1,456 research outputs found
Estimation de la qualité des données d'expertise des barrages
National audienceLa maßtrise des risques de rupture des barrages est d'une importance majeure dans notre société de par les enjeux associés. De plus, la pertinence des actions de maintenance ou de réparation d'un barrage dépend de la connaissance de sa performance vis-à -vis de ses principaux modes de rupture et de la fiabilité de cette connaissance. Nous nous intéressons ici à l'estimation de la fiabilité du résultat du modÚle d'évaluation possibiliste de la performance des barrages, développé par le Cemagref, à partir de l'estimation de la qualité de ses données d'entrée. Ce modÚle est en effet basé sur l'utilisation de données multisources hétérogÚnes et imparfaites (imprécises, incertaines et incomplÚtes). Cette communication détaille plus particuliÚrement les phases d'analyse et de validation des grilles d'analyse de la qualité des données et d'agrégation des critÚres de ces grilles de qualité. / The control of failure risks of dams is of major importance in our society as regards the associated consequences. Moreover, the relevance of maintenance or repair actions depends on the dam performance knowledge as regards their main failure modes and the reliability of this knowledge. Here, the estimation of the result reliability of the dam performance assessment model, based on evidence theory and developed by the Cemagref, will be considered. The result reliability estimation is done by the quality estimation of the input data. This performance assessment model is based on the use of multisource, heterogeneous and imperfect data (imprecise, uncertain and incomplete data). This communication is more detailing the analysis validation phases of the grids of data quality analysis and the aggregation phase of the criteria of these quality grids
Quantum Computation with Quantum Dots and Terahertz Cavity Quantum Electrodynamics
A quantum computer is proposed in which information is stored in the two
lowest electronic states of doped quantum dots (QDs). Many QDs are located in a
microcavity. A pair of gates controls the energy levels in each QD. A
Controlled Not (CNOT) operation involving any pair of QDs can be effected by a
sequence of gate-voltage pulses which tune the QD energy levels into resonance
with frequencies of the cavity or a laser. The duration of a CNOT operation is
estimated to be much shorter than the time for an electron to decohere by
emitting an acoustic phonon.Comment: Revtex 6 pages, 3 postscript figures, minor typos correcte
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Playing the game: service users' management of risk status in a UK medium secure forensic mental health service
In this article we examine how forensic mental health service users actively attempt to manage their risk status through playing the game of containing frustration and demonstrating compliance. The article draws on an observational study (2006 to 2009) which explored the practices of risk assessment and management within one inner city forensic mental health medium secure service in the UK. We used a grounded theory approach to explore service users and providers experiences of risk assessment and management. We interviewed forensic mental health service users and providers. We also collected data using participant and non-participant observation. Since access to forensic mental health services is tightly controlled, there are participant observation studies undertaken in these settings.
We found that service users attempted to understand the system of assessment and sought to affect and reduce their risk status by engaging in overt, compliant behaviours. We argue that in doing so service users are active agents in the process of risk management. However, we indicate that there are adverse effects of this approach to risk management as the risk assessment process is subverted by the restriction of the flow of information, and service users are left with frustrations that they must contain and manage
A drop-in centre for treating mental health problems in children with chronic illness: outcomes for parents and their relationship with child outcomes
BACKGROUND:
Children with chronic health conditions and their parents are at greater risk of developing emotional and behavioural problems compared to their physically healthy peers. The psychological impact on parents is crucial to understand given the relationship between parental mental health and child emotional and behavioural difficulties. This study was part of a broader research project examining the acceptability, feasibility and impact of a âMental Health and Psychological Wellbeing Drop-in Centreâ in a paediatric hospital providing access to support and intervention for children and their families. This paper aimed to investigate the impact of the centre on parents (n = 148).
METHODS:
Parental anxiety and depression were assessed using the GAD-7 and PHQ-9 at baseline and 6-month post-baseline. Child mental health was assessed using the parent-report Strengths and Difficulties Questionnaire (SDQ). If parents had significant mental health needs, a brief intervention/signposting to relevant services was provided.
RESULTS:
At baseline, 48% of parents scored above clinical threshold for anxiety and 41% for depression, and parent reported child SDQ scores were correlated with parental anxiety and parental low mood. Self-reported parental anxiety and low mood decreased at 6-months post-baseline (parental anxiety: mean decrease = 2.29 [1.22â3.36], d = 0.38; parental low mood: mean decrease = 1.81 [0.64â3.00], d = 0.28). There were no significant correlations between change in parent reported child wellbeing and changes in parental low mood and anxiety between baseline and 6-month post-baseline.
CONCLUSIONS:
Assessing and providing a brief treatment to address the mental health needs of parents of children with comorbidity may bring important benefits. It is recommended that children's mental health services consider assessment of parental mental health as part of routine care
Folksonomies and clustering in the collaborative system CiteULike
We analyze CiteULike, an online collaborative tagging system where users
bookmark and annotate scientific papers. Such a system can be naturally
represented as a tripartite graph whose nodes represent papers, users and tags
connected by individual tag assignments. The semantics of tags is studied here,
in order to uncover the hidden relationships between tags. We find that the
clustering coefficient reflects the semantical patterns among tags, providing
useful ideas for the designing of more efficient methods of data classification
and spam detection.Comment: 9 pages, 5 figures, iop style; corrected typo
Paraphrases and summaries: A means of clarification or a vehicle for articulating a preferred version of student accounts?
The use of group discussions as a means to facilitate learning from experiences is well documented in adventure education literature. Priest and Naismith (1993) assert that the use of the circular discussion method, where the leader poses questions to the participants, is the most common form of facilitation in adventure education. This paper draws on transcripts of facilitation sessions to argue that the widely advocated practice of leader summaries or paraphrases of student responses in these sessions functions as a potential mechanism to control and sponsor particular knowledge(s). Using transcripts from recorded facilitation sessions the analysis focuses on how the leader paraphrases the studentsâ responses and how these paraphrases or âformulationsâ function to modify or exclude particular aspects of the studentsâ responses. I assert that paraphrasing is not simply a neutral activity that merely functions to clarify a student response, it is a subtle means by which the leader of the session can, often inadvertently or unknowingly, alter the studentâs reply with the consequence of favouring particular knowledge(s). Revealing the subtle work that leader paraphrases perform is of importance for educators who claim to provide genuine opportunities for students to learn from their experience
A survey of mental health professionals in a paediatric hospital during COVID-19
BACKGROUND: There is little understanding of the mental health impact for young people with long-term physical health conditions and mental health professionalsâ experiences of supporting them during COVID-19. This service evaluation aimed to conduct a survey of the psychological services provided by mental health professionals in a paediatric hospital in relation to COVID-19. METHODS: Clinical psychologists and assistant psychologists (n = 76) across the hospital were asked to complete a survey, asking about their perceptions of COVID-19âs impact on patients and families and experiences of providing support during COVID-19. Open-ended survey questions were analysed qualitatively using framework analysis. RESULTS: Respondents described perceived impacts on patients and families around social isolation, school closure, family relationships, physical health, mental health, treatments and social support. Respondentsâ experiences of providing mental health support during COVID-19 highlighted themes around providing remote/virtual support, workload and facilitators and barriers to their work. CONCLUSIONS: Mental health professionals surveyed reported a complex mental health landscape in young people with long-term physical health conditions and their families during COVID-19. Service-wide involvement is needed to facilitate changes to support vital adaptations to remote/virtual working. Research on the mental health of young people with long-term physical health conditions and staff experiences of providing support is warranted
Law Libraries and Laboratories: The Legacies of Langdell and His Metaphor
Law Librarians and others have often referred to Harvard Law School Dean C.C. Langdellâs statements that the law library is the lawyerâs laboratory. Professor Danner examines the context of what Langdell through his other writings, the educational environment at Harvard in the late nineteenth century, and the changing perceptions of university libraries generally. He then considers how the âlaboratory metaphorâ has been applied by librarians and legal scholars during the twentieth century and into the twenty-first. The article closes with thoughts on Langdellâs legacy for law librarians and the usefulness of the laboratory metaphor
Feasibility of telephone-delivered therapy for common mental health difficulties embedded in paediatric epilepsy clinics
Background:
Mental and physical health treatment should be delivered together for children and young people with epilepsy. Training healthcare professionals (HCPs) in epilepsy services to deliver mental health interventions is an important way to facilitate integrated care.
Objective:
To determine the feasibility of remotely delivered assessment and psychological treatment for mental health difficulties delivered by HCPs in pediatric epilepsy clinics with limited formal training in psychological interventions. We hypothesized that it would be (i) feasible to train HCPs to deliver the psychological intervention and (ii) that participants receiving the psychological therapy would report reductions in symptoms of mental health difficulties including anxiety, depression, and behavior difficulties and improve quality of life.
Methods:
Thirty-four children and young people with epilepsy who had impairing symptoms of a common mental health difficulty (anxiety, depression, disruptive behavior, and/or trauma) were allocated to receive 6âŻmonths of a modular cognitive behavioral intervention delivered by a HCP with limited formal psychological therapy experience. Thirteen HCPs were trained in delivery of the intervention. Healthcare professional competence was assessed in a two-stage process. Parent-reported measures of mental health symptoms and quality of life were completed at baseline and following the intervention. Paired t-tests were used to analyze changes in symptoms over time.
Results:
All thirteen HCPs who participated in the training were considered competent in therapeutic delivery by the end of the training period. Twenty-three patients completed pre- and post-intervention measures and were included in the analysis. There were statistically significant improvements in: symptoms of mental health problems (pâŻ=âŻ0.01; Cohenâs dâŻ=âŻ0.62), total impact of mental health problems (pâŻ=âŻ0.03; Cohenâs dâŻ=âŻ0.52), anxiety and depression symptoms (pâŻ=âŻ0.02; Cohenâs dâŻ=âŻ0.57) and quality of life (pâŻ=âŻ0.01; Cohenâs dâŻ=âŻ0.57).
Conclusion:
A modular cognitive behavioral treatment delivered over the telephone by HCPs with limited experience of psychological therapy was feasible and effective in treating mental health problems in children and young people with epilepsy. Health-related Quality of Life also improved over the duration of treatment. A randomized controlled trial (RCT) is needed to demonstrate efficacy of the intervention
An in vivo culture system for human embryos using an encapsulation technology: a pilot study
BACKGROUND Animal studies have demonstrated better embryo development in vivo than in vitro. This pilot study tested the feasibility of using a novel in utero culture system (IUCS) to obtain normal human fertilization and embryo development. METHODS The IUCS device comprised a perforated silicone hollow tube. The study included 13 patients (<36 years) undergoing a first intracytoplasmic sperm injection (ICSI) treatment and 167 metaphase II oocytes in three groups. In Group 1, 1-2 h after ICSI, sibling oocytes were assigned to IUCS or conventional in vitro culture. The device was retrieved on Day 1, and all zygotes were cultured in vitro till Day 5. In Group 2, fertilized oocytes were assigned on Day 1, embryos retrieved on Day 3 and all embryos cultured till Day 5. In Group 3, after Day 0 assignment, embryos were retrieved on Day 3 for blastomere biopsy and fluorescence in situ hybridization (FISH) and cultured until Day 5. The highest quality blastocysts were transferred on Day 5. RESULTS Fertilization and embryo development were comparable in the in vitro and IUCS arms, with a tendency towards better embryo quality in the IUCS. FISH analysis in Group 3 revealed more normal embryos using the IUCS (P = 0.049). Three clinical pregnancies and live births were obtained: two from the IUCS arm and one from the in vitro arm. CONCLUSIONS Our pilot study shows that this new IUCS appears to be feasible and safe, supporting normal fertilization, embryo development and normal chromosomal segregation. Furthermore, live births are possible after the transient presence of a silicone device in the uterus.Clinicaltrials.gov: NCT0048010
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