Meilleures pratiques et formation dans le contexte du continuum des services en santé mentale et en toxicomanie : le programme de formation croisée du sud-ouest de Montréal

Cet article présente le programme de formation croisée du sud-ouest de Montréal. Les auteurs estiment que le contexte post-désinstitutionalisation et d’intégration des services en santé mentale impose de nouveaux rôles aux intervenants oeuvrant dans les différents réseaux de services. La formation croisée apparaît donc comme un modèle particulièrement adapté à leurs besoins afin d’optimiser leurs interventions. Le modèle est présenté à partir des études les plus récentes et est illustré par le programme de formation croisée, développé pour les réseaux de la santé mentale et de la toxicomanie dans le sud-ouest de Montréal. Ses applications sont explorées pour d’autres réseaux.This article presents the cross training program in Montreal’s south-west. The authors underline that the context of post-deinstitutionalization and mental health service integration impose new roles to professionals who work within these different networks of services. Cross training thus appears as a model that is particularly adapted to their needs in order to optimize their interventions. The model is presented with a review of the most recent studies and is illustrated with the cross training program, a model developed by the networks of mental health care and addiction treatment in Montreal’s south-west. The program’s applications are examined for other networks of care and services.Este artículo presenta el programa de formación cruzada del suroeste de Montreal. Los autores estiman que el contexto de posdesinstitucionalización e integración de los servicios de salud mental impone roles nuevos a los interventores que laboran en las diversas redes de servicios. La formación cruzada parece por consiguiente un modelo particularmente adaptado a sus necesidades para optimizar sus intervenciones. El modelo es presentado a partir de los estudios más recientes y es ilustrado por medio del programa de formación cruzada, un modelo desarrollado para las redes de salud mental y toxicomanía en el suroeste de Montreal. Se exploran sus aplicaciones para otras redes.Este artigo apresenta o programa de formação cruzada do sudoeste de Montreal. Os autores acreditam que o contexto de pós-desinstitucionalização e de integração dos serviços em saúde mental impõe novos papéis aos intervenientes que trabalham nas diferentes redes de serviços. A formação cruzada demonstra ser, então, um modelo especialmente adaptado a suas necessidades a fim de otimizar suas intervenções. O modelo é apresentado a partir dos estudos mais recentes e é ilustrado pelo programa de formação cruzada, um modelo desenvolvido para as redes da saúde mental e da toxicomania no sudoeste de Montreal. Suas aplicações são exploradas para outras redes

Nonlinear System Modeling, Optimal Cam Design, and Advanced System Control for an Electromechanical Engine Valve Drive

A cam-based shear force-actuated electromechanical valve drive system offering variable valve timing in internal combustion engines was previously proposed and demonstrated. To transform this concept into a competitive commercial product, several major challenges need to addressed, including the reduction of power consumption, transition time, and size. As shown in this paper, by using nonlinear system modeling, optimizing cam design, and exploring different control strategies, the power consumption has been reduced from 140 to 49 W (65%), the transition time has been decreased from 3.3 to 2.7 ms (18%), and the actuator torque requirement has been cut from 1.33 to 0.30 N·m (77%).Sheila and Emanuel Landsman Foundatio

Changes in Shoulder Pain and Disability After Thrust Manipulation in Subjects Presenting With Second and Third Rib Syndrome

AbstractObjectiveThe purpose of this preliminary study was to investigate changes in shoulder pain, disability, and perceived level of recovery after 2 sessions of upper thoracic and upper rib high-velocity low-amplitude (HVLA) thrust manipulation in patients with shoulder pain secondary to second and third rib syndrome.MethodsThis exploratory study evaluated 10 consecutive individuals with shoulder pain, with or without brachial pain, and a negative Neer impingement test, who completed the Shoulder Pain and Disability Index (SPADI), the numeric pain rating scale (NPRS), and the global rating of change. Patients received 2 sessions of HVLA thrust manipulation targeting the upper thoracic spine bilaterally and the second and third ribs on the symptomatic side. Outcome measures were completed after the first treatment session, at 48 hours, 1 month, and 3 months.ResultsPatients showed a significant decrease in SPADI (F = 59.997; P = .001) and significant decrease in resting shoulder NPRS (F = 63.439; P = .001). For both NPRS and SPADI, there were significant differences between the pretreatment scores and each of the postintervention scores through 3-month follow-up (P < .05). Large within-group effect sizes (Cohen's d ≥ 0.8) were found between preintervention data and all postintervention assessments in both outcomes. Mean global rating of change scores (+6.8 at 3 months) indicated "a very great deal better" outcome at long-term follow-up.ConclusionThis group of patients with shoulder pain secondary to second and third rib syndrome who received upper thoracic and upper rib HVLA thrust manipulations showed significant reductions in pain and disability and improvement in perceived level of recovery

The impact of culture and sociological and psychological issues on Muslim patients with breast cancer in Pakistan

This is a non-final version of an article published in final form in Cancer Nursing, 32(4), 2009. The final published article is available from the link below.Breast cancer is the most common form of cancer in Muslim women in Pakistan. The impact of the initial diagnosis, culture, religion, and psychosocial and psychological aspects of the disease is not well established. This qualitative study examined the experience and coping strategies used by patients with breast cancer in relation to its impact on their physical, mental health, religious, and family issues. Thirty patients with breast cancer were interviewed. Data were analyzed using thematic analysis. The patient's experience of breast cancer focused on the range of emotions felt throughout the illness trajectory, the importance of religion and family support on coping strategies used to manage the adverse effects of chemotherapy, and also the financial concerns. This is the first study to examine Pakistani Muslim women's views on the lived experience of breast cancer. This article provides clarification of the voiced experiences of women with breast cancer. The data not only highlight the role of religion and family support as essential coping strategies but also emphasize the issues of isolation, aggression, and anger as common responses to chemotherapy. Unique features of this study are women's need to seek spiritual support for their illness and the overriding innate characteristic of maternal responsibility. These cultural features require further analysis and research

‘Short Interest Pressure’ and Competitive Behaviour

This study introduces and examines a new-to-strategy form of Wall Street pressure – ‘short interest pressure’ – the tension felt by management caused by short sales of the firm\u27s stock. Drawing from a sample of over 5000 competitive actions carried out by competing firms over a 6-year time period, we test whether the level of short interest pressure experienced by the firm in one time period is predictive of properties of the firm\u27s competitive action repertoire in the ensuing time period. Our findings suggest that when faced with short interest pressure firms tend to carry out a higher number of competitive actions in the following time period, as well as a set of actions that deviate from the industry norm. In addition, post hoc analysis reveals that this effect is amplified for poorly performing firms. Thus, our study contributes to a deeper understanding of the relationship between capital market signals and competitive strategy

Adolescents' postural control learning according to the frequency of knowledge of process

Feedback is one of the most influential factors for motor skills learning. Physical Education teachers commonly use verbal cues to provide knowledge of process (KP) when teaching motor skills, but the ideal presentation frequency for KP in adolescents is unclear. The aim of this study was to compare the effectiveness of the frequency of KP (i.e., 100%, 67%, 0%) on dynamic balance. Thirty adolescents, age 14-15 years, participated in the study. Performance on a stabilometer platform was used to assess dynamic balance. Participants received feedback after each trial (100%), in two out of three trials (67%), or no feedback during 12 30-s trials of practice. Adolescents who received feedback (67% or 100%) required lower mean velocity to maintain similar dynamic balance performance (i.e., root mean square). Moreover, adolescents receiving 100% feedback had a higher α-scaling than those who did not received it. During the post-test and the retention, both 67% and 100% KP frequencies were effective at improving postural control, compared to the no feedback control

Nuclear export competence of pre-40S subunits in fission yeast requires the ribosomal protein Rps2

Ribosome biogenesis is an evolutionarily conserved pathway that requires ribosomal and nonribosomal proteins. Here, we investigated the role of the ribosomal protein S2 (Rps2) in fission yeast ribosome synthesis. As for many budding yeast ribosomal proteins, Rps2 was essential for cell viability in fission yeast and the genetic depletion of Rps2 caused a complete inhibition of 40S ribosomal subunit production. The pattern of pre-rRNA processing upon depletion of Rps2 revealed a reduction of 27SA2 pre-rRNAs and the concomitant production of 21S rRNA precursors, consistent with a role for Rps2 in efficient cleavage at site A2 within the 32S pre-rRNA. Importantly, kinetics of pre-rRNA accumulation as determined by rRNA pulse-chases assays indicated that a small fraction of 35S precursors matured into 20S-containing particles, suggesting that most 40S precursors were rapidly degraded in the absence of Rps2. Analysis of steady-state RNA levels revealed that some pre-40S particles were produced in Rps2-depleted cells, but that these precursors were retained in the nucleolus. Our findings suggest a role for Rps2 in a mechanism that monitors pre-40S export competence