Mythes de la morphine auprès du personnel infirmier: étude comparative entre diverses unités de soins du Valais romand

Contexte : L’utilisation de la morphine à usage médical se confronte toujours, à l’heure actuelle, à certaines croyances erronées (mythes), en particulier sur les effets secondaires. La gestion inadaptée de la douleur peut avoir d’importantes répercussions invalidantes pour l’individu. Objectifs : Le but de cette étude est de comparer divers secteurs de soins afin de mettre en évidence de possibles dissemblances entre croyances infirmières en lien avec les préconstruits, l’administration et les risques de la morphine. Nos recherches se sont ensuite affinées au sein des groupes en fonction du genre, de l’âge, de l’expérience, de la nationalité et de la religion afin d’expliquer les éventuelles dissemblances entre secteurs. Population : La population cible comprend des infirmiers/ères diplômés/es travaillant dans le domaine de la pédiatrie, de la médecine-chirurgie, des soins aigus (urgences, soins continus, soins intensifs), des centre médico-sociaux et des établissements médico-sociaux du Valais romand. Méthode : Enquête de type quantitative effectuée par questionnaire auto-administré. Regroupement de questions puis utilisation du programme informatique SPSS 18.0. Résultats : 515 questionnaires ont été analysés. Plusieurs différences significatives ont pu être établies entre les services de soins dont la majorité concerne les croyances liées aux préconstruits généraux et au risque d’effets secondaires. Recommandations : Actuellement, les résultats montrent que l’amélioration des connaissances scientifiques favorise une meilleure connaissance du produit et influence les mythes de la morphine. De ce fait, il est important d’assurer des formations continues régulières, se baser sur des protocoles ayant été approuvés par des experts et réévaluer fréquemment la douleur du patient

História e ambivalência no Magellan de Hollis Frampton

Magellan é o projeto de filme que consumiu a última década da carreira de Hollis Frampton, mas ainda assim permanece em grande parte não investigado. Frampton declarou uma vez que “toda a história da arte é nada mais que uma imensa nota de rodapé para a história do cinema”, e Magellan é uma tentativa incrivelmente ambiciosa de construir essa história. É uma metahistória do cinema e da tradição da história da arte que incorpora múltiplas mídias (filme, fotografia, pintura, escultura, animação, som, vídeo, linguagem escrita e falada) e antecipa desenvolvimentos em novas mídias geradas por computadorMagellan is the film project that consumed the last decade of Hollis Frampton’s career, yet it remains largely unexamined. Frampton once declared that “the whole history of art is no more than a massive footnote to the history of film”, and Magellan is a hugely ambitious attempt to construct that history. It is a metahistory of film and the art historical tradition, which incorporates multiple media (film, photography, painting, sculpture, animation, sound, video, spoken and written language) and anticipates developments in computer-generated new medi

Statebuilding beyond the West: Exploring Islamic State’s strategic narrative of governance and statebuilding

Strategic narratives are employed by political actors as tools to pursue their goals, constructing a shared meaning of the past, present, and future in order to shape behaviour. Building on discourse analysis of the magazine Dabiq and from in-depth, semi-structured interviews conducted between 2018 and 2019 with IS civilian employees and civilians living in IS-controlled territory, we analyse how IS organised its strategic narrative of governance and statebuilding around three main themes considered as central in the statebuilding literature – the provision of security, the provision of basic services, and social cohesion – and how such a strategic narrative was received by citizens living in IS-controlled territory. We argue that the study of strategic narratives of governance and statebuilding casts light on the factors leading to the success or demise of emergent statebuilding efforts, equally demonstrating how IS’s project is quite conventional when compared to other mainstream statebuilding narratives.info:eu-repo/semantics/publishedVersio

Wie Bern den Spagat zwischen Partizipation und Datensicherheit meistert

Welche Chancen bietet die Digitalisierung den Schweizer Behörden – und was muss beachtet werden? Jonathan Gimmel, Leiter Digital Stadt Bern, und Daniela Zryd, Kommunikationsfachfrau bei der Stadt Bern, geben einen Überblick über die aktuellen Projekte, mit welchen die Stadt Bern die Digitalisierung für eine effizientere Zusammenarbeit und einen verstärkten öffentlichen Diskurs nutzen will – und inwiefern die Berner Fachhochschule sie bei Themen wie «Open Government Data», «once-only» und «Augmented Intelligence» unterstützt

A Review of RedOx Cycling of Solid Oxide Fuel Cells Anode

Abstract: Solid oxide fuel cells are able to convert fuels, including hydrocarbons, to electricity with an unbeatable efficiency even for small systems. One of the main limitations for long-term utilization is the reduction-oxidation cycling (RedOx cycles) of the nickel-based anodes. This paper will review the effects and parameters influencing RedOx cycles of the Ni-ceramic anode. Second, solutions for RedOx instability are reviewed in the patent and open scientific literature. The solutions are described from the point of view of the system, stack design, cell design, new materials and microstructure optimization. Finally, a brief synthesis on RedOx cycling of Ni-based anode supports for standard and optimized microstructures is depicted

Shear induced instabilities in layered liquids

Motivated by the experimentally observed shear-induced destabilization and reorientation of smectic A like systems, we consider an extended formulation of smectic A hydrodynamics. We include both, the smectic layering (via the layer displacement u and the layer normal p) and the director n of the underlying nematic order in our macroscopic hydrodynamic description and allow both directions to differ in non equilibrium situations. In an homeotropically aligned sample the nematic director does couple to an applied simple shear, whereas the smectic layering stays unchanged. This difference leads to a finite (but usually small) angle between n and p, which we find to be equivalent to an effective dilatation of the layers. This effective dilatation leads, above a certain threshold, to an undulation instability of the layers. We generalize our earlier approach [Rheol. Acta, vol.39(3), 15] and include the cross couplings with the velocity field and the order parameters for orientational and positional order and show how the order parameters interact with the undulation instability. We explore the influence of various material parameters on the instability. Comparing our results to recent experiments and molecular dynamic simulations, we find a good qualitative agreement.Comment: 15 pages, 12 figures, accepted for publication in PR