Tind Technologies (Norway)
Hes-so: ArODES Open Archive (University of Applied Sciences and Arts Western Switzerland / Haute école spécialisée de Suisse occidentale / FH Westschweiz)Not a member yet
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Vécu corporel en thérapie psychomotrice et dans le cadre de la formation des futur.e.s professionnel.le.s
No full textCet article explore le rôle du corps en psychomotricité, à la fois dans le vécu du ou de la patient.e et dans l'implication du ou de la thérapeute. A travers des exemples issus de la pratique, il souligne l'importance du corps éprouvé dans le processus thérapeutique et la formation
Pain management and experiences in spinal cord injury ::insights from patients and health-care professionals
No full textBackground and aims: Chronic pain is a significant complication of spinal cord injury (SCI), severely impacting quality of life and rehabilitation outcomes. Despite treatment efforts, many patients experience refractory pain, leading to frustration for both patients and healthcare professionals (HCPs). This study aimed to explore the pain experiences of individuals with SCI during their first rehabilitation and examine HCPs' perspectives on chronic pain management. Methods: A qualitative methodology was employed in two complementary approaches. To access individual experiences, semi-structured interviews were conducted with inpatients (4 men and 1 woman; aged 29–61 years) experiencing chronic pain to explore their experiences, coping strategies, and perceptions of pain management. Successively, three focus groups with HCPs involved in multidisciplinary pain management or neurorehabilitation used patient-based clinical vignettes (drawn from the interviews) to stimulate discussion. Data from both approaches were thematically analysed. Results: Patients reported nociceptive, neuropathic, and care-related pain, often described as unbearable, significantly affect-ing morale, daily activities, and rehabilitation engagement. Pain relief, primarily reliant on medications, was often perceived as insufficient or losing effectiveness over time, prompting patients to explore alternative strategies. Three themes emerged from HCPs: an underestimation of pain severity and its biopsychosocial complexity, the critical role of multidisciplinary settings in effective treatment, and the importance of patient-HCP collaboration through tailored care, communication, and education. Conclusions: Pain profoundly impacts the rehabilitation process. Bridging patient experiences with HCP perspectives underscored the importance of multidisciplinary care, personalized treatment plans, and effective communication to improve outcomes for individuals with SCI
Bridging gaps in primary care ::insights and future perspectives from participatory action research
No full textBackground: Interprofessional collaboration (IPC) is the key to effi cient patient care in the community and home care settings. Against a backdrop of staff shortages and reduced hospitalisation, primary healthcare teams are faced with increasingly complex care situations. The objectives of this participatory action research was to assess the needs of patients and their informal caregivers, to identify barriers and facilitators of IPC in primary care as perceived by healthcare professionals, and to co-create an intervention to improve collaboration in primary care. Methods A participatory action research method was used and included general practitioners, physiotherapists, patients and health and social care professionals from a Home Care Agency in Western Switzerland. Phase 1 included eight semi-structured interviews with patients and their informal carers, and three focus groups with primary healthcare providers were conducted. Data were transcribed and analysed using thematic analysis. Phase 2 entailed a workshop with healthcare providers during which results from Phase 1 were discussed and solutions proposed. Results: Analysis of patient interviews and focus groups with health professionals (Phase 1) revealed diffi culties of team communication in primary care, the importance of informal carers, the lack of integration of physiotherapy providers into primary care teams, health professionals’ adaptations to interprofessional challenges, their roles and responsibilities, the need for tools and interfaces, and context-specifi c aspects. Solutions proposed in the workshop (Phase 2) were as follows: (1) political advocacy for system change to reduce barriers for IPC, (2) set-up of a shared place/space for primary care teams, (3) systematic integration of physiotherapists into the community healthcare teams, (4) information exchange with a shared IT system; and (5) a reimbursement scheme to incentivize IPC. Conclusion: These results proposed by primary care stakeholders revealed the importance of integrating all professionals (including physiotherapists) into interprofessional primary care teams, as well as sharing spaces under one roof. Physiotherapists should learn to become part of primary care teams while at the same time collaboratively advocate for fi nancial incentives and adequate reimbursement systems. The future of a sustainable Swiss healthcare system lies in the interprofessional and intersectoral integration of all health and social care professionals into eff ective primary care teams
Developing ‘age-friendly’ communities ::the experience of international retired migrants
No full textContextualizing the early upper paleolithic in the Negev Desert, southern Levant::Chronologies, lithic technologies, and paleoenvironments of the Boker sites
No full textThe onset of the Upper Paleolithic period in Eurasia is marked by the systematic production of pointed blades, commonly associated with the Marine Isotope Stage 3 expansion of modern humans. Consequently, many studies have concentrated on the geographical origins and mechanisms of spread of these blade industries across Eurasia, while comparatively less attention has been devoted to regional cultural dynamics and adaptive strategies. This research focuses on the initial stages of the Upper Paleolithic in the Negev Desert, a key region in the Levant that served as a major crossroads between Africa and Eurasia. The study integrates new cultural and environmental data from the Boker sites, originally excavated by Marks and re-excavated in 2015–2016. New radiocarbon (14C) and optically stimulated luminescence chronologies indicate that the Boker sites were occupied over a prolonged period, from approximately 45,000 to 30,000 calibrated years before present (cal BP). The earliest occupations at Boker are attributed to the Initial Upper Paleolithic (IUP), with later phases associated with the Early Upper Paleolithic Ahmarian technocomplex. Lithic assemblages from the Boker sites reveal a consistent use of unidirectional blade technology, suggesting that the desert Ahmarian industry evolved locally from the IUP. However, a notable shift is observed in percussion techniques, transitioning from the use of hard hammerstones in the IUP to soft hammerstones in the Early Upper Paleolithic. This technological change is interpreted as a result of cultural diffusion from the Mediterranean woodland Ahmarian, which predates its southern counterpart. Paleoenvironmental evidence from the Boker sites indicates that conditions were more favorable than those of the present-day Negev, as reflected by the presence of vegetation and water sources. These factors likely contributed to the repeated Upper Paleolithic occupations of this relatively small area. Charred archaeobotanical remains reveal a mix of drought-tolerant halophytic species and relics of Mediterranean thermophilous plants, suggesting a cooler and wetter climate. The discovery of dark, organic-rich layers near the Early Ahmarian occupation at Boker A supports the hypothesis that a salt pan existed in proximity to a freshwater source—an environmental setting that would have been attractive to both humans and animals
Ponds and Pondscapes ::a technical guide to the use of ponds and pondscapes as nature-based solutions for climate change mitigation and adaptation
No full textThe technical handbook of the PONDERFUL project shows how ponds and pond landscapes can be used as Nature-Based Solutions (NBS) to tackle societal challenges such as climate change, biodiversity loss and water scarcity. Ponds – small standing bodies of water with an area of 1 m² to 5 ha – together form so-called pondscapes, which act as networks of habitats. These habitats not only provide protection for endangered species, but also numerous ecosystem services such as water purification, climate regulation and the promotion of biodiversity
Individual characteristics influencing the general population’s level of knowledge of end-of-life practices: a cross-sectional study
No full textBackground: Informed end-of-life decision-making requires a high level of death literacy. We
still know little about the general population’s level of knowledge and its determinants.
Aim: To assess knowledge of the general population regarding the legal status and definitions
of various end-of-life practices, and to compare the level of knowledge according to individual
characteristics known to influence death literacy.
Design: A self-administered questionnaire featuring two evolving vignettes was used to
assess participants’ knowledge relating to the legal status of various end-of-life practices
and whether these practices are Medical Aid in Dying (MAiD), which is legal in Canada. The
questionnaire also assessed participants’ individual characteristics such as their experience
as caregivers for someone who received palliative care, their perception of health, and their
financial situation.
Setting/participants: Participants were community-based community-based Canadian adults
able to read French or English.
Results: In total, 27% of the participants associated the description of care withholding with
MAiD, 39% incorrectly associated the description of continuous palliative sedation with MAiD,
and 34% incorrectly indicated that the described intervention was illegal. Having cared for
someone who received palliative care, at a younger age, a higher level of education, and
having participated in advance care planning were associated with better knowledge regarding
end-of-life practices.
Conclusion: Gaps in knowledge about end-of-life practices exist in the general population,
they are associated with different individual characteristics and may limit citizens’ capacity to
engage in informed end-of-life decision-making. Community-based interventions adapted to
different audiences are essential to ensure a quality end-of-life for all
A conceptual model for forest naturalness assessment and application in Quebec’s boreal forest
No full textResearch Highlights: To inform eco-designers in green building conception, we propose a conceptual model for the assessment of the impact of using wood on the quality of ecosystems. Background and Objectives: The proposed model allows the assessment of the quality of ecosystems at the landscape level based on the condition of the forest and the proportion of different practices to characterize precisely the forest management strategy. The evaluation provides a numerical index, which corresponds to a suitable format to inform decision-making support tools, such as life cycle analysis. Materials and Methods: Based on the concept of naturalness, the methodology considers five naturalness characteristics (landscape context, forest composition, structure, dead wood, and regeneration process) and relies on forest inventory maps and data. An area within the boreal black spruce-feathermoss ecological domain of Quebec (Canada) was used as a case study for the development of the methodology, designed to be easily exportable. Results: In 2012, the test area had a near-natural class (naturalness index NI = 0.717). Simulation of different management strategies over 70 years shows that, considering 17.9% of strict protected areas, the naturalness index would have lost one to two classes of naturalness (out of five classes), depending on the strategy applied for the regeneration (0.206 ≤ ΔNI ≤ 0.413). Without the preservation of the protected areas, the management strategies would have further reduced the naturalness (0.274 ≤ ΔNI ≤ 0.492). Apart from exotic species plantation, the most sensitive variables are the percentage of area in irregular, old, and closed forests at time zero and the percentage of area in closed forests, late successional species groups, and modified wetlands after 70 years. Conclusions: Despite the necessity of further model and parameter validation, the use of the index makes it possible to combine the effects of different forestry management strategies and practices into one alteration gradient
A comparative study on microstructure and mechanical properties of 17-4PH processed by a laser powder bed fusion vs rolling process
No full textThis study provides a comprehensive benchmark comparison of microstructure, mechanical properties, and their evolution during subsequent heat treatment of 17-4PH Martensitic stainless steel (MSS) processed by laser powder bed fusion (LPBF) and its commercially rolled counterparts. The results reveal that LPBF samples exhibit a finer martensitic microstructure with presence of structural defects, pores, and some non-metallic inclusions randomly distributed at the grain boundaries and within the grains and an almost absence of austenite, compared to rolled samples. Additionally, after identical heat treatment, LPBF samples maintain a relatively unchanged microstructure while aging of rolled samples leads to a reduction in martensite in favor of austenite and Cu- and Si-rich precipitates. The LPBF samples demonstrate slightly elevated hardness (HV0.5 + 20%), mechanical strength (UTS + 15%) compared to rolled ones. Nevertheless, LPBF samples display a distinct behavior, characterized by abrupt fracture and reduced elongation at failure (El% max. 4% vs. 17.5%). Specifically, failure in LPBF samples is attributed to cleavage and cavities’ coalescence contrasting with the progressive failure mechanism observed in rolling ones driven by plasticity and damage evolution. Furthermore, the impact resistance of LPBF samples is notably weak (K max. 12.5 J/cm2 vs. 155 J/cm2), which is likely caused by macro- and microstructural defects generated by the LPBF process and the nucleation of harmful precipitates. The study proposes that the ductility of LPBF samples could be improved by implementing appropriate heat treatment and reducing defects through parameter optimization and by specific thermal cycle control during the LPBF process