66 research outputs found
Retrouver un but: de désillusion à perspective
No full textThis commentary explores the evolution of the sense of purpose for a mental health professional navigating the tensions between personal vocation and systemic realities. With a tale of lived experience, the author dives into the dissonance she once felt between the values that drew her into the helping field and the institutional conditions that often undermine them. With empathy for the individual workers, the piece critically examines how systems shape care and credibility, while affirming the importance of compassion, creativity and collective purpose. Grounded in a commitment to remain present in the field, the essay calls for a more trauma-informed, sustainable practice of the helping professions - one that values both the providers and the people they serve. Ce commentaire explore l'évolution du sens de la vocation chez une professionnelle de la santé mentale confrontée aux tensions entre engagement personnel et réalités systémiques. À travers le récit de son expérience vécue, l'autrice plonge dans la dissonance autrefois ressentie entre les valeurs qui l'ont attirée vers le travail en relation d'aide et les conditions institutionnelles qui les fragilisent souvent. Avec empathie pour les travailleur.euse.s du terrain, ce texte examine de manière critique la façon dont les systèmes influencent les pratiques de soin et la reconnaissance professionnelle, tout en réaffirmant l'importance de la compassion, de la créativité et du sens collectif. Ancré dans l'engagement à rester présente dans le domaine, cet essai appelle à une pratique des professions en relation d'aide plus durable et informée par les traumatismes - une pratique qui valorise autant les personnes prodiguant les soins que celles qui les reçoivent
External educational programmes in public management and the transfer of acquired competencies. Case study of the Belgian federal administration.
No full textThis PhD-research project studies the application of acquired knowledge from educational programmes in public management to the workplace. This application is defined as transfer of knowledge (Broad & Newstrom : 1992). Scientific research has demonstrated that transfer basically de pends on three basic variables, i.e. the individual, the organisational transfer climate and the quality of the programme (Baldwin & Ford: 1988). Since public management programmes havent been in the scop e of transfer research yet (Gilpin-Jackson & Bushe: 2007), it was d ecided to select the Public Management Programme (PUMP) of the Belgian f ederal administration as the central case to study. This programme has b een organised in 2001 for the first time under impulse of the Copernicus reform and has taken place since then (Broucker & Hondeghem: 2008) . The goal of PUMP is to contribute to the reform of the federal adminis tration and enable it to become a modern, good performing and highly qua litative administration by giving groups of civil servants the necessary knowledge, competencies, skills and attitudes to support this moderniza tion process. At the same time, PUMP wants to create an inter- and intra departmental network within the federal public sector (PUMP: 2009). In this research the educational programme is considered as an open syst em (Von Bertalanffy: 1973) wherein the stages of input, throughput and o utput may contain transfer stimulating and inhibiting conditions. This a lso means that the actual phase of transfer takes places in the systems environment. The theoretical framework is broadened with theoretical pr inciples of the eight field model of Kessels (Kessels, Smit & Keu rsten: 1996). This results into a holistic framework which makes it poss ible to have an overview of the whole case. Based on document analyses, a number of qualitative interviews taken amo ng the different stakeholders (universities, federal organisations, cabi nets) and the analysis of a survey taken from 300 participants (PUMP-edi tions 2001-2007), an answer has been formulated on three research questi ons. First, it can be concluded that transfer of PUMP in the federal administ ration actually takes place. The participants perceive the programme as useful, participate more in modernisation projects because of PUMP, see it as a necessity for the federal administration and perceive it as usef ul for their daily work and for the future of the federal public sector. The research demonstrated that the application of this knowledge isnt straightforward, but that transfer of those kind of programmes can take place in different ways. It can be stated that the application of PUMP i s a hybrid form of transfer, with a positive impact, but not discussed i n advance in the organisation and unsystematic. The latter is an importa nt contribution to the theoretical debate on the definition of transfer. Second, the research wanted to identify transfer stimulating and inhibit ing conditions. The statistical analyses demonstrate that transfer of th e programme is basically influenced by individual characteristics and ch aracteristics of the educational programme. This means that the impact o f the organisation on transfer is non-existent, which implies that the l evel of transfer is suboptimal. It has also been demonstrated that there is a lack of external consistency, vagueness about the educational goal s and a lack of coordination. Those last aspects have probably an import ant transfer inhibiting impact. The results of the survey have provided an essential methodological added value to the scientific state of affai rs, by using and validating in a Belgian federal context an internationa lly validated instrument. Third, it was investigated how the transfer climate of the federal admin istration can be defined for the Public Management Programme. The climat e of the general administration seems to be neutral, which means that tr ansfer in the Belgian public sector isnt encouraged, nor discouraged or forbidden. On the other hand it can not be stated that all federal orga nisations have the same neutral transfer climate. Some important finding s have demonstrated that certain organisations are more proactive with r espect to transfer than others.status: Publishe
Subarachnoid hemorrhage in neurofibromatosis type 1: Case report of extracranial cerebral aneurysm rupture into a meningocele
No full text
Recommandations de prise en charge des encéphalites infectieuses de l’adulte
No full textReferred to by :Recommandations de prise en charge des encéphalites infectieuses de l’adulte – reprise de la version françaisePratique Neurologique - FMC, Volume 9, Issue 3, September 2018, Pages 195-203International audienceRecommendations/Recommandation
The effect of subcutaneous naloxone on experimentally induced pain
No full textThe heat pain threshold was assessed in 32 healthy participants after a mild burn on the dorsal surface of each hand, after injection of an opioid antagonist (80 μg naloxone) or vehicle alone (0.2 mL saline) into the burnt skin of 1 hand, and after repeated painful immersion of this hand in cold water for up to 180 seconds. We hypothesized that sensitivity to heat would decrease at the burn-injured site after the immersions, due to local release of opioids into the burnt skin. Naloxone augmented cold-induced pain during the immersions in participants who tolerated the longest immersions, implying that release of endogenous opioids suppressed cold-pain. After the immersions, sensitivity to heat decreased at the burn-injured site in the immersed hand, but naloxone did not block this effect. Instead, naloxone altered sensitivity to heat in unburnt skin, implying that thermal hyperalgesia at sites of burn injury masked the modulatory effects of opioids. In particular, naloxone blocked a decrease in sensitivity to heat at an unburnt site on the contralateral hand of participants who tolerated the longest immersions, consistent with central or systemic opioid release. Naloxone reduced sensitivity to heat at unburnt sites in participants who tolerated medium-length immersions, suggesting that an increase in systemic or central opioid activity evoked thermal hyperalgesia in this group. In addition, in a small group of participants who tolerated only brief immersions, naloxone blocked decreases in sensitivity to heat at an unburnt site in the immersed hand. These findings suggest that repeated painful immersions trigger local opioid release in participants who tolerate only brief immersions, and elicit central or systemic opioid release in participants who tolerate longer immersions
The Review of Economic Performance and Social Progress 2002: Towards a Social Understanding of Productivity
No full textSkills, innovation and human capital as they feature prominently on the policy agenda of industrialized countries concerned with productivity and competitiveness issues. Not surprisingly, formal education is the preferred and most conventional policy instrument of governments in pursuing these objectives. Indeed, "more is better" is often the guiding principle here. The actual linkages, however, are not as straightforward as they may appear. Certainly, there are gains to be achieved through a better understanding of the relationship between the skills developed through formal education and their causal impact on productivity, as well as a more nuanced approach to policy in this area. In this chapter, Arthur Sweetman points out, "the issue is not whether education has benefits but, rather, the magnitude of its 'true' benefits, the benefits relative to costs, and the distribution of costs and benefits. Sweetman examines three different sets of evidence, focusing on the impact of education on earnings at the individual level and on productivity at the macroeconomic level, and on issues related to the operation of the Canadian educational system.Education, Skills, Growth, Productivity, Labour Productivity, Labor Productivity, Educational Attainment, Human Capital, Knowledge, Quality, Education Quality, Private Benefit, Social Benefit, Value, Investment
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