L’expérience de la violence en milieu psychiatrique : l’hypervigilance généralisée et le rôle du caring dans la modulation de la peur

L’exposition à la violence dans le secteur de la santé affecte les employés et a également des implications sur la qualité des soins offerts. Les agressions en milieu de travail peuvent engendrer divers émotions ou comportements chez le personnel soignant, tels que la peur et l’évitement des patients (Gates, Gillespie, & Succop, 2011). La présente étude phénoménologique tente de comprendre et de décrire l’expérience des intervenants d’un hôpital psychiatrique lorsque ceux-ci ont été victimes d’un acte de violence grave de la part d’un patient, ainsi que les impacts engendrés sur les services offerts. L’approche phénoménologique permet de porter un nouveau regard sur cette problématique en plongeant dans l’univers de chaque intervenant, comprendre l’interprétation donnée à l’acte de violence vécu. L’emploi de cette approche donne accès à davantage de contenu et permet de préciser de quelle façon leur quotidien est altéré par ce phénomène. Trente entrevues semi-structurées ont été réalisées, soit deux auprès de chacun des 15 participants (11 femmes) provenant de divers domaines professionnels œuvrant dans un hôpital psychiatrique. Les analyses sont basées sur la technique « Empirical Phenomenological Psychological » de Karlsson (1993). Une attention particulière a été portée quant à la possibilité d’expériences différentes selon le sexe des intervenants. L’analyse a fait ressortir quatre thèmes principaux qui sont présents indépendamment du sexe des intervenants, soit: l’hypervigilance, le caring, la peur spécifique du patient agresseur, puis la peur généralisée à tous les patients. Un état d’hypervigilance est retrouvé chez tous les intervenants qui ont été victimes d’agression de la part d’un patient. Comparativement aux intervenants qui ont assisté à l’escalade d’agressivité d’un patient, ceux ayant été agressés par surprise rapportent des répercussions de cette vigilance qui s’étendent jusqu’à leur vie personnelle. Une approche caring est présente chez la majorité des participants. Ceci implique une bienveillance et une authenticité envers le patient soigné. Mettant le patient au cœur de son intervention, l’intervenant « soignant » développe un lien de confiance et agit comme un agent de changement. Un sentiment de peur est également exprimé chez les participants. Celui-ci est modulé par la présence ou l’absence de caring. Les intervenants démontrant du caring ont développé une peur spécifique à leur agresseur, tandis que ceux ne manifestant peu ou pas de caring ont développé une peur généralisée de la clientèle. Suite à un évènement de violence, les intervenants étant caring le demeurent, alors que ceux n’étant peu ou pas caring seraient plutôt portés à se désinvestir et à se désengager des relations avec les patients. Engendrées par la violence subie en milieu hospitalier psychiatrique, l’hypervigilance et la peur, qu’elle soit spécifique ou généralisée, ont toutes deux des impacts sur la qualité des soins offerts. Un intérêt considérable devrait être porté au caring, qui vient moduler cette peur et les effets qui en découlent. Des recherches pourraient porter un éclairage sur l’origine du caring – est-ce que le caring est appris ou découle-t-il d’une vocation? Finalement, ces études pourraient établir des manières de renforcer ou de développer le caring.

Ciudadanos del Atlántico : las redes de aprovisionamiento trasatlánticas de las pescas vascas en Canadá a través de su cerámica, siglos XVI-XVIII

Depuis les années 1980, les archéologues ont remarqué l'originalité des collections de céramiques trouvées sur des sites occupés par les pêcheurs basques au cours du XVIe au XVIIIe siècle sur les côtes atlantiques du Canada. Le site de Red Bay (Labrador) a été le premier à fournir une riche collection de terre cuites communes, majoliques et grès, qui ont permis aux archéologues de reconnaître une tradition céramique distincte. Pendant plus de deux siècles, ces céramiques constituent un fil conducteur qui montre la permanence des activités commerciales basques au Canada. En utilisant une approche mutualiste et comparative de quatre sites de pêche basque (Red Bay (1530-1580), Anse-à-la-Cave (1580-1630), Petit-Mécatina (1630-1713), Pabos (1713- 1760)) et leurs ports d’attache dans l’Europe atlantique, nous observons comment à partir du milieu du XVIe siècle, l’ensemble des céramiques se transforme d'un endroit à l’autre sans perdre son air distinctif jusqu'au début du XVIIIe siècle quand les témoins des céramiques basques changent radicalement. Finalement, une perspective globale qui relie les deux côtes atlantiques par le biais de ces matériaux céramiques nous aide à mieux connaître les réseaux d'approvisionnement liés aux traversées de pêche et l’espace économique complexe qui s’articule aux routes maritimes et de l’intérieur. Ces deux éléments se veulent essentiels à la compréhension de l'expansion outremers, ses materiaux laissés et son rôle dans l'économie mondiale au début de l'époque moderne.

Chronic catheterization using vascular-access-port in rats: blood sampling with minimal stress for plasma catecholamine determination

Chronic catheterization is illustrated using vascular-access-port model SLA where the port is surgically placed subcutaneously on the back of the rat. The catheter is tunnelled to the neck and inserted into the jugular vein . Within 24 h rats showed normal blood pressure and blood samples were collected at intervals with minimal stress to the animals . A comparison of the plasma catecholamine of blood collected from vascular-access-ports with that obtained from decapitation indicates that there was minimal stress to the rats when blood was drawn through the vascular-access-port.

Resonant frequencies of circular-sided dual-port microstrip antenna

A dual-port microstrip antenna with a crescent shaped patch with excellent isolation betwecn the ports has been reportcd [I]. Since circular-sided geometries are inore compact than rectangular oncs, thcy find morc applications in microstrip arrays. The crcscent shaped antenna geometry [ I ] provides greater area rcductioii compared to other circular sided patches for broadband operation [2]. In this Lctter, formulac for calculating thc TM, I and TMZI mode resonant frequencies of this microstrip antenna, obtained by modifying the equations of a standard circular patch [3] are presentcd. Thcorctical results are compared with experimental observations aid the validity of the computation is established.

Broadband dual frequency microstrip antenna

A new dual port microstrip antenna geometry for dual frequency operation is presented. The structure consists of the intersection of two circles of the same radius with their centres displaced by a small fraction of the wavelength . This antenna provides wide impedance bandwidth and excellent isolation between its ports. The gain of the antenna is comparable to that of a standard circular microstrip antenna operating at the same resonant frequency. A theoretical analysis for calculating the resonant frequencies of the two ports is also presented

Dual-Port Dual-Polarized Microstrip Antenna

Experimental and simulated results for a dual-port dual-polarized microstrip antenna are presented. The antenna excites two orthogonally polarized resonant frequencies providing an isolation of -30 dB between the ports. The patch geometry consists of two circular arcs of different radii with their centers displaced by a distance. This new design offers an area reduction of -70% coinpared to it standard rectangular microstrip antenna with a reduction in gain of 1.7 dB

Analysis and Design of a Dual-Port Compact Microstrip Antenna

A dual-port dual-polarized compact microstrip antenna for avoiding cross coupling between the two frequency bands is proposed and analyzed. This antenna offers channel isolation better than 25 dB, and is more compact compared to a conventional rectangular patch. Analytical equations for calculating the resonant frequencies at both ports are also presented. The theoretical calculations are verified using experimental results

Compact dual-polarised square microstrip antenna with triangular slots for wireless communication

Design of a dual linearly-polarised microstrip patch antenna, excited by two orthogonal microstrip feed lines, is presented. A reduction in patch size of 35% is obtained when compared to a square patch operating at the same frequency. The polarisations are oriented at +45 and - 45 with an isolation of more than 36 dB between the ports. Unlike earlier designs, the proposed structure provides better gain.

Circular microstrip antenna with a sector-slot for dual-port operation

Design of a dual-port circular patch antenna with a sector-slot for dual-frequency operation is presented. The antenna resonates at two distinct frequencies with orthogonal polarizations and broad radiation characteristics. Unlike the conventional circular patch, this antenna can be microstrip-fed to operate at either of the resonances. The two polarizations can be simultaneously excited using two electromagnetically coupled ports with an isolation better than −30 dB between the ports. This antenna has the added advantage of size reduction of 44% compared to the conventional circular patch without any reduction in gain.

Electromagnetically Coupled Dual Port, Dual Band, Octagonal Patch Antenna

In this paper, a dual port, dual frequency, dual polarized, octagonal shaped Microstrip patch antenna, suitable for GPS applications is discussed experimentally and theoretically. The proposed antenna configuration is characterized by good impedance bandwidth, gain, isolation between two ports and broad radiation patterns

Effects of Organic and Inorganic Fertilizers on Growth and Yield of Banana (Musa AAA cv. Malindi) in Oman

The Sultanate of Oman is located on the south-eastern coast of the Arabian Peninsula, which lies on the south-western tip of the Asian continent. The strategic geographical locations of the Sultanate with its many maritime ports distributed on the Indian Ocean have historically made it one of the Arabian Peninsula leaders in the international maritime trade sector. Intensive trading relationships over long time periods have contributed to the high plant diversity seen in Oman where agricultural production depends entirely on irrigation from groundwater sources. As a consequence of the expansion of the irrigated area, groundwater depletion has increased, leading to the intrusion of seawater into freshwater aquifers. This phenomenon has caused water and soil salinity problems in large parts of the Al-Batinah governorate of Oman and threatens cultivated crops, including banana (Musa spp.). According to the Ministry of Agriculture and Fisheries, the majority of South Al-Batinah farms are affected by salinity (ECe > 4 dS m-1). As no alternative farmland is available, the reclamation of salt-affected soils using simple cultural practices is of paramount importance, but in Oman little scientific research has been conducted to develop such methods of reclamation. This doctoral study was initiated to help filling this research gap, particularly for bananas. A literature review of the banana cultivation history revealed that the banana germplasm on the Arabian Peninsula is probably introduced from Indonesia and India via maritime routes across the Indian Ocean and the Red Sea. In a second part of this dissertation, two experiments are described. A laboratory trial conducted at the University of Kassel, in Witzenhausen, Germany from June to July 2010. This incubation experiment was done to explore how C and N mineralization of composted dairy manure and date palm straw differed in alkaline non-saline and saline soils. Each soil was amended with four organic fertilizers: 1) composted dairy manure, 2) manure + 10% date palm straw, 3) manure + 30% date palm straw or 4) date palm straw alone, in addition to un-amended soils as control. The results showed that the saline soil had a lower soil organic C content and microbial biomass C than the non-saline soil. This led to lower mineralization rates of manure and date palm straw in the saline soil. In the non-saline soil, the application of manure and straw resulted in significant increases of CO2 emissions, equivalent to 2.5 and 30% of the added C, respectively. In the non-amended control treatment of the saline soil, the sum of CO2-C reached only 55% of the soil organic C in comparison with the non-saline soil. In which 66% of the added manure and 75% of the added straw were emitted, assuming that no interactions occurred between soil organic C, manure C and straw C during microbial decomposition. The application of straw always led to a net N immobilization compared to the control. Salinity had no specific effect on N mineralization as indicated by the CO2-C to Nmin ratio of soil organic matter and manure. However, N immobilization was markedly stronger in the saline soil. Date palm straw strongly promoted saprotrophic fungi in contrast to manure and the combined application of manure and date palm straw had synergistic positive effects on soil microorganisms. In the last week of incubation, net-N mineralization was observed in nearly all treatments. The strongest increase in microbial biomass C was observed in the manure + straw treatment. In both soils, manure had no effect on the fungi-specific membrane component ergosterol. In contrast, the application of straw resulted in strong increases of the ergosterol content. A field experiment was conducted on two adjacent fields at the Agricultural Research Station, Rumais (23°41’15” N, 57°59’1” E) in the South of Al-Batinah Plain in Oman from October 2007 to July 2009. In this experiment, the effects of 24 soil and fertilizer treatments on the growth and productivity of Musa AAA cv. 'Malindi' were evaluated. The treatments consisted of two soil types (saline and amended non-saline), two fertilizer application methods (mixed and ring applied), six fertilizer amendments (1: fresh dairy manure, 2: composted dairy manure, 3: composted dairy manure and 10% date palm straw, 4: composted dairy manure and 30% date palm straw, 5: only NPK, and 6: NPK and micronutrients). Sandy loam soil was imported from another part of Oman to amended the soil in the planting holes and create non-saline conditions in the root-zone. The results indicate that replacing the saline soil in the root zone by non-saline soil improved plant growth and yield more than fertilizer amendments or application methods. Particularly those plants on amended soil where NPK was applied using the ring method and which received micronutrients grew significantly faster to harvest (339 days), had a higher average bunch weight (9.5 kg/bunch) and were consequently more productive (10.6 tonnes/hectare/cycle) compared to the other treatments.

Estudi de l'afectació del mosquit tigre (Aedes albopictus) a Sant Cugat del Vallès

L’objectiu d’aquest estudi és determinar l’eficàcia de les mesures de prevenció envers al mosquit tigre (Aedes albopictus) que cal portar a terme a cada casa dins dels dos municipis escollits (Mirasol i Valldoreix). Es pretén comparar dues zones a cada municipi, una de control on no es portés a terme cap mesura preventiva contra el mosquit tigre, i l’altra de tractament, on sí s’apliquessin aquestes mesures

SLAM using an Imaging Sonar for Partially Structured Underwater Environments

In this paper we describe a system for underwater navigation with AUVs in partially structured environments, such as dams, ports or marine platforms. An imaging sonar is used to obtain information about the location of planar structures present in such environments. This information is incorporated into a feature-based SLAM algorithm in a two step process: (I) the full 360deg sonar scan is undistorted (to compensate for vehicle motion), thresholded and segmented to determine which measurements correspond to planar environment features and which should be ignored; and (2) SLAM proceeds once the data association is obtained: both the vehicle motion and the measurements whose correct association has been previously determined are incorporated in the SLAM algorithm. This two step delayed SLAM process allows to robustly determine the feature and vehicle locations in the presence of large amounts of spurious or unrelated measurements that might correspond to boats, rocks, etc. Preliminary experiments show the viability of the proposed approach

Evaluación y análisis en la optimización logística de la inspección antinarcóticos de la sociedad portuaria regional de Barranquilla

Teniendo en cuenta el dinamismo y constante evolución del comercio internacional y la necesidad de incrementar la competitividad de las naciones, para garantizar un crecimiento y desarrollo de las mismas, en este trabajo de investigación se hace un estudio a un proceso de exportación que se ve en los puertos colombianos la Inspección Antinarcóticos, que se realiza a las cargas de exportación. Para tal fin se investigaron los marcos legales y regulatorios de este proceso, la documentación requerida, la infraestructura del puerto y se determinó la realización actual de la Inspección Antinarcóticos en la Sociedad Portuaria Regional de Barranquilla, contando con la colaboración de quienes ejecutan el procedimiento y/o participan de éste. Con la información recopilada y analizada y el uso de herramientas informáticas, se identificaron oportunidades de mejora que son el resultado de esta investigación.

Competitividad e infraestructura portuaria de la Costa Atlántica (Puerto de Cartagena – Puerto de Barranquilla) frente al Puerto de Miami

A continuación, se presentan los factores estratégicos de más importancia que enfocados adecuadamente y con una administración eficaz de los recursos generarán mucho más valor a la actividad portuaria de la Costa Atlántica Colombiana: • Aprovechamiento de los recursos existentes: Las vías existentes, terrestres y fluviales proporcionan alto valor al manejo de la mercancía. Inversión en mejora y mantenimiento generará mejora en tiempos de transporte. • Capacitación continua y la adquisición de nueva tecnología: Adquirir tecnología es vital, pero capacitar al talento humano es el otro 50% del trabajo para poder rendir un 100% y hacer de la inversión un dinero valido. • Firma de Tratados de cooperación Puertos Hermanos: el enriquecimiento de conocimiento es primordial, compartir experiencias, generar encuentros que permitan realizar alianzas de cooperación en donde sea posible alcanzar estándares mundiales de desarrollo para ampliar el mercado. • Crear oportunidad de negocio para clientes: generar un ambiente seguro para la carga de las líneas navieras es la mejor cara para el mercado portuario, que vean en cada puerto una oportunidad de crecimiento e inversión. • Gobierno: Trabajar de la mano con el apoyo del gobierno para generar sinergia y crear mejores oportunidades de negocio con otros países.