73 research outputs found
Congruence patients - thérapeutes et dropout en psychiatrie ambulatoire publique
No full textDanielle Goerg, Eric Zbinden, Biaise Duvanel: Patient-therapist congruence and treatment dropouts in public outpatient psychiatry.
This study, which was undertaken in a public outpatient psychiatrie service, concerning new patients and their therapists, shows that the probability of treatment being abandoned is greater when the patients do not share the values of the psychiatrie institution and when there is poor congruence between patients and therapists concerning the definition of the problems and expectations. The findings that a number of patients however do stay in treatment in spite of the absence of congruence should probably be analyzed in terms that are structural rather than cultural.Résumé. L'étude entreprise dans un service de psychiatrie ambulatoire publique auprès de patients nouveaux cas et de leurs thérapeutes montre que les probabilités d'abandon de traitement sont plus grandes lorsque les patients ne partagent pas les valeurs de l'institution psychiatrique et lorsque la congruence est faible entre patients et thérapeutes dans les définitions des problématiques et des attentes. La constatation qu'un certain nombre de patients restent cependant en traitement malgré une absence de congruence devrait s'analyser sans doute en termes plus structurels que culturels.Danielle Goerg, Eric Zbinden, Biaise Duvanel : Congruencia entre pacientes y terapeutas en relación al abandono de la terapéutica en la siquiatría pública ambulatoria.
El estudio realizado en un servicio público de siquiatría, a partir de pacientes considerados como casos nuevos y de sus terapeutas, demuestra que las probabilidades de abandono del tratamiento crecen cuando los pacientes no comparten los valores de la institu- ciôn siquiâtrica y cuando pacientes y terapeutas poco concuerdan en sus definiciones de las problemâticas y expectativas. S in embargo, es probable que el hecho de que un cierto numéro de pacientes siguen el tratamiento aûn cuando no haya congruencia, tenga que ser analizado en términos mâs estructurales que culturales. tas, demuestra que las probabilidades de abandono del tratamiento crecen cuando los pacientes no comparten los valores de la institución siquiátrica y cuando pacientes y terapeutas poco concuerdan en sus definiciones de las problemáticas y expectativas. Sin embargo, es probable que el hecho de que un cierto número de pacientes siguen el tratamiento aún cuando no haya congruencia, tenga que ser analizado en términos más estructurales que culturales.Goerg Danielle, Zbinden Eric, Duvanel Blaise. Congruence patients - thérapeutes et dropout en psychiatrie ambulatoire publique. In: Sciences sociales et santé. Volume 8, n°3, 1990. pp. 49-71
Improved control of a prosthetic limb by surgically creating electro-neuromuscular constructs with implanted electrodes
No full text: Remnant muscles in the residual limb after amputation are the most common source of control signals for prosthetic hands, because myoelectric signals can be generated by the user at will. However, for individuals with amputation higher up the arm, such as an above-elbow (transhumeral) amputation, insufficient muscles remain to generate myoelectric signals to enable control of the lost arm and hand joints, thus making intuitive control of wrist and finger prosthetic joints unattainable. We show that severed nerves can be divided along their fascicles and redistributed to concurrently innervate different types of muscle targets, particularly native denervated muscles and nonvascularized free muscle grafts. We engineered these neuromuscular constructs with implanted electrodes that were accessible via a permanent osseointegrated interface, allowing for bidirectional communication with the prosthesis while also providing direct skeletal attachment. We found that the transferred nerves effectively innervated their new targets as shown by a gradual increase in myoelectric signal strength. This allowed for individual flexion and extension of all five fingers of a prosthetic hand by a patient with a transhumeral amputation. Improved prosthetic function in tasks representative of daily life was also observed. This proof-of-concept study indicates that motor neural commands can be increased by creating electro-neuromuscular constructs using distributed nerve transfers to different muscle targets with implanted electrodes, enabling improved control of a limb prosthesis
ZB_QRM: Stata module to Recoding multiple responses into binary variables
No full textzb_qrm generates 'nnew' new binary variables according to the code of the 'rootexist' variables. Usually multiple choices are registred in variables representing first choice, second choice etc. The name of these variables are assumed to be numbered from 1 to the maximum number of choices.
Protecting Privacy in Multi-agent Optimization
No full textMany real-life optimization problems involve multiple entities, or agents (individuals, companies...), with their own private constraints and preferences, communicating with each other in order to find a solution that maximizes the overall public satisfaction. In Artificial Intelligence, the field of Distributed Constraint Optimization (DCOP) has been addressing such multi-agent optimization problems, through distributed message-passing algorithms such as the DPOP algorithm. However, the research in DCOP has been neglecting the privacy of the information exchanged by the agents during the computing of the solution, which is critical to many real-life problems. While agents are willing to cooperate with each other to produce an optimal solution, they are most often reluctant to reveal their private constraints and preferences to other, which hinders this cooperation. The goal of this project was to implement, test, and evaluate a secured version of DPOP, P-DPOP. P-DPOP provides strong agent privacy and topology privacy by randomization, constraints privacy and limited decision privacy by obfuscation. The algorithm was implemented in Java, as part of the open-source FRODO platform for DCOP.LI
Architecture and impermanence: The re-thinking of territories
No full textThis thesis investigates the notion of 'deterritorialization' of which the focus is a house. This house is understood as a frame that is juxtaposed against systems that move through and overlap with the said house-frame. For the purpose of this study, the systems that interact with the house-frame have been limited to: light, wind, temperature, water, and sound.
As these systems engage with the house-frame, one's previously perceived perception of the house is momentarily shifted and re-directed to another: space is seen as a process of intensities, difference, and durations. Such space allows for the spontaneity of discovery, forgetting, continuity, discontinuity, definition, and re-definition
BEEYOND - Foundation of the Company & Market Entry
No full textThis bachelor thesis depicts the author's journey over the last months, from the discovery of a business idea inspired by an innovative blockchain application over the creation of a solid concept in the form of a business plan to the development & implementation on a strategic as well as functional level. By applying his theoretical knowledge acquired in the Major "International Entrepreneurship", the author gained the necessary skillset to establish the company, develop the market entry strategy and begin with its practical implementation
A highly integrated bionic hand with neural control and feedback for use in daily life
No full textRestoration of sensorimotor function after amputation has remained challenging because of the lack of human-machine interfaces that provide reliable control, feedback, and attachment. Here, we present the clinical implementation of a transradial neuromusculoskeletal prosthesis—a bionic hand connected directly to the user’s nervous and skeletal systems. In one person with unilateral below-elbow amputation, titanium implants were placed intramedullary in the radius and ulna bones, and electromuscular constructs were created surgically by transferring the severed nerves to free muscle grafts. The native muscles, free muscle grafts, and ulnar nerve were implanted with electrodes. Percutaneous extensions from the titanium implants provided direct skeletal attachment and bidirectional communication between the implanted electrodes and a prosthetic hand. Operation of the bionic hand in daily life resulted in improved prosthetic function, reduced postamputation, and increased quality of life. Sensations elicited via direct neural stimulation were consistently perceived on the phantom hand throughout the study. To date, the patient continues using the prosthesis in daily life. The functionality of conventional artificial limbs is hindered by discomfort and limited and unreliable control. Neuromusculoskeletal interfaces can overcome these hurdles and provide the means for the everyday use of a prosthesis with reliable neural control fixated into the skeleton
Facteurs liés aux douleurs du dos chez des employés d'une entreprise avec évaluation de l'effet d'une intervention préventive: 1990 - 1993
No full textEtude des facteurs sociaux, professionnels, biographiques et psychologiques liés aux lombalgies dans la population active d'une entreprise ainsi qu'à la consommation de soins et à l'absentéisme, évaluation de l'impact d'une intervention préventive primaire, analyse des processus de chronicisation et de déchronicisation des douleurs du dos. Problématique et hypothèses: impact des facteurs sociaux, professionnels, biographiques et psychologiques sur la santé en général et sur la santé du dos en particulier; stratégies d'adaptation des sujets aux maux de dos par la consommation de soins, l'absentéisme, les modifications des modes de vie; incidence des douleurs, en particulier chroniques, sur les différentes sphères de la vie; degré d'efficacité d'une intervention préventive; influence du système de santé sur la chronicisation des douleurs du dos.Study of the social, professional, biographical and psychological factors related to low back pain in the working population of a company as well as to the care consumption and absenteeism, evaluation of the impact of a primary preventive intervention, analysis of the processes of chronicisation and de-chronicisation of back pain. Problems and hypotheses: impact of social, occupational, biographical and psychological factors on health in general and on back health in particular; individual strategies for coping with back pain through care consumption, absenteeism, lifestyle changes; impact of pain, especially chronic pain, on different spheres of life; degree of effectiveness of preventive intervention; influence of the health system on chronic back pain
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