

  8. When students from different professions are co-located: the importance of interprofessional rapport for learning to work together.

    PubMed

    Croker, Anne; Fisher, Karin; Smith, Tony

    2015-01-01

    With increasing interest and research into interprofessional learning, there is scope to more deeply understand what happens when students from different professions live and study in the same location. This study aimed to explore the issue of co-location and its effects on how students learn to work with other professions. The setting for this study was a rural health education facility in Australia with close links to local health care and community services. Philosophical hermeneutics informed the research method. Interviews were undertaken with 29 participants, including students, academic educators and clinical supervisors in diagnostic radiography, medicine, nursing, nutrition and dietetics, pharmacy, physiotherapy, occupational therapy, and speech pathology. Photo-elicitation was used to facilitate participant engagement with the topic. The findings foreground the value of interprofessional rapport building opportunities for students learning to work together. Enabled by the proximity of different professions in shared educational, clinical and social spaces, interprofessional rapport building was contingent on contextual conditions (balance of professions, shared spaces and adequate time) and individual's interpersonal capabilities (being interested, being inclusive, developing interpersonal bonds, giving and receiving respect, bringing a sense of own profession and being patient-centred). In the absence of these conditions and capabilities, negative professional stereotypes may be inadvertently re-enforced. From these findings suggestions are made for nurturing interprofessional rapport building opportunities to enable students of different professions to learn to work together. PMID:25010631

  9. Perceptions of rapport across the life span: Gaze patterns and judgment accuracy.

    PubMed

    Vicaria, Ishabel M; Bernieri, Frank J; Isaacowitz, Derek M

    2015-06-01

    Although age-related deficits in emotion perception have been established using photographs of individuals, the extension of these findings to dynamic displays and dyads is just beginning. Similarly, most eye-tracking research in the person perception literature, including those that study age differences, have focused on individual attributes gleaned from static images; to our knowledge, no previous research has considered cue use in dyadic judgments with eye-tracking. The current study employed a Brunswikian lens model analysis in conjunction with eye-tracking measurements to study age differences in the judgment of rapport, a social construct comprised of mutual attentiveness, positive feelings, and coordination between interacting partners. Judgment accuracy and cue utilization of younger (n = 47) and older (n = 46) adults were operationalized as correlations between a perceiver's judgments and criterion values within a set of 34 brief interaction videos in which 2 opposite sex college students discussed a controversial topic. No age differences emerged in the accuracy of judgments; however, pathways to accuracy differed by age: Younger adults' judgments relied on some behavioral cues more than older adults. In addition, eye-tracking analyses revealed that older adults spent more time looking at the bodies of the targets in the videos, whereas younger adults spent more time looking at the targets' heads. The contributions from both the lens model and eye-tracking findings provide distinct but complementary insights to our understanding of age-related continuities and shifts in social perceptual processing. PMID:25894485

  10. Carcinome basocellulaire de la face: à propos de quatre cas rapportés à Madagascar

    PubMed Central

    Razafindrakoto, Rex Mario; Razafindranaivo, Mananjara Nandrianina; Schammirah, Mahamad Rojovolaarivony; Randriamboavonjy, Rado

    2015-01-01

    Les carcinomes basocellulaires, fréquemment rencontrés dans la race blanche, sont plus rares chez les sujets de race noire. Les zones exposées de la tête sont des sites préférentiels, et une intense exposition aux rayons solaires ultraviolets a été évoquée dans leur étiopathogénie. Les métastases sont exceptionnelles. Les objectifs ont été de démontrer l'existence de carcinomes basocellulaires à Madagascar et d'en évaluer la prise en charge. Les auteurs ont rapporté quatre cas de carcinomes basocellulaires faciaux vus au service d'Oto-rhino-laryngologie du Centre Hospitalier Universitaire d'Antananarivo, avec deux hommes et deux femmes, âgés entre 46 et 70 ans (âge moyen= 53,5 ans). Une exérèse chirurgicale a été pratiquée chez trois patients tandis qu'un patient albinos a été traité par radiothérapie. L’épidémiologie, l’étiologie, l'anatomie pathologique et le traitement des carcinomes basocellulaires de la face ont été discutées à travers une revue de la littérature. PMID:26848344

  11. Errorless Embedding for Children with On-Task and Conduct Difficulties: Rapport-Based, Success-Focused Intervention in the Classroom

    ERIC Educational Resources Information Center

    Ducharme, Joseph M.; Harris, Kimberly E.

    2005-01-01

    Children exposed to psychosocial stressors often develop behavior disorders that include off-task responding in the classroom. We used errorless embedding, a rapport-based, nonpunitive intervention, to improve on-task behavior in such children. In a multiple-baseline across subjects design, we observed 5 children with severe behavioral…

  12. A + (B[subscript 1]) Professor--student Rapport + (B[subscript 2]) Humor + (B[subscript 3]) Student Engagement = (Y) Student Ratings of Instructors

    ERIC Educational Resources Information Center

    Richmond, Aaron S.; Berglund, Majken B.; Epelbaum, Vadim B.; Klein, Eric M.

    2015-01-01

    Teaching effectiveness is often evaluated through student ratings of instruction (SRI). Research suggests that there are many potential factors that can predict student's perceptions of teaching effectiveness such as professor-student rapport, student engagement, and perceived humor of the instructor. Therefore, we sought to assess whether…

  13. Watchfully checking rapport with the Primary Child Health Care nurses - a theoretical model from the perspective of parents of foreign origin

    PubMed Central

    2010-01-01

    Background Worldwide, multicultural interaction within health care seems to be challenging and problematic. This is also true among Primary Child Health Care nurses (PCHC nurses) in the Swedish Primary Child Health Care services (PCHC services). Therefore, there was a need to investigate the parents' perspective in-depth. Aim The aim of the study was to construct a theoretical model that could promote further understanding of the variety of experiences of parents of foreign origin regarding their interaction with the PCHC nurses at PCHC services. Method The study used Grounded Theory Methodology. Twenty-one parents of foreign origin in contact with PCHC servicies were interviewed. Results In our study parents were watchfully checking rapport, i.e. if they could perceive sympathy and understanding from the PCHC nurses. This was done by checking the nurse's demeanour and signs of judgement. From these interviews we created a theoretical model illustrating the interactive process between parents and PCHC nurses. Conclusion We found it to be of utmost importance for parents to be certain that it was possible to establish rapport with the PCHC nurse. If not, disruptions in the child's attendance at PCHC services could result. PCHC nurses can use the theoretical model resulting from this study as a basis for understanding parents, avoiding a demeanour and judgements that may cause misunderstandings thus promoting high-quality interaction in PCHC services. PMID:20646287

  14. The effect of expressive and instrumental touch on the behavior states of older adults with late-stage dementia of the Alzheimer's type and on music therapist's perceived rapport.

    PubMed

    Belgrave, Melita

    2009-01-01

    The purpose of this study was to examine the effect of music therapy interventions utilizing two types of touch, expressive touch and instrumental touch, on the behavior states of older adults who have late-stage dementia of the Alzheimer's type. A secondary purpose of this study was to examine the perceived effectiveness of the music therapist when expressive and instrumental touch was employed during music therapy sessions. A within-subject design was used with 9 participants receiving 3 sessions in each of the experimental conditions: no touch, expressive touch, and instrumental touch. Results of a one-way ANOVA revealed that expressive touch was significantly more effective during the initial session in eliciting and maintaining alert behavior states than the instrumental and control conditions; however, there were no significant differences between the experimental and control conditions during the first and second session repetitions. Rapport ratings revealed that the therapist's client rapport was perceived to be significantly higher during both the expressive touch and instrumental touch conditions than during the control condition. These findings have important implications for music therapy practice and the effective use of nonverbal communication. PMID:19463031

  15. Effective Discipline in Maintaining Rapport with African American Students.

    ERIC Educational Resources Information Center

    Parker, Ernest L.

    The purpose of this paper is to examine the complex issue of discipline in American public schools in order to understand its effect on the black student and his human development. Discipline is one of the major problems in the educational system today. In the past, parents and teachers attempted to control children with reward and punishment,…

  16. Swedish Behavioural Science Research Reports. Beteendevetenskapliga Rapporter, 1982/1983.

    ERIC Educational Resources Information Center

    Jungskar, Marianne, Ed.

    This is the 1982-83 version of an annual catalogue of abstracts of the research reports published by the institutes of psychology and education in universities and teacher training colleges in Sweden. The abstracts are in English. (Abstracts of both English and Swedish papers are included.) The reports are grouped into the following broad subjects…

  17. Swedish Behavioural Science Research Reports, 1981/1982. (Beteendevetenskapliga Rapporter).

    ERIC Educational Resources Information Center

    Jungskar, Marianne, Ed.

    The 1981-1982 annual abstract publication on Swedish behavioral science research reports is presented. The collection of data was completed on May 15, 1982. The reports are grouped in categories according to Psychological Abstracts and EUDISED Thesaurus (multilingual thesaurus for information processing in the field of education). The ERIC…

  18. Politics and Pragmatics in the Crosscultural Management of "Rapport"

    ERIC Educational Resources Information Center

    Crawshaw, Robert; Harrison, Julia

    2007-01-01

    This paper examines the sociopragmatic character of intercultural communication between English Language Assistants (ELAs) and their "mentors" in French primary and secondary schools. With reference to Levinson's notion of "activity type", it argues that judgements by mentors as to what constitutes "allowable contributions" on the part of ELAs are…

  19. The Evolution of My Rapport: One Professor's Journey to Building Successful Instructor/Student Relationships

    ERIC Educational Resources Information Center

    Smith, Bryant

    2015-01-01

    Instructors often struggle to find the right balance of sternness and leniency with their students, especially in the beginning stages of their careers. An instructor who is too casual risks being overrun by students who do not take him or her seriously. The professor who is too strict might inadvertently thwart students' creativity and stifle…

  20. Implementation of an Asynchronous Workshop for STEM Educators Designed to Enhance Professor-Student Rapport

    ERIC Educational Resources Information Center

    Christe, Barbara

    2015-01-01

    Expanding faculty buy-in to retention efforts may be improved through training and opportunities for assessment. Materials created for science, technology, engineering and mathematics (STEM) faculty based on the scholarly literature may dispel the view held by some that student attrition is beneficial to STEM disciplines and may expand an…

  1. Participation Apprehensive Students: The Influence of Face Support and Instructor-Student Rapport on Classroom Participation

    ERIC Educational Resources Information Center

    Frisby, Brandi N.; Berger, Erin; Burchett, Molly; Herovic, Emina; Strawser, Michael G.

    2014-01-01

    Participation is considered a positive student classroom behavior that can also create a face-threatening classroom climate that may be alleviated through interpersonal relationships with the instructor. Participants (N?=?189) categorized as low apprehensives perceived less face threat and more face support when participating; moderate…

  2. The Relationship of Verbal Interaction Patterns and Teacher-Student Rapport of Selected ESCP Teachers.

    ERIC Educational Resources Information Center

    Roth, Robert August

    Reported is an investigation of the instructional styles of 23 earth science teachers who used the Earth Science Curriculum Project (ESCP) materials and text with eighth- or ninth-grade students. Flanders' interaction analysis system was used as a basis for the observations. The differences in teaching procedures were identified by using the…

  3. The First Day of Class: Establishing Rapport as Well as Ground Rules.

    ERIC Educational Resources Information Center

    Hudson, Larry

    This document summarizes a presentation and student responses from a workshop for graduate teaching assistants (GTAs) attended by 84 GTAs. The focus of the presentation and discussions was on the first day of class, setting goals for the course and introducing the subjects and the instructor. Participants entered their comments into an Alpha Smart…

  4. Promoting Intrapersonal Qualities in Adolescents: Evaluation of Rapport's Teen Leadership Breakthrough Program

    ERIC Educational Resources Information Center

    Hindes, Yvonne L.; Thorne, Keoma J.; Schwean, Vicki L.; McKeough, Anne M.

    2008-01-01

    Given the number of negative influences on youth and the resultant potential for adverse outcomes, it is crucial to support their positive development. Leadership training programs can promote the development of adaptive intrapersonal qualities. The Teen Leadership Breakthrough (TLB) program claims to create sustainable changes in youth using…

  5. L'Operation Depart; Synthese des Rapports Regionaux (Operation Depart; A Synthesis of Regional Reports).

    ERIC Educational Resources Information Center

    Pelletier, Louis, Ed.; And Others

    Presented in two volumes, this comprehensive report on Operation Depart (the Quebec provincial continuing education scheme launched in 1967) describes its position in relation to the Roman Catholic educational system as a whole; the current status of adult education activities; urbanization and socioeconomic development in the nine major regions…

  6. La prosodie du discourse rapporte. Recherches sociolinguistiques 3 (The Prosody of Reported Discourse. Sociolinguistic Research 3).

    ERIC Educational Resources Information Center

    Demers, Monique

    A study investigated the relationship between syntax, discourse, and suprasegmentals in reported utterances (e.g., "He said,..."). The study is intended as both theoretical and descriptive, specifically, proposing a model of intonation in spontaneous oral Quebec French. The first chapter reviews research on Quebec French prosody, on oral…

  7. Education for All: Is the World on Track? Summary Report. EFA Global Monitoring Report, 2002 = Education pour Tous: Le Monde Est-Il sur la Bonne Voie? Resume du Rapport. Rapport Mondial de Suivi sur l'EPT, 2002.

    ERIC Educational Resources Information Center

    Colclough, Christopher; Packer, Steve; Ellis, Simon; Van Ravens, Jan; Barry, Ulrika Peppler; Bella, Nicole; Djioze, Valerie; Mputu, Hilaire; Aggio, Carlos; Cifuentes-Montoya, Mariana; Pinceau, Pascale; Nsengimana, Delphine

    In 2000 the World Education Forum, sponsored by UNESCO, met to assess and act on educational opportunities for children, youth, and adults around the world. The forum agreed on six goals for education considered to be essential, attainable, and affordable, given strong international commitment and resolve, and on a program called Education for All…

  8. Further Validation of the Learning Alliance Inventory: The Roles of Working Alliance, Rapport, and Immediacy in Student Learning

    ERIC Educational Resources Information Center

    Rogers, Daniel T.

    2015-01-01

    This study further examined the reliability and validity of the Learning Alliance Inventory (LAI), a self-report measure designed to assess the working alliance between a student and a teacher. The LAI was found to have good internal consistency and test--retest reliability, and it demonstrated the predicted convergence with measures of immediacy…

  9. VTI Driving Simulator: Mathematical Model of a Four-wheeled Vehicle for Simulation in Real Time. VTI Rapport 267A.

    ERIC Educational Resources Information Center

    Nordmark, Staffan

    1984-01-01

    This report contains a theoretical model for describing the motion of a passenger car. The simulation program based on this model is used in conjunction with an advanced driving simulator and run in real time. The mathematical model is complete in the sense that the dynamics of the engine, transmission and steering system is described in some…

  10. A Report of the Canadian Consultative Council on Multiculturalism 1977. Rapport du Conseil Consultatif Canadien du Multiculturalisme 1977.

    ERIC Educational Resources Information Center

    Canadian Consultative Council on Multiculturalism, Ottawa (Ontario).

    In its capacity as an advisory body to the Canadian Minister of State for Multiculturalism, the Canadian Consultative Council on Multiculturalism prepared this report, written in English and French, in order to compare the government's policy of multiculturalism with its realization in practice. The work was conducted through five standing…

  11. First Annual Report of the Canadian Consultative Council on Multiculturalism. Premier Rapport Annuel du Conseil Canadien Consultatif du Multiculturalisme.

    ERIC Educational Resources Information Center

    Canadian Consultative Council on Multiculturalism, Ottawa (Ontario).

    This booklet, written in both English and French, reports on the activities of the Canadian Consultative Council on Multiculturalism since its formation in 1973. Chapters are presented on the retention of language and culture, overcoming inequalities, community cultural centers and multicultural centers, ethnic press and mass media, the arts,…

  12. Nominal Address and Rapport Management in Informal Interactions among University Students in Quito (Ecuador), Santiago (Chile) and Seville (Spain)

    ERIC Educational Resources Information Center

    Placencia, María Elena; Fuentes Rodríguez, Catalina; Palma-Fahey, María

    2015-01-01

    Nominal and pronominal address forms, which play a central role in the construction of interpersonal relations (cf. Bargiela et al. 2002; Clyne et al. 2009), have been the focus of attention in different linguistics subfields for several decades now. Less attention, however, has been paid to these forms from a variational pragmatics (Schneider and…

  13. FORUM: Instructional Communication and Millennial Students: Hoverboards and "Hovermoms": Helicopter Parents and Their Influence on Millennial Students' Rapport with Instructors

    ERIC Educational Resources Information Center

    Frey, T. Kody; Tatum, Nicholas T.

    2016-01-01

    Popular culture is all too familiar with the notion of the helicopter parent. This suffocating sheltering extends students' adolescence and delays the development of independence (Price, 2010), causing millennials to rely on their parents for financial stability (White, 2015) and emotional support (Raphelson, 2014). Even in the midst of…

  14. Reports from the International Conference on Education, 1977. Rapports de la Conference internationale de l'education, 1977.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Paris (France).

    This dual-language catalog contains abstracts of 188 documents prepared for the 1977 International Conference on Education. The documents describe educational policies toward development, major trends in education, and the problem of information at the national and international levels posed by the improvement of educational systems. Abstracts are…

  15. Improvements in Unmarried African American Parents' Rapport, Communication, and Problem-Solving Following a Prenatal Coparenting Intervention.

    PubMed

    McHale, James P; Salman-Engin, Selin; Coovert, Michael D

    2015-12-01

    This report examines effects of a coparenting intervention designed for and delivered to expectant unmarried African American mothers and fathers on observed interaction dynamics known to predict relationship adjustment. Twenty families took part in the six-session "Figuring It Out for the Child" (FIOC) dyadic intervention offered in a faith-based human services agency during the third trimester of the mother's pregnancy, and completed a postpartum booster session 1 month after the baby's arrival. Parent referrals for the FIOC program were received from a county Health Department and from OBGYNs and Pregnancy Centers in the targeted community. All intervention sessions were delivered by a trained male-female paraprofessional team whose fidelity to the FIOC manualized curriculum was independently evaluated by a team of trained analysts. At both the point of intake ("PRE") and again at an exit evaluation completed 3 months postpartum ("POST"), the mothers and fathers were videotaped as they completed two standardized "revealed differences" conflict discussions. Blinded videotapes of these sessions were evaluated using the System for Coding Interactions in Dyads. Analyses documented statistically significant improvements on 8 of 12 variables examined, with effect sizes ranging from moderate to large. Overall, 14 families demonstrated beneficial outcomes, 3 did not improve, and 3 showed some signs of decline from the point of intake. For most interaction processes, PRE to POST improvements were unrelated to degree of adherence the paraprofessional interventionists showed to the curriculum. However, better interventionist competence was related to decreases in partners' Coerciveness and Negativity and Conflict, and to smaller increases in partner Withdrawal. Implications of the work for development and delivery of community-based coparenting interventions for unmarried parents are discussed. PMID:25754186

  16. Avis de l’ANSES/Rapport d’expertise collective: Analyse de risque phytosanitaire express Halyomorpha halys – la punaise diabolique

    Technology Transfer Automated Retrieval System (TEKTRAN)

    [translation: ANSES Phytosanitary Expert Pest Risk Assessment for Halyomorpha halys, the brown marmorated stink bug, in France] Halyomorpha halys is now present in France in Alsace and in several neighboring countries (Switzerland and Italy). The potential risk of invasion of H. halys throughout Fr...

  17. Manitoba Task Force on Francophone Schools Governance. Report = Groupe de travail manitobain sur la gestion des ecoles franco-manitobaines. Le rapport.

    ERIC Educational Resources Information Center

    Manitoba Dept. of Education and Training, Winnipeg.

    Findings of a task force on introduction of a school governance system for Manitoba's (Canada) francophone minority population are reported. The document outlines the background--i.e., the Canadian context--of this report, principles and procedures, the resulting recommended structure for governance, and suggestions for addressing such issues as…

  18. Rapport d’évaluation des besoins de formation de l’Association canadienne de gastro-entérologie 2009

    PubMed Central

    Rostom, Alaa; Daniels, Sandra

    2009-01-01

    C’est en avril 2009 que l’Association canadienne de gastroentérologie a mené son plus récent sondage annuel en ligne auprès de ses membres afin de connaître leurs besoins en matière de formation. En tout, 261 personnes ont répondu au sondage. Comme lors des années précédentes, les sujets entourant les maladies inflammatoires de l’intestin (MII) et plus particulièrement, les traitements pour la maladie de Crohn et la colite ulcéreuse (CU), de même que les cas de MII rebelles, ont été les plus en demande pour les activités de formation à venir. Parmi les autres thèmes populaires, mention-nons les techniques et les traitements endoscopiques, la maladie cœliaque, la prise en charge des infections gastro-intestinales (IGI) et l’endoscopie en direct. Les deux types d’activités de formation les plus attrayantes ont été les conférences et les présentations en Webdiffusion et le portail didactique de l’ACG offrant des liens vers des présentations en ligne, des tests d’auto-évaluation et le suivi des crédits de maintien du certificat (MainCert).

  19. Understanding the role of physician attire on patient perceptions: a systematic review of the literature— targeting attire to improve likelihood of rapport (TAILOR) investigators

    PubMed Central

    Petrilli, Christopher Michael; Mack, Megan; Petrilli, Jennifer Janowitz; Hickner, Andy; Saint, Sanjay; Chopra, Vineet

    2015-01-01

    Objectives Despite a growing body of literature, uncertainty regarding the influence of physician dress on patients’ perceptions exists. Therefore, we performed a systematic review to examine the influence of physician attire on patient perceptions including trust, satisfaction and confidence. Setting, participants, interventions and outcomes We searched MEDLINE, Embase, Biosis Previews and Conference Papers Index. Studies that: (1) involved participants ≥18 years of age; (2) evaluated physician attire; and (3) reported patient perceptions related to attire were included. Two authors determined study eligibility. Studies were categorised by country of origin, clinical discipline (eg, internal medicine, surgery), context (inpatient vs outpatient) and occurrence of a clinical encounter when soliciting opinions regarding attire. Studies were assessed using the Downs and Black Scale risk of bias scale. Owing to clinical and methodological heterogeneity, meta-analyses were not attempted. Results Of 1040 citations, 30 studies involving 11 533 patients met eligibility criteria. Included studies featured patients from 14 countries. General medicine, procedural (eg, general surgery and obstetrics), clinic, emergency departments and hospital settings were represented. Preferences or positive influence of physician attire on patient perceptions were reported in 21 of the 30 studies (70%). Formal attire and white coats with other attire not specified was preferred in 18 of 30 studies (60%). Preference for formal attire and white coats was more prevalent among older patients and studies conducted in Europe and Asia. Four of seven studies involving procedural specialties reported either no preference for attire or a preference for scrubs; four of five studies in intensive care and emergency settings also found no attire preference. Only 3 of 12 studies that surveyed patients after a clinical encounter concluded that attire influenced patient perceptions. Conclusions Although patients often prefer formal physician attire, perceptions of attire are influenced by age, locale, setting and context of care. Policy-based interventions that target such factors appear necessary. PMID:25600254

  20. Opportunities for Tomorrow: National Learning Needs Assessment Summary Report = Des Possibilities pour L'Avenir: Rapport Sommaire sur L'Evaluation Nationale des Besoins en Apprentisage.

    ERIC Educational Resources Information Center

    Communications, Energy & Paperworkers Union of Canada, Ottawa (Ontario).

    The Communications, Energy, and Paperworkers Union of Canada assessed literacy learning needs. In focus group discussions, members were asked their perception of such needs in the face of changes in the workplace and society; local union officers (LUOs) were asked how they saw the role of unions in supporting members' literacy learning; employers…

  1. Still Picture Telephones for Persons with Profound Mental Retardation. Telematik och Handikapp, Rapport 92:9 (Telematics and Disability, Report 92:9).

    ERIC Educational Resources Information Center

    Brodin, Jane; Bjorck-Akesson, Eva

    This project studied the use of still picture telephones by four Swedish adults (ages 25-45) with profound mental retardation and additional severe disabilities. After 5 to 6 months of subjects employing still picture telephones on a regular basis in their daily lives, relatives, staff from group homes, and other caregivers completed…

  2. Association of Canadian Community Colleges Annual Report, 2004-2005 = Rapport annuel d'Association des colleges communautaires du Canada, 2004-2005

    ERIC Educational Resources Information Center

    Association of Canadian Community College, 2005

    2005-01-01

    The 2004-2005 year signaled the arrival of some profound changes to the governing structure of the Association. As part of the ongoing re-focus of the Association, the Board of Directors undertook an examination of the overall governance structure. Presented at the 2004 Annual General Meeting and discussed at the Board level throughout the year,…

  3. Gathering Strength: Canada's Aboriginal Action Plan. A Progress Report = Rassembler nos forces: Le plan d'action du Canada pour les questions autochtones. Rapport d'etape.

    ERIC Educational Resources Information Center

    Department of Indian Affairs and Northern Development, Ottawa (Ontario).

    Gathering Strength is an integrated government-wide plan to address the key challenges facing Canada's Aboriginal people. Following an initial section on reconciliation of historic grievances, this report describes initiatives in the four areas addressed by the action plan: (1) partnerships (all schools received public awareness materials;…

  4. Fiche pratique: Le discours rapporte; Le chagrin et al pitie; Les cadres; Fort de cafe (Practical Ideas: Retold Stories; Shame and Pity; Settings; Full of Coffee).

    ERIC Educational Resources Information Center

    Store-Rao, Neelanbari; And Others

    1994-01-01

    Four ideas for French language instruction are described, including an exercise in summarizing or retelling something told to one; an exercise in descriptive and expressive language; an exploration of the different uses of the word "cadre"; and activities related to coffee in different cultures. (MSE)

  5. Recherches Sur La Psychologie de L'enfant de Milieu Defavorise. Rapport- synthese. (Research Relating to the Psychology of the Child in Disadvantaged Environments. Summary Report).

    ERIC Educational Resources Information Center

    Caouette, Charles E.; Bourbeau, Gerald

    Thirteen doctoral dissertations and five masters theses are summarized in this report of research on the disadvantaged child. Contained in each individual summary are the detailed descriptions of the experimental task, the results obtained and the analysis of these results. The eighteen individual theses are concerned with topics such as:…

  6. Conseil de la Cooperation Culturelle et Fonds Culturel. Rapport Annuel 1972. (Council for Cultural Co-operation and Cultural Fund. Annual Report 1972.)

    ERIC Educational Resources Information Center

    Council for Cultural Cooperation, Strasbourg (France).

    This document is a report on the activities of the Council for Cultural Co-Operation (CCC) and Cultural Fund for 1972. The CCC is briefly defined as being designed to reinforce educational and cultural cooperation among the 21 countries of the CCC, especially in matters of research, information, and documentation. The document is composed of…

  7. Sciences Humaines Assessment, Manitoba 1991. Final Report: French Immersion Program = Evaluation en sciences humaines, Manitoba 1991. Rapport finale: Programme d'immersion francaise.

    ERIC Educational Resources Information Center

    Manitoba Dept. of Education and Training, Winnipeg. Curriculum Services Branch.

    This document is the second of two reports of the findings of the 1991 "Sciences...humaines" Assessment for grades 8 and 10 conducted in Franco-Manitoban schools and in French immersion programs in Manitoba, Canada. The report on the French immersion course is presented in parallel French and English versions, and a separate report, in French…

  8. Commission d'evaluation de l'enseignement collegial Rapport annuel, 1994-1995 (Commission on the Evaluation of Collegiate Teaching Annual Report, 1994-1995).

    ERIC Educational Resources Information Center

    Quebec Commission on the Evaluation of Collegiate Teaching (Quebec).

    The Commission on the Evaluation of Collegiate Teaching (CETC) was established in July 1993 by the Quebec government to assess methods in place at province community colleges for evaluating instruction and make recommendations for improvements. This report reviews the Commission's activities, organization, and financial resources for the 1994-95…

  9. Commission d'Evaluation de l'Enseignement Collegial Rapport Annuel, 1995-1996 (Commission on the Evaluation of Collegiate Teaching Annual Report, 1995-1996).

    ERIC Educational Resources Information Center

    Quebec Commission on the Evaluation of Collegiate Teaching (Quebec).

    The Commission on the Evaluation of Collegiate Teaching (CETC) was established in July 1993 by the Quebec (Canada) government to assess methods in place at provincial community colleges for evaluating instruction and to make recommendations for improvements. This report reviews the Commission's activities, organization, and financial resources for…

  10. Projektarbejde i fremmedsprogene: Rapport fra seminar pa Roskilde Universitetscenter (Project Work in Foreign Languages: Report from a Seminar at Roskilde University Center). ROLIG-papir 38.

    ERIC Educational Resources Information Center

    Jakobsen, Karen Sonne, Ed.

    This report describes a seminar at Roskilde University Center (Denmark) on project work in foreign languages, which brought together language teachers and theorists from different schools, including universities, business schools, technical schools, merchants schools, and high schools, to discuss their experiences with project work in foreign…

  11. Traçage des apports anthropiques sur un petit bassin versant: utilisation des rapports isotopiques du strontium, des éléments majeurs et traces

    NASA Astrophysics Data System (ADS)

    Négrel, Philippe

    1997-06-01

    The chemical composition of river water is influenced by both the lithology of the basins drained by the river and anthropogenic influences (villages, salting of roads, agriculture, atmospheric pollution, etc.) along its banks. The fluxes of chemical elements were studied along a river valley stretching W-E from the headwaters of the various affluents to the outlet of the river. Strontium isotope differences enabled identification of potential sources (rocks, atmosphere, pollution).

  12. Universal Lessons Learned by a Gastroenterologist from a Deaf and Mute Patient: The Importance of Nonverbal Communication and Establishing Patient Rapport and Trust

    ERIC Educational Resources Information Center

    Cappel, Mitchell S.

    2009-01-01

    Deaf and mute patients may require minimal extra attention to establish trust and allay anxieties before minor medical maneuvers such as rectal examination. An "extreme" case is reported of the consequences from failure to accomplish this. A generally cooperative deaf and mute patient struggled and suffered a rectal tear and perforation during…

  13. Bridging the Distance: A Report on Four Distance Education Workshops Held February 1991 = La distance apprivoisee: Un rapport de quatre ateliers sur la formation a distance tenus en feview 19911.

    ERIC Educational Resources Information Center

    McGreal, Rory; And Others

    This report summarizes activities and recommendations from workshops in Northern Ontario, Canada which were designed to inform principals of the details of the distance education initiative and to examine problems involved in the delivery and reception of distance education courses at the secondary level. Separate workshops were organized for…

  14. Mesures conjointes des rapports Sr/Ca et δ 18O effectuées sur Acropora nobilis et Pontes lutea: le paléothermomètre Sr/Ca est-il toujours fiable?

    NASA Astrophysics Data System (ADS)

    Boiseau, Muriel; Cornu, Hélène; Turpin, Laurent; Juillet-Leclerc, Anne

    1997-11-01

    We measured the Sr/Ca and 18O/ 16O ratios in Acropora nobilis and Porites lutea, from the Mayotte lagoon. As the variations of δ 18O seawater are negligible, coral δ 18O aragonite reflects only seasonal temperature variations. While there is a good agreement between the Sr/Ca ratio and δ 18O for Acropora nobilis, it is not the case for Porites lutea. Coral biological and environmental parameters cannot explain the discrepancies between Sr/Ca ratios and isotopic measurements. However, transport mechanisms of Sr 2+ and Ca 2+ and the presence of two mineralogical structures of strontium may affect the Sr/Ca ratio.

  15. Langue et rapports sociaux. Analyse des language d'usage chez des Italiens de deuxieme generation (Language and Social Relationships. Analysis of Languages Used by Second-Generation Italians).

    ERIC Educational Resources Information Center

    Fortier, Anne-Marie

    A study investigated the choice of language (French, English, or Italian) for different activities and with different individuals among second-generation Italians in Quebec through interviews with 12 adults. The report first provides a sociolinguistic profile of the subjects and identifies the social factors associated with language choice in…

  16. Évolution environnementale et climatique du désert de Namib depuis le Miocène moyen : contribution des rapports isotopiques du carbone des coquilles d'œufs de ratites

    NASA Astrophysics Data System (ADS)

    Segalen, Loı̈c; Renard, Maurice; Pickford, Martin; Senut, Brigitte; Cojan, Isabelle; Le Callonnec, Laurence; Rognon, Pierre

    2002-09-01

    Carbon isotope ratios of ratite eggshells were measured in samples without diagenetic alterations. Temporal evolution (Miocene to Recent) of this ratio is related to the diet of the birds, which reflects a fluctuation in the percentage of C 3 and C 4 plants in the Namib ecosystem. The palaeoclimatic implications are discussed. To cite this article: L. Segalen et al., C. R. Geoscience 334 (2002) 917-924.

  17. African Regional Symposium on Telematics for Development. Report and Recommendations = Colloque regional africain la telematique au service du developpement. Rapport et recommandations (Addis Ababa, Ethiopia, April 3-7, 1995).

    ERIC Educational Resources Information Center

    International Telecommunication Union, Geneva (Switzerland).

    The African Regional Symposium on Telematics for Development was organized in view of the special educational and communication needs of Africa in a time of accelerating change and development of information technologies. The symposium brought together more than 150 African specialists, and over 40 participants from other regions and development…

  18. Mesure du rapport d'embranchement et du facteur deforme de la d_sint_gration B0 to pilnu, et d_termination de |Vub| avec unetechnique de reconstruction rel_ch_e du neutrino

    SciTech Connect

    Cote, David

    2007-04-01

    The authors report the results of a study of the exclusive charmless semileptonic decay, B0 → π-+v, undertaken with approximately 227 million B$\\bar{B}$ pairs collected at the Y(4S) resonance with the BABAR detector. The analysis uses events in which the signal B decays are reconstructed with an innovative loose neutrino reconstruction technique. They obtain partial branching fractions in 12 bins of q2, the momentum transfer squared, from which they extract the f +(q2) form-factor shape and the total branching fraction β(B0 → π-+v) = (1.46 ± 0.07stat ± 0.08syst) x 10-4. Based on a recent unquenched lattice QCD calculation of the form factor in the range q2 > 16 GeV2/c4, they find the magnitude of the CKM matrix element |Vub| to be (4.1 ± 0.2stat ± 0.2syst$+0.6\\atop{-0.4}$FF}) x 10-3, where the last uncertainty is due to the normalization of the form factor.

  19. Interprétation cohérente du coefficient de Poisson négatif rapporté dans des multicouches métalliques : rôle du paramètre libre de contrainte

    NASA Astrophysics Data System (ADS)

    Badawi, K. F.; Goudeau, Ph.; Durand, N.

    1998-04-01

    Elastic properties of multilayers with low period thickness show in some cases anomalies which are generally correlated with structural modifications in individual layers. In the recent past, several studies have evidenced using X-ray diffraction in-plane and out-of-plane strains with the same sign. Some authors have then proposed in the case of W/Ni and Nb/Cu metallic superlattices to use a negative Poisson's ratio. This result is surprising because the value of this coefficient in metals is generally positive. In this article, we introduce a novel interpretation mainly based on the experimental determination by sin^2Psi method of the reference parameter (stress-free lattice parameter) used in strain calculations. Then, we show that the introduction of the bulk parameter instead of stress-free parameter for the reference parameter is an unrealistic assumption in the case of thin films and multilayers (W and Ag/Ni) and may thus lead to wrong results which are then in total disagreement with those obtained by other techniques. Therefore, the elastic anomaly concerning Poisson's ratio which has been reported by some authors in scientific literature do not result from real structure of multilayers but from experimental X-ray diffraction data analysis. Les propriétés élastiques dans certains systèmes multicouches de faible période présentent des anomalies qui sont généralement associées à des modifications des propriétés structurales de chacune des couches. Ainsi, plusieurs études ont mis en évidence par diffraction des rayons X des déformations de même signe dans le plan et selon la normale au plan des couches déposées. Certains auteurs ont alors proposé dans le cas de systèmes métalliques W/Ni et Nb/Cu l'utilisation d'un coefficient de Poisson négatif. Ce résultat est surprenant car la valeur de ce coefficient pour les métaux est généralement positive. Dans cet article, nous présentons une nouvelle interprétation reposant sur la détermination expérimentale par la méthode des sin^2Psi de la référence (paramètre libre de contrainte) servant de base au calcul des déformations. Nous montrons alors que l'introduction du paramètre du matériau massif comme référence est une hypothèse irréaliste dans le cas des films minces et multicouches (W et Ag/Ni) qui peut conduire à des résultats erronés et en total désaccord avec ceux obtenus par d'autres techniques. Ainsi, l'anomalie élastique au niveau du coefficient de Poisson soulevée par certains auteurs dans la littérature n'est pas imputable à la structure elle-même mais à l'analyse qui est faite des données expérimentales obtenues par diffraction des rayons X.

  20. Evaluation en francais de base: La production orale et ecrite, secondaire 1 et 4, 1993. Rapport global (Basic French Assessment: Speaking and Writing Skills, Senior 1 and 4, 1993. Final Report).

    ERIC Educational Resources Information Center

    Manitoba Dept. of Education, Winnipeg. Bureau of French Education.

    The report, entirely in French, details an assessment of the extent to which Manitoba schools are meeting the learning objectives for speaking and writing skills specified for senior (secondary) levels 1 and 4 in the basic French curriculum for the province. For each level and skill area, a random sample of students representing urban and rural…

  1. Evaluation en francais de base: La production orale et ecrite, secondaire 1 et 4, 1993. Rapport sommaire (Basic French Assessment: Speaking and Writing Skills, Senior 1 and 4, 1993. Summary Report).

    ERIC Educational Resources Information Center

    Manitoba Dept. of Education, Winnipeg. Bureau of French Education.

    The report, entirely in French, summarizes an assessment of the extent to which Manitoba schools are meeting the learning objectives for speaking and writing skills specified for senior (secondary) levels 1 and 4 in the basic French curriculum for the province. For each level and skill area, a random sample of students representing urban and rural…

  2. A Cappella: A Report on the Realities, Concerns, Expectations and Barriers Experienced by Adolescent Women in Canada = A Cappella: Rapport sur les realites, preoccupations, attentes et obstacles que connaissent les adolescentes au Canada.

    ERIC Educational Resources Information Center

    Canadian Teachers' Federation, Ottawa (Ontario).

    In the spring of 1990 a project was undertaken in Canada to document the major concerns and perceptions of adolescent women; to supplement the words of adolescent women with brief summaries of current knowledge; to use the words of adolescent women and the additional knowledge gathered to provide information to young women on issues which are of…

  3. Connaissances, attitudes et pratiques de la population de l'aire de santé SAMBWA en rapport avec le traitement de l'onchocercose à l'ivermectine sous directives communautaires

    PubMed Central

    Philippe, Cilundika Mulenga; Bienvenu, Yogolelo Asani; Francoise, Malonga Kaj; Eric, Mukomena Sompwe; Abdon, Mukalay wa Mukalay; Luboya, Oscar Numbi

    2014-01-01

    Introduction L'onchocercose constitue un problème majeur de santé publique et l'on a noté environ 13 millions de personnes affectées et 26 millions exposées au cours de l'année 2012 en RDC. L'objectif de notre étude est fournir les données sur le niveau de connaissance, d'attitudes et des pratiques de la communauté huit ans après le lancement de la distribution de l'ivermectine sous directives communautaires. Méthodes Il s'agit d'une étude descriptive transversale dans la communauté de l'aire de santé SAMBWA de la zone de santé de KAFUBU. La population cible de l’étude est toute personne de la communauté âgée de 15 à 65 ans. Les paramètres étudiés sont: âge, niveau d'instruction, connaissance de la maladie en langue locale et des signes, attitudes devant les personnes atteintes, perception de la maladie, utilisation des pratiques traditionnelles, association entre le niveau d'instruction et la connaissance de savoir si l'on peut suivre un traitement. Résultats La moyenne d’âge des répondants était de 38±14 ans et 67,54% des enquêtés étaient de niveau primaire. L’étude a montré que 99,53% des répondants connaissaient le terme onchocercose en langue locale (UBUMFUKU) et un niveau moyen de connaissance en ce qui concerne les lésions de la peau (66,9%) était noté. 1,9% des répondants craignaient les personnes atteintes et 42,2% des répondants percevaient l'onchocercose comme une maladie. Une proportion de 55% qui prenaient les plantes comme médicament. Il y avait association significative entre le niveau d'instruction et la connaissance de suivre un traitement contre l'onchocercose (p: 0,008). Conclusion Ces résultats interpellent en ce qui concerne la sensibilisation de la communauté sur l'onchocercose. Les stratégies de lutte contre l'onchocercose devraient prendre en compte ces différentes insuffisances de la communauté pour améliorer le traitement des masses par l'ivermectine tant au niveau du ménage que des coordinations de programme de lutte. PMID:25932069

  4. Implications of Declining Enrolment for the Schools of Ontario. A Statement of Effects and Solutions. Final Report. [Incidences de la Baisse des Effectifs Scolaires sur les Ecoles de l'Ontario. Problemes et Solutions. Rapport Final].

    ERIC Educational Resources Information Center

    Jackson, R. W. B.

    In this final report concerning declining enrollments in Ontario, the problems are defined almost entirely in economic and financial terms, and the solutions expressed in those terms. The first section of the report briefly reviews the essential background, the economic and financial constraints, and finally the demographic facts. The arguments…

  5. Les rivières et les sources de la Plaine du Cul-de-Sac: extrait du rapport sur les eaux souterraines de la Plaine du Cul-de-Sac

    USGS Publications Warehouse

    Taylor, George C., Jr.; Lemoine, Rémy C.

    1949-01-01

    Les principales rivières de la Plaine du Cul-de-Sac, la Rivière Grise ou Grande Rivière du Cul-de-Sac et la Rivière Blanche, prennent naissance sur le flanc Nord du Massif de la Selle à des altitudes de 1,300 à 1,800 mètres au dessus du niveau de la mer. Elles coulent à l’amont à travers des gorges profondes et sont éloignées de 9 Kms. dans la partie central de la bordure Sud de la plaine.

  6. Le Rapport langue-culture dans les organisations internationales: Pour Une Sociologie des organisations internationales (The Relationship between Language and Culture in International Organizations: Toward a Sociology of International Organizations).

    ERIC Educational Resources Information Center

    Jastrab de Saint Robert, de Marie-Josee

    1988-01-01

    Understanding the work of international organizations requires an understanding of the relationship between language and culture, a relationship evident in the activities of the international organizations. This relationship is partly responsible for the negative image of such organizations. Research in the sociology of international organizations…

  7. Enquetes sur Differents Aspects de la Vie Sociale a Rennes et en Bretagne. Rapports des Groupes d'Etudes (Inquiries into Various Aspects of the Social Life at Rennes and in Brittany. Reports of Study Groups).

    ERIC Educational Resources Information Center

    Saint Catherine Coll., St. Paul, Minn.

    This collection of reports on French civilization represents the efforts of several teams of students participating in the 1964 NDEA summer institute at Rennes, France. As a partial requirement for the civilization course, the groups submitted field study reports of the cultural life at Rennes and Brittany including: (1) environment and…

  8. Enquetes sur les transformations economiques et sociales de la France: Rapports des groupes d'etudes. Travaux pratiques de civilisation, Rennes-1968 (Investigations of Economic and Social Change in France: Reports of Study Groups. Applied Studies in Civilization, Rennes-1968).

    ERIC Educational Resources Information Center

    Philip, Sister Marie, Ed.; And Others

    Investigations into the sociocultural pattern of life in Rennes, France, are presented in this study. Topics include: (1) the modern family in Rennes, (2) the university generation, (3) social growth and expansion, (4) life in the Maurepas quarter, (5) cultural development, (6) shops and shopkeepers, (7) French eating habits, (8) rural living, and…

  9. Biologie 200. French Immersion Program and Franco-Manitoban Schools. Manitoba Science Assessment 1992. Final Report = Biologie 200. Programme d'immersion francaise et ecoles franco-manitobaines. Evaluation en sciences Manitoba 1992. Rapport final.

    ERIC Educational Resources Information Center

    Manitoba Dept. of Education and Training, Winnipeg. Curriculum Services Branch.

    This report describes the June 1992 assessment of the Biologie 200 curriculum in schools in Manitoba, Canada. It contains a description and analysis of the test results and the teacher survey. The report also includes recommendations on ways to improve the Biologie 200 curriculum and how it is taught in the French Immersion program and…

  10. Highlights of Self-Employment of Ethnocultural Groups in Canada, Reports 1 to 4 = Les Travailleurs Independants Chez Les Groupes Ethnoculturels Du Canada--Faits Saillants, Rapports 1 a 4.

    ERIC Educational Resources Information Center

    Department of the Secretary of State, Ottawa (Ontario). Multiculturalism Directorate.

    This document consists of both English and French versions of four reports which highlight the self-employment status of various ethnocultural groups in Canada. The first report introduces the publication by discussing the role of the small business sector and self-employment in Canada's economy as a whole. The importance of the ethnic groups to…

  11. Style d'intervention pedagogique, relations affectives enseignants-etudiants et engagement par rapport a la matiere (Style of Pedagogic Intervention, Teacher-Student Affective Relations, and Engagement in Content Material).

    ERIC Educational Resources Information Center

    Bujod, Neree; Saint-Pierre, Henri

    1996-01-01

    In a study at Laval University (Canada), 94 faculty were surveyed concerning their teaching style, and over 3,000 of their students were also surveyed concerning teaching style, closeness of relationship with the teacher, satisfaction with teaching style, positive feelings toward teacher, and course satisfaction and involvement in learning the…

  12. New Strategies To Combat Long-Term Unemployment in Belgium, Denmark and the United Kingdom. Synthesis Report = Nouvelles strategies de lutte contre le chomage de longue duree en Belgigue, au Danemark, et au Royaume-Uni. Rapport de synthese.

    ERIC Educational Resources Information Center

    Geers, Frederik; And Others

    This synthesis report provides information to policy makers, practitioners, and researchers on the new strategies and measures adopted in Belgium, Denmark, and the United Kingdom to combat long-term unemployment. It begins with a summary of strategies and measures adopted in each of the three countries. Each country report highlights the following…

  13. Effects of Learner-Instructor Relationship-Building Strategies in Online Video Instruction

    ERIC Educational Resources Information Center

    Kim, Yanghee; Thayne, Jeffrey

    2015-01-01

    Although research has demonstrated that an increased rapport between instructors and learners can positively relate with increased learning gains, perhaps mediated by the positive attitudes toward the course and self-efficacy beliefs in the coursework, little has been done to test what instructional strategies might increase this rapport in online…

  14. The Attributes of Effective Lecturers of English as a Foreign Language as Perceived by Students in a Korean University

    ERIC Educational Resources Information Center

    Barnes, Bruce D.; Lock, Graeme

    2010-01-01

    This study, conducted in a Korean university setting, examines student beliefs about the attributes of effective lecturers of English as a foreign language. Student opinions about rapport and delivery type attributes are particularly informative. Rapport attributes were the major focus of discussion and viewed as particularly important in Korean…

  15. Report of the National Sub-Committee to the Interprovincial Standards Program Coordinating Committee on the Interprovincial Computerized Examination Management System=Rapport du Sous-Comite National presente au Comite de Coordination du Programme de Normes Interprovincials sur le systeme de gestion des examens informatises interprovinciaux.

    ERIC Educational Resources Information Center

    New Brunswick Dept. of Advanced Education and Training, Fredericton. Interprovincial Standards Program Coordinating Committee.

    In January 1985, Employment and Immigration Canada funded a pilot project in New Brunswick for the development and testing of an Interprovincial Computerized Examination Management (ICEM) System. The resulting system is comprised of a dual interprovincial and provincial item bank facility, a software component offering the option of computerized…

  16. International Project on Technical and Vocational Education (UNEVOC). International Advisory Committee (Third Session, Paris, France, October 2-4, 1995). Final Report = Projet International pour l'Enseignement Technique et Professionnel (UNEVOC). Comite Consultatif International (Troisieme Session, Paris, France, 2-4 octobre 1995). Rapport Final.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Paris (France).

    The international advisory committee of the International Project on Technical and Vocational Education (UNEVOC) held its third session in Paris in October 1995. Advisory committee members and observers from the United Nations' specialized, intergovernmental, and nongovernmental organizations reviewed the major UNEVOC project activities undertaken…

  17. Garde a l'enfance: Etude sur la remuneration et les conditions de travail dans le domaine de la garde a l'enfance au Canada. Rapport final (Caring for a Living: A Study on Wages and Working Conditions in Canadian Child Care. Final Report).

    ERIC Educational Resources Information Center

    Canadian Child Care Federation, Ottawa (Ontario).

    Between November 1990 and August 1992, a study examined wages and working conditions of child care staff in both licensed group centers and family day care homes in Canada. Three instruments were developed for the study, a short telephone interview for center directors, a follow-up director's questionnaire, and a staff questionnaire. The study…

  18. Linking: Today's Libraries, Tomorrow's Technologies. Report of the Bibliographic and Communications Network Pilot Project. Canadian Network Papers Number 7 = Le Lien entre les Bibliotheques d'Aujourd'hui et les Technologies de Demain. Rapport du Projet Pilote du Reseau de Services Bibliographiques et de Communications. Documents sur les Reseaux Canadiens Numero 7.

    ERIC Educational Resources Information Center

    National Library of Canada, Ottawa (Ontario).

    A pilot project was conducted from May 1980 to November 1983 to test the application of iNet--a decentralized, packet-switched telecommunications network--to bibliographic data interchange in Canada. The principal components of the project were participation of the Bibliographic Common Interest Group (BCIP), a group of libraries with stand-alone,…

  19. Chemistry 300. Administration Manual for Supervising Teachers, Provincial Examination, Answer Key--Multiple-Choice and Written-Answer Questions, and Provincial Summary Report = Chimie 300. Guide d'administration a l'intention des surveillants d'examen, Examen provincial, Cle de correction--Questions choix multiple et Questions responses ouvertes, et Rapport sommaire provincial.

    ERIC Educational Resources Information Center

    Manitoba Dept. of Education and Training, Winnipeg.

    This collection of manuals contains the Manitoba Provincial Chemistry Examination for students seeking credit in Senior 4 Chemistry (Chemistry 300) and instructions for its use and grading. The examination is based on the Core Topics of the Senior 4 Chemistry course and accounts for 30% of the student's final grade in the course. The examination…

  20. Curriculum Development and Education for Living Together: Conceptual and Managerial Challenges in Africa. Final Report of the Seminar (Nairobi, Kenya, June 25-29, 2001) (Developpement du Curriculum et Education pour Vivre Ensemble: Problemes de Concepts et de Gestion en Afrique. Rapport Final du Seminaire (Nairobi, Kenya, 25-29 Juin 2001).

    ERIC Educational Resources Information Center

    Aglo, John, Ed.; Lethoko, Mankolo, Ed.

    The Nairobi, Kenya, seminar sought to analyze existing official school curricula from the vantage point of their potential contribution to learning and to address the issue of curriculum management with a view to improving the capacity of basic schooling to contribute to enhanced social cohesion. This final report is divided into four parts. Part…

  1. Strategies for Introducing New Curricula in West Africa. Final Report of the Seminar/Workshop (Lagos, Nigeria, November 12-16, 2001) (Strategies d'Adaptation des Nouveaux Curricula en Afrique de l'Ouest. Rapport Final du Seminaire/Atelier (Lagos, Nigeria, 12-16 Novembre 2001).

    ERIC Educational Resources Information Center

    Pillai, Sharmila, Ed.

    The central theme of the Lagos, Nigeria, seminar/workshop was recognition for the teaching profession, particularly as being the most important educational change agent. Part 1, "Thematic Issues" includes: "Language Curriculum and Teaching in Multilingual Environments" (Sharmila Pillai); "The Situation in Nigeria" (E. O. Adeniyi); "The Situation…

  2. Reading the Legal World: Literacy and Justice in Canada. Report of the Canadian Bar Association Task Force on Legal Literacy = Lire les lois: Justice et alphabetisation au Canada. Rapport du Groupe de travail de l'Association du Barreau canadien sur l'alphabetisation.

    ERIC Educational Resources Information Center

    Canadian Bar Association, Ottawa (Ontario).

    A Canadian Bar Association Task Force on Legal Literacy explored the relationship between literacy and access to the legal system. A literature review revealed that little attention had been directed to literacy and use of the legal system. Three important findings emerged from 24 focus groups of current and former adult learners: virtually all…

  3. L'identite ethnolinguistique et les eleves 16 ans ou plus qui frequentent les ecoles secondaires de langue francaise de l'Ontario. Rapport de recherche (The Ethno-Linguistic Identity of Students Aged 16 Years or Older Attending French-Language Secondary Schools in Ontario. Research Report).

    ERIC Educational Resources Information Center

    Duquette, Georges

    The report, written in French, presents the results of a study on the ethno-linguistic identity of students aged 16 years or older attending French language secondary schools in Ontario. Goals of the questionnaire study included the following: (1) gathering demographics on students about to graduate from high school, regarding their gender,…

  4. Using Neurolinguistic Programming: Some Suggestions for the Remedial Teacher.

    ERIC Educational Resources Information Center

    Burton, Grace M.

    1986-01-01

    The use of neurolinguistic programming techniques is suggested as a means of enhancing rapport with students. Mirroring, digital mirroring, analog mirroring, metaphors, knowing persons, and how these aid in presenting content are each discussed. (MNS)

  5. Some Dilemmas of Institutional Evaluation and Their Relationship to Preconditions and Procedures.

    ERIC Educational Resources Information Center

    Adelman, Clem

    1980-01-01

    Using "A Study of Student Choice in Context of Institutional Change (SCIC)" is an example of an evaluation using social anthropological methods. The problems of confidentiality, rapport, evaluator autonomy, and unclear preconditions are discussed and illustrated. (BW)

  6. Integrating Milton H. Erickson's Hypnotherapeutic Techniques into General Counseling and Psychotherapy.

    ERIC Educational Resources Information Center

    Otani, Akira

    1989-01-01

    Examines several basic hypnotherapeutic techniques (rapport building, problem assessment, resistance management, and behavior change) based on Milton H. Erickson's hypnotherapeutic principles that can be translated into the general framework of counseling. (Author/CM)

  7. Apprendre a vivre ensemble grace a l'enseignement de l'histoire et de la geographie. Rapport final du colloque sur le theme. (Learning To Live Together Thanks to the Teaching of History and Geography. Final Report on a Colloquium on That Theme.) Proceedings of a Colloquium Organized Jointly by the International Bureau of Education (UNESCO) and the University of Geneva (Geneva, Switzerland, June 12, 1998).

    ERIC Educational Resources Information Center

    Andre, Yves, Ed.; Mouzoune, Abdelkrim, Ed.

    These Proceedings contain 14 chapters (or papers) from a colloquium on learning to live together in peaceful co-existence thanks to the teaching of history and geography. All the papers in the Proceedings are in French, but each paper has both an English summary and a Spanish summary. The 14 papers are, as follows: (1) "Introduction" (Yves Andre;…

  8. Facilitating Maltreated Children’s Use of Emotional Language

    PubMed Central

    AHERN, ELIZABETH C.; LYON, THOMAS D.

    2014-01-01

    This study examined the effects of rapport (emotional, National Institute of Child Health and Human Development [NICHD]) and prompt type (what-next, cued-action, cued-emotion, what-think) on one hundred forty-two 4–9-year-old maltreated children’s spontaneous and prompted emotional language. Children in the emotional-rapport condition narrated the last time they felt good and the last time they felt bad on the playground. Children in the NICHD-rapport condition narrated their last birthday party and what happened yesterday. Following rapport, all children were presented a series of story stems about positive and negative situations. Emotional-rapport minimally affected children’s use of emotional language. Cued-emotion prompts were most productive in eliciting emotional language. Overall, there were few effects because of age. Children often produced less emotional language when describing negative events, particularly with respect to their spontaneous utterances, suggesting reluctance. These differences largely disappeared when children were asked additional questions, particularly cued-emotion questions. The results offer support for cued-emotion prompts as a means of increasing maltreated children’s use of emotional language. PMID:25243047

  9. Is Nonverbal Communication Disrupted in Interactions Involving Patients With Schizophrenia?

    PubMed Central

    Lavelle, Mary; Healey, Patrick G.T.; McCabe, Rosemarie

    2013-01-01

    Background: Nonverbal communication is a critical feature of successful social interaction and interpersonal rapport. Social exclusion is a feature of schizophrenia. This experimental study investigated if the undisclosed presence of a patient with schizophrenia in interaction changes nonverbal communication (ie, speaker gesture and listener nodding). Method: 3D motion-capture techniques recorded 20 patient (1 patient, 2 healthy participants) and 20 control (3 healthy participants) interactions. Participants rated their experience of rapport with each interacting partner. Patients’ symptoms, social cognition, and executive functioning were assessed. Four hypotheses were tested: (1) Compared to controls, patients display less speaking gestures and listener nods. (2) Patients’ increased symptom severity and poorer social cognition are associated with patients’ reduced gesture and nods. (3) Patients’ partners compensate for patients’ reduced nonverbal behavior by gesturing more when speaking and nodding more when listening. (4) Patients’ reduced nonverbal behavior, increased symptom severity, and poorer social cognition are associated with others experiencing poorer rapport with the patient. Results: Patients gestured less when speaking. Patients with more negative symptoms nodded less as listeners, while their partners appeared to compensate by gesturing more as speakers. Patients with more negative symptoms also gestured more when speaking, which, alongside increased negative symptoms and poorer social cognition, was associated with others experiencing poorer patient rapport. Conclusions: Patients’ symptoms are associated with the nonverbal behavior of patients and their partners. Patients’ increased negative symptoms and gesture use are associated with poorer interpersonal rapport. This study provides specific evidence about how negative symptoms impact patients’ social interactions. PMID:22941744

  10. Delusions of parasitosis; suggested dialogue between dermatologist and patient.

    PubMed

    Patel, Viraat; Koo, John Y M

    2015-10-01

    Delusions of parasitosis (DoP) is a psychocutaneous condition characterized by a fixed false belief that one is infested by skin parasites. Patients afflicted with DoP generally experience sensations of biting, stinging or crawling in the absence of any objective evidence of infestation. The most definitive treatment for DoP is antipsychotic agents. Though the diagnosis and treatment options are rather straightforward, the difficulty lies in the art of building a therapeutic rapport with the patient in order to encourage acceptance of antipsychotic treatment. This article is a practical guide that suggests verbatim how dermatologists might talk to a delusional patient in order to establish a strong therapeutic rapport. Strategies on how to optimize the initial encounter, build rapport and prescribe antipsychotic medications that are likely to be accepted by the patient are discussed. PMID:25490455

  11. Managing distress, discomfort, and anxiety in imaging.

    PubMed

    Lang, Elvira V

    2011-01-01

    Positive patient interactions and experiences not only help the customer but also directly affect the bottom line. Waste of overhead can be limited by simply changing the way staff talks with patients. It is important to include rapid rapport skills and ways to positively shape the patients' experience right from the start instead of waiting and possibly having a procedure or scan disrupted. It "takes a village" to have a smooth transition in how communication is used throughout the department. A method of patient interaction called Comfort Talk was developed in which schedulers, receptionists, nurses, technologists, and physicians are extensively trained in advanced rapport skills and setting expectations. PMID:21870690

  12. Syndrome CHARGE avec tétralogie de Fallot: à propos d'un cas

    PubMed Central

    Wahid, Fouad Amal; Seghrouchni, Aniss; Hatim, Abdedaim Elghadbane; Atmani, Noureddine; Abdou, Abdessamad; Bouzerda, Abdelmajid; Mouram, Sahar; Drissi, Mohamed; Houssa, Mahdi Ait; Boulahya, Abdelatif

    2014-01-01

    Le syndrome CHARGE est caractérisé par un large polymorphisme clinique associant colobome, anomalies cardiaques, atrésie de choanes, retard staturo-pondéral et de développement, anomalies génitales, anomalies des oreilles ainsi que d'autres anomalies. Les auteurs rapportent le cas d'un syndrome CHARGE diagnostiqué lors du bilan d'une tétralogie de Fallot chez un nourrisson de 22 mois. Les différentes manifestations cliniques de ce syndrome sont rapportées ainsi que les critères diagnostiques. PMID:25883746

  13. Comparing Whole-Genome Sequencing with Sanger Sequencing for spa Typing of Methicillin-Resistant Staphylococcus aureus

    PubMed Central

    Petersen, Andreas; Worning, Peder; Nielsen, Jesper Boye; Larner-Svensson, Hanna; Johansen, Helle Krogh; Andersen, Leif Percival; Jarløv, Jens Otto; Boye, Kit; Larsen, Anders Rhod; Westh, Henrik

    2014-01-01

    spa typing of methicillin-resistant Staphylococcus aureus (MRSA) has traditionally been done by PCR amplification and Sanger sequencing of the spa repeat region. At Hvidovre Hospital, Denmark, whole-genome sequencing (WGS) of all MRSA isolates has been performed routinely since January 2013, and an in-house analysis pipeline determines the spa types. Due to national surveillance, all MRSA isolates are sent to Statens Serum Institut, where the spa type is determined by PCR and Sanger sequencing. The purpose of this study was to evaluate the reliability of the spa types obtained by 150-bp paired-end Illumina WGS. MRSA isolates from new MRSA patients in 2013 (n = 699) in the capital region of Denmark were included. We found a 97% agreement between spa types obtained by the two methods. All isolates achieved a spa type by both methods. Nineteen isolates differed in spa types by the two methods, in most cases due to the lack of 24-bp repeats in the whole-genome-sequenced isolates. These related but incorrect spa types should have no consequence in outbreak investigations, since all epidemiologically linked isolates, regardless of spa type, will be included in the single nucleotide polymorphism (SNP) analysis. This will reveal the close relatedness of the spa types. In conclusion, our data show that WGS is a reliable method to determine the spa type of MRSA. PMID:25297335

  14. Personal Health Maintenance for Adults

    PubMed Central

    Holbrook, John H.

    1984-01-01

    The practice of adult medicine provides many opportunities to prolong life, prevent disease and disability and promote health. Essential steps in this process include establishing patient rapport, obtaining a comprehensive data base, providing periodic health examinations for both symptomatic and asymptomatic patients and helping patients change unhealthy behavior. PMID:6395497

  15. A Novel Approach to Teaching Electrochemical Principles.

    ERIC Educational Resources Information Center

    Krause, Paul; Manion, Jerry

    1996-01-01

    Describes the use of a dramatic and enjoyable demonstration as the focus of a class discussion in electrochemistry. Advantages include building rapport with students, increasing the enjoyment of the learning experience for both instructor and student, and giving students a substantive basis for the lecture demonstration. (JRH)

  16. Using Stories in Elementary School Counseling: Brief, Narrative Techniques

    ERIC Educational Resources Information Center

    Eppler, Christie; Olsen, Jacob A.; Hidano, Lory

    2009-01-01

    This article describes using stories and story-telling techniques so that elementary professional school counselors can facilitate brief, narrative counseling. These approaches help counselors and students build rapport while assisting in understanding and externalizing the problem. Additionally, these interventions may help generate ideas for…

  17. Building Relationships: It's Not Always Easy, but Juggling Relationships with Board Members and Community Stakeholders Is Essential to Making Needed Campus Reforms

    ERIC Educational Resources Information Center

    Collett, Stacy

    2014-01-01

    Building relationships is the essence of the community college. Higher education administrators learned long ago that building rapport with businesses, state and local government, and constituents is the best way to represent the interests of the community. But that does not make it easy. Board members come and go and the shifting dynamics of…

  18. Revitalizing Liberal Learning. The Chinese Way.

    ERIC Educational Resources Information Center

    Keenan, Barry

    1998-01-01

    Discusses two practices of the centuries-old Chinese Confucian academies that might benefit the American college teacher today: how Chinese academies have fostered student-teacher rapport and how they developed student motivation to learn. The origins and loss of these traditions are also examined. (MSE)

  19. Improving Relationship Skills for Parent Conferences.

    ERIC Educational Resources Information Center

    Perl, James

    1995-01-01

    Suggestions are offered to special educators for improving communication at parent-teacher conferences, including relationship skills such as demonstrating genuine caring, building rapport, listening, showing empathy, reflecting affect, and using clarifying statements. A checklist for self-monitoring in these areas is included. (DB)

  20. Effects of Curriculum and Format Changes in a Medical Pharmacology Course, 1983 to 1987.

    ERIC Educational Resources Information Center

    McMillan, D. E.; Wenger, Galen R.

    1987-01-01

    The medical pharmacology course at the University of Arkansas College of Medicine has changed from a poorly attended course in which students depended on "canned notes" and had bad rapport with faculty members to a course in which attendance is high and the canned-notes system has been abandoned. (Author/MLW)

  1. Teaching the Process of Obtaining Informed Consent to Medical Students.

    ERIC Educational Resources Information Center

    Johnson, Shirley M.; And Others

    1992-01-01

    A unit on informed consent for first-year osteopathy students consists of pre- and posttests, a lecture, readings, small-group discussion, a model videotaped interview, and students' videotaped interviews with a simulated patient. Students were most successful in establishing patient rapport and discussion, least successful in conflict resolution…

  2. The Great Work of the New Millennium

    ERIC Educational Resources Information Center

    Berry, Thomas

    2013-01-01

    Thomas Berry explores the meaning of work from the standpoint of human civilization responding to the call of the universe, replacing use and exploitation of nature with the wonder, rapport, and intimacy so important to the psychic balance of the developing human and natural harmony of life on Earth. The Great Work is defined as the work of…

  3. We Must Fight the Militarization of Anthropology

    ERIC Educational Resources Information Center

    Gonzalez, Roberto J.

    2007-01-01

    When students take introductory courses in cultural anthropology, they learn the techniques necessary for understanding daily life in peasant villages or among bands of hunter-gatherers. Professors teach them about the importance of building rapport with informants, the insights gained from cultural immersion, and the benefits of linguistic…

  4. Improvisation Strategies and Resources, Part 2

    ERIC Educational Resources Information Center

    Marshall, Herbert D.

    2004-01-01

    Presents an article about the techniques for enhancing creativity among elementary students. Importance of developing rapport with the students to establish a harmonious learning environment; Need for teaching a wide but simple repertoire of songs, chants and patterns; Significance of developing mirroring games like Simon Says to improve the…

  5. Post-Secondary Students' Relationship to People They Consider to Be Scientific Experts

    ERIC Educational Resources Information Center

    Pouliot, Chantal

    2011-01-01

    This article is situated in contemporary debates about the ways to achieve a scientific literacy that encourages a greater lay participation in public debates and political decision making. Drawing on the notion of "relationship to scientific experts" (in French, "rapport aux experts scientifiques"), I explore the ways in which a group of 3 Quebec…

  6. The relationship between coaching behaviours and sport anxiety in athletes.

    PubMed

    Baker, J; Côté, J; Hawes, R

    2000-06-01

    Previous research has identified the relationship between athlete sport anxiety and various sport outcomes (e.g., performance and dropout). For the majority of athletes involved in sport, the coach is an influential element of the competitive experience. Two hundred and twenty-eight athletes from 15 sports, completed the Sport Anxiety Scale (SAS) and the Coaching Behavior Scale for Sport (CBS-S). The predictive ability of athletes' perceived frequency of seven coaching behaviours (physical training, mental preparation, goal setting, technical skills, competition strategies, personal rapport and negative personal rapport) on four forms of sport anxiety (total anxiety, somatic anxiety, concentration disruption and worry) was examined. Results indicate that negative personal rapport was a significant predictor of all measured forms of sport anxiety while competition strategies was a significant predictor for total anxiety, concentration disruption, and worry. Other behaviours were not significant. The findings suggest that negative rapport between coach and athlete is an important contributor to athlete anxiety. In addition, behaviours that the coach demonstrates relative to competition can be influential in reducing athlete anxiety. PMID:11104303

  7. The Discursive Construction of Group Cohesion in Problem-Based Learning Tutorials

    ERIC Educational Resources Information Center

    Hendry, Gillian; Wiggins, Sally; Anderson, Tony

    2016-01-01

    Research has shown that educators may be reluctant to implement group work in their teaching due to concerns about students partaking in off-task behaviours. However, such off-task interactions have been shown to promote motivation, trust, and rapport-building. This paper details a study in which student groups were video recorded as they engaged…

  8. The Catalyst and Student Press Censorship: Implications for Student Personnel Administrators.

    ERIC Educational Resources Information Center

    Bankes, Paul; Boss, Jeffrey; Cochran, Amanda; Duemer, Lee S.; McCrary, Jaci

    2002-01-01

    Contemporary implications of student press censorship were explored using the case study of "The Catalyst," an underground student publication at Texas Tech University during 1969-1971. Recommendations include a proactive administrative approach toward building rapport with student publications, establishing constitutionally based uniform policies…

  9. The Book of Chemical Crisis.

    ERIC Educational Resources Information Center

    Sours, Floyd P.

    This book presents a crisis management model that effectively bridges the areas of substance abuse and crisis intervention. A crisis alternatives model which can be incorporated into drug counseling programs is discussed, along with a four-step crisis intervention plan for use by crisis workers that includes: (1) establishing rapport; (2)…

  10. A Generic Competency Based Teacher Training Program in Special Education.

    ERIC Educational Resources Information Center

    Van Nagel, Clint; And Others

    The competency based teacher training program in special education at the University of North Florida is described. The program is said to revolve around 13 generic competencies, including establishment of rapport with the student, identification of student motivation, modality assessment, and evaluation skills. In addition to coursework, students…

  11. Extending Graduate Level Education: A Management Model.

    ERIC Educational Resources Information Center

    Hales, Robert L.; Felt, Stephen B.

    A study was conducted to determine the effectiveness of audiotape cassette technology in delivering professional, graduate-level distance education programs to adult audiences, and to compare this method with traditional classroom instruction. Specific elements of student-teacher rapport, pacing, and attitudes towards the audiotaped course were…

  12. Preparing for Change: Parental Involvement at Mt. Carmel High School.

    ERIC Educational Resources Information Center

    Fisher, Scott

    1994-01-01

    To increase parental involvement, Mount Carmel High School (Poway, California) has adopted strategic-planning change model. Successful strategic plans are connected to school mission and core values, gain staff support, remain open to input from all parties, build trust and rapport among participants, ensure open communication with stakeholders,…

  13. Academic Library Use of Facebook: Building Relationships with Students

    ERIC Educational Resources Information Center

    Phillips, Nancy Kim

    2011-01-01

    A content analysis was conducted of status messages posted by academic libraries on seventeen Facebook pages. In addition to being informational, libraries attempt to engage and establish rapport with students through Facebook. The university setting not only creates a context for messages, but also offers a mutual set of experiences and values…

  14. How Conceptual Frameworks Influence Discovery and Depictions of Emotions in Clinical Relationships

    ERIC Educational Resources Information Center

    Duchan, Judith Felson

    2011-01-01

    Although emotions are often seen as key to maintaining rapport between speech-language pathologists and their clients, they are often neglected in the research and clinical literature. This neglect, it is argued here, comes in part from the inadequacies of prevailing conceptual frameworks used to govern practices. I aim to show how six such…

  15. The Use of Humor when Counseling African American College Students

    ERIC Educational Resources Information Center

    Vereen, Linwood G.; Butler, S. Kent; Williams, Franklyn C.; Darg, Jules A.; Downing, Trae K. E.

    2006-01-01

    According to the literature, humor is a critical tool to enhance the counseling process because it can reduce stress, build rapport, and aid in the increase of the client's self-efficacy. In recent years, the critical nature of using humor appropriately from a cultural perspective has been explored. In this article, the authors further explore the…

  16. Making Meaning Together: An Exploratory Study of Therapeutic Conversation between Helping Professionals and Homeless Shelter Residents

    ERIC Educational Resources Information Center

    Walsh, Christine A.; Rutherford, Gayle E.; Sarafincian, Kristina N.; Sellmer, Sabine E. R.

    2010-01-01

    This exploratory study examined the nature of therapeutic conversation between helping professionals and homeless persons as an intervention to optimize health. Meaningful conversation occurred in relationships where there was a sense of connection and the presence of rapport. Emergent facilitators of therapeutic conversation included respectful…

  17. Nonverbal Communication, Music Therapy, and Autism: A Review of Literature and Case Example

    ERIC Educational Resources Information Center

    Silverman, Michael J.

    2008-01-01

    This article presents a review of nonverbal literature relating to therapy, music, autism, and music therapy. Included is a case study of a woman with autism who was nonverbal. The case highlights and analyzes behaviors contextually. Interpretations of communication through the music therapy, musical interactions, and the rapport that developed…

  18. Clinical Issues in the Assessment of Adolescent Defendants.

    ERIC Educational Resources Information Center

    Cornell, Dewey G.

    There are many practical difficulties in conducting forensic evaluations of adolescents charged with serious crimes. This paper addresses some of the reasons why adolescent forensic evaluations are problematic and suggests four strategies for establishing and maintaining rapport, based on a practitioner's experience in evaluating adolescents…

  19. Working with Avoidant Children: A Clinical Challenge.

    ERIC Educational Resources Information Center

    Berson, Nancy; Meisburger, Diana

    1998-01-01

    Presents strategies for interviewing and assisting highly avoidant children who may be victims of maltreatment. Discusses factors inhibiting their self-disclosure, the importance of managing child safety, and establishing and maintaining rapport. Describes strategies including pacing the interview, empowering the child, and using distancing…

  20. Coping with Student Resistance to Critical Thinking: What the Psychotherapy Literature Can Tell Us.

    ERIC Educational Resources Information Center

    Keeley, Stuart M.; And Others

    1995-01-01

    Techniques for college teachers to use in managing student resistance to critical thinking include proactive strategies (creating a cooperative environment, establishing rapport, creating high expectations, and countering resistive behavior) and reactive strategies (avoiding personalization of resistance, inviting students to explore resistance,…

  1. Traveling through Languages: Reports on Language Experiences in Tourists' Travel Blogs

    ERIC Educational Resources Information Center

    Goethals, Patrick

    2015-01-01

    This paper aims to gain insight into (Spanish) tourists' multilingual experiences by analyzing spontaneously written online travel diaries. Using the conceptual framework of Rapport Management Theory (RMT; Spencer-Oatey 2008), I analyze reports on the tourists' mother tongue, local languages, and English as lingua franca in order to examine the…

  2. You Have To Go to School: You're the Teacher! 250 Classroom Management Strategies To Make Your Job Easier and More Fun. Second Edition.

    ERIC Educational Resources Information Center

    Rosenblum-Lowden, Renee

    This book presents a collection of strategies to help teachers at all levels develop a rapport with students and manage everyday school problems. There are 17 chapters in 9 parts. Part 1 "Tips for New and Student Teachers," includes (1) "Odds and Ends for Beginners." Part 2, "Beginning a Winning Year," includes (2) "They're Not Here Yet," (3)…

  3. Hospital Slang for Patients: Crocks, Gomers, Gorks, and Others.

    ERIC Educational Resources Information Center

    Gordon, David Paul

    1983-01-01

    Slang terms for hospital patients fall into four categories, three characterizing types of patients who claim more attention for their conditions than is warranted, and one made up of positive or neutral descriptive terms. The slang serves social as well as expressive functions, promoting group rapport while maintaining individual distance. (MSE)

  4. Section traumatique de l'utérus non gravide chez une accidentée de voie publique: à propos d'un cas

    PubMed Central

    Cédrick, Sangwa Milindi; Marius, Kitembo Feruzi; Mireille, Kakinga Zabibu; Nelly, Mukonda Sompo; Chamy, Cham Lubamba; Numbi, Kabamge; Mutomb, Jean Felix

    2015-01-01

    Dans cet article les auteurs rapportent un rare cas de section traumatique d'un utérus non gravide, chez une accidentée de voie publique reçu dans un tableau d'hemopéritoine aux services des urgences de l'hôpital General Provincial de Reference Jason Sendwe. PMID:26113916

  5. Taylorism, Targets and the Pursuit of Quantity and Quality by Call Centre Management.

    ERIC Educational Resources Information Center

    Bain, Peter; Watson, Aileen; Mulvey, Gareth; Taylor, Phil; Gall, Gregor

    2002-01-01

    Case studies of four Scottish telephone call centers identified both quantitative (number of calls, average handling time) and qualitative (rapport, company pride) goals or targets set by management. Measurement of target attainment used continuous monitoring and other normative practices. Despite technological advances, the experience of call…

  6. Setting up a CFO Trust Fund: Forging a Bond with Your Director of Finance Will Reap Rewards for Your Institution--And Your Department

    ERIC Educational Resources Information Center

    Schaffhauser, Dian

    2011-01-01

    While it would be naive to think that every CIO can achieve a rapport with his CFO, understanding the importance of a solid relationship with the head of finance is critical to success, both for the IT department and the institution as a whole. Never has this been truer than in today's bleak economy, as CFOs become increasingly cautious about…

  7. Ideas at Work. Techniques for Effective Communication: Giving Feedback and Asking for Clarification. The Work Styles Series Minibook A.

    ERIC Educational Resources Information Center

    Brod, Shirley, Comp.

    Techniques for effective communication are presented in a work style handbook for use by adults with little or no English language skills. Minibook A is composed of some learning activities in the form of games that provide language drill and encourage group rapport. They accommodate students' diverse learning styles and provide flexibility in…

  8. [Amalgam gingival tatoo].

    PubMed

    Iacobelli, L; Ferraro, M; Vairo, F; Ianniciello, L; Venneri, A

    1988-01-01

    The Authors present (5) cases of gingival tattooing resulted by rapport between argentum amalgam and prosthetic reconstruction with aurum or combination. Theu concluded is opportune to substitute the stumps reconstructions in amalgam with other materials not cause of electrogalvanism. So we avaid principally the antiaesthetic aspect of pigmentation. PMID:3274159

  9. Designing an International Joint Venture Negotiation Game.

    ERIC Educational Resources Information Center

    Kenkel, Phil; And Others

    1996-01-01

    Evaluates a simulation game that models management problems encountered in negotiating and managing international joint ventures. Designed to instruct executives of state-owned agribusinesses in Indonesia in abstract concepts such as partner rapport, transfer price conflicts, and marketing disagreements, its success suggests that simulation games…

  10. The meaningful conversation: a leadership skill for all times.

    PubMed

    Rackner, Vicki

    2012-01-01

    Would you like to generate more referrals, improve your staff's performance, and increase patient compliance? Master the meaningful conversation. The ability to build rapport and influence others is a leadership skill that will serve you at work, at home, and at play. PMID:22920017

  11. For Better, for Worse: The Matching Process in Formal Mentoring Schemes

    ERIC Educational Resources Information Center

    Cox, Elaine

    2005-01-01

    Attempts to emulate the serendipity and subsequent rapport that occurs between mentors and mentees in informal mentoring relationships frequently challenges the organizers of many formal mentoring schemes. Using qualitative evidence from a community mentoring project, research is presented that suggests that, through careful mentor selection and…

  12. Functions of Discourse Markers "Ano and Sono" in Written Dialogue.

    ERIC Educational Resources Information Center

    Fujita, Yasuko

    Through examination of the discourse markers "ano" and "sono" in Japanese, this paper explores how these linguistic devices function differently in conversation. The focus of this analysis is the mental and social functions through which a speaker attempts to achieve an interpersonal rapport with a listener. In particular, the question addresses…

  13. The Use of Counselor Profanity in Counseling.

    ERIC Educational Resources Information Center

    Miller, Mark J.

    1989-01-01

    Reviews research on counselor profanity and provides guidelines for its use in counseling. Discourages use of profanity with children; discusses profanity to establish rapport, in later sessions, to reach deeper levels of affect, to help clients focus. Considers counselor's personal value system and offensiveness of profanity to clients.…

  14. Interviewing and Selecting Elementary School Teachers and Administrative Personnel. A Guide for the Screening Interview. One of the Better Employment Interviewing Series.

    ERIC Educational Resources Information Center

    Sadetsky, Irwin; Pell, Arthur R.

    This guide to interviewing and selecting elementary school teachers and administrators covers evaluating resumes, establishing rapport with job applicants, considering legal aspects of interviewing, controlling the interview, evaluating the applicant, closing the interview, checking references, and maintaining interview records. Job-related…

  15. Interviewing and Selecting High School Teachers and Administrative Personnel. A Guide for the Screening Interview. One of the Better Employment Interviewing Series.

    ERIC Educational Resources Information Center

    Rooney, Thomas F., Jr.; Pell, Arthur R.

    This guide to interviewing and selecting high school teachers and administrators covers evaluating resumes, establishing rapport with job applicants, considering the legal aspects of interviewing, controlling the interview, evaluating the applicant, closing the interview, checking references, and maintaining interview records. Job-related…

  16. Professor Age and Gender Affect Student Perceptions and Grades

    ERIC Educational Resources Information Center

    Joye, Shauna W.; Wilson, Janie H.

    2015-01-01

    Student evaluations provide rich information about teaching performance, but a number of factors beyond teacher effectiveness influence student evaluations. In this study we examined the effects of professor gender and perceived age on ratings of effectiveness and rapport as well as academic performance. We also asked students to rate professor…

  17. Make 'Em Laugh.

    ERIC Educational Resources Information Center

    Tamblyn, Doni

    2000-01-01

    Debunks five myths about using humor in training: (1) the subject is too serious; (2) "I'm not funny"; (3) someone will be offended; (4) it won't help; and (5) it is distracting. Suggests that humor builds rapport, encourages creativity, makes learners feel safe, reduces fatigue, and activates long-term memory. (JOW)

  18. Family Systems Assessment: Intervention with Individuals Having a Chronic Disability.

    ERIC Educational Resources Information Center

    Fohs, Mark W.

    1991-01-01

    Responds to case study, presented in previous article, of young adult male with chronic back pain who has been unable to work. Sees counselor's role as determining how to establish rapport with client, create situation conducive to his adjustment to circumstances, and mobilize energy for change. Identifies areas where additional information is…

  19. Luxation de l’épaule compliquée de paralysie du plexus brachial

    PubMed Central

    Lukulunga, Loubet Unyendje; Moussa, Abdou Kadri; Mahfoud, Mustapha; EL Bardouni, Ahmed; Berrada, Mohamed Saleh; El Yaacoubi, Moradh

    2014-01-01

    Les auteurs rapportent l'observation d'une paralysie totale du plexus brachial survenue trois mois après un épisode de luxation antéro-interne sous coracoïdienne associée à une fracture du trochiter chez une patiente âgée de 88 ans. PMID:25426187

  20. The Ethics of Interpretation: The Signifying Chain from Field to Analysis

    ERIC Educational Resources Information Center

    Lapping, Claudia

    2008-01-01

    This paper attempts to describe the relationship between the embodied practice of fieldwork and the written articulation of this experience. Starting from Valerie Hey's conceptualization of "rapport" as form of "intersubjective synergy", a moment of recognition of similarity within difference--similar in structure to Laclau and Moufffe's…

  1. Leuconychie transversale induite par la manucurie: y a-t-il un apport de la dermoscopie?

    PubMed Central

    Gallouj, Salim; Mernissi, Fatima Zahra

    2014-01-01

    La leuconychie transversale induite par la manucurie est une leuconychie secondaire au microtraumatisme transmis à la matrice unguéale. Nous rapportant une observation où la dermoscopie avait un intérêt considérable pour l'orientation diagnostic. PMID:25368728

  2. Volunteers: A Challenge For Extension Workers: Developing Volunteer Leaders From Disadvantaged Families.

    ERIC Educational Resources Information Center

    Partin, Minerva O.; And Others

    A series of guidelines for use by Extension agents, as they involve socially and economically disadvantaged youth and adults in volunteer leadership roles in rural and urban Extension programs, is presented. Section headings are: Know Your Audience, Establish Rapport, Levels of Leadership, Leader Development, Leadership Roles, Volunteer…

  3. It's Not Just "What" You Say: Verbal and Nonverbal Skills Help Leaders Address Challenges and Achieve Outcomes

    ERIC Educational Resources Information Center

    Zoller, Kendall; Lahera, Antonia Issa; Normore, Anthony H.

    2015-01-01

    This article presents a story about two school leaders in a large Southern California urban district who used skills developed in a university school leadership program to create rapport, empathy, and trust while leading through challenging situations and achieving actionable outcomes. In addition to developing relationships in support of…

  4. IFLA General Conference, 1991. Division of Bibliographic Control: Open Forum of Division of Bibliographic Control; Section of Cataloguing; Section of Bibliography; Section of Classification and Indexing. Booklet 4.

    ERIC Educational Resources Information Center

    International Federation of Library Associations and Institutions, The Hague (Netherlands).

    The 11 reports and papers in this booklet were presented at meetings of 4 sections within the Division of Bibliographic Control: (1) "Report of the Section on Cataloguing--Review of the Work 1990/1991" (Inger Cathrine Spangen, Norway); (2) "Les fichiers d'autorite auteurs: Rapport d'activite 1990-1991 (Author Authority Lists: Report of Activities…

  5. Some Psychotherapeutic Schools and Strategies Applied to Remedial Reading.

    ERIC Educational Resources Information Center

    Rosen, Carl L.

    Often approaching reading with feelings of stress, anxiety, and fear, disabled readers need affective as well as cognitive training in remedial reading programs. Their intellectual objectivity, self-understanding, and rapport with teachers and classmates could be increased, and their anxiety reduced, if remedial reading specialists would…

  6. Motherhood among Incest Survivors.

    ERIC Educational Resources Information Center

    Cohen, Tamar

    1995-01-01

    Mothers (n=26) who were incest survivors were compared with 28 mothers with no such history for 7 areas of parenting skills: role-image, objectivity, expectations, rapport, communication, limit-setting, and role-support. Significant differences were found on all seven scales, characterized by a tendency for the incest survivors to be less skillful…

  7. E-Mail from Professor Enhances Student Motivation and Attitudes

    ERIC Educational Resources Information Center

    Legg, Angela M.; Wilson, Janie H.

    2009-01-01

    Traditionally, professors use the first day of class to build rapport. However, current technology allows professors to contact students prior to the first day of class. This study assessed how the receipt of a welcoming e-mail from a female professor 1 week before the first day of class affected student motivation and attitudes toward the…

  8. Communicating with patients.

    PubMed

    Kaplowitz, G J

    1999-01-01

    Dental care providers need to be able to communicate effectively with their patients in order to build rapport and trust. Highly developed communication skills also enable the dental care provider to extract more accurate diagnostic information and to more effectively present treatment options to the patient. Neurolinguistic programming techniques can be employed to accomplish these as well as other objectives. PMID:10687469

  9. The Advisory Working Alliance Inventory--Advisor Version: Scale Development and Validation

    ERIC Educational Resources Information Center

    Schlosser, Lewis Z.; Gelso, Charles J.

    2005-01-01

    The development of the Advisory Working Alliance Inventory-Advisor Version (AWAI-A) is presented. In the first study, data from 236 faculty members from APA-accredited counseling psychology programs were subjected to a principal components analysis, yielding 3 subscales: Rapport (15 items), Apprenticeship (8 items), and Task Focus (8 items). The…

  10. Gaining Access: A Practical and Theoretical Guide for Qualitative Researchers.

    ERIC Educational Resources Information Center

    Feldman, Martha S.; Bell, Jeannine; Berger, Michele Tracy

    This book offers useful, prescriptive advice on how to enter different field settings for interviewing and observation. The chapters of part 1, "Stages of Access," are: (1) "Finding Informants"; (2) "Human Subjects and Permission To Contact Informants"; (3) "Making Initial Contact"; (4) "Developing a Rapport"; and (5) "Exiting: Ending the…

  11. What Every Student Affairs Professional Should Know: Student Study Activities and Beliefs Associated with Academic Success.

    ERIC Educational Resources Information Center

    Strage, Amy; Baba, Yoko; Millner, Steven; Scharberg, Maureen; Walker, Ethel; Williamson, Rhea; Yoder, Marian

    2002-01-01

    Describes academic profiles of 1,379 college students, diverse in ethnicity, prior college experience, and academic goals. Discusses relationships between demographic characteristics, study habits, beliefs about academic success, and four indices of success: GPA, perseverance, task involvement, and teacher rapport. Discussion focuses on ways to…

  12. Reducing Social Tension and Conflict through the Group Conversation Method.

    ERIC Educational Resources Information Center

    DuBois, Rachel Davis; Li, Mew-Soong

    This book is divided into three parts. Part I discusses the art of Group Conversation per se. It is the art of face-to-face sharing of meaningful experiences--such as memories of Christmas as a child--in a spontaneous atmosphere that quickly breaks down hostilities and produces rapport. Part II discusses the techniques of this art. Basically,…

  13. When the Social Mirror Breaks: Deficits in Automatic, but Not Voluntary, Mimicry of Emotional Facial Expressions in Autism

    ERIC Educational Resources Information Center

    McIntosh, Daniel N.; Reichmann-Decker, Aimee; Winkielman, Piotr; Wilbarger, Julia L.

    2006-01-01

    Humans, infants and adults alike, automatically mimic a variety of behaviors. Such mimicry facilitates social functioning, including establishment of interpersonal rapport and understanding of other minds. This fundamental social process may thus be impaired in disorders such as autism characterized by socio-emotional and communicative deficits.…

  14. Examining the Reactions of White, Black, and Latino/a Counseling Psychologists to a Study of Racial Issues in Counseling and Supervision Dyads

    ERIC Educational Resources Information Center

    Utsey, Shawn O.; Hammar, Lawrence; Gernat, Carol A.

    2005-01-01

    More than 30 years ago, Vontress (1971) advocated for counselor training programs to address the role of race in the counseling process and the ways in which racial factors impede the development of counselor-client rapport. He posited that the anxiety experienced by White clinicians in cross-racial counseling dyads is manifest in reactions of…

  15. A Clinical Skills Instruction Program: The Acute Abdomen.

    ERIC Educational Resources Information Center

    Laube, Douglas W.; And Others

    1982-01-01

    An effective evaluation of the acutely ill female implies a thorough examination that integrates skills representing three learning domains. This process should include: a thorough medical history, a physical examination, good patient-physician rapport, and development of an efficacious management plan. A University of Iowa simulation approach is…

  16. A Scale Assessing Music Student Teachers' Rehearsal Effectiveness.

    ERIC Educational Resources Information Center

    Bergee, Martin J.

    1992-01-01

    Describes the development of a scale for evaluating music student teachers' rehearsal effectiveness. Includes scale items representing aspects of rehearsal effectiveness for three interpretable factors: conducting technique, teacher-student rapport, and instructional skills. Advises that scaling of rehearsal effectiveness should be only part of a…

  17. The Officer Friendly Program. Technical Assistance Bulletin 9.

    ERIC Educational Resources Information Center

    National School Resource Network, Washington, DC.

    The Officer Friendly program, sponsored by the Sears-Roebuck Foundation, is designed to humanize children's perceptions of police officers and their work, improve rapport between children and police, increase awareness of safety and civic responsibility, and reduce crime involving children. The program involves visits by police officers to school…

  18. Therapeutic Influence as a Function of Counselor Attire and the Seating Arrangement in an Initial Interview.

    ERIC Educational Resources Information Center

    Gass, Carlton S.

    Initial impressions of a counselor's credibility and attractiveness may affect the development of rapport as well as client attrition. Recent research has focused on contextual clues in the counseling setting which may influence client perceptions. The effects of counselor attire and the seating arrangement were examined in a counseling analogue…

  19. Performance Management in Education.

    ERIC Educational Resources Information Center

    George, Paul S.

    1987-01-01

    Outlines a 10-step model of performance management from corporate and government practices for use in teaching appraisal. Performance management emphasizes each teacher's uniqueness while recognizing the need to support school system goals. Steps include: build rapport, identify key results areas, jointly determine specific objectives, and…

  20. Neuro-Linguistic Programming: The New Eclectic Therapy.

    ERIC Educational Resources Information Center

    Betts, Nicoletta C.

    Richard Bandler and John Grinder developed neuro-linguisitc programming (NLP) after observing "the magical skills of potent psychotherapists" Frederick Perls, Virginia Satir, and Milton Erikson. They compiled the most effective techniques for building rapport, gathering data, and influencing change in psychotherapy, offering them only as an…

  1. Initial Evaluations in the Interview: Relationships with Subsequent Interviewer Evaluations and Employment Offers

    ERIC Educational Resources Information Center

    Barrick, Murray R.; Swider, Brian W.; Stewart, Greg L.

    2010-01-01

    The authors of this study examine how evaluations made during an early stage of the structured interview (rapport building) influence end of interview scores, subsequent follow-up employment interviews, and actual internship job offers. Candidates making better initial impressions received more internship offers (r = 0.22) and higher interviewer…

  2. Street Gangs Are Big Business--And Growing.

    ERIC Educational Resources Information Center

    Harrington-Lueker, Donna

    1990-01-01

    Highlights findings from a study by Irving Spergel of gang activity in 45 cities. Ronald Stephen, executive director of the National School Safety Center, cites an increase in drug-marketing and violence and advises educators to be aware of what is going on, establish rapport with community groups, and enlist the support of students. (MLF)

  3. Verification of MELCOR Input Decks Used in ITER RPrS Analyses

    SciTech Connect

    Richard L. Moore

    2008-01-01

    This report as part of an ITER Task Agreement, documents the verification of the MELCOR Input Computer Decks used in performing the required safety analyses to be presented in the Preliminary Safety Report (Rapport Préliminaire de Séreté, RPrS).

  4. Taking Digital Stories to Another Level: Making Documentaries

    ERIC Educational Resources Information Center

    Martinez-Alba, Gilda

    2014-01-01

    Using digital stories to have students tell about themselves, share their culture with the class, and learn from each other can help with establishing rapport, shows respect for different cultures, and can be motivating for students and their language teachers. However, what happens after that? After making their first video, students have some…

  5. Presidents and Trustees in Partnership. ERIC Digest.

    ERIC Educational Resources Information Center

    Iwanaga, John

    This digest discusses the relationship between community college trustees and the president, focusing on the necessity of establishing a rapport before times of crises. It is vital that the roles of both parties be clearly defined, and that each has a mutual responsibility to inform the other in an emergency. The president should embody the…

  6. Millennial Values and Boundaries in the Classroom

    ERIC Educational Resources Information Center

    Espinoza, Chip

    2012-01-01

    Students' relationships with authority and information are changing rapidly, and this presents a new set of interpersonal boundary challenges for faculty. The topic of setting boundaries often conjures up thoughts of how to protect oneself. The intent of this chapter is to explore how good rapport between teacher and student can be developed and…

  7. Final Report of the Evaluation of the 1969-1970 School-Home Liaison Programs: Programs and Patterns for Disadvantaged High School Students. ESEA Title I.

    ERIC Educational Resources Information Center

    Simon, Alan J.

    The purpose of this program, funded under Title I of 1965 Elementary Secondary Act, is to send paraprofessional workers who are familiar with the community into the homes of high school students who show serious problems in school attendance, adjustment, or achievement. The objective is to establish rapport between the school and the parents in…

  8. The Power of Book Discussion Groups in Intergenerational Learning.

    ERIC Educational Resources Information Center

    Lohman, Helene; Griffiths, Yolanda; Coppard, Brenda M.; Cota, Linda

    2003-01-01

    Seven older adults and 20 occupational therapy students participated in book discussions. Focus groups and journal analysis indicated that discussions helped develop rapport and relational links between book topics and participants' experiences. Reciprocal learning expanded each generation's perceptions of the other. (Contains 22 references.) (SK)

  9. Cross-Cultural Counseling and Neurolinguistic Mirroring: An Exploration of Empathy, Trustworthiness, and Positive Interaction with Native American Adolescents.

    ERIC Educational Resources Information Center

    Sandhu, Daya S.; And Others

    The quality of the therapeutic relationship is a prime consideration in counseling and psychotherapy. Good rapport in the counseling relationship has consistently been associated with beneficial changes. This study examined the effects of neurolinguistic mirroring versus non-mirroring of selected nonverbal behaviors on empathy, trustworthiness,…

  10. Physical Attractiveness: Interactive Effects of Counselor and Client on Counseling Processes.

    ERIC Educational Resources Information Center

    Vargas, Alice M.; Borkowski, John G.

    1983-01-01

    Assessed how the physical attractiveness of counselors and clients interacted to build rapport in two experiments involving college students (N=128 and N=64). Results showed the counselor's physical attractiveness had a major impact on her perceived effectiveness and the client's expectation of success irrespective of the client's attractiveness…

  11. Will Team Teaching Work for You?

    ERIC Educational Resources Information Center

    Verma, Serjit K.

    1979-01-01

    Presented are the advantages of team teaching--continuous in-service, opportunities for teamwork, development of better programs, better utilization of time, better understanding of human growth, more exposure to more resources, and more opportunities for students to develop rapport with teachers. (KC)

  12. Recherches en phonetique et en phonologie au Quebec (Research in Phonetics and Phonology in Quebec). Publication B-206.

    ERIC Educational Resources Information Center

    Dolbec, Jean, Ed.; Ouellet, Marise, Ed.

    The collection of essays on phonetics and phonology, entirely in French, includes: "Le calcul de la frequence intrinseque. Necessite du rapport a une ligne de reference" (calculation of intrinsic frequency; necessity of a line of reference) (Conrad Ouellon); "Caracteristiques microprosodiques de duree et d'intensite en lecture et en conversation…

  13. Enter the Home-School Consultant: The Changing Role of the School towards Families in Need.

    ERIC Educational Resources Information Center

    Lewis, Donna W.; True, Fern B.

    1993-01-01

    Aware of increasing poverty among his students, a Virginia principal enlisted a retired teacher's assistance to provide direct support for underachieving students' families. After developing trust and rapport with identified families, the home-school consultant visited families to establish mutual goals, ranging from obtaining medical care, food,…

  14. Impact of Counseling on Repeated Unplanned Pregnancy and Contraceptive Behavior in Low SES Abortion Population.

    ERIC Educational Resources Information Center

    Burnhill, Michael S.; And Others

    High numbers of repeat abortions at a medical school clinic prompted clinic personnel to develop an experimental fertility control counseling program. Counseling objectives included the following: (1) to engender rapport and trust; (2) to assess the patient's past contraceptive use and psychosocial history; (3) to improve patient's knowledge of…

  15. Adult Learners in France in the 1960s: A Socio-Historical Approach to "The Relationship to Knowledge"

    ERIC Educational Resources Information Center

    Laot, Francoise F.

    2010-01-01

    This paper uses a socio-historical approach to explore the emergence in French theoretical literature in the mid-1960s of a new notion, the "relationship to knowledge" ("rapport au savoir"), and its success in the emerging field of professional adult education within the Complex of Nancy, France. The increasing use of this notion, first, in the…

  16. New Approaches To Organizing Assistance to Families Bringing up Young Problem Children.

    ERIC Educational Resources Information Center

    Morozova, E. I.

    1999-01-01

    Focuses on how to prepare children between the ages of 1.5 and 3 to attend a children's institution or regular classes in a corrective counseling group, how to facilitate rapport between the adult and child during the period of adaptation, and how to organize parents' interactions with problem children in the home. (CMK)

  17. The First Days of School: Helping Young Children Adapt to Their First Group Experience.

    ERIC Educational Resources Information Center

    Allen, K. Eileen

    Initial adaptation to the preschool or day care program is essential to the child's ultimate ability to make maximum use of the learning experiences made available each day. A well-planned initial visit (in which interest in coming back to school and a beginning rapport is established) followed by a carefully timed and individualized adaptation…

  18. TeacherNet: Student Teachers Travel the Information Highway.

    ERIC Educational Resources Information Center

    Casey, Jean M.

    1994-01-01

    Describes TeacherNet, a program designed to integrate technology use during student teaching at California State University, Long Beach. A study of TeacherNet's usefulness found that the program increased student reflectivity, rapport with supervisors, team support, self-esteem, knowledge and use of information access and retrieval, and use of…

  19. Focusing Resources on Effective School Health: A FRESH Start to Enhancing the Quality and Equity of Education. World Education Forum 2000. Final Report = Accorder la priorite a un programme efficace de sante scolaire: Une maniere FRAICHE (FRESH) d'aneliorer la qualite et d'accroitre l'equite dans le domaine de l'education. Forum mondial 2000 sur l'education. Rapport final = Recursos efectivos en salud escolar: Un enfogue NUEVO para mejorar la calidad y la equidad educativa. Foro Mundial par la educacion 2000. Informe final.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Paris (France).

    This booklet, written in English, Spanish, and French, describes the foundation and reasoning behind the partnership to Focus on Resources on Effective School Health (FRESH), making the case that an effective school health program: responds to the greater number of school-age children and the greater proportion of those children attending school;…

  20. Enteroaggregative Escherichia coli in Daycare—A 1-Year Dynamic Cohort Study

    PubMed Central

    Hebbelstrup Jensen, Betina; Stensvold, Christen R.; Struve, Carsten; Olsen, Katharina E. P.; Scheutz, Flemming; Boisen, Nadia; Röser, Dennis; Andreassen, Bente U.; Nielsen, Henrik V.; Schønning, Kristian; Petersen, Andreas M.; Krogfelt, Karen A.

    2016-01-01

    Enteroaggregative Escherichia coli (EAEC) has been associated with persistent diarrhea, reduced growth acceleration, and failure to thrive in children living in developing countries and with childhood diarrhea in general in industrialized countries. The clinical implications of an EAEC carrier-status in children in industrialized countries warrants clarification. To investigate the pathological significance of an EAEC carrier-state in the industrialized countries, we designed a 1-year dynamic cohort study and performed follow-up every second month, where the study participants submitted a stool sample and answered a questionnaire regarding gastrointestinal symptoms and exposures. Exposures included foreign travel, consumption of antibiotics, and contact with a diseased animal. In the capital area of Denmark, a total of 179 children aged 0–6 years were followed in a cohort study, in the period between 2009 and 2013. This is the first investigation of the incidence and pathological significance of EAEC in Danish children attending daycare facilities. Conventional microbiological detection of enteric pathogens was performed at Statens Serum Institute, Copenhagen, Denmark, and at Hvidovre Hospital, Copenhagen, Denmark. Parents completed questionnaires regarding gastrointestinal symptoms. The EAEC strains were further characterized by serotyping, phylogenetic analysis, and susceptibility testing. EAEC was detected in 25 (14%) of the children during the observational period of 1 year. One or more gastrointestinal symptoms were reported from 56% of the EAEC-positive children. Diarrhea was reported in six (24%) of the EAEC positive children, but no cases of weight loss, and general failure to thrive were observed. The EAEC strains detected comprised a large number of different serotypes, confirming the genetic heterogeneity of this pathotype. EAEC was highly prevalent (n = 25, 14%) in Danish children in daycare centers and was accompanied by gastrointestinal symptoms in

  1. Viable Bacteria Associated with Red Blood Cells and Plasma in Freshly Drawn Blood Donations

    PubMed Central

    Damgaard, Christian; Magnussen, Karin; Enevold, Christian; Nilsson, Martin; Tolker-Nielsen, Tim; Holmstrup, Palle; Nielsen, Claus Henrik

    2015-01-01

    Objectives Infection remains a leading cause of post-transfusion mortality and morbidity. Bacterial contamination is, however, detected in less than 0.1% of blood units tested. The aim of the study was to identify viable bacteria in standard blood-pack units, with particular focus on bacteria from the oral cavity, and to determine the distribution of bacteria revealed in plasma and in the red blood cell (RBC)-fraction. Design Cross-sectional study. Blood were separated into plasma and RBC-suspensions, which were incubated anaerobically or aerobically for 7 days on trypticase soy blood agar (TSA) or blue lactose plates. For identification colony PCR was performed using primers targeting 16S rDNA. Setting Blood donors attending Capital Region Blood Bank, Copenhagen University Hospital, Rigshospitalet, Hvidovre, Denmark, October 29th to December 10th 2013. Participants 60 donors (≥50 years old), self-reported medically healthy. Results Bacterial growth was observed on plates inoculated with plasma or RBCs from 62% of the blood donations. Growth was evident in 21 (35%) of 60 RBC-fractions and in 32 (53%) of 60 plasma-fractions versus 8 of 60 negative controls (p = 0.005 and p = 2.6x10-6, respectively). Propionibacterium acnes was found in 23% of the donations, and Staphylococcus epidermidis in 38%. The majority of bacteria identified in the present study were either facultative anaerobic (59.5%) or anaerobic (27.8%) species, which are not likely to be detected during current routine screening. Conclusions Viable bacteria are present in blood from donors self-reported as medically healthy, indicating that conventional test systems employed by blood banks insufficiently detect bacteria in plasma. Further investigation is needed to determine whether routine testing for anaerobic bacteria and testing of RBC-fractions for adherent bacteria should be recommended. PMID:25751254

  2. [The eye department at Copenhagen municipal hospital. Part 3: the epoch of Braendstrup, 1957-1980].

    PubMed

    Norn, M

    1999-01-01

    Poul Braendstrup (PB 1912-80) was the best qualified to become head of the eye department at Kommunehospitalet (KH) in 1957, with an eminent great scientific production. He continued this work all his life. Three assistant doctors with different specialities were appointed 1966-72: M. Norn (external eye), K. Norskov (strabism) and Sv. E. Lorentzen (retina). Reasons for the ideal cooperation in the department are described (staff-meetings, christmas-staff-arrangements, meetings, courses etc). The number of operations increased steadily in the period, especially cataract-extractions. The newest techniques and instruments were used (cornea-grafting, vitreous surgery, xenoncoagulation (PB study tour in 1962) before laser-treatment etc). The scientific production increases, surpassing Rigshospitalet after 1967. The education was effective at all levels: In the eye-department, doctors evenings, A-and B-courses for eye specialists to become, referring eye specialists, students (from 1972 as an independent part (sect IV) of the University of Copenhagen with an ordinary professor from 1975). It was disturbing with the many removals at KH and at last the final total removal to KKHH (Hvidovre), causing loss of some of the best staff members, instrument breaks, increasing waiting lists up to one year, inconvenience for the patients and many other difficulties. This could be a warning against the continued great movings of departments in Copenhagen (H:S). The administration is criticised. PB's rationalisation of the duty-plan for all Copenhagen eye departments already from 1966 independent of the administration is mentioned. PMID:11639165

  3. User acceptability of an alpha-fetoprotein screening programme.

    PubMed

    Jørgensen, F S

    1995-02-01

    The objective of the study was to determine user acceptability among women who were classified as false positives or test negatives in an alpha-fetoprotein screening programme. The study was performed as a questionnaire study over a one-year period from October 1, 1988 to September 30, 1989 at Hvidovre University Hospital, Copenhagen, and the county hospitals of Sønderjylland, Denmark. The participating subjects were 4104 pregnant women who had had an alpha-fetoprotein test and had completed 30 weeks of gestation, when the questionnaire was delivered. Main outcome measures were degree and duration of anxiety, influence on daily life and whether the woman wanted the alpha-fetoprotein test again in a new pregnancy. Three thousand, three hundred and thirty-one questionnaires were analyzed. The participation rate was 81.2%. For 219 women (6.6%), the first alpha-fetoprotein test was abnormal (high or low) and the tests were later found to be false positives. There was a strong association between anxiety experienced in conjunction with the alpha-fetoprotein screening programme and the alpha-fetoprotein test result. Two percent of the women with a normal test result reported severe anxiety, compared to 36% of the women who had an abnormal test result followed by amniocentesis (p < 0.001). Two percent of the women with a normal alpha-fetoprotein result reported that they were anxious one month or more after testing, in contrast to 39% of those who had had an amniocentesis (p < 0.001).(ABSTRACT TRUNCATED AT 250 WORDS) PMID:7537190

  4. Serotonin and the Australian connection: the science and the people.

    PubMed

    Mylecharane, Ewan J

    2013-01-16

    This contribution to "Putting the pieces together: Proceedings from the International Society for Serotonin Research (aka Serotonin Club)" encapsulates a brief history of serotonin beginning with its discovery in 1946 by Maurice Rapport, Arda Green, and Irvine Page. The first 40 years of serotonin research culminated in the inaugural Serotonin Club meeting held on Heron Island, Australia, in 1987. In light of the silver anniversary of the Serotonin Club and its Australian beginnings, it is timely to highlight some of the contributions made to serotonin research by Australian scientists, which I shared with participants at the 2012 meeting of the Serotonin Club, in Montpellier, France as the honoree of the Maurice Rapport Lectureship. PMID:23336042

  5. Le syndrome d'Othello: un cas observé à Ouagadougou

    PubMed Central

    Kaboré, Bawindsongré Jean; Napon, Christian

    2013-01-01

    Les auteurs rapportent le premier cas de délire de jalousie encore décrit sous l'acronyme de syndrome d'Othello, à Ouagadougou. Il s'est agit d'un patient qui au décours d'un accident vasculaire cérébral ischémique constitué, a développé un délire de jalousie. Une revue de la littérature permet de comprendre que l'affection, rarement rapportée est de plus en plus décrite au décours de maladies neurologiques aigues ou chroniques, et que le lobe frontal joue vraisemblablement un rôle majeur. PMID:24570777

  6. The peripatetic cultural psychiatrist: reflections on a forty-five year longitudinal study of a South India village.

    PubMed

    Ullrich, Helen E

    2011-04-01

    This article presents one woman's odyssey, which began with a career in linguistics and later incorporated cultural psychiatry. While engaged in fieldwork as a linguist, studying the syntactic structure of Havyaka Kannada and dialectal accommodation among the castes in a South India village, I developed language skills and rapport with the village residents. Then I transferred my community-wide rapport to research on depression as a cultural psychiatrist. The articles I wrote on depression and its relationship to socialized passivity and endorsed assertiveness in progressive generations of South Indian women, illustrate the impact of change on mental health. The cultural background from my community-based longitudinal study of more than forty-five years has contributed to my understanding disorders in Indian patients living in a globalized world. PMID:21511853

  7. Intuition in nursing relationships: the result of 'skills' or 'qualities'?

    PubMed

    Turnbull, J

    Maintaining the scientific orientation of health and nursing care systems has resulted in a lack of focus on nurses' intuitive knowledge base. Consequently, confusion exists as to whether intuition in nursing is the result of acquired skills, or is dependent upon the inherent qualities of the individual. In deconstructing the apparently intuitive process of building rapport, neuro-linguistic programming (NLP) can offer insight, suggesting that rapport building depends on learnt skills that have moved into unconscious competence. The examination of nurses' intuitive knowledge, in order to identify underlying skills, needs to be just as rigorous as the acquisition of scientific knowledge. Examining intuitive knowledge can be achieved within a framework of reflective practice to counter the inherent dangers of an increasingly scientific approach operating within a caring profession. PMID:10362932

  8. Serotonin and the Australian Connection: The Science and the People

    PubMed Central

    2013-01-01

    This contribution to “Putting the pieces together: Proceedings from the International Society for Serotonin Research (aka Serotonin Club)” encapsulates a brief history of serotonin beginning with its discovery in 1946 by Maurice Rapport, Arda Green, and Irvine Page. The first 40 years of serotonin research culminated in the inaugural Serotonin Club meeting held on Heron Island, Australia, in 1987. In light of the silver anniversary of the Serotonin Club and its Australian beginnings, it is timely to highlight some of the contributions made to serotonin research by Australian scientists, which I shared with participants at the 2012 meeting of the Serotonin Club, in Montpellier, France as the honoree of the Maurice Rapport Lectureship. PMID:23336042

  9. Inspiration of psychotherapists by patients.

    PubMed

    Messner, E

    1976-12-01

    Many patients possess such exemplary traits and virtues that their psychotherapists are inspired to emulate them. This process can benefit the clinician and reinforce the therapeutic alliance, rapport, and the spirit of reciprocity; however, it can also arouse responses by the clinician that are therapeutically detrimental. Awareness of this hazard can enable the clinican to avert it and enhance the benefits provided by the patient's outstanding strengths. PMID:984249

  10. Using Skype to support palliative care surveillance.

    PubMed

    Jones, Jacqueline

    2014-02-01

    The aim of this article is to demonstrate how a novel yet important tool can facilitate family involvement in person-centred care, despite geographical distance. The author presents a case study as an in-depth example of the use of Skype in the context of palliative care at home. Skype enhanced family surveillance and symptom management, augmented shared decision making, provided a space for virtual bedside vigil, and ultimately provided the rapport necessary for optimal end of life care. PMID:24471549

  11. Torsion d'annexe après hystérectomie abdominale: une première observation

    PubMed Central

    Elhjouji, Abderrahman; Zahdi, Othman; Baba, Hicham; Belhamidi, Said; Bounaim, Ahmed; Aitali, Abdelmounaim; Sair, Khalid

    2015-01-01

    La torsion d'annexes survient classiquement sur ovaires kystiques ou tumoraux. De rares cas de torsion ont été rapports dans la littérature après hystérectomie laparoscopique. Nous rapportons la première observation de torsion d'annexe survenant sur annexe normale après hystérectomie abdominale et décrivons les particularités de cette forme clinique. PMID:26759694

  12. Brulure par Foudre. A Propos d’une Observation

    PubMed Central

    Mradmi, W.; Fassi-Fihri, J.; Mehaji, G.; Ezzoubi, M.; Diouri, M.; Bahechar, N.; Boukind, E.H.

    2005-01-01

    Summary Aussi loin que l’on remonte dans la littérature, on retrouve des récits relatant des accidents consécutifs à la fulguration chez l’homme. La foudre était alors associée à la colère des dieux ou à la notion de châtiment. La fulguration correspond à un transfert d’énergie entre un cumulonimbus de charge négative et un objet de charge positive se trouvant au niveau du sol. Les lésions déterminées sont à la fois thermiques et électrothermiques. Bien que l’arrêt cardiorespiratoire soit une cause bien documentée de décès, la plupart des cas rapportés dans la littérature décrivent un éventail très disparate des séquelles qui surviennent suite à cet accident. Les Auteurs rapportent le cas d’un patient atteint par la foudre en insistant particulièrement sur les complications neurologiques qui sont survenues en cours d’évolution. Se basant sur cette observation et sur une revue de la littérature, les Auteurs soulignent que le pronostic des patients atteints par la foudre est plus favorable que généralement rapporté. PMID:21990993

  13. The dynamic nature of interrogation.

    PubMed

    Kelly, Christopher E; Miller, Jeaneé C; Redlich, Allison D

    2016-06-01

    Building on a substantial body of literature examining interrogation methods employed by police investigators and their relationship to suspect behaviors, we analyzed a sample of audio and video interrogation recordings of individuals suspected of serious violent crimes. Existing survey research has focused on the tactics reportedly used, at what rate, and under what conditions; observational studies detail which methods are actually employed. With a few notable exceptions, these foundational studies were static examinations of interrogation methods that documented the absence or presence of various approaches. In the present study, we cast interrogation as a dynamic phenomenon and code the recordings in 5-min intervals to examine how interrogation methods and suspect cooperation change over time. Employing the interrogation taxonomy framework, particularly 4 discrete domains-rapport and relationship building, emotion provocation, presentation of evidence, and confrontation/competition-we found that the emphasis of the domains varied across interrogations and were significantly different when suspects confessed versus when they denied involvement. In regression models, suspect cooperation was positively influenced by the rapport and relationship building domain, though it was negatively impacted by presentation of evidence and confrontation/competition. Moreover, we found that the negative effects of confrontation/competition on suspect cooperation lasted for up to 15 min. The implications of the findings for practice and future research include the benefits of a rapport-based approach, the deleterious effects of accusatorial methods, and the importance of studying when, not just if, certain interrogation techniques are employed. (PsycINFO Database Record PMID:26651622

  14. A heart for interaction: Shared physiological dynamics and behavioral coordination in a collective, creative construction task.

    PubMed

    Fusaroli, Riccardo; Bjørndahl, Johanne S; Roepstorff, Andreas; Tylén, Kristian

    2016-09-01

    Interpersonally shared physiological dynamics are increasingly argued to underlie rapport, empathy, and even team performance. Inspired by the model of interpersonal synergy, we critically investigate the presence, temporal development, possible mechanisms and impact of shared interpersonal heart rate (HR) dynamics during individual and collective creative LEGO® construction tasks. In Study 1 we show how shared HR dynamics are driven by a plurality of sources, including task constraints and behavioral coordination. Generally, shared HR dynamics are more prevalent in individual trials (involving participants doing the same things) than in collective ones (involving participants taking turns and performing complementary actions). However, when contrasted against virtual pairs, collective trials display more stable shared HR dynamics suggesting that online social interaction plays an important role. Furthermore, in contrast to individual trials, shared HR dynamics are found to increase across collective trials. Study 2 investigates which aspects of social interaction might drive these effects. We show that shared HR dynamics are statistically predicted by interpersonal speech and building coordination. In Study 3, we explore the relation between HR dynamics, behavioral coordination, and self-reported measures of rapport and group competence. Although behavioral coordination predicts rapport and group competence, shared HR dynamics do not. Although shared physiological dynamics were reliably observed in our study, our results warrant not to consider HR dynamics a general driving mechanism of social coordination. Behavioral coordination-on the other hand-seems to be more informative of both shared physiological dynamics and collective experience. (PsycINFO Database Record PMID:26962844

  15. Groin injuries in athletes--development of clinical entities, treatment, and prevention.

    PubMed

    Hölmich, Per

    2015-12-01

    The doctoral thesis is based on eight papers published in peer-reviewed journals and a review of the literature. The papers are published between 1997 and 2013 in cooperation with Sankt Elisabeth Hospital, Herlev Hospital, Glostrup Hospital, Rigshospitalet, Hvidovre Hospital, Amager Hospital, Copenhagen Trial Unit, and Institute of Preventive Medicine, Copenhagen. Groin injuries in sport are very common and in football they are among the most common and most time-consuming injuries. These injuries are treated very differently around the world. There is no consensus in the literature regarding definitions, examination methods, diagnosis or treatment and in general the level of evidence is very low. There is a need for identification of the painful anatomical structures, how to examine them and how to define clinical entities to develop effective treatment and prevention. The aim of these studies were: - To review the literature to create an overview of the ideas and the knowledge in order to plan future studies in this field. - Develop and test clinical examination techniques of the relevant tendons and muscles in the region. - Since no evidence-based diagnosis exist; to develop a set of clinical entities to identify the different groups of patients. - To test the effect of a dedicated exercise program developed for treatment of long-standing adductor-related groin pain in athletes in a randomised clinical trial comparing it to the treatment modalities used at that time. - To examine the long-term effect of the above mentioned training program for treatment of long-standing adductor-related groin pain. - To develop a training program for prevention of groin injuries in soccer and test it in a randomised clinical trial. - To describe the occurrence and presentation in clinical entities of groin injuries in male football and to examine the characteristics of these injuries. - Evaluate if radiological signs of femuro-acetabular impingement (FAI) or dysplasia affect the

  16. Recruitment of HIV-Positive Women in Research: Discussing Barriers, Facilitators, and Research Personnel’s Knowledge

    PubMed Central

    Loutfy, Mona R; V, Logan Kennedy; Mohammed, Saira; Wu, Wei; Muchenje, Marvelous; Masinde, Khatundi; Salam, Khaled; Soje, Lena; Gregorovich, Sandra; Tharao, Wangari

    2014-01-01

    Background : Women have historically been under-represented in HIV research, partly due to ineffective recruitment strategies. Objective : To improve the existing understanding of recruitment for HIV-positive women based on a province-wide cross-sectional study. Methods : A survey was emailed to all site coordinators who recruited participants in a study involving 490 HIV-positive women living in Ontario, Canada. The survey consisted of questions regarding the important recruitment barriers and successes. Quantitative data were then contextualized within extensive knowledge from research personnel and team members. Results : Completed surveys were received from (89%) site coordinators (34/38) and 98% (31/34) were women. The highest ranked recruitment barriers identified were: sensitivity of the research topic (59%), time/availability constraints (59%), language barriers (53%), HIV disclosure/stigma issues (47%), lack of trust of research personnel (41%), fear of research (41%) and inaccessibility to child care and transportation (41%). The respondents felt that the most important personal attributes for recruitment were research personnel who were respectful (97%), skilled (91%), flexible (88%) and empathetic (88%) and had good communication skills (88%). The most successful recruitment strategies identified were: developing a strong rapport (88%) that was facilitated by an empathetic relationship (100%), acknowledging the sensitive nature of the research topic (94%), providing cash financial compensation (88%), and developing recruitment strategies unique to women (88%). Conclusion : There are differences in the approaches needed for the recruitment of HIV-positive women in research. For successful recruitment of HIV-positive women, a strong rapport between the research personnel and study participants is important. This rapport is facilitated by having study personnel who are respectful, trustworthy, empathetic, and flexible. Population-specific recruitment

  17. Participation during First Social Encounters in Schizophrenia

    PubMed Central

    Lavelle, Mary; Healey, Patrick G. T.; McCabe, Rosemarie

    2014-01-01

    Background Patients with a diagnosis of schizophrenia are socially excluded. The aim of this study was to investigate how patients participate in first encounters with unfamiliar healthy participants, who are unaware of their diagnosis. Methods Patterns of participation were investigated during interactions involving three-people. Three conversation roles were analysed: (i) speaker, (ii) primary recipient- focus of the speaker’s attention and (iii) secondary recipient- unaddressed individual. Twenty patient interactions (1 patient, 2 healthy controls) and 20 control interactions (3 healthy participants) were recorded and motion captured in 3D. The participation of patients and their partners, in each conversation role, was compared with controls at the start, middle and end of the interaction. The relationship between patients’ participation, their symptoms and the rapport others experienced with them was also explored. Results At the start of the interaction patients spoke less (ß = −.639, p = .02) and spent more time as secondary recipient (ß = .349, p = .02). Patients’ participation at the middle and end of the interaction did not differ from controls. Patients’ partners experienced poorer rapport with patients who spent more time as a primary recipient at the start of the interaction (Rho(11) = −.755, p<.01). Patients’ participation was not associated with symptoms. Conclusion Despite their increased participation over time, patients’ initial participation appears to be associated with others’ experience of rapport with them. Thus, the opening moments of patients’ first encounters appear to be interpersonally significant. Further investigation of patient and others’ behaviour during these critical moments is warranted in order to understand, and possibly develop interventions to address, the difficulties schizophrenia patients experience here. PMID:24465363

  18. Etienne-François Geoffroy (1672-1731), a Chemist on the Frontiers.

    PubMed

    Joly, Bernard

    2014-01-01

    Etienne-François Geoffroy is certainly the most representative chemist of the Paris Académie Royale des Sciences in the early eighteenth century. Interested in Newtonian ideas, he did not reject Cartesian mechanism. He is the inventor of the "Table des rapports entre les substances chimiques," which remained in use throughout the eighteenth century, but he drew from the alchemical tradition. He readily theorized about the composition of metals or the laws of chemical affinities, but he practiced a chemistry that was rooted in laboratory work and the search for substances useful to craftsmen. PMID:26103751

  19. Primary psychiatric conditions: dermatitis artefacta, trichotillomania and neurotic excoriations.

    PubMed

    Wong, Jillian W; Nguyen, Tien V; Koo, John Ym

    2013-01-01

    Primary psychiatric conditions encountered in dermatology include dermatitis artefacta, trichotillomania (TTM) and neurotic excoriations. For these disorders, the primary pathologic condition involves the psyche; therefore, any cutaneous findings are self-induced. Herein, we review common primary psychiatric conditions in dermatology - dermatitis artefacta, neurotic excoriations and TTM - and examine their epidemiology, clinical presentation, differential diagnosis and treatment strategies. For all primary psychiatric disorders, the most effective underlying strategy is to first establish a strong therapeutic rapport with the patient. Various pharmacologic and non-pharmacologic therapies can then be attempted afterwards to successfully manage these patients. PMID:23372212

  20. Emphysème segmentaire géant congénital compressif: diagnostic et traitement

    PubMed Central

    Ouattara, Moussa Abdoulaye; Togo, Seydou; Kané, Bourama; Yena, Sadio

    2016-01-01

    L'emphysème lobaire géant congénital est une pathologie malformative rare du nourrisson. Les auteurs rapportent un cas similaire qui se distingue par son siège segmentaire encore plus rare et son caractère compressif chez qui une segmentectomie a été réalisée en urgence avec succès pour lever la détresse respiratoire dans un pays en développement. PMID:27303589

  1. Auto Therapy: Using Automobiles as Vehicles for Reminiscence With Older Adults.

    PubMed

    Anderson, Keith A; Weber, Katherine V

    2015-01-01

    Reminiscence can be beneficial for older adults and contribute to well-being and ego integrity. In this exploratory pilot study, researchers assessed the feasibility and tolerability of a novel reminiscence intervention using automobiles as the focal point. Nineteen older adults (N = 19) were asked to reminisce using photographs of automobiles from across their lifespan. The RE-AIM framework was used to assess the intervention in terms of reach, effectiveness, adoption, implementation, and maintenance. The intervention was well-received, quickly established rapport, and effectively fostered reminiscence. Social workers may find this intervention useful in helping older adults to explore their lives. PMID:25734237

  2. Une cause rare de dysphagie chez l'enfant: le bézoard

    PubMed Central

    El Boussaadni, Yousra; El Mahjoubi, Sahare; El Ouali, Aziza; Khannoussi, Wafaa; Benajiba, Noufissa

    2014-01-01

    La dysphagie est un signe sémiologique peu fréquent chez l'enfant, dont l'oesophagite est souvent la cause. Les auteurs rapportent une cause rare de dysphagie chez une enfant de 3 ans et demi, ayant évolué 5 mois avant son admission et chez qui l'exploration para clinique a conclu à un bézoard. L'endoscopie a permis une extraction totale. À travers ce cas, nous essayons de rappeler aux praticiens les particularités cliniques de cette affection, ainsi que celles de la prise en charge et le suivi. PMID:25404969

  3. Maladie de kaposi classique botriomycome-like: un piège diagnostic

    PubMed Central

    Bouzidi, Hanae; Gallouj, Salim; Amraoui, Nissrine; Mernissi, Fatima Zahra; Harmouch, Taoufiq

    2014-01-01

    La maladie de kaposi (MK) botriomycome-like et une variante clinique et anatomopathologique rare de la MK, rapportée aussi bien dans la forme classique et épidémique de la MK. C'est une entité difficile à diagnostiquer car ses caractéristiques cliniques et histologiques englobent à la fois celles du botriomycome et de la MK. En plus du contexte clinique l’étude histologique et immunohistochimique restent primordiales pour établir son diagnostic. Nous rapportons un cas de MK botriomycome-like assez particulier pas sa localisation et son siège unique. PMID:25317231

  4. L'atteinte osseuse dans le sarcome de Kaposi classique et agressif: à propos d'un cas

    PubMed Central

    Sbiyaa, Mouhcine; El Alaoui, Adil; El Bardai, Mohammed; Mezzani, Amine; Lahrach, Kamal; Marzouki, Amine; Boutayeb, Fawzi

    2016-01-01

    Le sarcome de Kaposi classique est une tumeur rare multifocale d'origine des cellules endothéliales vasculaires à caractère évolutif progressif et peu maligne. L'atteinte viscérale dans le sarcome de kaposi est parfois observée chez les patients VIH positif par contre la dissémination tumorale dans les ganglions lymphatiques viscérales dans le SK classique reste très rare. On rapporte un cas rare de sarcome de kaposi classique agressif de la main avec une évolution rapide et destructive. PMID:27347285

  5. Grossesse intra murale à propos d'un cas

    PubMed Central

    de Tové, Kofi-Mensa Savi; Salifou, Kabibou; Imorou, Rachidi Sidi; Biaou, Olivier; Boco, Vicentia

    2015-01-01

    La grossesse intra-murale est la variété la plus rare de grossesse extra-utérine. Il s'agit de la localisation de l’œuf dans l’épaisseur du myomètre. En cas de retard diagnostic, l’évolution peut être catastrophique avec rupture utérine et hémorragie cataclysmique. L’échographie permet dans certains cas un diagnostic pré opératoire. Les auteurs rapportent un cas survenu chez une patiente aux antécédents de curetage. PMID:26448812

  6. Political and institutional factors affecting systems engineering

    NASA Technical Reports Server (NTRS)

    Yardley, John F.

    1993-01-01

    External groups have a significant impact on NASA's programs. Ten groups affecting NASA are identified, and examples are given for some of the them. Methods of dealing with these external inputs are discussed, the most important being good and open two way communications and an objective attitude on the part of the NASA participants. The importance of planning ahead, of developing rapport with these groups, and of effective use of NASA contractors is covered. The need for an overall strategic plan for the U.S. space program is stressed.

  7. Part I: The Difficult Patient: Medical and Legal Approaches

    PubMed Central

    Ovens, Howard

    1989-01-01

    Difficult patients are defined as those who elicit strong negative emotions from their physicians. If not acknowledged and managed correctly, these feelings can lead to diagnostic errors, unpleasant confrontations, and troublesome complaints or legal claims. The author reviews common personalities and situations that are associated with difficult encounters in emergency departments and describes an approach stressing flexibility in communication and the early establishment of rapport. He discusses diagnostic possibilities in the agitated or confused, unco-operative patient, reviews relevant laws governing restraint and competence to consent, and outlines techniques to reduce medicolegal risks. PMID:21249058

  8. Toxoplasmose oculaire atypique chez une femme congolaise de 72 ans: à propos d'une observation

    PubMed Central

    Bienvenu, Yogolelo Asani; Angel, Musau Nkola; Eric, Kasamba Ilunga; Socrate, Kapalu Mwangala; Sebastien, Mbuyi Musanzayi; Philippe, Cilundika Mulenga; Leon, Kabamba Ngombe; Bruno, Iye Ombamba Kayimba; Gaby, Chenge Borasisi

    2015-01-01

    Les auteurs rapportent un cas de toxoplasmose oculaire binoculaire, rarement décrit dans la littérature, chez une personne âgée de 72 ans, de sexe féminin, à laquelle s'associe une rétinite pigmentaire unilatérale. Cette observation permet d'attirer l'attention de la communauté scientifique sur les autres formes ou variétés de présentation moins courantes, « atypiques », pouvant être rencontrées ou associées à la toxoplasmose oculaire. PMID:26958130

  9. Cryptococcose neuroméningée et tuberculose osseuse chez un immunocompétent: un cas

    PubMed Central

    Gbané-Koné, Mariam; Ouali, Boubacar; Mègne, Estelle; Diomandé, Mohamed; Coulibaly, Abidou Kawalé; Eti, Edmond; Kouakou, N'zué Marcel

    2015-01-01

    Les auteurs rapportent un cas de cryptococcose neuroméningée (CNM) chez un patient de 39 ans, non infecté par le VIH suivi pour une tuberculose de hanche. Le tableau clinique était celui d'une méningite subaiguë. Le diagnostic a été possible grâce à la mise en évidence de cryptocoques dans le LCR. L’évolution a été satisfaisante sous fluconazole. PMID:26090057

  10. Les Hemorragies Gastroduodenales de Stress Chez le Brule Grave

    PubMed Central

    Siah, S.; Fouadi, F.E.; Ababou, K.; Nassim Sabah, T.; Ihrai, I.

    2008-01-01

    Summary Les Auteurs rapportent trois observations d'hémorragies gastroduodénales de stress chez le brûlé grave. Ils rappellent l'importance des mesures thérapeutiques qui doivent être prises chez le brûlé grave, comme le traitement du choc, du sepsis, des plaies et de la douleur, la nutrition entérale précoce et l'oxygénothérapie. Tout cela permet de réduire les facteurs de risque de survenue d'une hémorragie gastroduodénale de stress. PMID:21991137

  11. Localisation endobronchique d'une leucémie aiguë lymphoblastique de phénotype T

    PubMed Central

    Sajiai, Hafsa; Fikal, Siham; Serhane, Hind; Aitbatahar, Salma; Amro, Lamyae; Yazidi, Abdelhaq Alaoui

    2015-01-01

    La localisation endobronchique des leucémies aigues lymphoblastiques est exceptionnelle, de rares cas ont été rapportés dans la littérature. Nous rapportons le cas d'une localisation endobronchique d'une leucémie aigue lymphoblastique de phénotype T révélée par une pleurésie purulente et confirmée par biopsie bronchique. Une chimiothérapie a été démarrée avec bonne évolution. PMID:26401199

  12. Sirénomélie (Mermaid Syndrome): description du premier cas Congolais et revue de la literature

    PubMed Central

    Lubala, Toni Kasole; Mukuku, Olivier; Mutombo, Augustin Mulangu

    2014-01-01

    La sirénomélie est une forme rare de dysgénésie caudale généralement incompatible avec la vie du fait des malformations rénales graves qui y sont associées. En Afrique, elle est associée à des considérations mystico-religieuses et à la sorcellerie et expose la famille à une stigmatisation violente. Son étiologie est encore très controversée. A notre connaissance, il s'agit du premier cas congolais rapporté dans la littérature. PMID:25120875

  13. Traitement chirurgical d'une luxation palmaire carpo-métacarpienne à propos d'un cas

    PubMed Central

    El Alaoui, Adil; Sbiyaa, Mouhcine; Alami, Badr; Mezzani, Amine; Marzouki, Amine; Boutayeb, Fawzi

    2015-01-01

    Les luxations carpo-métacarpiennes sont des lésions rares, les auteurs rapportent un cas de luxation carpo-métacarpienne palmaire du cinquième doigt, traité en urgence par réduction et stabilisation par embrochage à foyer fermé. Une immobilisation postopératoire par une attelle intrinsèque plus a été réalisée pendant six semaines, avec une rééducation à partir de la quatrième semaine. Le résultat fonctionnel était satisfaisant. PMID:26889341

  14. Localisation inhabituelle de la tuberculose: ostéoarthrite tuberculose du pouce

    PubMed Central

    Mortaji, Aziz; Koulali, Khalid; Galuia, Farid

    2014-01-01

    L'ostéoarthrite tuberculose est rare au niveau des doigts. Nous rapportons une observation d'atteinte du pouce chez un patient de 55 ans. Il avait présenté une tuméfaction douloureuse du pouce droit suite à un traumatisme du pouce. L’étude bactériologique et une biopsie avaient permis de confirmer le diagnostic. Un traitement antibacillaire de 12 mois avait donné des résultats satisfaisants. Les particularités de la prise en charge sont discutées par rapport aux données de la littérature. PMID:25932075

  15. Luxation latente isolée du scaphoïde carpien chez l'enfant: à propos d'un cas

    PubMed Central

    Nader, Youssef; Koulali, Khalid Idrissi

    2015-01-01

    La luxation isolé du scaphoïde carpien est une lésion rare en particulier chez l'enfant, passant d'autant plus facilement inaperçue que le squelette du carpe est moins ossifié, dans cette observation ici rapportée, ou le diagnostic fut tardif, L'I.R.M. permet de reconnaitre la lésion, traitée par réduction chirurgicale que les auteurs considèrent essentielle même distance de la lésion. PMID:26113918

  16. Tuberculose de l’épaule masquée par une infection concomitante à enterobacter cloacae: à propos d'un cas

    PubMed Central

    Gbané-Koné, Mariam; Koné, Samba; Ouali, Boubacar; Djaha, Kouassi Jean-Mermoz; Diomandé, Mohamed; Eti, Edmond; Touré, Stanislas André; Kouakou, N'zué Marcel

    2015-01-01

    La tuberculose de l’épaule est une localisation rare de même que l'arthrite septique à Enterobacter cloacae, les auteurs rapportent un cas d'ostéoarthrite de l’épaule à Bacille de Koch et à E. Cloacae chez une patiente de 36 ans avec un terrain particulier (drépanocytose SC et infection à VIH). Le diagnostic a été possible grâce aux prélèvements chirurgicaux effectués lors de l'arthrotomie PMID:26401203

  17. Chylothorax bilatéral au cours de la maladie de Behçet

    PubMed Central

    Zemed, Naaima; Amangar, Nadia; Herrak, Laila; Elftouh, Mustapha

    2015-01-01

    L'atteinte médiastino-pulmonaire de la maladie de Behçet est représentée essentiellement par la thrombose de la veine cave supérieure et l'angéite pulmonaire. L'association de la maladie et du chylothorax est rare, sa prise en charge n'est pas codifiée. Nous rapportant un cas clinique concernant la survenue d'un chylothorax bilatéral secondaire à une thrombose cave supérieure dans un contexte de maladie de Behçet. PMID:26185561

  18. ESMC

    ScienceCinema

    None

    2011-04-25

    Workshops de 2 jours au Cern: 1.partie: communication scientifique: plusieurs discours suivis de questions et intenses discussions: 1.François de Closet "le progrès scientifique" 2.Gerhard Moosleiter(?) exposé avec dias et questions 3.H.Meyers "comment créer de meilleures conditions en communication scientifique 2.partie: science et communication :présentation des dias et questions. Une Russe de Moscou parle entre autre de la situation actuelle de la presse scientifique en Russie 3.partie: conclusions et rapports de la veille de differents groupes de travail 4.partie:questions avec C.Rubbia et N.Calder et remerciements

  19. ESMC

    SciTech Connect

    2007-10-31

    Workshops de 2 jours au Cern: 1.partie: communication scientifique: plusieurs discours suivis de questions et intenses discussions: 1.François de Closet "le progrès scientifique" 2.Gerhard Moosleiter(?) exposé avec dias et questions 3.H.Meyers "comment créer de meilleures conditions en communication scientifique 2.partie: science et communication :présentation des dias et questions. Une Russe de Moscou parle entre autre de la situation actuelle de la presse scientifique en Russie 3.partie: conclusions et rapports de la veille de differents groupes de travail 4.partie:questions avec C.Rubbia et N.Calder et remerciements

  20. Primary Psychiatric Conditions: Dermatitis Artefacta, Trichotillomania and Neurotic Excoriations

    PubMed Central

    Wong, Jillian W; Nguyen, Tien V; Koo, John YM

    2013-01-01

    Primary psychiatric conditions encountered in dermatology include dermatitis artefacta, trichotillomania (TTM) and neurotic excoriations. For these disorders, the primary pathologic condition involves the psyche; therefore, any cutaneous findings are self-induced. Herein, we review common primary psychiatric conditions in dermatology – dermatitis artefacta, neurotic excoriations and TTM – and examine their epidemiology, clinical presentation, differential diagnosis and treatment strategies. For all primary psychiatric disorders, the most effective underlying strategy is to first establish a strong therapeutic rapport with the patient. Various pharmacologic and non-pharmacologic therapies can then be attempted afterwards to successfully manage these patients. PMID:23372212

  1. Métastase anale d'un adénocarcinome du sigmoïde: la partie visible de l'iceberg

    PubMed Central

    El Barni, Rachid; Lahkim, Mohamed; Fihri, Jawad Fassi; Mejdane, Abdelhadi; Bouchama, Rachid; Achour, Abdessamad

    2014-01-01

    Les auteurs rapportent l'observation d'une métastase anale d'un adénocarcinome sigmoïdien dont le traitement a consisté en une amputation abdominopérinéale du rectum, étendue au côlon sigmoïde avec colostomie iliaque gauche définitive. Les différents mécanismes d'extension tumorale sont discutés et la greffe de cellules tumorales viables exfoliées dans la lumière colique est le mécanisme le plus souvent retenu. PMID:25419304

  2. Intubation Difficile Chez le Brule de la Face et du Cou a la Phase de Sequelles

    PubMed Central

    Siah, S.; El Wali, A.; Ababou, K.; Nassim Sabah, T.; Drissi, N.K.; Ihrai, I.

    2006-01-01

    Summary L'intubation trachéale chez le brûlé de la face et du cou au stade de séquelles peut être difficile voire impossible chez certains patients. La technique de ventilation à l'aide d'un masque laryngé ou d'intubation avec un fibroscope bronchique permet de résoudre la plupart des problèmes d'intubation difficile. Les Auteurs rapportent deux observations chez deux patientes porteuses de séquelles de brûlures de la face et du cou. PMID:21991028

  3. Anesthetic Complications and Deaths

    PubMed Central

    Pender, John W.

    1968-01-01

    Anesthesiologists should fully inform patients of the possible complications from anesthesia. For rapport with the patient, with whom they usually have no acquaintance until a day or so before an operative procedure, the anesthesiologist should enlist the help of the internist or surgeon who already has established an atmosphere of trust. The extent of morbidity and minor complications from anesthesia has not been adequately recorded. One out of every 1,000 to 2,000 anesthetized patients dies of complications primarily due to or contributed to by anesthesia. Leading causes of death vary from study to study and from year to year. PMID:5652756

  4. La para-osteo-arthropathie neurogene dans le syndrome de guillain barre: complication rare (à propos d'un cas et revue de la littérature)

    PubMed Central

    Abid, Hatim; El Idrissi, Mohamed; Shimi, Mohamed; El Ibrahimi, Abdelhalim; El Mrini, Abdelmajid

    2015-01-01

    Les para-ostéo-arthropathies neurogènes sont des complications classiques des affections neurologiques centrales, surtout dans les contextes traumatiques. Elles surviennent principalement au voisinage des grosses articulations. Leur physiopathologie exacte reste inconnue malgré de très nombreux travaux et cas rapportés. Il semble que leur survenue au décours d'affections neurologiques périphériques soit exceptionnelle. Nous présentons le cas d'une para-ostéo-arthropathie de hanche bilatérale compliquant un syndrome de Guillain-Barré. PMID:26161168

  5. Kyste hydatique du foie compliqué d'un accident vasculaire cérébral ischémique: à propos d'un cas

    PubMed Central

    Turki, Olfa; Bahloul, Mabrouk; Chtara, Kamilia; Regaieg, Kais; Haddar, Sondes; Bouaziz, Mounir

    2015-01-01

    Le kyste hydatique du foie (KHF) est une maladie assez répandue dans les pays nord-africains. La rupture post-traumatique ou spontanée du kyste compliquée d'un choc anaphylactique et d'un AVC ischémique a été exceptionnellement rapportée. Nous rapportons un cas d'un kyste hydatique du foie (KHF) fissuré et compliqué d'un choc anaphylactique et d'un AVC ischémique. PMID:26985273

  6. Getting close to Rwandans since the genocide: studying everyday life in highly politicized research settings.

    PubMed

    Thomson, Susan

    2010-01-01

    Research with people in highly politicized research settings illuminates the gap between the images that most African governments strive to represent and the sociopolitical realities of everyday life. This article discusses the opportunities and challenges of doing research in postgenocide Rwanda and is a useful resource for researchers contemplating their own projects under such conditions, whether in Rwanda or elsewhere. It discusses the importance of creating personal relationships and meeting people on their terms, as well as such topics as the identification of the research site, building rapport and trust with respondents, safeguarding anonymity and confidentiality, and working with local research assistants and partners. PMID:21322899

  7. Diverticulite duodénale: complication inhabituelle pas toujours facile à gérer

    PubMed Central

    Elhjouji, Abderrahman; Jaiteh, Lamine; Bounaim, Ahmed; Aitali, Abdelmounaim; Sair, Khalid

    2015-01-01

    Les diverticules duodénaux sont assez fréquents, la majorité reste asymptomatique. Les complications les plus fréquemment rapportées sont les hémorragies et les pancréatites. Contrairement aux diverticules coliques, la survenue de diverticulite est rare. Nous rapportons le cas d'une infection d'un gros diverticule duodénal en mettant le point sur la difficulté de la prise en charge de cette entité pathologique. PMID:26958122

  8. "My child and I are a package deal": balancing adult and child concerns in repartnering after divorce.

    PubMed

    Anderson, Edward R; Greene, Shannon M

    2011-10-01

    Parents who repartner after divorce must decide how to balance the potentially competing demands of their own desire for adult companionship and romance with the needs of their children for parental attention and affection. In this study, the authors assessed individual differences in divorced custodial mothers' orientation toward repartnering, characterizing it as a continuum, ranging from more child focused to more adult focused. Mothers who are more adult focused tend to be older, more educated, more likely to be employed outside the home, and exiting marriages of longer duration. In addition, using longitudinal data from in-home interviews, mothers who are more adult focused reported having lower rapport with their children, spending less time in joint activities with their children, and their children in turn reported lower rapport with their mothers. Levels of adult-focused orientation are relatively stable over time but increase when mothers become involved or interested in new partners. Using longitudinal diary data over a 2-year period, the authors demonstrated that mothers who are more child focused engage in more active management of emergent relationships in repartnered families and that adult-focused and child-focused mothers respond to different concerns. Whereas all mothers become more active in managing emergent relationships when both partner and child are resisting one another, mothers with greater child focus respond more to concerns of the child, and mothers with greater adult focus respond more to the concerns of the partner. Implications for intervention with divorced families are discussed. PMID:21744961

  9. Syndrome de West: à propos d'une observation

    PubMed Central

    Bugeme, Marcellin; Nawej, Pascal; Mukuku, Olivier

    2015-01-01

    Nous rapportons une observation d'un nourrisson de 7 mois présentant des spasmes infantiles et une microcéphalie. Elle était née à terme, en position de siège et avait présenté une asphyxie intrapartum (dépression néonatale) ayant conduit à une encéphalopathie néonatale modérée. Le diagnostic de Syndrome de West était confirmé à l’électroencéphalographie qui avait montré un tracé hypsarythmique. L'enfant avait été mise sous un traitement fait de Vigabatrine et son évolution était marquée par une régression des crises non seulement par rapport à l'intensité, mais aussi par rapport à la fréquence et à la durée. Sur le plan psychomoteur, nous avons noté un retard de développement. PMID:26523193

  10. Sequencing Disadvantage: Barriers to Employment Facing Young Black and White Men with Criminal Records

    PubMed Central

    PAGER, DEVAH; WESTERN, BRUCE; SUGIE, NAOMI

    2013-01-01

    In this article, the authors report the results of a large-scale field experiment conducted in New York City investigating the effects of race and a prison record on employment. Teams of black and white men were matched and sent to apply for low-wage jobs throughout the city, presenting equivalent resumés and differing only in their race and criminal background. The authors find a significant negative effect of a criminal record on employment outcomes that appears substantially larger for African Americans. The sequence of interactions preceding hiring decisions suggests that black applicants are less often invited to interview, thereby providing fewer opportunities to establish rapport with the employer. Furthermore, employers’ general reluctance to discuss the criminal record of an applicant appears especially harmful for black ex-offenders. Overall, these results point to the importance of rapport-building for finding work, something that the stigmatizing characteristics of minority and criminal status make more difficult to achieve. PMID:23459367

  11. Patient and Healthcare Provider Views of Depressive Symptoms and Diabetes in American Samoa

    PubMed Central

    Held, Rachel Forster; DePue, Judith; Rosen, Rochelle; Bereolos, Nicole; Nu'usolia, Ofeira; Tuitele, John; Goldstein, Michael; House, Megan; McGarvey, Stephen

    2010-01-01

    High type 2 diabetes prevalence, associated with recent cultural changes in diet and physical activity, characterizes the U.S. territory of American Samoa. Comorbid diabetes and depression rates are high worldwide and contribute to negative diabetes outcomes; these rates have not been assessed in American Samoa. In this study, six focus groups (FGs) were conducted with 39 American Samoan adults with diabetes; questions on perceptions of diabetes and depressive symptoms were included. Thirteen healthcare staff interviews were conducted to gain further insight into diabetes care in American Samoa. FGs and healthcare staff interviews were translated, transcribed, and entered into NVivo 8 to facilitate analysis. Thematic analysis showed that diabetes patients saw depressive symptoms as directly contributing to high blood sugar. However, these symptoms were rarely mentioned spontaneously, and providers reported they seldom assess them in patients. Many patients and healthcare staff believed the best ways to respond to feelings of depression involved relaxing, leaving difficult situations, or eating. Staff also discussed cultural stigma associated with depression and the importance of establishing rapport before discussing it. In conclusion, healthcare providers in American Samoa need training to increase their awareness of depressive symptoms' negative impact on diabetes management in patients who screen positive for depression. All providers must approach the subject in a supportive context after establishing rapport. This information will be used for cultural translation of a community health worker and primary care-coordinated intervention for adults with diabetes in American Samoa, with the goal of creating an effective and sustainable intervention. PMID:21058808

  12. Patients' Perceptions of Dehumanization of Patients in Dental School Settings: Implications for Clinic Management and Curriculum Planning.

    PubMed

    Raja, Sheela; Shah, Raveena; Hamad, Judy; Van Kanegan, Mona; Kupershmidt, Alexandra; Kruthoff, Mariela

    2015-10-01

    Although the importance of empathy, rapport, and anxiety/pain awareness in dentist-patient relations has been well documented, these factors continue to be an issue with patients in many dental school clinics. The aim of this study was to develop an in-depth understanding of how patients at an urban, university-affiliated medical center and its dental school's clinic experienced oral health care and to generate ideas for improving the dental school's clinical curriculum and management of the clinic. Although patient satisfaction surveys are common, in-depth patient narratives are an underutilized resource for improving dental education. In-depth qualitative interviews were conducted with 20 uninsured or underinsured dental patients at these sites, and the results were analyzed using content analysis. Major phenomena that participants discussed were the importance of empathy and good rapport with their oral health providers and provider awareness of dental pain and anxiety. Many patients also discussed feeling dehumanized during dental visits. Based on their positive and negative experiences, the participants made suggestions for how oral health professionals can successfully engage patients in treatment. PMID:26427779

  13. Ossification du ligament de Hoffa: évolution finale de la maladie de Hoffa (à propos d'un cas avec revue de la littérature)

    PubMed Central

    Boukhris, Jalal; Boussouga, Mostapha; Benchakroune, Mohammed; Jaafar, Abdelouahab; Chagar, Belkacem

    2014-01-01

    La responsabilité de la bourse graisseuse sous rotulienne dans certains dérangements internes du genou est connue depuis les observations originales rapportées par Hoffa en 1904. En peropératoire, Hoffa retrouvait une frange graisseuse qui occupait l'interligne articulaire, dont l'ablation faisait disparaître les symptômes. Depuis cette date, peu de publications ont été consacrées à la maladie de Hoffa, et à notre connaissance, aucune grande série n'a été publiée récemment dans la littérature. Ce travail comprend une revue bibliographiqe associée à l’étude des différents aspects sémiologiques, étiopathogéniques et thérapeutiques de ce type d'affection, en rapportant un cas d'ossification du ligament de Hoffa qui ne serait en fait que l’évolution finale de la maladie. PMID:25852801

  14. Recruiting and retaining low-income, multi-ethnic women into randomized controlled trials: Successful strategies and staffing

    PubMed Central

    Barnett, Josephine; Aguilar, Stephanie; Brittner, Mindy; Bonuck, Karen

    2012-01-01

    Developing effective recruitment and retention strategies in populations with traditionally high attrition rates is critical to the success of Randomized Controlled Trials (RCTs). Data on successful participation of women from low-income, minority populations in RCTs of behavioral interventions are limited. This is problematic given the multiplicity of Healthy People 2020 goals that target health disparities in these populations. This paper reports successful recruitment and retention methods from two separately funded NIH clinical trials of primary care-based prenatal interventions to increase breastfeeding among ethnically diverse, low-income women in urban medical centers in the Bronx, NY. It also presents the required staff effort necessary to conduct such a successful RCT, in terms of full-time equivalents (FTEs). Results include timely recruitment of 941 participants over 29 months, with 98.1% completing 1̄ follow-up interview. A recruitment and retention plan that maximized study staff access and availability to the participant, as well as strong study staff rapport with participants, addressed previously reported barriers in this population, optimizing follow-up rates. A qualitative assessment of the participants' study experience suggesting that high retention was due to strong rapport with participants, short interviews requiring little time commitment, and participants' perception of the study as informative, provides further evidence of our approach's effectiveness. Logistical protocol procedures and staff management strategies relating to successful recruitment/retention are provided to propose a practical, cost-effective and translational recruitment–retention plan for other researchers to adopt. PMID:22732312

  15. Discussions about preventive services: a qualitative study

    PubMed Central

    Lasser, Karen E; Kelly, Bridget; Maier, Jan; Murillo, Jennifer; Hoover, Sonia; Isenberg, Karen; Osber, Deborah; Pilkauskas, Natasha; Willis, Bayo C; Hersey, James

    2008-01-01

    Background Elderly minority patients are less likely to receive influenza vaccination and colorectal cancer screening than are other patients. Communication between primary care providers (PCPs) and patients may affect service receipt. Methods Encounters between 7 PCPs and 18 elderly patients were observed and audiotaped at 2 community health centers. Three investigators coded transcribed audiotapes and field notes. We used qualitative analysis to identify specific potential barriers to completion of preventive services and to highlight examples of how physicians used patient-centered communication and other facilitation strategies to overcome those barriers. Results Sharing of power and responsibility, the use of empathy, and treating the patient like a person were all important communication strategies which seemed to help address barriers to vaccination and colonoscopy. Other potential facilitators of receipt of influenza vaccine included (1) cultural competence, (2) PCP introduction of the discussion, (3) persistence of the PCP (revisiting the topic throughout the visit), (4) rapport and trust between the patient and PCP, and (5) PCP vaccination of the patient. PCP persistence as well as rapport and trust also appeared to facilitate receipt of colorectal cancer screening. Conclusion Several communications strategies appeared to facilitate PCP communications with older patients to promote acceptance of flu vaccination and colorectal cancer screening. These strategies should be studied with larger samples to determine which are most predictive of compliance with prevention recommendations. PMID:18768086

  16. Brulure et Grossesse: A Propos de Deux Cas et Revue de la Litterature

    PubMed Central

    Khales, A.; Achbouk, A.; Siah, S.; Ihrai, H.

    2010-01-01

    Summary Les brûlures thermiques au cours de la grossesse sont rares, cependant elles requièrent une attention particulière du fait qu'elles engagent le pronostic maternel et foetal. Les Auteurs rapportent deux observations qui illustrent la gravité de cette association. Le traitement des brûlures pendant la grossesse connaît des particularités en rapport avec les modifications anatomiques et physiologiques de la gestation. Certains Auteurs ont préconisé des recommandations, comme en particulier le traitement précoce de la thrombose veineuse et la surveillance obstétricale avec un accouchement dirigé à l'approche du terme. La mortalité maternelle et périnatale augmente significativement à partir de 50% de la surface corporelle brûlée. De ce fait une prise en charge multidisciplinaire est indispensable. Le pronostic de brûlure chez la femme enceinte reste très réservé, d'où l'intérêt d'une prise en charge multidisciplinaire réunissant obstétricien, réanimateur et plasticien. PMID:21991201

  17. Le kyste hydatique du cordon spermatique: une localisation exceptionnelle

    PubMed Central

    Hamdane, Mohamed Moncef; Bougrine, Fethi; Msakni, Issam; Dhaoui-Ghozzi, Amen; Bouziani, Ammar

    2011-01-01

    L’ hydatidose est une anthropo-zoonose due au développement chez l'homme de la forme larvaire du taenia Echinococcus granulosis. La plupart des kystes hydatiques se localisent dans le foie et les poumons. Le kyste hydatique du cordon spermatique est extrêmement rare avec seulement 4 cas rapportés dans la littérature. Les auteurs rapportent dans cet article un nouveau cas d'hydatidose du cordon spermatique. Il s'agissait d'un homme de 40 ans qui consultait pour des douleurs scrotales évoluant depuis huit mois. L'examen clinique a mis en évidence une tuméfaction mobile, inguino-scrotale, droite. L’échographie testiculaire a objectivé une hernie inguinale droite associée à deux kystes épididymaires bilatéraux. Le patient a été opéré pour cure de son hernie avec découverte en per-opératoire d'un kyste du cordon spermatique qui a été réséqué. L'examen anatomopathologique a conclu à une hydatidose du cordon spermatique. PMID:22384304

  18. Parent Participation and Physician-Parent Communication During Informed Consent in Child Leukemia

    PubMed Central

    Cousino, Melissa; Hazen, Rebecca; Yamokoski, Amy; Miller, Victoria; Zyzanski, Stephen; Drotar, Dennis

    2011-01-01

    OBJECTIVE: In this study we evaluated the effectiveness of a physician-directed intervention at enhancing positive physician behaviors and communication strategies during informed consent conferences (ICCs) for pediatric acute leukemia clinical trials. PATIENTS AND METHODS: Physicians at 2 large pediatric hospitals were recruited to participate in a physician-directed intervention (PDI), which included 1 full-day seminar and successive half-day booster sessions. ICCs were then observed, audiotaped, coded, and analyzed to evaluate the effectiveness of the intervention. Data also were collected at 2 control sites. Between 2003 and 2007, 59 ICCs were observed and analyzed. RESULTS: Significant group differences were found in physician rapport-building behaviors. Physicians in the PDI + booster session group engaged in greater rapport-building than did physicians in the PDI group who did not attend booster sessions and physicians in the control group. No group differences were detected for physician partnership-building. In addition, parents in the PDI + booster session group engaged in more general communication and study-related communication, and mothers in the PDI groups asked significantly more questions per minute than did mothers in the control group. CONCLUSIONS: These results provide support for the effectiveness of the PDI at enhancing positive physician behaviors. Booster-session attendance is a critical component of physician-directed interventions to improve parental participation and physician-parent communication during ICCs. PMID:22065265

  19. Appendicite aigue et grossesse extra utérine simultanée: a propos d'un cas rare

    PubMed Central

    Alaoui, Fatima Zohra Fdili; Laabadi, Kamilia; Chaara, Hekmat; Bouguern, Hekmat; Melhouf, Abdilah

    2013-01-01

    L'association d'une appendicite aigue et une grossesse extra utérine est rare, seulement une vingtaine de cas ont été rapportés dans la littérature. Nous présentons un cas d'une patiente de 27 ans opérée pour suspicion de grossesse extra utérine droite, le diagnostic d'appendicite aigue a été fait en peropératoire devant la constatation d'un appendice enflé accolé à la masse latéroutérine. A travers ce cas rapporté et une revue de la littérature, nous mettons le point sur la nécessité de penser à l'appendicite aigue associée devant un tableau évoquant une grossesse extra utérine surtout à droite en raison de la relation étiopathogénique entre ces deux pathologies responsables de douleurs aigues bien que leur association reste rare. PMID:23560118

  20. Métastases mammaires d’un adénocarcinome gastrique associées à une grossesse de 32 semaines d’aménorrhée: à propos d’un cas rare

    PubMed Central

    Jayi, Sofia; Fatemi, Hind; Laabadi, Kamilia; Bouguern, Hakima; Chaara, Hikmat; Laamarti, Afaf; Melhouf, My Abdelilah

    2013-01-01

    Les métastases mammaires ne représentent que 0,4 à 2% des tumeurs malignes du sein. L’origine gastrique est exceptionnellement rapportée. Encore plus rare est l’association des métastases mammaires et ovariennes provenant de l’estomac. De par leur rareté et la non spécificité des signes cliniques et radiologiques, les métastases mammaires peuvent être confondues avec un cancer primitif et être à l’origine d’un traitement mutilant non approprié. Nous rapportons le cas d’un adénocarcinome gastrique métastatique au niveau mammaire et ovarien chez une patiente jeune de 32 ans et enceinte de 32 Semaines d’aménorrhée, qui est à notre connaissance le premier cas rapporté au cours de la grossesse. A travers notre cas, nous soulignons les caractéristiques épidémiologiques, diagnostiques, thérapeutiques et pronostiques de cette entité très rare, dont la connaissance est nécessaire afin d’éviter les erreurs diagnostic et les prise en charge non adaptée qui peut suivre. PMID:24255722

  1. Ostéome ostéoide intra-articulaire du genou simulant un tableau d'arthrite du genou

    PubMed Central

    Karabila, Mohamed Amine; Madani, Tarik; Azouz, Mohamed; Mhamdi, Younes; Hmouri, Ismail; Kharmaz, Mohamed; Bardouni, Ahmed; Lahlou, Abdou; Mahfoud, Mustapha; Berrada, Mohamed Saleh

    2015-01-01

    L'ostéome ostéoïde est une tumeur bénigne ostéoblastique relativement rare, constituée d'une petite lésion de tissu charnu et vascularisé, appelé nidus, cernée d'une ostéocondensation réactionnelle. Il représente 2 à 3% de l'ensemble des tumeurs osseuses et 10 à 20% des tumeurs osseuses bénignes et survient généralement entre 10 et 25 ans (extrêmes: 5-53 ans), avec une nette prédominance masculine. La localisation intra-articulaire est rare représentant environ 10 à 13% descas. La clinique et les images radiologiques, souvent atypiques, rendent son diagnostic ardu. Le risque de traitement inadéquat est important. Jusqu’à 40% d'arthroscopies inappropriées ont été rapportés. Le cas rapporté illustre cette situation. PMID:26977244

  2. Prise de remèdes de phytothérapie et implications opératoires: à propos d'un cas

    PubMed Central

    Dhouib, Firas; Frikha, Mohammed; Zineddine, Walid

    2014-01-01

    Les interactions médicamenteuses sont nombreuses et doivent faire l'objet d'une attention particulière à la consultation préanesthésique. Certains médicaments ne sont pas toujours spontanément révélés au médecin anesthésiste. Il s'agit le plus souvent de thérapeutiques dites “non traditionnelles” telle que la phytothérapie, méthode thérapeutique qui utilise l'action des plantes médicinales. On rapporte le cas d'un homme âgé de 38 ans, proposé pour ostéosynthèse d'une fracture des corps vertébraux de D11 et D12, ayant présenté un saignement per opératoire inhabituel rapporté à une consommation de grandes quantités d'ail. PMID:25309668

  3. Mesure du taux de la capture radiative du muon par l'hydrogene liquide

    NASA Astrophysics Data System (ADS)

    Jonkmans, Guy

    À basse énergie, l'interaction faible entre leptons et quarks est décrite par une interaction de la forme courant × courant de type V - A. La présence de l'interaction forte induit des couplages additionnels qui doivent être déterminés expérimentalement. De ceux-ci, le couplage pseudoscalaire induit, gp , est mesuré avec la plus grande incertitude et fait l'objet de la présente recherche. L'hypothèse du Courant Axial Partiellement Conservé (CAPC) et l'usage de la relation de Goldberger-Treiman relie gp au couplage axial ga . Cette relation a été vérifiée traditionnellement par la Capture Ordinaire du Muon (COM) à une valeur fixe du moment de transfert q. La Capture Radiative du Muon (CRM), m- p-->nnmg , est un meilleur outil pour l'étude de gp à cause de sa dépendance variable en q2 qui offre une plus grande sensibilité dans la partie à haute énergie du spectre des photons. Toutefois, le petit rapport d'embranchement (~10-8) de la CRM par rapport à la désintégration du muon a retardé cette mesure jusqu'à ce jour. La théorie et les difficultés expérimentales associées à la détection des photons de CRM sont présentées au deuxième chapitre. On décrit ensuite, au troisième chapitre, les composantes du système de détection. Ce détecteur est un spectromètre à paires de grand angle solide (~3p) et qui permet l'observation des photons par l'analyse des électrons et des positrons de photo-conversion. Ainsi, le bruit de fond important des neutrons de la COM ne constitue pas un problème pour cette mesure. Nous décrivons, au quatrième chapitre, toutes les étapes de l'analyse, nécessaires pour la réduction des multiples bruits de fond. Le cinquième chapitre présente le calcul des efficacités ainsi que l'estimation des erreurs systématiques. Le sixième chapitre démontre comment l'on extrait le rapport d'embranchement pour la CRM ainsi que la valeur ae gp . On insiste sur la dépendance de gp en fonction de la valeur de

  4. Morbimortalité périnatale dans les grossesses gémellaires dans une maternité marocaine de niveau 3

    PubMed Central

    Boubkraoui, Mohamed El-Mahdi; Aguenaou, Hassan; Mrabet, Mustapha; Barkat, Amina

    2016-01-01

    Introduction Les grossesses gémellaires sont associées à un risque de morbimortalité périnatale plus élevé que les grossesses simples. Le but de cette étude était d’évaluer la morbimortalité périnatale dans les grossesses gémellaires dans une maternité marocaine de niveau 3. Méthodes Il s'agit d'une étude transversale comparative de la morbimortalité périnatale des nouveau-nés issus de grossesses gémellaires versus grossesses simples ayant accouché à la maternité Souissi de Rabat du 1 janvier au 28 février 2014. Résultats Il y a eu 3297 naissances issues de 65 grossesses gémellaires et 3167 grossesses simples. Les grossesses gémellaires étaient associées à des taux plus élevés de prééclampsie et d’éclampsie (P = 0,046), de HELLP syndrome (P= 0,030), de rupture prématurée des membranes (P < 0,001), de présentation dystocique (P < 0,001), de prématurité (P < 0,001), d'hypotrophie chez les nouveau-nés à terme (P < 0,001), de détresse respiratoire néonatale (P < 0,001), de malformations congénitales (P = 0,015), d'hospitalisation en période néonatale (P = 0,001) et de mortalité périnatale (P = 0,001) par rapport aux grossesses simples. Les jumeaux monochoriaux présentaient des taux plus élevés d'hypotrophie en cas de grossesse menée à terme (P = 0,016) et de mortalité périnatale (P = 0,017) par rapport aux jumeaux bichoriaux. Conclusion Les grossesses gémellaires étaient à risque plus élevé de morbimortalité périnatale par rapport aux grossesses simples en exposant notamment à la prématurité. Les grossesses gémellaires monochoriales étaient plus à risque en exposant notamment à l'hypotrophie chez les nouveau-nés à terme. PMID:27217903

  5. Traitement chirurgical initial des brûlures de la main de l’enfant. Revue

    PubMed Central

    Goffinet, L.; Breton, A.; Gavillot, C.; Barbary, S.; Journeau, P.; Lascombes, P.; Dautel, G.

    2015-01-01

    Summary Trente cinq revues concernant la prise en charge chirurgicale de la main brûlée de l’enfant sont indexées dans Pub- Med. Elles portent sur l’indication de la cicatrisation dirigée versus chirurgie, les techniques et délais d’instauration des traitements par excision-greffe, le calendrier et la nature du traitement de réadaptation et la surveillance. L’enfant présente un risque accru de brides cicatricielles, nécessitant un suivi médico-chirurgical attentif et prolongé. L’objet de cet article est de rapporter les spécificités chirurgicales de la prise en charge de ces brûlures. Cette revue de la littérature, réalisée au moyen de la base PubMed (publication entre 2005 et 2011) à partir des mots-clés « hand AND/OR child AND/OR burn » retrouve 67 publications utiles au sein de 171 références. Les données rapportées ont été comparées aux ouvrages de références français et américains. Des données contradictoires sont rapportées concernant la délai de l’excision et de la greffe, avec seulement deux études comparatives comportant de nombreux biais. L’état de la science n’apporte pas d’éléments de preuve suffisant en raison d’un manque de puissance statistique des études, mais de nombreux avis d’expert explorant chaque type d’indication permet d’établir une stratégie claire, guidant les indications thérapeutiques. Il apparaît donc indispensable de réaliser des études prospectives incluant ces patients depuis le suivi initial jusqu’au suivi à long terme, pour augmenter le niveau de preuve de cette stratégie. PMID:27279807

  6. Learning experiences of science teachers in a computer-mediated communication context

    NASA Astrophysics Data System (ADS)

    Chung, Chia-Jung

    The use of computer-mediated-communication (CMC) has been applied increasingly in staff development efforts for teachers. Many teacher education programs are looking to CMC, particularly computer conferencing systems, as an effective and low-cost medium for the delivery of teacher educational programs anytime, anywhere. Based on constructivist learning theories, this study focused on examining the use of an online discussion board in a graduate course as a place where forty-six inservice teachers shared experiences and ideas. Data collection focused on online discussion transcripts of all the messages from three separate weeks, and supplemented by interviews and teacher self-evaluation reports. The nature and development of the discussions were studied over one semester by analyzing teacher online discussions in two domains: critical reflections and social-interpersonal rapport. In effect, this study provided insights into how to employ computer conferencing technology in facilitating inservice teachers' teaching practices and their professional development. Major findings include: (1) Participation: The level of participation varied during the semester but was higher at the beginning of the semester and lower at the end of the semester. (2) Critical Reflection: Teachers' critical reflection developed over time as a result of the online discussion board according to mean critical thinking scores during the three selected weeks. Cognitive presence was found mostly in focused discussion forums and social presence mainly existed in the unfocused discussion forums. (3) Social-Interpersonal Rapport: The number of social cues in the messages increased initially but declined significantly over time. When teachers focused more on on-task discussions or critical reflection, there was less social conversation. (4) Teaching Practices and Professional Development: The researcher, the instructor, and teachers identified some advantages for using computer conferencing for

  7. Grossesse dans une corne rudimentaire: difficultés diagnostiques et prise en charge thérapeutique

    PubMed Central

    Mamouni, Nisrine; Ghazal, Nabil; Erraghay, Sanaa; Bouchikhi, Chahrazed; Banani, Abdelaziz

    2016-01-01

    La survenue d'une grossesse dans une corne utérine rudimentaire est une situation obstétricale extrêmement rare et potentiellement grave, menaçant le pronostic materno-fœtal. Les auteurs rapportent cinq observations de grossesse dans une corne utérine rudimentaire, à travers lesquelles, ils relatent les difficultés sur le plan diagnostique ainsi que la prise en charge thérapeutique de cette entité pathologique, soulignant l'intérêt de l’échographie endovaginale, de l'IRM pelvienne et de la cœlioscopie dans le diagnostic précoce de ce type de malformation uterine.

  8. Démonstration expérimentale d'une distribution quantique de clé par codage temporel

    NASA Astrophysics Data System (ADS)

    Boucher, W.; Debuisschert, T.

    2006-10-01

    Nous avons démontré expérimentalement la transmission quantique de clé par codage temporel. Alice envoie des impulsions cohérentes atténuées. La clé est codée dans l'instant de détection des photons chez Bob. Une mesure de la durée de cohérence par moyen interférométrique permet d'assurer un fonctionnement en régime quantique. Nous avons mesuré un taux d'erreur quantique de 3.3% et une chute relative de contraste de l'interféromètre de 8.4%. Ces valeurs permettent d'évaluer un avantage d'information de 0.49 bit/impulsion pour Alice et Bob par rapport à un espion éventuel.

  9. Mesure optimale de tilt et déplacement d'un faisceau gaussien

    NASA Astrophysics Data System (ADS)

    Delaubert, V.; Treps, N.; Fabre, C.; Harb, C.; Lam, P. K.; Bachor, H.

    2006-10-01

    Nous réalisons une expérience de mesure optimale de petits déplacements d'un faisceau gaussien TEM{00}, basée sur une détection homodyne employant un oscillateur local TEM{10}. Nous montrons une amélioration de 56% du signal détecté par rapport à une détection à deux zones. Ce nouveau dispositif permet également de mesurer de façon optimale de petites valeurs de tilt, la quantité conjuguée du déplacement. Enfin, nous montrons que la compression du mode TEM{10} du faisceau incident permet une mesure de déplacement au delà de la limite quantique standard.

  10. Amplification sans bruit d'images optiques

    NASA Astrophysics Data System (ADS)

    Gigan, S.; Delaubert, V.; Lopez, L.; Treps, N.; Maitre, A.; Fabre, C.

    2004-11-01

    Nous utilisons un Oscillateur Paramétrique Optique (OPO) pompé sous le seuil dans le but d'amplifier une image multimode transverse sans dégradation du rapport signal à bruit. Le dispositif expérimental met en œuvre un OPO de type II triplement résonant et semi-confocal pour le faisceau amplifié. L'existence d'effets quantiques lors de l'amplification multimode dans un tel dispositif a été montrée expérimentalement. Plus généralement, ceci nous a amené à étudier les propriétés quantiques transverses des faisceaux lumineux amplifiés. Une telle étude peut trouver des applications non seulement en imagerie, mais également dans le traitement quantique de l'information.

  11. Relating Counselor Attributes to Client Engagement in England

    PubMed Central

    Simpson, D. Dwayne; Rowan-Szal, Grace A.; Joe, George W.; Best, David; Day, Ed; Campbell, Angela

    2009-01-01

    Client functioning and treatment engagement were examined in relation to staff attributes and organizational climate across a diverse sample of drug treatment and outreach programs in England. Self-rating assessments were obtained from 1,539 clients and 439 counselors representing 44 programs, and results were interpreted using comparable data from studies of treatment programs in the United States. Client scores on treatment participation and counseling rapport in England were directly related to their higher levels of motivation and psychosocial functioning, as well as to staff ratings of professional attributes and program atmosphere. By linking records from English clients with their counselors in each program, findings also indicate these relationships are rooted in the personal interactions between clients and their counselor. Standardized assessments of treatment structure, process, and performance used across therapeutic settings and national boundaries show there is generalizability in the pattern of clinical dynamics, including the relationships between organizational functioning and quality of services. PMID:18835675

  12. Communication Strategies for Empowering and Protecting Children.

    PubMed

    Bell, Jennifer; Condren, Michelle

    2016-01-01

    Communication with children and adolescents is an area that requires special attention. It is our job as health care professionals to ensure that the information being relayed is provided at a level that can be understood, to ensure patient safety as well as keep a child or adolescent engaged in their own medical care and decision making. This article discusses the importance of communication with children, adolescents, and their caregivers. It focuses on the overall importance of health literacy in communicating health care information to both caregivers and their children. Included are points to consider when communicating at different developmental stages, as well as strategies to help establish rapport. Lastly, the importance of technology and how it can help facilitate communication with this population is introduced. PMID:27199626

  13. Nitrogenases-A Tale of Carbon Atom(s).

    PubMed

    Hu, Yilin; Ribbe, Markus W

    2016-07-11

    Named after its ability to catalyze the reduction of nitrogen to ammonia, nitrogenase has a surprising rapport with carbon-both through the interstitial carbide that resides in the central cavity of its cofactor and through its ability to catalyze the reductive carbon-carbon coupling of small carbon compounds into hydrocarbon products. Recently, a radical-SAM-dependent pathway was revealed for the insertion of carbide, which signifies a novel biosynthetic route to complex bridged metalloclusters. Moreover, a sulfur-displacement mechanism was proposed for the activation of carbon monoxide by nitrogenase, which suggests an essential role of the interstitial carbide in maintaining the stability while permitting a certain flexibility of the cofactor structure during substrate turnover. PMID:27206025

  14. Dermatitis Artefacta: A Review of Five Cases: A Diagnostic and Therapeutic Challenge.

    PubMed

    Saha, Abhijit; Seth, Joly; Gorai, Surajit; Bindal, Ayush

    2015-01-01

    Dermatitis artefacta (DA) is a self-inflicted dermatological condition where the underlying motive is to assume a sick role. The act of self-harm is to discharge the inner sense of isolation and emotional distress, which is too great to endure. We, hereby, report five interesting cases of DA with varied presentations, using diverse and innovative means for inflicting injury/injuries. Rarity may be attributed to masquerading presentation, leading to misdiagnosis and paucity of awareness among the physicians. Lack of proper identification of the underlying psychiatric disturbances may be the major cause of the loss of follow-ups. Here, we were fortunate enough to identify the emotional need of most of the patients. A flexible, nonconfrontational yet strong therapeutic rapport is required to improve the therapeutic outcomes. PMID:26677280

  15. L'engelure causée par le butane commercial au cours d’un accident industriel

    PubMed Central

    Assi-Dje Bi Dje, V.; Abhe, C.M.; Sie-Essoh, J.B.; Kouamé, K.; Vilasco, B.

    2014-01-01

    Summary Les engelures sont encore exceptionnelles en Afrique sub-saharienne, mais l’essor des industries pétrochimiques en rapport avec la promotion d’une large utilisation du gaz domestique (butane commercial) expose au risque de survenue de ce type de brûlures abusivement dites gelures. Nous rapportons un cas de brûlures au froid par gaz de pétrole liquéfié (GPL) en milieu professionnel dont le diagnostic de gravité et la prise en charge tardifs ont défavorisé l’évolution locale. Le respect des mesures de sécurité au sein des usines reste néanmoins le principal moyen de prévention de ce type de brûlures méconnues. PMID:26170791

  16. Résection laparoscopique d'une duplication gastrique chez l'adulte: traitement avec succès pour une pathologie rare

    PubMed Central

    Toumi, Omar; Hssine, Hiba Ben; Noomen, Faouzi; Jabra, Sadok Ben; Korbi, Ibtissem; Abdelmoula, Ali; Trimech, Mayada; Mansour, Wafa Ben; Faiez, Boughanmi; Khlifa, Mohamed Ben; Rabah, Hatem; Mahmoudi, Ammar; Nasr, Mohamed; Zouari, Khadija; Saffar, Hammouda; Hamdi, Abdel Aziz

    2015-01-01

    Les duplications de l'appareil digestif sont les malformations congénitales rares qui peuvent toucher tout l'appareil digestive depuis la bouche jusqu’ à l'anus. Certaines duplications sont asymptomatiques et sont diagnostiqués dans la plupart des cas pendant l'enfance. La prise en charge de la duplication gastrique est essentiellement chirurgicale. Le traitement de choix est l'exérèse complète de la duplication gastrique. Les auteurs rapportent un cas inhabituel de duplication gastrique complètement reséquée par laparoscopie. A notre connaissance, ceci est le premier cas d'une duplication gastrique traitée avec succès par laparoscopie dans la littérature Tunisienne. La Résection laparoscopique peut être ajoutée à l'arsenal thérapeutique dans le traitement chirurgical de duplications du tube digestif. PMID:26889326

  17. Brief Report: Assessment of Intervention Effects on In Vivo Peer Interactions in Adolescents with Autism Spectrum Disorder (ASD).

    PubMed

    Dolan, Bridget K; Van Hecke, Amy V; Carson, Audrey M; Karst, Jeffrey S; Stevens, Sheryl; Schohl, Kirsten A; Potts, Stephanie; Kahne, Jenna; Linneman, Nina; Remmel, Rheanna; Hummel, Emily

    2016-06-01

    This study aimed to evaluate the effectiveness of a randomized controlled trial of a social skills intervention, the Program for the Education and Enrichment of Relational Skills (PEERS: Laugeson et al. in J Autism Dev Disord 39(4): 596-606, 2009), by coding digitally recorded social interactions between adolescent participants with ASD and a typically developing adolescent confederate. Adolescent participants engaged in a 10-min peer interaction at pre- and post-treatment. Interactions were coded using the Contextual Assessment of Social Skills (Ratto et al. in J Autism Dev Disord 41(9): 1277-1286, 2010). Participants who completed PEERS demonstrated significantly improved vocal expressiveness, as well as a trend toward improved overall quality of rapport, whereas participants in the waitlist group exhibited worse performance on these domains. The degree of this change was related to knowledge gained in PEERS. PMID:26886470

  18. The impact of dental phobia on patient consent.

    PubMed

    Muschik, S; Kallow, J

    2015-08-28

    Dental anxiety is prevalent across a broad spectrum of the population. Dental phobia is extreme dental fear, which interferes with normal functioning. For any dental treatment, it is an ethical, legal and professional duty of dentists to obtain valid informed consent from their patients. The question arises as to how dental phobia impacts on patients' ability to give valid informed consent. Extreme fear may impair patient ability to understand information about the procedure, their capacity to make balanced decisions, and to make these decisions voluntarily. A trusting rapport between dentist and patient, supporting patient understanding by providing useful information material, and keeping regular appointments, may help overcome these obstacles. Other factors impacting on the informed consent process are institutional in nature. Implementing ways to overcome these is part of the dentist's duty to obtain valid consent. PMID:26315183

  19. Lithiase géante sur enterocystoplastie

    PubMed Central

    Elmortaji, Khalid; Elomri, Ghassane; Bennani, Saad; Rabii, Redouane; Aboutaib, Rachid; Meziane, Fethi

    2014-01-01

    La formation des lithiases est une complication fréquente des entérocystoplasties après cystectomie radicale pour tumeur de vessie infiltrante. Le délai d'apparition dépend des facteurs de risque favorisants notamment les infections urinaires. Néanmoins la survenue de lithiase géante sur néovessie reste exceptionnelle, seulement 5 cas ont été rapportés dans la littérature. Nous rapportons dans ce travail, le cas d'une lithiase géante compliquant une entérocystoplastie chez un malade suivi pour tumeur de vessie infiltrante. PMID:25932070

  20. Optical Design with Aspherical Gratings - the Example of the Uv-Prim Spectrograph

    NASA Astrophysics Data System (ADS)

    Lemaitre, G.

    1981-11-01

    Aspherical diffraction gratings have been produced by the elastic relaxation method. These gratings lead to more nearly ideal mountings from the standpoints of a small number of surfaces, of a wide field and of a fast aperture ratio. The UV-PRIM spectrograph is the first instrument of this type to have been constructed. Resumé en français. Des réseaux asphériques ont été obtenus en utilisant la méthode des relaxations élastiques. Ces réseaux de diffraction conduisent à un montage très performant du point de vue du faible nombre de surfaces optiques, d'un grand champ et d'un rapport d'ouverture élevé. Le spectrographe UV-PRIM est le premier instrument de ce type à avoir été construit.

  1. Luxation tibiotalienne pure: à propos d'un cas avec revu de la literature

    PubMed Central

    Azouz, Mohamed; Rhanim, Abdel Karim; Mhamdi, Younes; EL Alouani, Mehdi; Kharmaz, Mohamed; Ismail, Farid; Bardouni, Ahmed; Lahlou, Abdou; Mahfoud, Mustapha; Berrada, Mohamed Slaleh; Elyaacoubi, Moradh

    2014-01-01

    La luxation tibiotalienne pure est une lésion extrêmement rare, causée par un traumatisme toujours de haute vélocité. Les auteurs rapportent l'observation d'une luxation tibiotalienne pure fermée chez un jeune de 19 ans, survenue à la suite d'un accident du sport (football) à déplacement postéro-médiale. La réduction a été pratiquée en urgence sous anesthésie générale. Une contention par une botte plâtrée fut assurée pendant six semaines, suivie de rééducation. Après un recul de seize mois, les résultats fonctionnels étaient excellents, sans signes d'instabilité ni d'arthrose. PMID:25852792

  2. The benefits of humor in nursing education.

    PubMed

    Ulloth, Joan Kay

    2002-11-01

    This study was designed to examine the perceived benefits of intentionally using humor in the nursing classroom. A multiple case study of three associate degree nursing instructors and their classes was developed with qualitative methods, which included observations, interviews, and surveys. Data were examined within and across cases for commonality or difference of experience. Strong connections were made between humor and learning. Teachers and students expressed benefits they believed were received from humor. Humor can be an effective, multipurpose teaching tool for nurse educators to convey course content, hold students' attention, relieve anxiety, establish rapport with students, and make learning fun. When combined with other teaching methods, humor can enhance student learning. PMID:12437052

  3. Mental health care use by soldiers conducting counterinsurgency operations.

    PubMed

    Applewhite, Larry; Keller, Nathan; Borah, Adam

    2012-05-01

    Counterinsurgency (COIN) has become the cornerstone of the military's strategy to combat terrorist threats. COIN operations are complex and often expose soldiers to unfamiliar stressors as they fight the enemy while developing and maintaining rapport with the local populace. Utilizing a retrospective record review protocol, we examined 282 mental health files of soldiers assigned to a brigade combat team that operated from a large forward operating base in Iraq during the counterinsurgency campaign. Most reported sleep disturbance, depression, anxiety, irritability, and conflict with supervisors related to either operational stress, exposure to direct combat, or home front concerns. Most received brief individual supportive therapy or attended solution-focused group counseling emphasizing life skills training, post-traumatic stress treatment, women's support, or relationship skills. Psychopharmacologic treatment was an essential adjunct to the counseling program. Results indicate that supporting a COIN deployment requires a comprehensive mental health program that can respond to a wide range of mental health problems. PMID:22645874

  4. Examination of the adolescent patient.

    PubMed

    Hampton, H L

    2000-03-01

    Adolescent patients need knowledge and motivation to practice a healthy lifestyle. The provider of adolescent health care is uniquely qualified to provide factual health information and practical advice. Enlisting parental support for confidential adolescent health services usually is not problematic when parents and health care providers share common goals and responsibility. The health care provider must develop rapport to foster high-risk health behavior disclosure and must promote health messages that are stronger than those received from peers, television, movies, and magazines. Adolescents who elect to abstain from sexual activity need as much support as sexually active patients. Depression, substance abuse, and eating disorders must be recognized and treated. Preventative health care services for adolescents can be optimized when office staff understand the special needs of these young women. The physician's concerns regarding the health of adolescent patients will be welcomed by patients, their parents, and the community. PMID:10693179

  5. De l'hémoglobine SS à SF: intérêt de l'hydroxyurée dans la prise en charge de la drépanocytose chez 2 enfants congolais et revue de la literature

    PubMed Central

    Nkashama, Gayllord Mutoke; Wakamb, Gray Kanteng A; Mulangu, Augustin Mutombo; Nkashama, Georges Mutoke; Kupa, Boniface Kabeya; Numbi, Oscar Luboya

    2015-01-01

    La drépanocytose est une maladie grave par ses complications et par les difficultés liées à sa prise en charge, notamment en milieu sous-équipé. Les auteurs rapportent l'effet bénéfique de l'hydroxyurée dans la prise en charge de deux patients drépanocytaires, au prix cependant d'une surveillance hématologique rigoureuse. Une revue de la littérature étaye par ailleurs les modalités d'administration de ce médicament et les perspectives ultérieures d'un tel traitement dans la drépanocytose. PMID:26327961

  6. Introduction to working with Animal Assisted Crisis Response animal handler teams.

    PubMed

    Greenbaum, Susan D

    2006-01-01

    Animal Assisted Crisis Response (AACR) is a discipline closely related to Animal Assisted Therapy (AAT), which gives crisis intervention teams, counselors, clergy, and other trained professionals an additional means with which to help people affected by crisis. AACR is a relatively new field, but can be effective when utilized as part of an overall incident response program. AACR teams can be used, for example, to establish rapport, build therapeutic bridges, normalize the experience, and act as a calming agent or as a catalyst for physical movement. Effective AACR requires a common language between the AACR teams and crisis counselors. The training requirements, versatility, limitations, and establishment of AACR teams are also addressed. PMID:16573252

  7. [Research on the Application of Fuzzy Logic to Systems Analysis and Control

    NASA Technical Reports Server (NTRS)

    1998-01-01

    Research conducted with the support of NASA Grant NCC2-275 has been focused in the main on the development of fuzzy logic and soft computing methodologies and their applications to systems analysis and control. with emphasis 011 problem areas which are of relevance to NASA's missions. One of the principal results of our research has been the development of a new methodology called Computing with Words (CW). Basically, in CW words drawn from a natural language are employed in place of numbers for computing and reasoning. There are two major imperatives for computing with words. First, computing with words is a necessity when the available information is too imprecise to justify the use of numbers, and second, when there is a tolerance for imprecision which can be exploited to achieve tractability, robustness, low solution cost, and better rapport with reality. Exploitation of the tolerance for imprecision is an issue of central importance in CW.

  8. The cultural context of the Sierra Leonean Mende woman as patient.

    PubMed

    Kallon, Isata; Dundes, Lauren

    2010-07-01

    This article provides a clinically pertinent overview of Sierra Leonean immigrants, a growing patient population that most health care workers know little about. The focus is on Sierra Leonean Mende women and the relevance of their cultural perspective to clinical care. A literature review and interview responses from seven Sierra Leoneans are the sources of data. Immigrants from Sierra Leone are coming from a country that since the late 1990s has been ranked at the bottom of the United Nations' Human Development Index. Practitioner knowledge of cultural norms such as female genital mutilation and discomfort with opposite sex health practitioners can improve cross-cultural interactions in the health arena. Given that most clinicians are unfamiliar with this unique patient population, this article provides background information including special attention to medically relevant aspects of the Sierra Leonean cultural milieu that will enhance the rapport between health care workers and these patients. PMID:20519726

  9. "Why are you here?" Seeking children's accounts of their presentation to Child and Adolescent Mental Health Service (CAMHS).

    PubMed

    Stafford, Victoria; Hutchby, Ian; Karim, Khalid; O'Reilly, Michelle

    2016-01-01

    The area of child mental health has a developing evidence base, with much of this focused on outcomes and a growing recognition for the value of process research. Despite this growth, however, there has still been little work conducted on first assessments in spite of their importance in establishing therapeutic rapport and engagement with services. We explore naturally occurring first assessments in a Child and Adolescent Mental Health Service (CAMHS) to explore the beliefs that children hold regarding their reasons for attendance and the implications this has for the trajectory of the appointment and later engagement with interventions. It was found that when children were asked for their reasons they either offered explanations using diagnostic labels or used lay descriptions, or they claimed to not know the reasons for attending the assessment. This has broader implications regarding the nature and type of information children may require in preparing them for service visits. PMID:25062687

  10. Psychological Stress of Hispanics Living on the Border.

    PubMed

    Craddock, Christopher S; Folse, Kimberly A

    2016-08-01

    This paper examines before and after perceived stress scores (PSS) of Hispanic women participating in a brief community health promotion program. Scores declined dramatically and significantly after the intervention, approximating those of Hispanics nationally. Post PSS were significantly correlated with language preference (Spanish), educational level, employment, having gone to jail or been in detention, and income. In the regression model, language preference and income were significant. We suggest emotional fear at the onset of participation in the program may exert an influence on pre-PSS scores, and that increased familiarity/rapport with program staff and having social psychological needs met may ameliorate this fear. Preference for Spanish, the language spoken at home for the majority of participants, may indicate a resistance to acculturating to mainstream culture, and, consequently, create a buffer against perceived stress. PMID:26472548

  11. Pseudo-HELLP syndrome par carence en folates et/ou en vitamine B12: à propos d'un cas

    PubMed Central

    Benali, Mechaal; Bouassida, Mahdi; Dhouib, Firas; Bouzeidi, Kaled

    2014-01-01

    Plusieurs pathologies médicales peuvent interférer avec la grossesse et mimer le tableau biologique de HELLP syndrome. L’évolution naturelle de ce syndrome est d'une particulière gravité pour la mère et le fœtus, il convient d’éliminer rapidement les autres diagnostics afin d’éviter une extraction fœtale prématurée injustifiée. Nous rapportons le cas d'une parturiente qui s'est présentée avec un tableau évocateur d'un HELLP syndrome, rapporté finalement à une carence en folates et en vitamine B12. PMID:25404961

  12. The role of mental health in primary prevention of sexual and gender-based violence.

    PubMed

    Gevers, Aník; Dartnall, Elizabeth

    2014-01-01

    In this short communication, we assert that mental health has a crucial role in the primary prevention of sexual and gender-based violence (SGBV). However, we found that most research and practice to date has focused on the role of mental health post-violence, and SGBV primary prevention is relying on public health models that do not explicitly include mental health. Yet, key concepts, processes, and competencies in the mental health field appear essential to successful SGBV primary prevention. For example, empathy, self-esteem, compassion, emotional regulation and resilience, stress management, relationship building, and challenging problematic social norms are crucial. Furthermore, competencies such as rapport building, group processing, emotional nurturing, modelling, and the prevention of vicarious trauma among staff are important for the successful implementation of SGBV primary prevention programmes. SGBV primary prevention work would benefit from increased collaboration with mental health professionals and integration of key mental health concepts, processes, and skills in SGBV research. PMID:25226417

  13. Building Program Acceptability: Perceptions of Gay and Bisexual Men on Peer or Prevention Case Manager Relationships in Secondary HIV Prevention Counseling

    PubMed Central

    DRISKELL, JEFFREY R.; O’CLEIRIGH, CONALL; COVAHEY, CHARLES; RIPTON, JESSICA; MAYER, KENNETH; PERRY, D’HANA; SALOMON, ELIZABETH; SAFREN, STEVEN

    2013-01-01

    There is growing interest in integrating HIV prevention counseling for HIV-infected gay and bisexual men into HIV primary care. HIV-infected peers and professionally trained prevention case managers (PCMs) have been used to provide prevention counseling services. The current qualitative study seeks to examine participant perceptions of the acceptability of HIV-infected peer counselors and of trained prevention case managers from the perspective of 41 HIV-infected gay and bisexual men. Semi-structured interviews were conducted with HIV-infected men who were currently receiving primary HIV health care. Positive peer counselor themes included shared experiences and para-professional. Positive themes specific to the PCM relationships included were provision of resources and professional skills and knowledge. Common themes identified across both peer and PCM counselor relationships were creating a comfortable environment, non-judgmental stance, and rapport building/communication skills. Recommendations for HIV secondary prevention interventions are presented. PMID:23710120

  14. THE DEVELOPMENT AND ORGANIZATION OF A NEW MEDICAL SCHOOL LIBRARY.

    PubMed

    BRANDON, A N

    1964-01-01

    Factors to consider in determining the type of new medical school library include geographical location, proximity of general library facilities, and financial support. The librarian should be directly responsible to the dean of the medical school, have faculty status, and be a member of the administrative council. Five professional librarians and five clerical workers plus part-time help are necessary to initiate a well-organized library. The basic collection for a medical research library will cost approximately $500,000, and an annual operating budget should be about $103,000. Selection of journal titles for subscription is the first major consideration; the second is the selection of basic, standard monographs. Immediate public service functions include meeting the needs of the new incoming faculty, aiding in the recruitment of faculty, and establishing good rapport with the local medical community. The librarian of a new medical school library must be a leader in every respect of medical librarianship. PMID:14119291

  15. The role of mental health in primary prevention of sexual and gender-based violence

    PubMed Central

    Gevers, Aník; Dartnall, Elizabeth

    2014-01-01

    In this short communication, we assert that mental health has a crucial role in the primary prevention of sexual and gender-based violence (SGBV). However, we found that most research and practice to date has focused on the role of mental health post-violence, and SGBV primary prevention is relying on public health models that do not explicitly include mental health. Yet, key concepts, processes, and competencies in the mental health field appear essential to successful SGBV primary prevention. For example, empathy, self-esteem, compassion, emotional regulation and resilience, stress management, relationship building, and challenging problematic social norms are crucial. Furthermore, competencies such as rapport building, group processing, emotional nurturing, modelling, and the prevention of vicarious trauma among staff are important for the successful implementation of SGBV primary prevention programmes. SGBV primary prevention work would benefit from increased collaboration with mental health professionals and integration of key mental health concepts, processes, and skills in SGBV research. PMID:25226417

  16. Practice question.

    PubMed

    Pritchard, Jane

    2014-09-01

    Communication is an important part of everyday life ( Littlejohn and Foss 2008 ). It helps us to understand the world around us ( Killick and Allan 2001 ), express our needs and build rapport with others. Communication can be verbal through speech or other vocalisations, or non-verbal through gestures and body language. People with dementia often face challenges communicating with others. Cognitive changes, for example, poor short-term memory, difficulty concentrating and impaired language skills can inhibit communication. People might have difficulty finding words or understanding what others are saying. They can be disorientated in time and place, or have problems concentrating which can hamper their ability to process new information. Nurses can help by adjusting how they communicate. PMID:25258237

  17. e-Learning competency for practice nurses: an evaluation report.

    PubMed

    Heartfield, Marie; Morello, Andrea; Harris, Melanie; Lawn, Sharon; Pols, Vincenza; Stapleton, Carolyn; Battersby, Malcolm

    2013-01-01

    Practice nurses in Australia are now funded to facilitate chronic condition management, including self-management support. Chronic disease management requires an established rapport, support and proactivity between general practitioners, patients and the practice nurses. To achieve this, training in shared decision making is needed. e-Learning supports delivery and achievement of such policy outcomes, service improvements and skill development. However, e-learning effectiveness for health care professionals' is determined by several organisational, economic, pedagogical and individual factors, with positive e-learning experience linked closely to various supports. This paper reinforces previous studies showing nurses' expanding role across general practice teams and reports on some of the challenges of e-learning. Merely providing practice nurses with necessary information via web-based learning systems does not ensure successful learning or progress toward improving health outcomes for patients. PMID:24134876

  18. Cancer développé sur dilatation kystique de la voie biliaire: à propos d’un cas

    PubMed Central

    Soufi, Mehdi; Lahlou, Mohammed Khalid; Chad, Bouziane

    2014-01-01

    Les auteurs rapportent un cas de dilatation kystique du cholédoque intra- pancréatique découvert chez une femme de 46 ans et compliqué d'un carcinome tubulo-papillaire n'envahissant pas le pancréas. Le traitement a consisté en une duodénopancréatectomie céphalique avec un curage ganglionnaire et anastomose hépatico-jéjunale; la survie était de 30 mois; les auteurs abordent les aspects radiologiques, anatomopathologiques, thérapeutiques et pronostiques de ces cancers développé sur dilatation kystique de la voie biliaire et discutent la place d'une radiothérapie complémentaire de la chirurgie susceptible d'améliorer la survie. PMID:25922635

  19. Working positively with sexual offenders: maximizing the effectiveness of treatment.

    PubMed

    Marshall, William L; Ward, Tony; Mann, Ruth E; Moulden, Heather; Fernandez, Yolanda M; Serran, Geris; Marshall, Liam E

    2005-09-01

    In this article, the authors draw on literatures outside sexual offending and make suggestions for working more positively and constructively with these offenders. Although the management of risk is a necessary feature of treatment, it needs to occur in conjunction with a strength-based approach. An exclusive focus on risk can lead to overly confrontational therapeutic encounters, a lack of rapport between offenders and clinicians, and fragmented and mechanistic treatment delivery. The authors suggest that the goals of sexual offender treatment should be the attainment of good lives, which is achieved by enhancing hope, increasing self-esteem, developing approach goals, and working collaboratively with the offenders. Examples are provided of how these targets may be met. When this is done within a therapeutic context where the treatment providers display empathy and warmth and are rewarding and directive, the authors suggest that treatment effects will be maximized. PMID:16051729

  20. Déformation de Madelung à propos d'un cas et revue de la littérature

    PubMed Central

    Eric, Kouassi Kouame Jean; Blaise, Yao Loukou; Leopold, Krah Koffi; Niaore, Sery Bada Justin Léopold; Innocent, M'bra Kouamé; Arnaud, Assere Yao Aboh Ganyn Robert; Michel, Kodo

    2016-01-01

    La maladie de Madelung est une déformation du poignet due à une atrophie de la partie médiale du cartilage de croissance distal du radius. Il en résulte une subluxation antéro-médiale du carpe,limitant les amplitudes articulaires. Cette dysplasie osseuse est rare et représente 1,7% des anomalies congénitales. Les auteurs rapportent un cas bilatéral chez une fille de 21 ans. L’étude de cette observation nous a permis d’étudier la fréquence, les signes et les moyens de son diagnostic ainsi que les mesures thérapeutiques adéquates afin de pouvoir répondre aux attentes des patientes. PMID:27313821

  1. Sandbox University: Estimating Influence of Institutional Action

    PubMed Central

    Forsman, Jonas; Mann, Richard P.; Linder, Cedric; van den Bogaard, Maartje

    2014-01-01

    The approach presented in this article represents a generalizable and adaptable methodology for identifying complex interactions in educational systems and for investigating how manipulation of these systems may affect educational outcomes of interest. Multilayer Minimum Spanning Tree and Monte-Carlo methods are used. A virtual Sandbox University is created in order to facilitate effective identification of successful and stable initiatives within higher education, which can affect students' credits and student retention – something that has been lacking up until now. The results highlight the importance of teacher feedback and teacher-student rapport, which is congruent with current educational findings, illustrating the methodology's potential to provide a new basis for further empirical studies of issues in higher education from a complex systems perspective. PMID:25054313

  2. Bridging the Mechanical and the Human Mind: Spontaneous Mimicry of a Physically Present Android

    PubMed Central

    Hofree, Galit; Ruvolo, Paul; Bartlett, Marian Stewart; Winkielman, Piotr

    2014-01-01

    The spontaneous mimicry of others' emotional facial expressions constitutes a rudimentary form of empathy and facilitates social understanding. Here, we show that human participants spontaneously match facial expressions of an android physically present in the room with them. This mimicry occurs even though these participants find the android unsettling and are fully aware that it lacks intentionality. Interestingly, a video of that same android elicits weaker mimicry reactions, occurring only in participants who find the android “humanlike.” These findings suggest that spontaneous mimicry depends on the salience of humanlike features highlighted by face-to-face contact, emphasizing the role of presence in human-robot interaction. Further, the findings suggest that mimicry of androids can dissociate from knowledge of artificiality and experienced emotional unease. These findings have implications for theoretical debates about the mechanisms of imitation. They also inform creation of future robots that effectively build rapport and engagement with their human users. PMID:25036365

  3. Service engagement in first episode psychosis: clinical and premorbid correlates.

    PubMed

    Macbeth, Angus; Gumley, Andrew; Schwannauer, Matthias; Fisher, Rebecca

    2013-05-01

    Engagement can be understood as a multifactorial process, incorporating acceptance of treatment, therapeutic rapport, and collaboration in a shared goal of clinical and functional recovery. Difficulties in engagement with clinical services represent a risk factor for treatment discontinuation in first episode psychosis. The current study explored the associations between engagement, clinical, and preonset variables. We report the cross-sectional data on a Scottish sample with first episode psychosis, characterized in terms of psychotic symptoms, premorbid adjustment, duration of untreated psychosis, and clinician-rated engagement. Poorer clinician-rated engagement was associated with greater positive and negative symptoms, greater general psychopathology, and poorer premorbid social adjustment. In a regression analysis, only severity of negative symptoms predicted engagement. The study highlights the role of negative symptoms and impairments in social functioning as factors associated with poorer engagement with clinical services. The value of detailed assessment of social and premorbid functioning is highlighted. PMID:23588222

  4. Voie antérieure transversale dans l'ostéosynthèse d'une fracture type III du processus coronoïde chez un adolescent: à propos d'un cas et revue de literature

    PubMed Central

    Belmoubarik, Amine; Ahed, Karim; Abouchane, Marouane; Mahraoui, Mohamed Amine; Elandaloussi, Yassir; Haddoun, Ahmed Reda; Nechad, Mohamed

    2015-01-01

    Les auteurs rapportent une observation rare d'un jeune adolescent de 17 ans qui a présenté une fracture du processus coronoïde du coude survenue suite à un accident de sport. Il s'agit d'une observation décrivant un abord particulier par voie antérieure transversale permettant un contrôle direct et vissage en compression du fragment déplacé; l’évolution radio clinique était satisfaisante. Nous discuterons à la lumière de la littérature, notre attitude thérapeutique, et l’évolution de ce cadre nosologique à travers l'analyse de cette observation. PMID:26113908

  5. Les luxations bilatérales antérieures pures des épaules à mécanisme particulier: à propos de deux cas

    PubMed Central

    Koufagued, Kaldadak; Chafry, Bouchaib; Bouabid, Salim; Chagar, Belkacem

    2015-01-01

    Les luxations bilatérales antérieures pures des épaules sont des entités cliniques rares. Une trentaine de cas sont décrits dans la littérature. Le mécanisme varie d'un cas à l'autre, les épaules en abduction et en rétro-pulsion, coudes en extention et en supination a été décrite une seule fois dans la littérature. A ce propos, les auteurs rapportent ce même mécanisme particulier de luxation antérieure bilatérale pure des épaules chez deux jeunes patients, et discutent des circonstances, mécanisme de survenue, du traitement et du pronostique. PMID:26918074

  6. A propos d'un cas de grossesse abdominale très prolongée

    PubMed Central

    Kangulu, Ignace Bwana; Umba, Elie Kilolo Ngoy; Cibuabua, Deddy Kalonji; Ilunga, Clovis Mwamba; Ndolo, Adellard Umba; Nzaji, Michel Kabamba; Kayamba, Prosper Kalenga Mwenze

    2013-01-01

    Un cas de grossesse abdominale prolongée d'environ 18 mois avec mort fœtale, vécu à l'hôpital général de référence de Mulongo dans la province du Katanga, en République Démocratique du Congo, est rapporté dans ce papier. Ce cas clinique d’évolution étonnante permet de faire la revue de la littérature, de rappeler l'importance d'un bon suivi clinique et échographique de la grossesse et de s'interroger sur le niveau d’éducation de la femme ainsi que la qualité des soins prénataux en milieu rural congolais. PMID:24570787

  7. Ostéogenèse imparfaite: à propos de quatre cas à Ouagadougou (Burkina Faso)

    PubMed Central

    Kaboré, Aïssata; Cissé, Aissata; Yonaba, Caroline; Savadogo, Hamidou; Ouédraogo, Sylvie Armelle; Dao, Lassina; Kaboret, Sonia; Nagalo, Kisito; Koueta, Fla; Bandré, Emile; Yé, Diarra; Kam, Ludovic

    2015-01-01

    L'ostéogenèse imparfaite (OI) regroupe un ensemble d'affections constitutionnelles de gravité variable dû à une anomalie de la production du collagène et de la matrice de l'os entraînant une fragilité osseuse. La présente étude rapporte quatre cas d'ostéogenèse imparfaite suivis aux Centres Hospitaliers Universitaires Charles de Gaulle et Yalgado Ouédraogo. Le but de ce travail était d'analyser les aspects cliniques, thérapeutiques et évolutifs de la maladie. Cette étude souligne la nécessité d'améliorer la prise en charge de cette maladie rare mais non exceptionnelle et handicapante. PMID:26834922

  8. Lipoblastome de la fosse sous temporale

    PubMed Central

    Najib, Jaafar; Aniba, Khalid; Laghmari, Mehdi; Lmejjati, Mohammed; Ghannane, Houssine; Benali, Said Ait; Ennadam, Hind; Mrabti, Hind; Idrissi, Nadia Cherif

    2014-01-01

    Le lipoblastome est une tumeur bénigne rare, formée d'adypocytes immatures associés à la présence d'une matrice myxoide, de septas fibreux, et d'une architecture lobulaire. Il survient généralement chez le nourrisson et l'enfant. Cette tumeur touche dans la majorité des cas les tissus sous-cutanés des extrémités et du tronc. Elle est extrèmement rare au niveau de la tète et du cou. Un total de moins de 100 cas a été rapporté précédemment dans la littérature. PMID:25918563

  9. Carcinoïde primitif du rein métastasant après 12 ans

    PubMed Central

    Bacha, Dhouha; Lahmar, Ahlem; Gharbi, Lassad; Slama, Sana Ben; Bouraoui, Saadia; Chatti, Samia; Regaya, Sabeh Mzabi

    2016-01-01

    Les carcinoïdes primitifs du rein sont rares avec une centaine de cas rapportés dans la littérature. Sur le plan histologique, il s'agit d'une tumeur bien différenciée dont la morphologie rejoint souvent celle des carcinoïdes dans les autres localisations. Nous rapportons un cas de carcinoïde primitif du rein survenant chez un homme de 41 ans, découvert à la suite de métastases hépatiques. La tumeur était particulière par son architecture tubulo-papillaire, suggérant à tort le diagnostic de carcinome papillaire du rein. Ce diagnostic a été redressé 12 ans après, à la suite de l'apparition d'autres métastases hépatiques, osseuses et pulmonaires. PMID:27217899

  10. The Impact of Organizational Stress and Burnout on Client Engagement

    PubMed Central

    Landrum, Brittany; Knight, Danica K.; Flynn, Patrick M.

    2011-01-01

    This paper explores the impact of organizational attributes on client engagement within substance abuse treatment. Previous research has identified organizational features, including small size, accreditation, and workplace practices that impact client engagement (Broome, Flynn, Knight, & Simpson, 2007). The current study sought to explore how aspects of the work environment impact client engagement. The sample included 89 programs located in 9 states across the U.S. Work environment measures included counselor perceptions of stress, burnout, and work satisfaction at each program, while engagement measures included client ratings of participation, counseling rapport, and treatment satisfaction. Using multiple regression, tests of moderation and mediation revealed that staff stress negatively predicted client participation in treatment. Burnout was related to stress, but was not related to participation. Two additional organizational measures – workload and influence – moderated the positive relationship between staff stress and burnout. Implications for drug treatment programs are discussed. PMID:22154029

  11. Le syndrome d'insensibilité complète aux androgènes: à propos de deux cas et revue de la literature

    PubMed Central

    Lachiri, Boutaina; Hakimi, Ihssane; Boudhas, Adil; Guelzim, Khalid; Kouach, Jaouad; Oukabli, Mohamed; Rahali, Driss Moussaoui; Dehayni, Mohamed

    2015-01-01

    Le syndrome d'insensibilité complète aux androgènes (SICA) est une entité rare qui correspond à la forme complète des pseudohermaphrodismes androgynoïdes. Son incidence est en fait très variable, allant, selon les auteurs de 1/20000 à 1/60000 naissances. Il est caractérisé par la coexistence chez le même sujet d'un caryotype masculin (46 XY), avec des gonades males, et d'une morphologie féminine normale. Les auteurs rapportent deux observations de deux jeunes filles présentant le SICA ayant consulté pour aménorrhée primaire, illustrant les particularités cliniques, anatomopathologiques et biologiques du syndrome avec certaines particularités. PMID:26301004

  12. Dislikable Clients or Countertransference: A Clinician’s Perspective

    PubMed Central

    LINN-WALTON, REBECCA; PARDASANI, MANOJ

    2015-01-01

    Dislike of one’s clients is a problem many clinicians encounter and it can have a drastic negative impact on client-clinician rapport, as well as the intervention outcome. Reasons for dislike can be varied and are not clearly known, as little research has been done on the topic. The purpose of this pilot study was to begin to understand how clinicians experience and navigate dislike for clients in practice. The study yielded critical information regarding the factors that influence dislike and the coping skills utilized by practitioners to counter or ameliorate such feelings. Recommendations for practitioners are provided, including a better understanding of feelings of dislike for one’s client outside of the countertransference framework of understanding. PMID:25798024

  13. Health professional's perspectives of the barriers and enablers to cancer care for Indigenous Australians.

    PubMed

    Meiklejohn, J A; Adams, J; Valery, P C; Walpole, E T; Martin, J H; Williams, H M; Garvey, G

    2016-03-01

    To investigate health professionals' perspectives about factors that impede or facilitate cancer care for Indigenous people. Semi-structured interviews with 22 health professionals involved in Indigenous cancer care. Data were interpreted using an inductive thematic analysis approach. Participants presented their perspectives on a number of barriers and enablers to Indigenous cancer care. Barriers were related to challenges with communication, the health system and coordination of care, issues around individual and community priorities and views of cancer treatment and health professional judgement. Enablers to cancer care were related to the importance of trust and rapport as well as health care system and support factors. The findings highlighted the need for recording of Indigenous status in medical records and a coordinated approach to the provision of evidence-based and culturally appropriate cancer care. This could go some way to improving Indigenous patient's engagement with tertiary cancer care services. PMID:26918690

  14. Capuchin monkeys display affiliation toward humans who imitate them.

    PubMed

    Paukner, Annika; Suomi, Stephen J; Visalberghi, Elisabetta; Ferrari, Pier F

    2009-08-14

    During social interactions, humans often unconsciously and unintentionally imitate the behaviors of others, which increases rapport, liking, and empathy between interaction partners. This effect is thought to be an evolutionary adaptation that facilitates group living and may be shared with other primate species. Here, we show that capuchin monkeys, a highly social primate species, prefer human imitators over non-imitators in a variety of ways: The monkeys look longer at imitators, spend more time in proximity to imitators, and choose to interact more frequently with imitators in a token exchange task. These results demonstrate that imitation can promote affiliation in nonhuman primates. Behavior matching that leads to prosocial behaviors toward others may have been one of the mechanisms at the basis of altruistic behavioral tendencies in capuchins and in other primates, including humans. PMID:19679816

  15. The historical role of hypnosis in the theoretical origins of transference.

    PubMed

    Gravitz, Melvin A

    2004-04-01

    There has been a gradual evolution of the important construct of transference from ancient to modern times. Long before Franz Anton Mesmer, there were philosophers, theorists, and health professionals who emphasized the impact of interpersonal relationships on well-being and illness. While basically conceptualizing animal magnetism as a dynamic physical fluid, Mesmer was also aware of the impact of rapport and affect in the enhancement of magnetic treatment. Later neo-mesmerists, notably Puységur and Deleuze, built on such theories. That emphasis continued through the 19th century to the time of Freud, whose construct of transference was derived from his personal experience with hypnosis and which has since become an integral part of modern psychodynamic theory and treatment. PMID:15115058

  16. La gigantomastie: à propos d'un cas et revue de la littérature

    PubMed Central

    Mamouni, Nisrine; Erraghay, Sanaa; Oufkir, Aya; Saadi, Hanane; Bouchikhi, Chahrazed; Banani, Abdelaziz

    2014-01-01

    L'hypertrophie virginale ou gigantomastie est une mastopathie rare de cause inconnue. Elle survient au moment de la puberté et se manifeste cliniquement par un accroissement rapide et bilatéral du volume des seins. Les dosages hormonaux sont habituellement normaux et la biopsie du sein montre une accentuation du tissu mésenchymateux. Du fait des complications mécaniques et psychologiques liées aux poids et volume excessifs des seins, un traitement chirurgical rapide et efficace s'impose. Le But est de rapporter un cas rare de gigantomastie juvénile, discuter les éventualités thérapeutiques ainsi que le pronostic. PMID:25419292

  17. Pneumomédiastin au cours d'une dermatomyosite, une entité rare: à propos d'un cas

    PubMed Central

    Majdoub, Senda; Zemni, Houcem; Zaghouani, Houneida; Salem, Halima Houda Ben; Amara, Habib; Bakir, Dajla; Kraeim, Chakib

    2016-01-01

    la dermatomyosite est une connective caractérisée par une inflammation du muscle squelettique associée à des manifestations cutanées caractéristiques. Leurs étiologies, encore méconnues, associent facteurs environnementaux et génétiques. Parmi les complications pulmonaires décrites, les pneumopathies interstitielles qui sont des complications fréquentes. D'autres complications sont plus rarement rapportées comme le pneumomédiastin. Nous rapportons une observation de pneumomédiastin avec dissection aérique sous cutanée massive survenus chez une patiente atteinte de dermatomyosite. Nous discutons, à la vue des données de la littérature de la fréquence, des causes et des mécanismes physiopathologiques de cette pathologie. PMID:27200145

  18. Ostéonécrose aseptique de la tête fémorale chez une patiente atteinte d'artérite de Takayasu

    PubMed Central

    Loukil, Hanen; Frikha, Faten; Snoussi, Mouna; Ben Salah, Raida; Bahloul, Zouhir

    2014-01-01

    L'ONA n'est pas une maladie spécifique, mais c'est l'aboutissement de diverses conditions pathologiques dont la plupart altère la circulation sanguine. Elle peut compliquer toutes les maladies systémiques et auto-immunes essentiellement le lupus érythémateux systémique. Sa survenue au cours de l'artérite de Takayasu a été exceptionnellement rapportée. Nous rapportons l'observation d'une femme âgée de 69 ans, et suivie pour artérite de Takayasu qui se présentait pour des douleurs de la hanche gauche. Un scanner de la hanche gauche avait confirmé le diagnostic d'une ostéonecrose aseptique de la tête fémorale gauche stade 3. PMID:25419330

  19. Allergie respiratoire et “sunko”: une association rare, à propos d'une observation

    PubMed Central

    Ngombe, Léon Kabamba; Kangulu, Ignace Bwana; Nzaji, Michel Kabamba

    2014-01-01

    Il est rapporté dans ce texte un cas d'allergie respiratoire ayant fait probablement suite à une consommation d'un tabac sans fumé couramment utilisé en République Démocratique du Congo, le « Sunko ». Une rhinite et un asthme allergiques sont les cas. Cette observation permet d'attirer l'attention du monde scientifique à mettre sur pieds des études concernant la composition et les effets du Sunko pour appréhender cette association, puis d'informer l'opinion sur les dangers que courent les consommateurs de ce type de tabac et de faire la revue de la littérature. PMID:25426218

  20. Ostéo-arthrites tuberculeuses inhabituelles multifocales chez une patiente immunocompétente

    PubMed Central

    Koné, Samba; Gbané-Koné, Mariam; Bana, Abdoulaye; Touré, Stanislas André; Kouassi, Adelaide Natacha; Koffi, Akué Gérard; Eti, Edmond; Kouakou, N‘zue Marcel

    2015-01-01

    Les formes multifocales de la tuberculose, surviennent habituellement chez des sujets immunodéprimés. Dans les formes multifocales, certaines localisations osseuses sont rares. Les auteurs rapportent le cas d'une patiente de 58 ans, immunocompétente qui présentait une tuberculose multifocale associant une atteinte pulmonaire et des localisations osseuses et articulaires inhabituelles (l’épaule, la cheville et le pied homolatéral, la branche illio-pubienne). Le diagnostic a été histologique (biopsie ostéo-articulaire) et bactériologique (mise en évidence des BAAR dans les crachats). Le traitement a été médico-chirurgical. PMID:26113943

  1. Importantes lésions radiologiques de spondylodiscite tuberculeuse pauci-symptomatique

    PubMed Central

    Andrianarimanitra, Hasina Ursèle; Rajaonarison, Narindra Lova Hasina Ny Ony; Randrianalison, Miora Lovatiana; Ahmad, Ahmad

    2014-01-01

    La spondylodiscite tuberculeuse est la localisation la plus fréquente des tuberculoses ostéo-articulaires et parmi-celle-ci l'atteinte dorsolombaire est prédominante. Les formes associées à d'autres localisations de la tuberculose restent rares chez les immuno-compétants. Les auteurs rapportent une observation d'un patient présentant des signes radiologiques majeurs d'une tuberculose multiviscérale et spondylo-discale confirmée histologiquement, avec un tableau clinique pauvre afin de discuter l'intérêt de l'imagerie dans le diagnostic de cette pathologie. PMID:25489376

  2. Expérience Marocaine sur les goitres négligés en mission humanitaire en Guinée Bissau: à propos de quatre observations

    PubMed Central

    Laraqui, Hicham; Sair, Khalid

    2015-01-01

    La mission humanitaire de notre hôpital militaire médico-chirurgicale en Guinée Bissau avait pour but le rapprochement des soins à la population. Les pathologies rencontrées étaient le plus souvent négligées. Nous rapportons quatre observations de goitres négligés sur une durée de trois mois allant de Mai 2015 à Aout 2015. Nous discuterons les problèmes de pathologies négligées en rapport essentiellement avec le niveau socio-économique bas et l'insuffisance en moyens diagnostiques et thérapeutiques et en personnel de soins qualifiés. PMID:26834925

  3. Evolution insolite d'une plaie complexe de la voie biliaire principale post cholécystectomie cœlioscopique

    PubMed Central

    Mohamed, Hedfi; Hala, Bouhafa; Youssef, Elcadhi; Abdelhedi, Cherif; Karim, Sassi; Azza, Sridi; Adnen, Chouchene

    2016-01-01

    Depuis l'avènement de la chirurgie coelioscopique de la lithiase biliaire le nombre de plaies des voies biliaires a sensiblement augmenté dans la littérature en rapport avec la courbe d'apprentissage des opérateurs. Les plaies méconnues peuvent avoir des conséquences immédiates dramatiques et évoluer vers la péritonite biliaire. Ailleurs la réparation des fistules biliaires externes au stade de dilatation des voies biliaires nécessite une anastomose bilio digestive ou des résections hépatiques réglées. PMID:27279975

  4. Shifting workplace behavior to inspire learning: a journey to building a learning culture.

    PubMed

    Schoonbeek, Sue; Henderson, Amanda

    2011-01-01

    This article discusses the process of building a learning culture. It began with establishing acceptance and connection with the nurse unit manager and the ward team. In the early phases of developing rapport, bullying became apparent. Because bullying undermines sharing and trust, the hallmarks of learning environments, the early intervention work assisted staff to recognize and counteract bullying behaviors. When predominantly positive relationships were restored, interactions that facilitated open communication, including asking questions and providing feedback-behaviors commensurate with learning in the workplace-were developed during regular in-service sessions. Staff participated in role-play and role modeling desired behaviors. Once staff became knowledgeable about positive learning interactions, reward and recognition strategies began to reinforce attitudes and behaviors that align with learning. Through rewards, all nurses had the opportunity to be recognized for their contribution. Nurses who excelled were invited to become champions to continue engaging the key stakeholders to further build the learning environment. PMID:20954565

  5. Advantageous Use of Hypnosis in a Case of Psychogenic Vomiting.

    PubMed

    Chandrashekhar, Roopa

    2016-04-01

    This case study describes in detail the role of hypnosis in treatment of a case of psychogenic vomiting. The patient, a 60-yearold woman, had been suffering for 9 months from episodes of vomiting which resulted in weight loss, dehydration, and hypokalemia. She was a conscientious woman with high standards of behavior, which did not allow an expression of the extreme hostility she felt toward her daughter-in-law. Hypnotherapeutic sessions reduced her anxiety, restored her sleep, improved mood, and helped deepen rapport, all of which created the ideal setting for Gestalt's empty chair technique. Integrating hypnosis greatly enhanced the quality of the empty chair dialogue, which by bringing about a shift in the patient's emotions from hostility to sympathy, facilitated recovery. PMID:27003484

  6. Space Station Freedom data management system growth and evolution report

    NASA Technical Reports Server (NTRS)

    Bartlett, R.; Davis, G.; Grant, T. L.; Gibson, J.; Hedges, R.; Johnson, M. J.; Liu, Y. K.; Patterson-Hine, A.; Sliwa, N.; Sowizral, H.

    1992-01-01

    The Information Sciences Division at the NASA Ames Research Center has completed a 6-month study of portions of the Space Station Freedom Data Management System (DMS). This study looked at the present capabilities and future growth potential of the DMS, and the results are documented in this report. Issues have been raised that were discussed with the appropriate Johnson Space Center (JSC) management and Work Package-2 contractor organizations. Areas requiring additional study have been identified and suggestions for long-term upgrades have been proposed. This activity has allowed the Ames personnel to develop a rapport with the JSC civil service and contractor teams that does permit an independent check and balance technique for the DMS.

  7. Partners in Health: A Conceptual Framework for the Role of Community Health Workers in Facilitating Patients' Adoption of Healthy Behaviors

    PubMed Central

    Van Devanter, Nancy; Islam, Nadia; Trinh-Shevrin, Chau

    2015-01-01

    We formulated a conceptual framework that begins to answer the national call to improve health care access, delivery, and quality by explaining the processes through which community health workers (CHWs) facilitate patients’ adoption of healthy behaviors. In September 2011 to January 2012, we conducted a qualitative study that triangulated multiple data sources: 26 in-depth interviews, training documents, and patient charts. CHWs served as partners in health to immigrant Filipinos with hypertension, leveraging their cultural congruence with intervention participants, employing interpersonal communication techniques to build trust and rapport, providing social support, and assisting with health behavior change. To drive the field forward, this work can be expanded with framework testing that may influence future CHW training and interventions. PMID:25790405

  8. Les considérations éthiques relatives à la désadoption d'aspects inefficaces ou nuisibles des soins de santé.

    PubMed

    Niven, Daniel J; Leigh, Jeanna Parsons; Stelfox, Henry T

    2016-09-01

    La désadoption désigne l'abandon d'une pratique médicale ou d'un service de santé inefficace ou nuisible après une période d'adoption. Tandis que les dépenses croissantes en matière de santé menacent de paralyser les sociétés qui les financent, le fait de faciliter la désadoption peut faire partie intégrante de systèmes de santé durables qui prodiguent des soins de qualité. Le présent article explore des enjeux éthiques qui se rapportent à la désadoption, y compris les principes sous-jacents de bénéficience, de non-maléficience, de justice et d'autonomie. PMID:27576859

  9. Microbiota and neurodevelopmental windows: implications for brain disorders.

    PubMed

    Borre, Yuliya E; O'Keeffe, Gerard W; Clarke, Gerard; Stanton, Catherine; Dinan, Timothy G; Cryan, John F

    2014-09-01

    Gut microbiota is essential to human health, playing a major role in the bidirectional communication between the gastrointestinal tract and the central nervous system. The microbiota undergoes a vigorous process of development throughout the lifespan and establishes its symbiotic rapport with the host early in life. Early life perturbations of the developing gut microbiota can impact neurodevelopment and potentially lead to adverse mental health outcomes later in life. This review compares the parallel early development of the intestinal microbiota and the nervous system. The concept of parallel and interacting microbial-neural critical windows opens new avenues for developing novel microbiota-modulating based therapeutic interventions in early life to combat neurodevelopmental deficits and brain disorders. PMID:24956966

  10. Intonational meaning in institutional settings: the role of syntagmatic relations

    NASA Astrophysics Data System (ADS)

    Wichmann, Anne

    2010-12-01

    This paper addresses the power of intonation to convey interpersonal or attitudinal meaning. Speakers have been shown to accommodate to each other in the course of conversation, and this convergence may be perceived as a sign of empathy. Accommodation often involves paradigmatic choices—choosing the same words, gestures, regional accent or melodic pattern, but this paper suggests that affective meaning can also be conveyed syntagmatically through the relationship between prosodic features in successive utterances. The paper also addresses the use of prosody in situations of conflict, particularly in institutional settings. The requirement of the more powerful participant to exercise control may conflict with the expression of empathy. Situations are described where divergent rather than convergent behaviour is more successful both in keeping control and in maintaining rapport.

  11. "Three in the Room": Embodiment, Disclosure, and Vulnerability in Qualitative Research.

    PubMed

    Harris, Magdalena

    2015-12-01

    The researcher's body in qualitative research is often absented, an absence that can render deceptively tidy research accounts. In this article, I reflect on the interplay of embodiment and disclosure in the interview dynamic and the way in which my body became an object of inquiry in the research process. Three qualitative studies inform the article: the first exploring the experiences of 40 people living with hepatitis C in New Zealand and Australia, the second comprising life-history interviews with 38 people who inject drugs in London, and the third following 27 people through hepatitis C treatment in London. Bodily and verbal disclosures of my history, as someone with/without hepatitis C and a former heroin user, affected the energy of the interview dynamic, also embodied understandings of illness and drug use. Disclosure can enhance researcher vulnerability and I close with reflection on the ethical implications of "enhanced rapport" in the research situation. PMID:25576481

  12. Strategies to recruit minority persons: a systematic review.

    PubMed

    Ibrahim, Sarah; Sidani, Souraya

    2014-10-01

    To identify and describe strategies used to recruit persons of ethnically and culturally diverse backgrounds and to examine their reported effectiveness. Studies (n = 26) reporting on recruitment of persons of different cultural and ethnic backgrounds, published in English between 1995 and 2012, were included in this systematic review. Data on the type of recruitment strategies and overall reported effectiveness of the strategy in recruiting participants were extracted. The vote counting method was used to synthesize the findings on effectiveness. Both proactive (face-to-face) and reactive recruitment strategies (collaboration with key leaders, snowball and word of mouth, printed material, and broadcast media) and providing compensation, being flexible, building rapport and trust, and employing ethnically and culturally diverse research staff were effective in recruiting participants. A list of strategies that are effective in recruiting persons of diverse ethnic and cultural backgrounds were generated. Researchers can select the evidence-based strategies that are most applicable in the context of their study. PMID:23338906

  13. La trochantérite tuberculeuse, un diagnostic souvent difficile

    PubMed Central

    Mhammdi, Younes; Boufettal, Moncef; Kharmaz, Mohamed; Lahlou, Abdou; Mahfoud, Mustapha; EL Bardouni, Ahmed; Berrada, Mohamed Saleh

    2016-01-01

    La trochantérite tuberculeuse est une affection rare (<2% des tuberculoses ostéo-articulaires), même en pays à forte endémie, elle est caractérisée par une symptomatologie insidieuse rendant souvent son diagnostic tardif. Les auteurs rapportent une série de 9 cas, le diagnostic a été posé sur des études bactériologiques et histologiques après un bilan d'imagerie (échographie, IRM, TDM). Le traitement de cette affection est médical (antibiothérapie antituberculeuse), et la chirurgie ne trouve sa place qu'en cas de complications et permet d'améliorer l’évolution. PMID:27279938

  14. Obstacles to intergroup contact: when outgroup partner's anxiety meets perceived ethnic discrimination.

    PubMed

    Andrighetto, Luca; Durante, Federica; Lugani, Federica; Volpato, Chiara; Mirisola, Alberto

    2013-12-01

    Emerging research suggests that outgroup partner's anxiety can disrupt intergroup rapport-building. This study extends previous findings by investigating the interactive effects of anticipated outgroup partner's anxiety and perceived ethnic discrimination on self-anxiety and intergroup contact avoidance. A sample of immigrant adolescents belonging to different ethnic minorities in Italy (N = 118) was considered. Results showed that when participants expected to interact with an anxious outgroup (Italian) versus in-group partner, self-anxiety increased and, as a consequence, their intentions to avoid future encounters. However, these effects were observed only for participants with higher (vs. lower) perceptions of being discriminated against. The implications of these results for interethnic communication and misunderstandings are discussed. PMID:23906345

  15. Corps étranger de l'urètre et dépression mélancolique, les implications diagnostiques aux urgences-à propos d'un cas clinique

    PubMed Central

    Chouaib, Ali; Cabanis, Patrick; Billebaud, Thierry

    2011-01-01

    L'auto-insertion de corps étrangers dans l'urètre, est un comportement d'automutilation potentiellement dangereux. Plusieurs cas d'auto-insertion de corps étrangers dans l'urètre, ont été rapportés dans la littérature. Ceci est parfois dû à un trouble mental qui peut être méconnu et doit être systématiquement recherché par l'urologue. Si la notion d'automutilation et/ou les idées suicidaires ne sont pas recherchées dans le milieu hospitalier, et le patient s'automutile ou se suicide par la suite, l'urologue peut être poursuivi en justice pour absence de diagnostic et de traitement, pouvant être interprétés comme erreur médicale. PMID:22355424

  16. Hémangioendothéliome épithélioïde de la cuisse: à propos d'un cas

    PubMed Central

    Bardouni, Ahmed; Elouakili, Issam; Ouchrif, Younes; Ouakrim, Redouane; Kharmaz, Mohammed; Lamrani, Omar; Ismael, Farid; Lahlou, Abdo; Ouadaghirie, Mohammed; Mahfoud, Mustapha; Berrada, Mohammed Saleh; El Yaacoubi, Mouradh

    2014-01-01

    L'hémangioendothéliome épithélioïde (HEE) est une tumeur vasculaire à malignité intermédiaire survenant essentiellement dans l'os, les tissus mous, le poumon et le foie. Souvent considéré comme une tumeur à malignité intermédiaire entre les hémangiomes bénins et les angiosarcomes agressifs, l'HEE comporte un potentiel de récidives locales, de métastases ganglionnaires et à distance et ne s'accompagne pas fréquemment de décès. Les auteurs rapportent l'observation d'un patient de 70 ans, Ayant présenté un hémangioendothéliomeépithélioïde des parties molles de la cuisse avec un recul de 1an sans récidive. PMID:25404966

  17. Le syndrome d'apert

    PubMed Central

    Benmiloud, Sarra; Chaouki, Sana; Atmani, Samir; Hida, Moustapha

    2013-01-01

    Le syndrome d'Apert est une affection congénitale rare, caractérisée par une sténose cranio-faciale associée à une syndactylie des mains et des pieds. Sa prise en charge doit être précoce et multidisciplinaire. Sa gravité réside dans la coexistence de plusieurs malformations avec un risque d'hypertension intracrânienne chronique responsable d'une cécité et d'une débilité mentale. Les auteurs rapportent une nouvelle observation à travers laquelle ils illustrent les aspects cliniques et évolutifs ainsi que les difficultés thérapeutiques de cette affection. PMID:23565313

  18. Léiomyome vasculaire de l'avant bras: présentation d'un cas clinique et revue de la literature

    PubMed Central

    Moncef, Erraji; Abdessamad, Kharraji; Najib, Abassi; Najib, Abdeljawad; Yacoubi, Hicham

    2014-01-01

    Le léiomyome est une tumeur bénigne vasculaire qui peut se présenter sous la forme d'une masse localisée; cependant le diagnostic ne peut en être clinique. Le diagnostic définitif repose sur la réalisation de multiples examens d'imagerie radiologique et sur le résultat de l'examen histologique.une fois traitée par une excision large, passant en zone saine sur le vaisseau, la tumeur à un faible taux de récidive. Nous en rapportant un cas de patiente ayant un léiomyome siégeant au niveau de l'avant bras. PMID:25838850

  19. Localisation humérale d'une tumeur à cellules géantes récidivantes (à propos d'un cas)

    PubMed Central

    Nader, Youssef; Serghini, Issam; Koulali, Idrissi Khalid; Salahi, Hicham; Galwia, Farid

    2015-01-01

    Les auteurs rapportent un cas de localisation rare d'une tumeur à cellules géantes au niveau de la palette humérale du coude droit chez un militaire de 36 ans de sexe masculin, la radio standard montrait une image kystique ne soufflant pas la corticale. L'examen anatomo-pathologique a permis d’ établir le diagnostic et le traitement a fait appel: au début a une Exérèse chirurgicale totale et une greffe osseuse par un greffon iliaque de la totalité de la palette huméral qui s'est compliquée à 6 mois de recule d une récidive locale. PMID:25995809

  20. Influence of organizational functioning on client engagement in treatment.

    PubMed

    Greener, Jack M; Joe, George W; Simpson, D Dwayne; Rowan-Szal, Grace A; Lehman, Wayne E K

    2007-09-01

    This study focused on the relationship between organizational functioning factors measured in a staff survey using the Texas Christian University (TCU) Organizational Readiness for Change assessment and client-level engagement measured by the TCU Client Evaluation of Self and Treatment in drug treatment programs. The sample consisted of 531 clinical and counseling staff and 3,475 clients from 163 substance abuse treatment programs located in nine states from three regional Addiction Technology Transfer Centers. Measures of client engagement in treatment (rapport, satisfaction, and participation) were shown to be higher in programs with more positive staff ratings of organizational functioning. In particular, these programs had fewer agency needs and more favorable ratings for their resources, staff attributes, and climate. These findings help establish the importance of addressing organizational factors as part of an overall strategy for improving treatment effectiveness. PMID:17433863

  1. Nursing advocacy for women veterans and suicide.

    PubMed

    Conard, Patricia L; Armstrong, Myrna L; Young, Cathy; Hogan, La Micha

    2015-03-01

    Little is known about suicide variables in women Veterans. The authors reviewed numerous applicable health care and military literary sources regarding suicide in this population. The current article describes the surrounding circumstances, military war/conflict culture, and potential effects on women Veterans, including major collection problems with current Veteran data. Women Veterans are increasingly reporting more behavioral health issues (e.g., posttraumatic stress disorder) and attempting suicide upon civilian reintegration. Outcomes from this literature review suggest the importance of nursing advocacy to create better rapport and communication with women Veterans from Vietnam, Gulf I, Iraq, and Afghanistan wars seeking care at civilian health facilities, as some may present with suicidal ideologies. PMID:25751826

  2. Informed consent to psychotherapy: protecting the dignity and respecting the autonomy of patients.

    PubMed

    Fisher, Celia B; Oransky, Matthew

    2008-05-01

    Well-implemented informed consent procedures demonstrate psychotherapists' respect for clients' right to self-determination and can initiate meaningful contributions to treatment through enhancing mutual trust, building rapport, and facilitating a sense of ownership. This article details key components of informed consent to psychotherapy by placing them within real-world psychotherapy scenarios. We provide information on client-therapist discussions of the nature and course of therapy, fees and payment policies, the involvement of third parties, confidentiality policies, and new and untested treatments. In addition, this article addresses informed consent procedures for individuals with impaired cognitive capacities and under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) regulations. PMID:18381749

  3. Behavioural Differences Between Online Sexual Groomers Approaching Boys and Girls.

    PubMed

    van Gijn-Grosvenor, Evianne L; Lamb, Michael E

    2016-07-01

    This study focused on the behavior of convicted offenders who had approached profiles of boys and girls online for offline sexual encounters. A detailed coding scheme was designed to code and analyze offenders' grooming behaviors in transcripts of conversational interactions between convicted offenders and 52 volunteer workers purporting to be girls and 49 volunteer workers who masqueraded as boys. Behavioral differences and commonalities associated with the gender of the groomed child decoys were examined. Results showed that offenders approaching boys were significantly older and pretended to be younger than offenders approaching girls. When compared to offenders grooming boy decoys, offenders grooming girl decoys typically built more rapport, were less sexually explicit, and approached sexual topics carefully and indirectly. Offenders also used more strategies to conceal contact with girls than with boys. PMID:27472510

  4. Perspectives of Speech-Language Pathologists on the Use of Telepractice in Schools: Quantitative Survey Results

    PubMed Central

    Tucker, Janice K.

    2012-01-01

    This research surveyed 170 school-based speech-language pathologists (SLPs) in one northeastern state, with only 1.8% reporting telepractice use in school-settings. These results were consistent with two ASHA surveys (2002; 2011) that reported limited use of telepractice for school-based speech-language pathology. In the present study, willingness to use telepractice was inversely related to age, perhaps because younger members of the profession are more accustomed to using technology. Overall, respondents were concerned about the validity of assessments administered via telepractice; whether clinicians can adequately establish rapport with clients via telepractice; and if therapy conducted via telepractice can be as effective as in-person speech-language therapy. Most respondents indicated the need to establish procedures and guidelines for school-based telepractice programs. PMID:25945204

  5. Another Person in the Room: Using Interpreters During Interviews With Immigrant Workers.

    PubMed

    Kosny, Agnieszka; MacEachen, Ellen; Lifshen, Marni; Smith, Peter

    2014-05-13

    Cross-language research poses many challenges. When researchers and participants do not speak the same language, meanings expressed by participants might not be understood in the same way by researchers, and the richness of participants' experiences might be lost. This can lead to the misrepresentation and silencing of issues faced by these participants, especially newcomers. In this article, we critically examine our experience conducting qualitative interviews with injured immigrant workers with the help of professional interpreters. Using examples from our field notes and transcripts, we outline some of the key difficulties we faced: varying styles of interpretation, breeches of interview conventions, and miscommunications with interpreters. We discuss how these issues affected our study design, rapport with participants and, ultimately, data quality. We end with a discussion of how to improve cross-language and cross-cultural research. PMID:24823318

  6. Tuberculose pulmonaire révélée par un purpura thrombopénique chez l'enfant-à propos d'un cas clinique observé au service de pédiatrie des Cliniques Universitaires de Lubumbashi

    PubMed Central

    Lubala, Toni Kasole; Mutombo, Augustin Mulangu; Munkana, Arthur Ndundula; Manika, Michel Muteya

    2012-01-01

    Nous rapportons le cas d'un enfant de 7 ans, de sexe masculin ayant présenté un purpura thrombopénique avec épistaxis, hématémèse, otorragies et pétéchies généralisées. Durant la même hospitalisation, nous avons mis en évidence une tuberculose pulmonaire documentée par la présence de bacilles acido-alcoolo résistants à l'examen des crachats. Nous avons observé une majoration du taux de plaquettes en une semaine de corticothérapie intraveineuse à haute dose, avant l'instauration d'une poly chimiothérapie antituberculeuse. Nous rappelons également la controverse que suscite la prise en charge de cette association rarement rapportée. PMID:23077696

  7. Plasmocytome costal solitaire: à propos d'un cas

    PubMed Central

    Razafimanjato, Narindra Njarasoa Mihaja; Ravoatrarilandy, Manjakaniaina; Rakotoarisoa, Andriamihaja Jean Claude; Hasiniatsy, Rodrigue; Hunald, Allen Francis; Rakototiana, Auberlin Felantsoa; Rafaramino, Florine; Rakotovao, Hanitrala Jean Louis

    2014-01-01

    Les auteurs rapportent un cas de plasmocytome solitaire particulière par leur localisation costale. Le diagnostic est basé sur la mise en évidence d'une tumeur localisée, constituée de cellules plasmocytaires monoclonales cytologiquement identiques à celles du myélome multiple, en l'absence d'autres signes en faveur d'une forme disséminée. Nous rapportons un cas de plasmocytome solitaire à localisation costale et nous discutons les aspects diagnostiques et thérapeutiques de cette affection potentiellement menacée dans son évolution par la transformation en myélome multiple. PMID:25419306

  8. Communication Strategies for Empowering and Protecting Children

    PubMed Central

    Bell, Jennifer

    2016-01-01

    Communication with children and adolescents is an area that requires special attention. It is our job as health care professionals to ensure that the information being relayed is provided at a level that can be understood, to ensure patient safety as well as keep a child or adolescent engaged in their own medical care and decision making. This article discusses the importance of communication with children, adolescents, and their caregivers. It focuses on the overall importance of health literacy in communicating health care information to both caregivers and their children. Included are points to consider when communicating at different developmental stages, as well as strategies to help establish rapport. Lastly, the importance of technology and how it can help facilitate communication with this population is introduced. PMID:27199626

  9. Grand Multiparous Women’s Perceptions of Birthing, Nursing Care, and Childbirth Technology

    PubMed Central

    Fleming, Susan E.; Smart, Denise; Eide, Phyllis

    2011-01-01

    This qualitative descriptive study explored grand multiparous women’s perceptions of the evolving changes in birthing, nursing care, and technology. A purposive sample of grand multiparous women (N = 13) from rural, eastern Washington State were interviewed as they shared their 105 birth stories. Eight themes were identified: (1) providing welcome care, (2) offering choices, (3) following birth plans, (4) establishing trust and rapport, (5) being an advocate, (6) providing reassurance and support, (7) relying on electronic fetal monitors and assessments versus nursing presence, and (8) having epidurals coupled with loss of bodily cues. Results from this study may be used to educate women, intrapartum nurses, and childbirth educators on nursing care and on the evolving use of technology to better manage intrapartum care in hospitals. The results can also add to the extant knowledge of childbirth nursing practices. PMID:22379359

  10. Challenges and responsibilities of clinical teachers in the workplace: an ethnographic approach.

    PubMed

    Magnier, Kirsty M; Wang, Ruolan; Dale, Vicki H M; Pead, Matthew J

    2014-01-01

    This study aimed to explore the complex role of the clinical teacher in the workplace, with a view to identifying effective teaching practices. An ethnographic case-study approach was taken, including participant observations and semi-structured interviews with three participants that were selected from two participating veterinary institutions. The clinical teacher has several responsibilities, such as establishing a rapport with learners and maximizing the use of case-based learning opportunities to provide instruction and support to individual learners in a safe but challenging environment. Associated difficulties include balancing the competing demands of students' learning needs and patients' welfare, as well as maximizing the learning opportunities within available case material. Participants in this study demonstrated a reflective approach, adjusting their teaching approach "in action" and "on action" as appropriate. PMID:24637357

  11. Morgellons disease?

    PubMed

    Accordino, Robert E; Engler, Danielle; Ginsburg, Iona H; Koo, John

    2008-01-01

    Morgellons disease, a pattern of dermatologic symptoms very similar, if not identical, to those of delusions of parasitosis, was first described many centuries ago, but has recently been given much attention on the internet and in the mass media. The present authors present a history of Morgellons disease, in addition to which they discuss the potential benefit of using this diagnostic term as a means of building trust and rapport with patients to maximize treatment benefit. The present authors also suggest "meeting the patient halfway" and creating a therapeutic alliance when providing dermatologic treatment by taking their cutaneous symptoms seriously enough to provide both topical ointments as well as antipsychotic medications, which can be therapeutic in these patients. PMID:18318880

  12. Méningite à streptocoque du groupe A chez le nouveau né: à propos d'un cas

    PubMed Central

    El Youssi, Hind; Touaoussa, Aziz; Deham, Hanouf; Yahyaoui, Ghita; Mahmoud, Mustapha

    2015-01-01

    Bien qu'une augmentation de l'incidence et de la sévérité des infections invasives au streptocoque du groupe A (SGA) durant ces dernières décades ait été constatée par plusieurs auteurs, les méningites dues à cette bactérie restent exceptionnelles chez le nouveau né et leur physiopathologie est encore mal connue. A travers ce travail nous allons rapporter le cas d'une méningite néonatale à SGA diagnostiquée au sein de notre formation, avec revue de la littérature s'intéressant à ces méningites. PMID:26185565

  13. Le zona ophtalmique: une dermatose rare chez l'enfant

    PubMed Central

    Zakia, Douhi; Meziane, Marieme; Salim, Gallouj; Zahra, Mernissi Fatima

    2015-01-01

    Le zona est dû a une réactivation du virus varicelle-zona (VZV) qui reste quiescent dans les ganglions sensitifs dorsaux après la varicelle. Le zona de l'enfant est rare et particulièrement la forme ophtalmique, qui peut être responsable de complications oculaires graves nécessitant une prise en charge adéquate et précoce. Il est parfois associé à des douleurs post-zostériennes dont le traitement est difficile. L'aciclovir per os administré dans les 72 heures après l’éruption a prouvé son efficacité dans la prévention des complications oculaires. Nous en rapportant un nouveaux cas chez un garçon immunocompétent de 9 ans, sans notion de varicelle antérieure. PMID:26955408

  14. Grossesses extra utérines successives et bilharziose tubaire chez une touriste française

    PubMed Central

    Laroche, Justine; Mottet, Nicolas; Malincenco, Marianna; Gay, Catherine; Royer, Pierre Yves; Riethmuller, Didier

    2016-01-01

    La bilharziose est la seconde endémie parasitaire mondiale et ses atteintes génito urinaires sont bien décrites. Les grossesses ectopiques (GEU) sur obstruction tubaire par les œufs de bilharziose sont rapportées dans les populations africaines. La bilharziose affecte aussi les voyageurs mais l'atteinte de l'appareil génital féminin est plus rare. Nous rapportons un cas exceptionnel de deux GEU successives sur bilharziose tubaire chez une patiente d'origine Française, sept ans après un voyage touristique au Mali, la première découverte sur pièce de salpingectomie et la seconde ayant nécessité une salpingotomie controlatérale avec une injection de méthotrexate, deux mois plus tard. PMID:27200124

  15. Pilot Mental Health: Expert Working Group Recommendations - Revised 2015.

    PubMed

    2016-05-01

    In September 2012, the Aerospace Medical Association published and distributed recommendations from its Pilot Mental Health Working Group to improve awareness and identification of pilot mental health issues during the aeromedical assessment of pilots. Following the crash of Germanwings Flight 9525 in March 2015 with pilot suicide as the probable cause, the Pilot Mental Health Working Group reconvened to review their recommendations. As a result, the working group revised the recommendations which are provided here and which were distributed worldwide. The Working Group continues to emphasize the importance of assessing and optimizing pilot mental health, while providing additional recommendations on building trust and rapport between the aeromedical examiner and the pilot, on utilizing aviation mental health and aeromedical specialists, and on the balance between medical confidentiality and risk to public safety. The working group encourages all organizations involved in flight safety to review and consider implementing these recommendations within their usual operations. PMID:27099091

  16. Le volvulus gastrique idiopathique aigu: à propos d'une nouvelle observation

    PubMed Central

    Abdelilah, Mouhsine; Jihad, Anzaoui; Rachid, Bouchentouf

    2013-01-01

    Le volvulus gastrique est une rotation anormale de l'estomac autour de son axe. La forme aiguë constitue une urgence chirurgicale. Le diagnostic est souvent retardé en raison d'une symptomatologie fréquemment non spécifique. Des signes respiratoires tels la dyspnée et le hoquet peuvent révéler cette pathologie. Les auteurs rapportent une nouvelle observation de volvulus gastrique aigu chez un adolescent de 17 ans, diagnostiqué par la tomodensitométrie, et confirmé par une intervention chirurgicale. Le traitement est chirurgical et consiste à détordre et fixer l'estomac pour prévenir la récidive. PMID:23503200

  17. Dermatitis Artefacta: A Review of Five Cases: A Diagnostic and Therapeutic Challenge

    PubMed Central

    Saha, Abhijit; Seth, Joly; Gorai, Surajit; Bindal, Ayush

    2015-01-01

    Dermatitis artefacta (DA) is a self-inflicted dermatological condition where the underlying motive is to assume a sick role. The act of self-harm is to discharge the inner sense of isolation and emotional distress, which is too great to endure. We, hereby, report five interesting cases of DA with varied presentations, using diverse and innovative means for inflicting injury/injuries. Rarity may be attributed to masquerading presentation, leading to misdiagnosis and paucity of awareness among the physicians. Lack of proper identification of the underlying psychiatric disturbances may be the major cause of the loss of follow-ups. Here, we were fortunate enough to identify the emotional need of most of the patients. A flexible, nonconfrontational yet strong therapeutic rapport is required to improve the therapeutic outcomes. PMID:26677280

  18. Cubitus varus: l'ostéotomie de soustraction externe a-t-elle toujours sa place? Etude rétrospective à propos de 25 cas

    PubMed Central

    Chagou, Aniss; Bassir, Réda Allah; Rhanim, Abdelkarim; Lahlou, Abdou; Berrada, Mohammed Saleh; Yaacoubi, Moradh

    2016-01-01

    Le cubitus varus est cal vicieuxle plus souvent secondaire à des fractures supracondyliennes déplacées de l'extrémité inférieure de l'humérus chez l'enfant. Différentes techniques chirurgicales ont été proposées avec un taux de réussite différents mais aussi un taux de complications rapportées différents. Nous évaluons à travers une étude rétrospective de 25 cas colligés au centre hospitalier universitaire de Rabat, les résultats de la technique de soustraction externe que nous utilisons dans notre formation pour prendre en charge cette déformation. PMID:27516828

  19. La grossesse chez les hémodialysées chroniques

    PubMed Central

    Doukkali, Bouchra; Bahadi, Abdelaali; Rafik, Hicham; Kabbaj, Driss; Benyahia, Mohamed

    2015-01-01

    La survenue d'une grossesse en hémodialyse chronique (HDC) est rare, mais depuis la description du premier cas par Confortini en 1971, plusieurs observations ont été rapportées. L'hémodialyse a considérablement amélioré la fertilité de ces patientes. Nous rapportons l'expérience de douze grossesses survenues entre 1999 et 2014, chez douze patientes d’âge médian 34 ans (22-44), en hémodialyse (HD) depuis 40 mois (3-72), l’âge gestationnel moyen de diagnostic est de 16 semaines d'aménorrhée, la grossesse était compliquée dans 50% des cas par un hydramnios. Le terme moyen est de 35 semaine d'aménorrhée (SA) et l'accouchement a été réalisé dans 90% des grossesses par voie basse. Le poids moyen des nouveau-nés est de 1800g. De telles grossesses sont à haut risque du fait de la fréquence des complications. Elles devraient être contrôlées par les équipes multidisciplinaires, et la consultation prénatal ne devrait pas être négligée. L'objectif de ce travail est de rapporter notre expérience concernant la survenue d'une grossesse chez les patientes dialysées et de la confronter aux données de la littérature. PMID:26113944

  20. Mode de révélation particulier d'une tumeur brune chez une patiente hémodialysée chronique

    PubMed Central

    El Harraqui, Ryme; Karimi, Ilham; Chemlal, Abdeljalil; Ismaili, Fatiha Alaoui; Haddiya, Intissar

    2014-01-01

    Les tumeurs brunes constituent une complication rare mais sévère de la dialyse, le plus souvent asymptomatique. Nous rapportons le cas d'une patiente dont le mode de révélation de la tumeur brune fut atypique. Observation médicale: Madame F. est une patiente hémodialysée chronique depuis 14 ans suite à une néphropathie indéterminée. Sur le plan phosphocalcique, elle présente une ostéoporose depuis plus de 10 ans, ainsi qu'une hyperparathyroïdie secondaire. A la date du 24 octobre 2013, elle rapporte qu'elle a constaté la présence d'une petite « bosse » pariétale, apparue de façon spontanée la veille, sans notion de traumatisme. A l'examen clinique, nous trouvons une petite tuméfaction de 2cm de diamètre environs, de consistance dure, indolore, mobile par rapport au cuir chevelu. L’échographie a conclu à un lipome. Le lendemain matin, la patiente entre dans un état de coma profond. Le scanner cérébral a révélé la présence d'un hématome extradural associé à un hématome superficiel extra-crânien en regard d'une lyse de l'os pariétal, qui est en fait une tumeur brune. La patiente est transférée en réanimation où elle décède dans la journée. PMID:25422698

  1. Awareness and Attitudes Toward Intranasal Naloxone Rescue for Opioid Overdose Prevention.

    PubMed

    Kirane, Harshal; Ketteringham, Michael; Bereket, Sewit; Dima, Richie; Basta, Ann; Mendoza, Sonia; Hansen, Helena

    2016-10-01

    Opioid overdose prevention is a pressing public health concern and intranasal naloxone rescue kits are a useful tool in preventing fatal overdose. We evaluated the attitudes, knowledge, and experiences of patients and providers related to overdose and naloxone rescue. Over a six month period, patients and providers within a large community hospital in Staten Island were recruited to complete tailored questionnaires for their respective groupings. 100 patients and 101 providers completed questionnaires between August, 2014 and January, 2015. Patient participants were primarily Caucasian males with a mean age of 37.7 years, of which 65% accurately identified naloxone for opioid overdose, but only 21% knew more specific clinical features. 68% of patients had previously witnessed a drug overdose. Notably, 58% of patients anticipated their behavior would change if provided access to an intranasal naloxone rescue kit, of which 83% predicted an increase in opioid use. Prior overdose was significantly correlated with anticipating no change in subsequent opioid use pattern (p=0.02). 99% of patients reported that their rapport with their health-care provider would be enhanced if offered an intranasal naloxone rescue kit. As for providers, 24% had completed naloxone rescue kit training, and 96% were able to properly identify its clinical application. 50% of providers felt naloxone access would decrease the likelihood of an overdose occurring, and 58% felt it would not contribute to high-risk behavior. Among providers, completion of naloxone training was correlated with increased awareness of where to access kits for patients (p<0.001). This study suggests that patients and providers have distinct beliefs and attitudes toward overdose prevention. Patient-Provider discussion of overdose prevention enhances patients' rapport with providers. However, access to an intranasal naloxone rescue kit may make some patients more vulnerable to high-risk behavior. Future research efforts

  2. Surpoids et obésité dans la population au-dessus de 20 ans en milieu urbain bamakois (Mali)

    PubMed Central

    Oumar Bâ, Hamidou; Menta, Ichaka; Camara, Youssouf; Sangaré, Ibrahima; Sidibé, Noumou; Doumbia, Seydou; Diarra, Mamadou Bocary

    2014-01-01

    Introduction Il est question dans notre travail d’étudier le SP et l'OB et les facteurs associés dans la population âgée de 20 ans ou plus. Méthodes Notre échantillon a été obtenu à partir d'une enquête sur les pathologies cardiovasculaires dans le District de Bamako et impliquant 2199 sujets de 5-104 ans, en sélectionnant tous les sujets âgés d'au moins 20 ans (1162). Pour chaque sujet, l'IMC, rapport taille / hanche et le tour de taille ont été déterminées. Les données ont été analysées avec SPSS 12. Résultats L’âge moyen était de 36,86 années, 61,4% étaient des femmes, 49,7% dans le secteur informel et 38,0% avaient réalisé l'enseignement primaire. Facteurs de risque cardiovasculaires étaient l'inactivité physique (72,4%), le tabagisme (12,2%) et hypertension (26,7%). La prévalence de l'obésité était de 8,8 et 14,7% respectivement sur la base de l'indice de masse et le tour de taille. Conclusion Le SP et l'OB sont à prendre en compte dans les mesures de politique sanitaire que dans la pratique quotidienne des professionnels de santé, il est peut-être plus utile d'utiliser plusieurs paramètres pour être à même de bien stratifier nos patients par rapport à leur risque. PMID:25932065

  3. Angio-Behçet thoracique - régression totale sous traitement immuno-suppresseur (à propos d'un cas)

    PubMed Central

    Berrady, Rhizlane; Khammar, Zineb; Lahlou, Mariam; Boukhrissa, Amal; Bono, Wafaa

    2014-01-01

    La maladie de Behçet est une Vascularite multisystémique d’étiologie obscure. L'angio-Behçet thoracique est en rapport avec le tropisme vasculaire bien connu de la maladie, et les anévrysmes des artères pulmonaires constituent une des complications majeures de cette maladie. Nous rapportons le cas d'un patient qui s'est présenté en consultation pour douleur thoracique avec toux et crachats hémoptoïques. Le diagnostic d'une maladie de Behçet est retenu sur des arguments cliniques et confirmé par un angioscanner thoracique qui a objectivé des dilatations anévrysmales des bronches lobaires et segmentaires des deux artères pulmonaires. Devant l'urgence thérapeutique, un bolus de solumédrol sur trois jours est réalisé relayé par un bolus de cyclophosphamide. Après 12 mois de suivi, le patient rapporte une nette amélioration clinique. L'angio-scanner de contrôle note une disparition totale des anévrysmes des artères pulmonaires. L'atteinte thoracique de l'angio-Behçet est grave et met en jeu le pronostic vital, le traitement médical de ces anévrysmes à base d'immunosuppresseur permet une évolution favorable. PMID:25404976

  4. La pneumonie tuberculeuse: une nouvelle série de 27 cas

    PubMed Central

    Bakouh, Ouiam; Aniked, Sarra; Bourkadi, Jamaleddine

    2014-01-01

    Dans le but d’étudier les aspects cliniques, radiologiques et évolutifs de la pneumonie tuberculeuse (PT) au Maroc, pays à forte prévalence de tuberculose, une étude rétrospective s’étalant de Janvier au Septembre 2013 a été menée au service de phtisiologie femme de l'hôpital Moulay Youssef de Rabat. 27 cas de PT ont été diagnostiqués, dont 2 VIH séropositives. La fièvre et l'altération de l’état général étaient rapportées chez toutes les patientes, précédant les signes respiratoires comme La toux et la dyspnée. L'hémoptysie est rapportée chez 7 cas. Diagnostiquées souvent tardivement, du fait de la non spécificité de ses signes, 14 pneumonies sur 27 étaient excavées. Avec prédominance des lésions au lobe supérieur droit. Le traitement antituberculeux était efficace dans la majorité des cas. On a déploré 2 décès. La décision de mise en route du traitement antituberculeux même en l'absence de certitude bactériologique doit être prise dans un délai raisonnable de 15 jours vue la gravité du tableau et les séquelles persistantes. PMID:25745530

  5. Outcomes assessment of on-site communication skills education in a companion animal practice.

    PubMed

    Shaw, Jane R; Barley, Gwyn E; Broadfoot, Kirsti; Hill, Ashley E; Roter, Debra L

    2016-08-15

    OBJECTIVE To evaluate veterinarian-client communication and veterinarian and client satisfaction with veterinary visits before and after veterinarians underwent a 6-month communication skills training program in a practice setting. DESIGN Case-based pretest-posttest intervention study. SAMPLE 1 purposely selected companion-animal practice. PROCEDURES The practice team (3 veterinarians, 5 veterinary technicians, 1 receptionist, and 1 office manager) participated in a 6-month educational program (intervention) that included interactive communication modules, individual coaching, and a communication laboratory. For each of the veterinarians, 6 appointments were video recorded and 30 additional clients completed a visit satisfaction survey both before and after the intervention. The Roter interaction analysis system was used to analyze the video-recorded appointments. RESULTS After the intervention, appointments were 5.4 minutes longer and veterinarians asked 60% fewer closed-ended lifestyle-social questions, provided 1.4 times as much biomedically related client education, and used 1.5 and 1.25 times as much facilitative and emotional rapport communication, respectively, compared with before the intervention. Clients provided veterinarians with 1.3 times as much biomedically related information and engaged in twice as much social conversation. After the intervention, veterinarians perceived their clients as complaining less and being more personable and trusting, and clients felt more involved in the appointment and reported that the veterinarian expressed greater interest in their opinion. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that the intervention resulted in veterinarians who spent more time educating and building rapport with their clients and facilitating client input in an unhurried environment, which enhanced overall veterinarian visit satisfaction and various aspects of client visit satisfaction. PMID:27479287

  6. Gaddum and LSD: the birth and growth of experimental and clinical neuropharmacology research on 5-HT in the UK

    PubMed Central

    Green, A R

    2008-01-01

    The vasoconstrictor substance named serotonin was identified as 5-hydroxytryptamine (5-HT) by Maurice Rapport in 1949. In 1951, Rapport gave Gaddum samples of 5-HT substance allowing him to develop a bioassay to both detect and measure the amine. Gaddum and colleagues rapidly identified 5-HT in brain and showed that lysergic acid diethylamide (LSD) antagonized its action in peripheral tissues. Gaddum accordingly postulated that 5-HT might have a role in mood regulation. This review examines the role of UK scientists in the first 20 years following these major discoveries, discussing their role in developing assays for 5-HT in the CNS, identifying the enzymes involved in the synthesis and metabolism of 5-HT and investigating the effect of drugs on brain 5-HT. It reviews studies on the effects of LSD in humans, including Gaddum's self-administration experiments. It outlines investigations on the role of 5-HT in psychiatric disorders, including studies on the effect of antidepressant drugs on the 5-HT concentration in rodent and human brain, and the attempts to examine 5-HT biochemistry in the brains of patients with depressive illness. It is clear that a rather small group of both preclinical scientists and psychiatrists in the UK made major advances in our understanding of the role of 5-HT in the brain, paving the way for much of the knowledge now taken for granted when discussing ways that 5-HT might be involved in the control of mood and the idea that therapeutic drugs used to alleviate psychiatric illness might alter the function of cerebral 5-HT. PMID:18516072

  7. Une maladie immunoproliférative de l'intestin grêle révélée par une invagination intestinale aigue: à propos d'un cas

    PubMed Central

    Bennani, Amal; Znati, Kaoutar; Rezzouk, Salima; Bouhadouti, Hicham; Maazaz, Khalid; Amarti, Affaf

    2014-01-01

    La maladie immunoproliférative de l'intestin grêle IPSID est un lymphome rare qui se développé à partir du système lymphoïde associé aux muqueuses au niveau de l'intestin grêle. Sa révélation par une invagination intestinale aigue est exceptionnelle et n'a jamais été rapporté dans la littérature auparavant. Nous rapportons le cas d'un patient de 65ans, admis aux urgences dans un tableau d'invagination intestinale aigue. Le scanner abdominal a mis en évidence masse grêlique à paroi concentrique avec incarcération du segment mésentérique au sein de la lésion fortement évocatrice d'une invagination intestinale. Le patient a été opéré et a bénéficié d'une résection iléale emportant le boudin d'invagination. L'examen histologique de la masse a été en faveur d'une maladie des chaines alpha transformée en un lymphome B diffus à grandes cellules. Les auteurs rapportent un cas rare d'une IPSID révélée par une invagination intestinale aigue et à travers cette observation, mettent en relief les principaux aspects cliniques, histologiques, thérapeutiques de cette entité avec une revue de la littérature. PMID:24932323

  8. Combined Versus Detailed Evaluation Components in Medical Student Global Rating Indexes

    PubMed Central

    Askew, Kim L.; O’Neill, James C.; Hiestand, Brian; Manthey, David E.

    2015-01-01

    Introduction To determine if there is any correlation between any of the 10 individual components of a global rating index on an emergency medicine (EM) student clerkship evaluation form. If there is correlation, to determine if a weighted average of highly correlated components loses predictive value for the final clerkship grade. Methods This study reviewed medical student evaluations collected over two years of a required fourth-year rotation in EM. Evaluation cards, comprised of a detailed 10-part evaluation, were completed after each shift. We used a correlation matrix between evaluation category average scores, using Spearman’s rho, to determine if there was any correlation of the grades between any of the 10 items on the evaluation form. Results A total of 233 students completed the rotation over the two-year period of the study. There were strong correlations (>0.80) between assessment components of medical knowledge, history taking, physical exam, and differential diagnosis. There were also strong correlations between assessment components of team rapport, patient rapport, and motivation. When these highly correlated were combined to produce a four-component model, linear regression demonstrated similar predictive power in terms of final clerkship grade (R2=0.71, CI95=0.65–0.77 and R2=0.69, CI95=0.63–0.76 for the full and reduced models respectively). Conclusion This study revealed that several components of the evaluation card had a high degree of correlation. Combining the correlated items, a reduced model containing four items (clinical skills, interpersonal skills, procedural skills, and documentation) was as predictive of the student’s clinical grade as the full 10-item evaluation. Clerkship directors should be aware of the performance of their individual global rating scales when assessing medical student performance, especially if attempting to measure greater than four components. PMID:26594284

  9. Les psychoses de l’épileptique: approche clinique à propos d'un cas

    PubMed Central

    Charfi, Nada; Trigui, Dorsaf; Ben Thabet, Jihène; Zouari, Nasreddine; Zouari, Lobna; Maalej, Mohamed

    2014-01-01

    Pour discuter les liens entre épilepsie et psychose, les auteurs rapportent l'observation d'une fille âgée de 22 ans, traitée pour épilepsie fronto-temporale, adressée en psychiatrie pour des hallucinations sensorielles et cénesthésiques et un délire mystique et d'influence, apparus secondairement et non améliorés par le traitement antiépileptique. Les symptômes psychotiques, chez l’épileptique, peuvent entrer dans le cadre de psychoses intercritiques, post-critiques ou alternatives. Pour le cas rapporté, les symptômes psychotiques étaient intercritiques et chroniques. Il s'agissait vraisemblablement d'une psychose schizophréniforme. Dans ce type de psychose, une indifférence affective et une restriction des activités sont rarement rencontrés, alors que les fluctuations rapides de l'humeur sont fréquentes. Les thématiques délirantes sont assez souvent mystiques, alimentées par des hallucinations auditives et par des hallucinations visuelles inhabituelles. Les troubles négatifs sont rares. Les psychoses épileptiques n'ont pas été identifiées comme des entités nosographiques dans les systèmes de classification psychiatrique (DSM-IV et CIM-10), ce qui pose un problème de reconnaissance de ces troubles. Une collaboration entre psychiatre et neurologue devient ainsi nécessaire pour mieux comprendre cette comorbidité complexe, éviter les erreurs diagnostiques et optimiser la prise en charge. PMID:25309665

  10. Étude de surface d'une poudre d'alliage d'aluminium

    NASA Astrophysics Data System (ADS)

    Trochim, D.; Bois, N.; Chermant, J. L.

    1997-04-01

    Electron Spectroscopy for Chemicals Analysis (ESCA) was used to determine the concentration of elements in the surface of aluminum alloy of the type ASGM 0.7. Aluminum, silicon and magnesium can exist either in the form of element or element oxide. It was shown that the oxides are amorphous. Subsequently, the increase in magnesium oxide following a heat treatment was determined. The increase in thickness was studied for specimens heated at 410 and 535 °C. It appears that with increasing temperature the proportion of MgO increases and also the valency of the bonds is higher than for compact material. Argon ion beam milling was used to remove surface layer enabling sub-surface analysis of the powder. The ratio {I_MgO/(I_AlO + I_Al)} (I refers to integrated intensity of photoelectronic peaks) was determined using an empirical formula. It approaches a constant value asymptocally with increasing depth. The ratio is 5% for compacted material heated at 410 °C. It was shown that alumina exists in the amorphous state and does not crystallize to γ{-}Al_2O_3 on heating. The increase in MgO could be due to the slow sublimation of magnesium. La spectroscopie de photoélectrons X (ESCA) a permis d'analyser les éléments superficiels d'un alliage d'aluminium ASGM 0,7. L'aluminium, le silicium et le magnésium présentent deux types de liaison, soit élément-oxyde, soit élément-élément. On a vérifié que les formes oxydées sont de structure amorphe. Dans un second temps, l'augmentation de la proportion d'oxyde de magnésium en surface intervenant après traitement thermique de cette poudre a été caractérisée. Ainsi, l'épaisseur de MgO a été étudiée pour des échantillons chauffés à 410 et 535 °C. Il apparaît que plus la température augmente, plus la proportion de MgO croît et, de plus, les valeurs des énergies de liaison élément-oxyde augmentent par rapport à celles dans le matériau brut. À l'aide de l'abrasion par jet d'Ar^+, le d

  11. Gaining Access to Hidden Populations: Strategies for Gaining Cooperation of Drug Sellers/Dealers and Their Families in Ethnographic Research.

    PubMed

    Dunlap, Eloise; Johnson, Bruce D

    1998-01-01

    This article examines strategies for gaining the cooperation of drug sellers and their families in order to conduct ethnographic research. The strategies were developed during an eight year study of drug dealers in New York City. A key element in gaining the ability to talk with and observe drug dealers and their family members was the availability of funds to compensate respondents for interviews and other expenses associated with building and maintaining rapport. Access to more successful crack sellers and dealers rested upon the right contacts. The "right contact" is a critical element.Locating a trusted "go-between" was adapted from strategies employed by cocaine sellers to arrange transactions involving large quantities of drugs. Such transactions rely upon a trusted associate of a dealer, the "go-between," who performs various roles and assumes risks the dealer wishes to avoid. The role of the go-between became important when ethnographers attempted to reach drug dealers for research purposes.Favors and trust are central components in the equation of access to the dealer and his family. Favors are a part of drug dealers' interaction patterns: everyone owes someone else a favor. Such reciprocity norms exist independently of the amount of drugs involved and outlast any particular transaction. Reputations and favors are related. This framework of favors, trust, and reciprocity provides a basis for the ethnographer to gain an introduction to dealers and sellers. The "go-between" is critical because he/she explains the ethnographer's role to the dealer and helps arrange an initial meeting between the ethnographer and the seller. Once the go-between has provided an initial introduction, the ethnographer marshals the communication skills necessary to convince the dealer to allow further contact and conversations.This article examines the ritual of initial conversation within its cultural framework. Developing rapport requires showing respect and honesty. Since drug

  12. Gaining Access to Hidden Populations: Strategies for Gaining Cooperation of Drug Sellers/Dealers and Their Families in Ethnographic Research

    PubMed Central

    Dunlap, Eloise; Johnson, Bruce D.

    2009-01-01

    Summary This article examines strategies for gaining the cooperation of drug sellers and their families in order to conduct ethnographic research. The strategies were developed during an eight year study of drug dealers in New York City. A key element in gaining the ability to talk with and observe drug dealers and their family members was the availability of funds to compensate respondents for interviews and other expenses associated with building and maintaining rapport. Access to more successful crack sellers and dealers rested upon the right contacts. The “right contact” is a critical element. Locating a trusted “go-between” was adapted from strategies employed by cocaine sellers to arrange transactions involving large quantities of drugs. Such transactions rely upon a trusted associate of a dealer, the “go-between,” who performs various roles and assumes risks the dealer wishes to avoid. The role of the go-between became important when ethnographers attempted to reach drug dealers for research purposes. Favors and trust are central components in the equation of access to the dealer and his family. Favors are a part of drug dealers' interaction patterns: everyone owes someone else a favor. Such reciprocity norms exist independently of the amount of drugs involved and outlast any particular transaction. Reputations and favors are related. This framework of favors, trust, and reciprocity provides a basis for the ethnographer to gain an introduction to dealers and sellers. The “go-between” is critical because he/she explains the ethnographer's role to the dealer and helps arrange an initial meeting between the ethnographer and the seller. Once the go-between has provided an initial introduction, the ethnographer marshals the communication skills necessary to convince the dealer to allow further contact and conversations. This article examines the ritual of initial conversation within its cultural framework. Developing rapport requires showing

  13. Impact of Chloroquine on Viral Load in Breast Milk

    PubMed Central

    Semrau, Katherine; Kuhn, Louise; Kasonde, Prisca; Sinkala, Moses; Kankasa, Chipepo; Shutes, Erin; Vwalika, Cheswa; Ghosh, Mrinal; Aldrovandi, Grace; Thea, Donald M.

    2006-01-01

    Summary The anti-malarial agent chloroquine has activity against HIV. We compared the effect of chloroquine (n = 18) to an anti-malarial agent without known anti-HIV-activity, sulfadoxine-pyrimethamine (n = 12), on breast milk HIV RNA levels among HIV-infected breastfeeding women in Zambia. After adjusting for CD4 count and plasma viral load, chloroquine was associated with a trend towards lower levels of HIV RNA in breast milk compared with sulfadoxine-pyrimethamine (P 0.05). Higher breastmilk viral load was also observed among women receiving presumptive treatment = for symptomatic malaria compared with asymptomatic controls and among controls reporting fever in the prior week. Further research is needed to determine the potential role of chloroquine in prevention of HIV transmission through breastfeeding. Impacte de la chloroquine sur la charge virale dans le lait maternelle La chloroquine, agent antimalarique, a une activité contre le VIH. Nous avons comparé l’effet de la chloroquine à celui d’un autre agent antimalarique, la sulfadoxine-pyrimethamine, dont l’activité sur le VIH n’est pas connue, en mesurant les taux d’ARN de VIH dans le lait maternel de femmes allaitantes infectées par le VIH en Zambie. Après ajustement pour les taux de CD4 et la charge virale dans le plasma, la chloroquine comparée à la sulfadoxine pyrimethamine était associée à une tendance vers des teneurs plus bas en ARN de VIH dans le lait maternel (P = 0,05). Des charges virales plus élevées dans le lait maternel étaient aussi observées chez des femmes recevant un traitement présomptif pour des symptômes de malaria par rapport aux contrôles asymptomatiques et par rapport à des contrôles rapportant de la fièvre durant la première semaine. Des études supplémentaires sont nécessaires pour déterminer le rôle potentiel de la chloroquine dans la prévention de la transmission du VIH par l’allaitement maternel. mots clésVIH, malaria, allaitement maternel

  14. Les superpolynomes symetriques dans les problemes a plusieurs corps de la mecanique quantique supersymetrique

    NASA Astrophysics Data System (ADS)

    Desrosiers, Patrick

    'ondes sont respectivement les superpolynomes de Jack et d'Hermite a plusieurs variables. Ces superpolynomes symetriques sont orthogonaux par rapport aux produits scalaires usuels de la mecanique quantique et se decomposent de facon triangulaire en termes des superfonctions monomiales. Ils s'ecrivent explicitement a l'aide de determinants. Les superpolynomes de Jack sont aussi orthogonaux par rapport au produit scalaire combinatoire meme si ce dernier est different du produit scalaire physique. On prouve ainsi l'equivalence complete des approches combinatoire et physique dans la definition les superpolynomes de Jack.

  15. Prévalence des cervicalgies et douleurs des membres supérieures chez les utilisateurs d'ordinateur en milieu professionnel à Casablanca (Maroc)

    PubMed Central

    Seknaji, Nawal; Rachidi, Wafaa; Hassoune, Samira; Janani, Saadia; Nani, Samira; Maaroufi, Abderrahmane; Mkinsi, Ouafaa

    2013-01-01

    Introduction Les cervicalgies et douleurs du membre supérieur (CDMS) affectent des millions d'utilisateurs d'ordinateurs dans les pays développés. L'objectif de ce travail était de déterminer la prévalence des cervicalgies et douleurs du membre supérieur (CDMS) à Casablanca et identifier les différents facteurs de risque qui y sont impliqués, afin de définir les sous-groupes à haut risque, et d’établir des plans d'intervention efficaces. Méthodes Il s'agit d'une étude transversale, menée chez 118 employés de bureau francophones et utilisant l'ordinateur, à Casablanca. Les données ont été collectées de Décembre 2011 à Juin 2012, en utilisant la version française d'un questionnaire validé: Maastricht-Upper-extremity-Questionnaire. Résultats 118 utilisateurs d'ordinateur en milieu professionnel ont été recrutés. Parmi les employés enquêtés, 93% ont rapporté des CDMS localisées au moins à un site. Les plaintes les plus fréquemment rapportées étaient les douleurs des épaules et les cervicalgies (48,3% et 46,6% respectivement). Nous n'avons pas remarqué de différence significative des fréquences des douleurs selon le genre. Nos résultats concordent avec les données de la littérature où il existe un certain consensus quant à l'impact des mauvaises conditions ergonomiques sur les troubles musculo-squelettiques du membre supérieur en milieu professionnel. De même, les études récentes examinant les effets combinés et/ou interactifs tant des facteurs biomécaniques/physiques que de facteurs psychosociaux professionnels vont de pair avec nos résultats. Conclusion Il en ressort que les stratégies d'intervention visant à réduire les CDMS doivent agir essentiellement sur 3 volets, le premier correspond à l'amélioration et la sensibilisation quant au respect des conditions ergonomiques, le second concerne l'amélioration des conditions psychosociales. Enfin le troisième volet vise la rationalisant de la demande de

  16. Review of key telepsychiatry outcomes

    PubMed Central

    Hubley, Sam; Lynch, Sarah B; Schneck, Christopher; Thomas, Marshall; Shore, Jay

    2016-01-01

    AIM: To conduct a review of the telepsychiatry literature. METHODS: We conducted a systematic search of the literature on telepsychiatry using the search terms, “telepsychiatry”, “telemental health”, “telecare”, “telemedicine”, “e-health”, and “videoconferencing”. To meet criteria for inclusion, studies had to: (1) be published in a peer-reviewed journal after the year 2000; (2) be written in English; (3) use videoconferencing technology for the provision of mental health assessment or treatment services; and (4) use an adequately-powered randomized controlled trial design in the case of treatment outcome studies. Out of 1976 studies identified by searches in PubMed (Medline database), Ovid medline, PsychInfo, Embase, and EBSCO PSYCH, 452 met inclusion criteria. Studies that met all inclusion criteria were organized into one of six categories: (1) satisfaction; (2) reliability; (3) treatment outcomes; (4) implementation outcomes; (5) cost effectiveness; and (6) and legal issues. All disagreements were resolved by reassessing study characteristics and discussion. RESULTS: Overall, patients and providers are generally satisfied with telepsychiatry services. Providers, however, tend to express more concerns about the potentially adverse of effects of telepsychiatry on therapeutic rapport. Patients are less likely to endorse such concerns about impaired rapport with their provider. Although few studies appropriately employ non-inferiority designs, the evidence taken together suggests that telepsychiatry is comparable to face-to-face services in terms of reliability of clinical assessments and treatment outcomes. When non-inferiority designs were appropriately used, telepsychiatry performed as well as, if not better than face-to-face delivery of mental health services. Studies using both rudimentary and more sophisticated methods for evaluating cost-effectiveness indicate that telepsychiatry is not more expensive than face-to-face delivery of

  17. Les abcès froids pariétaux thoraciques chez les sujets immunocompétents

    PubMed Central

    Benjelloun, Hanane; Morad, Sanaa; Zaghba, Nahid; Bakhatar, Abdelaziz; Yassine, Najiba; Bahlaoui, Abdelkrim

    2015-01-01

    Les abcès froids de la paroi thoracique représentent une forme rare et inhabituelle de tuberculose extrapulmonaire. Sa fréquence est estimée à moins de 5% des tuberculoses ostéoarticulaires, évaluées elles-mêmes à 15% des tuberculoses extrapulmonaires. L'objectif de ce travail est de rapporter la prise en charge diagnostique et thérapeutique de cette localisation dans notre structure. Etude rétrospective portant sur 18 cas colligés au service des maladies respiratoires du centre hospitalier universitaire Ibn Rochd de Casablanca, sur une période de 13 ans. La moyenne d’âge était de 34 ans (21-57). Un antécédent de tuberculose traitée était relevé dans un cas. Le tableau clinique était révélé par l'apparition insidieuse d'une masse pariétale de taille, de consistance et de siège variables. A l'imagerie thoracique, l'abcès pariétal était associé à une lyse osseuse dans sept cas, une atteinte parenchymateuse et pleurale dans quatre cas chacune et des adénopathies médiastinales dans deux cas. La confirmation diagnostique était bactériologique et/ou histologique dans tous les cas. La sérologie du virus de l'immunodéficience humaineétait négative chez tous nos malades. L’évolution sous traitement antibacillaire couplé ou non à une résection chirurgicale était favorable chez tous nos malades. Malgré la fréquence de la tuberculose dans notre contexte, la localisation pariétale thoracique reste rare, survenant chez une population non immunodéprimée et non toxicomane, contrairement à ce qui est souvent rapporté dans la littérature. Les abcès froids tuberculeux représentent une forme rare de tuberculose extrapulmonaire dont l’évolution reste favorable sous traitement précoce et bien conduit. PMID:26113904

  18. Prévalence de l'hypertension artérielle dans la population des meuniers de la ville de Lubumbashi, République Démocratique du Congo

    PubMed Central

    Ngombe, Léon Kabamba; Cowgill, Karen; Monga, Ben Bondo; Ilunga, Benjamin Kabyla; Stanis, Wembonyama Okitotsho; Numbi, Oscar Luboya

    2015-01-01

    Introduction L'objectif était de comparer la prévalence de l'hypertension artérielle chez les meuniers dans la ville de Lubumbashi qui sont exposés d'une manière permanente aux bruits des machines de transformation des céréales à la prévalence de l'hypertension artérielle chez un groupe des gardiens. Méthodes Quic'est une étude descriptive transversale qui a concerné 286 meuniers et 115 agents d'une entreprise de gardiennage. Apres un consentement éclairé, un auto questionnaire a été administré aux enquêtés et des mesures de poids, taille, et tension artérielle ont été prises. Résultats La prévalence de l'HTA chez les meuniers était 49.3% et celle des gardes était 20.9%, pour un ratio de prévalence de 2.4. significativement élevée par rapport aux contrôles (49.3% vs 20.9%) et le ratio de prévalence était de 2.4. Les facteurs de risque tels que: l’âge, l'indice de masse corporelle, l'ancienneté, la durée de travail ont été significativement élevés chez les meuniers par rapport aux gardiens. Conclusion Nous avons trouvé une prévalence élevée de l'HTA chez les meuniers. Nos résultats suggèrent que cette prévalence est probablement due à l'environnement du milieu de travail des meuniers (bruits, vibration des machines) et ce dernier constitue un facteur de risque de l'hypertension artérielle. PMID:26889333

  19. La stigmatisation des PVVIH en Afrique: analyse de ses formes et manifestations au Burkina Faso

    PubMed Central

    Ky-Zerbo, Odette; Desclaux, Alice; Asmar, Khalil El; Makhlouf-Obermeyer, Carla; Msellati, Philippe; Somé, Jean-François

    2014-01-01

    Résumé Introduction l’impact négatif de la stigmatisation sur la prévention du VIH et la prise en charge a été documenté. La stigmatisation a été analysée au plan qualitatif au Burkina Faso, où la prévalence VIH est faible (1 %). Des mesures quantitatives sont encore nécessaires pour identifier les formes et manifestations majeures de la stigmatisation. Méthodologie dans le cadre de l’étude MATCH (Multi-country African Study on Testing and Counselling for HIV), une étude transversale a été conduite auprès de personnes ayant déjà fait le test VIH. Les personnes séropositives ont été interrogées sur les conséquences du résultat VIH+. Leur vécu de la stigmatisation a été évalué à travers 20 indicateurs de manifestations de la stigmatisation, regroupés en trois formes de stigmatisation/discrimination. Résultats au total 219 PVVIH ont été recrutées. L’autostigmatisation est la forme majeure de stigmatisation. Elle est estimée dans cette étude à 46 % comparativement à la stigmatisation dans les relations interpersonnelles évaluée à 40 % et la stigmatisation dans les services de santé qui est de 11 %. L’expérience de la stigmatisation dans les relations interpersonnelles est davantage rapportée par les PVVIH qui ont partagé leur résultat, celles qui ont un faible niveau de scolarisation, les veufs/veuves ou séparés, et les membres d’association. La stigmatisation dans les services de santé est rapportée plus souvent par les membres d’associations. Conclusion les programmes de prise en charge doivent, parallèlement à l’extension des antirétroviraux, intégrer un volet psychologique plus adapté aux besoins. Les activités d’appui psychosocial ciblant davantage l’individu doivent être développées, surtout au sein des associations. PMID:25291886

  20. Formation et Evolution des Structures dans le Milieu interstellaire. Une Approche théorique, numérique et observationnelle

    NASA Astrophysics Data System (ADS)

    Hennebelle, Patrick

    2000-11-01

    Le milieu interstellaire, au sein duquel se forme les étoiles,présente d'importants contrastes de densités. Ces structures se forment sous l'action couplée de processus magnétohydrodynamiques, thermiques et chimiques. La première partie de cette thèse est un travail théorique et numérique sur la condensation induite dynamiquement de gaz chaud et diffus en une phase froide et condensée. Nous montrons, tout d'aborddans le cas hydrodynamique, puis MHD, comment, dans un milieu thermiquement bistable, une fluctuation de vitesse typiquement transonique conduit, si elle est d'amplitude suffisante et dure un temps assez long, à la formationd'une structure stable. L'influence de divers paramètres -amplitude et échelle spatiale caractéristique de la perturbation, pression initiale, configuration du champ magnétique- sur la condensationest étudiée numériquement et analytiquement. Des spectres synthétiques sont calculés et qualitativement comparés aux spectres observationnels. La seconde partie de la thèse porte sur l'étudeobservationnelle des phases les plus condensées du milieu interstellaire détectées en absorption sur le fond infrarouge galactique par le satellite ISO. Nous effectuons tout d'abordune extraction systématique de ces objets à partir d'une analyse multi-échelle des données ISOGAL.L'étude du rapport des contrastes à 7 et 15 um permet de mesurer le rapport de l'extinction interstellaire, peu connue dans cette région du spectre, à ces deux longueurs d'onde. Des estimations d'opacité de quelques objets sont égalementdéduites des données en infrarouge. Des observations complémentaires spectroscopiques et bolométriques dans le domaineradio ont été effectuées et permettent une analyse plus détaillée des paramètres physico-chimiques de ces nuages.

  1. Facteurs de risque de l'infection par le VIH dans le district de santé de Meyomessala au Cameroun

    PubMed Central

    Mbopi-Keou, Francois-Xavier; Nguefack-Tsague, Georges; Kalla, Ginette Claude Mireille; Abessolo, Stéphanie Abo'o; Angwafo, Fru; Muna, Walinjom

    2014-01-01

    Introduction L'objectif de ce travail était de déterminer les facteurs de risque de l'infection par le VIH dans le district de santé de Meyomessala (Région du Sud) au Cameroun. Méthodes Il s'agissait d'une étude transversale, descriptive et analytique qui s'est déroulée de Février à Mai 2011. Pour cette étude, nous avons obtenu une clairance éthique. Résultats L’échantillon était constitué de 315 participants dont 181 (57,46%) hommes et 134 (42,54%) femmes. L’âge moyen était de 24,5±8ans (extrême: 15-45ans). Quarante personnes (40) étaient séropositifs, soit une prévalence de l'infection par le VIH de 12,7%. Cette prévalence augmentait significativement (p = 0) avec le nombre de partenaires occasionnels au cours des douze derniers mois, allant de 2,7% chez ceux n'ayant eu aucun partenaire occasionnel à 21,25% chez ceux ayant plus de trois partenaires occasionnels (RC = 9,72; IC = 1,27-74,14; P = 0,03). le fait d’être âgé entre 20 et 24 ans (RC = 4,88; IC = 1,74-13,67; p = 0), avoir plus de trois partenaires sexuels au cours des douze derniers mois (RC = 9,72; IC = 1,27-74,14; p = 0,03), avoir les rapports sexuels avec les prostitués (RC = 2,86; IC = 1,42-5,76; p = 0), avoir eu le chlamydia (RC = 3,00; IC = 1,07-8,39; p = 0,04), avoir eu la syphilis (RC = 3,35; IC = 1,57-7,14; p = 0), avoir des avantages sociaux lors du premier rapport sexuel (RC = 2,57; IC = 1,03-6,43; p = 0,04) constituaient des potentiels facteurs de risque du VIH. Conclusion Il apparait urgent d'intensifier les campagnes de sensibilisation au risque d'infection par le VIH et les maladies sexuellement transmissibles dans le district de santé de Meyomessala PMID:25419299

  2. Thrombose de la veine porte au cours d'une hépatite auto immune type 1

    PubMed Central

    Salem, Bouomrani; Afef, Farah; Nadia, Bouassida; Nabil, Ayadi; Maher, Béji

    2013-01-01

    Notre but est de rapporter une observation particulière de thrombose de la veine porte survenant au décours d'une hépatite auto-immune type 1 non compliquée qui, à notre connaissance, n'a pas été rapportée auparavant. Il s'agit d'une patiente de 35 ans connue ayant une dermatose bulleuse auto immune (DBAI) type pemphigus confirmée histologiquement et immunologiquement qui fut explorée pour des coliques hépatiques avec élévations des transaminases et un épisode d'ictère spontanément résolutif. Les explorations ont permis de retenir le diagnostic d'une hépatite auto immune de type 1. Traitée par corticothérapie systémique à la dose de 1 mg/kg/j pour sa DBAI, l'évolution était favorable avec stabilisation simultanée de l'atteinte hépatique durant 19 ans. On découvre sur l'échographie abdominale de contrôle une thrombose partielle du tronc porte confirmée par le scanner X abdominal. Le bilan étiologique de cette thrombose est resté négatif. De même il n'y avait pas de signes cliniques, biologiques, endoscopiques ou radiologiques de cirrhose ni de dégénérescence maligne. Elle était efficacement antigoagulée par les antagonistes de la vitamine K. Dans notre observation le bilan étiologique; aussi exhaustif que possible, de cette thrombose est resté négatif, éliminant en particulier une cirrhose, une dégénérescence maligne et un syndrome des anti phospholipides associé et permettant de la rattacher directement à l'hépatopathie chronique auto immune. PMID:23734275

  3. Tuberculose ostéoarticulaire (mal de Pott exclu): à propos de 120 cas à Abidjan

    PubMed Central

    Gbané-Koné, Mariam; Koné, Samba; Ouali, Boubacar; Djaha, Kouassi Jean -Mermoz; Akoli, Ekoya Ondzala; Nseng, Ingrid Nseng; Eti, Edmond; Daboiko, Jean Claude; Touré, Stanislas André; Kouakou, N'zué Marcel

    2015-01-01

    Introduction La tuberculose ostéoarticulaire (TOA) représente 2 à 5% de l'ensemble des tuberculoses. Elle demeure d'actualité surtout dans les pays à forte endémicité tuberculeuse. L'objectif était de déterminer la prévalence, les aspects topographiques, radiologiques de la TOA en milieu hospitalier ivoirien. Méthodes Les auteurs rapportent une expérience de 11 ans, à travers une étude rétrospective de 120 dossiers de patients atteints de la tuberculose ostéoarticulaire (le mal de Pott est exclu de cette étude). N'ont pas été inclus dans l’étude les dossiers ne comportant pas d'imagerie. Résultats L'atteinte extra vertébrale représentait 09,2% de la tuberculose ostéoarticulaire. Il s'agissait de 54 hommes et 66 femmes, l’âge moyen était de 43,13 ans. On notait 123 cas d'ostéoarthrites, et 8 cas d'ostéites des os plats. L'atteinte des membres inférieurs prédominait dans 91,87% des cas. La hanche était la première localisation (45,04%), suivie du genou (25,19%). Les atteintes étaient multifocales dans 20% des cas. L'atteinte osseuse était associée à une tuberculose pulmonaire dans 05,83% des cas. Des localisations inhabituelles ont été rapportées: poignet (n = 2), branches ischiopubiennes (n = 4), atteinte sternoclaviculaire (n = 4), médiopieds (n = 2). Les lésions radiologiques étaient avancées (stades III et IV) dans 55,73% des cas. A la TDM, la prévalence des abcès était de 77%. Un geste chirurgical a été réalisé sur 16 articulations (2 épaules, 13 genoux, une cheville). Conclusion La TOA des membres est peu fréquente contrairement à l'atteinte vertébrale. La hanche est la principale localisation. Le retard au diagnostic explique l’étendue des lésions anatomoradiologiques. PMID:26587129

  4. Aspects épidémiologiques des fractures de membres liées à l'exercice de la fonction militaire au Togo

    PubMed Central

    Akpoto, Yao Messanvi; Abalo, Anani; Gnandi-pio, Faré; Sonhaye, Lantam; Tchaou, Mazamaesso; Sama, Hamza Doles; Assenouwe, Sarakawabalo; Lamboni, Damessane; Amavi, Kossigan Adodossi; Adam, Saliou; Kpelao, Essossinam; Tengue, Kodjo; Songne-Gnamkoulamba, Badjona

    2015-01-01

    Le but de notre étude était de déterminer la fréquence des fractures de membres liées à l'exercice de la fonction militaire au sein des Forces de Défense et de Sécurité en milieu africain en vue de ressortir l'impact des différentes circonstances de survenue. Nous avons entrepris une étude rétrospective descriptive allant du 1er janvier 2004 au 31 décembre 2013. Elle a concerné les agents des forces de défense et de sécurité traités pour des fractures de membres au cours de cette période. Sept cent quatre (704) cas de fractures de membres ont été dénombrés. L’âge moyen des patients était de 30,57 ans avec des extrêmes de 19 et 55 ans. La prédominance masculine était nette (95,71%). L'Armée de Terre (51,05%) et la Gendarmerie Nationale (38,86%) étaient les plus représentées. Les hommes du rang étaient majoritaires (43,08%), suivis des sous-officiers (32,59%). La fréquence annuelle des fractures de membres en rapport avec la profession militaire était de 63 cas. Les fractures de jambe étaient les lésions les plus recensées (32,96%). Les Formations et les stages militaires ont été les circonstances de survenue les plus rencontrées (42,60%), suivies des accidents de la circulation (39,43%). La perte des journées de service liée à ces lésions était estimée à 14009 jours par an. Les fractures de jambes occupent le premier rang des fractures de membres en rapport avec l'exercice de la profession militaire. Les formations-stages militaires et les accidents de la voie publique en sont les deux grandes circonstances de survenue. PMID:27081434

  5. Chirurgie coronaire isolée chez l’octogénaire : Résultats immédiats et analyse du taux de survie et de la qualité de vie à long terme

    PubMed Central

    Bach, Vincent; Tramaille, Sophie; Chavanon, Olivier; Durand, Michel; Noirclerc, Marianne; Vesin, Claire; Porcu, Paolo; Hacini, Rachid; Vanzetto, Gérald; Machecourt, Jacques

    2008-01-01

    HISTORIQUE : Près de trois millions d’octogénaires vivent en France, et ils sont nombreux à présenter une coronaropathie. Par ailleurs, l’espérance de vie à 80 ans semble encore importante. OBJECTIF : Évaluer les résultats d’une chirurgie coronaire chez ces patients. MÉTHODOLOGIE : Nous avons comparé 88 patients octogénaires consécutifs ayant subi un pontage aortocoronarien isolé entre 1996 et 2002 à 165 patients de 60 à 70 ans. Les deux groupes ont été appariés selon les principaux facteurs de risque. Nous avons pris contact avec les patients par téléphone et leur avons fait parvenir un questionnaire sur la qualité de vie. RÉSULTATS : La mortalité opératoire s’élevait à 2,3 % chez les octogénaires, par rapport à 1,2 % chez les 60 à 70 ans (P non significatif). Il y avait plus de bas débit, d’insuffisance rénale aiguë postopératoire et de transfusion chez les octogénaires. La survie à long terme (durée moyenne du suivi de 3,8 ans) était plus élevée chez les 60 à 70 ans : 89,7 % par rapport à 77,9 % (P=0,025). Nous avons constaté quatre facteurs de risque indépendants d’augmentation de la mortalité à long terme; âge, diabète, antécédents d’accident vasculaire cérébral et de transfusion sanguine postopératoire. Enfin, la survie à long terme des octogénaires opérés était significativement plus élevée que celle des octogénaires de la population générale de France, et leur qualité de vie était considérée comme satisfaisante. CONCLUSION : Pour des octogénaires sélectionnés, on peut proposer une chirurgie coronaire isolée, et les résultats à court et à long terme seront comparables à ceux d’une population plus jeune. PMID:18841258

  6. Thymic function in HIV-infection.

    PubMed

    Kolte, Lilian

    2013-04-01

    This thesis is based on seven previously published articles. The work was performed during my employment at The Department of Infectious Diseases, Copenhagen University Hospital, Hvidovre, as a scholarship student from 2000-2001 and as a research assistant in the period 2004-2010. HIV-infection is characterized by CD4+ cell depletion. The differences between patients in the degree of CD4+ cell recovery upon treatment with highly active antiretroviral therapy (HAART) may in part be due to differences in the supply of naïve CD4+ cells from the thymus. The thymus atrophies with increasing age for which reason the adult thymus was previously assumed to be without function. The aim of these investigations was to examine the role of the thymus in different aspects of HIV-infection: In adult HIV-infected patients, during HIV-positive pregnancy, and in HIV-exposed uninfected (HIV-EU) children born to HIV-infected mothers. Thymic size and output were determined in 25 adult HIV-infected patients receiving HAART and in 10 controls. Larger thymic size was associated with higher CD4 counts and higher thymic output. Furthermore, patients with abundant thymic tissue seemed to have broader immunological repertoires, compared with patients with minimal thymic tissue. The study supports the mounting evidence of a contribution by the adult thymus to immune reconstitution in HIV-infection. In a follow-up study conducted till 5 years of HAART, the importance of the thymus to the rate of cellular restoration was found to primarily lie within the first two years of HAART. The effect of recombinant human growth hormone (rhGH) was then investigated in a randomized, double-blinded placebo controlled trial in 46 adult HIV-infected patients on HAART. Daily treatment with a low dose of rhGH of 0.7mg for 40 weeks stimulated thymopoiesis as expressed by thymic size, density, and output strongly supporting the assumption that rhGH possesses the potential to stimulate the ageing thymus, holding

  7. Automated Video Analysis of Non-verbal Communication in a Medical Setting

    PubMed Central

    Hart, Yuval; Czerniak, Efrat; Karnieli-Miller, Orit; Mayo, Avraham E.; Ziv, Amitai; Biegon, Anat; Citron, Atay; Alon, Uri

    2016-01-01

    Non-verbal communication plays a significant role in establishing good rapport between physicians and patients and may influence aspects of patient health outcomes. It is therefore important to analyze non-verbal communication in medical settings. Current approaches to measure non-verbal interactions in medicine employ coding by human raters. Such tools are labor intensive and hence limit the scale of possible studies. Here, we present an automated video analysis tool for non-verbal interactions in a medical setting. We test the tool using videos of subjects that interact with an actor portraying a doctor. The actor interviews the subjects performing one of two scripted scenarios of interviewing the subjects: in one scenario the actor showed minimal engagement with the subject. The second scenario included active listening by the doctor and attentiveness to the subject. We analyze the cross correlation in total kinetic energy of the two people in the dyad, and also characterize the frequency spectrum of their motion. We find large differences in interpersonal motion synchrony and entrainment between the two performance scenarios. The active listening scenario shows more synchrony and more symmetric followership than the other scenario. Moreover, the active listening scenario shows more high-frequency motion termed jitter that has been recently suggested to be a marker of followership. The present approach may be useful for analyzing physician-patient interactions in terms of synchrony and dominance in a range of medical settings. PMID:27602002

  8. Adolescence et pornographie sur la toile

    PubMed Central

    Haza, Marion

    2012-01-01

    Dans cet article, nous abordons la question de l’accès à la pornographie sur Internet par les adolescents. Nous déclinons plusieurs facettes de ces rencontres: la rencontre «fortuite», quand les adolescents sont confrontés à des images intempestives, des publicités ou spams avec des contenus pornographiques; la rencontre «spectatrice», quand les adolescents cherchent activement des vidéos ou photos mettant en scène la sexualité; et enfin la rencontre «actrice», quand les adolescents se mettent en scène eux-mêmes, seuls ou à plusieurs, de façon pornographique sur le Net. A partir d’exemple, nous réfléchissons aux enjeux de ces rencontres virtuelles précoces de la sexualité adulte par rapport au développement adolescent et à la représentation de leur propre sexualité en construction. PMID:22876261

  9. Recognizing conflict of interest in orthopaedic surgery: a survey across medical education levels.

    PubMed

    Montero-Lopez, Nicole M; Khan, Mani; Niggam, Shikka; Zuckerman, Joseph D; Egol, Kenneth A

    2014-01-01

    The relationship between pharmaceutical and biomedical technology companies (industry) and medical practitioners has been a topic of discussion and concern for several decades. The large monetary payments and extravagant gifts to physicians from these companies have been regulated and largely stopped; however, there still exists an active rapport between physicians and industry. Little formal instruction is given to medical students and residents on what constitutes a conflict of interest when entering these business partnerships. In this study, we presented a set of scenarios depicting industry-physician interactions to medical students, orthopaedic surgery residents, and attending physicians and asked them to decide whether a conflict of interest is depicted. Our goal was to determine whether a disparity exists in the ability to identify conflicts of interest across the levels of training. Of 200 potential participants, 70 provided responses to the survey (35%). Thirty-five (50%) were attending physicians, 18 (25.7%) residents, 12 (17.1%) medical students, and 8 (11.4%) declined to provide level of training. There was no significant difference in the ability to identify a conflict of interest across seniority level for the 13 questions. Our results suggest that both medical students and resident physicians are able to identify which interactions with industry pose a possible conflict of interest as accurately as attending physicians can. PMID:25986351

  10. Production de faisceaux EPR à l'aide d'un oscillateur paramétrique optique à auto-verrouillage de phase

    NASA Astrophysics Data System (ADS)

    Longchambon, L.; Laurat, J.; Treps, N.; Ducci, S.; Maître, A.; Coudreau, T.; Fabre, C.

    2002-06-01

    Nous étudions théoriquement les propriétés quantiques des faisceaux lumineux continus orthogonalement polarisés émis par un Oscillateur Paramétrique Optique (OPO) de type II contenant une lame biréfringente. Quand les axes optiques de la lame sont tournés par rapport à ceux du cristal paramétrique, un couplage apparaît entre les faisceaux signal et complémentaire qui entraîne un verrouillage de phase entre les deux modes et un fonctionnement à dégénérescence de fréquence à l'intérieur d'une zone d'accrochage. Les corrélations quantiques entre les deux faisceaux permettent de définir les zones dans l'espace des paramètres expérimentaux où les différents critères associés à l'intrication EPR utilisés en information quantique sont vérifiés.

  11. Concluding Remarks: A View of the Past through the Lens of the Present.

    PubMed

    Bensaude-Vincent, Bernadette

    2014-01-01

    Reflecting on the upsurge of interest among historians of chemistry in the material, artisanal, and commercial aspects of early modern chemistry, this essay argues that they are attracting attention because of a number of similarities between the style of chemistry cultivated in this period and the new cultures of chemistry being developed today. The close interactions between knowing and making, academic knowledge and practical applications, the social value and prestige attached to chemistry, the public engagement in chemical culture, the concern with recycling, and even a specific relational ontology instantiated in the term "rapport" are characteristic features of the current technoscientific culture. However, these analogies between early modern chemistry and the technoscientific paradigm may turn into obstacles if they end up in hasty rapprochements and whiggish interpretations of the past. In keeping with the attempts displayed in many articles in this volume to identify and understand the meaning of the actors' categories, this essay emphasizes the contrast between the visions of the past and the future developed by eighteenth-century chemists and the concept of time that prevails nowadays. The concept of "regime of historicity" provides a useful conceptual tool to take a view of chemistry as embedded in a culture and integral part of the horizon of expectation of an epoch. On the basis of this contrast between the regimes of historicity, the essay recommends the pluralism of concepts of time (polychronism) as an antidote to anachronisms. PMID:26103761

  12. Loyalty in the trenches: practical teleology for office clinicians responding to terrorism.

    PubMed

    Trotter, Griffin

    2004-08-01

    Were terrorists ever to effectively deploy weapons of mass destruction, medical practice would be quickly transformed. Many ordinary clinicians would be asked or required to treat unfamiliar yet serious medical conditions in a setting of overwhelming urgency and impossible odds. Clinical focus would shift from doing good things for a succession of individual patients to considering many patients at once, a change that could beget loss of trust and rapport with patients. Clinicians might also experience restrictions in personal liberties and appropriation of their property. The purpose of this essay is to develop a teleological framework for undertaking this transformation. In ordinary clinical medicine, the elusiveness of the individual telos (i.e.,the good for the individual) is acknowledged in procedures (such as social history taking,informed consent and outpatient scheduling) designed to protect patients' (and clinicians')prerogatives to interpret the telos for themselves. In mass casualty scenarios, on the other hand, the telos is standardized and regarded as an Immediate Object (usually as a state of affairs in which survival is maximized and permanent disability is minimized). Clinicians who provide mass casualty care will face a number of ethical challenges that can be negotiated by appealing to the political and ethical rationale, and limits, pertaining to the pursuit of aggregate survival as an Immediate Object. PMID:15370301

  13. Social Mimicry Enhances Mu-Suppression During Action Observation.

    PubMed

    Hogeveen, Jeremy; Chartrand, Tanya L; Obhi, Sukhvinder S

    2015-08-01

    During social interactions, there is a tendency for people to mimic the gestures and mannerisms of others, which increases liking and rapport. Psychologists have extensively studied the antecedents and consequences of mimicry at the social level, but the neural basis of this behavior remains unclear. Many researchers have speculated that mimicry is related to activity in the human mirror system (HMS), a network of parietofrontal regions that are involved in both action execution and observation. However, activity of the HMS during reciprocal social interactions involving mimicry has not been demonstrated. Here, we took an electroencephalographic (EEG) index of mirror activity-mu-suppression during action observation-in a pretest/post-test design with 1 of 3 intervening treatments: 1) social interaction in which the participant was mimicked, 2) social interaction without mimicry, or 3) an innocuous computer task, not involving another human agent. The change in mu-suppression from pre- to post-test varied as a function of the intervening treatment, with participants who had been mimicked showing an increase in mu-suppression during the post-treatment action observation session. We propose that this specific modulation of HMS activity as a function of mimicry constitutes the first direct evidence for mirror system involvement in real social mimicry. PMID:24532320

  14. How do primary health care professionals deal with pregnant women who are victims of domestic violence?

    PubMed Central

    Salcedo-Barrientos, Dora Mariela; Miura, Paula Orchiucci; Macedo, Vanessa Dias; Egry, Emiko Yoshikawa

    2014-01-01

    Objectives to determine how Family Health Strategy professionals recognize and deal with domestic violence in pregnant women. Method qualitative study based on the Theory of Praxis Intervention in Collective Health Nursing (TIPESC). Fourteen professionals at a Basic Health Unit in the east side of Sao Paulo/Brazil were interviewed. Empirical data were categorized and discussed in thematic groups. For data analysis was used the technique of Discourse Analysis. Results we identified low number of reported cases of domestic violence; lack of education and training of health care professionals; failure in the identification and intervention process due to bias on their personal problems, moral attitudes and prejudice against these women. In addition, the study showed that their labor process was based entirely on the biological aspects of the women and to overcome this, they need of proper rapport between health care professionals and pregnant women to deal with of domestic violence. Conclusion professionals should develop skills to intervene in violence against pregnant women and also modify labor processes considering women in their totality and part of society. PMID:25029056

  15. Integrating enhanced hepatitis C testing and counselling in research.

    PubMed

    Winter, Rebecca; Nguyen, Oanh; Higgs, Peter; Armstrong, Stuart; Duong, Duyen; Thach, My Li; Aitken, Campbell; Hellard, Margaret

    2008-02-01

    The hepatitis C virus (HCV) affects over 170 million people worldwide. In Australia, over 225,000 people have been diagnosed with HCV infection with 13,000 infections reported annually; 90% are attributed to injecting drug use. Burnet Institute (BI) researchers have been studying the HCV epidemic since the virus was identified in 1989 including community based cohort studies (1990-1995), numerous studies involving Vietnamese-Australian people who inject drugs (PWID) (1996-2004) and social network studies (2000-2002, 2005-2007). Through this work the BI has developed a model of research practice for HCV and PWID, developed in recognition that much research relating to BBV infections - and HCV in particular - could be improved in terms of provision of test results to study participants. Our model endeavours to provide all participants with the highest quality HCV test results, delivered in accordance with best practice for pre- and post-test counselling by engaging participants in environments in which they are comfortable, building trust and rapport and being available throughout and beyond the research study. This paper will discuss the benefits and lessons learned over numerous studies in providing pre- and post-test counselling to PWID in an outreach capacity. PMID:18312821

  16. Post-Secondary Students' Relationship to People They Consider to Be Scientific Experts

    NASA Astrophysics Data System (ADS)

    Pouliot, Chantal

    2011-03-01

    This article is situated in contemporary debates about the ways to achieve a scientific literacy that encourages a greater lay participation in public debates and political decision making. Drawing on the notion of "relationship to scientific experts" (in French, "rapport aux experts scientifiques"), I explore the ways in which a group of 3 Quebec post-secondary students describe the relationships they hold toward people whom they consider to be scientific experts, as revealed during a project in which they investigated the controversy surrounding cellular telephone use. To this end, I scrutinize how the members of the group go about describing scientific experts and picture a prospective face-to-face discussion with a scientific expert. The data come from a case study (conducted over a 15-week period). The findings show that the group maintains a relationship of intimidation by scientific experts, in which the latter are depicted in terms of their knowledge and qualifications. Accordingly, the group was overawed not only by the accumulation of knowledge held and produced by scientific experts but also by the latter's research experience and the high social recognition they occasionally enjoyed. Similarly, the group describes a prospective face-to-face discussion with a doctor or a researcher in terms of an impersonal, intimidating encounter during which its members' learning and comprehension in relation to the controversy are assumed to be unequal to the task. The implications of the findings for future research are discussed.

  17. Spatial distribution of reflected gamma rays by Monte Carlo simulation

    NASA Astrophysics Data System (ADS)

    Jehouani, A.; Merzouki, A.; Boutadghart, F.; Ghassoun, J.

    2007-10-01

    In nuclear facilities, the reflection of gamma rays of the walls and metals constitutes an unknown origin of radiation. These reflected gamma rays must be estimated and determined. This study concerns reflected gamma rays on metal slabs. We evaluated the spatial distribution of the reflected gamma rays spectra by using the Monte Carlo method. An appropriate estimator for the double differential albedo is used to determine the energy spectra and the angular distribution of reflected gamma rays by slabs of iron and aluminium. We took into the account the principal interactions of gamma rays with matter: photoelectric, coherent scattering (Rayleigh), incoherent scattering (Compton) and pair creation. The Klein-Nishina differential cross section was used to select direction and energy of scattered photons after each Compton scattering. The obtained spectra show peaks at 0.511∗ MeV for higher source energy. The Results are in good agreement with those obtained by the TRIPOLI code [J.C. Nimal et al., TRIPOLI02: Programme de Monte Carlo Polycinśetique à Trois dimensions, CEA Rapport, Commissariat à l'Energie Atomique. [1

  18. Dissemination as Dialogue: Building Trust and Sharing Research Findings Through Community Engagement.

    PubMed

    McDavitt, Bryce; Bogart, Laura M; Mutchler, Matt G; Wagner, Glenn J; Green, Harold D; Lawrence, Sean Jamar; Mutepfa, Kieta D; Nogg, Kelsey A

    2016-01-01

    A fundamental feature of community-based participatory research (CBPR) is sharing findings with community members and engaging community partners in the dissemination process. To be truly collaborative, dissemination should involve community members in a two-way dialogue about new research findings. Yet little literature describes how to engage communities in dialogue about research findings, especially with historically marginalized communities where mistrust of researchers may exist because of past or present social injustices. Through a series of interactive community presentations on findings from a longitudinal study, we developed a process for community dissemination that involved several overlapping phases: planning, outreach, content development, interactive presentations, and follow-up. Through this process, we built on existing and new community relationships. Following each interactive presentation, the research team debriefed and reviewed notes to identify lessons learned from the process. Key themes included the importance of creating a flexible dissemination plan, tailoring presentations to each community group, establishing a point person to serve as a community liaison, and continuing dialogue with community members after the presentations. Core strategies for developing trust during dissemination included engaging community members at every step, reserving ample time for discussion during presentations, building rapport by sharing personal experiences, being receptive to and learning from criticism, and implementing input from community members. This process led to a deeper understanding of research findings and ensured that results reached community members who were invested in them. PMID:26986541

  19. Physiological evidence of interpersonal dynamics in a cooperative production task.

    PubMed

    Mønster, Dan; Håkonsson, Dorthe Døjbak; Eskildsen, Jacob Kjær; Wallot, Sebastian

    2016-03-15

    Recent research suggests that shared behavioral dynamics during interpersonal interaction are indicative of subjective and objective outcomes of the interaction, such as feelings of rapport and success of performance. The role of shared physiological dynamics to quantify interpersonal interaction, however, has received comparatively little attention. In the present study, we investigate the coordination dynamics of multiple psychophysiological measures and their utility in capturing emotional dynamics in teams. We use data from an experiment where teams of three people built origami boats together in an assembly-line manner while their heart rate, skin conductance, and facial muscle activity were recorded. Our results show that physiological synchrony of skin conductance measures and eletromyographic measures of the corrugator supercilii develops spontaneously among team members during this cooperative production task. Moreover, high team synchrony is found indicative of team cohesion, while low team synchrony is found indicative of a teams' decision to adopt a new behavior across multiple production sessions. We conclude that team-level measures of synchrony offer new and complementary information compared to measures of individual levels of physiological activity. PMID:26773466

  20. Dynamic similarity promotes interpersonal coordination in joint action

    PubMed Central

    Słowiński, Piotr; Zhai, Chao; Alderisio, Francesco; Salesse, Robin; Gueugnon, Mathieu; Marin, Ludovic; Bardy, Benoit G.; di Bernardo, Mario; Tsaneva-Atanasova, Krasimira

    2016-01-01

    Human movement has been studied for decades, and dynamic laws of motion that are common to all humans have been derived. Yet, every individual moves differently from everyone else (faster/slower, harder/smoother, etc.). We propose here an index of such variability, namely an individual motor signature (IMS) able to capture the subtle differences in the way each of us moves. We show that the IMS of a person is time-invariant and that it significantly differs from those of other individuals. This allows us to quantify the dynamic similarity, a measure of rapport between dynamics of different individuals' movements, and demonstrate that it facilitates coordination during interaction. We use our measure to confirm a key prediction of the theory of similarity that coordination between two individuals performing a joint-action task is higher if their motions share similar dynamic features. Furthermore, we use a virtual avatar driven by an interactive cognitive architecture based on feedback control theory to explore the effects of different kinematic features of the avatar motion on coordination with human players. PMID:27009178

  1. Dynamic similarity promotes interpersonal coordination in joint action.

    PubMed

    Słowiński, Piotr; Zhai, Chao; Alderisio, Francesco; Salesse, Robin; Gueugnon, Mathieu; Marin, Ludovic; Bardy, Benoit G; di Bernardo, Mario; Tsaneva-Atanasova, Krasimira

    2016-03-01

    Human movement has been studied for decades, and dynamic laws of motion that are common to all humans have been derived. Yet, every individual moves differently from everyone else (faster/slower, harder/smoother, etc.). We propose here an index of such variability, namely an individual motor signature (IMS) able to capture the subtle differences in the way each of us moves. We show that the IMS of a person is time-invariant and that it significantly differs from those of other individuals. This allows us to quantify the dynamic similarity, a measure of rapport between dynamics of different individuals' movements, and demonstrate that it facilitates coordination during interaction. We use our measure to confirm a key prediction of the theory of similarity that coordination between two individuals performing a joint-action task is higher if their motions share similar dynamic features. Furthermore, we use a virtual avatar driven by an interactive cognitive architecture based on feedback control theory to explore the effects of different kinematic features of the avatar motion on coordination with human players. PMID:27009178

  2. [Understanding a hospitalized, school-aged child's stress in the PICU: the application of picture books in nursing care].

    PubMed

    Wang, Pei-Ju; Feng, Jui-Ying

    2013-06-01

    Hospitalization in the pediatric intensive care unit (PICU) can be a very stressful and sometimes traumatic experience for school-aged children due to illness, painful procedures, unfamiliar environment, and separation from family. We incorporated picture books into PICU nursing care to explore the stress response in a school-aged child with compartment syndrome who was hospitalized in the PICU. Observation, interview and communication with the patient were used to assess her psychological reactions and emotional and behavioral responses to stress related to hospitalization and medical treatment. Autonomy and control were provided and strengthened by giving the patient choices and purposive life plans. Picture books were used to establish rapport and help the patient express her feelings, needs, and desires for parental love and company. This case report highlights the importance of nurses' awareness of children's stresses and needs during hospitalization in the PICU as well as the value of picture books or other age-appropriate tools for this patient population. PMID:23729348

  3. Manifestations neuropsychiatriques révélant une hémorragie cérébro-méningée causée par un accident d’électrisation: à propos d'une observation et revue de la literature

    PubMed Central

    Bugeme, Marcellin; Mukuku, Olivier

    2014-01-01

    Le courant électrique est susceptible de léser tout tissu de l'organisme rencontré lors de son passage, de manière transitoire ou définitive. Les hémorragies cérébro-méningées secondaires à un accident d’électrisation par courant électrique à haute tension sont très rarement rapportées dans la littérature. Nous rapportons un cas d'hémorragie cérébro-méningée révélée par des manifestations neuropsychiatriques causée par un AE par courant électrique à haute tension observée chez un enfant âgé de 6 ans à Lubumbashi, en République Démocratique du Congo. La particularité que présente notre observation est les manifestations neuropsychiatriques observées tardivement. PMID:25419328

  4. Zoology, evolution, and ecology for elementary teachers in a model alliance between a university biology department and a zoo

    SciTech Connect

    DuBrul, E.F.; Lewis N.; Mesteller, P.

    1994-12-31

    Many of the goals and performance objectives for elementary science deal with hands-on experiences such as observing the characteristics of living things, sorting and classifying, and measuring and recording data. Ideal environments for learning episodes that can foster these objectives are zoos and parks or nature preserves. This poster describes a program that uses the University faculty, local master elementary teachers, and Zoo staff and facilities to: (1) educate K-6 teachers about zoology, ecology, and evolution, (2) provide practical, on-site learning exercises as examples of how teachers can develop zoo visits that will be true learning experiences, (3) help the participants develop zoo-related exercises of classroom use, (4) show the participants the behind-the scenes work that goes on at a zoo, and (5) establish a close rapport between the teachers and a large group of professional resource persons. We present the results of evaluations and follow-up interviews, and we note the key features of this program and suggest how our experience may be used by other partnerships.

  5. Affective Scaffolds, Expressive Arts, and Cognition

    PubMed Central

    Maiese, Michelle

    2016-01-01

    Some theorists have argued that elements of the surrounding world play a crucial role in sustaining and amplifying both cognition and emotion. Such insights raise an interesting question about the relationship between cognitive and affective scaffolding: in addition to enabling the realization of specific affective states, can an affective niche also enable the realization of certain cognitive capacities? In order to gain a better understanding of this relationship between affective niches and cognition, I will examine the use of expressive arts in the context of psychotherapy and peacebuilding. In these settings, environmental resources and interpersonal scaffolds not only evoke emotion and encourage the adoption of particular bodily affective styles, but also support the development of capacities for self-awareness and interpersonal understanding. These affective scaffolds play a crucial role in therapy and peacebuilding, in fact, insofar as they facilitate the development of self-knowledge, enhance capacities associated with social cognition, and build positive rapport and trust among participants. I will argue that this is because affectivity is linked to the way that subjects frame and attend to their surroundings. Insofar as the regulation and modification of emotion goes hand in hand with opening up new interpretive frames and establishing new habits of mind, the creation of an affective niche can contribute significantly to various modes of cognition. PMID:27014164

  6. A collaborative clinical and population-based curriculum for medical students to address primary care needs of the homeless in New York City shelters : Teaching homeless healthcare to medical students.

    PubMed

    Asgary, Ramin; Naderi, Ramesh; Gaughran, Margaret; Sckell, Blanca

    2016-06-01

    Background Millions of Americans experience homelessness annually. Medical providers do not receive adequate training in primary care of the homeless.Methods Starting in 2012, a comprehensive curriculum was offered to medical students during their family medicine or ambulatory clerkship, covering clinical, social and advocacy, population-based, and policy aspects. Students were taught to: elicit specific social history, explore health expectations, and assess barriers to healthcare; evaluate clinical conditions specific to the homeless and develop plans for care tailored toward patients' medical and social needs; collaborate with shelter staff and community organizations to improve disease management and engage in advocacy efforts. A mixed methods design was used to evaluate students' knowledge, attitudes, and skills including pre- and post-curriculum surveys, debriefing sessions, and observed clinical skills.Results The mean age of the students (n = 30) was 26.5 years; 55 % were female. The overall scores improved significantly in knowledge, attitude, and self-efficacy domains using paired t‑test (p < 0.01). Specific skills in evaluating mental health, substance abuse, and risky behaviours improved significantly (p < 0.05). In evaluation of communication skills, the majority were rated as having 'outstanding rapport with patients.'Conclusions Comprehensive and ongoing clinical component in shelter clinics, complementary teaching, experienced faculty, and working relationship and collaboration with community organizations were key elements. PMID:27277430

  7. The Coaching Behavior Scale for Sport (CBS-S): A psychometric evaluation of the Swedish version.

    PubMed

    Carlsson, A; Lundqvist, C

    2016-01-01

    The present study validated a Swedish version of the 47-item Coaching Behavior Scale for Sport (CBS-S). Sample 1 consisted of 506 team sport athletes [262 men and 244 women; mean age: 22.20, standard deviation (SD) = 3.90] distributed across 41 coaches at the two highest national levels of various sports. Athletes completed the CBS-S and established questionnaires of coaching behaviors (LSS), self-confidence (CSAI-2R), and coach-athlete relationship (CART-Q). An additional sample of 39 basketball players (21 men and 18 women; mean age = 17.40, SD = 2.39) completed the CBS-S twice, approximately 4 weeks apart. Confirmatory factor analysis showed an acceptable model fit for the seven-factor version of the CBS-S, although two items of the negative personal rapport subscale displayed insufficient factor loadings. Correlations between the subscales of the CBS-S and established instruments were in accordance with theoretical expectations, supporting the concurrent validity. Cronbach's alpha (> 0.82) for all dimensions provided support for the reliability of the CBS-S, and test-retest correlations indicated moderate stability over time. Cultural differences in the assessment of coaching behaviors and the usability of the CBS-S by coaches for self-reflection and development are discussed. PMID:25440429

  8. [Care, the caring, the cure and the caregiver].

    PubMed

    Morvillers, Jean-manuel

    2015-09-01

    Due to the multiple meanings of the concept of care and its diverse cultural meanings, the purpose of this article is to address this concept, starting with clarification of its etymological origins. In addition to this clarification, the objectives of this paper are to highlight the rapport between care and cure, the implications of care in health care team management. The etymological analysis is made starting from encyclopaedic writings, to discuss the original meaning of the concept. The results of this analysis show that the original meaning of care is anchored on affects and feeling, lead to caring. Therefore, a personal dimension is inherent to it. This reflection tries to show that care does not oppose to cure, but that it is imperative to incresae nurses to the personal dimension in care to become caring with the management support. The conclusion reveals that a personal dimension of caring, supported by human values associated, participate to the professional dimension of the nursing role. Thus, these two dimensions that must grow together, are unavoidable for nursing pratice. PMID:26685556

  9. Complementary and Alternative Medicine in the Treatment of Chronic Pelvic Pain in Women: What Is the Evidence?

    PubMed Central

    Paiva, Sara; Carneiro, Márcia Mendonça

    2013-01-01

    Chronic pelvic pain (CPP) is defined as pain of at least 6 months' duration that occurs in the lower abdomen or below the umbilicus and has resulted in functional or psychological disability or required intervention and treatment. Therapeutic interventions center around the treatment of CPP as a diagnosis in and of itself, and treatment of specific disorders that may be related to CPP. A multidisciplinary approach for diagnosis and treatment seems to be most effective for symptomatic relief. This paper reviews the evidence for such interventions as psychological treatments including the use of complementary and alternative medicine techniques for CPP in women. Unfortunately, finding the best evidence in this setting is difficult as only very few randomized controlled trials are available. A combination of treatments is usually required over time for the treatment of refractory CPP. The multifactorial nature of CPP needs to be discussed with the patient and a good rapport as well as a partnership needs to be developed to plan a management program with regular followup. Promotion of a multidisciplinary approach which includes complementary and alternative medicine techniques in managing CPP in women seems to yield the best results. PMID:27335875

  10. Association exceptionnelle d'un syndrome de Fenton et d'une fracture ipsilatérale de la tête radiale: à propos d'un cas et revue de littérature

    PubMed Central

    Belmoubarik, Amine; Abouchane, Marouane; Mahraoui, Mohamed Amine; Elandaloussi, Yassir; Haddoun, Ahmed Reda; Frikh, Mostafa

    2015-01-01

    Les auteurs rapportent une observation rare d'un jeune homme de 31 ans qui a présenté une association lésionnelle faite de syndrome de Fenton (fracture scapho capitale) avec fracture de la tête radiale homolatérale survenue suite à une chute aux escaliers. Il s'agit d'une observation décrivant une association lésionnelle exceptionnelle; Traité chirurgicalement en urgence par voie postérieure dorsale au niveau du poignet avec arthroplastie de la tête radiale. L’évolution radio clinique était satisfaisante. Le mécanisme du syndrome de fenton demeure l'objet de controverses. L'association lésionnelle à la fracture de la tête radiale est exceptionnellement décrite dans la littérature. Nous discuterons les mécanismes, notre attitude thérapeutique, et l’évolution de cette entité clinique à travers l'analyse de cette observation. PMID:26185564

  11. Improvement of the Spatial Amplitude Isotropy of a ^4He Magnetometer Using a Modulated Pumping Beam

    NASA Astrophysics Data System (ADS)

    Chéron, B.; Gilles, H.; Hamel, J.; Moreau, O.; Noël, E.

    1997-08-01

    Optically pumped magnetometers are scalar magnetometers. Contrary to vectoriel magnetometers, they measure the total magnetic field whatever the direction of the sensor. However, for some orientations of the magnetometer with respect to the magnetic field direction, the resonant signal vanishes and the measurement is impossible. In this paper we present a simple solution to reduce the amplitude spatial anisotropy and apply it to a ^4He magnetometer developed in our Laboratory. Les magnétomètres à pompage optique sont des magnétomètres scalaires. Contrairement aux magnétomètres vectoriels, ils mesurent le module du champ magnétique quelle que soit l'orientation du capteur dans l'espace. Cependant, pour certaines orientations du magnétomètre par rapport à la direction du champ à mesurer, l'amplitude du signal de résonance s'annule et la mesure devient impossible. Dans cet article, nous présentons une solution simple pour réduire l'anisotropie spatiale d'amplitude et nous l'appliquons à un magnétomètre à hélium-4 développé dans notre Laboratoire.

  12. Women in male-dominated professions.

    PubMed

    Kirk, K W

    1982-12-01

    The problems faced by women pharmacists are discussed in relation to the literature on women in male-dominated fields. Subconscious stereotypes preclude the occurrence of true equality for women pharmacists in many hospitals. Some people have predicted that the clinical pharmacist role will be primarily filled by men since men are perceived to have the time commitment, aggressiveness, and rapport with physicians that is considered necessary for that role. Women in health professions are perceived to be dedicated to service and not self-interest, and people expect them to drop out of the labor force to raise families, thus obviating the need for promotions and salary increases. Research has shown that women in male-dominated fields place more importance on success values than do women in other fields. Fear of success, defined as anxiety about doing well when competing with men, can be a problem for women, particularly if they have a strong affiliative need. It is important that women in male-dominated professions become actively involved in professional organizations to facilitate their gaining a professional identity. In addition, these women need to be encouraged to seek out managerial positions and to be given a clearer understanding that being a manager can be combined with family and household responsibilities. People can eliminate stereotypes from their thinking only if, after they admit the stereotypes exist, they make a conscious effort to not treat women pharmacists on the basis of what women pharmacists have done in the past. PMID:7180856

  13. MELCOR 1.8.2 Analyses in Support of ITER’s RPrS

    SciTech Connect

    Brad J Merrill

    2008-01-01

    The International Thermonuclear Experimental Reactor (ITER) Program is performing accident analyses for ITER’s “Rapport Préliminaire de Sûreté” (Report Preliminary on Safety - RPrS) with a modified version of the MELCOR 1.8.2 code. The RPrS is an ITER safety document required in the ITER licensing process to obtain a “Décret Autorisation de Construction” (a Decree Authorizing Construction - DAC) for the ITER device. This report documents the accident analyses performed by the US with the MELCOR 1.8.2 code in support of the ITER RPrS effort. This work was funded through an ITER Task Agreement for MELCOR Quality Assurance and Safety Analyses. Under this agreement, the US was tasked with performing analyses for three accident scenarios in the ITER facility. Contained within the text of this report are discussions that identify the cause of these accidents, descriptions of how these accidents are likely to proceed, the method used to analyze the consequences of these accidents, and discussions of the transient thermal hydraulic and radiological release results for these accidents.

  14. Sudden Unexpected Death in Epilepsy (SUDEP): Are All Your Patients Informed?

    PubMed

    Marin Collazo, I Vanessa; Tatum, William O

    2016-07-01

    Sudden unexpected death in epilepsy (SUDEP) is a devastating direct epilepsy-related cause of death. Although its occurrence has some risk factors, it is unanticipated and very traumatic to the families of affected patients. Effective preventive measures for SUDEP are lacking; therefore, efforts are directed at modifiable risk factors. The majority of caregivers of patients with epilepsy and SUDEP wish they would have known more about the topic before the terminal event. SUDEP is a difficult topic for physicians and clearly even more challenging to discuss with patients and caregivers. The pathophysiology of SUDEP is controversial, but awareness should be raised despite individual opinions. During the last decade SUDEP has received substantial attention, and efforts are being made to increase worldwide awareness. The American Epilepsy Society and Epilepsy Foundation Joint Task force, National Institute for Health and Care Excellence, and the Scottish Intercollegiate Guidelines Network recommend educating patients about SUDEP. Education will potentially help meet treatment goals, promote better patient-physician rapport, decrease anxiety and fear, serve as a filter for inaccurate information, and lessen grief and blame in the families of patients affected by SUDEP. This article will cover a literature review on SUDEP, epidemiology, risk factors, proposed mechanism, potential interventions, physician practices and suggested measurements, and public websites designed to increase SUDEP awareness. PMID:27348142

  15. Animal hoarding: slipping into the darkness of comorbid animal and self-neglect.

    PubMed

    Nathanson, Jane N

    2009-10-01

    Substantial research and literature indicate how people and companion animals form relationships that are, for the most part, mutually beneficial. Yet there are highly dysfunctional human-animal relationships that do occur, meriting attention and remediation. One of the most perplexing and problematic human-animal relationships is encountered in cases of animal hoarding--a deviant behavior associated with extremely deleterious conditions of comorbid animal and self-neglect. Adult Protective Services workers often encounter theoretical and methodological dilemmas with these complex cases. To intervene most effectively, it becomes critical to elucidate some of the developmental factors of animal hoarding behavior and its correlation with self-neglecting behaviors in general. This article presents an in-depth diagnostic perspective as derived from the author's research and clinical experience. An analysis of the complex dynamics of the relationship between animal hoarders and their pets is presented in conjunction with accepted theories of self-neglect. With enhanced knowledge and understanding of animal hoarding, human service professionals will be better prepared to respond to these clients, evoke greater rapport and cooperation, and engage in the interdisciplinary efforts that are essential for optimal resolution. PMID:20183137

  16. Scaffolded interviewing with lesbian, gay, bisexual, transgender, queer, and questioning youth: a developmental approach to HIV education and prevention.

    PubMed

    Welle, Dorinda L; Clatts, Michael C

    2007-01-01

    The field of education has long recognized that adolescent development and learning are made possible by the structural supports or "scaffolds" that adults create with young people. Although the work of Lev Vygotsky (1978, 1987) has inspired developmentally-supportive approaches to education in the United States and internationally, his work has been largely overlooked in the field of HIV education and prevention. This article introduces an approach to scaffolded interviewing that builds narrative and relational "platforms" for young people's self-development and facilitates health communication, trust and rapport, and HIV awareness. Developed over the course of a 2-year longitudinal ethnographic study with 45 lesbian, gay, bisexual, transgender, queer, and questioning youths, scaffolded interviewing aims to build the relational and narrative foundations for young people's active engagement in HIV education and prevention. In scaffolded interviewing, three kinds of platforms or supportive structures serve to scaffold enhanced health communication and HIV awareness: (a) the interview design (a strategic sequencing of life history and HIV-related questions), (b) the developing relationship between interviewer and study participant, and (c) the young person's own narration of a "real" and developing self. Through their participation in scaffolded interviewing, young people develop their own foundations for HIV awareness and HIV prevention by using the narrative and relational supports of the research or clinical interview and the identity terminologies relevant to their own self-development. PMID:17403491

  17. Children's perceived emotional behavior at disclosure and prosecutors' evaluations.

    PubMed

    Castelli, Paola; Goodman, Gail S

    2014-09-01

    The present study investigated the perceived emotional behavior of alleged child victims when disclosing sexual abuse in a forensic interview. It also addressed whether the perceived emotional behavior influenced prosecutors' evaluations of children's potential as witnesses and prosecutors' recommendations to press charges. Ninety-eight videotapes of forensic interviews with alleged child sexual abuse victims (4- to 17-year-olds) were coded for behavioral indicators of emotions. Case file information and district attorney evaluations were also coded. Results indicated that children were not generally perceived as being emotional (e.g., sad) during disclosure. However, the perceived intensity of expressed emotions was greater when children disclosed the alleged abuse compared to when they discussed more neutral topics in rapport building. Greater perceived emotional withdrawal by children at disclosure was associated with more negative evaluations of child witnesses by prosecutors. Moreover, children's emotional behaviors, as noted by prosecutors, were among the predictors of prosecutors' recommendations to file charges. Practical implications are discussed. PMID:24674647

  18. How the Serotonin Story is Being Rewritten By New Gene-Based Discoveries Principally Related to SLC6A4, the Serotonin Transporter Gene, Which Functions To Influence All Cellular Serotonin Systems

    PubMed Central

    Murphy, Dennis L.; Fox, Meredith A.; Timpano, Kiara R.; Moya, Pablo; Ren-Patterson, Renee; Andrews, Anne M.; Holmes, Andrew; Lesch, Klaus-Peter; Wendland, Jens R.

    2009-01-01

    Discovered and crystallized over sixty years ago, serotonin's important functions in the brain and body were identified over the ensuing years by neurochemical, physiological and pharmacological investigations. This 2008 M. Rapport Memorial Serotonin Review focuses on some of the most recent discoveries in serotonin that are based on genetic methodologies. These include examples of the consequences that result from direct serotonergic gene manipulation (gene deletion or overexpression) in mice and other species; an evaluation of some phenotypes related to functional human serotonergic gene variants, particularly in SLC6A4, the serotonin transporter gene; and finally, a consideration of the pharmacogenomics of serotonergic drugs with respect to both their therapeutic actions and side effects. The serotonin transporter (SERT) has been the most comprehensively studied of the serotonin system molecular components, and will be the primary focus of this review. We provide in-depth examples of gene-based discoveries primarily related to SLC6A4 that have clarified serotonin's many important homeostatic functions in humans, non-human primates, mice and other species. PMID:18824000

  19. Laboratory guidelines for animal care.

    PubMed

    Couto, Marcelo

    2011-01-01

    Animal research is a controversial subject because of the ethical and moral implications of using unwilling research subjects in potentially painful or distressful procedures usually ending in euthanasia. As such, it must be conducted in a compassionate and responsible manner geared toward maximizing the animals' quality of life prior to and during experimentation. Because of its contentious nature, the conduct of animal research is highly regulated at the federal, state, city, and institutional levels. It is essential that researchers acquire a working knowledge of the procedures and regulations in order to protect themselves and their staff from occupational hazards as well as protect their labs from criticism or attack from animal rights organizations. Perhaps the best way to protect from the latter is to avoid inadvertent instances of noncompliance with their research protocol or applicable regulations. Regulatory noncompliance can also have serious negative consequences on investigators' research ranging from temporary suspension of their protocols to loss of funding or principal investigator status. To minimize such events, it is advised that researchers build positive and collaborative relationships, trust and rapport with key institutional players, such as the veterinary staff, the Institutional Animal Care and Use Committee (IACUC), and top administrators. Guidance is provided regarding the appropriate handling of regulatory noncompliances. PMID:21805282

  20. Sync or sink? Interpersonal synchrony impacts self-esteem

    PubMed Central

    Lumsden, Joanne; Miles, Lynden K.; Macrae, C. Neil

    2014-01-01

    Synchronized behavior has significant social influence both in terms of everyday activities (e.g., walking and talking) as well as via more historical contexts (e.g., cultural rituals). Grounded in the science of coordination dynamics, previous research has revealed that interpersonal synchrony has numerous affiliative and pro-social consequences, such as enhanced rapport, cooperation, and social-cognitive functioning. The current study sought to explore the impact of intentional synchrony versus asynchrony on an individual’s self-esteem and their feelings of social connection with a partner. The results revealed that individuals felt better about themselves following a period of synchronous compared to asynchronous movement, while they also perceived a greater self-other overlap with their partner. These findings not only extend previous research on social connections following interpersonal synchrony, but also provide the first demonstration of an influence on self-evaluations. Overall, it appears that moving in time with others may result in us feeling better about ourselves compared to moving to our own rhythm. PMID:25285090

  1. The powers of suggestion: Albert Moll and the debate on hypnosis.

    PubMed

    Maehle, Andreas-Holger

    2014-03-01

    The Berlin physician Albert Moll (1862-1939) was an advocate of hypnotic suggestion therapy and a prolific contributor to the medical, legal and public discussions on hypnotism from the 1880s to the 1920s. While his work in other areas, such as sexology, medical ethics and parapsychology, has recently attracted scholarly attention, this paper for the first time comprehensively examines Moll's numerous publications on hypnotism and places them in their contemporary context. It covers controversies over the therapeutic application of hypnosis, the reception of Moll's monograph Der Hypnotismus (1889), his research on the rapport between hypnotizer and subject, his role as an expert on 'hypnotic crime', and his views on the historical influence of hypnotism on the development of psychotherapy. My findings suggest that Moll rose to prominence due to the strong late-nineteenth-century public and medical interest in the phenomena of hypnosis, but that his work was soon overshadowed by new, non-hypnotic psychotherapeutic approaches, particularly Freud's psychoanalysis. PMID:24594818

  2. Solution saline hypertonique pour la bronchiolite chez les bébés

    PubMed Central

    Grewal, Simran; Goldman, Ran D.

    2015-01-01

    Résumé Question J’ai récemment reçu le rapport du congé de l’hôpital d’un patient de 1 an admis pour une bronchiolite. On y indiquait qu’il avait été traité, entre autres, avec une solution saline hypertonique inhalée. Cette thérapie est-elle recommandée pour les enfants en milieu de soins aigus? Réponse La bronchiolite, causée principalement par le virus respiratoire syncytial, est très commune en hiver. C’est la cause la plus fréquente d’hospitalisation durant l’enfance. Plusieurs bonnes études ont été effectuées au cours de la dernière décennie sur l’utilisation d’une solution saline hypertonique nébulisée pour la prise en charge de la bronchiolite; toutefois, leurs résultats sont conflictuels. Quoiqu’il puisse y avoir un rôle pour la solution saline hypertonique nébulisée chez les enfants hospitalisés pour une bronchiolite pendant plus de 3 jours, ce traitement dans d’autres milieux ne confère pas suffisamment de bienfaits pour recommander son utilisation.

  3. Syndrome coronarien aigu en post-partum secondaire à une dissection coronaire spontanée: à propos d'un cas

    PubMed Central

    El Malki Berrada, Nabil; Zaimi, Achraf; Ezzouak, Abdellatif; Belhachmi, Hassan; Lagziri, Alaeeddine; Ratbi, Sara; eddine Elyounassi, Badre

    2015-01-01

    L'IDM per gravidique est une complication grave qui entraine une morbidité et une mortalité maternelle élevée. Bien que l'athérosclérose soit la cause d'IDM la plus fréquente dans la population générale, elle n'est observée que chez un tiers des femmes enceintes. Chez ces dernières, la cause la plus fréquente d'IDM était la dissection coronaire. Nous rapportons l'observation clinique d'une jeune femme de 24 ans, sans facteur de risque cardiovasculaire, qui a présenté un IDM antérieur étendu 15 jours après un accouchement, en rapport avec une dissection de la partie proximale de l'artère inter ventriculaire antérieure. Le traitement de cette pathologie n'est pas consensuel, et peut faire appel, selon la présentation clinique et angiographique, au traitement médical, à une revascularisation par pontage aorto-coronaire avec une résection de l'hématome de la paroi artérielle, ou à l'angioplastie transluminale. Le pronostic semble assez favorable quoique controversé. PMID:26161172

  4. Facilitating neurorehabilitation through principles of engagement.

    PubMed

    Danzl, Megan M; Etter, Nicole M; Andreatta, Richard D; Kitzman, Patrick H

    2012-01-01

    A primary goal of neurorehabilitation is to guide recovery of functional skills after injury through evidence-based interventions that operate to manipulate the sensorimotor environment of the client. While choice of intervention is an important decision for clinicians, we contend it is only one part of producing optimal activity-dependent neuroplastic changes. A key variable in the rehabilitation equation is engagement. Applying principles of engagement may yield greater neuroplastic changes and functional outcomes for clients. We review the principles of neuroplasticity and engagement and their potential linkage through concepts of attention and motivation and strategies such as mental practice and enriched environments. Clinical applications and challenges for enhancing engagement during rehabilitation are presented. Engagement strategies, such as building trust and rapport, motivational interviewing, enhancing the client education process, and interventions that empower clients, are reviewed. Well-controlled research is needed to test our theoretical framework and suggested outcomes. Clinicians may enhance engagement by investing time and energy in the growth and development of the therapeutic relationship with clients, as this is paramount to maintaining clients' investment in continuing therapy and also may act as a driver of neuroplastic changes. PMID:22544406

  5. Carcinome cutané de Merkel: apport de la TEP-TDM au18FDG

    PubMed Central

    Amal, Guensi; Sara, Taleb; Ghofrane, Cherkaoui Salhi; Malika, Ait Idir; Majdouline, Houjami; Souha, Sahraoui; Abdelatif, Benider; Najoua, Touil; Ghita, Benmoussa; Zineb, Baroudi; Nabil, Chikhaoui

    2016-01-01

    Le carcinome à cellules de Merkel (CCM) est une tumeur cutanée neuroendocrinerare d’évolution imprévisible et à grand potentiel métastatique. Ce néoplasme survient habituellement chez le sujet âgé au niveau des zones photo exposées. L'avidité constante du CCM au 18 fluorodésoxyglucose (FDG) justifie l'intérêt de la tomographie par émission de positon (TEP) au cours de cette pathologie. Toutefois, aucun consensus n'est établi à ce jour. Cette étude rapporte le cas d'une patiente de 25 ans suivie pour CCM métastatique, afin d'attirer l'attention sur cette tumeur particulière et d'illustrer l'intérêt de la TEP au 18 FDG dans la prise en charge de cette entité rare. PMID:27303574

  6. Enormes incidentalomes surrénaliens: rôle de l'imagerie médicale à propos de deux cas

    PubMed Central

    Nikièma, Zakari; Yaméogo, Aimé Arsène; N'Goran, Kouamé; Cissé, Rabiou

    2012-01-01

    Les auteurs rapportent une série de deux cas d’énormes incidentalomes surrénaliens rarement observés dans la littérature. Ils étaient de siège bilatéral dans le premier cas et unilatéral droit dans le second. Si le diagnostic étiologique est parfois aisé dans les pays à haute technologie médicale, il pose un problème majeur dans certaines structures sanitaires des pays à ressources limitées. Le rôle essentiel de l'imagerie est d’établir de manière précise, peu invasive et peu coûteuse que possible, la nature bénigne ou maligne de l'incidentalome surrénalien. L’échographie et la tomodensitométrie ont permis de faire le diagnostic positif chez nos patients. La sémiologie tomodensitométrique est caractéristique quand elle associe la morpho-structure de la masse et deux critères majeurs basés d'une part sur l'histologie et la physiologie et d'autre part la cinétique de rehaussement de la masse après injection de produit de contraste. Toutefois, la biologie et surtout la biopsie assurent le diagnostic étiologique. PMID:23396505

  7. Teachers' perspectives on providing support to children after trauma: a qualitative study.

    PubMed

    Alisic, Eva

    2012-03-01

    A considerable number of children are exposed to extreme stressors such as the sudden loss of a loved one, serious traffic accidents, violence, and disaster. In order to facilitate school psychologists' assistance of teachers working with traumatized children, this study aimed to explore elementary school teachers' perspectives. Using a qualitative design, the study explored the perspectives of a purposively varied sample of 21 elementary school teachers (ages 22-55 years; with 0.5-30 years of teaching experience; 5 men). The teachers participated in semistructured interviews, which were transcribed and analyzed in line with the method of "summative analysis" by F. Rapport. Even though some teachers expressed confidence in working with children after traumatic exposure and many referred to a supportive atmosphere within the school, the most prominent themes in the participants' narratives reflected uncertainty about, or a struggle with, providing optimal support to children. They searched for a clear role definition as well as a good balance in answering conflicting needs of the exposed children and classmates, wished for better knowledge and skills, and experienced difficulties related to the emotional burden of their work. The findings suggest a need for further research into this understudied topic. In addition, the identified themes can be used by school psychologists to systematically explore individual teachers' strengths and difficulties and to provide them with tailored advice and training. PMID:22582936

  8. Implementation of a Radiological Safety Coach program

    SciTech Connect

    Konzen, K.K.; Langsted, J.M.

    1998-02-01

    The Safe Sites of Colorado Radiological Safety program has implemented a Safety Coach position, responsible for mentoring workers and line management by providing effective on-the-job radiological skills training and explanation of the rational for radiological safety requirements. This position is significantly different from a traditional classroom instructor or a facility health physicist, and provides workers with a level of radiological safety guidance not routinely provided by typical training programs. Implementation of this position presents a challenge in providing effective instruction, requiring rapport with the radiological worker not typically developed in the routine radiological training environment. The value of this unique training is discussed in perspective with cost-savings through better radiological control. Measures of success were developed to quantify program performance and providing a realistic picture of the benefits of providing one-on-one or small group training. This paper provides a description of the unique features of the program, measures of success for the program, a formula for implementing this program at other facilities, and a strong argument for the success (or failure) of the program in a time of increased radiological safety emphasis and reduced radiological safety budgets.

  9. The Potential for Accurately Measuring Behavioral and Economic Dimensions of Consumption, Prices, and Markets for Illegal Drugs

    PubMed Central

    Johnson, Bruce D.; Golub, Andrew

    2007-01-01

    There are numerous analytic and methodological limitations to current measures of drug market activity. This paper explores the structure of markets and individual user behavior to provide an integrated understanding of behavioral and economic (and market) aspects of illegal drug use with an aim toward developing improved procedures for measurement. This involves understanding the social processes that structure illegal distribution networks and drug users’ interactions with them. These networks are where and how social behaviors, prices, and markets for illegal drugs intersect. Our focus is upon getting an up close measurement of these activities. Building better measures of consumption behaviors necessitates building better rapport with subjects than typically achieved with one-time surveys in order to overcome withholding and underreporting and to get a comprehensive understanding of the processes involved. This can be achieved through repeated interviews and observations of behaviors. This paper also describes analytic advances that could be adopted to direct this inquiry including behavioral templates, and insights into the economic valuation of labor inputs and cash expenditures for various illegal drugs. Additionally, the paper makes recommendations to funding organizations for developing the mechanisms that would support behavioral scientists to weigh specimens and to collect small samples for laboratory analysis—by providing protection from the potential for arrest. The primary focus is upon U.S. markets. The implications for other countries are discussed. PMID:16978801

  10. Genetic Counseling for Indigenous Australians: an Exploratory Study from the Perspective of Genetic Health Professionals.

    PubMed

    Kowal, Emma; Gallacher, Lyndon; Macciocca, Ivan; Sahhar, Margaret

    2015-08-01

    Indigenous populations are thought to have particularly low levels of access to genetic health services, and cultural issues may be a contributing factor. This article presents the findings of the first study of genetic health service provision to Indigenous Australians. This qualitative study aimed to identify elements of culturally-competent genetic health service provision in Indigenous Australian contexts. Twelve semi-structured interviews were conducted with genetic counselors and clinical geneticists from around Australia who had delivered services to Indigenous Australians. Participants were asked to describe their experiences and identify any collective cultural needs of Indigenous clients, as well as comment on specific training and resources they had received or used. Interviews were audio-recorded and transcribed with thematic analysis conducted on the data. The findings show that participants were reluctant to generalize the needs of Indigenous peoples. Some participants asserted that Indigenous peoples have needs that differ from the general population, while others felt that there were no collective cultural needs, instead advocating an individualized approach. Being flexible and practical, taking time to build rapport, recognizing different family structures and decision-making processes, as well as socio-economic disadvantage were all identified as important factors in participants' interactions with Indigenous clients. Indigenous support workers and hospital liaison officers were seen as valuable resources for effective service provision. The implications of this study for training and practice are discussed. PMID:25348084

  11. Current Results and Future Directions of the Pulsar Search Collaboratory

    NASA Astrophysics Data System (ADS)

    Heatherly, Sue Ann; Rosen, R.; McLaughlin, M.; Lorimer, D.

    2011-01-01

    The Pulsar Search Collaboratory (PSC) is a joint partnership between the National Radio Astronomy Observatory (NRAO) and West Virginia University (WVU). The ultimate goal of the PSC is to interest students in science, technology, engineering, mathematics (STEM) fields by engaging them in conducting authentic scientific research-specifically the search for new pulsars. Of the 33 schools in the original PSC program, 13 come from rural school districts; one third of these are from schools where over 50% participate in the Free/Reduced School Lunch program. We are reaching first generation college-goers. For students, the program succeeds in building confidence in students, rapport with the scientists involved in the project, and greater comfort with team-work. We see additional gains in girls, as they see themselves more as scientists after participating in the PSC program, which is an important predictor of success in STEM fields. The PSC has had several scientific successes as well. To date, PSC students have made two astronomical discoveries: a 4.8-s pulsar and bright radio burst of astrophysical origin, most likely from a sporadic neutron star. We will report on the status of the project including new evaluation data. We will also describe PSC-West, an experiment to involve schools in Illinois and Wisconsin using primarily online tools for professional development of teachers and coaching of students. Knowledge gained through our efforts with PSC-West will assist the PSC team in scaling up the project.

  12. The Pulsar Search Collaboratory: Three Years of Discovery

    NASA Astrophysics Data System (ADS)

    McLaughlin, Maura; Heatherly, S.; Rosen, R.

    2011-01-01

    The Pulsar Search Collaboratory (PSC) is a joint partnership between the National Radio Astronomy Observatory (NRAO) and West Virginia University (WVU) to improve the quality of science education in West Virginia high schools. The ultimate goal of the PSC is to engage students in science, technology, engineering, mathematics (STEM), and related fields by using information technology to conduct current scientific research, specifically searching for new pulsars. We expect to discover roughly 30 new pulsars in the PSC data. The PSC has had several scientific and educational successes. To date, the PSC students have made two astronomical discoveries: a 4.8-s pulsar and bright radio burst of astrophysical origin, most likely from a sporadic neutron star. We have 21 new high schools this year, bringing the number of PSC schools to 43. Ten of these schools are part of PSC West, a trial scale-up of our original PSC program. Of the 33 schools in the original PSC program, 13 come from rural school districts; one third of these are from schools where over 50% participate in the Free/Reduced School Lunch program. We are reaching first generation college-goers. For students, the program succeeds in building confidence in students, rapport with the scientists involved in the project, and team-work ability. We see additional gains in girls, who see themselves as scientists after participating in the PSC program. This is an important predictor of success in STEM fields.

  13. Social behaviors increase more when children with ASD are imitated by their mother vs. an unfamiliar adult.

    PubMed

    Slaughter, Virginia; Ong, Su Sen

    2014-10-01

    Previous research suggests that being imitated by an adult increases the social behaviors of children with an autism spectrum disorder (ASD). In the current study, we examined whether familiarity with the imitating social partner modulates this effect. Ten children with ASD and their mothers participated. The children's social behaviors were observed prior to and following a 3-min period in which an adult social partner imitated everything they did. In one condition the partner was the child's mother, and in the other condition the partner was an unfamiliar experimenter. The results revealed significant increases in distal social behaviors (gazes toward the adult, vocalizing) following imitation by both partners. There was a significantly greater increase in proximal social behaviors (including approach, being physically close, and touching) and a greater decrease in playing alone when the imitator was the child's mother as opposed to the experimenter. The findings suggest that the experience of being imitated creates an atmosphere of mutuality and rapport between children with ASD and their social partners, which increases their sociability even in interactions with already familiar adults. PMID:24903832

  14. Identifying Elements of Patient-Centered Care in Underserved Populations: A Qualitative Study of Patient Perspectives

    PubMed Central

    Raja, Sheela; Hasnain, Memoona; Vadakumchery, Tracy; Hamad, Judy; Shah, Raveena; Hoersch, Michelle

    2015-01-01

    Patient-centered care is an important goal in the delivery of healthcare. However, many patients do not engage in preventive medical care. In this pilot study, we conducted twenty in depth, semi-structured qualitative interviews at the University of Illinois at Chicago Health Sciences campus in a four month time frame. Many patients were underserved and underinsured, and we wanted to understand their experiences in the healthcare system. Using content analysis, several themes emerged from the interview data. Participants discussed the need for empathy and rapport with their providers. They identified provider behaviors that fostered a positive clinical relationship, including step-by step explanations of procedures, attention to body language and clinic atmosphere, and appropriate time management. Participants identified cost as the most common barrier to engaging in preventive care and discussed children and social support as motivating factors. A long-term relationship with a provider was an important motivator for preventive care, suggesting that the therapeutic alliance was essential to many patients. Conversely, many participants discussed a sense of dehumanization in the healthcare system, reporting that their life circumstances were overlooked, or that they were judged based on insurance status or ethnicity. We discuss implications for provider training and healthcare delivery, including the importance of patient-centered medical homes. PMID:25993110

  15. Behavior of Personality Type Toward Stress and Job Performance: A Study of Healthcare Professionals

    PubMed Central

    Janjhua, Yasmin; Chandrakanta

    2012-01-01

    Background: The present paper has examined the sources of stress among the healthcare professionals and the difference between responses of personality type A and type B healthcare professionals toward stressful situations. Further, the difference in the performance of both the personality types has been studied. The relationship between stress and performance among the healthcare professionals in general and with respect to personality type A and type B healthcare professionals in particular has also been investigated. Methods: A total of 160 healthcare professionals of Post Graduate Institute (PGI), Chandigarh, were subjects of this study. Results: Identification with patients, deterioration and complication in the patient condition, and job criticism emerged to be the sources of stress. Significant difference between personality type A and personality type B professionals’ response pertaining to identification with the patients only has been reported. However, type A individuals showed slightly higher inclination as compared to type B individuals on majority of stressful situations. It was further noted that type A individuals had scored higher on almost all the performance indicators as compared to personality type B individuals. The mean difference between the personality types was found to be significant for two performance dimensions, i.e., relationship with colleagues, and teaching and training. Conclusions: The stressful situation relationship with patients was found to have significantly negative impact on the performance factors such as good clinical care and rapport with patients. Daily work was also found to be negatively related to good medical practice. PMID:24479017

  16. Castaways: addressing hostility and helplessness in severely lonely adults.

    PubMed

    Loboprabhu, Sheila; Molinari, Victor; Asghar-Ali, Ali Abbas

    2015-03-01

    Hostility and helplessness are recurrent themes in severely lonely adults, and they can be both causes and effects of subjective feelings of loneliness. Since many lonely patients report a history of abuse, hostile and helpless states of mind may reflect identification with hostile (aggressor) or helpless (passive) attachment figures. Hostile intrusiveness and helpless withdrawal by the parent are 2 distinct patterns of parent-child misattunement that can lead to infant disorganization via disrupted emotional communication and to loneliness later in life. Anxious-ambivalent lonely older adults tend to exhibit hyperactivating hostile behaviors (to deal with a core sense of powerlessness), whereas those with fearful-avoidant attachment styles exhibit deactivating helpless behaviors (to deflect intense underlying feelings of rage). Based on this model, we outline different treatment approaches for lonely persons with different attachment styles by describing the successful treatment of two severely lonely, suicidal veterans. We describe an approach to treating hostile and helpless behaviors in lonely patients, using validation, mentalization, reality orientation, and socialization. Validation provides a sense of safety and rapport. Mentalization allows the lonely individual to better appreciate his or her own mental processes and those of others. Reality orientation provides feedback to lonely individuals on whether their perceptions are accurate and reality-based and helps them appreciate the consequences their behavior may have for self and others. Finally, socialization reduces disenfranchisement by teaching/re-teaching individuals social skills that may have become impaired by prolonged isolation. PMID:25782760

  17. Léiomyosarcome du pancréas: une tumeur de mauvais pronostic - cas clinique et revue de la littérature

    PubMed Central

    Laalim, Said Ait; Hijri, Fatim Zahra; Kamaoui, Imane; Hassani, Karim Ibn Majdoub; Toughai, Imane; Mazaz, Khalid

    2012-01-01

    Le léiomyosarcome (LMS) primitif du pancréas est une tumeur mésenchymateuse rare (0,1% des tumeurs pancréatiques), seulement 47 cas ont été publiés la littérature depuis 1951. Le diagnostique est basée sur l’immunohistochimie. C’est une tumeur très agressive et souvent découverte à un stade avancé. Nous rapportant le cas d’un patient de 40 ans qui présentait un léiomyosarcome primitif du pancréas de la queue du pancréas avec envahissement de la rate et la partie gauche du colon transverse. Une spléno-pancréatectomie caudale carcinologique avec une colectomie segmentaire était réalisée. Des nodules péritonéaux ont apparus 2 mois après l’intervention au niveau du site opératoire et le paient est décédé 3 mois en postopératoire. Le LMS primitif du pancréas doit être évoqués devant les volumineuses tumeurs du pancréas. Une chirurgie carcinologique est le seul traitement curatif. Le pronostic de ces tumeurs est mauvais et la médiane de survie de ces tumeurs ne dépasse pas 2 ans. PMID:23024830

  18. Reaching and Engaging Non-Gay Identified, Non-Disclosing Black Men who have Sex with both Men and Women

    PubMed Central

    Benoit, Ellen; Pass, Michael; Randolph, Doris; Murray, Deborah; Downing, Martin J.

    2012-01-01

    Non-gay identified (NGI) Black men who have sex with both men and women (MSMW) and use substances are at risk of acquiring and transmitting HIV to their partners. Homophobic community norms can discourage such men from disclosing their risk behaviour to female partners and others, including service providers. It is important to understand the dynamics of risk in this vulnerable population, but research is challenged by the men’s need for secrecy. In this paper we report on successful efforts to recruit 33 non-disclosing, NGI Black MSMW for in-depth interviews concerning substance use, HIV risk and attitudes toward disclosing their risk behaviour. We employed targeted and referral sampling, with initial contacts and/or key informants drawn from several types of settings in New York City including known gay venues, community organisations, neighbourhood networks and the Internet. Key informant gatekeepers and the ability to establish rapport proved central to success. Perceived stigma is a source of social isolation, but men are willing to discuss their risk behaviour when they trust interviewers to protect their privacy and engage with them in a non-judgemental manner. Findings imply that the most effective prevention approaches for this population may be those that target risk behaviours without focusing on disclosure of sexual identities. PMID:22937767

  19. Investigating the Relationship between Stable Personality Characteristics and Automatic Imitation.

    PubMed

    Butler, Emily E; Ward, Robert; Ramsey, Richard

    2015-01-01

    Automatic imitation is a cornerstone of nonverbal communication that fosters rapport between interaction partners. Recent research has suggested that stable dimensions of personality are antecedents to automatic imitation, but the empirical evidence linking imitation with personality traits is restricted to a few studies with modest sample sizes. Additionally, atypical imitation has been documented in autism spectrum disorders and schizophrenia, but the mechanisms underpinning these behavioural profiles remain unclear. Using a larger sample than prior studies (N=243), the current study tested whether performance on a computer-based automatic imitation task could be predicted by personality traits associated with social behaviour (extraversion and agreeableness) and with disorders of social cognition (autistic-like and schizotypal traits). Further personality traits (narcissism and empathy) were assessed in a subsample of participants (N=57). Multiple regression analyses showed that personality measures did not predict automatic imitation. In addition, using a similar analytical approach to prior studies, no differences in imitation performance emerged when only the highest and lowest 20 participants on each trait variable were compared. These data weaken support for the view that stable personality traits are antecedents to automatic imitation and that neural mechanisms thought to support automatic imitation, such as the mirror neuron system, are dysfunctional in autism spectrum disorders or schizophrenia. In sum, the impact that personality variables have on automatic imitation is less universal than initial reports suggest. PMID:26079137

  20. Investigating the Relationship between Stable Personality Characteristics and Automatic Imitation

    PubMed Central

    Butler, Emily E.; Ward, Robert; Ramsey, Richard

    2015-01-01

    Automatic imitation is a cornerstone of nonverbal communication that fosters rapport between interaction partners. Recent research has suggested that stable dimensions of personality are antecedents to automatic imitation, but the empirical evidence linking imitation with personality traits is restricted to a few studies with modest sample sizes. Additionally, atypical imitation has been documented in autism spectrum disorders and schizophrenia, but the mechanisms underpinning these behavioural profiles remain unclear. Using a larger sample than prior studies (N=243), the current study tested whether performance on a computer-based automatic imitation task could be predicted by personality traits associated with social behaviour (extraversion and agreeableness) and with disorders of social cognition (autistic-like and schizotypal traits). Further personality traits (narcissism and empathy) were assessed in a subsample of participants (N=57). Multiple regression analyses showed that personality measures did not predict automatic imitation. In addition, using a similar analytical approach to prior studies, no differences in imitation performance emerged when only the highest and lowest 20 participants on each trait variable were compared. These data weaken support for the view that stable personality traits are antecedents to automatic imitation and that neural mechanisms thought to support automatic imitation, such as the mirror neuron system, are dysfunctional in autism spectrum disorders or schizophrenia. In sum, the impact that personality variables have on automatic imitation is less universal than initial reports suggest. PMID:26079137

  1. A Virtual Field Trip to the Gemini Observatory

    NASA Astrophysics Data System (ADS)

    Fisher, R. Scott; Michaud, P. D.

    2010-01-01

    Live from Gemini (LfG) is a virtual field trip using video conferencing technology to connect primary, secondary and post-secondary students with scientists and educators at the Gemini Observatory. As a pilot project, LfG is rapidly becoming one of the observatory's most often-requested educational programs for learners of all ages. The program aligns exceptionally well with national science (and technology) standards, as well as existing school curricula. This combination makes it easy for teachers to justify participation in the program, especially as the necessary video conferencing technology becomes ever more ubiquitous in classrooms and technology learning centers around the world. In developing and testing this pilot project, a programmatic approach and philosophy evolved that includes post-field-trip educational materials, multi-disciplinary subject matter (astronomy, geology, mathematics, meteorology, engineering and even language - the program is offered in Spanish from Gemini South in Chile), and the establishment of a personal connection and rapport with students. The presenters work to create a comfortable interaction despite the perceived technological barriers. The authors’ experiences with the LfG pilot project convince us that this model is viable for almost any astronomical observatory and should be considered by any dynamic, technology- and education-oriented facility.

  2. Delayed voice communication

    NASA Astrophysics Data System (ADS)

    Love, Stanley G.; Reagan, Marcum L.

    2013-10-01

    We present results from simulated deep-space exploration missions that investigated voice communication with significant time delays. The simulations identified many challenges: confusion of sequence, blocked calls, wasted crew time, impaired ability to provide relevant information to the other party, losing track of which messages have reached the other party, weakened rapport between crew and ground, slow response to rapidly changing situations, and reduced situational awareness. These challenges were met in part with additional training; greater attention and foresight; longer, less frequent transmissions; meticulous recordkeeping and timekeeping; and specific alerting and acknowledging calls. Several simulations used both delayed voice and text messaging. Text messaging provided a valuable record of transmissions and allowed messages to be targeted to subsets of the flight and ground crew, but it was a poor choice for high-workload operators such as vehicle drivers and spacewalkers. Even with the foregoing countermeasures, delayed voice communication is difficult. Additional aids such as automatic delay timers and voice-to-text transcription would help. Tests comparing delays of 50 and 300 s unexpectedly revealed that communicating with the shorter delay was just as challenging as with the longer one.

  3. Therapeutic alliance.

    PubMed

    Fox, Valerie

    2002-01-01

    I have been very fortunate in my journey of mental illness. I respond well to medication, but I don't think that is the complete answer to living successfully with serious, persistent mental illness. I believe a person's environment is also of utmost importance, enabling the person suffering with mental illness to continually grow in life. I found early in my struggle with mental illness a psychiatrist with whom I have always had a very good rapport. Until recently I didn't know that what I have with this psychiatrist is professionally known as a therapeutic alliance. Over the years, when I need someone to talk over anything that is troubling to me, I seek my psychiatrist. A therapeutic alliance is non-judgmental; it is nourishing; and finally it is a relationship of complete trust. Perhaps persons reading this article who have never experienced this alliance will seek it. I believe it can make an insecure person secure; a frightened person less frightened; and allow a person to continue the journey of mental health with a sense of belief in oneself. PMID:12433224

  4. Justifications and needs for diversity in orthopaedics.

    PubMed

    White, A A

    1999-05-01

    America is founded on high humanitarian, democratic ideals. The historic facts of slavery, discrimination, and segregation challenge and taint these democratic principles. Although progress has been made, serious racial problems remain. In 1997, the United States had 474 active hate groups, up 20% from 1996. African American males who have the same education as white males doing the same work earn approximately 75% of what their white counterparts earn. America, as predicted by the Kerner Commission Report, is two societies: black and white, separate, and unequal. Some astonishing disparities in healthcare exist. Peer reviewed medical literature documents that African Americans have higher infant mortality rates, shorter life expectancies, fewer joint replacements, and more amputations than whites. Communications within a diverse group of students and teachers enriches the educational experience. The late Supreme Court Justice Lewis Powell, LLD, asserted that a medical student from a particular background may enrich classmates' understanding of people whose cultures are different from their own, and improve their ability to serve a heterogeneous patient population. Diversity on clinical teams can enhance rapport between patient and physician, and can diminish unthinking insults to patients, born of physician ethnic insensitivity. Healthcare facilities with diverse staffs are more likely than homogeneous facilities to attract and successfully serve the nation's diverse population. A University of California at Davis School of Medicine study showed that diversity can be achieved without compromising quality of patient care. Clinically and ideologically, diversity in orthopaedics is good for patients and for the country. PMID:10335274

  5. Community-based study on psychological comorbidity in functional gastrointestinal disorder.

    PubMed

    Wu, Justin C Y

    2011-04-01

    Functional gastrointestinal disorder (FGID) is one of the commonest digestive diseases worldwide. Current evidence supports a bio-psycho-social pathophysiological model for FGID, which underscores the importance of psychological and social factors in development of FGID. Concomitant psychological disorders, which include anxiety, depression and somatization, have been shown to be associated with FGID in both specialist and community-based studies. This suggests that the association is genuine rather than biased observation in referral centers. Furthermore, psychological distress such as depression, anxiety and phobia are strongly correlated with severity of FGID symptoms. There are biologically plausible mechanisms that support the causal role of psychological disorders in FGID. Psychological distress, in particular anxiety, can induce aggravation of visceral hyperalgesia as well as hypervigilance in FGID patients. This leads to poorer quality of life and increased utilization of healthcare service in addition to worsening of symptoms. Despite the numerous reports on the potential therapeutic value of psychotropic agents and psychological intervention, the importance of screening for concomitant psychological disorder in FGID patients has not been fully recognized in daily practice. Most FGID patients tend to have very low awareness of their mood symptoms, which lead to delayed diagnosis, deterioration of disease and unnecessary investigations. Many of these patients may be reluctant to accept the diagnosis of concomitant psychological disorders and therefore a good doctor-patient rapport and therapeutic relationship are essential for management of these patients. PMID:21443703

  6. Cultural Aspects of Health and Illness Behavior in Hospitals

    PubMed Central

    Hartog, Joseph; Hartog, Elizabeth Ann

    1983-01-01

    Health care attitudes reflect the basic world view and values of a culture, such as how we relate to nature, other people, time, being, society versus community, children versus elders and independence versus dependence. Illness behavior determines who is vulnerable to illness and who agrees to become a patient—since only about one third of the ill will see a physician. Cultural values determine how one will behave as a patient and what it means to be ill and especially to be a hospital patient. They affect decisions about a patient's treatment and who makes the decisions. Cultural differences create problems in communication, rapport, physical examination and treatment compliance and follow through. The special meaning of medicines and diet requires particular attention. The perception of physical pain and psychologic distress varies from culture to culture and affects the attitudes and effectiveness of care-givers as much as of patients. Religious beliefs and attitudes about death, which have many cultural variations, are especially relevant to hospital-based treatment. Linguistic and cultural interpreters can be essential; they are more available than realized, though there are pitfalls in their use. Finally, one must recognize that individual characteristics may outweigh the ethnic and that a good caring relationship can compensate for many cultural missteps. PMID:6666109

  7. Nonverbal treatment of neurosis; techniques for general practice.

    PubMed

    BATTEN, C T

    1959-03-01

    "Psychosomatic medicine" does not demand that the general practitioner function as a psychiatrist; rather, it is a psychiatric orientation that can increase the effectiveness of purely medical treatment for such conditions as neuroses. The general practitioner to whom the patient turns may achieve permanent results with nonverbal techniques where formal psychotherapy would be impracticable or unacceptable. The first aim is to relieve pressure so that the patient can regain his mental balance and thereby his self-confidence. Arts, hobbies, sports, and the like can be prescribed rather specifically according to the patient's personality and needs. Nutrition can be improved simply at first by prescribing needed additions to diet rather than imposing restrictions. Vitamin deficiency may by itself be the cause of neurosis or more serious mental disease, whereas psychic stress by itself may create a need for additional vitamin intake. Hormone therapy may be extremely helpful but must be based on clear indication and limited to specific purposes. Since lack of sleep and rest quickly impairs mental function, it is important for neurotic persons to learn relaxation as a necessity for sleep. Sedatives may be used in a crisis but should be abandoned as soon as possible. With all drugs there are problems of excess and habituation. The least, the mildest, the shortest dosage is the ideal. THE INITIAL STEPS OF PSYCHOTHERAPY ARE AVAILABLE TO ANY PHYSICIAN: Establishing rapport, noting how complaints are stated, encouraging ventilation, winning confidence rather than immediate results. PMID:13638823

  8. Assessment of the quality of interaction in distance learning programmes utilizing the Internet or interactive television: perceptions of students and lecturers.

    PubMed

    Mash, Bob; Marais, Debbie; Van Der Walt, Stephanie; Van Deventer, Idilette; Steyn, Margot; Labadarios, Demetre

    2006-02-01

    WebCT, a web-based virtual learning environment (VLE) and Interactive TV (ITV) are relatively new technologies that are used to deliver distance education at the Faculty of Health Sciences, Stellenbosch University. This study explores how effective current approaches to instructional design and interaction have been in utilizing these two technologies to support interaction and what lessons can be learnt. Five focus-group interviews were held with students and lecturers to assess the perceived quality of student-lecturer/student-student interactions. All students were invited to complete a questionnaire at the end of every module to assess their perceptions of interaction. Interaction was highly valued by students and lecturers participating in distance-learning programmes utilizing either VLE or ITV. Students rated courses using both technologies as moderately interactive. Significant differences between VLE and ITV were detected in student-lecturer and student-student interactions, use of additional modes of communication, instructional design, technological interactivity and social rapport activities. The groups did not differ across a number of likely barriers to interaction and both also reported the need for more flexible and better paced instructional designs. PMID:16627311

  9. Building Co-Management as a Process: Problem Solving Through Partnerships in Aboriginal Country, Australia

    NASA Astrophysics Data System (ADS)

    Zurba, Melanie; Ross, Helen; Izurieta, Arturo; Rist, Philip; Bock, Ellie; Berkes, Fikret

    2012-06-01

    Collaborative problem solving has increasingly become important in the face of the complexities in the management of resources, including protected areas. The strategy undertaken by Girringun Aboriginal Corporation in north tropical Queensland, Australia, for developing co-management demonstrates the potential for a problem solving approach involving sequential initiatives, as an alternative to the more familiar negotiated agreements for co-management. Our longitudinal case study focuses on the development of indigenous ranger units as a strategic mechanism for the involvement of traditional owners in managing their country in collaboration with government and other interested parties. This was followed by Australia's first traditional use of marine resources agreement, and development of a multi-jurisdictional, land to sea, indigenous protected area. In using a relationship building approach to develop regional scale co-management, Girringun has been strengthening its capabilities as collaborator and regional service provider, thus, bringing customary decision-making structures into play to `care for country'. From this evolving process we have identified the key components of a relationship building strategy, `the pillars of co-management'. This approach includes learning-by-doing, the building of respect and rapport, sorting out responsibilities, practical engagement, and capacity-building.

  10. Understanding the Importance of Gene and Environment in the Etiology and Prevention of Type 2 Diabetes Mellitus in High-Risk Populations

    PubMed Central

    Samsom, Marsha; Trivedi, Tushar; Orekoya, Olubunmi; Vyas, Shraddha

    2016-01-01

    Current literature focuses on the complications and treatment of Type 2 Diabetes Mellitus (T2DM) while clustering environmental and genetic factors to explain the disease. Interventions proposed to reduce diabetes prevalence should focus predominantly on initiating active rapports of family members and promoting a more communication-oriented preventative approach between diabetics and non-diabetics. Due to varying risks in T2DM by race and ethnicity, these populations should follow race-appropriate guidelines to prevent further T2DM occurrence and complications. The review consists of information related to the genetic component of T2DM to help identify high-risk groups and focuses on the environmental aspect of the disease to help consider appropriate techniques to reduce disease burden. Genetic factors play important roles in the pathogenesis of diabetes and thus are an essential element of understanding the cause of the disease and possible methods of prevention. Focusing on high-risk groups with T2DM could have profound effects on the current health care situation. In this review, we discuss the epidemiology of diabetes in the United States and propose methods of preventing and delaying the development of T2DM in high-risk individuals. PMID:27376154

  11. Difficult conversations: teaching medical oncology trainees communication skills one hour at a time.

    PubMed

    Epner, Daniel E; Baile, Walter F

    2014-04-01

    Difficult conversations about prognosis, end of life, and goals of care arise commonly in medical oncology practice. These conversations are often highly emotional. Medical oncologists need outstanding, patient-centered communication skills to build trust and rapport with their patients and help them make well-informed decisions. Key skills include exploring patients' perspectives, responding to emotion with empathy, and maintaining mindfulness during highly charged conversations. These skills can be taught and learned. Most previously described communication skills training curricula for oncology providers involve multiday retreats, which are costly and can disrupt busy clinical schedules. Many curricula involve a variety of oncology providers, such as physicians and nurses, at various stages of their careers. The authors developed a monthly, one-hour communication skills training seminar series exclusively for physicians in their first year of medical oncology subspecialty training. The curriculum involved a variety of interactive and engaging educational methods, including sociodramatic techniques, role-play, reflective writing, and Balint-type case discussion groups. Medical oncologists in their second and third years of training served as teaching assistants and peer mentors. Learners had the opportunity to practice skills during sessions and with patients between sessions. Learners acquired important skills and found the curriculum to be clinically relevant, judging by anonymous surveys and anonymous responses on reflective writing exercises. Results from the current curriculum are preliminary but lay the foundation for enhanced and expanded communication skills training programs in the future. PMID:24556763

  12. La duplication rectale de l'adulte: une cause exceptionnelle de masse pelvienne

    PubMed Central

    El Fahssi, Mohammed; Baba, Hicham; Bounaim, Ahmed; Ali, Abdelmounaim Ait; Sair, Khalid

    2015-01-01

    La duplication rectale est une anomalie constitutionnelle rare du tube digestif, elle représente 5% des duplications digestives son diagnostic se fait habituellement au tour de la période néonatale ou pendant les premières années de vie et ce n'est qu'exceptionnellement que son diagnostic reste méconnu jusqu’à l’âge adulte. Nous rapportant le cas d'une duplication rectale chez une femme de 41 ans se plaignant de douleurs pelviennes, l'examen clinique suivi des examens complémentaires ont suspecté le diagnostic la patiente est opérée par un abord antérieur isolé, permettant l'exérèse de la totalité de la masse kystique dont examen anatomo-pathologique confirme le diagnostic de duplication rectale kystique postérieure non communicante. L’évolution postopératoire est satisfaisante sans morbidité sur un recul de 20 mois. PMID:26985264

  13. Les fistules œsotrachéales congénitales isolées à propos de 2 cas

    PubMed Central

    El Biache, Imad; Lechqar, Maryem; Rami, Mohammed; Bouabdallah, Youssef

    2014-01-01

    Les auteurs rapportent 2 cas de fistules oesotrachéales isolées sans atrésie de l'oesophage, colligés au service de chirurgie pédiatrique au CHU Hassan II de Fès au Maroc entre 2008 et 2013. Il s'agit d'une anomalie rare représentée par un fin canal ascendant entre l'oesophage et la face postérieure de la trachée, à la hauteur du défilé cervico-thoracique. Elle se manifeste cliniquement par une symptomatologie respiratoire parfois digestive. Le diagnostic a été confirmé par le transit oesophagien dans les 2 cas et a permis aussi de déterminer le siège de la fistule. Le traitement était chirurgical, il a permis de supprimer la communication anormale entre l'oesophage et la trachée par un abord cervical avec interposition musculaire dans les 2 cas. Les suites post-opératoires et l’évolution à long terme étaient simples. Le but de ce travail est d'exposer les différents moyens diagnostique et thérapeutique. PMID:25328600

  14. Découverte fortuite de quadruplets au cours d'un accouchement: illustration d'un cas à l'Hôpital Central de Yaoundé (Cameroun)

    PubMed Central

    Fouelifack, Florent Ymele; Fouedjio, Jeanne Hortence; Dingom, Madye Ange Ngo; Fouogue, Jovanny Tsuala; Enow, Robinson Mbu

    2014-01-01

    Les auteurs rapportent une grossesse de haut rang (quadruplés) dont le nombre de fœtus n'a été découvert que pendant l'accouchement par voie vaginale. Faute de moyens, la parturiente reçue en phase active du travail n'a pas pu bénéficier de la césarienne d'urgence indiquée pour présentation en siège du premier jumeau. Ce n'est qu'après l'accouchement du deuxième fœtus que les deux derniers quadruplés ont été successivement découverts. Les difficultés et les pièges contextuels de la prise en charge des grossesses multiples sont passés en revue. Ce cas rappelle au personnel des salles d'accouchement la possibilité d'erreur de diagnostique sur les résultats d'échographies présentés par les parturientes. PMID:25419323

  15. Le neurofibrome pré sacré solitaire géant: cause rare de masse pelvienne chez la femme

    PubMed Central

    Boujoual, Majdouline; Hachi, Hafid; Merrouni, Mohammed Alami; El khannoussi, Basma; Bougtab, Abdeslam

    2014-01-01

    Le neurofibrome présacré solitaire est une tumeur ectodermiquetrès rare tant par sa fréquence que par sa localisation, souvent pauci-symptomatiquejusqu’à l'atteinte de taille importante, d'accès difficile et de diagnostic erroné. L'imagerie préopératoirejoue un rôle essentieldans la prise en charge. Son diagnostic est immuno-histologique. Son traitement chirurgical est basé sur l'exérèse complète à marges saines. Nous rapportons l'observation d'une patiente de 46 ans, ayant été opérée pour suspicion de fibrome utérin sous séreux, dont l'exploration chirurgicale a confirméune tumeur rétropéritonéale et présacrée. L'IRM post opératoire a précisé ses rapports anatomiques. La reprise chirurgicalea permis l'exérèse complète de la tumeur sans lésions des organes adjacents. L'histologie et l’étude immuno-histochimique ont conclu à un neurofibrome. PMID:25328584

  16. Chondrosarcome myxoïde extra-osseux: à propos d'un cas et revue de la littérature

    PubMed Central

    Sasbou, Youness; Rhanim, Abdelkarim; Mhammdi, Younes; Nkaoui, Mustapha; El Bardouni, Ahmed; Berrada, Mohammed Saleh; El Yaacoubi, Morad

    2015-01-01

    Le chondrosarcome primitif des tissus mous est beaucoup plus rare que son homonyme intra-osseux, le type myxoïde est une entité distincte sur le plan clinique, histologique, immuno-histo-chimique, cytogénétique et évolutif. Le but de cette étude est d’évaluer les caractéristiques de cette tumeur et de mettre en évidence sa difficulté diagnostique et thérapeutique. Cette étude rapporte un cas de chondrosarcome myxoïde extra-osseux atteignant les parties molles, il s'agit d'une femme âgée de 28 ans ayant une localisation au niveau de la face antéro-externe du tiers moyen de la cuisse gauche, la patiente a été explorée par une IRM. L'examen histologique a confirmé le diagnostic et la patiente a bénéficié d'une résection large complétée par une chimiothérapie adjuvante, et le suivi n'a déploré aucune récidive ni métastase. Le diagnostic des chondrosarcomes primitifs extra osseux est particulièrement histologique et leur traitement repose sur la résection chirurgicale large suivie d'une chimiothérapie adjuvante. PMID:26185552

  17. Occupational Therapy and Sexual and Reproductive Health Promotion in Adolescence: A Case Study.

    PubMed

    Gontijo, Daniela Tavares; de Sena e Vasconcelos, Anna Carolina; Monteiro, Rosana Juliet Silva; Facundes, Vera Lúcia Dutra; Trajano, Maria de Fátima Cordeiro; de Lima, Luciane Soares

    2016-03-01

    Occupational therapy can contribute to sexual and reproductive health through health education. The purpose of this study was to describe an occupational therapy intervention aimed at sexual and reproductive health promotion in adolescents. Fifty-eight adolescents were involved in the study, before, during and after the interventions. Educative activities such as puzzles, storytelling, mime and board games were used, which occupational therapy faculty and students had constructed. The games were employed as mediators for gaining knowledge in sexual and reproductive health. Outcome was measured using a questionnaire, audio recordings and field diaries. The data were analysed by descriptive statistics and thematic content analysis. The results showed the adolescents' increased knowledge of sexual and reproductive health information immediately after the intervention. The thematic analysis was grouped into three categories: the adolescents' initial expectations regarding the project, reflections on the process experienced during the interventions and use of educational games by occupational therapists. The importance of rapport and dialogue was highlighted in the construction of interventions based on participatory methods. The absence of a longitudinal follow-up is a limitation in this study. Further research is important to systematically assess sexual health promotion strategies in adolescence. PMID:26174484

  18. An advanced study on the hydrometallurgical processing of waste computer printed circuit boards to extract their valuable content of metals.

    PubMed

    Birloaga, Ionela; Coman, Vasile; Kopacek, Bernd; Vegliò, Francesco

    2014-12-01

    This study refers to two chemical leaching systems for the base and precious metals extraction from waste printed circuit boards (WPCBs); sulfuric acid with hydrogen peroxide have been used for the first group of metals, meantime thiourea with the ferric ion in sulfuric acid medium were employed for the second one. The cementation process with zinc, copper and iron metal powders was attempted for solutions purification. The effects of hydrogen peroxide volume in rapport with sulfuric acid concentration and temperature were evaluated for oxidative leaching process. 2M H2SO4 (98% w/v), 5% H2O2, 25 °C, 1/10 S/L ratio and 200 rpm were founded as optimal conditions for Cu extraction. Thiourea acid leaching process, performed on the solid filtrate obtained after three oxidative leaching steps, was carried out with 20 g/L of CS(NH2)2, 6g/L of Fe(3+), 0.5M H2SO4, The cross-leaching method was applied by reusing of thiourea liquid suspension and immersing 5 g/L of this reagent for each other experiment material of leaching. This procedure has lead to the doubling and, respectively, tripling, of gold and silver concentrations into solution. These results reveal a very efficient, promising and environmental friendly method for WPCBs processing. PMID:25242605

  19. Un cas de leishmaniose féline disséminée dans le sud de la France

    PubMed Central

    Pocholle, E.; Reyes-Gomez, E.; Giacomo, A.; Delaunay, P.; Hasseine, L.; Marty, P.

    2012-01-01

    Cet article rapporte un cas de leishmaniose féline disséminée chez un chat (Felis catus) de 14 ans, séropositif pour le FIV et vivant dans les Alpes-Maritimes (sud de la France). Le chat présente des papules érythémateuses ulcérées sur la face et l’encolure, et une lésion proliférative ulcérée sur l’oreille gauche. C’est l’examen histopathologique des lésions cutanées qui permet le diagnostic d’une leishmaniose disséminée, associée à un carcinome épidermoïde de l’oreille. 100 mg d’allopurinol administrés une fois par jour per os pendant quatre mois ont permis la rémission totale des lésions cutanées. Des prélèvements post mortem ont révélé la persistance du parasite dans l’organisme après six mois de traitement. Cet article discute de la sensibilité du chat à la leishmaniose et de son rôle potentiel de réservoir. PMID:22314243

  20. Coinfection pulmonaire par pneumocystis jirovecii et pseudomonas aeruginosa au cours du SIDA: à propos de deux cas

    PubMed Central

    Mamoudou, Savadogo; Bellaud, Guillaume; Ana, Canestri; Gilles, Pialoux

    2015-01-01

    Rapporter deux cas cliniques de coinfections pulmonaires par Pneumocystis jirovecii et par Pseudomonas aeruginosa chez des patients vivant avec le VIH. Les deux patients étaient âgés respectivement de 32 ans et 46 ans. Un patient a été pris en charge à l'hôpital Yalgado Ouédraogo de Ouagadougou au Burkina Faso et l'autre a été pris en charge à l'hôpital Ténon de Paris, en France. Les deux souffraient de pneumopathie confirmée à la radiographie et à la tomodensitométrie. L'un des patients était sévèrement immuno déprimé, contrairement à l'autre. L'examen bactériologique dans les crachats avait permis d'isoler Pseudomonas aeruginosa et Pneumocystis jirovecii chez les deux patients. Sous traitement, l’évolution a été favorable. Les coinfections morbides sont relativement fréquentes chez les patients vivant avec le VIH. Devant une symptomatologie respiratoire du sujet vivant avec le VIH, il faut savoir rechercher en plus du Bacille de Koch, Pneumocystis jirovecii et Pseudomonas aeruginosa par un lavage broncho alvéolaire. PMID:26516396

  1. Traitement orthopédique d'une fracture pathologique du fémur sur malformation veineuse: à propos d'un cas

    PubMed Central

    Guelzim, Soufiane; Lamrani, Omar; Kharmaz, Mohammed; Lahlou, Abdo; Elouadghiri, Mohammed; El Bardouni, Ahmed; Mahfoud, Mustapha; Berrada, Mohammed Saleh; El Yaccoubi, Mouradh

    2015-01-01

    Les malformations vasculaires artérioveineuse, veineuse ou lymphatique représentent des défects localisés dans la morphogénèse vasculaire. Elles peuvent survenir dans tous les organes, mais prédominent au niveau de membres, plus souvent dans la peau, les espaces celluleux ou les muscles. Le bilan de nombreuses malformations a été transformé par l'utilisation de l'angioscanner avec reconstruction ou de l'IRM. Les auteurs rapportent un cas de fracture pathologique du fémur proximal gauche sur malformation veineuse, chez une patiente de 35 ans. Le diagnostic a été porté sur un faisceau d'arguments cliniques et paracliniques. La radiographie standard a montré une fracture diaphysaire du tiers supérieur du fémur gauche sur os pathologique. L'IRM de la cuisse gauche ainsi qu'un phléboscanner des membres inférieurs ont objectivé un aspect en faveur d'une malformation veineuse. Vu le déplacement minime de la fracture et le risque très important de saignement peropératoire, la patiente a bénéficié d'un traitement orthopédique; l’évolution a été simple, marquée par une consolidation au sixième mois. PMID:26600903

  2. Le syndrome de Stewart-Treves compliquant un lymphœdème chronique idiopathique

    PubMed Central

    Safini, Fatima; Naim, Asmaa; Bouchbika, Zineb; Benchakroun, Nadia; Jouhadi, Hassan; Tawfiq, Nezha; Sahraoui, Souha; Benider, Abdellatif

    2014-01-01

    Le syndrome de Stewart-Treves (SST) est une entité rare, correspondant à un angiosarcome cutané compliquant un lymphoedème chronique. Il est de mauvais pronostic. Stewart et Treves ont rapportés en 1948, les premiers cas d'angiosarcome secondaire à un traitement du cancer du sein. Ce terme s'est généralisé pour regrouper l'ensemble des cas de lymphangiosarcome sur lymphoedème d'origine congénital héréditaire ou non héréditaire, post-traumatique ou post-infectieux. Le SST sur un lymphoedème idiopathique reste exceptionnel. Nous rapportons le cas rare d'une patiente présentant un lymphoedème chronique primitif idiopathique des quatre membres évoluant depuis l'adolescence et qui a développé un SST du membre supérieur droit. Elle a subi une amputation à mi- bras vu le caractère très évolué de la tumeur PMID:25883738

  3. Human Hallucinogen Research: Guidelines for Safety

    PubMed Central

    Johnson, Matthew W.; Richards, William A.; Griffiths, Roland R.

    2010-01-01

    There has recently been a renewal of human research with classical hallucinogens (psychedelics). This paper first briefly discusses the unique history of human hallucinogen research, and then reviews the risks of hallucinogen administration and safeguards for minimizing these risks. Although hallucinogens are relatively safe physiologically and are not considered drugs of dependence, their administration involves unique psychological risks. The most likely risk is overwhelming distress during drug action (“bad trip”), which could lead to potentially dangerous behavior such as leaving the study site. Less common are prolonged psychoses triggered by hallucinogens. Safeguards against these risks include the exclusion of volunteers with personal or family history of psychotic disorders or other severe psychiatric disorders, establishing trust and rapport between session monitors and volunteer before the session, careful volunteer preparation, a safe physical session environment, and interpersonal support from at least two study monitors during the session. Investigators should probe for the relatively rare hallucinogen persisting perception disorder in follow up contact. Persisting adverse reactions are rare when research is conducted along these guidelines. Incautious research may jeopardize participant safety and future research. However, carefully conducted research may inform the treatment of psychiatric disorders, and may lead to advances in basic science. PMID:18593734

  4. Using participant-empowered visual relationship timelines in a qualitative study of sexual behaviour.

    PubMed

    Goldenberg, Tamar; Finneran, Catherine; Andes, Karen L; Stephenson, Rob

    2016-01-01

    This study examines how the use of participant-empowered visual relationship timelines adds to the quality of an ongoing qualitative data collection in a case study examining the influence of emotions on sexual risk-taking and perceptions of HIV risk among men who have sex with men. Gay and bisexual men (n = 25) participated in a 10-week, three-phase study. During a baseline in-depth interview, participants created a visual timeline using labelled stickers to retrospectively examine their dating/sexual histories. Participants then completed three web-based quantitative personal relationship diaries, tracking sexual experiences during follow-up. These data were extracted and discussed in a timeline-based debrief interview. The visual cues assisted with data collection by prompting discussion through the immediate identification of patterns, opportunities for self-reflection, and rapport-building. The use of flexible data collection tools also allowed for a participant-empowered approach in which the participant controlled the interview process. Through this process, we learned strategies for improving a participant-empowered approach to qualitative research, including: allowing visual activities to drive the interview, using flexible guidelines to prompt activities, and using discrete imagery to increase participant comfort. It is important that qualitative data collection utilise more participatory approaches for gains in data quality and participant comfort. PMID:27092985

  5. Influence of pharmaceutical marketing on prescription practices of physicians.

    PubMed

    Narendran, Roshni; Narendranathan, M

    2013-01-01

    In India same drug molecules are sold under different brand names by different pharmaceuticals. To persuade the physicians to prescribe their brands pharmaceuticals engage in marketing techniques like giving samples, gifts, sponsoring travel etc. Many countries are striving to reduce the impact of incentives on prescription behaviour. This study explores the influence of pharmaceutical marketing on the prescription practices of doctors in India. There were 103 study subjects - 50 doctors and 53 sales personnel. Data collection was done by a self administered questionnaire. Data were collected on 36 variables which were supposed to influence prescription. The effectiveness of the promotional strategies on prescription behaviour was marked in a seven point Likert scale ranging from "not at all effective" (score=1) to "extremely effective" (score=7). Open ended questions were used to collect qualitative data. Good rapport with the doctor, launch meetings, reputation of the company, quality of the drug and brand names significantly influenced prescription behaviour, while direct mailers, advertisements in journals and giving letter pads and other brand reminders were less effective. Commonly used method of giving samples was not among the twenty most effective methods influencing prescription. Product quality and good company are still factors that influence prescription. Pharmaceutical marketing influences the choice of brands by a physician. The more expensive strategies involved in public relations are more effective. Sending mails and journal advertisements are less effective strategies. How expensive marketing strategies affect cost of the medicines has to be explored further. PMID:24000508

  6. Arthropathie destructrice des épaules au cours d'une acromégalie

    PubMed Central

    Akasbi, Nessrine; Tahiri, Latifa; Lyhyaoui, Ouafae; Elidrissi, Mohammed; Sqalli Houssaini, Ghita; Elmrini, Abdelmajid; Ajdi, Farida; Taoufik, Harzy

    2011-01-01

    L'acromégalie est une maladie endocrinienne rare, en rapport avec une hypersécrétion d'hormone de croissance. Elle a des conséquences rhumatologiques: l'arthropathie périphérique, l'atteinte rachidienne et les syndromes canalaires. L'atteinte articulaire accompagne une acromégalie active, sa survenue après un traitement radical et une rémission complète est rare. Nous présentons le cas d'une patiente de 70 ans ayant un antécédent d'acromégalie sur adénome hypophysaire il y a 25 ans, traitée chirurgicalement et déclarée en rémission complète, a développé une arthropathie destructrice des deux épaules. Le but de notre observation est de mettre le point sur la possibilité d'une atteinte articulaire au cours de l'acromégalie et de son retentissement fonctionnelle. PMID:22187594

  7. Posterior Lamellar Graft Preparation: A Prospective Review from an Eye Bank on Current and Future Aspects

    PubMed Central

    Griffoni, Carlo; Zampini, Alfonso; Ponzin, Diego

    2013-01-01

    Descemet membrane endothelial keratoplasty (DMEK) is a corneal surgical technique which selectively replaces the damaged posterior part of the cornea with a healthy donor graft retaining the rest of the tissue intact. There is a need to validate and standardize the donor tissue before grafting due to certain issues that can lead to consequences such as graft failure due to poor endothelial cell count, higher mortality, detachment of the graft, or increased surgical expenses, time, and effort. Thus, prospective potential surgeons and eye banks should now aim at developing new improved surgical techniques in order to prepare the best suited, validated, precut, preloaded, and easy to transplant tissue to reduce pre- and postsurgical complications. This could be achieved by defining parameters like graft thickness, accepted mortality threshold of the endothelial cells, and behavior of grafts during preservation and transportation along with using more sophisticated instruments like microkeratome and femtosecond lasers for graft preparation. Thus, a rapport between the eye banks and the surgeons along with the advanced instruments can overcome this challenge to find the best possible solution for endothelial keratoplasty (EK). PMID:23819041

  8. Telemental health for children and adolescents.

    PubMed

    Gloff, Nicole E; LeNoue, Sean R; Novins, Douglas K; Myers, Kathleen

    2015-01-01

    Most children and adolescents across the USA fail to receive adequate mental health services, especially in rural or underserved communities. The supply of child and adolescent psychiatrists is insufficient for the number of children in need of services and is not anticipated to grow. This calls for novel approaches to mental health care. Telemental health (TMH) offers one approach to increase access. TMH programmes serving young people are developing rapidly and available studies demonstrate that these services are feasible, acceptable, sustainable and likely as effective as in-person services. TMH services are utilized in clinical settings to provide direct care and consultation to primary care providers (PCPs), as well as in non-traditional settings, such as schools, correctional facilities and the home. Delivery of services to young people through TMH requires several adjustments to practice with adults regarding the model of care, cultural values, participating adults, rapport-building, pharmacotherapy and psychotherapy. Additional infrastructure accommodations at the patient site include space and staffing to conduct developmentally appropriate evaluations and treatment planning with parents, other providers, and community services. For TMH to optimally impact young people's access to mental health care, collaborative models of care are needed to support PCPs as frontline mental health-care providers, thereby effectively expanding the child and adolescent mental health workforce. PMID:26540584

  9. Aspergillose broncho-pulmonaire allergique lors d'un asthme réfractaire: à propos d'un cas clinique

    PubMed Central

    Lahmadi, Khalid; El Youssi, Hind; Rochdi, Jawad; Nawal, Boughrine; Mohammed, Er-Rami

    2015-01-01

    L'asthme réfractaire demeure une préoccupation majeure du clinicien; et cache de multiples entités pathologiques dont l'aspergillose bronchopulmonaire allergique (ABPA). Il s'agit d'une maladie rare dont la prévalence serait de 1 à 2% chez les asthmatiques et jusqu’à 9% chez les patients atteints de mucoviscidose. Nous rapportant le cas d'une patiente âgée de 76 ans connue asthmatique sous traitement dont la symptomatologie s'est aggravée par l'installation d'une dyspnée stade IV, une gêne respiratoire et une toux ramenant des expectorations muqueuses. Dans le bilan étiologique de l'exacerbation de son asthme, on a retrouvé une hyperéosinophilie constante et des IgE totales et spécifiques augmentées. L'examen direct des crachats et la culture ont permis l'isolement d’Aspergillus fumigatus. La radiographie pulmonaire et tomodensitométrie thoracique ont montré une dilatation des bronches et un syndrome interstitiel. Compte tenu du contexte clinique et des données biologiques et radiologiques, le diagnostic d'ABPA a été retenu. PMID:26175839

  10. Acouphènes révélateurs de la maladie de Horton

    PubMed Central

    Ouraini, Saloua; Rouihi, Ahmed; Nakkabi, Ismail; Benariba, Fouad

    2015-01-01

    La maladie de Horton est une artérite giganto-cellulaire touchant les artères de gros et de moyen calibre du territoire céphalique. Elle a une expression clinico-biologique polymorphe. Le diagnostic de certitude est posé devant des formes typiques comportant des critères diagnostiques cliniques et paracliniques établis par l'ACR (American College of Rhumatology). Cependant certaines formes atypiques de la maladie peuvent faire retarder le diagnostic, c'est le cas notamment des formes révélées par des manifestations ORL qui sont inhabituelles et peu spécifiques. Le but de ce travail est de rapporter un cas atypique de la maladie de Horton révélé par des acouphènes, le retard diagnostique pouvant être à l'origine d'une mauvaise prise en charge thérapeutique, avec des risques de complications vasculaires graves. PMID:26966505

  11. La choroïdite serpigineuse like et tuberculose intraoculaire: à propos de 2 cas et revue de la littérature

    PubMed Central

    Elouarradi, Hakima; Tachfouti, Samira; Cherkaoui, Lalla Ouafae; Charhi, Othmane; Daoudi, UChama; Khalil, Saloua; Zerkaoui, Nouha; Alouane, Amal; Naciri, Kamal; Daoudi, Rajae

    2015-01-01

    Les manifestations oculaires de la tuberculose sont très polymorphes. La choroïdite serpigineuse like représente une forme clinique rare de la maladie. Les auteurs rapportent l'observation de deux patients issus d'un pays d'endémie tuberculeuse, présentant un tableau de choroïdite serpigineuse like avec un bilan étiologique orientant le diagnostic vers une tuberculose oculaire. Un traitement antituberculeux a été préconisé en association avec une corticothérapie, l’évolution était marquée par une stabilisation des lésions et une discrète amélioration de l'acuité visuelle. Dans les pays d'endémie tuberculeuse le diagnostic doit être évoqué en présence d une choroïdite multifocale serpigineuse like afin de proposer un traitement adapté. PMID:26185558

  12. Localisations particulières de l'histiocytose langerhansienne chez l'enfant, scapula et pubis: à propos de deux cas

    PubMed Central

    Atarraf, Karima; Chater, Lamiae; Arroud, Mounir; Afifi, My Abderrahman

    2014-01-01

    L'histiocytose X ou histiocytose de Langerhans est une maladie de l'enfant et de l'adulte jeune. Dont l'incidence est estimée à 1 cas sur 200 000 par an. C'est une maladie au spectre clinique très divers, allant du simple granulome éosinophile à la forme grave multiviscérale avec dysfonctionnement d'organe. Les auteurs rapportent deux observations concernant deux localisations assez rares de cette maladie, au niveau du pubis chez le premier enfant, et au niveau de la scapula chez le deuxième. Chez nos deux malades la localisation était focale, et l’évolution était favorable. A travers ces deux observations, nous allons essayer de décrire les différents aspects cliniques et radiologiques et discuter a travers une revue de littérature les démarches diagnostiques et thérapeutiques de cette maladie rare. PMID:25478049

  13. Faut-il préférer une technique chirurgicale dans le traitement des ruptures du tendon d'Achille?

    PubMed Central

    Hani, Redouane; Kharmaz, Mohammed; Berrada, Mohammed Saleh

    2015-01-01

    La rupture du tendon d'Achille est de plus en plus fréquente dans le monde et dans notre pays en raison du développement considérable des activités sportives, de l'accroissement de leur intensité et de l'absence de moyens de prévention. Notre travail porte sur une étude concernant 58 cas de rupture du tendon d'Achille, avec un recul moyen compris entre 5 mois et 80 mois. L’âge moyen était de 36 ans, tous les patients inclus ont tous bénéficier d'un traitement chirurgical. Le but de notre étude étant de souligner la supériorité d'une technique chirurgicale par rapport à une autre dans la prise en charge, ainsi qu'une mise au point sur les différents aspects épidémiologiques, cliniques, thérapeutiques et post-thérapeutiques de cette lésion. PMID:26161208

  14. Counselling challenges in haemophilia and HIV infection/AIDS.

    PubMed

    Pittadaki, J

    1996-01-01

    The advent of AIDS has had such a deep-reaching effect on the international haemophilia community that one can make a reasonable distinction between a pre-AIDS and a post-AIDS era in haemophilia management. In the context of counselling, however, talking about a 'before' and an 'after' in haemophilia does not (and, in our opinion, should not) necessarily imply a separation of the past from the present. Dealing with the psycho-social implications of haemophilia and HIV infection does not mean focusing exclusively on HIV-generated problems at the expense of haemophilia-related issues. Since the HIV crisis, counselling has posed the multiple challenge of: (a) assessing and alleviating the more immediate emotional effects of HIV infection; (b) paying due attention to the underlying influence of haemophilia on reaction, defence and coping; (c) formulating a flexible approach that is based on close cooperation with the medical staff and effective interpersonal communication with the counsellees.* In practice, the flexibility and effectiveness of the counselling model are promoted by means of: (a) ongoing counselling, (b) multiple counselling sites (i.e. the Haemophilia Centre and other appropriate locations), (c) interdisciplinary team-work, (d) respect for individual/ ethnic values, (e) maintenance of exo-empathy (i.e. neutrality), and (f) transfer of coping skills. The above framework can help maximize the effectiveness of counselling sessions through a personalized rapport of mutual trust and confidence between the counselling team and the counsellees. PMID:27213898

  15. Researching and Respecting the Intricacies of Isolated Communities

    PubMed Central

    Blumling, Amy A.; Thomas, Tami L.; Stephens, Dionne P.

    2014-01-01

    Purpose Conducting research in a rural area can be challenging for nurses for a variety of different reasons. The task at hand can be especially difficult when it involves discussing a sensitive topic, such as Human Papillomavirus (HPV) vaccination. This study was conducted to describe parental perceptions of the HPV vaccine in rural areas, while simultaneously describing a method for engaging in successful nursing research in rural areas. Methods A team of nurse researchers completed a planned process to first understand rural culture in southeastern Georgia, and then more specifically, the families living in these three separate counties. This process initially involved developing a connection and working relationship with key community leaders, such as school principals. Following this, researchers worked on establishing rapport and trust with local parents and research participants themselves. Qualitative methods were then used to collect focus group and interview data on parental views of HPV, HPV vaccination, and HPV-related cancers. Findings Results indicated that parents had little knowledge of the HPV vaccine in rural Georgia, including misconceptions that the vaccine is for females only. In addition, many parents continually voiced the concern that the HPV vaccine would promote promiscuity in their children. Conclusions Providing consistent, timely, and open communication with the community members was crucial throughout the entire research process. This focused approach with respect to total community, culture, and religious value is essential in conducting research. Future studies conducted in rural areas should focus on specific intervention points that improve Parental HPV knowledge. PMID:24817833

  16. Nursing Strategies to Support Family Members of ICU Patients at High Risk of Dying

    PubMed Central

    Adams, Judith A.; Anderson, Ruth A.; Docherty, Sharron L.; Tulsky, James A.; Steinhauser, Karen E.; Bailey, Donald E.

    2014-01-01

    Objectives: To explore how family members of ICU patients at high risk of dying respond to nursing communication strategies. Background: Family members of ICU patients may face difficult decisions. Nurses are in a position to provide support. Evidence of specific strategies that nurses use to support decision-making and how family members respond to these strategies is lacking. Methods: This is a prospective, qualitative descriptive study involving the family members of ICU patients identified as being at high risk of dying. Results: Family members described five nursing approaches: Demonstrating concern, building rapport, demonstrating professionalism, providing factual information, and supporting decision-making. This study provides evidence that when using these approaches, nurses helped family members to cope; to have hope, confidence, and trust; to prepare for and accept impending death; and to make decisions. Conclusion: Knowledge lays a foundation for interventions targeting the areas important to family members and most likely to improve their ability to make decisions and their well-being. PMID:24655938

  17. X-ray crystal spectrometer for opacity measurements in the 8-18 Å spectral range at the LULI laser facilitya)

    NASA Astrophysics Data System (ADS)

    Reverdin, C.; Thais, F.; Loisel, G.; Bougeard, M.

    2010-10-01

    An x-ray crystal spectrometer was built in order to measure opacities in the 8-18 Å spectral range with an average spectral resolution of ⟨λ /δλ⟩˜400. It has been successfully used at the LULI-2000 laser facility (See C. Sauteret, rapport LULI 2001, 88 (2002) at École Polytechnique (France) to measure in the same experimental conditions the 2p-3d transitions of several elements with the neighboring atomic number Z: Fe, Ni, Cu, and Ge [G. Loisel et al., High Energy Density Phys. 5, 173 (2009)]. Hence, a spectrometer with a wide spectral range is needed. This spectrometer features two lines of sight. In this example, one line of sight looks through the sample and the other one is looking directly at the backlighter emission. Both are outfitted with a spherical condensing mirror. A TlAP crystal is used for spectral dispersion. Detection is made with an image plate Fuji BAS TR2025, which is sensitive to x rays. We present some experimental results showing the performances of this spectrometer.

  18. X-ray crystal spectrometer for opacity measurements in the 8-18 Å spectral range at the LULI laser facility.

    PubMed

    Reverdin, C; Thais, F; Loisel, G; Bougeard, M

    2010-10-01

    An x-ray crystal spectrometer was built in order to measure opacities in the 8-18 Å spectral range with an average spectral resolution of <λ/δλ> ∼ 400. It has been successfully used at the LULI-2000 laser facility (See C. Sauteret, rapport LULI 2001, 88 (2002) at École Polytechnique (France) to measure in the same experimental conditions the 2p-3d transitions of several elements with the neighboring atomic number Z: Fe, Ni, Cu, and Ge [G. Loisel et al., High Energy Density Phys. 5, 173 (2009)]. Hence, a spectrometer with a wide spectral range is needed. This spectrometer features two lines of sight. In this example, one line of sight looks through the sample and the other one is looking directly at the backlighter emission. Both are outfitted with a spherical condensing mirror. A TlAP crystal is used for spectral dispersion. Detection is made with an image plate Fuji BAS TR2025, which is sensitive to x rays. We present some experimental results showing the performances of this spectrometer. PMID:21034025

  19. How can mental health and faith-based practitioners work together? A case study of collaborative mental health in Gujarat, India.

    PubMed

    Shields, Laura; Chauhan, Ajay; Bakre, Ravindra; Hamlai, Milesh; Lynch, Durwin; Bunders, Joske

    2016-06-01

    Despite the knowledge that people with mental illness often seek care from multiple healing systems, there is limited collaboration between these systems. Greater collaboration with existing community resources could narrow the treatment gap and reduce fragmentation by encouraging more integrated care. This paper explores the origins, use, and outcomes of a collaborative programme between faith-based and allopathic mental health practitioners in India. We conducted 16 interviews with key stakeholders and examined demographic and clinical characteristics of the user population. Consistent with previous research, we found that collaboration is challenging and requires trust, rapport-building, and open dialogue. The collaboration reached a sizeable population, was reviewed favourably by key stakeholders-particularly on health improvement and livelihood restoration-and perhaps most importantly, views the client holistically, allowing for both belief systems to play a shared role in care and recovery. Results support the idea that, despite differing practices, collaboration between faith-based and allopathic mental health practitioners can be achieved and can benefit clients with otherwise limited access to mental health care. PMID:27199281

  20. Kyste vestigial retrorectal: a propos d'un cas

    PubMed Central

    Mohamed, Hedfi; Taieb, Jomni; Cherif, Abdelhedi; Karim, Sassi; Adnene, Chouchene

    2015-01-01

    Les tumeurs rétro rectales kystiques et solides sont très variées et rare chez l'adulte. Elles sont dominées par les chordomes qui sont des tumeurs à malignité locale essentiellement observées chez les sujets de sexe masculin, alors les tumeurs kystiques vestigiales, sont souvent bénignes et prédominante chez la femme. Ces kystes congénitaux sont souvent asymptomatiques. L'apparition de symptôme à type des douleurs ou des troubles neurologiques devrait faire suspecter une dégénérescence. Une éventuelle surinfection tumorale peut poser le problème de diagnostic différentiel avec un abcès fistuleux, de traitement différent. Nous rapportons une observation insolite d'une patiente âgée de 52 ans explorée pour une lésion kystique retro rectale kystique en rapport avec un kyste vestigial traité chirurgicalement par voie trans sacrée. On se propose à travers cette observation insolite d’étudier les aspects diagnostique, évolutif et thérapeutique de ces lésions rares. PMID:27047626

  1. Observed coparenting and triadic dynamics in African American fragile families at 3 months' postpartum.

    PubMed

    McHale, James P; Coates, Erica E

    2014-01-01

    This report examines coparenting and triadic interactions in 19 unmarried, first-time African American families as fathers, mothers, and 3-month-old infants navigated the Lausanne Trilogue Play (LTP; E. Fivaz-Depeursinge & A. Corboz-Warnery, ). Parents in 10 of the 19 families reported coresidence at the time of the 3-month assessment, and the other 9 sets of coparents lived apart. All participating families had taken part in a prenatal intervention emphasizing the importance of father engagement in children's lives, and in all families, parents reported episodic to regular father contact with the children at 3 months. Analyses of LTP sessions revealed that 9 of the 19 families exhibited high levels of coparenting solidarity-cooperation and family warmth accompanied by low levels of coparenting competition and disengagement. Among the remaining 10 families, competitiveness (verbal sparring, interference) and/or disengagement (repeated, episodic absenting by one or both parents from the ongoing interaction) signaled strain and challenges to solidarity. Differences between the higher and lower solidarity groups were found in father-reported relationship rapport. However, coresidentiality versus noncoresidentiality of the parents did not distinguish high- from low-solidarity groups. A case analysis of one family's triadic session is presented to elucidate the rich potential for clinical intervention in triadic work with fragile family systems. Implications of the study and its findings for theory, research, and clinical work with unmarried fathers and families, along with limits of the study design and generalizability of findings, are discussed. PMID:25798494

  2. Difficult Conversations: Teaching Medical Oncology Trainees Communication Skills One Hour at a Time

    PubMed Central

    Baile, Walter F.

    2014-01-01

    Difficult conversations about prognosis, end of life, and goals of care arise commonly in medical oncology practice. These conversations are often highly emotional. Medical oncologists need outstanding, patient-centered communication skills to build trust and rapport with their patients and help them make well-informed decisions. Key skills include exploring patients’ perspectives, responding to emotion with empathy, and maintaining mindfulness during highly charged conversations. These skills can be taught and learned. Most previously described communication skills training curricula for oncology providers involve multiday retreats, which are costly and can disrupt busy clinical schedules. Many curricula involve a variety of oncology providers, such as physicians and nurses, at various stages of their careers. The authors developed a monthly, one-hour communication skills training seminar series exclusively for physicians in their first year of medical oncology subspecialty training. The curriculum involved a variety of interactive and engaging educational methods, including sociodramatic techniques, role-play, reflective writing, and Balint-type case discussion groups. Medical oncologists in their second and third years of training served as teaching assistants and peer mentors. Learners had the opportunity to practice skills during sessions and with patients between sessions. Learners acquired important skills and found the curriculum to be clinically relevant, judging by anonymous surveys and anonymous responses on reflective writing exercises. Results from the current curriculum are preliminary but lay the foundation for enhanced and expanded communication skills training programs in the future. PMID:24556763

  3. Barriers to treatment: the unique challenges for physicians providing dementia care.

    PubMed

    Foster, N L

    2001-01-01

    Evaluating and treating dementia is intellectually demanding and enormously satisfying. However, physicians providing dementia care also confront unique challenges that cause discomfort and overwhelming frustration unless they are recognized and overcome. Physicians must care for individuals who do not adopt the "sick role." They must establish and maintain rapport with patients while also approaching collateral sources to obtain a complete history. They must develop a complex alliance with the patient, caregivers, community agencies, and other health professionals to provide effective treatment. Physicians must relate "bad news" to several people at once who are unequally prepared for it, while dealing with their own diagnostic uncertainty. Furthermore, physicians must honor patient autonomy and balance it with the needs of caregivers. Since the demands of providing dementia care are not typical of most medical practice, the special attributes needed are often not taught to students or adequately reimbursed by health insurance. The quality of dementia care will improve when strategies that address these aspects of care for patients with dementia are widely adopted. PMID:11794447

  4. Alcohol-related problems: a critical review of the literature and directions in nurse education.

    PubMed

    Arthur, D

    1998-08-01

    It is generally accepted the around 2-5% of the adult population show major signs of alcohol dependence, that alcohol-related harm is experienced by up to 20% of the population, and that approximately 60% drink at risk-free levels. Further prevalence studies show that there are high numbers of problem drinkers who attend general hospital services for reasons other than their alcohol consumption. Nurses are in constant contact with patients who may have an early problem with alcohol but who are admitted for other reasons, and they are in a prime position to comprehensively assess patients (including alcohol screening), develop rapport and provide 'counselling'. Also, university nursing education is propelling nurses toward adoption of independent discipline focused models of care which are increasingly becoming independent of the medical model. Recent trends in the management of problem drinkers suggest that controlled drinking approaches may well offer treatment options to nurses that the traditional abstinence approaches did not. This paper presents a brief overview of the notion of controlled drinking, then critically reviews the nursing research studies and the descriptive literature providing direction for nursing education. Some recent clinical initiatives are discussed which highlight the flaws existing in nursing education, including lack of sufficient curriculum hours and the need for better designed education models and strategies. PMID:9847741

  5. La santé en situation linguistique minoritaire

    PubMed Central

    Bouchard, Louise; Gaboury, Isabelle; Chomienne, Marie-Hélène; Gilbert, Anne; Dubois, Lise

    2009-01-01

    La littérature suggère l'hypothèse d'une santé différentielle des francophones en situation minoritaire au Canada. L'effet de minorité sur la santé perçue a été mesuré à l'aide des Enquêtes sur la santé dans les collectivités canadiennes (ESCC) de 2001 et 2003. Une analyse de régression logistique multivariée séquentielle montre que les francophones minoritaires – hommes et femmes – sont plus enclins à déclarer une moins bonne santé que les anglophones majoritaires. Contrairement aux femmes, cette disparité chez les hommes demeure significative même lorsque nous ajustons pour certains grands déterminants de la santé. L'étude illustre que l'action des déterminants de santé peut être ainsi modulée par le rapport minoritaire/majoritaire. Les inégalités ainsi révélées appellent à une réflexion sur les politiques d'accès linguistique aux soins de santé. PMID:20436805

  6. International public health research involving interpreters: a case study from Bangladesh

    PubMed Central

    Pitchforth, Emma; van Teijlingen, Edwin

    2005-01-01

    Background Cross-cultural and international research are important components of public health research, but the challenges of language barriers and working with interpreters are often overlooked, particularly in the case of qualitative research. Methods A case-study approach was used to explore experiences of working with an interpreter in Bangladesh as part of a research project investigating women's experiences of emergency obstetric care. The case study Data from the researcher's field notes provided evidence of experiences in working with an interpreter and show how the model of interviewing was adapted over time to give a more active role to the interpreter. The advantages of a more active role were increased rapport and "flow" in interviews. The disadvantages included reduced control from the researcher's perspective. Some tensions between the researcher and interpreter remained hard to overcome, irrespective of the model used. Independent transcription and translation of the interviews also raised questions around accuracy in translation. Conclusion The issues examined in this case study have broader implications for public health research. Further work is needed in three areas: 1) developing effective relationships with interpreters; 2) the impact of the interpreter on the research process; and 3) the accuracy of the translation and level of analysis needed in any specific public health research. Finally, this paper highlights the importance to authors of reflecting on the potential impact of translation and interpretation on the research process when disseminating their research. PMID:15985161

  7. Cultural Adaptations of Prolonged Exposure Therapy for Treatment and Prevention of Posttraumatic Stress Disorder in African Americans

    PubMed Central

    Williams, Monnica T.; Malcoun, Emily; Sawyer, Broderick A.; Davis, Darlene M.; Bahojb Nouri, Leyla; Bruce, Simone Leavell

    2014-01-01

    Posttraumatic stress disorder (PTSD) is a highly disabling disorder, afflicting African Americans at disproportionately higher rates than the general population. When receiving treatment, African Americans may feel differently towards a European American clinician due to cultural mistrust. Furthermore, racism and discrimination experienced before or during the traumatic event may compound posttrauma reactions, impacting the severity of symptoms. Failure to adapt treatment approaches to encompass cultural differences and racism-related traumas may decrease treatment success for African American clients. Cognitive behavioral treatment approaches are highly effective, and Prolonged Exposure (PE) in particular has the most empirical support for the treatment of PTSD. This article discusses culturally-informed adaptations of PE that incorporates race-related trauma themes specific to the Black experience. These include adding more sessions at the front end to better establish rapport, asking directly about race-related themes during the assessment process, and deliberately bringing to the forefront race-related experiences and discrimination during treatment when indicated. Guidelines for assessment and the development of appropriate exposures are provided. Case examples are presented demonstrating adaptation of PE for a survivor of race-related trauma and for a woman who developed internalized racism following a sexual assault. Both individuals experienced improvement in their posttrauma reactions using culturally-informed adaptations to PE. PMID:25379272

  8. Capacity for Clinical Research on Herbal Medicines in Africa

    PubMed Central

    Siegfried, Nandi; Johnson, Quinton

    2012-01-01

    Abstract An electronic survey was used to assess the training needs of clinical and public health researchers who have been involved, and/or plan to become involved, in clinical trials of herbal medicines in Africa. Over 90 researchers were contacted through pre-existing networks, of whom 58 (64%) responded, from 35 institutions in 14 African countries. Over half (57%) had already been involved in a clinical trial of an herbal medicine, and gave information about a total of 23 trials that have already been completed. Of these, only five had been published, and only one had resulted in a licensed product. Fifty-four (54) of the researchers were planning to conduct a clinical trial of an herbal medicine in the future, and gave information about 54 possible trials. Respondents outlined the following most commonly encountered difficulties when conducting clinical trials: resource constraints (including lack of funding, equipment, staff, and infrastructure); social acceptance of the clinical trial (including difficulty recruiting enough patients, poor rapport with traditional healers, and willingness of biomedical staff to be involved); herbal medicine supply (including insufficient cultivation, production, and quality control); lack of trained staff; and logistical issues in conducting trials. The topics in which researchers were least confident were Intellectual Property Rights issues, statistical issues, and issues related to Good Clinical Practice guidelines. PMID:22784350

  9. NONVERBAL TREATMENT OF NEUROSIS—Techniques for General Practice

    PubMed Central

    Batten, Charles T.

    1959-01-01

    “Psychosomatic medicine” does not demand that the general practitioner function as a psychiatrist; rather, it is a psychiatric orientation that can increase the effectiveness of purely medical treatment for such conditions as neuroses. The general practitioner to whom the patient turns may achieve permanent results with nonverbal techniques where formal psychotherapy would be impracticable or unacceptable. The first aim is to relieve pressure so that the patient can regain his mental balance and thereby his self-confidence. Arts, hobbies, sports, and the like can be prescribed rather specifically according to the patient's personality and needs. Nutrition can be improved simply at first by prescribing needed additions to diet rather than imposing restrictions. Vitamin deficiency may by itself be the cause of neurosis or more serious mental disease, whereas psychic stress by itself may create a need for additional vitamin intake. Hormone therapy may be extremely helpful but must be based on clear indication and limited to specific purposes. Since lack of sleep and rest quickly impairs mental function, it is important for neurotic persons to learn relaxation as a necessity for sleep. Sedatives may be used in a crisis but should be abandoned as soon as possible. With all drugs there are problems of excess and habituation. The least, the mildest, the shortest dosage is the ideal. The initial steps of psychotherapy are available to any physician: Establishing rapport, noting how complaints are stated, encouraging ventilation, winning confidence rather than immediate results. PMID:13638823

  10. Reflections of medical students on visiting chronically ill older patients in the home.

    PubMed

    Yuen, Jacqueline K; Breckman, Risa; Adelman, Ronald D; Capello, Carol F; LoFaso, Veronica; Reid, M Carrington

    2006-11-01

    The expanding number of Americans living with chronic illness necessitates educating future physicians about chronic illness care. Weill Cornell Medical College's Chronic Illness Care in the Home Setting Program (CIC-HSP), a mandatory part of the primary care clerkship, exposes medical students to persons with chronic illness via a half day of house calls with a geriatrics team. The investigators sought to qualitatively assess the effect of the CIC-HSP on medical students and recent medical graduates. Fifty-two prospective participants were approached, and 50 (96%) with varying training levels and time since completing the program were interviewed. Most respondents (63%) found that the home visits taught them important approaches to caring for the chronically ill, such as individualizing care to meet patients' individual needs and improving quality of life as a goal of care. Students remarked that the experience enhanced their empathy (18%) and sensitivity (20%) toward chronically ill patients and increased their appreciation for chronic illness care (35%). Many participants reported that patients were more empowered in the home (55%) and perceived greater rapport and warmth between the doctor and patient (57%) in the home (vs office) setting. The vast majority of recent medical graduates (84%) related that this educational exposure continued to positively influence their approach to patient care. A home visit experience with a geriatrics team can help foster medical students' understanding of the psychosocial and medical aspects of chronic illness, teach relevant approaches to patient care, and improve students' attitudes toward caring for the chronically ill. PMID:17087708

  11. Affective Scaffolds, Expressive Arts, and Cognition.

    PubMed

    Maiese, Michelle

    2016-01-01

    Some theorists have argued that elements of the surrounding world play a crucial role in sustaining and amplifying both cognition and emotion. Such insights raise an interesting question about the relationship between cognitive and affective scaffolding: in addition to enabling the realization of specific affective states, can an affective niche also enable the realization of certain cognitive capacities? In order to gain a better understanding of this relationship between affective niches and cognition, I will examine the use of expressive arts in the context of psychotherapy and peacebuilding. In these settings, environmental resources and interpersonal scaffolds not only evoke emotion and encourage the adoption of particular bodily affective styles, but also support the development of capacities for self-awareness and interpersonal understanding. These affective scaffolds play a crucial role in therapy and peacebuilding, in fact, insofar as they facilitate the development of self-knowledge, enhance capacities associated with social cognition, and build positive rapport and trust among participants. I will argue that this is because affectivity is linked to the way that subjects frame and attend to their surroundings. Insofar as the regulation and modification of emotion goes hand in hand with opening up new interpretive frames and establishing new habits of mind, the creation of an affective niche can contribute significantly to various modes of cognition. PMID:27014164

  12. Dissemination as Dialogue: Building Trust and Sharing Research Findings Through Community Engagement

    PubMed Central

    Bogart, Laura M.; Mutchler, Matt G.; Wagner, Glenn J.; Green, Harold D.; Lawrence, Sean Jamar; Mutepfa, Kieta D.; Nogg, Kelsey A.

    2016-01-01

    A fundamental feature of community-based participatory research (CBPR) is sharing findings with community members and engaging community partners in the dissemination process. To be truly collaborative, dissemination should involve community members in a two-way dialogue about new research findings. Yet little literature describes how to engage communities in dialogue about research findings, especially with historically marginalized communities where mistrust of researchers may exist because of past or present social injustices. Through a series of interactive community presentations on findings from a longitudinal study, we developed a process for community dissemination that involved several overlapping phases: planning, outreach, content development, interactive presentations, and follow-up. Through this process, we built on existing and new community relationships. Following each interactive presentation, the research team debriefed and reviewed notes to identify lessons learned from the process. Key themes included the importance of creating a flexible dissemination plan, tailoring presentations to each community group, establishing a point person to serve as a community liaison, and continuing dialogue with community members after the presentations. Core strategies for developing trust during dissemination included engaging community members at every step, reserving ample time for discussion during presentations, building rapport by sharing personal experiences, being receptive to and learning from criticism, and implementing input from community members. This process led to a deeper understanding of research findings and ensured that results reached community members who were invested in them. PMID:26986541

  13. Recruiting and Retaining Arab Muslim Mothers and Children for Research

    PubMed Central

    Aroian, Karen J.; Katz, Anne; Kulwicki, Anahid

    2006-01-01

    Purpose To describe successful and not-so-successful strategies for recruiting and retaining Arab Muslim immigrant women and their adolescent children for research. Design and Methods A longitudinal study of mother-child adjustment of Arab immigrants to the US is used for illustration. A panel of experts was assembled and provided culturally specific advice about gatekeepers, advertising, data collectors, data collection, and how to track and encourage participation at subsequent time points in the study. Findings Most of the strategies recommended by the panel were overwhelmingly positive, including advice about data collectors, how to collect data, financial incentives, avoiding offending families, and personal contacts. Hiring data collectors who were able to establish personal and culturally appropriate relationships with study participants was the single most successful recruitment and retention strategy. Advice from cultural experts about which gatekeepers to engage and how to advertise for study participants was not productive. Conclusions Researchers should not only assemble a panel of cultural experts to provide advice about group specific strategies to build trust and maintain cultural sensitivity, but also to budget generously for time for data collectors to build and maintain rapport with study populations who, like Arab immigrant women, highly value personal relationships. PMID:17044343

  14. The under-representation of African American women in the STEM fields within the academy: A historical profile and current perceptions

    NASA Astrophysics Data System (ADS)

    Howard, Tenisha Senora

    This research project seeks to discover the reasons behind the underrepresentation of African American women (AAW) in higher education, particularly in the Science Technology Engineering and Mathematics fields. Why is there underrepresentation of AAW in the STEM fields? Research evidence has demonstrated that AAW face social disparities such as race, gender, and class in the academy. A lack of adequate mentoring and financial resources to support their research efforts are related to these disparities and present fundamental challenges for them. To conduct the inquiry about the barriers AAW have to overcome to achieve success in STEM disciplines, a qualitative research method was used to "attend to social, historical, and temporal context. The findings of these studies are tentatively applied; that is, they may be applicable in diverse situations based on comparability of other contexts" (Mariano, 1995, p. 464). The researcher collected data by conducting in-depth interviews with five participants, using an open-ended conversational format to facilitate the development of trust, rapport, and maximum elicitation of stories from the participants. The results suggest that AAW overcome barriers to successful STEM careers through their family and social ties, mentoring relationships as well as their religious practices.

  15. Exploring the Role of Self-Esteem and Parenting Patterns on Alcohol Use and Abuse Among Adolescents

    PubMed Central

    Glozah, Franklin N.

    2014-01-01

    The type of parental child-rearing practices used by parents and guardians substantially influence children’s self-esteem and consequently their decision to engage in alcohol use, its abuse. The aim of this study was to explore the role of self-esteem and parenting patterns on alcohol use and abuse among adolescents. Three hundred and sixteen boys and girls in Senior High Schools completed self-report questionnaires assessing self-esteem, parenting patterns and alcohol use and abuse. The results showed that while girls reported lesser self-esteem than boys, boys reported higher levels of alcohol use and abuse than girls. Also, authoritative parenting pattern had a positive effect on self-esteem and a negative effect on alcohol use. On the other hand, authoritarian and permissive parenting patterns had negative effects on self-esteem and positive effects on alcohol use, with slight variations. These results provide valuable information regarding strategies aimed at fostering parent-child relationship and rapport with the ultimate aim of bolstering the self-esteem of adolescents to subsequently eschew insalubrious behaviour, particularly alcohol use and abuse. PMID:26973951

  16. Pets' Impact on Your Patients' Health: Leveraging Benefits and Mitigating Risk.

    PubMed

    Hodgson, Kate; Barton, Luisa; Darling, Marcia; Antao, Viola; Kim, Florence A; Monavvari, Alan

    2015-01-01

    Over two thirds of Americans live with pets and consider them important members of the family. Pets benefit human health (zooeyia) in 4 ways: as builders of social capital, as agents of harm reduction, as motivators for healthy behavior change, and as potential participants in treatment plans. Conversely, pets can present risks to their owners. They are potential sources of zoonotic disease and injury. Pets can also challenge a family's prioritization of financial and social resources. To activate the benefits of zooeyia and appropriately calibrate and mitigate zoonotic risk, physicians first need to know about the pets in their patients' families. Asking about pets is a simple and feasible approach to assess patients' environmental history and social capital. Asking about pets is a nonthreatening way to build rapport and demonstrates an interest in the whole family, which can improve the physician-patient therapeutic alliance. Physicians can use an interprofessional, collaborative approach with veterinarians to address zoonotic health risks and leverage zooeyia. PMID:26152446

  17. Attitudes antecedent to transition to self-management of a chronic genetic disorder.

    PubMed

    Giarelli, E; Bernhardt, B A; Pyeritz, R E

    2008-10-01

    Marfan syndrome (MFS) is the exemplar of chronic genetic disorders that require multiorgan system management by health care providers (HCPs) and lifelong self-management by affected individuals. This article describes the ways to facilitate transition to self-management (TSM) by the adolescent with MFS. This thematic content analysis uses data collected for a larger grounded theory investigation of TSM of a chronic genetic disorder in adolescents and focuses on the system issues related to transition. A total sample of 107 included three groups of participants: parents (n = 39), adolescents (n = 37, ages 14-21 years) and young adults (n = 16, ages 22-34 years) with MFS, and HCPs (n = 15), including physicians, genetic counselors, and nurses. Data were derived from 180 transcripts of audiotaped interviews and a sociodemographic survey. Frames of mind that are antecedent to transition were belief in the diagnosis, wanting to understand and appreciate the cause and effect of MFS, and willing to share responsibility in problem solving. These frames of mind occurred primarily within the context of the family relationship. Parents taught children self-surveillance as 'listening to one's body'. The parent's fears and need to stay involved in the child's health care slowed the child's independent work on self-management responsibilities. A systematic, institutionalized transition program for adolescents might involve parents and the child soon after diagnosis and incrementally build acknowledgment, understanding, and rapport. PMID:18616734

  18. Neurolinguistic Programming: A Systematic Approach to Change

    PubMed Central

    Steinbach, A. M.

    1984-01-01

    Neurolinguistic programming (NLP) integrates advances in cybernetics, psychophysiology, linguistics, and information services. It has been used in business, education, law, medicine and psychotherapy to alter people's responses to stimuli, so they are better able to regulate their environment and themselves. There are five steps to an effective NLP interaction. They include 1. establishing rapport; the therapist must match his verbal and non-verbal behaviors to the patient's, 2. gathering information about the patient's present problem and goals by noting his verbal patterns and non-verbal responses, 3. considering the impact that achieving the patient's goals will have on him, his work, family and friends, and retaining any positive aspects of his current situation, 4. helping the patient achieve his goals by using specific techniques to alter his responses to various stimuli, and 5. ensuring the altered responses achieved in therapy are integrated into the patient's daily life. NLP has been used to help patients with medical problems ranging from purely psychological to complex organic ones. PMID:21283502

  19. Application of multiple methods to study the immunization programme in an urban area of Guinea.

    PubMed Central

    Cutts, F. T.; Glik, D. C.; Gordon, A.; Parker, K.; Diallo, S.; Haba, F.; Stone, R.

    1990-01-01

    During 1988-89, studies were conducted to evaluate the immunization system in Conakry, Guinea. The first, a health facility survey, found that health staff screened the vaccination status of only 30% of children who presented for curative care. A sterile syringe and needle were used for less than half of the injections. In the second survey, key informant interviews with vaccinators and health centre chiefs showed that there were minimal lines of communication between health workers and the community, but that health workers did not perceive this to be a problem. Focus group discussions in the community revealed a high level of general knowledge about vaccine-preventable diseases. However, mothers did not know how many vaccinations their children should receive or by what age they should be completed. They complained of long waiting times in health centres, the high costs of vaccination, poor rapport with health workers, and the occurrence of abscesses after vaccination. The final study, a "knowledge, attitudes, and practice" community survey, showed that missed immunization opportunities and inappropriately timed vaccinations reduced potential vaccine coverage by almost 30% among children with vaccination cards. Higher socioeconomic status, delivery in hospital, and whether mothers perceived the vaccinations to be affordable affected whether the child began the immunization series. Once a child had entered the immunization system, completion of the series was determined by the mother's education level, employment status, and experience with vaccination services. PMID:2073715

  20. Collaboration and conquest: MTD as viewed by voice teacher (singing voice specialist) and speech-language pathologist.

    PubMed

    Goffi-Fynn, Jeanne C; Carroll, Linda M

    2013-05-01

    This study was designed as a qualitative case study to demonstrate the process of diagnosis and treatment between a voice team to manage a singer diagnosed with muscular tension dysphonia (MTD). Traditionally, literature suggests that MTD is challenging to treat and little in the literature directly addresses singers with MTD. Data collected included initial medical screening with laryngologist, referral to speech-language pathologist (SLP) specializing in voice disorders among singers, and adjunctive voice training with voice teacher trained in vocology (singing voice specialist or SVS). Initial target goals with SLP included reducing extrinsic laryngeal tension, using a relaxed laryngeal posture, and effective abdominal-diaphragmatic support for all phonation events. Balance of respiratory forces, laryngeal coordination, and use of optimum filtering of the source signal through resonance and articulatory awareness was emphasized. Further work with SVS included three main goals including a lowered breathing pattern to aid in decreasing subglottic air pressure, vertical laryngeal position to lower to allow for a relaxed laryngeal position, and a top-down singing approach to encourage an easier, more balanced registration, and better resonance. Initial results also emphasize the retraining of subject toward a sensory rather than auditory mode of monitoring. Other areas of consideration include singers' training and vocal use, the psychological effects of MTD, the personalities potentially associated with it, and its relationship with stress. Finally, the results emphasize that a positive rapport with the subject and collaboration between all professionals involved in a singer's care are essential for recovery. PMID:23465525