La clinique externe : comment peut-elle prétendre aux rôles de porte d’entrée et de plaque tournante?

Cet article présente un survol du plan de transformation des services adopté en 1998 à l'Hôpital Louis-H. Lafontaine. Les auteurs présentent l'historique, les principes et les modèles, le rôle joué par les cliniques externes ainsi que les défis à relever par tous, collègues et partenaires, pour mener à bien cet immense projet.This article presents an overview of the plan of transformation of services adopted in 1998 at Louis-H. Lafontaine Hospital. The authors present the history, principles and models, the role played by outpatients clinics as well as the challenges related to the implementation of this new plan.Este articulo presenta un sobrevuelo del plan de transformación de servicios adoptado en 1998 por el hospital Louis-H Lafontaine. Los autores presentan el histórico, los principios y los modelos. El papel desempeñado por las clínicas externas, como también los desafíos que se presentan a todos, colegas y aliados, para llevar a cabo y bien, este gran proyecto

The Fight against Cybercrime in Cameroon

With the on-going Anglophone crisis in the two English-speaking regions of Cameroon, individuals, businesses and the government are increasingly becoming at risk of being targeted by cyber criminals. Amid this challenge, Cameroon has enacted a law relating to Cyber Security and Cyber Criminality (hereinafter referred to as the Cyber law) and trained personels to fight cybercrime. In spite of these measures, cybercrime is still rampant and the question is why? This contribution therefore examines the measures put in place to combat cybercrime with the aim of showing that the measures are inadequate. Also, the contribution explains why cybercrime is prevalent in Cameroon and concludes with measures to prevent and minimise the impacts of cybercrime (recommendations). This paper aims to raise awareness and improve knowledge of data protection rules, especially among investigating officers, students, specialists and non-specialist legal practitioners who have to deal with data protection issues in their work

Formation and evolution of interstellar filaments; Hints from velocity dispersion measurements

We investigate the gas velocity dispersions of a sample of filaments recently detected as part of the Herschel Gould Belt Survey in the IC5146, Aquila, and Polaris interstellar clouds. To measure these velocity dispersions, we use 13CO, C18O, and N2H+ line observations obtained with the IRAM 30m telescope. Correlating our velocity dispersion measurements with the filament column densities derived from Herschel data, we show that interstellar filaments can be divided into two regimes: thermally subcritical filaments, which have transonic velocity dispersions (c_s ~< \sigma_tot < 2 c_s) independent of column density, and are gravitationally unbound; and thermally supercritical filaments, which have higher velocity dispersions scaling roughly as the square root of column density (\sigma_tot ~ \Sigma^0.5), and are self-gravitating. The higher velocity dispersions of supercritical filaments may not directly arise from supersonic interstellar turbulence but may be driven by gravitational contraction/accretion. Based on our observational results, we propose an evolutionary scenario whereby supercritical filaments undergo gravitational contraction and increase in mass per unit length through accretion of background material while remaining in rough virial balance. We further suggest that this accretion process allows supercritical filaments to keep their approximately constant inner widths (~ 0.1 pc) while contracting.Comment: 16 pages, 8 figures, 1 table, 1 appendix. Accepted for publication in Astronomy and Astrophysic

Shaping gender inequalities: critical moments and critical places

Purpose – There is much scientific interest in the connection between the emergence of gender-based inequalities and key biographical transition points of couples in long-term relationships. Little empirical research is available comparing the evolution of a couple’s respective professional careers over space and time. The purpose of this paper is to contribute to filling this gap by addressing the following questions: what are the critical biographical moments when gender (in)equalities within a relationship begin to arise and consolidate? Which biographical decisions precede and follow such critical moments? How does decision making at critical moments impact the opportunities of both relationship partners in gaining equal access to paid employment? Design/methodology/approach – These questions are addressed from the perspectives of intersectionality and economic citizenship. Biographical interviewing is used to collect the personal and professional narratives of Swiss-, bi-national and migrant couples. The case study of a Swiss-Norwegian couple illustrates typical processes by which many skilled migrant women end up absently or precariously employed. Findings – Analysis reveals that the Scandinavian woman’s migration to Switzerland is a primary and critical moment for emerging inequality, which is then reinforced by relocation (to a small town characterized by conservative gender values) and the subsequent births of their children. It is concluded that factors of traditional gender roles, ethnicity and age intersect to create a hierarchical situation which affords the male Swiss partner more weight in terms of decision making and career advancement. Practical implications – The paper’s findings are highly relevant to the formulation of policies regarding gender inequalities and the implementation of preventive programmes within this context. Originality/value – Little empirical research is available comparing the evolution of a couple’s respective professional careers over space and time. The originality of this paper is to fill this research gap; to include migration as a critical moment for gender inequalities; to use an intersectional and geographical perspective that have been given scant attention in the literature; to use the original concept of economic citizenship; and to examine the case of a bi-national couple, which has so far not been examined by the literature on couple relationships

Adsorber Particles with Magnetically‐Supported Improved Electrochemical Conversion Behavior for Waste Water Treatment Processes

Micron‐sized supraparticles, consisting of a plurality of discrete nano‐ and microscale functional units, are assembled and fused by means of a droplet extrusion process. By combining nano magnetite, activated carbon, and conductive carbon with a polymeric binder matrix, particles are obtained which unite good magnetic properties, electrical conductivity, and adsorber activity through the high accessible surface area of the incorporated activated carbon of about 570 m2 g−1, thereby enabling a new approach toward sustainable water treatment processes. Due to the interplay of the components, it is possible to adsorb target substances, dissolved in the water which is demonstrated by the adsorption of the model dye methylene blue. A very fast adsorption kinetic and an adsorption capacity of about 400 mg g−1 is determined. By using the developed composite particles, it is also possible to electrochemically alter substances flowing through a magnetically‐stabilized fluidized‐bed reactor by electrochemically charging/discharging, significantly supported by the magnetic field enabling alternatingly optimum mobility/adsorption phases with contact/charging intervals. The electrochemical conversion can be increased up to 151% depending on the applied flow‐rate and electrical voltage. By applying an external magnetic field, a further increase of electrochemical conversion of up to 70% can be observed

Performances of Solid Oxide Cells with La0.97_{0.97}Ni0.5_{0.5}Co0.5_{0.5}O3−δ_{3-\delta} as Air-Electrodes

Based on previous studies of perovskites in the quasi-ternary system LaFeO$_{3}$–LaCoO$_{3}$–LaNiO$_{3}$, La$_{0.97}$Ni$_{0.5}$Co$_{0.5}$O$_{3}$ (LNC) is chosen as the most promising air-electrode material in the series for solid oxide cells (SOCs). The properties of the material itself have been investigated in detail. However, the evaluation of LNC97 air electrodes in practical SOCs is still at a very early stage. In the present study, SOCs were prepared based on LNC97 air electrodes. The I-U performance of the SOCs in both solid oxide fuel cell (SOFC) and solid oxide electrolysis cell (SOEC) modes, i.e. reversible SOCs (r-SOCs), was investigated systematically for different air-electrode designs, temperatures and fuel gases. In general, the performance of the r-SOCs tested in the present study is higher than the published results of other LaFeO$_{3}$–LaCoO$_{3}$–LaNiO$_{3}$-based SOCs and is comparable to or even better than state-of-the-art La$_{1-x}$Sr$_{x}$Fe$_{1-y}$Co$_{y}$O$_{3}$ (LSCF)-based SOCs. Mid-term operation of about 1000 h for SOCs in both SOFC and SOEC modes primarily proved the stability of LNC97-based air electrodes. Impedance spectra were systematically applied to understand the polarization processes of the SOCs

Propuesta para la implementación de un programa de voluntariado corporativo: Interbank

El presente trabajo busca desarrollar una propuesta de mejora organizacional basada en un modelo de voluntariado corporativo que surge ante la necesidad de Interbank por lograr un mayor compromiso y desarrollo en sus colaboradores y el interés de estos mismos por sentirse más satisfechos y con la capacidad de poder expandir su horizonte de competencias dentro de la organización. Desde la perspectiva de la organización existen iniciativas por incrementar el compromiso y el desarrollo de los colaboradores a partir de la inserción de mayores programas como parte de su estrategia. Interbank cuenta con actividades de tipo filantrópico caracterizadas por ser eventuales y con objetivos que son trazados para un horizonte temporal corto en la mayoría de los casos. No cuenta con un programa de voluntariado definido y estructurado a nivel corporativo como parte de su estrategia y por lo tanto no absorbe todos sus beneficios. Del lado de los colaboradores existe un interés por trabajar en organizaciones con políticas y procedimientos formales y que se caractericen por ser socialmente responsables. Reconocen que el VC, por encima de actividades recreativas o de asistencia social, refuerza el desarrollo de competencias y permite lograr mejores vínculos con la organización. Por tal motivo, el proyecto tiene como propósito alinear las iniciativas de la organización con los intereses de los colaboradores en el marco de una propuesta de mejora que se incluya como parte de la estrategia de Interbank y que tenga como objetivo reforzar tres principales aspectos: el compromiso con la organización, la satisfacción laboral y el desarrollo de competencias. Para desarrollar estos temas, se parte por explicar qué es el voluntariado corporativo, sus características, sus beneficios y qué tipos de voluntariado corporativo existen. Habiendo introducido el concepto, se procede a explicar la definición de los factores estudiados: satisfacción laboral, compromiso y el desarrollo de habilidades y competencias; y se dan a conocer las diferentes teorías relacionadas. Asimismo, se explora la perspectiva de las distintas partes involucradas, ya sean especialistas, colaboradores-voluntarios de organizaciones privadas y/o programas propios de Organizaciones No Gubernamentales. Finalmente, se aplica la metodología del Grupo de Afinidad en Voluntariado Corporativo para dimensionar los lineamientos más relevantes para el desarrollo de una propuesta de Voluntariado Corporativo para el Banco Internacional del Perú - Interbank.Tesi

Predicting reliable H2_2 column density maps from molecular line data using machine learning

The total mass estimate of molecular clouds suffers from the uncertainty in the H$_2$-CO conversion factor, the so-called $X_{\rm CO}$ factor, which is used to convert the $^{12}$CO (1--0) integrated intensity to the H$_2$ column density. We demonstrate the machine learning's ability to predict the H$_2$ column density from the $^{12}$CO, $^{13}$CO, and C$^{18}$O (1--0) data set of four star-forming molecular clouds; Orion A, Orion B, Aquila, and M17. When the training is performed on a subset of each cloud, the overall distribution of the predicted column density is consistent with that of the Herschel column density. The total column density predicted and observed is consistent within 10\%, suggesting that the machine learning prediction provides a reasonable total mass estimate of each cloud. However, the distribution of the column density for values $> \sim 2 \times 10^{22}$ cm$^{-2}$, which corresponds to the dense gas, could not be predicted well. This indicates that molecular line observations tracing the dense gas are required for the training. We also found a significant difference between the predicted and observed column density when we created the model after training the data on different clouds. This highlights the presence of different $X_{\rm CO}$ factors between the clouds, and further training in various clouds is required to correct for these variations. We also demonstrated that this method could predict the column density toward the area not observed by Herschel if the molecular line and column density maps are available for the small portion, and the molecular line data are available for the larger areas.Comment: Accepted for publication in MNRA

Synthesis, Characterization and Catalytic Evaluation of Cobalt and Niobium Oxide Solids Modified with Alkaline Earth Metals

Cobalt and niobium oxide solids modified with alkaline earth metals (Mg, Ca, and Sr) were synthesized and characterized to compare the second element effect on the catalyst structural and chemical properties. The materials were prepared by co-precipitation of cobalt nitrate and niobium oxalate solutions using ammonium hydroxide as precipitating agent. The samples were characterized by XRD, SEM, Ra-man, BET, TPR, ammonia TPD and cyclohexane dehydrogenation reaction (CHD). Results showed that Mg, Ca or Sr addition changed cobalt niobate crystalline structure, leading to alkaline earth metal nio-bates with lower crystallinity. It was observed that Mg, Ca or Sr increased the solids acidity and changed cobalt niobate reduction behavior so that the lowest amount of metallic cobalt was obtained when Mg was incorporated. Modifiers also decreased cobalt niobate dehydrogenation activity. This effect was higher with Mg or Sr addition.Keywords: cobalt niobate, alkaline earth metals; XRD; TPR; cyclohexane dehydrogenation