L’adaptation des services de santé à l’égard de personnes migrantes : cas des services infirmiers en première ligne

Comment s’adaptent des organisations lorsqu’elles font face à des changements qui les dépassent? De cette question a émergé une recherche voulant comprendre comment et pourquoi des organisations de santé décident d’adapter (ou non) leurs services aux besoins et aux caractéristiques des populations migrantes accueillies sur leur territoire. Pour y répondre, cette thèse s’est intéressée à la gouvernance multiniveaux appliquée aux organisations de santé fournissant des services à des populations migrantes. Dans un contexte de régionalisation de l’immigration, la dynamique du processus migratoire est de mieux en mieux documentée, mais les capacités organisationnelles d’adaptation le sont beaucoup moins. Nous avons réalisé une étude de cas multiples à l’aide d’entrevues semi-directives auprès d’acteurs provenant de deux CSSS montéregiens (région au sud de Montréal, Québec) et des paliers locaux, régionaux et nationaux. Les résultats de cette étude ont permis (1) de mettre en évidence les différents acteurs impliqués dans ce processus d’adaptation, dont des acteurs de connectivité; (2) de cerner huit leviers d’action, divisés en trois catégories de leviers : administratif, émergent et d’habilitation. La possible imbrication de ces trois catégories de leviers facilite l’apparition de structures de connectivité, légitimant ainsi l’adaptation de l’organisation; et (3) de montrer l’ambigüité de l’adaptation à travers des facteurs d’influence qui favorisent ou entravent le processus d’adaptation à plusieurs niveaux de la gouvernance. Cette thèse est construite autour de quatre articles. Le premier, de nature conceptuelle, permet de circonscrire les concepts d’adaptation et de gouvernance multiniveaux à travers la lentille des théories de la complexité. Nous campons ainsi notre sujet dans une problématique liée à la vulnérabilité et la migration tout en appréhendant l’adaptation du système et son opérationnalisation au niveau local. Il en ressort un cadre conceptuel avec six propositions de recherches. Le second article permet quant à lui de comprendre les jeux des acteurs au sein d’une organisation de santé et à travers son Environnement. Le rôle spécifique d’acteurs de connectivité y est révélé. C’est dans un troisième article que nous nous intéressons davantage aux différents leviers d’action, analysés selon trois catégories : administrative, émergente et d’habilitation. Les acteurs peuvent les solliciter afin de d’adapter leurs pratiques au contexte particulier de la prise en charge de patients migrants. Un passage des acteurs aux structures de connectivité est alors rendu possible via un espace : la gouvernance multiniveaux. Enfin, le quatrième et dernier article s’articule autour de l’analyse des différents facteurs pouvant influencer l’adaptation d’une organisation de santé, en lien avec son Environnement. Il en ressort principalement que les facteurs identifiés sont pour beaucoup des leviers d’action (cf. article3) qui à travers le temps, et par récursivité, deviennent des facteurs d’influence. De plus, le type d’interdépendance développé par les acteurs a tendance soit à façonner un Environnement « stable », laissant reposer les besoins d’adaptation sur les acteurs opérationnels; soit à façonner un Environnement plus « accidenté », reposant davantage sur des interactions diversifiées entre les acteurs d’une gouvernance multiniveaux. De cette adéquation avec l’Environnement à façonner découle l’ambigüité de s’adapter ou non pour une organisation.

Divided Over Internationalism : The Canadian Public and Development Assistance

This analysis of public opinion towards foreign aid shows that Canadians are divided over internationalism. First, while most citizens agree that development assistance is important, their support often remains shallow, unmatched by a commitment to undertake concrete actions. Second, the attitudes Canadians hold toward development assistance indicate that there is a clear division in the country’s public between liberal and conservative internationalists, a cleavage that is anchored in domestic ideological and partisan differences. In many ways comparable to what is found in other countries, the internationalism of Canadians does not appear as vigorous and as consensual as is often suggested.

À la recherche d'une définition de la destination de l'immeuble en copropriété divise au Québec

Le droit de propriété, théoriquement absolu, est restreint dans le cadre de la copropriété divise étant donné le contexte individuel et collectif dans lequel il s’exerce. En fait, l’intérêt collectif peut lui imposer des restrictions, mais à certaines conditions. L’une d’entre elles, essentielle, est le respect de la destination de l’immeuble. Or, la notion de destination de l'immeuble ne fait l'objet d'aucune disposition législative permettant de la définir. Afin de préciser cette notion, deux conceptions ont été développées. La première est à l’effet qu’on doit tenir compte, dans la recherche de la destination de l'immeuble, de ses caractères et de sa situation. La deuxième prévoit plutôt qu'il faut distinguer ces trois éléments. Même si la première thèse est majoritairement admise en jurisprudence, nous croyons que les tribunaux interprètent trop largement cette notion, qui devrait être mieux circonscrite. Après une revue de la littérature et une analyse jurisprudentielle, nous développerons notre propre conception de la notion de destination, qui sera une voie mitoyenne entre les deux conceptions établies, et proposerons des améliorations quant à la rédaction de cette clause dans la déclaration de copropriété.

On Szegö’s Type Theorems

This study is to look the effect of change in the ordering of the Fourier system on Szegö’s classical observations of asymptotic distribution of eigenvalues of finite Toeplitz forms.This is done by checking proofs and Szegö’s properties in the new set up.The Fourier system is unconditional [19], any arbitrary ordering of the Fourier system forms a basis for the Hilbert space L2 [-Π, Π].Here study about the classical Szegö’s theorem.Szegö’s type theorem for operators in L2(R+) and check its validity for certain multiplication operators.Since the trigonometric basis is not available in L2(R+) or in L2(R) .This study discussed about the classes of orderings of Haar System in L2 (R+) and in L2(R) in which Szegö’s Type TheoreT Am is valid for certain multiplication operators.It is divided into two sections. In the first section there is an ordering to Haar system in L2(R+) and prove that with respect to this ordering, Szegö’s Type theorem holds for general class of multiplication operators Tƒ with multiplier ƒ ε L2(R+), subject to some conditions on ƒ.Finally in second section more general classes of ordering of Haar system in L2(R+) and in L2(R) are identified in such a way that for certain classes of multiplication operators the asymptotic distribution of eigenvalues exists.

Journal Productivity in Fishery Science - An Informetric Analysis

This thesis Entitled Journal productivity in fishery science an informetric analysis.The analyses and formulating results of the study, the format of the thesis was determined. The thesis is divided into different chapters mentioned below. Chapter 1 gives an overview on the topic of research. Introduction gives the relevance of topic, define the problem, objectives of the study, hypothesis, methods of data collection, analysis and layout of the thesis. Chapter 2 provides a detailed account of the subject Fishery science and its development. A comprehensive outline is given along with definition, scope, classification, development and sources of information.Method of study used in this research and its literature review form the content of this chapter. Chapter 4 Details of the method adopted for collecting samples for the study, data collection and organization of the data are given. The methods are based on availability of data, period and objectives of the research undertaken.The description, analyses and the results of the study are covered in this chapter.

Studies on the effect of selected metals on the productivity of two species of algae

The thesis embodies the results of a study on the variations in the parameters of productivity of two test species, a chlorophycean alga and a diatom. The chlorophycean alga Scenedesmus abundans was isolated from a fresh water pond whereas the diatom Nitzschia clausii was from the Cochin backwaters. Their growth parameters and their variations due to the effect of addition of some heavy metals have been studied. The growth parameters include biomass, production, respiration, photosynthetic pigments and end products of photosynthesis. The cell numbers were estimated by using a haemocytometer and production and respiration by oxygen light and dark technique. Spectrophotometric analysis for pigments, anthrone method for carbohydrate and heated biuret method for protein were the different methods employed in the present investigation. The present study is confined to nickel, cobalt, trivalent and hexavalent chromium. Different metals are discharged from various industries in and around Cochin. The effects of these metals individually and in combination are studied. Experiments to determine the effects of interaction of metals in combination enabled the assessment of the antagonistic and synergistic effect of metals on test species. The concentration or accumulation of metals on algae was determined by Atomic Absorption Spectrophotometry. The thesis has been divided into seven chapters. The introductory chapter explains the relevance of the present investigation. Chapter two presents the review of literature based on the work in relation to toxicity. Third chapter gives a detailed description of the material and specialized methods followed for the study. The effects of various metals selected for study - nickel, cobalt, trivalent and hexavalent chromium on the qualitative and quantitative aspects of productivity forms the subject of matter of the fourth chapter. The fifth chapter gives the impact of metals in combination on two species of algae. A general discussion and summary are included in the sixth and seventh chapters

Socio-Economic Survey of a Specific village

This thesis Entitled Socio-Economic Survey of a Specific village.For the purpose of analysis the thesis is divided into nine chapters. The first chapter introduces the subject of study and explains the significance of the study.It also provides the profile of the village. Chapter two deals with the different aspects of agriculture in the village.Chapter three discusses the problems of industrialisation in the Village. Chapter four is on village administration. It elaborates on the services rendered by government machinery in facilitating the development of agriculture and industry in the village.Chapter five explains the ways and means of marketing of village produce, both industrial and agricultural origin. It also explains the relevance of intra village connections in facilitating marketing.Chapter seven provides information regarding the income and expenditure pattern of the village.Chapter eight is on village social life. It explains the social life of the villagers, including religious

Studies on optical attenuation in sea water using dye laser and laser propagation in a turbulent medium

The central theme of the work presented in this thesis is a careful investigation of the factors influencing the attenuation of laser beam through sea water. The thesis presents a detailed report of the work done by the author on the attenuation studies in sea water and on laser propagation through a turbulent medium. The thesis contains six chapters which are more or less self-contained with separate abstracts and references. The first chapter is divided into two parts. The first part introduces the subject of laser propagation through sea water. It includes a brief description of optical properties of sea water followed by a review of the earlier works on attenuation studies in water. The second part gives the theoretical background of the problem of laser propagation through a turbulent medium.

Legislative conflicts in india

The subject-wise distribtion of legislative competence among the three legislative jurisdictions, union, state and concurrent, gives rise to a problem of legislative conflicts in India. There does not seem to have been any study exclusively devoted to this aspect of Indian federalism. This study is an attempt in that direction. The study has been broadly divided into three parts after an historical introduction in chapter I. Chapters II to VIII deal with conflicts between the exclusive fields, chapters IX and X with conflicts in the concurrent field, and chapter XI with conflicts between the exclusive and concurrent fields. In the last chapter, i.e, chapter XII, has been collected together some conclusions which in most cases have also been noted in the course of the study

Uncover the Concealed Link: Gender & Ethnicity-Divided Local Knowledge on the Agro-Ecosystem of a Forest Margin

This research is a study about knowledge interface that aims to analyse knowledge discontinuities, the dynamic and emergent characters of struggles and interactions within gender system and ethnicity differences. The cacao boom phenomenon in Central Sulawesi is the main context for a changing of social relations of production, especially when the mode of production has shifted or is still underway from subsistence to petty commodity production. This agrarian change is not only about a change of relationship and practice, but, as my previous research has shown, also about the shift of knowledge domination, because knowledge construes social practice in a dialectical process. Agroecological knowledge is accumulated through interaction, practice and experience. At the same time the knowledge gained from new practices and experiences changes mode of interaction, so such processes provide the arena where an interface of knowledge is manifested. In the process of agro-ecological knowledge interface, gender and ethnic group interactions materialise in the decision-making of production and resource allocation at the household and community level. At this point, power/knowledge is interplayed to gain authority in decision-making. When authority dominates, power encounters resistance, whereas the dominant power and its resistance are aimed to ensure socio-economic security. Eventually, the process of struggle can be identified through the pattern of resource utilisation as a realisation of production decision-making. Such processes are varied from one community to another, and therefore, it shows uniqueness and commonalities, especially when it is placed in a context of shifting mode of production. The focus is placed on actors: men and women in their institutional and cultural setting, including the role of development agents. The inquiry is informed by 4 major questions: 1) How do women and men acquire, disseminate, and utilise their agro ecological knowledge, specifically in rice farming as a subsistence commodity, as well as in cacao farming as a petty commodity? How and why do such mechanisms construct different knowledge domains between two genders? How does the knowledge mechanism apply in different ethnics? What are the implications for gender and ethnicity based relation of production? ; 2) Using the concept of valued knowledge in a shifting mode of production context: is there any knowledge that dominates others? How does the process of domination occur and why? Is there any form of struggle, strategies, negotiation, and compromise over this domination? How do these processes take place at a household as well as community level? How does it relate to production decision-making? ; 3) Putting the previous questions in two communities with a different point of arrival on a path of agricultural commercialisation, how do the processes of struggle vary? What are the bases of the commonalities and peculiarities in both communities?; 4) How the decisions of production affect rice field - cacao plantation - forest utilisation in the two villages? How does that triangle of resource use reflect the constellation of local knowledge in those two communities? What is the implication of this knowledge constellation for the cacao-rice-forest agroecosystem in the forest margin area? Employing a qualitative approach as the main method of inquiry, indepth and dialogic interviews, participant observer role, and document review are used to gather information. A small survey and children’s writing competition are supplementary to this data collection method. The later two methods are aimed to give wider information on household decision making and perception toward the forest. It was found that local knowledge, particularly knowledge pertaining to rice-forest-cacao agroecology is divided according to gender and ethnicity. This constellation places a process of decision-making as ‘the arena of interface’ between feminine and masculine knowledge, as well as between dominant and less dominant ethnic groups. Transition from subsistence to a commercial mode of production is a context that frames a process where knowledge about cacao commodity is valued higher than rice. Market mechanism, as an external power, defines valued knowledge. Valued knowledge defines the dominant knowledge holder, and decision. Therefore, cacao cultivation becomes a dominant practice. Its existence sacrifices the presence of rice field and the forest. Knowledge about rice production and forest ecosystem exist, but is less valued. So it is unable to challenge the domination of cacao. Various forms of struggles - within gender an ethnicity context - to resist cacao domination are an expression of unequal knowledge possession. Knowledge inequality implies to unequal access to withdraw benefit from market valued crop. When unequal knowledge fails to construct a negotiated field or struggles fail to reveal ‘marginal’ decision, e.g. intensification instead of cacao expansion to the forest, interface only produces divergence. Gender and ethnicity divided knowledge is unabridged, since negotiation is unable to produce new knowledge that accommodates both interests. Rice is loaded by ecological interest to conserve the forest, while cacao is driven by economic interest to increase welfare status. The implication of this unmediated dominant knowledge of cacao production is the construction of access; access to the forest, mainly to withdraw its economic benefit by eliminating its ecological benefit. Then, access to cacao as the social relationship of production to acquire cacao knowledge; lastly, access to defend sustainable benefit from cacao by expansion. ‘Socio-economic Security’ is defined by Access. The convergence of rice and cacao knowledge, however, should be made possible across gender and ethnicity, not only for the sake of forest conservation as the insurance of ecological security, but also for community’s socio-economic security. The convergence might be found in a range of alternative ways to conduct cacao sustainable production, from agroforestry system to intensification.

On Solutions of Holonomic Divided-Difference Equations on Non-Uniform Lattices

The main aim of this paper is the development of suitable bases (replacing the power basis x^n (n\in\IN_\le 0) which enable the direct series representation of orthogonal polynomial systems on non-uniform lattices (quadratic lattices of a discrete or a q-discrete variable). We present two bases of this type, the first of which allows to write solutions of arbitrary divided-difference equations in terms of series representations extending results given in [16] for the q-case. Furthermore it enables the representation of the Stieltjes function which can be used to prove the equivalence between the Pearson equation for a given linear functional and the Riccati equation for the formal Stieltjes function. If the Askey-Wilson polynomials are written in terms of this basis, however, the coefficients turn out to be not q-hypergeometric. Therefore, we present a second basis, which shares several relevant properties with the first one. This basis enables to generate the defining representation of the Askey-Wilson polynomials directly from their divided-difference equation. For this purpose the divided-difference equation must be rewritten in terms of suitable divided-difference operators developed in [5], see also [6].

El Lloc dels riscos naturals als Annales de Géographie (1891-1991)

L'étude des risques naturels est devenu un sujet de débat entre les géographes physiques français, de plus en plus conscients de l'exposition croissante des sociétés aux risques naturels et du besoin d'évaluer leurs compétences et leurs moyens d'intervention. Mais l'étude des risques naturels a aussi été un sujet récurrent dans l'histoire de la géographie française. Cet article prétend être une approche au traitement qu'a reçu ce thème dans les Annales de Géographie depuis sa création jusqu'h aujourd’hui. Après avoir distingué trois étapes (1891-1930, 1930-1975 et 1975-1991) on a établi les rapports existants entre les différents moments de la géographie française et l'étude des risques naturels et on a analysé autant le contenu des notices sur les divers évènements catastrophiques que les travaux des auteurs les plus représentatifs. I1 s'agit, en résumé, de proposer une réflexion sur la façon dont la géographie française a abordé ce sujet

The Higher Education Academy Engineering Subject Center

The engineering subject center provides support for engineering students and staff in higher education at university. The website provides articles helping students in a large range of subjects, such as book reviews for a variety subjects, support in writing reports or essays and personal development in subject areas and university life in general.

A user receiving help at the subject enquiry desk

An image of a user sitting down while receiving help at the subject enquiry desk, taken 2009