Taking IT Artifacts Seriously: Developing a Mixed Determinants Model of Assimilation of Telehealth Systems

A number of healthcare authorities are considering the adoption of telehealth into mainstream clinical care, bringing telehealth technology out of experimental settings into real life settings. To fully reap the benefits from a technological innovation, the innovation must be assimilated into the organization\u27s work system. As most literature on telehealth adoption to date has focused on its evaluation (e.g., user acceptance), more work is warranted to understand how telehealth can be integrated into administrative and clinical practices and to identify factors that may impinge onto telehealth integration. Borrowing from institutional, structuration and organizational learning theories, we propose a research framework* to address limitations of past work and to guide research and managerial actions while integrating telehealth in the workplace

Identification of machining defects by Small Displacement Torsor and form parameterization method

In the context of product quality, the methods that can be used to estimate machining defects and predict causes of these defects are one of the important factors of a manufacturing process. The two approaches that are presented in this article are used to determine the machining defects. The first approach uses the Small Displacement Torsor (SDT) concept [BM] to determine displacement dispersions (translations and rotations) of machined surfaces. The second one, which takes into account form errors of machined surface (i.e. twist, comber, undulation), uses a geometrical model based on the modal shape's properties, namely the form parameterization method [FS1]. A case study is then carried out to analyze the machining defects of a batch of machined parts

Le maintien en emploi de personnes souffrant d’une maladie mentale

L’insertion au travail de personnes souffrant d’une maladie mentale s’avère complexe et difficile. Pour celles qui travaillent, le maintien en emploi est de courte durée. Cet article vise à identifier des déterminants personnels du maintien en emploi de personnes souffrant d’une maladie mentale et inscrites dans un programme de réinsertion au travail. Des 105 personnes qui travaillent durant le suivi de 9 mois après leur inscription à un programme, près de 50 % maintiennent leur première activité de travail. Les résultats d’analyses de survie révèlent que selon l’indicateur de maintien en emploi observé (premier ou dernier emploi obtenu), les variables qui apparaissent comme significatives peuvent être reliées aux aspects sociodémographiques (aide financière reçue), travail (la durée d’absence du marché du travail, le type d’emploi obtenu), cognitif (fonctions exécutives) et clinique (symptômes paranoïdes). En conclusion, les auteurs suggèrent non seulement de considérer les variables inhérentes à la personne souffrant d’une maladie mentale pour prédire le maintien en emploi, mais aussi d’évaluer de façon plus systématique son milieu de travail.Work integration for people with mental illness is complex and difficult. For those who obtain employment, job tenure is typically brief. The purpose of this article is to identify the personal determinants of job tenure of people with severe mental illness registered in prevocational programs. Out of 105 people with mental illness who are employed during the nine month follow-up after their registration in a prevocational program, close to 50 % kept their first job. According to the job tenure indicators (first or last job obtained), the results from survival analyses show that the significant variables are related to background characteristics (financial aid), work-related characteristics (length of absence from the workplace, type of job), cognitive (executive functions), and clinical aspects (paranoid symptoms). In conclusion, the authors propose not only to assess personal variables to better understand the work integration process for people with mental illness, but also to conduct a systematic evaluation of the job site.La inserción al trabajo de personas que sufren de una enfermedad mental resulta compleja y difícil. Para aquellas que trabajan, mantenerse en un empleo dura poco tiempo. Este artículo busca identificar las variables personales de las personas que sufren de una enfermedad mental y que están inscritas a un programa de reinserción al trabajo para mantenerse en un empleo. De las 105 personas que trabajan durante el seguimiento de 9 meses después de su inscripción a un programa, cerca del 50% conservan su primera actividad de trabajo. Los resultados de los análisis de sobrevivencia revelan que según el índice de mantenimiento en empleo observado (primer o último empleo obtenido), las variables que aparecen como significativas pueden estar relacionadas con aspectos sociodemográficos (ayuda financiera recibida), trabajo (la duración de la ausencia en el mercado de trabajo, el tipo de empleo obtenido), cognitivos (funciones ejecutivas) y clínicos (síntomas paranoides). En conclusión, los autores no solamente sugieren considerar las variables inherentes a la persona que sufre de una enfermedad mental para predecir el mantenimiento del empleo, sino también evaluar de manera más sistemática su medio de trabajo.A inserção no trabalho, para pessoas que sofrem de uma doença mental, mostra-se complexa e difícil. Para as que trabalham, a continuação no emprego é de curta duração. Este artigo visa identificar determinantes pessoais da continuação no trabalho para pessoas que sofrem de uma doença mental e inscritas em um programa de reinserção no trabalho. Das 105 pessoas que trabalham, durante o acompanhamento de nove meses após a inscrição em um programa, cerca de 50% mantêm sua primeira atividade de trabalho. Os resultados de análises de sobrevivência revelam que, segundo o indicador de continuação no emprego observado (primeiro ou último emprego obtido), as variáveis que aparecem como significativas podem estar ligadas aos aspectos sócio-demográficos (auxílio financeiro recebido), ao trabalho (duração da ausência no mercado de trabalho, tipo de emprego obtido), aos aspectos cognitivos (funções executivas) e clínicos (sintomas paranóides). Concluindo, os autores sugerem, não apenas considerar as variáveis inerentes à pessoa que sofre de uma doença mental para predizer a continuação no emprego, mas também avaliar, de maneira mais sistemática, seu meio de trabalho

Maitrise d’outils technologiques : son influence sur la compétence TIC des enseignants et les usages pédagogiques | Mastery of Digital Tools: The Influence on Information and Communication Technologies Competency and Pedagogical Use

L’utilisation des technologies de l’information et de la communication (TIC) en contexte éducatif est un enjeu important pour les enseignants du préscolaire-primaire et du secondaire au Québec. Dans cette recherche, nous avons examiné dans quelle mesure la maitrise d’outils numériques peut prédire des usages pédagogiques déclarés. Nous avons également étudié la relation prédictive entre le niveau déclaré de maitrise des outils numériques par les enseignants et leur compétence professionnelle à intégrer les TIC. Les régressions montrent que la maitrise du tableau numérique interactif prédit positivement des usages pédagogiques du numérique et une bonne maitrise de la compétence à intégrer les TIC. The use of information and communication technologies (ICT) is an important issue for many preschool, elementary, and secondary school teachers in Québec. In this study, we examined to what extent the mastery of digital tools can predict reported pedagogical usage. Also, we used the level of mastery of digital tools by teachers as a variable to assess the predictive impact of the components of professional competence on the integration of ICT. The results of the regression indicate that the mastery of the interactive whiteboard positively predicts the pedagogical use of ICTs as well as a good mastery of the integration of ICTs

Effects Of Dispersive 2-Photon Transitions On Femtosecond Pulse-Propagation In Semiconductor Wave-Guides

It is demonstrated that the frequency spectrum of femtosecond pulses becomes highly asymmetric when propagating as transverse magnetic modes in semiconductor multiple quantum well channel waveguides at photon energies near half the band gap. Calculations based on the frequency dispersion in two-photon transitions provide results consistent with the experiment

Exploring the use of a participative design in the early development of a predictive test : the importance of physician involvement

In this study, we contribute to the personalized medicine and health care management literature by developing and testing a new participative design approach. We propose that involving gastroenterologists in the development of a predictive test to assist them in their clinical decision-making process for the treatment of inflammatory bowel diseases will increase the likelihood of their acceptance of the innovation. Based on data obtained from 6 focus groups across Canada from a total of 28 physicians, analyses reveal that current tools do not enable discriminating between treatment options to find the best fit for each patient. Physicians expect a new predictive tool to have the capability of showing clear reliability and significant benefits for the patient, while being accessible in a timely manner that facilitates clinical decisions. Physicians also insist on their key role in the implementation process, hence confirming the relevance and importance of participative designs in personalized medicine

Limitation Due To 3-Photon Absorption On The Useful Spectral Range For Nonlinear Optics In Algaas Below Half Band-Gap

We report measurements of the spectral dispersion and the magnitude of three-photon absorption in Al0.18Ga0.82As for photon energies between one half and one third the band gap and show that a two-parabolic-band model is valid in this material. These results indicate that there is a limited spectral range below half the band gap in AlGaAs (and presumably all semiconductors) in which the bound electronic optical nonlinearity can be used without significant multiphoton absorption