Neurology and psychiatry: waking up to opportunities of sleep. : State of the art and clinical/research priorities for the next decade.

In recent years, evidence has emerged for a bidirectional relationship between sleep and neurological and psychiatric disorders. First, sleep-wake disorders (SWDs) are very common and may be the first/main manifestation of underlying neurological and psychiatric disorders. Secondly, SWDs may represent an independent risk factor for neuropsychiatric morbidities. Thirdly, sleep-wake function (SWF) may influence the course and outcome of neurological and psychiatric disorders. This review summarizes the most important research and clinical findings in the fields of neuropsychiatric sleep and circadian research and medicine, and discusses the promise they bear for the next decade. The findings herein summarize discussions conducted in a workshop with 26 European experts in these fields, and formulate specific future priorities for clinical practice and translational research. More generally, the conclusion emerging from this workshop is the recognition of a tremendous opportunity offered by our knowledge of SWF and SWDs that has unfortunately not yet entered as an important key factor in clinical practice, particularly in Europe. Strengthening pre-graduate and postgraduate teaching, creating academic multidisciplinary sleep-wake centres and simplifying diagnostic approaches of SWDs coupled with targeted treatment strategies yield enormous clinical benefits for these diseases.

EVOLIS : UN CADRE CONCEPTUEL POUR L'ÉTUDE DE L'ÉVOLUTION DES SYSTÈMES D'INFORMATION

Dans cette thèse, nous étudions les évolutions des systèmes d'information. Nous nous intéressons plus particulièrement à l'étude des facteurs déclencheurs d'évolution, ce qu'ils représentent et comment ils permettent d'en apprendre d'avantage sur le cycle de vie des systèmes d'information. Pour ce faire, nous avons développé un cadre conceptuel pour l'étude des évolutions qui tient compte non seulement des facteurs déclencheurs d'évolution, mais également de la nature des activités entreprises pour évoluer. Nous avons suivi une approche Design Science pour la conception de ce cadre conceptuel. Selon cette approche, nous avons développé itérativement le cadre conceptuel en l'instanciant puis en l'évaluant afin de raffiner sa conception. Ceci nous a permis de faire plusieurs contributions tant pratiques que théoriques. La première contribution théorique de cette recherche est l'identification de 4 facteurs principaux déclenchant les évolutions. Ces facteurs sont des éléments issus de domaines généralement étudiés séparément. Le cadre conceptuel les rassemble dans un même outil pour l'étude des évolutions. Une autre contribution théorique est l'étude du cycle de vie des systèmes selon ces facteurs. En effet, l'utilisation répétée du cadre conceptuel pour la qualification des évolutions met en lumière les principales motivations des évolutions lors de chaque étape du cycle de vie. En comparant les évolutions de plusieurs systèmes, il devient possible de mettre en évidence des modèles spécifiques d'évolution des systèmes. Concernant les contributions pratiques, la principale concerne le pilotage de l'évolution. Pour un gestionnaire de système d'information, l'application du cadre conceptuel permet de connaître précisément l'allocation réelle des ressources pour une évolution ainsi que la localisation du système dans son cycle de vie. Le cadre conceptuel peut donc aider les gestionnaires dans la planification et la stratégie d'évolution du système. Les modèles d'évolution, identifiés suite à l'application du cadre conceptuel, sont également une aide précieuse pour définir la stratégie de pilotage et les activités à entreprendre lors de la planification des évolutions. Finalement, le cadre conceptuel a fourni les bases nécessaires à l'élaboration d'un tableau de bord pour le suivi du cycle de vie et le pilotage de l'évolution des systèmes d'information.

Qualitative, quantitative and temporal study of cutting agents for cocaine and heroin over 9 years

Forensic laboratories mainly focus on the qualification and the quantitation of the illicit drug under analysis as both aspects are used for judiciary purposes. Therefore, information related to cutting agents (adulterants and diluents) detected in illicit drugs is limited in the forensic literature. This article discusses the type and frequency of adulterants and diluents detected in more than 6000 cocaine specimens and 3000 heroin specimens, confiscated in western Switzerland from 2006 to 2014. The results show a homogeneous and quite unchanging adulteration for heroin, while for cocaine it could be characterised as heterogeneous and relatively dynamic. Furthermore, the results indicate that dilution affects more cocaine than heroin. Therefore, the results provided by this study tend to reveal differences between the respective structures of production or distribution of cocaine and heroin. This research seeks to promote the systematic analysis of cutting agents by forensic laboratories. Collecting and processing data related to the presence of cutting agents in illicit drug specimens produces relevant information to understand and to compare the structure of illicit drug markets.

Gestión de la actividad no presencial y autoevaluación de competencias = Management of Student Learning Outside the Classroom and the Self-evaluation of Competences

Psychological Assessment is a core subject of Psychology studies, and of the university degree Human development, at the University of Girona and according to the University regulations, had 12 credits. Until the 2005-06 academic years, the student work conducted outside the classroom consisted of undertaking a psychological assessment that was written and handed in at the end of the course. From this the student obtained a qualification and a review if they applied for it In accordance with the European Credits for Higher Education, this subject was reduced to 9 credits, which is the equivalent of a total of 255 hours of in-class work and outside the classroom. In the 2006-07 academic year we created a guide to manage the student’s experiences outside the classroom, with the objective of encouraging the application of problem solving/critical thinking (Bloom, 1975), in line with the recommendations of the Catalonia Agency for University System Quality (2005). The guide includes: learning objectives, evaluation criterions, a description of activities, work week timetable for the whole course, programmed tutorials to review all steps of the psychological assessment process, and the use of a web-based virtual forum for the transfer of knowledge, analysis and constructive critiques of the assessment done by themselves and their colleagues

Harmonization of training and assessment of medical specialists in physical and rehabilitation medicine across Europe - The contribution of the UEMS Board of Physical and Rehabilitation Medicine

Background.- The main goals of the European Board of Physical and Rehabili-tation Medicine (EBPRM), founded in 1991 as the third speciality board of theUnion of European Medical Specialists (UEMS), are to harmonize pre-graduate,post-graduate and continuous medical education in physical and rehabilitationmedicine (PRM) all over Europe. The harmonization of curricula of the medi-cal specialities and the assessment of medical specialists has become one of thepriorities of the UEMS and its working groups to which the EBPRM contributes.Action.- The EBPRM will continue to promote a specific minimal undergraduatecurriculum on PRM including issues like disability, participation and handicapto be taught all over Europe as a basis for general medical practice. The EBPRMwill also expand the existing EBPRM postgraduate curriculum into a detailedcatalogue of learning objectives. This catalogue will serve as a tool to boostharmonization of the national curricula across Europe as well as to structurethe content of the MCQ examination. It would be a big step forward towardsharmonization of European PRM specialist training if an important number ofcountries would use the certifying MCQ examination of the Board as a part ofthe national assessments for PRM specialists.

Educational resources offered by the European Board of Physical and Rehabilitation Medicine (EBPRM)

Background .- Physical and Rehabilitation Medicine (PRM) is a very demanding medical speciality. To ensure high standard of research and care in PRM all across Europe, it is crucial to attract gifted trainees and offer them high quality education. At undergraduate level, many medical schools in Europe omit to offer teaching on disabled persons and on basic PRM knowledge. Thus PRM is hardly known to medical students. For postgraduate trainees access to evidence-based knowledge as well as teaching of research methodology specific to PRM, rehabilitation methodology, disability management and team building also need to be strengthened to increase the visibility of PRM. Action .- To address these issues the EBPRM proposes presently a specific undergraduate curriculum in PRM including the issues of disability, participation and handicap as a basis for general medical practice and postgraduate rehabilitation training. For PRM trainees many educational documents are now available on the EBPRM website. A growing number of educational sessions for PRM trainees take place during international and national PRM Congresses which can be accessed at low cost. Educational papers published regularly in European rehabilitation journals and European PRM Schools are offered free or at very low cost to trainees.

Stratégies de communication au service de la formation: quelques outils pratiques [Effective communication strategies to frame the trainer-trainee dialogue in the clinical setting].

Communication between trainer and trainee plays a central role in teaching and learning in the clinical environment. There are various strategies to frame the dialogue between trainee and trainer. These strategies allow trainers to be more effective in their supervision, which is important in our busy clinical environment. Communication strategies are well adapted to both in- and out-patient settings, to both under- and postgraduate contexts. This article presents three strategies that we think are particularly useful. They are meant to give feedback, to ask questions and to present a case.

La performance sportive comme travail

Au cours des dernières décennies, les recherches articulant sport et travail se sont beaucoup développées. Elles portent sur un large ensemble de questions comme le fonctionnement des organisations sportives, les carrières des sportifs de haut niveau, la croissance d'un secteur économique et de métiers de l'intervention sportive, les migrations internationales des sportifs, les discriminations sexuelles ou raciales dans l'accès aux marchés du travail sportif, etc. Ici nous mettons l'accent sur une dimension, centrale, des activités sportives : la compétition. Et notre objectif est d'analyser les mécanismes de production de la performance sportive. Nous considérons celle-ci comme le résultat d'un travail qui n'engage pas les seuls sportifs, avec leurs aptitudes, qualités ou capacités individuelles. Nous la définissons comme une activité collective, qui mobilise une pluralité d'acteurs, institutions, organisations. À travers une variété d'opérations de jugement, d'évaluation, de reconnaissance, de qualification, de cotation, de sélection, ces acteurs contribuent, de manière directe et décisive, à produire la performance sportive. En présentant des travaux empiriques qui argumentent cette problématique et la mobilisent dans des domaines variés (cyclisme, rugby, judo, etc.), nous invitons au développement de recherches sur le travail sportif. In recent decades, there has been much development in research connecting sport and work. It covers a wide range of questions such as how sports organisations operate, the careers of top-level athletes, the growth of an economic sector and its specific jobs, the international migrations of athletes, sexual or racial discrimination in access to the labour market in sport, etc. Here, we place the emphasis on one central dimension of sports activities : competition. Our objective is to analyse the mechanisms of production of sports performance. We consider this to be the outcome of work that does not only involve athletes, with their individual skills, qualities or capacities. We define it as a collective activity that marshals multiple actors, institutions, organisations. Through a variety of activities of judgement, evaluation, recognition, qualification, classification and selection, these actors contribute directly and decisively to producing sports performance. By presenting empirical work that discusses this issue and applies it in varied domains (cycling, rugby, judo, etc.), we call for the development of research into work in sport.

Urbanités marchandes : le commerce dans la production de la qualité urbaine et ses régulations : le cas de Lausanne

While collective identity markers are constantly evolving in today's city, the hyper-consumption society has allowed retail, even though greatly transformed, to remain a community hub for socialization. Society's commodification takes shape precisely within the public realm and the urban scene: sprawling analogous drivable retail-only suburbs and turning city centers into bland, soulless and undefined places displaying homogeneous frontages characterized by the same retail storefronts worldwide. More than ever, urban policies on retail oriented servicescapes seem crucial to urban and regional planning from a sustainable perspective. Thorough the study case of Lausanne, our research focuses on how the urban planning model and its policies could set into place spatial strategies to enhance urban quality and to reorganize retail centralities without succumbing to the prevailing commodification of the public realm. -- Les indicateurs d'identité collective se reformulent dans la ville actuelle, mais la société de l'hyperconsommation a permis au commerce, aussi transformé soit-il, de rester un lieu d'échange et de brassage social. La marchandisation de la société prend des formes précises dans l'espace et a un impact certain sur le paysage urbain : multipliant les espaces marchands périphériques monofonctionnels ou encore transformant nos centres-villes en paysages anodins, présentant des vitrines semblables quel que soit le pays où elles se situent. Plus que jamais, une régulation des espaces de consommation semble incontournable pour l'aménagement du territoire et l'urbanisme dans une perspective de durabilité. À travers le cas lausannois, cette thèse s'interroge sur la façon dont les modèles urbanistiques de régulation des jeux d'acteurs privés peuvent participer à la mise en place de stratégies de qualification urbaine et d'organisation des centralités commerciales sans céder à la tentation de la marchandisation des espaces publics.

Fator de impacto de revistas científicas: qual o significado deste parâmetro?

The impact factor of scientific journals has been used to evaluate them, as well as the quality of scientific research. This parameter was recently used by CAPES as an important criterion for the evaluation of Brazilian postgraduate courses. The main objective of this paper is to show how impact factor is calculated and to discuss its importance and limitations, with special emphasis on chemistry journals.

Tilintarkastajan kurinpidollinen vastuu; TILA:n lausunnot 1990-2006

Tutkielman tavoitteena on selvittää kuinka tilintarkastajista tilintarkastuslautakunnalle tehdyt kantelut ovat muuttuneet vuosien 1990–2000 ja 2001–2006 aikana. Tutkimuksen tarkoituksena on tarkastella ovatko kansainvälistymisen aiheuttamat muutokset tilintarkastusta säätelevissä laeissa johtaneet kanteluiden määrälliseen tai laadulliseen muutokseen. Teoreettinen osa tarkastelee tilintarkastusta lainsäädännöllisesti sekä TILA:n tehtäviä tilintarkastusta valvovana elimenä. Empiirinen osa tutkii TILA:lle tehtyjen kanteluiden ratkaisuselosteita vuosien 1990–2000 ja 2001–2006 välillä. Kanteluita tutkitaan sekä määrällisesti että laadullisesti. Tulokset osoittavat että kanteluiden määrässä on tapahtunut muutos; vuosina 2001–2006 kanteluiden määrä on selvästi laskenut. Kanteluiden laadussa, kun sillä käsitetään kanteluiden syy sekä epäilyksen alainen toiminta, ei ole tapahtunut muutosta mutta sanktioiden jakaantumisessa eri toiminnan mukaan puolestaan on tapahtunut muutosta.

A dinâmica de analisar livros didáticos com os professores de química

This work evidences a survey conducted during a teacher professional qualification in Rio Grande do Sul, Brazil. This survey analysed the textbooks used by these teachers. The dynamics consisted of choosing the analytic criteria used by teachers, and adding new criteria for examining their difficulties and ways to choose textbooks. This article emphasises the problematics and difficulties teachers have to make choices and their loss of skills and authority to consider these books more profoundly.

Coming from outside the Academy. Values of 2.0 culture in higher education

This article reflects on how some values, interests, and particularities of 2.0 culture enter on higher and postgraduate education institutions. Through theidentification of the features of 2.0, this document visualizes some of the resistances, obstacles, possibilities, and opportunities detected in these institutions, many of them focusing on the core of the higher education and postgraduate institutions (i.e. strategic vision, methodology, role of teachers and students, relation between formal and informal learning, contents and assessment). Responsibility in the training and updating of current and future professionals places these institutions under the discussion and decision-making process related to the role that 2.0 tools should play. We wonder if it implies a crossroad which affects the whole set of attitudes and values on the role of training institutions in the context of the construction of socialized knowledge.

Monivaiheisen höyryturbiinin optimointi

Tässä diplomityössä optimoitiin nelivaiheinen 1 MWe höyryturbiinin prototyyppimalli evoluutioalgoritmien avulla sekä tutkittiin optimoinnista saatuja kustannushyötyjä. Optimoinnissa käytettiin DE – algoritmia. Optimointi saatiin toimimaan, mutta optimoinnissa käytetyn laskentasovelluksen (semiempiirisiin yhtälöihin perustuvat mallit) luonteesta johtuen optimoinnin tarkkuus CFD – laskennalla suoritettuun tarkastusmallinnukseen verrattuna oli jonkin verran toivottua pienempi. Tulosten em. epätarkkuus olisi tuskin ollut vältettävissä, sillä ongelma johtui puoliempiirisiin laskentamalleihin liittyvistä lähtöoletusongelmista sekä epävarmuudesta sovitteiden absoluuttisista pätevyysalueista. Optimoinnin onnistumisen kannalta tällainen algebrallinen mallinnus oli kuitenkin välttämätöntä, koska esim. CFD-laskentaa ei olisi mitenkään voitu tehdä jokaisella optimointiaskeleella. Optimoinnin aikana ongelmia esiintyi silti konetehojen riittävyydessä sekä sellaisen sopivan rankaisumallin löytämisessä, joka pitäisi algoritmin matemaattisesti sallitulla alueella, muttei rajoittaisi liikaa optimoinnin edistymistä. Loput ongelmat johtuivat sovelluksen uutuudesta sekä täsmällisyysongelmista sovitteiden pätevyysalueiden käsittelyssä. Vaikka optimoinnista saatujen tulosten tarkkuus ei ollut aivan tavoitteen mukainen, oli niillä kuitenkin koneensuunnittelua edullisesti ohjaava vaikutus. DE – algoritmin avulla suoritetulla optimoinnilla saatiin turbiinista noin 2,2 % enemmän tehoja, joka tarkoittaa noin 15 000 € konekohtaista kustannushyötyä. Tämä on yritykselle erittäin merkittävä konekohtainen kustannushyöty. Loppujen lopuksi voitaneen sanoa, etteivät evoluutioalgoritmit olleet parhaimmillaan prototyyppituotteen optimoinnissa. Evoluutioalgoritmeilla teknisten laitteiden optimoinnissa piilee valtavasti mahdollisuuksia, mutta se vaatii kypsän sovelluskohteen, joka tunnetaan jo entuudestaan erinomaisesti tai on yksinkertainen ja aukottomasti laskettavissa.

Els graduats ben formats, la universitat i la innovació

Una de les coses que em sorprèn o, potser millor, m'empipa, és veure com hi ha poques empreses autòctones que es dediquin a estudiar i comercialitzar amb èxit aliments funcionals o complements alimentosos que aprofitin les propietats d'aquestes substàncies. La gran majoria d'empreses catalanes que s'hi dediquen només són distribuïdores de les marques consolidades d'altres països