On the Mediational Role of Feelings of Self-Determination in the Workplace: Further Evidence and Generalization

Les objectifs de cette étude visaient à vérifier la généralisation des résultats de Deci et al. (1989) et à évaluer la validité d'un modèle préliminaire de qualité de vie au travail dans lequel les sentiments d'autodétermination jouent un rôle important en tant que médiateurs. Ce modèle stipule que les environnements de travail informationnel et contrôlant auront des impacts opposés sur les sentiments d'autodétermination. Ces sentiments devraient par la suite influencer directement des comportements organisationnels et des variables de santé de l'employé. 184 employés canadiens francophones provenant de différentes organisations ont répondu à l'une des deux versions d'un questionnaire assigné aléatoirement. Les deux échantillons servaient à évaluer le modèle en utilisant deux perspectives d'environnement de travail : informationnel et contrôlant. Dans l'échantillon 1, les employés évaluaient le style du supérieur immédiat alors que dans l'échantillon 2, les sujets évaluaient le climat global de travail. Les résultats d'analyses corrélationnelles et des pistes causales ont confirmé les liens postulés entre les perceptions d'environnement de travail informationnel/contrôlant, les sentiments d'autodétermination et la qualité de vie au travail. Les sentiments d'autodétermination ainsi que la satisfaction et l'intérêt au travail jouaient un rôle de médiateur afin de prédire des impacts proximaux (perceptions d'absentéisme volontaire, distraction au travail et intentions de quitter son travail) de même que des impacts plus distaux ( perception de problèmes de santé physique et mental, consommation de tabac et d'alcool). Ces résultats étaient confirmés dans les deux échantillons.The goals of this study were to extend and to verify the generalizability of Deci et al.'s (1989) results, and to test the validity of a preliminary quality of worklife model in which feelings of self-determination play a key mediational role. This model states that informational and controlling work environments will impact in opposite ways on feelings of self-determination. These feelings should then trigger positive impacts on global work satisfaction and work interest. These two latter variables, in turn, are postulated to impact directly on organizational behaviors and general health variables. Subjects were 184 full-time French Canadian employees from different work settings. They were randomly assigned to one of two versions of a questionnaire assessing the different constructs of the model. Two samples were created to cross-validate results and to test the model with two different loci of perceived informational and controlling work environments. In sample 1, subjects assessed their perceptions of their immediate supervisor's styles whereas in sample 2, subjects assessed their perceptions of the global work climate. Results from correlational and path analyses confirmed the predicted relationships between perceptions of informational/controlling environments, feelings of self-determination and the quality of worklife. The expected mediational role of feelings of self-determination as well as of work satisfaction and interest in explaining proximal impacts (i.e., self-perceptions of voluntary absenteeism, distraction at work, and intentions to change job) as well as more distal impacts (i.e., self-perceptions of mental and physical health, cigarette, and alcohol use) was confirmed across samples

Approche pour l'identification des causes de la mauvaise décantation des solides biologiques

Les procédés d'épuration biologique à culture libre (boues activées) comprennent habituellement un décanteur qui permet de concentrer les solides biologiques en vue de leur recirculation en tête du réacteur biologique. Lorsque ce décanteur fonctionne mal on observe une perte de solides biologiques (SB), ce qui se traduit par une augmentation de la concentration des matières en suspension (MES) dans l'effluent du décanteur secondaire et par une baisse des performances du procédé d'épuration. Lorsque la concentration de MES dans l'effluent du décanteur secondaire est trop élevée on mesure l'indice de volume des boues (IVB). Un IVB faible indique que les solides biologiques ont de bonnes caractéristiques de décantation de sorte que la cause de la mauvaise efficacité du décanteur est d'ordre physique et peut être identifiée facilement. Lorsque l'IVB est élevé, la mauvaise décantation est alors causée par un désordre de l'écosystème qui se traduit le plus souvent par une croissance excessive d'organismes filamenteux. Les causes et les solutions d'un tel problème sont alors difficiles à identifier. Pour ce travail, les auteurs ont réalisé une importante revue bibliographique dont les résultats sont présentés sous la forme d'un cheminement critique (fig. 1). Dans cette figure, les cases numérotées de 1 à 48 sont liées par des énoncés logiques. Ainsi, en répondant à des questions simples, il est possible de cheminer dans la figure 1 et d'identifier les causes les plus probables du déséquilibre microbiologique ainsi que les solutions qui ont déjà été apportées avec succès. De plus les auteurs ont associé à chaque case une fiche technique (portant le même numéro que la case) sur laquelle sont présentées des explications et la liste des références consultées.Activated sludge is a microbiological aerated sewage treatment process which includes a secondary clarifier to separate the treated effluent from the biological solids. Part of the concentrated solids is recirculated to maintain an adequate concentration of mixed liquor suspended solids (MLSS) In the aerated basin. When the secondary clarifier malfunctions, some biological solids are lost to the effluent : the process efficiency drops and the concentration of suspended solids (SS) increases. When the SS in the effluent is too high the sludge volume index (SVI) must be measured. A low SVI means that the biological solids have good sedimentation characteristics : the problem is thon physical in nature and is easily identified. When the SVI is high, the problem is due to a disturbance of the microbiological ecosystem, which is at the origin of excessive filamentous organism growth. The origins and solutions of such a problem are much harder to find. To this end the authors proceeded with an important review of the literature, the results of which are summarized through a critical path, in figure 1. Files from 1 to 48 are linked by logical statements in such a way that by answering simple questions, one can proceed through the files and identify the must probable cause of the biological disturbance as well as the solution which has already proven successful. Furthermore, the authors have linked each file to a technical file which bears the same number and on which an explanation and references are found.Before proceeding with figure 1 to identify a problem in real life, one must obtain information, resulting from an analysis and observations, with regard to plant effluent, primary clarifier effluent and activated sludge characteristics, including the MLSS concentration. One must also know the chemical oxygen demand (COD), the soluble and total biochemical oxygen demand (BOD5), as well as the nitrogen and phosphorus concentrations in the plant influent. Furthermore, one must also be told of the presence of toxic material or industrial wastes in the sewage and of the fraction of pollution load which is in the form of particulates. Whether sudden changes in the quality of the plant influent have occurred is worth knowing. The concentration of oxygen or hydrogen sulfide in the primary clarifier is also important. One must also gather data related to the activated sludge treatment itself : type of reactor (completely mixed or plug flow), mixed liquor volatile suspended solids (MLVSS) concentration, dissolved oxygen concentration, rate of oxygen uptake and pH. Finally, the results of a microbiological analysis of the sludge are very useful.To illustrate the use of figure 1, let us say that we have the following data :a) Many filamentous microorganisms are present in the MLSS, in particular Microthrix parvicella, type 0092, and Thiothrix sp;b) The rate of dissolved oxygen uptake is 12 mg O2/g of SS - h;c) The rate of COD removal is 0,48 Kg/Kg of SS -d;d) There are no toxic substances in the plant influent;e) There are no abrupt changes in plant influent quality;f) The pHs of the plant influent and of the MLSS are 7,0 and 6,8 respectively;g) The ammonia nitrogen concentration of the plant influent is 1,2 mg/L (N);h) The phosphorus concentration of the plant influent is 4,4 mg/L (P);i) The total and soluble BOD5 concentrations of the plant influent are 400 and 80 mg/L respectively.With this information, we are ready to proceed through figure 1. From file one, one goes to file 2, since the rate of oxygen uptake is sufficient. Otherwise, we would have proceeded to file 32. The reactor being completely mixed, the next step is file 3, where it is said that, because of the low soluble BOD5 concentration one must go to file 9, where we find a fast of filamentous microarganisms which may be responsible for the disturbance. Since two of these microorganisms are effectively present in the mixed liquor suspended solids (MLSS), Microthrox parvicella and type 0092, we are invited to go to file 35, where it is stated that someone has already solved a similar problem by creating a modified contact zone to increase the substrats (organic matter) concentration around the microbiological flocs. The third filamentous microorganism is not identified in file 9. As a second possibility one may assume, in file 2. That the mixing is not complete, which is often the case. With the help of information and results of analyses already available, we proceed, through file 4, 14, 15 and 16, to file 20 where Thiothrixsp is included in the microorganisms listed. File 20 is linked to file 41, where it is said that the controlled addition of nitrogen in the plant influent has already been used to solve this type of problem.The critical path presented in this article is the result of an elaborate study. It may be used as a tool to identify the causes of bad biological flocs sedimentation in the secondary clarifier and select solutions that have already been used successfully

The Guatemala Community Day Care Program: an example of effective urban programming

Urban programming, Child care, Community Daycare Centers Program, Childcare and work, Gender,

Comorbidity Between Major Depression and Alcohol Use Disorder From Adolescence to Adulthood

Background—Limited information exists regarding the long-term development of comorbidity between Major Depressive Disorder (MDD) and Alcohol Use Disorder (AUD; abuse/dependence). Using a representative prospective study, we examine multiple aspects pertaining to MDD+AUD comorbidity, with a focus on the relation between disorders across periods (adolescence, early adulthood, adulthood) and cumulative impairments by age 30. Method—816 participants were diagnostically interviewed at ages 16, 17, 24, and 30. Results—Rates of comorbid MDD+AUD were low in adolescence (2%), but increased in early adulthood (10%) and adulthood (7%). Rates of cumulative comorbidity were elevated (21%). Most individuals with a history of MDD or AUD had the other disorder, except for women with MDD. Prospectively, adolescent AUD predicted early adult MDD, while early adult MDD predicted adult AUD. Compared to pure disorders, MDD+AUD was associated with higher risk of alcohol dependence, suicide attempt, lower global functioning, and life dissatisfaction. Conclusions—Lifetime rates of comorbid MDD+AUD were considerably higher than in crosssectional studies. Comorbidity was partly explained by bidirectional and developmentally-specific associations and predicted selected rather than generalized impairments. Clinically, our findings emphasize the need to always carefully assess comorbidity in patients with MDD or AUD, taking into account concurrency and developmental timing

Adolescent suicide attempts and adult adjustment

Background: Adolescent suicide attempts are disproportionally prevalent and frequently of low severity, raising questions regarding their long-term prognostic implications. In this study, we examined whether adolescent attempts were asso- ciated with impairments related to suicidality, psychopathology, and psychosocial functioning in adulthood (objective 1) and whether these impairments were better accounted for by concurrent adolescent confounders (objective 2). Method: Eight hundred and sixteen adolescents were assessed using interviews and question- naires at four time points from adolescence to adulthood. We examined whether lifetime suicide attempts in adolescence (by T2, mean age 17) predicted adult out- comes (by T4, mean age 30) using linear and logistic regressions in unadjusted models (objective 1) and adjusting for sociodemographic background, adolescent psychopathology, and family risk factors (objective 2). Results: In unadjusted analyses, adolescent suicide attempts predicted poorer adjustment on all outcomes, except those related to social role status. After adjustment, adolescent attempts remained predictive of axis I and II psychopathology (anxiety disorder, antisocial and borderline personality disorder symptoms), global and social adjustment, risky sex, and psychiatric treatment utilization. However, adolescent attempts no longer predicted most adult outcomes, notably suicide attempts and major depressive disorder. Secondary analyses indicated that associations did not differ by sex and attempt characteristics (intent, lethality, recurrence). Conclusions: Adolescent suicide attempters are at high risk of protracted and wide-ranging im- pairments, regardless of the characteristics of their attempt. Although attempts specifically predict (and possibly influence) several outcomes, results suggest that most impairments reflect the confounding contributions of other individual and family problems or vulnerabilites in adolescent attempters

Diffuse large B-cell lymphoma of Waldeyer's ring has distinct clinicopathologic features: a GELA study

Background Diffuse large B-cell lymphomas (DLBCLs) arising in specific extranodal sites have peculiar clinicopathologic features. Patients and methods We analyzed a cohort of 187 primary Waldeyer's ring (WR) DLBCLs retrieved from GELA protocols using anthracyclin-based polychemotherapy. Results Most patients (92%) had stage I-II disease. A germinal center B-cell-like (GCB) immunophenotype was observed in 61%, and BCL2 expression in 55%, of WR DLBCLs. BCL2, BCL6, IRF4 and MYC breakpoints were observed in, respectively, 3 of 42 (7%), 9 of 36 (25%), 2 of 26 (8%) and 4 of 40 (10%) contributive cases. A variable follicular pattern was evidenced in 30 of 68 (44%) large biopsy specimens. The 5-year progression-free survival (PFS) and the overall survival (OS) of 153 WR DLBCL patients with survival information were 69.5% and 77.8%, respectively. The GCB immunophenotype correlated with a better OS (P=0.0015), while BCL2 expression predicted a worse OS (P=0.037), an effect overcome by the GCB/non-GCB classification. Compared with matched nodal DLBCLs, WR DLBCLs with no age-adjusted international prognostic index factor disclosed a better 5-year PFS rate (77.5% versus 70.7%; P=0.03). Conclusions WR DLBCLs display distinct clinicopathologic features compared with conventional DLBCLs, with usual localized-stage disease, common follicular features and a high frequency of GCB immunophenotype contrasting with a low rate of BCL2 rearrangements. In addition, they seem to be associated with a better outcome than their nodal counterpar

The eSMAF: a software for the assessment and follow-up of functional autonomy in geriatrics

BACKGROUND: Functional status or disability forms the core of most assessment instruments used to identify mix and level of resources and services needed by older adults who possess common characteristics. The Functional Autonomy Measurement System (SMAF) is a 29-item scale measuring functional ability in five different areas. It has been recommended for use for home care, for allocation of chronic beds, for developing care plans in institutional settings and for epidemiological and evaluative studies. The SMAF can also be used with a case-mix classification system (Iso-SMAF) to allocate resources based on patients' functional autonomy characteristics. The objective of this project was to develop a software version of the SMAF to facilitate the evaluation of the functional status of older adults in health services research and to optimize the clinical decision-making process. RESULTS: The eSMAF was developed over an 24-month period using a modified waterfall software engineering process. Requirements and functional specifications were determined using focus groups of stakeholders. Different versions of the software were iteratively field-tested in clinical and research environments and software adaptations made accordingly. User documentation and online help were created to assist the deployment of the software. The software is available in French or English versions under a 30-day unregistered demonstration license or a free restricted registered academic license. It can be used locally on a Windows-based PC or over a network to input SMAF data into a database, search and aggregate client data according to clinical and/or administrative criteria, and generate summary or detailed reports of selected data sets for print or export to another database. CONCLUSION: In the last year, the software has been successfully deployed in the clinical workflow of different institutions in research and clinical applications. The software performed relatively well in terms of stability and performance. Barriers to implementation included antiquated computer hardware, low computer literacy and access to IT support. Key factors for the deployment of the software included standardization of the workflow, user training and support

Phase III study of ACVBP versus ACVBP plus rituximab for patients with localized low-risk diffuse large B-cell lymphoma (LNH03-1B)

Background The superiority of a chemotherapy with doxorubicin, cyclophosphamide, vindesine, bleomycin and prednisone (ACVBP) in comparison with cyclophosphamide, doxorubicin, vincristin and prednisone plus radiotherapy for young patients with localized diffuse large B-cell lymphoma (DLBCL) was previously demonstrated. We report the results of a trial which evaluates the role of rituximab combined with ACVBP (R-ACVBP) in these patients. Patients and methods Untreated patients younger than 66 years with stage I or II DLBCL and no adverse prognostic factors of the age-adjusted International Prognostic Index were randomly assigned to receive three cycles of ACVBP plus sequential consolidation with or without the addition of four infusions of rituximab. Results A total of 223 patients were randomly allocated to the study, 110 in the R-ACVBP group and 113 in the ACVBP group. After a median follow-up of 43 months, our 3-year estimate of event-free survival was 93% in the R-ACVBP group and 82% in the ACVBP group (P = 0.0487). Three-year estimate of progression-free survival was increased in the R-ACVBP group (95% versus 83%, P = 0.0205). Overall survival did not differ between the two groups with a 3-year estimates of 98% and 97%, respectively (P = 0.686). Conclusion In young patients with low-risk localized DLBCL, rituximab combined with three cycles of ACVBP plus consolidation is significantly superior to ACVBP plus consolidation alon

Results of the BiPo-1 prototype for radiopurity measurements for the SuperNEMO double beta decay source foils

The development of BiPo detectors is dedicated to the measurement of extremely high radiopurity in $^{208}$Tl and $^{214}$Bi for the SuperNEMO double beta decay source foils. A modular prototype, called BiPo-1, with 0.8 $m^2$ of sensitive surface area, has been running in the Modane Underground Laboratory since February, 2008. The goal of BiPo-1 is to measure the different components of the background and in particular the surface radiopurity of the plastic scintillators that make up the detector. The first phase of data collection has been dedicated to the measurement of the radiopurity in $^{208}$Tl. After more than one year of background measurement, a surface activity of the scintillators of $\mathcal{A}$($^{208}$Tl) $=$ 1.5 $\mu$Bq/m$^2$ is reported here. Given this level of background, a larger BiPo detector having 12 m$^2$ of active surface area, is able to qualify the radiopurity of the SuperNEMO selenium double beta decay foils with the required sensitivity of $\mathcal{A}$($^{208}$Tl) $<$ 2 $\mu$Bq/kg (90% C.L.) with a six month measurement.Comment: 24 pages, submitted to N.I.M.

Cytopathic effects of the cytomegalovirus-encoded apoptosis inhibitory protein vMIA

Replication of human cytomegalovirus (CMV) requires the expression of the viral mitochondria–localized inhibitor of apoptosis (vMIA). vMIA inhibits apoptosis by recruiting Bax to mitochondria, resulting in its neutralization. We show that vMIA decreases cell size, reduces actin polymerization, and induces cell rounding. As compared with vMIA-expressing CMV, vMIA-deficient CMV, which replicates in fibroblasts expressing the adenoviral apoptosis suppressor E1B19K, induces less cytopathic effects. These vMIA effects can be separated from its cell death–inhibitory function because vMIA modulates cellular morphology in Bax-deficient cells. Expression of vMIA coincided with a reduction in the cellular adenosine triphosphate (ATP) level. vMIA selectively inhibited one component of the ATP synthasome, namely, the mitochondrial phosphate carrier. Exposure of cells to inhibitors of oxidative phosphorylation produced similar effects, such as an ATP level reduced by 30%, smaller cell size, and deficient actin polymerization. Similarly, knockdown of the phosphate carrier reduced cell size. Our data suggest that the cytopathic effect of CMV can be explained by vMIA effects on mitochondrial bioenergetics