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Processus psychologiques, qualité de vie et devenir professionnel après lésion cérébrale acquise.Une étude longitudinale auprès de patients participant à un programme d’aide à l’intégration communautaire. / Psychological processes, quality of life and professional outcome after acquired brain injury.Longitudinal study of patients participating in a community integration training programCarlsberg, Mathilde 21 November 2019 (has links)
La lésion cérébrale acquise (LCA) engendre des séquelles dont la chronicité est à l’origine de difficultés dans les activités familiales, sociales et professionnelles. L’interaction des facteurs lésionnels, personnels de la personne cérébrolésée et ceux de son environnement vont contribuer au handicap. Face à la complexité de ce handicap, des programmes d’aide à l’intégration communautaire (IC), comme les UEROS, ont été développés pour favoriser l’insertion familiale, sociale et professionnelle des patients et améliorer leur qualité de vie (QDV). Mieux connaitre les déterminants de l’IC et l’évolution des processus psychologiques au cours de ces programmes semble nécessaire. Le premier objectif de ce travail vise à améliorer l’évaluation de l’IC après LCA en validant en français le Community Integration Questionnaire-Revised (CIQ-R) de Callaway et al. (2016). Les résultats de l’étude transversale menée auprès 191 patients cérébrolésés montrent les qualités psychométriques du CIQ-R. Celui-ci permet d’évaluer quatre dimensions de l’IC ainsi qu’un score global. Le deuxième objectif de ce travail est double : repérer les déterminants du devenir professionnel des patients 36 mois après leur entrée à l’UEROS-Aquitaine et étudier l’évolution des processus psychologiques, de la qualité de vie (QDV) et de l’IC tout au long de leur participation au programme. Dans le cadre d’une étude longitudinale, 49 patients cérébrolésés ont été inclus à leur entrée à l’UEROS-Aquitaine. Des données psychologiques, de QDV et d’IC ont été recueillies à 5 reprises sur 24 mois et le devenir professionnel a été évalué à 36 mois. Trois facteurs, parmi ceux évalués à l’inclusion, discriminent les patients ayant retrouvé une activité professionnelle (AP) de ceux sans AP 36 mois plus tard: un âge jeune, un faible besoin d’aides en vie quotidienne et l’utilisation de la pensée positive pour faire face aux difficultés liées à la LCA. Des modélisations par équations structurales montrent que la symptomatologie dépressive et le coping « Evitement » diminuent jusqu’à 1 an après l’inclusion puis augmentent au cours de la deuxième année. La dimension « Soi » de la QDV et la satisfaction de vie augmentent jusqu’à 1 an puis diminuent ensuite. La QDV « Physique » augmente tout au long des 2 ans. Enfin, les résultats indiquent une absence d’évolution significative des scores d’estime de soi, de sentiment d’auto-efficacité et d’IC sur 2 ans. L’ensemble de nos résultats suggère des implications cliniques tant pour l’évaluation de l’IC que pour l’accompagnement à long terme des personnes cérébrolésées. / Acquired brain injury (ABI) causes disorders with chronicity at the origin of difficulties in daily, social and professional activities. The interaction of brain-injured people’s lesional, personal and environmental factors will contribute to the resulting disability. Given the complexity of this disability, Community Integration (CI) training programs have been developed, such as the UEROS, to promote family, social and professional integration. A better understanding of the determinants of CI and the evolution of psychological processes during these programs seems necessary. The first objective of this work aims to enhance the evaluation of CI after ABI by validating, for the french language, the Community Integration Questionnaire-Revised (CIQ-R) by Callaway et. al (2016). The results of the transversal study carried out with 191 ABI patients show the psychometric qualities of the CIQ-R. This tool allows evaluation of four dimensions of CI as well as an overall CI score. The second objective of this work is twofold: to identify determinants of the professional outcome of patients 36 months after their entry into the UEROS-Aquitaine program and to study evolution of psychological processes, quality of life (QoL) and CI throughout their participation in the program. In the context of longitudinal study, 49 ABI patients were included upon entry to UEROS-Aquitaine program. Psychological, QoL and CI data were collected at 5 moments during 24 months and professional outcome was evaluated at 36 months. Three factors among those evaluated upon inclusion discriminate patients having found a professional activity (PA) from those with no PA 36 months later: young age, a low need for aids in daily living and use of positive thinking to cope with the difficulties associated with the ABI. Structural equation modeling indicates that depressive symptomatology and avoidance coping decrease until 1 year after inclusion and then increase in the second year. The "self" dimension of QOL and life satisfaction increase up to the first year and then decrease during the second year. Physical QoL increases over 2 years. Finally, the results indicate a lack of significant change in self-esteem scores, self-efficacy and CI over 2 years. The results as a whole have clinical implications both for the evaluation of ABI patients' CI and for their long-term support.
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Komparativní analýza jihoamerické integrace: Příklady CAN a UNASURu / A Comparative Analysis of South American Integration: Cases of CAN and UNASURHusáková, Gabriela January 2017 (has links)
This thesis deals with the issue of different efficiency between two integrational organizations in Latin America: Andean Community, and Union of South American Nations, by using neoliberal theory of international relations to examine he causes as to why the Andean Community is more efficient than the Union of South American Nations. First, the theoretical definition of neoliberal theory and the concept of cooperation problems are discussed. Then, follow chapters describing integration in Latin America, in general with all its characteristics, and a chapter describing history and basic institutional settings of the two organizations. In the practical part, each cooperation problem is either applied to the organizations and a relation between these problems and institutional setting, number of member states, and homogeneity between member states is examined. In the conclusion, the all three cooperational problems are brought together to determine, whether the main cause of different efficiency is the institutional setting and number of member states, or the homogeneity between members.
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Komunitní práce s imigranty / Community Work with ImmigrantsAdamcová, Eliška January 2018 (has links)
The thesis aims to look into the possibilities for the use of community work in the process of immigrant's integration into the society. The community work as an instrument of social work serves as a mean for building mutual bonds within a urban community, encourages development and exercise of the potential of the community and its citizens. This strengthens the active citizenship and involvement of the citizens in the processes that imminently concerns their lives. The thesis desribes the ways of possible inclusion of the immigrants in these processes in order for them to become equal fellow citizens of local communities and equal citizens of the country into which they decide to emigrate. The theoretical and philosophical background of this approach is an implementation and development of the political, civil and social rights that the immigrants acquire when given the permission of stay in certain country. The thesis describes results of a qualitative research lokking into community practise of two cities - Sheffield (United Kingdom) and Graz (Austria). These two examples describing the city council's involvement and the organizations-in-the-community's involvement are used to both define the realms of integration where the community work plays an undeniable role, and to come up with concrete...
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Escravos gas to liquid and community integration : a multi-case study approach / K.A. AjoguntanAjoguntan, Kayode Austine January 2008 (has links)
Socioeconomic study is a procedure that ensures that the likely positive and negative impact of a new project on the socioeconomic life of a community is taken into account. It has become a crucial part of sustainable development process. The understanding of socioeconomic study procedures is an increasing necessity for all those involved in the process. Similarly, proper knowledge of the function of socioeconomic study during the environmental impact assessment (EIA) process is of paramount importance for the mitigation of the likely effects of the new development.
Furthermore, as the world is gradually growing into a global village, it has become increasingly imperative that organizations integrate the people in their operations' areas in the overall objective of their businesses. Community engagement (CE) is a partnership process that can be used to assess and manage the problem affecting the well-being of a community because of a new development.
This research work used the SWOT matrix technique to develop a management framework that companies can use to manage their weaknesses and threats because of inadequate community engagement strategy. To achieve this, the work evaluated the extent to which socioeconomic study is integrated into the EIA processes. It also assessed the extent to which oil companies are using community engagement as a development strategy.
The findings of this dissertation revealed that oil explorations in the Niger Delta area have affected the well-being of the people both positively and negatively. Unfortunately, their negative impact outweighed their positive impact. Although they carry out socioeconomic studies, they have been neglecting the recommendations reported in the socioeconomic study document by experts. The level of community engagements therefore has also been very poor.
SWOT matrix technique was used to develop the management framework for each company based on the perceived strengths, weaknesses, opportunities and threats of the companies as revealed in this research. This should serve as a guide for the companies in their CE strategies. / Thesis (M.Ing. (Development and Management Engineering))--North-West University, Potchefstroom Campus, 2009.
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Escravos gas to liquid and community integration : a multi-case study approach / K.A. AjoguntanAjoguntan, Kayode Austine January 2008 (has links)
Socioeconomic study is a procedure that ensures that the likely positive and negative impact of a new project on the socioeconomic life of a community is taken into account. It has become a crucial part of sustainable development process. The understanding of socioeconomic study procedures is an increasing necessity for all those involved in the process. Similarly, proper knowledge of the function of socioeconomic study during the environmental impact assessment (EIA) process is of paramount importance for the mitigation of the likely effects of the new development.
Furthermore, as the world is gradually growing into a global village, it has become increasingly imperative that organizations integrate the people in their operations' areas in the overall objective of their businesses. Community engagement (CE) is a partnership process that can be used to assess and manage the problem affecting the well-being of a community because of a new development.
This research work used the SWOT matrix technique to develop a management framework that companies can use to manage their weaknesses and threats because of inadequate community engagement strategy. To achieve this, the work evaluated the extent to which socioeconomic study is integrated into the EIA processes. It also assessed the extent to which oil companies are using community engagement as a development strategy.
The findings of this dissertation revealed that oil explorations in the Niger Delta area have affected the well-being of the people both positively and negatively. Unfortunately, their negative impact outweighed their positive impact. Although they carry out socioeconomic studies, they have been neglecting the recommendations reported in the socioeconomic study document by experts. The level of community engagements therefore has also been very poor.
SWOT matrix technique was used to develop the management framework for each company based on the perceived strengths, weaknesses, opportunities and threats of the companies as revealed in this research. This should serve as a guide for the companies in their CE strategies. / Thesis (M.Ing. (Development and Management Engineering))--North-West University, Potchefstroom Campus, 2009.
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All the World’s a Stage: Paula Vogel’s Indecent & How Theatre Serves a CommunityCann, Audrey Jane January 2022 (has links)
No description available.
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