897 resultados para Relational traumas
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In this paper, we argue that important labor market phenomena can be better understood if one takes (a) the inherent incompleteness and relational nature of most employment contracts and (b) the existence of reference-dependent fairness concerns among a substantial share of the population into account. Theory shows and experiments confirm that, even if fairness concerns were to exert only weak effects in one-shot interactions, repeated interactions greatly magnify the relevance of such concerns on economic outcomes. We also review evidence from laboratory and field experiments examining the role of wages and fairness on effort, derive predictions from our approach for entry-level wages and incumbent workers' wages, confront these predictions with the evidence, and show that reference-dependent fairness concerns may have important consequences for the effects of economic policies such as minimum wage laws.
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Disseny d'una base de dades per controlar la despesa pública dels parlaments i dels parlamentaris dels diferents països membres, i poder mostrar-la de forma on-line en un exercici de transparència que ajudi a reduir la corrupció.
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Disseny i implementació d'una base de dades per a un sistema centralitzat de control de la despesa pública de les cambres parlamentàries europees.
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Projecte de final de carrera d'enginyeria en informàtica. Consisteix en la creació d'una base de dades relacional per donar suport a un videojoc. La base de dades inclou la implementació de tots els procediments emmagatzemats per accedir i gestionar la informació. El projecte també inclou el disseny d'un magatzem de dades per explotar estadísticament la informació continguda.
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Objectives: This qualitative study aims at understanding the consequences of body deconstruction through mastectomy on corporality and identity in women with breast cancer. Design: Nineteen women were contacted through the hospital. All had to undergo mastectomy. Some were offered immediate breast reconstruction, others, because of cancer treatments, had no planned reconstruction. A qualitative reflexive methodological background was chosen. Method: Women were invited to participate in three semi-structured interviews, one shortly before or after mastectomy, and the other interviews later in their illness courses, after surgery. All interviews were transcribed verbatim. Thematic analysis was performed. The analysis of the first interview of each woman is presented in this article. Results: Mastectomy provokes a painful experience of body deconstruction. Even when immediate reconstruction is proposed, contrasted feelings and dissonance are expressed when comparing the former healthy body to the present challenged body entity. Body transformations are accompanied with experiences of mutilation, strangeness, and modify the physical, emotional social, symbolic and relational dimensions of the woman's gendered identity. Although the opportunity of breast reconstruction is seen as a possible recovery of a lost physical symmetry and body integrity, grieving the past body and integrating a new corporality leads to a painful identity crisis. Conclusion: With mastectomy, the roots of the woman's identity are challenged, leading to a re-evaluation of her existential values. The consequences of mastectomy transform the woman's corporality and embodiment, and question her identity. Psychological support is discussed in the perspective of our results.
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La Comunitat Europea ha decidit realitzar una base de dades per controlar la despesa pública parlamentària, tant dels parlaments com dels seus parlamentaris, i que les dades puguin ser consultades on line. L'objectiu del present treball és realitzar la base de dades on es guardarà la informació indicada pel client, així com un seguit de consultes i dades estadístiques que es podran consultar a través d'una plana web.
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For well over 100 years, the Working Stress Design (WSD) approach has been the traditional basis for geotechnical design with regard to settlements or failure conditions. However, considerable effort has been put forth over the past couple of decades in relation to the adoption of the Load and Resistance Factor Design (LRFD) approach into geotechnical design. With the goal of producing engineered designs with consistent levels of reliability, the Federal Highway Administration (FHWA) issued a policy memorandum on June 28, 2000, requiring all new bridges initiated after October 1, 2007, to be designed according to the LRFD approach. Likewise, regionally calibrated LRFD resistance factors were permitted by the American Association of State Highway and Transportation Officials (AASHTO) to improve the economy of bridge foundation elements. Thus, projects TR-573, TR-583 and TR-584 were undertaken by a research team at Iowa State University’s Bridge Engineering Center with the goal of developing resistance factors for pile design using available pile static load test data. To accomplish this goal, the available data were first analyzed for reliability and then placed in a newly designed relational database management system termed PIle LOad Tests (PILOT), to which this first volume of the final report for project TR-573 is dedicated. PILOT is an amalgamated, electronic source of information consisting of both static and dynamic data for pile load tests conducted in the State of Iowa. The database, which includes historical data on pile load tests dating back to 1966, is intended for use in the establishment of LRFD resistance factors for design and construction control of driven pile foundations in Iowa. Although a considerable amount of geotechnical and pile load test data is available in literature as well as in various State Department of Transportation files, PILOT is one of the first regional databases to be exclusively used in the development of LRFD resistance factors for the design and construction control of driven pile foundations. Currently providing an electronically organized assimilation of geotechnical and pile load test data for 274 piles of various types (e.g., steel H-shaped, timber, pipe, Monotube, and concrete), PILOT (http://srg.cce.iastate.edu/lrfd/) is on par with such familiar national databases used in the calibration of LRFD resistance factors for pile foundations as the FHWA’s Deep Foundation Load Test Database. By narrowing geographical boundaries while maintaining a high number of pile load tests, PILOT exemplifies a model for effective regional LRFD calibration procedures.
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The interest in sexuality of adolescents in medical practice is often mainly focussed on the onset of sexual intercourse and on the emergence of contraceptive needs, though the beginning of adolescence takes place much earlier with the first signs of puberty followed by the menarche. At the issue of this profound metamorphosis the adolescent needs to adapt herself to a modified, sexual body. Adolescence is also a time of identity development and of changes in relationships, which are influenced by gender role in family and perception related to gender during childhood. This article shows epidemiological data to consider and the main issues of gynaecologic consultation with the adolescent. The different stages of development depend on biological and environmental factors which either favour resilience or weaken the individual due to a lack of affection or to abusive relationships. Medical consultation for a gynaecological problem, questions on puberty and development or on contraception give medical professionals and especially gynaecologists a chance to address sexual issues naturally, to anticipate questions as well as contraceptive needs. The consultation with the adolescent includes also the screening for behaviour related to a lack of information or a personal or relational difficulty.
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Teniendo en cuenta que la imagen turística ha sido reconocida como uno de los elementos más influyentes para la competitividad de los destinos turísticos, el principal objetivo de este artículo es construir un marco conceptual que muestre la influencia de la red relacional del destino en su imagen emitida. En este contexto, se asume que la imagen tu rística es una construcción social resultante de lainteracción de los distintos agentes que intervienen en el destino turístico (administraciones públicas, instituciones locales, empresas turísticas, etc.); y se propone un modelo teórico para mostrar los efectos de la red relacional del destino turístico en la calidad de la imagen turística creada en términos de conocimiento generado y, por tanto, en su competitividad
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Subjective response to neuroleptics is essential to long term observance of treatment and quality of life of patients. Numerous factors (pharmacological, relational and psychopathological) are responsible of this subjective response. Objectives of this study are: (a) to examine psychometric features of the french version of the Drug Attitude Inventory (DAI-30) [13] and (b) to explore pharmacological, relational and psychopathological factors related to this subjective response. Subjects and methods: 78 subjects were rated (self rated response rate 61% (n = 48)) for (a) subjective response to neuroleptics, (b) compliance, (c) therapeutic alliance, (d) symptoms (e) severity of disorder. RESULTS: Factor analysis yielded 2 main clinically relevant factors, similar to the original version: (I) global subjective response and (II) specific subjective response. Internal consistency is high. Correspondance analysis showed two important dimensions in the treatment of schizophrenic patients: (I) Recovery--aggravation, (II) Therapeutic ambition--positive or negative symptoms. CONCLUSION: French version of DAI-30 seems to have a similar structure and psychometric features as the original version. It shows concordance with the degree of compliance. Pharmacological factors are not the only factors implicated in subjective response, but are still to be identified. Limitations of our study are: (a) nonhomogenous indication for treatment, (b) small rate and degree of non compliance in our sample. Relationships between therapeutic ambition, type of symptoms and treatment outcome should be further studied.
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In dieser Thèse "Studien zu einer Poetik des Engels" wird anhand verschiedener Texte aus verschiedenen Epochen, jedoch mit Akzent auf der zweiten Hàlfte des 20. Jahrhunderts, dem Erscheinen von Engeln in literarischen Texten nachgegangen, mit besonderem Augenmerk auf der poetologischen Dimension, die mit der Darstellung von Engelfiguren zusammenhàngt, und mit besonderer Beriicksichtigung der Konsequenzen fur die Texte, in denen sie erscheinen.¦Literarische Texte bieten nàmlich einen geeigneten Immanenzort fur diese Art Epi-phanie an, eine Erscheinungsmoglichkeit fur Engel. Die Art und Weise, wie Dichterinnen und Dichter sie in ihren Texten erscheinen lassen, steht im Zentrum des Interesses dieser Studien. Wie verkorpern sich Engel in diesen Texten? Wie sprechen sie und wie kann mit ihnen und von ihnen gesprochen werden? Welche poetischen Funktionen ubernehmen diese Figuren, von denen die Dichter sprechen und die sie sprechen lassen? Welche poetischen Dynamiken entstehen in diesen Texten durch die Engelserscheinungen?¦Der Engel, der traditionell als Bote (gr. angelos), als Vermittler oder Obermittler gilt, hat im Medium Literatur (oder Text) selbst auch eine mediale Funktion inne, sodass Engel und Literatur einander widerspiegeln und Engeltexte zu Orten werden, an denen eine sprachliche und poetologische Auseinandersetzung stattfinden kann, die sowohl der Lite¬ratur (und auch etwa dem Erzàhler) als auch dem Engel inhàrent ist und es mit dem Ver- mittlungs(un)vermogen zu tun hat.¦In diesen Studien geht es darum, die produktive und dynamische Leistung des Engels (oder der Engel) im Schreib- und im Leseprozess zu erfahren und nachzuzeichnen. Durch ihre Pràsenz im Text bringen Engel einen Perspektivenwechsel ins Spiel, der die Auseinandersetzung mit dem Text pràgt und den Text selbst beeinflusst, sodass die Engel diese Texte zur Schreib- und Leseerfahrung werden lassen.¦Engelsdichtungen erweisen sich als durch und durch relational, sie involvieren den Dichter sowie auch den Leser, der ihnen - lesend - begegnet, und beeinflussen den ganzen Text und seine Dynamik, da diese Figuren unmoglich von ihm abstrahiert werden konnen. Engel erweisen sich auch als àusserst subversiv, wenn sie dem nicht entsprechen, was man von ihnen erwartet, wenn sie sich den geltenden (sozialen, politischen, aber auch - im Medium Literatur - sprachlichen oder dichterischen) Regeln widersetzen.¦In einem einleitenden Kapitel wird die Fragestellung skizziert und anhand vieler Textbeispiele verfeinert, sowie auch die Methode veranschaulicht. Darin werden Texte von Wallace Stevens (The Necessary Angel), Jean Paul (Der Tod eines Engels), Wim Wenders und Peter Handke (Himmel über Berlin) betrachtet, sowie auch etwa von Goethe, Morike, Andersen, Tolstoi (Der Engel Gottes oder Wovon die Menschen leben), Pseudo- Strieker (Der König im Bade), Baudelaire.¦Die weiteren Kapitel sind als Fallstudien zu verstehen und setzen sich mit einzelnen Texten auseinander, die von verschiedenen Autoren und zu verschiedenen Zeiten geschrieben wurden und sich von der Gattung und der Lange her stark unterscheiden:¦- "Zwischen Lichterscheinung und Holzfigur": Zu einem Tagebucheintrag von Franz Kafka (25. Juni 1914).¦- "Schweigende Boten": Zu Heinrich Bolls Roman Der Engel schwieg [1949-1951 niedergeschrieben, erst 1992 posthum erschienen).¦- "Ein subversiver Engel - wider Willen": Zu Fridrich Dürrenmatts Komödie Ein Engel kommt nach Babylon (1. Fassung 1954, 2. Fassung 1957, Neufassung 1980).¦- Zu drei Engel-Texten von Ilse Aichinger:¦- "Ein errungenes Weihnachten - im Spiel": Zum Romankapitel Das grosse Spiel (6. Kapitel aus dem Roman Die grössere Hoffnung, 1948),¦- "»Habt ihr den Engel gesehen?« - Wenn sich mit den Engeln auf einmal jeder Sinn entzieht": Zur Erzählung Engel in der Nacht (1949; aus dem Band Der Gefesselte),¦- "Ober Verwirrung hinweg - Zur subversiven Poetik eines Engels": Zur Erzâhlung Der Engel (1963; aus dem Band Eliza Eliza).¦Im Schlusskapitel, in dem vergleichende Beobachtungen zu diesen Texten und ihren Analysen, Hervorhebungen der Gemeinsamkeiten und entscheidende poetische Merkmale dieser Texte erwähnt werden, wird nicht das Ziel angestrebt, eine Synthese aus dieser Vielfältigkeit zu machen, die in den verschiedenen Kapiteln zum Vorschein kommt. Vielmehr wird gezeigt, wie fruchtbar die Auseinandersetzung mit Engeln in diesen Texten ist und wie diese Texte sich von ihrem 'Gegenstand' berühren lassen, je auf unterschiedliche Weise.
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Objective: This article presents a study of the change over time in the family interactions of couples who conceived through in-vitro fertilisation (IVF). Background: Observational methods are rarely used to study family interactions in families who used assisted reproductive techniques, but these methods are crucial for taking account of the communication that occurs in interactions with infants. Methods: Thirty-one couples expecting their first child were seen during the fifth month of pregnancy and when the child was nine months old. Family interactions were recorded in pre- and postnatal versions of the Lausanne Trilogue Play situation. Measures of marital satisfaction and parent-to-foetus/baby attachment or 'bonding' were also used to assess family relational dynamics. Results: Results showed that family alliance, marital satisfaction and parental attachment scores in the IVF sample were all similar to or higher than those in the reference sample during pregnancy. However, at nine months postnatally, the family alliance scores were lower. While marital satisfaction decreased over the period and parent-baby attachment increased, the family alliance scores were unstable, as no association was observed between the pre- and postnatal scores. In addition, neither prenatal marital satisfaction nor parent-foetus attachment predicted the postnatal family alliance. Conclusion: The change in the family alliance over the transition to parenthood appears to be specific to our IVF sample. Given that postnatal family functioning could not be predicted by prenatal family functioning, our observational data underline the importance of offering postnatal support to these families.
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Less-lethal weapons are used in law enforcement to neutralize combative individuals and to disperse riot crowds. Local police recently used such an impact weapon, the Flash-Ball, in two different situations. This gun fires large rubber bullets with kinetic energies around 200 J. Although it is designed to avoid skin penetration, impacts at such energies may still create major trauma with associated severe injuries to internal organs. This is a report of 2 patients shot with the Flash-Ball who required medical attention. One could be discharged quickly, but the other required hospitalization for heart and lung contusion. Both patients required advanced investigations including computed tomography (CT) scan. The medical literature on injuries induced by less-lethal impact weapons is reviewed. Impacts from the Flash-Ball can cause significant injury to internal organs, even without penetration. Investigations as for other high-energy blunt traumas are called for in these cases.
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The first part of the article focused on the individual mechanisms--body, psyche and relational context--alienating the patient. The second part addresses alienating mechanisms related to the medical apparatus and the dominant discourses produced within and by society. The aim is not to comprehensively list possible mechanisms, but to discuss some of them using illustrative examples.
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This article first provides a selective overview of the literature on bureaucratic autonomy and identifies different approaches to this topic. The second section discusses three major sets of open questions, which will be tackled in the contributions to this special issue: the subjective, dynamic and relational nature of autonomy; the complex linkages between tasks, organizational forms, and national path dependencies on the one hand and autonomy and performance on the other hand; and the interplay between autonomy, accountability and democratic legitimacy.