No description available.

Idag är unga kvinnor den grupp som utgör majoriteten av ätstörningsdrabbade, där anorexia nervosa, bulimia nervosa och EDNOS (eating disorder not otherwise specified) är de vanligast förekommande diagnoserna. Mando Group AB behandlar patienter med ätstörningar och har till patienternas hjälp utformat datorprogrammet Doktor Cecilia som är en virtuell behandlare till vilken patienterna kan ställa frågor. Användandet ligger enligt Mando Group AB inte på önskvärda nivåer och programmet har inte heller tidigare genomgått en utvärdering. Syftet med detta arbete var att ta fram potentiella förbättringar av programmet och att av patienterna få dessa tillsammans med programmet utvärderade. Vidare utfördes en enkätundersökning på två Mandometerkliniker för att kartlägga patienternas åsikter om programmet och de framtagna potentiella förbättringarna. Resultatet visade att patienterna var positivt inställda till implementerandet av bland annat röstsvar, tvåvägskommunikation och möjlighet till att se till programmet vanligt ställda frågor. Detta resultat användes sedan för att framställa rekommenderade implementationer som skulle kunna förbättra programmet och på sikt kunna öka dess användning. / Today, adolescent females represent the majority of people suffering from eating disorders with anorexia nervosa, bulimia nervosa and EDNOS (eating disorder not otherwise specified) being the most common diagnoses. Mando Group AB treats patients with eating disorders and has for the sake of the patients developed the computer software ‘Doctor Cecilia’ which is a virtual caretaker to whom patients may direct their queries. Mando Group AB has stated that the usage of the software has not reached the desirable level amongst their patients. Moreover, the software has not been subject to an evaluation. The purpose of this thesis has been to produce suggestions of potential improvements for ‘Doctor Cecilia’ by consulting patients in order to evaluate these improvements as well as the software in general. As such, an investigation was conducted at two Mandometer-clinics in order to clarify the opinions of the patients regarding the software itself and the potential improvements which are presented by this thesis. The results showed that the patients were in favor of the implementation of for instance voice response, two-way communication and the opportunity to see frequently asked questions. The results of this thesis have been used to produce recommended implementations that could improve the software and eventually increase its usage.

No description available.

The purpose of this study was to assess benefits of completing a doctoral degree in education for females versus males relative to expected benefits upon entry to Virginia Tech. Relationships between expected benefits, accrued benefits, and selected demographic data by gender were studied. The basic design of the study involved a survey completed by 265 (90%) of the doctorate recipients between 1980-1984. Specific computational procedures utilized in data analyses included frequency distributions, percentages, and chi-square procedures. Results of the study indicated more similarities than differences for the female (87%) and male (93%) respondents. Median age at doctorate was 38.5 years. Most respondents (75.4%) were married. Approximately 62% respondents reported their career decision assumed equal or greater importance than spouses’ career decisions. Most spouses (79.6%) were employed full-time. Most respondents (94.4%) were employed full-time. Respondents (74.9%) earned $12,000-$35,988 annually prior to entry into the doctoral program. Following the completion of the degree respondents (45.5%) earned $24,000-$35,988 in 1984. Research indicated some significant differences in expected versus accrued benefits by gender. Females expected significantly more opportunity to use training or schooling and more autonomy and independence on the job following completion of the degree. Males perceived that they had accrued significantly more benefits relative to improved autonomy and independence at work, congeniality of work relationships, visibility for jobs at other institutions or organizations, and mechanical ability. The females and males expected the same 18 out of 20 most important benefits and perceived that they had accrued the same 18 out of 20 most important benefits relative to improved aspects of employment and intellectual qualities and skills. Relationships between the age at obtaining the doctorate and accrued benefits were found for the youngest age group (27-34) for four of 36 benefits: working conditions, congenial work relationships, public speaking ability, and academic ability. Among respondents, 91.4% reported the doctoral degrees had a positive effect on career development. Respondents perceived personal benefits were primary. Professional and financial benefits were second and third, respectively. Ninety-one percent of the respondents reported it was worth the time, effort, and expense‘ involved to complete the doctoral degree. / Ed. D.

The role of school management on the qualitative provision of inclusive education in designated full-service schools in North West Province is vital for optimum accommodation of learner diversity in ordinary mainstream primary schools. The school management of designated primary schools are assigned with the task of ensuring that inclusive education policy and practices are adopted and implemented by all stakeholders as prescribed by policy in their respective schools. This dissertation sought to investigate at a micro perspective the impact of school managers as individual employees and their response to the new inclusive education system in their schools. The study also identifies factors that facilitate or hinder their role. A qualitative approach and the case study design were applied in this study. Five schools were purposefully selected and total of 40 participants were involved. The participants include five principals, five deputy principals, ten heads of departments (HoDs) and 20 members of the SBST. Data were collected by conducting individual interviews for principals and deputy principals and focus group interviews for HoDs and members of SBST. The findings reveal that the school managers, SBST and stakeholders like parents do not yet understand the reasons behind expansion of inclusive education in their schools. The study reveals that the school management are still finding it difficult to fulfil their role and responsibility. This is owing to numerous challenges emanating from inadequate support from district based support teams or departmental officials, pedagogical barriers, systemic barriers, insufficient staffing, lack of human resource development through trainings, infrastructure challenges, resistance to policy such as SIAS and lack of knowledge of assistive devices. Subsequent to that, literature review reveals that studies on implementing inclusive education in schools focus largely on the plight and role of teachers and that little attention was paid to the role of school management on the provision of inclusive education. To enhance the impact of school management on provision of inclusive education and to address prohibiting factors noted form the findings, the study recommends to the department an intensive and structured capacity building programmes for departmental officials, school management, curriculum specialists, senior managers with specific reference to inclusive teaching strategies, admission within protocol of SIAS policy, and curriculum differentiation using assistive devices. A proposed model to improve the impact of school management on the provision of inclusive education with specific reference to administer admission within SIAS protocol is presented. / Educational Management and Leadership / M. Ed. (Education Management)

Le système de santé d'aujourd'hui fait appel à de nombreuses technologies de l'information nommées TIS (Technologies de l’Information en Santé). Celles-ci ont donné naissance à de nouvelles formes d’interaction médecin-patient et ont complexifié l'approche thérapeutique dite
« centrée sur le patient ». Les TIS promettent une plus grande efficacité et l’augmentation de la satisfaction des patients par le biais d’une meilleure compréhension de la maladie pour le patient. Or, elles peuvent également devenir des sources de conflit pour le professionnel de la santé, étant donné leur utilisation en dehors des rencontres cliniques ainsi que leur tendance à agir comme des barrières communicationnelles lors des consultations. Cette recherche vise a étudier les critères de design nécessaires à la conception d’un TIS pouvant améliorer la relation médecin-patient et donc, faciliter la communication et améliorer l’alliance thérapeutique. L’étude utilise une approche centrée sur l’utilisateur et vise donc à comprendre les besoins et les attentes des médecins et des patients. En étudiant les nouvelles approches en santé et les TIS, il a été possible de comprendre le contexte et les besoins des utilisateurs en terme de communication. Ces derniers sont primordiaux au processus dit centré sur l’utilisateur. Le faible taux de rétention du discours du médecin devient une barrière communicationnelle importante, tout comme le temps pressurisé. La recherche nous montre que l’ajout d’un outil virtuel de vulgarisation peut, à l’aide de média visuels (tel que des modélisations, des animations 3D et des dessins), grandement aider la relation médecin-patient. / Today’s medical system is using an increasing number of information technologies to help healthcare professionals in their daily practice. Commonly known as HIT (Health Information Technologies), they create new forms of doctor-patient interaction and complexify the therapeutic approach called “patient centered approach”. Their use promises to improve the efficiency of the healthcare system and the overall satisfaction of the patient by improving his understanding of his illness, yet they can also become communication barriers during a consultation and even a source of conflict when used outside a clinical context. This research project aims at studying the design criteria for a Health Information tool that can help improve the doctor-patient relationship. The study uses a user-centered approach and therefore, focuses on understanding the needs and expectations of both doctors and patients. The study of the theoretical and "on the field" therapeutic approach shows that the pressurized time of the consultation, the many communication barriers and the low level of information remembered by patients are problems that can be solved by a HIT. A virtual vulgarization tool that uses multimedia such as 3D animations, 3D models and drawings can considerably help the doctor-patient relationship.

Doctoral graduates of the program in Higher Education, Division of Higher Education, North Texas State University, from the fall of 1969 through spring, 1973, were selected as subjects for an evaluation of the program. To appraise the effectiveness of the program, the evaluation attempted to: (1) determine how the graduates viewed various aspects of their doctoral program and experiences at North Texas State University; (2) appraise the effectiveness of the doctoral program in Higher Education in light of the career goals and needs of the graduates and how the program served those needs; (3) present conclusions and recommendations based on the findings of the study which could aid in the administration of the program, provide information for planning new programs and policies, or in supporting those already in existence. A questionnaire was developed and used as the data-gathering instrument, after being revised according to suggestions given by a jury. The questionnaire was mailed to graduates on August 17, 1973, and a follow-up letter was mailed on September 19, 1973, to those non-respondents who could be identified. Of the total number of graduates who received the questionnaire, 69 (71 per cent) responded. Data contained in the questionnaires were numerically coded and recorded on keypunch worksheets. With the aid of the staff from the N.T.S.U. Computing Center, print-outs were produced from the worksheets which contained tabulated data. Tables were made from the data for analysis and interpretation. Analysis of the data led to the following conclusions. The program is producing graduates who have a marketable education with most of them teaching in four-year colleges and universities. The emphases on college teaching and administration are major strengths of the program and graduates rate a strong degree of satisfaction with the major program components, structure and curriculum. Competencies gained in educational research and statistics and the residency requirement are considered valuable by graduates. When compared to other programs in Higher Education, the program at N.T.S.U. is rated above average to outstanding by 77 per cent of its graduates. Most graduates were dissatisfied with the amount and variety of financial assistance that was available and felt that the internship experience was under-utilized. Recommendations for further research included replication of the study after a number of years, evaluation of other programs with similar methodology, and program appraisal using a different sample, such as the graduate's employer.

This research project addresses the following: how topical talk operates in the organisation and management of MSE interactions; and how topical talk operates in the co-ordination of specific service requests and service provisions. It draws on a corpus of audio-recorded and transcribed interactions between general practitioners and persons seeking general medical services in suburban clinics in Brisbane, Australia. The corpus comprised a total of 67 medical service events (henceforth MSEs), audio-taped with the full informed consent of the participants. Many contemporary medical sociological accounts of the operation of topical talk in MSEs, typified by the work of Mishler (1981, 1984) and Waitzkin (1991), remain anchored to the 'professional dominance' thesis (Freidson 1970a; 1970b), arguing for the fundamental conflict between two perspectives - lay and professional. Topical talk has been formulated as one expression of this conflict in 'doctor-centred' communicative 'styles' (Byrne and Long 1976; Silverman 1987). Within such accounts, familiar interactional patterns in MSEs, including the content and structure of topics, have been theorised as instruments of power and control whereby the dominance of specialised medical knowledge and expertise are established and maintained. Mishler's (1984) characterisation of the conflict between a biomedically oriented 'voice of medicine' used by professional physicians (henceforth GPs) and a 'voice of the lifeworld' used by persons seeking medical services (henceforth Ps) is an expression of the 'professional dominance' thesis. The voices are characterised as attesting to a fundamental, theoretically problematic, asymmetry of power relations between GPs and Ps, thereby reinforcing the ideological status of professionals in general and the medical profession in particular. Further, recommendations regarding correctives to 'professional dominance' centre on advice GPs to attend to the primacy of Ps' talk on their experiences of illnesses rather than apparently 'ignoring' or transforming these topics into biomedical accounts of disease. This research project critiques this formulation of topical talk and the traditional theoretical and empirical bases on which it has drawn. This critique arises from the application of ethnomethodological approaches to the study of MSEs. Such approaches, as outlined in Chapters 2 and 3, are characterised by a number of conceptual and analytic premises: First, particular social structural features of social activities and the institutional contexts within which activities occur should not be assumed to be the primary criteria for judging the import and adequacy of situated action. Second, the parties to situated social events mutually constitute those events in the real world. Third, issues of agency are collaborative situated accomplishments such that the management of everyday social activities is accomplished by the people involved who show one another the rationalities of their actions as they assemble the familiar scenic features of those same institutional events (Garfinkel 1967; Sacks 1992a, 1992b). These assumptions have been applied in ethnomethodological analyses of social action, including the analysis of professional service encounters that have critiqued the 'professional dominance' thesis (Eglin and Wideman 1986; Sharrock 1979). The novelty of this study is the analysis of the operation of topic organisation as a phenomenon of order. This study also draws on recommendations within Ethnomethodology (Hester & Eglin 1997b; Watson 1997) that sequential and categorial organisations are mutually informative in the analysis of the rationality of situated social action. One of the particular contributions of this thesis is that it not only jointly applies both conversation analysis and membership categorisation analysis but also extends this recommendation to the inclusion of topic analysis as was originally provided for by Sacks (1992a , 1992b) and Garfinkel and Sacks (1970). Within this study a model of analysis has been constructed that has enabled the analytical consideration of four dimensions of social organisation: local sequential, extended sequential, topical and categorial organisations. The theoretical and empirical concepts of ethnomethodogical analysis have thus been developed and extended within this project. The central findings of this study are that in institutional service events, the 'service topic' is both significant and consequential, and that persons constitute themselves as bona fide incumbents of the categories GP or P by attending to their actions as topically organised. The local adequacy of any particular interactional move (such as questioning-answering, greetings, the design of a topic proposal, etc) is shown to be referenced to the service topic. This study found no evidence of potential or actual "struggles" between the 'voice of the life-world and the voice of medicine'. Rather, this study finds routine recognition on the part of both Ps and GPs of the centrality of the service topic and, thereby, the service task, and no evidence of orientation to distinctive biographical contributions staged in competition with biomedically relevant service topics. It is found that Ps' biographical references were made in the context of an assembled service topic such that particular service tasks, however conventional, were constituted as both relevant and reasonable as medical goods and service for the specific service recipient and provider. At the most general level, it is concluded that the service topic operates as a phenomenon of order in MSEs where order, as defined by Garfinkel and Weider (1992: 202), refers to all of the rationalities evident in the generic features of institutional events and settings, that is, the situated logic and intelligibility as well as the procedures whereby they are constituted as recognisable social events. The thesis concludes with a discussion of the implications of the findings for the theorisation, policy-making, medical education, and practices of GPs and Ps within MSEs. Overall, the significance of this work for researchers into medical interactions is that the relevance of the service topic and its pervasive organisational consequences need to be considered analytically. A major outcome of this thesis is the establishment of a new order of interest within the study of institutional interactions. The project demonstrates the pervasive consequences of service topics and thus provides a step forward in the study of institutional service interactions and ways of theorising their rationality, a step that extends beyond social structural pre-theorisations of power and domination and also beyond interactional accounts of the primary relevance of turn taking structures.

Etiniai bendravimo aspektai tarp gydytojo ir paciento visuomet buvo ir išlieka viena svarbesnių visuomenės aukšto išsivystymo ir sąmoningumo moralinių aspektų. Faktoriai apibūdinantys paciento požiūrį į gydytoją lemia lygiavertį bendravimą tarp paciento ir gydytojo, o gydytojo sąmoningumo, žmogiškųjų sąvybių ir darbo kokybės gerinimas yra vienas iš prioritetinių sveikatos sistemos priežiūros uždavinių. Šiuolaikinės sveikatos priežiūros paslaugų teikimas turi būti atliekamas tokiame lygmenyje, kad nebūtų pacientų nusiskundimų gydytojais, o pastarieji nevengtų „rizikingų“ pacientų. Šiame darbe analizuojami faktoriai, turintys arba galintys turėti įtakos gydytojo ir paciento tarpusavio santykiams, pateikiamos rekomendacijos būtinių veiksnių ar faktorių kuriuos būtina įgyvendinti siekiant abipusiai naudingo gydytojo ir paciento bendravimo. Darbo tikslas - Įvertinti gydytojų nuomonę apie bendravimo su pacientais ypatumus ir etinius šio bendravimo aspektus gydytojo santykiuose su pacientu. Tyrimo metodai. 2011 metais „Gydytojų sąjungos“ organizuotose specializuotuose mokymose Druskininkų ligoninėje buvo įvykdyta anoniminė anketinė gydytojų apklausa, kurios metu buvo apklausta 2440 įvairių specialybių gydytojų. Anketiniai duomenys buvo apdoroti ir analizuojami naudojant statistinį duomenų analizės paketą SPSS 17.0. Hipotezės apie dviejų požymių nepriklausomumą buvo tikrinamos naudojant chi kvadrato (χ2) kriterijų (97). Rodiklių skirtumai laikyti statistiškai reikšmingais, kai p<0,05... [toliau žr. visą tekstą] / Ethical aspects of doctor-patient communication have always been and remain some of the major moral issues of high public development and awareness. The factors characterizing the patient's attitude to the doctor determine the equivalent communication between the patient and the physician, and physician’s awareness, human qualities and quality improvement is one of the priority health care challenges. Delivery of modern health care services must be performed at a level that would not be patient complaints about doctors, but they do not avoid "risky" patients. This paper analyzes the factors which have or may have an impact on doctor-patient relationships, presents recommendations on necessary factors or actions that need to be implemented in order to establish a mutually beneficial doctor-patient communication. Aim of the work: to evaluate doctors opinion regarding the doctors-patients communication peculiarity and ethical aspects of such communication in doctors relationships with patient. Methods of the research: the anonymous questionnaire survey of physicians was organised in Druskininkai hospital at 2011, on the specialized trainings organised by “Medical Association”. 2440 doctors of various specialties participated in the survey. The questionnaire data were processed and analyzed using the statistical data analysis package SPSS 17.0. Hypotheses about the independence of two signs were tested using the chi-square (χ2) test (97). Differences of indicators were considered... [to full text]

Les cellules solaires organiques ont longtemps été qualifiées de cellules solaires« polymères ». Cette appellation découle du fait que la couche active de telles cellules solaires a majoritairement été réalisée avec un polymère donneur d’électrons. L’utilisation d’un polymère au sein de la couche active a permis d’envisager la production de cellules solaires organiques par voie liquide avec des procédés d’impression à grande vitesse. Il existe cependant un autre type de matériau donneur d’électrons : les petites molécules. Ces dernières déposées par évaporation thermique permettent d’obtenir des cellules à haut rendement. A cause de leur faible propriété filmogène, les petites molécules n’ont cependant pas été envisagées pour un procédé d’impression industrielle. Or, en 2012 plusieurs petites molécules déposables par voie liquide font leur apparition et permettent d’obtenir des rendements suffisamment élevés à l’échelle laboratoire, pour envisager leur à l’échelle industrielle. Ces travaux de thèse ont été conduits en collaboration avec ARMOR, une entreprise visant à commercialiser les cellules solaires organiques, dans le but d’évaluer le potentiel d’industrialisation des petites molécules donneuses d’électrons. Le p-DTS(FBTTh2)2 a été choisi pour cette étude. Il a été montré qu’il était possible d’atteindre des rendements de 2% avec ce matériau à l’air, avec des solvants non toxiques en utilisant un procédé d’enduction à racle. L’industrialisation du p-DTS(FBTTh2)2 n’a cependant pas été poursuivie car ce dernier est très instable à l’air. Ces travaux présentent une méthodologie pouvant être utilisée pour évaluer l’industrialisation d’autres matériaux de ce type. / Organic solar cells are often called “polymer” solar cells. This term comes from the fact that the active layer of such solar cells have been widely made with a donor polymer. The use of polymer inthe active layer gives interesting filming properties that can be used to produce these solar cells industrially with a high speed printing process. Yet, another type of donor materials exists: the small molecules. Deposited by thermal evaporation, this type of materials can allow to reach high efficiency solar cells. Because of their poor filming properties, small molecules were not a good candidate for an industrialization using high speed printing. However, in 2012 several solution processable small molecules were proven particularly promising by demonstrating high efficiency at a laboratory scale.These encouraging results let imagine that it could be possible to produce organic solar cells with such materials. This PhD work has been done in collaboration with ARMOR, a company highly implied in the commercialization of organic solar cells, in order to evaluate if small molecules materials could be use dindustrially with a high speed printing process. The p-DTS(FBTTh2)2 has been chosen for this study. It has been shown that it is possible to reach efficiencies as high as 2 % with such a material, using non toxicsolvents and by making the solar cell in the air with a Doctor Blade. Nevertheless, the industrialization ofthe p-DTS(FBTTh2)2 has not been pursued due to the rapid degradation of this molecule in the air. This work presents a method that can be used to evaluate the industrialization of other efficient small molecules.