User's perspectives of barriers and facilitators to implementing quality colonoscopy services in Canada: a study protocol

<p>Abstract</p> <p>Background</p> <p>Colorectal cancer (CRC) represents a serious and growing health problem in Canada. Colonoscopy is used for screening and diagnosis of symptomatic or high CRC risk individuals. Although a number of countries are now implementing quality colonoscopy services, knowledge synthesis of barriers and facilitators perceived by healthcare professionals and patients during implementation has not been carried out. In addition, the perspectives of various stakeholders towards the implementation of quality colonoscopy services and the need of an efficient organisation of such services have been reported in the literature but have not been synthesised yet. The present study aims to produce a comprehensive synthesis of actual knowledge on the barriers and facilitators perceived by all stakeholders to the implementation of quality colonoscopy services in Canada.</p> <p>Methods</p> <p>First, we will conduct a comprehensive review of the scientific literature and other published documentation on the barriers and facilitators to implementing quality colonoscopy services. Standardised literature searches and data extraction methods will be used. The quality of the studies and their relevance to informing decisions on colonoscopy services implementation will be assessed. For each group of users identified, barriers and facilitators will be categorised and compiled using narrative synthesis and meta-analytical techniques. The principle factors identified for each group of users will then be validated for its applicability to various Canadian contexts using the Delphi study method. Following this study, a set of strategies will be identified to inform decision makers involved in the implementation of quality colonoscopy services across Canadian jurisdictions.</p> <p>Discussion</p> <p>This study will be the first to systematically summarise the barriers and facilitators to implementation of quality colonoscopy services perceived by different groups and to consider the local contexts in order to ensure the applicability of this knowledge to the particular realities of various Canadian jurisdictions. Linkages with strategic partners and decision makers in the realisation of this project will favour the utilisation of its results to support strategies for implementing quality colonoscopy services and CRC screening programs in the Canadian health system.</p

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En mathématiques, comment aller du jeu et de la manipulation vers l’abstraction ? Une étude comparée sur l’approche des nombres dans une classe de petite section et une classe d’IME

L’élève doit constamment passer de la réalité (manipulation) vers l’abstraction. D’abord au moment de l’apprentissage des nombres à l’école maternelle, puis lors des enseignements mathématiques plus complexe à l’école primaire. Il n’est pas toujours facile, en mathématiques, de proposer des situations alliant manipulation et abstraction. Le jeu serait-il l’idéal d’une activité alliant plaisir et apprentissage? Comment aller du jeu et de la manipulation vers l’abstraction ? Ce mémoire tente d’analyser la mise en oeuvre, d’une séquence d’apprentissage en mathématiques dans deux classes distinctes de petite section de maternelle : milieu ordinaire et institut médico éducatif

laboratoirePRiSM(Parallelisme,Reseaux,SystemesetModelisation)

Model . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 2.3.1 Naming Statement Instances . . . . . . . . . . . . . . . . . . . . . . . . . 66 2.3.2 Sequential Execution Order . . . . . . . . . . . . . . . . . . . . . . . . . . 70 2.3.3 Adressing Memory Locations . . . . . . . . . . . . . . . . . . . . . . . . . 71 2.3.4 Loop Nests and Arrays . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 2.4 Instancewise Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 2.4.1 Conflicting Accesses and Dependences . . . . . . . . . . . . . . . . . . . . 76 2.4.2 Reaching Definition Analysis . . . . . . . . . . . . . . . . . . . . . . . . . 77 2.4.3 An Example of Instancewise Reaching Definition Analysis . . . . . . . . . 78 2.4.4 More About Approximations . . . . . . . . . . . . . . . . . . . . . . . . . 80 2.5 Parallelization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 2.5.1 Memory Expansion and Parallelism Extraction . . . . . . . . . . . . . . . 81 2.5.2 Computation of a Parallel Execution Order . . . . . . . . . . . . . . . . . 82 2.5.3 General Efficiency Remarks . . . . . . . . . . . . . . . . . . . . . . . . . . 85 3 Formal Tools 87 3.1 Presburger Arithmetics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 3.1.1 Sets, Relations and Functions . . . . . . . . . . . . . . . . . . . . . . . . . 88 3.1.2 Transitive Closure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 3.2 Monoids and Formal Languages . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 3.2.1 Monoids and Morphisms . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 3.2.2 Rational Languages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91 3.2.3 Algebraic Lang..

Ode à la France dédiée à sa fille, Madame, Duchesse d'Angoulême, par... J. Bd Roger

Appartient à l’ensemble documentaire : LangRous1Avec mode text