935 resultados para structured-pragmaticsituational (SPS) approach
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This thesis describes modelling tools and methods suited for complex systems (systems that typically are represented by a plurality of models). The basic idea is that all models representing the system should be linked by well-defined model operations in order to build a structured repository of information, a hierarchy of models. The port-Hamiltonian framework is a good candidate to solve this kind of problems as it supports the most important model operations natively. The thesis in particular addresses the problem of integrating distributed parameter systems in a model hierarchy, and shows two possible mechanisms to do that: a finite-element discretization in port-Hamiltonian form, and a structure-preserving model order reduction for discretized models obtainable from commercial finite-element packages.
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Il Medio Oriente è una regione in cui le scarse risorse idriche giocano un ruolo fondamentale nei rapporti e nelle relazioni tra gli Stati. Soprattutto nell'area di Israele, Palestina e Giordania la natura transfrontaliera delle fonti idriche condivise è considerata da qualche ricercatore come un catalizzatore del più ampio conflitto arabo-israeliano. Altri studiosi, tuttavia, vedono nella cooperazione regionale sulle risorse idriche un potenziale cammino verso una pace duratura veicolata dalla natura interdipendente delle fonti idriche comuni a più territori. Dato che l'acqua è l'elemento che per molti aspetti contribuisce allo sviluppo sociale ed economico e dato che le fonti idriche sotterranee e di superficie non conoscono confini e si muovono liberamente nel territorio, la cooperazione tra gli Stati rivieraschi delle risorse idriche dovrebbe arrivare a prevalere sul conflitto. Unica nel suo genere, l'ong trilaterale israelo-palestinese giordana Friends of the Earth Middle East, FoEME, ha fatto proprio tale auspicio e dal 1994 punta a sviluppare progetti di cooperazione per la salvaguardia del patrimonio naturale dell'area del bacino del fiume Giordano e del Mar Morto. Attraverso l'esperienza del Progetto Good Water Neighbors, GWN, avviato nel 2002, sta lavorando ad una serie di iniziative nel campo dell'environmental awareness e del social empowerment a favore di comunità israeliane, palestinesi e giordane transfrontaliere che condividono risorse idriche sotterranee o di superficie. Operando inizialmente a livello locale per identificare i problemi idrico-ambientali di ogni comunità selezionata e lavorare con i cittadini (ragazzi, famiglie e amministratori municipali) per migliorare la conoscenza idrica locale attraverso attività di educazione ambientale, di water awareness e piani di sviluppo urbano eco-compatibile, il Progetto GWN ha facilitato a livello transfrontaliero i rapporti tra le comunità confinanti abbattendo la barriera di sfiducia e sospetto che normalmente impedisce relazioni pacifiche, ha coadiuvato l'analisi dei problemi idrici comuni cercando di risolverli attraverso uno sforzo programmatico condiviso e sostenibile, per giungere infine a livello regionale ad incoraggiare la gestione idrica comune attraverso lo scambio di informazioni, il dialogo e lo sforzo/impegno cooperativo congiunto tra gli attori parte del GWN al fine di incentivare la pace attraverso l'interesse comune della tutela delle fonti idriche condivise. Gli approcci di local development e participation, le azioni di confidence building e il peacebuilding attraverso la tutela ambientale applicati con il metodo di bottom up all'interno di un contesto non pacificato come quello del conflitto arabo-israeliano, fanno del Progetto GWN un esperimento innovativo e originale. Le comunità israeliane, palestinesi e giordane selezionate hanno imparato a migliorare le proprie condizioni idrico-ambiennali cooperando assieme e sfruttando l'interdipendenza dalle fonti idriche condivise, avviando nel contempo rapporti pacifici con società sempre considerate nemiche. La sfida è stata quella di far comprendere le potenzialità di una cooperazione locale, in vista di un coordinamento regionale e di uno sforzo comune in grado di generare un beneficio collettivo. La lezione appresa finora durante questi primi sette anni di Progetto è stata quella di capire che non è necessario attendere la fine del conflitto per poter essere di aiuto alle proprie comunità o per un benessere personale, ma si può agire subito, anche nel pieno dell'Intifada al-Aqsa e con i coprifuoco.
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Significant interest in nanotechnology, is stimulated by the fact that materials exhibit qualitative changes of properties when their dimensions approach ”finite-sizes”. Quantization of electronic, optical and acoustic energies at the nanoscale provides novel functions, with interests spanning from electronics and photonics to biology. The present dissertation involves the application of Brillouin light scattering (BLS) to quantify and utilize material displacementsrnfor probing phononics and elastic properties of structured systems with dimensions comparable to the wavelength of visible light. The interplay of wave propagation with materials exhibiting spatial inhomogeneities at sub-micron length scales provides information not only about elastic properties but also about structural organization at those length scales. In addition the vector nature of q allows, for addressing the directional dependence of thermomechanical properties. To meet this goal, one-dimensional confined nanostructures and a biological system possessing high hierarchical organization were investigated. These applications extend the capabilities of BLS from a characterization tool for thin films to a method for unravelingrnintriguing phononic properties in more complex systems.
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La tesi tematizza come proprio oggetto di indagine i percorsi di partecipazione politica e civica dei giovani nei contesti di transizione alla vita adulta, concentrandosi sull’influenza delle relazioni tra generazioni su tali espressioni di coinvolgimento. L’approfondimento empirico consiste in una ricerca qualitativa condotta presso il quartiere Navile di Bologna nel 2012. Basandosi sull’approccio metodologico della grounded theory, essa ha coinvolto un campione di giovani e un campione di adulti per loro significativi attraverso interviste semistrutturate. Dall’analisi emerge una rilevante disaffezione giovanile nei confronti della politica che, tuttavia, non traduce in un rifiuto del coinvolgimento, ma in una “partecipazione con riserva” espressa attraverso atteggiamenti tutt’altro che passivi nei confronti della politica formale - basati sulla logica della riforma, della resistenza o della ribellione - e mediante un forte investimento in attività partecipative non convenzionali (associazionismo e coinvolgimento). A fare da sfondo all’interesse partecipativo dei giovani si colloca una lettura negativa della propria condizione presente ed un conseguente conflitto intergenerazionale piuttosto manifesto, che si riflette sulle stesse modalità di attivazione. La politica, nelle sue espressioni più strettamente formali, viene interpretata come un ‘territorio adulto’, gestito secondo logiche che lasciano poco spazio ai giovani i quali, per tale ragione, scelgono di attivarsi secondo modalità alternative in cui il confronto con l’altro, quando presente, avviene prevalentemente tra pari o su basi avvertite come più paritarie. Il distanziamento dei giovani dalla politica formale riflette quindi una parallela presa di distanza dagli adulti, i quali risultano smarriti nello svolgimento delle loro funzioni di modello e di riconoscimento. La loro ambivalenza rispetto ai giovani - ossia il continuo oscillare tra il profondo pessimismo e il cieco ottimismo, tra la guida direttiva e la deresponsabilizzazione - si traduce in un riconoscimento parziale delle reali potenzialità ed esigenze dei giovani come cittadini ed adulti emergenti.
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Il presente lavoro intende analizzare il tema del turista lento che nell’ultimo decennio si è diffuso nel dibattito scientifico e culturale connesso al tema della sostenibilità e della qualità della vita e nel contesto dell’approccio teorico strutturato intorno alle nuove tendenze dello Slow Tourism. In una prima parte la tesi delinea il framework della sostenibilità con particolare attenzione al recente dibattito in corso sulla “decrescita” e l’“a-crescita” come concetti alternativi al paradigma della crescita. Successivamente viene evidenziato il modo in cui le idee di base ed i principi dello sviluppo sostenibile sono stati applicati al turismo e indagato il legame tra sostenibilità e responsabilità e come questo configura l’emergere di un turismo “responsustable”. In tale contesto viene analizzata la relazione tra turismo e lentezza in cui a filosofia slow non deve essere interpretata come un fenomeno del momento o un innovativo prodotto turistico, ma come una filosofia di vita, un movimento sociale e globale che negli ultimi anni ha caratterizzato i diversi ambiti socio-economici delle comunità locali. Successivamente attraverso una review della letteratura nazionale ed internazionale sul tema, la pluralità di prospettive teoriche vengono sistematizzate in tre ipotesi di lettura riconducibili a tre paradigmi: sostenibilità- slow tourism- territorio; benessere – slow tourism – qualità della vita; esperienza – slow tourism – consumo. Nella seconda parte del lavoro viene presentata l’indagine empirica a partire dall’analisi di contesto del territorio in cui si è svolta l’attività di ricerca, i nove comuni del Comprensorio Turistico della Valnerina in Umbria, con particolare riferimento all’analisi dell’offerta e della domanda turistica. Successivamente sono presentati i risultati di un questionario somministrato a 620 turisti attraverso il quale viene analizzato il profilo motivazionale, le esperienze di fruizione turistica e la percezione della qualità territoriale da parte del turista e delineato il profilo del turista slow in Valnerina.
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Structured cardiac rehabilitation goes back to the late 1960s also in Switzerland and in the beginning was only available in rehabilitation clinics. In 1972 the first ambulatory rehabilitation programs became available to patients in Zurich and Bern. In the following years, in addition to the increasing number of rehabilitation centers for inpatients, more and more ambulatory rehabilitation programs were developed, especially in the larger Midlands population area in German and French-speaking Switzerland. In 1985 the Swiss Working Group of Cardiac Rehabilitation (SAKR) was initiated as an official working group of the Swiss Society of Cardiology and one of its first tasks was to establish a list of the institutions for cardiac rehabilitation in Switzerland. At that time there were 42 rehabilitation programs for a population of approx. 6.5 million, 21 for inpatients and 21 ambulatory; however, 90% of the patients were in inpatient programs. In 1992 the SAKR group defined the quality criteria which were to be applied for official recognition of institutions for cardiac rehabilitation in Switzerland. Due to these criteria, plus the fact that an increasing number of rehabilitation clinics in the mountains had been closed down, the number of inpatient rehabilitation centers decreased from 21 to 11 between 1989 and 2011, whereas the number of ambulatory programs increased from 21 to 51. The ambulatory rehabilitation centers are partially organized by local medical groups; however, most have integrated their activities into the local hospitals. The trend shows a developing preference for ambulatory rehabilitation. More and more elderly, polymorbid patients, however, will still need care in inpatient programs.
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Higher education has a responsibility to educate a democratic citizenry and recent research indicates civic engagement is on the decline in the United States. Through a mixed methodological approach, I demonstrate that the potential exists for well structured short-term international service-learning programming to develop college students’ civic identities. Quantitative analysis of questionnaire data, collected from American college students immediately prior to their participation in a short-term service-learning experience in Northern Ireland and again upon their return to the United States, revealed increases in civic accountability, political efficacy, justice oriented citizenship, and service-learning. Subsequent qualitative analysis of interview transcripts, student journals, and field notes suggested that facilitated critical reflection before, during, and after the experience promoted transformational learning. Emergent themes included: (a) responsibilities to others, (b) the value of international service-learning, (c) crosspollination of ideas, (d) stepping outside the daily routine to facilitate divergent thinking, and (e) the necessity of precursory thinking for sustaining transformations in thinking. The first theme, responsibilities to others, was further divided into subthemes of thinking beyond oneself, raising awareness of responsibility to others, and voting responsibly.
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BACKGROUND Currently only a few reports exist on how to prepare medical students for skills laboratory training. We investigated how students and tutors perceive a blended learning approach using virtual patients (VPs) as preparation for skills training. METHODS Fifth-year medical students (N=617) were invited to voluntarily participate in a paediatric skills laboratory with four specially designed VPs as preparation. The cases focused on procedures in the laboratory using interactive questions, static and interactive images, and video clips. All students were asked to assess the VP design. After participating in the skills laboratory 310 of the 617 students were additionally asked to assess the blended learning approach through established questionnaires. Tutors' perceptions (N=9) were assessed by semi-structured interviews. RESULTS From the 617 students 1,459 VP design questionnaires were returned (59.1%). Of the 310 students 213 chose to participate in the skills laboratory; 179 blended learning questionnaires were returned (84.0%). Students provided high overall acceptance ratings of the VP design and blended learning approach. By using VPs as preparation, skills laboratory time was felt to be used more effectively. Tutors perceived students as being well prepared for the skills laboratory with efficient uses of time. CONCLUSION The overall acceptance of the blended learning approach was high among students and tutors. VPs proved to be a convenient cognitive preparation tool for skills training.
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Introduction To meet the quality standards for high-stakes OSCEs, it is necessary to ensure high quality standardized performance of the SPs involved.[1] One of the ways this can be assured is through the assessment of the quality of SPs` performance in training and during the assessment. There is some literature concerning validated instruments that have been used to assess SP performance in formative contexts but very little related to high stakes contexts.[2], [3], [4]. Content and structure During this workshop different approaches to quality control for SPs` performance, developed in medicine, pharmacy and nursing OSCEs, will be introduced. Participants will have the opportunity to use these approaches in simulated interactions. Advantages and disadvantages of these approaches will be discussed. Anticipated outcomes By the end of this session, participants will be able to discuss the rationale for quality control of SPs` performance in high stakes OSCEs, outline key factors in creating strategies for quality control, identify various strategies for assuring quality control, and reflect on applications to their own practice. Who should attend The workshop is designed for those interested in quality assurance of SP performance in high stakes OSCEs. Level All levels are welcome. References Adamo G. 2003. Simulated and standardized patients in OSCEs: achievements and challenges:1992-2003. Med Teach. 25(3), 262- 270. Wind LA, Van Dalen J, Muijtjens AM, Rethans JJ. Assessing simulated patients in an educational setting: the MaSP (Maastricht Assessment of Simulated Patients). Med Educ 2004, 38(1):39-44. Bouter S, van Weel-Baumgarten E, Bolhuis S. Construction and validation of the Nijmegen Evaluation of the Simulated Patient (NESP): Assessing Simulated Patients' ability to role-play and provide feedback to students. Acad Med: Journal of the Association of American Medical Colleges 2012. May W, Fisher D, Souder D: Development of an instrument to measure the quality of standardized/simulated patient verbal feedback. Med Educ 2012, 2(1).
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Introduction Since the quality of patient portrayal of standardized patients (SPs) during an Objective Structured Clinical Exam (OSCE) has a major impact on the reliability and validity of the exam, quality control should be initiated. Literature about quality control of SPs’ performance focuses on feedback [1, 2] or completion of checklists [3, 4]. Since we did not find a published instrument meeting our needs for the assessment of patient portrayal, we developed such an instrument after being inspired by others [5] and used it in our high-stakes exam. Project description SP trainers from five medical faculties collected and prioritized quality criteria for patient portrayal. Items were revised twice, based on experiences during OSCEs. The final instrument contains 14 criteria for acting (i.e. adequate verbal and non-verbal expression) and standardization (i.e. verbatim delivery of the first sentence). All partners used the instrument during a high-stakes OSCE. SPs and trainers were introduced to the instrument. The tool was used in training (more than 100 observations) and during the exam (more than 250 observations). Outcome High quality of SPs’ patient portrayal during the exam was documented. More than 90% of SP performances were rated to be completely correct or sufficient. An increase in quality of performance between training and exam was noted. For example, the rate of completely correct reaction in medical tests increased from 88% to 95%. Together with 4% of sufficient performances these 95% add up to 99% of the reactions in medical tests meeting the standards of the exam. SP educators using the instrument reported an augmentation of SPs’ performance induced by the use of the instrument. Disadvantages mentioned were the high concentration needed to observe all criteria and the cumbersome handling of the paper-based forms. Discussion We were able to document a very high quality of SP performance in our exam. The data also indicates that our training is effective. We believe that the high concentration needed using the instrument is well invested, considering the observed enhancement of performance. The development of an iPad-based application for the form is planned to address the cumbersome handling of the paper.
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Uruguay has some of the strictest tobacco-control laws in Latin America. Despite this, youth smoking rates in Uruguay are amongst the highest in South America. Thus, it is important to identify strategies to prevent youth smoking in Uruguay. The current qualitative research study sought to identify intrapersonal and socioenvironmental factors that are associated with smoking among middle school youth in Uruguay. It also sought to develop potential prevention strategies and media messages that would resonate with youth for a social media campaign. The study was grounded in social cognitive theory and the theory of reasoned action/planned behavior, among other behavioral science theories; anthropological perspectives were also considered. To achieve these goals, 29 group and individual structured interviews were conducted in two private middle schools catering to lower and higher SES youth in Montevideo, Uruguay during the summer of 2012. One hundred and three study participants, including students, parents, and teachers, were interviewed. The structured interviews were recorded, transcribed, translated, back translated, coded and analyzed. The study findings show that positive attitudes towards smoking (i.e. to be seen, to increase status, to ensure women's equality, to looking old, and to service as a rite of passage), delinquent behavior (i.e. transgression/deviant behavior), social norms that support smoking (i.e. peer pressure and modeling, group membership/sense of belonging, parental modeling, and family support), easy access and availability to tobacco (i.e. retails stores) were factors associated with youth smoking. Potential protective factors may include parental support, negative attitudes towards smoking, sports/music, and smoke-free environments. Because study participants are accustomed to government-sponsored strong countermarketing graphic imaging, study participants selected even stronger images and messages as the preferred way to receive tobacco prevention messages. Something Real ("Algo Real") was a theme that resonated with the participants and chosen as the name for the proposed campaign. This campaign was designed as a multiple component intervention that included mass, school base, and family based strategies to prevent tobacco use. Some intervention materials specific to these intervention components were developed to target relevant intrapersonal and socioenvironmental factors identified above. These materials will be tested in future pilot studies and larger scale evaluation with this population, outside the scope of this dissertation. ^
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The purpose of this work is to propose a structure for simulating power systems using behavioral models of nonlinear DC to DC converters implemented through a look-up table of gains. This structure is specially designed for converters whose output impedance depends on the load current level, e.g. quasi-resonant converters. The proposed model is a generic one whose parameters can be obtained by direct measuring the transient response at different operating points. It also includes optional functionalities for modeling converters with current limitation and current sharing in paralleling characteristics. The pusposed structured also allows including aditional characteristics of the DC to DC converter as the efficency as a function of the input voltage and the output current or overvoltage and undervoltage protections. In addition, this proposed model is valid for overdamped and underdamped situations.
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La mayor parte de los entornos diseñados por el hombre presentan características geométricas específicas. En ellos es frecuente encontrar formas poligonales, rectangulares, circulares . . . con una serie de relaciones típicas entre distintos elementos del entorno. Introducir este tipo de conocimiento en el proceso de construcción de mapas de un robot móvil puede mejorar notablemente la calidad y la precisión de los mapas resultantes. También puede hacerlos más útiles de cara a un razonamiento de más alto nivel. Cuando la construcción de mapas se formula en un marco probabilístico Bayesiano, una especificación completa del problema requiere considerar cierta información a priori sobre el tipo de entorno. El conocimiento previo puede aplicarse de varias maneras, en esta tesis se presentan dos marcos diferentes: uno basado en el uso de primitivas geométricas y otro que emplea un método de representación cercano al espacio de las medidas brutas. Un enfoque basado en características geométricas supone implícitamente imponer un cierto modelo a priori para el entorno. En este sentido, el desarrollo de una solución al problema SLAM mediante la optimización de un grafo de características geométricas constituye un primer paso hacia nuevos métodos de construcción de mapas en entornos estructurados. En el primero de los dos marcos propuestos, el sistema deduce la información a priori a aplicar en cada caso en base a una extensa colección de posibles modelos geométricos genéricos, siguiendo un método de Maximización de la Esperanza para hallar la estructura y el mapa más probables. La representación de la estructura del entorno se basa en un enfoque jerárquico, con diferentes niveles de abstracción para los distintos elementos geométricos que puedan describirlo. Se llevaron a cabo diversos experimentos para mostrar la versatilidad y el buen funcionamiento del método propuesto. En el segundo marco, el usuario puede definir diferentes modelos de estructura para el entorno mediante grupos de restricciones y energías locales entre puntos vecinos de un conjunto de datos del mismo. El grupo de restricciones que se aplica a cada grupo de puntos depende de la topología, que es inferida por el propio sistema. De este modo, se pueden incorporar nuevos modelos genéricos de estructura para el entorno con gran flexibilidad y facilidad. Se realizaron distintos experimentos para demostrar la flexibilidad y los buenos resultados del enfoque propuesto. Abstract Most human designed environments present specific geometrical characteristics. In them, it is easy to find polygonal, rectangular and circular shapes, with a series of typical relations between different elements of the environment. Introducing this kind of knowledge in the mapping process of mobile robots can notably improve the quality and accuracy of the resulting maps. It can also make them more suitable for higher level reasoning applications. When mapping is formulated in a Bayesian probabilistic framework, a complete specification of the problem requires considering a prior for the environment. The prior over the structure of the environment can be applied in several ways; this dissertation presents two different frameworks, one using a feature based approach and another one employing a dense representation close to the measurements space. A feature based approach implicitly imposes a prior for the environment. In this sense, feature based graph SLAM was a first step towards a new mapping solution for structured scenarios. In the first framework, the prior is inferred by the system from a wide collection of feature based priors, following an Expectation-Maximization approach to obtain the most probable structure and the most probable map. The representation of the structure of the environment is based on a hierarchical model with different levels of abstraction for the geometrical elements describing it. Various experiments were conducted to show the versatility and the good performance of the proposed method. In the second framework, different priors can be defined by the user as sets of local constraints and energies for consecutive points in a range scan from a given environment. The set of constraints applied to each group of points depends on the topology, which is inferred by the system. This way, flexible and generic priors can be incorporated very easily. Several tests were carried out to demonstrate the flexibility and the good results of the proposed approach.
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An (independent samples comparison) controlled study was conducted to assess the efficacy of a novel approach to social skills training for children in a local socialization group at Knippenberg, Patterson & Associates (KPA). The treatment condition involved the combination of a Structured Story (i.e., novel bibliotherapy technique for children with social skills deficits), and a behavioral rehearsal (or role-play) segment, where the children practiced the target social skill featured in the Structure Story. The control group did not receive the Structured Story nor the behavioral rehearsal. Children in both groups engaged in ten-minutes of free play that was videorecorded for later observation and scoring by the principal investigator. Two target behaviors were assessed; asking a friend to play, and duration of joint play between two or more peers. The results did not show significant differences for either target variable between the group that received the novel intervention and the control group. Limitations of the current study and implications for further research are discussed.
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Comunicación presentada en las XVI Jornadas de Ingeniería del Software y Bases de Datos, JISBD 2011, A Coruña, 5-7 septiembre 2011.