L'adoption d'un régime d'indemnisation sans égard à la faute en faveur des victimes d'infections nosocomiales, et pourquoi pas?

Phénomène à haute prévalence dans le monde entier, les infections acquises au cours de la prestation de soins de santé constituent une menace importante pour la santé publique. Il s’agit d’une réalité inéluctable du système de santé qui touche de nombreuses victimes en les affectant de dommages variés. Fruit d’une interaction complexe entre divers facteurs, ces infections représentent un lourd fardeau pour les victimes comme pour la société, tant au plan physique, mental et financier. Bien que les infections nosocomiales semblent être au cœur des préoccupations des autorités sanitaires québécoises, l’indemnisation des victimes demeure problématique. Actuellement, l’indemnisation se fait via le régime traditionnel de responsabilité civile mais nombreux sont les obstacles auxquels font face les patients désirant obtenir compensation. Les règles classiques s’avèrent difficiles d’application dans un contexte où la source de l’infection est souvent inconnue et les facteurs ayant pu contribuer à son développement sont multiples. Face à cette problématique et à l’insatisfaction ressentie, certaines juridictions étrangères ont reconnu le caractère inadapté du régime traditionnel et ont implanté un régime d’indemnisation sans égard à la faute dans l’espoir d’améliorer le sort des victimes. Le Québec a opté pour la même solution dans divers domaines, tels que les accidents automobiles et la vaccination. Ce mémoire propose une étude approfondie de l’opportunité d’adopter, en droit québécois, un régime d’indemnisation sans égard à la faute bénéficiant aux victimes d’infections nosocomiales. L’objectif de ce projet est de faire une esquisse des caractéristiques assurant l’efficacité et la viabilité d’un tel régime.

L'interaction entre le droit civil et le droit du travail : le rôle du contrat dans l'accès aux régimes de protection des travailleurs

L’interrelation entre le droit civil et le du droit du travail présente multiples facettes. Le présent mémoire traite de l’une des manifestations de cette interaction, soit du recours à l’appareil contractuel pour donner ouverture à l’application de certaines lois de protection des travailleurs dans la sphère provinciale au Québec. L’accès aux lois du travail étant réservé aux personnes qui possèdent le statut de « travailleur » ou de « salarié » au sens de ces lois, la façon dont ces notions sont définies par le législateur est importante. Nous étudions dans notre texte l’incidence que le recours à la notion de contrat de travail peut avoir dans ce contexte. Dans la première partie du mémoire, nous étudions le rôle du droit civil dans le développement du droit du travail. Nous nous penchons sur l’existence d’un ensemble de droits et d’obligations rattaché au rapport de travail indépendamment de la volonté des parties. Ensuite, nous présentons les deux fondements possibles du rapport visé par les lois du travail, soit la thèse contractuelle et celle fondée sur la « relation du travail », ainsi que la façon dont elles sont reçues au Québec et ailleurs. Dans la troisième partie de notre texte, nous examinons les effets pratiques d’appliquer les critères du droit des contrats lorsqu’il s’agit d’établir si une personne peut bénéficier des lois du travail à partir de l’analyse de certaines décisions jurisprudentielles. Nous nous penchons de façon plus particulière sur le traitement accordé par les tribunaux aux personnes qui occupent des emplois atypiques comme les travailleurs occasionnels, saisonniers et autonomes. Nous explorons également si une approche fondée sur la réalité factuelle, les particularités du travail en cause et les objectifs des lois d’ordre public peut constituer une piste de solution à la problématique que le recours à la figure contractuelle pour déterminer l’application des lois du travail soulève.

Studies on the Quality of Rainwater at Various Land Use Locations and Variations by Interaction with Domestic Rainwater Harvesting Systems

The present study focused on the quality of rainwater at various land use locations and its variations on interaction with various domestic rainwater harvesting systems.Sampling sites were selected based upon the land use pattern of the locations and were classified as rural, urban, industrial and sub urban. Rainwater samples were collected from the south west monsoon of May 2007 to north east monsoon of October 2008, from four sampling sites namely Kothamangalam, Emakulam, Eloor and Kalamassery, in Ernakulam district of the State of Kerala, which characterized typical rural, urban, industrial and suburban locations respectively. Rain water samples at various stages of harvesting were also collected. The samples were analyzed according to standard procedures and their physico-chemical and microbiological parameters were determined. The variations of the chemical composition of the rainwater collected were studied using statistical methods. It was observed that 17.5%, 30%, 45.8% and 12.1% of rainwater samples collected at rural, urban, industrial and suburban locations respectively had pH less than 5.6, which is considered as the pH of cloud water at equilibrium with atmospheric CO,.Nearly 46% of the rainwater samples were in acidic range in the industrial location while it was only 17% in the rural location. Multivariate statistical analysls was done using Principal Component Analysis, and the sources that inf1uence the composition of rainwater at each locations were identified .which clearly indicated that the quality of rain water is site specific and represents the atmospheric characteristics of the free fall The quality of harvested rainwater showed significant variations at different stages of harvesting due to deposition of dust from the roof catchment surface, leaching of cement constituents etc. Except the micro biological quality, the harvested rainwater satisfied the Indian Standard guide lines for drinking water. Studies conducted on the leaching of cement constituents in water concluded that tanks made with ordinary portland cement and portland pozzolana cement could be safely used for storage of rain water.

Numerical Investigations on Soil Structure Interaction of Multistorey Frames

Frames are the most widely used structural system for multistorey buildings. A building frame is a three dimensional discrete structure consisting of a number of high rise bays in two directions at right angles to each other in the vertical plane. Multistorey frames are a three dimensional lattice structure which are statically indeterminate. Frames sustain gravity loads and resist lateral forces acting on it. India lies at the north westem end of the Indo-Australian tectonic plate and is identified as an active tectonic area. Under horizontal shaking of the ground, horizontal inertial forces are generated at the floor levels of a multistorey frame. These lateral inertia forces are transferred by the floor slab to the beams, subsequently to the columns and finally to the soil through the foundation system. There are many parameters that affect the response of a structure to ground excitations such as, shape, size and geometry of the structure, type of foundation, soil characteristics etc. The Soil Structure Interaction (SS1) effects refer to the influence of the supporting soil medium on the behavior of the structure when it is subjected to different types of loads. Interaction between the structure and its supporting foundation and soil, which is a complete system, has been modeled with finite elements. Numerical investigations have been carried out on a four bay, twelve storeyed regular multistorey frame considering depth of fixity at ground level, at characteristic depth of pile and at full depth. Soil structure interaction effects have been studied by considering two models for soil viz., discrete and continuum. Linear static analysis has been conducted to study the interaction effects under static load. Free vibration analysis and further shock spectrum analysis has been conducted to study the interaction effects under time dependent loads. The study has been extended to four types of soil viz., laterite, sand, alluvium and layered.The structural responses evaluated in the finite element analysis are bending moment, shear force and axial force for columns, and bending moment and shear force for beams. These responses increase with increase in the founding depth; however these responses show minimal increase beyond the characteristic length of pile. When the soil structure interaction effects are incorporated in the analysis, the aforesaid responses of the frame increases upto the characteristic depth and decreases when the frame has been analysed for the full depth. It has been observed that shock spectrum analysis gives wide variation of responses in the frame compared to linear elastic analysis. Both increase and decrease in responses have been observed in the interior storeys. The good congruence shown by the two finite element models viz., discrete and continuum in linear static analysis has been absent in shock spectrum analysis.

Jugendliche Alltagsgestaltung und Identitätsbildung mit Fantasy-Rollenspielen - Schule öffnen für Elemente des Spiels und spielerische Aktionsformen

Gerade männliche Jugendliche nutzen in ihrer Pubertät und Adoleszenz zu einer gelingenden Gestaltung ihres Alltags und zur Ausbildung ihrer Identität zahlreiche Erscheinungsformen des Fantasy-Rollenspielens. In einem Prozess von Aneignung und Entäußerung integrieren dabei die Jugendlichen das überaus reiche multimediale Angebot, welches die Spiele bieten, in ihre Alltagsgestaltung, indem sie sich daraus spezifische Medien-, Text- und Ereignisarrangements bauen. Diese dienen einerseits der sozialen Integration und Distinktion, andererseits der Präsentation ihrer Identitätsentwürfe sich und anderen. Die Jugendlichen schaffen sich mittels dieser spezifischen Medien-, Text- und Ereignisarrangements eine in weiten Teilen von ihnen selbst bestimmte Welt, in der sie ihre Phantasie wie Kreativität mit großer Intensität, ja Obsession, innerhalb integrativer und solidarischer Interaktionsformen selbststeuernd und professionell ausleben. Diese Medien-, Text- und Ereignisarrangements zeigen Angebots- und Nutzungsformen, die sich nach einem medienkommunikativen Aneignungs- und Entäußerungsmodell in der Tradition der Cultural Studies (Stuart Hall) beschreiben lassen. Die Langzeitbeobachtung der Jugendlichen zeigt, dass sie alltagspragmatische Kulturtechniken zur selbstbestimmten Gestaltung von Alltag entwickeln: zunächst eine Strukturierung ihrer kognitiven, affektiven und pragmatischen Interaktion nach Kriterien erfolgreicher intrinsischer Interaktion, mit dem Ziel derer Perpetuierung im Flow-Erleben (Mihalyi Csikszentmihalyi), dann eine Ästhetisierung von Alltagswirklichkeit mittels kollektiver Fiktionalisierung in der Tradition des Collective Story Telling (Janet H. Murray). Diese Kulturtechniken stellen vor dem Hintergrund der Enkodierung und Dekodierung sozialer Codes spezifische Adaptionen von Prozessen der Bedeutungszuweisung und Subjekt- bzw. Identitätskonstitution dar. Die sie evozierenden und mit ihnen korrespondierenden handlungsleitenden Themen der Jugendlichen sind der Wunsch nach Rekonstitution von Gesamtheit in einer sich fragmentarisierenden Wirklichkeit, die Affirmation von Selbstbestimmung- und Autonomieerfahrungen, das Erleben von Reintegration und Solidarität für das sich dissoziiert erfahrende Individuum. Das Handeln der Jugendlichen basiert damit auf dem momentan dominanten Prozess einer Individualisierung von Lebenswelt unter den Bedingungen von Reflexivität und Erlebnisrationalität in der postmodernen Gesellschaft. Mit ihren Versuchen selbstbestimmter Gestaltung folgen sie dem aktuellen gesellschaftlichen Auftrag einer weitgehend in eigener Regie vorzunehmenden Lokalisierung dieses Prozesses. Zunehmend tritt diese von den Jugendlichen selbstgesteuerte Sozialisation neben die traditionell heteronome Sozialisation von gesellschaftlichen Instituten wie etwa die von Schule. Damit wird das Handeln der Jugendlichen zu einer Herausforderung an Pädagogik und Schule. Schule muss, wenn sie ihrem eigentlichen Auftrag von Förderung gerecht werden will, eine Sensibilität für diese Eigenständigkeit von Jugendlichen entwickeln und in der Beobachtung ihres Handelns didaktische Innovationen für Lehren und Lernen entwickeln. Im Mittelpunkt steht dabei die Wiederentdeckung des pädagogischen Dialogs, besonders aber die Entwicklung einer individualisierten Lernkultur und die Förderung jugendlicher Gestaltungskompetenzen, welche von deren alltagsästhetischen Erfahrungen und Kompetenzen im Umgang mit multimedialen Kulturprodukten ausgeht. Schule kann und muss für diese Prozesse selbstgesteuerten Lernens angemessene pädagogische Räume bereitstellen, in denen die Jugendlichen innerhalb eines geschützten Kontextes in der Auseinandersetzung mit eigenen wie fremden Entwürfen ihre Identität entwickeln können.

La travesía obsoleta: la indefensión del consumidor

La obsolescencia programada es el deseo de tener algo un poco más nuevo, un poco mejor, un poco más rápido de lo necesario. El texto estudia este fenómeno a la luz del Estatuto del Consumidor – Ley 1480 de 2011 para determinar si el consumidor colombiano está suficientemente protegido con él.

Select-divide-and-conquer method for large-scale configuration interaction

A select-divide-and-conquer variational method to approximate configuration interaction (CI) is presented. Given an orthonormal set made up of occupied orbitals (Hartree-Fock or similar) and suitable correlation orbitals (natural or localized orbitals), a large N-electron target space S is split into subspaces S0,S1,S2,...,SR. S0, of dimension d0, contains all configurations K with attributes (energy contributions, etc.) above thresholds T0={T0egy, T0etc.}; the CI coefficients in S0 remain always free to vary. S1 accommodates KS with attributes above T1≤T0. An eigenproblem of dimension d0+d1 for S0+S 1 is solved first, after which the last d1 rows and columns are contracted into a single row and column, thus freezing the last d1 CI coefficients hereinafter. The process is repeated with successive Sj(j≥2) chosen so that corresponding CI matrices fit random access memory (RAM). Davidson's eigensolver is used R times. The final energy eigenvalue (lowest or excited one) is always above the corresponding exact eigenvalue in S. Threshold values {Tj;j=0, 1, 2,...,R} regulate accuracy; for large-dimensional S, high accuracy requires S 0+S1 to be solved outside RAM. From there on, however, usually a few Davidson iterations in RAM are needed for each step, so that Hamiltonian matrix-element evaluation becomes rate determining. One μhartree accuracy is achieved for an eigenproblem of order 24 × 106, involving 1.2 × 1012 nonzero matrix elements, and 8.4×109 Slater determinants

Free and Fair? A Challenge for the EU as Georgia and Ukraine gear up for elections. CEPS Commentary, 27 September 2012

In an important test for democracy, Georgia and Ukraine will go to the polls for parliamentary elections on the 1st and 28th of October, respectively. The political leaders of these two Eastern Partnership countries have committed themselves to European values and principles – rhetorically. In reality, the promise of their colour revolutions is unrealised and they have shifted further towards authoritarianism, albeit following different paths in their respective post-revolution periods.

The interaction of the Madden-Julian Oscillation with the Maritime Continent in a GCM

Previous studies using the Hadley Centre coupled model (HadCM3) have shown that the islands of the Maritime Continent act as an unrealistic block to the eastward propagation of the Madden-Julian Oscillation (MJO). This blocking effect is investigated using a simplified, aqua-planet version of this GCM, with various idealized configurations of the Maritime Continent islands placed on the equator, and an MJO-like convective signal forced by a propagating sea-surface temperature anomaly dipole. Results suggest that it is the orography of the islands, rather than the presence of the islands themselves, which results in the blocking of the MJO. Although the peak elevation of the orography in the GCM is very much lower than in reality, it appears to act as effective block to the eastward propagation of the low-level Kelvin wave signal which accompanies the MJO. In particular, the representation of Sumatra in the GCM, as a north-south oriented ridge straddling the equator, seems to be particularly effective at blocking the Kelvin wave signal, which in a full GCM would result in the weakening or complete extinction of the MJO signal to the east of the Maritime Continent.

Dry matter intake is decreased more by abomasal infusion of unsaturated free fatty acids than by unsaturated Triglycerides

Previous experiments from our group have demonstrated that abomasal infusion of unsaturated free fatty acids (FFA) markedly decreases dry matter intake (DMI) in dairy cows. In contrast, experiments from other groups have noted smaller decreases in DMI when unsaturated triglycerides (TG) were infused postruminally. Our hypothesis was that unsaturated FFA would be more potent inhibitors of DMI than an equivalent amount of unsaturated TG. Four Holstein cows in late lactation were used in a single reversal design. Cows were fed a total mixed ration containing (DM basis) 23% alfalfa silage, 23% corn silage, 40.3% ground shelled corn, and 10.5% soybean meal. Two cows received soy FFA (UFA; 0, 200, 400, 600 g/d) and 2 received soy oil (TG) in the same amounts; cows then were switched to the other lipid source. Cows were abomasally infused with each amount for 5-d periods. The daily amount of lipid was pulse-dosed in 4 equal portions at 0600, 1000, 1700, and 2200 h; no emulsifiers were used and there was no sign of digestive disturbance. Both lipid sources linearly decreased DMI, with a significant interaction between lipid source and amount. Slope-ratio analysis indicated that UFA were about 2 times more potent in decreasing DMI than were TG. Decreased DMI led to decreased milk production. Milk fat content was increased linearly by lipid infusion. Milk fat yield decreased markedly for UFA infusion but was relatively unaffected by infusion of TG. Contents of short- and medium-chain fatty acids in milk fat decreased as the amount of either infusate increased. Contents of C-18:2 and C18: 3 in milk fat were increased linearly by abomasal infusion of either fat source; cis-9 C-18:1 was unaffected. Transfer of infused C18: 2 to milk fat was 35.6, 42.5, and 27.8% for 200, 400, and 600 g/d of UFA, and 34.3, 39.6, and 34.0% for respective amounts of TG. Glucagon-like peptide-1 (7-36) amide (GLP-1) concentration in plasma significantly increased as DMI decreased with increasing infusion amount of UFA or TG. Plasma concentration of cholecystokinin-octapeptide (CCK-8) was unaffected by lipid infusion. These results indicate that unsaturated FFA reaching the duodenum are more potent inhibitors of DMI than are unsaturated TG; the effect may be at least partially mediated by GLP-1.

A DFT study of free radicals formed from artemisinin and related compounds

Ab initio calculations using density functional theory have shown that the reactions that occur between artemisinin, 1, a cyclic trioxane active against malaria, and some metal ions and complexes lead to a series of radicals which are probably responsible for its therapeutic activity. In particular it has been shown that the interaction of Fe(H) with artemisinin causes the O-O bond to be broken as indeed does Fe(III) and Cu(I), while Zn(II) does not. Calculations were carried out with Fe(II) in several different forms including the bare ion, [Fe(H2O)(5)](2+) and [FeP(Im)] (P, porphyrin; Im, imadazole) and similar results were obtained. The resulting oxygen-based radicals are readily converted to more stable carbon-based radicals and/or. stable products. Similar radicals and products are also formed from two simple model trioxanes 2 and 3 that show little or no therapeutic action against malaria although some subtle differences were obtained. This suggests that the scaffold surrounding the pharmacophore may be involved in molecular recognition events allowing efficient uptake of this trioxane warhead into the parasite. (C) 2004 Elsevier B.V. All rights reserved.

Comparison of preferences for object properties in the rat using paired- and free-choice paradigms

A common method for testing preference for objects is to determine which of a pair of objects is approached first in a paired-choice paradigm. In comparison, many studies of preference for environmental enrichment (EE) devices have used paradigms in which total time spent with each of a pair of objects is used to determine preference. While each of these paradigms gives a specific measure of the preference for one object in comparison to another, neither method allows comparisons between multiple objects simultaneously. Since it is possible that several EE objects would be placed in a cage together to improve animal welfare, it is important to determine measures for rats' preferences in conditions that mimic this potential home cage environment. While it would be predicted that each type of measure would produce similar rankings of objects, this has never been tested empirically. In this study, we compared two paradigms: EE objects were either presented in pairs (paired-choice comparison) or four objects were presented simultaneously (simultaneous presentation comparison). We used frequency of first interaction and time spent with each object to rank the objects in the paired-choice experiment, and time spent with each object to rank the objects in the simultaneous presentation experiment. We also considered the behaviours elicited by the objects to determine if these might be contributing to object preference. We demonstrated that object ranking based on time spent with objects from the paired-choice experiment predicted object ranking in the simultaneous presentation experiment. Additionally, we confirmed that behaviours elicited were an important determinant of time spent with an object. This provides convergent evidence that both paired choice and simultaneous comparisons provide valid measures of preference for EE objects in rats. (C) 2007 Elsevier B.V. All rights reserved.

High bandwidth, large workspace haptic interaction: flying phantoms

It is well understood that for haptic interaction: free motion performance and closed-loop constrained motion performance have conflicting requirements. The difficulties for both conditions are compounded when increased workspace is required as most solutions result in a reduction of achievable impedance and bandwidth. A method of chaining devices together to increase workspace without adverse effect on performance is described and analysed. The method is then applied to a prototype, colloquially known as 'The Flying Phantom', and shown to provide high-bandwidth, low impedance interaction over the full range of horizontal movement across the front of a human user.

Special Issue on Virtual Reality Technologies for Disability and Rehabilitation

The papers presented in this issue provide a glimpse of the International Conference on Disability, Virtual Reality and Associated Technologies (ICDVRAT) research community, illustrating advances in virtual reality and associated technologies facilitating interaction in physical and digital environments for individuals and practitioners in disability and rehabilitation. We hope that you will find this issue of interest and recommend this journal and use it to communicate this research to a broader public.

Minimising the latency induced by consistency control, within a large scale multi-user distributed virtual reality system

Where users are interacting in a distributed virtual environment, the actions of each user must be observed by peers with sufficient consistency and within a limited delay so as not to be detrimental to the interaction. The consistency control issue may be split into three parts: update control; consistent enactment and evolution of events; and causal consistency. The delay in the presentation of events, termed latency, is primarily dependent on the network propagation delay and the consistency control algorithms. The latency induced by the consistency control algorithm, in particular causal ordering, is proportional to the number of participants. This paper describes how the effect of network delays may be reduced and introduces a scalable solution that provides sufficient consistency control while minimising its effect on latency. The principles described have been developed at Reading over the past five years. Similar principles are now emerging in the simulation community through the HLA standard. This paper attempts to validate the suggested principles within the schema of distributed simulation and virtual environments and to compare and contrast with those described by the HLA definition documents.