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Sample records for praeliminaer rapport hvidovre

  1. Rapport in Distance Education

    ERIC Educational Resources Information Center

    Murphy, Elizabeth; Rodriguez-Manzanares, Maria A.

    2012-01-01

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

  2. Games of Rapport.

    ERIC Educational Resources Information Center

    Corbin, Sandra J.

    1980-01-01

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

  3. Establishing Rapport with Deviant Groups

    ERIC Educational Resources Information Center

    Berk, Richard A.; Adams, Joseph M.

    1970-01-01

    Techniques recommended for establishing and maintaining rapport with deviant groups focus on overcoming problems of social distance and mistrust. Although based on experience with juvenile delinquents and drug addicts, the suggestions made are held to offer potential for wider applicability. (RJ)

  4. Intentionally Building Rapport with Students

    ERIC Educational Resources Information Center

    Starcher, Keith

    2011-01-01

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

  5. Professor-Student Rapport Scale Predicts Student Outcomes

    ERIC Educational Resources Information Center

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

    2010-01-01

    Rapport traditionally has been measured in therapy or in other one-on-one relationships such as with roommates. As yet, no scale is available to measure professor-student rapport. In this study, 51 undergraduates created items to measure professor-student rapport, and subsequently, 195 different college students rated their agreement with items…

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

    ERIC Educational Resources Information Center

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

    2009-01-01

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

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

    PubMed

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

    2014-01-01

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

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

    ERIC Educational Resources Information Center

    Wilson, Janie H.; Ryan, Rebecca G.

    2013-01-01

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

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

  10. Rapport Management of International Teaching Assistants in Their Teaching

    ERIC Educational Resources Information Center

    Zhang, Yuan

    2013-01-01

    The current study adopts Spencer-Oatey's theory of rapport management as the main framework, and examines the IT A participants' perceptions of their management of rapport, i.e. social relationship, with their American undergraduates, which are also compared with perceptions of American counterparts, including American professor and ATA…

  11. Psychometric Characteristics of the Professor-Student Rapport Scale

    ERIC Educational Resources Information Center

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

    2011-01-01

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

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

    ERIC Educational Resources Information Center

    Schmedlen, George W.; And Others

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

  13. Women in parole: respect and rapport.

    PubMed

    Ireland, Connie; Berg, Bruce

    2008-08-01

    Although the number of females in law enforcement has increased in recent years, research suggests that the uniquely gendered contributions of females are minimized in favor of traditional modes of law enforcement, emphasizing physical presence, authoritative commands, and demonstrative control. This research examines women in parole, using in-depth interviews with a small convenience sample of female parole agents in California. Participants discussed their experiences as parole agents from the perspective of women in a predominantly male occupation. Overwhelmingly, they emphasized traditionally associated female traits of intuition, verbal communication, and relationships, over physical tactics. Participants emphasized the importance of building respect and rapport with parolees in multiple contexts, including in the parolees' homes, with the families of parolees, and at parolees' places of employment. Participants suggested that this approach ensures their personal safety and enhances parolee compliance, especially when considering their subjective account of experiences by male parole agents.

  14. Rapport Building in Language Instruction: A Microanalysis of the Multiple Resources in Teacher Talk

    ERIC Educational Resources Information Center

    Nguyen, Hanh thi

    2007-01-01

    Current guidelines on teacher--student rapport, while providing helpful suggestions, fail to address the question of how rapport building can be achieved in contextualised classroom interaction in which a balance needs to be reached between rapport and instructional tasks. Using discourse analysis informed by a conversation analytic approach and…

  15. 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…

  16. 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…

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

    ERIC Educational Resources Information Center

    Carey, John C.; And Others

    1988-01-01

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

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

    ERIC Educational Resources Information Center

    Frisby, Brandi N.; Martin, Matthew M.

    2010-01-01

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

  19. The Relationships among Teacher Immediacy, Professor/Student Rapport, and Self-Regulated Learning

    ERIC Educational Resources Information Center

    Estepp, Christopher M.

    2012-01-01

    The purpose of this study was to determine the relationships among teacher immediacy, professor/student rapport, and student self-regulated learning among selected undergraduate students in a college of agriculture. The independent variables for this study were verbal and nonverbal immediacy and professor/student rapport. The dependent variable in…

  20. 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…

  1. Students' Attitudes towards Rapport-Building Traits and Practices in Online Learning Environments

    ERIC Educational Resources Information Center

    Wright, Robert Demmon

    2012-01-01

    This research was a triangulated study of student attitudes towards instructors' rapport-building traits and their preferences amongst instructors' rapport-building practices in online learning environments. Participants were undergraduate and graduate students enrolled in courses within an educational technology program at a central Texas…

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

    ERIC Educational Resources Information Center

    Webb, Nathan G.; Barrett, Laura Obrycki

    2014-01-01

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

  3. 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.

  4. Strangers in sync: Achieving embodied rapport through shared movements.

    PubMed

    Vacharkulksemsuk, Tanya; Fredrickson, Barbara L

    2012-01-01

    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.

  5. The Extravert Advantage: How and When Extraverts Build Rapport With Other People.

    PubMed

    Duffy, Korrina A; Chartrand, Tanya L

    2015-11-01

    Extraverts are better than introverts at building rapport, but it remains unknown what they do behaviorally to better connect with other individuals. We hypothesized that extraverts mimic more than introverts as a way to build rapport; however, we predicted that this social skillfulness of extraverts emerges only when they are motivated to affiliate. In Study 1, we found that extraversion predicted increased mimicry when an affiliation goal was present, but not when an affiliation goal was absent. In Study 2, we found that mimicry mediates the relationship between extraversion and rapport, but only when an affiliation goal is present. Our findings are the first to identify a behavior that extraverts engage in that helps them build rapport. Furthermore, our studies show that this skillfulness of extraverts emerges only when they are motivated to affiliate, providing evidence in favor of the reward-sensitivity-as-core model of extraversion over the sociability-as-core model of extraversion.

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

    PubMed

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

    2015-01-01

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

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

    PubMed Central

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

    2015-01-01

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

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

    PubMed

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

    2015-01-01

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

  9. Developing Rapport with Children in Forensic Interviews: Systematic Review of Experimental Research.

    PubMed

    Saywitz, Karen J; Larson, Rakel P; Hobbs, Sue D; Wells, Christine R

    2015-08-01

    The vast majority of guidelines recommend that developing rapport with children is essential for successful forensic child interviewing; however, the question remains as to whether there is a sufficient body of scientific research to generate evidence-based guidelines for developing rapport with children in legal contexts. To answer this question, we conducted a systematic review of the literature to identify experimental studies of the effects of rapport-building methods on the reliability of children's reports. Independent raters applied 12 exclusion criteria to the 2,761 potentially relevant articles located by electronic and hand searches of the literature. Experimental studies were few. Although studies to date are a beginning, the overall scientific base is weak regarding even basic issues such as how to best define rapport and the efficacy of common rapport-building techniques. This systematic review highlights what we know, what we do not know, and how much more we need to know to create evidence-based best practice. Recommendations for reshaping the research agenda are discussed.

  10. Testing the relationship between mimicry, trust and rapport in virtual reality conversations

    PubMed Central

    Hale, Joanna; Hamilton, Antonia F. De C.

    2016-01-01

    People mimic each other’s actions and postures during everyday interactions. It is widely believed this mimicry acts as a social glue, leading to increased rapport. We present two studies using virtual reality to rigorously test this hypothesis. In Study 1, 50 participants interacted with two avatars who either mimicked their head and torso movements at a 1 or 3 second time delay or did not mimic, and rated feelings of rapport and trust toward the avatars. Rapport was higher towards mimicking avatars, with no effect of timing. In Study 2, we aimed to replicate this effect in a pre-registered design and test whether it is modulated by cultural ingroup-outgroup boundaries. Forty participants from European or East Asian backgrounds interacted with four avatars, two of European appearance and two of East Asian appearance. Two avatars mimicked while the other two did not. We found no effects of mimicry on rapport or trust ratings or implicit trust behaviour in a novel maze task, and no effects of group status or interactions. These null results were calculated in line with our pre-registration. We conclude that being mimicked does not always increase rapport or trust, and make suggestions for future directions. PMID:27739460

  11. Eliciting maltreated and nonmaltreated children's transgression disclosures: narrative practice rapport building and a putative confession.

    PubMed

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

    2014-01-01

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

  12. Eliciting maltreated and nonmaltreated children's transgression disclosures: narrative practice rapport building and a putative confession.

    PubMed

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

    2014-01-01

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

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

    PubMed

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

    2015-08-01

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

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

    PubMed Central

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

    2015-01-01

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

  15. 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…

  16. 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…

  17. 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…

  18. Group Guidance: Sibling Sessions as a Means of Establishing Rapport in an Inner City Elementary School

    ERIC Educational Resources Information Center

    Dodson, Anna G.

    1971-01-01

    Informal sessions between the school counselor and siblings attending the same school are described. The results indicate greater rapport between students and counselor and a boosting of self referrals, an increase in referrals from parents, and additional information in helping in planning a developmental guidance program. Recommendations are…

  19. Student Self-Assessment and Student Ratings of Teacher Rapport in Secondary Student Course Ratings

    ERIC Educational Resources Information Center

    Roe, John Wilford

    2010-01-01

    This study involved administering two rating forms (student self-rating on commitment and student rating of teacher rapport) to approximately 1,400 secondary students taught by 12 different teachers at two different high school Latter-day Saint (LDS) released time seminaries along the Wasatch Front in Utah. Seminaries and Institutes of Religion…

  20. 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…

  1. 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…

  2. 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…

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

    ERIC Educational Resources Information Center

    Jiang-yuan, Zhou; Wei, Guo

    2012-01-01

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

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

    PubMed Central

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

    2014-01-01

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

  5. "Straight up": enhancing rapport and therapeutic alliance with previously-detained youth in the delivery of mental health services.

    PubMed

    Brown, James R; Holloway, Evan D; Akakpo, Tohoro F; Aalsma, Matthew C

    2014-02-01

    A strong therapeutic alliance has been shown to improve mental health treatment outcomes in adults, but this topic has not been fully explored with youth. Adolescents, particularly justice-involved youth, stand to benefit greatly from an improved treatment experience. One quality which can improve treatment is mental health providers' interpersonal skills when attempting to build a therapeutic rapport with adolescent clients. Semi-structured interviews were conducted with 19 youth who screened positive for mental health concerns while in juvenile detention. Four themes were identified as important to improving the therapeutic alliance: Empathy, client-directed care, sequencing, and positive rapport. Suggestions for strengthening a therapeutic alliance are provided.

  6. Leishmaniose viscerale et leucemie aigüe lymphoblastique B: quel est le rapport?

    PubMed Central

    El Youssi, Hind; Touaoussa, Aziz; Bergui, Imane; Bougrine, Nawal; Amrani, Moncef Hassani

    2015-01-01

    L'association leishmaniose viscérale et leucémie aigue a été rarement rapportée dans la littérature, cependant le diagnostic concomitant de ces deux entités n'a jamais été rapporté au Maroc. Le lien entre ces deux pathologies n'a pas encore été établi et le traitement n'a pas encore été codifié. Nous rapportons le cas d'un garçon de 12 ans chez qui une leishmaniose viscérale et une leucémie aigue lymphoblastique type B ont été diagnostiquées simultanément. Malgré l'administration d'un traitement antiparasitaire associé à une chimiothérapie l’évolution était marquée par le décès du patient. PMID:26090011

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

    ERIC Educational Resources Information Center

    Montague, Matthew G.

    2005-01-01

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

  8. 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.

  9. 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.

  10. 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.

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

    PubMed

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

    2015-06-01

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

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

    PubMed Central

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

    2015-01-01

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

  13. 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…

  14. The Other Side of Rapport: Data Collection Mode and Interviewer Gender Effects on Sexual Health Reporting in Ghana.

    PubMed

    Agula, Justina; Barrett, Jennifer B; Tobi, Hilde

    2015-09-01

    Accurate data on young people's sexual behaviour and sexual health practice is essential to inform effective interventions and policy. However, little empirical evidence exists to support methodological design decisions in projects assessing young people's sexual health, especially in African contexts. This short report uses original empirical data collected in Ghana in 2012 to assess the effects of data collection mode and interviewer gender on young people's reporting of sexual health and access to supportive sexual health resources. The findings indicate that the effect of data collection mode may vary by gender, and there is no indication of an interviewer gender effect for males in this study. Preliminary results suggest that building strong rapport with research participants in this context may lead to reduced sexual health data quality. These findings merit further investigation and have direct implications for the design of projects measuring sexual health and related variables in Ghana.

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

    PubMed

    Belgrave, Melita

    2009-01-01

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

  16. Rapport Juin-Juillet 1999

    SciTech Connect

    Bibeau, C; Chanteloupe, J C

    1999-08-18

    This report describes the optical system which allows the delivery, in an efficient and homogeneous way, of the pump light from the diode arrays of the Mercury laser system described in the two previous reports. I will, first, describe the present pumping line ; the description of the Advanced Pumping Design (APD) being given in the second part of this report.

  17. Establish a rapport that allows clear communication.

    PubMed

    2015-11-01

    The population in the UK is now more diverse than ever before. It is vital that healthcare services are equally sensitive to the beliefs of those who come from minority ethnic groups. The primary theme gathered from the study was the ability of families to balance traditional and Western values into their lifestyles.

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

    ERIC Educational Resources Information Center

    Jungskar, Marianne, Ed.

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

  19. Swedish Behavioural Science Research Reports, 1980/81. (Beteendevetenskapliga Rapporter).

    ERIC Educational Resources Information Center

    National Library for Psychology and Education, Stockholm (Sweden).

    The 1980-81 annual abstract publication on Swedish behavioral science research reports is presented. The collection of data was completed on May 1, 1981. The more than 300 reports are grouped in categories according to Psychological Abstracts and EUDISED Thesaurus (multilingual thesaurus for information processing in the field of education). The…

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

    ERIC Educational Resources Information Center

    Jungskar, Marianne, Ed.

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

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

    ERIC Educational Resources Information Center

    Crawshaw, Robert; Harrison, Julia

    2007-01-01

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

  2. Good rapport makes light work of tight site.

    PubMed

    Baillie, Jonathan

    2010-06-01

    Working in a tight three-sided courtyard location within two metres of existing walls, while minimising noise, dust, and other disturbance which could have affected the recuperation of neurological patients housed in adjoining wards, and simultaneously co-ordinating its work with that of another contractor undertaking a separate, major building project extremely close by, were among the challenges successfully met by MTX Contracts during its recent completion of a new, modular three-storey extension to The Walton Centre in Liverpool. The Centre is a field-leading facility for neurological and neurosurgical treatment. PMID:20597383

  3. Risk of postprandial insulin resistance: the liver/vagus rapport.

    PubMed

    Macedo, Maria Paula; Lima, Inês S; Gaspar, Joana M; Afonso, Ricardo A; Patarrão, Rita S; Kim, Young-Bum; Ribeiro, Rogério T

    2014-03-01

    Ingestion of a meal is the greatest challenge faced by glucose homeostasis. The surge of nutrients has to be disposed quickly, as high concentrations in the bloodstream may have pathophysiological effects, and also properly, as misplaced reserves may induce problems in affected tissues. Thus, loss of the ability to adequately dispose of ingested nutrients can be expected to lead to glucose intolerance, and favor the development of pathologies. Achieving interplay of several organs is of upmost importance to maintain effectively postprandial glucose clearance, with the liver being responsible of orchestrating global glycemic control. This dogmatic role of the liver in postprandial insulin sensitivity is tightly associated with the vagus nerve. Herein, we uncover the behaviour of metabolic pathways determined by hepatic parasympathetic function status, in physiology and in pathophysiology. Likewise, the inquiry expands to address the impact of a modern lifestyle, especially one's feeding habits, on the hepatic parasympathetic nerve control of glucose metabolism.

  4. 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…

  5. 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.

  6. 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…

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

    ERIC Educational Resources Information Center

    Smith, Bryant

    2015-01-01

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

  8. [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.

  9. Vocational Guidance within the Context of the Democratization of Education. Rapports, etudes...S.129.

    ERIC Educational Resources Information Center

    Siebel, Anselm

    This paper, based on information concerning the current status of vocational guidance in various countries, describes the main trends in its development in the context of the democratization of education. The experiences of the following countries are reviewed: Austria, Czechoslovak Socialist Republic, Federal Republic of Germany, France, German…

  10. 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…

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

    ERIC Educational Resources Information Center

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

    2008-01-01

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

  12. 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…

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

    ERIC Educational Resources Information Center

    Canadian Consultative Council on Multiculturalism, Ottawa (Ontario).

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

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

    ERIC Educational Resources Information Center

    Canadian Consultative Council on Multiculturalism, Ottawa (Ontario).

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

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

    ERIC Educational Resources Information Center

    Frey, T. Kody; Tatum, Nicholas T.

    2016-01-01

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

  16. Diagnostik von Kontingenzerfahrungen in der fruehen Kindheit. Forschungsbericht Rapport Scientifique. Nr. 68. (Methods of Social Contingency Analysis. FB Nr. 68).

    ERIC Educational Resources Information Center

    Perrez, Meinrad

    Written in German, this article demonstrates the influence of different types of contingency information on the development of infant's locus of control and causal attribution, and discusses empirical models for calculating contingency parameters of the microsocial environment of infants, toddlers, and preschool children. Models discussed include:…

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

    ERIC Educational Resources Information Center

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

    2015-01-01

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

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

    PubMed

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

    2015-12-01

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

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

    ERIC Educational Resources Information Center

    Rogers, Daniel T.

    2015-01-01

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

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

    ERIC Educational Resources Information Center

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

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

  1. 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.

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

    ERIC Educational Resources Information Center

    Nordmark, Staffan

    1984-01-01

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

  3. Pour une etude des rapports aux langues maternelles dans la migration (Toward a Study of the Relationship of Native Languages to Migration)

    ERIC Educational Resources Information Center

    de Heredia-Deprez, Christine

    1976-01-01

    This article wishes to initiate a sociolinguistic study of the linguistic behavior of migrant workers in France. The methodology proposed is to resemble that presently used by US sociolinguists in the study of American ethnic communities and include such basic concepts as "Linguistic Community" and "Language Loyalty." (Text is in French.) (TL)

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

    ERIC Educational Resources Information Center

    Cappel, Mitchell S.

    2009-01-01

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

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

    ERIC Educational Resources Information Center

    Caouette, Charles E.; Bourbeau, Gerald

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

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

    ERIC Educational Resources Information Center

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

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

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

    ERIC Educational Resources Information Center

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

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

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

    ERIC Educational Resources Information Center

    Store-Rao, Neelanbari; And Others

    1994-01-01

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

  9. Rapport M/L de disques de galaxies issus de modeles CSPE et controle des contraintes mecaniques dans la conception de revetements optiques

    NASA Astrophysics Data System (ADS)

    de Denus-Baillargeon, Marie-Maude

    The following thesis includes two parts: the first concentrates on mass models of galaxies while the second concerns the design of broadband optical coatings and the control of their mechanical properties. Mass models presented here were performed on a subsample of ten galaxies from the SINGS survey. It includes nine late-type regular galaxies as well as a dwarf galaxy. The work consisted in the determination at all radii of M/L ratio of galactic discs by choosing, amongst a grid of chemospectrophotometric galactic evolution models, the one that fits better the galaxy's multi-band photometric profile. Results from this work show that stellar discs weighted by the model's mass-to-luminosity ratio display consistent masses in all studied bands from the ultraviolet to the near-infrared (FUV to IRAC2 bands). The resulting discs are physically motivated and maximal, due to their mass-to-luminosity ratio being higher in the center of the galaxies than at their outskirts. In this maximal-disc situation, bars and bulges of galaxies can no longer be ignored and the appropriate corrections need to be made on the luminosity or circular velocity profiles of the galaxy. In the second part, an additional module of the open source software Open Filters was written in order to take into account the mechanical properties of thin films in the design of optical coatings. The mechanical stresses arising in optical coatings can have a deleterious effect on the optical performances of coatings, and this tool was meant to provide design capacities to minimize this effect. Broadband reflective coatings for Fabry-Perot plates were designed and fabricated as a proof of concept of the method. This specific case was interesting because the curvature induced by mechanical stresses induces decrease of the finesse of Fabry-Perot etalons. Actual curvature of the deposited samples are coherent with the numerical calculations and undergo a substantial reduction for the two strategies devised here with this new design too. We therefore conclude that it is possible with this new software module to optimize coatings for their mechanical behaviour as well as for their optical properties.

  10. Improvement of the performance of a large diameter silicon solar cell. Final report. Amelioration des performances de la pile solaire au silicium de grand diametre. Rapport final

    SciTech Connect

    Diguet, D.

    1984-01-01

    A method of preparing large diameter solar cells has been developed to a stage where reproducible performances are obtained. While all the problems concerned with the intrinsic quality of the silicon used in the solar cells have not yet been solved, analytical methods have been developed for selecting the most suitable silicon samples prior to use. Studies concerned with the preparation of the substrate, deposition of the antireflection bed, and soldering of the connections are reported. Equipment for examining the solar cells is described.

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

    ERIC Educational Resources Information Center

    Manitoba Dept. of Education and Training, Winnipeg.

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

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

    PubMed Central

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

    2015-01-01

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

  13. Hémangiome intestinal: une cause inhabituelle d'hémorragie digestive inexpliquée, rapport d'un cas

    PubMed Central

    Kharrasse, Ghizlane; Hadjkacem, Hanane; Azouguagh, Rachid; Soufi, Mehdi; El Malki, Omar; Ismaili, Moulay Ezzahy; Mohcine, Raouf; Ifrine, Lahcen; Belkouchi, Abdelkader

    2014-01-01

    Les hémangiomes de l'intestin grêle (HG) sont des tumeurs bénignes et rares du tube digestif, parfois responsables d'hémorragie digestive. Le diagnostic positif de ces lésions est souvent difficile mais rendu plus aisé grâce à l'avènement de la vidéo capsule endoscopique (VCE), le traitement est essentiellement chirurgical. Nous rapportons une nouvelle observation d'un hémangiome caverneux du jéjunum révélé par une hémorragie digestive récidivante et diagnostiqué par VCE et nous discutons l'apport de cet examen dans la prise en charge de l'hémorragie digestive inexpliquée tout en la comparant aux autres explorations actuellement disponibles. PMID:25709722

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

    Technology Transfer Automated Retrieval System (TEKTRAN)

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

  15. Review of IRT-Based Indices for Detecting and Diagnosing Aberrant Response Patterns. Project Psychometric Aspects of Item Banking No. 10. Rapport 86-4.

    ERIC Educational Resources Information Center

    Kogut, Jan

    Methods and indices based on item response theory (IRT) for detecting and diagnosing aberrant response patterns are reviewed. These indices are divided into three groups: (1) residuals-based; (2) likelihood-based; and (3) ratio of covariances-based (extended cautions). For each index, the determination of its sampling distribution as well as its…

  16. Mesure du rapport d'embranchement et du facteur deforme de la desintegration B0 to pilnu, et determination de |Vub| avec unetechnique de reconstruction relachee du neutrino

    SciTech Connect

    Cote, David

    2007-04-01

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

  17. Traduction et redaction: Leurs rapports dans la situation canadienne actuelle (Translation and Writing Skills: Their Relationship in the Present Canadian Situation).

    ERIC Educational Resources Information Center

    Flamand, Jacques

    1981-01-01

    States the need for placing greater emphasis on writing and less on translation, particularly in a country such as Canada where two official languages require many translations and where the French language is constantly threatened by the overwhelming pressure of English. Sees translation quality as largely dependent on quality writing.…

  18. Adult Literacy: Policies, Programs and Practices. Lessons Learned. Final Report = Alphabetisation des adultes: politiques, programmes et pratiques. Etude bilan. Rapport final.

    ERIC Educational Resources Information Center

    2001

    Studies and reports examining the problems associated with adult literacy and efforts to address those problems were reviewed to identify lessons for adult literacy programs in Canada and elsewhere. Low literacy levels were linked to above-average rates of personal and/or learning difficulties, low self-esteem, associated social problems, and…

  19. L'evaluation des politiques institutionnelles d'evaluation des apprentissages. Rapport synthese (The Evaluation of Institutional Policies of Evaluation of Learning. Synthesis Report). 2410-0520.

    ERIC Educational Resources Information Center

    Lindfelt, Bengt, Ed.

    In accordance with provincial educational regulations, Quebec's community colleges have adopted "politiques institutionnelles d'evaluation des apprentissages" (PIEA), or institutional policies of the evaluation of learning. This report provides a synthesis of evaluations of the PIEA conducted by the province's Commission on the Evaluation of…

  20. Rapport sur l'état du patrimoine astronomique dans les observatoires français de la fin du XIXè siècle

    NASA Astrophysics Data System (ADS)

    Damm, E.; Pécontal, E.

    2012-12-01

    Suite au colloque sur la sauvegarde du patrimoine astronomique organisé par le MAEE et la SAF, sous l'égide de l'UNESCO, qui a conduit à l'adoption de la Déclaration de Paris, les directeurs d'observatoires institutionnels qui étaient absents du colloque ont ressenti le besoin de discuter de ces conclusions prises en leur nom. L'initiative d'organiser une réunion des directeurs des Observatoires des Sciences de l'Univers (OSU) à ce sujet le 30 janvier 2012 a été prise par François Vernotte, directeur de l'Observatoire de Besançon. Le présent compte-rendu de visite résulte d'une initiative spontanée d'Emmanuel Pécontal, astronome responsable du Patrimoine à l'observatoire de Lyon, et d'Evelyne Damm, membre de la Commission Nationale de classement des Monuments Historiques (CNMH) et élue à la communauté d'agglomération des Portes de l'Essonne oû est sis l'observatoire de Camille Flammarion.

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

    ERIC Educational Resources Information Center

    Council for Cultural Cooperation, Strasbourg (France).

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

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

    NASA Astrophysics Data System (ADS)

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

    1998-04-01

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

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

    ERIC Educational Resources Information Center

    Fortier, Anne-Marie

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

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

    PubMed Central

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

    2014-01-01

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

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

    ERIC Educational Resources Information Center

    Jastrab de Saint Robert, de Marie-Josee

    1988-01-01

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

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

    ERIC Educational Resources Information Center

    Canadian Teachers' Federation, Ottawa (Ontario).

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

  7. Fiches Pratiques: Mots...a croiser; Profitons du cinema; Le discours rapporte; Cent ans (Practical Ideas: Words...to Cross; Let's Take Advantage of the Movies; Relating Others' Discourse; One Hundred Years).

    ERIC Educational Resources Information Center

    Vever, Daniel; And Others

    1991-01-01

    Four class activities for French language instruction are described, including a crossword puzzle exercise emphasizing French culture, use of films for developing a variety of language skills, techniques for helping students discuss others' ideas, and an exercise promoting discussion through photographs of older adults engaged in various…

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

    ERIC Educational Resources Information Center

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

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

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

    ERIC Educational Resources Information Center

    International Telecommunication Union, Geneva (Switzerland).

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

  10. Seminar on Functional Illiteracy in Industrialized Countries (Ottenstein, Austria, May 30-June 3, 1989). Final Report and Recommendations = Seminaire sue l'analphabetisme fonctionnel dans des pays industrialises (Ottenstein, Autriche, 30 mai-3 juin 1989). Rapport final et recommandations.

    ERIC Educational Resources Information Center

    Austrian Commission for UNESCO, Vienna.

    The seminar on "Functional Illiteracy" was planned as a follow-up to the "Workshop of Specialists in Europe on Functional Illiteracy" held in December 1986, organized by the United Nation's Educational, Scientific, and Cultural Organization's (UNESCO) Institute for Education. Representatives of 17 countries and UNESCO, the International Institute…

  11. The Challenge of Declining Enrolments. Critical Emerging Problems and Recommendations for Immediate Action. Interim Report No. 2. [La Baisse des Effectifs Scolaires. Problemes Critiques et Recommandations pour une Action Immediate. Rapport Preliminaire No. 2].

    ERIC Educational Resources Information Center

    Jackson, Robert W. B.

    This second interim report on declining enrollment in Ontario identifies the major implications of the several factors associated with declining enrollments and makes recommendations for immediate action to contribute to the stability of the system while preparing and initiating long-term policies. The first part of the report deals with…

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

    USGS Publications Warehouse

    Taylor, George C.; Lemoine, Rémy C.

    1949-01-01

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

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

    NASA Astrophysics Data System (ADS)

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

    2002-09-01

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

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

    ERIC Educational Resources Information Center

    Geers, Frederik; And Others

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

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

    ERIC Educational Resources Information Center

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

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

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

    ERIC Educational Resources Information Center

    Saint Catherine Coll., St. Paul, Minn.

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

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

    ERIC Educational Resources Information Center

    Philip, Sister Marie, Ed.; And Others

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

  18. International Congress: Physical Activities--Sport--Development (Nabeul, Tunisia, February 24-26, 1992). Final Report. = Congres International: Activites physiques--Sport--Developpement (Nabeul, Tunisie, 24-26 fevrier 1992). Rapport final.

    ERIC Educational Resources Information Center

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

    The aim of this international congress was to strengthen international cooperation in the field of physical education and sport and to promote practical measures based on partnership among government authorities, volunteer organizations, and private national or multinational corporations, by pointing out the contribution that the rational practice…

  19. A Bibliography of Canadian Day Care Research. Report of the Task Force on Child Care: Series 6 = Bibliographie des etudes sur la garde des enfants au Canada. Rapport du groupe d'etude sur la garde des enfants.

    ERIC Educational Resources Information Center

    Pence, Alan R.

    Part of an effort to provide detailed analyses of issues of special relevance to child care and parental leave policies and the effects of these issues on the changing Canadian family, this volume, the last in a series of six, provides a bibliography of Canadian day care research. (RH)

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

    ERIC Educational Resources Information Center

    Barnes, Bruce D.; Lock, Graeme

    2010-01-01

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

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

    ERIC Educational Resources Information Center

    Kim, Yanghee; Thayne, Jeffrey

    2015-01-01

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

  2. Ontario Postsecondary Enrolment Report, 1977-81: Universities, Colleges of Applied Arts and Technology, Other Postsecondary Institutions = Rapport sur l'effectif des etablissements postsecondaires de l'Ontario, 1977-1981: Universites, colleges d'arts appliques et de technologie, et autres etablissements postsecondaires.

    ERIC Educational Resources Information Center

    Ontario Ministry of Colleges and Universities, Toronto.

    Enrollment Data for 1977-1981 full- and part-time students in postsecondary institutions in Ontario, Canada, are presented in response to information needs of institutions and the Ontario Ministry of Colleges and Universities. The introduction, highlights of findings, and statistical tables are presented in both French and English. Analysis is…

  3. Identification et validation des savoir-faire et des connaissances acquises dans la vie et les experiences de travail. Rapport comparatif France/Royaume-Uni = Identification and Accreditation of Skills and Knowledge Acquired through Life and Work Experience. Comparative Report of Practice in France and the United Kingdom. First Edition.

    ERIC Educational Resources Information Center

    Perker, Henriette; And Others

    In France and the United Kingdom (UK), procedures have been devised to allow the skills and knowledge acquired through life and work experience to be identified and accredited. In France, achievements from social and working life are identified in two ways: the personal and occupational competencies of workers are evaluated through a "bilan de…

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

    ERIC Educational Resources Information Center

    Pillai, Sharmila, Ed.

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

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

    ERIC Educational Resources Information Center

    National Library of Canada, Ottawa (Ontario).

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

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

    ERIC Educational Resources Information Center

    Canadian Bar Association, Ottawa (Ontario).

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

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

    ERIC Educational Resources Information Center

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

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

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

    ERIC Educational Resources Information Center

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

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

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

    ERIC Educational Resources Information Center

    Duquette, Georges

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

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

    ERIC Educational Resources Information Center

    Manitoba Dept. of Education and Training, Winnipeg.

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

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

    ERIC Educational Resources Information Center

    Canadian Child Care Federation, Ottawa (Ontario).

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

  12. L'Examen des politiques institutionnelles d'evaluation des apprentissages et de leur mise en oeuvre: rapport sur l'etat et les besoins de l'enseignement collegial en evaluation (An Investigation of the Institutional Policies of Evaluation of Apprenticeships and Their Implementation: Report on the Status and the Needs of Evaluation in Collegial Education).

    ERIC Educational Resources Information Center

    Conseil des Colleges, Quebec (Quebec).

    This two-part report by the Commission on Evaluation of the Council of Colleges in Quebec focuses on the progress of the province's colleges in developing and implementing legislatively mandated policies concerning the evaluation of apprenticeships. Chapter 1 identifies the 95 colleges with policies meeting the criteria established by the…

  13. Edutex-Eduserve: Deux serveurs dedies a l'education. Utilisation pedagogique d'outils telematiques: Rapport d'activites et temoignages (EduTex-EduServe: Two Servers Dedicated to Education. Pedagogical Use of Telecommunications Tools: Report of Activities and Findings).

    ERIC Educational Resources Information Center

    Inglin, Therese; Girod, Daniel

    The educational activities using school telecommunications that are detailed in this document emanate from two participants in the EduTex Project, which has been carried out for almost four years by the Institut Romand de Recherches et de Documentation Pedagogiques (IRDP) at the mandatory schooling level. For several years these two teachers have…

  14. Pregnancy Counseling for Teenagers.

    ERIC Educational Resources Information Center

    Eddy, John; And Others

    1983-01-01

    Outlines a structured interview process to help school counselors deal with pregnant adolescent students. The process includes developing rapport, aspects of legality and confidentiality, affective empathy, directive versus nondirective approaches, gathering background information and considering alternatives. (JAC)

  15. 24 CFR 904.203 - Planning.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... indigenous trainers to insure good communication and rapport. Special attention shall be directed to the... native language of the people shall be used. If feasible all instructional materials shall be in...

  16. 24 CFR 904.203 - Planning.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... indigenous trainers to insure good communication and rapport. Special attention shall be directed to the... native language of the people shall be used. If feasible all instructional materials shall be in...

  17. 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)

  18. 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)

  19. Academic Service Quality and Instructional Quality.

    ERIC Educational Resources Information Center

    Greiner, Keith; Westbrook, Thomas S.

    2002-01-01

    Examined the relationship between academic service quality and instructional quality in higher education. Found a high correlation between academic service and instructional quality, with academic service overlapping instructional quality in three dimensions: enthusiasm, organization, and rapport. (EV)

  20. Corrosion behaviour of materials at elevated temperatures in an oxidising atmosphere containing sulphur derivatives: influence of the compositon of aggressive phases and of the tested alloys. Final report. [Uranus S; Ni-5. 4Cr-3Al]. Tenue a la corrosion a temperature elevee de materiaux par les milieux oxydants contenant des derives soufres: influence de la composition des phases agressives et des alliages experimentes. rapport final

    SciTech Connect

    Cappelaere, M.; Lechaudel, R.; Turcot, G.

    1984-01-01

    Investigations on the resistance of Alloy 800, Uranus S, and Fe-Cr-Al (5.4% Cr, 3% Al) to sulphur dioxide have been carried out, considering three variables:- (1) duration of tests, (2) pressure of sulphur dioxide, and (3) concentration of bromine (10 and 100 x 10 to the minus 6 power by weight).

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

    ERIC Educational Resources Information Center

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

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

  2. Facilitating Maltreated Children’s Use of Emotional Language

    PubMed Central

    AHERN, ELIZABETH C.; LYON, THOMAS D.

    2014-01-01

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

  3. 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

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

    PubMed

    Patel, Viraat; Koo, John Y M

    2015-10-01

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

  5. Comparing whole-genome sequencing with Sanger sequencing for spa typing of methicillin-resistant Staphylococcus aureus.

    PubMed

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

    2014-12-01

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

  6. [FastTrack approach to major colorectal surgery].

    PubMed

    Susa, Antonio; Roveran, Antonietta; Bocchi, Anna; Carrer, Sara; Tartari, Stefano

    2004-01-01

    Intensive rehabilitation programs after major abdominal, thoracic and vascular surgery have been published over the last few years, showing early recovery, fewer complications and a quicker discharge. The aim of the study was to evaluate the feasibility and efficacy of a multimodal intensive rehabilitation program (FastTrack) after major colorectal surgery, according to the experience of Dr. H. Kehlet of Hvidovre University Hospital, Copenhagen. The study design was of the prospective, randomized, controlled type. Forty patients undergoing elective colonic surgery were randomly selected and assigned to two groups well matched for age, weight, ASA and type of resection. The FastTrack group underwent a multimodal rehabilitation program with epidural analgesia, short laparotomy, early feeding and mobilisation. The control group had the usual postoperative treatment with a pain control program. The FastTrack group exhibited a shorter need for assisted ventilation, a lower sedation level and lower opioid consumption over the first 24 hours. We also observed a statistically significant earlier onset of peristalsis (0.5 vs 2.7 days), gastrointestinal function (defecation) (2.8 vs 5.8 days), regular feeding (3.1 vs 7.2 days) and autonomous ambulation (3.3 vs 6.9). The multimodal rehabilitation approach to colon surgery permits an earlier postoperative recovery, better postoperative performance and quicker functional autonomy. These results may have important implications for the management of patients after major colorectal surgery. PMID:15771036

  7. Comparing whole-genome sequencing with Sanger sequencing for spa typing of methicillin-resistant Staphylococcus aureus.

    PubMed

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

    2014-12-01

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

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

    PubMed Central

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

    2014-01-01

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

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

    ERIC Educational Resources Information Center

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

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

  10. 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.…

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

    ERIC Educational Resources Information Center

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

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

  12. 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…

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

    ERIC Educational Resources Information Center

    Sandhu, Daya S.; And Others

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

  14. 24 CFR 904.203 - Planning.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... counseling and training program shall be flexible and responsive to the needs of each prospective homebuyer... indigenous trainers to insure good communication and rapport. Special attention shall be directed to the needs of working members of the family for counseling and training sessions to be held where and...

  15. 24 CFR 904.203 - Planning.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... counseling and training program shall be flexible and responsive to the needs of each prospective homebuyer... indigenous trainers to insure good communication and rapport. Special attention shall be directed to the needs of working members of the family for counseling and training sessions to be held where and...

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

    ERIC Educational Resources Information Center

    Rosen, Carl L.

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

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

    PubMed Central

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

    2014-01-01

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

  18. 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…

  19. 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…

  20. Development of an Occupational Therapy Practice Perspective in a Homeless Shelter: A Fieldwork Experience.

    ERIC Educational Resources Information Center

    Heubner, Joanne; Tryssenaar, Joyce

    1996-01-01

    An occupational therapy student's journal describes a clinical experience in a homeless shelter. Key themes were residents' search for meaning in life and the student's search for meaning in the therapist role; the importance of rapport; and residents' innate drive toward purposeful activity, which the student was able to address. (SK)

  1. Dominican Migration to the United States, 1970-1997: An Annotated Bibliography. Dominican Research Monographs.

    ERIC Educational Resources Information Center

    Aponte, Sarah

    This annotated bibliography provides an overview of the history, development, and representation of the process of Dominican migration to the United States. It examines the causes and consequences of this massive exodus in connection with the economic and political rapport between the Dominican Republic and the United States. It also offers an…

  2. 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…

  3. Will Team Teaching Work for You?

    ERIC Educational Resources Information Center

    Verma, Serjit K.

    1979-01-01

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

  4. Learning to Converse in a Foreign Language: The RECEPTION GAME.

    ERIC Educational Resources Information Center

    Kaplan, Marsha A.

    1997-01-01

    The RECEPTION GAME teaches conversation skills to adult foreign language learners with positions in international business and diplomacy. The design combines elements of simulation and experiential learning and takes into account conversation's rapport-building function, turn-taking mechanisms, open-ended structure, listening demands for following…

  5. Training Proficiency Scale (Form A) Manual.

    ERIC Educational Resources Information Center

    Gardner, James M.

    The Training Proficiency Scale, designed to evaluate the competence of a trainer utilizing operant conditioning techniques with the mentally handicapped, is described in terms of its need, development, reliability and validity qualities, and four areas of assessment (shaping behavior, rewarding, communicating, and rapport). The scale is presented…

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

    ERIC Educational Resources Information Center

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

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

  7. 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…

  8. Cheerleading. A Handbook for Teacher-Sponsors.

    ERIC Educational Resources Information Center

    Chicago Board of Education, IL.

    The high school cheerleader has the opportunity to set the stage for sportsmanship, school spirit, and the mood of the athletic program. A carefully planned program is essential to leading cheerleading sections into feelings of good fellowship and interschool rapport. This handbook is designed to assist teacher-sponsors and administrators in the…

  9. Extending Graduate Level Education: A Management Model.

    ERIC Educational Resources Information Center

    Hales, Robert L.; Felt, Stephen B.

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

  10. 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…

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

    PubMed Central

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

    2015-01-01

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

  12. 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…

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

    ERIC Educational Resources Information Center

    Pouliot, Chantal

    2011-01-01

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

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

    ERIC Educational Resources Information Center

    Laot, Francoise F.

    2010-01-01

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

  15. Communicating with patients.

    PubMed

    Kaplowitz, G J

    1999-01-01

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

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

    ERIC Educational Resources Information Center

    Laube, Douglas W.; And Others

    1982-01-01

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

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

    SciTech Connect

    Richard L. Moore

    2008-01-01

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

  18. Student Perceptions of Effective Foreign Language Teachers: A Quantitative Investigation from a Korean University

    ERIC Educational Resources Information Center

    Barnes, Bruce D.; Lock, Graeme

    2013-01-01

    The present study uses a questionnaire instrument to measure the importance that students from a Korean university place on a wide range of effective foreign language teacher attributes. Respondents to the present study placed high importance on rapport attributes such as friendliness, care, and patience; and delivery attributes which included the…

  19. 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…

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

  1. Revisiting the Teachers' Lounge: Reflections on Emotional Experience and Teacher Identity

    ERIC Educational Resources Information Center

    Shapiro, Shawna

    2010-01-01

    This essay explores the relationship between emotion and teacher identity, using a framework of personal experience and published research from a variety of disciplines. The author argues that an increased awareness of emotional experience serves not only to increase rapport among educators, but also to counteract the persistent dehumanization of…

  2. 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…

  3. Millennial Values and Boundaries in the Classroom

    ERIC Educational Resources Information Center

    Espinoza, Chip

    2012-01-01

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

  4. 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…

  5. 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…

  6. 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…

  7. Communicating with patients.

    PubMed

    Kaplowitz, G J

    1999-01-01

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

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

    ERIC Educational Resources Information Center

    Brod, Shirley, Comp.

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

  9. 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…

  10. 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…

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

    ERIC Educational Resources Information Center

    Betts, Nicoletta C.

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

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

    ERIC Educational Resources Information Center

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

    2002-01-01

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

  13. 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…

  14. 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…

  15. 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…

  16. 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…

  17. 42 CFR 488.110 - Procedural guidelines.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... otherwise, in order to enhance the development of rapport as well as to allay any resident anxiety. Tell the... nonthreatening and noninvasive fashion so as to decrease anxiety and defensiveness. The open-ended approach... Restorative/rehabilitation care and services Activities Social services Resident rights Refer to the...

  18. 42 CFR 488.110 - Procedural guidelines.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... otherwise, in order to enhance the development of rapport as well as to allay any resident anxiety. Tell the... nonthreatening and noninvasive fashion so as to decrease anxiety and defensiveness. The open-ended approach... Restorative/rehabilitation care and services Activities Social services Resident rights Refer to the...

  19. 42 CFR 488.110 - Procedural guidelines.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... otherwise, in order to enhance the development of rapport as well as to allay any resident anxiety. Tell the... nonthreatening and noninvasive fashion so as to decrease anxiety and defensiveness. The open-ended approach... Restorative/rehabilitation care and services Activities Social services Resident rights Refer to the...

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

    ERIC Educational Resources Information Center

    Cox, Elaine

    2005-01-01

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

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

    PubMed Central

    Gallouj, Salim; Mernissi, Fatima Zahra

    2014-01-01

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

  2. 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…

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

    ERIC Educational Resources Information Center

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

    2015-01-01

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

  4. Fracture négligée du capitellum chez un adulte: à propos d'un cas et revue de la literature

    PubMed Central

    Belmoubarik, Amine; Achargui, Anis; Azagui, Yassine; Bennouna, Driss

    2015-01-01

    Les auteurs rapportent un cas de fracture du capitellum négligée chez une femme de 36 ans ayant des limitations fonctionnelles. Après revue de la littérature, ils discutent le problème de la prise en charge thérapeutique et le pronostic de la lésion. PMID:26430481

  5. 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…

  6. Thirty Tips for Being a Better School Administrator.

    ERIC Educational Resources Information Center

    Bingham, Bebe

    1986-01-01

    Suggests 30 strategies a secondary school principal can follow for (1) improving rapport with parents, students, subordinates, superiors, and community representatives; (2) enhancing his or her own image and that of the school; and (3) ensuring the smooth administrative functioning of the school. (PGD)

  7. 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…

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

    ERIC Educational Resources Information Center

    Hendry, Gillian; Wiggins, Sally; Anderson, Tony

    2016-01-01

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

  9. Extending Psychotherapeutic Strategies to People with Disabilities.

    ERIC Educational Resources Information Center

    McDowell, William A.; And Others

    1989-01-01

    Reflects on contributions of Milton H. Erickson from which modern mind-body counseling interventions originate using Beatrice Wright's principles of attention to individual needs, respect for situational complexities, and flexibility. Includes strategies to develop rapport, therapeutic use of imagery, reframing, and other paradoxical techniques…

  10. Clinical Issues in the Assessment of Adolescent Defendants.

    ERIC Educational Resources Information Center

    Cornell, Dewey G.

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

  11. Zip Pak for Reading Readiness Level.

    ERIC Educational Resources Information Center

    Scott, Norval C., Comp.

    Zip Paks were created by 16 participants who met in the summer of 1968 to produce a reading booklet to be used especially by migrant children. Zip Paks range from the reading readiness level through the third level. Objectives of the Zip Pak for the reading readiness level are to: (1) establish rapport with the child, (2) make the child…

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

    ERIC Educational Resources Information Center

    Keeley, Stuart M.; And Others

    1995-01-01

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

  13. A Novel Approach to Teaching Electrochemical Principles.

    ERIC Educational Resources Information Center

    Krause, Paul; Manion, Jerry

    1996-01-01

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

  14. 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…

  15. A Meta-Model for Structuring the Clinical Interview.

    ERIC Educational Resources Information Center

    Ivey, Allen E.; Matthews, William J.

    1984-01-01

    Presents a meta-model based on genetic epistemology for interviewing structure. Discusses developing rapport, gathering information, determining outcome, exploring alternatives and confronting incongruity, generalizing and transfering training, and the model's usefulness for counselors in planning sessions, developing interviewing summary notes,…

  16. Bridging the Gap between School Counselors and Teachers: A Proactive Approach.

    ERIC Educational Resources Information Center

    Davis, Keith M.; Garrett, Michael Tlanusta

    1998-01-01

    Outlines four methods by which school counselors may ensure mutual understanding with teachers about their role while developing rapport and further improving their professional status as competent counselors whose primary interest is in the welfare of the students. Suggests these strategies as effective for bridging the gap that exists between…

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

    ERIC Educational Resources Information Center

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

    2005-01-01

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

  18. 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…

  19. 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…

  20. The Therapeutic Community Teaching Concept in Behavioral Science Education.

    ERIC Educational Resources Information Center

    Bassin, Alexander

    In an attempt to move the principles and technology of the therapeutic community into the college classroom, the author used mutual interviews and first-name group discussion among his students to build group rapport. Once group leaders were assigned, the students again used interviewing techniques to admit members to the groups. Other features of…

  1. Adénocarcinome de l'ouraque: une cause rare d'hématurie

    PubMed Central

    En-nafaa, Issam; Latib, Rachida; Africha, Taoufik; Chami, Ilham; Boujida, Najib; Jroundi, Leila

    2013-01-01

    Les cancers de l'ouraque sont rares et de pronostic sombre. Les auteurs rapportent un cas d'adénocarcinome de l'ouraque révélé par une hématurie et exploré par échographie et tomodensitométrie abdominopelvienne. PMID:23503201

  2. 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…

  3. 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…

  4. 24 CFR 904.203 - Planning.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... close working relationship with the LHA and a program for phasing in LHA staff who will have the on... indigenous trainers to insure good communication and rapport. Special attention shall be directed to the needs of working members of the family for counseling and training sessions to be held where and...

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

    PubMed Central

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

    2015-01-01

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

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

    PubMed Central

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

    2016-01-01

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

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

    PubMed

    Norn, M

    1999-01-01

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

  8. 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

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

    PubMed

    Turnbull, J

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

  10. Audience Design and Social Relations in Aging.

    PubMed

    Keller-Cohen, Deborah

    2015-10-01

    This study asks two questions: (1) Do older adults modify their language based on age of the listener (audience design)? (2) Does social contact affect audience design in older adults? Older adults (n = 34; mean age = 82) engaged in an instructions task with two fictive listeners (a child and an adult) to test these questions. Results show that older adults used a greater total number of propositions and rapport-building devices and a lower type-token ratio when giving instructions to the child compared to the adult listener. Adults with more social interactions used more propositions when talking to a child. In addition, satisfaction with interactions was significantly positively related to task-tracking devices and negatively related to rapport-building devices by older adults. These results suggest that audience design and social relations are worth further study in language maintenance in older age. PMID:25651591

  11. 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

  12. Sensitivities: emotion-work and resulting personal effects in researching Black lesbians.

    PubMed

    Lewis, Michele K

    2011-01-01

    The issues of self-disclosure, empathy, sharing the lives of others, developing rapport, and emotional memories are presented in relationship to the conduct of qualitative research interviews with Black lesbian students attending a historically Black university within a southern U.S. regional context. The challenge of doing such sensitive research is discussed from my perspective of also being a Black lesbian researcher, and the questions that this raised for me.  Specific examples from the interview experiences are provided of self-disclosure, empathy, and rapport with the student participants.  Conclusions suggest the need for building a community of social support for female scholars of African descent who study and serve Black lesbian populations.

  13. Acute circulatory deficiency due to endocrinal tumoral manipulation: the pinealoblastoma

    PubMed Central

    Heithem, Chemchihik; Issaoui, Ghazi; Khadraoui, Mejdi; Ladib, Mohamed; Naija, Walid; Said, Rachid

    2014-01-01

    We rapport the case of a patient presenting intra-abdominal metastasis of a pinealoblastoma, via a ventriculo-peritoneal shunt, confirmed by an anatomo-pathologic exam. The patient presented an acute hydrocephalus secondary to DVP dysfunction. The surgical manipulation of this metastasis had caused an acute circulatory deficiency due to massive serotonin release. In this case we analyze pineal gland physiology and serotonin effect on different systems. PMID:25422686

  14. Acute circulatory deficiency due to endocrinal tumoral manipulation: the pinealoblastoma.

    PubMed

    Heithem, Chemchihik; Issaoui, Ghazi; Khadraoui, Mejdi; Ladib, Mohamed; Naija, Walid; Said, Rachid

    2014-01-01

    We rapport the case of a patient presenting intra-abdominal metastasis of a pinealoblastoma, via a ventriculo-peritoneal shunt, confirmed by an anatomo-pathologic exam. The patient presented an acute hydrocephalus secondary to DVP dysfunction. The surgical manipulation of this metastasis had caused an acute circulatory deficiency due to massive serotonin release. In this case we analyze pineal gland physiology and serotonin effect on different systems.

  15. Teaching tip: making the most of hospital rounds.

    PubMed

    Lane, India F; Cornell, Karen K

    2013-01-01

    Effective clinical teaching rounds are facilitated by adequate and specific orientation, a positive climate, interpersonal rapport, and dynamic discussions. Using fewer and better-quality questions also promotes effective learning and saves valuable time, while providing multiple opportunities for student engagement and for assessing student performance. This paper provides a brief review of these key points and offers tips and examples for clinicians or other team members leading conference room rounds sessions in veterinary settings. PMID:23697541

  16. Researching children: some methodological and ethical considerations.

    PubMed

    Coyne, I T

    1998-09-01

    This paper examines some of the methodological issues and ethical considerations in researching children. Collecting data from children raises issues of informed consent, establishing rapport, and privacy and confidentiality. Children's consent to research remains a contentious issue that requires further deliberations. Researchers need to be flexible in their research with children and be cognisant of the strategies that can be used to enhance the quality of responses from children.

  17. Association syndrome de Gougerot Sjogren et maladie cœliaque

    PubMed Central

    Khammassi, Naziha; Mohsen, Dorsaf; Kort, Youssef; Abdelhedi, Haykel; Cherif, Ouahida

    2015-01-01

    De nombreuses pathologies ont été associées à la maladie cœliaque (MC). L'association avec un syndrome de Gougerot Sjogren (SGS) a rarement été rapportée, mais une association due au simple hasard ne peut être exclue. Dans ce cas, le risque d'oncogenèse est double et une surveillance régulière s'impose. PMID:26664534

  18. 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.

  19. 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

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

    PubMed

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

    2016-09-01

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

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

    PubMed

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

    2016-09-01

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

  2. The Quality of Reports of Randomized Controlled Trials Varies between Subdisciplines of Physiotherapy.

    PubMed

    Moseley, Anne M; Elkins, Mark R; Janer-Duncan, Lee; Hush, Julia M

    2014-01-01

    Objectif: La qualité des rapports sur les essais randomisés portant sur des interventions en physiothérapie varie selon l'année de publication, la langue de publication et la question de savoir si l'intervention évaluée constitue un type d'électrothérapie. On n'a pas encore cherché systématiquement à déterminer si la qualité varie aussi en fonction de la sous-discipline de la physiothérapie. Cette étude visait à déterminer si la qualité des rapports portant sur les essais varie en fonction de la sous-discipline de la physiothérapie évaluée. Méthodes: On a trouvé des rapports portant sur des essais en physiothérapie en utilisant la base de données factuelles sur la physiothérapie (PEDro). On a évalué la qualité du rapport sur l'essai en fonction de l'échelle PEDro (résultat PEDro total et 11 questions individuelles). De multiples régressions linéaires et logistiques ont servi à prédire la qualité des rapports sur les essais et les sous-disciplines, le temps écoulé depuis la publication, la langue de la publication et l'évaluation de l'électrothérapie ont servi de variables indépendantes dans le modèle. Résultats: Les résultats PEDro globaux sont plus élevés lorsque les rapports sur les essais sont plus récents; lorsqu'ils sont publiés en anglais, lorsqu'ils portent sur l'électrothérapie et les sous-disciplines suivantes: musculosquelettique, neurologie, cardiopulmonaire, gérontologie, continence et santé des femmes, orthopédie ou pédiatrie. On établit un lien entre les essais dans les sous-disciplines ergonomie et santé au travail, oncologie et sports et des résultats PEDro globaux moins élevés. Il y a un lien positif entre la sous-discipline musculosquelettique et six des questions de l'évaluation PEDro, plus que dans toute autre sous-discipline. Conclusion: Il est possible d'améliorer la qualité de l'exécution d'essais randomisés et des rapports à leur sujet dans toutes les sous-disciplines de la

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

    PubMed

    Hölmich, Per

    2015-12-01

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

  4. Participation during First Social Encounters in Schizophrenia

    PubMed Central

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

    2014-01-01

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

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

    PubMed Central

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

    2014-01-01

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

  6. Social determinants and risk factors for tuberculosis in national surveillance systems in Europe.

    PubMed

    de Colombani, P; Hovhannesyan, A

    2015-09-21

    Contexte : Programmes nationaux contre la tuberculose (PNT) des 53 états membres de la région Europe de l'Organisation Mondiale de la Santé (OMS).Objectifs: Identifier les déterminants sociaux et les facteurs de risque sous-jacents de la tuberculose (TB) tels qu'ils sont suivis en routine par les PNT et identifier ceux qui sont faciles à recueillir et appropriés pour les inclure dans le rapport annuel à la plate-forme conjointe du Centre européen de prévention et contrôle des maladies (CEPCM) et l'OMS.Schéma : Un questionnaire semi-structuré a été envoyé à 53 correspondants des programmes nationaux de surveillance de la TB.Résultats : Au total, 47 pays ont soumis leurs questionnaires ; la plupart des pays recueillent un certain nombre de déterminants sociaux et de facteurs de risque qui ne sont pas exigés dans les rapports destinés à la plate-forme conjointe CEPCM-OMS. Profession, absence de domicile fixe, diabète et consommation d'alcool sont recueillis par la majorité des pays, mais sans définitions standardisées.Conclusions : Quatre déterminants sociaux/facteurs de risque sont déjà inclus dans le système national de surveillance de la TB dans la majorité des pays et pourraient être incorporés dans le rapport annuel à la plate-forme conjointe CEPCM/OMS. Mais il faut adopter des définitions de cas épidémiologiques standardisées.

  7. Clinical assessment and management of psychiatric patients' violent and aggressive behaviors in general hospital.

    PubMed

    Bernstein, Kunsook Song; Saladino, Joseph P

    2007-10-01

    Patients with co-morbid psychiatric disorders exhibiting violent and aggressive behaviors can be a challenge for nurses in medical-surgical units. They can deliver effective, safe care by assessing risk and building a rapport with the patient during the admission process; utilizing crisis prevention strategies, including appropriate medication administration, environmental, psychobiological, counseling, and health teaching interventions; and employing conflict resolution technique. Utilizing the nursing process, the nurse can provide effective therapeutic interventions to promote safety for both the patient and the nurse. PMID:18072668

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

    PubMed

    Joly, Bernard

    2014-01-01

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

  9. 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.

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

    PubMed

    Joly, Bernard

    2014-01-01

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

  11. [Individual psychotherapy. Institutional psychotherapy: Theoretical-clinical aspect].

    PubMed

    Huerta Valadez, G

    1977-01-01

    At the Clínica Hospital Vasco de Quiroga, in Morelia, satisfying results were obtained using a psychotherapeutic approach that included abreaction of conflicts, exercise of directive authority, an attitude to relieve the patient of his guilt, advising, orienting and persuading the patients. This approach includes establishing rapport, obtaining information about the problem, elaborating a diagnostic impression, orienting oneself towards individual psychotherapy, and evaluating how frequently the sessions will be held, according to the therapist's affective neutrality, time available and capacity to listen.

  12. Apnée lors d'une intubation difficile prévisible pour un volumineux kyste laryngé

    PubMed Central

    Zalagh, Mohammed; Hachimi, Moulay Ahmed; Boukhari, Ali; Attifi, Hicham; Hmidi, Mounir; Messary, Abdelhamid

    2014-01-01

    Les auteurs présentent un cas d'obstruction aiguë des voies aériennes supérieures au moment de la tentative d'une intubation endotrachéale difficile prévisible en rapport avec un volumineux kyste du larynx. A travers ce cas clinique, les auteurs insistent sur la coopération étroite entre médecin anesthésiste et chirurgien ORL en termes d’échanges d'informations pré-opératoires, en particulier les données de la fibroscopie et la tomodensitométrie. PMID:25767649

  13. Compliance and phototherapy.

    PubMed

    Brownell, Joshua; Wang, Stephanie; Tsoukas, Maria M

    2016-01-01

    When beginning a phototherapy regimen for a patient, consideration of compliance rates is important. Compliance to phototherapy can be affected by several factors, including the grade of discomfort and side effects from therapy, failure of previous therapies, accessibility and convenience to reach the phototherapy center, grade of improvement during phototherapy, patient relief due to light therapy, and rapport with staff. Understanding how these factors can affect patient adherence can allow for phototherapy regimens to be tailored in a manner that optimizes health outcomes and allows for proper patient selection. PMID:27638436

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

    PubMed Central

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

    2013-01-01

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

  15. 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.

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

    PubMed Central

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

    2014-01-01

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

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

    PubMed Central

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

    2015-01-01

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

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

    PubMed Central

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

    2015-01-01

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

  19. The diagnosis and treatment of transvestites and transsexuals.

    PubMed

    Pomeroy, W

    1975-01-01

    Transvestism and transsexualism are defined. The incidence of both as well as male versus female ratios are discussed. Etiology of each is considered. Psychotherapists can be used for proper diagnosis and couseling and, on occasion, for therapy for transvestites. Methods for this therapy are suggested. The need for establishing rapport is emphasized, and items to cover in a sex history are enumerated. Reality factors in sex changes are items that the therapist must grapple with. Factors that delineate differential diagnosis of transvestism and transsexualism are pointed out. Prevention of transsexualism in younger children is discussed.

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

    PubMed

    Anderson, Keith A; Weber, Katherine V

    2015-01-01

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

  1. 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.

  2. Nursing advocacy for women veterans and suicide.

    PubMed

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

    2015-03-01

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

  3. Erythroblastopénie induite par la grossesse: à propos d'un cas et revue de la literature

    PubMed Central

    Jihad, Drissi; Jaouad, Kouach; Driss, Moussaoui; Mohamed, Dehayni

    2016-01-01

    L’érythroblastopénie induite par la grossesse est une entité pathologique exceptionnelle dont seuls quelques cas isolés ont été décrits dans la littérature anglaise. L'objectif de ce travail est d'analyser les caractéristiques de cette pathologie extrêmement rare à travers la description d'un nouveau cas d’érythroblastopénie induite par la grossesse, et à travers l’étude des 17 cas antérieurement rapportés. PMID:27642487

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

    PubMed Central

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

    2016-01-01

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

  5. Categorizing "frequent visitors" in the psychiatric emergency room: a semistructured interview study.

    PubMed

    Buus, Niels

    2011-04-01

    Nurses can become demoralized and hostile toward frequent visitors in psychiatric emergency rooms because of the number of visits. The aim of this study was to develop more knowledge about the ways in which nurses categorize frequent visitors. Eleven nurses were interviewed, and their categorizing practices were examined from a social constructionist perspective. The results showed that the nurses did not categorize frequent visitors as particularly unlikeable or difficult to treat. Like other visitors, they could be categorized as difficult if they obstructed a smooth flow of successful referrals through the emergency room and/or there was poor rapport with the nurses.

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

    PubMed Central

    Nader, Youssef; Koulali, Khalid Idrissi

    2015-01-01

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

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

    PubMed Central

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

    2014-01-01

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

  8. 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

  9. [Potentialities and limitations of hypnosis for the treatment of pain].

    PubMed

    Peter, B

    1998-07-10

    With regard to the potentialities of hypnosis for the treatment of pain, relevant studies on hypnotic pain control are discussed. Studies with experimentally produced pain unanimously show that hypnosis is effective in controlling pain, whereas clinical studies are much more ambiguous in this respect. Three basic strategies of hypnotic pain control are outlined to which the different techniques can be subsumed: dissociative, associative, and symbolic strategies. Accountable for the limitations of hypnosis are some issues like hypnotic state, hypnotizability, rapport, hypnotic techniques, and pain as a multifactorial process. These issues are discussed and their contribution to contraindications are outlined. Especially the differences between symptom- and problem-oriented hypnotic approaches are highlighted.

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

    PubMed Central

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

    2015-01-01

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

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

    PubMed Central

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

    2006-01-01

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

  12. 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

  13. 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. PMID:9893324

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

    PubMed Central

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

    2015-01-01

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

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

    PubMed Central

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

    2015-01-01

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

  16. Tools for clinical toxicology on the World Wide Web: review and scenario.

    PubMed

    Wexler, Philip; Phillips, Scott

    2002-01-01

    Clinical toxicologists are entrusted with the health and safety of humans and animals exposed to toxic substances. To do their jobs well they need a solid knowledge of toxicological principles, an ability to handle emergent situations, a "bedside" manner that results in a good rapport with patients, and the ability to access current and accurate information in order to properly care for the afflicted. An information armamentarium that is increasingly digital and Web-based is becoming a necessity. This article reviews Web resources that can assist the toxicologist. A case scenario is presented to provide a practical perspective to the information tools outlined. PMID:12507059

  17. L’ansa pancreatica: une cause rare de pancréatite aigue

    PubMed Central

    Ayari, Hichem; Rebii, Saber; Ayari, Manel; Hasni, Radhouane; Zoghlami, Ayoub

    2012-01-01

    L’ansa pancréatica est une voie de communication accessoire entre le canal de Wirsung et un conduit pancréatique accessoire ne présentant pas de jonction normale avec le premier. L’association entre cette variante anatomique et la pancréatite aigue dite idiopathique reste hypothétique. Nous rapportons l’observation d’un patient présentant des poussées de pancréatites récidivantes qui serait en rapport avec une Ansa pancréatica. PMID:23330024

  18. ESMC

    SciTech Connect

    2007-10-31

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

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

    PubMed Central

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

    2015-01-01

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

  20. 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

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

    PubMed Central

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

    2013-01-01

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

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

    PubMed Central

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

    2013-01-01

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

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

    PubMed Central

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

    2015-01-01

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

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

    PubMed Central

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

    2011-01-01

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

  5. The urinary protein-to-creatinine ratio in Canadian women at risk of preeclampsia: does the time of day of testing matter?

    PubMed

    Lamontagne, Annie; Côté, Anne-Marie; Rey, Evelyne

    2014-04-01

    Objectifs : Déterminer le rendement d’un seuil de rapport protéines/créatinine de 30 mg/mmol chez les femmes enceintes qui font l’objet d’une exploration visant l’hypertension, en fonction du moment de la journée où l’échantillon a été prélevé. Méthodes : Cette étude prospective comptait des femmes enceintes ambulatoires qui faisaient l’objet d’une exploration visant des troubles hypertensifs. Un échantillon mictionnel aléatoire unique d’urine a été prélevé aux fins de la détermination du rapport protéines/créatinine, le tout ayant été immédiatement suivi d’un recueil des urines de 24 heures. Parmi les analyses statistiques utilisées, on trouvait la corrélation de Spearman, la sensibilité, la spécificité, les coefficients de prévision, les rapports de vraisemblance et les courbes d’efficacité du récepteur en fonction d’intervalles de confiance à 95 %. Une valeur P < 0,05 a été considérée comme étant significative sur le plan statistique. Résultats : Parmi les 91 échantillons analysés, 47,3 % ont présenté une protéinurie significative dans le cadre du recueil des urines de 24 heures et 33 % étaient issus de la première miction matinale. Le rapport protéines/créatinine et l’excrétion urinaire de protéines sur 24 heures présentaient une forte corrélation (r = 0,92, P < 0,001). La précision diagnostique du seuil de rapport protéines/créatinine de 30 mg/mmol était moins élevée dans le cas des échantillons issus de la première miction matinale que dans celui des échantillons obtenus à d’autres moments de la journée (sensibilité de 58 % et de 90 %, spécificité de 93 % et de 100 %, coefficient de prévision d’un test positif de 88 % et de 100 %, coefficient de prévision d’un test négatif de 72 % et de 92 %, rapport de vraisemblance positif de 8 et incalculable, et rapport de vraisemblance négatif de 0,45 et de 0,1, respectivement). La surface sous la

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

    PubMed Central

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

    2010-01-01

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

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

    PubMed

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

    2015-10-01

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

  8. Association de neuroleptiques atypiques avec les anticonvulsivants et syndrome malin (à propos de deux cas)

    PubMed Central

    Nabih, Fadoua Oueriagli; Benali, Abdeslam; adali, Imane; Manoudi, Fatiha; Asri, Fatima

    2014-01-01

    Le syndrome malin des neuroleptiques (SMN) est une complication rare mais grave du traitement par les neuroleptiques, pouvant engager le pronostic vital. Les auteurs rapportent deux observations, la première d'une jeune patiente de 18 ans, suivie pour une épilepsie partielle temporale, sous carbamazépine (800mg/jour) depuis 13 ans, et qui a développé un SMN après introduction d'amisulpride (600 mg/jour). La deuxième observation d'un jeune patient de 28 ans sous valproate sodium (750mg/jour) depuis 10 ans et qui a présenté un SMN après association d'olanzapine (20mg/jour). Les cliniciens doivent être vigilants par rapport au risque d'induction d'un SMN après introduction de neuroleptiques atypiques chez des patients traités pendant une longue durée avec des anticonvulsivants. PMID:25422695

  9. 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.

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

    PubMed

    Anderson, Edward R; Greene, Shannon M

    2011-10-01

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

  11. Working with People to Make Changes: A Behavioural Change Approach Used in Chronic Low Back Pain Rehabilitation

    PubMed Central

    MacRae, Marsha; Vallis, Michael; Bassett, Raewyn

    2014-01-01

    ABSTRACT Purpose: To describe the approach used by a physiotherapist who led a rehabilitation programme for injured members of the military with chronic low back pain designed to enhance self-efficacy and self-management skills. Method: This in-depth qualitative study used audio- and video-recorded data from interviews and field observations. Using an inductive analysis process, discussion of emerging themes led to a description of the physiotherapist's approach. Results: The approach has three elements: developing a trusting relationship through building rapport, establishing a need in patients' minds to be actively engaged in their rehabilitation, and finding workable rehabilitation solutions that are most likely to be adopted by individual patients. This approach fits into current theories about health behaviour change (e.g., Transtheoretical Model of Change, Motivational Interviewing, Motivational Model of Patient Self-Management and Patient Self-Management) and elements of the therapeutic alliance. Using the therapeutic alliance (rapport) and behaviour change techniques, the physiotherapist focused on the perceived importance of a behaviour change (need) and then shifted to the patient's self-efficacy in the solutions phase. Conclusions: If we recognize that rehabilitation requires patients to adopt new behaviours, becoming aware of psychological techniques that enhance behaviour change could improve treatment outcomes. PMID:24719515

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

    PubMed Central

    Dhouib, Firas; Frikha, Mohammed; Zineddine, Walid

    2014-01-01

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

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

    NASA Astrophysics Data System (ADS)

    Jonkmans, Guy

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

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

    PubMed Central

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

    2016-01-01

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

  15. 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

  16. 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

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

    PubMed

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

    2014-05-13

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

  18. Relational agents in clinical psychiatry.

    PubMed

    Bickmore, Timothy; Gruber, Amanda

    2010-01-01

    Relational agents are computational artifacts, such as animated, screen-based characters or social robots, that are designed to establish a sense of rapport, trust, and even therapeutic alliance with patients, using ideal therapeutic relationships between human counselors and patients as role models. We describe the development and evaluation of several such agents designed for health counseling and behavioral-change interventions, in which a therapeutic alliance is established with patients in order to enhance the efficacy of the intervention. We also discuss the promise of using such agents as adjuncts to clinical psychiatry, a range of possible applications, and some of the challenges and ethical issues in developing and fielding them in psychiatric interventions.

  19. A Four-Year Chronology with National Team Boxing in Canada

    PubMed Central

    Schinke, Robert J.

    2007-01-01

    Applied sport psychologists tend to begin their consulting relationships with national teams having formalized skills, and often, limited contextual and sport- specific understanding. The present report overviews the first four years of a long-term consulting relationship one practitioner developed with the Canadian National Boxing Team. From the vantage of an applied sport psychology consultant, I overview how a limited consulting role expanded into increased responsibilities and opportunities. Suggestions are provided for the aspiring sport psychology consultant interested in working with athletes and coaches within the combative sport of elite amateur boxing. Key points A case study with elite amateur boxers. A strategy to develop rapport. Four years of major games experiences on site. PMID:24198695

  20. Differences between family and emergency medicine training before sports medicine fellowship.

    PubMed

    Christensen, Mark; Christensen, Heidi K

    2015-01-01

    Residency training clearly impacts physicians' approach toward fellowship in Primary Care Sports Medicine. Although the Accreditation Council for Graduate Medical Education sets strict standards for all programs, family medicine and emergency medicine training differ a great deal in general and provide physicians from both backgrounds varied perspectives and skill sets. The family physician acquires a substantial amount of experience in continuity of care and integration of health care into a patient's everyday life. On the other hand, the emergency physician receives exceptional training in the management of acutely ill and injured patients and leadership of a large health care team. Furthermore, while the emergency physician may be skilled in procedures such as fracture reduction and diagnostic ultrasound, the family physician is proficient in developing patient rapport and compliance with a treatment plan. Although physicians from different backgrounds may start with many differences, fellowship training is essential in bridging those gaps.

  1. Etude des Abondances de MG et de fe dans la Composante Stellaire des Disques des Galaxies Spirales

    NASA Astrophysics Data System (ADS)

    Beauchamp, Dominique

    Je presente ici une technique d'observation par imagerie des disques stellaires des galaxies spirales. Je tente, a l'aide d'un modele evolutif multiphase, de determiner les abondances de fer et de magnesium dans les disques. Dans ce but, je mesure les indices Mg2 et Fe5270 du systeme de Lick. Ces elements representent un choix judicieux d'indicateurs car ils sont formes par des supernovae de deux types differents ayant des durees de vie differentes. Le rapport d'abondances de ces deux elements est un indicateur du taux de formation des populations stellaires. Je decris, en premier lieu, les observations, la technique de mesure, ainsi que son application. J'analyse ensuite les indices mesures. A partir du modele multiphase, j'explore differents parametres physiques des spirales comme le taux de formation stellaire, l'evolution des abondances, les effets possibles de la presence de la barre, etc.

  2. 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

  3. [Preliminary questions to a reflection on clinical impasses].

    PubMed

    Cantin, Lucie

    2010-01-01

    The definition of 'clinical impasse' depends not only on the clinician who-as the proposed argument suggests-would be faced to his powerlessness in specific situations, but this definition is tributary to the clinical and theoretical field inscribed within this clinician's practice. Thus, for example, the practice of psychotherapy and the practice of psychoanalysis implies very different if not opposed positions of the clinician, bringing on the patient's side, very specific difficulties and impasses. In the field of psychoanalysis conceived essentially as a practice of the ethical, one cannot address this notion of 'clinical impasse' without first questioning the position of the analyst, not as much in his rapport with theory and technique used but mainly by questioning the point and the locus within himself from which he directs the treatment. Likewise, for the analysed, can what entails impasse in the treatment be indissociable to the ethical position of the subject?

  4. 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.

  5. 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.

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

    NASA Astrophysics Data System (ADS)

    Boucher, W.; Debuisschert, T.

    2006-10-01

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

  7. Deworming/family planning project launched on estate.

    PubMed

    Siva, V

    1979-01-01

    A deworming/family planning project funded by JOICFP was successfully initiated in Kerling Estate, Kuala Kubu Bahru, Malaysia. Rapport between estate management, workers, and the National Family Planning Board helped establish the project. A recent Gotong-Royong or community self-help project had encouraged enthusiasm among workers to clean up the estate. Mothers were exhorted to plan their families and devote attention to the health and welfare of the children. The need for parents to understand the causes of infestation and educate their children to wear slippers or shoes and develop good toilet habits was emphasized by Dr. Nor Laily Aziz. Continuing National Family Planning Board and Government support was pledged.

  8. ESMC

    ScienceCinema

    None

    2016-07-12

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

  9. La trochantérite tuberculeuse, un diagnostic souvent difficile

    PubMed Central

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

    2016-01-01

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

  10. Changing concepts of positive patient communication in dentistry and orthodontics: South Indian perspective.

    PubMed

    Anbuselvan, Gobichettipalayam Jagatheeswaran; Raja, Subramani; Vilvanathan, Praburajan; Megabob, Nazargi; Prabhakar, Krishnan

    2013-06-01

    The world of communication has changed greatly over the centuries of mankind from sounds, sign languages, speech, development of language and in modern times using machines like the computer, mobile and internet. Over the past five decades, the change in communication is remarkable. Similarly positive patient communication is always necessary to build confidence, increased rapport and cooperation and minimizes misunderstanding. Returning the patient in our fold promotes the patient for further preventive care and review and using them as a positive tool helps us in an ambassador of the growth of our health care unit. Our challenge is to provide the best environment for communication with a diverse population of interest, personalities and culture. PMID:23946561

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

    PubMed

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

    2014-01-01

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

  12. Carcinoïde primitif du rein métastasant après 12 ans

    PubMed Central

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

    2016-01-01

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

  13. Importantes lésions radiologiques de spondylodiscite tuberculeuse pauci-symptomatique

    PubMed Central

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

    2014-01-01

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

  14. The Effectiveness of the Treatment Readiness and Induction Program (TRIP) for Improving During-Treatment Outcomes.

    PubMed

    Knight, Danica K; Joe, George W; Crawley, Rachel D; Becan, Jennifer E; Dansereau, Donald F; Flynn, Patrick M

    2016-03-01

    Treatment engagement is a primary pathway to change. Because motivation consistently predicts engagement and sustained recovery following treatment, targeted efforts at improving problem recognition (i.e., a significant ingredient in motivation) during early weeks of treatment are critical. The purpose of this study is to compare the effectiveness of Standard Operating Practice (SOP) versus SOP plus an 8-session Treatment Readiness and Induction Program (TRIP; delivered in the first weeks of treatment) on cognitive indicators and treatment engagement among youth in 5 residential substance use treatment settings. Structural Equation Modeling (SEM) documented higher problem recognition, decision making, and treatment engagement (participation, satisfaction, counselor rapport) among youth receiving TRIP (compared to SOP only), even when controlling for background characteristics such as age, race-ethnicity, gender, baseline drug use severity, etc. Findings suggest that TRIP is an effective induction tool that directly impacts targeted constructs (i.e., problem recognition, decision making), and also directly affects indicators of engagement.

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

    PubMed Central

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

    2015-01-01

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

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

    PubMed

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

    2016-07-01

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

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

    PubMed Central

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

    2014-01-01

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

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

    PubMed Central

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

    2014-01-01

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

  19. Morgellons disease?

    PubMed

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

    2008-01-01

    Morgellons disease, a pattern of dermatologic symptoms very similar, if not identical, to those of delusions of parasitosis, was first described many centuries ago, but has recently been given much attention on the internet and in the mass media. The present authors present a history of Morgellons disease, in addition to which they discuss the potential benefit of using this diagnostic term as a means of building trust and rapport with patients to maximize treatment benefit. The present authors also suggest "meeting the patient halfway" and creating a therapeutic alliance when providing dermatologic treatment by taking their cutaneous symptoms seriously enough to provide both topical ointments as well as antipsychotic medications, which can be therapeutic in these patients. PMID:18318880

  20. Cubitus varus: l'ostéotomie de soustraction externe a-t-elle toujours sa place? Etude rétrospective à propos de 25 cas

    PubMed Central

    Chagou, Aniss; Bassir, Réda Allah; Rhanim, Abdelkarim; Lahlou, Abdou; Berrada, Mohammed Saleh; Yaacoubi, Moradh

    2016-01-01

    Le cubitus varus est cal vicieuxle plus souvent secondaire à des fractures supracondyliennes déplacées de l'extrémité inférieure de l'humérus chez l'enfant. Différentes techniques chirurgicales ont été proposées avec un taux de réussite différents mais aussi un taux de complications rapportées différents. Nous évaluons à travers une étude rétrospective de 25 cas colligés au centre hospitalier universitaire de Rabat, les résultats de la technique de soustraction externe que nous utilisons dans notre formation pour prendre en charge cette déformation. PMID:27516828

  1. A field work experience in mental retardation.

    PubMed

    Beardslee, G R

    1976-01-01

    A graduate student specializing in mental retardation found few pertinent electives as well as little opportunity for field work experience. A special arrangement was made for appropriate field work experiences in three types of settings--a large residential institution, school programs, and nursing care facilities. There was little time to view client changes, and rapport with patients and staff was difficult to develop. The advantages included more time with her supervisor, more exposure to organizational and administrative duties, and more exposure to a variety of settings and to the professional roles of numerous therapists. More such field work experiences should be developed to encourage new therapists to choose mental retardation as a specialty. PMID:984162

  2. Crossing the cultural divide: issues in translation, mistrust, and cocreation of meaning in cross-cultural therapeutic assessment.

    PubMed

    Rosenberg, Audrey; Almeida, Angelica; Macdonald, Heather

    2012-01-01

    This article examines cross-cultural therapeutic assessment in a community mental health clinic. The first case describes the work between a Caucasian assessor and a Mexican American family. The authors explore the metaphorical and literal translation of the findings from English to Spanish and the parallel process of translation of the self, experienced by both assessor and client. The second case describes the work between a Caucasian assessor and an African American adolescent. We describe the inherent challenge between the Eurocentric "task" orientation of the evaluation and the Afrocentric "relationship" orientation. We suggest that bridging the gap between cultures and overcoming cultural mistrust lay in the building of the assessor-client relationship. Fischer's concepts of rapport and intimacy are emphasized and expanded on as we emphasize the importance of cocreated meaning in cross-cultural assessment work.

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

    PubMed Central

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

    2014-01-01

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

  4. 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

  5. Mesure de la biréfringence magnétique du vide : le projet BMV

    NASA Astrophysics Data System (ADS)

    Askenazy, S.; Billette, J.; Dupré, P.; Ganau, P.; Mackowski, J.; Marquez, J.; Pinard, L.; Portugall, O.; Ricard, D.; Rikken, G. L. J. A.; Rizzo, C.; Trénec, G.; Vigué, J.

    2002-06-01

    Notre projet porte sur la mesure de la biréfringence induite par un champ magnétique dans le vide. La grande nouveauté par rapport aux expériences antérieures tient dans l'usage d'un aimant pulsé adapté: cet aimant produira environ B = 25 tesla sur une longueur L = 1,5 m (l'effet est proportionnel au produit B^2L). La construction d'un prototype de l'aimant pulsé est déjà commencée. En parallèle, nous avons lancé la réalisation d'un ellipsomètre basé sur une cavité de très haute finesse.

  6. Méningite à streptocoque du groupe A chez le nouveau né: à propos d'un cas

    PubMed Central

    El Youssi, Hind; Touaoussa, Aziz; Deham, Hanouf; Yahyaoui, Ghita; Mahmoud, Mustapha

    2015-01-01

    Bien qu'une augmentation de l'incidence et de la sévérité des infections invasives au streptocoque du groupe A (SGA) durant ces dernières décades ait été constatée par plusieurs auteurs, les méningites dues à cette bactérie restent exceptionnelles chez le nouveau né et leur physiopathologie est encore mal connue. A travers ce travail nous allons rapporter le cas d'une méningite néonatale à SGA diagnostiquée au sein de notre formation, avec revue de la littérature s'intéressant à ces méningites. PMID:26185565

  7. Le zona ophtalmique: une dermatose rare chez l'enfant

    PubMed Central

    Zakia, Douhi; Meziane, Marieme; Salim, Gallouj; Zahra, Mernissi Fatima

    2015-01-01

    Le zona est dû a une réactivation du virus varicelle-zona (VZV) qui reste quiescent dans les ganglions sensitifs dorsaux après la varicelle. Le zona de l'enfant est rare et particulièrement la forme ophtalmique, qui peut être responsable de complications oculaires graves nécessitant une prise en charge adéquate et précoce. Il est parfois associé à des douleurs post-zostériennes dont le traitement est difficile. L'aciclovir per os administré dans les 72 heures après l’éruption a prouvé son efficacité dans la prévention des complications oculaires. Nous en rapportant un nouveaux cas chez un garçon immunocompétent de 9 ans, sans notion de varicelle antérieure. PMID:26955408

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

    PubMed Central

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

    2015-01-01

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

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

    PubMed

    Gevers, Aník; Dartnall, Elizabeth

    2014-01-01

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

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

    PubMed Central

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

    2013-01-01

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

  11. 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.

  12. D&D of a reactor, hot cells and gloveboxes - an integrated experience

    SciTech Connect

    Yule, T.J.; Fellhauer, C.R.; Rose, R.W.; Bhattacharyya, S.K.

    1997-08-01

    Performing Decontamination and Decommissioning (D&D) operations at a multi-use laboratory containing small sites which run the gamut of nuclear facility types within the DOE Complex provides engaging challenges, as well as many unique opportunities. While the relatively small scale of the D&D work performed at Argonne National Laboratory (ANL-E) does not present the significant environmental, safety and health risks which might be encountered at large production sites, the types of issues are representative of the most significant problems. Being a small site with relatively low risks and an exceptional rapport with local stakeholders provides for the development and demonstration of technologies and methodologies which could be utilized at the larger sites.

  13. Exploration-production studies in newly drilled Devonian-shale gas wells. Annual technical report, February 1, 1987-January 31, 1988

    SciTech Connect

    Graham, R.L.; Foster, J.; Walbe, K.; Worthington, J.

    1988-02-01

    The cooperative program is a continuing field-oriented effort whose objectives are to identify productive gas zones, to develop a comprehensive set of diagnostics, and to determine the effectiveness of various stimulation techniques. To date, the program has encompassed fifty cooperative wells and twelve participating producers, with outside funding in excess of 8 million dollars. The rapport established with these producers resulted in an evolution of the program from one of passive data acquisition to one of active participation. The report focuses on what was accomplished during this period regarding the development of diagnostic tools and evaluation techniques, the acquisition of producer participation and support, and the expansion of data acquisition and use of newly developed evaluation techniques. The report also addresses what has been learned and how this knowledge led to the course corrections in the study to achieve a more effective level of technology. The report illustrates the methods and technology developed and provides the recommended direction for future research.

  14. Millstone-1's senior QC technician

    SciTech Connect

    Taylor, G.M.

    1986-05-01

    Joseph R. Impellizeri, in charge of quality control at the Millstone-1 reactor finds his work requires interpersonal skills as well as technical expertise. The author notes the difference between quality control, which involves the first level of inspection of workmanship and materials for compliance with requirements and the first level review of documents, and quality assurance, which reviews the quality system to see that there are proper procedures and paperwork. Quality control (QC) at Millstone covers inspections, corrective maintenance, and system design changes. Rapport with personnel is essential. Impellizeri must also have level III certification to perform mechanical and electrical installations in order to perform during outages. His activities also include planning for inspections and outages.

  15. Mineral-resource analysis in Canada

    SciTech Connect

    DeYoung, J.H. Jr.

    1983-01-01

    In Canada, mineral statistics are collected and mineral resources are analyzed by both government and private organizations. Published mineral-resource reports of Canada's Department of Energy, Mines and Resources and of the Centre for Resource Studies in Kingston, Ontario illustrate the types of analyses that provide essential information about mineral-industry activities from exploration through refined materials. International comparisons of the types of information available to policymakers may provide some insight into the nature of national mineral policies. Reasons for the high quality of and emphasis given to mineral resource analysis in Canada include the importance of the mineral industry to the national economy, the constitutional framework that encourages provincial interest in policy-oriented research, and the rapport between government officials and researchers with their counterparts in industry. 38 references, 8 figures.

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

    PubMed

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

    2013-05-01

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

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

    PubMed

    Schoonbeek, Sue; Henderson, Amanda

    2011-01-01

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

  18. Tracking and follow-up of marginalized populations: a review.

    PubMed

    McKenzie, M; Tulsky, J P; Long, H L; Chesney, M; Moss, A

    1999-11-01

    Maintaining study cohorts is a key element of longitudinal research. Participant attrition introduces the possibility of bias and limits the generalizability of a study's findings, but with appropriate planning it is possible to sustain contact with even the most transient participants. This paper reviews the essential elements of tracking and follow-up of marginalized populations, which are (1) collection of contact information, (2) thorough organization of tracking efforts, (3) attention to staff training and support, (4) use of phone and mail follow-up, (5) use of incentives, (6) establishing rapport with participants, (7) assurance of confidentiality, (8) use of agency tracking, (9) use of field tracking, and (10) attention to safety concerns. Diligent application of these tracking strategies allows researchers to achieve follow-up rates of 75 percent to 97 percent with vulnerable populations such as homeless, mentally ill adults, injection drug users, and runaway youth.

  19. 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.

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

    PubMed Central

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

    2015-01-01

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

  1. 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.

  2. Nursing advocacy for women veterans and suicide.

    PubMed

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

    2015-03-01

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

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

    PubMed

    Schoonbeek, Sue; Henderson, Amanda

    2011-01-01

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

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

    PubMed

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

    2016-01-01

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

  5. 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.

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

    PubMed Central

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

    2015-01-01

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

  7. [Understanding a hospitalized, school-aged child's stress in the PICU: the application of picture books in nursing care].

    PubMed

    Wang, Pei-Ju; Feng, Jui-Ying

    2013-06-01

    Hospitalization in the pediatric intensive care unit (PICU) can be a very stressful and sometimes traumatic experience for school-aged children due to illness, painful procedures, unfamiliar environment, and separation from family. We incorporated picture books into PICU nursing care to explore the stress response in a school-aged child with compartment syndrome who was hospitalized in the PICU. Observation, interview and communication with the patient were used to assess her psychological reactions and emotional and behavioral responses to stress related to hospitalization and medical treatment. Autonomy and control were provided and strengthened by giving the patient choices and purposive life plans. Picture books were used to establish rapport and help the patient express her feelings, needs, and desires for parental love and company. This case report highlights the importance of nurses' awareness of children's stresses and needs during hospitalization in the PICU as well as the value of picture books or other age-appropriate tools for this patient population.

  8. Lipoblastome de la fosse sous temporale

    PubMed Central

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

    2014-01-01

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

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

    PubMed Central

    LINN-WALTON, REBECCA; PARDASANI, MANOJ

    2015-01-01

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

  10. 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

  11. Communication Strategies for Empowering and Protecting Children

    PubMed Central

    Bell, Jennifer

    2016-01-01

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

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

    PubMed Central

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

    2016-01-01

    La survenue d'une grossesse dans une corne utérine rudimentaire est une situation obstétricale extrêmement rare et potentiellement grave, menaçant le pronostic materno-fœtal. Les auteurs rapportent cinq observations de grossesse dans une corne utérine rudimentaire, à travers lesquelles, ils relatent les difficultés sur le plan diagnostique ainsi que la prise en charge thérapeutique de cette entité pathologique, soulignant l'intérêt de l’échographie endovaginale, de l'IRM pelvienne et de la cœlioscopie dans le diagnostic précoce de ce type de malformation uterine. PMID:27583078

  13. Association synchrone d'un cancer du sein bilatéral et d'une tumeur stromale gastro-intestinale: à propos d'un rare cas

    PubMed Central

    Afif, Mohammed; Ouziane, Imane; Kouhen, Fadila; Khalil, Jihane; Elomrani, Fedwa; Elkacemi, Hanan; Kebdani, Tayeb; Errihani, Hassan; Benjaafar, Noureddine

    2015-01-01

    Les tumeurs stromales gastro-intestinales sont les tumeurs mésenchymateuses les plus fréquentes, pourtant, leur association avec les tumeurs du sein sont rares, seulement quelques cas cliniques sont rapportés dans la littérature. Nous rapportons l'observation d'une jeune femme de 41 ans, suivie à l'institut national d'oncologie de Rabat, pour un carcinome canalaire du sein, bilatéral, chez qui le bilan d'extension a objectivé une tumeur stromale de type gastro-intestinale aux dépens de l'estomac. Nous décrivons à travers cette observation les aspects épidémiologiques, cliniques, et les particularités de la prise en charge de cette association rare. PMID:26090003

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

    PubMed Central

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

    2015-01-01

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

  15. Révélation inhabituelle d’un carcinome rénal par un abcès du rein

    PubMed Central

    Saadi, Ahmed; Chlif, Mohamed; Ayari, Yassine; Gargouri, Mourad Mohamed; Sellami, Ahmed; Ben Rhouma, Sami; Nouira, Yassine

    2015-01-01

    Résumé La suppuration d’un carcinome rénal nécrosé a été rapportée seulement trois fois dans la littérature et demeure une circonstance exceptionnelle de découverte de cancer du rein. Le tableau clinique et radiologique est trompeur, et c’est l’évolution défavorable malgré un traitement approprié qui doit évoquer le diagnostic de cancer rénal. Nous rapportons un nouveau cas de carcinome rénal révélé par un abcès du rein. PMID:26664511

  16. 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

  17. Clinical Translational Research Hits the Road

    PubMed Central

    Bonuck, Karen A.; Lischewski, Jennifer; Brittner, Mindy

    2009-01-01

    Translating evidence-based research into practice requires data from clinical trials in real world settings. This paper presents “lessons learned” from the implementation of an RCT of breastfeeding promotion interventions at two busy, urban, prenatal care sites. Data were obtained via direct observations, qualitative interviews, and study statistics. Primary challenges include: time and space burdens, “research vs. service” mission conflict, and the provider learning curve for conducting interventions. Primary facilitators include: researcher presence for enhancing rapport with participants and staff, site staff labeling of both the research interview and intervention as “value added time,” and the ability of research staff to assist the clinic beyond the scope of the clinical trial. Specific suggestions are given for building collaborative bonds between the research team, clinicians, administrators, and staff in busy urban practices. PMID:19523539

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

    PubMed

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

    2005-09-01

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

  19. Teaching patient communication skills to medical students: a review of randomized controlled trials.

    PubMed

    Smith, Sherilyn; Hanson, Janice L; Tewksbury, Linda R; Christy, Cynthia; Talib, Nasreen J; Harris, Mitchell A; Beck, Gary L; Wolf, Fredric M

    2007-03-01

    Tools to examine the effects of teaching interventions across a variety of studies are needed. The authors perform a meta-analysis of 24 randomized controlled trials evaluating the effects of teaching on medical students' patient communication skills. Study quality is rated using a modified Jadad score, and standardized mean difference effect size (d) measures are calculated. Fifteen of 24 studies have sufficient data for analysis. Students' ability to establish rapport improves after teaching. The effects are large when the teaching intervention was small group discussion (n = 5) or giving structured feedback on a student-patient interview (n = 6). A similar effect of teaching is seen on student data gathering skills (n = 5). Teaching medical students patient communication skills using small group discussion or providing feedback on a student-patient interview results in improvement in student performance.

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

    PubMed Central

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

    2014-01-01

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

  1. A community-based perspective on living with domestic violence.

    PubMed

    Keeling, June

    Women living within a violent relationship suffer from a multitude of somatic and psychological complaints. The constant erosion of their self-esteem undermines their confidence and decision-making abilities, eventually leading to a learned helplessness and apathy. In association with this is the significant deleterious effect on the psychological and physical health of any children witnessing this abuse within the home. Community health care providers such as district nurses, practice nurses and GPs are in close contact with the family and can observe the family dynamics. They are often the only health care professionals in a position to be able to build a rapport with the family. Consequently a survivor of domestic abuse may confide in them, enforcing the health professional to play a pivotal role in empowerment and the initiation of essential support services. This article highlights the detrimental effects of domestic abuse and the necessity to raise awareness within the community forum. PMID:15060964

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

    PubMed Central

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

    2014-01-01

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

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

    PubMed Central

    Gevers, Aník; Dartnall, Elizabeth

    2014-01-01

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

  4. Carcinome épidermoïde du sein: à propos d’un cas et revue de la literature

    PubMed Central

    Ziyadi, Mounia; Boujoual, Majdouline; Raiteb, Hanane; Babahabib, My Abdellah; Kouach, Jawad; Moussaoui, Driss Rahali; Dehayni, Mohammed

    2016-01-01

    Le carcinome épidermoïde du sein est une tumeur rare, d'origine métaplasique l'ethiopathogénie est controversé, le diagnostic est histologique après avoir éliminé l'origine métastatique, la clinique et la radiologie ne sont pas spécifique le traitement rejoint celui du carcinome canalaire infiltrant, le pronostic est péjoratif liée à la taille tumorale et à l'envahissement ganglionnaire, on rapporte un cas de carcinome épidermoïde du sein chez une patiente de 39 ans ayant consulté au service de gynécologie obstétrique de hôpital militaire de Rabat, et à travers cette observation on va mettre le point sur les différentes caractéristiques de cette entité qui reste rare.

  5. 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.

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

    PubMed Central

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

    2014-01-01

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

  7. 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.

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

    PubMed Central

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

    2011-01-01

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

  9. Linking the elements of change: Program and client responses to innovation.

    PubMed

    Simpson, D Dwayne; Joe, George W; Rowan-Szal, Grace A

    2007-09-01

    The process of innovation adoption was investigated using longitudinal records collected from a statewide network of almost 60 treatment programs over a 2-year period. Program-level measures of innovation adoption were defined by averaged counselor ratings of program training needs and readiness, organizational functioning, quality of a workshop training conference, and adoption indicators at follow-up. Findings showed that staff attitudes about training needs and past experiences are predictive of their subsequent ratings of training quality and progress in adopting innovations a year later. Organizational climate (clarity of mission, cohesion, openness to change) is also related to innovation adoption. In programs that lack an open atmosphere for adopting new ideas, it was found that counselor trial usage is likely to be attenuated. Most important was evidence that innovation adoption based on training for improving treatment engagement was significantly related to client self-reports of improved treatment participation and rapport recorded several months later.

  10. Differences between family and emergency medicine training before sports medicine fellowship.

    PubMed

    Christensen, Mark; Christensen, Heidi K

    2015-01-01

    Residency training clearly impacts physicians' approach toward fellowship in Primary Care Sports Medicine. Although the Accreditation Council for Graduate Medical Education sets strict standards for all programs, family medicine and emergency medicine training differ a great deal in general and provide physicians from both backgrounds varied perspectives and skill sets. The family physician acquires a substantial amount of experience in continuity of care and integration of health care into a patient's everyday life. On the other hand, the emergency physician receives exceptional training in the management of acutely ill and injured patients and leadership of a large health care team. Furthermore, while the emergency physician may be skilled in procedures such as fracture reduction and diagnostic ultrasound, the family physician is proficient in developing patient rapport and compliance with a treatment plan. Although physicians from different backgrounds may start with many differences, fellowship training is essential in bridging those gaps. PMID:25968851

  11. Practice question.

    PubMed

    Pritchard, Jane

    2014-09-01

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

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

    PubMed Central

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

    2016-01-01

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

  13. Hématome rétro-péritonéal révélant une tumeur de la veine cave inférieure: à propos d'un cas

    PubMed Central

    Lakhdar, Karim; Malki, Sidi Mohamed; Er-raji, Ihssane; Derkaoui, Ali; Shimi, Abdelkrim; Khatouf, Mohamed

    2016-01-01

    Les tumeurs de la veine cave inférieure sont rares, représentées essentiellement par le léiomyosarcome. Elles ont une présentation clinique peu spécifique, cependant, la littérature ne rapporte pas de manifestations hémorragiques. Le diagnostic préopératoire repose sur la tomodensitométrie et l'imagerie par résonance magnétique et la confirmation est histologique. Nous rapportons un cas d'hématome rétro-péritonéal révélant une tumeur de la veine cave inférieure. Le diagnostic a été posé sur des arguments cliniques et radiologiques. PMID:27642432

  14. 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

  15. Corps étranger métallique inhalé: 36 mois d’évolution intrabronchique chez un enfant de 8 ans

    PubMed Central

    Mupepe, Alexis Kumba; Mukuku, Olivier; Bagale, Yves; Ruhindiza, Bienvenu Mukuku

    2014-01-01

    Les corps étrangers dans les voies respiratoires constituent une urgence relativement fréquente chez les enfants. Nous présentons ici le cas d'une fillette de 8 ans qui avait inhalé un clou que la radiographie avait localisé dans la bronche droite. L’évolution est marquée par une symptomatologie muette et une migration vers le bas de ce clou. Ne disposant pas d’équipement pour une chirurgie adaptée, le malade vit encore avec ce corps étranger en lui. La nature et l’évolution clinique et paraclinique rapportées ici en constituent l'intérêt. PMID:25422700

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

    PubMed

    Applewhite, Larry; Keller, Nathan; Borah, Adam

    2012-05-01

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

  17. Syndrome d'Apert chez un congolais de 60 ans: à propos d'une observation

    PubMed Central

    Ngombe, Léon Kabamba; Kabamba, Christophe Mwamba; Nday, David Kakez; Fundi, Jimmy Ngoie; Kitenge, Tony Kayembe; Numbi, Luboya

    2015-01-01

    Le syndrome d'Apert est une rare acrocéphalosyndactylie caractérisée par une dysmorphie crânio-faciale avec une crâniosténose, une syndactylie aux mains et aux pieds et d'autres malformations cérébrales. La coexistence de plusieurs malformations avec un important lot de préjudices esthétiques constitue la gravité de ce syndrome. Une prise en charge précoce et multidisciplinaire s'avère important. Les auteurs rapportent une observation rare d'un syndrome d'apert chez un patient congolais âgé de 60 ans qui n'a jamais bénéficié d'une prise en charge. Ainsi, cette observation décrit les aspects cliniques et évolutifs de cette affection. PMID:26309466

  18. Lithiase géante sur enterocystoplastie

    PubMed Central

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

    2014-01-01

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

  19. Le syndrome d'apert

    PubMed Central

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

    2013-01-01

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

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

    PubMed

    Chandrashekhar, Roopa

    2016-04-01

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

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

    NASA Technical Reports Server (NTRS)

    1998-01-01

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

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

    PubMed Central

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

    2015-01-01

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

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

    PubMed

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

    2016-03-01

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

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

    PubMed Central

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

    2011-01-01

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

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

    PubMed

    Ibrahim, Sarah; Sidani, Souraya

    2014-10-01

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

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

    PubMed

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

    2016-09-01

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

  7. 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.

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

    PubMed

    Harris, Magdalena

    2015-12-01

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

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

    PubMed Central

    Tucker, Janice K.

    2012-01-01

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

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

    PubMed Central

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

    2014-01-01

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

  11. Bridging the mechanical and the human mind: spontaneous mimicry of a physically present android.

    PubMed

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

    2014-01-01

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

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

    PubMed Central

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

    2016-01-01

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

  13. Lithiase biliaire et drépanocytose - à propos de deux observations à Lubumbashi (République Démocratique du Congo)

    PubMed Central

    Ngombe, Léon Kabamba; Mukanya, Pascal Kimba; Kanteng, Gray Wakamb; Mulangu, Augustin Mutombo; Numbi, Oscar Luboya

    2015-01-01

    Les auteurs rapportent deux cas des lithiases biliaires chez deux enfants de sexe masculin drépanocytaires, complication rare dans la littérature de notre pays. La lithiase biliaire est essentiellement consécutive à une hémolyse chronique et notamment à la drépanocytose. La douleur abdominale est le signe révélateur le plus constant de la lithiase biliaire. Le but de ce travail était de décrire cette pathologie, et de révéler les difficultés de diagnostic et de prise en charge dans un contexte comme le notre. PMID:26421098

  14. Kyste géant para-urétral feminine

    PubMed Central

    Kassogué, Amadou; Coulibaly, Mamadou; Ouattara, Zanafon; Diarra, Alkadri; Tembely, Aly; Ouattara, Kalilou; Farih, My Hassan

    2014-01-01

    Le kyste géant para-urétral féminin infecté est rarement rapporté dans la littérature. Ce kyste est différent du diverticule sous urétral sur le plan clinique, diagnostique et thérapeutique. Sa pathogénie se confond avec celle des diverticules sous urétraux. Son traitement n'est pas bien codifié, vu sa rareté. Nous rapportons un cas atypique de kyste géant para urétral infecté chez une jeune femme de 26 ans. Le kyste était symptomatique et la patiente a eu un traitement chirurgical. Nous discutons les aspects cliniques, diagnostiques et thérapeutiques de cette entité rare à travers une revue de la littérature.

  15. Drug Abuse Risk and Protective Factors among Black, Urban Adolescent Girls: A Group Randomized Trial of Computer-Delivered, Mother-Daughter Intervention

    PubMed Central

    Schinke, Steven; Di Noia, Jennifer; Schwinn, Traci; Cole, Kristin

    2006-01-01

    A group randomized design tested a mother-daughter intervention aimed to increase protective factors in a community sample of Black, urban adolescent girls. Girls and their mothers at two community agencies were pretested and, by agency, randomized to either an intervention arm or to a control arm. Intervention arm girls and their mothers received a program for improving mother-daughter rapport. Posttest data collected 3 weeks after program delivery revealed that intervention arm mothers and daughters improved more than control arm mothers and daughters on measures of communication and closeness. At 3-month follow-up, intervention arm mothers relative to control arm mothers continued to report better communication with and closeness to their daughters. Girls and mothers in the intervention arm rated the computer program favorably on parameters of enjoyment, comfort, relevance, usefulness of information, improvements to their relationship with each other, and whether they would recommend it to friends. PMID:17176186

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

    PubMed

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

    2014-05-13

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

  17. Pilot Mental Health: Expert Working Group Recommendations - Revised 2015.

    PubMed

    2016-05-01

    In September 2012, the Aerospace Medical Association published and distributed recommendations from its Pilot Mental Health Working Group to improve awareness and identification of pilot mental health issues during the aeromedical assessment of pilots. Following the crash of Germanwings Flight 9525 in March 2015 with pilot suicide as the probable cause, the Pilot Mental Health Working Group reconvened to review their recommendations. As a result, the working group revised the recommendations which are provided here and which were distributed worldwide. The Working Group continues to emphasize the importance of assessing and optimizing pilot mental health, while providing additional recommendations on building trust and rapport between the aeromedical examiner and the pilot, on utilizing aviation mental health and aeromedical specialists, and on the balance between medical confidentiality and risk to public safety. The working group encourages all organizations involved in flight safety to review and consider implementing these recommendations within their usual operations.

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

    PubMed

    Gevers, Aník; Dartnall, Elizabeth

    2014-01-01

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

  19. Companion animals and the elderly: a state-of-the-art summary.

    PubMed

    Wilson, C C; Netting, F E

    1983-12-15

    The human/animal relationship exhibited by the elderly and their pets has limitations as well as potentials. The functions of a pet as a companion and social facilitator in pet-facilitated psychotherapy include serving as a cotherapist for facilitation of rapport, providing companionship, substituting for close interpersonal relationships (ie, significant others), enhancing the health status of a variety of target groups, increasing opportunity for sensory stimulation, and providing emotional support and a sense of well-being. Available information was limited because few studies have been replicated, data were not validated, and previous studies were restricted mainly to institutionalized or therapeutic environments. Implications for future research include use of animals for companionship and to promote the physical, social, and emotional health of the elderly.

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

    PubMed

    Harris, Magdalena

    2015-12-01

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

  1. Le volvulus gastrique idiopathique aigu: à propos d'une nouvelle observation

    PubMed Central

    Abdelilah, Mouhsine; Jihad, Anzaoui; Rachid, Bouchentouf

    2013-01-01

    Le volvulus gastrique est une rotation anormale de l'estomac autour de son axe. La forme aiguë constitue une urgence chirurgicale. Le diagnostic est souvent retardé en raison d'une symptomatologie fréquemment non spécifique. Des signes respiratoires tels la dyspnée et le hoquet peuvent révéler cette pathologie. Les auteurs rapportent une nouvelle observation de volvulus gastrique aigu chez un adolescent de 17 ans, diagnostiqué par la tomodensitométrie, et confirmé par une intervention chirurgicale. Le traitement est chirurgical et consiste à détordre et fixer l'estomac pour prévenir la récidive. PMID:23503200

  2. Feeling Well and Having Good Numbers: Renal Patients' Encounter With Clinical Uncertainties and the Responsibility to "Live Well".

    PubMed

    Kang, Helen; Stenfors-Hayes, Terese

    2016-10-01

    Individuals living with chronic kidney disease (CKD) must be mindful of their diet and exercise, take multiple medications, and deal with other compounding illnesses. We observed renal patients' encounters with health professionals at a renal clinic for tensions and gaps in patients' and health professionals' understandings of "living well" with CKD. We found that the renal patients at the clinic become emotionally invested in the fluctuations in the numbers on their blood work. Narrative practices of health professionals greatly affect how patients emotionally deal with the possibility of dialysis, transplant, death, or aging. Expectations to "live well" can become a moral burden to be a "good" patient. The gaps between the priorities of patients, their caregivers, and health professionals complicate the notion of "living well" with CKD. Trust, rapport and the practice of listening appear to have the greatest impact in addressing these gaps.

  3. 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

  4. étude du passage de l'état colloïdal à l'état ionique de solutions de silicates sodiques par spectrométries RMN 29Si et infrarouge

    NASA Astrophysics Data System (ADS)

    Couty, R.

    1998-02-01

    Silica sodic solutions with molar ratio Rms [ SiO2] /[ Na2O] of 4.56 to 1 were obtained by depolymerisation of amorphous silical gel in sodium hydroxide. Solutions have been characterized by Qn distribution and infrared spectra. The decrease in degree of polymerization of the silicate anions shifts the (1000 1100 cm-1) Si-O-Si frequencies to lower frequency. The solution colloid- ionic evolution occuring at Rms=2.27 is characterized by Q4 and 1075 cm-1 infrared band disappearance. Des solutions de silicate de sodium, dont les teneurs en silice étaient identiques mais dont les rapports (Rms) des concentrations molaires de SiO2 et de Na2O en solution étaient compris entre 4,56 et 1, ont été réalisées par dépolymérisation d'un gel de silice dans des solutions d'hydroxyde de sodium. Ces solutions ont été caractérisées par leurs distributions d'oligomères Qn et leurs spectres infrarouges. La dépolymérisation entraine une décroissance des fréquences de vibration des groupements (Si-O-Si) situées à (1000 1100 cm-1). Le passage de la solution de l'état colloïdal à l'état ionique, qui se fait pour un rapport Rms de 2,27 est caractérisé par la décroissance des Q3, la disparition des Q4 et de la composante infrarouge à 1075 cm-1.

  5. Awareness and Attitudes Toward Intranasal Naloxone Rescue for Opioid Overdose Prevention.

    PubMed

    Kirane, Harshal; Ketteringham, Michael; Bereket, Sewit; Dima, Richie; Basta, Ann; Mendoza, Sonia; Hansen, Helena

    2016-10-01

    Opioid overdose prevention is a pressing public health concern and intranasal naloxone rescue kits are a useful tool in preventing fatal overdose. We evaluated the attitudes, knowledge, and experiences of patients and providers related to overdose and naloxone rescue. Over a six month period, patients and providers within a large community hospital in Staten Island were recruited to complete tailored questionnaires for their respective groupings. 100 patients and 101 providers completed questionnaires between August, 2014 and January, 2015. Patient participants were primarily Caucasian males with a mean age of 37.7 years, of which 65% accurately identified naloxone for opioid overdose, but only 21% knew more specific clinical features. 68% of patients had previously witnessed a drug overdose. Notably, 58% of patients anticipated their behavior would change if provided access to an intranasal naloxone rescue kit, of which 83% predicted an increase in opioid use. Prior overdose was significantly correlated with anticipating no change in subsequent opioid use pattern (p=0.02). 99% of patients reported that their rapport with their health-care provider would be enhanced if offered an intranasal naloxone rescue kit. As for providers, 24% had completed naloxone rescue kit training, and 96% were able to properly identify its clinical application. 50% of providers felt naloxone access would decrease the likelihood of an overdose occurring, and 58% felt it would not contribute to high-risk behavior. Among providers, completion of naloxone training was correlated with increased awareness of where to access kits for patients (p<0.001). This study suggests that patients and providers have distinct beliefs and attitudes toward overdose prevention. Patient-Provider discussion of overdose prevention enhances patients' rapport with providers. However, access to an intranasal naloxone rescue kit may make some patients more vulnerable to high-risk behavior. Future research efforts

  6. Communication and Outcomes of Visits Between Older Patients and Nurse Practitioners

    PubMed Central

    Gilbert, Dorothy Ann; Hayes, Eileen

    2010-01-01

    Background Effective patient-clinician communication is at the heart of good health care and may be even more vital for older patients and their nurse practitioners (NPs). Objectives To examine contributions of older patients’ and NPs’ characteristics and the content and relationship components of their communication to patients’ proximal outcomes (satisfaction and intention to adhere) and longer-term outcomes (changes in presenting problems, physical health, and mental health), and contributions of proximal outcomes to longer-term outcomes. Methods Visits were videorecorded of a statewide sample of 31 NPs and 155 older patients. Patients’ and NPs’ communication during visits were measured using the Roter Interaction Analysis System for verbal activities, a check sheet for nonverbal activities, and an inventory of relationship dimension items. Proximal outcomes were measured with single items after visits. At 4 weeks, change in presenting problems was measured with a single item and physical and mental health changes were measured with the SF-12v2 Health Survey. Mixed models regression with backward deletion was conducted until only predictors with p ≤ .05 remained in the models. Results With the other variables in the models held constant, better outcomes were related to background characteristics of poorer baseline health, nonmanaged care settings, and more NP experience; to a content component of seeking and giving biomedical and psychosocial information; and to a relationship component of more positive talk and greater trust and receptivity and affection, depth, and similarity. Poorer outcomes were associated with higher rates of lifestyle discussion and NPs’ rapport building that patients may have perceived to be patronizing. Greater intention to adhere was associated with greater improvement in presenting problems. Discussion Older patient-NP communication was effective regarding seeking and giving biomedical and psychosocial information other

  7. Une maladie immunoproliférative de l'intestin grêle révélée par une invagination intestinale aigue: à propos d'un cas

    PubMed Central

    Bennani, Amal; Znati, Kaoutar; Rezzouk, Salima; Bouhadouti, Hicham; Maazaz, Khalid; Amarti, Affaf

    2014-01-01

    La maladie immunoproliférative de l'intestin grêle IPSID est un lymphome rare qui se développé à partir du système lymphoïde associé aux muqueuses au niveau de l'intestin grêle. Sa révélation par une invagination intestinale aigue est exceptionnelle et n'a jamais été rapporté dans la littérature auparavant. Nous rapportons le cas d'un patient de 65ans, admis aux urgences dans un tableau d'invagination intestinale aigue. Le scanner abdominal a mis en évidence masse grêlique à paroi concentrique avec incarcération du segment mésentérique au sein de la lésion fortement évocatrice d'une invagination intestinale. Le patient a été opéré et a bénéficié d'une résection iléale emportant le boudin d'invagination. L'examen histologique de la masse a été en faveur d'une maladie des chaines alpha transformée en un lymphome B diffus à grandes cellules. Les auteurs rapportent un cas rare d'une IPSID révélée par une invagination intestinale aigue et à travers cette observation, mettent en relief les principaux aspects cliniques, histologiques, thérapeutiques de cette entité avec une revue de la littérature. PMID:24932323

  8. Surpoids et obésité dans la population au-dessus de 20 ans en milieu urbain bamakois (Mali)

    PubMed Central

    Oumar Bâ, Hamidou; Menta, Ichaka; Camara, Youssouf; Sangaré, Ibrahima; Sidibé, Noumou; Doumbia, Seydou; Diarra, Mamadou Bocary

    2014-01-01

    Introduction Il est question dans notre travail d’étudier le SP et l'OB et les facteurs associés dans la population âgée de 20 ans ou plus. Méthodes Notre échantillon a été obtenu à partir d'une enquête sur les pathologies cardiovasculaires dans le District de Bamako et impliquant 2199 sujets de 5-104 ans, en sélectionnant tous les sujets âgés d'au moins 20 ans (1162). Pour chaque sujet, l'IMC, rapport taille / hanche et le tour de taille ont été déterminées. Les données ont été analysées avec SPSS 12. Résultats L’âge moyen était de 36,86 années, 61,4% étaient des femmes, 49,7% dans le secteur informel et 38,0% avaient réalisé l'enseignement primaire. Facteurs de risque cardiovasculaires étaient l'inactivité physique (72,4%), le tabagisme (12,2%) et hypertension (26,7%). La prévalence de l'obésité était de 8,8 et 14,7% respectivement sur la base de l'indice de masse et le tour de taille. Conclusion Le SP et l'OB sont à prendre en compte dans les mesures de politique sanitaire que dans la pratique quotidienne des professionnels de santé, il est peut-être plus utile d'utiliser plusieurs paramètres pour être à même de bien stratifier nos patients par rapport à leur risque. PMID:25932065

  9. Patient–Physician Communication in the Primary Care Visits of African Americans and Whites with Depression

    PubMed Central

    Ghods, Bri K.; Roter, Debra L.; Ford, Daniel E.; Larson, Susan; Arbelaez, Jose J.

    2008-01-01

    Background Little research investigates the role of patient–physician communication in understanding racial disparities in depression treatment. Objective The objective of this study was to compare patient–physician communication patterns for African-American and white patients who have high levels of depressive symptoms. Design, Setting, and Participants This is a cross-sectional study of primary care visits of 108 adult patients (46 white, 62 African American) who had depressive symptoms measured by the Medical Outcomes Study–Short Form (SF-12) Mental Component Summary Score and were receiving care from one of 54 physicians in urban community-based practices. Main Outcomes Communication behaviors, obtained from coding of audiotapes, and physician perceptions of patients’ physical and emotional health status and stress levels were measured by post-visit surveys. Results African-American patients had fewer years of education and reported poorer physical health than whites. There were no racial differences in the level of depressive symptoms. Depression communication occurred in only 34% of visits. The average number of depression-related statements was much lower in the visits of African-American than white patients (10.8 vs. 38.4 statements, p = .02). African-American patients also experienced visits with less rapport building (20.7 vs. 29.7 statements, p = .009). Physicians rated a higher percentage of African-American than white patients as being in poor or fair physical health (69% vs. 40%, p = .006), and even in visits where depression communication occurred, a lower percentage of African-American than white patients were considered by their physicians to have significant emotional distress (67% vs. 93%, p = .07). Conclusions This study reveals racial disparities in communication among primary care patients with high levels of depressive symptoms. Physician communication skills training programs that emphasize recognition and rapport

  10. Le décollement épiphysaire fémoral supérieur post infectieux, à propos de deux cas

    PubMed Central

    Atarraf, Karima; Arroud, Mounir; Chater, Lamiae; Afifi, Moulay Abderrahmane

    2014-01-01

    Le décollement épiphysaire post infectieux est une pathologie très rare, jamais décrite dans la littérature. Nous rapportons deux cas colligés au service: le 1er concerne un garçon âgé de 3 ans, admis pour impotence fonctionnelle du membre inferieur droit. La radiographie a objectivé un glissement de l’épiphyse fémorale supérieure par rapport à la métaphyse avec un épanchement échogène intra articulaire à l’échographie. Une artrotomie avec drainage ont été réalisé, puis le malade a été mis sous antibiothérapie et traction. L’évolution clinique a été bonne. Le 2ème cas est celui d'un garçon âgé de 12 ans, admis pour prise en charge d'une boiterie gauche évoluant dans un contexte fébrile. La radiographie a objectivé un glissement de l’épiphyse fémorale supérieure par rapport à la métaphyse, l’échographie a montré un épanchement intra articulaire gauche. L’évolution a été marquée par la régression du syndrome infectieux après l'arthrotomie de la hanche et l'antibiothérapie. PMID:25478040

  11. 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

  12. Management of previously treated tuberculosis patients in Kalutara district, Sri Lanka: how are we faring?

    PubMed

    Abeygunawardena, S C; Sharath, B N; Van den Bergh, R; Naik, B; Pallewatte, N; Masaima, M N N

    2014-06-21

    Contexte : Dispensaire de pneumologie du district de Kalutara, Sri Lanka.Objectif : Déterminer la couverture du test de culture et de sensibilité aux médicaments (CDST), les délais des tests de résistance aux médicaments, de mise en œuvre du traitement et d'obtention des résultats du CDST ainsi que les résultats du traitement chez des patients tuberculeux déjà traités auparavant.Schéma : Etude rétrospective de cohorte par revue de dossiers et de rapports. Tous les patients tuberculeux de janvier 2008 à juin 2013 déjà traités ont été inclus dans l'étude.Résultats : Sur 160 patients, 126 (79%) ont été référés pour un CDST ; 79 (63%) avaient une culture positive et il n'y a eu aucun cas de TB-MDR. Environ 9% et 15% des patients, respectivement, ont eu un retard d'expédition des échantillons (retard médian 21 jours) et de réception du rapport du CDST (retard médian 71 jours), tandis que 20% ont subi un retard de mise en œuvre de la reprise du traitement (retard médian 11,5 jours). Le taux de succès thérapeutique de la cohorte atteignait 82%.Conclusion : Parmi tous les patients en retraitement, seulement 79% ont bénéficié d'un CDST et il y a eu des retards considérables dans le transport des échantillons et la mise en œuvre du traitement. Des discussions sont en cours afin de renforcer le programme.

  13. 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

  14. Outcomes assessment of on-site communication skills education in a companion animal practice.

    PubMed

    Shaw, Jane R; Barley, Gwyn E; Broadfoot, Kirsti; Hill, Ashley E; Roter, Debra L

    2016-08-15

    OBJECTIVE To evaluate veterinarian-client communication and veterinarian and client satisfaction with veterinary visits before and after veterinarians underwent a 6-month communication skills training program in a practice setting. DESIGN Case-based pretest-posttest intervention study. SAMPLE 1 purposely selected companion-animal practice. PROCEDURES The practice team (3 veterinarians, 5 veterinary technicians, 1 receptionist, and 1 office manager) participated in a 6-month educational program (intervention) that included interactive communication modules, individual coaching, and a communication laboratory. For each of the veterinarians, 6 appointments were video recorded and 30 additional clients completed a visit satisfaction survey both before and after the intervention. The Roter interaction analysis system was used to analyze the video-recorded appointments. RESULTS After the intervention, appointments were 5.4 minutes longer and veterinarians asked 60% fewer closed-ended lifestyle-social questions, provided 1.4 times as much biomedically related client education, and used 1.5 and 1.25 times as much facilitative and emotional rapport communication, respectively, compared with before the intervention. Clients provided veterinarians with 1.3 times as much biomedically related information and engaged in twice as much social conversation. After the intervention, veterinarians perceived their clients as complaining less and being more personable and trusting, and clients felt more involved in the appointment and reported that the veterinarian expressed greater interest in their opinion. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that the intervention resulted in veterinarians who spent more time educating and building rapport with their clients and facilitating client input in an unhurried environment, which enhanced overall veterinarian visit satisfaction and various aspects of client visit satisfaction. PMID:27479287

  15. 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.

  16. Phase behaviour of a binary mixture of long thin rods

    NASA Astrophysics Data System (ADS)

    Clarke, N.; McLeish, T. C. B.

    1992-10-01

    We study a binary mixture of long thin rodlike particles using an idealised model in which the rods have restricted orientations and the two types of rod differ only in length. Assuming a hard core potential the virial coefficients up to fourth order are calculated exactly. The free energy is minimized with respect to the orientational distribution functions to give the phase (isotropic or nematic) of the system as the concentration is varied. Conditions for coexistence are then calculated, from which we predict the phase behaviour for mixtures with length ratios of 2.0, 5.0 and 10.0, in both the second and fourth virial approximations. Nous étudions un mélange binaire de molécules en forme de bâtonnets au moyen d'un modèle où les bâtonnets ont une distribution d'orientation limitée et se différencient seulement en longueur. En supposant un potentiel de coeur dur, on calcule exactement les coefficients du viriel jusqu'au quatrième ordre. L'énergie libre est minimisée par rapport à la distribution d'orientation et donne la phase (isotropique ou nématique ) du système en fonction de la concentration. On calcule ensuite les conditions de coexistence et le comportement de phase pour des mélanges avec des rapports de longueur de 2,0, 5,0 et 10,0, utilisant les approximations du deuxième et quatrième ordres.

  17. 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

  18. Altered hemodynamics and hyperuricemia accompany an elevated sFlt-1/PlGF ratio before the onset of early severe preeclampsia.

    PubMed

    Doherty, Anne; Carvalho, Jose C A; Drewlo, Sascha; El-Khuffash, Afif; Downey, Kristi; Dodds, Madelaine; Kingdom, John

    2014-08-01

    Objectifs : L’identification précoce des femmes exposées à des risques d’en venir à présenter une prééclampsie grave d’apparition précoce (PEg) constitue un objectif clé en obstétrique. La constatation d’un rapport sFlt-1 (tyrosine kinase 1 de type fms soluble) - PlGF (facteur de croissance placentaire) (rapport sFlt-1/PlGF) élevé précède celle d’une hypertension patente. La relation longitudinale entre ce marqueur biologique, l’hémodynamique maternelle et le taux sérique maternel d’acide urique au cours de la phase préclinique est inconnue. Devis de l’étude : Nous avons suivi, de 20 semaines jusqu’à l’accouchement ou 34 semaines de gestation, 20 femmes normotendues exposées à un risque élevé d’en venir à présenter une PEg. Un monitorage hémodynamique non effractif (faisant appel à la technologie de la bioréactance) à été mené à 20-22, à 24-26, à 28-30 et à 32-34 semaines de gestation. Les taux sériques d’acide urique, de sFlt-1 et de PlGF ont été mesurés simultanément. Résultats : Six des 20 femmes (30 %) ont accouché avant 33 semaines et présentaient une PEg; elles présentaient une résistance vasculaire périphérique totale (RVPT) moyenne considérablement plus élevée, un taux sérique d’acide urique accru et des rapports sFlt-1/PlGF plus élevés à 24 semaines de gestation que les femmes non affectées. La surface sous la courbe, les valeurs seuils et la sensibilité / spécificité pour ce qui est de la prévision de la PEg à 24 semaines étaient les suivantes : RVPT = 0,84, 1 250 dyne.s.cm-5, 80 %, 93 %; rapport sFlt-1/PlGF = 0,94, 55, 100 %, 93 %; et taux sérique d’acide urique = 0,99, 255 μmol/l, 100 %, 93 %. La RVPT et la sFlt-1 présentaient une corrélation positive au sein du groupe PEg avant la mise en œuvre d’un traitement antihypertenseur (r = 0,65, P = 0,01). Le taux sérique d’acide urique présentait une corrélation tant avec la sFlt-1 (r

  19. Étude de surface d'une poudre d'alliage d'aluminium

    NASA Astrophysics Data System (ADS)

    Trochim, D.; Bois, N.; Chermant, J. L.

    1997-04-01

    Electron Spectroscopy for Chemicals Analysis (ESCA) was used to determine the concentration of elements in the surface of aluminum alloy of the type ASGM 0.7. Aluminum, silicon and magnesium can exist either in the form of element or element oxide. It was shown that the oxides are amorphous. Subsequently, the increase in magnesium oxide following a heat treatment was determined. The increase in thickness was studied for specimens heated at 410 and 535 °C. It appears that with increasing temperature the proportion of MgO increases and also the valency of the bonds is higher than for compact material. Argon ion beam milling was used to remove surface layer enabling sub-surface analysis of the powder. The ratio {I_MgO/(I_AlO + I_Al)} (I refers to integrated intensity of photoelectronic peaks) was determined using an empirical formula. It approaches a constant value asymptocally with increasing depth. The ratio is 5% for compacted material heated at 410 °C. It was shown that alumina exists in the amorphous state and does not crystallize to γ{-}Al_2O_3 on heating. The increase in MgO could be due to the slow sublimation of magnesium. La spectroscopie de photoélectrons X (ESCA) a permis d'analyser les éléments superficiels d'un alliage d'aluminium ASGM 0,7. L'aluminium, le silicium et le magnésium présentent deux types de liaison, soit élément-oxyde, soit élément-élément. On a vérifié que les formes oxydées sont de structure amorphe. Dans un second temps, l'augmentation de la proportion d'oxyde de magnésium en surface intervenant après traitement thermique de cette poudre a été caractérisée. Ainsi, l'épaisseur de MgO a été étudiée pour des échantillons chauffés à 410 et 535 °C. Il apparaît que plus la température augmente, plus la proportion de MgO croît et, de plus, les valeurs des énergies de liaison élément-oxyde augmentent par rapport à celles dans le matériau brut. À l'aide de l'abrasion par jet d'Ar^+, le d

  20. Impact of Chloroquine on Viral Load in Breast Milk

    PubMed Central

    Semrau, Katherine; Kuhn, Louise; Kasonde, Prisca; Sinkala, Moses; Kankasa, Chipepo; Shutes, Erin; Vwalika, Cheswa; Ghosh, Mrinal; Aldrovandi, Grace; Thea, Donald M.

    2006-01-01

    Summary The anti-malarial agent chloroquine has activity against HIV. We compared the effect of chloroquine (n = 18) to an anti-malarial agent without known anti-HIV-activity, sulfadoxine-pyrimethamine (n = 12), on breast milk HIV RNA levels among HIV-infected breastfeeding women in Zambia. After adjusting for CD4 count and plasma viral load, chloroquine was associated with a trend towards lower levels of HIV RNA in breast milk compared with sulfadoxine-pyrimethamine (P 0.05). Higher breastmilk viral load was also observed among women receiving presumptive treatment = for symptomatic malaria compared with asymptomatic controls and among controls reporting fever in the prior week. Further research is needed to determine the potential role of chloroquine in prevention of HIV transmission through breastfeeding. Impacte de la chloroquine sur la charge virale dans le lait maternelle La chloroquine, agent antimalarique, a une activité contre le VIH. Nous avons comparé l’effet de la chloroquine à celui d’un autre agent antimalarique, la sulfadoxine-pyrimethamine, dont l’activité sur le VIH n’est pas connue, en mesurant les taux d’ARN de VIH dans le lait maternel de femmes allaitantes infectées par le VIH en Zambie. Après ajustement pour les taux de CD4 et la charge virale dans le plasma, la chloroquine comparée à la sulfadoxine pyrimethamine était associée à une tendance vers des teneurs plus bas en ARN de VIH dans le lait maternel (P = 0,05). Des charges virales plus élevées dans le lait maternel étaient aussi observées chez des femmes recevant un traitement présomptif pour des symptômes de malaria par rapport aux contrôles asymptomatiques et par rapport à des contrôles rapportant de la fièvre durant la première semaine. Des études supplémentaires sont nécessaires pour déterminer le rôle potentiel de la chloroquine dans la prévention de la transmission du VIH par l’allaitement maternel. mots clésVIH, malaria, allaitement maternel

  1. Inhomogeneites dans le Vent des Etoiles Wolf-Rayet

    NASA Astrophysics Data System (ADS)

    Robert, Carmelle

    1992-01-01

    Des mesures spectroscopiques effectuees avec un haut rapport signal sur bruit et une bonne resolution ont demontre l'existence de regions perturbees en mouvement dans le vent d'etoiles Wolf-Rayet (WR). L'echantillon d'objets etudies ici comprend 9 etoiles WR couvrant differents sous-types WN et WC. De nombreuses petites structures variables superposees au profil des raies d'emission formees dans le vent stellaire signalent la presence des perturbations. L'etude des variations globales des raies et l'examen des micro-structures individuelles ont permis de decrire plusieurs caracteristiques des perturbations. Entre autres, on observe des correlations significatives entre le niveau de variabilite des raies et certains parametres des etoiles qui confirment que le phenomene de variabilite est intrinseque au vent stellaire. En comparant les changements des vitesses radiales et des largeurs equivalentes des differentes raies d'une meme etoile, on conclut que les regions perturbees ont une etendue finie par rapport a l'enveloppe des etoiles. On peut facilement suivre les structures individuelles sur une periode de temps couvrant ~eq8 heures (et peut etre meme 24 heures) avant qu'elles ne disparaissent. Durant ce temps les structures se deplacent en s'eloignant du centre de la raie. A partir des differents comportements notes lors de l'analyse des variations globales et lors de l'examen des structures individuelles, on propose de representer les perturbations par un modele d'inhomogeneites discretes en expansion dans le vent. On suppose simplement que les inhomogeneites emettent comme le vent global (et absorbent aussi si le vent global montre un profil P Cyg). La superposition du graphique de l'acceleration radiale moyenne des inhomogeneites de WR140 en fonction de leur vitesse radiale et du modele theorique d'inhomogeneites qui suivent la loi generale de vitesse donne un taux d'acceleration lent, avec beta >= 3 pour les inhomogeneites de cette etoile. On obtient, entre

  2. Urinary dipstick proteinuria testing: does automated strip analysis offer an advantage over visual testing?

    PubMed

    De Silva, Dane A; Halstead, Anne C; Côté, Anne-Marie; Sabr, Yasser; von Dadelszen, Peter; Magee, Laura A

    2014-07-01

    Objectif : Comparer les propriétés diagnostiques du dépistage automatisé par bandelette réactive urinaire et du dépistage visuel par bandelette réactive urinaire pour ce qui est de la détection d’un rapport protéines/créatinine (PrCr) aléatoire ≥ 30 mg/mmol. Méthodes : Des échantillons d’urine ont été prélevés de façon prospective chez 160 femmes fréquentant des cliniques de consultations obstétricales pour patientes exposées à des risques élevés au sein d’un établissement de soins tertiaires. Les prélèvements ont été répartis en deux aliquots : un aliquot a été testé au moyen de deux bandelettes réactives urinaires différentes (une faisant l’objet d’une lecture visuelle et l’autre faisant l’objet d’une lecture automatisée). Un deuxième aliquot utilisant la même urine a été analysé pour ce qui est des taux urinaires de protéines et de créatinine. Le rendement des résultats de la lecture visuelle et de la lecture automatisée (protéinurie ≥ 1+) a été comparé pour ce qui est de la détection d’un PrCr ≥ 30 mg/mmol au moyen de prélèvements d’urine non diluée (taux urinaire de créatinine ≥ 3 mmol/l). Résultats : Les deux bandelettes réactives urinaires ont présenté une faible sensibilité (lecture visuelle : 56,0 % et lecture automatisée : 53,8 %). Les rapports de vraisemblance positifs ont été de 15,0 pour le dépistage visuel par bandelette réactive urinaire (IC à 95 %, 5,9 - 37,9) et de 24,6 pour le dépistage automatisé par bandelette réactive urinaire (IC à 95 %, 7,6 - 79,6). Les rapports de vraisemblance négatifs ont été de 0,46 pour le dépistage visuel par bandelette réactive urinaire (IC à 95 %, 0,29 - 0,71) et de 0,47 pour le dépistage automatisé par bandelette réactive urinaire (IC à 95 %, 0,31 - 0,72). Conclusion : Le dépistage automatisé par bandelette réactive urinaire ne s’est pas révélé supérieur au dépistage visuel pour

  3. 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.

  4. Thymic function in HIV-infection.

    PubMed

    Kolte, Lilian

    2013-04-01

    This thesis is based on seven previously published articles. The work was performed during my employment at The Department of Infectious Diseases, Copenhagen University Hospital, Hvidovre, as a scholarship student from 2000-2001 and as a research assistant in the period 2004-2010. HIV-infection is characterized by CD4+ cell depletion. The differences between patients in the degree of CD4+ cell recovery upon treatment with highly active antiretroviral therapy (HAART) may in part be due to differences in the supply of naïve CD4+ cells from the thymus. The thymus atrophies with increasing age for which reason the adult thymus was previously assumed to be without function. The aim of these investigations was to examine the role of the thymus in different aspects of HIV-infection: In adult HIV-infected patients, during HIV-positive pregnancy, and in HIV-exposed uninfected (HIV-EU) children born to HIV-infected mothers. Thymic size and output were determined in 25 adult HIV-infected patients receiving HAART and in 10 controls. Larger thymic size was associated with higher CD4 counts and higher thymic output. Furthermore, patients with abundant thymic tissue seemed to have broader immunological repertoires, compared with patients with minimal thymic tissue. The study supports the mounting evidence of a contribution by the adult thymus to immune reconstitution in HIV-infection. In a follow-up study conducted till 5 years of HAART, the importance of the thymus to the rate of cellular restoration was found to primarily lie within the first two years of HAART. The effect of recombinant human growth hormone (rhGH) was then investigated in a randomized, double-blinded placebo controlled trial in 46 adult HIV-infected patients on HAART. Daily treatment with a low dose of rhGH of 0.7mg for 40 weeks stimulated thymopoiesis as expressed by thymic size, density, and output strongly supporting the assumption that rhGH possesses the potential to stimulate the ageing thymus, holding

  5. Les superpolynomes symetriques dans les problemes a plusieurs corps de la mecanique quantique supersymetrique

    NASA Astrophysics Data System (ADS)

    Desrosiers, Patrick

    'ondes sont respectivement les superpolynomes de Jack et d'Hermite a plusieurs variables. Ces superpolynomes symetriques sont orthogonaux par rapport aux produits scalaires usuels de la mecanique quantique et se decomposent de facon triangulaire en termes des superfonctions monomiales. Ils s'ecrivent explicitement a l'aide de determinants. Les superpolynomes de Jack sont aussi orthogonaux par rapport au produit scalaire combinatoire meme si ce dernier est different du produit scalaire physique. On prouve ainsi l'equivalence complete des approches combinatoire et physique dans la definition les superpolynomes de Jack.

  6. Abcès thyroïdien révélant un basedow: à propos d’un cas et revue de la littérature

    PubMed Central

    Chenguir, Meriem; Souldi, Hajar; Loufad, Fatima Zahra; Rouadi, Sami; Abada, Reda; Roubal, Mohamed; Mahtar, Mohamed

    2016-01-01

    L’abcès thyroïdien est une entité clinique très rare. Elle représente 0,1% des pathologies chirurgicales de la thyroïde. Les caractéristiques anatomique et physiologique de la glande lui procurent une résistance vis-à-vis des agents pathogènes. Les infections à Streptococcies et Staphylococcus sont les plus fréquentes. La tuberculose reste rarement rapportée dans la littérature. La survenue de l’infection sur goitre toxique est exceptionnelle. Les auteurs rapportent un cas rare d’abcès thyroïdien révélant un goitre toxique chez un jeune de 22 ans. Il s’est présenté aux urgences ORL pour une tuméfaction cervicale antérieure, légèrement latéralisée à gauche, mobile à la déglutition, associée à des hémoptysies, signes de dysthyroïdie, fièvre et sueurs nocturnes. La TDM cervicale a montré une masse occupant le lobe thyroïdien gauche de contenu liquidien mesurant 2 cm, avec un liquide purulent à la cytoponction. L’examen cyto-bactériologique a mis en évidence un Staphylococcus avec recherche de BK positive. Une radiographie thoracique a été demandée montrant un foyer alvéolaire pulmonaire apical droit. L’étude cytobactériologique des crachats ont isolé le bacille de koch. Le bilan biologique thyroïdien était en faveur d’un Basedow. La prise en charge était médicale comprenait une tri-antibiothérapie par voie parentérale, anti-bacillaire et anti-thyroïdien de synthèse avec bonne évolution. Le diagnostic de la tuberculose doit être évoqué devant toute abcédation thyroïdienne avec un tableau clinique peu bruyant. Il s’agit le plus souvent d’une dissémination hématogène à partir d’un autre foyer de primo-infection surtout pulmonaire. Le traitement est basé sur les anti-bacillaires associé parfois à la chirurgie. PMID:27795799

  7. Chirurgie coronaire isolée chez l’octogénaire : Résultats immédiats et analyse du taux de survie et de la qualité de vie à long terme

    PubMed Central

    Bach, Vincent; Tramaille, Sophie; Chavanon, Olivier; Durand, Michel; Noirclerc, Marianne; Vesin, Claire; Porcu, Paolo; Hacini, Rachid; Vanzetto, Gérald; Machecourt, Jacques

    2008-01-01

    HISTORIQUE : Près de trois millions d’octogénaires vivent en France, et ils sont nombreux à présenter une coronaropathie. Par ailleurs, l’espérance de vie à 80 ans semble encore importante. OBJECTIF : Évaluer les résultats d’une chirurgie coronaire chez ces patients. MÉTHODOLOGIE : Nous avons comparé 88 patients octogénaires consécutifs ayant subi un pontage aortocoronarien isolé entre 1996 et 2002 à 165 patients de 60 à 70 ans. Les deux groupes ont été appariés selon les principaux facteurs de risque. Nous avons pris contact avec les patients par téléphone et leur avons fait parvenir un questionnaire sur la qualité de vie. RÉSULTATS : La mortalité opératoire s’élevait à 2,3 % chez les octogénaires, par rapport à 1,2 % chez les 60 à 70 ans (P non significatif). Il y avait plus de bas débit, d’insuffisance rénale aiguë postopératoire et de transfusion chez les octogénaires. La survie à long terme (durée moyenne du suivi de 3,8 ans) était plus élevée chez les 60 à 70 ans : 89,7 % par rapport à 77,9 % (P=0,025). Nous avons constaté quatre facteurs de risque indépendants d’augmentation de la mortalité à long terme; âge, diabète, antécédents d’accident vasculaire cérébral et de transfusion sanguine postopératoire. Enfin, la survie à long terme des octogénaires opérés était significativement plus élevée que celle des octogénaires de la population générale de France, et leur qualité de vie était considérée comme satisfaisante. CONCLUSION : Pour des octogénaires sélectionnés, on peut proposer une chirurgie coronaire isolée, et les résultats à court et à long terme seront comparables à ceux d’une population plus jeune. PMID:18841258

  8. Thrombose de la veine porte au cours d'une hépatite auto immune type 1

    PubMed Central

    Salem, Bouomrani; Afef, Farah; Nadia, Bouassida; Nabil, Ayadi; Maher, Béji

    2013-01-01

    Notre but est de rapporter une observation particulière de thrombose de la veine porte survenant au décours d'une hépatite auto-immune type 1 non compliquée qui, à notre connaissance, n'a pas été rapportée auparavant. Il s'agit d'une patiente de 35 ans connue ayant une dermatose bulleuse auto immune (DBAI) type pemphigus confirmée histologiquement et immunologiquement qui fut explorée pour des coliques hépatiques avec élévations des transaminases et un épisode d'ictère spontanément résolutif. Les explorations ont permis de retenir le diagnostic d'une hépatite auto immune de type 1. Traitée par corticothérapie systémique à la dose de 1 mg/kg/j pour sa DBAI, l'évolution était favorable avec stabilisation simultanée de l'atteinte hépatique durant 19 ans. On découvre sur l'échographie abdominale de contrôle une thrombose partielle du tronc porte confirmée par le scanner X abdominal. Le bilan étiologique de cette thrombose est resté négatif. De même il n'y avait pas de signes cliniques, biologiques, endoscopiques ou radiologiques de cirrhose ni de dégénérescence maligne. Elle était efficacement antigoagulée par les antagonistes de la vitamine K. Dans notre observation le bilan étiologique; aussi exhaustif que possible, de cette thrombose est resté négatif, éliminant en particulier une cirrhose, une dégénérescence maligne et un syndrome des anti phospholipides associé et permettant de la rattacher directement à l'hépatopathie chronique auto immune. PMID:23734275

  9. Les abcès froids pariétaux thoraciques chez les sujets immunocompétents

    PubMed Central

    Benjelloun, Hanane; Morad, Sanaa; Zaghba, Nahid; Bakhatar, Abdelaziz; Yassine, Najiba; Bahlaoui, Abdelkrim

    2015-01-01

    Les abcès froids de la paroi thoracique représentent une forme rare et inhabituelle de tuberculose extrapulmonaire. Sa fréquence est estimée à moins de 5% des tuberculoses ostéoarticulaires, évaluées elles-mêmes à 15% des tuberculoses extrapulmonaires. L'objectif de ce travail est de rapporter la prise en charge diagnostique et thérapeutique de cette localisation dans notre structure. Etude rétrospective portant sur 18 cas colligés au service des maladies respiratoires du centre hospitalier universitaire Ibn Rochd de Casablanca, sur une période de 13 ans. La moyenne d’âge était de 34 ans (21-57). Un antécédent de tuberculose traitée était relevé dans un cas. Le tableau clinique était révélé par l'apparition insidieuse d'une masse pariétale de taille, de consistance et de siège variables. A l'imagerie thoracique, l'abcès pariétal était associé à une lyse osseuse dans sept cas, une atteinte parenchymateuse et pleurale dans quatre cas chacune et des adénopathies médiastinales dans deux cas. La confirmation diagnostique était bactériologique et/ou histologique dans tous les cas. La sérologie du virus de l'immunodéficience humaineétait négative chez tous nos malades. L’évolution sous traitement antibacillaire couplé ou non à une résection chirurgicale était favorable chez tous nos malades. Malgré la fréquence de la tuberculose dans notre contexte, la localisation pariétale thoracique reste rare, survenant chez une population non immunodéprimée et non toxicomane, contrairement à ce qui est souvent rapporté dans la littérature. Les abcès froids tuberculeux représentent une forme rare de tuberculose extrapulmonaire dont l’évolution reste favorable sous traitement précoce et bien conduit. PMID:26113904

  10. Prévalence de l'hypertension artérielle dans la population des meuniers de la ville de Lubumbashi, République Démocratique du Congo

    PubMed Central

    Ngombe, Léon Kabamba; Cowgill, Karen; Monga, Ben Bondo; Ilunga, Benjamin Kabyla; Stanis, Wembonyama Okitotsho; Numbi, Oscar Luboya

    2015-01-01

    Introduction L'objectif était de comparer la prévalence de l'hypertension artérielle chez les meuniers dans la ville de Lubumbashi qui sont exposés d'une manière permanente aux bruits des machines de transformation des céréales à la prévalence de l'hypertension artérielle chez un groupe des gardiens. Méthodes Quic'est une étude descriptive transversale qui a concerné 286 meuniers et 115 agents d'une entreprise de gardiennage. Apres un consentement éclairé, un auto questionnaire a été administré aux enquêtés et des mesures de poids, taille, et tension artérielle ont été prises. Résultats La prévalence de l'HTA chez les meuniers était 49.3% et celle des gardes était 20.9%, pour un ratio de prévalence de 2.4. significativement élevée par rapport aux contrôles (49.3% vs 20.9%) et le ratio de prévalence était de 2.4. Les facteurs de risque tels que: l’âge, l'indice de masse corporelle, l'ancienneté, la durée de travail ont été significativement élevés chez les meuniers par rapport aux gardiens. Conclusion Nous avons trouvé une prévalence élevée de l'HTA chez les meuniers. Nos résultats suggèrent que cette prévalence est probablement due à l'environnement du milieu de travail des meuniers (bruits, vibration des machines) et ce dernier constitue un facteur de risque de l'hypertension artérielle. PMID:26889333

  11. Tuberculose ostéoarticulaire (mal de Pott exclu): à propos de 120 cas à Abidjan

    PubMed Central

    Gbané-Koné, Mariam; Koné, Samba; Ouali, Boubacar; Djaha, Kouassi Jean -Mermoz; Akoli, Ekoya Ondzala; Nseng, Ingrid Nseng; Eti, Edmond; Daboiko, Jean Claude; Touré, Stanislas André; Kouakou, N'zué Marcel

    2015-01-01

    Introduction La tuberculose ostéoarticulaire (TOA) représente 2 à 5% de l'ensemble des tuberculoses. Elle demeure d'actualité surtout dans les pays à forte endémicité tuberculeuse. L'objectif était de déterminer la prévalence, les aspects topographiques, radiologiques de la TOA en milieu hospitalier ivoirien. Méthodes Les auteurs rapportent une expérience de 11 ans, à travers une étude rétrospective de 120 dossiers de patients atteints de la tuberculose ostéoarticulaire (le mal de Pott est exclu de cette étude). N'ont pas été inclus dans l’étude les dossiers ne comportant pas d'imagerie. Résultats L'atteinte extra vertébrale représentait 09,2% de la tuberculose ostéoarticulaire. Il s'agissait de 54 hommes et 66 femmes, l’âge moyen était de 43,13 ans. On notait 123 cas d'ostéoarthrites, et 8 cas d'ostéites des os plats. L'atteinte des membres inférieurs prédominait dans 91,87% des cas. La hanche était la première localisation (45,04%), suivie du genou (25,19%). Les atteintes étaient multifocales dans 20% des cas. L'atteinte osseuse était associée à une tuberculose pulmonaire dans 05,83% des cas. Des localisations inhabituelles ont été rapportées: poignet (n = 2), branches ischiopubiennes (n = 4), atteinte sternoclaviculaire (n = 4), médiopieds (n = 2). Les lésions radiologiques étaient avancées (stades III et IV) dans 55,73% des cas. A la TDM, la prévalence des abcès était de 77%. Un geste chirurgical a été réalisé sur 16 articulations (2 épaules, 13 genoux, une cheville). Conclusion La TOA des membres est peu fréquente contrairement à l'atteinte vertébrale. La hanche est la principale localisation. Le retard au diagnostic explique l’étendue des lésions anatomoradiologiques. PMID:26587129

  12. Review of key telepsychiatry outcomes

    PubMed Central

    Hubley, Sam; Lynch, Sarah B; Schneck, Christopher; Thomas, Marshall; Shore, Jay

    2016-01-01

    AIM: To conduct a review of the telepsychiatry literature. METHODS: We conducted a systematic search of the literature on telepsychiatry using the search terms, “telepsychiatry”, “telemental health”, “telecare”, “telemedicine”, “e-health”, and “videoconferencing”. To meet criteria for inclusion, studies had to: (1) be published in a peer-reviewed journal after the year 2000; (2) be written in English; (3) use videoconferencing technology for the provision of mental health assessment or treatment services; and (4) use an adequately-powered randomized controlled trial design in the case of treatment outcome studies. Out of 1976 studies identified by searches in PubMed (Medline database), Ovid medline, PsychInfo, Embase, and EBSCO PSYCH, 452 met inclusion criteria. Studies that met all inclusion criteria were organized into one of six categories: (1) satisfaction; (2) reliability; (3) treatment outcomes; (4) implementation outcomes; (5) cost effectiveness; and (6) and legal issues. All disagreements were resolved by reassessing study characteristics and discussion. RESULTS: Overall, patients and providers are generally satisfied with telepsychiatry services. Providers, however, tend to express more concerns about the potentially adverse of effects of telepsychiatry on therapeutic rapport. Patients are less likely to endorse such concerns about impaired rapport with their provider. Although few studies appropriately employ non-inferiority designs, the evidence taken together suggests that telepsychiatry is comparable to face-to-face services in terms of reliability of clinical assessments and treatment outcomes. When non-inferiority designs were appropriately used, telepsychiatry performed as well as, if not better than face-to-face delivery of mental health services. Studies using both rudimentary and more sophisticated methods for evaluating cost-effectiveness indicate that telepsychiatry is not more expensive than face-to-face delivery of

  13. 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

  14. Péritonites infectieuses en dialyse péritonéale continue ambulatoire au CHU de Rabat: profil bactériologique sur trois ans

    PubMed Central

    Lioussfi, Zineb; Rhou, Hakima; Ezzaitouni, Fatima; Ouzeddoun, Naima; Bayahia, Rabea; Benamar, Loubna

    2012-01-01

    Introduction La péritonite infectieuse (PI) est une des complications les plus sévères et les plus fréquentes de la dialyse péritonéale (DP). But: Déterminer le taux des PI et les germes en causes, et évaluer l’efficacité des protocoles thérapeutiques entrepris chez les patients traités par DP au CHU de Rabat. Méthodes Etude rétrospective effectuée en Septembre 2009 chez tous les patients traités par DP continue ambulatoire (DPCA) au CHU de Rabat depuis l’ouverture de l’unité de DP en Juillet 2006. Ont été inclus dans cette étude, tous les patients ayant fait une péritonite. Pour tous nos patients, nous avons relevé les données cliniques, biologiques et bactériologiques. Nous avons également recherché les causes des péritonites, le délai de survenue par rapport au début de la dialyse, et la durée moyenne de formation des patients. Résultats Au cours de la période de l’étude, 28 épisodes de PI sont survenus chez 19 patients dont la moyenne d’âge est de 46±16 (19-78) ans, avec une prédominance masculine (12 hommes/ 7 femmes). Le taux des PI dans notre unité de DP est de 21.07 mois-patients calculé par le RDPLF. Leur délai de survenue par rapport au début de la dialyse au centre est de 7.9 ±8 (1-29) mois. Lors de ces PI, les bactéries à Gram négatif (BGN) ont été retrouvées dans 55% des cas, contre uniquement 45% pour les Gram positifs. Conclusion La PI est une complication grave et redoutable de la DP. Le taux de PI dans notre centre de DPCA est de 21m-p ce qui correspond au taux acceptable définie par les sociétés internationales. Les germes les plus responsables des PI dans notre centre sont les BGN et la contamination semble être manu-portée se faisant essentiellement à partir de la flore environnementale et cutanée. PMID:22593777

  15. Physician Burnout and Patient-Physician Communication During Primary Care Encounters

    PubMed Central

    Roter, Debra; Beach, Mary Catherine; Laird, Shivonne L.; Larson, Susan M.; Carson, Kathryn A.; Cooper, Lisa A.

    2008-01-01

    Background Although previous studies suggest an association between provider burnout and suboptimal self-reported communication, no studies relate physician burnout to observed patient-physician communication behaviors. Objective To investigate the relationship between physician burnout and observed patient-physician communication outcomes in patient-physician encounters. Design Longitudinal study of enrollment data from a trial of interventions to improve patient adherence to hypertension treatment. Setting Fifteen urban community-based clinics in Baltimore, MD. Participants Forty physicians and 235 of their adult hypertensive patients, with oversampling of ethnic minorities and poor persons. Fifty-three percent of physicians were women, and the average practice experience was 11.2 years. Among the 235 patients, 66% were women, 60% were African-American, and 90% were insured. Measurements Audiotape analysis of communication during outpatient encounters (one per patient) using the Roter Interaction Analysis System and patients’ ratings of satisfaction with and trust and confidence in the physician. Results The median time between the physician burnout assessment and the patient encounter was 15.1 months (range 5.6–30). Multivariate analyses revealed no significant differences in physician communication based on physician burnout. However, compared with patients of low-burnout physicians, patients of high-burnout physicians gave twice as many negative rapport-building statements (incident risk ratio 2.06, 95% CI 1.58 – 2.86, p < 0.001). Physician burnout was not significantly associated with physician or patient affect, patient-centeredness, verbal dominance, or length of the encounter. Physician burnout was also not significantly associated with patients’ ratings of their satisfaction, confidence, or trust. Conclusions Physician burnout was not associated with physician communication behaviors nor with most measures of patient-centered communication

  16. La stigmatisation des PVVIH en Afrique: analyse de ses formes et manifestations au Burkina Faso

    PubMed Central

    Ky-Zerbo, Odette; Desclaux, Alice; Asmar, Khalil El; Makhlouf-Obermeyer, Carla; Msellati, Philippe; Somé, Jean-François

    2014-01-01

    Résumé Introduction l’impact négatif de la stigmatisation sur la prévention du VIH et la prise en charge a été documenté. La stigmatisation a été analysée au plan qualitatif au Burkina Faso, où la prévalence VIH est faible (1 %). Des mesures quantitatives sont encore nécessaires pour identifier les formes et manifestations majeures de la stigmatisation. Méthodologie dans le cadre de l’étude MATCH (Multi-country African Study on Testing and Counselling for HIV), une étude transversale a été conduite auprès de personnes ayant déjà fait le test VIH. Les personnes séropositives ont été interrogées sur les conséquences du résultat VIH+. Leur vécu de la stigmatisation a été évalué à travers 20 indicateurs de manifestations de la stigmatisation, regroupés en trois formes de stigmatisation/discrimination. Résultats au total 219 PVVIH ont été recrutées. L’autostigmatisation est la forme majeure de stigmatisation. Elle est estimée dans cette étude à 46 % comparativement à la stigmatisation dans les relations interpersonnelles évaluée à 40 % et la stigmatisation dans les services de santé qui est de 11 %. L’expérience de la stigmatisation dans les relations interpersonnelles est davantage rapportée par les PVVIH qui ont partagé leur résultat, celles qui ont un faible niveau de scolarisation, les veufs/veuves ou séparés, et les membres d’association. La stigmatisation dans les services de santé est rapportée plus souvent par les membres d’associations. Conclusion les programmes de prise en charge doivent, parallèlement à l’extension des antirétroviraux, intégrer un volet psychologique plus adapté aux besoins. Les activités d’appui psychosocial ciblant davantage l’individu doivent être développées, surtout au sein des associations. PMID:25291886

  17. 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

  18. Prévalence des cervicalgies et douleurs des membres supérieures chez les utilisateurs d'ordinateur en milieu professionnel à Casablanca (Maroc)

    PubMed Central

    Seknaji, Nawal; Rachidi, Wafaa; Hassoune, Samira; Janani, Saadia; Nani, Samira; Maaroufi, Abderrahmane; Mkinsi, Ouafaa

    2013-01-01

    Introduction Les cervicalgies et douleurs du membre supérieur (CDMS) affectent des millions d'utilisateurs d'ordinateurs dans les pays développés. L'objectif de ce travail était de déterminer la prévalence des cervicalgies et douleurs du membre supérieur (CDMS) à Casablanca et identifier les différents facteurs de risque qui y sont impliqués, afin de définir les sous-groupes à haut risque, et d’établir des plans d'intervention efficaces. Méthodes Il s'agit d'une étude transversale, menée chez 118 employés de bureau francophones et utilisant l'ordinateur, à Casablanca. Les données ont été collectées de Décembre 2011 à Juin 2012, en utilisant la version française d'un questionnaire validé: Maastricht-Upper-extremity-Questionnaire. Résultats 118 utilisateurs d'ordinateur en milieu professionnel ont été recrutés. Parmi les employés enquêtés, 93% ont rapporté des CDMS localisées au moins à un site. Les plaintes les plus fréquemment rapportées étaient les douleurs des épaules et les cervicalgies (48,3% et 46,6% respectivement). Nous n'avons pas remarqué de différence significative des fréquences des douleurs selon le genre. Nos résultats concordent avec les données de la littérature où il existe un certain consensus quant à l'impact des mauvaises conditions ergonomiques sur les troubles musculo-squelettiques du membre supérieur en milieu professionnel. De même, les études récentes examinant les effets combinés et/ou interactifs tant des facteurs biomécaniques/physiques que de facteurs psychosociaux professionnels vont de pair avec nos résultats. Conclusion Il en ressort que les stratégies d'intervention visant à réduire les CDMS doivent agir essentiellement sur 3 volets, le premier correspond à l'amélioration et la sensibilisation quant au respect des conditions ergonomiques, le second concerne l'amélioration des conditions psychosociales. Enfin le troisième volet vise la rationalisant de la demande de

  19. 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

  20. Annual Rainfall Forecasting by Using Mamdani Fuzzy Inference System

    NASA Astrophysics Data System (ADS)

    Fallah-Ghalhary, G.-A.; Habibi Nokhandan, M.; Mousavi Baygi, M.

    2009-04-01

    Long-term rainfall prediction is very important to countries thriving on agro-based economy. In general, climate and rainfall are highly non-linear phenomena in nature giving rise to what is known as "butterfly effect". The parameters that are required to predict the rainfall are enormous even for a short period. Soft computing is an innovative approach to construct computationally intelligent systems that are supposed to possess humanlike expertise within a specific domain, adapt themselves and learn to do better in changing environments, and explain how they make decisions. Unlike conventional artificial intelligence techniques the guiding principle of soft computing is to exploit tolerance for imprecision, uncertainty, robustness, partial truth to achieve tractability, and better rapport with reality. In this paper, 33 years of rainfall data analyzed in khorasan state, the northeastern part of Iran situated at latitude-longitude pairs (31°-38°N, 74°- 80°E). this research attempted to train Fuzzy Inference System (FIS) based prediction models with 33 years of rainfall data. For performance evaluation, the model predicted outputs were compared with the actual rainfall data. Simulation results reveal that soft computing techniques are promising and efficient. The test results using by FIS model showed that the RMSE was obtained 52 millimeter.

  1. Investigating the Relationship between Stable Personality Characteristics and Automatic Imitation.

    PubMed

    Butler, Emily E; Ward, Robert; Ramsey, Richard

    2015-01-01

    Automatic imitation is a cornerstone of nonverbal communication that fosters rapport between interaction partners. Recent research has suggested that stable dimensions of personality are antecedents to automatic imitation, but the empirical evidence linking imitation with personality traits is restricted to a few studies with modest sample sizes. Additionally, atypical imitation has been documented in autism spectrum disorders and schizophrenia, but the mechanisms underpinning these behavioural profiles remain unclear. Using a larger sample than prior studies (N=243), the current study tested whether performance on a computer-based automatic imitation task could be predicted by personality traits associated with social behaviour (extraversion and agreeableness) and with disorders of social cognition (autistic-like and schizotypal traits). Further personality traits (narcissism and empathy) were assessed in a subsample of participants (N=57). Multiple regression analyses showed that personality measures did not predict automatic imitation. In addition, using a similar analytical approach to prior studies, no differences in imitation performance emerged when only the highest and lowest 20 participants on each trait variable were compared. These data weaken support for the view that stable personality traits are antecedents to automatic imitation and that neural mechanisms thought to support automatic imitation, such as the mirror neuron system, are dysfunctional in autism spectrum disorders or schizophrenia. In sum, the impact that personality variables have on automatic imitation is less universal than initial reports suggest. PMID:26079137

  2. Communication skills in pediatric training program: National-based survey of residents’ perspectives in Saudi Arabia

    PubMed Central

    Alofisan, Tariq; Al-Alaiyan, Saleh; Al-Abdulsalam, Moath; Siddiqui, Khawar; Hussain, Ibrahim Bin; Al-Qahtani, Mohammad H.

    2016-01-01

    Background: Good communication skills and rapport building are considered the cardinal tools for developing a patient-doctor relationship. A positive, healthy competition among different health care organizations in Saudi Arabia underlines an ever increasing emphasis on effective patient-doctor relationship. Despite the numerous guidelines provided and programs available, there is a significant variation in the acceptance and approach to the use of this important tool among pediatric residents in this part of the world. Objective: To determine pediatric residents' attitude toward communication skills, their perception of important communication skills, and their confidence in the use of their communication skills in the performance of their primary duties. Materials and Methods: A cross-sectional study was conducted among all pediatrics trainee residents working in 13 different hospitals in Saudi Arabia. A standardized self-administered questionnaire developed by the Harvard Medical School was used. Results: A total of 297 residents out of all trainees in these centers participated in the data collection. The 283 (95%) residents considered learning communication skills a priority in establishing a good patient-doctor relationship. Thirty four percent reported being very confident with regard to their communication skills. Few residents had the skills, and the confidence to communicate with children with serious diseases, discuss end-of-life issues, and deal with difficult patients and parents. Conclusion: Pediatric residents perceive the importance of communication skills and competencies as crucial components in their training. A proper comprehensive communication skills training should be incorporated into the pediatric resident training curriculum. PMID:26929729

  3. Identifying Elements of Patient-Centered Care in Underserved Populations: A Qualitative Study of Patient Perspectives

    PubMed Central

    Raja, Sheela; Hasnain, Memoona; Vadakumchery, Tracy; Hamad, Judy; Shah, Raveena; Hoersch, Michelle

    2015-01-01

    Patient-centered care is an important goal in the delivery of healthcare. However, many patients do not engage in preventive medical care. In this pilot study, we conducted twenty in depth, semi-structured qualitative interviews at the University of Illinois at Chicago Health Sciences campus in a four month time frame. Many patients were underserved and underinsured, and we wanted to understand their experiences in the healthcare system. Using content analysis, several themes emerged from the interview data. Participants discussed the need for empathy and rapport with their providers. They identified provider behaviors that fostered a positive clinical relationship, including step-by step explanations of procedures, attention to body language and clinic atmosphere, and appropriate time management. Participants identified cost as the most common barrier to engaging in preventive care and discussed children and social support as motivating factors. A long-term relationship with a provider was an important motivator for preventive care, suggesting that the therapeutic alliance was essential to many patients. Conversely, many participants discussed a sense of dehumanization in the healthcare system, reporting that their life circumstances were overlooked, or that they were judged based on insurance status or ethnicity. We discuss implications for provider training and healthcare delivery, including the importance of patient-centered medical homes. PMID:25993110

  4. How Missing Information in Diagnosis Can Lead to Disparities in the Clinical Encounter

    PubMed Central

    Alegría, Margarita; Nakash, Ora; Lapatin, Sheri; Oddo, Vanessa; Gao, Shan; Lin, Julia; Normand, Sharon-Lise

    2009-01-01

    Previous studies have documented diagnostic bias and noted that its reduction could eliminate misdiagnosis and improve mental health service delivery. Few studies have investigated clinicians' methods of obtaining and using information during the initial clinical encounter. We describe a study examining contributions to clinician bias during diagnostic assessment of ethnic/racial minority patients. A total of 129 mental health intakes were videotaped, involving 47 mental health clinicians from 8 primarily safety-net clinics. Videos were coded by another clinician using an information checklist, blind to the diagnoses provided by the original clinician. We found high levels of concordance between clinicians for substance-related disorders, low levels for depressive disorders, and anxiety disorders except panic. Most clinicians rely on patients' mention of depression, anxiety, or substance use to identify disorders, without assessing specific criteria. With limited diagnostic information, clinicians can optimize the clinical intake time to establish rapport with patients. We found Latino ethnicity to be a modifying factor of the association between symptom reports and likelihood of a depression diagnosis. Differential discussion of symptom areas, depending on patient ethnicity, may lead to differential diagnosis and increased likelihood of diagnostic bias. PMID:18843234

  5. Production de faisceaux EPR à l'aide d'un oscillateur paramétrique optique à auto-verrouillage de phase

    NASA Astrophysics Data System (ADS)

    Longchambon, L.; Laurat, J.; Treps, N.; Ducci, S.; Maître, A.; Coudreau, T.; Fabre, C.

    2002-06-01

    Nous étudions théoriquement les propriétés quantiques des faisceaux lumineux continus orthogonalement polarisés émis par un Oscillateur Paramétrique Optique (OPO) de type II contenant une lame biréfringente. Quand les axes optiques de la lame sont tournés par rapport à ceux du cristal paramétrique, un couplage apparaît entre les faisceaux signal et complémentaire qui entraîne un verrouillage de phase entre les deux modes et un fonctionnement à dégénérescence de fréquence à l'intérieur d'une zone d'accrochage. Les corrélations quantiques entre les deux faisceaux permettent de définir les zones dans l'espace des paramètres expérimentaux où les différents critères associés à l'intrication EPR utilisés en information quantique sont vérifiés.

  6. Analysis of touch used by occupational therapy practitioners in skilled nursing facilities.

    PubMed

    Morris, Douglas; Henegar, J; Khanin, S; Oberle, G; Thacker, S

    2014-09-01

    Instrumental touch is identified as having purposeful physical contact in order to complete a task. Expressive touch is identified as warm, friendly physical contact and is not solely for performing a task. Expressive touch has been associated with improved client status, increased rapport and greater gains made during therapy. The purpose of the study was to observe the frequency of expressive and instrumental touch utilized by an occupational therapist during an occupational therapy session. Thirty-three occupational therapy professionals, including occupational therapists and occupational therapy assistants, employed at skilled nursing facilities in southwest Florida were observed. Data were collected on the Occupational Therapy Interaction Assessment. The results of the data analysis showed a positive relationship between the gender of the therapist and the frequency of expressive touch. The data also showed that a large majority of touches were instrumental touch and pertained to functional mobility. The results of the study can contribute to a better understanding of the holistic aspects of occupational therapy. By the use of more expressive touch, occupational therapy practitioners may have a positive, beneficial effect on both the client and the therapy process as a whole. Further research is needed to determine the effect an occupational therapy setting has on the frequency of instrumental and expressive touch. A larger sample size and a distinction between evaluation and treatment sessions would benefit future studies.

  7. Occupational Therapy and Sexual and Reproductive Health Promotion in Adolescence: A Case Study.

    PubMed

    Gontijo, Daniela Tavares; de Sena e Vasconcelos, Anna Carolina; Monteiro, Rosana Juliet Silva; Facundes, Vera Lúcia Dutra; Trajano, Maria de Fátima Cordeiro; de Lima, Luciane Soares

    2016-03-01

    Occupational therapy can contribute to sexual and reproductive health through health education. The purpose of this study was to describe an occupational therapy intervention aimed at sexual and reproductive health promotion in adolescents. Fifty-eight adolescents were involved in the study, before, during and after the interventions. Educative activities such as puzzles, storytelling, mime and board games were used, which occupational therapy faculty and students had constructed. The games were employed as mediators for gaining knowledge in sexual and reproductive health. Outcome was measured using a questionnaire, audio recordings and field diaries. The data were analysed by descriptive statistics and thematic content analysis. The results showed the adolescents' increased knowledge of sexual and reproductive health information immediately after the intervention. The thematic analysis was grouped into three categories: the adolescents' initial expectations regarding the project, reflections on the process experienced during the interventions and use of educational games by occupational therapists. The importance of rapport and dialogue was highlighted in the construction of interventions based on participatory methods. The absence of a longitudinal follow-up is a limitation in this study. Further research is important to systematically assess sexual health promotion strategies in adolescence.

  8. Collaboration and conquest: MTD as viewed by voice teacher (singing voice specialist) and speech-language pathologist.

    PubMed

    Goffi-Fynn, Jeanne C; Carroll, Linda M

    2013-05-01

    This study was designed as a qualitative case study to demonstrate the process of diagnosis and treatment between a voice team to manage a singer diagnosed with muscular tension dysphonia (MTD). Traditionally, literature suggests that MTD is challenging to treat and little in the literature directly addresses singers with MTD. Data collected included initial medical screening with laryngologist, referral to speech-language pathologist (SLP) specializing in voice disorders among singers, and adjunctive voice training with voice teacher trained in vocology (singing voice specialist or SVS). Initial target goals with SLP included reducing extrinsic laryngeal tension, using a relaxed laryngeal posture, and effective abdominal-diaphragmatic support for all phonation events. Balance of respiratory forces, laryngeal coordination, and use of optimum filtering of the source signal through resonance and articulatory awareness was emphasized. Further work with SVS included three main goals including a lowered breathing pattern to aid in decreasing subglottic air pressure, vertical laryngeal position to lower to allow for a relaxed laryngeal position, and a top-down singing approach to encourage an easier, more balanced registration, and better resonance. Initial results also emphasize the retraining of subject toward a sensory rather than auditory mode of monitoring. Other areas of consideration include singers' training and vocal use, the psychological effects of MTD, the personalities potentially associated with it, and its relationship with stress. Finally, the results emphasize that a positive rapport with the subject and collaboration between all professionals involved in a singer's care are essential for recovery.

  9. A collaborative clinical and population-based curriculum for medical students to address primary care needs of the homeless in New York City shelters : Teaching homeless healthcare to medical students.

    PubMed

    Asgary, Ramin; Naderi, Ramesh; Gaughran, Margaret; Sckell, Blanca

    2016-06-01

    Background Millions of Americans experience homelessness annually. Medical providers do not receive adequate training in primary care of the homeless.Methods Starting in 2012, a comprehensive curriculum was offered to medical students during their family medicine or ambulatory clerkship, covering clinical, social and advocacy, population-based, and policy aspects. Students were taught to: elicit specific social history, explore health expectations, and assess barriers to healthcare; evaluate clinical conditions specific to the homeless and develop plans for care tailored toward patients' medical and social needs; collaborate with shelter staff and community organizations to improve disease management and engage in advocacy efforts. A mixed methods design was used to evaluate students' knowledge, attitudes, and skills including pre- and post-curriculum surveys, debriefing sessions, and observed clinical skills.Results The mean age of the students (n = 30) was 26.5 years; 55 % were female. The overall scores improved significantly in knowledge, attitude, and self-efficacy domains using paired t‑test (p < 0.01). Specific skills in evaluating mental health, substance abuse, and risky behaviours improved significantly (p < 0.05). In evaluation of communication skills, the majority were rated as having 'outstanding rapport with patients.'Conclusions Comprehensive and ongoing clinical component in shelter clinics, complementary teaching, experienced faculty, and working relationship and collaboration with community organizations were key elements. PMID:27277430

  10. Une arthrite septique sur prothèse totale de genou à Pasteurella multocida: à propos d'un cas

    PubMed Central

    Kouevidjin, Biova Teko; Bassinga, Jonathan Sylvanus

    2015-01-01

    Une arthrite septique sur PTG est due essentiellement au Staphylococcus aureus suivie des staphylocoques à coagulase négative, et les streptocoques. Au cours de ses 40 dernières années très peu de cas d'infection sur arthroplastie à Pasteurella multocida ont été rapporté. La présentation clinique n'a rien de spécifique.la contamination survient après une morsure, griffure ou léchage d'un chat. L'interrogatoire et l'examen bactériologique est la clé du diagnostique. Nous rapportons le cas d'une patiente de 84 ans qui présente une infection a Pasteurella multocida suite à une morsure du chat 06 jours au paravent. Elle a bénéficié d'une prise en charge chirurgicale par lavage et synovectomie et une bi-antibiothérapie avec bonne évolution. PMID:26523162

  11. Zoology, evolution, and ecology for elementary teachers in a model alliance between a university biology department and a zoo

    SciTech Connect

    DuBrul, E.F.; Lewis N.; Mesteller, P.

    1994-12-31

    Many of the goals and performance objectives for elementary science deal with hands-on experiences such as observing the characteristics of living things, sorting and classifying, and measuring and recording data. Ideal environments for learning episodes that can foster these objectives are zoos and parks or nature preserves. This poster describes a program that uses the University faculty, local master elementary teachers, and Zoo staff and facilities to: (1) educate K-6 teachers about zoology, ecology, and evolution, (2) provide practical, on-site learning exercises as examples of how teachers can develop zoo visits that will be true learning experiences, (3) help the participants develop zoo-related exercises of classroom use, (4) show the participants the behind-the scenes work that goes on at a zoo, and (5) establish a close rapport between the teachers and a large group of professional resource persons. We present the results of evaluations and follow-up interviews, and we note the key features of this program and suggest how our experience may be used by other partnerships.

  12. Separating 'emotion' from 'the science': Exploring the perceived value of information for parents and families of children with autistic spectrum disorder.

    PubMed

    O'Reilly, Michelle; Karim, Khalid; Lester, Jessica Nina

    2015-07-01

    Autistic spectrum disorder (ASD) is a life-long condition. In recent years, there has been a rise in the number of children diagnosed with ASD and a greater recognition that parents need clear, accessible information communicated through different modalities. The objective of this research was to explore the views of stakeholders regarding their information needs, current information modalities and the perceived barriers and complexities of information. Three focus groups with the same stakeholders were conducted with a range of individuals from a variety of backgrounds, all of whom had a personal and/or professional interest in ASD. The same stakeholders were included in all three groups to promote depth of analysis and to facilitate rapport. All focus groups were audio-recorded, transcribed and analysed using thematic analysis. Three main issues were identified, including (1) the value of particular information sources; (2) the vulnerability of families and (3) the need for validated evidence. It was concluded, therefore, that information should be available through a multitude of modalities, accounting for the educational ability and economic status of families. The information should also be communicated in an accessible style, should be presented as trustworthy and clinical professionals may play a key role in translating information. Such information also needs to account for practical problems inherent to having a child with ASD, including time constraints and fatigue.

  13. Concluding Remarks: A View of the Past through the Lens of the Present.

    PubMed

    Bensaude-Vincent, Bernadette

    2014-01-01

    Reflecting on the upsurge of interest among historians of chemistry in the material, artisanal, and commercial aspects of early modern chemistry, this essay argues that they are attracting attention because of a number of similarities between the style of chemistry cultivated in this period and the new cultures of chemistry being developed today. The close interactions between knowing and making, academic knowledge and practical applications, the social value and prestige attached to chemistry, the public engagement in chemical culture, the concern with recycling, and even a specific relational ontology instantiated in the term "rapport" are characteristic features of the current technoscientific culture. However, these analogies between early modern chemistry and the technoscientific paradigm may turn into obstacles if they end up in hasty rapprochements and whiggish interpretations of the past. In keeping with the attempts displayed in many articles in this volume to identify and understand the meaning of the actors' categories, this essay emphasizes the contrast between the visions of the past and the future developed by eighteenth-century chemists and the concept of time that prevails nowadays. The concept of "regime of historicity" provides a useful conceptual tool to take a view of chemistry as embedded in a culture and integral part of the horizon of expectation of an epoch. On the basis of this contrast between the regimes of historicity, the essay recommends the pluralism of concepts of time (polychronism) as an antidote to anachronisms. PMID:26103761

  14. Loyalty in the trenches: practical teleology for office clinicians responding to terrorism.

    PubMed

    Trotter, Griffin

    2004-08-01

    Were terrorists ever to effectively deploy weapons of mass destruction, medical practice would be quickly transformed. Many ordinary clinicians would be asked or required to treat unfamiliar yet serious medical conditions in a setting of overwhelming urgency and impossible odds. Clinical focus would shift from doing good things for a succession of individual patients to considering many patients at once, a change that could beget loss of trust and rapport with patients. Clinicians might also experience restrictions in personal liberties and appropriation of their property. The purpose of this essay is to develop a teleological framework for undertaking this transformation. In ordinary clinical medicine, the elusiveness of the individual telos (i.e.,the good for the individual) is acknowledged in procedures (such as social history taking,informed consent and outpatient scheduling) designed to protect patients' (and clinicians')prerogatives to interpret the telos for themselves. In mass casualty scenarios, on the other hand, the telos is standardized and regarded as an Immediate Object (usually as a state of affairs in which survival is maximized and permanent disability is minimized). Clinicians who provide mass casualty care will face a number of ethical challenges that can be negotiated by appealing to the political and ethical rationale, and limits, pertaining to the pursuit of aggregate survival as an Immediate Object. PMID:15370301

  15. Concluding Remarks: A View of the Past through the Lens of the Present.

    PubMed

    Bensaude-Vincent, Bernadette

    2014-01-01

    Reflecting on the upsurge of interest among historians of chemistry in the material, artisanal, and commercial aspects of early modern chemistry, this essay argues that they are attracting attention because of a number of similarities between the style of chemistry cultivated in this period and the new cultures of chemistry being developed today. The close interactions between knowing and making, academic knowledge and practical applications, the social value and prestige attached to chemistry, the public engagement in chemical culture, the concern with recycling, and even a specific relational ontology instantiated in the term "rapport" are characteristic features of the current technoscientific culture. However, these analogies between early modern chemistry and the technoscientific paradigm may turn into obstacles if they end up in hasty rapprochements and whiggish interpretations of the past. In keeping with the attempts displayed in many articles in this volume to identify and understand the meaning of the actors' categories, this essay emphasizes the contrast between the visions of the past and the future developed by eighteenth-century chemists and the concept of time that prevails nowadays. The concept of "regime of historicity" provides a useful conceptual tool to take a view of chemistry as embedded in a culture and integral part of the horizon of expectation of an epoch. On the basis of this contrast between the regimes of historicity, the essay recommends the pluralism of concepts of time (polychronism) as an antidote to anachronisms.

  16. Affective Scaffolds, Expressive Arts, and Cognition.

    PubMed

    Maiese, Michelle

    2016-01-01

    Some theorists have argued that elements of the surrounding world play a crucial role in sustaining and amplifying both cognition and emotion. Such insights raise an interesting question about the relationship between cognitive and affective scaffolding: in addition to enabling the realization of specific affective states, can an affective niche also enable the realization of certain cognitive capacities? In order to gain a better understanding of this relationship between affective niches and cognition, I will examine the use of expressive arts in the context of psychotherapy and peacebuilding. In these settings, environmental resources and interpersonal scaffolds not only evoke emotion and encourage the adoption of particular bodily affective styles, but also support the development of capacities for self-awareness and interpersonal understanding. These affective scaffolds play a crucial role in therapy and peacebuilding, in fact, insofar as they facilitate the development of self-knowledge, enhance capacities associated with social cognition, and build positive rapport and trust among participants. I will argue that this is because affectivity is linked to the way that subjects frame and attend to their surroundings. Insofar as the regulation and modification of emotion goes hand in hand with opening up new interpretive frames and establishing new habits of mind, the creation of an affective niche can contribute significantly to various modes of cognition. PMID:27014164

  17. Integrating enhanced hepatitis C testing and counselling in research.

    PubMed

    Winter, Rebecca; Nguyen, Oanh; Higgs, Peter; Armstrong, Stuart; Duong, Duyen; Thach, My Li; Aitken, Campbell; Hellard, Margaret

    2008-02-01

    The hepatitis C virus (HCV) affects over 170 million people worldwide. In Australia, over 225,000 people have been diagnosed with HCV infection with 13,000 infections reported annually; 90% are attributed to injecting drug use. Burnet Institute (BI) researchers have been studying the HCV epidemic since the virus was identified in 1989 including community based cohort studies (1990-1995), numerous studies involving Vietnamese-Australian people who inject drugs (PWID) (1996-2004) and social network studies (2000-2002, 2005-2007). Through this work the BI has developed a model of research practice for HCV and PWID, developed in recognition that much research relating to BBV infections - and HCV in particular - could be improved in terms of provision of test results to study participants. Our model endeavours to provide all participants with the highest quality HCV test results, delivered in accordance with best practice for pre- and post-test counselling by engaging participants in environments in which they are comfortable, building trust and rapport and being available throughout and beyond the research study. This paper will discuss the benefits and lessons learned over numerous studies in providing pre- and post-test counselling to PWID in an outreach capacity. PMID:18312821

  18. Challenges and strategies in recruiting, interviewing, and retaining recent Latino immigrants in substance abuse and HIV epidemiologic studies.

    PubMed

    De La Rosa, Mario; Babino, Rosa; Rosario, Adelaida; Martinez, Natalia Valiente; Aijaz, Lubna

    2012-01-01

    The growth of immigrant populations in the United States over the past 20 years has increased the need to enhance understanding about the risk factors that influence their substance abuse and HIV risk behaviors. Today, Latinos account for the largest majority of immigrants gaining entry into the United States. As the largest and fastest growing minority subgroup in the United States, they bear a disproportionate burden of disease and death compared to non-Latinos. Latinos are confronted with escalating HIV and substance-abuse problems, particularly Latinos between the ages of 18-34. This paper is based on our longitudinal study on the drug using and HIV risk behaviors of 527 recent Latino immigrants between the ages of 18-34 who have lived in the United States less than 1 year. The data collection activities of this study have provided insights in identifying, recruiting, interviewing, and retaining Latinos in community-based studies. Strategies, such as utilizing a combination of translation techniques, ensured the development and implementation of culturally appropriate questionnaires. Respondent-driven sampling facilitated identifying participants. Establishing rapport and trust was critical for interviewing, and maintaining a tracking protocol was most important for retention. The lessons learned from this study can guide substance abuse and HIV researchers when recruiting, interviewing, and retaining recent Latino immigrants in future epidemiologic studies. 

  19. Automated Video Analysis of Non-verbal Communication in a Medical Setting

    PubMed Central

    Hart, Yuval; Czerniak, Efrat; Karnieli-Miller, Orit; Mayo, Avraham E.; Ziv, Amitai; Biegon, Anat; Citron, Atay; Alon, Uri

    2016-01-01

    Non-verbal communication plays a significant role in establishing good rapport between physicians and patients and may influence aspects of patient health outcomes. It is therefore important to analyze non-verbal communication in medical settings. Current approaches to measure non-verbal interactions in medicine employ coding by human raters. Such tools are labor intensive and hence limit the scale of possible studies. Here, we present an automated video analysis tool for non-verbal interactions in a medical setting. We test the tool using videos of subjects that interact with an actor portraying a doctor. The actor interviews the subjects performing one of two scripted scenarios of interviewing the subjects: in one scenario the actor showed minimal engagement with the subject. The second scenario included active listening by the doctor and attentiveness to the subject. We analyze the cross correlation in total kinetic energy of the two people in the dyad, and also characterize the frequency spectrum of their motion. We find large differences in interpersonal motion synchrony and entrainment between the two performance scenarios. The active listening scenario shows more synchrony and more symmetric followership than the other scenario. Moreover, the active listening scenario shows more high-frequency motion termed jitter that has been recently suggested to be a marker of followership. The present approach may be useful for analyzing physician-patient interactions in terms of synchrony and dominance in a range of medical settings. PMID:27602002

  20. Observed coparenting and triadic dynamics in African American fragile families at 3 months' postpartum.

    PubMed

    McHale, James P; Coates, Erica E

    2014-01-01

    This report examines coparenting and triadic interactions in 19 unmarried, first-time African American families as fathers, mothers, and 3-month-old infants navigated the Lausanne Trilogue Play (LTP; E. Fivaz-Depeursinge & A. Corboz-Warnery, ). Parents in 10 of the 19 families reported coresidence at the time of the 3-month assessment, and the other 9 sets of coparents lived apart. All participating families had taken part in a prenatal intervention emphasizing the importance of father engagement in children's lives, and in all families, parents reported episodic to regular father contact with the children at 3 months. Analyses of LTP sessions revealed that 9 of the 19 families exhibited high levels of coparenting solidarity-cooperation and family warmth accompanied by low levels of coparenting competition and disengagement. Among the remaining 10 families, competitiveness (verbal sparring, interference) and/or disengagement (repeated, episodic absenting by one or both parents from the ongoing interaction) signaled strain and challenges to solidarity. Differences between the higher and lower solidarity groups were found in father-reported relationship rapport. However, coresidentiality versus noncoresidentiality of the parents did not distinguish high- from low-solidarity groups. A case analysis of one family's triadic session is presented to elucidate the rich potential for clinical intervention in triadic work with fragile family systems. Implications of the study and its findings for theory, research, and clinical work with unmarried fathers and families, along with limits of the study design and generalizability of findings, are discussed.

  1. Physiological evidence of interpersonal dynamics in a cooperative production task.

    PubMed

    Mønster, Dan; Håkonsson, Dorthe Døjbak; Eskildsen, Jacob Kjær; Wallot, Sebastian

    2016-03-15

    Recent research suggests that shared behavioral dynamics during interpersonal interaction are indicative of subjective and objective outcomes of the interaction, such as feelings of rapport and success of performance. The role of shared physiological dynamics to quantify interpersonal interaction, however, has received comparatively little attention. In the present study, we investigate the coordination dynamics of multiple psychophysiological measures and their utility in capturing emotional dynamics in teams. We use data from an experiment where teams of three people built origami boats together in an assembly-line manner while their heart rate, skin conductance, and facial muscle activity were recorded. Our results show that physiological synchrony of skin conductance measures and eletromyographic measures of the corrugator supercilii develops spontaneously among team members during this cooperative production task. Moreover, high team synchrony is found indicative of team cohesion, while low team synchrony is found indicative of a teams' decision to adopt a new behavior across multiple production sessions. We conclude that team-level measures of synchrony offer new and complementary information compared to measures of individual levels of physiological activity.

  2. Appendix stump closure with endoloop in laparoscopic appendectomy.

    PubMed

    Caglià, Pietro; Tracia, Angelo; Spataro, Daniele; Borzì, Laura; Lucifora, Bibiana; Tracia, Luciano; Amodeo, Corrado

    2014-01-01

    L’appendicite acuta rappresenta la più comune patologia infiammatoria della cavità adddominale. Mc Burney ne ha per primo descritto il trattamento chirurgico utilizzando la classica incisione nel quadrante addominale inferiore destro. Tale approccio è stato considerato il trattamento standard della patologia appendicolare per più di un secolo, fino all’inizio dell’era video laparoscopica. I rapidi cambiamenti tecnici e gli innegabili vantaggi della procedura videolaparoscopica ha portato ad una ampia diffusione della metodica in ambito clinico. La chiusura del moncone appendicolare, durante l’appendicectomia video laparoscopica, rappresenta uno degli aspetti tecnici fondamentali della procedura per le gravi potenziali complicanze che possono derivare da un suo non appropriato trattamento. Gravi complicanze sono infatti rappresentate da deiscenza, fistole stercoracee e peritonite. La chiusura con endostapler, hem-o-look e legatura intracorporea rappresentano le metodiche più comunemente utilizzate. Tutte le alternative descritte presentano vantaggi e svantaggi e vanno rapportate ai diversi stadi clinici della patologia appendicolare. Va inoltre notato che le differenti metodiche di trattamento del moncone appendicolare non sono state testate in studi randomizzati. In base alla nostra esperienza si può affermare che il trattamento del moncone appendicolare con endoloop può essere utilizzato con sicurezza e dovrebbe essere considerata la metodica di scelta anche in relazione al rapporto costo-beneficio. Metodi alternativi di chiusura del moncone appendicolare andrebbero utilizzati in caso di appendicite flemmonosa o gangrenosa, ascesso peritiflitico e/o contemporaneo trattamento di diverticolo di Meckel.

  3. Latin American nursing students in the United States.

    PubMed

    Abu-Saad, H; Kayser-Jones, J; Gutierrez, Y

    1982-09-01

    The Latino students confront a unique set of difficulties and patterns of adjustment in the majority culture and the educational experiences in the United States. Careful consideration must be given not only to the general characteristics of this group, but also to the individual's history of immigration, socioeconomic status, educational experiences and background. Multicultural education for the international nursing students can benefit all students, but it should not gloss over conflicts of values and beliefs. It must honestly deal with differences and similarities. It must be based on experience, not on stereotypes of root cultures or ethnic characteristics. In addition to addressing the cognitive affect and skill needs of all students, the multicultural education must address the special needs of minorities. Anglo students or majority-group students need realistic opportunities for experience and interaction with minority students and minority-faculty. Every group has something to teach the other. Faculty advisors and majority students should be encouraged to acquaint themselves with the need to establish rapport with the Latino student. There is also a need to develop in the classroom an atmosphere that enhances the learning experiences. The learning experiences should be so designed that all students and school personnel can intellectually, emotionally and socially participate on equal terms in a culturally diverse society. PMID:6288641

  4. Scaffolded interviewing with lesbian, gay, bisexual, transgender, queer, and questioning youth: a developmental approach to HIV education and prevention.

    PubMed

    Welle, Dorinda L; Clatts, Michael C

    2007-01-01

    The field of education has long recognized that adolescent development and learning are made possible by the structural supports or "scaffolds" that adults create with young people. Although the work of Lev Vygotsky (1978, 1987) has inspired developmentally-supportive approaches to education in the United States and internationally, his work has been largely overlooked in the field of HIV education and prevention. This article introduces an approach to scaffolded interviewing that builds narrative and relational "platforms" for young people's self-development and facilitates health communication, trust and rapport, and HIV awareness. Developed over the course of a 2-year longitudinal ethnographic study with 45 lesbian, gay, bisexual, transgender, queer, and questioning youths, scaffolded interviewing aims to build the relational and narrative foundations for young people's active engagement in HIV education and prevention. In scaffolded interviewing, three kinds of platforms or supportive structures serve to scaffold enhanced health communication and HIV awareness: (a) the interview design (a strategic sequencing of life history and HIV-related questions), (b) the developing relationship between interviewer and study participant, and (c) the young person's own narration of a "real" and developing self. Through their participation in scaffolded interviewing, young people develop their own foundations for HIV awareness and HIV prevention by using the narrative and relational supports of the research or clinical interview and the identity terminologies relevant to their own self-development.

  5. [Care, the caring, the cure and the caregiver].

    PubMed

    Morvillers, Jean-manuel

    2015-09-01

    Due to the multiple meanings of the concept of care and its diverse cultural meanings, the purpose of this article is to address this concept, starting with clarification of its etymological origins. In addition to this clarification, the objectives of this paper are to highlight the rapport between care and cure, the implications of care in health care team management. The etymological analysis is made starting from encyclopaedic writings, to discuss the original meaning of the concept. The results of this analysis show that the original meaning of care is anchored on affects and feeling, lead to caring. Therefore, a personal dimension is inherent to it. This reflection tries to show that care does not oppose to cure, but that it is imperative to incresae nurses to the personal dimension in care to become caring with the management support. The conclusion reveals that a personal dimension of caring, supported by human values associated, participate to the professional dimension of the nursing role. Thus, these two dimensions that must grow together, are unavoidable for nursing pratice. PMID:26685556

  6. Building co-management as a process: problem solving through partnerships in Aboriginal country, Australia.

    PubMed

    Zurba, Melanie; Ross, Helen; Izurieta, Arturo; Rist, Philip; Bock, Ellie; Berkes, Fikret

    2012-06-01

    Collaborative problem solving has increasingly become important in the face of the complexities in the management of resources, including protected areas. The strategy undertaken by Girringun Aboriginal Corporation in north tropical Queensland, Australia, for developing co-management demonstrates the potential for a problem solving approach involving sequential initiatives, as an alternative to the more familiar negotiated agreements for co-management. Our longitudinal case study focuses on the development of indigenous ranger units as a strategic mechanism for the involvement of traditional owners in managing their country in collaboration with government and other interested parties. This was followed by Australia's first traditional use of marine resources agreement, and development of a multi-jurisdictional, land to sea, indigenous protected area. In using a relationship building approach to develop regional scale co-management, Girringun has been strengthening its capabilities as collaborator and regional service provider, thus, bringing customary decision-making structures into play to 'care for country'. From this evolving process we have identified the key components of a relationship building strategy, 'the pillars of co-management'. This approach includes learning-by-doing, the building of respect and rapport, sorting out responsibilities, practical engagement, and capacity-building.

  7. In person versus Computer Screening for Intimate Partner Violence Among Pregnant Patients

    PubMed Central

    Dado, Diane; Schussler, Sara; Hawker, Lynn; Holland, Cynthia L.; Burke, Jessica G.; Cluss, Patricia A.

    2012-01-01

    Objective To compare in person versus computerized screening for intimate partner violence (IPV) in a hospital-based prenatal clinic and explore women’s assessment of the screening methods. Methods We compared patient IPV disclosures on a computerized questionnaire to audio-taped first obstetric visits with an obstetric care provider and performed semi-structured interviews with patient participants who reported experiencing IPV. Results Two-hundred and fifty patient participants and 52 provider participants were in the study. Ninety-one (36%) patients disclosed IPV either via computer or in person. Of those who disclosed IPV, 60 (66%) disclosed via both methods, but 31 (34%) disclosed IPV via only one of the two methods. Twenty-three women returned for interviews. They recommended using both types together. While computerized screening was felt to be non-judgmental and more anonymous, in person screening allowed for tailored questioning and more emotional connection with the provider. Conclusion Computerized screening allowed disclosure without fear of immediate judgment. In person screening allows more flexibility in wording of questions regarding IPV and opportunity for interpersonal rapport. Practice Implications Both computerized or self-completed screening and in person screening is recommended. Providers should address IPV using non-judgmental, descriptive language, include assessments for psychological IPV, and repeat screening in person, even if no patient disclosure occurs via computer. PMID:22770815

  8. Exploring the Role of Self-Esteem and Parenting Patterns on Alcohol Use and Abuse Among Adolescents

    PubMed Central

    Glozah, Franklin N.

    2014-01-01

    The type of parental child-rearing practices used by parents and guardians substantially influence children’s self-esteem and consequently their decision to engage in alcohol use, its abuse. The aim of this study was to explore the role of self-esteem and parenting patterns on alcohol use and abuse among adolescents. Three hundred and sixteen boys and girls in Senior High Schools completed self-report questionnaires assessing self-esteem, parenting patterns and alcohol use and abuse. The results showed that while girls reported lesser self-esteem than boys, boys reported higher levels of alcohol use and abuse than girls. Also, authoritative parenting pattern had a positive effect on self-esteem and a negative effect on alcohol use. On the other hand, authoritarian and permissive parenting patterns had negative effects on self-esteem and positive effects on alcohol use, with slight variations. These results provide valuable information regarding strategies aimed at fostering parent-child relationship and rapport with the ultimate aim of bolstering the self-esteem of adolescents to subsequently eschew insalubrious behaviour, particularly alcohol use and abuse. PMID:26973951

  9. Two-phase flows and heat transfer within systems with ambient pressure above the thermodynamic critical pressure

    NASA Astrophysics Data System (ADS)

    Hendricks, R. C.; Braun, M. J.; Mullen, R. L.

    In systems where the design inlet and outlet pressure P sub amb are maintained above the thermodynamic critical pressure P sub c, it is often assumed that heat and mass transfer are governed by single-phase relations and that two-phase flows cannot occur. This simple rule of thumb is adequate in many low-power designs but is inadequate for high-performance turbomachines, boilers, and other systems where two-phase regions can exist even though P sub amb P sub c. Heat and mass transfer and rotordynamic-fluid-mechanic restoring forces depend on momentum differences, and those for a two-phase zone can differ significantly from those for a single-phase zone. By using a laminar, variable-property bearing code and a rotating boiler code, pressure and temperature surfaces were determined that illustrate nesting of a two-phase region within a supercritical pressure region. The method of corresponding states is applied to bearings with reasonable rapport.

  10. Two-phase flows and heat transfer within systems with ambient pressure above the thermodynamic critical pressure

    NASA Astrophysics Data System (ADS)

    Hendricks, R. C.; Braun, M. J.; Mullen, R. L.

    In systems where the design inlet and outlet pressures P sub amb are maintained above the thermodynamic critical pressure P sub c, it is often assumed that heat and mass transfer are governed by single-phase relations and that two-phase flows cannot occur. This simple rule of thumb is adequate in many low-power designs but is inadequate for high-performance turbomachines, boilers, and other systems where two-phase regions can exist even though P sub amb P sub c. Heat and mass transfer and rotordynamic-fluid-mechanic restoring forces depend on momentum differences, and those for a two-phase zone can differ significantly from those for a single-phase zone. By using a laminar, variable-property bearing code and a rotating boiler code, pressure and temperature surfaces were determined that illustrate nesting of a two-phase region within a supercritical pressure region. The method of corresponding states is applied to bearings with reasonable rapport.

  11. Hypotension artérielle intra dialytique chez un hémodialysé chronique révélatrice d'insuffisance antéhypophysaires

    PubMed Central

    El Maghraoui, Jaouad; Ouahabi, Hanane; Kabbali, Nadia; Arrayhani, Mohamed; Ajdi, Farida; Houssaini, Tariq Sqalli

    2016-01-01

    L'hypotension artérielle per dialytique est une complication fréquente chez l'hémodialysé chronique. Elle est occasionnée par des facteurs liés à la séance d'hémodialyse et/ou au patient. Nous rapportons le cas d'un patient âgé de 42 ans, hémodialysé chronique sur néphropathie lithiasique depuis 5 ans. Il a rapporté des céphalées chroniques atypiques, compliquées d'une baisse progressive de l'acuité visuelle, une asthénie, une hypertrophie mammaire, et une baisse de libido. Il est référé pour une hypotension artérielle per dialytique non expliquée par les causes habituelles, dont la recherche étiologique a objectivé une insuffisance anté hypophysaire et une masse hypophysaire à l'IRM. A travers cette observation, nous montrons qu'après avoir éliminé les causes classiques d'hypotension artérielle chez l'hémodialysé, une cause endocrinienne doit être recherchée. PMID:27642391

  12. Investigating the Relationship between Stable Personality Characteristics and Automatic Imitation

    PubMed Central

    Butler, Emily E.; Ward, Robert; Ramsey, Richard

    2015-01-01

    Automatic imitation is a cornerstone of nonverbal communication that fosters rapport between interaction partners. Recent research has suggested that stable dimensions of personality are antecedents to automatic imitation, but the empirical evidence linking imitation with personality traits is restricted to a few studies with modest sample sizes. Additionally, atypical imitation has been documented in autism spectrum disorders and schizophrenia, but the mechanisms underpinning these behavioural profiles remain unclear. Using a larger sample than prior studies (N=243), the current study tested whether performance on a computer-based automatic imitation task could be predicted by personality traits associated with social behaviour (extraversion and agreeableness) and with disorders of social cognition (autistic-like and schizotypal traits). Further personality traits (narcissism and empathy) were assessed in a subsample of participants (N=57). Multiple regression analyses showed that personality measures did not predict automatic imitation. In addition, using a similar analytical approach to prior studies, no differences in imitation performance emerged when only the highest and lowest 20 participants on each trait variable were compared. These data weaken support for the view that stable personality traits are antecedents to automatic imitation and that neural mechanisms thought to support automatic imitation, such as the mirror neuron system, are dysfunctional in autism spectrum disorders or schizophrenia. In sum, the impact that personality variables have on automatic imitation is less universal than initial reports suggest. PMID:26079137

  13. Enormes incidentalomes surrénaliens: rôle de l'imagerie médicale à propos de deux cas

    PubMed Central

    Nikièma, Zakari; Yaméogo, Aimé Arsène; N'Goran, Kouamé; Cissé, Rabiou

    2012-01-01

    Les auteurs rapportent une série de deux cas d’énormes incidentalomes surrénaliens rarement observés dans la littérature. Ils étaient de siège bilatéral dans le premier cas et unilatéral droit dans le second. Si le diagnostic étiologique est parfois aisé dans les pays à haute technologie médicale, il pose un problème majeur dans certaines structures sanitaires des pays à ressources limitées. Le rôle essentiel de l'imagerie est d’établir de manière précise, peu invasive et peu coûteuse que possible, la nature bénigne ou maligne de l'incidentalome surrénalien. L’échographie et la tomodensitométrie ont permis de faire le diagnostic positif chez nos patients. La sémiologie tomodensitométrique est caractéristique quand elle associe la morpho-structure de la masse et deux critères majeurs basés d'une part sur l'histologie et la physiologie et d'autre part la cinétique de rehaussement de la masse après injection de produit de contraste. Toutefois, la biologie et surtout la biopsie assurent le diagnostic étiologique. PMID:23396505

  14. Therapeutic alliance in videoconferencing psychotherapy: a review.

    PubMed

    Simpson, Susan G; Reid, Corinne L

    2014-12-01

    Psychotherapy services are limited in remote and rural areas in Australia and across the globe. Videoconferencing has become well established as a feasible and acceptable mode of psychological treatment delivery. Therapeutic alliance (TA) is an essential factor underlying successful therapy across therapeutic models. In order to determine the state of knowledge regarding TA in psychotherapy via videoconferencing, a literature review was conducted on research studies that formally measured TA as primary, secondary or tertiary outcome measures over the past 23 years. The databases searched were Medline, PsycArticles, PsycINFO, PsycEXTRA and EMBASE. Searching identified 9915 articles that measured satisfaction, acceptability or therapeutic rapport, of which 23 met criteria for the review. Three studies were carried out in Australia, 11 in USA, 4 in Canada, 3 in Scotland and 2 in England. Studies overwhelmingly supported the notion that TA can be developed in psychotherapy by videoconference, with clients rating bond and presence at least equally as strongly as in-person settings across a range of diagnostic groups. Therapists also rated high levels of TA, but often not quite as high as that of their clients early in treatment. The evidence was examined in the context of important aspects of TA, including bond, presence, therapist attitudes and abilities, and client attitudes and beliefs. Barriers and facilitators of alliance were identified. Future studies should include observational measures of bond and presence to supplement self-report.

  15. Observed coparenting and triadic dynamics in African American fragile families at 3 months' postpartum.

    PubMed

    McHale, James P; Coates, Erica E

    2014-01-01

    This report examines coparenting and triadic interactions in 19 unmarried, first-time African American families as fathers, mothers, and 3-month-old infants navigated the Lausanne Trilogue Play (LTP; E. Fivaz-Depeursinge & A. Corboz-Warnery, ). Parents in 10 of the 19 families reported coresidence at the time of the 3-month assessment, and the other 9 sets of coparents lived apart. All participating families had taken part in a prenatal intervention emphasizing the importance of father engagement in children's lives, and in all families, parents reported episodic to regular father contact with the children at 3 months. Analyses of LTP sessions revealed that 9 of the 19 families exhibited high levels of coparenting solidarity-cooperation and family warmth accompanied by low levels of coparenting competition and disengagement. Among the remaining 10 families, competitiveness (verbal sparring, interference) and/or disengagement (repeated, episodic absenting by one or both parents from the ongoing interaction) signaled strain and challenges to solidarity. Differences between the higher and lower solidarity groups were found in father-reported relationship rapport. However, coresidentiality versus noncoresidentiality of the parents did not distinguish high- from low-solidarity groups. A case analysis of one family's triadic session is presented to elucidate the rich potential for clinical intervention in triadic work with fragile family systems. Implications of the study and its findings for theory, research, and clinical work with unmarried fathers and families, along with limits of the study design and generalizability of findings, are discussed. PMID:25798494

  16. The powers of suggestion: Albert Moll and the debate on hypnosis.

    PubMed

    Maehle, Andreas-Holger

    2014-03-01

    The Berlin physician Albert Moll (1862-1939) was an advocate of hypnotic suggestion therapy and a prolific contributor to the medical, legal and public discussions on hypnotism from the 1880s to the 1920s. While his work in other areas, such as sexology, medical ethics and parapsychology, has recently attracted scholarly attention, this paper for the first time comprehensively examines Moll's numerous publications on hypnotism and places them in their contemporary context. It covers controversies over the therapeutic application of hypnosis, the reception of Moll's monograph Der Hypnotismus (1889), his research on the rapport between hypnotizer and subject, his role as an expert on 'hypnotic crime', and his views on the historical influence of hypnotism on the development of psychotherapy. My findings suggest that Moll rose to prominence due to the strong late-nineteenth-century public and medical interest in the phenomena of hypnosis, but that his work was soon overshadowed by new, non-hypnotic psychotherapeutic approaches, particularly Freud's psychoanalysis.

  17. Scaffolded interviewing with lesbian, gay, bisexual, transgender, queer, and questioning youth: a developmental approach to HIV education and prevention.

    PubMed

    Welle, Dorinda L; Clatts, Michael C

    2007-01-01

    The field of education has long recognized that adolescent development and learning are made possible by the structural supports or "scaffolds" that adults create with young people. Although the work of Lev Vygotsky (1978, 1987) has inspired developmentally-supportive approaches to education in the United States and internationally, his work has been largely overlooked in the field of HIV education and prevention. This article introduces an approach to scaffolded interviewing that builds narrative and relational "platforms" for young people's self-development and facilitates health communication, trust and rapport, and HIV awareness. Developed over the course of a 2-year longitudinal ethnographic study with 45 lesbian, gay, bisexual, transgender, queer, and questioning youths, scaffolded interviewing aims to build the relational and narrative foundations for young people's active engagement in HIV education and prevention. In scaffolded interviewing, three kinds of platforms or supportive structures serve to scaffold enhanced health communication and HIV awareness: (a) the interview design (a strategic sequencing of life history and HIV-related questions), (b) the developing relationship between interviewer and study participant, and (c) the young person's own narration of a "real" and developing self. Through their participation in scaffolded interviewing, young people develop their own foundations for HIV awareness and HIV prevention by using the narrative and relational supports of the research or clinical interview and the identity terminologies relevant to their own self-development. PMID:17403491

  18. La tamponnade cardiaque: une manifestation rare de l'hypothyroïdie

    PubMed Central

    Arous, Salim; Ettaoumi, Youssef; Najih, Hayat; Makani, Said; Alami, Arroussi Aziz; Habbal, Rachida

    2015-01-01

    La survenue d'un épanchement péricardique au cours d'une hypothyroïdie est fréquente. Ce fait justifie la réalisation d'une échocardiographie lors du diagnostic et du suivi évolutif des hypothyroïdies. Les signes de mauvaise tolérance de cet épanchement sont rares et la constitution d'une tamponnade péricardique n'est que très rarement rapportée. Ce travail se base sur l’étude rétrospective de quatre cas de tamponnade cardiaque révélant une hypothyroïdie primaire. L’échocardiographie a permis de faire le diagnostic immédiat de la tamponnade. Orienté par l'aspect clinique, le diagnostic d'hypothyroïdie a été confirmé par dosage biologique. Le traitement a été à base de drainage péricardique chirurgical et d'hormonothérapie progressive, l’évolution a été favorable avec disparition de l’épanchement péricardique. Certaines particularités physiopathologiques, l'intérêt de l’échocardiographie et du drainage péricardique chirurgical, tant au plan diagnostique qu'au plan thérapeutique sont soulignés. PMID:26848351

  19. Models of Reality.

    SciTech Connect

    Brown-VanHoozer, S. A.

    1999-06-02

    Conscious awareness of our environment is based on a feedback loop comprised of sensory input transmitted to the central nervous system leading to construction of our ''model of the world,'' (Lewis et al, 1982). We then assimilate the neurological model at the unconscious level into information we can later consciously consider useful in identifying belief systems and behaviors for designing diverse systems. Thus, we can avoid potential problems based on our open-to-error perceived reality of the world. By understanding how our model of reality is organized, we allow ourselves to transcend content and develop insight into how effective choices and belief systems are generated through sensory derived processes. These are the processes which provide the designer the ability to meta model (build a model of a model) the user; consequently, matching the mental model of the user with that of the designer's and, coincidentally, forming rapport between the two participants. The information shared between the participants is neither assumed nor generalized, it is closer to equivocal; thus minimizing error through a sharing of each other's model of reality. How to identify individual mental mechanisms or processes, how to organize the individual strategies of these mechanisms into useful patterns, and to formulate these into models for success and knowledge based outcomes is the subject of the discussion that follows.

  20. Influence of pharmaceutical marketing on prescription practices of physicians.

    PubMed

    Narendran, Roshni; Narendranathan, M

    2013-01-01

    In India same drug molecules are sold under different brand names by different pharmaceuticals. To persuade the physicians to prescribe their brands pharmaceuticals engage in marketing techniques like giving samples, gifts, sponsoring travel etc. Many countries are striving to reduce the impact of incentives on prescription behaviour. This study explores the influence of pharmaceutical marketing on the prescription practices of doctors in India. There were 103 study subjects - 50 doctors and 53 sales personnel. Data collection was done by a self administered questionnaire. Data were collected on 36 variables which were supposed to influence prescription. The effectiveness of the promotional strategies on prescription behaviour was marked in a seven point Likert scale ranging from "not at all effective" (score=1) to "extremely effective" (score=7). Open ended questions were used to collect qualitative data. Good rapport with the doctor, launch meetings, reputation of the company, quality of the drug and brand names significantly influenced prescription behaviour, while direct mailers, advertisements in journals and giving letter pads and other brand reminders were less effective. Commonly used method of giving samples was not among the twenty most effective methods influencing prescription. Product quality and good company are still factors that influence prescription. Pharmaceutical marketing influences the choice of brands by a physician. The more expensive strategies involved in public relations are more effective. Sending mails and journal advertisements are less effective strategies. How expensive marketing strategies affect cost of the medicines has to be explored further.

  1. [Paraphrenia: the modernity of Emil Kraepelin's thinking].

    PubMed

    Pelizza, Lorenzo; Bonazzi, Federica

    2010-01-01

    Paraphrenia is a chronic psychotic disorder similar to paranoid schizophrenia, but with a better-preserved affect and rapport, and a much less personality deterioration. It was at first described by Kraepelin in 1913 as a group of patients who exhibited delusional symptoms typical of dementia praecox, but with minimal disturbances of emotion and volition. After the publication of Mayer-Gross's report in 1921, the view to differentiate paraphrenia from schizophrenia was considered to be unfounded and the term "paraphrenia" was not included in the current DSM-IV-TR and ICD-10 diagnostic criteria. Consequently, this disorder is now diagnosed relatively infrequently. However, several authors have recently suggested that the paraphrenia concept has not lost its usefulness. It seems to be that many psychiatrists recognize the illness, but labelled it as "atypical psychosis", "schizoaffective disorder" or "psychotic disorder not otherwise specified" for the lack of a better diagnostic category. Very few systematic studies on paraphrenia have been conducted in the past 70 years. Aim of this article is to underline the modernity of Kraepelin's thinking and his "paraphrenia" concept, suggesting that it could be possible to define and recognize the illness if practitioners would be induced to use a viable diagnostic entity. PMID:20568578

  2. Children's perceived emotional behavior at disclosure and prosecutors' evaluations.

    PubMed

    Castelli, Paola; Goodman, Gail S

    2014-09-01

    The present study investigated the perceived emotional behavior of alleged child victims when disclosing sexual abuse in a forensic interview. It also addressed whether the perceived emotional behavior influenced prosecutors' evaluations of children's potential as witnesses and prosecutors' recommendations to press charges. Ninety-eight videotapes of forensic interviews with alleged child sexual abuse victims (4- to 17-year-olds) were coded for behavioral indicators of emotions. Case file information and district attorney evaluations were also coded. Results indicated that children were not generally perceived as being emotional (e.g., sad) during disclosure. However, the perceived intensity of expressed emotions was greater when children disclosed the alleged abuse compared to when they discussed more neutral topics in rapport building. Greater perceived emotional withdrawal by children at disclosure was associated with more negative evaluations of child witnesses by prosecutors. Moreover, children's emotional behaviors, as noted by prosecutors, were among the predictors of prosecutors' recommendations to file charges. Practical implications are discussed. PMID:24674647

  3. Evaluation of the experiences of family members whose deceased relative donated tissues at the NHSBT dedicated donation facility in Speke, Liverpool.

    PubMed

    Long-Sutehall, Tracy; Winstanley, Emma; Clarkson, Anthony J; Sque, Magi

    2012-12-01

    Donation of human tissue for transplant and research has historically been facilitated within the hospital mortuary. In 2006 NHSBT Tissue Services opened the Dedicated Donation Facility [DDF], the first facility in the UK dedicated to the donation of tissues under strictly controlled conditions. Nine family members who had agreed and experienced the transfer of their deceased relative to the DDF for tissue donation participated in a service evaluation applying qualitative data collection methods and framework analysis. The evaluation aimed to: understand the decision-making process of family members who agreed to their deceased relative being moved to the DDR for tissue donation; identify any concerns that family members had; gather the views of family members regarding the 'service' provided to them by NHSBT Tissue Services. Family members were unaware of the possibility of tissue donation. The process of reasoning behind both agreeing to tissue donation and movement of the deceased to the DDF by family members was fundamentally, 'the benefit to others' that tissue donation would bring, and fulfilling the wishes of the deceased [when known]. Family decision making was facilitated by: (i) a positive rapport with the requester, (ii) satisfaction with the information provided to the family about what would happen, and (iii) trust in that what was being said would happen. Family members were satisfied with the service provided to them by Tissue Services and confident in agreeing to the transfer of their deceased relative to the dedicated facility for tissue donation. PMID:21785945

  4. Current Results and Future Directions of the Pulsar Search Collaboratory

    NASA Astrophysics Data System (ADS)

    Heatherly, Sue Ann; Rosen, R.; McLaughlin, M.; Lorimer, D.

    2011-01-01

    The Pulsar Search Collaboratory (PSC) is a joint partnership between the National Radio Astronomy Observatory (NRAO) and West Virginia University (WVU). The ultimate goal of the PSC is to interest students in science, technology, engineering, mathematics (STEM) fields by engaging them in conducting authentic scientific research-specifically the search for new pulsars. Of the 33 schools in the original PSC program, 13 come from rural school districts; one third of these are from schools where over 50% participate in the Free/Reduced School Lunch program. We are reaching first generation college-goers. For students, the program succeeds in building confidence in students, rapport with the scientists involved in the project, and greater comfort with team-work. We see additional gains in girls, as they see themselves more as scientists after participating in the PSC program, which is an important predictor of success in STEM fields. The PSC has had several scientific successes as well. To date, PSC students have made two astronomical discoveries: a 4.8-s pulsar and bright radio burst of astrophysical origin, most likely from a sporadic neutron star. We will report on the status of the project including new evaluation data. We will also describe PSC-West, an experiment to involve schools in Illinois and Wisconsin using primarily online tools for professional development of teachers and coaching of students. Knowledge gained through our efforts with PSC-West will assist the PSC team in scaling up the project.

  5. The Pulsar Search Collaboratory: Three Years of Discovery

    NASA Astrophysics Data System (ADS)

    McLaughlin, Maura; Heatherly, S.; Rosen, R.

    2011-01-01

    The Pulsar Search Collaboratory (PSC) is a joint partnership between the National Radio Astronomy Observatory (NRAO) and West Virginia University (WVU) to improve the quality of science education in West Virginia high schools. The ultimate goal of the PSC is to engage students in science, technology, engineering, mathematics (STEM), and related fields by using information technology to conduct current scientific research, specifically searching for new pulsars. We expect to discover roughly 30 new pulsars in the PSC data. The PSC has had several scientific and educational successes. To date, the PSC students have made two astronomical discoveries: a 4.8-s pulsar and bright radio burst of astrophysical origin, most likely from a sporadic neutron star. We have 21 new high schools this year, bringing the number of PSC schools to 43. Ten of these schools are part of PSC West, a trial scale-up of our original PSC program. Of the 33 schools in the original PSC program, 13 come from rural school districts; one third of these are from schools where over 50% participate in the Free/Reduced School Lunch program. We are reaching first generation college-goers. For students, the program succeeds in building confidence in students, rapport with the scientists involved in the project, and team-work ability. We see additional gains in girls, who see themselves as scientists after participating in the PSC program. This is an important predictor of success in STEM fields.

  6. Dissemination as Dialogue: Building Trust and Sharing Research Findings Through Community Engagement

    PubMed Central

    Bogart, Laura M.; Mutchler, Matt G.; Wagner, Glenn J.; Green, Harold D.; Lawrence, Sean Jamar; Mutepfa, Kieta D.; Nogg, Kelsey A.

    2016-01-01

    A fundamental feature of community-based participatory research (CBPR) is sharing findings with community members and engaging community partners in the dissemination process. To be truly collaborative, dissemination should involve community members in a two-way dialogue about new research findings. Yet little literature describes how to engage communities in dialogue about research findings, especially with historically marginalized communities where mistrust of researchers may exist because of past or present social injustices. Through a series of interactive community presentations on findings from a longitudinal study, we developed a process for community dissemination that involved several overlapping phases: planning, outreach, content development, interactive presentations, and follow-up. Through this process, we built on existing and new community relationships. Following each interactive presentation, the research team debriefed and reviewed notes to identify lessons learned from the process. Key themes included the importance of creating a flexible dissemination plan, tailoring presentations to each community group, establishing a point person to serve as a community liaison, and continuing dialogue with community members after the presentations. Core strategies for developing trust during dissemination included engaging community members at every step, reserving ample time for discussion during presentations, building rapport by sharing personal experiences, being receptive to and learning from criticism, and implementing input from community members. This process led to a deeper understanding of research findings and ensured that results reached community members who were invested in them. PMID:26986541

  7. Addressing language barriers in client-centered health promotion: lessons learned and promising practices from Texas WIC.

    PubMed

    Seth, Jennifer Greenberg; Isbell, Matthew G; Atwood, Robin Dochen; Ray, Tara C

    2015-05-01

    The growing population of nonnative English speakers in the United States challenges program planners to offer services that will effectively reach limited English proficiency (LEP) audiences. This article presents findings from evaluation research conducted with the Special Supplemental Program for Women, Infants, and Children (WIC) to identify best practices and areas of concern for working with LEP clients. Data were collected through online surveys of 338 WIC teaching staff in 2010 and 65 WIC local agency directors in 2011 as part of an implementation evaluation of client-centered nutrition education. Data identified current practices, facilitating factors, and challenges in working with LEP clients. Facilitating factors included cultural competency, material and translation resources, linguistic competency, professional development opportunities, and rapport with clients. Challenges cited included linguistic challenges, lack of cultural competencies, issues related to the client-staff interaction, and insufficient time, materials, and staffing. Best practices inferred from the data relate to developing linguistic standards for bilingual staff, considerations for translating written materials, interpretation services, cultural competency, and staff training. Findings may help inform the development of this and other linguistically and culturally appropriate health promotion programs.

  8. Building Co-Management as a Process: Problem Solving Through Partnerships in Aboriginal Country, Australia

    NASA Astrophysics Data System (ADS)

    Zurba, Melanie; Ross, Helen; Izurieta, Arturo; Rist, Philip; Bock, Ellie; Berkes, Fikret

    2012-06-01

    Collaborative problem solving has increasingly become important in the face of the complexities in the management of resources, including protected areas. The strategy undertaken by Girringun Aboriginal Corporation in north tropical Queensland, Australia, for developing co-management demonstrates the potential for a problem solving approach involving sequential initiatives, as an alternative to the more familiar negotiated agreements for co-management. Our longitudinal case study focuses on the development of indigenous ranger units as a strategic mechanism for the involvement of traditional owners in managing their country in collaboration with government and other interested parties. This was followed by Australia's first traditional use of marine resources agreement, and development of a multi-jurisdictional, land to sea, indigenous protected area. In using a relationship building approach to develop regional scale co-management, Girringun has been strengthening its capabilities as collaborator and regional service provider, thus, bringing customary decision-making structures into play to `care for country'. From this evolving process we have identified the key components of a relationship building strategy, `the pillars of co-management'. This approach includes learning-by-doing, the building of respect and rapport, sorting out responsibilities, practical engagement, and capacity-building.

  9. The Potential for Accurately Measuring Behavioral and Economic Dimensions of Consumption, Prices, and Markets for Illegal Drugs

    PubMed Central

    Johnson, Bruce D.; Golub, Andrew

    2007-01-01

    There are numerous analytic and methodological limitations to current measures of drug market activity. This paper explores the structure of markets and individual user behavior to provide an integrated understanding of behavioral and economic (and market) aspects of illegal drug use with an aim toward developing improved procedures for measurement. This involves understanding the social processes that structure illegal distribution networks and drug users’ interactions with them. These networks are where and how social behaviors, prices, and markets for illegal drugs intersect. Our focus is upon getting an up close measurement of these activities. Building better measures of consumption behaviors necessitates building better rapport with subjects than typically achieved with one-time surveys in order to overcome withholding and underreporting and to get a comprehensive understanding of the processes involved. This can be achieved through repeated interviews and observations of behaviors. This paper also describes analytic advances that could be adopted to direct this inquiry including behavioral templates, and insights into the economic valuation of labor inputs and cash expenditures for various illegal drugs. Additionally, the paper makes recommendations to funding organizations for developing the mechanisms that would support behavioral scientists to weigh specimens and to collect small samples for laboratory analysis—by providing protection from the potential for arrest. The primary focus is upon U.S. markets. The implications for other countries are discussed. PMID:16978801

  10. Combining traditional and nontraditional approaches to nutrition counseling.

    PubMed

    Warpeha, A; Harris, J

    1993-07-01

    Nutritionists facilitate clients' quests for healthier lives. Traditional approaches to nutrition counseling incorporate a two-part process: establish rapport and implement behavioral changes directed at the client's problem. Nontraditional techniques--such as centering, guided imagery, biofeedback, and meditation--offer dietitians additional tools for counseling. These techniques enhance the goals of building relationships and changing behavior and promote greater progress by allowing inner healing and whole-self participation in the efforts toward behavioral change. A holistic view of nutrition therapy incorporates nontraditional approaches to nutrition counseling. The field of mind-body awareness can help clients with a wide range of nutrition-related behavioral change. In offering nutrition care plans, dietitians need not only look at laboratory tests, diet sheets, and daily food-related habits. To teach clients greater self-awareness they should consider physical, emotional, and spiritual influences as well as family dynamics and stress-reduction techniques. Nontraditional approaches help clients understand that they can influence their behavior by connecting to their inner self. Our experience and findings show that this sense of internal control is a potent factor in enhancing health and dietary compliance for the patient and renewed job satisfaction for the nutrition counselor.

  11. Automated Video Analysis of Non-verbal Communication in a Medical Setting

    PubMed Central

    Hart, Yuval; Czerniak, Efrat; Karnieli-Miller, Orit; Mayo, Avraham E.; Ziv, Amitai; Biegon, Anat; Citron, Atay; Alon, Uri

    2016-01-01

    Non-verbal communication plays a significant role in establishing good rapport between physicians and patients and may influence aspects of patient health outcomes. It is therefore important to analyze non-verbal communication in medical settings. Current approaches to measure non-verbal interactions in medicine employ coding by human raters. Such tools are labor intensive and hence limit the scale of possible studies. Here, we present an automated video analysis tool for non-verbal interactions in a medical setting. We test the tool using videos of subjects that interact with an actor portraying a doctor. The actor interviews the subjects performing one of two scripted scenarios of interviewing the subjects: in one scenario the actor showed minimal engagement with the subject. The second scenario included active listening by the doctor and attentiveness to the subject. We analyze the cross correlation in total kinetic energy of the two people in the dyad, and also characterize the frequency spectrum of their motion. We find large differences in interpersonal motion synchrony and entrainment between the two performance scenarios. The active listening scenario shows more synchrony and more symmetric followership than the other scenario. Moreover, the active listening scenario shows more high-frequency motion termed jitter that has been recently suggested to be a marker of followership. The present approach may be useful for analyzing physician-patient interactions in terms of synchrony and dominance in a range of medical settings.

  12. The art of history-taking in a headache patient

    PubMed Central

    Ravishankar, K.

    2012-01-01

    Headache is a common complaint that makes up for approximately 25% of any neurologists outpatient practice. Yet, it is often underdiagnosed and undertreated. Ninety percent of headaches seen in practice are due to a primary headache disorder where there are no confirmatory tests, and neuroimaging studies, if done, are normal. In this situation, a good headache history allows the physician to recognize a pattern that in turn leads to the correct diagnosis. A comprehensive history needs time, interest, focus and establishment of rapport with the patient. When to ask what question to elicit which information, is an art that is acquired by practice and improves with experience. This review discusses the art of history-taking in headache patients across different settings. The nuances of headache history-taking are discussed in detail, particularly the questions related to the time, severity, location and frequency of the headache syndrome in general and the episode in particular. An emphasis is made on the recognition of red flags that help in the identification of secondary headaches. PMID:23024567

  13. A candle means night.

    PubMed

    Granados, V; Casanova, M E; Perkin, G W

    1979-09-01

    The Program for the Introduction and Adaptation of Contraceptive Technology de Mexico (PIACT de Mexico) developed a series of pamphlets for use by rural, illiterate, Mexican women. The graphic design and pictorial sequence were the most important features of the pamphlets which answered questions such as where to obtain oral contraceptives and how to use them. The director of the material development must have rapport with the target audience, who should be involved in the content, sequence, and identification of symbols. Content must be limited to important messages. 10 messages can be portrayed in a pamphlet. Nonverbal materials require more time and effort than verbal materials. Several groups of women were asked to arrange the individual messages into the sequence that was most logical to them. In a test of the pamphlet's effectiveness, 700 interviews of illiterate women found that 70% understood 13 pages and 60-70% could interpret the remaining 3. The pamphlet was 16 pages long and printed in black and white. Backgrounds were kept simple, and a combination of photographs of professional models and line drawings told the stories.

  14. Postpartum IUCD: Rediscovering a Languishing Innovation.

    PubMed

    Balsarkar, Geetha Dharmesh; Nayak, Arun

    2015-07-01

    The National Family Planning Programme of India, since its inception in 1951, has been able to successfully achieve significant reductions in maternal mortality and fertility. Over the past decade, the need for contraception has changed dramatically in India. Couples no longer desire sterilization, but prefer modern reversible long-term methods of contraception. The ideal time to discuss contraception is in the antenatal period when there is a good rapport between the doctor and the patient. The window period when the patient is admitted in the hospital during delivery can be used effectively to offer postpartum contraception. It has been found that the highest chance of unwanted pregnancy is in the first year after delivery, when women do not report to the doctor if this window period is missed. Postpartum intrauterine contraceptive devices are ideal for a country like India and it can be used to cover the unmet need of contraception if inserted immediately after delivery. There are two types of insertion: post placental, within 10 min of delivery of placenta and postpartum, within 48 h of delivery. Although there is a greater chance of expulsion in the postpartum insertions, it can be significantly reduced with proper training and user experience. Postpartum IUCD should be routinely offered to all patients delivering in institutions to provide complete care to a parturient and to achieve safe motherhood. PMID:26243985

  15. La duplication rectale de l'adulte: une cause exceptionnelle de masse pelvienne

    PubMed Central

    El Fahssi, Mohammed; Baba, Hicham; Bounaim, Ahmed; Ali, Abdelmounaim Ait; Sair, Khalid

    2015-01-01

    La duplication rectale est une anomalie constitutionnelle rare du tube digestif, elle représente 5% des duplications digestives son diagnostic se fait habituellement au tour de la période néonatale ou pendant les premières années de vie et ce n'est qu'exceptionnellement que son diagnostic reste méconnu jusqu’à l’âge adulte. Nous rapportant le cas d'une duplication rectale chez une femme de 41 ans se plaignant de douleurs pelviennes, l'examen clinique suivi des examens complémentaires ont suspecté le diagnostic la patiente est opérée par un abord antérieur isolé, permettant l'exérèse de la totalité de la masse kystique dont examen anatomo-pathologique confirme le diagnostic de duplication rectale kystique postérieure non communicante. L’évolution postopératoire est satisfaisante sans morbidité sur un recul de 20 mois. PMID:26985264

  16. Task-dependent and distinct roles of the temporoparietal junction and inferior frontal cortex in the control of imitation.

    PubMed

    Hogeveen, Jeremy; Obhi, Sukhvinder S; Banissy, Michael J; Santiesteban, Idalmis; Press, Clare; Catmur, Caroline; Bird, Geoffrey

    2015-07-01

    The control of neurological networks supporting social cognition is crucially important for social interaction. In particular, the control of imitation is directly linked to interaction quality, with impairments associated with disorders characterized by social difficulties. Previous work suggests inferior frontal cortex (IFC) and the temporoparietal junction (TPJ) are involved in controlling imitation, but the functional roles of these areas remain unclear. Here, transcranial direct current stimulation (tDCS) was used to enhance cortical excitability at IFC and the TPJ prior to the completion of three tasks: (i) a naturalistic social interaction during which increased imitation is known to improve rapport, (ii) a choice reaction time task in which imitation needs to be inhibited for successful performance and (iii) a non-imitative control task. Relative to sham stimulation, stimulating IFC improved the context-dependent control of imitation-participants imitated more during the social interaction and less during the imitation inhibition task. In contrast, stimulating the TPJ reduced imitation in the inhibition task without affecting imitation during social interaction. Neither stimulation site affected the non-imitative control task. These data support a model in which IFC modulates imitation directly according to task demands, whereas TPJ controls task-appropriate shifts in attention toward representation of the self or the other, indirectly impacting upon imitation.

  17. Un syndrome confusionnel révélant un syndrome de Fahr avec hyperparathyroïdie

    PubMed Central

    Rharrabti, Souad; Darouich, Ilhame; Benbrahim, Mohamed; Belahsen, Fawzi; Rammouz, Ismail; Alouane, Rachid

    2013-01-01

    Le syndrome de Fahr est une entité anatomo-clinique rare, caractérisée par des calcifications intracérébrales bilatérales et symétriques, localisées dans les noyaux gris centraux, le plus souvent associées à des troubles du métabolisme phosphocalcique. L'hypoparathyroïdie, primitive ou postopératoire, est l'anomalie la plus classique. L'hyperparathyroïdie est exceptionnellement rapportée comme cause du syndrome de Fahr. Nous rapportons le cas d'une fille de 17 ans suivie depuis l’âge de 12 ans pour une épilepsie avec la notion d'un retard mental depuis l'enfance, qui a présenté un syndrome confusionnel révélant un syndrome de Fahr avec la particularité de l'existence d'une hyperparathyroïdie. PMID:23734268

  18. Staff nurses' intention to remain employed in small- and medium-sized hospitals, with a focus on their working conditions.

    PubMed

    Nakamura, Etsuko; Tanabe, Naohito; Sekii, Akiko; Honda, Akiko; Hoshino, Emiko; Seki, Nao; Sumida, Akihiko; Sekiya, Akiyoshi; Suzuki, Hiroshi

    2010-03-01

    Retaining experienced nurses is an indispensable part of securing the safety and reliability of medical care. In this study, we investigate how the working conditions affect staff nurses' intention to remain in their current employment positions (intention to remain employed). A total of 319 staff nurses working for three private hospitals were given a questionnaire in order to evaluate their working conditions. A stepwise multiple logistic regression analysis selected 5 out of 44 question items as significant independent variables for their intention to remain employed; they were assumed to directly affect their intentions (direct modulators). From the remaining 39 items, seven meaningful factors were extracted via factor analysis. We constructed a path network model so that these factors would indirectly affect the intention to remain employed via any of the five direct modulators (indirect modulators). In this network, the factor, "Rapport with coworkers" had the strongest positive effect on three of the five direct modulators (beta = 0.28-0.55, p < 0.05). According to factor loadings, positive teamwork together with appropriate supervision and recognition from superiors and colleagues seems to characterize this factor, and therefore, may play a key role in retaining staff nurses in their current positions. Two indirect modulators related to "Management by Objectives" (MBO)--"Understanding MBO" and "Clear personal objectives" also played negligible roles in this path model. These findings could be helpful in improving management systems of the nursing sections of hospitals, which could contribute to retaining staff nurses in their current employment positions. PMID:20208414

  19. Measuring psychosocial variables that predict older persons' oral health behaviour.

    PubMed

    Kiyak, H A

    1996-12-01

    The importance of recognising psychosocial characteristics of older people that influence their oral health behaviours and the potential success of dental procedures is discussed. Three variables and instruments developed and tested by the author and colleagues are presented. A measure of perceived importance of oral health behaviours has been found to be a significant predictor of dental service utilization in three studies. Self-efficacy regarding oral health has been found to be lower than self-efficacy regarding general health and medication use among older adults, especially among non-Western ethnic minorities. The significance of self-efficacy for predicting changes in caries and periodontal disease is described. Finally, a measure of expectations regarding specific dental procedures has been used with older people undergoing implant therapy. Studies with this instrument reveal that patients have concerns about the procedure far different than those focused on by dental providers. All three instruments can be used in clinical practice as a means of understanding patients' values, perceived oral health abilities, and expectations from dental care. These instruments can enhance dentist-patient rapport and improve the chances of successful dental outcomes for older patients.

  20. [Social and preventive medicine developments in the next 15 years].

    PubMed

    Burner, M

    1986-01-01

    At the present instant we are evolving in the withdrawing of a lot of traditions. Alas one shouldn't live in the illusion that probably nothing will basically change nor be suspicious of either mass-media histrionics or political opportunism towards fashion phenomena; these will probably be the caricatured reflections of what shall perhaps become our society. They will however refer to their futility in the form of the wave which will mark an evolution we shall try to anticipate. In some degree it will allow to stimulate the thought or to modify structure of our medical institutions or our patients, the social and preventive technics that risk to begin won't be simple improvements of what we have now, but they'll open a qualitative universe and extremely different from those, that were born in the 19th century. This study should above all permit us to understand that our rapport with another reality perhaps, or perhaps a new way of life, 'culture' in the broadest sense, will be upset or simply brought into question. Here we see the importance that will be played by social and preventive medicine and evidently social and preventive psychiatry in the year 2000. PMID:3811605