Les effets d'un programme supervisé d'initiation à l'activité physique auprès de sujet atteints de troubles psychiatriques sur la pratique régulière d'activités physiques et sur différentes variables reliées à la condition physique et à la santé.

Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.

Characterization of the defined MDC types and compilation of MDC initiation times (excel-file 19 kB)

Mud accumulates on continental shelves under a variety of environmental conditions and results in a diverse formation of mud depocenters (MDCs). Their three-dimensional architectures have been in the focus of several recent studies. Due to some terminological confusion concerning MDCs, the present study sets out to define eight individual MDC types in terms of surface sediment distribution and internal geometry. Under conditions of substantial sediment supply, prodeltas (distal zones off river deltas; triangular sheets), subaqueous deltas (disconnected from deltas by strong normal-to-shore currents; wedge-like clinoforms), and mud patches (scattered distribution) and mud blankets (widespread covers) are formed. Forced by hydrodynamic conditions, mud belts in the strict sense (detached from source; elongated bodies), and shallow-water contourite drifts (detached from source; growing normal to prevailing current direction; triangular clinoforms) develop. Controlled by local morphology, mud entrapments (in depressions, behind morphological steps) and mud wedges (triangular clinoforms growing in flow direction) are deposited. Shelf mud deposition took place (1) during early outer-shelf drowning (~14 ka), (2) after inner-shelf inundation to maximum flooding (9.5-6.5 ka), and (3) in sub-recent times (<2 ka). Subsequent expansion may be (1) concentric, in cases where the depocenter formed near the fluvial source, (2) uni-directional, extending along advective current transport paths, and (3) progradational, forming clinoforms that grow either parallel or normal to the bottom current direction. Classical mud belts may be initiated around defined nuclei, the remote sites of which are determined by seafloor morphology rather than the location of the source. From a stratigraphic perspective, mud depocenters coincide with sea-level highstand-related, shelf-wide condensed sections. They often show a conformable succession from transgressive to highstand systems tract stages.

Statin prescription initiation and lifestyle behaviour: a primary care cohort study

BACKGROUND: Statin prescribing and healthy lifestyles contribute to declining cardiovascular disease mortality. Recent guidelines emphasise the importance of giving lifestyle advice in association with prescribing statins but adherence to healthy lifestyle recommendations is sub-optimal. However, little is known about any change in patients' lifestyle behaviours when starting statins or of their recall of receiving advice. This study aimed to examine patients' diet and physical activity (PA) behaviours and their recall of lifestyle advice following initiation of statin prescribing in primary care.

METHOD: In 12 general practices, patients with a recent initial prescription of statin therapy, were invited to participate. Those who agreed received a food diary by post, to record food consumed over 4 consecutive days and return to the researcher. We also telephoned participants to administer brief validated questionnaires to assess typical daily diet (DINE) and PA level (Godin). Using the same methods, food diaries and questionnaires were repeated 3 months later. At both times participants were asked if they had changed their behaviour or received advice about their diet or PA.

RESULTS: Of 384 invited, 122 (32 %) participated; 109 (89.3 %) completed paired datasets; 50 (45.9 %) were male; their mean age was 64 years. 53.2 % (58/109) recalled receiving lifestyle advice. Of those who did, 69.0 % (40/58) reported having changed their diet or PA, compared to 31.4 % (16/51) of those who did not recall receiving advice. Initial mean daily saturated fat intake (12.9 % (SD3.5) of total energy) was higher than recommended; mean fibre intake (13.8 g/day (SD5.5)), fruit/vegetable consumption (2.7 portions/day (SD1.3)) and PA levels (Godin score 7.1 (SD13.9)) were low. Overall, although some individuals showed evidence of behaviour change, there were no significant changes in the proportions who reported high or medium fat intake (42.2 % v 49.5 %), low fibre (51.4 % v 55.0 %), or insufficient PA (80.7 % v 83.5 %) at 3-month follow-up.

CONCLUSION: Whilst approximately half of our cohort recalled receiving lifestyle advice associated with statin prescribing this did not translate into significant changes in diet or PA. Further research is needed to explore gaps between people's knowledge and behaviours and determine how best to provide advice that supports behaviour change.

Post tenebras spero lucem : Alquimia y ritos en el Quijote y otras obras cervantinas

This study focuses on two areas: alchemy (Part I) and rituals of initiation (Part II) in the works of Miguel de Cervantes, focusing on Don Quijote de la Mancha as my main case study. The first part analyses the function of alchemy and how it can be interpreted throughout the works and various literary genres of Cervantes. It will demonstrate that the texts of Cervantes contain both explicit and implicit allusions to, as well as different aspects of alchemy, such as operative and spiritual alchemy and how these are ultimately used by Cervantes as a means of expression. The author draws from this rich source and modifies these means of expression in order to achieve various results: sometimes with wit or in relation to fraud; at other times it focuses on inner alchemy relating to chivalry in what I have called spiritual chivalry, which has the aim of self-improvement and ultimately, gnosis. Regarding the chivalric rituals of initiation, according to this investigation chivalry serves as both satire and representation of the alchemical process in the case of Don Quijote, which finds its key moments during the rituals. In this sense alchemy and chivalry are studied as two sides of the same coin, in which the search for something higher, an object (the philosopher stone, the beloved), subjects the protagonist to continuous transmutations and puts him in contact with the transitory, that is, liminal states, people and spaces. From this perspective Don Quixote de la Mancha is built upon liminal poetics. My approach, which follows the tenets of analogical hermeneutics, is included within the framework of the Western Esotericism Studies. The 16th and 17th centuries were a fertile age for alchemy throughout Europe. In Spain, alchemy and other esoteric disciplines co-existed with the Spanish Inquisition and its body for the control of ideas and texts: censorship. By being ambiguous and putting into dialogue different ideas of alchemy, Cervantes not only allowed readers to reach their own conclusions, he also protected his work from censorship.

Initiation of Orderly Spinning Detonation Waves via Phased Sparking

Thesis (Master's)--University of Washington, 2016-06

Influence d'une initiation à la poésie sur la créativité verbale d’enfants de 11 ans

La présente recherche vise à vérifier l’influence d'une initiation à la poésie sur la créativité verbale des élèves d'une sixième année régulière. Des instruments mesurant les différents éléments de créativité verbale ont été administrés aux 24 sujets de la classe. L'intervention faite par le titulaire a consisté à initier les élèves à la poésie par les procédés pédagogiques suivants: le bain de poésie, les jeux poétiques, l’agencement images et poésie et la composition de poèmes. Cette démarche visait à susciter et à développer la créativité verbale. Les résultats obtenus permettent de conclure à l’efficacité d'une initiation à la poésie en vue de favoriser une amélioration de certaines composantes de la créativité verbale.

THE EFFECTIVENESS OF POINT-OF-VIEW VIDEO MODELING IN TEACHING SOCIAL INITIATION SKILLS TO CHILDREN WITH AUTISM SPECTRUM DISORDERS

Deficits in social communication and interaction have been identified as distinguishing impairments for individuals with an autism spectrum disorder (ASD). As a pivotal skill, the successful development of social communication and interaction in individuals with ASD is a lifelong objective. Point-of-view video modeling has the potential to address these deficits. This type of video involves filming the completion of a targeted skill or behavior from a first-person perspective. By presenting only what a person might see from his or her viewpoint, it has been identified to be more effective in limiting irrelevant stimuli by providing a clear frame of reference to facilitate imitation. The current study investigated the use of point-of-view video modeling in teaching social initiations (e.g., greetings). Using a multiple baseline across participants design, five kindergarten participants were taught social initiations using point-of-view video modeling and video priming. Immediately before and after viewing the entire point-of-view video model, the participants were evaluated on their social initiations with a trained, typically developing peer serving as a communication partner. Specifically, the social initiations involved participants’ abilities to shift their attention toward the peer who entered the classroom, maintain attention toward the peer, and engage in an appropriate social initiation (e.g., hi, hello). Both generalization and maintenance were tested. Overall, the data suggest point-of-view video modeling is an effective intervention for increasing social initiations in young students with ASD. However, retraining was necessary for acquisition of skills in the classroom environment. Generalization in novel environments and with a novel communication partner, and generalization to other social initiation skills was limited. Additionally, maintenance of gained social initiation skills only occurred in the intervention room. Despite the limitations of the study and variable results, there are a number of implications moving forward for both practitioners and future researchers examining point-of-view modeling and its potential impact on the social initiation skills of individuals with ASD.

Bilateral Panuveitis at Etanercept Initiation for Juvenile Idiopathic Arthritis

Introduction: Uveitis is a well-known extra-rheumatological manifestation of juvenile idiopathic arthritis (JIA). Tumor necrosis factor has been used to treat uveitis associated with inflammatory diseases. A new onset uveitis under anti-TNF therapy is uncommon. Case presentation: A 12-years-old male, affected since the age of six years, by a severe form of polyarticular JIA. When etanercept was started, he presented panuveitis bilaterally, so we switched to infliximab with good response. Conclusions: The TNF soluble receptor could be considered as a possible promoter in inducing endogenous new onset uveitis in JIA.

"Warum darf die mit Laptop spielen und wir nicht?". Eine Fallanalyse zur beruflichen Initiation und Kooperation von Lehramtsstudierenden im Schulpraktikum

Mit den Reformen der Lehrerbildung war seit Anfang des 21. Jahrhunderts die Umsetzung eines stärkeren Berufsfeldbezugs im Lehramtsstudium verbunden. Niederschlag fand dies u.a. in einer Ausweitung von Schulpraktika in den Studiengängen in Deutschland. Erste Erfahrungen in der praktischen schulpädagogischen Arbeit sollten dabei möglich werden und an der Hochschule erworbenes wissenschaftliches Wissen und Können einen ersten reflexiven Anwendungsbezug erhalten. [...] In explorativer Absicht wird vor diesem Hintergrund im Folgenden eine Protokollsequenz untersucht, in der eine Lehrerin, eine Praktikantin und Schüler in einer Unterrichtsstunde interagieren. Bestimmend für die Auswahl war die Tatsache, dass hier die Praktikantin an der Disziplinierung der Schüler beteiligt wird - was nach langjähriger Erfahrung des Autors nicht selten vorkommt. (DIPF/Orig.)

Ventricular Fibrillation in Patient with Multi-vessel Coronary Spasm Four Days after the Initiation of Oral Beta-blocker

We describe a case of ventricular fibrillation occurring in a patient with multi-vessel coronary spasm after the initiation of an oral beta-blocker. A 56-year-old man began to experience chest discomfort and his computed tomography revealed intermediate coronary stenoses. He was administered medications including an oral beta-blocker but suddenly collapsed while walking 4 days later. An automated external defibrillator detected ventricular fibrillation and delivered successful electrical cardioversion. An acetylcholine provocation test after stabilization of the status revealed triple-vessel coronary spasm. Beta-blockers may provoke exacerbation of coronary spasm and result in lethal arrhythmia.

Współczesne rytuały przejścia z dzieciństwa do dorosłości: baśń o Śpiącej Królewnie

In the paper, I make references to the psychological process of passing from childhood to adulthood. In contemporary times, this process is spread in time, its boundaries are blurry and it is difficult to find in it the primordial initiation rituals known among primitive tribes. I call these phenomena the Sleeping Beauty syndrome, and compare the contemporary rites of passage from childhood to adulthood to this very fairy tale, in particular to its psychological readings. The theoretical framework for my considerations is based on a selection of anthropological rite concepts and elements of methodological concepts of studying fairy tales, such as structural and psychoanalytical approaches. My psychopedagogical analysis of the Sleeping Beauty fairy tale through the category rite of passage thus begins with defining this category underlining the possibility of using it in various sciences and referring to the fairy tale as a contemporary space for ritual initiation experience.

Le rôle des parents croyants non pratiquants dans l'initiation à la vie chrétienne des enfants de 8 à 12 ans : en complémentarité avec celui des intervenants en paroisse.

Cette-recherche-action émerge d’une problématique élaborée à partir de l’observation des pratiques catéchétiques à la paroisse Saint-Joachim dans le diocèse de Montréal. L’essentiel du projet se situe en théologie pratique, menée dans le cadre de la praxéologie pastorale. Un premier chapitre situe l’historique de la catéchèse en paroisse. Le deuxième déploie l’observation de la pratique à partir des pôles structurels et des fonctions d’élaboration, mais aussi par la mise à contribution des parents qui ont accepté de répondre à un questionnaire. Le troisième pose la problématique de la mise à l’écart des parents dans l’éducation à la foi et est suivi d’une interprétation sur un changement de posture et un appel à la coéducation dans la foi tout en prenant compte des évolutions des familles à l’égard du religieux. Cela est fait à partir de référents théologiques principalement, enrichis de référents dans les domaines de l’éducation et des sciences sociales. Des pistes à envisager avec les parents et avec les catéchètes sont ensuite formulées, avec un accent mis sur la pratique du dialogue pastoral et la notion d’accompagnement, et également en faisant le lien avec les différentes dimensions de la vie chrétienne. Le dernier chapitre veut offrir une prospective dans la transmission de la foi en révélant le rôle missionnaire de la catéchèse qui s’accorde avec la nouvelle évangélisation et la pastorale des familles.

A telephone survey to determine the experiences of children and their parents/carers, following the initiation of a new medicine

Objective: To determine what issues are experienced during the first few weeks of therapy by patients, and their parents/carers, when a child/young person has been prescribed a new medicine. Method: One hundred patients aged ≤18 years of age prescribed a new medicine for ≥6 weeks were recruited from a single UK National Health Service specialist paediatric hospital outpatient pharmacy. Six weeks after the first dispensing of their new medicine the patient or their parent/carer received telephone follow-up by a researcher and verbally completed a questionnaire containing both open and closed questions. Patient or parent/carer experiences were identified and analysed using thematic analysis and descriptive statistics. Results: Eighty-six participants were available for telephone follow-up. Six (7%) had not started their medicine. Paediatric patients and their parents/carers experienced a range of issues during the first few weeks after starting a new medicine. These included additional concerns/questions (24/80, 30%), administration issues (21/80, 26.3%), adverse effects (29/80, 36.3%) and obtaining repeat supplies (12/80, 15%). The Morisky Medication Adherence Scale indicated that 34/78 (43.6%) participants had a high adherence rating, 35/78 (44.9%) medium and 9/78 (11.5%) a low rating. Conclusions: Paediatric patients and their parents/carers experience a range of issues during the first few weeks after starting a new medicine. Further research is required to determine the type of interventions that may further support medicines use in this group of patients.

Le rôle des parents croyants non pratiquants dans l'initiation à la vie chrétienne des enfants de 8 à 12 ans : en complémentarité avec celui des intervenants en paroisse

Cette-recherche-action émerge d’une problématique élaborée à partir de l’observation des pratiques catéchétiques à la paroisse Saint-Joachim dans le diocèse de Montréal. L’essentiel du projet se situe en théologie pratique, menée dans le cadre de la praxéologie pastorale. Un premier chapitre situe l’historique de la catéchèse en paroisse. Le deuxième déploie l’observation de la pratique à partir des pôles structurels et des fonctions d’élaboration, mais aussi par la mise à contribution des parents qui ont accepté de répondre à un questionnaire. Le troisième pose la problématique de la mise à l’écart des parents dans l’éducation à la foi et est suivi d’une interprétation sur un changement de posture et un appel à la coéducation dans la foi tout en prenant compte des évolutions des familles à l’égard du religieux. Cela est fait à partir de référents théologiques principalement, enrichis de référents dans les domaines de l’éducation et des sciences sociales. Des pistes à envisager avec les parents et avec les catéchètes sont ensuite formulées, avec un accent mis sur la pratique du dialogue pastoral et la notion d’accompagnement, et également en faisant le lien avec les différentes dimensions de la vie chrétienne. Le dernier chapitre veut offrir une prospective dans la transmission de la foi en révélant le rôle missionnaire de la catéchèse qui s’accorde avec la nouvelle évangélisation et la pastorale des familles.

Initiation and early crack growth in VHCF of stainless steels : Experimental and theoretical analysis

Mechanical fatigue is a failure phenomenon that occurs due to repeated application of mechanical loads. Very High Cycle Fatigue (VHCF) is considered as the domain of fatigue life greater than 10 million load cycles. Increasing numbers of structural components have service life in the VHCF regime, for instance in automotive and high speed train transportation, gas turbine disks, and components of paper production machinery. Safe and reliable operation of these components depends on the knowledge of their VHCF properties. In this thesis both experimental tools and theoretical modelling were utilized to develop better understanding of the VHCF phenomena. In the experimental part, ultrasonic fatigue testing at 20 kHz of cold rolled and hot rolled stainless steel grades was conducted and fatigue strengths in the VHCF regime were obtained. The mechanisms for fatigue crack initiation and short crack growth were investigated using electron microscopes. For the cold rolled stainless steels crack initiation and early growth occurred through the formation of the Fine Granular Area (FGA) observed on the fracture surface and in TEM observations of cross-sections. The crack growth in the FGA seems to control more than 90% of the total fatigue life. For the hot rolled duplex stainless steels fatigue crack initiation occurred due to accumulation of plastic fatigue damage at the external surface, and early crack growth proceeded through a crystallographic growth mechanism. Theoretical modelling of complex cracks involving kinks and branches in an elastic half-plane under static loading was carried out by using the Distributed Dislocation Dipole Technique (DDDT). The technique was implemented for 2D crack problems. Both fully open and partially closed crack cases were analyzed. The main aim of the development of the DDDT was to compute the stress intensity factors. Accuracy of 2% in the computations was attainable compared to the solutions obtained by the Finite Element Method.