L'Univers

1867/09/24 (Numéro 158).

Patient Seclusion and Restraint Practices in Psychiatric Hospitals - Towards Evidence Based Clinical Nursing

The overall goal of this study was to support evidence based clinical nursing regarding patient seclusion and restraint practices. This was done by ensuring professional competence through innovative learning methods. The data were collected in three phases between March 2007 and May 2009 on acute psychiatric wards. Firstly, psychiatric inpatients’ experiences and suggestions for seclusion and restraint practices were explored (n=30). Secondly, nursing and medical personnel’s perceptions of seclusion and restraint practices were explored (n=27). Thirdly, the impacts of a continuing vocational eLearning course on nurses’ professional competence was evaluated (n=158). Patients’ perspectives received insufficient attention during the seclusion and restraint process. Improvements and alternatives to seclusion and restraint as suggested by the patients focused on essential parts of clinical nursing, but were not extensively adopted. Also nursing and medical personnel thought that patients’ subjective perspective received little attention. Personnel proposed a number of alternatives to seclusion and restraint, and they expressed a need for education and support to adopt these in clinical nursing. Evaluation of impacts of eLearning course on nurses’ professional competence showed no statistical differences between an eLearning group and an education-as-usual group. This dissertation provides evidence based knowledge about the realization of seclusion and restraint practices and the impacts of eLearning course on nurses’ professional competence in psychiatric hospitals. In order to improve clinical nursing the patient perspective must be accentuated. To ensure personnel’s professional competence, there is a need for written clinical guidelines, education and support. Continuing vocational education should bring together written clinical guidelines, ethical and legal issues and the support for personnel. To achieve the ambitious goal of such integration, achievable and affordable educational programmes are required. This, in turn, yields a call for innovative learning methods.

A tour through Sweden, Swedish-Lapland, Finland and Denmark. In a series of letters, illustrated with engravings : by Matthew Consett, esq.

P. 143-158 are misnumbered 142-157.

Composição florística e grupos ecológicos das espécies de um trecho de floresta semidecídua submontana da Fazenda São Geraldo, Viçosa-MG

O presente trabalho foi realizado em um trecho de Floresta Estacional Semidecidual Submontana no município de Viçosa (20º45'23"S e 42º52'23"W), Zona da Mata de Minas Gerais, cujo clima é do tipo Cwa, com os objetivos de determinar a composição florística da vegetação arbórea e inferir acerca dos respectivos grupos ecológicos. A listagem florística foi extraída de um levantamento fitossociológico no qual foram empregados 158 pontos-quadrantes. Foram amostrados 632 indivíduos com circunferência de tronco igual ou maior que 15 cm à altura de 130 cm do solo. Foram analisados dez levantamentos realizados na Zona da Mata, para obter as principais espécies ocorrentes na região. Foram determinadas 123 espécies, pertencentes a 85 gêneros e 36 famílias. Devido às proporções de espécies pelos grupos ecológicos, o fragmento florestal estudado foi classificado em estádio médio de regeneração. Dentre as espécies encontradas, sete pertencem à lista de espécies ameaçadas de extinção no Estado de Minas Gerais e no Brasil.

The Role of Knowledge Management in Developing Common Business Mindset in a Firm

Yrityksen yhteisellä liiketoimintanäkemyksellä tarkoitetaan organisaation kykyä ymmärtää liiketoiminnan olennaiset elementit, ja varmistaa, että työntekijöillä ja yrityksen asiakkailla on positiivinen ja yhdenmukainen kuva ja kokemus kyseisestä organisaatiosta. Tämän Pro-gradu – tutkielman tuloksena kehitettiin mittari, jolla yhteisen liiketoimintanäkemyksen tilaa voidaan yrityksessä mitata. Lisäksi tutkielma selvittää tietojohtamisen merkitystä yhteisen liiketoimintanäkemyksen kehityksessä. Tutkimusaineisto kerättiin Internet -kyselytutkimuksella, johon saatiin 158 vastausta. Aineisto analysoitiin tilastollisilla menetelmillä. Tutkimustulokset viittaavat vahvasti siihen, että tiedon jakamisella ja verkostoitumisella on tilastollisesti merkittävä vaikutus yhteisen liiketoimintanäkemyksen kehittymisessä. Tästä syystä yritysten tulisi integroida tietojohtamisen periaatteet strategioihinsa ja luoda systemaattinen malli, joka kannustaa organisaatiota tiedon jakamiseen ja verkostoitumiseen.

From Fluid Dynamics to Human Psychology.What Drives Financial Markets Towards Extreme Events

For decades researchers have been trying to build models that would help understand price performance in financial markets and, therefore, to be able to forecast future prices. However, any econometric approaches have notoriously failed in predicting extreme events in markets. At the end of 20th century, market specialists started to admit that the reasons for economy meltdowns may originate as much in rational actions of traders as in human psychology. The latter forces have been described as trading biases, also known as animal spirits. This study aims at expressing in mathematical form some of the basic trading biases as well as the idea of market momentum and, therefore, reconstructing the dynamics of prices in financial markets. It is proposed through a novel family of models originating in population and fluid dynamics, applied to an electricity spot price time series. The main goal of this work is to investigate via numerical solutions how well theequations succeed in reproducing the real market time series properties, especially those that seemingly contradict standard assumptions of neoclassical economic theory, in particular the Efficient Market Hypothesis. The results show that the proposed model is able to generate price realizations that closely reproduce the behaviour and statistics of the original electricity spot price. That is achieved in all price levels, from small and medium-range variations to price spikes. The latter were generated from price dynamics and market momentum, without superimposing jump processes in the model. In the light of the presented results, it seems that the latest assumptions about human psychology and market momentum ruling market dynamics may be true. Therefore, other commodity markets should be analyzed with this model as well.

Soil organic matter pools in a tropical savanna under agroforestry system in Northeastern Brazil

This study aimed at quantifying total organic carbon stocks and its pools in Acrisol under agroforestry systems with six (AFS6) and thirteen years old (AFS13), slash-and-burn agriculture (SBA) and savanna native forest (SNF) in northeastern Brazil. Soil samples were collected at 0-0.05 m, 0.05-0.10 m, 0.10-0.20 m and 0.20-0.40 m depths in the dry and rainy seasons to evaluate total organic carbon (TOC) stocks and labile carbon (LC), fulvic acid fraction (C-FAF), humic acid fraction (C-HAF), humin (C-HF) and microbial biomass carbon (Cmic) contents. Additionally, carbon management index (CMI) was determined. Higher TOC stocks (97.7 and 81.8 Mg ha-1 for the 0-0.40 m depth in the dry and rainy seasons, respectively) and LC, humic substances and Cmic contents were observed in the AFS13 in all the depths. CMI also was higher in the AFS13 (0-0. 05 m: 158 and 86; 0.05-0.10 m: 171 and 67, respectively for the dry and rainy seasons) especially when compared to the SBA (0-0.05 m: 5.6 and 5.4; 0.05-0.10 m: 5.3 and 5.8, respectively for dry and rainy seasons). The agroforestry systems increased soil quality through the conservation of organic matter and can be considered an excellent strategy to assurance sustainability in tropical soil of Northeastern Brazil

Meistä ja heistä

Kirja-arvio

Miehittämättömien ilma-alusten käyttömahdollisuudet ilmasta maahan -aseiden tarvitseman maalitiedon hankinnassa ilmatorjunnan suojaamassa ympäristössä

Vuoden 2004 iskukykytutkimus esittää lentotiedustelujärjestelmän hankkimista tukemaan HN-kalustoon perustuvaa ilmasta maahan -järjestelmää. Tässä tutkimustyössä on tutkittu kolmen erilaisen miehittämättömän ilma-aluksen käyttömahdollisuuksia ilmasta maahan -aseiden tarvitseman maalitiedon hankkimisessa. Tutkimuksessa mukana olleet ilmasta maahan -aseet olivat JDAM (Joint Direct Attack Munition), AGM-154 JSOW (Joint Standoff Weapon) ja toistaiseksi epävarman hankintansa vuoksi vähäisemmässä määrin AGM-158 JASSM (Joint Air to Surface Standoff Weapon). Miehittämättömiksi ilmaaluksiksi valittiin Predator-koneen kolme eri kehitysversiota, MQ-1 Predator A, MQ-9 Reaper (Predator B) ja Avenger (Predator C). Tutkimuksen pääasiallinen tutkimusmenetelmä on ollut laadullinen kirjallisuusselvitys julkisia lähteitä käyttäen. Suoritusarvoista johdettuihin päätelmiin on käytetty soveltuvin osin määrällisiä tutkimusmenetelmiä. Lähestymistapa tutkimukseen on ollut hermeneuttinen. Alakysymysten osalta kyseessä on ollut deskriptiivinen tutkimus ja tavoitteena on ollut löytää avainasiat miehittämättömien ilma-alusten käytön kannalta. Tutkimusraportin ensimmäinen luku on johdanto. Toisessa luvussa on selvitetty toimintaympäristön yleiset piirteet ja kolmannessa luvussa ilmasta maahan -aseiden ominaisuudet. Neljäs luku käsittelee tutkimuksessa olleiden miehittämättömien ilma-alusten ominaisuuksia maalitiedon hankkimismahdollisuuksien kannalta. Tutkimustyön johtopäätökset on kirjattu viidenteen lukuun. Tulosten perusteella perinteisten, ilman häiveominaisuuksia rakennettujen miehittämättömien ilma-alusten ei ole mahdollista hankkia kaikkea ilmasta maahan -aseiden tarvitsemaa maalitietoa. Lähialueen ilmatorjunnan vaikutuksen väistämiseksi häiveominaisuudet ja jonkin asteinen tunkeutumiskyky ovat välttämättömät erityisesti pitkän kantaman ilmasta maahan -aseiden tarvitseman maalitiedon hankkimisessa.

Aineistot ja tutkijat liikkeessä

Kirja-arvio

Effects of Country of Origin on Consumer Product Evaluations: Finnish clothing products in the minds of Russian tourists

Companies operating in today’s highly internationalized markets consider product differentiation the key priority in pursue to attain a constant competitive advantage in challenging global environment (Baker and Ballington 2002, 158). The main driver affecting companies’ differentiation actions was described as early as 1912 by one of the marketing pioneers A. W. Shaw (1912, 710) as meeting human wants more accurate than the competition, and thus increasing customers’ perceived value and satisfaction. Dickson and Ginter (1987, 2) point out in their study based on earlier research by Chamberlin (1965) and Porter (1976) that differentiation can be based on either tangible characteristics of a product such as design or intangible characteristics such as a brand name and country of origin (hereafter referred to as COO). The concept of COO and its impact on consumers’ evaluation of a product as an extrinsic product cue has been one of the most noteworthy topics in international marketing, having been voluminously examined by over 780 authors in more than 750 academic publications in the past 40 years (Papadopoulos and Heslop 2002, 294). Many of these studies accentuate the significant effect the COO has on consumers’ product attribute evaluations. People routinely associate country images with products and services in order to judge and categorize them based on perceived quality and risk levels; thereby COO can influence the likelihood of a purchase (Peterson and Jolibert 1995, 883-884; Verlegh and Steenkamp 1999, 523). Based on the vast research related to COO in the field of international business, it is widely recognized that the country associated with a product can act in a similar way as the name of a brand and even become a part of product’s total image. Thereby depending on customer’s values and perceptions, the product-country image can either increase or decrease perceived value.

Evolution in the profile of thyroid cancer cases treated in an oncology reference service: what changed in the last 20 years

Objective: To evaluate the characteristics of thyroid carcinoma cases treated at a reference hospital for cancer between 2008 and 2010.Methods: we studied 807 cases and analyzed the following clinicopathologic variables: symptoms, risk factors, diagnostic tests, staging, histological type, treatment performed and complications.Results: Females were more affected, with 660 cases (82%). The average age at diagnosis was 44.5 years. Prior exposure to ionizing radiation was reported by 22 (3%) patients, a family history of thyroid cancer by 89 (11%), and 289 (36%) individuals reported other types of cancer in the family. The fine needle aspiration biopsy was the main parameter for surgical indication and was suggestive of carcinoma in 463 patients (57%). Papillary carcinoma was the most common histological type, with 780 cases (96.6%). There were 728 (90%) total thyroidectomies, 43 (5.3%) reoperations or partial thyroidectomies followed by totalization, 23 (2.8%) extended thyroidectomies and only 13 (1.6%) partial thyroidectomies (lobectomy with isthmectomy). Neck dissection associated with thyroidectomy was done in 158 patients (19.5%). We observed a predominance of tumors classified as T1 in 602 (74.6%) patients. Transient hypocalcemia was the most frequent complication.Conclusion: The results show that the worldwide increase in the incidence of thyroid cancer has changed the profile of patients seen at a referral service. In addition, there were changes in the type of surgical treatment used, with increased use of total thyroidectomy in relation to partial and subtotal ones, and decreased use of elective neck dissections.