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

The development ofNursing and Nursing Education in Venda is intimately related to the work of the early missionaries, Western education and medical developments. The growth of nursing and health services had a reciprocal relationship. One was not possible without the other, viz the history of missionary education, hospitals, health services, sociocultural and political development. Each stage ofthese developments was an important step in laying the foundation of modem professional nursing and nursing education. Before contact with Western medicine, health and midwifery services were provided by traditional healers, nurses and midwives. Divination was used to: diagnose disease, identify the witch, determine medicines to cure the disease. Western nursing developed through stages of: lay nursing, hospital certificated, auxiliary nurses and midwives, registered nurses and midwives, comprehensive general nurse and midwife. The history of Nursing and Nursing Education is thus part and parcel of the social developments of the country it serves. / Health Studies / M.A. (Nursing Science)

The purpose of this study was to determine the contribution of nursing auxiliaries towards health care services against their scope of practice. Nursing auxiliaries practising within the Elim, Letaba, Malamulele, Nkhensani, Shiluvana and Tintswalo hospitals in the Gazankulu Health Administration, in the Northern Transvaal Province, constituted the target population. The findings revealed that nursing auxiliaries are not functioning strictly according to their scope of practice. They are an essential component of nursing services in Gazankulu by rendering a major contribution towards health care services in fulfilling their scope of practice-role. Apart from their prescribed practice-role, they are also engaged in activities that should be performed by enrolled and professional nurses as well as doctors and general assistants. There appears to be a need for education for all categories of nursing staff regarding the scope of practice of nursing auxiliaries for improving the effective utilisation of this category of nursing personnel / M.A. (Nursing Science) / Health Studies

Le Cabinet des médailles et antiques de la Bibliothèque nationale conserve les « bijoux savants » aux origines du collectionnisme occidental avec son médaillier universel, des pierres gravées et des collections d’antiques d’une diversité étonnante. Si celles-ci proviennent pour les parties les plus anciennes, des collections de la maison royale et de trésors ecclésiastiques, cette thèse ne remonte pas aux origines du département mais s’occupe de son destin à l’âge des musées, entre la Restauration, avec l’arrivée au département en 1819 de Désiré Raoul-Rochette (1789-1854) et la période qui suit la première guerre mondiale jusqu’à la mort d’Ernest Babelon (1854-1924). Elle cherche à comprendre, comment ce « parangon des cabinets d’amateurs de jadis » s’est développé, pris comme il l’était entre une tradition antiquaire aristocratique et les exigences de la modernité, républicaine et spécialiste. Elle aborde les différents aspects de la vie du département à l’intérieur du quadrilatère Richelieu. Tout d’abord, comme le portrait d’un lieu d’histoire d’un point de vue institutionnel et architectural qui permet de comprendre la place accordée historiquement à la culture matérielle au sein de la Bibliothèque nationale. Ensuite l’histoire du développement des collections et puis celle de leur valorisation muséographique et scientifique sont examinées au prisme de l’expansion du domaine de l’archéologie et de l’essor des sciences auxiliaires de l’histoire au XIXe siècle. / The Cabinet des médailles et antiques in the French National Library holds a particular place in the vast constellation of Parisian museums. Home to the so-called « bijoux savants » that founded western collecting culture since the Renaissance, it is at once a universal coin cabinet, one of the worlds foremost collections of cut stones and gems, but also a miscellaneous collection of antiquities representing all periods and places. As described in 1930 by one of its curators, it represents a « parangon of amateur cabinets from another time ». This thesis does not directly deal with its prestigious origins but tells one chapter of its long history, looking at how, from the period of the Restoration onwards (beginning with the direction of Désiré Raoul-Rochette in 1819) until the passing of Ernest Babelon in 1924, this cabinet of antiquarian culture and collections adapted and developed to the modern Republican museum age. The life of the department is first considered as a means of understanding the role of material culture and the place of the museum inside France’s national library in the nineteenth century. It then goes on to consider the development of the collections themselves and their scientific and museological exploitation in light of the rapidly expanding practice of archaeology and highly specialised auxiliary sciences of history.

As alternative fuels are becoming more common, technologies need to adjust to them. Natural gas is one of the alternative fuels that has grown during the latest years in the transport sector. Natural gas consists of around 97 % methane and is the cleanest fossil fuel. The use of natural gas can make it easier to transition to biogas as it has equivalent properties. Today Scania CV AB's trucks fuelled by natural gas are using auxiliary cabin heaters driven by diesel. This means that the natural gas trucks have two fuels on-board the truck. The goal of this project is to find a concept to eliminate the diesel fuel and replace it with an auxiliary cabin heater driven by another energy source. It will improve the heating solution and make it superior from an environmental perspective. The result of the project lead to a short-term solution with an auxiliary heater fuelled by natural gas. A long-term solution is to have a cooperation with a manufacturer to develop a better natural gas auxiliary heater that fulfils more of the requirements in the technical specification. An experiment plan is devised to test parameters out of reach of the project.

Mon poste de psychologue clinicienne au sein d’une maison de retraite m’a sensibilisée à la souffrance psychique des aides-soignantes. A partir de l’écoute des aides-soignantes dans le cadre de ma mission de support technique à l’équipe, émerge la plainte récurrente d’un déficit égotiste de désinvestissement émotionnel et affectif et la non reconnaissance de la pénibilité de leur tâche, qui me conduit à poser l’hypothèse d’un burn out. La recherche porte donc sur le Syndrome d’Épuisement Professionnel. Elle étudie les relations complexes entre le personnel médico-social aides-soignantes et la cadre de santé, et entre la personne âgée et sa fille. Un questionnaire clinique a fait ressortir l’ampleur du ressenti subjectif d’être épuisé. L’échelle standardisée MSP de Louise Lemyre, celle du ressenti subjectif d’être stressé. Le stress étant convoqué dans la position conceptuelle théorique retenue du Syndrome d’Épuisement Professionnel.L’analyse de ces deux ressentis a révélé les rapports complexes entre soignante–soignée et la cadre et entre fille–mère et grand-mère. C’est ainsi que l’enjeu narcissique du personnel fait ressurgir les origines archaïques de la sexualité infantile dans le lien intime au corps. En même temps, à cause d’une féminisation généralisée de la profession, la spécificité de la fonction du Féminin Psychique s’impose.Cette recherche souhaite apporter, grâce à ce Féminin Psychique, un éclairage autre sur la position intermédiaire de la Cadre. Le statut de bonne ou mauvaise mère que les aides-soignantes lui reconnaissent, aggrave ou diminue le Syndrome d’Épuisement Professionnel et le stress. Enfin, cette recherche insiste une nouvelle fois sur la nécessité impérieuse de la formation permanente institutionnelle et du travail d’élaboration psychique de ces personnels et ce, à périodicités constantes. / As a psychologist in an EHPAD (a regulated home for dependent seniors), I became very much aware of the auxiliary nurses’ psychological sufferings. Listening to them during my team-supporting mission, I heard a recurring complaint emerge, that of an egotistical deficit of emotional and affective disinvestment and of a lack of recognition of the painfulness of their task. This has led me to hypothesize professional exhaustion. The research in this thesis therefore focuses on the burn out syndrome. It studies the complex relations between the auxiliary nurses as medico-social staff and the health manager in charge as well as between the elderly person and his/her daughter.A clinical questionnaire highlighted the depth of the subjective feeling of exhaustion while Louise Lemyre’s standardized scale highlighted the depth of the subjective feeling of stress, an operational notion in the theoretical concept of burn out.The analysis of both feelings revealed the complex relations between patient-auxiliary nurse and manager as well as between daughter-mother and grandmother. The narcissism at stake with the staff reactivates the archaic origins if child sexuality in the nursing place. A t the same time, because of the general feminization of the profession, the specificity of the feminine psyche is of foremost importance.Thanks to this notion, the research paper aims to shed a different light on the intermediary position of the manager. The status of good or bad mother figure that auxiliary nurses grant her worsens or lessens the burn out and stress.Last, this research paper further insists on the absolute necessity of permanent institutional training and of psychic elaborative work for the staff at regular intervals.

The theme of this thesis is the design and verification of the auxiliary winding to supply the voltage regulator of the synchronous generator. The synchronous generator for which the auxiliary winding proposed is three-phase, low voltage with double layer random wound stator winding. The generator excitation is brushless with auxiliary rotating exciter. The auxiliary winding is designed for placement in the stator teeth, along with the main winding. The sizing of the auxiliary winding is derived from the power requirements the voltage regulator. Draft winding is validated analytical calculation and finite element method (FEM). The auxiliary winding has been implemented in the production of the generator. The Features of the auxiliary winding have been verified by measuring the by electrical testing room and the test results are evaluated.

Le dessin représente le moyen d'expression privilégié pour un enfant, notamment lorsqu'il est amené à s'exprimer devant à un groupe d'adultes et, de surcroît, lorsqu'il porte en lui plusieurs cultures, comme les enfants de migrants. La recherche qui fait l'objet de cette thèse s'appuie sur une revue de la littérature concernant l'approche psychologique du dessin d'enfant et l'approche transculturelle de l'enfant de migrants. Elle a une perspective complémentariste afin d'enrichir leur pluralité théorique, méthodologique et clinique. Notre recherche se centre sur le matériel créé par les enfants, les dessins produits au sein des consultations transculturelles du Professeur Marie Rose Moro, dispositif de psychothérapie familiale et groupale, des Hôpitaux Cochin (Maison de Solenn - Paris) et Avicenne (Bobigny). La population de notre recherche est constituée de soixante-trois dessins produits par cinq enfants durant les séances transculturelles. Nous avons analysé les productions graphiques et narratives des enfants en lien avec les interactions au sein du groupe. Le processus de co-construction, qui est au coeur du dispositif transculturel, émerge des interactions entre le signe et la parole, entre l'ici et l'ailleurs, entre le monde des enfants et le monde des adultes. Les résultats de nos analyses mettent en évidence l'aspect dialogique du dessin. La production graphique soutient le processus d'élaboration psychique et culturelle de l'enfant, véritable objet médiateur entre les langues, les langages, les cultures et les interactions. Le dessin tient donc une place centrale, non seulement signe de la créativité des enfants mais aussi d'une production narrative et transculturelle partagée et partageable. Notre discussion s'axe sur trois dimensions complémentaires. Premièrement, nous théorisons une lecture transculturelle du dessin d'enfant de migrants ainsi qu'une méthode originale d'analyse qui se structure sur un double axe : les contenus et les valences du dessin. Deuxièmement, nous affinons la compréhension des mécanismes de construction identitaire et de métissage spécifiques aux enfants de migrants à partir de leurs dessins, desquels nous dégageons plusieurs propositions conceptuelles : les mécanismes de clivage dans le dessin, l'objet culturel transitionnel dessiné, la narrativité transculturelle (le voyage symbolisé et l'histoire dessinée), la créativité figurée et l'affiliation culturelle précoce. Troisièmement, nous enrichissons le cadre thérapeutique élaboré en clinique transculturelle en définissant la place du cothérapeute auxiliaire dans une perspective complémentariste à la fois psychanalytique et anthropologique. En effet, l'analyse des mouvements transféro/contre-transférentiels autour du dessin met en évidence l'intérêt pour l'enfant de bénéficier d'une relation privilégiée au sein du groupe afin d'accompagner ses productions graphiques. Notre recherche témoigne des bénéfices tirés par le clinicien - dans la perspective de la rencontre de l'autre - de l'élaboration de la culture (Devereux), de l'altérité (Moro) et de l'enfant en soi, et ce afin de pouvoir accueillir les productions des enfants ''d'ici et de là-bas'' et de les accompagner dans l'élaboration d'un ''chez soi'' créatif et métissé. / Drawing is the preferred means of expression for children in particular when they are asked to express themselves in front of a group of adults, and moreover when it comes to children having multicultural backgrounds such as immigrant children. This thesis's research is based on a review of the available literature regarding the psychological approach of child's drawing as well as the transcultural approach of immigrant children. This complementary perspective aims to enrich their theoretical, methodological and clinical plurality. The research is focused on the material created by the children, the drawings imagined and produced during the transcultural consultations of Professor M.R. Moro, groupal psychotherapy for family, at Cochin Hospital (Maison de Solenn, Paris) and Avicenne Hospital (Bobigny). The research sample consists of sixty-three drawings produced by five children during the transcultural sessions. These drawings along with the narrative productions of the children have been analyzed in relation to the interactions within the group. The process of co-construction, which is at the heart of the transcultural approach, emerges from the interactions between sign and word, between cultures from here and from there, as well as between the children's world and the adult's one. The results of the analysis highlight the dialogical aspect of drawing. The graphical production supports the process of psychic and cultural elaboration of the child, therefore considered as the essential aspect of mediation between the speakings, the languages, the cultures and the interactions. Drawing thus holds a significant place: it is the sign of children's creativity, but also of the narrative and transcultural production experienced and shared. Our discussion is focused on three complementary dimensions. Firstly, we theorize a transcultural reading of the drawings of immigrant children as well as an innovative two-axis analysis method: the contents and the valences of a drawing. Then, we refine the comprehension of the mechanisms of identity-building and interbreeding specific to immigrant children thanks to their drawings. Based on these, several abstract propositions are highlighted: the mechanisms of splitting in the drawing, the transitional cultural object drawn, the transcultural narrativity (the symbolized journey and the history drawn), the figurative creativity and the precocious cultural affiliation. Finally, we enhance the transcultural therapeutic setting by defining the place of the auxiliary co-therapist in a complementary perspective, both psychoanalytic and anthropologic. In fact, the analysis of the dynamics of transfer/countertransference around the drawing enlightens the interest for the child to benefit from a privileged relationship within the group in order to accompany its graphic productions. This research aims to highlight the benefits and advantages taken by the clinician -in the perspective of other one' meeting -in the elaboration of the culture (Devereux), of the otherness (Moro) and of the child in itself, and after all to welcome the productions of the children « from here and there » and to accompany them in the elaboration of a « own world » creative and crossbreed. / Il disegno rappresenta il mezzo espressivo privilegiato per un bambino, soprattutto quando è tenuto a esprimersi in un gruppo d'adulti e, ancor più, quando viene da altrove e porta in sé differenti culture. La ricerca che è al centro di questa tesi di dottorato in psicologia, poggia le sue basi sulla letteratura esistente riguardo sia l'approccio psicologico del disegno infantile sia l'approccio transculturale dei bambini delle famiglie migranti. L'obbiettivo del nostro lavoro è di associare questi due approcci in una prospettiva complementarista per arricchirne la pluralità metodologica, clinica e teorica. La nostra ricerca si fonda sul materiale creato dai bambini, in particolar modo i disegni prodotti durante le consultazioni transculturali della Professoressa Marie Rose Moro, dispositivo di psicoterapia familiale e gruppale, degli ospedali Cochin (Casa degli Adolescenti -Maison de Solenn- di Parigi) et Avicenne (Bobigny - Parigi). La popolazione della ricerca è costituita da sessantatré disegni prodotti da cinque bambini durante gli incontri transculturali. Abbiamo analizzato le produzioni grafiche e narrative dei bambini in relazione alle interazioni gruppali. Il processo di co-costruzione, strumento principe del dispositivo transculturale, emerge dalle interazioni tra segno e parola, tra qui e altrove, tra mondo infantile e mondo adulto. I risultati delle nostre analisi evidenziano l'aspetto dialogico del disegno, che è, in effetti, fondamentale al processo d'elaborazione psichica e culturale del bambino poiché funge da oggetto mediatore tra le lingue, i linguaggi, le culture e le interazioni. Il disegno assume quindi un ruolo centrale; non solo è segno della creatività dei bambini ma anche della produzione narrativa e transculturale condivisa e condivisibile. La nostra discussione concerne tre dimensioni complementari. Innanzitutto, teorizziamo una lettura transculturale del disegno del bambino di famiglia migrante e un metodo originale d'analisi che prende la forma di una tabella a doppia entrata: le valenze del disegno da un lato, e i contenuti dall'altro. In secondo luogo, affiniamo la comprensione dei meccanismi propri alla costruzione identitaria e al métissage specifici dei bambini di migranti partendo dai loro disegni per declinare diverse proposte concettuali: i meccanismi di scissione visibili nei disegni, l'oggetto culturale transizionale disegnato, la narratività culturale (il viaggio simbolizzato e la storia disegnata), la creatività figurata e l'affiliazione culturale precoce. Per finire, arricchiamo il setting transculturale definendo il ruolo del coterapeuta ausiliario in una prospettiva complementarista tanto psicoanalitica che antropologica. Effettivamente, l'analisi dei movimenti transferenziali e contro-transferenziali rispetto al disegno evidenzia la necessità per il bambino di poter beneficiare di una relazione privilegiata che accompagni le produzioni grafiche nel gruppo terapeutico. La nostra ricerca mostra i benefici, utili ad ogni terapeuta nell'incontro con l'altro, sollevati dall'elaborazione della cultura (Devereux), dell'alterità (Moro) così come del bambino in sé, per poter accogliere le produzioni dei bambini "di qui e di laggiù" e per accompagnarli nell'elaborazione d'un ''sé'' meticcio e creativo.

Several aspects make today’s transport system non-sustainable: • Production, transport and combustion of fossil fuels lead to global and local environmental problems. • Oil dependency in the transport sector may lead to economical and political instability. • Air pollution, noise, congestion and land-use may jeopardise public health and quality of life, especially in urban areas. In a sustainable urban transport system most trips are made with public transport because high convenience and comfort makes travelling with public transport attractive. In terms of emissions, including noise, the vehicles are environmentally sustainable, locally as well as globally. Vehicles are energy-efficient and the primary energy stems from renewable sources. Costs are reasonable for all involved, from passengers, bus operators and transport authorities to vehicle manufacturers. The system is thus commercially viable on its own merits. This thesis presents the results from three projects involving different concept buses, all with different powertrains. The first two projects included technical evaluations, including tests, of two different fuel cell buses. The third project focussed on development of a series hybrid-bus with internal combustion engine intended for production around 2010. The research on the fuel cell buses included evaluations of the energy efficiency improvement potential using energy mapping and vehicle simulations. Attitudes to hydrogen fuel cell buses among passengers, bus drivers and bus operators were investigated. Safety aspects of hydrogen as a vehicle fuel were analysed and the use of hydrogen compared to electrical energy storage were also investigated. One main conclusion is that a city bus should be considered as one energy system, because auxiliaries contribute largely to the energy use. Focussing only on the powertrain is not sufficient. The importance of mitigating losses far down an energy conversion chain is emphasised. The Scania hybrid fuel cell bus showed the long-term potential of fuel cells, advanced auxiliaries and hybrid-electric powertrains, but technologies applied in that bus are not yet viable in terms of cost or robustness over the service life of a bus. Results from the EU-project CUTE show that hydrogen fuelled fuel cell buses are viable for real-life operation. Successful operation and public acceptance show that focus on robustness and cost in vehicle design were key success factors, despite the resulting poor fuel economy. Hybrid-electric powertrains are feasible in stop-and-go city operation. Fuel consumption can be reduced, comfort improved, noise lowered and the main power source downsized and operated less dynamically. The potential for design improvements due to flexible component packaging is implemented in the Scania hybrid concept bus. This bus and the framework for its hybrid management system are discussed in this thesis. The development of buses for a more sustainable urban transport should be made in small steps to secure technical and economical realism, which both are needed to guarantee commercialisation and volume of production. This is needed for alternative products to have a significant influence. Hybrid buses with internal combustion engines running on renewable fuel is tomorrow’s technology, which paves the way for plug-in hybrid, battery electric and fuel cell hybrid vehicles the day after tomorrow. / QC 20100722

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