Global ETD Search

681	Task-based Embedded Assessment of Functional Abilities for Aging in Place Lee, Matthew L. 01 August 2012 (has links) Many older adults desire to maintain their quality of life by living and aging independently in their own homes. However, it is difficult for older adults to notice and track the subtle changes in their own abilities because these abilities can change gradually over a long period of time. Technology in the form of ubiquitous sensors embedded in objects in the home can play a role in keeping track of the functional abilities of individuals unobtrusively, objectively, and continuously over a long period of time. This work introduces a sensing technique called “task-based embedded assessment” that monitors how well specific tasks important for independence are carried out using everyday objects found in the home with which individuals regularly interact. Following formative studies on the information needs of older adults and their caregivers, a sensing system called “dwellSense” that can monitor, assess, and provide feedback about how well individuals complete tasks, such as taking medications, using the phone, and making coffee, was designed, built, and evaluated. Multiple longterm (over 10 months) field deployments of dwellSense were used to investigate how the data collected from the system could support greater self-awareness of abilities and intentions to improve in task performance. Presenting and reflecting on data from ubiquitous sensing systems such as dwellSense is challenging because it is both highly dimensional as well as large in volume, particularly if it is collected over a long period of time. Thus, this work also investigates the time dimension of reflection and has identified that real-time feedback is particularly useful for supporting behavior change, and longer-term trended feedback is useful for greater awareness of abilities. Traditional forms of assessing the functional abilities of individuals tend to be either biased, lacking ecological validity, infrequent, or expensive to conduct. An automated sensor-based approach for assessment is compared to traditional performance testing by a trained clinician and found to match well with clinician-generated ratings that are objective, frequent, and ecologically valid. The contributions from this thesis not only advance the state of the art for maintaining quality of life and care for older adults, but also provide the foundations for designing personal sensing systems that aim to assess an individual’s abilities and support behaviors through the feedback of objective, timely sensed information. Task-based embedded assessment dwellSense User Reflective Design Process sensors smart home sensemaking behavior change ubiquitous computing capture and access home monitoring older adults reflection self-awareness Instrumental Activities of Daily Living functional ability functional assessment aging in place testing effect medication adherence ratings of ability field study case study information needs feedback real-time feedback long-term feedback tablet display wellness embedded assessment health monitoring self-report performance testing automated assessment sensor-based assessment caregiver doctor early diagnosis task performance telephone use coffee making and goal setting.
682	African language varieties at Baragwanath hospital : a sociolinguistic analysis. Saohatse, Mokgadi C., 1957- 06 1900 (has links) The initial purpose of this study was to describe and analyse the language situation at Baragwanath Hospital. This was seen as a microcosm of the language situation in urban South Africa. As such, this study set out to identify problems and offer suggestions in resolving the difficulties experienced in communication in this hospital as well as in other medical institutions in the rest of the country. Before attempting such an investigation, a sound theoretical framework had to be established. In order to gain familiarity with the research field, concepts on sociolinguistics had to be researched and described. In order to apply particular concepts to the situation under investigation, the concepts had to be defined and interpreted first. This study has made a contribution to the theoretical debate regarding various sociolinguistic concepts, in that it has shown how these concepts apply to the South African situation. The next step in the research process involved making a decision about which method would be most appropriate for collecting data. Therefore, various approaches were investigated in order to find the appropriate one. The techniques of data collection and the recruitment of respondents had to be refined before the main data collection process could begin. Then began the journey of discovery. The detailed description of the language situation at Baragwanath Hospital presented in chapter 3 forms the crux of this study. This is the first time that such a comprehensive, qualitative description of the entire language situation in this hospital has been done. An appropriate method for data analysis had to be devised. This entailed various levels of analysis and interpretation. A description of the language situation at Baragwanath Hospital would have been incomplete without presenting a few of the various scenarios that took place in this hospital. Many important conclusions were reached during the course of the research. The most important of these were: 1. A huge communication problem exists at Baragwanath Hospital. 2. Either interpreters will have to be hired to overcome this problem; or nurses will have to be paid more for their interpreting services. / African Languages / D. Litt. et Phil. Language varieties Communication problems Baragwanath staff-patient turnover Language attitudes Language interpreters Promotion of indigenous languages Language use in a speech community Code switching Doctor-patient relationship Tsotsitaal and lscamtho 306.4460968221 Baragwanath Hospital -- Language. Tsotsitaal languages. Speech communities.
683	An Ethnographic Study of Doctor-Patient Communication within Biomedicine and Its Indian Variant in Mumbai Patel, Raakhee Navin 21 June 2021 (has links) No description available. Asian Studies Behavioral Sciences Communication Cultural Anthropology Ecology Ethics Ethnic Studies Families and Family Life Foreign Language Gender Gender Studies Gynecology Health Health Care Health Care Management Health Sciences Mass Media Mass Communications Medical Ethics Medicine Minority and Ethnic Groups Obstetrics Personal Relationships Regional Studies Social Research Social Structure Sociolinguistics South Asian Studies Technology Womens Studies Personality doctor patient communication relationship biomedicine India Mumbai globalization healthscape identity ethnography expectations medical record negotiation pregnancy infertility clinical encounter healthcare hospital medicine hierarchy
684	Mourir à l’hôpital : entre droit privé et droit public : approche pratique, théorique et philosophique. / Die at the hospital : between private law and public law : practical, theoretical and philosophic approach. Tomc, Nicolas Antoine 28 November 2012 (has links) Il est quasiment devenu un lieu commun aujourd’hui de mourir à l’hôpital. Et s’il fallait traiter ce sujet, le plus souvent c’est la perspective médicale qui tenterait d’en percevoir les enjeux. C’est au tournant du milieu du XXème siècle, au lendemain d’un énième génocide, marquant l’esprit de l’humanité certainement pour l’éternité, qu’un nouveau langage bioéthique va se faire le vecteur d’une considération renouvelée de la personne. L’homme devient personne humaine dans les textes internationaux proclamant dès lors d’inédits droits de l’homme. C’est en prenant la bioéthique comme objet de réflexion qu’un certain droit de la santé, largement inspiré par la production de comités d’éthiques, a émergé d’une doctrine privatiste en premier, afin de cerner de premiers droits définissant celui qu’il serait convenu d’appeler alors le mourant. Toutefois, l’établissement public de santé confronté à la technologisation médicale, permettant alors un allongement de la fin de vie, s’est rapidement trouvé être un lieu de conflit entre ceux qui furent considérés comme des usagers de service public, et les commettants médecins de l’Etat. La primauté du droit privé de la personne semblait alors menacée, le droit administratif prenant le pouvoir afin d’indemniser les victimes de l’hôpital. Cependant, à force de réductions systématiques ne regardant la personne mourante que sous un angle génériciste, relevant d’un droit public, celle-ci s’est progressivement retrouvée parfaitement ignorée en son essence première que le droit privé parvenait à percevoir. Les formes les plus récentes de déresponsabilisation attesteraient d’une consécration de l’indemnisation finissant d’objectiviser l’être sous-jacent à la personne mourante, allant jusqu’à justifier l’acte euthanasique. L’approche réitérée de ce difficile objet d’étude trouverait à générer une réflexion que le philosophe du droit engagerait, réintroduisant la personne irréductible se manifestant comme point de départ et d’arrivée, de telle sorte que se pourrait être harmonisée la rencontre inévitable des domaines public et privé, juridique et politique, afin de rendre toute sa vérité onto-axiologique aux droits premiers du sujet mourant. / Today, dying at hospital is the most curently idea agreed in order to protect people. That’s maybe the reason why medical studies took this as an issue more than lawyer studies. It’s around the middle of the twentieth century, after one more genocide, marking the spirit of the humanity certainly for all eternity, that a new bioethical language is going to be made the vector of a consideration renewed by the person. The man becomes a human-person in the international texts, proclaiming from then on of unpublished works human rights. While taking the bioethics as object of reflection a certain health law, widely inspired by the production of committees of ethics, emerged from a privatiste doctrine in the first one, to encircle first rights of the one that it would have been advisable to call then the dying. However, the public institution of health confronted with the medical technologisation, allowing then an extension of the end of life, quickly was to be a place of conflict between those who were then considered as users of public service, and principals doctors of the State. The superiority of the private law of the person seemed then threatened, the administrative law taking the power to indemnify the victims of the hospital. However, by means of systematic reductions looking at the dying person only under an angle génériciste, recovering from a public law, this one gradually found itself perfectly ignored in the first essence which the private law succeeded in perceiving. The most recent forms of deresponsabilisation would give evidence of a consecration of the compensation stopping an objectivisation the underlying being to the dying, going person to justify the euthanasic act. The approach repeated by this difficult object of study would find to generate a reflection which the philosopher of the right(law) would engage, reintroducing the person inflexible as point of departure and arrival, so that could be harmonized the inevitable meeting of the public and private, legal and political domains, to return all its onto-axiological truth to the first rights of the dying subject. Droit privé de la personne Droit public Droit pénal Droits de l’homme Droit de la santé Philosophie du droit Métaphysique Autonomie de la volonté Incapacité Mourant Hôpital Humanisme Idéalisme Réalisme Bioéthique Sujet de droit Malade Mort Euthanasie Responsabilité Obligation Indemnisation Usager de service public Contractualisation Médecin Condition potestative Personne de confiance Accompagnement CCNE Souffrance Soins palliatifs Cadavre Platon Aristote Kant Heidegger Biodroit Private law of the person Public law Criminal law Human rights Health law Philosophy of the right(law) Metaphysics Autonomy of the will The incapacity Dying Hospital Humanism Idealism Realism Bioethics Bioright(biolaw) Subject of right(law) Patient Death Euthanasia Responsibility Bond Compensation User of public service Contractualization Doctor Condition potestative Reliable person Accompaniment CCNE Suffering Care palliatives Corpse Platon Aristote Heidegger Kant 340
685	A Comparison of Major Factors that Affect Hospital Formulary Decision-Making by Three Groups of Prescribers Spence, James Michael 05 1900 (has links) The exponential growth in medical pharmaceuticals and related clinical trials have created a need to better understand the decision-making factors in the processes for developing hospital medication formularies. The purpose of the study was to identify, rank, and compare major factors impacting hospital formulary decision-making among three prescriber groups serving on a hospital's pharmacy and therapeutics (P&T) committee. Prescribers were selected from the University of Texas, MD Anderson Cancer Center which is a large, multi-facility, academic oncology hospital. Specifically, the prescriber groups studied were comprised of physicians, midlevel providers, and pharmacists. A self-administered online survey was disseminated to participants. Seven major hospital formulary decision-making factors were identified in the scientific literature. Study participants were asked to respond to questions about each of the hospital formulary decision-making factors and to rank the various formulary decision-making factors from the factor deemed most important to the factor deemed least important. There are five major conclusions drawn from the study including three similarities and two significant differences among the prescriber groups and factors. Similarities include: (1) the factor "pharmacy staff's evaluation of medical evidence including formulary recommendations" was ranked highest for all three prescriber groups; (2) "evaluation of medications by expert physicians" was ranked second for physicians and midlevel providers while pharmacists ranked it third; and (3) the factor, "financial impact of the treatment to the patient" was fifth in terms of hospital formulary decision-making statement and ranking by all three prescriber groups. Two significant differences include: (1) for the hospital-formulary decision making statement, "I consider the number of patients affected by adding, removing, or modifying a drug on the formulary when making hospital medication formulary decisions," midlevel providers considered this factor of significantly greater importance than did physicians; and (2) for the ranked hospital formulary decision-making factor, "financial impact of treatment to the institution," pharmacists ranked this factor significantly higher than did physicians. This study contributes to a greater understanding of the three prescriber groups serving on a P&T committee. Also, the study contributes to the body of literature regarding decision-making processes in medicine and specifically factors impacting hospital formulary decision-making. Furthermore, this study has the potential to impact the operational guidelines for the P&T committee at the University of Texas, MD Anderson Cancer Center as well as other hospitals. Information Science Health Sciences, Pharmacy Drugs -- Prescribing -- Decision making.
686	Dr. Eleine Mad Jacobsson, Madeleine January 2021 (has links) Dr. Eleine Mad är Madeleine Jacobsssons talesperson för dom vetenskapliga och paranormala upptäckter som uppstår i hennes världar. Hon beskriver innehåll, teknik och estetik utifrån ett kategoriseringssytem där konsten delas upp som olika typer av komponenter och därefter avkodas dessa allteftersom. För att förstå intuitionens inblandning i arbetsprocessen omförvandlas den till tre separata roller av en Sökare, Samlare och Myntare. Med rollerna försöker jag beskriva på vilka sätt som intuitionen är till gagn eller av förödelse för det konstnärliga arbetet. Sagan om M handlar om en grodlik karaktär, Delop, som lämnar sin hemplanet för att uppsöka andra världar. I sitt sökande hittar Delop ett folkslag vars syn och levnadssätt skiljer sig från hennes erfarenheter av “verkligheten” såsom hon lärt sig att överleva i den. / Dr. Eleine Mad is Madeleine Jacobsson's spokesperson for the scientific and paranormal discoveries that arise in her worlds. She describes content, tecniques and aesthetics based on a categorization system where art is divided into different types of components and then decoded as they go. To understand the intuition's involvement in the work process, it is transformed into three separate roles by a Seeker, Collector and a Myntare(In swedish language the one who is a "myntare" -is verbally declaring a concept or term). With these roles I try to describe in what ways intuition is beneficial or devastating to the artistic work. The story of M is about a frog-like character, Delop, who leaves the home planet to seek out other worlds. In her search, Delop finds a world whose views and lifestyles differ from her experiences of "reality" as she learned to survive in it. / <p>Recorded sound and image material of the presentation is available for private use.</p> mjjgkjacb longing desire pang aj worlds shark genital symbol female sexuality worlds content the tale of M Doctor M mad life artifact animals figures emotional states red existentialism epicenter dog mythology folk beer whistle closeness aversions seeker collector myntare stagnation hibernation intuition sausage soup majdalakdemlsmikopa Delop Cow Lice snake hare sheep ödel oktor threat antipathy empathy fear performance function allow belief clitoral heroes monsters pink components situation dual nature euphoria bic-pens reality violence desert sea AQB brain holistics social codes self fairy tale space blue horse hell gotland dizzying flourish anthropomorphic jewels death plaster spiders commit survive frog whale bear purpose communication wild fascination animal incomparable monster ugly disturbed perspective marauder green symbolism who suffer anger reverence gods recast transformation yellow pry entrance interest alternative insignificant rigid position of power as disease real added disgusting wake up doubt mourn pray images horror plants rock stop mjjgkjacb längtan åtrå pang aj världar haj världsallt könssymbol kvinnlig sexualitet världarnas innehåll sagan om M Doktor M mad livet artefakt djur figurer känslomässiga tillstånd röd existentialism epicentrum hund mytologi folköl vissla närhet aversioner sökare samlare myntare stagnation dvala intuition korvsoppa majdalakdemlsmikopa Delop Ko Löss orm hare får Ödel Oktor hot antipati empati rädsla föreställning funktion tillåta tro klitorala hjältar monster rosa världar komponenter situation dubbla natur eufori bic-pennor verkligheten våld öken hav A.Q.B hjärna holistisk sociala koder självet sagorymd blå häst helvete Gotland vimmelkantig florera antropomorf juveler döden plåsterspindlar vägvisare begå överleva groda val björn syfte kommunicering vild fascination djurisk makalös vidunder ful störd perspektiv marodör grön symbolism vem genomlida ilska vördnad gudar omstöpt sammandrabbningar transformation gul bända ingång intresserar alternativ oväsentlig stel maktposition som sjukdom verkligt tillsatt äcklig vakna tvivla sörja be urbilder skräck växter rock stopp Arts Konst

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