Definitie Rapport Taktisch LAN Demonstratie (Definition Report Tactical LAN Demonstration)

DTIC Science & Technology

1990-06-01

am deze sneiheid te halen . Hierover kan eon uitspraak warden gedaan, enerzijds na de ontwikkeling van het S-4 interface en anderzijds na berokeningen...90-A02 *2ma~D. Definitie rapport taktisch LAN Niels Ult deze urgave reai erorden verrnengvldigd er of openbaar genakt door MiddeI van druk. folokopre...microfrilm Of OP wetke arroere 00lze 000 00k. zonoe, O~u S vdorafgaanoe loestermeng van TNOHet ter inzage gen van het TNO-rapport Ing. R. J . C.14

75 FR 62895 - Notice of Availability of Safety Evaluation Report; AREVA Enrichment Services LLC, Eagle Rock...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-13

... Evaluation Report; AREVA Enrichment Services LLC, Eagle Rock Enrichment Facility, Bonneville County, ID... report. FOR FURTHER INFORMATION CONTACT: Breeda Reilly, Senior Project Manager, Advanced Fuel Cycle, Enrichment, and Uranium Conversion, Division of Fuel Cycle Safety and Safeguards, Office of Nuclear Material...

Quality of Rapport as a Setting Event for Problem Behavior: Assessment and Intervention

ERIC Educational Resources Information Center

McLaughlin, Darlene Magito; Carr, Edward G.

2005-01-01

Relationship quality (rapport) between people with developmental disabilities and their caregivers has long been suggested as an important variable influencing the likelihood of problem behavior. However, to date, the association between rapport and problem behavior has not been systematically investigated. The authors evaluated a multimethod…

77 FR 52680 - Foreign-Trade Zone 242-Boundary County, ID, Notification of Proposed Production Activity, AREVA...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-30

... County, ID, Notification of Proposed Production Activity, AREVA Enrichment Services, LLC, (Gas Centrifuge... being requested for the storage, manipulation, assembly and installation of gas centrifuge production... pipework, centrifuge floor-mounting elements, UF6 pipework/fittings, parts of cascades, vacuum pumps, UF6...

Waste Estimates for a Future Recycling Plant in the US Based Upon AREVA Operating Experience - 13206

DOE Office of Scientific and Technical Information (OSTI.GOV)

Foare, Genevieve; Meze, Florian; Bader, Sven

2013-07-01

Estimates of process and secondary wastes produced by a recycling plant built in the U.S., which is composed of a used nuclear fuel (UNF) reprocessing facility and a mixed oxide (MOX) fuel fabrication facility, are performed as part of a U.S. Department of Energy (DOE) sponsored study [1]. In this study, a set of common inputs, assumptions, and constraints were identified to allow for comparison of these wastes between different industrial teams. AREVA produced a model of a reprocessing facility, an associated fuel fabrication facility, and waste treatment facilities to develop the results for this study. These facilities were dividedmore » into a number of discrete functional areas for which inlet and outlet flow streams were clearly identified to allow for an accurate determination of the radionuclide balance throughout the facility and the waste streams. AREVA relied primarily on its decades of experience and feedback from its La Hague (reprocessing) and MELOX (MOX fuel fabrication) commercial operating facilities in France to support this assessment. However, to perform these estimates for a U.S. facility with different regulatory requirements and to take advantage of some technological advancements, such as in the potential treatment of off-gases, some deviations from this experience were necessary. A summary of AREVA's approach and results for the recycling of 800 metric tonnes of initial heavy metal (MTIHM) of LWR UNF per year into MOX fuel under the assumptions and constraints identified for this DOE study are presented. (authors)« less

Kwalificate/Classificatie van Explosieve Stoffen en Munitie. Rapport 2. Testontwikkeling (Qualification/Classification Explosive Materials and Munition. 2. Test Development)

DTIC Science & Technology

1992-11-01

beschermkap van het apparaat af te halen , waardoor bij een eventuele ontsteking het energetisch materiaal (al dan niet brandend) weg kan springen. Tevens...TNO-DefensieonderzoekPr TN TNO-rapport Kwalificatielclassificatie van explosieve stoffen ~ PML 1992-68 en munitief Rapport ]I: Testontwikkeling...rapport Kwalificatielclassificatie van explosieve stoffen PML 1992-68 en munitie Rapport f1: Testontwikkeling november 1992 ~~- ExorrIaar no:- 1ýMI

76 FR 22735 - Shaw AREVA MOX Services, Mixed Oxide Fuel Fabrication Facility; License Amendment Request, Notice...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-22

... NUCLEAR REGULATORY COMMISSION [Docket No. 70-3098; NRC-2011-0081] Shaw AREVA MOX Services, Mixed... following methods: Federal Rulemaking Web site: Go to http://www.regulations.gov and search for documents... publicly available documents related to this notice using the following methods: NRC's Public Document Room...

76 FR 387 - Atomic Safety and Licensing Board; AREVA Enrichment Services, LLC (Eagle Rock Enrichment Facility)

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-04

... and Licensing Board; AREVA Enrichment Services, LLC (Eagle Rock Enrichment Facility) December 17, 2010... construction and operation of a gas centrifuge uranium enrichment facility--denoted as the Eagle Rock... site at http://www.nrc.gov/materials/fuel-cycle-fac/arevanc.html . These and other documents relating...

Interviewing Practices, Conversational Practices, and Rapport: Responsiveness and Engagement in the Standardized Survey Interview

PubMed Central

Garbarski, Dana; Schaeffer, Nora Cate; Dykema, Jennifer

2016-01-01

“Rapport” has been used to refer to a range of positive psychological features of an interaction -- including a situated sense of connection or affiliation between interactional partners, comfort, willingness to disclose or share sensitive information, motivation to please, or empathy. Rapport could potentially benefit survey participation and response quality by increasing respondents’ motivation to participate, disclose, or provide accurate information. Rapport could also harm data quality if motivation to ingratiate or affiliate caused respondents to suppress undesirable information. Some previous research suggests that motives elicited when rapport is high conflict with the goals of standardized interviewing. We examine rapport as an interactional phenomenon, attending to both the content and structure of talk. Using questions about end-of-life planning in the 2003–2005 wave of the Wisconsin Longitudinal Study, we observe that rapport consists of behaviors that can be characterized as dimensions of responsiveness by interviewers and engagement by respondents. We identify and describe types of responsiveness and engagement in selected question-answer sequences and then devise a coding scheme to examine their analytic potential with respect to the criterion of future study participation. Our analysis suggests that responsive and engaged behaviors vary with respect to the goals of standardization—some conflict with these goals, while others complement them. PMID:27867231

Can images of pain enhance patient–clinician rapport in pain consultations?

PubMed Central

Ashton-James, Claire E; Dekker, Peter H; Addai-Davis, Judy; Chadwick, Tom; Zakrzewska, Joanna M; Padfield, Deborah; Williams, Amanda C de C

2017-01-01

A variety of treatment outcomes in chronic pain are influenced by patient–clinician rapport. Patients often report finding it difficult to explain their pain, and this potential obstacle to mutual understanding may impede patient–clinician rapport. Previous research has argued that the communication of both patients and clinicians is facilitated by the use of pain-related images in pain assessments. This study investigated whether introducing pain-related images into pain assessments would strengthen various components of patient–clinician rapport, including relative levels of affiliation and dominance, and interpersonal coordination between patient and clinician behaviour. Videos of 35 pain assessments in which pain images were present or absent were used to code behavioural displays of patient and clinician rapport at fixed intervals across the course of the assessment. Mixed modelling was used to examine patterns of patient and clinician affiliation and dominance with consultation type (Image vs Control) as a moderator. When pain images were present, clinicians showed more affiliation behaviour over the course of the consultation and there was greater correspondence between the affiliation behaviour of patient and clinician. However, relative levels of patient and clinician dominance were unaffected by the presence of pain images in consultations. Additional analyses revealed that clinicians responded directly to patients’ use of pain images with displays of affiliation. Based on the results of this study, we recommend further investigation into the utility and feasibility of incorporating pain images into pain assessments to enhance patient–clinician communication. PMID:28785410

Rapport, Motivation, Participation, and Perceptions of Learning in U.S. and Turkish Student Classrooms: A Replication and Cultural Comparison

ERIC Educational Resources Information Center

Frisby, Brandi N.; Slone, Amanda R.; Bengu, Elif

2017-01-01

Building on previous rapport research, Hofstede's dimensions of culture, and calls for culture-centered instructional research, this study examined instructor-student rapport in U.S. and Turkish college classrooms. U.S. participants (N = 143) and Turkish participants (N = 185) completed measures of rapport, state motivation, participation, and…

Mannerisms of the Elderly and Approaches to Rapport.

ERIC Educational Resources Information Center

French, Warren A.; And Others

1980-01-01

Many older adults react to old age with empirically identified distinguishable mannerisms. Using these mannerisms, or behavior patterns, as a basis for rapport, gerontologists can: (1) uncover causes of adjustment problems; (2) assess seriousness of problems; and (3) implement counseling suggestions. (Author/JAC)

Building the Personal: Instructors' Perspectives of Rapport in Online and Face-to-Face Classes

ERIC Educational Resources Information Center

Aquila, Meredith Suzanne Hahn

2017-01-01

This dissertation explores the ways that instructors at a community college perceive instructor-student rapport in online and face-to-face classes. While instructor-student rapport has been shown to play an important role in student retention and success (Benson, Cohen, & Buskist, 2005; Granitz, Koernig, & Harich, 2009; Murphy &…

The Correlation between Student/Instructor Rapport, Student Perceptions of Instructor Effectiveness, and Course Grade Expectations

ERIC Educational Resources Information Center

Yezbick, Erin Lewis

2016-01-01

The researcher attempted to determine if a correlation exists between student/instructor rapport, student perceptions of instructor effectiveness, and course grade expectations for freshman general education courses at a career college in the Great Lakes Region of the United States. Previous studies have determined that rapport affects motivation…

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…

AREVA Developments for an Efficient and Reliable use of Monte Carlo codes for Radiation Transport Applications

NASA Astrophysics Data System (ADS)

Chapoutier, Nicolas; Mollier, François; Nolin, Guillaume; Culioli, Matthieu; Mace, Jean-Reynald

2017-09-01

In the context of the rising of Monte Carlo transport calculations for any kind of application, AREVA recently improved its suite of engineering tools in order to produce efficient Monte Carlo workflow. Monte Carlo codes, such as MCNP or TRIPOLI, are recognized as reference codes to deal with a large range of radiation transport problems. However the inherent drawbacks of theses codes - laboring input file creation and long computation time - contrast with the maturity of the treatment of the physical phenomena. The goals of the recent AREVA developments were to reach similar efficiency as other mature engineering sciences such as finite elements analyses (e.g. structural or fluid dynamics). Among the main objectives, the creation of a graphical user interface offering CAD tools for geometry creation and other graphical features dedicated to the radiation field (source definition, tally definition) has been reached. The computations times are drastically reduced compared to few years ago thanks to the use of massive parallel runs, and above all, the implementation of hybrid variance reduction technics. From now engineering teams are capable to deliver much more prompt support to any nuclear projects dealing with reactors or fuel cycle facilities from conceptual phase to decommissioning.

Mannerisms of the Elderly and Approaches to Rapport.

ERIC Educational Resources Information Center

French, Warren A.; Thorson, James A.

This study presents a set of opinions on how to obtain rapport with and give preliminary counseling to individuals who have adopted distinct and different aging mannerisms. The nine mannerisms treated were abstracted from the studies of Neugarten and Reichard. The research sample was selected from the members of the Gerontological Society. Six…

Teaching social play skills to adults and children with autism as an approach to building rapport.

PubMed

Shireman, Molly L; Lerman, Dorothea C; Hillman, Conrad B

2016-09-01

Adults with autism spectrum disorder (ASD) and no intellectual disabilities were taught to increase the social play skills of children with ASD as part of a vocational training program. Participants included 3 adults, aged 21 to 27 years, and 6 children with ASD. Probes conducted throughout the study evaluated whether play skills training affected a measure of rapport between the adult and child. Results demonstrated the effectiveness of behavioral skills training for teaching the adult participants the appropriate play skills. In addition, the children's social engagement increased. Finally, rapport probes showed that play skills training increased levels of proximity, our measure of rapport, between the adults and children. © 2016 Society for the Experimental Analysis of Behavior.

Lacan and Adolescence: The Contemporary Clinic of the "Sexual Non-rapport" and Pornography.

PubMed

Ouvry, Olivier

2017-01-01

This article explores two clinical phenomena-pornography and conspiracy thinking-that are highly relevant today and can be observed specifically among adolescent boys in the early stages of post-puberty: conspiracy thinking and the viewing of pornographic videos. It shows that the Lacanian concepts of the Real (of puberty) and the sexual non-rapport help us understand the psychopathological aspects of these two phenomena. Watching pornographic material becomes equivalent to a conspiracy theory about the sexual non-rapport; both in fact deny the effect of what puberty introduces as radically new.

A Cross-Cultural Pragmatic Study of Rapport-Management Strategies in Chinese and English Academic Upward Request Emails

ERIC Educational Resources Information Center

Zhu, Wuhan

2017-01-01

This article discusses and compares how Chinese and English postgraduate students manage a harmonious relationship with university instructors by managing rapport and doing relational work in their academic request emails. The rapport-management strategies were explored and then further evaluated in relation to the taxonomies of relational work…

AREVA Team Develops Sump Strainer Blockage Solution for PWRs

DOE Office of Scientific and Technical Information (OSTI.GOV)

Phan, Ray

2006-07-01

The purpose of this paper is to discuss the methodology, testing challenges, and results of testing that a team of experts from Areva NP, Alden Research Laboratory, Inc (ALDEN), and Performance Contracting Inc. (PCI) has developed. The team is currently implementing a comprehensive solution to the issue of Emergency Core Cooling System (ECCS) sump strainer blockage facing Pressurized Water Reactor (PWR) Nuclear Plants. The team has successfully demonstrated two key results from the testing of passive Sure-FlowTM strainers, which were designed to distribute the required flow over a large surface area resulting in extremely low approach velocities. First, the actualmore » head loss (pressure drop) as tested, across the prototype strainers, was much lower than the calculated head loss using the Nuclear Regulatory Commission (NRC) approved NUREG/CR-6224 head loss correlation. Second, the penetration fractions were much lower than those seen in the NRC sponsored debris penetration tests. (author)« less

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…

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…

Decontamination of Nuclear Liquid Wastes Status of CEA and AREVA R and D: Application to Fukushima Waste Waters - 12312

DOE Office of Scientific and Technical Information (OSTI.GOV)

Fournel, B.; Barre, Y.; Lepeytre, C.

2012-07-01

Liquid wastes decontamination processes are mainly based on two techniques: Bulk processes and the so called Cartridges processes. The first technique has been developed for the French nuclear fuel reprocessing industry since the 60's in Marcoule and La Hague. It is a proven and mature technology which has been successfully and quickly implemented by AREVA at Fukushima site for the processing of contaminated waters. The second technique, involving cartridges processes, offers new opportunities for the use of innovative adsorbents. The AREVA process developed for Fukushima and some results obtained on site will be presented as well as laboratory scale resultsmore » obtained in CEA laboratories. Examples of new adsorbents development for liquid wastes decontamination are also given. A chemical process unit based on co-precipitation technique has been successfully and quickly implemented by AREVA at Fukushima site for the processing of contaminated waters. The asset of this technique is its ability to process large volumes in a continuous mode. Several chemical products can be used to address specific radioelements such as: Cs, Sr, Ru. Its drawback is the production of sludge (about 1% in volume of initial liquid volume). CEA developed strategies to model the co-precipitation phenomena in order to firstly minimize the quantity of added chemical reactants and secondly, minimize the size of co-precipitation units. We are on the way to design compact units that could be mobilized very quickly and efficiently in case of an accidental situation. Addressing the problem of sludge conditioning, cementation appears to be a very attractive solution. Fukushima accident has focused attention on optimizations that should be taken into account in future studies: - To better take account for non-typical aqueous matrixes like seawater; - To enlarge the spectrum of radioelements that can be efficiently processed and especially short lives radioelements that are usually less present

Professor-Student Rapport Scale: Psychometric Properties of the Brief Version

ERIC Educational Resources Information Center

Ryan, Rebecca

2014-01-01

The original Professor-Student Rapport Scale contained 34 items and predicted several single-item student outcomes. A high level of internal consistency encouraged the development of a shorter measure in order to address apparent redundancy. Our goals in the current study were to provide psychometric data for the brief version of the scale and to…

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 researcher-participant relationships…

Managing Psychiatrist-Patient Relationships in the Digital Age: a Summary Review of the Impact of Technology-enabled Care on Clinical Processes and Rapport.

PubMed

Parish, Michelle Burke; Fazio, Sarina; Chan, Steven; Yellowlees, Peter M

2017-10-27

Participatory medicine and the availability of commercial technologies have given patients more options to view and track their health information and to communicate with their providers. This shift in the clinical process may be of particular importance in mental healthcare where rapport plays a significant role in the therapeutic process. In this review, we examined literature related to the impact of technology on the clinical workflow and patient-provider rapport in the mental health field between January 2014 and June 2017. Thirty three relevant articles, of 226 identified articles, were summarized. The use of technology clinically has evolved from making care more accessible and efficient to leveraging technology to improve care, communication, and patient-provider rapport. Evidence exists demonstrating that information and communication technologies may improve care by better connecting patients and providers and by improving patient-provider rapport, although further research is needed.

Neuro-Linguistic Programming: Improving Rapport between Track/Cross Country Coaches and Significant Others

ERIC Educational Resources Information Center

Helm, David Jay

2017-01-01

This study examines the background information and the components of N.L.P., being eye movements, use of predicates, and posturing, as they apply to improving rapport and empathy between track/cross country coaches and their significant others in the arena of competition to help alleviate the inherent stressors.

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…

Integrating Rapport-Building into Language Instruction: A Study of Korean Foreign Language Classes

ERIC Educational Resources Information Center

Park, Mi Yung

2016-01-01

Using a conversation-analytic approach along with the notions of frame and footing (Goffman 1981), this study examines what strategies teachers use to build rapport with their students in Korean as a foreign language classrooms. It also discusses what kinds of interactional resources they employ in tandem with these strategies. Analysis of…

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…

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…

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…

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.

"Let Me Tell You About My…" Provider Self-Disclosure in the Emergency Department Builds Patient Rapport.

PubMed

Zink, Korie L; Perry, Marcia; London, Kory; Floto, Olivia; Bassin, Benjamin; Burkhardt, John; Santen, Sally A

2017-01-01

As patients become increasingly involved in their medical care, physician-patient communication gains importance. A previous study showed that physician self-disclosure (SD) of personal information by primary care providers decreased patient rating of the provider communication skills. The objective of this study was to explore the incidence and impact of emergency department (ED) provider self-disclosure on patients' rating of provider communication skills. A survey was administered to 520 adult patients or parents of pediatric patients in a large tertiary care ED during the summer of 2014. The instrument asked patients whether the provider self-disclosed and subsequently asked patients to rate providers' communication skills. We compared patients' ratings of communication measurements between encounters where self-disclosure occurred to those where it did not. Patients reported provider SD in 18.9% of interactions. Provider SD was associated with more positive patient perception of provider communication skills (p<0.05), more positive ratings of provider rapport (p<0.05) and higher satisfaction with provider communication (p<0.05). Patients who noted SD scored their providers' communication skills as "excellent" (63.4%) compared to patients without self-disclosure (47.1%). Patients reported that they would like to hear about their providers' experiences with a similar chief complaint (64.4% of patients), their providers' education (49%), family (33%), personal life (21%) or an injury/ailment unlike their own (18%). Patients responded that providers self-disclose to make patients comfortable/at ease and to build rapport. Provider self-disclosure in the ED is common and is associated with higher ratings of provider communication, rapport, and patient satisfaction.

Phase 1A Final Report for the AREVA Team Enhanced Accident Tolerant Fuels Concepts

DOE Office of Scientific and Technical Information (OSTI.GOV)

Morrell, Mike E.

In response to the Department of Energy (DOE) funded initiative to develop and deploy lead fuel assemblies (LFAs) of Enhanced Accident Tolerant Fuel (EATF) into a US reactor within 10 years, AREVA put together a team to develop promising technologies for improved fuel performance during off normal operations. This team consisted of the University of Florida (UF) and the University of Wisconsin (UW), Savannah River National Laboratory (SRNL), Duke Energy and Tennessee Valley Authority (TVA). This team brought broad experience and expertise to bear on EATF development. AREVA has been designing; manufacturing and testing nuclear fuel for over 50 yearsmore » and is one of the 3 large international companies supplying fuel to the nuclear industry. The university and National Laboratory team members brought expertise in nuclear fuel concepts and materials development. Duke and TVA brought practical utility operating experience. This report documents the results from the initial “discovery phase” where the team explored options for EATF concepts that provide enhanced accident tolerance for both Design Basis (DB) and Beyond Design Basis Events (BDB). The main driver for the concepts under development were that they could be implemented in a 10 year time frame and be economically viable and acceptable to the nuclear fuel marketplace. The economics of fuel design make this DOE funded project very important to the nuclear industry. Even incremental changes to an existing fuel design can cost in the range of $100M to implement through to LFAs. If this money is invested evenly over 10 years then it can take the fuel vendor several decades after the start of the project to recover their initial investment and reach a breakeven point on the initial investment. Step or radical changes to a fuel assembly design can cost upwards of $500M and will take even longer for the fuel vendor to recover their investment. With the projected lifetimes of the current generation of nuclear

More than Just Language Advising: Rapport in University English Writing Consultations and Implications for Tutor Training

ERIC Educational Resources Information Center

Lee, Cynthia

2015-01-01

Adopting a case study approach with multiple data sources, this paper explores the ways in which rapport is built, and its impact on the learning process based on five successive writing support consultations between a native English-speaking (NES) tutor and her second language (L2) tutee in a Hong Kong university. With reference to the prepared…

"Siamo Vicini, No?": Negotiating Commonality for Rapport Building in Italian L1-L2 Online Text Chat

ERIC Educational Resources Information Center

Tudini, Vincenza; Strambi, Antonella

2017-01-01

Focusing specifically on the negotiation of commonality, this study explores rapport building (Spencer-Oatey, 2000) in online intercultural text chat, where Australian students of Italian interact with L1 Italian speakers. Although the initial purpose of the examined chat exchanges is to facilitate L2 acquisition, analysis of transcripts indicates…

Mannerisms of the elderly and approaches to rapport.

PubMed

French, W A; Thorson, J A; Perreault, W D

Creating stereotypes in any behavioral discipline is a risky venture. There will inevitably be overlaps between stereotypes, evolution from mannerism to mannerism, as well as behavior which doesn't fit into any set classification. Yet, in counseling senior citizens it is not unusual to consciously or subconsciously distinguish and then group behavior according to stereotypes. This grouping procedure, while subject to misuse in the counseling process, is in itself defensible. Studies by Neugarten, Havighurst and Tobin [1] and Reichard, Livson and Petersen [2] among others have empirically identified distinguishable mannerisms which the elderly adopt in adjusting to old age. Assuming the existence of these mannerisms, it would be interesting to learn how gerontologists suggest addressing elderly people who exhibit such behavior. Determining successful approaches to these individuals can provide a basis for the rapport necessary to: 1) uncover causes of adjustment problems, 2) assess the seriousness of those problems, and 3) implement counseling suggestions.

Task Order 22 – Engineering and Technical Support, Deep Borehole Field Test. AREVA Summary Review Report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Denton, Mark A.

Under Task Order 22 of the industry Advisory and Assistance Services (A&AS) Contract to the Department of Energy (DOE) DE-NE0000291, AREVA has been tasked with providing assistance with engineering, analysis, cost estimating, and design support of a system for disposal of radioactive wastes in deep boreholes (without the use of radioactive waste). As part of this task order, AREVA was requested, through a letter of technical direction, to evaluate Sandia National Laboratory’s (SNL’s) waste package borehole emplacement system concept recommendation using input from DOE and SNL. This summary review report (SRR) documents this evaluation, with its focus on the primarymore » input document titled: “Deep Borehole Field Test Specifications/M2FT-15SN0817091” Rev. 1 [1], hereafter referred to as the “M2 report.” The M2 report focuses on the conceptual design development for the Deep Borehole Field Test (DBFT), mainly the test waste packages (WPs) and the system for demonstrating emplacement and retrieval of those packages in the Field Test Borehole (FTB). This SRR follows the same outline as the M2 report, which allows for easy correlation between AREVA’s review comments, discussion, potential proposed alternatives, and path forward with information established in the M2 report. AREVA’s assessment focused on three primary elements of the M2 report: the conceptual design of the WPs proposed for deep borehole disposal (DBD), the mode of emplacement of the WP into DBD, and the conceptual design of the DBFT. AREVA concurs with the M2 report’s selection of the wireline emplacement mode specifically over the drill-string emplacement mode and generically over alternative emplacement modes. Table 5-1 of this SRR compares the pros and cons of each emplacement mode considered viable for DBD. The primary positive characteristics of the wireline emplacement mode include: (1) considered a mature technology; (2) operations are relatively simple; (3) probability of a

Associations between thin slice ratings of affect and rapport and perceived patient-centeredness in primary care: Comparison of audio and video recordings.

PubMed

Henry, Stephen G; Penner, Louis A; Eggly, Susan

2017-06-01

To investigate associations between ratings of "thin slices" from recorded clinic visits and perceived patient-centeredness; to compare ratings from video recordings (sound and images) versus audio recordings (sound only). We analyzed 133 video-recorded primary care visits and patient perceptions of patient-centeredness. Observers rated thirty-second thin slices on variables assessing patient affect, physician affect, and patient-physician rapport. Video and audio ratings were collected independently. In multivariable analyses, ratings of physician positive affect (but not patient positive affect) were significantly positively associated with perceived patient-centeredness using both video and audio thin slices. Patient-physician rapport was significantly positively associated with perceived patient-centeredness using audio, but not video thin slices. Ratings from video and audio thin slices were highly correlated and had similar underlying factor structures. Physician (but not patient) positive affect is significantly associated with perceptions of patient-centeredness and can be measured reliably using either video or audio thin slices. Additional studies are needed to determine whether ratings of patient-physician rapport are associated with perceived patient-centeredness. Observer ratings of physician positive affect have a meaningful positive association with patients' perceptions of patient-centeredness. Patients appear to be highly attuned to physician positive affect during patient-physician interactions. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Strangers in sync: Achieving embodied rapport through shared movements

PubMed Central

Vacharkulksemsuk, Tanya; Fredrickson, Barbara L.

2011-01-01

This paper examines the emergence of behavioral synchrony among strangers in the context of self-disclosure, and their path in predicting interaction quality. Specifically, we hypothesize that behavioral synchrony mediates the direct effect of self-disclosure on the development of embodied rapport. Same-sex stranger pairs (n=94) were randomly assigned to a videorecorded self-disclosure or control condition, and afterward each member rated their social interaction. Following the procedure used by Bernieri, Reznick, & Rosenthal (1988), two trained judges independently watched each video record and rated each pair interaction on behavioral synchrony. Bootstrapping analyses provide support for the hypothesized mediating effect of behavioral synchrony, which emerged as independent of the effects of self-other overlap and positive affect. The authors discuss implications of behavioral synchrony for relationship formation processes and the inevitable entwinement of behavior and judgments in light of embodied cognition. PMID:22389521

The COPERNIC3 project: how AREVA is successfully developing an advanced global fuel rod performance code

DOE Office of Scientific and Technical Information (OSTI.GOV)

Garnier, Ch.; Mailhe, P.; Sontheimer, F.

2007-07-01

Fuel performance is a key factor for minimizing operating costs in nuclear plants. One of the important aspects of fuel performance is fuel rod design, based upon reliable tools able to verify the safety of current fuel solutions, prevent potential issues in new core managements and guide the invention of tomorrow's fuels. AREVA is developing its future global fuel rod code COPERNIC3, which is able to calculate the thermal-mechanical behavior of advanced fuel rods in nuclear plants. Some of the best practices to achieve this goal are described, by reviewing the three pillars of a fuel rod code: the database,more » the modelling and the computer and numerical aspects. At first, the COPERNIC3 database content is described, accompanied by the tools developed to effectively exploit the data. Then is given an overview of the main modelling aspects, by emphasizing the thermal, fission gas release and mechanical sub-models. In the last part, numerical solutions are detailed in order to increase the computational performance of the code, with a presentation of software configuration management solutions. (authors)« less

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…

RAPPORT: running scientific high-performance computing applications on the cloud.

PubMed

Cohen, Jeremy; Filippis, Ioannis; Woodbridge, Mark; Bauer, Daniela; Hong, Neil Chue; Jackson, Mike; Butcher, Sarah; Colling, David; Darlington, John; Fuchs, Brian; Harvey, Matt

2013-01-28

Cloud computing infrastructure is now widely used in many domains, but one area where there has been more limited adoption is research computing, in particular for running scientific high-performance computing (HPC) software. The Robust Application Porting for HPC in the Cloud (RAPPORT) project took advantage of existing links between computing researchers and application scientists in the fields of bioinformatics, high-energy physics (HEP) and digital humanities, to investigate running a set of scientific HPC applications from these domains on cloud infrastructure. In this paper, we focus on the bioinformatics and HEP domains, describing the applications and target cloud platforms. We conclude that, while there are many factors that need consideration, there is no fundamental impediment to the use of cloud infrastructure for running many types of HPC applications and, in some cases, there is potential for researchers to benefit significantly from the flexibility offered by cloud platforms.

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…

Spectrometre de masse a ionisation Penning selective: Elimination des corrections necessaires a la determination du rapport isotopique de l'hydrogene

NASA Astrophysics Data System (ADS)

Letarte, Sylvain

Dans le but d'ameliorer la precision avec laquelle le rapport isotopique de l'hydrogene peut etre determine, un spectrometre de masse a ionisation Penning a ete construit pour provoquer l'ionisation selective de l'hydrogene moleculaire et de l'hydrure de deuterium a partir d'un melange gazeux. L'utilisation d'atomes dans des etats d'excitation metastable s'est averee une solution adequate pour reponde a cette attente. L'emploi de l'helium, a l'interieur d'une source d'atomes metastables construit specifiquement pour ce travail, ne permet pas d'obtenir un spectre de masse compose uniquement des deux molecules d'interet. L'ionisation de ces dernieres provient de deux processus distincts, soient l'ionisation Penning et l'ionisation par bombardement electronique. Contrairement a l'helium, il a ete demontre que le neon metastable est un candidat ideal pour produire l'ionisation selective de type Penning. Le nombre d'ions produits est directement proportionnel au courant de la decharge electrique et de la pression d'operation de la source d'atomes metastables. Ces resultats demontrent le potentiel d'un tel spectrometre de masse pour ameliorer la precision a laquelle le rapport isotopique peut etre determine comparativement aux autres techniques existantes.

Rapport signal-sur-bruit et bande passante : mise au point

NASA Astrophysics Data System (ADS)

Jehenson, P.

1998-02-01

A widely diffused misconception is that reducing receiver filter bandwidth (BW) reduces noise levels in spectra and thus improves the signal-to-noise (SNR) ratio. We here try to simply explain why this is wrong in spectra (only true in the time domain). Reducing BW, which still is widely used, rather has disadvantages (for distorsions, noise, phasing...) and over-sampling often is convenient. The only, presently usually small, advantage is saving data storage space. Ways to improve spectral SNR rather are to increase the signal per unit BW, by reducing its bandwidth (influenced by T2 and shim) or to decrease noise per unit BW by reducing the various losses or temperature. Une idée fausse très répandue est que réduire la bande passante (BW) du récepteur réduit le bruit et améliore donc le rapport signal-sur-bruit (S/B) du spectre. Nous essayons d'expliquer simplement ici que c'est inexact pour le spectre (vrai seulement dans le domaine temporel). Réduire BW au plus serré, ce qui est encore très largement pratiqué, comporte plutôt des inconvénients (distorsions, bruit, phasage...) et il y a souvent intérêt, pour cela et d'autres raisons, à sur-échantillonner. Le seul avantage, actuellement souvent faible, est d'épargner de la place de stockage des données. Ce sont d'autres paramètres qui permettent d'améliorer le S/B.

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. (c) 2015 APA, all rights reserved.

Status of the nuclear measurement stations for the process control of spent fuel reprocessing at AREVA NC/La Hague

DOE Office of Scientific and Technical Information (OSTI.GOV)

Eleon, Cyrille; Passard, Christian; Hupont, Nicolas

2015-07-01

Nuclear measurements are used at AREVA NC/La Hague for the monitoring of spent fuel reprocessing. The process control is based on gamma-ray spectroscopy, passive neutron counting and active neutron interrogation, and gamma transmission measurements. The main objectives are criticality and safety, online process monitoring, and the determination of the residual fissile mass and activities in the metallic waste remained after fuel shearing and dissolution (empty hulls, grids, end pieces), which are put in radioactive waste drums before compaction. The whole monitoring system is composed of eight measurement stations which will be described in this paper. The main measurement stations no.more » 1, 3 and 7 are needed for criticality control. Before fuel element shearing for dissolution, station no. 1 allows determining the burn-up of the irradiated fuel by gamma-ray spectroscopy with HP Ge (high purity germanium) detectors. The burn-up is correlated to the {sup 137}Cs and {sup 134}Cs gamma emission rates. The fuel maximal mass which can be loaded in one bucket of the dissolver is estimated from the lowest burn-up fraction of the fuel element. Station no. 3 is dedicated to the control of the correct fuel dissolution, which is performed with a {sup 137}Cs gamma ray measurement with a HP Ge detector. Station no. 7 allows estimating the residual fissile mass in the drums filled with the metallic residues, especially in the hulls, from passive neutron counting (spontaneous fission and alpha-n reactions) and active interrogation (fission prompt neutrons induced by a pulsed neutron generator) with proportional {sup 3}He detectors. The measurement stations have been validated for the reprocessing of Uranium Oxide (UOX) fuels with a burn-up rate up to 60 GWd/t. This paper presents a brief overview of the current status of the nuclear measurement stations. (authors)« less

75 FR 44819 - Advisory Committee on Reactor Safeguards (ACRS); Meeting of the ACRS Subcommittee on Siting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-29

...--8:30 a.m. Until 5 p.m. The Subcommittee will review the MOX Fuel Fabrication Facility (Shaw-Areva... presentations by and hold discussions with representatives of the NRC staff, Shaw-Areva, LLC, and other...

77 FR 39521 - Applications and Amendments to Facility Operating Licenses and Combined Licenses Involving...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-03

... Methodology for Boiling Water Reactors, June 2011. To support use of Topical Report ANP-10307PA, Revision 0... the NRC's E-Filing system does not support unlisted software, and the NRC Meta System Help Desk will... Water Reactors with AREVA Topical Report ANP- 10307PA, Revision 0, ``AREVA MCPR Safety Limit Methodology...

Multi-Phased, Post-Accident Support of the Fukushima Dai-Ichi Nuclear Power Plant - 12246

DOE Office of Scientific and Technical Information (OSTI.GOV)

Gay, Arnaud; Gillet, Philippe; Ytournel, Bertrand

In the wake of the March 11 earthquake and tsunami and the subsequent flooding of several of the Fukushima Dai-Ichi reactors, Japan and the Japanese utility TEPCO faced a crisis situation with incredible challenges: substantial amounts of radioactive mixed seawater and freshwater accumulated in the basements of four reactor and other buildings on the site. This water held varying levels of contamination due to the fact that it had been in contact with damaged fuel elements in the cores and with other contaminated components. The overall water inventory was estimated at around 110,000 tons of water with contamination levels upmore » to the order of 1 Ci/l. Time was of the essence to avoid overflow of this accumulated water into the ocean. AREVA proposed, designed and implemented a water treatment solution using a proven chemical coprecipitation process with ppFeNi reagent, which is currently in use for effluent treatment on several nuclear sites including AREVA sites. In addition to the extremely short schedule the other challenge was to adapt the chemical treatment process to the expected composition of the Fukushima water and, in particular, to evaluate the impact of salinity on process performance. It was also necessary to define operating conditions for the VEOLIA equipment that had been selected for implementation of the process in the future facility. The operation phase began on June 17, and by the end of July more than 30,000 tons of highly radioactive saltwater had been decontaminated - the Decontamination Factor (DF) for Cesium was ∼10{sup 4}. It allowed recycling the contaminated water to cool the reactors while protecting workers and the environment. This paper focuses on the Actiflo{sup TM}-Rad water treatment unit project that was part of the TEPCO general water treatment scheme. It presents a detailed look at the principles of the Actiflo{sup TM}-Rad, related on-the-fly R and D, an explanation of system implementation challenges, and a brief

The use of nuclear data in the field of nuclear fuel recycling

NASA Astrophysics Data System (ADS)

Martin, Julie-Fiona; Launay, Agnès; Grassi, Gabriele; Binet, Christophe; Lelandais, Jacques; Lecampion, Erick

2017-09-01

AREVA NC La Hague facility is the first step of the nuclear fuel recycling process implemented in France. The processing of the used fuel is governed by high standards of criticality-safety, and strong expectations on the quality of end-products. From the received used fuel assemblies, the plutonium and the uranium are extracted for further energy production purposes within the years following the reprocessing. Furthermore, the ultimate waste - fission products and minor actinides on the one hand, and hulls and end-pieces on the other hand - is adequately packaged for long term disposal. The used fuel is therefore separated into very different materials, and time scales which come into account may be longer than in some other nuclear fields of activity. Given the variety of the handled nuclear materials, as well as the time scales at stake, the importance given to some radionuclides, and hence to the associated nuclear data, can also be specific to the AREVA NC La Hague plant. A study has thus been led to identify a list of the most important radionuclides for the AREVA NC La Hague plant applications, relying on the running constraints of the facility, and the end-products expectations. The activities at the AREVA NC La Hague plant are presented, and the methodology to extract the most important radionuclides for the reprocessing process is detailed.

Safety Criticality Standards Using the French CRISTAL Code Package: Application to the AREVA NP UO{sub 2} Fuel Fabrication Plant

DOE Office of Scientific and Technical Information (OSTI.GOV)

Doucet, M.; Durant Terrasson, L.; Mouton, J.

2006-07-01

Criticality safety evaluations implement requirements to proof of sufficient sub critical margins outside of the reactor environment for example in fuel fabrication plants. Basic criticality data (i.e., criticality standards) are used in the determination of sub critical margins for all processes involving plutonium or enriched uranium. There are several criticality international standards, e.g., ARH-600, which is one the US nuclear industry relies on. The French Nuclear Safety Authority (DGSNR and its advising body IRSN) has requested AREVA NP to review the criticality standards used for the evaluation of its Low Enriched Uranium fuel fabrication plants with CRISTAL V0, the recentlymore » updated French criticality evaluation package. Criticality safety is a concern for every phase of the fabrication process including UF{sub 6} cylinder storage, UF{sub 6}-UO{sub 2} conversion, powder storage, pelletizing, rod loading, assembly fabrication, and assembly transportation. Until 2003, the accepted criticality standards were based on the French CEA work performed in the late seventies with the APOLLO1 cell/assembly computer code. APOLLO1 is a spectral code, used for evaluating the basic characteristics of fuel assemblies for reactor physics applications, which has been enhanced to perform criticality safety calculations. Throughout the years, CRISTAL, starting with APOLLO1 and MORET 3 (a 3D Monte Carlo code), has been improved to account for the growth of its qualification database and for increasing user requirements. Today, CRISTAL V0 is an up-to-date computational tool incorporating a modern basic microscopic cross section set based on JEF2.2 and the comprehensive APOLLO2 and MORET 4 codes. APOLLO2 is well suited for criticality standards calculations as it includes a sophisticated self shielding approach, a P{sub ij} flux determination, and a 1D transport (S{sub n}) process. CRISTAL V0 is the result of more than five years of development work focusing on

Geluidsexpositie bij Gebruik van Otoplastieken met Communicatie (Sound Exposure Level of F-16 Crew Chiefs Using Custom Molded Communications Earplugs)

DTIC Science & Technology

2008-10-01

346 35 39 77 lnfo-DenV@tno nl Datum oktober 2008 Auteur (s) dr. ir. MM..I. Houben J.A. Verhave Rubricering rapport Ongerubriceerd Vastgesteld... Auteur (s) dr. ir. M.M.J. Houben J.A. Verhave Rubricering rapport Ongerubriceerd TNO-rapport | TNO-DV 2008 A395 4/19 Summary Sound exposure level...ontwikkeld om de geluidsexpositie van CEPs te bepalen (TNO-project 032.13072, rapport TNO-DV 2008 A054) [1], In theorie kan het totale

Building trust and rapport early in the new doctor-patient relationship: a longitudinal qualitative study.

PubMed

Dang, Bich N; Westbrook, Robert A; Njue, Sarah M; Giordano, Thomas P

2017-02-02

New patients are a particularly vulnerable population because they are at high risk of missing a subsequent visit or dropping out of care completely. However, few data exist on what new patients value in the beginning of a relationship with a new provider. Persons with HIV infection may be an ideal population to study the drivers of a positive initial patient-provider relationship, as it is a chronic and serious condition that requires a reliable, ongoing relationship with a provider. Informed by patients' real experiences, this study aims to identify what patients see as the most critical elements for building trust and rapport from the outset. We conducted longitudinal, in-person interviews with 21 patients new to the HIV clinic at the Michael E. DeBakey Veterans Affairs Medical Center in Houston, Texas, from August 2013 to March 2015. Patients were interviewed across three time points: once before their first provider visit, a second time within two weeks after the first visit, and a third time at 6 to 12 months after the first provider visit. We conducted 61 h of patient interviews. The mean age was 53 years; 52% were non-Hispanic white, 23% were non-Hispanic black and 19% were Hispanic. Patients described significant anxiety and vulnerability not just from HIV itself, but also in starting a relationship as a new patient to a new provider. Our analysis of these experiences revealed five actions providers can take to reduce their patients' anxiety and build trust early in the first visit: 1) provide reassurance to patients, 2) tell patients it's okay to ask questions, 3) show patients their lab results and explain what they mean, 4) avoid language and behaviors that are judgmental of patients, and 5) ask patients what they want [i.e., treatment goals and preferences]. Our study incorporates direct input from patients and highlights the unique psychological challenges that patients face in seeking care from a new provider. The actionable opportunities cited by

Thermal Hydraulic Computational Fluid Dynamics Simulations and Experimental Investigation of Deformed Fuel Assemblies

DOE Office of Scientific and Technical Information (OSTI.GOV)

Mays, Brian; Jackson, R. Brian

2017-03-08

The project, Toward a Longer Life Core: Thermal Hydraulic CFD Simulations and Experimental Investigation of Deformed Fuel Assemblies, DOE Project code DE-NE0008321, was a verification and validation project for flow and heat transfer through wire wrapped simulated liquid metal fuel assemblies that included both experiments and computational fluid dynamics simulations of those experiments. This project was a two year collaboration between AREVA, TerraPower, Argonne National Laboratory and Texas A&M University. Experiments were performed by AREVA and Texas A&M University. Numerical simulations of these experiments were performed by TerraPower and Argonne National Lab. Project management was performed by AREVA Federal Services.more » The first of a kind project resulted in the production of both local point temperature measurements and local flow mixing experiment data paired with numerical simulation benchmarking of the experiments. The project experiments included the largest wire-wrapped pin assembly Mass Index of Refraction (MIR) experiment in the world, the first known wire-wrapped assembly experiment with deformed duct geometries and the largest numerical simulations ever produced for wire-wrapped bundles.« less

Decontamination, decommissioning, and vendor advertorial issue, 2005

DOE Office of Scientific and Technical Information (OSTI.GOV)

Agnihotri, Newal

2005-07-15

The focus of the July-August issue is on Decontamination, decommissioning, and vendor advertorials. Major interviews, articles and reports in this issue include: Increasing momentum, by Gary Taylor, Entergy Nuclear, Inc.; An acceptable investment, by Tom Chrisopher, Areva, Inc.; Fuel recycling for the U.S. and abroad, by Philippe Knoche, Areva, France; We're bullish on nuclear power, by Dan R. Keuter, Entergy Nuclear, Inc.; Ten key actions for decommissioning, by Lawrence E. Boing, Argonne National Laboratory; Safe, efficient and cost-effective decommissioning, by Dr. Claudio Pescatore and Torsten Eng, OECD Nuclear Energy Agency (NEA), France; and, Plant profile: SONGS decommissioning.

76 FR 29240 - Environmental Impacts Statements; Notice of Availability

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-20

...-283-7681. EIS No. 20110150, Final EIS, DOE, ID, ADOPTION--Areva Eagle Rock Enrichment Facility... Uranium Enrichment Facility, Construction, Operation, and Decommission, License Issuance, Piketon, OH...

Training and information technology issue, 2005

DOE Office of Scientific and Technical Information (OSTI.GOV)

Agnihotri, Newal

The focus of the May-June issue is on training and information technology. Major articles/reports in this issue include: Communicating effectively, by Alain Bucaille, AREVA; Reputation management, by Susan Brisset, Bruce Power; Contol room and HSI modernization guidance, by Joseph Naser, EPRI; How far are we from public acceptance, by Jennifer A. Biedscheid and Murthy Devarakonda, Washington TRU Solutions LLC; Spent fuel management options, by Brent W. Dixon and Steven J. Piet, Idaho National Laboratory; Industry Awards; A secure energy future for America, by George W. Bush, President, United States of America; Vision of the future of nuclear energy, by Annemore » Lauvergeon, AREVA; and, Plant profile: strategy for transition to digital, TXU Power.« less

Generation III reactors safety requirements and the design solutions

NASA Astrophysics Data System (ADS)

Felten, P.

2009-03-01

Nuclear energy's public acceptance, and hence its development, depends on its safety. As a reactor designer, we will first briefly remind the basic safety principles of nuclear reactors' design. We will then show how the industry, and in particular Areva with its EPR, made design evolution in the wake of the Three Miles Island accident in 1979. In particular, for this new generation of reactors, severe accidents are taken into account beyond the standard design basis accidents. Today, Areva's EPR meets all so-called "generation III" safety requirements and was licensed by several nuclear safety authorities in the world. Many innovative solutions are integrated in the EPR, some of which will be introduced here.

Major Events Coordinated Security Solutions Technical Report Closeout (MECSS): The Application of Science and Technology to Reduce Risk for V2010 and G8/G20 Summits

DTIC Science & Technology

2010-12-01

CBRNE), aux infrastructures essentielles, à la surveillance, à la sécurité physique, à la cybernétique et à la socio- psychologie . Le présent rapport...la socio- psychologie . Dans le cadre du projet SCSGE, on a produit plus de 195 rapports scientifiques, fruit des efforts, du dévouement et du...aux infrastructures essentielles, à la surveillance, à la sécurité physique, à la cybernétique et à la socio- psychologie . Le présent rapport

A Prototype {sup 212}Pb Medical Dose Calibrator for Alpha Radioimmunotherapy

DOE Office of Scientific and Technical Information (OSTI.GOV)

Mueller, W.F.; Patil, A.; Russ, W.R.

AREVA Med, an AREVA group subsidiary, is developing innovative cancer-fighting therapies involving the use of {sup 212}Pb for alpha radioimmunotherapy. Canberra Industries, the nuclear measurement subsidiary of AREVA, has been working with AREVA Med to develop a prototype measurement system to assay syringes containing a {sup 212}Pb solution following production by an elution system. The relative fraction of emitted radiation from the source associated directly with the {sup 212}Pb remains dynamic for approximately 6 hours after the parent is chemically purified. A significant challenge for this measurement application is that the short half-life of the parent nuclide requires assay priormore » to reaching equilibrium with progeny nuclides. A gross counting detector was developed to minimize system costs and meet the large dynamic range of source activities. Prior to equilibrium, a gross counting system must include the period since the {sup 212}Pb was pure to calculate the count rate attributable to the parent rather than the progeny. The dynamic state is determined by solving the set of differential equations, or Bateman equations, describing the source decay behavior while also applying the component measurement efficiencies for each nuclide. The efficiencies were initially estimated using mathematical modeling (MCNP) but were then benchmarked with source measurements. The goal accuracy of the system was required to be within 5%. Independent measurements of the source using a high resolution spectroscopic detector have shown good agreement with the prototype system results. The prototype design was driven by cost, compactness and simplicity. The detector development costs were minimized by using existing electronics and firmware with a Geiger-Mueller tube derived from Canberra's EcoGamma environmental monitoring product. The acquisition electronics, communications and interface were controlled using Python with the EcoGamma software development kit on a

Solid cancer mortality associated with chronic external radiation exposure at the French atomic energy commission and nuclear fuel company.

PubMed

Metz-Flamant, C; Samson, E; Caër-Lorho, S; Acker, A; Laurier, D

2011-07-01

Studies of nuclear workers make it possible to directly quantify the risks associated with ionizing radiation exposure at low doses and low dose rates. Studies of the CEA (Commissariat à l'Energie Atomique) and AREVA Nuclear Cycle (AREVA NC) cohort, currently the most informative such group in France, describe the long-term risk to nuclear workers associated with external exposure. Our aim is to assess the risk of mortality from solid cancers among CEA and AREVA NC nuclear workers and its association with external radiation exposure. Standardized mortality ratios (SMRs) were calculated and internal Poisson regressions were conducted, controlling for the main confounding factors [sex, attained age, calendar period, company and socioeconomic status (SES)]. During the period 1968-2004, there were 2,035 solid cancers among the 36,769 CEA-AREVA NC workers. Cumulative external radiation exposure was assessed for the period 1950-2004, and the mean cumulative dose was 12.1 mSv. Mortality rates for all causes and all solid cancers were both significantly lower in this cohort than in the general population. A significant excess of deaths from pleural cancer, not associated with cumulative external dose, was observed, probably due to past asbestos exposure. We observed a significant excess of melanoma, also unassociated with dose. Although cumulative external dose was not associated with mortality from all solid cancers, the central estimated excess relative risk (ERR) per Sv of 0.46 for solid cancer mortality was higher than the 0.26 calculated for male Hiroshima and Nagasaki A-bomb survivors 50 years or older and exposed at the age of 30 years or older. The modification of our results after stratification for SES demonstrates the importance of this characteristic in occupational studies, because it makes it possible to take class-based lifestyle differences into account, at least partly. These results show the great potential of a further joint international study of

Clinicians' perspectives of therapeutic alliance in face-to-face and telepractice speech-language pathology sessions.

PubMed

Freckmann, Anneka; Hines, Monique; Lincoln, Michelle

2017-06-01

To investigate the face validity of a measure of therapeutic alliance for paediatric speech-language pathology and to determine whether a difference exists in therapeutic alliance reported by speech-language pathologists (SLPs) conducting face-to-face sessions, compared with telepractice SLPs or in their ratings of confidence with technology. SLPs conducting telepractice (n = 14) or face-to-face therapy (n = 18) completed an online survey which included the Therapeutic Alliance Scales for Children - Revised (TASC-r) (Therapist Form) to rate clinicians' perceptions of rapport with up to three clients. Participants also reported their overall perception of rapport with each client and their comfort with technology. There was a strong correlation between TASC-r total scores and overall ratings of rapport, providing preliminary evidence of TASC-r face validity. There was no significant difference between TASC-r scores for telepractice and face-to-face therapy (p = 0.961), nor face-to-face and telepractice SLPs' confidence with familiar (p = 0.414) or unfamiliar technology (p = 0.780). The TASC-r may be a promising tool for measuring therapeutic alliance in speech-language pathology. Telepractice does not appear to have a negative effect on rapport between SLPs and paediatric clients. Future research is required to identify how SLPs develop rapport in telepractice.

78 FR 28219 - Granting of Request for Early Termination of the Waiting Period Under the Premerger Notification...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-14

... Astorg Partners SAS; Areva S.A.; FCPR Astorg V managed by Astorg Partners SAS. 20130771 G Churchill Downs Incorporated; Black Bear Realty Co., LLC; Churchill Downs Incorporated. 20130772 G NCT Fund, L.P.; American...

The Use of Metaphor to Overcome Inmate Resistance to Mental Health Counseling.

ERIC Educational Resources Information Center

Romig, Charles A.; Gruenke, Carol

1991-01-01

Provides an overview of prison inmate resistance to mental health counseling and describes ways that indirect, metaphorical communication can be used to establish rapport with this client population. Establishing rapport is difficult because of the suspicion that inmate clients have toward mental health professionals and the correctional system…

77 FR 1059 - Low Enriched Uranium From France: Initiation of Antidumping Duty Changed Circumstances Review

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-09

... France: Initiation of Antidumping Duty Changed Circumstances Review AGENCY: Import Administration... (Department) is initiating a changed circumstances review of the antidumping duty order on low enriched... On December 5, 2011, AREVA requested that the Department initiate and conduct an expedited changed...

TN International and ITS operational feedback regarding the decommissioning of obsolete casks dedicated to the transport and/or storage of nuclear raw materials, fuel and used fuel

DOE Office of Scientific and Technical Information (OSTI.GOV)

Blachet, L.; Bimet, F.; Rennesson, N.

2008-07-01

Within the AREVA group, TN International is a major actor regarding the design of casks and transportation for the nuclear cycle. In the early 2005, TN International has started the project of decommissioning some of its own equipment and was hence the first company ever in the AREVA Group to implement this new approach. In order to do so, TN International has based this project by taking into account the AREVA Sustainable Development Charter, the French regulatory framework, the ANDRA (Agence Nationale pour la Gestion des Dechets Radioactifs - National Agency for the radioactive waste management) requirements and has deployedmore » a step by step methodology such as radiological characterization following a logical route. The aim was to define a standardized process with optimized solutions regarding the diversity of the cask's fleet. As a general matter, decommissioning of nuclear casks is a brand new field as the nuclear field is more familiar with the dismantling of nuclear facilities and/or nuclear power plant. Nevertheless existing workshops, maintenance facilities, measurements equipments and techniques have been exploited and adapted by TN International in order to turn an ambitious project into a permanent and cost-effective activity. The decommissioning of the nuclear casks implemented by TN International regarding its own needs and the French regulatory framework is formalized by several processes and is materialized for instance by the final disposal of casks as they are or in ISO container packed with cut-off casks and big bags filled with crushed internal cask equipments, etc. The first part of this paper aims to describe the history of the project that started with a specific environmental analysis which took into account the values of AREVA as regards the Sustainable Development principles that were at the time and are still a topic of current concern in the world. The second part will deal with the definition, the design and the implementation of

75 FR 12581 - Notice of Availability of Environmental Assessment and Finding of No Significant Impact for...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-16

...; Commencement of Construction Requirements; AREVA Enrichment Services, Eagle Rock Enrichment Facility..., Division of Fuel Cycle Safety and Safeguards, Office of Nuclear Material Safety and Safeguards, U.S... the site. Site grading and erosion control. Excavating the site including rock blasting and removal...

Company Decontamination Systems (Compagnieontsmettingssystemen)

DTIC Science & Technology

1998-06-01

TNO-rapport Compagnieontsmettingssystemen PML 1998-AI08 TNO Prins Maurits Laboratorium Lange Kleiweg 137 Datum Postbus 45 2280 AA Rijswijk juni 1999...I8ECTED 4 TNO Prins Maurits Laboratorium is onderdeel _____ van de hoofdgroep TNO Defensieonderzoek waartoe verder behoren: TNO Fysisch en...Elektronisch Laboratorium Nederlandse Organisatie voor toegepast- TNO Technische Menskunde natuurwetenschappelijk onderzoek TNO TNO-rapport PML 1998-A108 2

Mobiel Optreden: Verkennend Onderzoek (Mobile Deployment: Investigation)

DTIC Science & Technology

1992-02-01

Koninklijke Luchtmacht 8 1.2 Veranderingen in het Wereldbeeld 9 1.3 Mobiel Optreden 9 1.4 Struktur van het Rapport 11 2 DOELSTELLINGEN STUDIE 13 2.1...militaire gevolgen daarvan die sindsdien plaats; vonden, achterhaalden de uitgangspunten en dnarmee de belangstelling van zowel Koninklijke Luchtmacht...Luchttransport - Secundair: * Vliegbases * Control and Reporting Centre / Military Air Traffic Control Centre. TNO rapport Pagina 9 1.2 Veranderingen in

Bases anatomiques des lésions de l’artère pudendale externe lors de la chirurgie des varices du membre pelvien

PubMed Central

Gaye, Magaye; Ndiaye, Assane; Dieng, Papa Adama; Ndiaye, Aynina; Ba, Papa Salmane; Diatta, Souleymane; Ciss, Amadou Gabriel; Ndoye, Jean Marc Ndiaga; Diop, Mamadou; Ndiaye, Abdoulaye; Ndiaye, Mouhamadou; Dia, Abdarahmane

2016-01-01

Introduction L’artère pudendale externe est une branche collatérale de l’artère fémorale commune qui est destinée à la vascularisation du pénis ou du clitoris. Ses rapports avec la crosse de la grande veine saphène et de ses afférences, dans le trigone fémoral, sont très étroits. Cette situation fait qu’elle est souvent lésée lors de la crossectomie et de l’éveinage de la grande veine saphène. Ces lésions peuvent être à l’origine d’une dysfonction sexuelle. Méthodes Il s’agit d’une dissection de 22 régions inguinales chez 13 hommes et 9 femmes qui ont bénéficié d’un abord chirurgical du trigone fémoral. La distribution et les rapports de l’artère pudendale externe par rapport à la crosse de la grande veine saphène sont étudiés. Résultats L’artère pudendale externe unique est la plus fréquente. Toutes les artères pudendales externes ont pour origine l’artère fémorale commune. Le rapport le plus fréquent est le sous croisement de la crosse de la grande veine saphène par une artère pudendale externe unique. Par ailleurs, on a un précroisement, un croisement alterné et des rapports avec la veine fémorale commune et des afférences de la crosse de la grande veine saphène. Certaines techniques chirurgicales exposent plus ou moins à une lésion de l’artère pudendale externe. Conclusion Ce travail confirme les données antérieures mais montre encore quelques particularités sur les rapports entre la crosse de la grande veine saphène et l’artère pudendale externe. PMID:27795794

Outage management and health physics issue, 2009

DOE Office of Scientific and Technical Information (OSTI.GOV)

Agnihotri, Newal

2009-05-15

The focus of the May-June issue is on outage management and health physics. Major articles include the following: Planning and scheduling to minimize refueling outage, by Pat McKenna, AmerenUE; Prioritizing safety, quality and schedule, by Tom Sharkey, Dominion; Benchmarking to high standards, by Margie Jepson, Energy Nuclear; Benchmarking against U.S. standards, by Magnox North, United Kingdom; Enabling suppliers for new build activity, by Marcus Harrington, GE Hitachi Nuclear Energy; Identifying, cultivating and qualifying suppliers, by Thomas E. Silva, AREVA NP; Creating new U.S. jobs, by Francois Martineau, Areva NP. Industry innovation articles include: MSL Acoustic source load reduction, by Amirmore » Shahkarami, Exelon Nuclear; Dual Methodology NDE of CRDM nozzles, by Michael Stark, Dominion Nuclear; and Electronic circuit board testing, by James Amundsen, FirstEnergy Nuclear Operating Company. The plant profile article is titled The future is now, by Julia Milstead, Progress Energy Service Company, LLC.« less

Geluidsexpositie bij gebruik van CEP door F-16 crewchiefs (Sound Exposure Level of F-16 Crew Chiefs Using Communications Earplugs)

DTIC Science & Technology

2008-03-01

Communications Earplugs Auteur (s) dr. ir. M.M.J. Houben Programmanummer Projectnummer J.A. Verhave 032.13072 F.W.M. Geurtsen Rubricering rapport Program...de communicatie kiest men voor een geluidniveau dat luider is dan het waargenomen omgevingsgeluid. In theorie kan bet totale geluidsexpositieniveau...Afdelingshoofd Auteur TNO-rapport I TNO-DV 2008 A054 Bijlage A 1 1/3 A Simulatie Simulatie-omgeving Uit een opname gemaakt op Vhiegbasis Volkel hebben

Conceptontwerp nieuwe slaapmatten (Concept Design of Sleeping Mattresses)

DTIC Science & Technology

2008-11-01

Datum november 2008 Auteur (s) drs. P.A. Reffeltrath ing. M.G. Brandsma M.G.M. Weghorst Rubricering rapport Ongerubriceerd TK9 TNO-rapport...slaapmatten in combinatie met de gegevens van objectieve metingen. In theorie maakt het conceptontwerp het mogelijk om tegen minder gewicht en pakvolume...making a mattress that is lighter, has less packing volume, is more comfortable and more durable than the currently available mattresses. In theory

The Air Land Sea Bulletin. Issue No. 2008-2, May 2008

DTIC Science & Technology

2008-05-01

during the meeting. We saw this as a key event because in Iraq the act of breaking bread together is a significant rapport builder and the first...meaning for both parties and were incredible rapport builders —more than that, they created brothers in arms. BUILDING RELATIONSHIPS Once you...possible. Primary disqualifiers for selection as an advisor are medical profiles/issues, lack of security clearances or inability to gain a clearance

Quality of Expert Systems: Methods and Techniques (Kwaliteit van Expertsystemen: Methoden en Technieken)

DTIC Science & Technology

1989-12-01

en Elektroniscb Laboratorium TNO (FEL-TNO), de Rijksuniversiteit Limburg (RL) en bet Research Instituut voor Kennis-Systemen (RIKS). In dit rapport...kwaliteitsbeheersing van kennissystemen. TNO rapport Pagina 2 report no : FEL-89-A267 bee Quality of Expert Systems: Methods and Techniques author(s) J.H.J. Lenting MA...Defence Research and Development. Participants in the project are TNO Physics and Electronics Laboratory (FEL-TNO), University of Limburg (RL) and

77 FR 7128 - Low Enriched Uranium From France: Preliminary Results of Antidumping Duty Changed Circumstances...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-10

... re-exportation to the end-user, the Japanese customer. The entry met the conditions in the scope of... following the March 11, 2011, earthquake and tsunami that struck Japan, AREVA's Japanese end-use customer was required by the Japanese government to shut down its nuclear power facility pending necessary...

Evaluation of Visual Acuity Measurements after Autorefraction versus Manual Refraction in Eyes with and without Diabetic Macular Edema

PubMed Central

Sun, Jennifer K.; Qin, Haijing; Aiello, Lloyd Paul; Melia, Michele; Beck, Roy W.; Andreoli, Christopher M.; Edwards, Paul A.; Glassman, Adam R.; Pavlica, Michael R.

2012-01-01

Objective To compare visual acuity (VA) scores after autorefraction versus research protocol manual refraction in eyes of patients with diabetes and a wide range of VA. Methods Electronic Early Treatment Diabetic Retinopathy Study (E-ETDRS) VA Test© letter score (EVA) was measured after autorefraction (AR-EVA) and after Diabetic Retinopathy Clinical Research Network (DRCR.net) protocol manual refraction (MR-EVA). Testing order was randomized, study participants and VA examiners were masked to refraction source, and a second EVA utilizing an identical manual refraction (MR-EVAsupl) was performed to determine test-retest variability. Results In 878 eyes of 456 study participants, median MR-EVA was 74 (Snellen equivalent approximately 20/32). Spherical equivalent was often similar for manual and autorefraction (median difference: 0.00, 5th and 95th percentiles −1.75 to +1.13 Diopters). However, on average, MR-EVA results were slightly better than AR-EVA results across the entire VA range. Furthermore, variability between AR-EVA and MR-EVA was substantially greater than the test-retest variability of MR-EVA (P<0.001). Variability of differences was highly dependent on autorefractor model. Conclusions Across a wide range of VA at multiple sites using a variety of autorefractors, VA measurements tend to be worse with autorefraction than manual refraction. Differences between individual autorefractor models were identified. However, even among autorefractor models comparing most favorably to manual refraction, VA variability between autorefraction and manual refraction is higher than the test-retest variability of manual refraction. The results suggest that with current instruments, autorefraction is not an acceptable substitute for manual refraction for most clinical trials with primary outcomes dependent on best-corrected VA. PMID:22159173

L'atteinte vésicale au cours de la neurofibromatose de Von Recklinghausen

PubMed Central

Benazzouz, Mohamed Hicham; Hajjad, Tilila; Essatara, Younes; El Sayegh, Hachem; Iken, Ali; Benslimane, Lounis; Nouini, Yassine

2014-01-01

La neurofibromatose de type 1 ou maladie de Von Recklinghausen est une maladie génétique autosomique dominante en rapport avec des mutations dans le gène suppresseur de tumeur NF1. L'atteinte uro-génitale au cours de cette maladie est rare et moins de 80 cas ont été rapportés à ce jour dans la littérature mondiale. Les auteurs rapportent un nouveau cas d'atteinte vésicale découverte fortuitement au cours du suivi d'une patiente atteinte de la maladie de Von Recklinghausen. A travers cette observation et une revue de la littérature les auteurs discutent également les difficultés diagnostiques, thérapeutiques ainsi que les modalités de suivi dans cette maladie. PMID:25328590

Physicians' perspectives of managing tensions around dimensions of effective communication in the emergency department.

PubMed

Dean, Marleah; Oetzel, John G

2014-01-01

The purpose of this study was to explore emergency department (ED) physicians' perspectives of guidelines for effective communication. More specifically, the ways in which physicians manage the tensions among effective communication dimensions framed by relational dialectics theory are examined. This study used in-depth interviews with 17 ED physicians and 70 hours of observations to identify five dimensions of effective communication: efficiency, clarity/accuracy, relevance, comprehension, and rapport. Two communication tensions resulted from these dimensions: efficiency versus rapport and efficiency versus comprehension. In almost all instances, physicians chose efficient communication at the expense of comprehension or rapport. In addition, there was a tension between patient and physician perspectives of clarity and relevance that physicians tended to resolve by emphasizing what was relevant and clear from their own perspective. Implications for managing tensions in terms of efficiency and a physician-centered approach are discussed.

Material Control and Accounting Design Considerations for High-Temperature Gas Reactors

DOE Office of Scientific and Technical Information (OSTI.GOV)

Trond Bjornard; John Hockert

The subject of this report is domestic safeguards and security by design (2SBD) for high-temperature gas reactors, focusing on material control and accountability (MC&A). The motivation for the report is to provide 2SBD support to the Next Generation Nuclear Plant (NGNP) project, which was launched by Congress in 2005. This introductory section will provide some background on the NGNP project and an overview of the 2SBD concept. The remaining chapters focus specifically on design aspects of the candidate high-temperature gas reactors (HTGRs) relevant to MC&A, Nuclear Regulatory Commission (NRC) requirements, and proposed MC&A approaches for the two major HTGR reactormore » types: pebble bed and prismatic. Of the prismatic type, two candidates are under consideration: (1) GA's GT-MHR (Gas Turbine-Modular Helium Reactor), and (2) the Modular High-Temperature Reactor (M-HTR), a derivative of Areva's Antares reactor. The future of the pebble-bed modular reactor (PBMR) for NGNP is uncertain, as the PBMR consortium partners (Westinghouse, PBMR [Pty] and The Shaw Group) were unable to agree on the path forward for NGNP during 2010. However, during the technology assessment of the conceptual design phase (Phase 1) of the NGNP project, AREVA provided design information and technology assessment of their pebble bed fueled plant design called the HTR-Module concept. AREVA does not intend to pursue this design for NGNP, preferring instead a modular reactor based on the prismatic Antares concept. Since MC&A relevant design information is available for both pebble concepts, the pebble-bed HTGRs considered in this report are: (1) Westinghouse PBMR; and (2) AREVA HTR-Module. The DOE Office of Nuclear Energy (DOE-NE) sponsors the Fuel Cycle Research and Development program (FCR&D), which contains an element specifically focused on the domestic (or state) aspects of SBD. This Material Protection, Control and Accountancy Technology (MPACT) program supports the present work

Ex-Ante Beleidsevaluatie met System Dynamics (Ex-Ante Policy at System Dynamics)

DTIC Science & Technology

2008-03-01

11 . van TFighciho,, cn. [DMO-11cleid 0 Vastgestlid d.d. 13 inaart 2008 (Lkzc mnccmn ss, i/it miet) Tite Onigerubriceerd Managenicnadiurcksel O...genaamd, brengt beleidsopties en beleidsdoelen vastgesteld. oorzaken en gevolgen rondom een Daamna heeft TNO conform de MARVEL 4/62 Ex-ante...rapport I TNO-DV 2007 A055 TNO-rapport I TNO-DV 2007 A055 9 /62 Afkortingen BPO Business Process Ownership CDC/DCIVB Commando Diensten Centra / Diensten

Evaluatie Kennistechnologische Ondersteuning bij Diagnose van SEWACO systemen (Projectmanagementplan) (Evaluation of Knowledge Technological Support for Diagnosis of SEWACO Systems (Project Management Plan)

DTIC Science & Technology

1991-08-01

diagnos van SE WACO systmnen/ AD-A245 424111 1fl1,l Niets uit deze uitgave mag warden vermenigvuldligd en/of oPenbaar gemaakt door middel van druk...fotakopie. microfilm of op welks andere whlze dan ook, zonder voorafgaande toeslemming van TNO. Hot ter inzage geven van het TNO-rapport aan direct...belanghebbenden is tegestaan. HYP. vanl OC dt Indian dit rapport in opdracht ward uitgebracht, wordt voor de, rechten en verpiichtingen van opdrachtgever en

La santé des Premières nations, des Inuits et des Métis: les facteurs que doivent envisager les leaders en santé canadiens dans la foulée du rapport de la Commission de vérité et réconciliation du Canada.

PubMed

McNally, Mary; Martin, Debbie

2017-03-01

Les peuples des Premières nations, inuits et métis qui habitent au Canada sont aux prises avec de profondes disparités en matière de santé par rapport aux Canadiens non autochtones, et ce, dans presque toutes les mesures liées à la santé et au bien-être. Pour faire progresser les services de santé auprès des peuples autochtones, il faut passer à l'action dans tous les ordres de prestation des soins et des politiques en santé. Il est donc essentiel que les leaders et les prestataires des établissements, des systèmes et des installations de santé du Canada comprennent et prennent en main les déterminants de la santé propres aux peuples autochtones, y compris l'héritage du colonialisme et le racisme ancien et actuel. La Commission de vérité et réconciliation du Canada est le point de départ pour réagir de manière positive aux injustices.

Evaluation of visual acuity measurements after autorefraction vs manual refraction in eyes with and without diabetic macular edema.

PubMed

Sun, Jennifer K; Qin, Haijing; Aiello, Lloyd Paul; Melia, Michele; Beck, Roy W; Andreoli, Christopher M; Edwards, Paul A; Glassman, Adam R; Pavlica, Michael R

2012-04-01

To compare visual acuity (VA) scores after autorefraction vs manual refraction in eyes of patients with diabetes mellitus and a wide range of VAs. The letter score from the Electronic Visual Acuity (EVA) test from the electronic Early Treatment Diabetic Retinopathy Study was measured after autorefraction (AR-EVA score) and after manual refraction (MR-EVA score), which is the research protocol of the Diabetic Retinopathy Clinical Research Network. Testing order was randomized, study participants and VA examiners were masked to refraction source, and a second EVA test using an identical supplemental manual refraction (MR-EVAsuppl score) was performed to determine test-retest variability. In 878 eyes of 456 study participants, the median MR-EVA score was 74 (Snellen equivalent, approximately 20/32). The spherical equivalent was often similar for manual refraction and autorefraction (median difference, 0.00; 5th-95th percentile range, -1.75 to 1.13 diopters). However, on average, the MR-EVA scores were slightly better than the AR-EVA scores, across the entire VA range. Furthermore, the variability between the AR-EVA scores and the MR-EVA scores was substantially greater than the test-retest variability of the MR-EVA scores (P < .001). The variability of differences was highly dependent on the autorefractor model. Across a wide range of VAs at multiple sites using a variety of autorefractors, VA measurements tend to be worse with autorefraction than manual refraction. Differences between individual autorefractor models were identified. However, even among autorefractor models that compare most favorably with manual refraction, VA variability between autorefraction and manual refraction is higher than the test-retest variability of manual refraction. The results suggest that, with current instruments, autorefraction is not an acceptable substitute for manual refraction for most clinical trials with primary outcomes dependent on best-corrected VA.

77 FR 8288 - Applications and Amendments to Facility Operating Licenses Involving Proposed No Significant...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-14

... not listed on the Web site, but should note that the NRC's E-Filing system does not support unlisted... (COLR), to update the methodology reference list to support the core design with the new AREVA fuel... methodologies listed in Technical Specification 5.7.1.5 has no impact on any plant configuration or system...

78 FR 70965 - Ameren Missouri; Combined License Application for Callaway Plant, Unit 2, Exemption

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-27

... NUCLEAR REGULATORY COMMISSION [Docket No. 52-037; NRC-2008-0556] Ameren Missouri; Combined License Application for Callaway Plant, Unit 2, Exemption 1.0 Background Union Electric Company, doing business as Ameren UE, submitted to the U.S. Nuclear Regulatory Commission (NRC) a Combined License (COL) Application for a single unit of AREVA NP's U.S...

77 FR 76539 - Ameren Missouri; Combined License Application For Callaway Plant, Unit 2; Exemption

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-28

... NUCLEAR REGULATORY COMMISSION [Docket No. 52-037; NRC-2008-0556] Ameren Missouri; Combined License Application For Callaway Plant, Unit 2; Exemption 1.0 Background Union Electric Company, doing business as Ameren UE, submitted to the U.S. Nuclear Regulatory Commission (NRC) a Combined License (COL) Application for a single unit of AREVA NP's U.S...

Responsie van Verschillende Munitieartikelen bij Opwarming en Brand (Response of Munitions Items Due to Heating or a Fire)

DTIC Science & Technology

2007-09-01

Verboom Auteur TNO-rapport I TNO-DV 2007 A315 BijIage A I 1I7 A Berekening thermische explosiekubus A.1 Inleiding De theorie van een thermische...Responsie van verschillende munitieartikelen bij opwarming en brand Datum scptember 2007 Auteur (s) ir.J.H.G. Scholtes ir. V. Verboorn R Ubricering rapport O...mabegeleider Projectbegeleider Setembr20 Ltkol I Paap, G.B. Cornelisse, spebr20 DMO/DWS&B/Ressort Lucht- DS/CLAS/St-CLAS/Dir OPOST Auteur (s) systeen

Geautomatiseerde Verwerking van Militaire berichten Volgens ADatP-3 (Automated Processing of Military Messages According to ADatP-3)

DTIC Science & Technology

1992-06-01

ATCCIS beoogt juist dat te bereiken door te werken aan ecn informatie model en een data element dictionary. TNO-rapport Pagina 9 Binnen bet C2...en distributie 44 4.3.2 Interface met de gebruiker 45 4.3.3 Interface met dc operationcle database 46 TNO-rapport Pagina 11 4.3.3.1 Interpretatie...die bezig zijn met het ontwikkelen en implementeren van berichtformaten. Deel I van de publicatie bevat de beschrijving van FORMETS, delen 11 , I11 en

Final Design Report for the RH LLW Disposal Facility (RDF) Project

DOE Office of Scientific and Technical Information (OSTI.GOV)

Austad, Stephanie Lee

2015-09-01

The RH LLW Disposal Facility (RDF) Project was designed by AREVA Federal Services (AFS) and the design process was managed by Battelle Energy Alliance (BEA) for the Department of Energy (DOE). The final design report for the RH LLW Disposal Facility Project is a compilation of the documents and deliverables included in the facility final design.

Final Design Report for the RH LLW Disposal Facility (RDF) Project

DOE Office of Scientific and Technical Information (OSTI.GOV)

Austad, S. L.

2015-05-01

The RH LLW Disposal Facility (RDF) Project was designed by AREVA Federal Services (AFS) and the design process was managed by Battelle Energy Alliance (BEA) for the Department of Energy (DOE). The final design report for the RH LLW Disposal Facility Project is a compilation of the documents and deliverables included in the facility final design.

Sea Basing Logistiek

DTIC Science & Technology

2007-11-01

athankelijkheden, de hoeveelheid situatie? Auteur (s) ir. P.L.H. Cleophas drs. M.H.M. Delmee PROGRAMMA PROJECT drs. S. Hoesmans drs. P.G.M. van Scheepstal drs...hiertussen een aanvullende belangrijke schakel. In theorie worden binnen de CLAS en CZSK verschillende methoden voor het plannen van een operatie gehanteerd...J.H.A.Blokker MCM drs P.G.M. van Scheepstal Afdelingshoofd Auteur 72/72 TNO-rapport I TNO-DV 2007 A452 TNO-rapport I TNO-DV 2007 A452 Bijlage A 11/4 A Fysiek

DOE Office of Scientific and Technical Information (OSTI.GOV)

Prod'homme, A.; Drouvot, O.; Gregory, J.

In 2009, Savannah River Remediation LLC (SRR) assumed the management lead of the Liquid Waste (LW) Program at the Savannah River Site (SRS). The four SRR partners and AREVA, as an integrated subcontractor are performing the ongoing effort to safely and reliably: - Close High Level Waste (HLW) storage tanks; - Maximize waste throughput at the Defense Waste Processing Facility (DWPF); - Process salt waste into stable final waste form; - Manage the HLW liquid waste material stored at SRS. As part of these initiatives, SRR and AREVA deployed a performance management methodology based on Overall Equipment Effectiveness (OEE) atmore » the DWPF in order to support the required production increase. This project took advantage of lessons learned by AREVA through the deployment of Total Productive Maintenance and Visual Management methodologies at the La Hague reprocessing facility in France. The project also took advantage of measurement data collected from different steps of the DWPF process by the SRR team (Melter Engineering, Chemical Process Engineering, Laboratory Operations, Plant Operations). Today the SRR team has a standard method for measuring processing time throughout the facility, a reliable source of objective data for use in decision-making at all levels, and a better balance between engineering department goals and operational goals. Preliminary results show that the deployment of this performance management methodology to the LW program at SRS has already significantly contributed to the DWPF throughput increases and is being deployed in the Saltstone facility. As part of the liquid waste program on Savannah River Site, SRR committed to enhance production throughput of DWPF. Beyond technical modifications implemented at different location of the facility, SRR deployed performance management methodology based on OEE metrics. The implementation benefited from the experience gained by AREVA in its own facilities in France. OEE proved to be a valuable tool in

Qualitative research on the attitudes toward teenage sexual behavior of Chinese British families: methodological issues.

PubMed

Yu, Juping

2009-04-01

Qualitative approaches have been increasingly used to explore ethnic differences in teenage sexual behavior, and methodological issues of conducting such research often remain unaddressed. This article discusses issues related to sampling, rapport, language, and ethnical considerations arising while undertaking research on attitudes toward teenage sexual behavior held by Chinese British families. It highlights the value of using snowball sampling, the importance of establishing rapport, and some advantages of matching the ethnic background between researcher and participants. The researcher's gender and social and cultural backgrounds affect research processes and findings, and this itself merits further reflection.

Lacan and Adolescence: The Contemporary Clinic of the “Sexual Non-rapport” and Pornography

PubMed Central

Ouvry, Olivier

2018-01-01

This article explores two clinical phenomena—pornography and conspiracy thinking—that are highly relevant today and can be observed specifically among adolescent boys in the early stages of post-puberty: conspiracy thinking and the viewing of pornographic videos. It shows that the Lacanian concepts of the Real (of puberty) and the sexual non-rapport help us understand the psychopathological aspects of these two phenomena. Watching pornographic material becomes equivalent to a conspiracy theory about the sexual non-rapport; both in fact deny the effect of what puberty introduces as radically new. PMID:29467683

Arctic Planning Scenarios: Scenario #1: Defence Scenario

DTIC Science & Technology

2011-07-01

scénarios pour la planification future et d’aider les commandements opérationnels dans leur interaction avec les autres centres d’opérations. Ce rapport...scénarios pour la planification future. Ce rapport présente l’un des scénarios, qui est axé sur une intervention centrée sur la défense. Résultats : Le...et d’autres personnes qui participent à la planification de la défense du Canada auront besoin d’un jeu complet de scénarios pour évaluer les

Technical Evaluation Report on the Fluid Dynamics Panel Symposium on Validation of Computational Fluid Dynamics

DTIC Science & Technology

1989-05-01

separately each of the papers presented and makes general comments on the seven major topic sessions. In addition, a Poster Presentation was reviewed in...Appendix to this report. The Poster Papers, also listed in an Appendix, are published in CP437 Volume I. Le pr6sent rapport fait le point et donne une...ConfErence AGARD CP 437 Volume I dont une liste en est donn6e h I’annexe au pr6sent rapport. Une liste des r6unions d’information/exposition est

Kwaliteit van Expertsystemen: Algoritmen voor Integriteits-Controle (Quality of Expert Systems: Algorithms for Integrity Control)

DTIC Science & Technology

1990-03-01

Dist~i~ Ulnre rbu~ on Una o~d0 9 ~ j 2 0 0 TNO rapport Pagina rappon no. .FEL-89-A312 f"It Kwaliteit van Expertsystemen: Algoritmen voor Integriteits...KNOWLEDGEBASE 7 2.1 Inleiding 7 2.2 Een uitbreiding op NIAM: E(xtended)NIAM 8 2.3 Specificatie in E(xtended)NIAM 11 2.4 Representatie in Prolog 13 3...instantiatie van cen ThO rapport Pagina 9 ’graph’ is gelijk aan ten propositie (ean uitspraak over dea werkelijkheid). ’Graph’- instantiaties zijn

Energy Sources for Soldier Modernisation Programme Systems (Overzicht van Ontwikkelingen op het Gebied van Draagbare Energieopslag en Energieopwekking)

DTIC Science & Technology

1999-12-01

9 . http://home.earthlink.net/-fradella/homepage.htm 10. http ://web.mit.edu/aeroastro/www/labs/GTL/research/micro/micro.html 11 . http://www.ecr.co.il...Meijer 7 LAS/DB&P/BO/OB&T taxv. aooi Jansen 8 LAS/DB&PIBO/OB 9 LAS/DB&P/BO/CIV 10 OGMAN/Externe plannen Infanterie 11 DM/C31 12 DM/COM 13 KPU-bedrijf 14...detailed specifications mentioned before. TNO-rapport TNO-MEP - R 99/490 9 van 51 Samenvatting In dit rapport wordt een eerste globale selectie gemaakt: van

76 FR 3927 - Ameren Missouri; Combined License Application for Callaway Plant Unit 2; Exemption

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-21

... for a single unit of AREVA NP's U.S. EPR in accordance with the requirements of Title 10 of the Code... application is based upon and linked to the U.S. EPR reference COL (RCOL) application for UniStar's Calvert... U.S. EPR. 2.0 Request/Action The regulations specified in 10 CFR 50.71(e)(3)(iii) require that an...

How best to measure implementation of school health curricula: a comparison of three measures.

PubMed

Resnicow, K; Davis, M; Smith, M; Lazarus-Yaroch, A; Baranowski, T; Baranowski, J; Doyle, C; Wang, D T

1998-06-01

The impact of school health education programs is often attenuated by inadequate teacher implementation. Using data from a school-based nutrition education program delivered in a sample of fifth graders, this study examines the discriminant and predictive validity of three measures of curriculum implementation: class-room observation of fidelity, and two measures of completeness, teacher self-report questionnaire and post-implementation interview. A fourth measure, obtained during teacher observations, that assessed student and teacher interaction and student receptivity to the curriculum (labeled Rapport) was also obtained. Predictive validity was determined by examining the association of implementation measures with three study outcomes; health knowledge, asking behaviors related to fruit and vegetables, and fruit and vegetable intake, assessed by 7-day diary. Of the 37 teachers observed, 21 were observed for two sessions and 16 were observed once. Implementation measures were moderately correlated, an indication of discriminant validity. Predictive validity analyses indicated that the observed fidelity, Rapport and interview measures were significantly correlated with post-test student knowledge. The association between health knowledge and observed fidelity (based on dual observation only), Rapport and interview measures remained significant after adjustment for pre-test knowledge values. None of the implementation variables were significantly associated with student fruit and vegetable intake or asking behaviors controlling for pre-test values. These results indicate that the teacher self-report questionnaire was not a valid measure of implementation completeness in this study. Post-implementation completeness interviews and dual observations of fidelity and Rapport appear to be more valid, and largely independent methods of implementation assessment.

Development of Norms for the Post-deployment Reintegration Scale

DTIC Science & Technology

2010-09-01

semble pas y avoir de groupes manifestement à risque au sein des FC (Réserve par rapport à Force régulière, femmes par rapport aux hommes , renforts par...which read “j’ ai eu de la difficulté à réconcilier l ’ état de dévastation que j ’ai constaté là- bas et ma vie au Canada” in the French version...Canada. © Her Majesty the Queen in Right of Canada, as represented by the Minister of National Defence, 2010 © Sa Majesté la Reine (en droit du

A foxy view of human beauty: implications of the farm fox experiment for understanding the origins of structural and experiential aspects of facial attractiveness.

PubMed

Elia, I E

2013-09-01

Within 20 years, experimental selection of quantified "not too aggressive, not too fearful" behavior to human approach was shown in silver foxes (Vulpes vulpes) to produce a neotenic package of traits in adults: ability to seek, induce, and sustain contact (called friendly or rapport behavior); relatively short limbs and foreshortened skull/face; and light pigmentation areas. Earlier sexual maturation, prolonged receptivity, and larger litters were also noted. The increased estradiol supporting these changes was apparently also responsible for faster skeletal maturation, including earlier fusion of the basicranium causing tooth crowding, but also paedomorphic craniofacial proportions that we find attractive in our own and other species. In this paper, these important findings of the farm fox experiment are juxtaposed with insights from social psychology, physical anthropology, and neuroscience about facial beauty and reaction to it. Since many unrelated species show some or all of the neotenic package or domestication profile when they have achieved rapport past the juvenile stage, craniofacial proportions considered attractive are discussed as genetically and hormonally linked to the evolution of rapport--social contact, trust, and cooperation--whether by natural, intuitive, intentional, or mixed paths of selection.

Coupling a Supercritical Carbon Dioxide Brayton Cycle to a Helium-Cooled Reactor.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Middleton, Bobby; Pasch, James Jay; Kruizenga, Alan Michael

2016-01-01

This report outlines the thermodynamics of a supercritical carbon dioxide (sCO 2) recompression closed Brayton cycle (RCBC) coupled to a Helium-cooled nuclear reactor. The baseline reactor design for the study is the AREVA High Temperature Gas-Cooled Reactor (HTGR). Using the AREVA HTGR nominal operating parameters, an initial thermodynamic study was performed using Sandia's deterministic RCBC analysis program. Utilizing the output of the RCBC thermodynamic analysis, preliminary values of reactor power and of Helium flow rate through the reactor were calculated in Sandia's HelCO 2 code. Some research regarding materials requirements was then conducted to determine aspects of corrosion related tomore » both Helium and to sCO 2 , as well as some mechanical considerations for pressures and temperatures that will be seen by the piping and other components. This analysis resulted in a list of materials-related research items that need to be conducted in the future. A short assessment of dry heat rejection advantages of sCO 2> Brayton cycles was also included. This assessment lists some items that should be investigated in the future to better understand how sCO 2 Brayton cycles and nuclear can maximally contribute to optimizing the water efficiency of carbon free power generation« less

Assessing and Minimizing Adversarial Risk in a Nuclear Material Transportation Network

DTIC Science & Technology

2013-09-01

0704-0188) Washington DC 20503. 1. AGENCY USE ONLY (Leave Blank) 2. REPORT DATE 09-27-2013 3. REPORT TYPE AND DATES COVERED Master’s Thesis 4. TITLE AND...U.S. as of July 2013. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Figure A.1 Google Earth routing from Areva to Arkansas Nuclear...Uranium ore is mined or removed from the earth in a leaching process. 2. Conversion (1). Triuranium octoxide (U3O8, “yellowcake”) is converted into ura

Quantification des besoins en intrants antipaludiques: contribution à l'actualisation des hypothèses pour la quantification des intrants de prise en charge des cas de paludisme grave en République Démocratique du Congo

PubMed Central

Likwela, Joris Losimba; Otokoye, John Otshudiema

2015-01-01

Les formes graves de paludisme à Plasmodium falciparum sont une cause majeure de décès des enfants de moins de 5 ans en Afrique Sub-saharienne. Un traitement rapide dépend de la disponibilité de médicaments appropriés au niveau des points de prestation de service. La fréquence des ruptures de stock des commodités antipaludiques, en particuliers celles utilisées pour le paludisme grave, avait nécessité une mise à jour des hypothèses de quantification. Les données issues de la collecte de routine du PNLP de 2007 à 2012 ont été comparées à celles rapportés par d'autres pays africains et utilisées pour orienter les discussions au cours d'un atelier organisé par le PNLP et ses partenaires techniques et financiers afin de dégager un consensus national. La proportion des cas de paludisme rapportés comme grave en RDC est resté autour d'une médiane de 7% avec un domaine de variation de 6 à 9%. Hormis la proportion rapportée au Kenya (2%), les pays africains ont rapporté une proportion de cas grave variant entre 5 et 7%. Il apparaît que la proportion de 1% précédemment utilisée pour la quantification en RDC a été sous-estimée dans le contexte de la gestion des cas graves sur terrain. Un consensus s'est dégagé autour de la proportion de 5% étant entendu que des efforts de renforcement des capacités seraient déployés afin d'améliorer le diagnostic au niveau des points de prestation des services. PMID:26213595

[Tissue expanders in the treatment of burn injuries].

PubMed

Tourabi, K; Ribag, Y; Arrob, A; Moussaoui, A; Ihrai, H

2010-03-31

Les Auteurs présentent leur protocole pour l'expansion cutanée et rapportent quatre cas colligés au service des brûlures de leur hôpital au Maroc. Ils décrivent leur technique opératoire et les résultats obtenus. L'expansion cutanée reste la méthode de choix pour la couverture des pertes de substance étendues et la correction des séquelles de brûlure, et l'expérience rapportée par les Auteurs confirme les bons résultats que l'on peut obtenir avec cette technique, y compris les résultats esthétiques.

Les Protheses d'Expansion dans le Traitement des Sequelles de Brulures

PubMed Central

Tourabi, K.; Ribag, Y.; Arrob, A.; Moussaoui, A.; Ihrai, H.

2010-01-01

Summary Les Auteurs présentent leur protocole pour l'expansion cutanée et rapportent quatre cas colligés au service des brûlures de leur hôpital au Maroc. Ils décrivent leur technique opératoire et les résultats obtenus. L'expansion cutanée reste la méthode de choix pour la couverture des pertes de substance étendues et la correction des séquelles de brûlure, et l'expérience rapportée par les Auteurs confirme les bons résultats que l'on peut obtenir avec cette technique, y compris les résultats esthétiques. PMID:21991194

The computer-assisted interview In My Shoes can benefit shy preschool children's communication.

PubMed

Fängström, Karin; Salari, Raziye; Eriksson, Maria; Sarkadi, Anna

2017-01-01

Interviewing children is a cognitively, socially, and emotionally challenging situation, especially for young and shy children. Thus, finding methods that aid rapport and increase these children's communication is important. The present study investigated whether children's verbal and non-verbal communicative behavior developed differently during the rapport phase, depending on whether children were situationally shy or not, and whether the interview was conducted using the computer-assisted interview In My Shoes (IMS) or a Standard verbal interview. The sample consisted of 60 children aged 4 to 5-years-old. The results showed that for the shy children in the IMS group their talkativeness increased and their answer latency decreased including the amount of encouragement the child needed to talk, while no changes were observed for the shy children in the Standard verbal interview group. There were no significant differences in the non-verbal behavior for the shy children regardless of the interview method used. For the non-shy children, overall, the interview method did not affect either the verbal or the non-verbal outcomes. Our findings indicate that IMS can be a useful tool during the rapport-building phase with shy children as it helps these children to improve their verbal communication.

The computer-assisted interview In My Shoes can benefit shy preschool children's communication

PubMed Central

Salari, Raziye; Eriksson, Maria; Sarkadi, Anna

2017-01-01

Interviewing children is a cognitively, socially, and emotionally challenging situation, especially for young and shy children. Thus, finding methods that aid rapport and increase these children’s communication is important. The present study investigated whether children’s verbal and non-verbal communicative behavior developed differently during the rapport phase, depending on whether children were situationally shy or not, and whether the interview was conducted using the computer-assisted interview In My Shoes (IMS) or a Standard verbal interview. The sample consisted of 60 children aged 4 to 5-years-old. The results showed that for the shy children in the IMS group their talkativeness increased and their answer latency decreased including the amount of encouragement the child needed to talk, while no changes were observed for the shy children in the Standard verbal interview group. There were no significant differences in the non-verbal behavior for the shy children regardless of the interview method used. For the non-shy children, overall, the interview method did not affect either the verbal or the non-verbal outcomes. Our findings indicate that IMS can be a useful tool during the rapport-building phase with shy children as it helps these children to improve their verbal communication. PMID:28813534

DOE Office of Scientific and Technical Information (OSTI.GOV)

Vidal, Jean-Marc; Eschbach, Romain; Launay, Agnes

CEA and AREVA-NC have developed and used a depletion code named CESAR for 30 years. This user-friendly industrial tool provides fast characterizations for all types of nuclear fuel (PWR / UOX or MOX or reprocess Uranium, BWR / UOX or MOX, MTR and SFR) and the wastes associated. CESAR can evaluate 100 heavy nuclides, 200 fission products and 150 activation products (with Helium and Tritium formation). It can also characterize the structural material of the fuel (Zircalloy, stainless steel, M5 alloy). CESAR provides depletion calculations for any reactor irradiation history and from 3 months to 1 million years of coolingmore » time. CESAR5.3 is based on the latest calculation schemes recommended by the CEA and on an international nuclear data base (JEFF-3.1.1). It is constantly checked against the CEA referenced and qualified depletion code DARWIN. CESAR incorporates the CEA qualification based on the dissolution analyses of fuel rod samples and the 'La Hague' reprocessing plant feedback experience. AREVA-NC uses CESAR intensively at 'La Hague' plant, not only for prospective studies but also for characterizations at different industrial facilities all along the reprocessing process and waste conditioning (near 150 000 calculations per year). CESAR is the reference code for AREVA-NC. CESAR is used directly or indirectly with other software, data bank or special equipment in many parts of the La Hague plants. The great flexibility of CESAR has rapidly interested other projects. CESAR became a 'tool' directly integrated in some other softwares. Finally, coupled with a Graphical User Interface, it can be easily used independently, responding to many needs for prospective studies as a support for nuclear facilities or transport. An English version is available. For the principal isotopes of U and Pu, CESAR5 benefits from the CEA experimental validation for the PWR UOX fuels, up to a burnup of 60 GWd/t and for PWR MOX fuels, up to 45 GWd/t. CESAR version 5.3 uses the

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.

SAFARI-1: Achieving conversion to LEU - A local challenge

DOE Office of Scientific and Technical Information (OSTI.GOV)

Piani, C.S.B.

2008-07-15

Two years have passed since the South African Department of Minerals and Energy authorised the conversion from High Enriched Uranium (HEU) to Low Enriched Uranium (LEU) of the South African Research Reactor (SAFARI-1) and the associated fuel manufacturing at Pelindaba. The scheduling, as originally proposed, allowed approximately three years for the full conversion of the reactor, anticipating simultaneous manufacturing ability from the fuel production plant. Due to technical difficulties experienced in the conversion of the local manufacturing plant from HEU (UAl alloy) to LEU (U Silicide) and the uncertainty as to costing and scheduling of such an achievement, the conversionmore » of SAFARI-1 based on local supply has been allocated a lower priority. The acquisition in mid-2006 of 2 LEU silicide elements of SA design, manufactured by AREVA- CERCA and irradiated as test elements in SAFARI-1 to burn-ups of {approx}65% each; was successfully accomplished within 9 cycles of irradiation each. Furthermore, four 'Hybrid' elements (AREVA-CERCA plates assembled locally at Pelindaba) are ready for irradiation and have received regulatory authorisation to load. This will enable the SAFARI-1 conversion program to continue systematically according to an agreed schedule. This paper will trace the developments of the above and reflect the current status and the rescheduled conversion phases of the reactor according to latest expectations. (author)« less

International Congress of Neuroethology (12th)

DTIC Science & Technology

2016-10-14

equipped meeting rooms and exhibition facilities as well as the on-site restaurant on the 25th floor, or the conveniently located Victoria Bistro with...three carefully- selected participant symposia, five career development sessions and two poster sessions that we hope you will enjoy . Such rich and...Aires, Argentina • SELECTED STUDENTS • • • • • • • • • • • • • • • • • • Ivan Camilo Beltran Areva lo, Co lombia Agustina Cano, Argentina

Decontamination, decommissioning, and vendor advertorial issue, 2007

DOE Office of Scientific and Technical Information (OSTI.GOV)

Agnihotri, Newal

The focus of the July-August issue is on Decontamination, decommissioning, and vendor advertorials. Major articles/reports in this issue include: An interesting year ahead of us, by Tom Christopher, AREVA NP Inc.; U.S.-India Civil Nuclear Cooperation; Decontamination and recycling of retired components, by Sean P. Brushart, Electric Power Research Institute; and, ANO is 33 and going strong, by Tyler Lamberts, Entergy Nuclear Operations, Inc. The industry innovation article is: Continuous improvement process, by ReNae Kowalewski, Arkansas Nuclear One.

Discourse Features Among Providers, Patients, and Companions and Their Effect on Outcomes of Dementia Diagnosis Disclosure.

PubMed

Wynn, Matthew J; Carpenter, Brian D

2017-12-13

Receiving a diagnosis of dementia has major implications. Although protocols for disclosing difficult information have been developed for other health conditions, no such evidence-based method exists for dementia. As a step toward that goal, this study analyzed the discourse within dementia diagnosis disclosure sessions to identify conversational features associated with psychological outcomes. The Roter Interaction Analysis System (RIAS) was used to code the discourse among patients, their companions, and providers during 84 dementia diagnosis disclosure sessions following an initial evaluation at an Alzheimer's Disease Research Center. Providers dominated the conversation in terms of overall time spent talking. With more severe dementia, patients spoke less and companions spoke more. Provider-positive rapport building was associated with lower patient depression and anxiety following the disclosure session. Patient-positive rapport building was associated with higher companion anxiety, but only when the patient was not suspected to have dementia. No associations were found between other types of discourse and patient or companion psychological outcomes. A relatively small amount of positive rapport building by providers can lead to reduced distress following dementia disclosure. Dementia disclosure best practices should emphasize patient-centered communication techniques in order to minimize psychological distress following diagnosis. © The Author(s) 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Family presence and participation during medical visits of heart failure patients: An analysis of survey and audiotaped communication data.

PubMed

Cené, Crystal W; Haymore, Beth; Laux, Jeffrey P; Lin, Feng-Chang; Carthron, Dana; Roter, Debra; Cooper, Lisa A; Chang, Patricia P; Jensen, Brian C; Miller, Paula F; Corbie-Smith, Giselle

2017-02-01

To describe the frequency, roles, and utility of family companion involvement in the care of patients with Heart Failure (HF) care and to examine the association between audiotaped patient, companion, and provider communication behaviors. We collected survey data and audiotaped a single medical visit for 93 HF patients (36 brought a companion into the examination room) and their cardiology provider. Communication data was analyzed using the Roter Interaction Analysis System. There were 32% more positive rapport-building statements (p<0.01) and almost three times as many social rapport-building statements (p<0.01) from patients and companions in accompanied visits versus unaccompanied patient visits. There were less psychosocial information giving statements in accompanied visits compared to unaccompanied patient visits (p<0.01.) Providers made 25% more biomedical information giving statements (p=0.04) and almost three times more social rapport-building statements (p<0.01) in accompanied visits. Providers asked fewer biomedical and psychosocial questions in accompanied versus unaccompanied visits. Providers made 16% fewer partnership-building statements in accompanied versus unaccompanied visits (p=0.01). Our findings are mixed regarding the benefits of accompaniment for facilitating patient-provider communication based on survey and audiotaped data. Strategies to enhance engagement during visits, such as pre-visit question prompt lists, may be beneficial. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Family presence and participation during medical visits of heart failure patients: an analysis of survey and audiotaped communication data

PubMed Central

Cené, Crystal W.; Haymore, Beth; Laux, Jeffrey P; Lin, Feng-Chang; Carthron, Dana; Roter, Debra; Cooper, Lisa A.; Chang, Patricia P.; Jensen, Brian C.; Miller, Paula F.; Corbie-Smith, Giselle

2017-01-01

Objective To describe the frequency, roles, and utility of family companion involvement in the care of patients with Heart Failure (HF) care and to examine the association between audiotaped patient, companion, and provider communication behaviors. Methods We collected survey data and audiotaped a single medical visit for 93 HF patients (36 brought a companion into the examination room) and their cardiology provider. Communication data was analyzed using the Roter Interaction Analysis System. Results There were 32% more positive rapport-building statements (p<.01) and almost three times as many social rapport-building statements (p<0.01) from patients and companions in accompanied visits versus unaccompanied patient visits. There were less psychosocial information giving statements in accompanied visits compared to unaccompanied patient visits (p<0.01.) Providers made 25% more biomedical information giving statements (p=0.04) and almost three times more social rapport-building statements (p<0.01) in accompanied visits. Providers asked fewer biomedical and psychosocial questions in accompanied versus unaccompanied visits. Providers made 16% fewer partnership-building statements in accompanied versus unaccompanied visits (p=0.01). Conclusions Our findings are mixed regarding the benefits of accompaniment for facilitating patient-provider communication based on survey and audiotaped data. Practice Implications Strategies to enhance engagement during visits, such as pre-visit question prompt lists, may be beneficial. PMID:27609321

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)

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)

Decontamination, decommissioning, and vendor advertorial issue, 2006

DOE Office of Scientific and Technical Information (OSTI.GOV)

Agnihotri, Newal

2006-07-15

The focus of the July-August issue is on Decontamination, decommissioning, and vendor advertorials. Major articles/reports in this issue include: NPP Krsko revised decommissioning program, by Vladimir Lokner and Ivica Levanat, APO d.o.o., Croatia, and Nadja Zeleznik and Irena Mele, ARAO, Slovenia; Supporting the renaissance, by Marilyn C. Kray, Exelon Nuclear; Outage world an engineer's delight, by Tom Chrisopher, Areva, NP Inc.; Optimizing refueling outages with R and D, by Ross Marcoot, GE Energy; and, A successful project, by Jim Lash, FirstEnergy.

NNSA B-Roll: MOX Facility

ScienceCinema

None

2017-12-09

In 1999, the National Nuclear Security Administration (NNSA) signed a contract with a consortium, now called Shaw AREVA MOX Services, LLC to design, build, and operate a Mixed Oxide (MOX) Fuel Fabrication Facility. This facility will be a major component in the United States program to dispose of surplus weapon-grade plutonium. The facility will take surplus weapon-grade plutonium, remove impurities, and mix it with uranium oxide to form MOX fuel pellets for reactor fuel assemblies. These assemblies will be irradiated in commercial nuclear power reactors.

NNSA B-Roll: MOX Facility

DOE Office of Scientific and Technical Information (OSTI.GOV)

None

2010-05-21

In 1999, the National Nuclear Security Administration (NNSA) signed a contract with a consortium, now called Shaw AREVA MOX Services, LLC to design, build, and operate a Mixed Oxide (MOX) Fuel Fabrication Facility. This facility will be a major component in the United States program to dispose of surplus weapon-grade plutonium. The facility will take surplus weapon-grade plutonium, remove impurities, and mix it with uranium oxide to form MOX fuel pellets for reactor fuel assemblies. These assemblies will be irradiated in commercial nuclear power reactors.

All About MOX

DOE Office of Scientific and Technical Information (OSTI.GOV)

None

2009-07-29

In 1999, the Nuclear Nuclear Security Administration (NNSA) signed a contract with a consortium, now called Shaw AREVA MOX Services, LLC to design, build, and operate a Mixed Oxide (MOX) Fuel Fabrication Facility. This facility will be a major component in the United States program to dispose of surplus weapon-grade plutonium. The facility will take surplus weapon-grade plutonium, remove impurities, and mix it with uranium oxide to form MOX fuel pellets for reactor fuel assemblies. These assemblies will be irradiated in commercial nuclear power reactors.

Improvements and applications of COBRA-TF for stand-alone and coupled LWR safety analyses

DOE Office of Scientific and Technical Information (OSTI.GOV)

Avramova, M.; Cuervo, D.; Ivanov, K.

2006-07-01

The advanced thermal-hydraulic subchannel code COBRA-TF has been recently improved and applied for stand-alone and coupled LWR core calculations at the Pennsylvania State Univ. in cooperation with AREVA NP GmbH (Germany)) and the Technical Univ. of Madrid. To enable COBRA-TF for academic and industrial applications including safety margins evaluations and LWR core design analyses, the code programming, numerics, and basic models were revised and substantially improved. The code has undergone through an extensive validation, verification, and qualification program. (authors)

All About MOX

ScienceCinema

None

2018-01-16

In 1999, the Nuclear Nuclear Security Administration (NNSA) signed a contract with a consortium, now called Shaw AREVA MOX Services, LLC to design, build, and operate a Mixed Oxide (MOX) Fuel Fabrication Facility. This facility will be a major component in the United States program to dispose of surplus weapon-grade plutonium. The facility will take surplus weapon-grade plutonium, remove impurities, and mix it with uranium oxide to form MOX fuel pellets for reactor fuel assemblies. These assemblies will be irradiated in commercial nuclear power reactors.

Leukemia risk associated with chronic external exposure to ionizing radiation in a French cohort of nuclear workers.

PubMed

Metz-Flamant, C; Samson, E; Caër-Lorho, S; Acker, A; Laurier, D

2012-11-01

Leukemia is one of the earliest cancer effects observed after acute exposure to relatively high doses of ionizing radiation. Leukemia mortality after external exposure at low doses and low-dose rates has been investigated at the French Atomic Energy Commission (CEA) and Nuclear Fuel Company (AREVA NC) after an additional follow-up of 10 years. The cohort included radiation-monitored workers employed for at least one year during 1950-1994 at CEA or AREVA NC and followed during 1968-2004. Association between external exposure and leukemia mortality was estimated with excess relative risk (ERR) models and time-dependent modifying factors were investigated with time windows. The cohort included 36,769 workers, followed for an average of 28 years, among whom 73 leukemia deaths occurred. Among the workers with a positive recorded dose, the mean cumulative external dose was 21.7 mSv. Results under a 2-year lag assumption suggested that the risk of leukemia (except chronic lymphatic leukemia) increased significantly by 8% per 10 mSv. The magnitude of the association for myeloid leukemia was larger. The higher ERR/Sv for doses received 2-14 years earlier suggest that time since exposure modifies the effect. The ERR/Sv also appeared higher for doses received at exposure rates ≥20 mSv per year. These results are consistent with those found in other studies of nuclear workers. However, confidence intervals are still wide. Further analyses should be conducted in pooled cohorts of nuclear workers.

World first in high level waste vitrification - A review of French vitrification industrial achievements

DOE Office of Scientific and Technical Information (OSTI.GOV)

Brueziere, J.; Chauvin, E.; Piroux, J.C.

2013-07-01

AREVA has more than 30 years experience in operating industrial HLW (High Level radioactive Waste) vitrification facilities (AVM - Marcoule Vitrification Facility, R7 and T7 facilities). This vitrification technology was based on borosilicate glasses and induction-heating. AVM was the world's first industrial HLW vitrification facility to operate in-line with a reprocessing plant. The glass formulation was adapted to commercial Light Water Reactor fission products solutions, including alkaline liquid waste concentrates as well as platinoid-rich clarification fines. The R7 and T7 facilities were designed on the basis of the industrial experience acquired in the AVM facility. The AVM vitrification process wasmore » implemented at a larger scale in order to operate the R7 and T7 facilities in-line with the UP2 and UP3 reprocessing plants. After more than 30 years of operation, outstanding record of operation has been established by the R7 and T7 facilities. The industrial startup of the CCIM (Cold Crucible Induction Melter) technology with enhanced glass formulation was possible thanks to the close cooperation between CEA and AREVA. CCIM is a water-cooled induction melter in which the glass frit and the waste are melted by direct high frequency induction. This technology allows the handling of highly corrosive solutions and high operating temperatures which permits new glass compositions and a higher glass production capacity. The CCIM technology has been implemented successfully at La Hague plant.« less

Beslisbevoegdheden van de Uitgestegen Soldaat. Deel B: Verbetering van Situational Awareness Met Behulp van de Soldier Digital Assistant in een Gesimuleerde Omgeving (Authority and Responsbility of the Dismounted Soldier. Part B. Improving the Situational Awareness using the Soldier Digital Assistant in a Simulated Environment)

DTIC Science & Technology

2007-04-01

Dergelijke omngevingen zijn tot op heden vrijwel uitsluitend gebruikt voor training en onderwijs , maar slechts zeer sporadisch voor wetenschappelijk...Onderstaande instanties/personen ontvangen een volledig exemplaar van het rapport. 1 DMO/SC-DR&D standaard inclusief digitale versie bijgeleverd op cd

Fistule vesico-sigmoïdienne compliquant une hydatidose intestinale: à propos d'un cas rare

PubMed Central

Lahyani, Mounir; Jabbour, Younes; Karmouni, Tarik; Elkhader, Khalid; Koutani, Abdellatif; Andaloussi, Ahmed Ibn attya

2014-01-01

La fistule colo-vésicale sur une hydatidose sigmoidienne est une entité pathologique exceptionnelle. Nous rapportions une nouvelle observation, ou seront rappelées les principales données diagnostique et thérapeutique de cette affection. PMID:25722790

How the perspectives of nursing assistants and frail elderly residents on their daily interaction in nursing homes affect their interaction: a qualitative study.

PubMed

Lung, Chi-Chi; Liu, Justina Yat Wa

2016-01-14

Good support from and positive relations with institutional staff can enhance the psychosocial wellbeing of residents admitted to a nursing home. Nursing assistants (NAs) interact most frequently with residents and play an important role in developing good rapport with them. Most studies have described the daily interactions between NAs and residents as task oriented. Only few have attempted to explore the perspectives of NAs and residents on their daily interactions. Therefore, the aim of this study was to identify the types of daily interactions perceived by NAs and residents. We also investigated those intentions/beliefs held by NAs and residents that might direct their interactive behaviors. A descriptive, exploratory, qualitative approach was used to explore the perspectives of 18 NAs (mean age: 51) and 15 residents (mean age: 84.4) on their daily interactions. Unstructured in-depth interviews were used to collect data. All of the interviews were conducted from July to December 2013. The collected data were transcribed verbatim and analyzed by content analysis. Three types of interactions were found that described the NAs' and residents' perspectives on their daily interactions: (1) physiologically-oriented daily interactions; (2) cordial interactions intended to maintain a harmonious atmosphere; and (3) reciprocal social interactions intended to develop closer rapport. One or more themes reflecting the participants' intentions or beliefs were identified from each group to support each type of interaction. An over-emphasis on the formal caring relationship and over-concern about maintaining a harmonious atmosphere contributed to a superficial and distant relationship between the two parties. Building close rapport takes time and involves repeated reciprocal social interactions. The findings showed that with good intentions to establish closer rapport, both NAs and residents did favors for each other. All of those favors were easily integrated in the care

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

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)

Penn Working Papers in Educational Linguistics, Volume 5, Number 2.

ERIC Educational Resources Information Center

Riley, Kathryn, Ed.

The working papers contained in this volume include the following: "Research on Language Learning; How Can It Respond to Classroom Concerns?" (Teresa Pica); "Building Rapport Through Indirect Complaints: Implications for Language Learning" (Diana Boxer); "(Bi)literacy and Empowerment: Education for Indigenous Groups in…

A School-Based Mental Health Consultation Curriculum.

ERIC Educational Resources Information Center

Sandoval, Jonathan; Davis, John M.

1984-01-01

Presents one position on consultation that integrates a theoretical model, a process model, and a curriculum for training school-based mental health consultants. Elements of the proposed curriculum include: ethics, relationship building, maintaining rapport, defining problems, gathering data, sharing information, generating and supporting…

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 (c) 2016 APA, all rights reserved).

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…

Encouraging staff involvement in the security effort.

PubMed

Hudson, Gary A

2006-01-01

Developing greater rapport between the security department and other hospital employees is essential to a successful security effort. In this article, the author describes a number of methods which can be used to better integrate the security program into the culture of the hospital.

Some Female Professors' Experiences of Collaboration: Mapping the Collaborative Process through Rough Terrain.

ERIC Educational Resources Information Center

Elliott, Anne E.; Woloshyn, Vera E.

1997-01-01

Seven Canadian female faculty members described their involvement in collaborative projects, including collaborations with a school principal, school teachers, a former student, a graduate student, and other faculty. Common themes included building rapport, establishing goals and rewards, negotiation of tasks, commitment and interpersonal support,…

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…

Keys to a Safe, Secure School.

ERIC Educational Resources Information Center

Kennedy, Mike

2002-01-01

Outlines 10 steps that school administrators can take to make their schools safer and more secure for students and staff. These steps encompass crime prevention through environmental design, crisis planning, entrances, lighting, police presence, prevention programs, rapport with students, smaller schools, technology implementation, and staff…

Army Sustainment. Volume 42, Issue 2, March-April 2010

DTIC Science & Technology

2010-04-01

and provides additional keys to the recruiter for mission attainment. This element provides insight on how to— ❏ Establish instant rapport...catering for more than 500 personnel, electronic ovens, freezers, and machines to make noodles and bean curd were introduced.10 Rear-echelon units

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…

24 CFR 904.203 - Planning.

Code of Federal Regulations, 2011 CFR

2011-04-01

... be recognized that most of the objectives stated require specialized instructional skill and content knowledge. There shall be recognition of the differences in communication and in value systems, and an... indigenous trainers to insure good communication and rapport. Special attention shall be directed to the...

24 CFR 904.203 - Planning.

Code of Federal Regulations, 2013 CFR

2013-04-01

... be recognized that most of the objectives stated require specialized instructional skill and content knowledge. There shall be recognition of the differences in communication and in value systems, and an... indigenous trainers to insure good communication and rapport. Special attention shall be directed to the...

24 CFR 904.203 - Planning.

Code of Federal Regulations, 2014 CFR

2014-04-01

... be recognized that most of the objectives stated require specialized instructional skill and content knowledge. There shall be recognition of the differences in communication and in value systems, and an... indigenous trainers to insure good communication and rapport. Special attention shall be directed to the...

24 CFR 904.203 - Planning.

Code of Federal Regulations, 2012 CFR

2012-04-01

... be recognized that most of the objectives stated require specialized instructional skill and content knowledge. There shall be recognition of the differences in communication and in value systems, and an... indigenous trainers to insure good communication and rapport. Special attention shall be directed to the...

Industrial Program of Waste Management - Cigeo Project - 13033

DOE Office of Scientific and Technical Information (OSTI.GOV)

Butez, Marc; Bartagnon, Olivier; Gagner, Laurent

2013-07-01

The French Planning Act of 28 June 2006 prescribed that a reversible repository in a deep geological formation be chosen as the reference solution for the long-term management of high-level and intermediate-level long-lived radioactive waste. It also entrusted the responsibility of further studies and design of the repository (named Cigeo) upon the French Radioactive Waste Management Agency (Andra), in order for the review of the creation-license application to start in 2015 and, subject to its approval, the commissioning of the repository to take place in 2025. Andra is responsible for siting, designing, implementing, operating the future geological repository, including operationalmore » and long term safety and waste acceptance. Nuclear operators (Electricite de France (EDF), AREVA NC, and the French Commission in charge of Atomic Energy and Alternative Energies (CEA) are technically and financially responsible for the waste they generate, with no limit in time. They provide Andra, on one hand, with waste packages related input data, and on the other hand with their long term industrial experiences of high and intermediate-level long-lived radwaste management and nuclear operation. Andra, EDF, AREVA and CEA established a cooperation agreement for strengthening their collaborations in these fields. Within this agreement Andra and the nuclear operators have defined an industrial program for waste management. This program includes the waste inventory to be taken into account for the design of the Cigeo project and the structural hypothesis underlying its phased development. It schedules the delivery of the different categories of waste and defines associated flows. (authors)« less

Teaching Disaffected Middle School Students: How Classroom Dynamics Shape Students' Experiences

ERIC Educational Resources Information Center

Kennedy, Brianna L.

2011-01-01

This article examines instruction at a school in California for expelled middle school students and illustrates the practices of its most and least effective teachers. Findings show that teachers' implementation of instructional practices, classroom management, and rapport building mutually reinforced each other to either facilitate or hinder…

Benelux Colloquium on Geomorphological Processes and Soils (4th) Held in Amsterdam and Leuven on April 24-May 2, 1988. Excursion Guide

DTIC Science & Technology

1988-01-01

Utrecht and Lidge. The colloquium is being organised by the Laboratoy of Experimental Geomorphology, Catholic University of Leuven and the Laboratory of...37 ARTIKELEN EN RAPPORM!N Ancker, J.A.24.van den & Jungeriuc, P.D., 1985. Recante duinvormingupro- cessen langs de Franse vastkust. Intern Rapport

Student Observations of Outstanding Teaching: Implications for Marketing Educators

ERIC Educational Resources Information Center

Faranda, William T.; Clarke, Irvine, III

2004-01-01

In this article, the authors heed the call to explore the attributes of an outstanding professor "by conducting in-depth interviews with students." The study reveals five predominant themes (rapport, delivery, fairness, knowledge and credibility, organization, and preparation) of teaching excellence, as perceived by students, through…

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.…

Comparing Human-Human to Human-Computer Tutorial Dialogue

DTIC Science & Technology

2010-01-01

acknowledged what their tutor said and participated in rapport building with chit-chat. This seems to be driven by a need to be polite and courteous to the...An experiment on public speaking anxiety in response to three different types of virtual audiences. Presence: Teleoperators and Virtual

Counseling Blacks

ERIC Educational Resources Information Center

Vontress, Clemmont E.

1970-01-01

Blacks have developed unique environmental perceptions, values, and attitudes, making it difficult for counselors to establish and maintain positive rapport. This article examines attitudinal ingredients posited by Carl Rogers for relevance to this problem, and suggests in-service training to help counselors and other professionals relate…

International trade and waste and fuel managment issue, 2006

DOE Office of Scientific and Technical Information (OSTI.GOV)

Agnihotri, Newal

The focus of the January-February issue is on international trade and waste and fuel managment. Major articles/reports in this issue include: HLW management in France, by Michel Debes, EDF, France; Breakthroughs from future reactors, by Jacques Bouchard, CEA, France; 'MOX for peace' a reality, by Jean-Pierre Bariteau, AREVA Group, France; Swedish spent fuel and radwaste, by Per H. Grahn and Marie Skogsberg, SKB, Sweden; ENC2005 concluding remarks, by Larry Foulke, 'Nuclear Technology Matters'; Fuel crud formation and behavior, by Charles Turk, Entergy; and, Plant profile: major vote of confidence for NP, by Martti Katka, TVO, Finland.

Task Order 20: Supercritical Carbon Dioxide Brayton Cycle Energy Conversion Study

DOE Office of Scientific and Technical Information (OSTI.GOV)

Murray, Paul; Lindsay, Edward; McDowell, Michael

2015-04-23

AREVA Inc. developed this study for the US Department of Energy (DOE) office of Nuclear Energy (NE) in accordance with Task Order 20 Statement of Work (SOW) covering research and development activities for the Supercritical Carbon Dioxide (sCO2) Brayton Cycle energy conversion. The study addresses the conversion of sCO2 heat energy to electrical output by use of a Brayton Cycle system and focuses on the potential of a net efficiency increase via cycle recuperation and recompression stages. The study also addresses issues and study needed to advance development and implementation of a 10 MWe sCO2 demonstration project.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Agnihotri, Newal

The focus of the May-June issue is on outage management and health physics. Major articles include: Outage optimization initiatives, by George B. Beam, AREVA NP, Inc.; New plant based on excellent track records, by Jim Scarola, Progress Energy; Meeting customer needs and providing environmental benefits, by Peter S. Hastings, Duke Energy; Plants with 3-D design, by Jack A. Bailey, Tennessee Valley Authority; and Highest quality with exceptional planning, by Jason A. Walls, Duke Energy. Industry innovation articles include: Integrated exposure reduction plan, by Ed Wolfe, Exelon; Performance-based radiation worker training, by Joe Giuffre and Timothy Vriezerma, American Electric Power.

Stress at Work: An Evaluation of Occupational Stressors as Reported by a Multicultural New Zealand Workforce.

PubMed

Dryson; Scragg; Metcalf; Baker

1996-01-01

Occupational stress is a cause of considerable morbidity, but research on work stressors has comparatively neglected the moderating effects of gender, age, ethnicity, and occupation. A workforce of 5,467 European, Maori, Pacific Islander, and Asian employees, 40 years old or older, working for 41 companies, completed a questionnaire giving details of total stressors and subcategories of stressors. Relative risks were estimated using numbers above and below median scores. There were significant associations between increased stressors and the following [with category showing highest relative risk, and corresponding relative risk (95% confidence interval)]: male gender [job scope, 1.50(1.37,1.63)]; young age [rapport with management, 1.34(11.23,1.46)]; administrative goup [job pressure, 1.85(1.69,2.03)]; and a negative association with Pacific Islander ethnicity [rapport with management, 0.59(0.52,0.66)]. These findings indicate areas in a workforce to which stress-reduction interventions can be directed.

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

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…

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…

Tutor Training Program.

ERIC Educational Resources Information Center

Gill, Wanda E.

A tutor training program manual that is used at Bowie State College is presented. The manual covers the following: tutoring program objectives; general tutoring principles; general procedures the tutor should follow; including contacting the student and establishing rapport, guidelines concerning the tutors' attitudes and behavior; a few points to…

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…

Mission Impossible? Social Work Practice with Black Urban Youth Gangs.

ERIC Educational Resources Information Center

Fox, Jerry R.

1985-01-01

Describes the adaptation of social work practice skills to serve black urban youth gangs. Presents a model for practice which respects youths' right to self-determination and community needs. Model stages discussed include contact, rapport, setting goals, assigning roles, procuring resources, and evaluation. Model applicability is suggested. (NRB)

Literature Review on Best Practices in Collective Learning

DTIC Science & Technology

2010-11-01

potentiels de l’apprentissage collectif dans un environnement multi-organisation. Ce rapport sera utile pour les groupes qui tentent d’évaluer dans...publications sont documentées. Elles sont ensuite transformées en indicateurs potentiels de l’apprentissage collectif dans un environnement multi

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…

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…

Personality Type and Leadership Approach

ERIC Educational Resources Information Center

Adams, Dolly L.

2009-01-01

Effective leadership in public schools includes, but is not limited to being able to communicate goals, set expectations, monitor instructional progress, coordinate the curriculum, and supervise and evaluate faculty (Snowden & Gorton, 2002). All of these leadership skills are driven by a need for leaders to build collaborative rapport and…

Catch Them Before They Fall.

ERIC Educational Resources Information Center

Dundes, Lauren; Perlow, Robyn; Brown, Bethany

2000-01-01

Because adolescent girls' faltering confidence affects their academic performance and their social and emotional lives, after-school intervention programs are warranted. Mature enough to balance camaraderie with control, college students can develop excellent rapport with this population. Finding a student coordinator is a first step. (Contains 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…

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…

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…

Interpersonal Learning Systems for National Speech-Communication.

ERIC Educational Resources Information Center

Heinberg, Paul

A consensus has prevailed among educators that Americans of verying ethnic, social, cultural, and linguistic backgrounds who must communicate with each other in social, academic, and occupational situations might achieve a greater degree of rapport if the dialect of the English mutually spoken and the speech mannerisms used were standardized.…

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…

Understanding the Black Foster Child through Assessment.

ERIC Educational Resources Information Center

Seligman, Linda

1979-01-01

Sheds light on the difficulties of one of the most problem-ridden segments of our society's young people--minority foster children--and suggests ways to improve the help that these children receive. Results indicate that a satisfactory rapport could be established with these children with moderate effort and that rewarding therapeutic…

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…

The Hatch Amendment Regulations: Lessons for Social Studies Educators.

ERIC Educational Resources Information Center

Greene, Bert I.; Pasch, Marvin.

1986-01-01

Briefly reviews the history of the Hatch Amendment Regulations. Offers five lessons that can be learned from its passage. Concludes that we must develop better rapport with parents, including them as committee advisory members and making sure that we are not violating the substance or spirit of the Hatch Amendment. (JDH)

Sustained Engagement to Create Resilient Communities: How a Collaborative Design Approach Can Broker and Mobilise Practitioner-Participant Interaction

ERIC Educational Resources Information Center

McAra, Marianne

2016-01-01

When conducting research with young people, studies consistently cite the need to establish trust and rapport with participants. However, what frequently goes unreported is how to evolve these often highly fragile research relationships, and the subtle tensions and negotiations that can occur. In this article I reflect on my experience of…

Evaluatie Constructie Joint Support Ship (Evaluation Structure Joint Support Ship)

DTIC Science & Technology

2008-03-15

die de toegevoeade massa berekent volgens ONGERUBRICEERD -62- ONGERUBRICEERD I TNO-rapport 1 2008-D-R0437 dezelfde theorie als gebruikt binnen...I2008-D-RO437 -69 8 Ondertekening Auteur : Ir. T.N. Bosman Approved: Ir. J.E. van Aanhold C’ ’ Visa: Ir. W. Trouwborst ONGERUBRICEERD -70

Industry and the Academy: An Uncertain Alliance

ERIC Educational Resources Information Center

Drake, R. M., Jr.

1974-01-01

Discusses the divergence in interest and philosophy between the academy and industry, beginning with World War II. Suggests that engineering faculties and industry take measures to restore their rapport which is necessary for the technological society to ensure a success in man's quest for future well being and progress. (CC)

Constructing a Learner-Centered Syllabus: One Professor's Journey. IDEA Paper #60

ERIC Educational Resources Information Center

Richmond, Aaron S.

2016-01-01

Educators increasingly agree that a learner-centered syllabus is associated with better rapport between students and teachers and increased student motivation, achievement, and empowerment. Accordingly, in 2009 Cullen and Harris developed a rubric for assessing the degree to which a syllabus is learner-centered versus teacher-centered. To date,…

Prescribing habitat layouts: Analysis of optimal placement for landscape planning [Chapter 23

Treesearch

Curtis H. Flather; Michael Bevers; John Hof

2002-01-01

Physical restructuring of landscapes by humans is a prominent stress on ecological systems (Rapport et al. 1985). Landscape restructuring occurs primarily through land-use conversions or alteration of native habitats through natural resource management. A common faunal response to such land-use intensification is an increased dominance of opportunistic species leading...

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…

Application of landscape models to alternative futures analyses

Treesearch

Anne C. Neale; K. Bruce Jones; Maliha S. Nash; Rick D. Van Remortel; James D. Wickham; Kurt H. Riitters; Robert V. O' neil

2003-01-01

Scientists and environmental managers alike are concerned about broadscale changes in land use and landscape pattern and their cumulative impact on environmental and economic end points, such as water quality and quantity, species habitat, productivity, erosion potential, recreational value, and overall ecological health (Rapport et al., 1998). They also are interested...

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…

Energy Return on Investment - Fuel Recycle

DOE Office of Scientific and Technical Information (OSTI.GOV)

Halsey, W; Simon, A J; Fratoni, M

2012-06-06

This report provides a methodology and requisite data to assess the potential Energy Return On Investment (EROI) for nuclear fuel cycle alternatives, and applies that methodology to a limited set of used fuel recycle scenarios. This paper is based on a study by Lawrence Livermore National Laboratory and a parallel evaluation by AREVA Federal Services LLC, both of which were sponsored by the DOE Fuel Cycle Technologies (FCT) Program. The focus of the LLNL effort was to develop a methodology that can be used by the FCT program for such analysis that is consistent with the broader energy modeling community,more » and the focus of the AREVA effort was to bring industrial experience and operational data into the analysis. This cooperative effort successfully combined expertise from the energy modeling community with expertise from the nuclear industry. Energy Return on Investment is one of many figures of merit on which investment in a new energy facility or process may be judged. EROI is the ratio of the energy delivered by a facility divided by the energy used to construct, operate and decommission that facility. While EROI is not the only criterion used to make an investment decision, it has been shown that, in technologically advanced societies, energy supplies must exceed a minimum EROI. Furthermore, technological history shows a trend towards higher EROI energy supplies. EROI calculations have been performed for many components of energy technology: oil wells, wind turbines, photovoltaic modules, biofuels, and nuclear reactors. This report represents the first standalone EROI analysis of nuclear fuel reprocessing (or recycling) facilities.« less

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…

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…

Reduce Staff Turnover through Effective Interviewing--Guidelines for Hiring the Right People.

ERIC Educational Resources Information Center

Hamrick, Joanne

2000-01-01

Discusses what center directors can do to reduce staff turnover. Presents guidelines for the interview process including: (1) preparing before the interview to ensure the interview is focused and will produce meaningful responses; and (2) conducting the interview by developing a rapport, listening, and giving a realistic description of the job.…

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…

Grade-Level Differences in Future-Oriented Self-Concept during Early Adolescence: Potential Relevance to School Nursing

ERIC Educational Resources Information Center

Stoddard, Sarah A.; Pierce, Jennifer; Schmidt, Carissa J.

2016-01-01

The middle school and early high school years are a time of significant development, including an increasing ability to envision oneself in the future. Little is known about how adolescents' future-oriented self-concept (i.e., possible selves) differs across grade levels, although this knowledge may aid in establishing rapport with students and…

Backache and Back Discomfort

DTIC Science & Technology

1986-06-01

1967 (27), momure Ia force ventniculaire cardiaque h 1’aide do jauges do contraintes. Cette technique as hourte h des difficultda majeures d𔄀talonnage...NOGUES C., 1967 Meoures do la force ventrlculaire chez Is lapin au moyen de Jauges do contraintes. Rapport 1841/CERMA/RECH., 38 p. 28 - PANJABI N.M

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…

Operational Differences Between MEOSAR and GEO/LEOSAR Capabilities

DTIC Science & Technology

2009-02-01

deviendra opérationnel. DRDC CORA TM 2009-011 ix Les principales constatations faites par les auteurs du présent rapport sont énumérées dans...In theory , lives would also be saved with properly working ELTs since it reduces search time by about 45 hours. Recommendation: ELTs

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…

Losing a Vital Voice: Grief and Language Work

ERIC Educational Resources Information Center

Sapién, Racquel-María; Thornes, Tim

2017-01-01

Working with speakers of endangered languages often involves developing a deep rapport with the eldest members of a community. These relationships present unique challenges that include navigating great losses--not only of the language of study, but, more profoundly, the attendant death of its speakers. This essay is motivated by the recognition…

Health to Our Mouths: Formulaic Expressions in Turkish and Greek. Proceedings of the 3rd Annual Meeting of the Berkeley Linguistics Society.

ERIC Educational Resources Information Center

Tannen, Deborah; Oztek, Piyale Comert

Speakers of Turkish and Greek make far more extensive use of formulaic expressions than do speakers of English. Many of these formulas are situation-oriented, and accompany anxiety-provoking events, happy events, and the act of establishing rapport. Illness, death, leave-taking, and good fortune are among events typically accompanied by formulas.…

Mentoring Partnerships in Science Education

ERIC Educational Resources Information Center

Schwortz, Andria C.; Burrows, Andrea C.; Guffey, Sarah Katie

2017-01-01

The authors use an action research (AR) approach in a collegiate studio physics class to investigate the power of partnerships via conferences as they relate to issues of establishing a student/mentor rapport, empowering students to reduce inequity, and the successes and barriers to hearing students' voices. The graduate teaching assistant (TA,…

Racial and Ethnic Barriers in Counseling.

ERIC Educational Resources Information Center

Vontress, Clemmont E.

There are numerous problems involved in counseling minority group members. Rapport is difficult to establish because of the racial and/or cultural attitudes client and counselor have toward one another; consequently the client often finds his own goals in opposition to those of counseling. The existing cultural gap also leads to different patterns…

Mentoring New Teachers. Updated Edition.

ERIC Educational Resources Information Center

Portner, Hal

This book includes step-by-step instructions to help experienced teachers become just as skilled at mentoring beginning teachers as they are at teaching. It describes how teacher mentors can: relate to their proteges in ways that establish good working rapport; assess how the mentoring is progressing and make necessary adjustments; coach proteges…

Active tower damping and pitch balancing - design, simulation and field test

NASA Astrophysics Data System (ADS)

Duckwitz, Daniel; Shan, Martin

2014-12-01

The tower is one of the major components in wind turbines with a contribution to the cost of energy of 8 to 12% [1]. In this overview the load situation of the tower will be described in terms of sources of loads, load components and fatigue contribution. Then two load reduction control schemes are described along with simulation and field test results. Pitch Balancing is described as a method to reduce aerodynamic asymmetry and the resulting fatigue loads. Active Tower Damping is reducing the tower oscillations by applying appropiate pitch angle changes. A field test was conducted on an Areva M5000 wind turbine.

Oxide dispersion strengthened ferritic steels: a basic research joint program in France

NASA Astrophysics Data System (ADS)

Boutard, J.-L.; Badjeck, V.; Barguet, L.; Barouh, C.; Bhattacharya, A.; Colignon, Y.; Hatzoglou, C.; Loyer-Prost, M.; Rouffié, A. L.; Sallez, N.; Salmon-Legagneur, H.; Schuler, T.

2014-12-01

AREVA, CEA, CNRS, EDF and Mécachrome are funding a joint program of basic research on Oxide Dispersion Strengthened Steels (ODISSEE), in support to the development of oxide dispersion strengthened 9-14% Cr ferritic-martensitic steels for the fuel element cladding of future Sodium-cooled fast neutron reactors. The selected objectives and the results obtained so far will be presented concerning (i) physical-chemical characterisation of the nano-clusters as a function of ball-milling process, metallurgical conditions and irradiation, (ii) meso-scale understanding of failure mechanisms under dynamic loading and creep, and, (iii) kinetic modelling of nano-clusters nucleation and α/α‧ unmixing.

TRAINING FOR CULTURE-CONTACT AND INTERACTION SKILLS.

ERIC Educational Resources Information Center

HAINES, DONALD B.

MANY UNITED STATES AIR FORCE TRAINING MISSIONS ABROAD ARE SHORT AND DEPEND UPON CLOSE, INTENSIVE INTERACTION BETWEEN THE AMERICAN ADVISOR AND HIS COUNTERPART, MAKING IT NECESSARY FOR THE AMERICAN TO ESTABLISH RAPPORT QUICKLY AND TO COMMUNICATE EFFECIENTLY. IT HAS BEEN ASSUMED THAT AN AMERICAN SKILLED IN HIS JOB AND IN THE LANGUAGE OF THE HOST…

Individual Differences in Dyadic Cooperative Learning.

ERIC Educational Resources Information Center

Horn, Elizabeth M.; Collier, William G.; Oxford, Julie A.; Bond, Charles F., Jr.; Dansereau, Donald F.

1998-01-01

The impact of individual differences on the performance of roles of learner and learning facilitator was studied during dyadic cooperative learning with 80 college students in same-sex groups of 4. The learner role accounted for more than 70% of the variance in total recall. The influence of cognitive and rapport factors is discussed. (SLD)

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…

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…

A Selection of Experimental Test Cases for the Validation of CFD Codes (Recueil de cas d’essai experimentaux pour la validation des codes de l’aerodynamique numerique). Volume 1

DTIC Science & Technology

1994-08-01

volume H1. Le rapport ext accompagnt5 doun jeo die disqoettex contenant les donn~es appropri~es Li bous let cas d’essai. (’es disqoettes sont disponibles ...GERMANY PURPL’Sb OF THE TESi The tests are part of a larger effort to establish a database of experimental measurements for missile configurations

Radiolocation Techniques (Les Techniques de Radiolocalisation

DTIC Science & Technology

1992-11-01

Dr R. Klemm DrD Rother FGAN- FFM SEL/LS/E Neuenahrer Strasse 20 Lorenzstrasse 10 D-5307 Wachtberg 7 D-7000 Stuttgart 40 Germany Germany Prof. G...des solutions. accas I lFionograinme, donc: aui profil. Cat article rapporte tine partie des Etudes mendes an La indthodo proposde s’inspirc de cette

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…

Communicating with the Online Student: The Impact of E-Mail Tone on Student Performance and Teacher Evaluations

ERIC Educational Resources Information Center

Dickinson, Amber

2017-01-01

Students are more commonly completing coursework online and as such many professors teach online courses. Due to the popularity of online courses and the need for professors to teach in a format varying from the traditional classroom setting, it is important to evaluate whether or not certain teaching approaches, such as establishing rapport,…

Career Education for Mental Health Workers. Human Relations Skills. Human Service Instructional Series. Module No. 1.

ERIC Educational Resources Information Center

Redcay, Shirley

This module on human relations skills is one of a set of six developed to prepare human services workers for the changing mental health service delivery system. Focus is on developing rapport and knowledge of self as a human service provider in order to develop effective interpersonal relations. Following notes on the target population (human…

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)

Mind the Disconnect: Social Work Faculty Experiences with Relational Teaching and Diversity Content

ERIC Educational Resources Information Center

Williams, LaShawn C.

2017-01-01

Cultural competence is one of many concepts taught by social work faculty. It enhances the ability of social workers to build rapport with clients in targeted populations. It is a skill in social work practice that promotes the profession's ethics and values. The Council on Social Work Education (CSWE) and the National Association of Social…

The experience of maternal and child health nurses responding to women with postpartum depression.

PubMed

Rush, Penelope

2012-02-01

Previous studies have shown that maternal and child health nurses (MCH nurses) are in a unique position to help mothers with postpartum depression (PPD), but little has been done to understand the MCH nurses' day-to-day experience. This Australian study addresses that issue by analyzing the results of eight in-depth interviews with MCH nurses. The data obtained from these interviews was analyzed using the phenomenological method described by Creswell, adapted from Moustakas. From this analysis five themes emerge: how MCH nurses recognize symptoms of PPD; the importance of having treatment options available; the role of rapport; the limits of MCH nurses in responding to PPD; and how MCH nurses respond when recognizing new cases of PPD. The results of the study reveal several areas for policy review, most significantly the need for more MCH nurse training to recognize the symptoms of PPD and identify the appropriate treatment option. In addition, a review of staff retention and mobility policies is recommended to improve rapport with mothers and maintain and grow knowledge of local treatment options.

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.

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

The neuroscience of observing consciousness & mirror neurons in therapeutic hypnosis.

PubMed

Rossi, Ernest L; Rossi, Kathryn L

2006-04-01

Neuroscience documents the activity of "mirror neurons" in the human brain as a mechanism whereby we experience empathy and recognize the intentions of others by observing their behavior and automatically matching their brain activity. This neural basis of empathy finds support in research on dysfunctions in the mirror systems of humans with autism and fMRI research on normal subjects designed to assess intentionality, emotions, and complex cognition. Such empathy research now appears to be consistent with the historical and research literature on hypnotic induction, rapport, and many of the classical phenomena of suggestion. A preliminary outline of how mirror neurons may function as a rapport zone mediating between observing consciousness, the gene expression/protein synthesis cycle, and brain plasticity in therapeutic hypnosis and psychosomatic medicine is proposed. Brain plasticity is generalized in the theory, research, and practice of utilizing mirror neurons as an explanatory framework in developing and training new skill sets for facilitating an activity-dependent approach to creative problem solving, mind-body healing, and rehabilitation with therapeutic hypnosis.

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…

Practical Verification & Safeguard Tools for C/C++

DTIC Science & Technology

2007-11-01

735; RDDC Valcartier; novembre 2007. Ce document est le rapport final d’un projet de recherche qui a été mené en 2005-2006. Le but de ce projet... 13 2.8 On Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 2.9 Memory Management Problems... 13 2.9.1 Use of Freed Memory . . . . . . . . . . . . . . . . . . . . . . . . . 13 2.9.2 Underallocated Memory for a

Research Timeline: Second Language Communication Strategies

ERIC Educational Resources Information Center

Kennedy, Sara; Trofimovich, Pavel

2016-01-01

Speakers of a second language (L2), regardless of profciency level, communicate for specifc purposes. For example, an L2 speaker of English may wish to build rapport with a co-worker by chatting about the weather. The speaker will draw on various resources to accomplish her communicative purposes. For instance, the speaker may say "falling…

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…

First NATO/SIBCA Exercise in Sampling of Chemical Warfare Agents (Eerste NATO/SIBCA-oefening in monstername van chemische strijdmiddelen).

DTIC Science & Technology

1998-01-01

TNO-rapport PML1997-A81 Eerste NATO/SIBCA-oefening in monster- name van chemische strijdmiddelen TNO Prins Maurits Laboratorium Lange Kleiweg...27 Aantal pagina’s : 53 (incl. bijlagen, excl. RDP & distributielijst) Aantal bijlagen : 4 TNO Prins Maurits Laboratorium is onderdeel...van de hoofdgroep TNO Defensieonderzoek waartoe verder behoren: TNO Fysisch en Elektronisch Laboratorium TNO Technische Menskunde Nederlandse

Initieole Behoeflebepaling GOLMen voor Opleiding Waarnemer in Fennek VWPN (Initial Training Needs Analysis for the RNLA Observer Equipped With Fennek VWRN)

DTIC Science & Technology

2006-08-01

Auteur (s) drs. A.S. Helsdingen Programmanummer Projectnummer 032.10190 Rubnicering rapport Ongerubriceerd Program ma planning Projectplanning Start 20-4...voorbereiding). Tabel 5 Taxonomie van type vaardigheden. Theorie Achtergrondkennis over de missies en do taken, randvoorwaarden, regels en procedures voor...manoeuvrelnablj Optreden achtergebied Targetting Theorie (systeemkennis) Uitvoeren ECM Waarnemingspost betrekken en in stand houden Uitbouwen BAA kop

Considering Cultural Competence: An Annotated Resource list

ERIC Educational Resources Information Center

Cooke, Nicole A.; Hill, Renee F.

2017-01-01

It is widely understood that effective children's and youth librarians must be innovative, aware of current/popular trends, and able to build rapport with young patrons. However, more emphasis must be placed on the fact that it is essential for these librarians to be prepared to identify and meet the needs of a patron population that is becoming…

Shared Resources

Treesearch

David B. Butts

1987-01-01

Wildfires do not respect property boundaries. Whole geographic regions are typically impacted by major wildfire outbreaks. Various fire related resources can be shared to solve such crises; whether they are shared, and how they are shared depends to a great extent upon the rapport among the agencies involved. Major progress has been achieved over the past decade...

Rapport-Building with Resistant Children: Re-Conceptualizing Relational Dynamics

ERIC Educational Resources Information Center

Gold, Joshua M.

2006-01-01

This paper briefly reviews existing conceptualizations of resistance in counseling children. The author posits that resistance is an "expected" aspect of all counseling and offers an alternative orientation toward client resistance based on exploring the child's "helping narratives." Two case studies illustrate the implementation of this…

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…

Improving gross count gamma-ray logging in uranium mining with the NGRS probe

NASA Astrophysics Data System (ADS)

Carasco, C.; Pérot, B.; Ma, J.-L.; Toubon, H.; Dubille-Auchère, A.

2018-01-01

AREVA Mines and the Nuclear Measurement Laboratory of CEA Cadarache are collaborating to improve the sensitivity and precision of uranium concentration measurement by means of gamma ray logging. The determination of uranium concentration in boreholes is performed with the Natural Gamma Ray Sonde (NGRS) based on a NaI(Tl) scintillation detector. The total gamma count rate is converted into uranium concentration using a calibration coefficient measured in concrete blocks with known uranium concentration in the AREVA Mines calibration facility located in Bessines, France. Until now, to take into account gamma attenuation in a variety of boreholes diameters, tubing materials, diameters and thicknesses, filling fluid densities and compositions, a semi-empirical formula was used to correct the calibration coefficient measured in Bessines facility. In this work, we propose to use Monte Carlo simulations to improve gamma attenuation corrections. To this purpose, the NGRS probe and the calibration measurements in the standard concrete blocks have been modeled with MCNP computer code. The calibration coefficient determined by simulation, 5.3 s-1.ppmU-1 ± 10%, is in good agreement with the one measured in Bessines, 5.2 s-1.ppmU-1. Based on the validated MCNP model, several parametric studies have been performed. For instance, the rock density and chemical composition proved to have a limited impact on the calibration coefficient. However, gamma self-absorption in uranium leads to a nonlinear relationship between count rate and uranium concentration beyond approximately 1% of uranium weight fraction, the underestimation of the uranium content reaching more than a factor 2.5 for a 50 % uranium weight fraction. Next steps will concern parametric studies with different tubing materials, diameters and thicknesses, as well as different borehole filling fluids representative of real measurement conditions.

Ionising radiation and risk of death from leukaemia and lymphoma in radiation-monitored workers (INWORKS): an international cohort study.

PubMed

Leuraud, Klervi; Richardson, David B; Cardis, Elisabeth; Daniels, Robert D; Gillies, Michael; O'Hagan, Jacqueline A; Hamra, Ghassan B; Haylock, Richard; Laurier, Dominique; Moissonnier, Monika; Schubauer-Berigan, Mary K; Thierry-Chef, Isabelle; Kesminiene, Ausrele

2015-07-01

There is much uncertainty about the risks of leukaemia and lymphoma after repeated or protracted low-dose radiation exposure typical of occupational, environmental, and diagnostic medical settings. We quantified associations between protracted low-dose radiation exposures and leukaemia, lymphoma, and multiple myeloma mortality among radiation-monitored adults employed in France, the UK, and the USA. We assembled a cohort of 308,297 radiation-monitored workers employed for at least 1 year by the Atomic Energy Commission, AREVA Nuclear Cycle, or the National Electricity Company in France, the Departments of Energy and Defence in the USA, and nuclear industry employers included in the National Registry for Radiation Workers in the UK. The cohort was followed up for a total of 8.22 million person-years. We ascertained deaths caused by leukaemia, lymphoma, and multiple myeloma. We used Poisson regression to quantify associations between estimated red bone marrow absorbed dose and leukaemia and lymphoma mortality. Doses were accrued at very low rates (mean 1.1 mGy per year, SD 2.6). The excess relative risk of leukaemia mortality (excluding chronic lymphocytic leukaemia) was 2.96 per Gy (90% CI 1.17-5.21; lagged 2 years), most notably because of an association between radiation dose and mortality from chronic myeloid leukaemia (excess relative risk per Gy 10.45, 90% CI 4.48-19.65). This study provides strong evidence of positive associations between protracted low-dose radiation exposure and leukaemia. Centers for Disease Control and Prevention, Ministry of Health, Labour and Welfare of Japan, Institut de Radioprotection et de Sûreté Nucléaire, AREVA, Electricité de France, National Institute for Occupational Safety and Health, US Department of Energy, US Department of Health and Human Services, University of North Carolina, Public Health England. Copyright © 2015 Elsevier Ltd. All rights reserved.

The MIRTE Experimental Program: An Opportunity to Test Structural Materials in Various Configurations in Thermal Energy Spectrum

DOE Office of Scientific and Technical Information (OSTI.GOV)

Leclaire, Nicolas; Le Dauphin, Francois-Xavier; Duhamel, Isabelle

2014-11-04

The MIRTE (Materials in Interacting and Reflecting configurations, all Thicknesses) program was established to answer the needs of criticality safety practitioners in terms of experimental validation of structural materials and to possibly contribute to nuclear data improvement, which ultimately supports reactor safety analysis as well. MIRTE took the shape of a collaboration between the AREVA and ANDRA French industrialists and a noncommercial international funding partner such as the U.S. Department of Energy. The aim of this paper is to present the configurations of the MIRTE 1 and MIRTE 2 programs and to highlight the results of the titanium experiments recentlymore » published in the International Handbook of Evaluated Criticality Safety Benchmark Experiments.« less

Integrated Distribution Management System for Alabama Principal Investigator

DOE Office of Scientific and Technical Information (OSTI.GOV)

Schatz, Joe

2013-03-31

Southern Company Services, under contract with the Department of Energy, along with Alabama Power, Alstom Grid (formerly AREVA T&D) and others moved the work product developed in the first phase of the Integrated Distribution Management System (IDMS) from “Proof of Concept” to true deployment through the activity described in this Final Report. This Project – Integrated Distribution Management Systems in Alabama – advanced earlier developed proof of concept activities into actual implementation and furthermore completed additional requirements to fully realize the benefits of an IDMS. These tasks include development and implementation of a Distribution System based Model that enables datamore » access and enterprise application integration.« less

Decontamination, decommissioning, and vendor advertorial issue, 2008

DOE Office of Scientific and Technical Information (OSTI.GOV)

Agnihotri, Newal

The focus of the July-August issue is on Decontamination, decommissioning, and vendor advertorials. Articles and reports in this issue include: D and D technical paper summaries; The role of nuclear power in turbulent times, by Tom Chrisopher, AREVA, NP, Inc.; Enthusiastic about new technologies, by Jack Fuller, GE Hitachi Nuclear Energy; It's important to be good citizens, by Steve Rus, Black and Veatch Corporation; Creating Jobs in the U.S., by Guy E. Chardon, ALSTOM Power; and, and, An enviroment and a community champion, by Tyler Lamberts, Entergy Nuclear Operations, Inc. The Industry Innovations article is titled Best of the bestmore » TIP achievement 2008, by Edward Conaway, STP Nuclear Operating Company.« less

Extreme Agility Micro Aerial Vehicle - Control of Hovering Maneuvers for a Mini-Aerial Vehicle with an Onboard Autopilot System

DTIC Science & Technology

2011-02-01

Majesty the Queen in Right of Canada as represented by the Minister of National Defence, 2011 c© Sa Majesté la Reine (en droit du Canada), telle que...que de faire voler le MiniAV. Dans ce rapport, l’aboutissement des efforts déployés pour mettre en oeuvre un auto- pilote à bord en cours qui exécute

Valuing Wildlands

Treesearch

R.A. Efroymson; H.I. Jager; W.W. Hargrove

2010-01-01

One of the central problems of land and water management is "the way in which scarce resources are allocated among alternative uses and users. The question is, of course, fundamental to economic models and modes of thought in ecology"(Rapport and Turner 1977). Many questions that are at the heart of environmental scape ecology and EcoRAs (the primary topics...

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…

Building and maintaining an effective working relationship with local police and fire authorities.

PubMed

Parks, J F

1985-01-01

The need to work together with local police and fire personnel is essential to the success of any healthcare security or safety operation. Sometimes, however, lack of understanding by each side in the role of the other, creates needlessly strained relations. In this article, the author details the techniques he used to win good rapport with the local police and fire departments.

Urban Traffic Signal Control for Fuel Economy. Part 2. Extension to Small Cars (Economie D’Essence Grace a la Commande des Feux de Circulation en Zone Urbaine. Partie 2. Application aux Vehicules de Petite Cylindree)

DTIC Science & Technology

1981-11-01

d’essence comparativement au plan en vigueur. Le rapport mentionne 6galement que la consommation d’un gros v"hicule a6t calcul6e a l’aide d’un module...most of the submitted data was not readily enterable into the Vehicle Simulation program. Because of the design of the table look-ups in the program

Task Analyses for Difficult-to-Assess Collective Tasks

DTIC Science & Technology

2014-02-01

FOR THE KLE MISSION Review and rehearse social nuances, customs, and etiquette of the host nation, e.g., gift exchange expectations. Practice... etiquette to foster rapport with the leader and demonstrate cultural awareness. Negotiate with the key leader in a manner that demonstrates...requirements for police applicants by establishing minimum entry requirements, physical fitness tests, literacy tests, and medical screening protocols

Transforming Warrant Officer Career College Instructor Assessment for the Army Learning Model

DTIC Science & Technology

2014-09-01

Career College (WOCC) to reflect the Army Learning Model (ALM)’s emphasis on adult pedagogical approaches. An instructor guide was also developed to...and digital communications, building of effective relationships through interpersonal tact, influence, and communication. • Critical thinking and...students to learn. Foster respect and rapport in the instructor-student relationship and the student-student relationship . Encourage student

Schizotypal personality disorder inside and outside the schizophrenic spectrum.

PubMed

Torgersen, Svenn; Edvardsen, J; Øien, P A; Onstad, S; Skre, I; Lygren, S; Kringlen, E

2002-03-01

The concept of schizotypal personality disorder has been heavily discussed since its introduction into the official classification of mental disorders in DSM-III. The aim of this study was to investigate the difference between schizotypal personality disorder within and outside the genetic spectrum of schizophrenia. Schizotypals with and without schizophrenic cotwins and first-degree relatives were compared, with individuals with other mental disorders and no mental disorders as controls. It appeared that only inadequate rapport and odd communication were more pronounced among schizotypals within, compared to schizotypals outside the schizophrenic spectrum. Schizotypals outside the schizophrenic spectrum, however, scored higher than schizotypals inside the schizophrenic spectrum on ideas of reference, suspiciousness, paranoia, social anxiety, self-damaging acts, chronic anger, free-floating anxiety and sensitivity to rejection. Interestingly, the four last features are seldom observed among schizotypals inside the schizophrenic spectrum. Monozygotic non-schizophrenic cotwins of schizophrenics score high on inadequate rapport, odd communication, social isolation and delusions/hallucinations. Monozygotic non-schizophrenic cotwins of schizotypals outside the schizophrenic genetic spectrum score high on illusions, depersonalization, derealization and magical thinking. Negative schizotypal features appear to be inside the schizophrenic spectrum, while positive borderline-like features are outside having another genetic endowment.

Operating in the Human Domain Lessons of a Decade of War for the Dutch Army

DTIC Science & Technology

2014-06-13

Plasschaert, Minister of Defense, In Het Belang Van Nederland [in the Interest of the Netherlands] (The Hague, The Netherlands: Ministry of Defense... Nederland [in the Interest of the Netherlands]. The Hague, The Netherlands: Ministry of Defense, 2013. Klem, M. H. Het Nederlandse Veiligheidsbeleid...in Een Veranderende Wereld, Verkennende Studie Voor Het WRR-Rapport Nederland in De Wereld. [the Dutch Security Policy in a Changing World, Scoping

Wideband Detection and Classification of Mines in a Simulated ship Hull Scenario

DTIC Science & Technology

2007-12-01

Résumé …..... Ce rapport décrit une expérience au cours de laquelle nous avons placé un petit contenant de plastique contenant un mélange d’époxyde...décrit une expérience au cours de laquelle nous avons placé un petit contenant de plastique contenant un mélange d’époxyde-caoutchouc et de billes

Training Soldiers to Decode Nonverbal Cues in Cross-Cultural Interactions

DTIC Science & Technology

2009-07-01

stylistic differences do not necessarily have a specific purpose or meaning; thus, they differ from display and decoding rules, which are conscious...rapport. They found that cognitive feedback—that is, receiving general information about the nonverbal cues that are typically diagnostic in... Cognition and Emotion, 18, 613-629. Feldman, R. S., Philippot, P., & Custrini, R. J. (1992). Social competence and nonverbal behavior. In R. S

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

Stratégie transfusionnelle des hémorragies graves du post-partum: étude rétrospective à propos de 47 cas

PubMed Central

Khouadja, Hosni; Rouissi, Wissem; Mahjoub, Mohamed; Sakhri, Jaballah; Beletaifa, Dhafer; Jazia, Khaled Ben

2016-01-01

Introduction L’hémorragie du post-partum est la principale cause de morbi-mortalité maternelle dans le monde. La prise en charge est multidisciplinaire. La stratégie transfusionnelle est capitale jouant un rôle majeur dans le pronostic maternel. L’objectif de ce travail a été de déterminer le rapport PFC/CGR lors de la prise en charge des hémorragies graves du post-partum. Méthodes Une étude Etude rétrospective sur une période de 4 ans (2009-2012) a été réalisée dans un centre de maternité de référence de niveau III du centre-Est tunisien. Elle a inclut les parturientes admises pour une hémorragie sévère du post-partum définit par la nécessité d’une transfusion de plus de 04 CGR durant les 3 premières heures ou de plus de 10 CGR durant les 24 premières heures de prise en charge. Résultats Notre étude a inclut 47 parturientes. Le diagnostic de l’HPP a été fait devant un saignement vaginal dans 28 cas et suite à une césarienne dans 19 cas. En préopératoire le taux d’Hb a été de 6.3 g/dl. Le rapport transfusionnel (PFC/CGR) a été de 1/0.7. Conclusion Au cours de notre prise en charge, le rapport transfusionnel a été plus élevé que les recommandations récentes de la littérature stipulant une administration précoce et massive de PFC avec un ratio PFC/CGR compris entre 1/2 et 1/1. L’administration du fibrinogène (Fbg) et de l’acide tranexamique doit être précoce. L’emploi du facteur VII activé recombinant (rFVIIa) doit rester une solution ultime de prise en charge. PMID:28292131

R and D program for core instrumentation improvements devoted for French sodium fast reactors

DOE Office of Scientific and Technical Information (OSTI.GOV)

Jeannot, J. P.; Rodriguez, G.; Jammes, C.

2011-07-01

Under the framework of French R and D studies for Generation IV reactors and more specifically for sodium-cooled fast reactors (SFR); the CEA, EDF and AREVA have launched a joint coordinated research programme. This paper deals with the R and D sets out to achieve better inspection, maintenance, availability and decommissioning. In particular the instrumentation requirements for core monitoring and detection in the case of accidental events. Requirements mainly involve diversifying the means of protection and improving instrumentation performance in terms of responsiveness and sensitivity. Operation feedback from the Phenix and Superphenix prototype reactors and studies, carried out within themore » scope of the EFR projects, has been used to define the needs for instrumentation enhancement. (authors)« less

International trade and waste and fuel managment issue, 2008

DOE Office of Scientific and Technical Information (OSTI.GOV)

Agnihotri, Newal

The focus of the January-February issue is on international trade and waste and fuel managment. Major articles/reports in this issue include: A global solution for clients, by Yves Linz, AREVA NP; A safer, secure and economical plant, by Andy White, GE Hitachi Nuclear; Robust global prospects, by Ken Petrunik, Atomic Energy of Canada Limited; Development of NPPs in China, by Chen Changbing and Li Huiqiang, Huazhong University of Science and Technology; Yucca Mountain update; and, A class of its own, by Tyler Lamberts, Entergy Nuclear. The Industry Innovation articles in this issue are: Fuel assembly inspection program, by Jim Lemons,more » Tennessee Valley Authority; and, Improved in-core fuel shuffle for reduced refueling duration, by James Tusar, Exelon Nuclear.« less

Synthetic Infrared Scene: Improving the KARMA IRSG Module and Signature Modelling Tool SMAT

DTIC Science & Technology

2011-03-01

d’engagements impliquant des autodirecteurs infrarouges dans l’environnement de simulation KARMA. Le travail a été réalisé à partir de novembre 2008...infrarouges dans l’environnement de simulation KARMA. Le travail a été réalisé à partir de novembre 2008 jusqu’à mars 2011. Ce rapport de contrat est axé...74 13 Evaluating Performance Validator tool

Spectroscopie et fonctionnement laser de CaF{2}: Yb3+

NASA Astrophysics Data System (ADS)

Camy, P.; Doualan, J. L.; Petit, V.; Renard, S.; Thuau, M.; Moncorgé, R.

2004-11-01

CaF{2 }:Yb3+ est un cristal doté de propriétés optiques et thermiques qui en font un matériau de choix pour divers types de fonctionnement laser. Un fonctionnement laser continu accordable entre 1000 et 1060nm et un rendement de conversion de 25% (par rapport au rayonnement de pompage optique incident) ont été déjà obtenus.

Cultural Diversity in Military Teams: Which Factors Influence Effectiveness?

DTIC Science & Technology

2008-12-01

TNO-DV2008A513 Opdrachtnummer Datum december 2008 Auteur (s) dr. I.M. Wetzer dr. D.A. van Hemert Rubricering rapport Ongerubriceerd TM0...been reported. Based on Allport’s (1954) intergroup contact theory , positive effects of intercultural contact may occur under certain conditions...diversity on perceived team effectiveness, but only at the 11-30% level. In contrast, social identity theory would lead one to expect negative effects of

Translations on Eastern Europe Political, Sociological, and Military Affairs No. 1343

DTIC Science & Technology

1977-01-21

OF PUBLICATIONS JPRS publications may be ordered from the National Technical Information Service, Springfield, Virginia 22151. In order - ing, it...the work of persuasion, clarification and education in rapport with admin- istrative orders and measures. Without a good and thorough knowledge of...revolutionary tradition of the cadres, the commissars and commanders of the War of National Liberation who, in order to carry out the party’s directive, brought

Coupled Experimental and Theoretical Investigations of Instability, Chaos and Turbulence in an Axisymmetric Jet Flow

DTIC Science & Technology

1990-07-01

performed using two of the available methods, due respectively to Wolf et al. 8, and...FiueS1 270 Paper in progress to be submitted to: Phys. Fluids. ECOLE CENTRALE DES ARTS ET MANUFACTURES RAPPORT DE STAGE DE FIN D’ETUDES EXCITATION D’UN JET...disposition et de la souplesse dont ii a fait preuve. Je tiens dgalement & remercier tout particuliirement Patrick Reisenthel de toute 1’attention et

Throw Away that Telework Manual!’ - the Limitations of Existing Telework Literature in the B2C e-Business Context

DTIC Science & Technology

2004-06-01

of Case B identified the importance of a Customer Relationship Management ( CRM ) strategy in their e-business for effective telework to occur as...telework that acknowledge and take account of the heterogeneity of teleworkers. Keywords. Telework, e-Business, Customer relationship management ...to build rapport on-line with the customers makes it easier to work from outside the office. Fourthly, the employees (T3 and T4) and manager (M2

Multifunction Radar for Airborne Applications.

DTIC Science & Technology

1986-07-01

de rapport ( doo roSarvre o ntn orcp tion To de 0 & TR. Pour chaque valour de To, on calculo de la m~me faqon quo prdcdmment PS lo rIpporr - pour...senseur primordial dfalts les aviotts militaires. (in certain ttimbreC de caracteristiulues imptirtantes donne anl radar Ia supuirioritui sur Ics...muitcoroliugiques 1ironillard. nuagesi. 1estimation de distance et lestimatitin Douppler. - la sonplesse de at ]’orientatiiin ilectritnique des

Proceedings of the Second European Conference on Cognitive Modelling

DTIC Science & Technology

1998-04-04

student record contains a field for the student’s Social Security Number (SSN), which is displayed on the screen. To retrieve information about this...Cambridge, Massachusetts: MIT Press. Chandler, M. J., & Boyes, M. (1982). Social -Cogni- tive Development. In B. B. Wolman (Ed.), Hand- book of...Effecten van vermoeidheid als functie van soort taak en sociale omgeving. TNO-rapport TM 1994 A-9, TNO Technische Menskunde, Postbus 23, 3769 ZG

Joint Operations 2030 - Final Report (Operations interarmees 2030 - Rapport final)

DTIC Science & Technology

2011-04-01

case of crisis : • Technologies to support emergency management operations, inter-organisational coordination and communication , distributed...are made up of national representatives as well as generally recognised ‘world class’ scientists. They also provide a communication link to military...Other Entities H.4 Capable of Establishing and Maintaining Communication Channels and Liaison Relationships H-7 with Potential Service Providers

75 FR 16869 - Areva Enrichment Services, LLC; Establishment of Atomic Safety and Licensing Board

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-02

... Enrichment Services, LLC; Establishment of Atomic Safety and Licensing Board Pursuant to delegation by the... given that an Atomic Safety and Licensing Board (Board) is being established to preside over the... administrative judges: Alex S. Karlin, Chair, Atomic Safety and Licensing Board Panel, U.S. Nuclear Regulatory...

Surgical or non-surgical periodontal treatment: factors affecting patient decision making.

PubMed

Patel, Amit M; Richards, Philip S; Wang, Hom-Lay; Inglehart, Marita R

2006-04-01

This study explored which factors affected patients' decisions to pursue either surgical or non-surgical periodontal treatment. Data were collected from 74 patients at a regularly scheduled periodontal appointment, at which each patient was told that periodontal treatment was needed, and 2 weeks following the actual treatment. The surveys assessed the patients' decisions and potential determinants of these decisions. The dental anxiety scale-revised, the state-trait anxiety inventory, and the Iowa dental control index were used to measure psychosocial factors. Patients who decided to have surgery did not differ from patients who decided against surgery in sociodemographic variables such as gender, age, education, and socioeconomic status, nor in their desire for control over the treatment decision. However, they had less dental fear and less general anxiety than the non-surgery patients. Although the two patient groups did not differ in their responses concerning how well the dentists had informed them about the procedure, they differed in the degree of trust and rapport with their dentists. The less dentally fearful and anxious patients were in general and the more they trusted their provider and felt they had good rapport, the more likely they were to accept surgical periodontal treatment. These results stress the importance of good patient-provider communication.

The impact of peer mentor communication with older adults on depressive symptoms and working alliance: A pilot study.

PubMed

Joo, Jin Hui; Hwang, Seungyoung; Gallo, Joseph J; Roter, Debra L

2018-04-01

The objective of this pilot study was to describe peer communication in meetings with depressed elders, associate their relationship with working alliance and depression and assess congruence of communication with training. Three peers with a history of depression, in recovery, received 20h of training in peer mentoring for depression as part of an 8-week pilot program for 23 depressed older adults. Each peer-client meeting was recorded; a sample of 69 recorded meetings were chosen across the program period and coded with the Roter Interaction Analysis System, a validated medical interaction analysis system. Generalized linear mixed models were used to examine peer talk during meetings in relation to working alliance and client depression. Peers used a variety of skills congruent with their training including client-centered talk, positive rapport building and emotional responsiveness that remained consistent or increased over time. Client-centered communication and positive rapport were associated with increased working alliance and decreased depressive symptoms (all p<0.001). Trained peer mentors can use communication behaviors useful to older adults with depression. Specifically, client-centered talk may be important to include in peer training. Peer mentors can be a valuable resource in providing depression counseling to older adults. Copyright © 2017 Elsevier B.V. All rights reserved.

Capitalist Discourse, Subjectivity and Lacanian Psychoanalysis

PubMed Central

Vanheule, Stijn

2016-01-01

This paper studies how subjectivity in capitalist culture can be characterized. Building on Lacan's later seminars XVI, XVII, XVIII, and XIX, the author first outlines Lacan's general discourse theory, which includes four characteristic discourses: the discourse of the master, the discourse of the university, the discourse of the hysteric and the discourse of the analyst. Next, the author explores the subjectivity and the mode of dealing with jouissance and semblance, which is entailed in a fifth type of discourse, the capitalist discourse, discussed by Lacan (1972). Indeed, like the other discourses that Lacan discerns, the discourse of the capitalist can be thought of as a mode of dealing with the sexual non-rapport. It is argued that in the case of neurosis the discourse of the capitalist functions as an attempt to ignore the sexual non-rapport and the dimension of the unconscious. Psychosis, by contrast, is marked by an a priori exclusion from discourse. In that case, consumerist ways of relating to the other might offer a semblance, and thus the possibility of inventing a mode of relating to the other. Two clinical vignettes are presented to illustrate this perspective: one concerning the neurotic structure and one concerning the psychotic structure. PMID:28018280

Watchdog Sensor Network with Multi-Stage RF Signal Identification and Cooperative Intrusion Detection

DTIC Science & Technology

2012-03-01

detection and physical layer authentication in mobile Ad Hoc networks and wireless sensor networks (WSNs) have been investigated. Résume Le rapport...IEEE 802.16 d and e (WiMAX); (b) IEEE 802.11 (Wi-Fi) family of a, b, g, n, and s (c) Sensor networks based on IEEE 802.15.4: Wireless USB, Bluetooth... sensor network are investigated for standard compatible wireless signals. The proposed signal existence detection and identification process consists

Communicating with parents and children in the dental office.

PubMed

Lowe, Oariona

2013-08-01

Providing dental care for children can be challenging. Successful treatment is often dependent upon the effectiveness of the communication between the dentist, parent and patient. Effective communication should be developed by establishing rapport and trust during the initial visit. Few parents realize the disadvantage of the dentist who is introduced to a child who is anxious, afraid or resistant. They undoubtedly expect the dentist to provide care regardless of the child's reaction.

Job Oriented Training: Handleiding Serious Gaming (Job Oriented Training: Handleiding (Handbook) Serious Gaming)

DTIC Science & Technology

2008-09-01

bijvoorbeeld de toekomstige uitzendgebieden in zich heeft. De praktijk gaat hierbij vooraf aan de theorie , de benodigde theoretische kennis wordt niet vooraf...rapportnummer TNO-DV 2008 A340 Opdrachtnummer Datum September 2008 Auteur (s) dr. A.H. van der Hulst ir. T.J. Muller maj C.L. Roos Rubricering rapport...Oriented Training toegepast. Dit betekent in essentie dat de leerlingen vanaf dag een, integrale missies uitvoeren en niet eerst de theorie wordt

Militaire Toepassingen Van Adaptieve Optiek (Military Applications of Adaptive Optics)

DTIC Science & Technology

2006-09-01

dat op dit moment met de beschikbare theorie mogelijk is. Een ander interessant aspect is de mate waarin de turbulentie effecten het jam patroon...systemen In WEAG studie JP8. 11 is aangetoond dat in theorie adaptieve technieken een verbetering van de prestaties van een DIRCM systeem kunnen...Molenaar; Theorie van de laserscintillometer; TNO repot PHL 1978-16 (1978). TNO-rapport I TNO-DV 2006 A336 35/35 6 Ondertekening Den Haag, september 2006

Assessing Saudi Arabia: A Review of Leading American and European Analysts (1982-1995),

DTIC Science & Technology

1983-03-01

future en Arabie saoudite en ce qui a trait aux changements affectant les groupes dominants au sein de la vie politique saoudienne. Le rapport laisse ...economic, occupational and sometimes ethnic and religious factors. While these have been manageable to date, the dimensions of a nation-wide security...and programs (and to forward the ambitions of a leader and his group) without regard to western- style institutions is much closer to the Saudi Arabia

Canadian Forces Education and Training for Interagency Operational Contexts (Education et Instruction des Forces Canadiennes Pour les Contextes Operationnels Interorganisationnels)

DTIC Science & Technology

2009-11-01

organismes gouvernementaux dans le processus de planification opérationnelle (PPO) des FC. Le rapport se termine par des recommandations de travaux...B.D., THOMSON, M.H., BROWN, A.L., SARTORI, J.A., TAYLOR, T.E., WALDHERR, S.U. 2008. Organizational trust in the Canadian Forces. DRDC T No. CR2008...enablers for distributed team collaboration. DRDC T No. CR2007-137. Toronto, ON: Defence Research and Development Canada. FUGLESTAD, P.T., SNYDER

Operational Roles, Aircrew Systems and Human Factors in Future High Performance Aircraft

DTIC Science & Technology

1980-03-01

sensory, muscular , and cognitive capacities in responding to all of the mission stresses. To ensure accomplishment of operational missions, the...no more effective than its human operators: in that sense the system is merely an extension of the operator’s sensory, muscular and cognitive...autoriser la. res- -piration on surpres ot A fort Sradient d’une part, assurer un rapport de prossioar. - tant In distension pulnonairo lors d’uno

A Human Volunteer Screening Questionnaire: Development and Application

DTIC Science & Technology

1975-02-01

rapport (i.e., marital status, siblings, and hometown). The next four sections con- cerning education, career field, AQE scores , and technical school...elicit information which will affect the selection procedure (i.e., expulsion from school or low AQE scores ), as well as be indicative of the...attendance. The mean AQE scores for the 27 latter selectees, who filled out SAM Form 70, were General 80.5, Administrative 64.3, Mechanical 81.5, and

Consequences of the Introduction of Insensitive Munitions on Safety, Collateral Damage and Operations (consequenties van de invoering van mkm-munitie op veiligheid, gevolgschade en (internationaal) opereren

DTIC Science & Technology

2006-06-01

van de werkzaamheden In dit rapport worden de gevolgen van initiatie van munitie door een ongewilde externe stimulus beschouwd aan de hand van reele...operationele scenario’s. Dit wordt vergeleken met de gevolgen in dezelfde scenario’s, waarin gebruik is gemaakt van Minder Kwetsbare Munitie (MKM). Naast...de historie van MKM wordt uitgelegd wat Inleiding of terroristische activiteiten, maar ook door MKM is. Vervolgens worden de gevolgen Munitie en de

Softwaremodule voor het Simuleren van de Gevolgen van Raketonderschepping (The Dutch Program for the Simulation of Missile Intercept Effects)

DTIC Science & Technology

2007-07-01

effects (Softwaremodule voor het simuleren van de gevolgen van raketonderschepping) 11 . AUTHOR(S) Dr E. Abadjieva, MSc R.P. Sterkenburg, MSc F. Bouquet...Softwaremnodule voor het simuleren van de gevolgen van raketonderschepping D)attini Juli 2007 Auteur(s) dr. F. Abadjicva ir. R.P Sterkenburg ir. F. Bouquet ir...P.W. D)ouip Rubricering rapport O)ngerubri ceerd Vastgesteld door Maj R. 11 . Jongkinid Vastgesteld d.d. 12 juni 2007 (Deze nitining mizil-4 sict

The prospect of nuclear energy in Türkiye especially after Fukushima accident

NASA Astrophysics Data System (ADS)

Şahin, Sümer

2014-09-01

Türkiye considers since mid-50's to use nuclear electricity, but Government and bureaucracy have continuously postponed reactor construction. However, since 2010 the case has gained a real shape. Official agreement has been signed for the construction of 4 units of Russian VVER type reactors with installed power of 4×1200 MWel. It is expected that they will begin to deliver electricity early 20's. Further negotiations are being conducted with Japanese Mitsubashi and French AREVA. The target is to have nuclear electricity by 2023 at the 100th anniversary of Turkish Republic. Turkish Nuclear Energy Strategy aims; • Decrease country's dependency on foreign suppliers of energy sources • Provide fuel supply mix diversification • Utilization of environmentally friendly energy production technologies Possess advanced and prestigious power generation technologies.

A mobile phone application for the assessment and management of youth mental health problems in primary care: health service outcomes from a randomised controlled trial of mobiletype.

PubMed

Reid, Sophie C; Kauer, Sylvia D; Hearps, Stephen J C; Crooke, Alexander H D; Khor, Angela S; Sanci, Lena A; Patton, George C

2013-06-19

GPs detect at best 50c of mental health problems in young people. Barriers to detecting mental health problems include lack of screening tools, limited appointment times and young people's reluctance to report mental health symptoms to GPs. The mobiletype program is a mobile phone mental health assessment and management application which monitors mood, stress and everyday activities then transmits this information to general practitioners (GPs) via a secure website in summary format for medical review. The current aims were to examine: (i) mobiletype as a clinical assistance tool, ii) doctor-patient rapport and, iii) pathways to care. We conducted a randomised controlled trial in primary care with patients aged 14 to 24 years recruited from rural and metropolitan general practices. GPs identified and referred eligible participants (those with mild or more mental health concerns) who were randomly assigned to either the intervention group (where mood, stress and daily activities were monitored) or the attention-comparison group (where only daily activities were monitored). Both groups self-monitored for 2 to 4 weeks and reviewed the monitoring data with their GP. GPs, participants and researchers were blind to group allocation at randomisation. GPs assessed the mobiletype program as a clinical assistant tool. Doctor-patient rapport was assessed using the General Practice Assessment Questionnaire Communication and Enablement subscales, and the Trust in Physician Scale (TPS). Pathways to care was measured using The Party Project's Exit Interview. Of the 163 participants assessed for eligibility, 118 were randomised and 114 participants were included in analyses (intervention n = 68, attention-comparison n = 46). T-tests showed that the intervention program increased understanding of patient mental health, assisted in decisions about medication/referral and helped in diagnosis when compared to the attention-comparison program. Mixed model analysis showed no

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

1986 AMEDD (Army Medical Department) Clinical Psychology Short Course: Tripler Army Medical Center, Honolulu, Hawaii.

DTIC Science & Technology

1987-09-01

Chonsim. Isim-Chonsim means "my heart-your heart". It can be translated as telepathy but it emphasizes a deep empathic rapport between people which has a...tendency of delving into the unconscious and focused on emotional catharsis through patient verbalization and dream interpretations. During the period from...I notice also that it was far away from every thing else like another Planet almost Dream like. As I set there thinking how I would get Rid of this

Aircraft Disinsection: A Guide for Military and Civilian Air Carriers (Desinsectisation des aeronefs: Un guide a l’intention des responsables des transports aeriens civils et militaires)

DTIC Science & Technology

1996-04-01

regulations. - Ceratitis capitata (Mediterranean fruit fly). Quarantine regulations generally reduce - Rhagoletis pomonella (Apple maggot). the chances of a...d’insectes nuisibles dans un pays, en 6vitant des risques pour la sant6 des 6quipages, pour la s~curit6 de 1’a~ronef et pour l’industrie. Ce rapport examine 1...diffrrents officiels responsables de la r~glementation des insectes nuisibles introduits, de l’inscription des pesticides et de leur utilisation en

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.

Defence Output Measures: An Economics Perspective

DTIC Science & Technology

2011-11-01

Des budgets de la comptabilité des intrants, des extrants, de la gestion et des ressources ont été utilisés comme mesures relatives aux résultats...Sa Majesté la Reine (en droit du Canada), telle que représentée par le ministre de la Défense nationale, 2011 Abstract …….. This Contract Report...présent rapport de contrat examine la mesure des extrants en matière de

Fast Determination of the Element Excitation of an Active Phased Array Antenna

DTIC Science & Technology

1991-03-01

elementenexcitatie te, bepalen: de amplitude en fase van het elektrische ven-e veld moeten gemeten warden in slechts I richting in het verre veld van de ...Page 3 rapport no FEL-91-BO38 titel Een snelle bepaling van de excitatie van de elenienten van cen actieve phased array antenne auteur(s) I. J.G. van...van der Spek Onderzoek uItgevoerd door Ir. J.G. van Hezewijk SAMENVATIING (ONGERUBRICEERD) Het verre veld stralingsdiagram van een actieve phased array

Gain Measurement of a Cavity-Backed Spiral Antenna from 4 to 18 GHz Using the Three-Antenna Method

DTIC Science & Technology

1998-11-01

Research Laboratory (DDARLing). RESUME Ce rapport pr~sente les r~sultats de mesures de gain d’une antenne A cavit6 en spirale qui op~re dans la plage de... antennes . Comme l’antenne d tester 6tait polarisre circulairement, la mrthode fuit dtendue pour obtenir les gains d polarisation circulaire copolaire et...contrapolaire. Cette mrthode requiert l’emploi de deux autres antennes ou comets A polarisation linraire. Deux sessions de mesures de gains ont W

Analysis of a Simulation Experiment on Optimized Crewing for Damage Control

DTIC Science & Technology

2012-06-01

base donnaient un rendement supérieur à l’automatisation moyenne pour l’intervention en cas d’inondation. À partir de ces analyses, les auteurs du...et l’analyse ultérieures de données aux fins d’expériences de simulation semblables. Enfin, les auteurs du rapport ont établi des pistes...DRDC Toronto. [6] Floyd, J., Hunt, S., Williams, F., & Tatem, P. (2004). Fire + Smoke Simulator (FSSIM), Version 1 - Theory manual (NRL/MR/6180-04

The Prospects of SAS Interferometry for Detection and Classification (SAS Interferometrie voor Detectie en Classificatie)

DTIC Science & Technology

2008-10-01

DV2008A176 Opdrachtnummer Datum October 2008 Auteur (s) dr. R. van Vossen B.A.J. Quesson dr.ir. J.C. Sabel Rubricering rapport Ongerubriceerd TH9...TNO report | TNO-DV 2008 A176 4/44 Summary This report presents an overview of the theory and implementation of interferometric SAS processing at TNO... theory in software has been tested on two types of data, simulated and measured. Chapter 3 presents results obtained with simulated data; Chapter 4

A Navigation and Decision Making Architecture for Unmanned Ground Vehicles: Implementation and Results with the Raptor UGV

DTIC Science & Technology

2007-12-01

the Raptor UGV J. Giesbrecht, J. Collier, G . Broten, S. Monckton, and D. Mackay A Navigation and Decision Making Architecture for Unmanned...Ground Vehicles Implementation and Results with the Raptor UGV J. Giesbrecht, J. Collier, G . Broten, S. Monckton, and D. Mackay Defence R&D Canada...parcours, l’évitement d’obstacles, la planification de parcours et des modules de prises de décision. Ce rapport présente des détails concernant les

Neurale Netwerken en Radarsystemen (Neural Networks and Radar Systems)

DTIC Science & Technology

1989-08-01

general issues in cognitive science", Parallel distributed processing, Vol 1: Foundations, Rumelhart et al. 1986 pp 110-146 THO rapport Pagina 151 36 D.E...34Neural networks (part 2)",Expert Focus, IEEE Expert, Spring 1988. 61 J.A. Anderson, " Cognitive and Psychological Computations with Neural Models", IEEE...Pagina 154 69 David H. Ackley, Geoffrey E. Hinton and Terrence J. Sejnowski, "A Learning Algorithm for Boltzmann machines", cognitive science 9, 147-169

Generiek Materieellogistiek Ketenmodel Defensie (Generic Value Chain Model for Defense Material Organization)

DTIC Science & Technology

2008-04-01

Fe:~& 2/121 Generiek Materieellogistiek Ketenmodel Defensie In het kader van het programma DEM (V4 11 ) is in dit project het Generiek...de osrneljewadKete vanefPorter odnasmlti emgn e vroe mmltiemdee nt TNO-rapport ITNO-DV 2007 A449 9 /21 Als laatste valt bet ontbreken van een eenduidig...DV 2007 A449 11 /21 Zoals in de Defensie waardeketen valt te zien, is de uiteindelijke waarde die de Matlog keten oplevert, Materidle Gereedheid

Expeditionair Geneeskundige Uitrustingen. De Conceptmethode Toegepast op de Mercedes Benz Ziekenauto (Expeditionary Medical Kits. The Concept Method Applied to the Mercedes Benz Ambulance)

DTIC Science & Technology

2007-02-01

Wtar D.S. Gerretse 6/8 Projectbegeleider Defensie Centraal Militair Hospitaal t.a.v. kol. M.L. Vervelde 9 / 11 Bibliotheek KMA 12/13 Programmaleider TNO...Research Kampweg 5 Postbus 23 3769 ZG Soesterberg TNO-rapport wwton T 034 635 62 11 TNO-DV 2006 A487 F 034 635 39 77 info-DenV@tnonI Expeditionair...verschillende gebruikerssessies met AMV’ers en Probleernstelfing Dit heefi gevolgen voor de medische chauffeur/gewondenverzorgers is de nicuwe Het inzetprofiel

Perceptions des jeunes victimes de violence sexuelle au sein de leurs relations amoureuses sur leur pire expérience

PubMed Central

Van Camp, Tinneke; Hébert, Martine; Fernet, Mylène; Blais, Martin; Lavoie, Francine

2016-01-01

Cette étude explore les pires expériences vécues dans les relations amoureuses de jeunes qui ont rapporté avoir vécu de la violence sexuelle dans une relation de couple récente. Quelles sont les situations perçues comme étant les plus difficiles par les jeunes et est-ce que celles-ci se limitent à des incidents violents? Le questionnaire sur les parcours amoureux des jeunes (PAJ) a été complété par des jeunes Québécois âgés de 14 à 18 ans. Au total, plus de 600 participants ont rapporté au moins un épisode de violence sexuelle (souvent en combinaison avec d’autres formes de violence). Nous présentons les résultats de l’analyse qualitative inductive fondée sur une question ouverte concernant la pire expérience vécue. Les observations suggèrent que, en plus des expériences de violence, les difficultés relationnelles, les ruptures amoureuses et les sentiments amoureux non réciproques sont des situations particulièrement difficiles selon les propos des jeunes. Ces différents enjeux vécus par les jeunes devraient être pris en considération dans l’offre de services d’intervention à leur intention. PMID:28191266

Detecting Aberrant Response Patterns in the Rasch Model. Rapport 87-3.

ERIC Educational Resources Information Center

Kogut, Jan

In this paper, the detection of response patterns aberrant from the Rasch model is considered. For this purpose, a new person fit index, recently developed by I. W. Molenaar (1987) and an iterative estimation procedure are used in a simulation study of Rasch model data mixed with aberrant data. Three kinds of aberrant response behavior are…

[Medical photography and cinematography before 1914: privileged rapport with the neurosciences].

PubMed

Aubert, M G

2000-01-01

Arthur Van Gehuchten (1861-1914), Belgian anatomist and neurologist, professor at the Université catholique de Louvain, was an enthusiastic user of photography and a pioneer of medical cinematography. He used these techniques widely in order to illustrate his lectures, papers and his neurological textbook. His films and photographic plates are at the present time being studied and restored. The nitrate films are the oldest belgian films surviving. Neuroscientists have played a major role in the development of medical photography and cinematography and in the use of these techniques for clinical, research or didactic purposes.

Exercices de grammaire et discours rapporte (Grammar Exercises and Reported Discourse)

ERIC Educational Resources Information Center

Authier, Jacqueline; Meunier, Andre

1977-01-01

An analysis of exercises concerning indirect, direct and free discourse appearing in tests of the "premier cycle," from both pedagogical and linguistic points of view. The thesis is that a method giving primacy to manipulative exercises based on prefabricated sentences militates against discourse and communication. (Text is in French.) (AMH)

Atrophie cérébrale diffuse au cours d'un syndrome de Goldenhar: à propos d'un cas

PubMed Central

Asani, Yogolelo; Mulenga, Cilundika; Ngombe, Léon Kabamba; Mbuyi-Musansayi; Muenze, Kalenga; Borasisi, Chenge; Speeg-Schatz

2014-01-01

Les auteurs rapportent un cas d'un syndrome de Goldenhar non décris dans la littérature chez un nourrisson de 3 mois, de sexe féminin présentant une atrophie cérébrale diffuse. Cette observation permet de décrire cette malformation rare et d'attirer l'attention de l'opinion scientifique à mettre en marche des études poussées afin de comprendre la survenue de cette pathologie. PMID:25767659

Method for the controlled liberation of fusion nuclear energy (in French)

DOE Office of Scientific and Technical Information (OSTI.GOV)

None

1972-08-18

L'invention concerne des reactions thermonucleaires. Elle se rapporte a un procede de fusion dans lequel de l'energie laser est concentree sur de minuscules spheres de combustible forme de deuterium et de tritium, de maniere a creer d'une part un plasma superficiel assurant un transfert efficace d'energie et d'autre part des ondes de choc convergeant au centre et assurant la fusion nucleaire de la matiere centrale. Ceci est applicable a la production d'energie thermique par fusion nucleaire. (FR)

CFD Simulations of a Ferry in Head Seas

DTIC Science & Technology

2011-03-01

la durée de vie en fatigue globale du navire. Il est important, pour la conception, l’exploitation et la gestion du cycle de ...vibration de frottement qui exerce une contrainte sur la structure de coque primaire et qui a un effet défavorable sur la durée de vie en fatigue globale du ...laquelle ne peut simuler directement la physique du tossage. Le présent rapport contient les résultats d’une étude faisant

Canadian Paramedic Services Standards Report: A Strategic Planning Report

DTIC Science & Technology

2014-06-01

Gestion des programmes 7. Nouvelle technologie 8. Gestion des situations d’urgence La section 4 du rapport sur la stratégie de ...normalisation (CSA) et du Programme canadien pour la sûreté et la sécurité (PCSS). Ce projet a réuni des experts clés de la communauté canadienne du ...existantes pour les services paramédicaux actuels au Canada aux besoins présents et futurs de la communauté

Development of Measures of Effectiveness and Performance from Cognitive Work Analysis Products

DTIC Science & Technology

2012-02-01

la Reine (en droit du Canada), telle que représentée par le ministre de la Défense nationale, 2012 DRDC Atlantic CR 2011...le nouveau concept du système. Ce rapport vise à déterminer si les résultats du travail de conception peuvent aider à élaborer des mesures de ...l’information (IIDS). Le contrat actuel comportait deux objectifs : élaborer des mesures de l’efficacité (MOE) et du rendement (MOP) pour

MATE (Mentale Aspecten van Team Effectiviteit) (MATE (Mental Aspects of Team Effectiveness))

DTIC Science & Technology

2008-05-01

0 Auteur (s) drs. J.P. van Meer drs. MI. 1 ’ IIart0 drs. 1. van der 16. Rubricering rapport Ongerubriceerd Vastgesteld door Ikol drs. L.A. de Vos...team Auteur (s) Teamntraining drs. J.P. van Meer drs. M.H.E. I Hart Programmanummer Projectnummer drs. 1. van der Beijl V406 015.34095 Rubricering...Murphy & Cleveland (1995) geven inzicht in de tearngedragingen die meetbaar zijn en de theorie over Shared Mental Models (Espevik et al, 2006) laat zien

Flight Control Design - Best Practices

DTIC Science & Technology

2000-12-01

n’était pas universellement disponible à l’époque. La première partie du rapport donne quelques exemples de problèmes de commandes de vol. Ils...pitch axis. We can infer a lesson learned in the form of design guidance for control allocation or priority. Rigorous analysis is required to define...flight excitation and data gathering manoeuvres are safe and are sufficient to produce the required information. BP9.5 Time must be allocated in the

Filtrage Lineaire par Morceaux Avec Petit Bruit d’Observation (Piecewise Linear Filtering with Small Observation Noise)

DTIC Science & Technology

1990-11-19

stir divers exemple-s le comportement des filtres l)r0pose5 par ra.)pDort ceux du processus estliner et dti filtre optimal obtenu de fa~on approch6e...Piecewise monotone filtering with small observation noise, Siam J., Control Optim. 20, 261-285, 1989 . Vii [10 W.ll. Fleming and R.W. Rishel...Milbeiro, de Oliveira : Filtres approch~s pour un probl~me de filtrage non lin~aire discret avec petit bruit d’observation,rapport INVRIA, 1142. 1989

U.S. Army Medical Department Journal, October-December 2005

DTIC Science & Technology

2005-12-01

body image. The BOSS program has conducted ongoing video game Soldiers of the 421st were 100% professional, tournaments and a local summer jam in the...community. courteous, and caring. They quickly established rapport This summer was highlighted by the theater show "Beyond and put students at ease while...Wallace (((7th from left), B.F. Stout (8th from left), Dr Stewart (9th from left), Mrs. Stewart (next to husband), Robert Hausman (4th from right), BG

Inventarisatie van Functionele Gebruikerseisen voor een Geografisch Informatie Systeem (Plan of Action ’Survey of Functional Requirements for a Geographical Information System’)

DTIC Science & Technology

1991-11-07

bjlagen 1 ’X DCK- RAPPORTENCENTRALZ Frederikkazerle, Geb. 140 van den Burchlaan 31 9 2 0:3 1 ~Telefoon: 070-3166394/6395 6 Postbus 90701 2509 LS Den...DOELSTELLING 8 4 PROJECrORGANISATIE 9 5 WERKPLANNING 12 5.1 Uitgangspuflten 12 5.2 Analyse 12 5.3 Ontwerp en implementatie demonstrator 13 5.4...Evaiuatie 13 5.5 Rapportering 13 5.6 Inbrcng krijgsmacht 14 6 KWALITEITSZORG 15 7 CAPACITEIT 16 8 FINANCIERING 17 9 TIJDSPLANNING 18 BIJLAGE A: WERKPAKKETTEN

Kennislacunes op het gebied van wapens en munitie in OVG (Knowledge Gaps in the Area of Weapons and Munitions in MOUT)

DTIC Science & Technology

2008-12-01

Structuur 6 2.2 Inzetketen 8 2.3 Combinaties van W&M en doelen 9 2.4 Militaire activiteiten 10 3 De OVG context 11 4 Kennislacunes wapens en...Aanlal pagina’s Aantal bijlagen Ongerubriceerd drs. R.G.W. Gouweleeuw 7 november 2008 11 )eze mbricering \\N ijzigl mci) Ongerubriceerd...TNO-rapport | TNO-DV 2008 A436 9 /24 2.3 Combinaties van W&M en doelen In [2] is een overzicht opgesteld van zogenoemde ’force assets’ die tegen

User Manual PIRATE Model, Release Beta 1.0. (Handleiding PIRATE model, versie Beta 1.0)

DTIC Science & Technology

1998-01-01

Beperkingen van PIRATE 40 9 . Conclusies en aanbevelingen 41 10. Referenties 42 11 . Ondertekening 43 TNO-rapport FEL-97-A285 Inleiding Bij maritieme...Inhoud Inleiding 7 1.1 Doel van PIRATE 7 1.2 Werking van PIRATE 8 1.3 Opbouw van de handleiding 8 2. Bediening van PIRATE 9 2.1 Systeemvereisten 10...2.2 Installatie 10 2.3 Bediening van de gebruikersinterface 11 2.4 Gebruiken van de figuren in andere programmes 15 3. Radars, radars in PIRATE

Optimalisatie Draagsysteem (Optimization of the Load Carriage System)

DTIC Science & Technology

2008-06-01

nadelige gevolgen beeft voor de beweeglijkheid. In bet prototype draagsysteem uit figuur 9 ’hangt’ bet scberfwerende vest met kogelwerende platen niet...Soesterberg TNO-rapport wwton T +31 346 35 62 11 TNO-DV 2008 A230 F +31 346 35 39 77Info-DenV@tno.nI Optimalisatie draagsysteem D)atun juni 2008 0 Autcur(s...de draagconstructie. Bij bet ILCS- 11 is gevarieerd met de hoeveelheid afsteuning op heupen en Beschrijving van de werkzaamhleden schouders, alsmede

The prospect of nuclear energy in Türkiye especially after Fukushima accident

DOE Office of Scientific and Technical Information (OSTI.GOV)

Şahin, Sümer, E-mail: ssahin@atilim.edu.tr

2014-09-30

Türkiye considers since mid-50's to use nuclear electricity, but Government and bureaucracy have continuously postponed reactor construction. However, since 2010 the case has gained a real shape. Official agreement has been signed for the construction of 4 units of Russian VVER type reactors with installed power of 4×1200 MW{sub el}. It is expected that they will begin to deliver electricity early 20's. Further negotiations are being conducted with Japanese Mitsubashi and French AREVA. The target is to have nuclear electricity by 2023 at the 100{sup th} anniversary of Turkish Republic. Turkish Nuclear Energy Strategy aims; • Decrease country's dependency onmore » foreign suppliers of energy sources • Provide fuel supply mix diversification • Utilization of environmentally friendly energy production technologies Possess advanced and prestigious power generation technologies.« less

Mortality among workers monitored for radiation exposure at the French nuclear fuel company.

PubMed

Metz-Flamant, C; Rogel, A; Caër, S; Samson, E; Laurier, D; Acker, A; Tirmarche, M

2009-01-01

A cohort of 9,285 nuclear workers employed at the French company AREVA NC specializing in the nuclear fuel cycle was established. Vital status, causes of death, employment characteristics and annual exposure to ionizing radiation were reconstructed for each individual over the time period 1977-2004. Standardized mortality ratios (SMRs) were computed using national mortality rates as an external reference. Tests for trends in mortality with duration of employment and cumulative external dose were performed. The all-cause and all-cancer mortality was significantly lower than expected from the French population. No significant excess among cancer sites studied was observed. Significant positive trends with cumulative dose were observed for colon and liver cancer and for respiratory diseases. Isolated significant trends should be carefully interpreted and considered in line with the large number of trend tests performed.

Clues from hands/Part 2. Personal details about patients revealed by hand examination.

PubMed

Schilli, Karen Danielle; Stricklin, Sherea Monica; Payne, Katie Sue; Rader, Ryan Kent; Stoecker, William V

2014-01-01

This is the second part of a two-part article on personal details revealed by hand examination. Examining hands to determine daily activities was the focus of Part 1 in the July/August 2014 Missouri Medicine. Personal traits and preferences, including pets, nutrition and psychology are presented here. These articles serve as a guide for visual clues on the hands to discern a patient's daily activities and personal preference, thereby providing social information that may help establish rapport between patient and physician and may have medical significance.

Interoperable Risk Management in a Joint Interagency Multinational Environment

DTIC Science & Technology

2007-08-01

est ensuite examinée par rapport à l’approche rendue obligatoire par le Conseil du Trésor. Un examen effectué par le Chef – Service d’examen (2004...relativement à la compréhension du MDN/des FC en matière de gestion des risques. De plus, un examen effectué par le Chef – Service d’examen (2004) a...to support further improvement. The Treasury Board of Canada Secretariat’s framework for risk management is also reflected in a companion

Providing the support services needed by students who are deaf or hard of hearing.

PubMed

Luetke-Stahlman, B

1998-12-01

When students who are deaf or hard of hearing are appropriately placed, program-level and curriculum-level adaptations may both need to be discussed to ensure social as well as academic progress. Programmatic modifications may involve communication, linguistic, and grading issues, and both the listening and physical settings. Curricular modifications may involve the classroom structure, rapport and affect, the instructional format and language, the lesson format and materials, comprehension monitoring, activity and assignment completion, and placement choices. Professionals should work cooperatively to make and monitor changes.

Standardisation for C2-Simulation Interoperation

DTIC Science & Technology

2015-11-01

la continuité du MSG-048 a permis, grâce notamment à la contribution de la communauté opérationnelle, de consolider le besoin et d’approfondir un...demandes de documents STO, RTO ou AGARD doivent comporter la dénomination « STO », « RTO » ou « AGARD » selon le cas, suivi du numéro de série. Des ...disponibilité des rapports de la STO au fur et à mesure de leur publication, vous pouvez consulter notre site Web

Conceptual Modeling (CM) for Military Modeling and Simulation (M&S) (Modelisation conceptuelle (MC) pour la modelisation et la simulation (M&S) militaires)

DTIC Science & Technology

2012-07-01

du monde de la modélisation et de la simulation et lui fournir des directives de mise en œuvre ; et fournir des ...définition ; rapports avec les normes ; spécification de procédure de gestion de la MC ; spécification d’artefact de MC. Considérations importantes...utilisant la présente directive comme référence. • Les VV&A (vérification, validation et acceptation) des MC doivent faire partie intégrante du

Spaceborne Ocean Intelligence Network: SOIN - Fiscal Year 10/11 Year-End Summary

DTIC Science & Technology

2011-10-01

la Reine (en droit du Canada), telle que représentée par le ministre de ...d’ouverture (RSO) de RADARSAT-2. La phase II en cours, d’une durée de trois ans, portera sur l’opérationnalisation et la mise en œuvre des capacités du RSRO...gouvernementales en observation de la Terre (IGOT). Le présent rapport donne un résumé des activités et des réalisations du projet durant l’exercice

Technologies for Protection and Resistance Enhancement of Critical Infrastructures againstExtreme Fire

DTIC Science & Technology

2014-05-01

in Right of Canada, as represented by the Minister of National Defence, 2014 © Sa Majesté la Reine (en droit du Canada), telle que représentée par le ...extreme fire protection of critical infrastructures. Résumé …..... Le présent rapport fournit de l’information qui pourrait aider à élaborer des...démarches nationales pour une atténuation du risque émergeant des conditions d’incendie extrêmes pour les infrastructures essentielles (IE). Les résultats

Perception de la verticale avec Un cadre visuel solidaire de la tete: implications pour la conception des afficheurs de casques en ae’ronauflque (Perception of the Vertical With a Head-Mounted Visual Frame: Implication for the Design of Helmet-Mounted Displays in Aeronautics)

DTIC Science & Technology

2003-02-01

de celle de la tete. MWthodes Douze sujets, 9 hommes et 3 femmes, dg6s de 23 it 41 ans, se...qui donne la sensation de voir un 6cran informatique, centr6 sur l’axe interoculaire, d’une taille angulaire de 300 X 22,5’. L ’&ran virtuel apparait...inclin6s de faqon identique par rapport ýt la gravit6. Le premier essai 6tait toujours r6alis6 avec la tete droite . Ensuite, une nouvelle orientation de

The French Polemic: Nationalism, Racism and Atlanticism in the Past, Present and Future

DTIC Science & Technology

1993-12-01

where the climate and topography are very similar to that of their nation of origin. "󈧔Rapport de la Commission Nationale Consultative des Droits de ...Interpreting the French Revolution, Editions de !a Maison des Sciences de 1’ Homme , 1981. Gobineau, A., The Inequality of Human Races, Howard Fertig...8 0 jL .13 6. L -25-11 1 i1J8 74 0 > /NS BY PPPLIEO IMPGE, INC. Wihtol de Wenden, C., "North African Immigration and the French Political imaginary

Airframe/Propulsion Interference

DTIC Science & Technology

1975-03-01

elancee, en incidence, est prcsenic figure 14. L’intrados se caracterise par une divergence des lignes dc courant, et par une reducti.in ’es nombres...ale de la zone dissipative en R et A/S une fonction du nombre de Hach au recollement Mq et d’un parametre de forme Hiq caracterisant le...extralte d’une Etude expE- rimentale prEsentEe rEf. [13]. Bile se caractErise par un elancement assez important et un rapport de tronoature ft^ /\\M.t

Cognitie Versus Sensatie: Een Paradigma Voor Herorieentatie (Cognition Versus Sensation: A Paradigm for Reorientation)

DTIC Science & Technology

1989-07-01

EEN PARADIGMA VOOR HERORIWNATIE 2 L.C. Boer 0 DTI ELECTE FEB 16190 WO IDISThMATO .&TfAqMnT A 1 Approved for PWbli reg 90o 02 15 053 Nederiandse...5 39 77eloonr 03463 -5 62 11 IZF 1989-20 ’COGNITIE VERSUS SENSATIE: EEN PARADIGMA VOOR HERORIENTATIE L.C. Boer 20 Niels uid daze ungave mag nworden...Dist I Special 5 Rapport nr.: IZF 1989-20 Titel: Cognitie versus sensatie: eon paradigma voor heroridntatie Auteur: Dr. L.C. Boer Instituut: Instituut

Waardering en Analyse van Simulatieresultaten (Valuation and Analysis of Simulation Results)

DTIC Science & Technology

1991-12-01

is uit de tabel van de Students T-verdeling te halen . Deze wordt aangeduid met t,(v), waarin a de overschrijdingskans en v bet aantal vrijheidsgraden...2 vrijheidsgraden. Uit de tabol van de Student’s t-verdeling zija nu de kritieke waardon R, on R2 to halen zodanig dat P(t >R2 ) = i Wordt or eon...analyse van simnulatieresultaten - TDCnaK RAPPORTE1CENTRALE Frederikkazerne, Geb. 140 AD-A25 470van den Burchlaan 31AD-A25 470Telefoon: 070-3166394

Stabilisation de l'etat de polarisation d'un laser par la conception et fabrication d'un miroir polarisant fait de couches minces nanostructurees

NASA Astrophysics Data System (ADS)

Doucet, Alexandre

Ce manuscrit presente la conception et la fabrication d'un miroir polarisant fabrique avec la methode de deposition par incidence oblique communement appelee en anglais GLAD (GLancing Angle Deposition). Cette methode de deposition par GLAD permet de changer la nanostructure des revetements avec l'inclinaison et la rotation du substrat par rapport au flux de materiau evapore. Ceci nous permet d'ajuster l'indice de refraction et d'obtenir des revetements birefringents avec un materiau intrinsequement isotrope. Puisque l'indice de refraction peut etre change, les miroirs sont fabriques avec un seul materiau contrairement aux methodes usuelles qui necessite deux materiaux. Les proprietes optiques des echantillons sont mesurees avec l'aide de l'ellipsometrie. Des images avec un microscope electronique a balayage par transmission permettent de verifier Ia structure des revetements deposes. Les miroirs sont utilises comme coupleurs de sortie du resonateur d'un laser avec un milieu actif d'(Yb3+0.1 Y 0.9)3Al5O12, ou plus simplement Yb: YAG, pompe optiquement avec une diode laser. Ces cristaux presentent des proprietes optiques interessantes pour leur utilisation comme milieu actif, mais avec une structure cristalline cubique, ils donnent lieu a des faisceaux polarises aleatoirement. Les miroirs que nous fabriquons permettent d'obtenir une emission polarisee lineairement sans avoir a ajouter d'autres elements au resonateur. Les tests sont faits en regime continu et pulse avec un absorbant saturable de Cr : Y AG. Deux materiaux sont etudies, soit le WO3 et le TiO2, et ils nous permettent d'obtenir une emission polarisee lineairement dans le mode TEM 00 avec un rapport d'extinction de 1000 (30 dB), mais seuls les miroirs de TiO2 permettent une emission pulsee periodique avec une densite de puissance crete pres de 700+/-80 MW/cm2. En etudiant le rapport d'extinction en fonction du temps de pompage, nous remarquons que l'etat de polarisation est beaucoup plus stable que celui

Use of Skype in interviews: the impact of the medium in a study of mental health nurses.

PubMed

Oates, Jennifer

2015-03-01

To discuss the use of Skype as a medium for undertaking semi-structured interviews. Internet-based research is becoming increasingly popular, as communication using the internet takes a bigger role in our working and personal lives. Technology such as Skype allows research encounters with people across geographical divides. The semi-structured interview is a social encounter with a set of norms and expectations for both parties ( Doody and Noonan 2012 ). Proceedings must take account of the social context of both semi-structured interviews per se, and that of internet mediated communication. The findings of the qualitative phase of a mixed-methods study are compared with other reports comparing the use of Skype with face-to-face and telephone interviews. This paper is a methodological discussion of the use of Skype as an online research methodology. Choosing Skype as a means of interviewing may affect the characteristics of participants and decisions about consent. Rapport, sensitivity and collaboration may be addressed differently in Skype interviews compared with face-to-face interviews. Skype offers researchers the opportunity to reach a geographical spread of participants more safely, cheaply and quickly than face-to-face meetings. Rapport, sensitivity and degrees of collaboration can be achieved using this medium. The use of Skype as a medium for semi-structured interview research is better understood. This paper contributes to the growing body of literature on the use of the internet as a medium for research by nurses.

Theories of Suggestion.

PubMed

Brown, W

1928-02-01

The word "suggestion" has been used in educational, scientific and medical literature in slightly different senses. In psychological medicine the use of suggestion has developed out of the earlier use of hypnotic influence.Charcot defined hypnosis as an artificial hysteria, Bernheim as an artificially increased suggestibility. The two definitions need to be combined to give an adequate account of hypnosis. Moreover, due allowance should be made for the factors of dissociation and of rapport in hypnotic phenomena.The relationships between dissociation, suggestibility, and hypnotizability.Theories of suggestion propounded by Pierre Janet, Freud, McDougall, Pawlow and others. Ernest Jones's theory of the nature of auto-suggestion. Janet explains suggestion in terms of ideo-motor action in which the suggested idea, because of the inactivity of competing ideas, produces its maximum effect. Freud explains rapport in terms of the sex instinct "inhibited in its aim" (transference) and brings in his distinction of "ego" and "ego-ideal" (or "super-ego") to supplement the theory. Jones explains auto-suggestion in terms of narcissism. McDougall explains hypnotic suggestion in terms of the instinct of self-abasement. But different instincts may supply the driving power to produce suggestion-effects in different circumstances. Such instincts as those of self-preservation (fear) and gregariousness may play their part. Auto-suggestion as a therapeutic factor is badly named. It supplements, but does not supplant the will, and makes complete volition possible.

Theories of Suggestion

PubMed Central

Brown, William

1928-01-01

The word “suggestion” has been used in educational, scientific and medical literature in slightly different senses. In psychological medicine the use of suggestion has developed out of the earlier use of hypnotic influence. Charcot defined hypnosis as an artificial hysteria, Bernheim as an artificially increased suggestibility. The two definitions need to be combined to give an adequate account of hypnosis. Moreover, due allowance should be made for the factors of dissociation and of rapport in hypnotic phenomena. The relationships between dissociation, suggestibility, and hypnotizability. Theories of suggestion propounded by Pierre Janet, Freud, McDougall, Pawlow and others. Ernest Jones's theory of the nature of auto-suggestion. Janet explains suggestion in terms of ideo-motor action in which the suggested idea, because of the inactivity of competing ideas, produces its maximum effect. Freud explains rapport in terms of the sex instinct “inhibited in its aim” (transference) and brings in his distinction of “ego” and “ego-ideal” (or “super-ego”) to supplement the theory. Jones explains auto-suggestion in terms of narcissism. McDougall explains hypnotic suggestion in terms of the instinct of self-abasement. But different instincts may supply the driving power to produce suggestion-effects in different circumstances. Such instincts as those of self-preservation (fear) and gregariousness may play their part. Auto-suggestion as a therapeutic factor is badly named. It supplements, but does not supplant the will, and makes complete volition possible. PMID:19986306

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

"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.

Communication in acute ambulatory care.

PubMed

Dean, Marleah; Oetzel, John; Sklar, David P

2014-12-01

Effective communication has been linked to better health outcomes, higher patient satisfaction, and treatment adherence. Communication in ambulatory care contexts is even more crucial, as providers typically do not know patients' medical histories or have established relationships, conversations are time constrained, interruptions are frequent, and the seriousness of patients' medical conditions may create additional tension during interactions. Yet, health communication often unduly emphasizes information exchange-the transmission and receipt of messages leading to a mutual understanding of a patient's condition, needs, and treatments. This approach does not take into account the importance of rapport building and contextual issues, and may ultimately limit the amount of information exchanged.The authors share the perspective of communication scientists to enrich the current approach to medical communication in ambulatory health care contexts, broadening the under standing of medical communication beyond information exchange to a more holistic, multilayered viewpoint, which includes rapport and contextual issues. The authors propose a socio-ecological model for understanding communication in acute ambulatory care. This model recognizes the relationship of individuals to their environment and emphasizes the importance of individual and contextual factors that influence patient-provider interactions. Its key elements include message exchange and individual, organizational, societal, and cultural factors. Using this model, and following the authors' recommendations, providers and medical educators can treat communication as a holistic process shaped by multiple layers. This is a step toward being able to negotiate conflicting demands, resolve tensions, and create encounters that lead to positive health outcomes.

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

Gamma-ray spectroscopy measurements and simulations for uranium mining

NASA Astrophysics Data System (ADS)

Marchais, T.; Pérot, B.; Carasco, C.; Allinei, P.-G.; Chaussonnet, P.; Ma, J.-L.; Toubon, H.

2018-01-01

AREVA Mines and the Nuclear Measurement Laboratory of CEA Cadarache are collaborating to improve the sensitivity and precision of uranium concentration evaluation by means of gamma measurements. This paper reports gamma-ray spectra, recorded with a high-purity coaxial germanium detector, on standard cement blocks with increasing uranium content, and the corresponding MCNP simulations. The detailed MCNP model of the detector and experimental setup has been validated by calculation vs. experiment comparisons. An optimization of the detector MCNP model is presented in this paper, as well as a comparison of different nuclear data libraries to explain missing or exceeding peaks in the simulation. Energy shifts observed between the fluorescence X-rays produced by MCNP and atomic data are also investigated. The qualified numerical model will be used in further studies to develop new gamma spectroscopy approaches aiming at reducing acquisition times, especially for ore samples with low uranium content.

Ship Dynamics Identification Using Simulator and Sea Trial Data

DTIC Science & Technology

2002-04-29

Committee "© Her Majesty the Queen as represented by the Minister of National Defence, 2002 "© Sa majest6 la reine, repr~sent~e par le ministre de la...cotes d’instructeurs. Le but du present rapport est de ddterminer la nature de la dynamique des navires virtuels et r6els de mani&re A ce que des...la dynamique du navire. Le pr6sent document pr6cise la dynamique du navire pour un navire de classe Bay des FC, ainsi que pour un navire simul6. Les

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

Development of an Assessment Methodology for Demonstrating Usability, Technical Maturity, and Operational Benefits of Advanced Medical Technology (Developpement d’une Methodologie d’Evaluation Permettant de Demontrer la Facilite d’Utilisation, la Maturite Technique et les Avantages Operationnels des Technologies Medicales Evoluees)

DTIC Science & Technology

2010-09-01

de nations, que ce soit au sein de l’Alliance ou dans le cadre du Partenariat pour la paix, ont développé au cours des ...pour l’évacuation des blessés (CASEVAC). Certaines de ces technologies peuvent inclure en temps réel le contrôle de l’état du combattant/patient, la ...localisation du patient, le contrôle de l’état de la logistique médicale, ou encore l’établissement de rapports épidémiologiques. Le

Generic Methodology for Verification and Validation (GM-VV) to Support Acceptance of Models, Simulations and Data (Methodologie generale de verification et de validation (GM-VV) visant a soutenir l acceptation des modeles, simulations et donnees)

DTIC Science & Technology

2015-01-01

RTO ou AGARD doivent comporter la dénomination « STO », « RTO » ou « AGARD » selon le cas, suivi du numéro de série. Des informations analogues...rapports de la STO au fur et à mesure de leur publication, vous pouvez consulter notre site Web (http://www.sto.nato.int/) et vous abonner à ce service...le cas, suivie du numéro de série (par exemple AGARD-AG-315). Des informations analogues, telles que le titre et la date de publication sont

Research Using In Vivo Simulation of Meta-Organizational Shared Decision Making (SDM). Task 2: Development of an Experimental Plan for In Vivo Exercise and Simulation

DTIC Science & Technology

2011-12-01

la Reine (en droit du Canada), telle que représentée par le ministre de la Défense nationale, 2011 DRDC CSS CR 2011-31 ii...participants. Résumé …..... Introduction : Ce rapport présente la Tâche 2 du projet « Recherche par la simulation in-vivo sur la prise de décision partagée...environnement sur la prise de décision partagée in-vivo des opérations de gestion des urgences et pour colliger des données

Study on Cyber Security and Threat Evaluation in SCADA Systems

DTIC Science & Technology

2012-03-01

la sécurité de l’infrastructure essentielle du Canada. DRDC CSS CR 2012-06 vii • Les cadres de gestion des cybermenaces et des ...Reine (en droit du Canada), telle que représentée par le ministre de la Défense nationale, 2012 DRDC CSS CR 2012-06 i Abstract …….. This...ii DRDC CSS CR 2012-06 Résumé …..... Le présent rapport fait la synthèse des résultats du projet PTSP 02-0347eSec

Building Resilient Communities Workshop Report

DTIC Science & Technology

2014-06-01

Reine (en droit du Canada), telle que représentée par le ministre de la Défense nationale, 2014 CSSP-2013-CD-1120...EMBC) [ Gestion des urgences Colombie-Britannique], le Programme canadien pour la sûreté et la sécurité (PCSS) et Recherche et développement pour la ...comptes rendus de la mise à jour du rapport du RCERD sur la résilience des communautés autochtones. L’événement a aussi donné une tribune pour un groupe

Gender and sexuality in the field: a female ethnographer's experience researching drug use in dance clubs.

PubMed

Perrone, Dina

2010-04-01

This article provides an account of a female ethnographer's experience accessing participants and observing drug-using behaviors in highly sexualized dance clubs. Specifically, it describes how the researcher as a gendered and sexualized self can compromise safety and inhibit access while also serving as an advantage to establishing rapport. The author describes how various methods were employed to appear as part of the cultural scene and access participants, while avoiding, and responding to, unwanted sexual advances. To address such challenges, the author provides both practical and procedural suggestions for researchers and research institutions.

Tuméfaction du muscle pectoral révélant une tuberculose musculaire isolée

PubMed Central

Hayoun, Sohaib; Ouazzani, Hanane El; Habibi, Bouchra; Belhabib, Salwa; Souhi, Hicham; Rhorfi, Ismail Abderahmane; Abid, Ahmed

2017-01-01

La tuberculose des parties molles représente l’une des formes rares de la tuberculose extra pulmonaire, la localisation musculaire isolée est par-ailleurs exceptionnelle. Nous rapportant une observation médicale originale, une tuberculose musculaire isolée intéressant le muscle grand pectoral chez un jeune patient immunocompétent. Le diagnostic a reposé essentiellement sur l’histologie. L’évolution été favorable sous traitement anti bacillaire seul. Ce cas rare est présenté avec revue de littérature. PMID:28761620

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

Making meaning in qualitative research with conversational partnerships: a methodological discussion.

PubMed

Hunter Revell, Susan M

2013-01-01

Rubin and Rubin's responsive interviewing method is based on the conversational partnership formed between researcher and participant. This method allows the researcher to understand experiences through the participant's words and stories to create meaning. In this article, the reader is guided through a 3-part interview series with a person living with traumatic spinal cord injury. The example focuses on how interview guides were developed and tailored to the participant, and how field notations were created. Findings include the importance of establishing trust and rapport in conversational partnerships for meaning making to occur.

Social isolation: unit-based activities for impaired elders.

PubMed

Windriver, W

1993-03-01

Loneliness can lead to illness and death, and is such a painful experience that a resident may not verbalize it directly. Quality nursing care requires that problems of social isolation are identified and a plan developed for adequate intervention. Impaired residents will be more successful socially when they can access a variety of interesting activities in small groups where familiar staff take initiative and establish a rapport. Institutional nurses are in a unique position to request the structural and personnel changes necessary to bring creative activities to the nursing units of impaired elders.

Resilience of Critical Infrastructure to Extreme Fires - Gaps and Challenges

DTIC Science & Technology

2014-04-01

du Canada), telle que représentée par le ministre de la Défense nationale, 2014 3 Abstract …….. This report provides the results of the study...the results of the two fire tests. Résumé …..... Le présent rapport fournit les résultats de l’étude menée par le Conseil national de recherches du...d’entreposage de carburants ou de véhicule-citerne. L’effondrement des tours du World Trade Centre, le 11 septembre 2001, et celui de l’échangeur du pont

Securing Wireless Local Area Networks with GoC PKI

DTIC Science & Technology

2007-10-01

de réseau privé virtuel (RPV) sans fil sur un banc d’essai dans le laboratoire des Opérations d’information de réseau (OIR) pour des ...locaux sans fil (WLAN) dans les réseaux d’entreprise du gouvernement. Dans ce rapport, on présente les résultats de travaux complémentaires qui tirent...mutuelle, l’autorisation, la protection et l’intégrité des données, ainsi que la gestion et la diffusion des politiques sur les

Inventory of Materials to be Used in Explosive Effects Mitigating Structures (Inventarisatie van materialen te gebruiken in constructies ter afscherming van explosie-effecten)

DTIC Science & Technology

2008-11-01

F +31 15 284 39 91 info-DenV@tno.nl TNO-rapportnummer TNO-DV 2008 A357 Opdrachtnummer Datum november 2008 Auteur (s) ir. O.C. van der Jagt...een keramisch materiaal (ZrSiO.*). TNO-rapport | TNO-DV 2008 A357 32/44 K, 04 035 0.3 0 25 02 0 15 01 005 0 O a 0 X A • • Theory ...47] Molinari. A., et al., Modeling plastic shocks in periodic laminates with gradient plasticity theories . Journal of the Mechanics and Physics of

Synthetic Environments at the Enterprise Level: Overview of a Government of Canada (GoC), Academia and Industry Distributed Synthetic Environment Initiative

DTIC Science & Technology

2005-04-01

niveau des entreprises et de la nation, et comment les leçons apprises et les meilleures pratiques techniques laissent entrevoir un avenir brillant pour...le domaine de la sécurité publique . Ce rapport S&T conjoints documente les normes et les outils M&S/ES liés à JSMARTS, les données expérimentales...synthétique répartie dans le MDN, en même temps que chez les partenaires de sécurité publique , supportant divers outils, de ce fait embrassant efficacement

Moral and Ethical Decision Making in Canadian Forces Operations

DTIC Science & Technology

2006-01-01

Adams, and Jessica A. Sartori Humansystems® Incorporated 111 Farquhar St., 2nd floor Guelph, ON N1H 3N4 Project Manager : Dr. Barbara D. Adams...facteurs (et les nombreux autres facteurs décrits dans le présent rapport) permettra de faire avancer les connaissances concernant la prise de décision...Dans l’ensemble, cette analyse laisse à penser que la prise de décision morale et éthique ne peut pas être considérée comme un moment précis dans le

Measured and Modeled Long-Wave Infrared Signature of Quest in Q280

DTIC Science & Technology

2008-03-01

l’eau chaude par rapport à l’air froid , a constitué un autre cas permet- tant de mieux comprendre les signatures infrarouge et de mettre au point des...d’intensité énergétique infrarouge à l’horizon et dans la valeur absolue de l’in- tensité énergétique de la mer : le modèle laisse prévoir...ports de l’Arctique favorise fortement d’autres recherches sur les signatures infrarouge des navires en eaux froides et dans des conditions hivernales

Hospital laboratory outreach: benefits and planning.

PubMed

Anderson, Victoria

2007-12-01

A laboratory outreach program can benefit the hospital in several ways, such as increasing revenues, filling unused capacity, and solidifying relationships with the physician and patient communities. Building rapport with physicians and the community ultimately brings economic value to the hospital. To service this new market it is necessary to modify current systems and processes and develop new services. The areas most likely to be developed are logistics, service centers, client services, physician connectivity, billing, marketing, sales, and finance reporting. Developing efficient customer-related services is a key to reaping the benefits.

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.

Dangerous Substance Advisor: Een Expert Systeem voor het Classificeren van Gevaarlijke Stoffen (Dangerous Substance Advisor: An Expert System for the Classification of Dangerous Substances)

DTIC Science & Technology

1990-06-01

acid-chloride 5. - acid-fluoride 6. - acid-dibromidde 7. - acid-dichioride 8. - acid-difluoride 9 . - acid-tribromide 10. - acid-trichloride 11 ...zeer 3 1 3 gewoon 3 11 4 weinig 3 111 5 Brandbare vaste stof zeer 4.1 1 6 gewoon 4.1 11 7 weinig 4.1 111 8 Zeif ontbrandbare stof zeer 4.2 1 9 gewoon...I (S) 31 gewoon 8 11 (S) 33 weinig 8 111 (S) 35 Overige gevaren 9 36 TNO rapport Bijiage B Pgn B.1 BULAGE B: RANGORDE VAN GEVAARSEIGENSCHAPPEN

76 FR 9054 - Notice of Availability of Final Environmental Impact Statement for the AREVA Enrichment Services...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-16

... as supplemental information on a proposed electrical transmission line required to power the proposed... proposed uranium enrichment facility. Specifically, AES proposes to use gas centrifuge technology to enrich...; and (3) alternative technologies for uranium enrichment. These alternatives were eliminated from...

76 FR 11523 - Atomic Safety and Licensing Board; AREVA Enrichment Services, LLC (Eagle Rock Enrichment Facility...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-02

... NUCLEAR REGULATORY COMMISSION [Docket No. 70-7015-ML; ASLBP No. 10-899-02-ML-BD01] Atomic Safety... County, ID, 76 FR 9054 (Feb. 16, 2011). In accord with Atomic Energy Act (AEA) section 274l, 42 U.S.C... proceeding, see Atomic Safety and Licensing Board; Notice of Opportunity to Participate in Uncontested...

75 FR 52996 - Areva Enrichment Services, LLC (Eagle Rock Enrichment Facility); Notice of Atomic Safety and...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-30

... correspondence, documents, and other materials shall continue to be filed in accordance with the NRC E-Filing rule. See 10 CFR 2.302 et seq. Issued at Rockville, Maryland, this 24th day of August 2010. E. Roy...

78 FR 9431 - Shaw AREVA MOX Services, LLC (Mixed Oxide Fuel Fabrication Facility); Order Approving Indirect...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-08

... established pursuant to the policies duly authorized under the National Industrial Security Program. The proxy... Influence (FOCI) in order to maintain the Facility Security Clearance held by MOX Services. No physical... Facility Security Clearance, is in accordance with the provisions of the AEA of 1954, as amended. The...

How Do Chinese Speakers of English Manage Rapport in Extended Concurrent Speech?

ERIC Educational Resources Information Center

Zhu, Weihua

2017-01-01

Little research has focused on extended concurrent speech, unexpected floor taking, or topic switching, since it has been deemed rare (Schegloff 2000. "Overlapping talk and the organization of turn-taking for conversation." "Language in Society" 29(1). 1-63.) or inappropriate (Goldberg 1990." Interrupting the discourse on…

In-field Calibration of a Fast Neutron Collar for the Measurement of Fresh PWR Fuel Assemblies

DOE Office of Scientific and Technical Information (OSTI.GOV)

Swinhoe, Martyn Thomas; De Baere, Paul

2015-04-17

A new neutron collar has been designed for the measurement of fresh LEU fuel assemblies. This collar uses “fast mode” measurement to reduce the effect of burnable poison rods on the assay and thus reduce the dependence on the operator’s declaration. The new collar design reduces effect of poison rods considerably. Instead of 12 pins of 5.2% Gd causing a 20.4% effect, as in the standard thermal mode collar, they only cause a 3.2% effect in the new collar. However it has higher efficiency so that reasonably precise measurements can be made in 25 minutes, rather than the 1 hourmore » of previous collars. The new collar is fully compatible with the use of the standard data collection and analysis code INCC. This report describes the calibration that was made with a mock-up assembly at Los Alamos National Laboratory and with actual assemblies at the AREVA Fuel fabrication Plant in Lingen, Germany.« less

International trade and waste and fuel management issue, 2009

DOE Office of Scientific and Technical Information (OSTI.GOV)

Agnihotri, Newal

The focus of the January-February issue is on international trade and waste and fuel managment. Major articles/reports in this issue include: Innovative financing and workforce planning, by Donna Jacobs, Entergy Nuclear; Nuclear power - a long-term need, by John C. Devine, Gerald Goldsmith and Michael DeLallo, WorleyParsons; Importance of loan guarantee program, by Donald Hintz; EPC contracts for new plants, by Dave Barry, Shaw Power Group; GNEP and fuel recycling, by Alan Hanson, AREVA NC Inc.; Safe and reliable reactor, by Kiyoshi Yamauchi, Mitsubishi Heavy Industries, Ltd.; Safe, small and simple reactors, by Yoshi Sakashita, Toshiba Corporation; Nuclear power inmore » Thailand, by Tatchai Sumitra, Thailand Institute of Nuclear Technology; and, Nuclear power in Vietnam, by Tran Huu Phat, Vietnam Atomic Energy Commission. The Industry Innovation article this issue is Rectifying axial-offset-anomaly problems, by Don Adams, Tennessee Valley Authority. The Plant Profile article is Star of Stars Excellence, by Tyler Lamberts, Entergy Nuclear Operations, Inc.« less

Regulating and coping with distress during police interviews of traumatized victims.

PubMed

Risan, Patrick; Binder, Per-Einar; Milne, Rebecca

2016-11-01

The aim of this study was to qualitatively explore approaches to police interviewing of traumatized victims experiencing distress. Specifically, we examined the research question: What do police investigators regard as useful approaches to regulating distress, maintaining rapport and promoting the well-being of the interviewee? To explore processes relevant to the research objective, 21 semistructured interviews were conducted of police investigators who interviewed survivors following the Utøya massacre on July 22, 2011 in Norway. To examine the relationship between the research question and the material, we used thematic analysis based on a reflexive hermeneutic-phenomenological epistemology. Following the analysis, 3 main themes emerged: (1) becoming aware of the interviewees' capacity to cope with distress by attending to nonverbal cues, (2) interviewers communicating acceptance and modeling how to cope with painful emotions, and, (3) regulating distress by responding to the interviewees' emotional needs, helping them to feel safe and promoting the positive. The findings of the study show the importance of relational processes in investigative interviewing of traumatized interviewees, particularly with regard to coping with emotions. The results suggest that if the police investigator who is conducting an investigative interview can offer a trusting, safe and compassionate relationship, or if he or she steers the relational dynamics toward safety in the present moment when distress arises, he or she may facilitate the regulation of distress. We propose that if the interviewee's emotions are managed in this way during the police interview, it may lead to increased rapport and promote psychological health. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

Qualitative differences between traditional and rural-longitudinal medical student OSCE performance.

PubMed

Zink, Therese; Power, David V; Olson, Kenneth; Harris, Ilene B; Brooks, Kathleen D

2010-01-01

To ensure adequate observation, supervision, and mentoring of trainees, long-term preceptorships or apprenticeships are being reestablished in medical education. Equivalence in academic performance has been demonstrated between longitudinal students in the Rural Physician Associate Program (RPAP), who spend 9 months in a rural community during their third year of medical school, and their peers who complete their clerkships at different hospitals and clinics (traditional). We qualitatively reviewed the end of session Objective Structured Clinical Examination (OSCE) for both groups and compared their performances. The high and low performers on four OSCE scenarios (cough, dysuria in a teen, preventive care in an older male, medication reconciliation) for two cohorts of students: longitudinal (n=47) and traditional primary care clerkship students (n=60) were selected for review. These 16 videotapes were reviewed independently by three researchers. The themes and subthemes were discussed over four meetings. Both high and low scoring longitudinal students demonstrated more consistent use of rapport building skills. Longitudinal students appeared to have an effective pattern in their patient interactions and were more rehearsed at explaining preventive care recommendations such as the pros and cons of the prostate-specific antigen (PSA) test. Traditional students displayed a more complete mastery of the adolescent interview and followed a mnemonic taught during lecture. Qualitative assessment of OSCE data reveals information not captured in the quantitative scores. In this study, longitudinal students demonstrated better mastery of rapport building and content knowledge and had an effective routine to their patient encounters not evident in the traditional students' scenarios.

Effet paradoxal du type d’excision sur la prise et le délai de cicatrisation des greffes expansées pour le traitement des brûlures aiguës: a propos de 1129 cas

PubMed Central

Guibert, M.; Chaouat, M.; Boccara, D.; Marco, O.; Lavocat, R.; Alameri, O.; Deslandes, E.; Montlahuc, C.; Mimoun, M.

2016-01-01

Summary La greffe de peau mince expansée est très employée dans le traitement des brûlures aiguës. Nous avons étudié l’influence de la préparation du sous-sol sur le taux de prise et le délai de cicatrisation des greffes expansées. Nous avons analysé rétrospectivement les 1 129 greffes expansées réalisées dans notre service entre 1995 et 2005 pour le traitement des brûlures aiguës. Leur taux de prise a été significativement meilleur après une préparation du sous-sol par avulsion (82%) par rapport à une préparation du sous-sol par excision tangentielle (75%). Ce taux était meilleur lorsque l’avulsion était pratiquée dans les 7 jours suivant la brûlure (83% vs 73%). Pour une prise en charge entre 7 et 21 jours, ce taux a semblé être meilleur après excision tangentielle, mais de façon non significative. La durée d’évolution jusqu’à cicatrisation était significativement raccourcie pour une préparation du sous-sol par excision tangentielle par rapport à une préparation du sous-sol par avulsion. Ces résultats montrent, paradoxalement, qu’une préparation du sous-sol par avulsion favorise la prise des greffes expansées mais rallonge leur délai de cicatrisation au contraire de l’excision tangentielle. PMID:28149235

Doctor-pharmacist communication in hospitals: strategies, perceptions, limitations and opportunities.

PubMed

Coomber, Peter; Clavarino, Alexandra; Ballard, Emma; Luetsch, Karen

2018-04-01

Background Effective communication between health professionals contributes to safe and efficient patient care, whereas communication breakdown can lead to adverse patient outcomes and increased healthcare expenditure. Information on how pharmacists and doctors communicate with each other in hospitals is limited. Objective To explore usage and perceptions of communication methods by doctors and pharmacists in hospital settings. Setting Four public hospitals in Australia. Method A mixed method study utilising a pilot questionnaire, semi-structured interviews, and electronic survey was designed. Frequentist statistics and logistic regression were used to analyse survey data. Thematic analysis was conducted to evaluate semi-structured interview data and free-text survey comments. Frequency of use of communication methods, perceptions of the convenience, time taken to use, accuracy and effectiveness of each method. Results More than 95% of doctors and pharmacists combined used face-to-face and phone calls to communicate with each other, 70% used a medication management plan, and 62% used progress notes. A preference for oral communication was confirmed with the expressed need for building professional rapport and receiving responses. Perceptions regarding effectiveness of oral communication methods were related to perceptions of their convenience and accuracy. Professional groups described differences in perceived ownership of various modes of communication. Conclusions Preferences for oral communication create potential issues with recall and comprehension. Integrating oral communication features into written communication methods, e.g. creating responses, conversations, building rapport, may change doctors' and pharmacists' perceptions of effectiveness. Communication receipt and response functionality in electronic medication and record management systems may improve communication.

Team performance in networked supervisory control of unmanned air vehicles: effects of automation, working memory, and communication content.

PubMed

McKendrick, Ryan; Shaw, Tyler; de Visser, Ewart; Saqer, Haneen; Kidwell, Brian; Parasuraman, Raja

2014-05-01

Assess team performance within a net-worked supervisory control setting while manipulating automated decision aids and monitoring team communication and working memory ability. Networked systems such as multi-unmanned air vehicle (UAV) supervision have complex properties that make prediction of human-system performance difficult. Automated decision aid can provide valuable information to operators, individual abilities can limit or facilitate team performance, and team communication patterns can alter how effectively individuals work together. We hypothesized that reliable automation, higher working memory capacity, and increased communication rates of task-relevant information would offset performance decrements attributed to high task load. Two-person teams performed a simulated air defense task with two levels of task load and three levels of automated aid reliability. Teams communicated and received decision aid messages via chat window text messages. Task Load x Automation effects were significant across all performance measures. Reliable automation limited the decline in team performance with increasing task load. Average team spatial working memory was a stronger predictor than other measures of team working memory. Frequency of team rapport and enemy location communications positively related to team performance, and word count was negatively related to team performance. Reliable decision aiding mitigated team performance decline during increased task load during multi-UAV supervisory control. Team spatial working memory, communication of spatial information, and team rapport predicted team success. An automated decision aid can improve team performance under high task load. Assessment of spatial working memory and the communication of task-relevant information can help in operator and team selection in supervisory control systems.

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

Cultural competency and communication skills of dental students: clinical supervisors' perceptions.

PubMed

Mariño, R; Ghanim, A; Morgan, M; Barrow, S

2017-11-01

This study explored clinical supervisor's (CS) views and experiences of dental students' cultural competence (CC) at the Melbourne Dental School, The University of Melbourne, Australia. Additionally, this study explored CS insights into how CC could be taught. Semi-structured one-to-one interviews were organised with consenting CS. Interview topics included the following: the importance of CC, communication and rapport, the role of culture in oral health and the need for curriculum enhancement. Interviews were recorded, transcribed and thematically analysed to identify key areas using NVivo software. A total of 12 CS participated in this study. CS acknowledged the importance of CC and felt that it was important for good patient management. CS's definition of CC focused primarily on language and communication skills. CS felt that dental students were generally able to manage culturally diverse patients. However, CS indicated that additional training in this area would be beneficial. Concerns were raised about the students' ability to establish good rapport and communication, with CS highlighting areas such as misuse of interpreters and use of jargon. CS felt that clinical experience, confidence and a positive attitude are effective tools for overcoming cultural barriers. Furthermore, some CS also felt that cultural competency was a skill that is learnt through experience. For most CS, cultural competence was an important part of the clinician-patient exchange which would benefit from enhanced curriculum. They also highlighted areas where transcultural education could be improved. The majority of CS believed dental students managed culturally diverse patients well. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Patient and health care provider views of depressive symptoms and diabetes in American Samoa.

PubMed

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

2010-10-01

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, 6 focus groups were conducted with 39 American Samoan adults with diabetes; questions on perceptions of diabetes and depressive symptoms were included. Thirteen health care staff interviews were conducted to gain insight into diabetes care in American Samoa. Focus groups and health care 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 health care 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. Health care 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. PsycINFO Database Record (c) 2010 APA, all rights reserved.

Oncology healthcare professionals' perspectives on the psychosocial support needs of cancer patients during oncology treatment.

PubMed

Aldaz, Bruno E; Treharne, Gareth J; Knight, Robert G; Conner, Tamlin S; Perez, David

2017-09-01

This study explored oncology healthcare professionals' perspectives on the psychosocial support needs of diverse cancer patients during oncology treatment. Six themes were identified using thematic analysis. Healthcare professionals highlighted the importance of their sensitivity, respect and emotional tact during appointments in order to effectively identify and meet the needs of oncology patients. Participants also emphasised the importance of building rapport that recognises patients as people. Patients' acceptance of treatment-related distress and uncertainty was described as required for uptake of available psychosocial supportive services. We offer some practical implications that may help improve cancer patients' experiences during oncology treatment.

Traumatic Brain Injury in a Military Operational Setting (Le traumatisme cranien dans un cadre militaire operationnel)

DTIC Science & Technology

2015-01-01

la gestion du TCCL lié à un déploiement. Les objectifs de ce rapport étaient de : 1) Décrire la pratique clinique... de la projection de débris et à l’accélération/décélération ou rotation. L’impact sur la santé publique du TCCL lié à un déploiement sur tout...montré que le cours clinique du TCCL provoqué par une déflagration présente de forts parallèles avec ce qu’on constate dans la littérature sur le

Maritime Analytics Prototype: Phase 3 Validation

DTIC Science & Technology

2014-01-01

maritim arehouse (GP ported on th sability Sca the training sks, errors m estionnaire, as assessed u the trial was t ” in the scien icant improv...which ed that MVA tools, and th ated the mo e, and becaus lot of prais essels. t - s, e s) n r e e e - e n s, e is P e st e e ii...rapport a environne en raison permet de une bonne navires d’ é ….... t documente n banc d’ess l’analyse de intérêt. Les c iel Widget A DDC) sur l ISTIP

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.

Lessons for outsourcing and interim management relationships.

PubMed

Macko, W; Kostyack, P T

1999-01-01

Few decisions can affect an organization more than the selection of an outsourcing or interim management partner. More and more health care organizations face such decisions in today's competitive market in order to face new business needs. Making these relationships successful can be important for health care organizations seeking competitive advantages or seeking immediately accessible management support. These relationships, however, require careful partner selection and development. Success in outsourcing and interim management relationships is contingent upon a thorough selection process, a strong contract that has clearly and explicitly detailed responsibilities and a culture-sensitive business rapport between the client and selected partner.

Determination of Natural and Depleted Uranium in Urine at the ppt Level: An Interlaboratory Analytical Exercise

DTIC Science & Technology

2002-10-01

but de cet exercice analytique 6tait d𔄀valuer toutes les techniques analytiques disponibles ayant la capacit6 de mesurer les rapports isotopiques...B Formulation. Step Component Amount added 1 2% v/v nitric acid 500 mL 2 Calcium chloride (CaCl2.2H 20) 12.6 g 3 2% v/v nitric acid Dilute to 1000 mL...chloride (KCI) 3.43 Sodium chloride (NaCl) 2.32 Creatinine (C4H7N30) 1.10 Ammonium chloride (NH 4Cl) 1.06 Hippuric acid (C9H9N03) 0.63 Calcium chloride

Discrimination Power Control for Adaptive Target Tracking Applications

DTIC Science & Technology

2008-07-01

represented by the Minister of National Defence, 2008 c© Sa Majesté la Reine (en droit du Canada), telle que représentée par le ministre de la Défense...classification. Résumé Le travail présenté dans ce rapport porte sur le problème de la capacité discriminatoire dans des applications de pistage de cibles...objectifs d’une mission. La stratégie de contrôle est basée sur deux boucles imbriquées. La boucle externe utilise des techniques de regroupement de

The art of getting what you want for optimal patient care.

PubMed

Davidhizar, R

2000-01-01

Getting your way is a mix of logical and emotional issues. It is important to establish rapport and meet a person emotionally before trying to sell an idea. It is essential to think an idea through clearly ahead of time and to present it clearly and logically. The possibility of resistance should be anticipated so that the presentation addresses potential areas of resistance. It is important to actively listen, to agree when possible, and to not appear too eager. Persuasion is both an art and science. When used skillfully, persuasive techniques are powerful tools of communication and productivity.

Stability in Aerospace Systems (La Stabilite dans Les Systemes Aerospatiaux)

DTIC Science & Technology

1993-02-01

collect&e); lois dc contrt~lc en Vol en atmosphý,es tr~s turbulentes; crit~res. b) Contr6le de 1V6coulement autour des ailes et du fuselage. Cz et Cx...On voit quAh beaucoup d𔄀gards, et bien plus quo rechercho des regles do "chaos de~terministo". d’autres secteurs ; dlactivitA, l’aironautiquc a db et...innovatrices par le risque de converger vers one solution qui nest pas ki rapport a celles basees sur Ia loi dite "en er", bonne do fait de Ia non

Mariage non consommé et vaginisme: à propos de trois cas Clinique

PubMed Central

2017-01-01

Le vaginisme est un problème de couple. Il est source de mariages non consommés, d’infertilité et d’altération de la qualité de la relation sexuelle du couple. Par trois cas cliniques illustratifs rapportés de notre pratique clinique quotidienne et suivis sur deux années en consultation du service de psychiatrie de l’Hôpital Militaire Moulay Ismail de Meknès, nous essayons de clarifier les motifs de rencontre pour vaginisme, ses aspects cliniques et relationnels et ses particularités culturelles. PMID:28819482

Collaboration within the JIMP (Joint, Interagency, Multinational, Public) Environment

DTIC Science & Technology

2010-08-01

t •N eg ot iat ion •P lan nin g an d de cis ion -m ak...Fa ct or s •R isk •U nc er ta in ty • T im e pr es su re •N ati on al cu ltu re Pr oc es s o f C oll ab or at ion Fa cto rs In flu en cin g Co lla...l’établissement de rapports, la négociation, la planification et la prise de décision. Les discussions ont aussi offert des perspectives importantes quant

Addressing disappointment in veterinary practice.

PubMed

O'Connell, Daniel; Bonvicini, Kathleen A

2007-01-01

Disappointing experiences are not uncommon in the increasingly complex setting of veterinary practice. Managing these situations requires that health care teams be sensitive to client disappointments; accept responsibility for engaging with clients to resolve them; and act ethically, sensitively, and flexibly to reach the best resolutions possible while learning from the experience to reduce the potential for recurrence. The reward for their efforts is an enhanced capability to rebuild rapport, trust, credibility, and loyalty after disappointments and adverse outcomes. Success should translate into a more satisfying practice that builds and maintains its client base and minimizes its liability risks.

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

75 FR 42466 - Notice of Availability of Draft Environmental Impact Statement and Public Meeting for the AREVA...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-21

... electrical transmission line required to power the proposed EREF. On March 17, 2010, the NRC granted an... facility. Specifically, AES proposes to use gas centrifuge technology to enrich the uranium-235 isotope... centrifuge-based technology to enrich the uranium- 235 isotope found in natural uranium to concentrations up...

77 FR 70193 - Shaw Areva MOX Services (Mixed Oxide Fuel Fabrication Facility); Notice of Atomic Safety and...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-23

... MOX Services (Mixed Oxide Fuel Fabrication Facility); Notice of Atomic Safety and Licensing Board Reconstitution Pursuant to 10 CFR 2.313(c) and 2.321(b), the Atomic Safety and Licensing Board (Board) in the... Rockville, Maryland this 16th day of November 2012. E. Roy Hawkens, Chief Administrative Judge, Atomic...

75 FR 44291 - Notice of Availability of Draft Environmental Impact Statement and Public Meeting for the AREVA...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-28

... FURTHER INFORMATION CONTACT: Mr. Stephen Lemont, Senior Project Manager, Office of Federal and State Materials and Environmental Management Program, via telephone at (301) 415-5163, or via e-mail at Stephen...

75 FR 24991 - In the Matter of AREVA NP, Inc.; Confirmatory Order (Effective Immediately) [NRC-2010-0172

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-06

... to work by using tape. These actions violated Standard Operating Procedure (SOP) 40486, ``Richland..., or adjusted by anyone except for a defined purpose and in accordance with an approved procedure.'' As... observation program at Richland for the purpose of reinforcing task performance standards and work practices...

School Leader Relationships: The Need for Explicit Training on Rapport, Trust, and Communication

ERIC Educational Resources Information Center

Lasater, Kara

2016-01-01

An important aspect of school leadership is relationship development, but developing meaningful relationships as a school leader is challenging. School leader relationships are challenged by diverse stakeholder groups, varied contexts, and difficult situations. The complex nature of school leader relationships necessitates explicit training for…

Studying Physician-Patient Communication in the Acute Care Setting: The Hospitalist Rapport Study

PubMed Central

Anderson, Wendy G.; Winters, Kathryn; Arnold, Robert M.; Puntillo, Kathleen A.; White, Douglas B.; Auerbach, Andrew D.

2010-01-01

Objective To assess the feasibility of studying physician-patient communication in the acute care setting. Methods We recruited hospitalist physicians and patients from two hospitals within a university system and audio-recorded their first encounter. Recruitment, data collection, and challenges encountered were tracked. Results Thirty-two physicians consented (rate 91%). Between August 2008 and March 2009, 441 patients were referred, 210 (48%) were screened, and 119 (66% of 179 eligible) consented. We audio-recorded encounters of 80 patients with 27 physicians. Physicians’ primary concern about participation was interference with their workflow. Addressing their concerns and building the protocol around their schedules facilitated participation. Challenges unique to the acute care setting were: 1) extremely limited time for patient identification, screening, and enrollment during which patients were ill and busy with clinical care activities, and 2) little advance knowledge of when physician-patient encounters would occur. Employing a full-time study coordinator mitigated these challenges. Conclusion Physician concerns for participating in communication studies are similar in ambulatory and acute care settings. The acute care setting presents novel challenges for patient recruitment and data collection. Practice Implications These methods should be used to study provider-patient communication in acute care settings. Future work should test strategies to increase patient enrollment. PMID:20444569

Verbal Playfulness as a Rapport-Building Strategy in Conversation among Chinese Female Friends.

ERIC Educational Resources Information Center

Kuo, Sai-hua

This study investigated verbal play, including teasing and self-mocking in a naturally occurring conversation, among four Chinese female friends. The study illustrates how these speakers engage in teasing activities and then discusses the implications and significance of verbal play. Examples are taken from a casual, playful conversation…

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.

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

Exploring the communication of oncologists, patients and family members in cancer consultations: development and application of a coding system capturing family-relevant behaviours (KINcode).

PubMed

Laidsaar-Powell, Rebekah; Butow, Phyllis; Bu, Stella; Dear, Rachel; Fisher, Alana; Coll, Joseph; Juraskova, Ilona

2016-07-01

Family members (FMs) regularly attend oncology consultations. However, limited studies have assessed actual behaviours of oncologists, patients and FMs - particularly during decision-making. The current study aimed the following: (i) to rigorously develop a family (kin) interaction coding system (KINcode) capturing communication and decision-making behaviours of FMs and family-relevant behaviours of oncologists and patients and (ii) to apply KINcode to initial oncology consultations. The 80-item KINcode system was developed and applied to 72 transcripts of audiotaped medical/radiation oncology consultations including an FM, collected as part of two previous studies. The role of the FM varied considerably within the one encounter, with 33% of FMs assuming three or more roles across the four consultation stages. Whilst most FMs asked treatment decision questions (71%), a minority engaged in other behaviours such as prompting patient questions (4%) or providing information relevant to the decision to the oncologist (18%). Although oncologists rarely initiated interaction with FMs such as in rapport building (18%) or asking FMs questions (25%), they were typically fully responsive to FM questions (90%). Many patients asked their FM a question (42%), but few elicited the FM's decision preferences (4%). This study provides novel insights into the complex nature of family involvement. The findings highlight potentially positive FM-focused consultation behaviours such as oncologist responsiveness to family questions and potential areas for improvement such as rapport building, invitation of questions and validation of the family's role. Family-specific communication skills training should be considered in medical student and professional education settings. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

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

Gaddum and LSD: the birth and growth of experimental and clinical neuropharmacology research on 5-HT in the UK.

PubMed

Green, A R

2008-08-01

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.

Strategies for Building Peer Surgical Coaching Relationships.

PubMed

Beasley, Heather L; Ghousseini, Hala N; Wiegmann, Douglas A; Brys, Nicole A; Pavuluri Quamme, Sudha R; Greenberg, Caprice C

2017-04-19

Peer surgical coaching is a promising approach for continuing professional development. However, scant guidance is available for surgeons seeking to develop peer-coaching skills. Executive coaching research suggests that effective coaches first establish a positive relationship with their coachees by aligning role and process expectations, establishing rapport, and cultivating mutual trust. To identify the strategies used by peer surgical coaches to develop effective peer-coaching relationships with their coachees. Drawing on executive coaching literature, a 3-part framework was developed to examine the strategies peer surgical coaches (n = 8) used to initially cultivate a relationship with their coachees (n = 11). Eleven introductory 1-hour meetings between coaching pairs participating in a statewide surgical coaching program were audiorecorded, transcribed, and coded on the basis of 3 relationship-building components. Once coded, thematic analysis was used to organize coded strategies into thematic categories and subcategories. Data were collected from October 10, 2014, to March 20, 2015. Data analysis took place from May 26, 2015, to July 20, 2016. Strategies and potentially counterproductive activities for building peer-coaching relationships in the surgical context to inform the future training of surgical coaches. Coaches used concrete strategies to align role and process expectations about the coaching process, to establish rapport, and to cultivate mutual trust with their coachees during introductory meetings. Potential coaching pitfalls are identified that could interfere with each of the 3 relationship-building components. Peer-nominated surgical coaches were provided with training on abstract concepts that underlie effective coaching practices in other fields. By identifying the strategies used by peer surgical coaches to operationalize these concepts, empirically based strategies to inform other surgical coaching programs are provided.

A profile of communication in primary care physician telephone consultations: application of the Roter Interaction Analysis System.

PubMed

Innes, Michael; Skelton, John; Greenfield, Sheila

2006-05-01

Telephone consultations are a part of everyday practice, there is surprisingly little research on the subject. To describe the variation of consulting skills within a body of telephone consultations in primary care, highlighting the performance of one method of assessing the process of the consultation-- the Roter Interaction Analysis System-- with telephone consultations. Cross sectional study of 43 recordings of telephone consultations with GPs. One rural county in the Midlands. Recordings were made of 8 GPs, purposively selected for maximum variance in one region of the UK. Forty-three consultations were coded using the Roter Interaction Analysis System. From the descriptive categories, six composite categories were compiled reflecting a number of domains of interaction in a consultation: rapport, data gathering, patient education and counselling, partnership building, doctor dominance and patient-centredness. Analysis of variance was undertaken to explain variations between consultations for the different domains. Comparison was made to findings from similar work for face-to-face consultations. These telephone consultations feature more biomedical information exchange than psychosocial or affective communication. Length of interaction accounts for much of the variation seen between consultations in the domains of rapport, data gathering, patient education and counselling and partnership. Male doctors are more patient centred in this study. There is the suggestion of more doctor dominance and a less patient-centred approach when comparisons are made with previous work on face-to-face consultations. Although the telephone is increasingly being used to provide care, this study highlights the fact that telephone consultations cannot be taken as equivalent to those conducted face to face. More work needs to be done to delineate the features of telephone consultations.

Transforming psychotherapy in order to succeed with adolescent boys: male-friendly practices.

PubMed

Kiselica, Mark S

2003-11-01

The purpose of this article is to describe a "male-friendly" therapeutic process with troubled adolescent boys. A male-friendly process is one in which the therapist employs a wide variety of strategies and activities that are likely to appeal to male youth and that facilitate the establishment and maintenance of rapport. The nuances of practicing a male-friendly approach are highlighted and then applied in a case study of psychotherapy with a depressed adolescent boy. The implications of this approach for redefining professional conceptions about boundaries in the client-therapist relationship and reexamining inaccurate stereotypes about the emotional lives of boys are discussed. Copyright 2003 Wiley Periodicals, Inc.

[Bioethics and the French speaking world: an answer to globalization].

PubMed

Byk, Christian

2009-01-01

Are we able, today, to take a step closer to bringing together the French speaking world and bioethics by realizing that their association could provide a profound view of the current evolution of our world characterized by what is referred to as globalization? Could we be even more ambitious and register the specificity of the rapport between the French speaking world and bioethics confronted with this global phenomenon of deconstruction/reconstruction of the planetary order by setting as its path a dynamic balance, which is an integral part of the use of the French language and cultural diversity, a central point in a truly pluridisciplinary and pluralist bioethics?

General concepts in the management of a kidney transplant.

PubMed

Ortiz-Heredia, Luis; Cangiano, Jose L

2011-01-01

The management of a kidney transplant patient is, in most cases, challenging and requires a multidisciplinary approach. For the physician caring for the patient it is imperative to have a broad knowledge regarding several concepts on their management, as they are increasingly faced with long-term care. Baseline rapport and accessibility provides a pivotal role in the treatment, monitoring and preventive measures in the kidney transplant patient. Currently, most aspects regarding patient management vary according to each transplant center. This article describes the importance of several medical issues directed towards the clinician aiming to improve awareness and expand knowledge, with the development of a systematic approach.

The contract process: a methodology for negotiation. Part I.

PubMed

Kleinschmidt, W M

1990-05-01

This is the first of a three-part series on the contract process for acquiring a hospital information system product. Part One addresses negotiation methodology; points which will facilitate effective negotiation. Part Two will cover contract contents focusing on those topics which must be included in a good contract. Part Three will discuss contract philosophy and contract management; subjects which are critical to the good rapport buyers and vendors want. The adversarial approach to the contract process is not the best approach. Rather, the process should be treated as a step in the building of a partnership and relationship in which both parties win.

Energy Security in Yemen

DTIC Science & Technology

2009-09-01

le présent rapport, nous analysons la sécurité du secteur énergétique et de son infrastructure au Yémen et nous examinons les répercussions...conflits. Toutefois, le problème fondamental du secteur de l‘énergie au Yémen est l‘épuisement des réserves pétrolières, menant à une réduction rapide des...niveaux de production de pétrole. Le déclin du secteur de l‘énergie dans ce pays aura un effet très négligeable sur les réserves énergétiques

The concept of milk kinship in Islam: issues raised when offering preterm infants of Muslim families donor human milk.

PubMed

El-Khuffash, Afif; Unger, Sharon

2012-05-01

Research has documented health benefits associated with donor human milk (DHM). Offering DHM to people of the Muslim faith raises important religious concerns for these families. Knowledge of these beliefs and an understanding of the rationale for these beliefs enable the health care team to establish rapport and build a foundation of trust with patients and their families, thereby paving the way to developing a treatment plan that is in the best interest of the patients without compromising care. This article describes the issues and a rationale for them and provides physicians caring for preterm infants of Muslim families with information to facilitate advocating DHM to those families.

Characteristics of mathematics teaching in Shanghai, China: Through the lens of a Malaysian

NASA Astrophysics Data System (ADS)

Lim, Chap Sam

2007-06-01

The mathematical performance of Chinese students, from mainland China, Hong Kong and Taiwan, is widely acclaimed in international comparisons of mathematics achievement. However, in the eyes of the Western educators, the environments established in Chinese schools are deemed relatively unfavourable for mathematics learning. This paper reports on a study that investigates the characteristics of effective mathematics teaching in five Shanghai schools. Findings reveal that those characteristics include (a) teaching with variation; (b) emphasis of precise and elegant mathematical language; (c) emphasis of logical reasoning, mathematical thinking and proofing during teaching; (d) order and serious classroom discipline; (e) strong and coherence teacher-student rapport, and (f) strong collaborative culture amongst mathematics teachers.

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

Herontwerp Ballistisch vest voor Vrouwen: Fase 1 (Redesign Ballistic Vest for Women: Phase 1)

DTIC Science & Technology

2008-09-01

Cupmaten van de verschillende respondenten. Proefpersoon Cupmaat 1 85b 2 3 80C 4 85g 5 řb 6 80b 7 75b 8 75c 9 75b 10 75alb 11 75ald 12 85c 13 75C 14 80c...Klantmianagement KPU-bedrijf / Vertegenwoordiger KBG vrouwen S. Eckhardt 9 /10 TNO Defensie en Veiligheid. vestiging Soesterberg, (Archief) 11 /12 TNO Defensie...Kampweg 5 PostbUs 23 3769 ZG Soesterberg TNO-rapport www.tno.ni T1+31 346 3562 11 TNO-DV 2008 A323 F +31 346 35 39 77 Info-DenV@tno. n1 Herontwerp

Evaluate Rijsimulator-Instellingen Voor de DAF YA-4440 (Evaluation Drive Simulator Settings for DAF YA-4440)

DTIC Science & Technology

1991-10-01

waarbij: 0c1 staat voor de beginsnclhcid; cl = 24 K1 C= (3/25) K2 C= 5 K4 Merk op dat 0o cxponenticcl afhankelijk is van t. TNO-rapport Pagina 9 Voor (KI...gegeven: cgt) = sqrt(ci/C3)*tan(arctan(sqr((c 3/c1 )*w0 )) - sqrl(c1 *C3)*t/C4) ( 9 ) waarbij: cl= -24 K, C= 3 1(3/500 C4= 5 K4~ Merk op dat (o niet-lincair...wcrgegevcn. Omdat K, kiciner is dan K4 heeft con kicine absolute verandering in K, grotere gevolgen voor de UDB-uitrolcurve dan en kieinc verandoring in

Modelisation de l'erosion et des sources de pollution dans le bassin versant Iroquois/Blanchette dans un contexte de changements climatiques

NASA Astrophysics Data System (ADS)

Coulibaly, Issa

Principale source d'approvisionnement en eau potable de la municipalite d'Edmundston, le bassin versant Iroquois/Blanchette est un enjeu capital pour cette derniere, d'ou les efforts constants deployes pour assurer la preservation de la qualite de son eau. A cet effet, plusieurs etudes y ont ete menees. Les plus recentes ont identifie des menaces de pollution de diverses origines dont celles associees aux changements climatiques (e.g. Maaref 2012). Au regard des impacts des modifications climatiques annonces a l'echelle du Nouveau-Brunswick, le bassin versant Iroquois/Blanchette pourrait etre fortement affecte, et cela de diverses facons. Plusieurs scenarios d'impacts sont envisageables, notamment les risques d'inondation, d'erosion et de pollution a travers une augmentation des precipitations et du ruissellement. Face a toutes ces menaces eventuelles, l'objectif de cette etude est d'evaluer les impacts potentiels des changements climatiques sur les risques d'erosion et de pollution a l'echelle du bassin versant Iroquois/Blanchette. Pour ce faire, la version canadienne de l'equation universelle revisee des pertes en sol RUSLE-CAN et le modele hydrologique SWAT ( Soil and Water Assessment Tool) ont ete utilises pour modeliser les risques d'erosion et de pollution au niveau dans la zone d'etude. Les donnees utilisees pour realiser ce travail proviennent de sources diverses et variees (teledetections, pedologiques, topographiques, meteorologiques, etc.). Les simulations ont ete realisees en deux etapes distinctes, d'abord dans les conditions actuelles ou l'annee 2013 a ete choisie comme annee de reference, ensuite en 2025 et 2050. Les resultats obtenus montrent une tendance a la hausse de la production de sediments dans les prochaines annees. La production maximale annuelle augmente de 8,34 % et 8,08 % respectivement en 2025 et 2050 selon notre scenario le plus optimiste, et de 29,99 % en 2025 et 29,72 % en 2050 selon le scenario le plus pessimiste par rapport a celle

Transfer of radiocarbon liquid releases from the AREVA La Hague spent fuel reprocessing plant in the English Channel.

PubMed

Fiévet, Bruno; Voiseux, Claire; Rozet, Marianne; Masson, Michel; Bailly du Bois, Pascal

2006-01-01

The recent risk assessment by the North-Cotentin Radioecology Group (, 1999) outlined that (14)C has become one of the major sources of the low dose to man through seafood consumption. It was recommended that more data should be collected about (14)C in the local marine environment. The present study aims to respond to this recommendation. The estimation of (14)C activity in marine species is based on concentration factor values. The values reported here ranged from 1x10(3) to 5x10(3)Bqkg(-1)ww/BqL(-1). A comparison was made between the observed and predicted values. The accuracy of (14)C activity calculations was estimated between underestimation by a factor of 2 and over-estimation by 50% (95% confidence interval). However, the use of the concentration factor parameter is based on the biological and seawater compartments being in steady state. This assumption may not be met at short distances from the point of release of discharges, where rapid changes in seawater concentration may be smoothed out in living organisms due to transfer kinetics. The data processing technique, previously published by Fiévet and Plet (2003. Estimating biological half-lives of radionuclides in marine compartments from environmental time-series measurements. Journal of Environmental Radioactivity 65, 91-107), was used to deal with (14)C transfer kinetics, and carbon half-lives between seawater and a few biological compartments were thus estimated.

75 FR 10525 - In the Matter of: AREVA Enrichment Services, LLC (Eagle Rock Enrichment Facility) and All Other...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-08

... official and submitted the individual's fingerprints to the NRC under separate cover. This order imposes... this individual. AES may, at the same time or later, submit the fingerprints of other individuals for whom it seeks to grant access to SGI. Fingerprints shall be submitted and reviewed in accordance with...

Improvements of MCOR: A Monte Carlo depletion code system for fuel assembly reference calculations

DOE Office of Scientific and Technical Information (OSTI.GOV)

Tippayakul, C.; Ivanov, K.; Misu, S.

2006-07-01

This paper presents the improvements of MCOR, a Monte Carlo depletion code system for fuel assembly reference calculations. The improvements of MCOR were initiated by the cooperation between the Penn State Univ. and AREVA NP to enhance the original Penn State Univ. MCOR version in order to be used as a new Monte Carlo depletion analysis tool. Essentially, a new depletion module using KORIGEN is utilized to replace the existing ORIGEN-S depletion module in MCOR. Furthermore, the online burnup cross section generation by the Monte Carlo calculation is implemented in the improved version instead of using the burnup cross sectionmore » library pre-generated by a transport code. Other code features have also been added to make the new MCOR version easier to use. This paper, in addition, presents the result comparisons of the original and the improved MCOR versions against CASMO-4 and OCTOPUS. It was observed in the comparisons that there were quite significant improvements of the results in terms of k{sub inf}, fission rate distributions and isotopic contents. (authors)« less

Investigating the Geochemical Model for Molybdenum Mineralization in the JEB Tailings Management Facility at McClean Lake, Saskatchewan: An X-ray Absorption Spectroscopy Study.

PubMed

Blanchard, Peter E R; Hayes, John R; Grosvenor, Andrew P; Rowson, John; Hughes, Kebbi; Brown, Caitlin

2015-06-02

The geochemical model for Mo mineralization in the JEB Tailings Management Facility (JEB TMF), operated by AREVA Resources Canada at McClean Lake, Saskatchewan, was investigated using X-ray Absorption Near-Edge Spectroscopy (XANES), an elemental-specific technique that is sensitive to low elemental concentrations. Twenty five samples collected during the 2013 sampling campaign from various locations and depths in the TMF were analyzed by XANES. Mo K-edge XANES analysis indicated that the tailings consisted primarily of Mo(6+) species: powellite (CaMoO4), ferrimolybdite (Fe2(MoO4)3·8H2O), and molybdate adsorbed on ferrihydrite (Fe(OH)3 - MoO4). A minor concentration of a Mo(4+) species in the form of molybdenite (MoS2) was also present. Changes in the Mo mineralization over time were inferred by comparing the relative amounts of the Mo species in the tailings to the independently measured aqueous Mo pore water concentration. It was found that ferrimolybdite and molybdate adsorbed on ferrihydrite initially dissolves in the TMF and precipitates as powellite.

Implementing Stakeholders' Access to Expertise: Experimenting on Nuclear Installations' Safety Cases - 12160

DOE Office of Scientific and Technical Information (OSTI.GOV)

Gilli, Ludivine; Charron, Sylvie

2012-07-01

In 2009 and 2010, the Institute for Nuclear Safety and Radiation Protection (IRSN) led two pilot actions dealing with nuclear installations' safety cases. One concerned the periodical review of the French 900 MWe nuclear reactors, the other concerned the decommissioning of a workshop located on the site of Areva's La Hague fuel-reprocessing plant site in Northwestern France. The purpose of both these programs was to test ways for IRSN and a small number of stakeholders (Non-Governmental Organizations (NGOs) members, local elected officials, etc.) to engage in technical discussions. The discussions were intended to enable the stakeholders to review future applicationsmore » and provide valuable input. The test cases confirmed there is a definite challenge in successfully opening a meaningful dialogue to discuss technical issues, in particular the fact that most expertise reports were not public and the conflict that exists between the contrary demands of transparency and confidentiality of information. The test case also confirmed there are ways to further improvement of stakeholders' involvement. (authors)« less

Plant maintenance and plant life extension issue, 2009

DOE Office of Scientific and Technical Information (OSTI.GOV)

Agnihotri, Newal

The focus of the March-April issue is on plant maintenance and plant life extension. Major articles include the following: Application of modeling and simulation to nuclear power plants, by Berry Gibson, IBM, and Rolf Gibbels, Dassault Systems; Steam generators with tight manufacturing procedures, by Ei Kadokami, Mitsubishi Heavy Industries; SG design based on operational experience and R and D, by Jun Tang, Babcock and Wilcox Canada; Confident to deliver reliable performance, by Bruce Bevilacqua, Westinghouse Nuclear; An evolutionary plant design, by Martin Parece, AREVA NP, Inc.; and, Designed for optimum production, by Danny Roderick, GE Hitachi Nuclear Energy. Industry Innovationmore » articles include: Controlling alloy 600 degradation, by John Wilson, Exelon Nuclear Corporation; Condensate polishing innovation, by Lewis Crone, Dominion Millstone Power Station; Reducing deposits in steam generators, by the Electric Power Research Institute; and, Minimizing Radiological effluent releases, by the Electric Power Research Institute. The plant profile article is titled 2008 - a year of 'firsts' for AmerenUE's Callaway plant, by Rick Eastman, AmerenUE.« less

Teaching Medical Students the Important Connection between Communication and Clinical Reasoning

PubMed Central

Windish, Donna M; Price, Eboni G; Clever, Sarah L; Magaziner, Jeffrey L; Thomas, Patricia A

2005-01-01

Background Medical students are rarely taught how to integrate communication and clinical reasoning. Not understanding the relation between these skills may lead students to undervalue the connection between psychosocial and biomedical aspects of patient care. Objective To improve medical students' communication and clinical reasoning and their appreciation of how these skills interrelate in medical practice. Design In 2003, we conducted a randomized trial of a curricular intervention at Johns Hopkins University School of Medicine. In a 6-week course, participants learned communication and clinical reasoning skills in an integrative fashion using small group exercises with role-play, reflection and feedback through a structured iterative reflective process. Participants Second-year medical students. Measurements All students interviewed standardized patients who evaluated their communication skills in establishing rapport, data gathering and patient education/counseling on a 5-point scale (1=poor; 5=excellent). We assessed clinical reasoning through the number of correct problems listed and differential diagnoses generated and the Diagnostic Thinking Inventory. Students rated the importance of learning these skills in an integrated fashion. Results Standardized patients rated curricular students more favorably in establishing rapport (4.1 vs 3.9; P=.05). Curricular participants listed more psychosocial history items on their problem lists (65% of curricular students listing ≥1 item vs 44% of controls; P=.008). Groups did not differ significantly in other communication or clinical reasoning measures. Ninety-five percent of participants rated the integration of these skills as important. Conclusions Intervention students performed better in certain communication and clinical reasoning skills. These students recognized the importance of biomedical and psychosocial issues in patient care. Educators may wish to teach the integration of these skills early in medical

Primary care patients’ expectations regarding medical appointments and their experiences during a visit: does age matter?

PubMed Central

Jaworski, Mariusz; Rzadkiewicz, Marta; Adamus, Miroslawa; Chylinska, Joanna; Lazarewicz, Magdalena; Haugan, Gørill; Lillefjell, Monica; Espnes, Geir Arild; Wlodarczyk, Dorota

2017-01-01

Introduction There is evidence that meeting patients’ expectations toward health care correlates with involvement in the treatment they receive. The most important patient expectations concern certain types of information: explanation of disease and treatment, health promotion, and improvement in quality of life. Other demands include proper rapport and emotional support. The aim of this paper was to examine different patient groups over the age of 50 years and their expectations toward medical visits, evaluated before a visit and after the visit. Patients and methods The study group consisted of 4,921 primary health-care patients. The patients received self-administered questionnaires that they filled in before and after the appointment with the doctor. Interviews with patients were conducted individually by specially trained interviewers. The PRACTA Patient Expectations Scale was used to measure the appointment-related expectations of the patients. Results We observed differences related to age in patients’ expectations before medical visits regarding the following factors: disease explanation, treatment explanation, quality of life, rapport, and emotional support. The same differences were not observed on health promotion. Evaluation of patients’ appointment-related experiences after the visit showed that there were significant differences between the age-groups regarding all types of expectations included in the study. Differences between previsit and postvisit measurements were statistically significant in all age-groups. Patients who received less than they expected from doctors outnumbered those who received what they expected or more in all the groups. Conclusion Patients’ expectations toward medical visits are conditioned by age. Therefore, doctors should pay more attention to requirements related to age in their effort to identify and satisfy expectations. This is particularly important in light of the discrepancy between previsit expectations and

Impact of Dysphagia Severity on Clinical Decision Making via Telerehabilitation

PubMed Central

Burns, Clare L.; Theodoros, Deborah G.; Russell, Trevor G.

2014-01-01

Abstract Objective: Recent research supports the proposal that valid and reliable clinical swallow examinations (CSEs) can be conducted via telerehabilitation. However, no studies have explored whether dysphagia severity has an impact on the success of the session or its outcomes. The current study examined how dysphagia severity impacted on either (a) clinical decision making for safety of oral intake or (b) clinician perceptions of CSEs conducted via telerehabilitation. Subjects and Methods: One hundred patients (25 nondysphagics and 25 mild, 25 moderate, and 25 severe dysphagics) were assessed using a telehealth system and methodology reported in prior research. For each assessment, the online and face-to-face (FTF) clinicians simultaneously completed a structured CSE. On session completion, the online clinician indicated level of agreement with two statements regarding the level of rapport and ability to competently assess the patient. Results: In each of the four groups, acceptable levels of agreement were observed between raters for the three primary outcomes (decisions regarding oral/nonoral intake and safe food and fluids) as well as over 90% of the CSE items. Clinicians agreed they could develop good rapport with the majority of patients in all groups. However, for a small but significant (p<0.5) proportion of patents in the severe dysphagic group, clinicians disagreed they were able to satisfactorily and competently assess to the best of their abilities using the telerehabilitation system. Conclusions: Clinical decisions made during and as an outcome of the total CSE were found to be comparable to those made in the FTF environment regardless of dysphagia severity. Clinicians noted some difficulty assessing patients with greater complexity, which occurred in greater numbers in the group with severe dysphagia. PMID:24443927

Pierre Jean Georges Cabanis (1757-1808): an early nineteenth century source for the concept of nervous energy in European behavioral neurosciences.

PubMed

Turgeon, Y; Whitaker, H A

2000-01-01

The nineteenth century witnessed many advances in neuroscientific concepts. Among the notable are Charles Bell's (1774-1842) and François Magendie's (1783-1855) identification of sensory and motor pathways, Thomas Henry Huxley's (1825-1895) elaboration of evolutionary theory in the context of comparative neuroanatomy, and Emile Du Bois-Reymond's (1818-1896) and Hermann von Helmholtz's (1821-1894) work in experimental neurophysiology and on the concept of nervous energy. In Germany, the idea that the nervous system consisted of two elements, one that generated nervous energy and another that conducted it throughout the body, had wide currency in mid-nineteenth century. In France, Pierre Jean Georges Cabanis (1757-1808), physician, philosopher, and one of the founders of modern psychophysiology, argued that the brain is the part of the body in which electricity is stored. In his Rapports du Physique et du Moral de l'Homme, published between 1796 and 1802 (translated into German under the title Verhältnis der Seele zum Körper (1808)), Cabanis proposed new ideas on brain function, on the brain's own sensibility, on the concept of will, and on the chemical basis of nervous activity. In the Rapports Cabanis proposed a theory of how brain and nerves relate to thought and behavior. Foreshadowing later developments in neuropsychology, he suggested that different parts of the nervous system have separate functions. Despite the fact that Cabanis had many interesting ideas about brain function, he has been largely ignored by historians of neuroscience; e. g., he is mentioned briefly in Clark and Jacyna (1989), in only two footnotes in Neuburger (1897/1981), and not at all in Finger (1994). Cabanis's far-reaching theory of how the brain works helped shape understanding of the general notion of nervous energy in nineteenth-century European neuroscience.

Dealing with chaos and complexity: the reality of interviewing children and families in their own homes.

PubMed

MacDonald, Kath; Greggans, Alison

2008-12-01

The aim of this paper is to share our experiences of dealing with chaos and complexity in interview situations in the home with children and young people. We highlight dilemmas relevant to dealing with multiple interruptions, building a rapport, consent and confidentiality. Furthermore, we discuss issues regarding the locus of power and control and offer some solutions based on our experiences. Creating a safe environment is essential for qualitative research. Participants are more likely to open up and communicate if they feel safe, comfortable and relaxed. We conclude that interviewing parents and their children with cystic fibrosis in their own homes, is chaotic and appears to threaten the rigour of data collection processes. Limited attention or print space is paid to this issue, with published articles frequently sanitising the messiness of real world qualitative research. Position paper. In this position paper, we use two case studies to illustrate ethical and pragmatic challenges of interviewing out in the field. These case studies, typical of families we encountered, help emphasise the concerns we had in balancing researcher-participant rapport with the quality of the research process. Dealing with perceived chaos is hard in reality, but capturing it is part of the complexity of qualitative enquiry. The context is interdependent with children's perceived reality, because they communicate with others through their environment. This paper gives researchers an insight into the tensions of operating out in the field and helps raise the importance of the environmental 'chaos' in revealing significant issues relevant to peoples daily lives. Knowing that unexpected chaos is part and parcel of qualitative research, will equip researchers with skills fundamental for balancing the well being of all those involved with the quality of the research process.

Examining hospital pharmacists' goals for medication counseling within the communication accommodation theoretical framework.

PubMed

Chevalier, Bernadette A M; Watson, Bernadette M; Barras, Michael A; Cottrell, William Neil

2016-01-01

Medication counseling opportunities are key times for pharmacists to speak to patients about their medications and any changes made during their hospital stay. Communication Accommodation Theory (CAT) posits that an individual's goals drive their communication behavior. The way in which pharmacists communicate with patients may be determined by the goals they set for these medication counseling sessions. To examine hospital pharmacists' goals in patient medication counseling within the CAT framework. Hospital pharmacist focus groups were held in two teaching hospitals. Interested pharmacists attended a focus group designed to elicit their goals in patient medication counseling. Focus groups were audio recorded and transcribed verbatim. NVivo(®) software was used to assist in coding and organization. The codes were reviewed for reliability by pharmacists independent of the focus groups. An inductive thematic analysis was applied to the data. Six 1 h focus groups were conducted with a total of 24 pharmacists participating. Saturation of information was achieved after four focus groups. Greater than 80% consensus was achieved for reliability of the identified codes. Patient-centered themes constructed from these codes were to build rapport, to empower patients and to improve patients' experience, health and safety. Exemplars provided by pharmacists for the goals of building rapport and empowering patients were aligned with five CAT communication behaviors (approximation, interpretability, discourse management, emotional expression and interpersonal control). Patient-centered goals described by hospital pharmacists for medication counseling aligned well with CAT behaviors necessary for effective communication. Further research using the CAT framework to examine the effectiveness of hospital pharmacist-patient exchanges that include both participants' perspectives is required to better understand how well pharmacists communicate with patients. Copyright © 2015

Primary care patients' expectations regarding medical appointments and their experiences during a visit: does age matter?

PubMed

Jaworski, Mariusz; Rzadkiewicz, Marta; Adamus, Miroslawa; Chylinska, Joanna; Lazarewicz, Magdalena; Haugan, Gørill; Lillefjell, Monica; Espnes, Geir Arild; Wlodarczyk, Dorota

2017-01-01

There is evidence that meeting patients' expectations toward health care correlates with involvement in the treatment they receive. The most important patient expectations concern certain types of information: explanation of disease and treatment, health promotion, and improvement in quality of life. Other demands include proper rapport and emotional support. The aim of this paper was to examine different patient groups over the age of 50 years and their expectations toward medical visits, evaluated before a visit and after the visit. The study group consisted of 4,921 primary health-care patients. The patients received self-administered questionnaires that they filled in before and after the appointment with the doctor. Interviews with patients were conducted individually by specially trained interviewers. The PRACTA Patient Expectations Scale was used to measure the appointment-related expectations of the patients. We observed differences related to age in patients' expectations before medical visits regarding the following factors: disease explanation, treatment explanation, quality of life, rapport, and emotional support. The same differences were not observed on health promotion. Evaluation of patients' appointment-related experiences after the visit showed that there were significant differences between the age-groups regarding all types of expectations included in the study. Differences between previsit and postvisit measurements were statistically significant in all age-groups. Patients who received less than they expected from doctors outnumbered those who received what they expected or more in all the groups. Patients' expectations toward medical visits are conditioned by age. Therefore, doctors should pay more attention to requirements related to age in their effort to identify and satisfy expectations. This is particularly important in light of the discrepancy between previsit expectations and the actual experiences of patients evaluated after the visit.

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…

Deterministic Combatmodels, Interim Report 1: Literature Research (Deterministische Gevechtsmodellen, Interim Rapport 1: Literatuur Onderzoek)

DTIC Science & Technology

1991-12-01

gevechtsxnodellen .. .. .. .. .. ... .. ... .. ... ... ... 9 2.3 Methodolog-Ische indeling van gevechtsmodellering. .. .. .. .. .. ... ... 10 2.4 Deterxninistische...te vinden in [2]. Er zijn verschillende methoden om. gevechtsmodellen in te delen. *op grond van doel - training en anderwijs -research 9 op grond van...duel modellen warden verwerkt. Voor deze methode wordt verwezen naax [ 11 , 12, 13]. Deze laatste twee methoden zijn nog volop in ontwikkeling en er

Mental Health Nursing in Greece: Nursing Diagnoses and Interventions in Major Depression.

PubMed

Prokofieva, Margarita; Koukia, Evmorfia; Dikeos, Dimitris

2016-08-01

The aim of the study was to assess nursing diagnoses and nursing interventions that were accordingly implemented during the care of inpatients with major depression in Greece. Twelve nurses working in three major psychiatric hospitals were recruited. Semi-structured interviews were used and audio-recorded data indicated that risk for suicide, social isolation, low self-esteem, sleep problems, and imbalanced nutrition are the nursing diagnoses most commonly reported. Establishing trust and rapport is the primary intervention, followed by specific interventions according to each diagnosis and the individualized care plan. The findings of the study also highlight the need for nursing training in order to teach nurses initial assessment procedures and appropriate evidence-based intervention techniques.

Commentary: Positive Youth Development Goes Mainstream.

PubMed

Moore, Kristin A

2017-07-01

Evidence has accumulated that confirms the success of a positive youth development (PYD) approach. Importantly, a positive development approach is just that-an approach. It is not a particular program or curriculum but a set of practices designed to achieve one or more positive outcomes. As such, PYD practices can be added onto other programs to make positive outcomes more likely. For example, a tutoring program can work hard to hire and train staff to work with students in a trusting, respectful relationship. Camp counselors can be encouraged to build rapport and positive bonds among the campers. © 2017 The Author. Child Development © 2017 Society for Research in Child Development, Inc.

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.

Instructional immediacy in elearning.

PubMed

Walkem, Kerrie

2014-01-01

Instructor immediacy has been positively associated with many desirable academic outcomes including increased student learning. This study extends existing understanding of instructional immediacy behaviours in elearning by describing postgraduate nursing students' reflections on their own experience. An exploratory, descriptive survey design was used to collect qualitative data. Participants were asked what behaviours or activities help to create rapport or a positive interpersonal connection (immediacy) between students and their online teacher(s). Thematic analysis of the data revealed three main themes: acknowledging and affirming student's personal and professional responsibilities; providing clear and timely information; and utilising rich media. These findings give lecturers insight into instructional strategies they may adopt to increase immediacy in elearning and hence improve student learning outcomes.

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.

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

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

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.

Pemphigoïde bulleuse révélant un carcinome bronchique

PubMed Central

Janah, Hicham; Mahhou, Meryem; Souhi, Hicham; Zegmout, Adil; Naji-Amrani, Hicham; Raoufi, Mohamed; Elouazzani, Hanane; Rhorfi, Ismail Abderrahmani; Abid, Ahmed

2014-01-01

La pemphigoïde bulleuse (PB) est la plus fréquente des dermatoses bulleuses auto-immunes, touchants préférentiellement le sujet âgé de plus de 70 ans. L'origine paranéoplasique de La PB est rarement rapportée. Cette lésion peut apparaitre de manière synchrone ou parfois être une manifestation révélatrice de la tumeur. Nous rapportons l'observation d'un jeune patient présentant un cancer bronchique métastatique révélé par une PB. Chez le sujet jeune fumeur, toute pemphigoïde bulleuse justifie la recherche d'une néoplasie. PMID:25667707

Birth, death, and resurrection of the physical examination: clinical and academic perspectives on bedside diagnosis.

PubMed Central

Peixoto, A. J.

2001-01-01

The physical examination has a historically prominent role in medical practice, being an important tool in diagnosis and in developing rapport with patients. Yet, physicians have lost bedside skills in recent years, with increasing use of technology at the expense of time spent with the patient. This is concerning, especially in the present era of cost-containment in health care. Approaches to improve bedside diagnosis skills include increased emphasis on instruction in physical examination during medical school and postgraduate training, and careful scrutiny of physical examination techniques, with formal evaluation of their accuracy and reproducibility. Only through education and research will the physical examination recover its central role in the clinical encounter. PMID:11697480

Partners in health: a conceptual framework for the role of community health workers in facilitating patients' adoption of healthy behaviors.

PubMed

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

2015-05-01

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.

Évolution nycthémérale des composantes biochimiques du phytoplancton de la retenue du barrage Idriss premier (Fès, Maroc)

NASA Astrophysics Data System (ADS)

Bahhou, J.; Alaoui Mhamdi, M.

1999-03-01

, le rapport protéines/glucides (P/G), reconnu comme un bon indicateur de l'état physiologique des algues, présente des valeurs plus élevées la nuit que le jour au niveau du fond du lac. Ce résultat suggère que le phytoplancton utilise les produits de réserve synthétisés le jour pour assurer le fonctionnement métabolique des cellules. De plus, les valeurs de ce rapport sont relativement élevées par rapport à celle enregistrées dans les régions tempérés et semblent être liées aux ressources azotées du milieu en particulier les apports de l'Oued Inaouène.

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

A case of undeclared debt? Claude Lévi-Strauss' ambiguities and paradoxes toward analytical psychology.

PubMed

Serina, Florent

2018-06-09

If his relationship to Sigmund Freud's psychoanalysis has been widely acknowledged, Claude Lévi-Strauss' rapport with C.G. Jung's analytical psychology remains quite obscure. While secondary commentary has been abundant, its approach has above all been intertextual, to the detriment of a rigorously historical reading. Even if certain arguments put forward by supporters of so-called "influence" deserve to be taken into account, especially because they highlight Lévi-Strauss ambiguities and paradoxes toward Jung, this paper provides proof that a precise reading of the texts, with the help of recent studies on the intellectual genesis of Lévi-Strauss, lead to reject the thesis of an unstated debt owed by the French anthropologist to the Zurich psychologist. © 2018 Wiley Periodicals, Inc.

Une complication exceptionnelle du tétanos généralisé: l’embolie pulmonaire

PubMed Central

Regaieg, Kais; Bahloul, Mabrouk; Gargouri, Rahma; Bouattour, Abir; Chelly, Hèdi; Bouaziz, Mounir

2016-01-01

Le tétanos est une maladie caractérisée par une paralysie spastique et des spasmes. C’est une pathologie grave. Elle nécessite une prise en charge en milieu de réanimation. La mortalité est essentiellement liée aux complications neurovégétatives et infectieuses. Les complications thromboemboliques sont exceptionnelles au cours de cette maladie. A notre connaissance, l’embolie pulmonaire n’a jamais été rapportée et confirmée au cours du tétanos généralisé. Nous présentons à travers cette observation un cas de tétanos généralisé compliqué d’une embolie pulmonaire fibrino cruorique. PMID:28292134

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.

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

Matching therapists' predicates: an in vivo test of effectiveness.

PubMed

Dowd, E T; Hingst, A G

1983-08-01

The theory of neurolinguistic programming predicts that a therapist's matching of a client's primary representational system, as expressed in the client's predicates, should result in increased therapist's rapport and social influence. This hypothesis was tested in an actual interview situation. Six relatively inexperienced therapists, two each in predicate matching, predicate mismatching, and predicate no-matching conditions, conducted a 30-min. interview with nine undergraduate student volunteers each, for a total of 54 subjects. After the appropriate interview condition was completed, subjects rated ther therapists on the Counselor Rating Form and the Counseling Evaluation Inventory. No significant differences among the three conditions on any of the measures were found. Results are compared with those of previous research on assessment and primary representational matching in analogue situations.

Le schwannome malin du nerf grand sciatique chez l'enfant

PubMed Central

Lechqar, Maryem; Elbiache, Imad; Atarraf, Karima; Bouabdellah, Youssef; Afifi, My Abderahman

2012-01-01

Le schwannome malin est une tumeur très rare chez l'enfant (1 à 2% des tumeurs des tissus mous), elle se développe au dépend des cellules de schwanne. Dans ce travail, les auteurs rapportent un cas de schwannome malin développé au dépend du nerf grand sciatique. La radiographie de la cuisse de face et de profil était normale. L'imagerie par résonance magnétique a identifié une lésion le long du trajet du nerf grand sciatique. La tumeur a été réséquée en totalité emportant le nerf grand sciatique. L'examen anatomo-pathologique a confirmé le diagnostic. PMID:23133710

Body language in health care: a contribution to nursing communication.

PubMed

de Rezende, Rachel de Carvalho; de Oliveira, Rosane Mara Pontes; de Araújo, Sílvia Teresa Carvalho; Guimarães, Tereza Cristina Felippe; do Espírito Santo, Fátima Helena; Porto, Isaura Setenta

2015-01-01

to classify body language used in nursing care, and propose "Body language in nursing care" as an analytical category for nursing communication. quantitative research with the systematic observation of 21:43 care situations, with 21 members representing the nursing teams of two hospitals. Empirical categories: sound, facial, eye and body expressions. sound expressions emphasized laughter. Facial expressions communicated satisfaction and happiness. Eye contact with members stood out in visual expressions. The most frequent body expressions were head movements and indistinct touches. nursing care team members use body language to establish rapport with patients, clarify their needs and plan care. The study classified body language characteristics of humanized care, which involves, in addition to technical, non-technical issues arising from nursing communication.

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.

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

The grandfather.

PubMed

Jung, Andreas

2011-11-01

The author, grandson of C.G. Jung, architect and historian, resident in the Küsnacht house, offers perspectives on the role of the grandfather. C.G. had a difficult relationship with his father but felt a strong rapport with his grandfather Karl Gustav Jung, even though he died before C.G.'s birth. Andreas notes that there were many parallels in the lives of the two men; C.G.'s memories and the touching personal diary left behind by Karl Gustav will be discussed. Many of Jung's other ancestors will be described from his own personal angle. The paper also encompasses C.G.'s spiritual forerunners and finally the dead, our common nameless ancestors. © 2011, The Society of Analytical Psychology.

Sandbox University: estimating influence of institutional action.

PubMed

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.

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

Les recommandations relatives aux vaccins antigrippaux administrés aux enfants et aux adolescents pour la saison 2017-2018.

PubMed

Moore, Dorothy L

2018-02-01

La Société canadienne de pédiatrie continue d'encourager la vaccination antigrippale annuelle de TOUS les enfants et les adolescents, dès l'âge de six mois. Les recommandations du Comité consultatif national de l'immunisation (CCNI) pour la saison 2017-2018 n'ont pas subi de changements importants par rapport à la saison précédente. Le CCNI a analysé toutes les données sur l'efficacité du vaccin vivant atténué contre l'influenza (VVAI) sur le marché et conclut qu'elles en appuient l'utilisation au Canada, même si les États-Unis ne le recommandent pas en raison de doutes quant à son efficacité.

Complexes of Nitrocellulose with Cupric Chloride,

DTIC Science & Technology

1985-11-01

4 Z I Vm 04 N-C-11 0soa -~~~ ii a Lid US 1 U C. U . i .ci OC S 0V- C C C 0 d i 0 41 v . 0i C u -s4 0- C .4 ~ tw aM 0i u U-JU I CU- w4 05 a.- ow US...la formation *d’un complexe et de la fraction pond&rale de CC par rapport A la NC, X , dltermin~ s au point de saturation. Le PCC est caractfristique de...59 s - 1. 3.5 Effect of X on the Rate of Complex Formation The variation of the ratio (ki/kf) with X is shown in Fig. 4 for sample 11 at C - 59 s

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…

Etude de la Morphologie et de la Cinématique de l'Emission des Raies interdites autour des Etoiles T Tauri

NASA Astrophysics Data System (ADS)

Lavalley, Claudia

2000-06-01

ésolu à ces distances de l'étoile. Ceci donne des pistes sur l'évolution de l'interaction des jets avec l'environnement circumstellaire. La morphologie et la cinématique du jet de DG Tau suggèrent fortement une variabilité dans la vitesse d'éjection, qui pourrait aussi expliquer certains des noeuds des deux autres jets. La compatibilité d'un des noeuds observés avec les chocs en arc attendus dans une telle situation, a été bien mise en évidence. Des rapports de raies à différentes distances le long d'un jet (DG Tau) et à plusieurs intervalles de vitesses ont été obtenus ici pour la première fois. Des routines d'inversion considérant l'équilibre d'ionisation pour l'oxygène et l'azote et la fraction d'ionisation de l'hydrogène comme paramètre libre, ont permis de faire une estimation des variations de conditions d'excitation (Te, xe et ne) tout au long du jet. Une comparaison détaillée des rapports de raies observés avec les prédictions de différents modèles d'excitation, à l'aide de diagrammes rapport-rapport discriminants identifiés ici pour la première fois, favorise fortement la présence de chocs avec des vitesses de 50-100 km/s, à partir de 0.2'' de l'étoile.

Validation of the new code package APOLLO2.8 for accurate PWR neutronics calculations

DOE Office of Scientific and Technical Information (OSTI.GOV)

Santamarina, A.; Bernard, D.; Blaise, P.

2013-07-01

This paper summarizes the Qualification work performed to demonstrate the accuracy of the new APOLLO2.S/SHEM-MOC package based on JEFF3.1.1 nuclear data file for the prediction of PWR neutronics parameters. This experimental validation is based on PWR mock-up critical experiments performed in the EOLE/MINERVE zero-power reactors and on P.I. Es on spent fuel assemblies from the French PWRs. The Calculation-Experiment comparison for the main design parameters is presented: reactivity of UOX and MOX lattices, depletion calculation and fuel inventory, reactivity loss with burnup, pin-by-pin power maps, Doppler coefficient, Moderator Temperature Coefficient, Void coefficient, UO{sub 2}-Gd{sub 2}O{sub 3} poisoning worth, Efficiency ofmore » Ag-In-Cd and B4C control rods, Reflector Saving for both standard 2-cm baffle and GEN3 advanced thick SS reflector. From this qualification process, calculation biases and associated uncertainties are derived. This code package APOLLO2.8 is already implemented in the ARCADIA new AREVA calculation chain for core physics and is currently under implementation in the future neutronics package of the French utility Electricite de France. (authors)« less

Summary of Planned Implementation for the HTGR Lessons Learned Applicable to the NGNP

DOE Office of Scientific and Technical Information (OSTI.GOV)

Ian Mckirdy

2011-09-01

This document presents a reconciliation of the lessons learned during a 2010 comprehensive evaluation of pertinent lessons learned from past and present high temperature gas-cooled reactors that apply to the Next Generation Nuclear Plant Project along with current and planned activities. The data used are from the latest Idaho National Laboratory research and development plans, the conceptual design report from General Atomics, and the pebble bed reactor technology readiness study from AREVA. Only those lessons related to the structures, systems, and components of the Next Generation Nuclear Plant (NGNP), as documented in the recently updated lessons learned report are addressed.more » These reconciliations are ordered according to plant area, followed by the affected system, subsystem, or component; lesson learned; and finally an NGNP implementation statement. This report (1) provides cross references to the original lessons learned document, (2) describes the lesson learned, (3) provides the current NGNP implementation status with design data needs associated with the lesson learned, (4) identifies the research and development being performed related to the lesson learned, and (5) summarizes with a status of how the lesson learned has been addressed by the NGNP Project.« less

DOE Office of Scientific and Technical Information (OSTI.GOV)

Dubart, Philippe; Hautot, Felix; Morichi, Massimo

Good management of dismantling and decontamination (D and D) operations and activities is requiring safety, time saving and perfect radiological knowledge of the contaminated environment as well as optimization for personnel dose and minimization of waste volume. In the same time, Fukushima accident has imposed a stretch to the nuclear measurement operational approach requiring in such emergency situation: fast deployment and intervention, quick analysis and fast scenario definition. AREVA, as return of experience from his activities carried out at Fukushima and D and D sites has developed a novel multi-sensor solution as part of his D and D research, approachmore » and method, a system with real-time 3D photo-realistic spatial radiation distribution cartography of contaminated premises. The system may be hand-held or mounted on a mobile device (robot, drone, e.g). In this paper, we will present our current development based on a SLAM technology (Simultaneous Localization And Mapping) and integrated sensors and detectors allowing simultaneous topographic and radiological (dose rate and/or spectroscopy) data acquisitions. This enabling technology permits 3D gamma activity cartography in real-time. (authors)« less

An evolution of technologies and applications of gamma imagers in the nuclear cycle industry

DOE Office of Scientific and Technical Information (OSTI.GOV)

Khalil, R. A.; Carrel, F.; Menaa, N.

The tracking of radiation contamination and distribution has become a high priority in the nuclear cycle industry in order to respect the ALARA principle which is a main challenge during decontamination and dismantling activities. To support this need, AREVA/CANBERRA and CEA LIST have been actively carrying out research and development on a gamma-radiation imager. In this paper we will present the new generation of gamma camera, called GAMPIX. This system is based on the Timepix chip, hybridized with a CdTe substrate. A coded mask could be used in order to increase the sensitivity of the camera. Moreover, due to themore » USB connection with a standard computer, this gamma camera is immediately operational and user-friendly. The final system is a very compact gamma camera (global weight is less than 1 kg without any shielding) which could be used as a hand-held device for radioprotection purposes. In this article, we present the main characteristics of this new generation of gamma camera and we expose experimental results obtained during in situ measurements. Even though we present preliminary results the final product is under industrialization phase to address various applications specifications. (authors)« less

Plant maintenance and advanced reactors issue, 2008

DOE Office of Scientific and Technical Information (OSTI.GOV)

Agnihotri, Newal

The focus of the September-October issue is on plant maintenance and advanced reactors. Major articles/reports in this issue include: Technologies of national importance, by Tsutomu Ohkubo, Japan Atomic Energy Agency, Japan; Modeling and simulation advances brighten future nuclear power, by Hussein Khalil, Argonne National Laboratory, Energy and desalination projects, by Ratan Kumar Sinha, Bhabha Atomic Research Centre, India; A plant with simplified design, by John Higgins, GE Hitachi Nuclear Energy; A forward thinking design, by Ray Ganthner, AREVA; A passively safe design, by Ed Cummins, Westinghouse Electric Company; A market-ready design, by Ken Petrunik, Atomic Energy of Canada Limited, Canada;more » Generation IV Advanced Nuclear Energy Systems, by Jacques Bouchard, French Commissariat a l'Energie Atomique, France, and Ralph Bennett, Idaho National Laboratory; Innovative reactor designs, a report by IAEA, Vienna, Austria; Guidance for new vendors, by John Nakoski, U.S. Nuclear Regulatory Commission; Road map for future energy, by John Cleveland, International Atomic Energy Agency, Vienna, Austria; and, Vermont's largest source of electricity, by Tyler Lamberts, Entergy Nuclear Operations, Inc. The Industry Innovation article is titled Intelligent monitoring technology, by Chris Demars, Exelon Nuclear.« less

Half-century archives of occupational medical data on French nuclear workers: a dusty warehouse or gold mine for epidemiological research?

PubMed

Garsi, Jerome-Philippe; Samson, Eric; Chablais, Laetitia; Zhivin, Sergey; Niogret, Christine; Laurier, Dominique; Guseva Canu, Irina

2014-12-01

This article discusses the availability and completeness of medical data on workers from the AREVA NC Pierrelatte nuclear plant and their possible use in epidemiological research on cardiovascular and metabolic disorders related to internal exposure to uranium. We created a computer database from files on 394 eligible workers included in an ongoing nested case-control study from a larger cohort of 2897 French nuclear workers. For each worker, we collected records of previous employment, job positions, job descriptions, medical visits, and blood test results from medical history. The dataset counts 9,471 medical examinations and 12,735 blood test results. For almost all of the parameters relevant for research on cardiovascular risk, data completeness and availability is over 90%, but it varies with time and improves in the latest time period. In the absence of biobanks, collecting and computerising available good-quality occupational medicine archive data constitutes a valuable alternative for epidemiological and aetiological research in occupational health. Biobanks rarely contain biological samples over an entire worker's carrier and medical data from nuclear industry archives might make up for unavailable biomarkers that could provide information on cardiovascular and metabolic diseases.

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

The impact of depressive symptoms on patient–provider communication in HIV care

PubMed Central

Jonassaint, Charles R.; Haywood, Carlton; Korthuis, Philip Todd; Cooper, Lisa A.; Saha, Somnath; Sharp, Victoria; Cohn, Jonathon; Moore, Richard D.; Beach, Mary Catherine

2013-01-01

Persons with HIV who develop depression have worse medical adherence and outcomes. Poor patient–provider communication may play a role in these outcomes. This cross-sectional study evaluated the influence of patient depression on the quality of patient–provider communication. Patient–provider visits (n = 406) at four HIV care sites were audio-recorded and coded with the Roter Interaction Analysis System (RIAS). Negative binomial and linear regressions using generalized estimating equations tested the association of depressive symptoms, as measured by the Center for Epidemiology Studies Depression scale (CES-D), with RIAS measures and postvisit patient-rated quality of care and provider-reported regard for his or her patient. The patients, averaged 45 years of age (range = 20–77), were predominately male (n = 286, 68.5%), of black race (n = 250, 60%), and on antiretroviral medications (n = 334, 80%). Women had greater mean CES-D depression scores (12.0) than men (10.6; p = 0.03). There were no age, race, or education differences in depression scores. Visits with patients reporting severe depressive symptoms compared to those reporting none/mild depressive symptoms were longer and speech speed was slower. Patients with severe depressive symptoms did more emotional rapport building but less social rapport building, and their providers did more data gathering/counseling (ps < 0.05). In postvisit questionnaires, providers reported lower levels of positive regard for, and rated more negatively patients reporting more depressive symptoms (p < 0.01). In turn, patients reporting more depressive symptoms felt less respected and were less likely to report that their provider knows them as a person than none/mild depressive symptoms patients (ps < 0.05). Greater psychosocial needs of patients presenting with depressive symptoms and limited time/resources to address these needs may partially contribute to providers’ negative attitudes regarding their patients with

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

La connectivite mixte: prévalence et caractéristiques cliniques chez le noir africain, étude de 7 cas au Gabon et revue de la littérature

PubMed Central

Missounga, Landry; Ba, Josaphat Iba; Nseng Nseng Ondo, Ingrid Rosalie; Nziengui Madjinou, Maria Ines Carine; Malekou, Doris; Mouendou Mouloungui, Emeline Gracia; Nzengue, Emmanuel Ecke; Boguikouma, Jean Bruno; Kombila, Moussavou

2017-01-01

La littérature rapporte que la connectivite mixte semble plus fréquente dans la population noire et chez les asiatiques. Le but de l'étude était de déterminer la prévalence de la connectivite mixte (CM) parmi les connectivites et l'ensemble des pathologies rhumatologiques dans une population hospitalière au Gabon; de décrire ensuite les caractéristiques cliniques de la maladie. Il s'agissait d'une étude rétrospective des dossiers de patients suivis pour connectivite mixte (critères de Kasukawa) et les autres entités de connectivites (critères ACR) en rhumatologie au CHU de Libreville entre janvier 2010 et décembre 2015. Pour chaque cas de CM, les manifestations articulaires et extra-articulaires, le taux d'anticorps anti-U1RNP, l'évolution, étaient les paramètres étudiés. Sept cas ont été colligés en 6 ans parmi 6050 patients et 67 cas de connectivites soit une prévalence de 0,11% et de 10,44% respectivement. Il s'agissait de 7 femmes (100%), d'âge moyen de 39,5 ans. Les signes articulaires comprenaient: polyarthrite, myalgies, doits boudinés et phénomène de Raynaud dans 87,5%, 87,5%, 28,6% et 14% respectivement. Les 7 patients avaient un taux d'anti-U1RNP élevé entre 5 et 35N (N≤7 UI). Un cas de décès par HTAP était constaté. Il s'agit de la série de CM la plus importante rapportée en Afrique noire. La maladie semble rare chez le noir africain, la raison pourrait être génétique. Les aspects démographiques et cliniques paraissent similaires chez les caucasiens, les asiatiques et les noirs hormis une faible fréquence du phénomène de Raynaud chez les noirs. PMID:28904690

Facteurs influençant l'initiation au traitement antirétroviral des personnes vivant avec le VIH dans les Centres de Traitement Agréés de Bamenda et de Bertoua au Cameroun

PubMed Central

Mbopi-Keou, Francois-Xavier; Voundi, Esther Voundi; Kalla, Ginette Claude Mireille; Emah, Irène; Angwafo, Fru; Muna, Walinjom

2014-01-01

Introduction L'objectif de ce travail était de déterminer les facteurs influençant l'initiation au traitement antirétroviral des personnes vivant avec le VIH (PVVIH) dans les centres de traitements agrées (CTA) de Bamenda et de Bertoua au Cameroun. Méthodes Il s'agissait d'une étude transversale, analytique réalisée de Janvier à Avril 2011, dans les CTA de Bamenda et de Bertoua. Pour cette étude, nous avons obtenu une clairance éthique. Résultats Nous avons étudiés 460 dossiers de patients séropositifs en phase d'initiation au traitement antirétroviral dans les CTA de Bamenda et de Bertoua, 53,9% et 46,1% respectivement. L ‘âge médian était de 36 ans. La plupart des séropositifs à Bertoua (41) avaient fait un dépistage volontaire du VIH par rapport à ceux de Bamenda (22) (p= 0.008). Il y ‘avait plus de VIH de type 1 et 2 dans le CTA de Bamenda (15) par rapport à Bertoua (3) (p= 0.011). La majorité des patients était classé au stade clinique II à Bamenda (54,0%) tandis qu ‘à Bertoua le stade clinique III était prédominant (52,4%) (p = 0,000). Le taux médian de CD4 était de 133 cellules/mm3 dans le CTA de Bamenda et de 175 cellules/mm3 à Bertoua (p = 0,008). La Zidovudine était plus prescrit à Bamenda et le Ténofovir à Bertoua (p = 0,000). L ‘Efavirenz était plus prescrit à Bertoua tandis que la Névirapine l ‘était plus à Bamenda (p = 0,000). Le Lopinavir/r était plus prescrit à Bamenda qu ‘à Bertoua (p = 0,017). Conclusion Il apparait urgent de standardiser la prise en charge des PVVIH dans les CTA du Cameroun. PMID:25184023

75 FR 58446 - Notice of Issuance of Amendment No. 1 for Special Nuclear Material License No. SNM-1227 [AREVA NP...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-24

... CONTACT: Rafael L. Rodriguez, Project Manager, Fuel Manufacturing Branch, Division of Fuel Cycle Safety..., Rockville, MD 20852. Telephone: (301) 492-3111; Fax Number: (301) 492-3363; E-mail: Rafael[email protected

UP2 400 High Activity Oxide Legacy Waste Retrieval Project Scope and Progress-13048

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chabeuf, Jean-Michel; Varet, Thierry

The High Activity Oxide facility (HAO) reprocessed sheared and dissolved 4500 metric tons of light water reactor fuel the fuel of the emerging light water reactor spent fuel between 1976 and 1998. Over the period, approximately 2200 tons of process waste, composed primarily of sheared hulls, was produced and stored in a vast silo in the first place, and in canisters stored in pools in subsequent years. Upon shutdown of the facility, AREVA D and D Division in La Hague launched a thorough investigation and characterization of the silos and pools content, which then served as input data for themore » definition of a legacy waste retrieval and reconditioning program. Basic design was conducted between 2005 and 2007, and was followed by an optimization phase which lead to the definition of a final scenario and budget, 12% under the initial estimates. The scenario planned for the construction of a retrieval and reconditioning cell to be built on top of the storage silo. The retrieved waste would then be rinsed and sorted, so that hulls could subsequently be sent to La Hague high activity compacting facility, while resins and sludge would be cemented within the retrieval cell. Detailed design was conducted successfully from 2008 until 2011, while a thorough research and development program was conducted in order to qualify each stage of the retrieval and reconditioning process, and assist in the elaboration of the final waste package specification. This R and D program was defined and conducted as a response and mitigation of the major project risks identified during the basic design process. Procurement and site preparatory works were then launched in 2011. By the end of 2012, R and D is nearly completed, the retrieval and reconditioning process have been secured, the final waste package specification is being completed, the first equipment for the retrieval cell is being delivered on site, while preparation works are allowing to free up space above and around the silo

Predictors of therapeutic engagement in prison-based drug treatment.

PubMed

Welsh, Wayne N; McGrain, Patrick N

2008-08-01

Few studies to date have examined predictors of therapeutic engagement (TE) or other indicators of responsiveness to prison drug treatment. Subjects were 347 inmates participating in a 12-month modified therapeutic community (TC) drug treatment program at a specialized treatment prison for convicted, drug-involved offenders. Data were obtained through correctional databases and the administration of the TCU Drug Screen II, the Resident Evaluation of Self and Treatment (REST), and the Counselor Rating of Client (CRC) form. Three main hypotheses were supported: (1) baseline motivation predicted therapeutic engagement net of other inmate characteristics; (2) critical dimensions of the treatment experience (e.g., peer support, counselor rapport) also predicted therapeutic engagement; and (3) dynamic predictors and programmatic characteristics became more important over time. Implications for research, theory and policy are discussed.

Persistance du 5ème arc aortique associé à une interruption de l’arche aortique

PubMed Central

Houssa, Mahdi Ait; Atmani, Noureddine; Bamous, Mehdi; Abdou, Abdessamad; Nya, Fouad; Seghrouchni, Anis; Amahzoune, Brahim; El Bekkali, Youssef; Drissi, Mohamed; Boulahya, Abdelatif

2017-01-01

Les auteurs rapportent un cas de persistance du 5ème arc aortique associé à une interruption totale de l'arche aortique. Ce cas clinique montre le piège diagnostic posé par la persistance du 5ème arc aortique et son effet bénéfique hémodynamique. Le tableau clinique était trompeur en préopératoire en raison de la persistance des pouls fémoraux et des signes cliniques d'un shunt gauche-droite via un large canal artériel. Le diagnostic a été redressé en peropératoire grâce au monitorage de la pression artérielle par un cathéter placé dans l'artère fémorale. PMID:29187934

Muddling through the Health System: Experiences of Three Groups of Black Women in Three Regions

PubMed Central

Gary, F; Still, C; Mickels, P; Hassan, M; Evans, E

2018-01-01

Health care disparities are a well-documented concern among patients and providers who care for minority groups in the United States. In this study, focus groups were created from an original sample of 606 Black women representing three regions in the United States: the South, the Midwest, and the Virgin Islands. Composed of 10 randomly selected members each (n = 30), the focus groups provided insights into the nature of these disparities, with some suggestions for viable solutions. Participants voiced concerns about cultural taboos about discussing menopause, financial concerns, and negative experiences with health care leading to distrust in medical systems. The primary solution proposed was an increase in Black health care professionals who would have increased rapport with, empathy for, and understanding of the concerns of Black women. PMID:26371357

Évolution de la surface de plasticité sous chargement biaxial dans un acier inoxydable duplex

NASA Astrophysics Data System (ADS)

Aubin, V.; Quaegebeur, P.; Degallaix, S.

2002-12-01

Nous proposons une méthodologie de mesure automatique de la surface de plasticité pendant des chargements cycliques biaxiaux. La surface de plasticité est mesurée de manière discrète avec un faible offset de déformation plastique (2 10^{-5}) et des paramètres de mesure optimisés. La méthode est appliquée à un acier inoxydable duplex soumis à un trajet de chargement non-proportionnel. Les résultats montrent une distorsion et une translation de la surface de plasticité sans changement de taille. La méthode présentée permet également de vérifier la normalité de la vitesse d'écoulement plastique par rapport à la surface de plasticité.

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

La carence en vitamine D chez l'adulte au Gabon: cas isolé ou problème méconnu?

PubMed Central

Ntyonga-Pono, Marie-Pierrette

2014-01-01

La carence en vitamine D chez l'adulte est un sujet d'actualité à cause de ses multiples effets et de son extension de par le monde. Cependant elle est peu explorée au Gabon et en Afrique centrale en général. Le but de cet article qui rapporte trois cas documentés de carence en vitamine D chez l'adulte au Gabon, est d'attirer l'attention sur l'existence de ce problème même en zone équatoriale ensoleillée. Vu les implications de cette carence dans diverses pathologies osseuses, cardio-vasculaires, métaboliques, infectieuses, auto-immunes, néoplasiques..., des recherches plus approfondies sont nécessaires pour cerner le problème et prendre des mesures appropriées. PMID:25815104

A gender-based incidence study of workplace violence in psychiatric and forensic settings.

PubMed

Hatch-Maillette, Mary A; Scalora, Mario J; Bader, Shannon M; Bornstein, Brian H

2007-01-01

Limited data exist analyzing the role of gender in workplace violence in health care settings. This study examined whether different types of threatening incidents with patients (physical, verbal, sexual, or posturing) were salient to male versus female staff across psychiatric settings (inpatient forensic, inpatient acute/chronic psychiatric, and outpatient psychiatric). Results indicated that although women disproportionately experienced sexualized threats, they were not more likely to report such incidents as salient and threatening. The study also assessed the extent to which situational variables contributed to staff's feelings of threat. Results showed that rapport with the patient, quality of relationships with coworkers, and presence of coworkers in the area were not significantly related to how threatened staff felt in a recent threatening incident. Findings are discussed within the context of staff training and organizational benefits.

Is there a bias against telephone interviews in qualitative research?

PubMed

Novick, Gina

2008-08-01

Telephone interviews are largely neglected in the qualitative research literature and, when discussed, they are often depicted as a less attractive alternative to face-to-face interviewing. The absence of visual cues via telephone is thought to result in loss of contextual and nonverbal data and to compromise rapport, probing, and interpretation of responses. Yet, telephones may allow respondents to feel relaxed and able to disclose sensitive information, and evidence is lacking that they produce lower quality data. This apparent bias against telephone interviews contrasts with a growing interest in electronic qualitative interviews. Research is needed comparing these modalities, and examining their impact on data quality and their use for studying varying topics and populations. Such studies could contribute evidence-based guidelines for optimizing interview data. 2008 Wiley Periodicals, Inc

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

Helping pregnant teenagers.

PubMed Central

Bluestein, D; Starling, M E

1994-01-01

Teenagers who are pregnant face many difficult issues, and counseling by physicians can be an important source of help. We suggest guidelines for this counseling, beginning with a review of the scope and consequences of adolescent pregnancy. Communication strategies should be aimed at building rapport with techniques such as maintaining confidentiality, avoiding judgmental stances, and gearing communication to cognitive maturity. Techniques for exploring family relationships are useful because these relationships are key influences on subsequent decisions and behaviors. We discuss topics related to abortion and childbearing, such as safety, facilitation of balanced decision making, the use of prenatal care, and the formulation of long-term plans. Physicians who can effectively discuss these topics can help pregnant teenagers make informed decisions and improve their prospects for the future. PMID:7941531

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.

Is There a Bias Against Telephone Interviews In Qualitative Research?

PubMed Central

Novick, Gina

2011-01-01

Telephone interviews are largely neglected in the qualitative research literature and, when discussed, they are often depicted as a less attractive alternative to face-to-face interviewing. The absence of visual cues via telephone is thought to result in loss of contextual and nonverbal data and to compromise rapport, probing, and interpretation of responses. Yet, telephones may allow respondents to feel relaxed and able to disclose sensitive information, and evidence is lacking that they produce lower quality data. This apparent bias against telephone interviews contrasts with a growing interest in electronic qualitative interviews. Research is needed comparing these modalities, and examining their impact on data quality and their use for studying varying topics and populations. Such studies could contribute evidence-based guidelines for optimizing interview data. PMID:18203128

Hémothorax spontané révélant une vascularite de Wegener chez une femme enceinte

PubMed Central

Serhane, Hind; Yassine, Msougar; Amro, Lamyae

2016-01-01

L’hémothorax spontané demeure une pathologie rare. Ses étiologies sont multiples mais restent parfois inconnues. Chez certains patients, la thoracotomie peut être le seul recours pour déterminer son origine. Les vascularites n’ont pas été rapporté comme cause habituelle des hémothorax spontanés. La grossesse ne semble pas avoir d’effet causal, ni aggravant des hémothorax spontanés, ni des vascularites. Nous rapportons une observation assez particulière d’une jeune patiente, présentant au cours de sa grossesse un hémothorax spontané secondaire à une vasularite de type Wegener, diagnostiquée par la biopsie pleurale faite au cours d’une thoracotomie exploratrice et confirmée par le dosage des ANCA. PMID:28154726

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.

The RAndomized Placebo Phase Study Of Rilonacept in the Treatment of Systemic Juvenile Idiopathic Arthritis (RAPPORT)

PubMed Central

Ilowite, Norman T.; Prather, Kristi; Lokhnygina, Yuliya; Schanberg, Laura E.; Elder, Melissa; Milojevic, Diana; Verbsky, James W.; Spalding, Steven J.; Kimura, Yukiko; Imundo, Lisa F.; Punaro, Marilynn G.; Sherry, David D.; Tarvin, Stacey E.; Zemel, Lawrence S.; Birmingham, James D.; Gottlieb, Beth S.; Miller, Michael L.; O'Neil, Kathleen; Ruth, Natasha M.; Wallace, Carol A.; Singer, Nora G.; Sandborg, Christy I.

2015-01-01

Background Interleukin-1 plays a pivotal role in in the pathogenesis of systemic juvenile idiopathic arthritis (sJIA). We assessed the efficacy and safety of rilonacept (IL-1 trap), an IL-1 inhibitor, in a randomized, double-blind, placebo-controlled trial. Methods An initial 4-week double-blind placebo phase was incorporated into a 24-week randomized multi-center design, followed by an open label phase. We randomized 71 children with at least 2 active joints 1:1 to 2 arms of the study. Patients in the rilonacept arm received rilonacept (4.4mg/kg loading dose followed by 2.2mg/kg weekly, subcutaneously) from day 0; patients in the placebo arm received placebo for 4 weeks followed by a loading dose of rilonacept at week 4 followed by weekly maintenance doses. The primary endpoint was time to response, using adapted JIA ACR30 response criteria coupled with absence of fever and taper of systemic corticosteroids using pre-specified criteria. Results Time to response was shorter in the rilonacept arm than in the placebo arm (Chi-square 7.235, P=.007). Secondary analysis showed 20/35 (57%) of patients in the rilonacept arm responded at week 4 compared to 9/33 (27%) in the placebo arm (P=.016) using the same response criteria. Exacerbation of sJIA (4) was the most common SAE. More patients in the rilonacept arm had elevated liver transaminases, including more than three times the upper limits of normal, as compared to those in the placebo arm. Adverse events were similar in the two arms of the study. Conclusions Rilonacept was generally well tolerated and demonstrated efficacy in active sJIA. PMID:24839206

Entre Reproduction et Mobilisation: les Rapports de Genre EN Formation Continue EN France et AU Canada

NASA Astrophysics Data System (ADS)

Fourner, Christine; Béret, Pierre; Doray, Pierre; Bélanger, Paul

2009-01-01

REPRODUCTION OR MOBILISATION? GENDER PROPORTIONS IN CONTINUING EDUCATION IN FRANCE AND CANADA - Initial education provisions for women have evolved greatly over the past 40 years. But what about their situation within adult education and training? This article, comparing Canada and France, shows that, while it is well known that more women than men participate in adult education, their greater presence in professional training courses is a new development. The analysis highlights certain particular findings, such as the growing demand for continuing education in Canada and the increased rate of participation by full-time employees in France. In both countries, a number of social factors continue to influence women's participation.

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. © 2015 Family Process Institute.

Teaching Social Play Skills to Adults and Children with Autism as an Approach to Building Rapport

ERIC Educational Resources Information Center

Shireman, Molly L.; Lerman, Dorothea C.; Hillman, Conrad B.

2016-01-01

Adults with autism spectrum disorder (ASD) and no intellectual disabilities were taught to increase the social play skills of children with ASD as part of a vocational training program. Participants included 3 adults, aged 21 to 27 years, and 6 children with ASD. Probes conducted throughout the study evaluated whether play skills training affected…

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…

NGNP Infrastructure Readiness Assessment: Consolidation Report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Brian K Castle

2011-02-01

The Next Generation Nuclear Plant (NGNP) project supports the development, demonstration, and deployment of high temperature gas-cooled reactors (HTGRs). The NGNP project is being reviewed by the Nuclear Energy Advisory Council (NEAC) to provide input to the DOE, who will make a recommendation to the Secretary of Energy, whether or not to continue with Phase 2 of the NGNP project. The NEAC review will be based on, in part, the infrastructure readiness assessment, which is an assessment of industry's current ability to provide specified components for the FOAK NGNP, meet quality assurance requirements, transport components, have the necessary workforce inmore » place, and have the necessary construction capabilities. AREVA and Westinghouse were contracted to perform independent assessments of industry's capabilities because of their experience with nuclear supply chains, which is a result of their experiences with the EPR and AP-1000 reactors. Both vendors produced infrastructure readiness assessment reports that identified key components and categorized these components into three groups based on their ability to be deployed in the FOAK plant. The NGNP project has several programs that are developing key components and capabilities. For these components, the NGNP project have provided input to properly assess the infrastructure readiness for these components.« less