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
15764 research outputs found
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Impact of an interprofessional training on students’ attitudes toward interprofessional education
No full textIn Lausanne, Switzerland, Interprofessional Education (IPE) is embedded in the curriculum of every undergraduate healthcare student. Since 2011, five educational and healthcare institutions have implemented a short interprofessional education course to bring together 2307 undergraduates from six different disciplines (medicine, midwifery, nursing, occupational therapy, physiotherapy, medical radiology technician) between 2017 and 2020. This pre-post study aimed to explore how this course influenced students’ attitudes toward IPE using a French translation of the validated questionnaire called the “University West of England Interprofessional Questionnaire.” Students were asked to complete an online survey prior to and at the end of the IPE course to measure students’ attitudes toward interprofessional (IP) relationships and collaborative learning. A total of 942 students answered the survey between 2017 and 2020, before and after the course. Each year, students’ attitudes toward IP relationships improved after the course whereas a positive change in students’ attitudes toward IP learning was observed only in 2020. A short exposure to an IPE course could improve students’ attitudes toward IPE and, more specifically, toward IP relationships. Our findings could inform IP leaders to design repetitive, various, and longitudinal IPE experiences to balance the development of uniprofessional and interprofessional identity
Cultural competence, acculturation orientations, and attachment dimensions in future social workers and occupational therapists before entering these professions ::a comparative study
No full textThe paper discusses the importance of considering diversity in public institutions and the need for intercultural training for practitioners. It emphasizes the psychological characteristics essential for dealing with diversity, focusing on multicultural personality traits, host community acculturation orientations, and adult attachment. The study aims to assess these psychological characteristics in future social workers and occupational therapists across three settings (France, n=273, Quebec, n=63, and Switzerland, n=66) before their integration internships. It is expected that certain personality profiles will be associated with favorable acculturation orientations and secure attachment, while others will be linked to less welcoming acculturation orientations and insecure attachment. Participants completed the Multicultural Personality Questionnaire (MPQF), the Host Community Acculturation Scale (HCAS) and the Revised Adult Attachment Scale (R-AAS). Analysis methods include hierarchical cluster analysis on the MPQF to identify intercultural personality profiles and subsequent ANOVAs to explore associations with acculturation orientations and attachment dimensions. Four multicultural personality profiles are identified: considerate (open and attentive), adaptive (handling new situations well), maladaptive (low scores on all traits, uncomfortable in intercultural situations), and reticent (reserved in intercultural encounters). Specific profiles align with distinct acculturation orientations, such as the considerate profile with a rejection of exclusion. Additionally, the adaptive profile displays consistently low anxiety levels. The study highlights that a significant proportion of students (40% to 60%) may lack competence in intercultural contexts. It questions the adequacy of intercultural training in curricula and emphasizes the need for further research on the impact of such training on students’ competence in handling diversity
Bike sharing systems ::the impact of precise trip demand forecasting on operational efficiency in different city structures
No full textGrowing environmental concerns drive interest in sustainable solutions, with vehicle sharing systems addressing transportation needs. Existing studies focus on operational level challenges in one-way station-based bike sharing systems (BSSs), neglecting the added value of precise trip demand forecasting. This study assesses the worth of data collection and trip demand forecasting
models. A simulation-optimization framework is created. Simulation module consists of a discrete-event simulator, representing a city BSS. Optimization module optimizes the relocation routes for rebalancing operations where clustering is used for computational efficiency. We experiment on extreme and intermediate scenarios using case studies from four city BSSs, different in location and size, that reveal varying impacts of trip demand forecasting on small- and large-scale sys-
tems. Findings emphasize the importance of demand forecasting in large-scale systems, offering insights for operators to enhance service levels, to optimize resource allocation, and to identify the maximum budget to allocate for trip demand forecasting
Exploring the connections between grip strength, nutritional status, frailty, depression, and cognition as initial assessment tools in geriatric rehabilitation ::a pilot study
No full textBackground and Objective: In the context of the rapidly aging global population, the older adult vulnerability poses a significant challenge for public health systems. Frailty, cognitive and nutritional status, depression, and grip strength are essential parameters for staging the vulnerability of older adults. The objective of this study is to identify a rapid but multidimensional geriatric
assessment tool that can enhance the rehabilitation process for older adults, tailored to their specific
needs.
Materials and Methods: This pilot study examines the relationships between grip strength, nutritional status, frailty, depression, and cognition in a group of 80 older adults with a mean age of 69.6 years, 49 male and 31 female, using standardized geriatric scales and digital grip strength measurements. The study employed a digital dynamometer, a portable and reliable tool that facilitated quick and accurate grip strength measurements.
Results: The analysis revealed significant correlations among the parameters. Greater grip strength was associated with better cognitive performance (r = 0.237, p = 0.034) and improved nutritional status (r = 0.267, p = 0.016), while it was inversely related to frailty (r = −0.313, p = 0.005). Nutritional status also played a key role, showing an inverse relationship with frailty (r = −0.333, p = 0.003) and depression levels (r = −0.248, p = 0.027). Furthermore, frailty and depression were strongly interconnected, with those experiencing higher
frailty levels also displaying more severe depressive symptoms (r = 0.545, p < 0.001). Marital status was also relevant: married participants exhibited higher grip strength, lower frailty, and fewer depressive symptoms, suggesting that social support positively influences both physical and mental health in older adults. Conclusions: These findings not only emphasize the need for integrated care approaches that simultaneously address physical health, nutrition, and cognitive function, but also provide a foundation for the development of a rapid and multidimensional assessment protocol, which consists of using a digital dynamometer and four geriatric scales. Such a tool could play a crucial role in the early detection of frailty syndrome and guide the implementation of multidisciplinary, tailored therapeutic strategies aimed at preserving the autonomy and improving the quality
of life of older adults
Des morts en règles ::normes, appropriations et régulations autour des défunt-es durant la pandémie de Covid-19 : synthèse
No full textSclérose en plaques et symptômes physiques ::faire face aux limites corporelles par la physiothérapie
No full textIntroduction : La sclérose en plaques est une maladie chronique dégénérative qui affecte le cerveau et la moelle épinière. Caractérisée par une symptomatologie polymorphe, elle modifie la représentation et l’expérience vécue du corps. Faire face aux transformations subies nécessite de recourir à plusieurs approches thérapeutiques dont la physiothérapie. But de l’étude : Fondé sur le point de vue de personnes atteintes de sclérose en plaques, cet article a pour objectif d’explorer les limites corporelles qu’elle induit et d’investiguer la manière dont les exercices de physiothérapie participent à leur gestion. Méthodes : Une recherche qualitative a été menée auprès de 18 personnes atteintes de sclérose en plaques. Des entretiens semi-directifs, réalisés après la proposition d’un programme d’exercices à domicile par des physiothérapeutes, ont été analysés grâce au logiciel d’analyse de contenu MAXQDA. Résultats : Les participants rapportent divers symptômes – fatigue, troubles de l’équilibre, de la motricité et de la coordination des mouvements, douleur, incontinence urinaire ou fécale, troubles oculaires et cognitifs – qui confrontent l’individu aux limites et incapacités d’un corps défaillant. La réalisation des exercices de physiothérapie accroît cette perception, mais peut potentiellement permettre d’agir sur la maladie par le truchement d’un renforcement des aptitudes physiques, d’une amélioration du bien-être psychologique et de la participation à la vie sociale. Conclusions : Complémentaire aux traitements médicamenteux, la pratique régulière des exercices de physiothérapie concourt à une gestion de la sclérose en plaques qui peut contribuer à déplacer le curseur en matière de limites à la mobilisation du corps et d’actions possiblement réalisables.Introduction: Multiple sclerosis is a chronic degenerative disease that affects the brain and spinal cord. It is characterized by polymorphic symptomatology that changes the way the body is represented and experienced. Coping with these changes requires various therapeutic strategies, including physiotherapy. Purpose of the study: Based on the perspective of people with multiple sclerosis, this article aims to explore the bodily limitations it imposes, and to investigate how physiotherapy exercises help manage them. Methods: A qualitative study was carried out with eighteen people with multiple sclerosis. Semi-structured interviews, carried out after physiotherapists proposed a home exercise program, were analyzed using MAXQDA content analysis software. Results: Participants reported a range of symptoms—fatigue, problems with balance, motor skills, and movement coordination, pain, urinary or fecal incontinence, and eye and cognitive problems—which confronted them with the limitations and incapacities of a failing body. Physiotherapy exercises reinforce this perception but may also have the potential to act on the disease by improving physical skills, psychological well-being, and participation in social life. Conclusions: As an adjunct to drug treatment, regular practice of physiotherapy exercises contributes to the management of multiple sclerosis. This practice can help shift the boundaries in terms of body mobilization limits and the range of achievable actions
Experimental investigation of a FSFC variable speed pump-turbine prototype - Part1 ::penstock fatigue reduction and fast active power regulation
No full textThe Z'Mutt pumping station is located in Canton Valais-Wallis, in Switzerland and is part of the Grande Dixence hydroelectric scheme. The unit 5 of this station has recently been upgraded with a 5 MW variable speed reversible Francis pump-turbine equipped with Full Size Frequency Converter, FSFC, allowing the unit speed to be adjusted from −100% to +100%. This paper presents the methodology based on 1D numerical simulations including CFD/FEM runner damage hill chart to optimize the turbine start-up sequence to minimize both runner and penstock fatigue by taking advantage of the FSFC variable speed technology. FSFC allows for precise start-up trajectories in the n11-Q11 frame, to avoid runner high damage operating points, while reducing penstock pressure variations as compared to a classical fixed speed technology. This methodology resulted in the definition of 6 different FSFC start-up sequences, as well as the classical fixed speed start-up, which have been successfully implemented and tested on site. Site tests of fast transition from turbine to pump and vice versa are also showcased. Finally, fast active power regulation tests performed in pump mode are presented to show the ability of FSFC variable speed technology to provide ancillary grid service in pump mode
Multiscale spatiotemporal characterisation of embodied environmental performance of building structures in Geneva from 1850 to 2018
No full textLoad-bearing systems in buildings, significant in material use and embodied greenhouse gas emissions (EGHGE), have lacked detailed analysis on their environmental and functional relationships over time and space. This study evaluates the environmental impacts of building structures in Geneva, Switzerland, considering factors like material usage, EGHGE, and urban development. A new method using a similarity-weighted function projects environmental impacts onto a GIS-based building stock, analysing 48 archetypal and 84,477 stock buildings built from 1850 to 2018. Results show a 37% reduction in structural volume per floor area and a 10% increase in mass over time. Buildings predating the masonry-to-concrete transition would produce 7% more EGHGE if constructed today. Multi-residential buildings emit 14% less EGHGE than single homes. A new indicator amortizes upfront environmental effects over a building's lifespan, aiding in historical comparisons of building stocks. This approach underscores the need for spatial-temporal environmental impact mapping to understand sustainable urban development dynamics
Native learning ability and not age determines the effects of brain stimulation
No full textHealthy aging often entails a decline in cognitive and motor functions, affecting independence and quality of life in older adults. Brain stimulation shows potential to enhance these functions, but studies show variable effects. Previous studies have tried to identify responders and non-responders through correlations between behavioral change and baseline parameters, but results lack generalization to independent cohorts. We propose a method to predict an individual’s likelihood of benefiting from stimulation, based on baseline performance of a sequential motor task. Our results show that individuals with less efficient learning mechanisms benefit from stimulation, while those with optimal learning strategies experience none or even detrimental effects. This differential effect, first identified in a public dataset and replicated here in an independent cohort, was linked to one’s ability to integrate task-relevant information and not age. This study constitutes a further step towards personalized clinical-translational interventions based on brain stimulation
GLAD ::improving latent graph generative modeling with simple quantization
No full textExploring the graph latent structures has not garnered much attention in the graph generative research field. Yet, exploiting the latent space is as crucial as working on the data space for discrete data such as graphs. However, previous methods either failed to preserve the permutation symmetry of graphs or lacked an effective approaches to model appropriately within the latent space. To mitigate those issues, we propose a simple, yet effective discrete latent graph diffusion generative model. Our model, namely GLAD, not only overcomes the drawbacks of existing latent approaches, but also alleviates inherent issues present in diffusion methods applied on the graph space. We validate our generative model on the molecular benchmark datasets, on which it demonstrates competitive performance compared with the state-of-the-art baselines