Implantation d’une innovation au sein d’une région rurale éloignée au Québec : le rôle d’infirmière praticienne spécialisée en soins de première ligne- une étude de cas multiples

Introduction : La situation de l’accès, de la continuité et de la coordination des services de santé au Canada et au Québec est des plus préoccupantes. Pour contribuer à résoudre ces problématiques, l’élargissement des champs de pratique professionnels a été proposé. Lorsqu’il est question d’élargir le rôle des infirmières, la pratique infirmière avancée (PIA) est fréquemment abordée. Au Québec, ce n’est qu’en 2006 qu’un rôle associé à la PIA en première ligne a pu officiellement être mis en place, celui d’infirmière praticienne spécialisée en soins de première ligne (IPSPL) (Durand, Allard, & Ménard, 2006). L’implantation du rôle d’IPSPL est récente et peut être conçue comme une innovation. Les difficultés liées à l’implantation des rôles de PIA font l’objet d’un consensus. Pour pallier à ces difficultés, il est proposé d’approfondir la compréhension de la façon dont les rôles de PIA sont implantés, et ce, en considérant les contextes. Encore peu de recherches s’intéressent au processus d’implantation du rôle d’IPSPL au Québec, et aucune n’est centrée sur le contexte rural éloigné. But : Cette recherche vise à comprendre le processus d’implantation du rôle d’IPSPL au sein d’une région rurale éloignée du Québec, à travers l’éclairage d’un cadre de référence intégrant les théories de la diffusion de l’innovation et des transitions. Méthode : Cette étude de trois cas se situe dans un paradigme pragmatique, avec des visées descriptive et explicative. Des stratégies de collecte de données mixtes ont été utilisées auprès de personnes provenant du contexte québécois, de la région ciblée et des cas (IPSP, médecins partenaires, DSI, DSP, gestionnaires, personnes soignées et leur famille). Résultats : L’implantation est un processus multidimensionnel, multifactoriel et évolutif. Le contexte, le déroulement, la compréhension, les acteurs et le temps sont des parties intégrantes de l’implantation et sont étroitement inter-reliés. Le déroulement de l’implantation et des transitions se produit simultanément. Discussion : Cette recherche a permis de mettre en lumière la raison pour laquelle le processus d’implantation du rôle d’IPSPL doit être considéré comme un processus complexe. Cette thèse contribue à éclairer la recherche axée sur l’efficacité en permettant de mieux comprendre les différentes composantes de l’implantation. Mots-clés : implantation, rôle, infirmière praticienne, première ligne, rural, éloigné, innovation, transition.

Performance sismique sous charge axiale nulle des murs en maçonnerie armée entièrement remplis de coulis

Résumé : Cette juxtaposition de matériaux solides -blocs, pierres ou briques,...- liés ou non entre eux que nous appelons maçonnerie ne se comporte pas très bien vis-à-vis des forces latérales, surtout si elle n’a pas été réalisée suivant les normes parasismiques ou de façon adéquate. Cette vulnérabilité (glissement, cisaillement, déchirure en flexion, ou tout autre) vient souvent du fait même de ce processus d’empilement, des problèmes d’interaction avec le reste de la structure et aussi à cause des caractéristiques mécaniques peu fiables de certains éléments utilisés. Malgré cette défaillance structurale, la maçonnerie est encore utilisée aujourd’hui grâce à son côté traditionnel, sa facilité de mise en œuvre et son coût d’utilisation peu élevé. Depuis quelques années, la maçonnerie s’est enrichie de documents qui ont été publiés par divers chercheurs dans le but d’une meilleure compréhension des caractéristiques mécaniques des éléments et aussi, et surtout, des mécanismes de rupture des murs de maçonnerie pour une meilleure réponse face aux sollicitations sismiques. Beaucoup de programmes expérimentaux ont alors été effectués et tant d’autres sont encore nécessaires. Et c’est dans ce contexte que cette recherche a été conduite. Elle présentera, entre autres, le comportement sous charges latérales d’un mur en maçonnerie armée entièrement rempli de coulis. Ce projet de recherche fait partie d’un programme plus large visant à une meilleure connaissance du comportement sismique de la maçonnerie pour une amélioration des techniques de construction et de réparation des ouvrages en maçonnerie.

Biomimetic topography in orthopaedic ceramic

The primary objective of this research was to perform an in vitro assessment of the ability of microscale topography to alter cell behaviour, with specific regard to producing favourable topography in an orthopaedic ceramic material suitable for implantation in the treatment of arthritis. Topography at microscale and nanoscale alters the bioactivity of the material. This has been used in orthopaedics for some time as seen with optimal pore size in uncemented hip and knee implants. This level of topography involves scale in hundreds of micrometres and allows for the ingrowth of tissue. Topography at smaller scale is possible thanks to progressive miniaturisation of technology. A topographic feature was created in a readily available clinically licensed polymer, Polycaprolcatone (PCL). The effect of this topography was assessed in vitro. The same topography was transferred to the latest generation composite orthopaedic ceramic, zirconia toughened alumina (ZTA). The fidelity of reproduction of the topography was examined using scanning electron microscopy (SEM) and atomic force microscopy (AFM). These investigations showed more accurate reproduction of the topography in PCL than ZTA with some material artefacts in the ZTA. Cell culture in vitro was performed on the patterned substrates. The response of osteoprogenitor cells was assessed using immunohistochemistry, real-time polymerase chain reaction and alizarin staining. These results showed a small effect on cell behaviour. Finally metabolic comparison was made of the effects created by the two different materials and the topography in each. The results have shown a reproducible topography in orthopaedic ceramics. This topography has demonstrated a positive osteogenic effect in both polycaprolactone and zirconia toughened alumina across multiple assessment modalities.

Relatos y Redes de Política Pública de Niñez en Colombia 1991 - 2014

El presente estudio describe los cambios en la políticas públicas de niñez en Colombia entre 1991 y 2014, mediante el análisis tanto de las narrativas y contranarrativas de política gestadas en este periodo de tiempo, como de los factores que propiciaron la conformación de una red de política pública y el posterior desarrollo de diversos modos de interacción entre los grupos de actores identificados. Parte esta investigación de situar antecedentes y factores relevantes que permiten contrastar, por un lado, contenidos y perspectivas entre diferentes periodos de tiempo, y por otro lado, el número, tipo, y dinámica de relaciones entre los diversos actores involucrados en este campo antes de 1991, y posterior a este año hasta 2014. En síntesis, a través de los hallazgos y análisis realizados se busca no solo plantear qué se transformó entre 1991 y 2014 respecto a la construcción de la niñez como referente de políticas públicas, sino también, cómo se gestó esta transformación, con el fin de proveer elementos que permitan comprender principalmente los énfasis y las variaciones que han tenido las políticas públicas de niñez en el país, pero también, algunas continuidades por periodos más específicos de tiempo.

Os contratos de autonomia na gestão dos agrupamentos de escola em Portugal: uma análise a partir da perceção dos atores

No final da década de 70 a reforma da Administração Pública surge como preocupação dos governos. No início dos anos 80 a adoção da doutrina da Nova Gestão Publica, foi um dos acontecimentos mais marcantes para a administração pública dos países da Organização para a Cooperação e Desenvolvimento Economico. A reforma na Administração Pública em Portugal iniciou-se após a rutura política e social de 1974. No início de 1986 Portugal entra para Comunidade Económica Europeia, o que representou uma maior abertura económica e um aumento na confiança interna da população, observando-se um avanço em termos de concretização de muitos direito sociais, entre outros, na educação. A modernização da administração pública na componente referente à área da educação, iniciou-se no final do ano de 1986, através da Lei de Base do Sistema Educativo, dando origem à descentralização dos serviços, introduzindo-se o conceito de autonomia. Os contratos de autonomia no meio escolar, são processos de administração que não influenciam os seus intervenientes, na realização das atividades pedagógicas, administrativas e gestionárias. Este estudo demonstra a opinião dos vários grupos que compõem um estabelecimento de ensino público Português. Na opinião da amostra deste estudo, os contratos de autonomia não são portadores de benefícios ou prejuízos para os estabelecimentos escolares, seja a nível pedagógico, a nível dos recursos humanos ou a nível administrativo e financeiro; Abstract: Contracts of autonomy in the management of grouping of schools in Portugal: An analysis based on the perception of the actors. At the end of the 70 the reform of public administration arises as a concern of governments. In the early 80s the adoption of the doctrine of the New Public Management, was one of the most important events for the public administration of the Organization for Cooperation and Economic Development countries. The reform in Public Administration in Portugal began after the political and social rupture of 1974. In the beginning of 1986 Portugal joins the European Economic Community, which represented a greater economic openness and an increase in internal confidence of the population, shown by a progress in terms of implementation of many social rights, among others, in education. The modernization of public administration in the field of education began at the end of 1986 through the Basic Law of Education, leading to the decentralization of services, introducing therefore the concept of autonomy. Autonomy contracts in schools are management processes that do not influence their stakeholders in achieving the educational, administrative and management activities. This study shows the opinion of the various groups that form an establishment of Portuguese public education. According to the sample, the autonomy contracts don’t bring benefits or losses to schools, as far as educational practices and human resources are concerned, as well as on a financial and administrative level.

A industrialização como criadora de conjuntos habitacionais para o operariado: o caso do Bairro da Empresa de Cimentos de Leiria: Maceira-Liz

A Revolução Industrial consistiu num amplo conjunto de mudanças que ocorreu nos séculos XVIII e XIX na Europa, em que a grande metamorfose na sociedade sucedeu devido à substituição do trabalho manual pelo uso da máquina. Constituiu-se como fenómeno abrangente que congregou fatores demográficos, sociais, ideológicos, políticos e económicos. A busca de melhores condições de vida e de trabalho, foi fator decisivo para o aumento de população nos grandes núcleos urbanos, circunstância que determinou a procura de uma solução que resolvesse a questão do alojamento da classe trabalhadora. Surgiram assim teorias utópicas e sociais e também modelos urbanísticos dos quais se salientam: o Falanstério de Charles Fourier, Familistério de Jean-Baptiste Godin entre outros. Em Portugal, a industrialização ocorreu mais tarde que na restante Europa, assim como as evoluções e transformações associadas a esta. É neste contexto, que a partir do século XIX, o sector agrícola no país foi sendo gradualmente substituído pela indústria. O aumento da industrialização conduziu a um incremento da concentração de mão-de-obra próxima de grandes cidades industriais, ocorrência que fomentou o aparecimento dos primeiros núcleos habitacionais destinados à classe operária. A cidade sofreu, assim, alterações assinaladas por uma série de acontecimentos resultantes da Revolução Industrial, a par da falta de estratégias ligadas à questão da habitação para as classes desfavorecidas. É neste enquadramento que surge o Bairro do Pessoal da Empresa de Cimento de Leiria, Maceira-Liz. Este procurou responder às necessidades dos trabalhadores oferecendo-lhes boa qualidade de vida. Foi dotado de infraestruturas e equipamentos como a “Casa do Pessoal” ou a Cooperativa Abastecedora, entre outros, necessários ao bom funcionamento e permitindo uma maior sociabilidade entres os seus habitantes Desta forma, para demostrar a sua importância, introduz-se o Bairro do Pessoal da E.C.L no estudo do contexto internacional e nacional. Observam-se e criam-se relações com os modelos das cidades utópicas do século XIX e os conjuntos industriais em Portugal, detentores de alojamento destinado à classe trabalhadora, fazendo uma análise urbanística detalhada do Bairro do Pessoal de Maceira- Liz, uma “Utopia” construída segundo o espirito progressista do seu fundador Henrique Sommer.A partir do estudo dos fundamentos teórico-práticos, da forma de implantação e construção, bem como dos vários planos elaborados para este complexo - que demonstravam uma tentativa de inovar, através da construção de respostas às mudanças da sociedade e arquitetura em Portugal- poderá observar- -se que Maceira-Liz tinha alternativas para resolver a situação sócio- laboral dos operários e tentava resolver questões como a insalubridade da habitação operária da I República. O Bairro do Pessoal de E.C.L. ou Bairro de Maceira-Liz é um dos mais significativos exemplos de urbanismo do tipo fabril em Portugal, que permite fazer uma reflexão crítica e arquitetónica do papel que a arquitetura assume face à questão das diferenças sociais de classes, ao mesmo tempo que se propõe uma solução de revitalização do Bairro a fim de contribuir para a sua preservação e conservação da sua identidade; ABSTRACT: The Industrial Revolution consisted in a wide range of changes that occurred in the eighteenth and nineteenth centuries in Europe, where the great metamorphosis in society succeeded due to the replacement of manual work by the use of machinery. It was established as a wide-ranging phenomenon which gathered demographic, social, ideological, political and economic factors. The search of better conditions of life and work was a decisive factor for the increase of population in major urban centers, a circumstance that led to the search for a solution to solve the question of working-class housing. Thus, utopian and social theories emerged, as also as urban models, of which we stand out: the Charles Fourier Phalanstery, Jean- Baptiste Godin Familistère and others. In Portugal, the industrialization occurred later than in the rest of Europe, as well as developments and changes associated with this. It is in this context that, starting in the nineteenth century, the agricultural sector in the country had been gradually replaced by the industry. The increased industrialization has led to an enlarged concentration of labor work close to major industrial cities, occurrence that fomented the appearance of the first housing units for the working class. So, the city suffered changes shown by a series of events resulting from the Industrial Revolution, together with the lack of strategies linked to the issue of housing for disadvantaged classes. It is in this context that comes the Neighborhood “Bairro do Pessoal da Empresa de Cimento de Leirio, Maceira – Liz”. This tried to respond to workers’ needs by offering them good quality of life. It was gifted with infrastructure and equipment as the “Staff Home” or the Cooperative Supplying, among others, needed for a proper functioning and allowing a greater sociability among its inhabitants. So, to demonstrate its importance, the Quarter of the Cement Company is introduced in the study of national and international context. Relationships with models of utopian cities in the nineteenth and the industrial plants in Portugal, owners of housing for the working class, are observed and created, making a detailed and urban analysis of the Quarter of the Cement Company, a “utopia “ built according to the progressive spirit of its founder Henry Sommer . From the study of the theoretical and practical fundamentals, the way of implementation and construction, as well as the various plans drawn up for this complex - which showed a determination to innovate by building responses to changes in society and architecture in Portugal - it can be founded that Maceira -Liz had alternatives to solve the socio- labor situation of the workers and tried to solve issues such as the unhealthiness of the working room of the First Republic. The Quarter of the Cement Company is one of the most significant examples of the industrial type urbanism in Portugal, which allows a critical and architectural reflection of the role that architecture assumes in what concerns the social class differences issues, while it is proposed a revitalization solution for the Neighborhood in order to contribute to the preservation and conservation of its identity

Summary and Conclusion

This monograph outlines the process and results of development of a common educational programme at masters level in health and social care management, which was supported by the Erasmus Life Long Education project CareMan (Cul- ture and Care Management). The CareMan project brought together university partners actively involved in educating social and health care professionals in leadership and management at master’s level in Europe. The five partners of the consortium were Lahti University of Applied Sciences – Lahti UAS (administra- tive and academic coordinator, Finland), Charles University – CU (the Czech Republic), Edinburgh Napier University – ENU (Scotland), Hammeline University of Applied Sciences – HAMK (Finland), and University of Évora – UoE (Portugal). The objectives of the project were to achieve lower -level educational goals that included the development through education cultural and value -driven leadership, quality of care and quality management to effectively manage an integrated health and social care service. Through mapping the situation in the field and comparing curricula of all participating universities the overall aim was to develop a joint masters programme in social and healthcare management. After the detailed understanding of national and institutional specifics of each of the individual academic entities it was recognised that, due to a number of regulation issues, the original aim was not achievable. Following subsequent analytical work, it was decided to develop a set of three master’s level modules. At the end of the project it was intended that all created modules would be available virtually to the participating programmes and would contribute some added value to existing curricula. In the future these ready -to -use modules are intended to be taught in cooperation with the participating universities or as a separate module in each university. The chosen theoretical framework of the project that underpinned the devel- opment, management and evaluation of the inter -cultural educational provision relied on the combination of two learning theories – ‘cooperative collaborative and social learning’ and ’transformational’ (Mezirow, 2009). This theoretical framework helped to align with European collaborative policy and its application on all levels of implementation of the project.

Políticas sociais no Município de Mafra: desafios e possibilidades de implementação sob o olhar da sociologia

No quadro de uma sociologia da ação, procurámos conhecer as políticas públicas do setor social em preparação ou implementadas pela autarquia de Mafra e, simultaneamente, perceber a influência que a interação e o grau de concordância dos diferentes atores sociais envolvidos no desenvolvimento do projeto social do município, exercem no processo de concretização das mesmas, contribuindo, deste modo, para o sucesso do plano de ação social programado para o território, ou, pelo contrário, dificultando a sua implementação. Neste sentido, procurámos encontrar os desafios e, ao mesmo tempo, os obstáculos que se apresentam à Câmara Municipal de Mafra na implementação de um projeto social adequado à realidade da comunidade local, enquanto ator privilegiado no campo da proteção social à população, ação que vem assumindo ao longo das últimas décadas, evidenciando um papel prioritário e determinante na programação das políticas públicas desenvolvidas no território, considerando, igualmente, a influência que a regularidade da representação política dos órgãos autárquicos deste município vem exercendo também na concretização deste processo de intervenção social. Através de uma estratégia metodológica orientada para a realização de um diagnóstico prospetivo, propusemo-nos estudar os elementos principais do sistema de implementação de políticas sociais no Município de Mafra e, neste sentido: a) delimitámos o sistema e estudámos os seus elementos mais pertinentes, nomeadamente, a posição estratégica da autarquia no desenvolvimento de um projeto de intervenção social adequado ao território; b) assinalámos os objetivos estratégicos do plano de intervenção social elaborado pela autarquia em coordenação com outros atores com responsabilidade social no município e posicionámos os atores relativamente a estes objetivos estratégicos; e por fim, c) avaliámos as convergências e as divergências possíveis e a implicação dos atores na concretização dos objetivos deste plano estratégico de intervenção social. As principais conclusões deste estudo referem a existência de uma grande convergência dos atores perante os objetivos do plano de intervenção social programado pela autarquia para o município, tendo em conta a sua participação e intervenção na elaboração e execução deste projeto de âmbito social, sendo identificado como principal obstáculo de implementação, a escassez de recursos financeiros, e, como desafio de execução com maior importância, a cooperação entre a autarquia e os demais parceiros sociais do município reveladora da congregação de esforços conducentes ao desenvolvimento da estratégia de intervenção social mais adequada às necessidades do território; ABSTRACT: In the context of an action sociology sought to know the public policies in the social sector in preparation or implemented by the municipality of Mafra and simultaneously realize the influence that interaction and the degree of agreement of the different social actors involved in the development of the social project city, play in the process of implementation of the same, thus contributing to the success of social action plan scheduled for the territory, or, conversely, hindering its implementation. In this sense, we tried to meet the challenges and at the same time, the obstacles that are presented to the Municipality of Mafra in the implementation of an adequate social project the reality of the local community, as a privileged actor in the field of social protection of the population, action is taking over the past decades, showing a priority and decisive role in the planning of public policies developed in the territory, considering also the influence that the regularity of political representation of local government bodies in this municipality has exercised also in the realization of this process of social intervention. Through targeted methodological strategy for the realization of a prospective diagnosis, we proposed to study the main elements of the system of implementation of social policies in the city of Mafra and in this regard: a) delimit the system and studied the relevant elements, namely, the strategic position of authority in the development of a social intervention project suitable to the territory; b) have pointed out the strategic objectives of social intervention plan drawn up by the municipality in coordination with other actors with social responsibility in the city and we positioned the actors for these strategic objectives; and finally, c) we evaluated the convergences and divergences and the possible involvement of actors in achieving the objectives of this strategic plan of social intervention. The main findings of this study relate to the existence of a large convergence of actors towards the objectives of social intervention plan set by the local authority for the city, taking into account their participation and assistance in the preparation and implementation of the social context of the project, being identified as main obstacle to implementing the scarcity of financial resources, and the challenge of implementing more importantly, cooperation between the municipality and the other social partners in revealing municipality of congregation of efforts leading to the development of more appropriate social intervention strategy to the needs of territory.

Intercâmbio de experiências e levantamento de demandas ergonômicas em unidades de beneficiamento de frutos do cerrado, mandioca e café em comunidades do Norte de Minas Gerais.

Este relato descreve a experiência realizada por meio de uma parceria entre o Projeto Rio Pardo, da Embrapa Cerrados e a Escola Politécnica/USP, visando inserir a questão do trabalho agrícola familiar nas ações desenvolvidas junto aos agricultores de três comunidades de Rio Pardo de Minas/MG, produtoras de frutos do cerrado, goma/farinha de mandioca e café sombreado. O objetivo foi levantar possíveis demandas ergonômicas existentes nestas unidades de produção, que estão implantando agroindústrias familiares para realizar o beneficiamento da produção. As demandas relacionam-se a problemas com a produção, a organização do trabalho e a saúde dos trabalhadores. Percebe-se a coexistência do saber tradicional, transmitido entre gerações, com a inovação em termos de maquinário e instalações. Há diversos arranjos produtivos presentes, fruto da criatividade e sabedoria aplicada dos agricultores. Estas inovações podem ser o embrião de projetos futuros de novos maquinários e arranjos produtivos. Trata-se de fazer comunicar dois saberes, dos projetistas e dos usuários, contribuindo para que estes últimos possam ser empoderados no papel de criadores de inovações, contribuindo para a incorporação de aspectos ergonômicos na evolução dos equipamentos e instalações. Abstract: This report describes the experience carried out through a partnership between Project ? Rio Pardo ?, Embrapa Cerrados/DF and the Polytechnic School of USP, in order to put the issue of family farm labor in the actions developed by farmers in three communities of Rio Pardo de Minas, north of Minas Gerais. The main products are fruits of the cerrado, cassava starch and manioc flour and shaded coffee. The initial goal was to raise possible these existing ergonomic demands of family farming units, which are in the process of implementation of family agri-industries to undertake the processing and beneficiation production. The ergonomic demands are related to production problems with the organization of work and the health of farm workers. In preliminary analyzes, it was possible to perceive the coexistence of traditional knowledge transmitted between generations, with innovation in terms of machinery and facilities. There are several productive arrangements, result of creativity and knowledge of farmers. These innovations, developed by who performs the work, may be the starting point for future designs of new machinery and productive arrangements. It could demonstrated the importance of communication between two knowledge, from the designers and from the users (farmers), contributing to the latter to be empowered in their role as creators of innovation and contributing to the incorporation of ergonomic aspects in the context of setting up their equipment.

PROBLEMAS NORMATIVO-OPERATIVOS EN LA PRESTACIÓN EFECTIVA DE LOS DERECHOS ECONÓMICOS, SOCIALES Y CULTURALES COMO DERECHOS HUMANOS BÁSICOS

ResumenEl presente artículo pretende establecer al menos, cuatro problemáticas que inciden o afectan la plenitud de  los derechos  económicos,  sociales  y  culturales  como derechos humanos de disfrute general. Las problemáticas por analizar consisten en la implementación; derecho mínimo exigible; justiciabilidad y decisiones políticas de los Estados, y en consecuencia en cada una de estas variables se examinará en que medida inciden en el desarrollo pleno de los citados derechos.  Se establece como idea central del ensayo, que tales derechos presentan problemas que empiezan desde su limitada concepción normativa (art. 2 Pacto Internacional Derechos Económicos, Sociales y Culturales), hasta los factores cotidianos que igualmente limitan su alcance extensivo.  Palabras clave:libertad, igualdad, derechos económicos, sociales y culturales, prestaciones sociales, problemáticas de los derechos, recursos materiales, ajuste estructural, Estado, progresividad, garantía y reconocimiento de los derechos.AbstractThis article seeks to establish at least four issues that impact or affect the fulfllment of economic, social and cultural human rights of general enjoyment. The issues to be analyzed consist of implementation; minimum rights,  justiciability and political decisions of states, and therefore each of these variables will be examined to what extent affect the full development of those rights. Is established as the central idea of the trial, that these rights have problems starting from its conception limited legislation (art. 2 International Covenant on Economic, Social and Cultural Rights), to the everyday factors that also limit their scope extended.Keywords: freedom, equality, economic, social and cultural rights, social, benefts rights issues, structural adjustment, state, minimum rights, conceptions of freedom applied, state responsibility, escalation of rights and recognition, guarantee rights.

Lost in translation : euro-compatibility, legal security, and the autonomous implementation of EU law in Switzerland

This article presents the legislative and judicial practice relating to the "autonomous implementation" of EU law in Switzerland. Given that "euro-compatibility" is the central consideration behind this legislative policy, one would expect Swiss authorities to have devised legislative and hermeneutical techniques guaranteeing high fidelity to EU "mother law". That is not the case, however, and as this article shows much is lost in the translation from EU to Swiss Law

Design of high fidelity building energy monitoring system

Building energy meter network, based on per-appliance monitoring system, willbe an important part of the Advanced Metering Infrastructure. Two key issues exist for designing such networks. One is the network structure to be used. The other is the implementation of the network structure on a large amount of small low power devices, and the maintenance of high quality communication when the devices have electric connection with high voltage AC line. The recent advancement of low-power wireless communication makes itself the right candidate for house and building energy network. Among all kinds of wireless solutions, the low speed but highly reliable 802.15.4 radio has been chosen in this design. While many network-layer solutions have been provided on top of 802.15.4, an IPv6 based method is used in this design. 6LOWPAN is the particular protocol which adapts IP on low power personal network radio. In order to extend the network into building area without, a specific network layer routing mechanism-RPL, is included in this design. The fundamental unit of the building energy monitoring system is a smart wall plug. It is consisted of an electricity energy meter, a RF communication module and a low power CPU. The real challenge for designing such a device is its network firmware. In this design, IPv6 is implemented through Contiki operation system. Customize hardware driver and meter application program have been developed on top of the Contiki OS. Some experiments have been done, in order to prove the network ability of this system.

Diffusion and implementation of a tobacco prevention program: A replication study

Tobacco use is a major health hazard, and the onset of tobacco use occurs almost entirely in the teenage years. For this reason, schools are an ideal site for tobacco prevention programs. Although studies have shown that effective school-based tobacco prevention programs exist, all too frequently these programs are not used. In order for effective programs to achieve their potential impact, strategies for speeding the diffusion of these programs to school districts and seeing that, once adopted, programs are implemented as they are intended, must be developed and tested.^ This study (SC2) set out to replicate the findings of an earlier quasi-experimental study (The Smart Choices Diffusion Study, or SC1) in which strategies based on diffusion theory and social learning theory were found to be effective in encouraging adoption and implementation of an effective tobacco prevention program in schools. To increase awareness and encourage adoption, intervention strategies in both studies utilized opinion leaders, messages highlighting positive aspects of the program, and modeling of benefits and effective use through videotape and newsletters. To encourage accurate implementation of the curriculum, teacher training for the two studies utilized videotaped modeling and practice of activities by teachers. SC2 subjects were 38 school districts that make up one of Texas' 20 education service regions. These districts had served as the comparison group in SC1, and findings for the SC1 comparison and intervention groups were utilized as historic controls.^ SC2 achieved a 76.3% adoption rate and found that an average of 84% of the curriculum was taught with an 82% fidelity to methods utilized by the curriculum. These rates and rates for implementation of dissemination strategies were equal to or greater than corresponding rates for SC1. The proportion of teachers implementing the curriculum in SC2 was found to be equal to SC1's video-trained districts but lower than the SC1 workshop-trained group.^ SC2's findings corroborate and support the findings from the earlier study, and increase our confidence in its findings. Taken together, the findings from SC2 and SC1 point to the effectiveness of their theory-based intervention strategies in encouraging adoption and accurate implementation of the tobacco prevention curriculum. ^

Rasch analysis of the routines-based interview implementation checklist

The Routines-Based Interview (RBI) is useful for developing functional outcomes/goals, for establishing strong relationships with families, and for assessing the family’s true needs. In this study, the authors investigated the psychometric properties of the RBI Implementation Checklist, conducted by 120 early intervention professionals, specifically looking at the probability of correct responses on the items as a logistic function of the difference between the person and the item parameters.We selected Rasch analysis (Rasch, 1980) for this study so we could answer questions about both how themeasure performed and how the interviewers performed and we related these performances to one another. Results indicate that scores on the RBI Implementation Checklist were reliable. The checklist could possibly benefit from more difficult items to measure the true performance of the few people who had scores higher than the most difficult items and also from additional items that focus on the family.

[strategies For Integration Of Health Care Practices And Sanitary Surveillance In The Context Of The Implementation Of Rede Cegonha - A Brazilian Mother And Infant Health Care Network].

Mother and infant mortality has been the scope of analysis throughout the history of public health in Brazil and various strategies to tackle the issue have been proposed to date. The Ministry of Health has been working on this and the Rede Cegonha strategy is the most recent policy in this context. Given the principle of comprehensive health care and the structure of the Unified Health System in care networks, it is necessary to ensure the integration of health care practices, among which are the sanitary surveillance actions (SSA). Considering that the integration of health care practices and SSA can contribute to reduce mother and infant mortality rates, this article is a result of qualitative research that analyzed the integration of these actions in four cities in the State of São Paulo/Brazil: Campinas, Indaiatuba, Jaguariúna and Santa Bárbara D'Oeste. The research was conducted through interviews with SSA and maternal health managers, and the data were evaluated using thematic analysis. The results converge with other studies, identifying the isolation of health care practices and SSA. The insertion of SSA in collectively-managed areas appears to be a potential strategy for health planning and implementation of actions in the context under scrutiny.