Narrative Writing and Emerging Clinical Practice

Purpose: We used a narrative technique with volunteer medical students immersed in early clinical experiences in order to 1) offer students a pathway to self-reflection, and 2) offer program directors insight into issues that arise for students. Methodology: Our medical students between their first and second years spend nine summer weeks working in a clinical practice somewhere in the state. Self-selected students (9 in 2005, 22 in 2006), wrote reflectively once a week, via e-mail, to volunteer physician mentors on campus, sharing observations, feelings, and ideas. Mentors responded in kind to the content of these experiential writings. At the end of the summer, students gathered together to read from their work. Each student turned in one piece of writing to the program. Both students and mentors filled out evaluation forms that assessed the program. One program director identified themes in the students\u27 narratives. Summary of Results: Students and mentors overwhelmingly reported that the narrative time was well spent. Students commented that this writing helped them to perceive their clinical work in a thoughtful way, become more observant and analytical, look for recurrent patterns, and respond better to patients. Mentors found the correspondence rewarding and felt refreshed by it. Themes emerging from student writing addressed life events and professional socialization. Most mentors volunteered to participate again. Conclusions: Program directors found the program to be feasible and useful for students and mentors, filling an unmeet needs for first year medical students to consider, question, and reflect about their early clinical experiences

Wetting of compacted clays under laterally restrained conditions:initial state, overburden pressure and mineralogy

International audienceCompacted clay fills are generally placed at the optimum value of water content and, immediately after placement, they are unsaturated. Wetting might subsequently occur due, for example, to rainfall infiltration, which can cause volumetric deformation of the fill (either swell or collapse) with associated loss of shear strength and structural integrity. If swelling takes place under partially restrained deformation, due for example to the presence of a buried rigid structure or a retaining wall, additional stresses will develop in the soil and these can be detrimental to the stability of walling elements and other building assets. Factors such as dry density, overburden pressure, compaction water content and type of clay are known to influence the development of stresses. This paper investigates these factors by means of an advanced stress path testing programme performed on four different clays with different mineralogy, index properties and geological histories. Specimens of kaolin clay, London Clay, Belfast Clay and Ampthill Clay were prepared at different initial states and subjected to `controlled' wetting, whereby the suction was reduced gradually to zero under laterally restrained conditions (i.e. K0 conditions). The results showed that the magnitude of the increase in horizontal stresses (and therefore the increase of K0) is influenced by the overburden pressure, compaction water content, dry density at the time of compaction and mineralogy

Measurements of permeability of saturated and unsaturated soils

The management and engineering assessments of geotechnical assets within the national transportation inventory require an appropriate knowledge of permeability of saturated and unsaturated soils. Determination of the permeability of saturated soils can be carried out using direct measurements, whereas that of unsaturated soils is often made using indirect methods based on the soil water retention curve. In this study an attempt was made to develop a novel approach for measuring the saturated and unsaturated permeability of soils. The tests were conducted on 100 mm dia. reconstituted and compacted samples of glacial till. Suctions were generated by circulating low-humidity air through a slender sand column located at the centre of the samples. Measurements of suction were made by two tensiometers located radially at the base of the samples. The drying process was terminated when the observed suctions reached or approached the limiting capacity of the tensiometers (1500 kPa). Combinations of suction measurements and volumetric strains during the drying process were used to determine the permeability by adopting analytical solutions as applicable to a radial flow condition

Pragmatic Maxims and Presumptions in Legal Interpretation

The fields of linguistic pragmatics and legal interpretation are deeply interrelated. The purpose of this paper is to show how pragmatics and the developments in argumentation theory can contribute to the debate on legal interpretation. The relation between the pragmatic maxims and the presumptions underlying the legal canons are brought to light, unveiling the principles that underlie the types of argument usually used to justify a construction. The Gricean maxims and the arguments of legal interpretation are regarded as presumptions subject to default used to justify an interpretation. This approach can allow one to trace the different legal interpretive arguments back to their basic underlying presumptions, so that they can be compared, ordered, and assessed according to their defeasibility conditions. This approach allows one to understand the difference between various types of interpretive canons, and their strength in justifying an interpretation

Four Regional Marine Biodiversity Studies: Approaches and Contributions to Ecosystem-Based Management

We compare objectives and approaches of four regional studies of marine biodiversity: Gulf of Maine Area Census of Marine Life, Baltic Sea History of Marine Animal Populations, Great Barrier Reef Seabed Biodiversity Project, and Gulf of Mexico Biodiversity Project. Each program was designed as an "ecosystem" scale but was created independently and executed differently. Each lasted 8 to 10 years, including several years to refine program objectives, raise funding, and develop research networks. All resulted in improved baseline data and in new, or revised, data systems. Each contributed to the creation or evolution of interdisciplinary teams, and to regional, national, or international science-management linkages. To date, there have been differing extents of delivery and use of scientific information to and by management, with greatest integration by the program designed around specific management questions. We evaluate each research program's relative emphasis on three principal elements of biodiversity organization: composition, structure, and function. This approach is used to analyze existing ecosystem-wide biodiversity knowledge and to assess what is known and where gaps exist. In all four of these systems and studies, there is a relative paucity of investigation on functional elements of biodiversity, when compared with compositional and structural elements. This is symptomatic of the current state of the science. Substantial investment in understanding one or more biodiversity element(s) will allow issues to be addressed in a timely and more integrative fashion. Evaluating research needs and possible approaches across specific elements of biodiversity organization can facilitate planning of future studies and lead to more effective communication between scientists, managers, and stakeholders. Building a general approach that captures how various studies have focused on different biodiversity elements can also contribute to meta-analyses of worldwide experience in scientific research to support ecosystem-based management

Secured access for web applications

This thesis mainly concerns often neglected security part of each web application, but also secure access users themselves. Describes theoretically and practically modern security technology, on a web application being tested and shows a possible way of defense. Gives instructions for installing its own web server