The main objective of this thesis is the development of a nonparametric sequential estimation technique for the off-pulse interval(s) of a source function originating from a pulsar. It is important to identify the off-pulse interval of each pulsar accurately, since the properties of the off-pulse emissions are further researched by astrophysicists in an attempt to detect potential emissions from the associated pulsar wind nebula (PWN). The identification technique currently used in the literature is subjective in nature, since it is based on the visual inspection of the histogram estimate of the pulsar light curve. The developed nonparametric estimation technique is not only objective in nature, but also accurate in the estimation of the off-pulse interval of a pulsar, as evident from the simulation study and the application of the developed technique to observed pulsar data. The first two chapters of this thesis are devoted to a literature study that provides background information on the pulsar environment and -ray astronomy, together with an explanation of the on-pulse and off-pulse interval of a pulsar and the importance thereof for the present study. This is followed by a discussion on some fundamental circular statistical ideas, as well as an overview of kernel density estimation techniques. These two statistical topics are then united in order to illustrate kernel density estimation techniques applied to circular data, since this concept is the starting point of the developed nonparametric sequential estimation technique. Once the basic theoretical background of the pulsar environment and circular kernel density estimation has been established, the new sequential off-pulse interval estimator is formulated. The estimation technique will be referred to as `SOPIE'. A number of tuning parameters form part of SOPIE, and therefore the performed simulation study not only serves as an evaluation of the performance of SOPIE, but also as a mechanism to establish which tuning parameter configurations consistently perform better than some other configurations. In conclusion, the optimal parameter configurations are utilised in the application of SOPIE to pulsar data. For several pulsars, the sequential off-pulse interval estimators are compared to the off-pulse intervals published in research papers, which were identified with the subjective \eye-ball" technique. It is found that the sequential off-pulse interval estimators are closely related to the off-pulse intervals identified with subjective visual inspection, with the benefit that the estimated intervals are objectively obtained with a nonparametric estimation technique. / PhD (Statistics), North-West University, Potchefstroom Campus, 2014

<p>Problem – The expansion of global trade and supply chain integration has put great emphasison logistics, particularly in the intermediary sector, freight forwarders. Whilst in developedcountries freight forwarders benefit from competitive markets and trade facilitatingpolicies, this sector in West coast Africa exhibits low logistics performance levels. Inorder to address such issues, one needs to analyse the problem and identify the causes; thisthesis focuses on identifying the bottlenecks in the freight-forwarding sector in west coastAfrica.Purpose – The main purpose of this study is to identify the bottleneck/s within thefreight-forwarding industry in west coast Africa, namely: Angola, Cameroon, DR of Congo,Gabon, and Nigeria.Method – This thesis employs a pre-study and case study method, to ensure sufficient collectionof relevant material, taking into account the lack of research in this subject. We usedthe material obtained from the interviews and the secondary source, to structure our purpose,research questions, and to define the case of our study.Results – The study concludes with a series of interesting findings; First, the activity of aFreight Forwarder depends on a series of factors that do not depend on the Freight Forwarderper se. And second, Freight Forwarders in order to accomplish their tasks, have accessto services that are shared by all providers, and that are beyond their control. To conclude,the study identifies infrastructure as a major bottleneck in the Freight Forwarding sector.</p>

Les estrogènes jouent un rôle primordial dans le développement et le fonctionnement des tissus reproducteurs par leurs interactions avec les récepteurs des estrogènes ERα et ERβ. Ces récepteurs nucléaires agissent comme facteurs de transcription et contrôlent l’expression des gènes de façon hormono-dépendante et indépendante grâce à leurs deux domaines d’activation (AF-1 et AF-2). Une dérégulation de leur activité transcriptionnelle est souvent à l’origine de pathologies telles que le cancer du sein, de l’endomètre et des ovaires. Alors que ERα est utilisé comme facteur pronostic pour l’utilisation d’agents thérapeutiques, l’importance de la valeur clinique de ERβ est encore controversée. Toutefois, des évidences récentes lui associent un pouvoir anti-tumorigénique en démontrant que sa présence favorise l’inhibition de la progression de ces cancers ainsi que l’efficacité des traitements. En combinaisons avec d’autres études, ces observations démontrent que bien que les deux isoformes partagent une certaine similitude d’action, les ERs sont en mesure d’exercer des fonctions distinctes. Ces différences sont fortement attribuables au faible degré d’homologie observé entre certains domaines structuraux des ERs, comme le domaine AF-1, ce qui fait en sorte que les différents sites de modifications post-traductionnelles (MPTs) présents sur les ERs sont très peu conservés entre les isoformes. Or, l’activité transcriptionnelle ligand-dépendante et indépendante des ERs est hautement régulée par les MPTs. Elles sont impliquées à tous les niveaux de l’activation des ERs incluant la liaison et la sensibilité au ligand, la localisation cellulaire, la dimérisation, l’interaction avec l’ADN, le recrutement de corégulateurs transcriptionnels, la stabilité et l’arrêt de la transcription. Ainsi, de par leur dissimilitude, les ERs seront différemment régulés par la signalisation cellulaire. Comme un débalancement de plusieurs voies de signalisation ont été associées à la progression de tumeurs ER-positives ainsi qu’au développement d’une résistance, une meilleure compréhension de l’impact des MPTs sur la régulation spécifique des ERs s’avère essentielle en vue de proposer et/ou développer des traitements adéquats pour les cancers gynécologiques. Les résultats présentés dans cette thèse ont pour objectif de mieux comprendre les rôles des MPTs sur l’activité transcriptionnelle de ERβ qui sont, contrairement à ERα, très peu connus. Nous démontrons une régulation dynamique de ERβ par la phosphorylation, l’ubiquitination et la sumoylation. De plus, toutes les MPTs nouvellement découvertes par mes recherches se situent dans l’AF-1 de ERβ et permettent de mieux comprendre le rôle capital joué par ce domaine dans la régulation de l’activité ligand-dépendante et indépendante du récepteur. Dans la première étude, nous observons qu’en réponse aux MAPK, l’AF-1 de ERβ est phosphorylé au niveau de sérines spécifiques et qu’elles jouent un rôle important dans la régulation de l’activité ligand-indépendante de ERβ par la voie ubiquitine-protéasome. En effet, la phosphorylation de ces sérines régule le cycle d’activation-dégradation de ERβ en modulant son ubiquitination, sa mobilité nucléaire et sa stabilité en favorisant le recrutement de l’ubiquitine ligase E6-AP. De plus, ce mécanisme d’action semble être derrière la régulation différentielle de l’activité de ERα et ERβ observée lors de l’inhibition du protéasome. Dans le second papier, nous démontrons que l’activité et la stabilité de ERβ en présence d’estrogène sont étroitement régulées par la sumoylation phosphorylation-dépendante de l’AF-1, processus hautement favorisé par l’action de la kinase GSK-3. La sumoylation de ERβ par SUMO-1 prévient la dégradation du récepteur en entrant en compétition avec l’ubiquitination au niveau du même site accepteur. De plus, contrairement à ERα, SUMO-1 réprime l’activité de ERβ en altérant son interaction avec l’ADN et l’expression de ses gènes cibles dans les cellules de cancers du sein. Également, ces recherches ont permis d’identifier un motif de sumoylation dépendant de la phosphorylation (pSuM) jusqu’à lors inconnu de la communauté scientifique, offrant ainsi un outil supplémentaire à la prédiction de nouveau substrat de la sumoylation. En plus de permettre une meilleure compréhension du rôle des signaux intracellulaires dans la régulation de l’activité transcriptionnelle de ERβ, nos résultats soulignent l’importance des MPTs dans l’induction des différences fonctionnelles observées entre ERα et ERβ et apportent des pistes supplémentaires à la compréhension de leurs rôles physiopathologiques respectifs. / Estrogens play a pivotal role in reproductive physiology through direct interaction with the estrogen receptors ERα and ERβ, which belong to the nuclear hormone receptor family of ligand-activated transcription factors. Harbouring two activation domains (AF-1 and AF-2), gene expression can be controlled by ERs either in a hormone-dependent and/or independent manner. Disruption of ER transcriptional regulation is associated with pathological events such as breast and endometrial cancers. While ERα is considered a strong predictive factor in endocrine therapy of reproductive cancers, the clinical value of ERβ is still debated, although greater expression of ERβ has been associated with a favourable outcome since recent evidence has associated ERβ with anti-tumorigenic properties and a better response to anti-estrogenic compounds. Along with others studies, those individual outcomes indicate that even though the two receptors can exert similar roles by sharing resemblances in terms of structure and general response to hormone, they can also carry out distinct functions. These variations can be attributed to the fact that most of the structural domains shared by ERs exhibit a low level of homology, especially at the AF-1 domain. Consequently, the majority of the post-translational modifications sites (PTMs) on ERs are not shared between both isoforms. In fact, ligand-induced and ligand-independent activities of ERs are critically influenced by PTMs. PTMs controls the multiple aspects of ER-dependent activation by modulating ERs ligand binding, specificity, cellular localization, dimerization, interaction with their cognate DNA response element, combinatory recruitment of transcriptional coregulators, stability and transcriptional arrest. Hence, by their discrepancies, ERs will be differently influenced by the cellular environment. Furthermore, as the deregulation of different signalling pathway in cancers is associated with ER-dependant tumour progression and in the acquisition of a therapeutic resistant phenotype, it is crucial to understand the how PTMs affect ERs transactivation in order to eventually propose and/or develop adequate treatment. The results presented in this thesis were carried out with the objective of gaining a better understanding of PTM’s roles on ERβ transcriptional control which, as opposed to ERα, remain unclear. We demonstrate here a dynamic regulation of ERβ by phosphorylation, ubiquitination and sumoylation. Furthermore, as all the newly identified PTM are located within de AF-1 domain of ERβ, our results highlight the key role of this domain in the regulation of ligand-dependent and independent transcriptional properties of this receptor. The first study shows that in response to MAPK, specific serine residues in the AF-1 of ERβ are phosphorylated and play an important role in the regulation of ERβ ligand-independent activity by the ubiquitin-proteasome pathway. In fact, the activation-degradation cycle of ERβ induced by MAPK is regulated upon phosphorylation of these serines coordinating ERβ ubiquitination, subnuclear mobility and stability by promoting the recruitment of the ubiquitin ligase E6-AP. Moreover, this molecular process plays part in the differential regulation of ERα and ERβ activity upon proteasome inhibition. In the second paper, we demonstrate that ERβ activity and stability in presence of estrogen is closely regulated by the phosphorylation-dependent sumoylation of the AF-1 domain, amplified by GSK-3 action. SUMO-1 attachment prevents ERβ degradation by competing with ubiquitin at the same acceptor site and dictates ERβ transcriptional inhibition, as opposed to ERα, by altering estrogen-responsive target promoter occupancy and gene expression in breast cancer cells. Furthermore, these findings uncover a novel phosphorylated sumoylation motif (pSuM) and offer a valuable tool to predict novel SUMO substrates under protein kinase regulation. In combination to our better understanding on how intracellular signals controls ERβ transcriptional activity, our results highlight the significant role of PTMs in ERs isoforms discrepancies and allows supplementary comprehension of their respective physiopathologicals roles.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal.

Problem – The expansion of global trade and supply chain integration has put great emphasison logistics, particularly in the intermediary sector, freight forwarders. Whilst in developedcountries freight forwarders benefit from competitive markets and trade facilitatingpolicies, this sector in West coast Africa exhibits low logistics performance levels. Inorder to address such issues, one needs to analyse the problem and identify the causes; thisthesis focuses on identifying the bottlenecks in the freight-forwarding sector in west coastAfrica.Purpose – The main purpose of this study is to identify the bottleneck/s within thefreight-forwarding industry in west coast Africa, namely: Angola, Cameroon, DR of Congo,Gabon, and Nigeria.Method – This thesis employs a pre-study and case study method, to ensure sufficient collectionof relevant material, taking into account the lack of research in this subject. We usedthe material obtained from the interviews and the secondary source, to structure our purpose,research questions, and to define the case of our study.Results – The study concludes with a series of interesting findings; First, the activity of aFreight Forwarder depends on a series of factors that do not depend on the Freight Forwarderper se. And second, Freight Forwarders in order to accomplish their tasks, have accessto services that are shared by all providers, and that are beyond their control. To conclude,the study identifies infrastructure as a major bottleneck in the Freight Forwarding sector.

Les estrogènes jouent un rôle primordial dans le développement et le fonctionnement des tissus reproducteurs par leurs interactions avec les récepteurs des estrogènes ERα et ERβ. Ces récepteurs nucléaires agissent comme facteurs de transcription et contrôlent l’expression des gènes de façon hormono-dépendante et indépendante grâce à leurs deux domaines d’activation (AF-1 et AF-2). Une dérégulation de leur activité transcriptionnelle est souvent à l’origine de pathologies telles que le cancer du sein, de l’endomètre et des ovaires. Alors que ERα est utilisé comme facteur pronostic pour l’utilisation d’agents thérapeutiques, l’importance de la valeur clinique de ERβ est encore controversée. Toutefois, des évidences récentes lui associent un pouvoir anti-tumorigénique en démontrant que sa présence favorise l’inhibition de la progression de ces cancers ainsi que l’efficacité des traitements. En combinaisons avec d’autres études, ces observations démontrent que bien que les deux isoformes partagent une certaine similitude d’action, les ERs sont en mesure d’exercer des fonctions distinctes. Ces différences sont fortement attribuables au faible degré d’homologie observé entre certains domaines structuraux des ERs, comme le domaine AF-1, ce qui fait en sorte que les différents sites de modifications post-traductionnelles (MPTs) présents sur les ERs sont très peu conservés entre les isoformes. Or, l’activité transcriptionnelle ligand-dépendante et indépendante des ERs est hautement régulée par les MPTs. Elles sont impliquées à tous les niveaux de l’activation des ERs incluant la liaison et la sensibilité au ligand, la localisation cellulaire, la dimérisation, l’interaction avec l’ADN, le recrutement de corégulateurs transcriptionnels, la stabilité et l’arrêt de la transcription. Ainsi, de par leur dissimilitude, les ERs seront différemment régulés par la signalisation cellulaire. Comme un débalancement de plusieurs voies de signalisation ont été associées à la progression de tumeurs ER-positives ainsi qu’au développement d’une résistance, une meilleure compréhension de l’impact des MPTs sur la régulation spécifique des ERs s’avère essentielle en vue de proposer et/ou développer des traitements adéquats pour les cancers gynécologiques. Les résultats présentés dans cette thèse ont pour objectif de mieux comprendre les rôles des MPTs sur l’activité transcriptionnelle de ERβ qui sont, contrairement à ERα, très peu connus. Nous démontrons une régulation dynamique de ERβ par la phosphorylation, l’ubiquitination et la sumoylation. De plus, toutes les MPTs nouvellement découvertes par mes recherches se situent dans l’AF-1 de ERβ et permettent de mieux comprendre le rôle capital joué par ce domaine dans la régulation de l’activité ligand-dépendante et indépendante du récepteur. Dans la première étude, nous observons qu’en réponse aux MAPK, l’AF-1 de ERβ est phosphorylé au niveau de sérines spécifiques et qu’elles jouent un rôle important dans la régulation de l’activité ligand-indépendante de ERβ par la voie ubiquitine-protéasome. En effet, la phosphorylation de ces sérines régule le cycle d’activation-dégradation de ERβ en modulant son ubiquitination, sa mobilité nucléaire et sa stabilité en favorisant le recrutement de l’ubiquitine ligase E6-AP. De plus, ce mécanisme d’action semble être derrière la régulation différentielle de l’activité de ERα et ERβ observée lors de l’inhibition du protéasome. Dans le second papier, nous démontrons que l’activité et la stabilité de ERβ en présence d’estrogène sont étroitement régulées par la sumoylation phosphorylation-dépendante de l’AF-1, processus hautement favorisé par l’action de la kinase GSK-3. La sumoylation de ERβ par SUMO-1 prévient la dégradation du récepteur en entrant en compétition avec l’ubiquitination au niveau du même site accepteur. De plus, contrairement à ERα, SUMO-1 réprime l’activité de ERβ en altérant son interaction avec l’ADN et l’expression de ses gènes cibles dans les cellules de cancers du sein. Également, ces recherches ont permis d’identifier un motif de sumoylation dépendant de la phosphorylation (pSuM) jusqu’à lors inconnu de la communauté scientifique, offrant ainsi un outil supplémentaire à la prédiction de nouveau substrat de la sumoylation. En plus de permettre une meilleure compréhension du rôle des signaux intracellulaires dans la régulation de l’activité transcriptionnelle de ERβ, nos résultats soulignent l’importance des MPTs dans l’induction des différences fonctionnelles observées entre ERα et ERβ et apportent des pistes supplémentaires à la compréhension de leurs rôles physiopathologiques respectifs. / Estrogens play a pivotal role in reproductive physiology through direct interaction with the estrogen receptors ERα and ERβ, which belong to the nuclear hormone receptor family of ligand-activated transcription factors. Harbouring two activation domains (AF-1 and AF-2), gene expression can be controlled by ERs either in a hormone-dependent and/or independent manner. Disruption of ER transcriptional regulation is associated with pathological events such as breast and endometrial cancers. While ERα is considered a strong predictive factor in endocrine therapy of reproductive cancers, the clinical value of ERβ is still debated, although greater expression of ERβ has been associated with a favourable outcome since recent evidence has associated ERβ with anti-tumorigenic properties and a better response to anti-estrogenic compounds. Along with others studies, those individual outcomes indicate that even though the two receptors can exert similar roles by sharing resemblances in terms of structure and general response to hormone, they can also carry out distinct functions. These variations can be attributed to the fact that most of the structural domains shared by ERs exhibit a low level of homology, especially at the AF-1 domain. Consequently, the majority of the post-translational modifications sites (PTMs) on ERs are not shared between both isoforms. In fact, ligand-induced and ligand-independent activities of ERs are critically influenced by PTMs. PTMs controls the multiple aspects of ER-dependent activation by modulating ERs ligand binding, specificity, cellular localization, dimerization, interaction with their cognate DNA response element, combinatory recruitment of transcriptional coregulators, stability and transcriptional arrest. Hence, by their discrepancies, ERs will be differently influenced by the cellular environment. Furthermore, as the deregulation of different signalling pathway in cancers is associated with ER-dependant tumour progression and in the acquisition of a therapeutic resistant phenotype, it is crucial to understand the how PTMs affect ERs transactivation in order to eventually propose and/or develop adequate treatment. The results presented in this thesis were carried out with the objective of gaining a better understanding of PTM’s roles on ERβ transcriptional control which, as opposed to ERα, remain unclear. We demonstrate here a dynamic regulation of ERβ by phosphorylation, ubiquitination and sumoylation. Furthermore, as all the newly identified PTM are located within de AF-1 domain of ERβ, our results highlight the key role of this domain in the regulation of ligand-dependent and independent transcriptional properties of this receptor. The first study shows that in response to MAPK, specific serine residues in the AF-1 of ERβ are phosphorylated and play an important role in the regulation of ERβ ligand-independent activity by the ubiquitin-proteasome pathway. In fact, the activation-degradation cycle of ERβ induced by MAPK is regulated upon phosphorylation of these serines coordinating ERβ ubiquitination, subnuclear mobility and stability by promoting the recruitment of the ubiquitin ligase E6-AP. Moreover, this molecular process plays part in the differential regulation of ERα and ERβ activity upon proteasome inhibition. In the second paper, we demonstrate that ERβ activity and stability in presence of estrogen is closely regulated by the phosphorylation-dependent sumoylation of the AF-1 domain, amplified by GSK-3 action. SUMO-1 attachment prevents ERβ degradation by competing with ubiquitin at the same acceptor site and dictates ERβ transcriptional inhibition, as opposed to ERα, by altering estrogen-responsive target promoter occupancy and gene expression in breast cancer cells. Furthermore, these findings uncover a novel phosphorylated sumoylation motif (pSuM) and offer a valuable tool to predict novel SUMO substrates under protein kinase regulation. In combination to our better understanding on how intracellular signals controls ERβ transcriptional activity, our results highlight the significant role of PTMs in ERs isoforms discrepancies and allows supplementary comprehension of their respective physiopathologicals roles.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal

Formålet: Psykiatriens udvikling er konstant præget af ønsket om effektive behandlings-metoder. Etablering af ACT (Assertive Community Treatment) -er skabt i erkendelse af, at psykiatrien i hospitalerne ikke i tilstrækkelig grad har evnet at helbrede. Med afsæt i de kronisk psykisk syge, vil dette MPH arbejde fokusere på denne gruppes sundhedstilstand, ved at studere arbejdsmetoden ACT. En arbejdsmetode som sundheds-og socialvæsenet i stigende grad accepterer som organisation og funktion til forebyggelse og sundhedsfremme. Der er i de sindslidendes liv brug for en arbejdsmodel, hvor en kompetent hjælper kan støtte den sindslidende i at begribe hverdagen, så der dannes et meningsfuldt grundlag for at håndtere livet. Formålet med studiet er, at få mere viden om, hvordan de danske ACT teams fungerer i en hektisk hverdag. Modellen har i udlandet vist, at have god effekt på reduktion af kompleksitet og sikre en bedre sammenhæng i det psykiatriske arbejde. Studiet er ligeledes en efterprøvning af, om der arbejdes modeltrofast overfor ACT i Danmark. Metode: Studiet belyser ACT interventionen ved hjælp af en struktureret elektronisk spørgeundersøgelse og efterfølgende kvalitativ indholdsanalyse. Efterfølgende fravalg af størstedelen af den indsamlede kvantitative data, grundet lav svarprocent. Resultat: I undersøgelsen deltog 72 respondenter fordelt på 31 respondenter fra Region Hovedstaden (43 %),12 respondenter fra Region Sjælland (17%), 11 respondenter fra Region Syddanmark (15 %), 2 respondenter fra Region Midtjylland (3%) og endelig 16 respondenter fra Region Nordjylland (22%). Antal ACT teams i Danmark er fordelt med 33 teams i Region Hovedstaden, et team i Region Sjælland, otte teams i Region Syddanmark, 11 teams i Region Midtjylland og endelig fire teams i Region Nordjylland. Danske ACT teams arbejder anderledes og med en anden sammensætning / funktion end den oprindelige model fra USA. ACT har vist sin funktionsdygtighed gennem mere end de sidste 10 år i Danmark. ACT teams indtænker salutogenitet i sin arbejdsform og fokuserer på ressourcer og på at forbedre sundhedstilstanden. ACT er opsøgende og assertivt i sin kontakt til klienterne. Konklusion: ACT har med sit indtog i Danmark vist,at tilgodese et behov hos både klienter, den arbejdende psykiatri og samfundet. Psykiatrien skal behandle klienterne, der hvor de er – i deres eget liv. Med tilbud som er tilgængelige, sammenhængende og meningsfulde for den enkeltes vej mod et godt liv uden eller på trods af sygdom. Arbejdsmetoden er effektiv i reduktion af sundhedsfaglig og socialfaglig kompleksitet og teammedlemmerne udtrykker stor arbejdstilfredshed ved metoden. Teammedlemmerne i danske ACT-teams evner at arbejde i teams. Det tværfaglige samarbejde opleves meningsfuldt og håndterbart. ACT arbejdet er attraktivt og kan rekruttere kompetente medlemmer. Kvaliteten af de ydelser som ACT teams leverer, inkluderer forebyggelse, pleje, behandling, rehabilitering samt en øget oplevelse af tilgængelighed, koordination, kontinuitet og reduktion af kompleksitet. De danske ACT teams er ikke modeltro mod ACT –men tilpasset danske forhold og begrænsninger. ACT team har ikke fuldstændig myndighedsfunktion. ACT som model er under udvikling og tillempes mere og mere i en dansk kontekst / Background: Inpsychiatry, development is characterized by a desire for efficient treatment. Establishment of Assertive Community Treatment (ACT) was created in recognition that psychiatric hospitals have not adequately been able to restore health. Based on the chronic mentally ill, this study focused on the Outreach Psychosis Team by studying the working method ACT. Health and social services are increasingly willing to accept ACT as an organized and functional method for prevention and health promotion. Mentally ill people need a working model in which a competent assistant can support the patient in comprehending everyday life and form a meaningful basis for dealing with life. Aim: This study aimed to gain more knowledge about how ACT teams in Denmark operate in a hectic schedule, and determine whether teams adhere to the ACT model. Method: The study highlighted ACT intervention using a structured electronic survey and subsequent qualitative content analysis. However, most of the collected quantitative data was rejected due to a low response rate . Results:The study included 72 respondents, 31 working in Region Hovedstaden, 12 in Region Sjælland 11 in Region Syddanmark, 2 in Region Midtjylland, and 16 in Region Nordjylland. ACT teams in Denmark include 33 teams in Region Hovedstaden, 1 in Region Sjælland, 8 in Region Syddanmark, 11 in Region Midtjylland, and 4 in Region Nordjylland. The teams work differently and with a different composition and function than the original US model, but they have proven their functionality for more than 10 years. ACT includes salutogenesis in its working methods, and focuses on resources and on improving health. Moreover, ACT is proactive and assertive in dealing with clients. Conclusion: Psychiatry must treat clients wherever they are intheir own lives with offers that are available, consistent, and meaningful to each person on his way to a good life without or in spite of illness. ACT in Denmark has shown that it considers the needs of both clients (i.e., working psychiatry and society), and the working method efficiently reduces the complexity of health care and social work. Team members appreciate the working method. Members of Danish ACT teams are capable of working in teams, and they experience interdisciplinary collaboration as meaningful and manageable. Because working in an ACT team is attractive, it is possible to recruit competent members. Services provided by ACT teams include prevention, care, treatment, rehabilitation, an increased sense of accessibility, coordination and continuity, and decreased complexity. The Danish ACT teams do not strictly adhere to the original ACT model, but rather have adapted to Danish conditions and limitations. Abroad, ACT reduces complexity and ensures greater consistency in mental health work. They do not have complete authority. Currently, ACT is being developed and adjusted to a Danish context / <p>ISBN 978-91-982280-3-6</p>

A análise de sinais provenientes de um eletrocardiograma (ECG) pode ser de grande importância para avaliação do comportamento cardíaco de um paciente. Os sinais de ECG possuem características específicas de acordo com os tipos de arritmias e sua classificação depende da morfologia do sinal. Neste trabalho é considerada uma abordagem híbrida utilizando análise de componentes principais (PCA) e mapas auto-organizáveis (SOM) para classificação de agrupamentos provenientes de arritmias como a taquicardia sinusal e, principalmente, fibrilação atrial. Nesse sentido, O PCA é utilizado como um pré-processador buscando suprimir sinais de atividades ventriculares, de maneira que a atividade atrial presente no ECG seja evidenciada sob a forma das ondas f. A Rede Neural SOM, é usada na classificação dos padrões de fibrilação atrial e seus agrupamentos / A análise de sinais provenientes de um eletrocardiograma (ECG) pode ser de grande importância para avaliação do comportamento cardíaco de um paciente. Os sinais de ECG possuem características específicas de acordo com os tipos de arritmias e sua classificação depende da morfologia do sinal. Neste trabalho é considerada uma abordagem híbrida utilizando análise de componentes principais (PCA) e mapas auto-organizáveis (SOM) para classificação de agrupamentos provenientes de arritmias como a taquicardia sinusal e, principalmente, fibrilação atrial. Nesse sentido, O PCA é utilizado como um pré-processador buscando suprimir sinais de atividades ventriculares, de maneira que a atividade atrial presente no ECG seja evidenciada sob a forma das ondas f. A Rede Neural SOM, é usada na classificação dos padrões de fibrilação atrial e seus agrupamentos

Relay-assisted cooperative communication exploits spatial diversity to combat wireless fading, and is an appealing technology for next generation wireless systems. Several relay cooperation protocols have been proposed in the literature. In amplify-and-forward (AF)relaying, which is the focus of this thesis, the relay amplifies the signal it receives from the source and forwards it to the destination. AF has been extensively studied in the literature on account of its simplicity since the relay does not need to decode the received signal. We propose a novel optimal relaying policy for two-hop AF cooperative relay systems. In this, an average power-constrained relay adapts its gain and transmit power to minimize the fading-averaged symbol error probability (SEP) at the destination. Next, we consider a generalization of the above policy in which the relay operates as an underlay cognitive radio (CR). This mode of communication is relevant because it promises to address the spectrum shortage constraint. Here, the relay adapts its gain as a function of its local channel gain to the source and destination and also the primary such that the average interference it causes to the primary receiver is also constrained. For both the above policies, we also present near-optimal, simpler relay gain adaptation policies that are easy to implement and that provide insights about the optimal policies. The SEPs and diversity order of the policies are analyzed to quantify their performance. These policies generalize the conventional fixed-power and fixed-gain AF relaying policies considered in cooperative and CR literature, and outperform them by 2.0-7.7 dB. This translates into significant energy savings at the source and relay, and motivates their use in next generation wireless systems.