Institutional context: What elements shape how community occupational therapists think about their clients’ care?

Abstract : Clinical reasoning (CR) is the cognitive process that therapists use to plan, direct, perform and reflect on client care. Linked to intervention efficiency and quality, CR is a core competency that occurs within an institutional context (legal, regulatory, administrative and organisational elements). Because this context can shape how community therapists think about their clients’ care, its involvement in their CR could have a major impact on the interventions delivered. However, little is known about this involvement. Our study thus aimed to describe the elements of the institutional context involved in community therapists’ CR. From March 2012 to June 2014, we conducted an institutional ethnography (IE) inquiry in three Health and Social Services Centres in Québec (Canada). We observed participants and conducted semi-structured interviews with 10 occupational therapists. We also interviewed 12 secondary key informants (colleagues and managers) and collected administrative documents (n = 50). We analysed data using the IE process. Of the 13 elements of the institutional context identified, we found that four are almost constantly involved in participants’ CR. These four elements, that is, institutional procedures, organisation's basket of services, occupational therapists’ mandate and wait times for their services, restrictively shape CR. Specifically, occupational therapists restrict their representation of the client's situation and exploration of potential solutions to what is possible within the bounds of these four elements. In light of such restrictions on the way they think about their clients’ care, therapists should pay close attention to the elements of their own institutional context and how they are involved in their CR. Because of its potentially important impact on the future of professions (e.g. further restrictions on professionals’ role, reduced contribution to population health and well-being), this involvement of the institutional context in CR concerns all professionals, be they clinicians, educators, researchers or regulatory college officers

Helicity sensitive terahertz radiation detection by dual-grating-gate high electron mobility transistors

We report on the observation of a radiation helicity sensitive photocurrent excited by terahertz (THz) radiation in dual-grating-gate (DGG) InAlAs/InGaAs/InAlAs/InP high electron mobility transistors (HEMT). For a circular polarization the current measured between source and drain contacts changes its sign with the inversion of the radiation helicity. For elliptically polarized radiation the total current is described by superposition of the Stokes parameters with different weights. Moreover, by variation of gate voltages applied to individual gratings the photocurrent can be defined either by the Stokes parameter defining the radiation helicity or those for linear polarization. We show that artificial non-centrosymmetric microperiodic structures with a two-dimensional electron system excited by THz radiation exhibit a dc photocurrent caused by the combined action of a spatially periodic in-plane potential and spatially modulated light. The results provide a proof of principle for the application of DGG HEMT for all-electric detection of the radiation's polarization state.Comment: 7 pages, 4 figure

The Bell Theorem as a Special Case of a Theorem of Bass

The theorem of Bell states that certain results of quantum mechanics violate inequalities that are valid for objective local random variables. We show that the inequalities of Bell are special cases of theorems found ten years earlier by Bass and stated in full generality by Vorob'ev. This fact implies precise necessary and sufficient mathematical conditions for the validity of the Bell inequalities. We show that these precise conditions differ significantly from the definition of objective local variable spaces and as an application that the Bell inequalities may be violated even for objective local random variables.Comment: 15 pages, 2 figure

Chaos or Noise - Difficulties of a Distinction

In experiments, the dynamical behavior of systems is reflected in time series. Due to the finiteness of the observational data set it is not possible to reconstruct the invariant measure up to arbitrary fine resolution and arbitrary high embedding dimension. These restrictions limit our ability to distinguish between signals generated by different systems, such as regular, chaotic or stochastic ones, when analyzed from a time series point of view. We propose to classify the signal behavior, without referring to any specific model, as stochastic or deterministic on a certain scale of the resolution $\epsilon$, according to the dependence of the $(\epsilon,\tau)$-entropy, $h(\epsilon, \tau)$, and of the finite size Lyapunov exponent, $\lambda(\epsilon)$, on $\epsilon$.Comment: 24 pages RevTeX, 9 eps figures included, two references added, minor corrections, one section has been split in two (submitted to PRE

Biodiversity of the Colorado State University lands

Prepared for: Colorado State University Facilities Management.June 2022.Includes bibliographical references.During the academic year of 2021-2022, the Colorado Natural Heritage Program (CNHP) was contracted by CSU Facilities Management to complete a biodiversity survey of the CSU lands. This assessment will be used by Facilities Management to self-report on the Biodiversity component of the Operations category in the STARS (Sustainability, Tracking, Assessment, & Ratings System) report. This report assesses endangered and vulnerable species (including migratory species) on CSU-owned and managed lands and areas of biodiversity importance on CSU-owned and managed lands. An additional aim of this project was to include students in the geospatial analysis, research, and field data collection efforts, thereby lowering project costs and providing mentorship and experience to the students. Biodiversity was assessed through a geospatial environmental review of the properties which includes documented and potential occurrences of regulatory species and other species of concern within the property and a 1-mile buffer, assessment of the conservation areas adjacent to the property and within a buffer, and the diversity and acreage of wetlands and other ecosystem types. The conservation value of each property, based on a Return-on-Investment report, is presented. Geospatial data area used to evaluate climate resiliency and landscape disturbance. Further research into species on the largest and most well-studied properties is presented, along with results of field work. Colorado State University holds 32 individual properties, spanning 14 counties across Colorado, covering a total of 3,943 hectares. Properties held by CSU had 303 documented occurrences of regulatory species and other species of concern within 1 mile returned in the environmental review; additionally, potential habitat was returned for another 2210 regulatory and other species of concern from a combination of range maps, general precision CNHP element occurrence records, and models. Through the many metrics of biodiversity assessed, several properties stood out; these included the Eastern Colorado Research Center, the Mountain Campus, Foothills, Horsetooth, and the Environmental Learning Center. At the Eastern Colorado Research Center, a combination of research field work recorded 187 species as visual observations and/or within a modeled area. At the Mountain Campus, student research and field work recorded a total of 1,044 species as visual observations and/or within a modeled area, with 754 Animalia species, 273 Plantae species and 17 Fungi species. Along with providing information on the biodiversity on the CSU lands, this project provided educational value to CSU students and facilitated the creation of a storymap to showcase the biodiversity of CSU lands to the public and stakeholders. The biodiversity assessment suggests several actions which could be taken to protect, enhance, or restore the biodiversity found on CSU lands and identified properties with possible conservation gains through enhancement and restoration.June 2022

Dimensionamento de unidade de compostagem automatizada para tratamento dos dejetos suínos.

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