WorldWideScience

Sample records for cabench-to-bedside client application

  1. Clarens Client and Server Applications

    CERN Document Server

    Steenberg, C D; Bunn, Julian J.; Newman, Harvey B.; Thomas, Michael; van Lingen, Frank

    2003-01-01

    Several applications have been implemented with access via the Clarens web service infrastructure, including virtual organization management, JetMET physics data analysis using relational databases, and Storage Resource Broker (SRB) access. This functionality is accessible transparently from Python scripts, the Root analysis framework and from Java applications and browser applets.

  2. The Applicability of Holland's Typology to Clients.

    Science.gov (United States)

    Wigington, John H.

    1983-01-01

    Evaluated Holland's theory of vocational choice using data from clients (college students seeking career counseling) who took the Strong Campbell Interest Inventory. Findings suggested clients are less consistent and less differentiated than nonclient controls but can be expected to have General Occupational Theme (SCII) scores similar to…

  3. Web Applications and Thin Clients in the Navy

    Science.gov (United States)

    2011-09-01

    25 3. Low Spec PC Solution .......................................................................26 4. Tubby Clients...Screen Shot ....................................................72 Figure 28. WITS Q1 Modifiable Search Screen Shot...Mobile Phone Service API Application Programming Interfaces ASP Active Server Pages CAC Common Access Card C-Cubed Computer Center Corporation

  4. 77 FR 67804 - Agency Information Collection Activities; Comment Request; Application for Client Assistance Program

    Science.gov (United States)

    2012-11-14

    ... Agency Information Collection Activities; Comment Request; Application for Client Assistance Program... notice will be considered public records. Title of Collection: Application for Client Assistance Program... request funds to establish and carry out Client Assistance Programs (CAP). CAP is mandated by the...

  5. Helping clients think through their causal models: application to counseling clients to exercise.

    Science.gov (United States)

    Sinkule, Jennifer A; Alemi, Farrokh

    2008-01-01

    This article presents a model for therapy using active investigation of causal attributions made by the client. Causal attributions guide behavior. Often wrong attributions (excuses) force the individual to waste effort and time in making changes that do not lead to desired behavior. Many focus on their motivation and not external causes of their behavior. As a consequence, they relapse into old habits when their motivation waivers. Others gather information that is not causally linked to their behavior, and therefore of little use in understanding the mechanism for change. The role of clinician is envisioned as being to guide the clients to seek causal explanations for their behavior, to correct false attributions, and to help the clients use the causal mechanisms they have found to change their behavior. In theory, at least, it is expected that when causes of the unhealthy behavior are removed, lasting change will occur and the client is less likely to go through cycles of improvement and relapse. This article shows how the clinician can conduct causal analysis of the client's behavior. This model for therapy is in the tradition of solution-focused approaches to helping individuals make psychological and behavioral changes. A case example is also presented, where the client is trying to increase his or her exercise patterns.

  6. New NED XML/VOtable Services and Client Interface Applications

    Science.gov (United States)

    Pevunova, O.; Good, J.; Mazzarella, J.; Berriman, G. B.; Madore, B.

    2005-12-01

    The NASA/IPAC Extragalactic Database (NED) provides data and cross-identifications for over 7 million extragalactic objects fused from thousands of survey catalogs and journal articles. The data cover all frequencies from radio through gamma rays and include positions, redshifts, photometry and spectral energy distributions (SEDs), sizes, and images. NED services have traditionally supplied data in HTML format for connections from Web browsers, and a custom ASCII data structure for connections by remote computer programs written in the C programming language. We describe new services that provide responses from NED queries in XML documents compliant with the international virtual observatory VOtable protocol. The XML/VOtable services support cone searches, all-sky searches based on object attributes (survey names, cross-IDs, redshifts, flux densities), and requests for detailed object data. Initial services have been inserted into the NVO registry, and others will follow soon. The first client application is a Style Sheet specification for rendering NED VOtable query results in Web browsers that support XML. The second prototype application is a Java applet that allows users to compare multiple SEDs. The new XML/VOtable output mode will also simplify the integration of data from NED into visualization and analysis packages, software agents, and other virtual observatory applications. We show an example SED from NED plotted using VOPlot. The NED website is: http://nedwww.ipac.caltech.edu.

  7. WORKING WITH HOMOSEXUAL CLIENTS: Application of Solution-Focused Therapy

    Directory of Open Access Journals (Sweden)

    Husmiati Husmiati

    2012-04-01

    Full Text Available This article discusses the psychosocial problems dealt by gay, lesbian, and bisexual clients. Gay is an individual who has sex orientation to male, whereas lesbian is to female. Bisexual has both sex orientation towards male and female. This article also points out one approach called Solution-Focused Therapy (SFT which can be applied in clinical practice. Working with SFT technique to homoerotic individual or group is significantly different to common people. Mental health experts such as social workers and clinical psychologists should have this understanding. Keywords: Homosexuality, client, clinical practice, therapy, solution focused

  8. Connecting traces : Understanding client-server interactions in Ajax applications

    NARCIS (Netherlands)

    Matthijssen, N.; Zaidman, A.; Storey, M.; Bull, I.; Van Deursen, A.

    2010-01-01

    Ajax-enabled web applications are a new breed of highly interactive, highly dynamic web applications. Although Ajax allows developers to create rich web applications, Ajax applications can be difficult to comprehend and thus to maintain. For this reason, we have created FireDetective, a tool that

  9. Functional web applications : implementation and use of client side interpreters

    NARCIS (Netherlands)

    Jansen, J.M.

    2010-01-01

    The Internet has become a prominent platform for the deployment of computer applications. Web-browsers are an important interface for e-mail, on-line shopping, and banking applications. Despite this popularity, the development of web applications is a difficult job through their complex

  10. The development of a client application for the collaborative social and medical services system.

    Science.gov (United States)

    Moore, D M; Gilson, H S; Li, Y; Bobroff, R B; Petermann, C A; Moreau, D R; Beck, J R; Buffone, G J

    1994-01-01

    This paper describes the design and implementation of a client application for the Baylor College of Medicine Teen Health Clinics. The application is the front end to the Collaborative Social and Medical Services System (CSMSS) under development by Baylor's Medical Informatics and Computing Research Program [8]. The application provides distributed access to an underlying object oriented database system. A process driven and patient centered design will provide staff members with a complete set of services, including forms for data entry and viewing, query, and access management to facilitate efficient and effective delivery of services. Role-specific interfaces will be supplied for clerks, nurses, nurse practitioners, physicians, and social workers. The client application is being designed using object oriented methodologies and technologies with the C++ programming language, and will operate within a Microsoft Windows operating environment utilizing Object Linking and Embedding for application interoperability.

  11. A Rich Client-Server Based Framework for Convenient Security and Management of Mobile Applications

    Science.gov (United States)

    Badan, Stephen; Probst, Julien; Jaton, Markus; Vionnet, Damien; Wagen, Jean-Frédéric; Litzistorf, Gérald

    Contact lists, Emails, SMS or custom applications on a professional smartphone could hold very confidential or sensitive information. What could happen in case of theft or accidental loss of such devices? Such events could be detected by the separation between the smartphone and a Bluetooth companion device. This event should typically block the applications and delete personal and sensitive data. Here, a solution is proposed based on a secured framework application running on the mobile phone as a rich client connected to a security server. The framework offers strong and customizable authentication and secured connectivity. A security server manages all security issues. User applications are then loaded via the framework. User data can be secured, synchronized, pushed or pulled via the framework. This contribution proposes a convenient although secured environment based on a client-server architecture using external authentications. Several features of the proposed system are exposed and a practical demonstrator is described.

  12. OVERVIEW OF POPULAR APPROACHES IN CREATING CLIENT-SERVER APPLICATIONS BASED ON SCIENTOMETRICS ONAFTS’ PLATFORM

    Directory of Open Access Journals (Sweden)

    D. Salskyi

    2017-12-01

    Full Text Available Most of the currently developed systems are based on the client-server architecture. This architecture is usedeverywhere, from mobile-native development to Web applications.However implementing an application based on this architectural solution requires quite a lot of effort from the softwaredeveloper, and therefore, in order to simplify and speed up the development, certain standard solutions and approachesappeared. This article will discuss the most popular technologies used in the development of Web applications in the context ofenterprise development.Also in this article will be mentioned the project, built on the architecture of "client-server" - ScienceToMetrics.The main theme of this project is the study of science-metric indicators for the structural divisions of the faculty of theOdessa National Academy of Food Technologies. In fact, it is a portal for viewing and editing information on employees, inthe future this portal may be extended to subprojects.In this project, the main idea of this architecture was embodied: decomposition of the application into atomic parts inorder to distribute it to several hardware units of capacity to improve performance. The client is an independent application,which at the same time receives information from an external API-interface through REST-requests. In turn, the backendprovides this API with certain security restrictions on the content provided. The backend for this architecture provides a layerfor the content of the data users, whether it's a database (NoSQL, SQL or an integration API with external aggregationsystems. To ensure the necessary level of security, JWT (Javascript Web Token authorization is used, which allows you not tocreate an explicit session between the client and the backend, but allows you to communicate through a token that stores allthe necessary meta-information for this user.

  13. Software Applications to Access Earth Science Data: Building an ECHO Client

    Science.gov (United States)

    Cohen, A.; Cechini, M.; Pilone, D.

    2010-12-01

    Historically, developing an ECHO (NASA’s Earth Observing System (EOS) ClearingHOuse) client required interaction with its SOAP API. SOAP, as a framework for web service communication has numerous advantages for Enterprise applications and Java/C# type programming languages. However, as interest has grown for quick development cycles and more intriguing “mashups,” ECHO has seen the SOAP API lose its appeal. In order to address these changing needs, ECHO has introduced two new interfaces facilitating simple access to its metadata holdings. The first interface is built upon the OpenSearch format and ESIP Federated Search framework. The second interface is built upon the Representational State Transfer (REST) architecture. Using the REST and OpenSearch APIs to access ECHO makes development with modern languages much more feasible and simpler. Client developers can leverage the simple interaction with ECHO to focus more of their time on the advanced functionality they are presenting to users. To demonstrate the simplicity of developing with the REST API, participants will be led through a hands-on experience where they will develop an ECHO client that performs the following actions: + Login + Provider discovery + Provider based dataset discovery + Dataset, Temporal, and Spatial constraint based Granule discovery + Online Data Access

  14. An Adaptive and Cost-Effective Data Transmission Framework Using MMS Technology for Client-Server Application

    Directory of Open Access Journals (Sweden)

    Andik Setyono

    2012-01-01

    Full Text Available Limitation of message size of the MMS technology is one of the important factors which make this technology less attractive. This limitation restricts the system developers in developing new mobile applications using MMS technology. This research attempts to improve the capacity of the maximum message size by implementing compression, splitting and cropping techniques for MMS application on the mobile phone devices. This paper presents the architecture to enhance the multimedia capabilities of the MMS technology and also the implementation details for developing client-server system applications. The modified MMS technology can be used to develop practical client-server applications.

  15. DOMAIN-DRIVEN DESIGN APPLICATION AND IMPLEMENTATION OF INFORMATION SYSTEMS FOR CLIENTS QUEUING SUBJECT AREAS

    Directory of Open Access Journals (Sweden)

    P. P. Oleynik

    2015-11-01

    Full Text Available The paper deals with domain-driven design applicability of information systems for client queuing subject areas. The following optimality criteria were put forward for the final implementation: the possibility of automation with a single system both for small institution and a whole network of institutions; advanced graphical interface with support for sensor screens; implementation of multi-users account of orders from clients; flexible application architecture with the ability of future enhancement; ability of integration with a variety of peripherals. The necessity of each criterion definition is shown. For implementability estimation, test information system was designed, automating the queuing system. Unified modeling language UML is used. Description of each class functionality is given and the association with other classes as well. Attention is paid to the design of tree (hierarchical structures and selection procedure of base classes based on the analysis of existing common attributes. For the system implementation, its own development environment SharpArchitect RAD Studio is used, offering MDA approach for implementation of systems based on standardized meta object system. A graphical view of order form developed prototype is presented, composition and structure are described, and notation developed by the author is given simplifying the prototyping process. Approaches to differentiation of access rights for different user roles are shown. Conformity of the received implementation to each selected optimality criterion is determined. Recommendations for further system development are given.

  16. Exchanging the Context between OGC Geospatial Web clients and GIS applications using Atom

    Science.gov (United States)

    Maso, Joan; Díaz, Paula; Riverola, Anna; Pons, Xavier

    2013-04-01

    Currently, the discovery and sharing of geospatial information over the web still presents difficulties. News distribution through website content was simplified by the use of Really Simple Syndication (RSS) and Atom syndication formats. This communication exposes an extension of Atom to redistribute references to geospatial information in a Spatial Data Infrastructure distributed environment. A geospatial client can save the status of an application that involves several OGC services of different kind and direct data and share this status with other users that need the same information and use different client vendor products in an interoperable way. The extensibility of the Atom format was essential to define a format that could be used in RSS enabled web browser, Mass Market map viewers and emerging geospatial enable integrated clients that support Open Geospatial Consortium (OGC) services. Since OWS Context has been designed as an Atom extension, it is possible to see the document in common places where Atom documents are valid. Internet web browsers are able to present the document as a list of items with title, abstract, time, description and downloading features. OWS Context uses GeoRSS so that, the document can be to be interpreted by both Google maps and Bing Maps as items that have the extent represented in a dynamic map. Another way to explode a OWS Context is to develop an XSLT to transform the Atom feed into an HTML5 document that shows the exact status of the client view window that saved the context document. To accomplish so, we use the width and height of the client window, and the extent of the view in world (geographic) coordinates in order to calculate the scale of the map. Then, we can mix elements in world coordinates (such as CF-NetCDF files or GML) with elements in pixel coordinates (such as WMS maps, WMTS tiles and direct SVG content). A smarter map browser application called MiraMon Map Browser is able to write a context document and read

  17. Applicability of the ReproQ client experiences questionnaire for quality improvement in maternity care

    NARCIS (Netherlands)

    Scheerhagen, Marisja; van Stel, Henk F|info:eu-repo/dai/nl/244022534; Tholhuijsen, Dominique J C; Birnie, Erwin; Franx, Arie; Bonsel, Gouke J

    2016-01-01

    Background. The ReproQuestionnaire (ReproQ) measures the client's experience with maternity care, following the WHO responsiveness model. In 2015, the ReproQ was appointed as national client experience questionnaire and will be added to the national list of indicators in maternity care. For using

  18. Applicability of the ReproQ client experiences questionnaire for quality improvement in maternity care

    NARCIS (Netherlands)

    M. Scheerhagen (Marisja); H.F. van Stel (Henk); Tholhuijsen, D.J.C. (Dominique J.C.); E. Birnie (Erwin); A. Franx (Arie); G.J. Bonsel (Gouke)

    2016-01-01

    textabstractBackground. The ReproQuestionnaire (ReproQ) measures the client's experience with maternity care, following the WHO responsiveness model. In 2015, the ReproQ was appointed as national client experience questionnaire and will be added to the national list of indicators in maternity care.

  19. Client-Side Data Processing and Training for Multispectral Imagery Applications in the GOES-R Era

    Science.gov (United States)

    Fuell, Kevin; Gravelle, Chad; Burks, Jason; Berndt, Emily; Schultz, Lori; Molthan, Andrew; Leroy, Anita

    2016-01-01

    RGB imagery can be created locally (i.e. client-side) from single band imagery already on the system with little impact given recommended change to texture cache in AWIPS II. Training/Reference material accessible to forecasters within their operational display system improves RGB interpretation and application as demonstrated at OPG. Application examples from experienced forecasters are needed to support the larger community use of RGB imagery and these can be integrated into the user's display system.

  20. Applicability of the ReproQ client experiences questionnaire for quality improvement in maternity care

    Directory of Open Access Journals (Sweden)

    Marisja Scheerhagen

    2016-07-01

    Full Text Available Background. The ReproQuestionnaire (ReproQ measures the client’s experience with maternity care, following the WHO responsiveness model. In 2015, the ReproQ was appointed as national client experience questionnaire and will be added to the national list of indicators in maternity care. For using the ReproQ in quality improvement, the questionnaire should be able to identify best and worst practices. To achieve this, ReproQ should be reliable and able to identify relevant differences. Methods and Findings. We sent questionnaires to 17,867 women six weeks after labor (response 32%. Additionally, we invited 915 women for the retest (response 29%. Next we determined the test–retest reliability, the Minimally Important Difference (MID and six known group comparisons, using two scorings methods: the percentage women with at least one negative experience and the mean score. The reliability for the percentage negative experience and mean score was both ‘good’ (Absolute agreement = 79%; intraclass correlation coefficient = 0.78. The MID was 11% for the percentage negative and 0.15 for the mean score. Application of the MIDs revealed relevant differences in women’s experience with regard to professional continuity, setting continuity and having travel time. Conclusions. The measurement characteristics of the ReproQ support its use in quality improvement cycle. Test–retest reliability was good, and the observed minimal important difference allows for discrimination of good and poor performers, also at the level of specific features of performance.

  1. MAP Client: Pipelines Made Easy

    OpenAIRE

    Zhang, Ju

    2014-01-01

    The Musculoskeletal Atlas Project Client (MAP Client) is a cross-platform framework for managing workflows. A workflow consists of a number of connected workflow steps. The MAP Client framework is a plugin-based application where the plugins are workflow steps. The MAP Client framework has a number of tools for creating, managing and sharing workflows, workflow steps and the outputs generated from the workflow steps. It is an application written in Python and based on Qt, the cross-platfor...

  2. Patterns of client behavior with their most recent male escort: an application of latent class analysis.

    Science.gov (United States)

    Grov, Christian; Starks, Tyrel J; Wolff, Margaret; Smith, Michael D; Koken, Juline A; Parsons, Jeffrey T

    2015-05-01

    Research examining interactions between male escorts and clients has relied heavily on data from escorts, men working on the street, and behavioral data aggregated over time. In the current study, 495 clients of male escorts answered questions about sexual behavior with their last hire. Latent class analysis identified four client sets based on these variables. The largest (n = 200, 40.4 %, labeled Typical Escort Encounter) included men endorsing behavior prior research found typical of paid encounters (e.g., oral sex and kissing). The second largest class (n = 157, 31.7 %, Typical Escort Encounter + Erotic Touching) included men reporting similar behaviors, but with greater variety along a spectrum of touching (e.g., mutual masturbation and body worship). Those classed BD/SM and Kink (n = 76, 15.4 %) reported activity along the kink spectrum (BD/SM and role play). Finally, men classed Erotic Massage Encounters (n = 58, 11.7 %) primarily engaged in erotic touch. Clients reporting condomless anal sex were in the minority (12.2 % overall). Escorts who engage in anal sex with clients might be appropriate to train in HIV prevention and other harm reduction practices-adopting the perspective of "sex workers as sex educators."

  3. [Nursing experience helping a client with schizophrenia improve her family relationships: application of reality therapy].

    Science.gov (United States)

    Yu, Chin-Hsing; Yang, Pei-Yi; Lu, Shu-Chin; Ma, Da-Yuan

    2012-12-01

    Reality therapy has been demonstrated to be an effective strategy in achieving behavioral change. This case study used reality therapy as a therapeutic communication tool to help improve the family relationships of a client with schizophrenia. We used a four-tiered questioning technique to address, respectively, the aspects of "want," "doing/direction," "evaluation" and "plan" (WDEP). Nursing interventions were held between October 21st and November 19th, 2010. The authors used the reality therapy framework and WDEP system to guide the client to explore her inner needs, review problems objectively, and determine where efforts could be focused most effectively. Better appreciation of her abilities and strengths and encouragement of effective actions helped improve client relationships with her family members. This study introduced reality therapy and shared clinical experiences in order to help readers better understand reality therapy as an alternative framework of communication in nursing care.

  4. Nursing implications in the application of conversion therapies on gay, lesbian, bisexual, and transgender clients.

    Science.gov (United States)

    Blackwell, Christopher W

    2008-06-01

    Conversion therapies, also know as reparative therapies, emphasize homosexual orientations as psychopathology in gay, lesbian, bisexual, and transgender (GLBT) clients and claim these individuals can reverse their sexual orientation through psychiatric counseling and treatment. Although professional medical and nursing organizations have branded psychiatric interventions designed to change an individual's sexual orientation as unethical, an international movement fueled largely by religious organizations promote such therapies for GLBT persons. This article explores the historical perceptions of homosexuality as psychiatric pathology, efficacy of conversion-based therapies in the changing of clients' homosexual orientations to heterosexual, positions of professional medical and nursing organizations regarding the use of conversion therapies, and ethical considerations these types of therapies pose for psychiatric and mental health nurses.

  5. Design and Test of Application-Specific Integrated Circuits by use of Mobile Clients

    Directory of Open Access Journals (Sweden)

    Michael Auer

    2009-02-01

    Full Text Available The aim of this work is to develop a simultaneous multi user access system – READ (Remote ASIC Design and Test that allows users to perform test and measurements remotely via clients running on mobile devices as well as on standard PCs. The system also facilitates the remote design of circuits with the PAC-Designer The system is controlled by LabVIEW and was implemented using a Data Acquisition Card from National instruments. Such systems are specially suited for manufacturing process monitoring and control. The performance of the simultaneous access was tested under load with a variable number of users. The server implements a queue that processes user’s commands upon request.

  6. Development of Client-Server Application by Using UDP Socket Programming for Remotely Monitoring CNC Machine Environment in Fixture Process

    Directory of Open Access Journals (Sweden)

    Darmawan Darmawan

    2016-08-01

    Full Text Available The use of computer technology in manufacturing industries can improve manufacturing flexibility significantly, especially in manufacturing processes; many software applications have been utilized to improve machining performance. However, none of them has discussed the abilities to perform direct machining. In this paper, an integrated system for remote operation and monitoring of Computer Numerical Control (CNC machines is put into consideration. The integrated system includes computerization, network technology, and improved holding mechanism. The work proposed by this research is mainly on the software development for such integrated system. It uses Java three-dimensional (3D programming and Virtual Reality Modeling Language (VRML at the client side for visualization of machining environment. This research is aimed at developing a control system to remotely operate and monitor a self-reconfiguration fixture mechanism of a CNC milling machine through internet connection and integration of Personal Computer (PC-based CNC controller, a server side, a client side and CNC milling. The performance of the developed system was evaluated by testing with one type of common protocols particularly User Datagram Protocol (UDP.  Using UDP, the developed system requires 3.9 seconds to complete the close clamping, less than 1 second to release the clamping and it can deliver 463 KiloByte.

  7. Understanding Ajax applications by connecting client and server-side execution traces

    NARCIS (Netherlands)

    Zaidman, A.E.; Matthijssen, N.; Storey, M.A.; Van Deursen, A.

    2012-01-01

    Ajax-enabled Web applications are a new breed of highly interactive, highly dynamic Web applications. Although Ajax allows developers to create rich Web applications, Ajax applications can be difficult to comprehend and thus to maintain. For this reason, we have created FireDetective, a tool that

  8. Transitioning Client Based NALCOMIS to a Multi Function Web Based Application

    Science.gov (United States)

    2016-09-23

    13 3.2 Relational Database . . . . . . . . . . . . . . . . . . . . . . . 16 3.3 Java Database Connectivity ...archive JDBC Java Database Connectivity JDK Java Development Kit LCE logistics combat element MAG Marine Aircraft Group MAGTF Marine air-ground task...applications. Two-Tier Architecture Legacy applications connect to databases via a two-tier architecture, where the application (i.e., a Java program

  9. What client?

    DEFF Research Database (Denmark)

    Unterrainer, Walter

    2015-01-01

    engage architects, no matter how urgent the problems are. It is the architects who must reverse their understanding of ´clients´, for the sake of these challenges as well as for their own professional future. This started happen very much in contrast to predominant architectural education models: Young...... elsewhere, more and more building design is done by engineering companies. So what are the perspectives of the architectural profession for the next decades – resp. what could be its impact to human development? Charles Jencks pointed out about the scale of global challenges that (the architects) ´have...... has been a popular art and that the clients were the rich and powerful, documented by a legacy of palaces, churches, villas, office blocs and alienated ´property developments´. Slum dwellers, climate victims, war refugees, the urban poor but also endangered species as well as tormented spaces cannot...

  10. A satellite data-driven, client-server decision support application for agricultural water resources management

    Science.gov (United States)

    Maneta, M. P.; Johnson, L.; Kimball, J. S.

    2016-12-01

    Water cycle extremes such as droughts and floods present a challenge for water managers and for policy makers responsible for the administration of water supplies in agricultural regions. In addition to the inherent uncertainties associated with forecasting extreme weather events, water planners need to anticipate water demands and water user behavior in atypical circumstances. This requires the use decision support systems capable of simulating agricultural water demand with the latest available data. Unfortunately, managers from local and regional agencies often use different datasets of variable quality, which complicates coordinated action. In previous work we have demonstrated novel methodologies to use satellite-based observational technologies, in conjunction with hydro-economic models and state of the art data assimilation methods, to enable robust regional assessment and prediction of drought impacts on agricultural production, water resources, and land allocation. These methods create an opportunity for new, cost-effective analysis tools to support policy and decision-making over large spatial extents. The methods can be driven with information from existing satellite-derived operational products, such as the Satellite Irrigation Management Support system (SIMS) operational over California, the Cropland Data Layer (CDL), and using a modified light-use efficiency algorithm to retrieve crop yield from the synergistic use of MODIS and Landsat imagery. Here we present an integration of this modeling framework in a client-server architecture based on the Hydra platform. Assimilation and processing of resource intensive remote sensing data, as well as hydrologic and other ancillary information occur on the server side. This information is processed and summarized as attributes in water demand nodes that are part of a vector description of the water distribution network. With this architecture, our decision support system becomes a light weight `app` that

  11. A Satellite Data-Driven, Client-Server Decision Support Application for Agricultural Water Resources Management

    Science.gov (United States)

    Johnson, Lee F.; Maneta, Marco P.; Kimball, John S.

    2016-01-01

    Water cycle extremes such as droughts and floods present a challenge for water managers and for policy makers responsible for the administration of water supplies in agricultural regions. In addition to the inherent uncertainties associated with forecasting extreme weather events, water planners need to anticipate water demands and water user behavior in a typical circumstances. This requires the use decision support systems capable of simulating agricultural water demand with the latest available data. Unfortunately, managers from local and regional agencies often use different datasets of variable quality, which complicates coordinated action. In previous work we have demonstrated novel methodologies to use satellite-based observational technologies, in conjunction with hydro-economic models and state of the art data assimilation methods, to enable robust regional assessment and prediction of drought impacts on agricultural production, water resources, and land allocation. These methods create an opportunity for new, cost-effective analysis tools to support policy and decision-making over large spatial extents. The methods can be driven with information from existing satellite-derived operational products, such as the Satellite Irrigation Management Support system (SIMS) operational over California, the Cropland Data Layer (CDL), and using a modified light-use efficiency algorithm to retrieve crop yield from the synergistic use of MODIS and Landsat imagery. Here we present an integration of this modeling framework in a client-server architecture based on the Hydra platform. Assimilation and processing of resource intensive remote sensing data, as well as hydrologic and other ancillary information occur on the server side. This information is processed and summarized as attributes in water demand nodes that are part of a vector description of the water distribution network. With this architecture, our decision support system becomes a light weight 'app' that

  12. Network Analysis and Application Control Software based on Client-Server Architecture

    OpenAIRE

    Mohan, Ramya

    2013-01-01

    This paper outlines a comprehensive model to increase system efficiency, preserve network bandwidth, monitor incoming and outgoing packets, ensure the security of confidential files and reduce power wastage in an organization. This model illustrates the use and potential application of a Network Analysis Tool (NAT) in a multi-computer set-up of any scale. The model is designed to run in the background and not hamper any currently executing applications, while using minimum system resources. I...

  13. Ethical dilemmas in treating clients with eating disorders: A review and application of an integrative ethical decision-making model.

    Science.gov (United States)

    Matusek, Jill Anne; Wright, Margaret O'Dougherty

    2010-01-01

    Ethical dilemmas frequently arise in the treatment of clients with eating disorders, and clinicians regularly encounter an array of ethical challenges related to whether or not overt and covert coercive tactics should be implemented. In this paper, the authors provide an overview of perplexing ethical questions relevant to medical, nutritional and psychological treatment of clients with eating disorders including imposed treatment, enforced feeding, the duty to protect minors and adults, the determination of competence and capacity among medically comprised clients, and the effectiveness of coercive treatment for clients with eating disorders. The processes of ethical decision-making in terms of ethical principles, professional codes of conduct, the existing empirical literature and the use of a decision-making framework are explored. Taking a collaborative and client-sensitive approach, the authors outline and apply an integrative ethical decision-making model to facilitate clinicians' decision-making process. Copyright © 2010 John Wiley & Sons, Ltd and Eating Disorders Association.

  14. clientes surdos

    Directory of Open Access Journals (Sweden)

    Wiliam César Alves Machado

    2015-01-01

    Full Text Available Objetivo: identificar cómo profesionales de la unidad municipal de rehabilitación física se comunican con personas sordas que buscan atención especializada. Métodos: estudio exploratorio, descriptivo, de enfoque cualitativo, realizado con 32 profesionales que trabajan en rehabilitación física a través de instrumento auto aplicable. Resultados: del análisis de datos, surgieron dos categorías temáticas: Usando el Lenguaje Brasileño de Signos; Improvisación de Estrategias de comunicación para interactuar con clientes sordos. Improvisación de estrategias utilizadas por los profesionales para comunicarse con personas sordas pueden causar barreras que inciden negativamente en la calidad de los servicios prestados a esta población. Conclusión: la comunicación es deficiente, e iniciativas eficaces centradas en la cualificación de los profesionales que trabajan en el ámbito de la rehabilitación, pueden contribuir para que puedan dominar el Lenguaje Brasileño de Signos, garantizándose a los clientes sordos la atención adecuada, conforme a lo dispuestos para personas sin discapacidad auditiva.

  15. [The application of network scale-up method on female sex workers and clients size estimation in Taizhou city].

    Science.gov (United States)

    Huan, Xi-ping; Bao, Shui-lian; Yang, Hai-tao; Xu, Jin-shui; Qiu, Tao; Zhang, Xiang; Pan, Long; Zhu, Zhong-kui; Guo, Wei; Wang, Lu

    2013-03-01

    To estimate the size of female sex workers and clients in Taizhou city. A household survey using network scale-up method (NSUM) was conducted among the 3000 community residents in Taizhou city from August to October in 2011, which aimed to estimate the social network size (c value) of Taizhou residents, and the c value was adjusted by demographic characteristics, back estimation and outlier elimination. Using the adjusted c value, the number of acquaintance of female sex workers or clients and the respect level toward female sex workers or clients were used to estimate the size of female sex workers and clients. A total of 2783 valid questionnaires were collected, among which 1380 (49.6%) were collected from Taixing city, 1403 (50.4%) were collected from Jingjiang city. 1334 respondents were male (47.9%) and 1449 (47.9%) respondents were female. The mean age was (39.4 ± 10.7) years. The average personal social network size using original data for Taizhou residents was 525, which differed from place, sex, age, educational level and marriage status. Using the remaining known populations through back estimation, the social network size was 419 and became 424 after the elimination of outliers. The estimated population size for female sex worker was 6370 (95%CI: 5886 - 6853), which accounted for 0.52% (6370/1 229 980) of the total number of female aged from 15 to 49. The estimated population size for clients was 15 202 (95%CI: 14 560 - 15 847), which accounted for 1.28% (15 202/1 190 340) of the total number of males aged from 15 to 49 and the ration of clients to female sex worker was 2.39:1. NSUM is an easy and quick way to estimate the size of female sex workers or clients, but the estimated sizes are subject to bias and error due to estimate effect and sample representativeness.

  16. 14 CFR 1261.317 - Attorney-client privilege.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Attorney-client privilege. 1261.317 Section... Injury or Death-Accruing On or After January 18, 1967 § 1261.317 Attorney-client privilege. (a) Attorneys... traditional attorney-client relationship with the employee with respect to application of the attorney-client...

  17. Design and development of a mobile exercise application for home care aides and older adult medicaid home and community-based clients.

    Science.gov (United States)

    Danilovich, Margaret; Diaz, Laura; Saberbein, Gustavo; Healey, William; Huber, Gail; Corcos, Daniel

    2017-09-22

    We describe a community-engaged approach with Medicaid Home and Community-Based Services (HCBS) home care aide (HCA), client, and physical therapist stakeholders to develop a mobile application (app) exercise intervention through focus groups and interviews. Participants desired a short exercise program with modification capabilities, goal setting, and mechanisms to track progress. Concerns regarding participation were training needs and feasibility within usual care services. Technological preferences were for simple, easy-to-use, and engaging content. The app was piloted with HCA-client dyads (n = 5) to refine the intervention and evaluate content. Engaging stakeholders in intervention development provides valuable user-feedback on both desired exercise program contents and mobile technology preferences for HCBS recipients.

  18. Client Centred Desing

    DEFF Research Database (Denmark)

    Ørngreen, Rikke; Nielsen, Janni; Levinsen, Karin

    2008-01-01

    In this paper we argue for the use of Client Centred preparation phases when designing complex systems. Through Client Centred Design human computer interaction can extend the focus on end-users to alse encompass the client's needs, context and resources.......In this paper we argue for the use of Client Centred preparation phases when designing complex systems. Through Client Centred Design human computer interaction can extend the focus on end-users to alse encompass the client's needs, context and resources....

  19. Development and Application of the Lincoln Adherence Instrument Record for Assessing Client Adherence to Advice in Dog Behavior Consultations and Success

    Directory of Open Access Journals (Sweden)

    Lisanna Lamb

    2018-03-01

    application of the instrument in any veterinary behavior practice wishing to use client feedback to rationalize areas of the consultation which might be improved.

  20. HTML thin client and transactions

    CERN Document Server

    Touchette, J F

    1999-01-01

    When writing applications for thin clients such as Web browsers, you face several challenges that do not exist with fat-client applications written in Visual Basic, Delphi, or Java. For one thing, your development tools do not include facilities for automatically building reliable, nonrepeatable transactions into applications. Consequently, you must devise your own techniques to prevent users from transmitting duplicate transactions. The author explains how to implement reliable, nonrepeatable transactions using a technique that is applicable to any Java Server Development Kit based architecture. Although the examples presented are based on the IBM WebSphere 2.1 Application Server, they do not make use of any IBM WebSphere extensions. In short, the concepts presented here can be implemented in Perl CGI and ASP scripts, and the sample code has been tested with JDK 1.1.6 and 1.2. (0 refs).

  1. Automated Detection of Client-State Manipulation Vulnerabilities

    DEFF Research Database (Denmark)

    Møller, Anders; Schwarz, Mathias

    2012-01-01

    . In this paper, we show that such client-state manipulation vulnerabilities are amenable to tool supported detection. We present a static analysis for the widely used frameworks Java Servlets, JSP, and Struts. Given a web application archive as input, the analysis identifies occurrences of client state...... and infers the information flow between the client state and the shared application state on the server. This makes it possible to check how client-state manipulation performed by malicious users may affect the shared application state and cause leakage or modifications of sensitive information. The warnings...... to effectively help the programmer prevent client-state manipulation vulnerabilities....

  2. 31 CFR 8.34 - Knowledge of client's omission.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Knowledge of client's omission. 8.34... client's omission. Each attorney, certified public accountant, or enrolled practitioner who knows that a client has not complied with applicable law, or has made an error in or omission from any document...

  3. Application of the transtheoretical model of behaviour change for identifying older clients' readiness for hearing rehabilitation during history-taking in audiology appointments.

    Science.gov (United States)

    Ekberg, Katie; Grenness, Caitlin; Hickson, Louise

    2016-07-01

    The transtheoretical model (TTM) of behaviour change focuses on clients' readiness for adopting new health behaviours. This study explores how clients' readiness for change can be identified through their interactions with audiologists during history-taking in initial appointments; and whether clients' readiness has consequences for the rehabilitation decisions they make within the initial appointment. Conversation analysis (CA) was used to examine video-recorded initial audiology appointments with older adults with hearing impairment. The data corpus involved 62 recorded appointments with 26 audiologists and their older adult clients (aged 55+ years). Companions were present in 17 appointments. Clients' readiness for change could be observed through their interaction with the audiologist. Analysis demonstrated that the way clients described their hearing in the history-taking phase had systematic consequences for how they responded to rehabilitation recommendations (in particular, hearing aids) in the management phase of the appointment. In particular, clients identified as being in a pre-contemplation stage-of-change were more likely to display resistance to a recommendation of hearing aids (80% declined). The transtheoretical model of behaviour change can be useful for helping audiologists individualize management planning to be congruent with individual clients' needs, attitudes, desires, and psychological readiness for action in order to optimize clients' hearing outcomes.

  4. An Adaptive and Cost-Effective Data Transmission Framework Using MMS Technology for Client-Server Application

    OpenAIRE

    Andik Setyono; Md. Jahangir Alam; C. Eswaran

    2012-01-01

    Limitation of message size of the MMS technology is one of the important factors which make this technology less attractive. This limitation restricts the system developers in developing new mobile applications using MMS technology. This research attempts to improve the capacity of the maximum message size by implementing compression, splitting and cropping techniques for MMS application on the mobile phone devices. This paper presents the architecture to enhance the multimedia capabilities o...

  5. PGPWebmail : cliente de correo web con PGP

    OpenAIRE

    Vázquez Almagro, Ricardo

    2011-01-01

    Trabajo Final de Carrera en desarrollo .NET: Aplicación web ASP.NET MVC cliente de correo electrónico con cifrado PGP y servicio web WCF que brinda funcionalidades de cifrado PGP. Treball Final de Carrera en desenvolupament. NET: Aplicació web ASP.NET MVC client de correu electrònic amb xifrat PGP i servei web WCF que ofereix funcionalitats de xifrat PGP. Final degree project developing .NET: ASP.NET MVC web application, PGP-encrypted e-mail client and WCF web service which provides PGP...

  6. Client Centred Design

    DEFF Research Database (Denmark)

    Ørngreen, Rikke; Nielsen, Janni; Tweddell Levinsen, Karin

    2004-01-01

    Abstract In this paper the Human Computer Interaction (HCI) Research Group reports on the pre-phase of an e-learning project, which was carried out in collaboration with the client. The project involved an initial exploration of the problem spaces, possibilities and challenges for an online...... on existing resources and networks, suggesting a design, which also included end-users community needs and work-context. Our argument is that if a preparation phase both seeks to confirm knowledge and contemplate what is not yet known, giving attention to the context and need of the client (i.e. not only end......-users,) then it is possible to build on existing resources within the client organisation, leading to grounding of design decisions and a match between the e-learning environment designed and the capabilities of the client....

  7. La contrainte client

    Directory of Open Access Journals (Sweden)

    Guillaume Tiffon

    2011-04-01

    Full Text Available Cet article montre que le contact client a beau être ambivalent, dans la mesure où il est à la fois source de contrainte et de reconnaissance, dans certains cas, comme celui des caissières, il constitue avant tout une contrainte, en ce que les clients contrôlent le travail qui s’opère « sous leurs yeux », tandis que, dans d’autres cas, comme celui des kinésithérapeutes, il contribue avant tout à donner du sens au travail et, par là, à susciter l’engagement des travailleurs. L’article souligne ainsi combien la contrainte client revêt des modalités différentes selon la configuration, spatiale et temporelle, dans laquelle se déroule la relation de service, et le différentiel de compétences entre les protagonistes engagés dans cette relation.The client constraint. A comparative analysis of cashiers and physiotherapistsThis article shows that despite the ambivalence of client contact, insofar as it is both a source of constraint and recognition, in some cases, as the ones of cashiers, it isprimarily a constraint: clients control the work that takes place “before their eyes”, whereas in other cases – as in the ones of physiotherapists – it contributes to give meaning to work and, thereby, to arouse the commitment of workers. The article highlights how the client constraint takes on different forms depending on thespatial and temporal configuration where the service relation runs, and the skills differential between the protagonists involved in this relation.El apremio de los clientes. Análisis comparativo entre las cajeras de supermercado y los kinesiterapeutasEn este artículo se demuestra que aunque el contacto con los clientes puede ser percibido como agradable, en realidad en la mayoría de los casos el cliente es percibido como un peso puesto que estos « controlan » visualmente el trabajo de las cajeras mientras que en otras profesiones como es el caso de los kinesiterapeutas la presencia del paciente

  8. Beyond clients and servers

    National Research Council Canada - National Science Library

    van Mulligen, E; Timmers, T

    1994-01-01

    .... After a period of prototyping to assess possible alternative solutions, a system based on an indirect client-server model was implemented with help of the industry. In this paper, its architecture is described together with the most important features currently covered. Based on the HERMES architecture, both systems for clinical data analysis and patient care (cardiology) are currently developed.

  9. Psychotherapy for Suicidal Clients.

    Science.gov (United States)

    Lester, David

    1994-01-01

    Reviews various systems of psychotherapy for suitability for suicidal clients. Discusses psychoanalysis, cognitive therapy, primal therapy, transactional analysis, Gestalt therapy, reality therapy, person-centered therapy, existential analysis, and Jungian analysis in light of available treatment options. Includes 36 citations. (Author/CRR)

  10. Training Evaluation: Clients' Roles.

    Science.gov (United States)

    Hashim, Junaidah

    2001-01-01

    A study was conducted of 262 training providers in Malaysia, where providers must be government approved. Government regulation, client demands for high quality, and an economic downturn that focused attention on training costs have all influenced evaluation in a positive direction. (SK)

  11. Counselor Trainees' Perceptions of Clients Based on Client Sexual Orientation.

    Science.gov (United States)

    Barrett, Kathleen A.; McWhirter, Benedict T.

    2002-01-01

    Examines how client sexual orientation, counselor trainee homophobia, and counselor trainee gender affected counselor trainees' (N = 162) assignment of positive and negative adjectives to clients. Analyses revealed that client sexual orientation, counselor trainee gender, and counselor trainee homophobia significantly predicted counselor trainees'…

  12. Early Attrition among Suicidal Clients

    Science.gov (United States)

    Surgenor, P. W. G.; Meehan, V.; Moore, A.

    2016-01-01

    The study aimed to identify the level of suicidal ideation in early attrition clients and their reasons for the early termination of their therapy. The cross-sectional design involved early attrition clients (C[subscript A]) who withdrew from therapy before their second session (n = 61), and continuing clients who (C[subscript C]) progressed…

  13. Treating the disconfirmed psychiatric client.

    Science.gov (United States)

    Heineken, J

    1983-01-01

    Frequent disconfirmation behaviors have been documented in psychiatric clients. Individuals who demonstrate maladaptive patterns of disconfirmation can learn to understand and modify this dysfunctional sequence. Through one to one interactions and group discussions, psychiatric nurses can help clients learn more positive communication behaviors. This accomplishment will positively affect the client's interpersonal responsiveness and self-esteem.

  14. Client counseling in orthopedic emergencies.

    Science.gov (United States)

    Brackenridge, S S; Kirby, B M; Johnson, S W

    1995-09-01

    Important client communication issues associated with most orthopedic emergencies are addressed. Information on client communication and support, providing a prognosis, discussing economic concerns, discharge planning, euthanasia, and client grief is presented. The issue of animal abuse as a cause of orthopedic emergencies also is examined.

  15. Introduction to ASPNET 4 AJAX Client Templates

    CERN Document Server

    Shoemaker, Craig

    2010-01-01

    This Wrox Blox will teach you how to create and customize ASP.NET 4 AJAX Preview 4 Client Templates. The author shows you how to use declarative as well as imperative data-binding techniques to address the simple to advanced UI requirements. He also covers how the observer pattern is fully implemented in ASP.NET 4 AJAX and, when used in conjunction with the Client Template markup extensions, provides a developer experience much like XAML-based applications like WPF and Silverlight. This Wrox Blox walks you through how to implement examples that fetch data from ASP.NET Web Forms using Page Meth

  16. From patient to client.

    Science.gov (United States)

    de Haan, Olga

    2010-12-01

    To gain insight in the knowledge, attitude and practices of users and providers of reproductive health services in rural areas of Kyrgyzstan and Tajikistan before and after interventions. KAP (Knowledge, Attitude, Practices) studies under 500 respondents. Training that addressed the determinants of behavioural change contributed to the motivation under health care providers to improve performances. The simultaneously implemented education program for users of health services enhanced the preparedness for birth of pregnant women and their family members. Both interventions had positive effects on health outcomes. Behavioural change, from hierarchic and directive into client-centred and supportive, can be realized in Central Asia by enhancing the decision-making capacities of providers. A client-centred attitude of health care providers is the key condition for sustainable improvement of service delivery. Improving client-provider communication is a cost-effective way to enhance the quality of care in low resource settings, such as in Central Asia. The providers can be best trained in a practical setting, when trainees are enabled to practice with real patients, under guidance of a highly skilled professional. Psychological components such as addressing emotions and exploring the values and beliefs of providers should be incorporated in separate training modules. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  17. Client/server study

    Science.gov (United States)

    Dezhgosha, Kamyar; Marcus, Robert; Brewster, Stephen

    1995-01-01

    The goal of this project is to find cost-effective and efficient strategies/solutions to integrate existing databases, manage network, and improve productivity of users in a move towards client/server and Integrated Desktop Environment (IDE) at NASA LeRC. The project consisted of two tasks as follows: (1) Data collection, and (2) Database Development/Integration. Under task 1, survey questionnaires and a database were developed. Also, an investigation on commercially available tools for automated data-collection and net-management was performed. As requirements evolved, the main focus has been task 2 which involved the following subtasks: (1) Data gathering/analysis of database user requirements, (2) Database analysis and design, making recommendations for modification of existing data structures into relational database or proposing a common interface to access heterogeneous databases(INFOMAN system, CCNS equipment list, CCNS software list, USERMAN, and other databases), (3) Establishment of a client/server test bed at Central State University (CSU), (4) Investigation of multi-database integration technologies/ products for IDE at NASA LeRC, and (5) Development of prototypes using CASE tools (Object/View) for representative scenarios accessing multi-databases and tables in a client/server environment. Both CSU and NASA LeRC have benefited from this project. CSU team investigated and prototyped cost-effective/practical solutions to facilitate NASA LeRC move to a more productive environment. CSU students utilized new products and gained skills that could be a great resource for future needs of NASA.

  18. A novel application in the study of client language: Alcohol and marijuana-related statements in substance-using adolescents during a simulation task.

    Science.gov (United States)

    Ladd, Benjamin O; Garcia, Tracey A; Anderson, Kristen G

    2016-09-01

    The current study explored whether laboratory-based techniques can provide a strategy for studying client language as a mechanism of behavior change. Specifically, this study examined the potential of a simulation task to elicit healthy talk, or self-motivational statements in favor of healthy behavior, related to marijuana and alcohol use. Participants (N = 84) were adolescents reporting at least 10 lifetime substance use episodes recruited from various community settings in an urban Pacific Northwest setting. Participants completed the Adolescent Simulated Intoxication Digital Elicitation (A-SIDE), a validated paradigm for assessing substance use decision making in peer contexts. Participants responded to 4 types of offers in the A-SIDE: (a) marijuana, (b) food (marijuana control), (c) alcohol, and (d) soda (alcohol control). Using a validated coding scheme adapted for the current study, client language during a structured interview assessing participants' response to the simulated offers was evaluated. Associations between percent healthy talk (PHT, calculated by dividing the number of healthy statements by the sum of all substance-related statements) and cross-sectional outcomes of interest (previous substance use, substance use expectancies, and behavioral willingness) were explored. The frequency of substance-related statements differed in response to offer type; rate of PHT did not. PHT was associated with behavioral willingness to accept the offer. However, PHT was not associated with decontextualized measures of substance use. Associations between PHT and global expectancies were limited. Simulation methods may be useful in investigating the impact of context on self-talk and to systematically explore client language as a mechanism of change. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  19. The Therapeutic Alliance: Clients' Categorization of Client-Identified Factors

    Science.gov (United States)

    Simpson, Arlene J.; Bedi, Robinder P.

    2012-01-01

    Clients' perspectives on the therapeutic alliance were examined using written descriptions of factors that clients believed to be helpful in developing a strong alliance. Fifty participants sorted previously collected statements into thematically similar piles and then gave each set of statements a title. Multivariate concept mapping statistical…

  20. Research Study on the Migration of Clients on Banking Market

    Directory of Open Access Journals (Sweden)

    Cornelia Tureac

    2013-02-01

    Full Text Available In this paper we present the relevancy and importance of knowing the reasons on clients’migration to competitive banking institutions. The main reason of being the client of several banks isdue to the fierce competition between credit institutions,thusthe banking market has changed. Basedon a case study within the Raiffeisen Bank we researched and presented the reasons fordiscontinuation of banking tiesand the migration of clients to other banks. The used researchmethodology consisted of the application of analysis point of contact by sending a questionnairethrough which there could have been identified 105 migrating clients, out of which 89 were formerclients of Raiffeisen Bank. Since both in the specialized literatureand in practice there is very littleinformation about migration behavior of banking clients-especially in the category of small andmedium enterprises-the present research was not limited to the Raiffeisen Bank clients, but to all 105respondents whodiscontinued totally or partially their connection with the bank. It can be concludedthat the attitude of the bank clients has a considerable influence on the migration behavior. The most“infidel” banking clients are considered in the category of “clients oriented towards the conditions.”

  1. Group Work with Transgender Clients

    Science.gov (United States)

    Dickey, Lore M.; Loewy, Michael I.

    2010-01-01

    Drawing on the existing literature, the authors' research and clinical experiences, and the first author's personal journey as a member and leader of the transgender community, this article offers a brief history of group work with transgender clients followed by suggestions for group work with transgender clients from a social justice…

  2. A Responsive Client for Distributed Visualization

    Science.gov (United States)

    Bollig, E. F.; Jensen, P. A.; Erlebacher, G.; Yuen, D. A.; Momsen, A. R.

    2006-12-01

    As grids, web services and distributed computing continue to gain popularity in the scientific community, demand for virtual laboratories likewise increases. Today organizations such as the Virtual Laboratory for Earth and Planetary Sciences (VLab) are dedicated to developing web-based portals to perform various simulations remotely while abstracting away details of the underlying computation. Two of the biggest challenges in portal- based computing are fast visualization and smooth interrogation without over taxing clients resources. In response to this challenge, we have expanded on our previous data storage strategy and thick client visualization scheme [1] to develop a client-centric distributed application that utilizes remote visualization of large datasets and makes use of the local graphics processor for improved interactivity. Rather than waste precious client resources for visualization, a combination of 3D graphics and 2D server bitmaps are used to simulate the look and feel of local rendering. Java Web Start and Java Bindings for OpenGL enable install-on- demand functionality as well as low level access to client graphics for all platforms. Powerful visualization services based on VTK and auto-generated by the WATT compiler [2] are accessible through a standard web API. Data is permanently stored on compute nodes while separate visualization nodes fetch data requested by clients, caching it locally to prevent unnecessary transfers. We will demonstrate application capabilities in the context of simulated charge density visualization within the VLab portal. In addition, we will address generalizations of our application to interact with a wider number of WATT services and performance bottlenecks. [1] Ananthuni, R., Karki, B.B., Bollig, E.F., da Silva, C.R.S., Erlebacher, G., "A Web-Based Visualization and Reposition Scheme for Scientific Data," In Press, Proceedings of the 2006 International Conference on Modeling Simulation and Visualization Methods (MSV

  3. Client Mobile Software Design Principles for Mobile Learning Systems

    Directory of Open Access Journals (Sweden)

    Qing Tan

    2009-01-01

    Full Text Available In a client-server mobile learning system, client mobile software must run on the mobile phone to acquire, package, and send student’s interaction data via the mobile communications network to the connected mobile application server. The server will receive and process the client data in order to offer appropriate content and learning activities. To develop the mobile learning systems there are a number of very important issues that must be addressed. Mobile phones have scarce computing resources. They consist of heterogeneous devices and use various mobile operating systems, they have limitations with their user/device interaction capabilities, high data communications cost, and must provide for device mobility and portability. In this paper we propose five principles for designing Client mobile learning software. A location-based adaptive mobile learning system is presented as a proof of concept to demonstrate the applicability of these design principles.

  4. What Makes Underwriting and Non-Underwriting Clients of Brokerage Firms Receive Different Recommendations? An Application of Uplift Random Forest Model

    Directory of Open Access Journals (Sweden)

    Shaowen Hua

    2016-04-01

    Full Text Available I explore company characteristics which explain the difference in analysts’ recommendations for companies that were underwritten (affiliated versus non-underwritten (unaffiliated by analysts’ brokerage firms. Prior literature documents that analysts issue more optimistic recommendations to underwriting clients of analysts’ brokerage employers. Extant research uses regression models to find general associations between recommendations and financial qualities of companies, with or without underwriting relationship. However, regression models cannot identify the qualities that cause the most difference in recommendations between affiliated versus unaffiliated companies. I adopt uplift random forest model, a popular technique in recent marketing and healthcare research, to identify the type of companies that earn analysts’ favor. I find that companies of stable earnings in the past, higher book-to-market ratio, smaller sizes, worsened earnings, and lower forward PE ratio are likely to receive higher recommendations if  they are affiliated with analysts than if they are unaffiliated with analysts. With uplift random forest model, I show that analysts pay more attention on price-related than earnings-related matrices when they value affiliated versus unaffiliated companies. This paper contributes to the literature by introducing an effective predictive model to capital market research and shedding additional light on the usefulness of analysts’ reports.

  5. GenExp: an interactive web-based genomic DAS client with client-side data rendering.

    Directory of Open Access Journals (Sweden)

    Bernat Gel Moreno

    Full Text Available BACKGROUND: The Distributed Annotation System (DAS offers a standard protocol for sharing and integrating annotations on biological sequences. There are more than 1000 DAS sources available and the number is steadily increasing. Clients are an essential part of the DAS system and integrate data from several independent sources in order to create a useful representation to the user. While web-based DAS clients exist, most of them do not have direct interaction capabilities such as dragging and zooming with the mouse. RESULTS: Here we present GenExp, a web based and fully interactive visual DAS client. GenExp is a genome oriented DAS client capable of creating informative representations of genomic data zooming out from base level to complete chromosomes. It proposes a novel approach to genomic data rendering and uses the latest HTML5 web technologies to create the data representation inside the client browser. Thanks to client-side rendering most position changes do not need a network request to the server and so responses to zooming and panning are almost immediate. In GenExp it is possible to explore the genome intuitively moving it with the mouse just like geographical map applications. Additionally, in GenExp it is possible to have more than one data viewer at the same time and to save the current state of the application to revisit it later on. CONCLUSIONS: GenExp is a new interactive web-based client for DAS and addresses some of the short-comings of the existing clients. It uses client-side data rendering techniques resulting in easier genome browsing and exploration. GenExp is open source under the GPL license and it is freely available at http://gralggen.lsi.upc.edu/recerca/genexp.

  6. Protecting mental health clients' dignity - the importance of legal control.

    Science.gov (United States)

    Kogstad, Ragnfrid Eline

    2009-01-01

    Protecting human beings' dignity is a fundamental value underlying the UN's Universal Declaration of Human Rights as well as several recommendations and conventions derived from this, among them the European Convention of Human Rights (ECHR), a declaration that also takes precedence over Norwegian legislation. Still, clients' stories inform us that their dignity is not always protected in the mental health service systems. The aim of the study has been to investigate violations of dignity considered from the clients' points of view, and to suggest actions that may ensure that practice is brought in line with human rights values. The method used has been a qualitative content analysis of 335 client narratives. The conclusion is that mental health clients experience infringements that cannot be explained without reference to their status as clients in a system which, based on judgments from medical experts, has a legitimate right to ignore clients' voices as well as their fundamental human rights. The main focus of this discussion is the role of the ECHR and the European Court of Human Rights as instruments for protecting mental health clients' human rights. To bring about changes, recommendations and practices should be harmonized with the new UN Convention on the Rights of Persons with Disabilities (2006). Under this convention, the European Court of Human Rights has support for the application of the ECHR without exemptions for special groups of people.

  7. Nurse Interaction With Clients In Communication Therapeutic Study Analysis Of Symbolic Interactionism Hospital South Sulawesi

    Directory of Open Access Journals (Sweden)

    Hj.Indirawaty

    2015-08-01

    Full Text Available ABSTRACT This study aimed to describe briefly on the application of social interaction which made nurses to clients while performing therapeutic communication at the Hospital of South Sulawesi with frame symbolic interactionism. Result achieved against the system carried nurse interaction with clients who patterned on therapeutic communication. At the stage of pre-interaction system is applied such as before the nurse interacts with the client well in advance to prepare the way of dressing reception duties of nurse and studying the book status of each client. Introduction or orientation phase nurses visit each client and when the first met uttered a greeting before asking the clients condition when the interaction takes place he uses verbal and non-verbal language and attitude shown in full client hospitality and courtesy. Stage work nurses do an evaluation or action on the clients condition in accordance with the termination task. Midwife stage nurse re-evaluate the client and conclude the development of the clients condition and report a doctor who handles client. The fourth aspect of the application using the analysis of symbolic interactionism

  8. Podemos fidelizar clientes inicialmente insatisfechos

    Directory of Open Access Journals (Sweden)

    Jesús Cambra-Fierro

    2011-01-01

    Full Text Available El paradigma relacional, dominante en el ámbito de la mercadotecnia, aboga por establecer y desarrollar relaciones duraderas con los clientes. Para ello es preciso conocer cuáles son sus necesidades y esforzarse por satisfacerlas. Los clientes quieren sentirse importantes y, por tanto, las empresas deberían preocuparse no sólo por vender, sino también por conocer su índice real de satisfacción/ insatisfacción. Por tanto, desde un punto de vista lógico este debería ser el patrón de comportamiento empresarial, los trabajos de Barroso (2008 y Coca (2008 así lo indican. Pero la realidad demuestra que esto no siempre es así. A pesar de que los clientes siempre desean sentirse atendidos, existen empresas que parecen olvidarse de esta premisa básica y, sin embargo, obtienen resultados positivos. Este trabajo tiene el objetivo de analizar la posible contribución de los procesos de recuperación de servicios en la fidelización de clientes/usuarios. Para ello tomamos como referencia el concepto de procesos de recuperación de servicio y estudiamos el contexto del sector de telefonía móvil en España.Através de un análisis de estadísticos descriptivos y de la técnica Partial Least Squares (PLS, concluimos que las empresas se comportan de manera opuesta a lo que esperan los clientes y no se preocupan realmente por reconquistar su satisfacción. Sin embargo, la opinión de los usuarios resulta muy reveladora y sugiere que es posible convertir un cliente inicialmente insatisfecho en un cliente fiel.

  9. Client training vital for NFP.

    Science.gov (United States)

    Keller, S; Finger, W R

    1996-01-01

    Clients need both skill and motivation to effectively use natural family planning (NFP). Thus, NFP services must provide adequate counseling and training to clients. A good teacher of NFP does not need formal health care training but she/must have good communication skills. A teacher usually needs to meet with a client four times over a period of several months to teach NFP. Fertility awareness comprises the first step in NFP training. This involves helping couples to understand the reproductive system, menstrual cycles, and fertile periods. The NFP Training and Medical Services Center in Nairobi, Kenya, provides clients, many of whom live in slums and are illiterate, with an exercise book with small squares that they color so they can track their fertility signs. They tend to use the cervical mucus method rather than the basal temperature method which requires a thermometer. In Los Angeles, California, clients of one NFP program attend group sessions and individual counseling sessions to learn about the menstrual cycle, fertile period, and rules of NFP and how to apply them. The Twin Cities NFP Center in Minnesota found that individual counseling was 50% more expensive than group sessions and it affected changes in neither the pregnancy nor NFP continuation rates. Group training here involved more men. Catholic groups in Bangladesh, India, Kenya, South Korea, and the US conducted a study of NFP programs and found that client's willingness or ability to discuss NFP were not associated with socioeconomic status, previous family planning experiences, and education. Another study of the same users did find an association between higher education and lower unplanned pregnancy rate. The same was true for previous family planning use. Since limited resources prevent some family planning programs from training staff in NFP, the programs can refer clients to existing NFP services, sending one staff member to be trained in NFP, or having one staff member providing NFP

  10. Open client/server computing and middleware

    CERN Document Server

    Simon, Alan R

    2014-01-01

    Open Client/Server Computing and Middleware provides a tutorial-oriented overview of open client/server development environments and how client/server computing is being done.This book analyzes an in-depth set of case studies about two different open client/server development environments-Microsoft Windows and UNIX, describing the architectures, various product components, and how these environments interrelate. Topics include the open systems and client/server computing, next-generation client/server architectures, principles of middleware, and overview of ProtoGen+. The ViewPaint environment

  11. Nutrition Education Needs Pantry Clients

    Science.gov (United States)

    Wood, Dolores K.; Shultz, Jill Armstrong; Edlefsen, Miriam; Butkus, Sue N.

    2007-01-01

    Two food pantries were surveyed for nutrition education (NE) interests and experiences. One site provided nutrition education classes; the comparison site was utilized to assess client interest in class topics. "Fixing low cost meals," "fixing quick and easy recipes," and "stretching food and food dollars" were topics…

  12. Client services for geriatric pets.

    Science.gov (United States)

    Hancock, G; Yates, J

    1989-01-01

    Some veterinarians have been reluctant to discuss the prospect of the death of a pet because of a sense of discomfort and a lack of understanding about how to respond to the client's grief reaction. It is essential to take the time for this important communication and help clients deal with fears about the process, any feelings of guilt and helplessness, and judgments about the medical aspects of a case. Clients must be encouraged to express grief over the loss of a pet, particularly a geriatric pet that has lived with them many years and to which they are deeply bonded. Veterinarians need to counsel clients about obtaining additional pets or another pet. The phrase "replacement pet" must be stricken from the veterinarian's vocabulary. One does not "replace" a deceased spouse, mother, father, or child. It is possible to have another child or find another spouse, but it is not possible to replace a person. Neither can a pet be "replaced," because each pet is a unique living being. It is disrespectful to the memory of deceased pets to belittle their uniqueness by suggesting that they can be replaced. Instead, the veterinarian has the capability and responsibility to help pet owners maintain fond and happy memories of an irreplacable pet, while finding room in their hearts for another new pet to create happiness for the future. Once the grief is resolved, clients will be thankful for having had the privilege of sharing their life with an animal and experiencing the joy of the bond between two unique individuals.

  13. Client/server models for transparent, distributed computational resources

    Energy Technology Data Exchange (ETDEWEB)

    Hammer, K.E.; Gilman, T.L.

    1991-01-01

    Client/server models are proposed to address issues of shared resources in a distributed, heterogeneous UNIX environment. Recent development of automated Remote Procedure Call (RPC) interface generator has simplified the development of client/server models. Previously, implementation of the models was only possible at the UNIX socket level. An overview of RPCs and the interface generator will be presented and will include a discussion of generation and installation of remote services, the RPC paradigm, and the three levels of RPC programming. Two applications, the Nuclear Plant Analyzer (NPA) and a fluids simulation using molecular modelling, will be presented to demonstrate how client/server models using RPCs and External Data Representations (XDR) have been used production/computation situations. The NPA incorporates a client/server interface for transferring/translation of TRAC or RELAP results from the UNICOS Cray to a UNIX workstation. The fluids simulation program utilizes the client/server model to access the Cray via a single function allowing it to become a shared co-processor to the workstation application. 5 refs., 6 figs.

  14. Snoezelen: benefits for nursing older clients.

    Science.gov (United States)

    Morrissey, M; Biela, C

    1997-10-08

    In this article, the authors examine the possible benefits of Snoezelen for older clients. The authors suggest that nurses can be instrumental in developing and creating innovative therapeutic environments for this vulnerable client group.

  15. Metodología para elaborar leyes de posibilidad de retirada del cliente: una aplicación al sector del vestido // A Methodology to Elaborate Laws of Possibilities in the Retreat of a Client: An Application to the Dress Sector

    Directory of Open Access Journals (Sweden)

    Mauricio Ortigosa Hernández

    2016-12-01

    Full Text Available El presente documento pone a prueba en el sector del vestido en el centro del país, una metodología basada en la teoría de la incertidumbre y los subconjuntos borrosos para construir leyes de posibilidad de retirada del cliente con la empresa, con tan sólo la opinión subjetiva de expertos. La aportación del presente trabajo permite obtener un camino alternativo cuando no es posible contar con la información requerida por los modelos identificados en la literatura basados en principios derivados de las leyes del azar, incluso métodos heurísticos. Los resultados muestran la utilidad de los conceptos borrosos en un problema donde la incertidumbre en relación a la permanencia del cliente se hace evidente, permitiendo obtener un elemento necesario (tiempo, cuando se requiera medir el valor económico del cliente (Customer Lifetime Value: CLV en el campo de la incertidumbre. ------------------------------------ The current work tests, in the dress sector in the center of the country, a methodology based in the theory of uncertainty and the fuzzy subsets, in order to build laws of possibilities for the retreat of clients only with the subjective opinion given by experts. The contribution of the present work allows to obtain an alternative path when it is not possible to get the required information by the models identified in the literature based in principles derived of the random laws even from heuristic methods. The results show the utility of fuzzy concepts in a problem where the uncertainty in relation to the permanence of the client is evident and allows to obtain a valuable element (time, when the Customer Lifetime Value (CLV is required to be measured in the field of uncertainty.

  16. Negotiating the Client-Based Capstone Experience

    Science.gov (United States)

    Reifenberg, Steve; Long, Sean

    2017-01-01

    Many graduate programs for professionals (public policy, public administration, business, international affairs, and others) use client-based experiential learning projects, often termed "capstones," in which students combine theory and practice to benefit an outside client. Increasingly, undergraduate programs use client-based capstones…

  17. Client Introversion and Counseling Session Impact.

    Science.gov (United States)

    Nocita, Andrew; Stiles, William B.

    1986-01-01

    Examined impact of counseling sessions as a function of clients' personality characteristics. Results indicated introverted clients rated their sessions as uncomfortable, unpleasant, tense, rough, and difficult and rated their postsession mood as relatively unfriendly, uncertain, sad, angry, and afraid. Conversely, extroverted clients rated their…

  18. Improving client-centred care and services : the role of front/back-office configurations

    NARCIS (Netherlands)

    Broekhuis, Manda; de Blok, C.; Meijboom, B.

    Improving client-centred care and services: the role of front/back-officeconfigurations. This paper is a report of a study conducted to explore the application of designing front- and back-office work resulting in efficient client-centred care in healthcare organizations that supply home care,

  19. Systemic Power, Disciplinary Agency, and Developer–Business Client Relations

    DEFF Research Database (Denmark)

    Rowlands, Bruce; Kautz, Karlheinz

    2013-01-01

    This paper presents Hardy’s multi-dimensional model of power and illustrates its application to the field of IS. Findings from a case study of developer—business client power relations within a large financial institution are presented. Our findings indicate that from the developers’ perspective,...

  20. Collaborating with Your Clients Using Social Media & Mobile Communications

    Science.gov (United States)

    Typhina, Eli; Bardon, Robert E.; Gharis, Laurie W.

    2015-01-01

    Many Extension educators are still learning how to effectively integrate social media into their programs. By using the right social media platforms and mobile applications to create engaged, online communities, Extension educators can collaborate with clients to produce and to share information expanding and enhancing their social media and…

  1. Participatory citizenship: Critical perspectives on client-centred occupational therapy.

    Science.gov (United States)

    Fransen, Hetty; Pollard, Nick; Kantartzis, Sarah; Viana-Moldes, Inés

    2015-07-01

    This article aims to discuss client-centred practice, the current dominant approach within occupational therapy, in relation to participatory citizenship. Occupational therapists work within structures and policies that set boundaries on their engagement with clients, while working with complex, multidimensional social realities. The authors present a critical discussion shaped by their research, including a survey, discussions at workshops at international conferences, and critical engagement with the literature on occupational therapy, occupation, and citizenship. A focus on citizenship suggests reframing professional development based on the participation in public life of people as citizens of their society. While occupational therapists often refer to clients in the context of communities, groups, families, and wider society, the term client-centred practice typically represents a particular view of the individual and may sometimes be too limited in application for a more systemic and societal approach. The authors question the individual focus which has, until recently, been typical of client-centred occupational therapy. Placing citizenship at the core of intervention is a transformative process that assumes all people are citizens and conceives of health as a collective issue, influencing the way we educate, do research, and practise.

  2. High-yield secretion of multiple client proteins in Aspergillus.

    Science.gov (United States)

    Segato, Fernando; Damásio, André R L; Gonçalves, Thiago A; de Lucas, Rosymar C; Squina, Fabio M; Decker, Stephen R; Prade, Rolf A

    2012-07-15

    Production of pure and high-yield client proteins is an important technology that addresses the need for industrial applications of enzymes as well as scientific experiments in protein chemistry and crystallization. Fungi are utilized in industrial protein production because of their ability to secrete large quantities of proteins. In this study, we engineered a high-expression-secretion vector, pEXPYR that directs proteins towards the extracellular medium in two Aspergillii host strains, examine the effect of maltose-induced over-expression and protein secretion as well as time and pH-dependent protein stability in the medium. We describe five client proteins representing a core set of hemicellulose degrading enzymes that accumulated up to 50-100 mg/L of protein. Using a recyclable genetic marker that allows serial insertion of multiple genes, simultaneous hyper-secretion of three client proteins in a single host strain was accomplished. Copyright © 2012 Elsevier Inc. All rights reserved.

  3. A Hybrid Brain-Computer Interface-Based Mail Client

    Directory of Open Access Journals (Sweden)

    Tianyou Yu

    2013-01-01

    Full Text Available Brain-computer interface-based communication plays an important role in brain-computer interface (BCI applications; electronic mail is one of the most common communication tools. In this study, we propose a hybrid BCI-based mail client that implements electronic mail communication by means of real-time classification of multimodal features extracted from scalp electroencephalography (EEG. With this BCI mail client, users can receive, read, write, and attach files to their mail. Using a BCI mouse that utilizes hybrid brain signals, that is, motor imagery and P300 potential, the user can select and activate the function keys and links on the mail client graphical user interface (GUI. An adaptive P300 speller is employed for text input. The system has been tested with 6 subjects, and the experimental results validate the efficacy of the proposed method.

  4. A hybrid brain-computer interface-based mail client.

    Science.gov (United States)

    Yu, Tianyou; Li, Yuanqing; Long, Jinyi; Li, Feng

    2013-01-01

    Brain-computer interface-based communication plays an important role in brain-computer interface (BCI) applications; electronic mail is one of the most common communication tools. In this study, we propose a hybrid BCI-based mail client that implements electronic mail communication by means of real-time classification of multimodal features extracted from scalp electroencephalography (EEG). With this BCI mail client, users can receive, read, write, and attach files to their mail. Using a BCI mouse that utilizes hybrid brain signals, that is, motor imagery and P300 potential, the user can select and activate the function keys and links on the mail client graphical user interface (GUI). An adaptive P300 speller is employed for text input. The system has been tested with 6 subjects, and the experimental results validate the efficacy of the proposed method.

  5. High-Yield Secretion of Multiple Client Proteins in Aspergillus

    Energy Technology Data Exchange (ETDEWEB)

    Segato, F.; Damasio, A. R. L.; Goncalves, T. A.; de Lucas, R. C.; Squina, F. M.; Decker, S. R.; Prade, R. A.

    2012-07-15

    Production of pure and high-yield client proteins is an important technology that addresses the need for industrial applications of enzymes as well as scientific experiments in protein chemistry and crystallization. Fungi are utilized in industrial protein production because of their ability to secrete large quantities of proteins. In this study, we engineered a high-expression-secretion vector, pEXPYR that directs proteins towards the extracellular medium in two Aspergillii host strains, examine the effect of maltose-induced over-expression and protein secretion as well as time and pH-dependent protein stability in the medium. We describe five client proteins representing a core set of hemicellulose degrading enzymes that accumulated up to 50-100 mg/L of protein. Using a recyclable genetic marker that allows serial insertion of multiple genes, simultaneous hyper-secretion of three client proteins in a single host strain was accomplished.

  6. Client/server approach to image capturing

    Science.gov (United States)

    Tuijn, Chris; Stokes, Earle

    1998-01-01

    The diversity of the digital image capturing devices on the market today is quite astonishing and ranges from low-cost CCD scanners to digital cameras (for both action and stand-still scenes), mid-end CCD scanners for desktop publishing and pre- press applications and high-end CCD flatbed scanners and drum- scanners with photo multiplier technology. Each device and market segment has its own specific needs which explains the diversity of the associated scanner applications. What all those applications have in common is the need to communicate with a particular device to import the digital images; after the import, additional image processing might be needed as well as color management operations. Although the specific requirements for all of these applications might differ considerably, a number of image capturing and color management facilities as well as other services are needed which can be shared. In this paper, we propose a client/server architecture for scanning and image editing applications which can be used as a common component for all these applications. One of the principal components of the scan server is the input capturing module. The specification of the input jobs is based on a generic input device model. Through this model we make abstraction of the specific scanner parameters and define the scan job definitions by a number of absolute parameters. As a result, scan job definitions will be less dependent on a particular scanner and have a more universal meaning. In this context, we also elaborate on the interaction of the generic parameters and the color characterization (i.e., the ICC profile). Other topics that are covered are the scheduling and parallel processing capabilities of the server, the image processing facilities, the interaction with the ICC engine, the communication facilities (both in-memory and over the network) and the different client architectures (stand-alone applications, TWAIN servers, plug-ins, OLE or Apple-event driven

  7. [On the clients of public health organizations].

    Science.gov (United States)

    Duran, Júlia; Villalbí, Joan R; Guix, Joan

    2004-01-01

    Public services must satisfy a variety of agents: users of these services, the citizens who pay the taxes that finance them, politicians, and those that work in them. To obtain public services that give priority to the citizen-user, knowledge of clients, their expectations, preferences, complaints and degree of satisfaction is essential. This article presents the process of internal discussion in our agency about its clients, who differ from those of an industrial or commercial organization. A proposal for the classification of clients, as well as the process that has led to a client portfolio, are presented and steps to improve services from the perspective of the client are suggested.

  8. Seeking what matters: determinants of clients' satisfaction in obstetric care services in Pakistan.

    Science.gov (United States)

    Ali, Moazzam; Qazi, Muhammad Suleman; Seuc, Armando

    2014-01-01

    Aim of this study was to determine the dimensions of the service quality in the public hospitals and evaluate the determinants of client satisfaction in obstetric health in the context of Pakistan. The present research evaluates the application of an integrated client satisfaction model that draws mainly from the original SERVQUAL framework in obstetric health services. We conducted a cross-sectional study, in four public district hospitals in Pakistan, enrolling 1101 clients attending obstetric health care services. Measures of service quality and determinants of client satisfaction were factor-analysed and multiple regression analysis was used to test the hypothesis. The client satisfaction increased significantly with increases in respondent's age, number of children, number of visits and with decrease in educational status. Factor analysis revealed five service quality dimensions; and multiple regression analysis showed that all five dimensions of service quality in obstetric care were significant in explaining client satisfaction. The most powerful predictor for client satisfaction was provider communication with clients, followed by responsiveness and discipline. Interventions aimed at improving client provider interaction would not only advance the clinical provision of services, butwould also result in greater patient satisfaction with the services provided, leading to higher levels of facility utilization and continuity of care. Better client provider interaction can be accomplished at hospital's level through focused training of all cadre of service providers sensitizing them on clients' needs. Results also showed that the proposed framework is a valid and flexible instrument in assessing and monitoring service quality and enabling staff to identify where improvements are needed, from the clients' perspective.

  9. Do client fees help or hurt?

    Science.gov (United States)

    Barnett, B

    1998-01-01

    This article discusses the impact of client fees for family planning (FP) services on cost recovery and level of user services in developing countries. The UN Population Fund reports that developing country governments currently pay 75% of the costs of FP programs. Donors contribute 15%, and clients pay 10%. Current pressures are on FP services to broaden and improve their scope, while user demand is increasing. Program managers should consider the program's need for funds and the clients' willingness to pay. Clients are willing to pay about 1% of their income for contraception. A study of sterilization acceptance in Mexico finds that the average monthly case load declined by 10% after the 1st price increase from $43 to $55 and declined by 58% after the 2nd price increase to $60. Fewer low-income clients requested sterilization. A CEMOPLAF study in Ecuador finds that in three price increase situations the number of clients seeking services declined, but the economic mix of clients remained about the same. The decline was 20% in the group with a 20% price increase and 26% in the 40% increase group. In setting fees, the first need is to determine unit costs. The Futures Group International recommends considering political, regulatory, and institutional constraints for charging fees; priorities for revenue use; protection for poor clients; and monitoring of money collection and expenditure. Management Sciences for Health emphasizes consideration of the reasons for collection of fees, client affordability, and client perception of quality issues. Sliding scales can be used to protect poor clients. Charging fees for laboratory services can subsidize poor clients. A Bangladesh program operated a restaurant and catering service in order to subsidize FP services. Colombia's PROFAMILIA sells medical and surgical services and a social marketing program in order to expand clinics.

  10. Perceptions towards IT Security in Online Banking: Croatian Clients vs. Clients of Bosnia and Herzegovina

    National Research Council Canada - National Science Library

    Nedim Makarevic

    2016-01-01

      This study has been completed with a purpose to analyze and compare perceptions of clients of Bosnia and Herzegovina and those of Croatian clients about IT security in online banking, to provide...

  11. Unpacking the client(s): constructions, positions and client–consultant dynamics

    OpenAIRE

    Alvesson, Mats; Kärreman, Dan; Sturdy, Andrew; Handley, Karen

    2009-01-01

    Increasing attention is being given to professional services in organisation and management theory. Whether the focus is on organisational forms or service processes such as knowledge transfer, the role of clients is often seen as central. However, typically, clients continue to be presented in a largely static, pre-structured and even monolithic way. While some recognition is given to the diversity of organisational clients and, to a lesser extent, individual clients, little attention has be...

  12. The language of change among criminal justice clients: Counselor language, client language, and client substance use outcomes.

    Science.gov (United States)

    Rodriguez, Mayra; Walters, Scott T; Houck, Jon M; Ortiz, J Alexis; Taxman, Faye S

    2017-09-22

    Counselor and client language have been identified as mechanisms of change in motivational interviewing (MI) counseling sessions. This study evaluated whether language patterns exhibited during MI sessions with substance users in the community would also be found during MI sessions with substance users in the criminal justice system. Forty audio recordings of MI sessions with substance-using probationers were coded and analyzed sequentially using the Motivational Interviewing Skills Code (MISC) 2.5. Analyses examined the relationship between counselor and client language, and the relationship between client language and client substance use after 2 months. Counselor MI inconsistent language was associated with decreased change talk (lnOR = - 0.76, p sustain talk. Both sustain talk (b = - 4.591, t = - 18.634 p Sustain talk early in the session (i.e., during deciles 1 and 2) was significantly greater among clients who reported using substances at 2 months, compared to clients who did not use substances. These findings are broadly consistent with previous literature documenting the association between counselor language, client language, and client outcome. © 2017 Wiley Periodicals, Inc.

  13. PENGEMBANGAN ANTIVIRUS BERBASIS CLIENT SERVER

    Directory of Open Access Journals (Sweden)

    Richki Hardi

    2015-07-01

    Full Text Available The era of globalization is included era where the komputer virus has been growing rapidly, not only of mere academic research but has become a common problem for komputer users in the world. The effect of this loss is increasingly becoming the widespread use of the Internet as a global communication line between komputer users around the world, based on the results of the survey CSI / FB. Along with the progress, komputer viruses undergo some evolution in shape, characteristics and distribution medium such as Worms, Spyware Trojan horse and program Malcodelain. Through the development of server-based antivirus clien then the user can easily determine the behavior of viruses and worms, knowing what part of an operating system that is being attacked by viruses and worms, making itself a development of network-based antivirus client server and can also be relied upon as an engine fast and reliable scanner to recognize the virus and saving in memory management.

  14. Bringing the client back in

    DEFF Research Database (Denmark)

    Danneris, Sophie; Nielsen, Mathias Herup

    2017-01-01

    welfare system and client. This paper suggests a comparative design in which the government rhetoric of job readiness is contrasted with findings from a qualitative longitudinal study into the lived experiences of recent welfare reforms in Denmark. Thus, our study set out to explore how job readiness...... is defined, when taking the viewpoint of vulnerable unemployed subjects themselves. A group of 25 vulnerable social assistance receivers were interviewed repeatedly in a qualitative longitudinal study from 2013-2015. The analysis presents four striking discrepancies between the government rhetoric on job...... readiness on one hand, and the logic of job readiness found in the vast qualitative material on the other. We conclude that this specific comparative perspective is fruitful as it adds to the analysis of political categorization the perspective of targeted individuals themselves – thereby avoiding a well...

  15. The Influence of Client Fees on Evaluations By Clients of Counseling Outcome.

    Science.gov (United States)

    Shipton, Brian; Spain, Armelle

    1980-01-01

    Psychoanalytic theory and cognitive dissonance theory predict that clients who pay a fee for counseling benefit more than clients who do not pay. Results of this study suggest that paying a fee does not significantly influence counseling outcome as measured by client evaluations of counselors. (Author)

  16. The Impact of Client Expertise, Client Gender and Auditor Gender on Auditors' Judgments

    NARCIS (Netherlands)

    A.H. Gold-Nöteberg (Anna); J.E. Hunton (James); M.I. Gomaa (Mohamed)

    2006-01-01

    textabstractThe purpose of the current study is to assess the extent to which auditors’ judgments are affected by client expertise, client gender and auditor gender. Prior audit research suggests that auditors place more weight on evidence received from clients who possess higher, relative to

  17. YASGUI: not just another SPARQL client

    NARCIS (Netherlands)

    Rietveld, L.; Hoekstra, R.

    2013-01-01

    This paper introduces YASGUI, a user-friendly SPARQL client. We compare YASGUI with other SPARQL clients, and show the added value and ease of integrating Web APIs, services, and new technologies such as HTML5. Finally, we discuss some of the challenges we encountered in using these technologies for

  18. YASGUI: Not Just Another SPARQL Client

    NARCIS (Netherlands)

    Rietveld, L.; Hoekstra, R.

    2013-01-01

    This paper introduces YASGUI, a user-friendly SPARQL client. We compare YASGUI with other SPARQL clients, and show the added value and ease of integrating Web APIs, services, and new technologies such as HTML5. Finally, we discuss some of the challenges we encountered in using these technologies for

  19. Client acceptance decisions of Dutch auditing partners

    NARCIS (Netherlands)

    Wittek, Rafael; Zee, Theo van der; Mühlau, Peter

    2008-01-01

    A vignette study of 567 client acceptance decisions by 67 Dutch auditors showed that the prospect of acquiring additional assignments significantly increases the likelihood that auditing partners accept an audit assignment from a new client, thereby violating a rule of the auditing profession. Audit

  20. Client's constraining factors to construction project management ...

    African Journals Online (AJOL)

    This study analyzed client's related factors that constrain project management success of public and private sector construction in Nigeria. Issues that concern clients in any project can not be undermined as they are the owners and the initiators of project proposals. It is assumed that success, failure or abandonment of ...

  1. Experiential Interventions for Clients with Genital Herpes.

    Science.gov (United States)

    Cummings, Anne L.

    1999-01-01

    Explores potential benefits of incorporating concepts and interventions from experimental therapy to help clients with psychosocial difficulties in learning to live with genital herpes. Recommends experimental counseling of two-chair dialog, empty chair, and metaphor for helping clients with emotional sequelae of genital herpes. Presents case…

  2. Can retail banking clients' attrition be managed?

    Directory of Open Access Journals (Sweden)

    Agaliotis Konstantinos

    2015-01-01

    Full Text Available The rurrο_e of all banks across the universe is to satisfy their clients' necessities. One of the predominant impacts of the last few years' financial crisis in Europe was the way in which customers interact with their banks. The theory of 'main bank' is not any more the case as clients' trust toward banks fades away together with their loyalty. Nowadays, it is necessary for banks to segment their clientele data base, and target the most profitable clients. The retention strategy of each financial institution becomes more and more important as the value of each retained customer is disproportional to the cost of acquiring a new one. The main findings of the subject retail banking clients' retention policy analysis prove that clients of different lifetime value have different propensity to defect. At the same time, the ability of a bank to retain a potential defector does not depend directly on satisfying the defection reason. Many of the various bank counter offers which do not directly satisfy the reason that a client refers to as the 'defection' one, are enough in order to retain a client. Equally important to the identification of clients' behavioural patterns is the use of the subject findings on behalf of the retail oriented banks in order to predict accurately the cost of future defection, as well as, to incorporate one more measurable parameter in their credit risk scorecards i.e. the intention to increase credit exposure.

  3. Vocational Evaluation of Severely Disabled Deaf Clients.

    Science.gov (United States)

    Watson, Douglas

    Research and practice in deafness rehabilitation show that evaluation services for severely disabled deaf clients can best be provided within a "total adjustment environment" which incorporates a number of special program considerations associated with the evaluation of deaf clients. Four of these considerations are (1) a rehabilitation…

  4. 49 CFR 1103.23 - Confidences of a client.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false Confidences of a client. 1103.23 Section 1103.23... Responsibilities Toward A Client § 1103.23 Confidences of a client. (a) The practitioner's duty to preserve his client's confidence outlasts the practitioner's employment by the client, and this duty extends to the...

  5. 31 CFR 10.28 - Return of client's records.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Return of client's records. 10.28... § 10.28 Return of client's records. (a) In general, a practitioner must, at the request of a client, promptly return any and all records of the client that are necessary for the client to comply with his or...

  6. Group-oriented coordination models for distributed client-server computing

    Science.gov (United States)

    Adler, Richard M.; Hughes, Craig S.

    1994-01-01

    This paper describes group-oriented control models for distributed client-server interactions. These models transparently coordinate requests for services that involve multiple servers, such as queries across distributed databases. Specific capabilities include: decomposing and replicating client requests; dispatching request subtasks or copies to independent, networked servers; and combining server results into a single response for the client. The control models were implemented by combining request broker and process group technologies with an object-oriented communication middleware tool. The models are illustrated in the context of a distributed operations support application for space-based systems.

  7. A Methodology and Tool for Investigation of Artifacts Left by the BitTorrent Client

    Directory of Open Access Journals (Sweden)

    Algimantas Venčkauskas

    2016-05-01

    Full Text Available The BitTorrent client application is a popular utility for sharing large files over the Internet. Sometimes, this powerful utility is used to commit cybercrimes, like sharing of illegal material or illegal sharing of legal material. In order to help forensics investigators to fight against these cybercrimes, we carried out an investigation of the artifacts left by the BitTorrent client. We proposed a methodology to locate the artifacts that indicate the BitTorrent client activity performed. Additionally, we designed and implemented a tool that searches for the evidence left by the BitTorrent client application in a local computer running Windows. The tool looks for the four files holding the evidence. The files are as follows: *.torrent, dht.dat, resume.dat, and settings.dat. The tool decodes the files, extracts important information for the forensic investigator and converts it into XML format. The results are combined into a single result file.

  8. Team-client Relationships And Extreme Programming

    Directory of Open Access Journals (Sweden)

    John Karn

    2008-01-01

    Full Text Available This paper describes a study that examined the relationship between software engineering teams who adhered to the extreme programming (XP methodology and their project clients. The study involved observing teams working on projects for clients who had commissioned a piece of software to be used in the real world. Interviews were conducted during and at the end of the project to get client opinion on how the project had progressed. Of interest to the researchers were opinions on frequency of feedback, how the team captured requirements, whether or not the iterative approach of XP proved to be helpful, and the level of contextual and software engineering knowledge the client had at the start of the project. In theory, fidelity to XP should result in enhanced communication, reduce expectation gaps, and lead to greater client satisfaction. Our results suggest that this depends heavily on the communication skills of the team and of the client, the expectations of the client, and the nature of the project.

  9. Client attitudes towards home dialysis therapy.

    Science.gov (United States)

    Polaschek, N

    2007-01-01

    There are many studies about the professional problem of renal patient non-compliance and a number describing the experience of living on dialysis. To date studies have not examined client attitudes toward their therapy. This paper reports a study seeking to describe characteristic attitudes towards their treatment regimen among a group living on home dialysis. The study used a critical interpretive methodology, enabling a distinction between the professional viewpoint and the renal client perspective. Twenty home dialysis clients from one renal service in New Zealand were interviewed for an hour each in November 2004 and January 2005. Texts of the taped interviews were analysed to discover the client perspective towards their therapy in this group. During the initial period of adjustment to treatment many participants discovered their need for treatment by experimenting with the therapeutic prescription. They then used what they had learned about the therapy to alter their treatment regimen in order to maintain, as far as possible, their normal lifestyle. After modifying their therapeutic prescription to suit themselves, participants' motivation to continue meeting the ongoing demands of the treatment regimen was influenced by their perception of their individual life situation, including their relationships, work and personal attitudes towards life. Health professionals have interpreted renal client behaviour in relation to their therapy in terms of compliance, because effectiveness of treatment depends on their cooperation. From a client perspective their attitudes are better understood in terms of negotiation. Renal clients do not simply follow professional advice but, through a process of negotiation, seek to integrate therapy into their pattern of regular activities to maintain their normal lifestyle. Renal clients' motivation to meet the ongoing demands of treatment is not related solely to their health status, but is also affected by their general life

  10. Acceptance and Commitment Therapy for a Heterogeneous Group of Treatment-Resistant Clients: A Treatment Development Study

    Science.gov (United States)

    Clarke, Sue; Kingston, Jessica; Wilson, Kelly G.; Bolderston, Helen; Remington, Bob

    2012-01-01

    Acceptance and commitment therapy (ACT) has been shown to have broad applicability to different diagnostic groups, and there are theoretical reasons to consider its use with clients with chronic mental health problems. We report an innovative treatment development evaluation of ACT for a heterogeneous group of "treatment-resistant clients" (N =…

  11. Clients' assimilation of experiences of their therapists.

    Science.gov (United States)

    Mosher, James K; Stiles, William B

    2009-12-01

    In this study, we examined how clients internalize their therapists, understanding this phenomenon through the lens of the assimilation model, a theory of psychological change. The assimilation model describes people as comprised of multiple voices, each voice being a representation of interrelated experiences organized around significant people or events. In this study, we interviewed five former psychotherapy clients and asked them to describe how they experienced, and continue to experience, their therapists internally. On the basis of these interviews, we extended the assimilation model by constructing an account of how clients' experiences of their therapists are internalized. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

  12. LSIVIEWER 2.0 – A CLIENT-ORIENTED ONLINE VISUALIZATION TOOL FOR GEOSPATIAL VECTOR DATA

    OpenAIRE

    K. Manikanta; K S Rajan

    2017-01-01

    Geospatial data visualization systems have been predominantly through applications that are installed and run in a desktop environment. Over the last decade, with the advent of web technologies and its adoption by Geospatial community, the server-client model for data handling, data rendering and visualization respectively has been the most prevalent approach in Web-GIS. While the client devices have become functionally more powerful over the recent years, the above model has largely...

  13. Client-Oriented Approach: Forming the System of Management of the Bank Relations with Clients

    Directory of Open Access Journals (Sweden)

    Zavadska Diana V.

    2015-03-01

    Full Text Available The aim of the article is to develop the theoretical principles of forming the bank relations with clients as part of the client-oriented strategy implementation. As a result of the conducted research there has been presented the definition of client-orientation, mechanism and system of management. The system of management of the bank relations with clients, the purpose and objectives of its formation have been substantiated. The hierarchy of subjects of forming and managing the process of the bank relations with client has been presented. The ways of implementing in practice the functions of the mechanism of managing relations with clients have been revealed. It has been proved that for implementation of the client-oriented approach the banking institution should have a comprehensive view of its clients’ behavior, which detailed understanding will allow for a more accurate segmentation and building individualized partnership relations. Implementing the principle of totality of client relationships level and comprehensive knowledge, development of employee behavior techniques and special techniques for working with the most valuable clients, the use of analytics and forecasting tools will provide targeting of marketing campaigns and lead to minimization of additional costs, satisfaction of every client, loyalty, increase in the market share, growth of sales volume, increase in profits of the banking institution.

  14. IPME and External Clients: Enhancing Performance by Offloading Simulation Workload to External Clients; Explaining and Simplifying the Process

    National Research Council Canada - National Science Library

    Haar, ter, Phil; Cain, Brad

    2007-01-01

    ...) to an external client using the external client architecture that accompanies IPME. This client communicates with IPME using TCP/IP network protocol, exchanging values of common variables over the network...

  15. Managing Client Values in Construction Design

    DEFF Research Database (Denmark)

    Thyssen, Mikael Hygum; Emmitt, Stephen; Bonke, Sten

    2008-01-01

    In construction projects the client will comprise both owner, end-users, and the wider society, representatives of which may have conflicting goals and values; and these may not be fully realized by the stakeholders themselves. Therefore it is a great challenge to capture and manage the values...... of the multiple stakeholders that constitutes the “client”. However, seeing client satisfaction as the end-goal of construction it is imperative to make client values explicit in the early project phase and make sure that these values are reflected in all subsequent phases of design and construction....... The management challenge is further complicated by the fact that the delivery team, who are to understand and deliver client value, consists of even more different parties. To address this a Danish engineering consultancy company has, together with a major contractor, developed a value-based workshop method...

  16. Client Information in Counseling: An Existential View

    Science.gov (United States)

    Pine, Gerald J.

    1975-01-01

    An emphasis on existentialism as a dynamic philosophical force with significant implications for vocational guidance in the use of information to help clients, followed by a Comment by Lee Isaacson. (Author)

  17. Caring for Clients and Families With Anxiety

    Directory of Open Access Journals (Sweden)

    Noriko Yamamoto-Mitani

    2016-08-01

    Full Text Available This study elucidated Japanese home care nurses’ experiences of supporting clients and families with anxiety. We interviewed 10 registered nurses working in home care agencies and analyzed the data using grounded theory to derive categories pertaining to the nurses’ experiences of providing care. We conceptualized nurses’ approaches to caring for anxiety into three categories: First, they attempted to reach out for anxiety even when the client/family did not make it explicit; second, they tried to alter the outlook of the situation; and third, they created comfort in the lives of the client/family. The conceptualizations of nurses’ strategies to alleviate client/family anxiety may reflect Japanese/Eastern cultural characteristics in communication and their view of the person and social care system, but these conceptualizations may also inform the practice of Western nurses by increasing awareness of skills they may also have and use.

  18. Why are client/agency relations shortening?

    OpenAIRE

    Turnbull, Sarah

    2014-01-01

    In the past many client-agency relationships have been compared to a marriage because of the intensity and longevity of the relationship. While relationships appear to remain intense, in many cases their length seems to be getting shorter. In an environment where most clients are seeking to develop longer term relationships with their consumers, why are their agency relationships moving towards shorter, more transactional style exchange?

  19. Optimal exploitation of client texture hardware capabilities on a client-server remote visualization framework

    OpenAIRE

    Boada, Imma; Navazo Álvaro, Isabel

    2003-01-01

    Given a client-server communication network, with workstations equipped with 3D texture hardware, we propose a technique that guarantees the optimal use of the client texture hardware. We consider the best representation of a data model that has to be rendered on the client side as the one that requires the minimal texture space while preserving image quality. Taking into account this consideration the basis of the proposed technique is the selection of the best multiresolution representat...

  20. The good client: How architect-client dynamics mediate attention to users

    OpenAIRE

    Van der Linden, Valerie; Dong, Hua; Heylighen, Ann

    2017-01-01

    Due to the increasing complexity of architectural practice, gaining insight into future users’ perspectives presents a particular challenge for architects. Architects’ main reference point to obtain information about users is often the client. Moreover, architects indicate that a ‘good’ client is key to the project’s success. Yet, architect-client relationships can be highly diverse, depending on the project type, procedure and phase. This paper sets out to study how different architect-clien...

  1. Using virtual Lustre clients on the WAN for analysis of data from high energy physics experiments

    Science.gov (United States)

    Bourilkov, D.; Avery, P.; Cheng, M.; Fu, Y.; Kim, B.; Palencia, J.; Budden, R.; Benninger, K.; Shrum, D.; Wilgenbusch, J.

    2012-12-01

    We describe the work on creating system images of Lustre virtual clients in the ExTENCI project (Extending Science Through Enhanced National Cyberlnfrastructure), using several virtual technologies (Xen, VMware, VirtualBox, KVM). These virtual machines can be built at several levels, from a basic Linux installation (we use Scientific Linux 5 as an example), adding a Lustre client with Kerberos authentication, and up to complete clients including local or distributed (based on CernVM-FS) installations of the full CERN and project specific software stack for typical LHC experiments. The level, and size, of the images are determined by the users on demand. Various sites and individual users can just download and use them out of the box on Linux/UNIX, Windows and Mac OS X based hosts. We compare the performance of virtual clients with that of real physical systems for typical high energy physics applications like Monte Carlo simulations or analysis of data stored in ROOT trees.

  2. Transcultural Pain Management: Theory, Practice, and Nurse-Client Partnerships.

    Science.gov (United States)

    Rosa, William E

    2017-12-14

    Nursing is becoming increasingly aware of its impact as a global profession. Part of this evolution is the understanding that the Western evidence-based construct may not be reliably or universally applicable to transcultural settings and clients. In a global world, no 'one size fits all' and no singular approach to pain management is appropriate; there are, quite literally, infinite variations in cross-cultural dynamics. Nurses working in the field of pain management must be able to navigate their responsibilities within the global health context. The role of the pain management nurse in the global world is to provide individualized and culturally relevant pain management for clients, which is mindful of multifactorial contributors to the pain experience, such as the physiologic, affective, cognitive, behavioral, sociocultural, and environmental, and to view adequate pain management as an international human right. Through the skillful integration of theory, practice, and the ability to build respectful and responsible nurse-client partnerships, pain management nurses can deliver contextually relevant care that promotes safety, quality, and healing. Copyright © 2017 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

  3. Client Engagement Characteristics Associated with Problem Gambling Treatment Outcomes

    Science.gov (United States)

    Dowling, Nicki A.; Cosic, Sanja

    2011-01-01

    Previous research examining the factors associated with problem gambling treatment outcomes has examined client factors and to date, treatment characteristics, therapist factors, and client-therapist interactions have essentially remained unexplored. This study aimed to investigate how client engagement variables (client-rated therapeutic…

  4. Reported Childhood Sexual Abuse in University Counseling Center Clients.

    Science.gov (United States)

    Stinson, Marilyn H.; Hendrick, Susan S.

    1992-01-01

    Examined rates of childhood sexual abuse, in 300 university counseling center clients, obtained through direct interview questioning, pencil-and-paper questioning, and client records. Found significant differences in prevalence rates between clients directly queried and clients from whom information was expected to arise during course of…

  5. Psychogeriatric client identification project : phase 1 - final report

    OpenAIRE

    Gutman, Gloria M.; MacFadgen, Lynne; Killam, Judith

    1995-01-01

    The Psychogeriatric Client Identification Project, contracted by the Continuing Care Division and conducted by the Gerontology Research Centre at Simon Fraser University, provides a comprehensive description of the diverse client groups that are typically included under the umbrella term, "psychogeriatric." Traditionally, psychogeriatric clients have been categorized according to medical diagnoses. The current research project adopted a different approach to identifying client needs by using ...

  6. Clients' knowledge, perception and satisfaction with quality of ...

    African Journals Online (AJOL)

    2014-04-14

    Apr 14, 2014 ... services was good. Furthermore cost, local language used, staff attitude and interaction with clients was acceptable and may be the reason for high level of satisfaction reported. Key words: Clients' knowledge, clients' perception, clients' satisfaction, primary health care level, quality of maternal health ...

  7. 32 CFR 776.4 - Attorney-client relationships.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Attorney-client relationships. 776.4 Section 776... General § 776.4 Attorney-client relationships. (a) The executive agency to which assigned (DON in most cases) is the client served by each covered USG attorney unless detailed to represent another client by...

  8. 29 CFR 402.11 - Attorney-client communications exempted.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Attorney-client communications exempted. 402.11 Section 402... LABOR-MANAGEMENT STANDARDS LABOR ORGANIZATION INFORMATION REPORTS § 402.11 Attorney-client... communicated to such attorney by any of his clients in the course of a legitimate attorney-client relationship. ...

  9. 29 CFR 404.5 - Attorney-client communications exempted.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Attorney-client communications exempted. 404.5 Section 404... LABOR-MANAGEMENT STANDARDS LABOR ORGANIZATION OFFICER AND EMPLOYEE REPORTS § 404.5 Attorney-client... communicated to such attorney by any of his clients in the course of a legitimate attorney-client relationship. ...

  10. 32 CFR 776.28 - Conflict of interest: Former client.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Conflict of interest: Former client. 776.28... ADVOCATE GENERAL Rules of Professional Conduct § 776.28 Conflict of interest: Former client. (a) Conflict of interest: Former client. A covered attorney who has represented a client in a matter shall not...

  11. 31 CFR 10.21 - Knowledge of client's omission.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Knowledge of client's omission. 10.21... § 10.21 Knowledge of client's omission. A practitioner who, having been retained by a client with respect to a matter administered by the Internal Revenue Service, knows that the client has not complied...

  12. 49 CFR 1103.22 - Restraining clients from improprieties.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false Restraining clients from improprieties. 1103.22... Practitioner's Duties and Responsibilities Toward A Client § 1103.22 Restraining clients from improprieties. A practitioner should see that his clients act with the same restraint that the practitioner himself uses...

  13. 29 CFR 403.9 - Attorney-client communications exempted.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Attorney-client communications exempted. 403.9 Section 403... LABOR-MANAGEMENT STANDARDS LABOR ORGANIZATION ANNUAL FINANCIAL REPORTS § 403.9 Attorney-client... communicated to such attorney by any of his clients in the course of a legitimate attorney-client relationship. ...

  14. A Survey of Clients and Ethical Perspectives of Voluntary Tubal ...

    African Journals Online (AJOL)

    There was a statistically significant association between having a voluntary sterilization done on clients and having counseled client on benefits of the procedure (P - 0.01), having sterilization done based on both client and her husband's decision (P - 0.05), and clients voluntarily accepting sterilization (P - 0.02). Conclusion: ...

  15. Nursing students' stereotypes of married and unmarried pregnant clients.

    Science.gov (United States)

    Ganong, L H; Coleman, M; Riley, C

    1988-10-01

    The purpose of this study was to investigate the effects of information about a pregnant client's marital status on nursing students' initial perceptions of the client, attributions of group stereotypes to the client, predictions of client behavior, data sought, and verbal responses toward the client. Forty-three undergraduate nursing students from a large Midwestern university volunteered to participate. Subjects were randomly assigned to one of two experimental groups, the "married client" or "unmarried client." Subjects viewed a videotape of a nurse interviewing a pregnant client and were administered a series of questionnaires. Following this, they were asked to respond in writing to five statements made by the videotaped client. Videotapes were identical except that one group was told they were viewing an unmarried woman and the other group was told the client was married. Results indicated that students evaluated the married client more positively than the unmarried client. Students' perceptions were consistent with several cultural stereotypes. In addition, students predicted that, if hospitalized, the unmarried client would have greater difficulty than the married client. There were no differences between groups in the information they would seek from the client or in responses towards the client.

  16. Client-Centricity In South African Retail Banking

    OpenAIRE

    Johan Coetzee

    2014-01-01

    Client-centricity deals with addressing the needs of clients as they change. It requires contact-personnel who are empowered to not only identify client needs, but address them speedily. This study investigated the perceptions of client-centricity for 559 contact-personnel at three major South African retail banks in central South Africa. The results indicate that in general the contact personnel regard their respective banks as enforcing a client-centric strategy. They do however feel that t...

  17. The illusion of client-centred practice.

    Science.gov (United States)

    Gupta, Jyothi; Taff, Steven D

    2015-07-01

    A critical analysis of occupational therapy practice in the corporate health care culture in a free market economy was undertaken to demonstrate incongruence with the profession's philosophical basis and espoused commitment to client-centred practice. The current practice of occupational therapy in the reimbursement-driven practice arena in the United States is incongruent with the profession's espoused philosophy and values of client-centred practice. Occupational therapy differentiates itself from medicine's expert model aimed at curing disease and remediating impairment, by its claim to client-centred practice focused on restoring health through occupational enablement. Practice focused on impairment and function is at odds with the profession's core tenet, occupation, and minimizes the lasting impact of interventions on health and well-being. The profession cannot unleash the therapeutic power of human occupation in settings where body systems and body functions are not occupation-ready at the requisite levels for occupational participation. Client-centred practice is best embodied by occupation-focused interventions in the natural environment of everyday living. Providing services that are impairment-focused in unfamiliar settings is not a good fit for client-centred practice, which is the unique, authentic, and sustainable orientation for the profession.

  18. Telematics-based online client-server/client collaborative environment for radiotherapy planning simulations.

    Science.gov (United States)

    Kum, Oyeon

    2007-11-01

    Customized cancer radiation treatment planning for each patient is very useful for both a patient and a doctor because it provides the ability to deliver higher doses to a more accurately defined tumor and at the same time lower doses to organs at risk and normal tissues. This can be realized by building an accurate planning simulation system to provide better treatment strategies based on each patient's tomographic data such as CT, MRI, PET, or SPECT. In this study, we develop a real-time online client-server/client collaborative environment between the client (health care professionals or hospitals) and the server/client under a secure network using telematics (the integrated use of telecommunications and medical informatics). The implementation is based on a point-to-point communication scheme between client and server/client following the WYSIWIS (what you see is what I see) paradigm. After uploading the patient tomographic data, the client is able to collaborate with the server/client for treatment planning. Consequently, the level of health care services can be improved, specifically for small radiotherapy clinics in rural/remote-country areas that do not possess much experience or equipment such as a treatment planning simulator. The telematics service of the system can also be used to provide continued medical education in radiotherapy. Moreover, the system is easy to use. A client can use the system if s/he is familiar with the Windows(TM) operating system because it is designed and built based on a user-friendly concept. This system does not require the client to continue hardware and software maintenance and updates. These are performed automatically by the server.

  19. Communication management between architects and clients

    Science.gov (United States)

    Taleb, Hala; Ismail, Syuhaida; Wahab, Mohammad Hussaini; Rani, Wan Nurul Mardiah Wan Mohd.

    2017-10-01

    Architectural projects are initiated with the designing phase, that tends to translate and materialize the client's requirements and needs. This phase is highly and directly affected by the exchanged information and communication between architects with their clients. Nevertheless, despite of its importance, studies have proven that communication management, being a significant field of project management, is distinctly overlooked by architects in the architectural industry. Thus, this paper highlights the current practices and attributes of communication management in the context of architectural design phase. It outlines the different aspects' definitions of communication, as well as communication management standards and practices. By the end of this paper, the findings are expected to increase the communication management knowledge amongst architects to achieve success in projects by promoting the relationships between them and their clients. Finally, this paper uncover the architects' need for significant improvement of communication management as an insistent matter to ultimately fulfill project success.

  20. Evaluation of Face Detection Algorithms for the Bank Client Identity Verification

    Directory of Open Access Journals (Sweden)

    Szczodrak Maciej

    2017-06-01

    Full Text Available Results of investigation of face detection algorithms efficiency in the banking client visual verification system are presented. The video recordings were made in real conditions met in three bank operating outlets employing a miniature industrial USB camera. The aim of the experiments was to check the practical usability of the face detection method in the biometric bank client verification system. The main assumption was to provide a simplified as much as possible user interaction with the application. Applied algorithms for face detection are described and achieved results of face detection in the real bank environment conditions are presented. Practical limitations of the application based on encountered problems are discussed.

  1. Client-centred practice in occupational therapy: critical reflections.

    Science.gov (United States)

    Hammell, Karen R Whalley

    2013-05-01

    The occupational therapy profession has long proclaimed its commitment to a client-centred philosophy of practice and the assumption that occupational therapists consistently practice in a client-centred manner has become central to the profession's self-image and public rhetoric. However, client-centred practice has been subjected to little critical reflection within the occupational therapy profession. The aim of this paper is to foster critical reflection concerning the authenticity and veracity of the profession's commitment to client-centred practices. Client-centred practice is defined without evident reference to clients' perspectives. Few occupational therapy researchers have sought clients' perceptions of the client-centred nature of their occupational therapy services. Occupational therapy research is neither consistently undertaken in a collaborative manner, nor are the profession's theories developed through explicit reference to a diversity of clients' perspectives. Professional practices and service evaluations do not consistently seek clients' viewpoints. Client-centred rhetoric is politically expedient and may be a professionalizing strategy employed to increase status and entrench power. Although exemplary client-centred occupational therapy practices exist, evidence suggests that the profession does not adhere consistently to its espoused client-centred principle in all its practices. The client-centred practice of occupational therapy should be subjected to assiduous critical reflection.

  2. Applying relationship anecdotes paradigm interviews to study client-therapist relationship narratives: Core conflictual relationship theme analyses.

    Science.gov (United States)

    Wiseman, Hadas; Tishby, Orya

    2017-05-01

    We describe client-therapist relational narratives collected in relationship anecdotes paradigm (RAP) interviews during psychotherapy and the application of the core conflictual relationship theme (CCRT) method. Changes in clients' and therapists' CCRT in relation to each other are examined and associations between their CCRTs and self-reported ruptures and repairs are explored. Sixty-seven clients and 27 therapists underwent RAP interviews and completed self-report rupture and repair items at early, middle, and late psychodynamic psychotherapy. Client-therapist relationship narratives were rated on the CCRT and the relational interplay within dyads was explored qualitatively. CCRT changes from early to late therapy showed that with time clients perceived the therapist (RO) and the self (RS) more positively, and the therapist perceived the self (RS) less negatively. Some associations were found between tension in the session and clients' and therapists' negative RO and RS. Therapists' reports of alliance repairs were associated with positive RO and RS. Relational narratives that clients and therapists tell in RAP interviews about meaningful interactions between them, enhance our understanding of clients' and therapists' inner experiences during interpersonal dances in the therapeutic relationship. Limitations and directions for future research are discussed, and implications for training are suggested.

  3. Veterinarians' discourses on animals and clients

    NARCIS (Netherlands)

    de Graaf, G.

    2005-01-01

    Veterinarians have obligations towards both the animals they treat and their clients, the owners of the animals. With both groups, veterinarians have complicated relations; many times the interests of both groups conflict. In this article, using Q-methodology as a method for discourse analysis, the

  4. Client-Centered Employee Assistance Services.

    Science.gov (United States)

    Bayer, Darryl Lee

    This paper addresses delivery aspects and benefits of client-centered Employee Assistance Program (EAP) services through a review of the literature and research. EAP services are described as educational and mental health services utilized to assist employees and their families to respond constructively to job, personal, interpersonal or…

  5. Indoor Location Fingerprinting with Heterogeneous Clients

    DEFF Research Database (Denmark)

    Kjærgaard, Mikkel Baun

    2011-01-01

    Heterogeneous wireless clients measure signal strength differently. This is a fundamental problem for indoor location fingerprinting, and it has a high impact on the positioning accuracy. Mapping-based solutions have been presented that require manual and error-prone calibration for each new clie...

  6. Client satisfaction determinants in four Kenyan slums.

    Science.gov (United States)

    Wambua, Jonesmus Mutua; Mbayaki, Regina; Munyao, Paul Musya; Kabue, Mark Mugo; Mulindi, Rose; Change, Patrick Mose; Ikamati, Rudia; Jahonga, Ruth; Ambalu, Rachel; Maranga, Wamae; Mudany, Mildred

    2015-01-01

    In Kenya, gaps exist in health service provision to slum residents, especially service availability and access to quality care. There is also little information on the health status of people living in slums other than in Nairobi. The purpose of this paper is to generate evidence for use in designing interventions to improve health services in four mid-sized slums in Embu, Nyeri and Thika, Kenya. A cross-sectional survey of clients receiving services in health facilities was conducted in the targeted slums. Data were collected through face-to-face interviews. Factor scores were generated using the Rasch model; simple and multivariate logistic regression analyses were done using the R statistical software. Overall, 81 per cent of the 203 participants reported being satisfied with health services. Most clients (89 per cent) reported that health facility staff greeted them warmly; 82 per cent said their consultation was private. The facility type, waiting time and client experience with service providers determined their satisfaction (pservices and have confidence the providers will serve them in a friendly and professional manner that promotes respect and quality care. The paper recommend healthcare managers in similar settings carry out client flow analysis and institute remedial measures to address long waiting times. Qualitative studies are recommended to determine the reasons behind the high satisfaction levels reported in this study.

  7. Clients' Ratings of Counselor Multicultural Competency.

    Science.gov (United States)

    Fuertes, Jairo N.; Brobst, Karen

    2002-01-01

    Examines differences in perceptions between Euro American and ethnic minority respondents on the role of counselor multicultural competency. Results showed a strong positive correlation between clients' ratings of counselors' multicultural competencies and ratings of counselors' general competency and empathy. On comparisons of satisfaction,…

  8. Psychotherapists' Attitudes toward Homosexual Psychotherapy Clients.

    Science.gov (United States)

    Garfinkle, Ellen M.; Morin, Stephen F.

    1978-01-01

    Continued research into the sex-role expectations which therapists hold toward clients is an issue of particular relevance to the gay community. The training of psychotherapists should pay attention to both sex-role expectations and homosexual stereotypes as potential sources of bias in therapists' perceptions and evaluations of homosexual…

  9. Selling Energy Design to the Client

    Science.gov (United States)

    Kays, Von

    1977-01-01

    The architect, as a trained, experienced professional, must galvanize others, persuading them of the ultimate importance of reducing energy consumption. The interview process, the actual contract, and writing of the program are phases during which the architect can begin to engender in the client a high priority valuation of energy. (Author/MLF)

  10. Architect-School Client Conflicts: Project Construction.

    Science.gov (United States)

    Day, C. William

    1985-01-01

    Five major sources of construction disputes between architects and school clients are (1) errors, defects, or omissions in the contract documents; (2) cost-related problems; (3) changed conditions; (4) consumer reaction; and (5) interpersonal relationships. A clear understanding of each party's role is necessary to eliminate these conflicts. (MLF)

  11. Finding Happiness for Ourselves and Our Clients.

    Science.gov (United States)

    Miller, Geri

    2001-01-01

    Reviews D. G. Myers' (2000) examination of the contributing factors of happiness: money, relationships, and religion. Discusses the implications of these factors for counseling with specific recommendations made for counselors regarding their own self-care and their work with their clients. (GCP)

  12. Enhancing Student Learning through Scaffolded Client Projects

    Science.gov (United States)

    Tomlinson, Elizabeth

    2017-01-01

    This article reports on the current status of client projects (CPs) in business communication courses, provides a scaffolded model for implementing CP, and assesses student learning in CPs. Using a longitudinal mixed method research design, survey data and qualitative materials from six semesters are presented. The instructor survey indicated need…

  13. client's constraining factors to construction project management ...

    African Journals Online (AJOL)

    MANAGEMENT SUCCESS IN NIGERIA: A SYSTEMS ANALYTICAL APPROACH. NWACHUKWU, C.C ... multiplier effect on the overall economic growth of the nation. The construction of Imo State secretariat by ... finance for the project and prompt payment for work executed; clients influence in selection of incompetent and ...

  14. Counselors' Feelings toward Clients as Related to Intake Judgments and Outcome Variables.

    Science.gov (United States)

    Sharf, Richard S.; Bishop, John B.

    1979-01-01

    Subjects were clients of a university counseling center. Intake counselors' liking of clients was related to their rating of the realism of clients' stated goals, clients' motivation for counseling, and clients' physical appearance. Low correlation was found between liking for clients and clients' positive ratings of experience and counselor.…

  15. Effect of veterinarian-client-patient interactions on client adherence to dentistry and surgery recommendations in companion-animal practice.

    Science.gov (United States)

    Kanji, Noureen; Coe, Jason B; Adams, Cindy L; Shaw, Jane R

    2012-02-15

    To explore the relationship between veterinarian-client-patient interactions and client adherence to dental and surgery recommendations and to test the a priori hypotheses that appointment-specific client satisfaction and relationship-centered care are positively associated with client adherence. Cross-sectional study. A subsample of 19 companion-animal veterinarians and 83 clients from a larger observational study consisting of 20 randomly recruited veterinarians and a convenience sample of 350 clients from eastern Ontario. Videotaped veterinarian-client-patient interactions containing a dentistry recommendation, surgery recommendation, or both were selected for inclusion from the larger sample of interactions coded with the Roter interaction analysis system. Client adherence was measured by evaluating each patient's medical record approximately 6 months after the videotaped interaction. The clarity of the recommendation, appointment-specific client-satisfaction score, and relationship-centered care score were compared between adhering and nonadhering clients. Among the 83 veterinarian-client-patient interactions, 25 (30%) clients adhered to a dentistry recommendation, surgery recommendation, or both. The odds for adherence were 7 times as great for clients who received a clear recommendation, compared with clients who received an ambiguous recommendation from their veterinarian. Moreover, adhering clients were significantly more satisfied as measured after the interview. Interactions resulting in client adherence also had higher scores for relationship-centered care than did interactions leading to nonadherence. Veterinarian use of a relationship-centered care approach, characterized as a collaborative partnership between a veterinarian and a client with provision of clear recommendations and effective communication of the rationale for the recommendations, has positive implications for client adherence.

  16. Earthdata Search Client: Usability Review Process, Results, and Implemented Changes, Using Earthdata Search Client as a Case Study

    Science.gov (United States)

    Siarto, Jeff; Reese, Mark; Shum, Dana; Baynes, Katie

    2016-01-01

    User experience and visual design are greatly improved when usability testing is performed on a periodic basis. Design decisions should be tested by real users so that application owners can understand the effectiveness of each decision and identify areas for improvement. It is important that applications be tested not just once, but as a part of a continuing process that looks to build upon previous tests. NASA's Earthdata Search Client has undergone a usability study to ensure its users' needs are being met and that users understand how to use the tool efficiently and effectively. This poster will highlight the process followed for usability study, the results of the study, and what has been implemented in light of the results to improve the application's interface.

  17. Client relevant care and quality of life: the trial of a Client Generated Index (CGI) tool for community nursing.

    Science.gov (United States)

    Annells, M; Koch, T; Brown, M

    2001-02-01

    Community nursing organisations worldwide seek optimal ways to ensure adequate measurement of health outcomes for the client following nursing care, and to facilitate a consumer focus. This article presents a trial of the Client Generated Index (CGI) tool that subjectively assesses and measures the quality of life outcomes pertaining to a client's health status, whilst also facilitating individualised care. Sixty district nursing clients participated in the trial, which ascertained that the CGI tool effectively directs the client to list, grade and prioritise personally relevant quality of life issues. Consequently, this tool is being incorporated into client admission and discharge assessment within the organisation.

  18. Semi-structured interview instrument on client satisfaction for therapeutic community clients

    OpenAIRE

    Iyare, Sade

    2015-01-01

    Therapeutic community (TC) treatment is used around the world to treat drug addicts. Perheiden yhdistetyn hoidon yksikkö (Pyy) unit of Helsinki Deaconess Institute is specialized in drug rehabilitation of the families with children. Based on Cox's Interactive Model of Client Health Behavior (2003) there is a connection between the client satisfaction and the results of the treatment. TC is known to be efficient method of treatment to treat drug addicts, but there is still very little data...

  19. Gender Dysphoria: The Therapist's Dilemma--The Client's Choice.

    Science.gov (United States)

    Sherebrin, Hannah

    1996-01-01

    Therapist's role and dilemmas faced in treating a gender dysphoric client are discussed. Examines ethical and moral issues relating to transsexualism and discusses the appropriateness of art therapy as a treatment for transsexual clients. (SNR)

  20. Client Experience in Psychotherapy: What Heals and What Harms?

    African Journals Online (AJOL)

    denise

    righteousness, judgement and critical disengagement are experienced by clients as being belittled, condemned and diminished. The therapeutic encounter results in a weakening of the human potential for recovery. Both client and counsellor.

  1. Exploring the Client-AEC Interface in Building Lifecycle Integration

    National Research Council Canada - National Science Library

    John M Kamara

    2013-01-01

    .... This paper explores client-AEC interactions at the project development and handover stages, with a view to discovering insights into client-AEC interface management for effective building lifecycle integration (BLI...

  2. Enhanced project brief: Structured approach to client-designer interface

    OpenAIRE

    Khosrowshahi, F

    2015-01-01

    © Emerald Group Publishing Limited. Purpose - The focus of this work is on the client-designer interface where decisions have significant impact over the lifecycle of the project. Therefore, the briefing stage is examined in the context of clients needs which is divided into project-based strategy and broader clients strategy. The purpose of this paper is to address the pitfalls in the briefing process which has been attributed to the shortcomings in the client-designer communication interfac...

  3. Proposal and Implementation of SSH Client System Using Ajax

    Science.gov (United States)

    Kosuda, Yusuke; Sasaki, Ryoichi

    Technology called Ajax gives web applications the functionality and operability of desktop applications. In this study, we propose and implement a Secure Shell (SSH) client system using Ajax, independent of the OS or Java execution environment. In this system, SSH packets are generated on a web browser by using JavaScript and a web server works as a proxy in communication with an SSH server to realize end-to-end SSH communication. We implemented a prototype program and confirmed by experiment that it runs on several web browsers and mobile phones. This system has enabled secure SSH communication from a PC at an Internet cafe or any mobile phone. By measuring the processing performance, we verified satisfactory performance for emergency use, although the speed was unsatisfactory in some cases with mobile phone. The system proposed in this study will be effective in various fields of E-Business.

  4. HELP the next generation: a new client-server architecture.

    Science.gov (United States)

    Huff, S M; Haug, P J; Stevens, L E; Dupont, R C; Pryor, T A

    1994-01-01

    A new client-server based system which is centered around a lifetime data repository (LDR) is under construction. The goal of the new system is to maintain the patient centered decision support aspects of the existing HELP* system while providing an open architecture that supports faster application development and allows execution of applications to be distributed across many computers. These goals are achieved by implementing the system with software components that are commercially available or by adhering to national and international standards for software integration. Keys to successful integration include the use of MS-DOS @, OS/2#, and UNIX Section as operating systems, Microsoft OLE 2.0 as a standard interface to the clinical database, the use of TUXEDO as a transaction/communication manager, and the use of ORACLE [symbol: see text] RDBMS as the underlying database management system.

  5. Barbershop Prostate Cancer Education: Factors Associated with Client Knowledge

    Science.gov (United States)

    Hill, Barry C.; Black, David R.; Shields, Cleveland G.

    2016-01-01

    The purpose of this article is to identify characteristics of Black barbershop clients and barbers in an urban Midwestern city participating in a health promotion program called Affecting Cancer Together (ACT) that are associated with client knowledge about prostate cancer. Statistical analyses examined client and barber characteristics for their…

  6. Laser Surgeon, Client Education, and Satisfaction with Tattoo Removal

    DEFF Research Database (Denmark)

    Hutton Carlsen, Katrina; Esmann, Jørgen; Serup, Jørgen

    2017-01-01

    Studies of satisfaction with tattoo removal outcomes by laser, rated by clients themselves, including qualitative aspects, are sparse. We studied long-term results and client satisfaction with tattoo removal by Q-switched YAG laser. Client satisfaction is influenced by numerous factors...

  7. Ethical Issues in the Deinstitutionalization of Clients with Mental Disorders.

    Science.gov (United States)

    Polcin, Douglas L.

    1990-01-01

    Claims that mental health counseling has not paid sufficient attention to the deinstitutionalization of clients in psychiatric hospitals or to their treatment in community programs. Describes the relevance of several key ethical principles in treating these clients in the community. Discusses conflicting interests of clients, politicians, funding…

  8. What Business Students Should Know about Attorney-Client Privilege

    Science.gov (United States)

    Draba, Robert; Marshall, Brent

    2012-01-01

    The case law on attorney-client privilege is extensive and can be somewhat complex. Over seven hundred articles in Westlaw, for example, have the phrase "attorney-client privilege" in the title; in the last three years alone, there have been over 3700 federal cases in which the phrase "attorney-client privilege" appears at least once. However,…

  9. Incorporating Perceived Importance of Service Elements into Client Satisfaction Measures

    Science.gov (United States)

    Hsieh, Chang-Ming

    2012-01-01

    Objective: The purpose of this study was to assess the need for incorporating perceived importance of service elements into client satisfaction measures. Method: A secondary analysis of client satisfaction data from 112 clients of an elderly case management setting was conducted. Results: This study found that the relationship between global…

  10. Corruption of Client Advocacy in a Community Mental Health System.

    Science.gov (United States)

    Denner, Bruce

    This speech discusses client advocacy, a paraprofessional service offered in many community mental health centers to help bridge the gap between therapist and client. While having an advocate on the mental health team is an attractive idea, these client advocates are quite susceptible to "corruption." The author discusses two major causes of this…

  11. 19 CFR 111.39 - Advice to client.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Advice to client. 111.39 Section 111.39 Customs... CUSTOMS BROKERS Duties and Responsibilities of Customs Brokers § 111.39 Advice to client. (a) Withheld or false information. A broker must not withhold information relative to any customs business from a client...

  12. Análise da lucratividade dos clientes

    OpenAIRE

    Madeira, Paulo

    2000-01-01

    Um bom sistema de Análise da lucratividade de Clientes pode ajudar a melhorar a rendibilidade global do negócio, selecionando os clientes de qualidade, e a indicar o principal caminho a segui rpara atingir uma maior lucartividade, indicando o impacto financeiro actual e potencial dos movimentos estratégicos dos clientes.

  13. 37 CFR 10.67 - Settling similar claims of clients.

    Science.gov (United States)

    2010-07-01

    ... clients. 10.67 Section 10.67 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND TRADEMARK OFFICE... Office Code of Professional Responsibility § 10.67 Settling similar claims of clients. A practitioner who represents two or more clients shall not make or participate in the making of an aggregate settlement of the...

  14. 37 CFR 10.84 - Representing a client zealously.

    Science.gov (United States)

    2010-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Representing a client... Office Code of Professional Responsibility § 10.84 Representing a client zealously. (a) A practitioner shall not intentionally: (1) Fail to seek the lawful objectives of a client through reasonably available...

  15. 37 CFR 10.78 - Limiting liability to client.

    Science.gov (United States)

    2010-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Limiting liability to client... Office Code of Professional Responsibility § 10.78 Limiting liability to client. A practitioner shall not attempt to exonerate himself or herself from, or limit his or her liability to, a client for his or her...

  16. 17 CFR 205.3 - Issuer as client.

    Science.gov (United States)

    2010-04-01

    ... 17 Commodity and Securities Exchanges 2 2010-04-01 2010-04-01 false Issuer as client. 205.3... ISSUER § 205.3 Issuer as client. (a) Representing an issuer. An attorney appearing and practicing before...'s clients. (b) Duty to report evidence of a material violation. (1) If an attorney, appearing and...

  17. 45 CFR 1639.4 - Permissible representation of eligible clients.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Permissible representation of eligible clients... CORPORATION WELFARE REFORM § 1639.4 Permissible representation of eligible clients. Recipients may represent an individual eligible client who is seeking specific relief from a welfare agency. ...

  18. Can Knowledge of Client Birth Order Bias Clinical Judgment?

    Science.gov (United States)

    Stewart, Allan E.

    2004-01-01

    Clinicians (N = 308) responded to identical counseling vignettes of a male client that differed only in the client's stated birth order. Clinicians developed different impressions about the client and his family experiences that corresponded with the prototypical descriptions of persons from 1 of 4 birth orders (i.e., first, middle, youngest, and…

  19. A Survey of Clients and Ethical Perspectives of Voluntary Tubal ...

    African Journals Online (AJOL)

    No respondent was offered incentives for accepting tubal ligation. There was a statistically significant association between having a voluntary sterilization done on clients and having counseled client on benefits of the procedure (P - 0.01), having sterilization done based on both client and her husband's decision. (P - 0.05) ...

  20. 32 CFR 776.33 - Client under a disability.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Client under a disability. 776.33 Section 776.33... of Professional Conduct § 776.33 Client under a disability. (a) Client under a disability: (1) When a... impaired, whether because of minority, mental disability, or for some other reason, the covered attorney...

  1. Client Provider Collaboration for Service Bundling

    Directory of Open Access Journals (Sweden)

    LETIA, I. A.

    2008-04-01

    Full Text Available The key requirement for a service industry organization to reach competitive advantages through product diversification is the existence of a well defined method for building service bundles. Based on the idea that the quality of a service or its value is given by the difference between expectations and perceptions, we draw the main components of a frame that aims to support the client and the provider agent in an active collaboration meant to co-create service bundles. Following e3-value model, we structure the supporting knowledge around the relation between needs and satisfying services. We deal with different perspectives about quality through an ontological extension of Value Based Argumentation. The dialog between the client and the provider takes the form of a persuasion whose dynamic object is the current best configuration. Our approach for building service packages is a demand driven approach, allowing progressive disclosure of private knowledge.

  2. CSI Lawyer® Windows Phone® Client Development and Data Synchronization

    OpenAIRE

    Sedha, Arvind

    2012-01-01

    CSI Helsinki Oy has ERP software called CSI Lawyer® which is intended for law and consultant companies. CSI Helsinki Oy has great demand to develop the mobile clients for CSI Lawyer® for the most common mobile platforms available at present. The purpose of this project was to develop the Windows Phone® client application called CSI Mobile® for CSI Lawyer® including backend data synchronization business logic. CSI Mobile® allows CSI Lawyer® users to manage their transactions and view tran...

  3. Client-side Skype forensics: an overview

    Science.gov (United States)

    Meißner, Tina; Kröger, Knut; Creutzburg, Reiner

    2013-03-01

    IT security and computer forensics are important components in the information technology. In the present study, a client-side Skype forensics is performed. It is designed to explain which kind of user data are stored on a computer and which tools allow the extraction of those data for a forensic investigation. There are described both methods - a manual analysis and an analysis with (mainly) open source tools, respectively.

  4. Perceptions towards IT Security in Online Banking: Croatian Clients vs. Clients of Bosnia and Herzegovina

    Directory of Open Access Journals (Sweden)

    Nedim Makarevic

    2016-01-01

    Full Text Available This study has been completed with a purpose to analyze and compare perceptions of clients of Bosnia and Herzegovina and those of Croatian clients about IT security in online banking, to provide insight into similarities and differences of their view points and to create important set of information for all subjects active in banking industry. Once the survey based on six variables and specific questions assigned to each one of those variables was prepared, results regarding both countries were collected and concluded. Survey was completed in both Bosnia and Herzegovina and Croatia at high response rates. Even 207 respondents replied from Bosnia and Herzegovina, while 203 respondents completed survey from Croatia. Results were analyzed and presented using descriptive statistics. Results indicated that Croatian e-banking users trust to banks when it comes to IT security of online banking much more compared to clients of Bosnia and Herzegovina. It is important to mention that clients of Croatia perceive tangible features as highly significant while Bosnian clients do not perceive tangible features that much important. This proved that Croatian clients are aware of potential security threats and they know their part of responsibility when it comes to handling money online. On the other hand, results from Bosnia and Herzegovina indicated that Bosnian clients have lack of trust in online banking, and lack of awareness about personal tangible aspects that can improve security of personal online banking experience. The main limitation of this study is relatively small sample and too generic approach. Therefore, this study may be perceived as a pilot study for future researchers. The study’s results may be of interest to marketers and managers of banks operating in Bosnia and Herzegovina and Croatia to learn more about their clients’ perceptions towards their e-banking services.

  5. Results of a survey of client satisfaction with outpatient physiotherapy care.

    Science.gov (United States)

    Knight, Peter K; Cheng, Alan Nai-Jen; Lee, Gary M

    2010-07-01

    The purpose of this study was to use a questionnaire based on the discrepancy model to assess the factors contributing to satisfaction and dissatisfaction with private outpatient physiotherapy services in Sydney; to test the applicability of the "consumer model" to physiotherapy practice, and to identify the criteria used to assess quality. The following information was collected: client demographics and history; expectations, and perceptions of 12 dimensions relating to the service received; satisfaction with previous care providers; reasons for seeking therapy; causes of previous dissatisfaction; the criteria used to assess quality; and a global assessment of satisfaction. The response rate was 69.3%. Overall satisfaction was best correlated with the therapist's willingness to discuss positive and negative aspects of treatment (r = 0.71). The findings indicate that dissatisfied clients change health care providers, as predicted by the consumer model. This calls into question the value of surveys administered to clients during therapy, as the continuation of treatment implies a degree of satisfaction. The highest expectations were recorded in the six dimensions related to the client-therapist interaction. The measurement of expectations in the domains assessed added little value as expectations were universally high. Criteria related to outcomes and the client-therapist interaction were the most frequently reported contributors to previous dissatisfaction.

  6. Whisker: a client-server high-performance multimedia research control system.

    Science.gov (United States)

    Cardinal, Rudolf N; Aitken, Michael R F

    2010-11-01

    We describe an original client-server approach to behavioral research control and the Whisker system, a specific implementation of this design. The server process controls several types of hardware, including digital input/output devices, multiple graphical monitors and touchscreens, keyboards, mice, and sound cards. It provides a way to access this hardware for client programs, communicating with them via a simple text-based network protocol based on the standard Internet protocol. Clients to implement behavioral tasks may be written in any network-capable programming language. Applications to date have been in experimental psychology and behavioral and cognitive neuroscience, using rodents, humans, nonhuman primates, dogs, pigs, and birds. This system is flexible and reliable, although there are potential disadvantages in terms of complexity. Its design, features, and performance are described.

  7. Fair rate allocation of scalable multiple description video for many clients

    Science.gov (United States)

    Taal, Jacco R.; Lagendijk, Reginald L.

    2005-07-01

    Peer-to-peer networks (P2P) form a distributed communication infrastructure that is particularly well matched to video streaming using multiple description coding. We form M descriptions using MDC-FEC building on a scalable version of the "Dirac" video coder. The M descriptions are streamed via M different application layer multicast (ALM) trees embedded in the P2P network. Client nodes (peers in the network) receive a number of descriptions m video qualities, taking into account the distribution of the clients' bandwidth. We propose three "fairness" criteria to define the criterion to be optimized. Numerical results illustrate the effects of the different fairness criteria and client bandwidth distributions on the rates allocated to the compressed video layers and multiple descriptions.

  8. Client perceptions of cultural competence of community-based nurses.

    Science.gov (United States)

    Starr, Sharon S; Wallace, Debra C

    2011-04-01

    Cultural competence is best understood by assessing provider and client perspectives. In this descriptive quantitative study, clients assessed dimensions of nurses' cultural competence including communication, decision-making, and interpersonal style. Nurses in 7 county health departments in North Carolina assessed their own cultural competence. Sixty-nine clients completed the Interpersonal Processes of Care and 71 nurses completed the Cultural Competence Assessment. Clients perceived their nursing care to contain key components of cultural competence. Nurses rated themselves as moderate to high cultural competence. Consistencies were noted between the clients' and nurse perceptions of cultural competence. These findings contribute to the enhancement of cultural competence among community nurses.

  9. Neurofeedback outcomes in clients with Asperger's syndrome.

    Science.gov (United States)

    Thompson, Lynda; Thompson, Michael; Reid, Andrea

    2010-03-01

    This paper summarizes data from a review of neurofeedback (NFB) training with 150 clients with Asperger's Syndrome (AS) and 9 clients with Autistic Spectrum Disorder (ASD) seen over a 15 year period (1993-2008) in a clinical setting. The main objective was to investigate whether electroncephalographic (EEG) biofeedback, also called neurofeedback (NFB), made a significant difference in clients diagnosed with AS. An earlier paper (Thompson et al. 2009) reviews the symptoms of AS, highlights research findings and theories concerning this disorder, discusses QEEG patterns in AS (both single and 19-channel), and details a hypothesis, based on functional neuroanatomy, concerning how NFB, often paired with biofeedback (BFB), might produce a change in symptoms. A further aim of the current report is to provide practitioners with a detailed description of the method used to address some of the key symptoms of AS in order to encourage further research and clinical work to refine the use of NFB plus BFB in the treatment of AS. All charts were included for review where there was a diagnosis of AS or ASD and pre- and post-training testing results were available for one or more of the standardized tests used. Clients received 40-60 sessions of NFB, which was combined with training in metacognitive strategies and, for most older adolescent and adult clients, with BFB of respiration, electrodermal response, and, more recently, heart rate variability. For the majority of clients, feedback was contingent on decreasing slow wave activity (usually 3-7 Hz), decreasing beta spindling if it was present (usually between 23 and 35 Hz), and increasing fast wave activity termed sensorimotor rhythm (SMR) (12-15 or 13-15 Hz depending on assessment findings). The most common initial montage was referential placement at the vertex (CZ) for children and at FCz (midway between FZ and CZ) for adults, referenced to the right ear. Metacognitive strategies relevant to social understanding, spatial

  10. Evaluating the Influence of the Client Behavior in Cloud Computing.

    Science.gov (United States)

    Souza Pardo, Mário Henrique; Centurion, Adriana Molina; Franco Eustáquio, Paulo Sérgio; Carlucci Santana, Regina Helena; Bruschi, Sarita Mazzini; Santana, Marcos José

    2016-01-01

    This paper proposes a novel approach for the implementation of simulation scenarios, providing a client entity for cloud computing systems. The client entity allows the creation of scenarios in which the client behavior has an influence on the simulation, making the results more realistic. The proposed client entity is based on several characteristics that affect the performance of a cloud computing system, including different modes of submission and their behavior when the waiting time between requests (think time) is considered. The proposed characterization of the client enables the sending of either individual requests or group of Web services to scenarios where the workload takes the form of bursts. The client entity is included in the CloudSim, a framework for modelling and simulation of cloud computing. Experimental results show the influence of the client behavior on the performance of the services executed in a cloud computing system.

  11. Evaluating the Influence of the Client Behavior in Cloud Computing.

    Directory of Open Access Journals (Sweden)

    Mário Henrique Souza Pardo

    Full Text Available This paper proposes a novel approach for the implementation of simulation scenarios, providing a client entity for cloud computing systems. The client entity allows the creation of scenarios in which the client behavior has an influence on the simulation, making the results more realistic. The proposed client entity is based on several characteristics that affect the performance of a cloud computing system, including different modes of submission and their behavior when the waiting time between requests (think time is considered. The proposed characterization of the client enables the sending of either individual requests or group of Web services to scenarios where the workload takes the form of bursts. The client entity is included in the CloudSim, a framework for modelling and simulation of cloud computing. Experimental results show the influence of the client behavior on the performance of the services executed in a cloud computing system.

  12. Microfinance clients' awareness index: A measure of awareness and skills of microfinance clients

    Directory of Open Access Journals (Sweden)

    Vinita Kalra

    2015-12-01

    Full Text Available The promotion of financial education for poor people in developing countries calls for work on several fronts, one of which is to develop a measure to evaluate the outcome of financial education in relation to broader development goals. This paper proposes a Microfinance Clients' Awareness Index (MCAI to determine the level of financial awareness of microfinance clients. This index is a comprehensive measure that incorporates information on several aspects of financial awareness in one single number lying between 1 and 2, where 1 denotes complete ignorance and 2 indicates complete financial awareness of the microfinance product.

  13. Client Server Model Based DAQ System for Real-Time Air Pollution Monitoring

    OpenAIRE

    Vetrivel. P

    2014-01-01

    The proposed system consists of client server model based Data-Acquisition Unit. The Embedded Web Server integrates Pollution Server and DAQ that collects air Pollutants levels (CO, NO2, and SO2). The Pollution Server is designed by considering modern resource constrained embedded systems. In contrast, an application server is designed to the efficient execution of programs and scripts for supporting the construction of various applications. While a pollution server mainly dea...

  14. Characterizing fentanyl use in methadone-maintained clients.

    Science.gov (United States)

    Arfken, Cynthia L; Suchanek, Jessica; Greenwald, Mark K

    2017-04-01

    Deaths attributed to fentanyl have increased in the United States. However, little is known about fentanyl use among substance abuse treatment clients. To fill this gap, we assessed prevalence of fentanyl exposure, characteristics of clients testing positive for fentanyl, other substances detected concurrently or simultaneously with fentanyl, and clients' perception of how many people are actively seeking to use fentanyl. A retrospective chart review was conducted of all clients at one methadone maintenance treatment clinic between January 2015 and May 2016 in Wayne County, Michigan. Urine drug screens (UDS) including fentanyl (and its metabolite norfentanyl) were conducted clinically. To obtain additional data, 113 clients in this clinic subsequently completed an anonymous survey. Of 368 unique clients with UDS, 38.0% had at least one and 26.1% had ≥2 fentanyl-positive UDS results. None had a fentanyl prescription. Clients ever testing positive for fentanyl were significantly (pFentanyl-positive UDS results coincided most commonly with metabolites of cocaine- and heroin-positive UDS results. Of the anonymously surveyed clients, most (67.3%) reported they did not know anyone seeking fentanyl, a proportion significantly higher than for heroin, cocaine, alprazolam, hydrocodone and morphine. Fentanyl was commonly detected during this period with some clients having multiple fentanyl-positive UDS. Most clients did not know anyone seeking to obtain fentanyl. Regardless, the high exposure underscores that naloxone training and distribution is needed. Copyright © 2017 Elsevier Inc. All rights reserved.

  15. Client/consultant model services agreement

    CERN Document Server

    International Federation of Consulting Engineers

    2006-01-01

    The terms of the Client Consultant Model Services agreement (The White Book) have been prepared by the Fédération Internationale des Ingénieurs-Conseils (FIDIC) and are recommended for general use for the purposes of pre-investment and feasibility studies, designs and administration of construction and project management, where proposals for such services are invited on an international basis. They are equally adaptable for domestic agreements. - See more at: http://fidic.org/books/clientconsultant-model-services-agreement-4th-ed-2006-white-book#sthash.3Uxy5qT3.dpuf

  16. Client and Therapist Attachment Styles and Working Alliance.

    Science.gov (United States)

    Bucci, Sandra; Seymour-Hyde, Annily; Harris, Alison; Berry, Katherine

    2016-01-01

    Working alliance has been shown to be important in influencing the outcome of therapy. Research evidence suggests that characteristics of both clients and therapists impact on the development of the working alliance. Although attachment theory is well researched, there is relatively limited research on the relationship between both therapist and client attachment style and the working alliance; traditionally, research has placed greater emphasis on client characteristics. The current study examines the extent to which both client and therapist self-reported attachment styles are related to the working alliance. Thirty clients and 42 therapists were recruited from primary care psychology services. Thirty client-therapist dyads were examined. Participants completed self-report measures of anxiety and depression, attachment style and working alliance at a single time point. Client and therapist attachment security were not independently related to working alliance. However, there was a significant association between therapist insecure attachment and alliance in more symptomatic clients. There was also some evidence that therapists and clients with oppositional attachment styles reported more favourable alliances. The study suggests that the relationship between therapist attachment style and alliance is not straightforward. It is likely that the complexity of clients' presenting problems, coupled with interaction between client-therapist attachment styles, influences the therapeutic alliance. Therapist insecure attachment may negatively affect the therapeutic alliance in more symptomatic clients. It is important to consider the interaction between client and therapist attachment and how these interactions influence the therapeutic alliance. Therapists should be aware of their own personal attachment style and reflect on how this might manifest during the therapeutic process. Copyright © 2015 John Wiley & Sons, Ltd.

  17. Lsiviewer 2.0 - a Client-Oriented Online Visualization Tool for Geospatial Vector Data

    Science.gov (United States)

    Manikanta, K.; Rajan, K. S.

    2017-09-01

    Geospatial data visualization systems have been predominantly through applications that are installed and run in a desktop environment. Over the last decade, with the advent of web technologies and its adoption by Geospatial community, the server-client model for data handling, data rendering and visualization respectively has been the most prevalent approach in Web-GIS. While the client devices have become functionally more powerful over the recent years, the above model has largely ignored it and is still in a mode of serverdominant computing paradigm. In this paper, an attempt has been made to develop and demonstrate LSIViewer - a simple, easy-to-use and robust online geospatial data visualisation system for the user's own data that harness the client's capabilities for data rendering and user-interactive styling, with a reduced load on the server. The developed system can support multiple geospatial vector formats and can be integrated with other web-based systems like WMS, WFS, etc. The technology stack used to build this system is Node.js on the server side and HTML5 Canvas and JavaScript on the client side. Various tests run on a range of vector datasets, upto 35 MB, showed that the time taken to render the vector data using LSIViewer is comparable to a desktop GIS application, QGIS, over an identical system.

  18. An Experiential Social Media Project: Comparing Client-Sponsored and Non-Client-Sponsored Alternatives

    Science.gov (United States)

    Vinuales, Gema; Harris, Judy

    2017-01-01

    Students implemented social media campaigns to raise awareness and funds for nonprofit organizations. Teams in one section of the course worked on a designated client-sponsored project (CSP), while teams in another section chose their own nonprofit organizations. Although both the CSPs and non-CSPs were evaluated favorably, students who worked on…

  19. Spiritual Pain in Meals on Wheels’ Clients

    Directory of Open Access Journals (Sweden)

    Lisa Boss

    2015-10-01

    Full Text Available Background: Meals on Wheels’ clients are at risk for spiritual pain due to advanced age, social isolation, and failing health. They are also prone to stress, depression, and loneliness, placing them at risk for adverse biological disruptions and health outcomes. The purpose of the study was to examine associations of spiritual pain with psychosocial factors (stress, depression, loneliness, religious coping and salivary biomarkers of stress and inflammation (cortisol, IL-1β in Meals on Wheels’ clients. Methods: Data were collected cross-sectionally from 88 elderly (mean age 75.4. Spiritual pain, stress, depression, loneliness, and religious coping were measured with standardized instruments, and salivary biomarkers were assessed with enzyme immunoassays. Results: Spiritual pain was significantly and positively correlated with stress (r = 0.35, p ≤ 0.001, depression (r = 0.27, p = 0.01, and negative religious coping (r = 0.27, p = 0.01. Correlations with loneliness, positive religious coping, and salivary biomarkers were non-significant. Conclusion: Spiritual pain is an important concept in this population. Research should be expanded to understand the significance of spiritual pain in conjunction with psychosocial and biological variables and its potential impact on physical, mental, and cognitive health outcomes in the elderly.

  20. Making participation accessible for vulnerable clients

    Directory of Open Access Journals (Sweden)

    Louis Anthony Iaquinto

    2016-07-01

    Full Text Available Despite forty years of research, community sector service providers still find operationalising participation in their practice confusing and difficult.  This paper presents the results of a preliminary study that begins to question why this is so and what can be done about it?  The study examines the meaning and importance of participation determined by a review of the academic literature, by soliciting feedback from a range of stakeholders in community sector organisations, including service users with complex barriers to participation, staff, and board members.  The participants’ perspectives, views and experience of participation were obtained through the use of semi-structured interviews.  The data generated a number of telling examples of the impact organisational culture has on service delivery and how the values of the leadership shape the organization, as well as illustrations of the principles that underpin participation expressed from the standpoints of the three participant groups.  Study findings underscore the critical importance for service providers to consider their culture and its influences.   Keywords: organisational culture, vulnerable clients, client participation

  1. The X-Files Investigating Alien Performance in a Thin-client World

    CERN Document Server

    Gunther, N J

    2000-01-01

    Many scientific applications use the X11 window environment; an open source windows GUI standard employing a client/server architecture. X11 promotes: distributed computing, thin-client functionality, cheap desktop displays, compatibility with heterogeneous servers, remote services and administration, and greater maturity than newer web technologies. This paper details the author's investigations into close encounters with alien performance in X11-based seismic applications running on a 200-node cluster, backed by 2 TB of mass storage. End-users cited two significant UFOs (Unidentified Faulty Operations) i) long application launch times and ii) poor interactive response times. The paper is divided into three major sections describing Close Encounters of the 1st Kind: citings of UFO experiences, the 2nd Kind: recording evidence of a UFO, and the 3rd Kind: contact and analysis. UFOs do exist and this investigation presents a real case study for evaluating workload analysis and other diagnostic tools.

  2. Empathy from the client's perspective: A grounded theory analysis.

    Science.gov (United States)

    MacFarlane, Peter; Anderson, Timothy; McClintock, Andrew S

    2017-03-01

    Although empathy is one of most robust predictors of client outcome, there is little consensus about how best to conceptualize this construct. The aim of the present research was to investigate clients' perceptions and in-session experiences of empathy. Semi-structured, video-assisted interpersonal process recall interviews were used to collect data from nine clients receiving individual psychotherapy at a university psychology clinic. Grounded theory analysis yielded a model consisting of three clusters: (1) relational context of empathy (i.e., personal relationship and professional relationship), (2) types of empathy (i.e., psychotherapists' cognitive empathy, psychotherapists' emotional empathy, and client attunement to psychotherapist), and (3) utility of empathy (i.e., process-related benefits and client-related benefits). These results suggest that empathy is a multi-dimensional, interactional process that affects-and is affected by-the broader relationship between client and psychotherapist.

  3. Screening for depression in older district nursing clients: feasibility study.

    Science.gov (United States)

    Nunn, Russell; Annells, Merilyn; Sims, Jane

    2007-03-01

    Depression is a common condition among older district nursing clients. This two-cycle feasibility study trialled a process for depression screening by using the 15-item Geriatric Depression Scale (GDS) with a sample of older clients in an Australian district nursing organization. An education session about depression and use of the GDS preceded the screening process. The trial found that a number of barriers existed among participant nurses regarding screening for depression, although generally they acknowledged depression as a common problem among older clients and most believed that they potentially had a important role in the identification and support of clients with this condition. Lack of knowledge emerged as a major constraint, as did uneasiness about entering the mental health area, with some reluctance to use the GDS because of the type of questions included and not wanting to be intrusive regarding the 'emotional matters' of clients. Recommendations are offered about screening for depression with this client population.

  4. Client contribution in negotiations on employability – categories revised?

    DEFF Research Database (Denmark)

    Eskelinen, L.; Olesen, Søren Peter; Caswell, D.

    2010-01-01

    In this article, we explore how the institutional category ‘unemployed’ is specified in everyday practice when implementing an active employment policy. We illustrate the process of categorisation as an aspect of the in situ positioning and self-representation of the client by examining one social...... worker–client talk: how the category unemployed is shaped and ‘translated’ when the client negotiates her situation with the social worker. Two types of category revisions are identified. First, the employability of the client, rather than her unemployment situation, is the issue under negotiation....... Second, the client introduces new categories that are compatible with the demands of the employment system. She contributes by drawing on discursive resources related to the category of ‘active job seeker’ but does this with an own agenda of looking for a suitable job. The analysis elucidates the client...

  5. Therapy Videotape Presentation for Eating Disorder Clients: Development and Evaluation

    OpenAIRE

    Quakenbush, Benita J.

    1998-01-01

    Eating disorder clients show low motivation, poor follow-through, and inordinate premature dropout rates in treatment. Earlier studies support the use of pretherapy training to help clients understand the tasks and challenges of therapy. However, a pretherapy intervention, such as showing prospective clients a video that outlines recovery issues and themes, had not yet been developed specifically for the prevalent, recalcitrant problem of eating disorders. Thus, of particular interest to clin...

  6. Transparent and scalable client-side server selection using netlets

    OpenAIRE

    Dharmalingam, Kalaiarul; Collier, Martin

    2003-01-01

    Replication of web content in the Internet has been found to improve service response time, performance and reliability offered by web services. When working with such distributed server systems, the location of servers with respect to client nodes is found to affect service response time perceived by clients in addition to server load conditions. This is due to the characteristics of the network path segments through which client requests get routed. Hence, a number of researchers have advoc...

  7. Experimental Blind Quantum Computing for a Classical Client.

    Science.gov (United States)

    Huang, He-Liang; Zhao, Qi; Ma, Xiongfeng; Liu, Chang; Su, Zu-En; Wang, Xi-Lin; Li, Li; Liu, Nai-Le; Sanders, Barry C; Lu, Chao-Yang; Pan, Jian-Wei

    2017-08-04

    To date, blind quantum computing demonstrations require clients to have weak quantum devices. Here we implement a proof-of-principle experiment for completely classical clients. Via classically interacting with two quantum servers that share entanglement, the client accomplishes the task of having the number 15 factorized by servers who are denied information about the computation itself. This concealment is accompanied by a verification protocol that tests servers' honesty and correctness. Our demonstration shows the feasibility of completely classical clients and thus is a key milestone towards secure cloud quantum computing.

  8. Experimental Blind Quantum Computing for a Classical Client

    Science.gov (United States)

    Huang, He-Liang; Zhao, Qi; Ma, Xiongfeng; Liu, Chang; Su, Zu-En; Wang, Xi-Lin; Li, Li; Liu, Nai-Le; Sanders, Barry C.; Lu, Chao-Yang; Pan, Jian-Wei

    2017-08-01

    To date, blind quantum computing demonstrations require clients to have weak quantum devices. Here we implement a proof-of-principle experiment for completely classical clients. Via classically interacting with two quantum servers that share entanglement, the client accomplishes the task of having the number 15 factorized by servers who are denied information about the computation itself. This concealment is accompanied by a verification protocol that tests servers' honesty and correctness. Our demonstration shows the feasibility of completely classical clients and thus is a key milestone towards secure cloud quantum computing.

  9. Experience of Client-centered Practice amongst Danish Occupational Therapists

    DEFF Research Database (Denmark)

    Larsen, Anette Enemark

    A client-centered approach is on the health care agenda in many European countries (1), and amongst these Denmark (2). It is described as the foundation for Occupational Therapy (OT) (3), a code of professional conduct (4,5), and defined as a partnership between client and therapist (3). The goal...... is to empower a client to fulfil his/her occupational roles in a variety of environments, leading to an increase in intervention efficacy and client perception of intervention quality (3). However, it is known to be challenging (1,3). Given the importance of this approach, there has been limited exploration...

  10. Mutual construction and reconstruction in client-consultant interaction

    DEFF Research Database (Denmark)

    Smith, Irene Skovgaard

    Based on preliminary interviews with client representatives and a pilot case study, the pa-per explores collaboration and mutual construction in client-consultant relationships. Both consultants and client actors take part in an active construction and reconstruction of knowledge that involve...... struggles over position, power and control. In the context of client-consultant interaction, it is thus not only ideas and solutions that are contested but also the power to define. Attention is paid to how ideas are brought into play and negotiated in the interaction between actors. The empirical material...

  11. The DBT Coach mobile application as an adjunct to treatment for suicidal and self-injuring individuals with borderline personality disorder: A preliminary evaluation and challenges to client utilization.

    Science.gov (United States)

    Rizvi, Shireen L; Hughes, Christopher D; Thomas, Marget C

    2016-11-01

    Acquisition and generalization of specific behavioral skills is a key component of dialectical behavior therapy (DBT) for individuals with borderline personality disorder (BPD). We examined the feasibility, acceptability, usability, and immediate effects of the DBT Coach, a mobile phone application (app) designed specifically to augment skills generalization through interactive coaching in DBT skills. In this pilot study, we provided the DBT Coach installed on a mobile device as an adjunct to 6 months of standard DBT, among a sample of 16 individuals with BPD and a recent history of attempted suicide and/or nonsuicidal self-injury (NSSI). Results indicate good acceptability and usability of the DBT Coach with considerable between-person variability in the frequency of app use and a median use of only 11.5 times over the course of treatment and a 3-month follow-up period. Using a hierarchical linear modeling approach, analyses indicated the DBT Coach reduced subjective distress and urges to self-harm following app use. However, use of the DBT Coach was not related to any treatment outcomes, except for reductions in NSSI. This study is the first to examine the use of mobile technology as an adjunct in DBT and highlights some potential challenges in incorporating apps into treatment. Implications for future research and clinical utility are discussed. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  12. Better use of the potential offered by large-scale heat-pumps - Planning, applications, client's opinion; Potenziale von Gross-Waermepumpen besser nutzen. Konzeption, Anwendungen, Kundensicht

    Energy Technology Data Exchange (ETDEWEB)

    Ehrbar, M.; Rognon, F. (eds.)

    2006-07-01

    These proceedings published by the Swiss Federal Office of Energy (SFOE) include the contributions presented at the 13{sup th} Conference of the Research Programme on Ambient Heat, Combined Heat and Power Systems and Cold-generation that was held at the University of Applied Sciences in Burgdorf, Switzerland in 2006. At the conference, ten papers were presented that covered technical and political aspects of the use of large-scale heat-pumps for heating and cooling applications. As an introduction, Fabrice Rognon, head of the SFOE programme, took a look at the relevance of large heat-pumps in Swiss energy policy. Peter Hubacher discussed the advantages and disadvantages offered by centralised and decentralised heat-pump systems from the energy and economics points of view. Bernhard Eggen took a look at heat-source concepts for large heat-pumps while Rolf Loehrer discussed meeting temperature requirements when extracting heat. Patrice Anstett presented a paper on the measurement of the parameters of an air/water heat pump with CO{sub 2} as a working fluid used for hot water preparation. A paper on a combined heating and cooling system for a food warehouse complex in southern Switzerland was presented by Vinicio Curti. Beat Wellig described ways to avoid excessive power consumption in building air-conditioning systems using exergy analysis. Jean-Philippe Borel took a further look at heat and cold generation using heat-pumps that use geothermal probes as a thermal source. The use of large-scale heat-pump systems in contracting installations was examined by Georg Dubacher. Finally, reinsurance expert Primo Bianchi discussed if ecology and economy are inconsistent with each other. Two of these contributions, those of Peter Hubacher, who discussed the energy and economics of centralised and decentralised heat-pump systems and Jean-Philippe Borel, who examined heat and cold generation using geothermal probes as a thermal source, are also covered in two separately

  13. Client and therapist therapeutic alliance, session evaluation, and client reliable change: a moderated actor-partner interdependence model.

    Science.gov (United States)

    Kivlighan, Dennis M; Marmarosh, Cheri L; Hilsenroth, Mark J

    2014-01-01

    Actor-partner interdependence modeling (APIM; Kashy & Kenny, 2000) was used to study the early therapeutic alliance in 74 clients being treated by 29 therapists to explore the relationship between the alliance and treatment progress, while prioritizing the dyadic nature of the alliance. The APIM examines collaboration/influence by modeling the impact of one dyad member's alliance ratings on the other member's session impact rating (partner effects). In terms of the alliance, the results revealed significant client-actor effects for client ratings of session depth and positivity as well as significant therapist-actor effects for therapist ratings of session smoothness and positivity. For client-rated alliance, there were also significant client-partner effects for therapist ratings of session depth. For clients who made a reliable change in treatment, an increase in client-reported alliance was related to therapist reporting more arousal in the 3rd session. For clients who did not make a reliable change in treatment, client-reported alliance was not related to therapist arousal. Limitations of the study and implications of the findings are discussed. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

  14. Client Abuse to Public Welfare Workers

    DEFF Research Database (Denmark)

    Strøbæk, Pernille Solveig; Korczynski, Marek

    2016-01-01

    We analyse a case study of workers’ experience of client abuse in a Danish public welfare organisation. We make an original contribution by putting forward two different theoretical expectations of the case. One expectation is that the case follows a pattern of customer abuse processes in a social...... market economy – in which workers are accorded power and resources, in which workers tend to frame the abuse as the outcome of a co-citizen caught in system failure and in which workers demonstrate some resilience to abuse. Another expectation is that New Public Management reforms push the case to follow...... patterns of customer abuse associated with a liberal market economy – in which the customer is treated as sovereign against the relatively powerless worker, and in which workers bear heavy emotional costs of abuse. Our findings show a greater match to the social processes of abuse within a social market...

  15. Building a Trusted Path for Applications Using COTS Components

    National Research Council Canada - National Science Library

    Langweg, Hanno

    2004-01-01

    Client computers are often a weak link in a technical network infrastructure. Increasing the security of client systems and applications against malicious software attacks increases the security of the network as a whole...

  16. off between the substance dependent client and the therapist

    African Journals Online (AJOL)

    Adele

    of people with substance abuse disorders would be best dealt with by social services or health services. If therapists them- selves reflect honestly on their approaches to the treatment of substance dependent clients in practice, I dare say most, or at least some, of us would fall short of adequate and efficient client care.

  17. Guidelines for Psychological Practice With Lesbian, Gay, and Bisexual Clients

    Science.gov (United States)

    American Psychologist, 2012

    2012-01-01

    The "Guidelines for Psychological Practice With Lesbian, Gay, and Bisexual Clients" provide psychologists with (a) a frame of reference for the treatment of lesbian, gay, and bisexual clients and (b) basic information and further references in the areas of assessment, intervention, identity, relationships, diversity, education, training, and…

  18. Home-based rehabilitation: Physiotherapy student and client ...

    African Journals Online (AJOL)

    Background. Home-based rehabilitation (HBR) in under-resourced areas in a primary healthcare (PHC) context exposes students to the real-life situations of their clients. There is a scarcity of literature on student and client experiences of HBR in the physiotherapy context. Increased knowledge of HBR could result in an ...

  19. Client experiences of motivational interviewing: An interpersonal process recall study.

    Science.gov (United States)

    Jones, Sarah A; Latchford, Gary; Tober, Gillian

    2016-03-01

    To explore clients' experience of the therapy process in motivational interviewing (MI) for alcohol abuse. A qualitative study using grounded theory. Interviews with nine clients were conducted using interpersonal process recall (IPR), a methodology which utilizes a video recording as a cue to aid memory recall. Clients watched a videotape of their MI session and were asked to identify and describe the important moments in the therapy session. The transcribed interviews were then analysed using grounded theory. A single session of MI is seen by the clients in this study as a complex interpersonal interaction between client and therapist, which impacts on the client's cognitive and affective intrapersonal processes. The themes which emerged partly confirm processes of MI previously hypothesized to be important, but also highlight the importance of factors common to all therapeutic approaches. The aspects of therapy which clients in this study felt were important are similar to those hypothesized to underlie the effectiveness of MI, including a non-confrontational approach, affirmation, and developing discrepancies between beliefs and behaviour. These were embedded in aspects common to all therapies, including the qualities of the therapist and the therapeutic relationship. Client's perspectives on therapeutic processes are an important area of research, and IPR is a particularly suitable method. © 2015 The British Psychological Society.

  20. Knowledge, Practices and Education of Clients on Cervical Cancer ...

    African Journals Online (AJOL)

    Background: Most patients with cancer of the cervix present late with poor prognosis. Health workers' knowledge and utilization of the screening services might influence their clients. The aim of this study was to determine the knowledge, practice and education of clients on cervical cancer and its screening among female ...

  1. 45 CFR 1608.7 - Attorney-client relationship.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Attorney-client relationship. 1608.7 Section 1608.7 Public Welfare Regulations Relating to Public Welfare (Continued) LEGAL SERVICES CORPORATION PROHIBITED POLITICAL ACTIVITIES § 1608.7 Attorney-client relationship. Nothing in this part is intended to...

  2. Client participation in moral case deliberation: a precarious relational balance

    NARCIS (Netherlands)

    Weidema, F.C.; Abma, T.A.; Widdershoven, G.A.M.; Molewijk, A.C.

    2011-01-01

    Moral case deliberation (MCD) is a form of clinical ethics support in which the ethicist as facilitator aims at supporting professionals with a structured moral inquiry into their moral issues from practice. Cases often affect clients, however, their inclusion in MCD is not common. Client

  3. Clients satisfaction with local design consultancy practices in Gaza ...

    African Journals Online (AJOL)

    The aim of this paper is to investigate the degree of public clients satisfaction with local consultancy practices in the Gaza strip. The paper deals with three types of clients: Local Ministries, Municipalities and other organizations such as Palestinian Water ity, United Nation Development Program, and the Palestinian ...

  4. Instrumental client relationship development among top-ranking service professionals

    NARCIS (Netherlands)

    Taminiau, Y.T.A.; Ferguson, J.E.; Moser, C.

    2016-01-01

    Informal client contact forms a crucial part of the daily routine of service professionals, in particular among top-ranking professionals working for consultancy and accountancy firms. In this paper, we investigate how 34 service professionals develop informal client contact, by studying their

  5. Factors Assisting Female Clients' Disclosure of Incest during Counseling.

    Science.gov (United States)

    Josephson, Gilda S.; Fong-Beyette, Margaret L.

    1987-01-01

    Explored specific behaviors and characteristics of counselors that relate to adult, female clients' disclosure of incest during counseling. Suggests that factors related to initial disclosure and exploration of incest are client readiness, direct questioning by the counselor, specific counselor characteristics, and positive counselor reactions to…

  6. Do Organizational Culture and Climate Matter for Successful Client Outcomes?

    Science.gov (United States)

    Silver Wolf, David A. Patterson; Dulmus, Catherine N.; Maguin, Eugene; Cristalli, Maria

    2014-01-01

    Objectives: The existing literature on the impact of workplace conditions on client care suggests that good cultures and climates provide the best outcomes for clients. The primary purpose of this study was to investigate the relationship between organizational culture and climate and the proportion of children and youth successfully discharged…

  7. Beyond Values Clarification: Addressing Client Values in Clinical Behavior Analysis

    Science.gov (United States)

    Bonow, Jordan T.; Follette, William C.

    2009-01-01

    Ethical principles of psychology, as exemplified in the American Psychological Association (APA) Code of Ethics (2002), provide impractical advice for addressing client values during psychotherapy. These principles seem to argue that each client's values should be respected and protected at all times, except in cases in which this would result in…

  8. Alienation: A Concept for Understanding Low-Income, Urban Clients

    Science.gov (United States)

    Holcomb-McCoy, Cheryl

    2004-01-01

    The author examines the concept of alienation and how it can be used to understand low-income, urban clients. A description is presented of 4 dimensions of alienation: powerlessness, meaninglessness, normlessness, and social isolation. Case illustrations are provided, and recommendations are made for counseling alienated clients. This article…

  9. Communicating Social Support to Grieving Clients: The Veterinarians' View

    Science.gov (United States)

    Pilgram, Mary D.

    2010-01-01

    This exploratory study examines veterinarians' perceptions of how they offer social support to grieving clients. Because many clients cannot find the social support they would like from other sources when grieving the death of a pet, the role of the vet in offering support becomes increasingly important. The results indicate that vets perceive…

  10. Involvement of the Client in Home Care Practice

    DEFF Research Database (Denmark)

    Glasdam, Stinne; Kjær, Lone; Præstegaard, Jeanette

    with one client, his cohabitant family and the involved healthcare professionals. Results: Client involvement in home care service is shown within the constructed categories: The schism between wishing for and actually being helped; The chronological order can be negotiated; not the content; Liberal...

  11. Factors constituting the innovation adoption environment of public clients

    NARCIS (Netherlands)

    Hartmann, Andreas; Reymen, Isabelle; van Oosterom, Gerbert

    2008-01-01

    Construction clients exert direct and indirect influences on the potential of construction projects to generate innovative solutions. Understanding their innovation adoption behaviour is thus crucial for the successful diffusion of new ideas. Although it is acknowledged that clients can support as

  12. Contributory Factors to Clients' Satisfaction in a Tertiary Antenatal ...

    African Journals Online (AJOL)

    This study aimed at identifying factors that contribute to clients' satisfaction in a tertiary antenatal clinic in Plateau State. Methods: This was a facility-based, cross sectional study where 100 clients of reproductive age (15-45 years) were selected using systematic sampling technique. Data was collected using a structured, ...

  13. Young Clients' Narratives of the Purpose and Outcome of Counselling

    Science.gov (United States)

    Gibson, Kerry; Cartwright, Claire

    2014-01-01

    This study explores how adolescent clients construct the purpose and outcome of counselling. A narrative analysis was performed on interviews with 22 clients (aged 16--18) who had used a school-based counselling service. The aim was to identify the purpose and outcomes that participants attributed to their counselling experience. The analysis…

  14. Client-Controlled Case Information: A General System Theory Perspective

    Science.gov (United States)

    Fitch, Dale

    2004-01-01

    The author proposes a model for client control of case information via the World Wide Web built on principles of general system theory. It incorporates the client into the design, resulting in an information structure that differs from traditional human services information-sharing practices. Referencing general system theory, the concepts of…

  15. Clients' knowledge, perception and satisfaction with quality of ...

    African Journals Online (AJOL)

    Background: Clientsf knowledge, perception of and satisfaction with the quality of maternal health services (QMHS) enables maternal health programs to assess the impact of their services from the clients' perspective. Objective: The objective of this study is to assess the knowledge, perception of and clients' satisfaction ...

  16. 42 CFR 483.420 - Condition of participation: Client protections.

    Science.gov (United States)

    2010-10-01

    ... extent of their capabilities; (5) Ensure that clients are not subjected to physical, verbal, sexual or psychological abuse or punishment; (6) Ensure that clients are free from unnecessary drugs and physical restraints and are provided active treatment to reduce dependency on drugs and physical restraints; (7...

  17. Clients' satisfaction with immunisation services in the urban and ...

    African Journals Online (AJOL)

    Objectives: To determine clients' satisfaction with immunisation services in the urban and rural primary health centres of a South-eastern state in. Nigeria Methods: A three-stage sampling method was used to select 800 clients who presented with their children/wards to 18 of the 440 primary health centres. Exit interviews ...

  18. The influence of clients' leadership in relation to construction health ...

    African Journals Online (AJOL)

    The South African Construction Regulations realise the contributions by each member of a project team to health and safety (H&S) improvement. These Regulations amplify the roles and contributions of clients to project realisation. The tenets of the Regulations conform with the observation that clients' H&S leadership and ...

  19. The Impact of Clients' Rights Legislation on Hospital Staff.

    Science.gov (United States)

    Ostrander, Susan A.

    1982-01-01

    Assessed the impact of a new clients' rights bill on the functioning of the state mental health system. Reports on specification of those levels of staff role ambiguity and conflict among and between staff and clients that were perceived by staff as caused by the new legislation. (Author)

  20. Family Therapist Comfort with and Willingness to Discuss Client Sexuality

    Science.gov (United States)

    Harris, Steven M.; Hays, Kelli Wenner

    2008-01-01

    Limited empirical information exists on whether or not marriage and family therapists are having sexuality-related discussions with their clients. When helping professionals ignore client sexuality, the potential for unintended negative outcomes increases. The researchers surveyed 175 clinical members of the American Association for Marriage and…

  1. Development of a nutrition education intervention for food bank clients

    Science.gov (United States)

    The focus of this article is the development of a nutrition education intervention for food bank clients. Formative research using mixed-methods (qualitative and quantitative) and community-based participatory research principles was conducted to assess the nutrition education needs of clients obtai...

  2. Women Empower Women: Volunteers and Their Clients in Community Service

    Science.gov (United States)

    Kulik, Liat; Megidna, Hofit

    2011-01-01

    The study is aimed at examining the relationship between psychological empowerment of women volunteers and their clients in community volunteer projects in Israel. Based on an ecological approach, the study also aimed at examining whether the variables that explain empowerment of women who volunteer also explain empowerment of their clients. The…

  3. Integrating Social and Traditional Media in the Client Project

    Science.gov (United States)

    Melton, James; Hicks, Nancy

    2011-01-01

    Based on a client project assigned to students in two undergraduate business classes, this article argues that social media learning is best done in a context that mixes social media with more traditional kinds of media. Ideally, this approach will involve teams of students who are working on different aspects of a larger client project. This…

  4. Client Experience in Psychotherapy: What Heals and What Harms ...

    African Journals Online (AJOL)

    Their unavailability leads clients to experience emotional depletion, exhaustion and frustration. The counsellor's self-righteousness, judgement and critical disengagement are experienced by clients as being belittled, condemned and diminished. The therapeutic encounter results in a weakening of the human potential for ...

  5. Influences on innovation benefits during implementation: Client's perspective

    NARCIS (Netherlands)

    Ling, Florence Y.Y.; Hartmann, Andreas; Kumaraswamy, Mohan; Dulaimi, Mohammed

    2007-01-01

    This study investigates critical factors that significantly affect the benefits of an innovation to the clients and the project as a whole during implementation from the perspective of construction clients. A survey was conducted in Hong Kong, and data from 35 projects that had adopted innovations

  6. Analogue Investigation of the Relationship Between Clients' Sex and Treatment Recommendations.

    Science.gov (United States)

    Lowery, Carol R.; Higgins, Raymond L.

    1979-01-01

    Investigated effect of clients' sex on psychotherapists' treatment recommendations. Clients' sex influenced only one treatment recommendation. Psychologists were more likely to recommend vocational counseling for same-sex clients than for opposite-sex clients. More experienced therapists rated male clients as more severely disturbed than female…

  7. Client demands and the allocation of home care in the Netherlands. A multinomial logit model of client types, care needs and referrals.

    Science.gov (United States)

    van Campen, Crétien; Woittiez, Isolde B

    2003-05-01

    The purpose of this paper is to estimate the volume and composition of referrals to home care on the basis of applicant characteristics. The relationships between the background and care needs of applicant groups on the one hand and the referral of home care packages on the other, are studied by means of a multinomial logit model. The model is estimated on the basis of more than 7000 requests for home care in the northern part of the Netherlands. Home health care institutions have to deal with clients who arrive from many different branches of the health care system. As a result the services or products provided by home health care institutions are characterized by wide variation. In the modeling emphasis has, therefore, been placed on the differentiation of clients and products. We find for instance that elderly chronically ill applicants have a greater chance of being referred for domestic help only, while applicants with psychosocial disorders are more liable to be offered packages that include social support. Patients discharged from hospital have a greater chance of a referral to domestic help only when they are slightly disabled, and are more likely to be offered packages including physical care when they are more disabled. The model has a range of policy applications in assessing the impact of changes in the health care system on the volume and structure of the demand for home care services. Examples are presented of the consequences of the ageing population and earlier discharge from hospitals on demand for home care packages.

  8. Subjective Experiences of Clients in a Voluntary Money Management Program.

    Science.gov (United States)

    Serowik, Kristin L; Bellamy, Chyrell D; Rowe, Michael; Rosen, Marc I

    2013-01-01

    A large proportion of people diagnosed with mental illnesses have difficulty managing their money, and therefore many psychiatric treatments involve providing money management assistance. However, little is known about the subjective experience of having a money manager, and extant literature is restricted to people forced to work with a representative payee or conservator. In this study, fifteen people were interviewed about their experience receiving a voluntary money management intervention designed to minimize substance use. Clients emphasized the importance of trusting the money manager, financial mindfulness (an enhanced awareness of the financial transactions in clients' day-to-day lives), agency over their own affairs, and addiction. In contrast to evaluations of people assigned representative payees and/or conservators, there was little mention of feeling coerced. These findings suggest that money management programs can address client concerns by building trust, relating budgeting to clients' day-to-day lives, and encouraging clients' control over their own affairs.

  9. The Impact of Organizational Stress and Burnout on Client Engagement

    Science.gov (United States)

    Landrum, Brittany; Knight, Danica K.; Flynn, Patrick M.

    2011-01-01

    This paper explores the impact of organizational attributes on client engagement within substance abuse treatment. Previous research has identified organizational features, including small size, accreditation, and workplace practices that impact client engagement (Broome, Flynn, Knight, & Simpson, 2007). The current study sought to explore how aspects of the work environment impact client engagement. The sample included 89 programs located in 9 states across the U.S. Work environment measures included counselor perceptions of stress, burnout, and work satisfaction at each program, while engagement measures included client ratings of participation, counseling rapport, and treatment satisfaction. Using multiple regression, tests of moderation and mediation revealed that staff stress negatively predicted client participation in treatment. Burnout was related to stress, but was not related to participation. Two additional organizational measures – workload and influence – moderated the positive relationship between staff stress and burnout. Implications for drug treatment programs are discussed. PMID:22154029

  10. E-mail security: mail clients must use encrypted protocols

    CERN Multimedia

    2006-01-01

    In the coming weeks, users of mail clients other than Outlook (e.g. Pine, Mozilla, Mac Mail, etc.) may receive an e-mail from Mail-service@cern.ch with instructions to update the security settings of their mail client. The aim of this campaign is to enforce the use of encrypted and authenticated mail protocols in order to prevent the propagation of viruses and protect passwords from theft. As a first step, from 6 June 2006 onwards, access to mail servers from outside CERN will require a securely configured mail client as described in the help page http://cern.ch/mmmservices/Help/?kbid=191040. On this page most users will also find tools that will update their mail client settings automatically. Note that Outlook clients and WebMail access are not affected. The Mail Team

  11. Relating counselor attributes to client engagement in England.

    Science.gov (United States)

    Simpson, Dwayne; Rowan-Szal, Grace A; Joe, George W; Best, David; Day, Ed; Campbell, Angela

    2009-04-01

    Client functioning and treatment engagement were examined in relation to staff attributes and organizational climate across a diverse sample of drug treatment and outreach programs in England. Self-rating assessments were obtained from 1,539 clients and 439 counselors representing 44 programs, and results were interpreted using comparable data from studies of treatment programs in the United States. Client scores on treatment participation and counseling rapport in England were directly related to their higher levels of motivation and psychosocial functioning, as well as to staff ratings of professional attributes and program atmosphere. By linking records from English clients with their counselors in each program, findings also indicate these relationships are rooted in the personal interactions between clients and their counselor. Standardized assessments of treatment structure, process, and performance used across therapeutic settings and national boundaries show there is generalizability in the pattern of clinical dynamics, including the relationships between organizational functioning and quality of services.

  12. SECCIÓN TEMÁTICA - 9. APLICACIÓN DE LA METODOLOGÍA DEL ANÁLISIS DE CONTENIDO A LA REVELACIÓN DE INFORMACIÓN SOBRE CLIENTES Y EMPLEADOS EN LAS ENTIDADES FINANCIERAS ESPAÑOLAS A TRAVÉS DE LAS MEMORIAS RSC (2007 – 2010 // APPLICATION OF CONTENT ANALYSIS APPROACH TO DISCLOSURE OF INFORMATION ON CLIENTS AND EMPLOYEES IN SPANISH FINANCIAL INSTITUTIONS THROUGH THE CSR REPORTS (2007 - 2010

    Directory of Open Access Journals (Sweden)

    Sandra Sánchez Cañizares

    2012-12-01

    Full Text Available El objetivo del presente trabajo es el de estudiar cómo las Entidades Financieras (EE.FF. responden a las cada vez más crecientes necesidades informativas generadas por los denominados “Stakeholders”. En concreto se analizan y comparan las prácticas de divulgación de información sobre clientes, así como sobre recursos humanos (RR.HH. por parte de las EE.FF. españolas, a través de la publicación de memorias de responsabilidad social. La elección de estas memorias presentadas de manera independiente de las memorias anuales se basa en la facilidad para la comparación que ofrece el modelo Global Reporting Initiative (GRI, y por otro, la consideración de una mayor idoneidad el uso de un documento especializado en temas socio-ambientales. Para el estudio de la información divulgada se va a emplear el método del análisis del contenido y la herramienta índice de divulgación, siendo ambos útiles para medir y comparar cómo las distintas entidades financieras informan sobre estos grupos de interés.

  13. United Kingdom Veterinarians' Perceptions of Clients' Internet Use and the Perceived Impact on the Client-Vet Relationship.

    Science.gov (United States)

    Kogan, Lori R; Oxley, James A; Hellyer, Peter; Schoenfeld-Tacher, Regina

    2017-01-01

    The Internet is a commonly used resource for accessing health information. Despite the Internet's popularity in the human health field, little is known about the Internet's impact on veterinarians, their clients, and the veterinarian-client relationship. The aim of this study was to investigate the perception of veterinarians from the United Kingdom of clients' use of the Internet and the perceived impact on pet health and the veterinarian-client relationship. A survey was distributed between January 4 and March 3, 2017, via an online link. In total, 100 veterinarians completed the survey. This study found that most UK veterinarians feel their clients access the Internet to find pet health information, yet often do not understand what they read online. Importantly, 40% of veterinarians stated that the Internet has a negative impact on companion animal health. This small-scale study found mixed opinions regarding veterinarians' perceptions of their clients' use of the Internet and the potential impact it has on the client-veterinarian relationship. Research on clients' actual use of the Internet and their associated perceptions is a next logical step.

  14. NeuroTerrain--a client-server system for browsing 3D biomedical image data sets.

    Science.gov (United States)

    Gustafson, Carl; Bug, William J; Nissanov, Jonathan

    2007-02-05

    Three dimensional biomedical image sets are becoming ubiquitous, along with the canonical atlases providing the necessary spatial context for analysis. To make full use of these 3D image sets, one must be able to present views for 2D display, either surface renderings or 2D cross-sections through the data. Typical display software is limited to presentations along one of the three orthogonal anatomical axes (coronal, horizontal, or sagittal). However, data sets precisely oriented along the major axes are rare. To make fullest use of these datasets, one must reasonably match the atlas' orientation; this involves resampling the atlas in planes matched to the data set. Traditionally, this requires the atlas and browser reside on the user's desktop; unfortunately, in addition to being monolithic programs, these tools often require substantial local resources. In this article, we describe a network-capable, client-server framework to slice and visualize 3D atlases at off-axis angles, along with an open client architecture and development kit to support integration into complex data analysis environments. Here we describe the basic architecture of a client-server 3D visualization system, consisting of a thin Java client built on a development kit, and a computationally robust, high-performance server written in ANSI C++. The Java client components (NetOStat) support arbitrary-angle viewing and run on readily available desktop computers running Mac OS X, Windows XP, or Linux as a downloadable Java Application. Using the NeuroTerrain Software Development Kit (NT-SDK), sophisticated atlas browsing can be added to any Java-compatible application requiring as little as 50 lines of Java glue code, thus making it eminently re-useable and much more accessible to programmers building more complex, biomedical data analysis tools. The NT-SDK separates the interactive GUI components from the server control and monitoring, so as to support development of non-interactive applications

  15. A cluster randomised controlled trial on the efficacy of client-centred occupational therapy in multiple sclerosis: good process, poor outcome.

    Science.gov (United States)

    Eyssen, Isaline C J M; Steultjens, Martijn P M; de Groot, Vincent; Steultjens, Esther M J; Knol, Dirk L; Polman, Chris H; Dekker, Joost

    2013-09-01

    To assess the efficacy of client-centred occupational therapy (OT) according to a client-centred process framework, as compared to usual care OT, in patients with multiple sclerosis (MS). A multicentre cluster randomised controlled trial with the institution (i.e. hospital or rehabilitation centre) as the unit of randomisation was performed. A total of 269 outpatients with MS, 13 hospitals and rehabilitation centres and 29 occupational therapists participated. Primary outcomes included measures of disability, participation and autonomy. Secondary outcomes included fatigue, generic health-related quality of life, quality and evaluation of therapy, therapy compliance and therapy frequency. Measurements were taken at baseline, four months and at eight months follow-up. Primary outcome measures did not show significant differences between the two interventions. Secondary outcomes revealed significant differences in favour of the usual care OT on fatigue (physical scale and total scale) and health-related quality of life (bodily pain and vitality) at four months. After eight months only significant differences on mental health were found. Process outcomes (i.e. the information scale of therapy quality and the client-centredness of the organisation) were in favour of the client-centred intervention. Because the client-centred intervention resulted in no effects on the primary outcomes and small but negative effects on the secondary functional outcomes, we should seriously reconsider the application of client-centred practice. An increasing number of interventions claim to incorporate client-centred practice. Client-centred practice is associated with improved satisfaction but the effects on functional health-related outcomes have not been fully evaluated. The findings of this study show that the process outcomes of therapy were in favour of the client-centred intervention, but no effects were found on the primary outcomes and negative effects on the secondary functional

  16. CLIENT EXPECTATION FROM RESIDENTIAL PROPERTY DESIGN SERVICES AND ARCHITECTS’ PERCEPTION

    Directory of Open Access Journals (Sweden)

    OLUWATAYO Adedapo Adewunmi

    2013-07-01

    Full Text Available Very few studies exist on the expectations of clients from architects. There are however, anecdotal evidences that architects may not fully grasp what is most important to their clients. As a pilot study, the aim of this paper was to investigate the expectations of clients from residential design services and architects’ perceptions of those expectations. A questionnaire was designed to suit the purpose of comparison of responses of the two groups.  The factor analysis conducted revealed that the expectations from design services could be described in terms of value, professionalism, and empathy. Using mean gap analysis, the study identified areas where architects have under-estimated the expectations of clients as well as those areas where the expectations have been over-estimated. The results would help architects to focus on areas, which are important to the clients and possibly reduce client dissatisfaction. This is study, which is one of the first on the subject, is limited in three ways. First, residential clients were the only ones considered. In addition, respondents were only taken from Nigeria and the sample size as well as the response rate was small.

  17. Implementing a client-centred approach in rehabilitation: an autoethnography.

    Science.gov (United States)

    Bright, Felicity A S; Boland, Pauline; Rutherford, Sandy J; Kayes, Nicola M; McPherson, Kathryn M

    2012-01-01

    Client-centred practice is widely considered a key element of rehabilitation. However, there is limited discussion of how it should be implemented. This study explored how client-centred practice was operationalized during a clinical trial of innovative goal-setting techniques. This study drew on principles of co-autoethnography. The personal experiences of three clinical researchers were explored to identify insights into client-centred practice, and seek understanding of this within the broader socio-cultural context. Data were collected through group discussions and written reflections. Thematic analysis and coding were used to identify the dominant themes from the data. The primary way that client-centred practice was operationalized was through listening in order to get to know, to uncover and to understand what was meaningful. Four strategies were identified: utilizing mindful listening, allowing time, supporting clients to prioritize what is meaningful and viewing the therapists' role differently. While technical competence in rehabilitation is important, our study suggested a starting point of 'being with' rather than 'doing to' may be beneficial for engaging people in their rehabilitation. We have highlighted a number of practical strategies that can be used to facilitate more client-centred practice. These approaches are consistent with what clients report they want and need from rehabilitation services.

  18. The therapy relationship with lesbian and gay clients.

    Science.gov (United States)

    Kelley, Frances A

    2015-03-01

    This study investigated the role of therapy practices and the therapy relationship on lesbian and gay clients' feelings about their current therapist. Participants were 76 lesbian and 40 gay male clients ranging in age from 19 to 69 years. The real relationship was found to predict an additional 8% of variance in clients' positive feelings about their therapist above and beyond months in therapy, therapy practices, and the working alliance. However, therapy practices did not add significance in predicting lesbian and gay clients' feelings about their therapist beyond the working alliance and the real relationship. Fifty-three of the participants responded to a question about their current experiences in therapy, and the data were analyzed using consensual qualitative research-modified (CQR-M; Spangler, Liu, & Hill, 2012). Thirty percent of clients indicated a preference for a lesbian or gay therapist, or gay-friendly therapist. Only 25% found that their therapist lacked knowledge about lesbian and gay issues, but 21% indicated that their therapist was dismissive of and/or viewed their sexual orientation as a problem. More than two-thirds of the participants indicated they had a positive therapy relationship with their therapist. Results highlight the important role that therapy practices and the therapy relationship play in lesbian and gay clients perceptions' of their therapist. The findings also provide support for heterosexual therapists' ability to develop a positive therapy relationship and be effective with lesbian and gay clients. (PsycINFO Database Record (c) 2015 APA, all rights reserved).

  19. Eros-based Confined Capability Client

    National Research Council Canada - National Science Library

    Shapiro, Jonathan S

    2006-01-01

    .... This was accomplished by constructing of a single exemplar application, a web browser using capability-based structuring techniques, and determining whether this application can defend itself against hostile content...

  20. 'Doing dialysis at home': client attitudes towards renal therapy.

    Science.gov (United States)

    Polaschek, Nick

    2007-03-01

    This paper reports a study seeking to describe characteristic attitudes towards their treatment regime among a group living on home dialysis. Although there are many papers about the problem of renal patient compliance and a number describing the experience of living on dialysis, studies have not focused on client attitudes towards their therapy. The study used an interpretivist methodology. Twenty home dialysis clients from one renal service were interviewed for an hour each in 2004. Texts of the taped interviews were analysed to formulate a number of themes that summarize the client perspective. During the initial period of adjustment to treatment many participants learned their need for treatment by experimenting with the therapeutic prescription. They then used their knowledge of the therapy to alter their treatment regime to maintain their normal lifestyle. Having modified their therapeutic prescription, participants' motivation to continue meeting the continuing demands of the treatment regime was influenced by their individual life situation, including their relationships, work and personal attitudes towards life. Health professionals have interpreted renal client behaviour in relation to their therapy in terms of compliance, because effectiveness of treatment depends on their cooperation. From a client perspective their attitudes are better understood in terms of negotiation. Renal clients do not simply follow professional advice but, through a process of negotiation, seek to integrate therapy into their pattern of regular activities to maintain their normal lifestyle. Renal clients' motivation to meet the ongoing demands of treatment is not related solely to their health status, but is affected by their general life situation. Understanding client attitudes towards therapy enables nurses to support people living on dialysis better. Through enhancing their relationships with clients, nurses can assume a key role in service to people living with chronic

  1. The Impact of Comprehensive Case Management on HIV Client Outcomes.

    Directory of Open Access Journals (Sweden)

    Mark Brennan-Ing

    Full Text Available In 1990, New York State instituted Comprehensive Medicaid Case Management, also known as Target Case Management (TCM, for people dealing with multiple comorbid conditions, including HIV. The goal of TCM is to assist clients in navigating the health care system to increase care engagement and treatment adherence for individuals with complex needs. HIV-positive individuals engaged in care are more likely to be virally suppressed, improving clinical outcomes and decreasing chances of HIV transmission. The purpose of this study was to understand the impact of TCM management on outcomes for people with HIV. Data were obtained from Amida Care, which operates not-for-profit managed care Medicaid and Medicare Special Needs Plans (SNPs for HIV clients. Changes in clinical, cost, as well as medical and pharmacy utilization data among TCM clients were examined between January 2011 through September 2012 from the start of case management enrollment through the end of the study period (i.e., up to 6 months after disenrollment. Additionally, CD4 counts were compared between Amida Care TCM clients and non-TCM clients. Notable findings include increased CD4 counts for TCM clients over the one-year study period, achieving parity with non-TCM clients (i.e., Mean CD4 count > 500. When looking exclusively at TCM clients, there were increases in medication costs over time, which were concomitant with increased care engagement. Current findings demonstrate that TCM is able to achieve its goals of improving care engagement and treatment adherence. Subsequent policy changes resulting from the Affordable Care Act and the New York State Medicaid Redesign have made the Health Home the administrator of TCM services. Government entities charged with securing and managing TCM and care coordination for people with HIV should provide thoughtful and reasonable guidance and oversight in order to maintain optimal clinical outcomes for TCM clients and reduce the transmission of

  2. Realization of client/server management information system of coal mine based on ODBC in geology and survey

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Q.; Mao, S.; Yang, F.; Han, Z. [Shandong University of Science and Technology (China). Geoscience Department

    2000-08-01

    The paper describes in detail the framework and the application theory of Open Database Connectivity (ODBC), the formation of a client/server system of geological and surveying management information system, and the connection of the various databases. Then systematically, the constitution and functional realization of the geological management information system are introduced. 5 refs., 5 figs.

  3. UNIX based client/server hospital information system.

    Science.gov (United States)

    Nakamura, S; Sakurai, K; Uchiyama, M; Yoshii, Y; Tachibana, N

    1995-01-01

    SMILE (St. Luke's Medical Center Information Linkage Environment) is a HIS which is a client/server system using a UNIX workstation under an open network, LAN(FDDI&10BASE-T). It provides a multivendor environment, high performance with low cost and a user-friendly GUI. However, the client/server architecture with a UNIX workstation does not have the same OLTP environment (ex. TP monor) as the mainframe. So, our system problems and the steps used to solve them were reviewed. Several points that are necessary for a client/server system with a UNIX workstation in the future are presented.

  4. PERSPECTIVA EXTERNA DE LOS COMPONENTES DEL CAPITAL CLIENTE /

    OpenAIRE

    Cegarra, J.G.; Aledo, M.D.; Martínez, E.A. (E.); Moreno, L.; Pagán, J.M.

    2005-01-01

    El capital cliente representa el conocimiento creado como consecuencia de la relación entre una organización y sus clientes. Este trabajo se dirige a analizar los flujos de conocimiento del trabajador y la empresa para la creación del componente externo del capital cliente. Para ello, se enuncian los factores que permiten desarrollar los distintos conocimientos y se examinan, las relaciones existentes entre los distintos componentes del conocimiento y el proceso de obtención del capital clien...

  5. LSIVIEWER 2.0 – A CLIENT-ORIENTED ONLINE VISUALIZATION TOOL FOR GEOSPATIAL VECTOR DATA

    Directory of Open Access Journals (Sweden)

    K. Manikanta

    2017-09-01

    Full Text Available Geospatial data visualization systems have been predominantly through applications that are installed and run in a desktop environment. Over the last decade, with the advent of web technologies and its adoption by Geospatial community, the server-client model for data handling, data rendering and visualization respectively has been the most prevalent approach in Web-GIS. While the client devices have become functionally more powerful over the recent years, the above model has largely ignored it and is still in a mode of serverdominant computing paradigm. In this paper, an attempt has been made to develop and demonstrate LSIViewer – a simple, easy-to-use and robust online geospatial data visualisation system for the user’s own data that harness the client’s capabilities for data rendering and user-interactive styling, with a reduced load on the server. The developed system can support multiple geospatial vector formats and can be integrated with other web-based systems like WMS, WFS, etc. The technology stack used to build this system is Node.js on the server side and HTML5 Canvas and JavaScript on the client side. Various tests run on a range of vector datasets, upto 35 MB, showed that the time taken to render the vector data using LSIViewer is comparable to a desktop GIS application, QGIS, over an identical system.

  6. RadStation: client-based digital dictation system and integrated clinical information display with an embedded Web-browser.

    Science.gov (United States)

    McEnery, K W; Suitor, C T; Hildebrand, S; Downs, R

    2000-01-01

    RadStation is a digital dictation system having an integrated display of clinical information. The three-tiered system architecture provides robust performance, with most information displayed within one second after a request. The multifunctional client tier is a unique client/browser hybrid. A Web browser display window functions as the client application's data display window for clinical information, radiology reports, and laboratory and pathology results. RadStation provides a robust platform for digital dictation functionality. The system's internal status checks ensure operational integrity in a clinical environment. Also, the programmable dictation microphone and bar-code reader supplant the mouse as the system's primary input device. By merging information queries into existing work flow, radiologist's interpretation efficiency is maintained with instant access to essential clinical information. Finally, RadStation requires minimal training and has been enthusiastically accepted by our radiologists in an active clinical practice.

  7. Qualitative Assessment of the Feasibility, Usability, and Acceptability of a Mobile Client Data App for Community-Based Maternal, Neonatal, and Child Care in Rural Ghana

    Directory of Open Access Journals (Sweden)

    Jessica D. Rothstein

    2016-01-01

    Full Text Available Mobile phone applications may enhance the delivery of critical health services and the accuracy of health service data. Yet, the opinions and experiences of frontline health workers on using mobile apps to track pregnant and recently delivered women are underreported. This evaluation qualitatively assessed the feasibility, usability, and acceptability of a mobile Client Data App for maternal, neonatal, and child client data management by community health nurses (CHNs in rural Ghana. The mobile app enabled CHNs to enter, summarize, and query client data. It also sent visit reminders for clients and provided a mechanism to report level of care to district officers. Fourteen interviews and two focus groups with CHNs, midwives, and district health officers were conducted, coded, and thematically analyzed. Results indicated that the app was easily integrated into care, improved CHN productivity, and was acceptable due to its capacity to facilitate client follow-up, data reporting, and decision-making. However, the feasibility and usability of the app were hindered by high client volumes, staff shortages, and software and device challenges. Successful integration of mobile client data apps for frontline health workers in rural and resource-poor settings requires real-time monitoring, program investments, and targeted changes in human resources.

  8. The Market for Facility Programming: A Study of Client Preferences and Decision-Making

    Directory of Open Access Journals (Sweden)

    Lubomir Popov

    2004-05-01

    Full Text Available This paper illustrates the application of qualitative research methods within the field of marketing in terms of methodological considerations as well as structure, logic, and format of the narrative as a product of qualitative thinking. The paper demonstrates the investigative potential of qualitative methodology for understanding unique and emergent situations that are not well known or researched. The research outcomes presented in the paper are intended for informing architectural programmers' marketing strategies, plans, and actions. The research approach is based on Grounded Theory and Symbolic Interactionist principles, as well as on the methodological propositions of naturalistic inquiry. The content area of the paper is situated in the field of marketing of facility programming services. Facility programming (or architectural programming is a phase of the building planning process. (The term "facility" is not related to the use of the term within focus group research. Programming provides architectural designers with information about building user needs and patterns of use of space. This information is utilized in the process of architectural design decision-making. The goal of the article is to understand the clients for programming, the way they think, and the decisions they make. The paper is organized in five parts. The methodological part displays the research philosophy and methodology. The second part discusses the contextual forces that shape the considerations and concerns of facility programming clients. The third part provides thick descriptions of the thinking and behavior patterns of the clients. The forth part culminates with a discussion on client needs and wants and the peculiarities of the demand side of the programming market. The fifth part presents concluding remarks and methodological reflections. The paper is intended for researchers interested in the application of qualitative methodology in marketing as well as

  9. Substance abuse treatment client experience in an employed population: results of a client survey

    Directory of Open Access Journals (Sweden)

    Merrick Elizabeth L

    2012-01-01

    Full Text Available Abstract Background Understanding client perspectives on treatment is increasingly recognized as key to improving care. Yet information on the perceptions and experiences of workers with private insurance coverage who receive help for substance use conditions is relatively sparse, particularly in managed behavioral health care organization (MBHO populations. Furthermore, the role of several factors including prior service use has not been fully explored. Methods Employees covered by a large MBHO who had received substance abuse services in the past year were surveyed (146 respondents completed the telephone survey and self-reported service use. Results The most common reasons for entering treatment were problems with health; home, family or friends; or work. Prior treatment users reported more reasons for entering treatment and more substance use-related work impairment. The majority of all respondents felt treatment helped a lot or some. One quarter reported getting less treatment than they felt they needed. Discussion and conclusions Study findings point to the need to tailor treatment for prior service users and to recognize the role of work in treatment entry and outcomes. Perceived access issues may be present even among insured clients already in treatment.

  10. Implicit spiritual assessment: an alternative approach for assessing client spirituality.

    Science.gov (United States)

    Hodge, David R

    2013-07-01

    To provide optimal services, a spiritual assessment is often administered to understand the intersection between clients' spirituality and service provision. Traditional assessment approaches, however, may be ineffective with clients who are uncomfortable with spiritual language or who are otherwise hesitant to discuss spirituality overtly. This article orients readers to an implicit spiritual assessment, an alternative approach that may be more valid with such clients. The process of administering an implicit assessment is discussed, sample questions are provided to help operationalize this approach, and suggestions are offered to integrate an implicit assessment with more traditional assessment approaches. By using terminology that is implicitly spiritual in nature, an implicit assessment enables practitioners to identify and operationalize dimensions of clients' experience that may be critical to effective service provision but would otherwise be overlooked.

  11. Knowledge, Practices and Education of Clients Regarding Breast ...

    African Journals Online (AJOL)

    depth knowledge regarding breast cancer and BSE among the respondents. The practice of BSE did not proportionately translate to education of clients. In-service educational programs should target PHC workers who will transfer the knowledge ...

  12. Client Centeredness and Health Reform: Key Issues for Occupational Therapy

    Science.gov (United States)

    Pitonyak, Jennifer S.; Fogelberg, Donald; Leland, Natalie E.

    2015-01-01

    Health reform promotes the delivery of patient-centered care. Occupational therapy’s rich history of client-centered theory and practice provides an opportunity for the profession to participate in the evolving discussion about how best to provide care that is truly patient centered. However, the growing emphasis on patient-centered care also poses challenges to occupational therapy’s perspectives on client-centered care. We compare the conceptualizations of client-centered and patient-centered care and describe the current state of measurement of client-centered and patient-centered care. We then discuss implications for occupational therapy’s research agenda, practice, and education within the context of patient-centered care, and propose next steps for the profession. PMID:26356651

  13. CREANDO CAPACIDADES QUE AUMENTEN EL VALOR PARA EL CLIENTE

    Directory of Open Access Journals (Sweden)

    Martelo Landroguez, Silvia

    2011-04-01

    Full Text Available El objetivo de este artículo es contribuir a la literatura al identificar las posibles combinaciones entre tres capacidades organizativas (orientación al mercado, procesos de conocimiento y gestión de la relación con el cliente y analizar su interacción, cuyo resultado será la creación de un mayor valor para el cliente. Nuestra pregunta clave es ‘si los clientes demandan mayor valor, ¿cómo tenemos que combinar las capacidades existentes en la empresa para ofrecerle al cliente ese valor superior?’ Nosotros proponemos que la interacción entre las tres capacidades conforma una capacidad de orden superior.

  14. What do Family Planning Clients and University Students in Nairobi ...

    African Journals Online (AJOL)

    What do Family Planning Clients and University Students in Nairobi, Kenya, Know and Think about Emergency Contraception? Esther Muia, Charlotte Ellertson, Shelley Clark, Moses Lukhando, Batya Elul, Joyce Olenja, Elizabeth Westley ...

  15. The association between client type and condom use with steady ...

    African Journals Online (AJOL)

    Saharan Africa, and the prevalence of HIV infection in Kenya remains high. Objectives: This study examined the association between client type (general population, commercial sex worker [CSW], or truck driver) and consistent condom use with ...

  16. Client Centeredness and Health Reform: Key Issues for Occupational Therapy.

    Science.gov (United States)

    Mroz, Tracy M; Pitonyak, Jennifer S; Fogelberg, Donald; Leland, Natalie E

    2015-01-01

    Health reform promotes the delivery of patient-centered care. Occupational therapy's rich history of client-centered theory and practice provides an opportunity for the profession to participate in the evolving discussion about how best to provide care that is truly patient centered. However, the growing emphasis on patient-centered care also poses challenges to occupational therapy's perspectives on client-centered care. We compare the conceptualizations of client-centered and patient-centered care and describe the current state of measurement of client-centered and patient-centered care. We then discuss implications for occupational therapy's research agenda, practice, and education within the context of patient-centered care, and propose next steps for the profession. Copyright © 2015 by the American Occupational Therapy Association, Inc.

  17. A comparison of client characteristics in cyber and in-person counseling.

    Science.gov (United States)

    Murphy, Lawrence; Mitchell, Dan; Hallett, Rebecca

    2011-01-01

    As cybertherapy diversifies into a wide variety of modalities, it is incumbent upon researchers and clinicians to determine the most suitable cybertherapy approach for clients. Suitability encompasses ethical considerations, client satisfaction, and treatment outcomes. The authors, working with an Employee and Family Assistance Program provider based in Canada, provided text-based e-mail counseling (cybercounseling) to clients across the country. Cybercounseling was accessible to clients through the same avenues as in-person counseling. Clients self-selected either cybercounseling or in-person counseling at intake. For the purposes of this study, data from 211 clients have been collected, including 105 online and 106 in-person clients. Client demographic data including age, gender, presenting problem, referral source and marital status were collected for each client. Comparing the cyber and in-person client data provides insights into the similarities and differences between cyber and in-person client groups.

  18. Identifying clients who might benefit from genetic services and information.

    Science.gov (United States)

    Gaff, Clara L

    This article is the first in a series of seven which examine competence standards for nurses, midwives and health visitors in relation to genetics. The author indicates who might benefit from a genetic consultation and describes the use of a family history--in the form of a family tree--to identify these clients. Client expectations of a genetic consultation and managing these are also discussed.

  19. Implementation of Sensor Twitter Feed Web Service Server and Client

    Science.gov (United States)

    2016-12-01

    Twitter Feeds Web Service 3 5. Server Project 4 6. Adding New Functionality 5 7. Client Project 5 8. Conclusion 8 9. Limitations and Future Extensions...Twitter API response. 6. Adding New Functionality We advise implementing new functionality to the Sensor Twitter Feed Web Service for the server ...ARL-TN-0807 ● DEC 2016 US Army Research Laboratory Implementation of Sensor Twitter Feed Web Service Server and Client by

  20. Visualization Software for VisIT Java Client

    Energy Technology Data Exchange (ETDEWEB)

    2017-01-01

    The VisIT Java Client (JVC) library is a lightweight thin client that is designed and written purely in the native language of Java (the Python & JavaScript versions of the library use the same concept) and communicates with any new unmodified standalone version of VisIT, a high performance computing parallel visualization toolkit, over traditional or web sockets and dynamically determines capabilities of the running VisIT instance whether local or remote.

  1. Assessment of ART centres in India: client perspectives.

    Science.gov (United States)

    Sogarwal, Ruchi; Bachani, Damodar

    2009-05-01

    Drug adherence and quality of antiretroviral therapy (ART) services are the keys for the successful ART programme. Hence, an attempt has been made to assess ART centres in India from client perspectives that are receiving services from the centres. Data were gathered through exit interviews with 1366 clients from 27 ART centres that were selected on the basis of drug adherence and client load. Analyses revealed that more than 80 per cent of the clients reported overall satisfaction with the services availed from the centre and 60 per cent reported that the quality of life has improved to a great extent after getting ART. Most of the clients strongly demanded to open ART centre in each district for better access as that will increase drug adherence and eventually control the HIV progression. It has been found that as many as 14% of respondents, ever been on ART, reported non-adherence and 70% of them cited distance and economic factors as the reasons for non-adherence. Study concludes that while majority of the clients were satisfied with ART services, shortage of staff, high level of non-drug adherence, long distances and poor referring system are the weak areas requiring attention.

  2. Client knowledge, attitudes and practices regarding zoonoses: a metropolitan experience.

    Science.gov (United States)

    Steele, S G; Mor, S M

    2015-12-01

    To assess knowledge, attitudes and practices in relation to zoonoses among pet owners. Questionnaire completed by 81 clients attending a small animal practice in Sydney, Australia. Most (64.5%) clients reported that they were not concerned about contracting a disease from their pet, but 7.9% and 3.9% of clients were a little or very concerned, respectively; 23.7% of clients stated that they had not considered the possibility. Although respondents indicated that they had heard of a number of zoonoses, knowledge of animal sources and exposure pathways was generally low, particularly for the more important zoonoses in Australia such as toxoplasmosis, psittacosis and Q fever. Only 37.0%, 12.3% and 11.1%, respectively, of clients had heard of these diseases. Most respondents (84.1%) indicated that they viewed veterinarians as having the primary responsibility for providing information about zoonoses, yet less than half (48.1%) recalled ever getting information from their veterinarian. Likewise, many respondents (48.1%) indicated that medical professionals played a role in providing information about zoonoses, yet less than one-quarter (23.5%) recalled ever getting information from their doctor. The low level of knowledge among pet owners about sources and exposure pathways indicates a need to strengthen communication between veterinarians, doctors and their clients around the possible risks of zoonoses and appropriate prevention strategies. © 2015 Australian Veterinary Association.

  3. Secure thin client architecture for DICOM image analysis

    Science.gov (United States)

    Mogatala, Harsha V. R.; Gallet, Jacqueline

    2005-04-01

    This paper presents a concept of Secure Thin Client (STC) Architecture for Digital Imaging and Communications in Medicine (DICOM) image analysis over Internet. STC Architecture provides in-depth analysis and design of customized reports for DICOM images using drag-and-drop and data warehouse technology. Using a personal computer and a common set of browsing software, STC can be used for analyzing and reporting detailed patient information, type of examinations, date, Computer Tomography (CT) dose index, and other relevant information stored within the images header files as well as in the hospital databases. STC Architecture is three-tier architecture. The First-Tier consists of drag-and-drop web based interface and web server, which provides customized analysis and reporting ability to the users. The Second-Tier consists of an online analytical processing (OLAP) server and database system, which serves fast, real-time, aggregated multi-dimensional data using OLAP technology. The Third-Tier consists of a smart algorithm based software program which extracts DICOM tags from CT images in this particular application, irrespective of CT vendor's, and transfers these tags into a secure database system. This architecture provides Winnipeg Regional Health Authorities (WRHA) with quality indicators for CT examinations in the hospitals. It also provides health care professionals with analytical tool to optimize radiation dose and image quality parameters. The information is provided to the user by way of a secure socket layer (SSL) and role based security criteria over Internet. Although this particular application has been developed for WRHA, this paper also discusses the effort to extend the Architecture to other hospitals in the region. Any DICOM tag from any imaging modality could be tracked with this software.

  4. IPME and External Clients: Enhancing Performance by Offloading Simulation Workload to External Clients; Explaining and Simplifying the Process

    Science.gov (United States)

    2007-12-01

    code demeure inchangée. Une procédure de programmation, fondée sur le « module de fonction client » (CFM en anglais ), a été élaborée afin d’accroître...clients aide à la réalisation de cette activité. Perspectives : La version 4 de l’EIMP est en cours de développement et elle devrait être plus puissante

  5. Todos los clientes no son iguales : una perspectiva financiera sobre servicio al cliente para los gerentes de mercadeo

    OpenAIRE

    Koch, Harold Lee

    1999-01-01

    Los gerentes colombianos estamos pensando en Servicio al Cliente como la próxima ventaja competitiva y una ayuda para contrarrestar los efectos de la recesión actual. Estamos cansados de buscar siempre en nuestra caja de herramientas de mercadeo y encontrar solamente el martillo del precio. Para diferenciamos de la competencia, hacerle al cliente menos sensible una diferencia en precio y encontrar una ventaja verdaderamente sostenible, sobre todo cuando le ofrecemos los beneficios de un produ...

  6. Acerca de los clientes de las organizaciones de salud pública On the clients of public health organizations

    Directory of Open Access Journals (Sweden)

    Júlia Duran

    2004-12-01

    Full Text Available Los servicios públicos han de responder y satisfacer a una diversidad de agentes: sus usuarios, los ciudadanos que pagan impuestos que los financian, los políticos, y el personal que trabaja en ellos. Para conseguir unos servicios públicos que pongan al ciudadano-usuario en el vértice de su funcionamiento habrá que conocer al cliente, sus expectativas, preferencias, quejas y satisfacción. Este manuscrito presenta el proceso de reflexión interna realizado en nuestra organización acerca de sus clientes, cuya naturaleza es muy distinta de los de una empresa industrial o comercial. Se plantea una tipología y el proceso que ha llevado a confeccionar un listado de clientes, y se plantean acciones que hay que realizar para mejorar los servicios desde su perspectiva.Public services must satisfy a variety of agents: users of these services, the citizens who pay the taxes that finance them, politicians, and those that work in them. To obtain public services that give priority to the citizen-user, knowledge of clients, their expectations, preferences, complaints and degree of satisfaction is essential. This article presents the process of internal discussion in our agency about its clients, who differ from those of an industrial or commercial organization. A proposal for the classification of clients, as well as the process that has led to a client portfolio, are presented and steps to improve services from the perspective of the client are suggested.

  7. Maximising health literacy and client recall of clinical information: An exploratory study of clients and speech-language pathologists

    Directory of Open Access Journals (Sweden)

    Friderike Schmidt von Wûhlisch

    2010-12-01

    Full Text Available Limited research has been carried out in the field of speech-language pathology with regard to ways of maximising health literacy and client recall. However, speech-language pathologists (SLPs frequently provide vast amounts of information that clients need to understand, apply and review in order to manage their (or their child’s health. This exploratory study aimed to contribute information about ways in which SLPs can overcome low health literacy and poor client recall so that treatment effectiveness is improved. A case-study design was used with specific focus on four clients receiving treatment for dysphagia, voice disorders (including laryngectomies and cleft lip and/or palate management in Cape Town. Strategies which may be able to maximise health literacy and client recall of clinical information were trialled and evaluated by clients and their SLPs, using semi-structured interviews. The researchers proposed a combination of high-tech strategies which assisted in all the cases. No single solution or universal tool was found that would be appropriate for all. There is a need to evaluate the long-term effectiveness of the combined strategies across a wider population, at different stages of rehabilitation and in diverse contexts. Implications and suggestions for future related research are presented.

  8. Clients' perspective on quality of audiology care: Development of the Consumer Quality Index (CQI) 'Audiology Care' for measuring client experiences.

    Science.gov (United States)

    Hendriks, Michelle; Dahlhaus-Booij, Judith; Plass, Anne Marie

    2017-01-01

    Clients' perspective on the quality of audiology care has not been investigated thoroughly. Research has focused primarily on satisfaction with, and limitations of hearing aids. We developed a Consumer Quality Index (CQI) questionnaire 'Audiology Care' to systematically assess client experiences with audiology care. The CQI Audiology Care was developed in three steps: (1) posing open-ended questions through e-mail (n = 14), (2) two small-scale surveys assessing psychometric properties of the questionnaire (n = 188) and importance of quality aspects (n = 118), and (3) a large-scale survey (n = 1793) assessing psychometric properties and discriminatory power of the questionnaire. People with complex hearing impairments and/or balance and communicative disorders who visited an audiology care centre during the past year. Important quality aspects were translated into seven reliable scales: accommodation and facilities, employees' conduct and expertise, arrangement of appointments, waiting times, client participation and effectiveness of treatment. Client experiences differed among the participating centres concerning accommodation and facilities, arrangement of appointments, waiting times and client participation. The CQI Audiology Care is a valid and reliable instrument to assess clients' experiences with audiology care. Future implementation will reveal whether results can be used to monitor and improve the quality of audiology care.

  9. Procession: using intelligent 3D information visualization to support client understanding during construction projects

    Science.gov (United States)

    North, Steve

    2000-02-01

    The latest results in the development of the software tool 'Procession' is presented. The research underlying Procession delivers a conceptual 3D framework for the interpretation of non-physical construction industry processes. Procession is the implementation of the proposed 3D framework, as an information visualization software tool. The conceptual transformation of construction clients' informational needs into 3D visual structures is documented. Also discussed is the development of an 'intelligent' software process to calculate the relevance of individual project elements. This is used to determine the representation of project elements within a 3D surface. Construction is not short of technologies for visualizing physical building models. However, it would seem that little or no consideration has been given to improving the intelligibility of non-physical construction processes. This type of information is usually known as Project Planning data and is concerned with the individual tasks that make up construction projects. While, there are software applications that allow access to this data for the professional members of the project team, clients are currently without a suitable tool. Procession's data surface is an abstract representation of three selected project dimensions. Its 3D progress reports provide construction clients with an 'at-a-glance' indication of project 'health'.

  10. Embedding resilience in the design of the electricity supply for industrial clients.

    Science.gov (United States)

    Moura, Márcio das Chagas; Diniz, Helder Henrique Lima; Droguett, Enrique López; da Cunha, Beatriz Sales; Lins, Isis Didier; Simoni, Vicente Ribeiro

    2017-01-01

    This paper proposes an optimization model, using Mixed-Integer Linear Programming (MILP), to support decisions related to making investments in the design of power grids serving industrial clients that experience interruptions to their energy supply due to disruptive events. In this approach, by considering the probabilities of the occurrence of a set of such disruptive events, the model is used to minimize the overall expected cost by determining an optimal strategy involving pre- and post-event actions. The pre-event actions, which are considered during the design phase, evaluate the resilience capacity (absorption, adaptation and restoration) and are tailored to the context of industrial clients dependent on a power grid. Four cases are analysed to explore the results of different probabilities of the occurrence of disruptions. Moreover, two scenarios, in which the probability of occurrence is lowest but the consequences are most serious, are selected to illustrate the model's applicability. The results indicate that investments in pre-event actions, if implemented, can enhance the resilience of power grids serving industrial clients because the impacts of disruptions either are experienced only for a short time period or are completely avoided.

  11. Meeting the Needs of Clients with Dissociative Identity Disorder: Considerations for Psychotherapy

    Science.gov (United States)

    Ringrose, Jo L.

    2011-01-01

    Psychotherapy for clients with Dissociative Identity Disorder (DID) is different to therapy with most clients because these clients are multiple, comprising one or more host, and one or more alter personalities. The necessary components to be addressed in order that clients can live successfully either as a multiple or as an integrated person are…

  12. Exploring the Use of Real Clients in the PR Campaigns Course.

    Science.gov (United States)

    Aldoory, Linda; Wrigley, Brenda

    2000-01-01

    Examines from three perspectives (that of students, clients, and professors) the strengths and weaknesses of using actual clients in student projects for undergraduate public relations campaigns courses. Finds: students appreciated using actual clients; teachers felt the extra effort was worthwhile; and clients valued their experiences working…

  13. 49 CFR 1103.15 - The practitioner's duty to clients, generally.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false The practitioner's duty to clients, generally... Practitioner's Duties and Responsibilities Toward A Client § 1103.15 The practitioner's duty to clients... all clients to observe the statutory law to the best of his knowledge or as interpreted by competent...

  14. 34 CFR 377.31 - What information must a grantee provide to eligible clients?

    Science.gov (United States)

    2010-07-01

    ... clients? 377.31 Section 377.31 Education Regulations of the Offices of the Department of Education... PROJECTS TO INCREASE CLIENT CHOICE PROGRAM What Post-Award Conditions Must Be Met by a Grantee? § 377.31 What information must a grantee provide to eligible clients? Each grantee shall advise all clients and...

  15. 37 CFR 10.112 - Preserving identity of funds and property of client.

    Science.gov (United States)

    2010-07-01

    ... and property of client. 10.112 Section 10.112 Patents, Trademarks, and Copyrights UNITED STATES PATENT... funds and property of client. (a) All funds of clients paid to a practitioner or a practitioner's firm... therein. (2) Funds belonging in part to a client and in part presently or potentially to the practitioner...

  16. 17 CFR 275.206(3)-2 - Agency cross transactions for advisory clients.

    Science.gov (United States)

    2010-04-01

    ... advisory clients. 275.206(3)-2 Section 275.206(3)-2 Commodity and Securities Exchanges SECURITIES AND... Agency cross transactions for advisory clients. (a) An investment adviser, or a person registered as a... advisory client, if: (1) The advisory client has executed a written consent prospectively authorizing the...

  17. 49 CFR 1103.19 - Advising upon the merits of a client's cause.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false Advising upon the merits of a client's cause. 1103... Practitioner's Duties and Responsibilities Toward A Client § 1103.19 Advising upon the merits of a client's cause. A practitioner shall try to obtain full knowledge of his client's cause before advising thereon...

  18. 32 CFR 776.32 - Department of the Navy as client.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Department of the Navy as client. 776.32 Section... Rules of Professional Conduct § 776.32 Department of the Navy as client. (a) Department of Navy as client: (1) Except when representing an individual client pursuant to paragraph (a)(6) of this section, a...

  19. 37 CFR 10.65 - Limiting business relations with a client.

    Science.gov (United States)

    2010-07-01

    ... with a client. 10.65 Section 10.65 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND... a client. A practitioner shall not enter into a business transaction with a client if they have differing interests therein and if the client expects the practitioner to exercise professional judgment...

  20. 45 CFR 1621.4 - Complaints by clients about manner or quality of legal assistance.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Complaints by clients about manner or quality of...) LEGAL SERVICES CORPORATION CLIENT GRIEVANCE PROCEDURES § 1621.4 Complaints by clients about manner or... clients about the manner or quality of legal assistance that has been rendered by the recipient to the...

  1. 34 CFR 377.1 - What is the Demonstration Projects to Increase Client Choice Program?

    Science.gov (United States)

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false What is the Demonstration Projects to Increase Client... PROJECTS TO INCREASE CLIENT CHOICE PROGRAM General § 377.1 What is the Demonstration Projects to Increase Client Choice Program? The Demonstration Projects to Increase Client Choice Program is designed to...

  2. Addictions Counselors' Attitudes and Behaviors toward Gay, Lesbian, and Bisexual Clients

    Science.gov (United States)

    Matthews, Connie R.; Selvidge, Mary M.D.; Fisher, Kent

    2005-01-01

    This study surveyed addictions counselors to determine factors that predict affirmative attitudes and behaviors with all clients and with gay, lesbian, and bisexual clients (GLB) in particular. Three factors were predictive with regard to all clients, and 5 factors were predictive with regard to GLB clients. Nonheterosexist organizational climate…

  3. A multivariate dynamic systems model for psychotherapy with more than one client

    DEFF Research Database (Denmark)

    Butner, Jonathan E.; Deits-Lebehn, Carlene; Crenshaw, Alexander

    2017-01-01

    The dynamics of the give and take between therapist and client(s) is frequently of interest to therapy process researchers. Characterizing the ways that therapists respond to clients and clients respond to therapists can be challenging in therapeutic encounters involving a single therapist and a ...

  4. The Interactive Effects of Counselor Gender, Physical Attractiveness and Status on Client Self-Disclosure.

    Science.gov (United States)

    Kunin, Carla C.; Rodin, Miriam J.

    1982-01-01

    Investigated client self-disclosure and client perception of counselors. Subjects rated counselors on intelligence and empathy, and while role-playing clients in therapy. Clients disclosed more to male counselors when counselors were high in status or attractiveness. Suggests the effect of counselor gender depends on an interaction with other…

  5. Benchmark of Client and Server-Side Catchment Delineation Approaches on Web-Based Systems

    Science.gov (United States)

    Demir, I.; Sermet, M. Y.; Sit, M. A.

    2016-12-01

    Recent advances in internet and cyberinfrastructure technologies have provided the capability to acquire large scale spatial data from various gauges and sensor networks. The collection of environmental data increased demand for applications which are capable of managing and processing large-scale and high-resolution data sets. With the amount and resolution of data sets provided, one of the challenging tasks for organizing and customizing hydrological data sets is delineation of watersheds on demand. Watershed delineation is a process for creating a boundary that represents the contributing area for a specific control point or water outlet, with intent of characterization and analysis of portions of a study area. Although many GIS tools and software for watershed analysis are available on desktop systems, there is a need for web-based and client-side techniques for creating a dynamic and interactive environment for exploring hydrological data. In this project, we demonstrated several watershed delineation techniques on the web with various techniques implemented on the client-side using JavaScript and WebGL, and on the server-side using Python and C++. We also developed a client-side GPGPU (General Purpose Graphical Processing Unit) algorithm to analyze high-resolution terrain data for watershed delineation which allows parallelization using GPU. The web-based real-time analysis of watershed segmentation can be helpful for decision-makers and interested stakeholders while eliminating the need of installing complex software packages and dealing with large-scale data sets. Utilization of the client-side hardware resources also eliminates the need of servers due its crowdsourcing nature. Our goal for future work is to improve other hydrologic analysis methods such as rain flow tracking by adapting presented approaches.

  6. Implementation of Client Incentives within a Recovery Navigation Program.

    Science.gov (United States)

    Brolin, Mary; Torres, Maria; Hodgkin, Dominic; Horgan, Constance; Lee, Margaret; Merrick, Elizabeth; Ritter, Grant; Panas, Lee; DeMarco, Natasha; Hopwood, Jonna; Gewirtz, Andrea; Straus, John; Harrington, Janice; Lane, Nancy

    2017-01-01

    Multiple detoxification admissions among clients with substance use disorders (SUD) are costly to the health care system. This study explored the impact on behavior and cost outcomes of recovery support navigator (RSN) services delivered with and without a contingent incentive intervention. New intakes at four detoxification programs were offered RSN-only (N=1116) or RSN plus incentive (RSN+I; N=1551) services. The study used a group-level cross-over design with the intervention in place at each clinic reversed halfway through the enrollment period. RSN+I clients could earn up to $240 in gift cards for accomplishing 12 different recovery-oriented target behaviors. All eligible clients entering the detoxification programs were included in the analyses, regardless of actual service use. Among RSN+I clients, 35.5% accessed any RSN services compared to 22.3% in the RSN-only group (p<.01). Of RSN+I clients, 19% earned one, 12% earned two and 18% earned three or more incentives; 51% did not earn any incentives. The majority of incentives earned were for meeting with the RSN either during or after detoxification. Adjusted average monthly health care costs among clients in the RSN-only and RSN+I groups increased at a similar rate over 12 months post-detoxification. Possible explanations for limited uptake of the incentive program discussed include features of the incentive program itself, navigator-client communication, organizational barriers and navigator bias. The findings provide lessons to consider for future design and implementation of multi-target contingency management interventions in real-world settings. Copyright © 2016 Elsevier Inc. All rights reserved.

  7. Request queues for interactive clients in a shared file system of a parallel computing system

    Science.gov (United States)

    Bent, John M.; Faibish, Sorin

    2015-08-18

    Interactive requests are processed from users of log-in nodes. A metadata server node is provided for use in a file system shared by one or more interactive nodes and one or more batch nodes. The interactive nodes comprise interactive clients to execute interactive tasks and the batch nodes execute batch jobs for one or more batch clients. The metadata server node comprises a virtual machine monitor; an interactive client proxy to store metadata requests from the interactive clients in an interactive client queue; a batch client proxy to store metadata requests from the batch clients in a batch client queue; and a metadata server to store the metadata requests from the interactive client queue and the batch client queue in a metadata queue based on an allocation of resources by the virtual machine monitor. The metadata requests can be prioritized, for example, based on one or more of a predefined policy and predefined rules.

  8. The roles of effective communication and client engagement in delivering culturally sensitive care to immigrant parents of children with disabilities.

    Science.gov (United States)

    King, Gillian; Desmarais, Chantal; Lindsay, Sally; Piérart, Geneviève; Tétreault, Sylvie

    2015-01-01

    Delivering pediatric rehabilitation services to immigrant parents of children with disabilities requires the practice of culturally sensitive care. Few studies have examined the specific nature of culturally sensitive care in pediatric rehabilitation, especially the notions of effective communication and client engagement. Interviews were held with 42 therapists (10 social workers, 16 occupational therapists and 16 speech language pathologists) from two locations in Canada (Toronto and Quebec City). Data were analyzed using an inductive content analysis approach. Study themes included the importance and nature of effective communication and client engagement in service delivery involving immigrant parents. Participants discussed using four main types of strategies to engage immigrant parents, including understanding the family situation, building a collaborative relationship, tailoring practice to the client's situation and ensuring parents' understanding of therapy procedures. The findings illuminate the importance of effective, two-way communication in providing the mutual understanding needed by therapists to engage parents in the intervention process. The findings also richly describe the engagement strategies used by therapists. Clinical implications include recommendations for strategies for therapists to employ to engage this group of parents. Furthermore, the findings are applicable to service provision in general, as engaging families in a collaborative relationship through attention to their specific situation is a general principle of good quality, family-centered care. Implications for Rehabilitation Effective communication permeates the delivery of culturally sensitive care and provides mutual understanding, which is fundamental to client engagement. The findings illuminate the nature of "partnership" by indicating the role of collaborative therapist strategies in facilitating engagement. Four main strategies facilitate effective communication and

  9. Care requirements for clients who present after rape and clients who presented after consensual sex as a minor at a clinic in Harare, Zimbabwe, from 2011 to 2014

    National Research Council Canada - National Science Library

    Rebecca E Harrison; Linda Pearson; Michael Vere; Prosper Chonzi; Brian Tafadzwa Hove; Sharon Mabaya; Margaret Chigwamba; Juliana Nhamburo; Juliet Gura; An Vandeborne; Sandra Simons; Daphne Lagrou; Eva De Plecker; Rafael Van den Bergh

    2017-01-01

    Study goals To describe the differences between clients presenting after rape and clients who have consented to sex as a minor to an SGBV clinic in Harare, Zimbabwe, and how these differences affect...

  10. Retención de clientes en agencias de eventos

    Directory of Open Access Journals (Sweden)

    Claudia Gómez-Ramírez

    2011-01-01

    Full Text Available Como componente de la mezcla de comunicación efectiva para las marcas se encuentran los "Eventos", que hoy en día exigen una gestión estratégica. Resulta clave, para las organizaciones especializadas en la prestación de este servicio, aplicar herramientas que les permitan ser competitivas a largo plazo gracias a la diferenciación. Para ello, el CESA ha estudiado la relación cliente-agencia de comunicación de marketing, fundamentalmente respecto a la importancia de la retención de clientes en relaciones B2B, como las que se llevan a cabo entre agencias de eventos y sus clientes. En el presente artículo se exponen los principales hallazgos de una investigación de tipo exploratorio acerca del tema de retención de clientes, que incluye perfiles, elementos claves para la satisfacción y factores relevantes de la relación clienteagencia de eventos como elementos fundamentales de la gestión empresarial. Al tener un mayor conocimiento del perfil de los clientes, las agencias podrán ser más productivas y competitivas, pues estarán en capacidad de ofrecer iniciativas de servicios con características particulares.

  11. Scalable TCP-friendly Video Distribution for Heterogeneous Clients

    Science.gov (United States)

    Zink, Michael; Griwodz, Carsten; Schmitt, Jens; Steinmetz, Ralf

    2003-01-01

    This paper investigates an architecture and implementation for the use of a TCP-friendly protocol in a scalable video distribution system for hierarchically encoded layered video. The design supports a variety of heterogeneous clients, because recent developments have shown that access network and client capabilities differ widely in today's Internet. The distribution system presented here consists of videos servers, proxy caches and clients that make use of a TCP-friendly rate control (TFRC) to perform congestion controlled streaming of layer encoded video. The data transfer protocol of the system is RTP compliant, yet it integrates protocol elements for congestion control with protocols elements for retransmission that is necessary for lossless transfer of contents into proxy caches. The control protocol RTSP is used to negotiate capabilities, such as support for congestion control or retransmission. By tests performed with our experimental platform in a lab test and over the Internet, we show that congestion controlled streaming of layer encoded video through proxy caches is a valid means of supporting heterogeneous clients. We show that filtering of layers depending on a TFRC-controlled permissible bandwidth allows the preferred delivery of the most relevant layers to end-systems while additional layers can be delivered to the cache server. We experiment with uncontrolled delivery from the proxy cache to the client as well, which may result in random loss and bandwidth waste but also a higher goodput, and compare these two approaches.

  12. Being empathetic: benefits and challenges for the clinician and client.

    Science.gov (United States)

    Abbott Moore, Lisa

    2010-01-01

    This article explores the meaning of empathy and how it influences clinicians in their personal and professional lives. Empathy may benefit client and clinician by improving patient satisfaction and pain management, reducing medical errors, and helping to keep clinicians grounded in the priorities of patient care. The cultural and developmental origins and neural basis of empathy are reviewed to provide insight into how a clinician's and client's emotions can interact and influence each other. Methods for cultivating and communicating empathetic responses in the clinical setting are provided, including ways of identifying and dealing with difficult clients. Concepts such as attunement, emotional labor, and parallel emotions are explained. The limitations to empathy and potential challenges or difficulties for the clinician are also explored, along with possible solutions. Narratives from the author's personal and professional life are included to illustrate how a clinician's emotions can play a significant part in interactions with clients. This discussion shows that clinicians must combine both evidenced-based practice and empathy in their interactions with clients to achieve the professional goal of high-quality care.

  13. Verbally Conditioning Client Behaviors in the Therapeutic Setting

    Directory of Open Access Journals (Sweden)

    Henry D. Schlinger, Jr.

    2011-01-01

    Full Text Available En este artículo se aborda la cuestión de cómo, a través de las interacciones verbales en contextos terapéuticos, se puede cambiar la conducta de un cliente. Sugerimos que, cuando se producen cambios de este tipo, independientemente de la orientación teórica del terapeuta, se ha producido condicionamiento verbal de la conducta del cliente. Concretamente, cualquier estimulo verbal en un contexto terapéutico que provoque tal cambio alterará también la función de contextos donde normalmente se producen las conductas o sentimientos problemáticos. Estos serán substituidos por otros sentimientos o conductas, verbales y non verbales, más sanos. Señalamos que este tipo de condicionamiento verbal tiene que ser continuo y presente siempre, tanto en el contexto de las sesiones terapéuticas como fuera de ellas, y que no solo las mejoras clínicamente relevantes se ven condicionadas por el autodiálogo del cliente, sino que también lo están los mismos problemas que experimenta el cliente. Por último, presentamos varios ejemplos de como las conductas del cliente fuera de la sesión terapéutica pueden sufrir cambios por medio de sus interacciones con el terapeuta.

  14. Client-centred occupational therapy: the importance of critical perspectives.

    Science.gov (United States)

    Whalley Hammell, Karen R

    2015-07-01

    The occupational therapy profession has proclaimed itself to be client-centred for over 30 years, but until recently this assertion remained largely unchallenged. Critical thinkers, who have begun to explore client-centred practice in occupational therapy, highlight the necessity for further critical reflection. This paper aims to define what constitutes "critical" thinking; and to persuade occupational therapists of the importance of employing critical perspectives towards the profession's assumptions and assertions regarding occupational therapy's "client-centred" practices. Critical thinking is not solely a process of carefully and thoughtfully weighing various arguments or evidence, but of additionally appraising the ideological and structural contexts in which these positions or evidence have arisen. Critical perspectives towards occupational therapy's client-centred practices identify the ways in which power is exercised by the profession, and culturally specific and disabling ideologies are perpetuated. Critical thinking enables occupational therapists to reflect on their own inequitable access to privilege and power, and reduces the potential for the profession to re-inscribe dominant ideologies that devalue disabled people and justify their inequitable opportunities. Because critical thinking demands a readiness to restructure one's thinking, and decreases the risk of acting on faulty assumptions, it is an essential component of client-centred practice.

  15. Dropping out of a transdiagnostic online intervention: A qualitative analysis of client's experiences

    Directory of Open Access Journals (Sweden)

    J. Fernández-Álvarez

    2017-12-01

    Conclusions: The analyzed content has direct impact on the clinical application of IBTs. A more tailored manage of expectations as well as strategies to enhance the therapeutic relationship in certain clients are identified as the two key elements in order to improve the dropout in IBTs. Going further, in the mid and long run, ideographic interventions would be vital. The present study permits to better grasp the phenomenon of dropout in IBTs and delineate specific implications both in terms of research, training and practice.

  16. Designing e-learning solutions with a client centred approach

    DEFF Research Database (Denmark)

    Ørngreen, Rikke; Nielsen, Janni; Levinsen, Karin

    2008-01-01

      This paper claims that the strategies applied in designing e-learning solutions tend to focus on how to proceed after the precondition, e.g., learners requirements, pedagogical choice, etc., have been decided upon. Investigating the HCI research field, we find that the methodological approaches...... as the organisation that has initiated the e-learning project and needs to manage the e-learning system after its development. Through the Client Centred Design and in close collaboration with the client, three strategic issues are uncovered and strategic models are presented for each. These models are complementary...... perspectives in a Client Centred framework that is useable as the starting point for others in developing large scale e-learning projects....

  17. Structuring vendor-client relationships–a combinatorial approach

    DEFF Research Database (Denmark)

    Volani, Natalia; Herbert-Hansen, Zaza Nadja Lee

    Purpose –Vendor-client (VC) relationships play an important role to a company’s general strategy and goals. However, managing these relationships can be a complex undertaking. The purpose of this paper is to assist in identifying the most important factors in assessing a VC relationship and provide...... been used for validation purposes, whereas other factors have been compared to empirical data from literature research. Findings – The framework presented combines various approaches when handling vendor-client relationships and, therefore, minimizes subjectivity. The factors that have been proven...... in relation to the evaluation of a vendor-client relationship. Furthermore, when such a relationship is evaluated, only one conceptual framework is chosen, leading to several limitations. This paper combines different frameworks in order to create a holistic framework which incorporates several parameters...

  18. Client retention and health among sex workers in Nairobi, Kenya.

    Science.gov (United States)

    Izugbara, Chimaraoke O

    2012-12-01

    It is still a small body of research that directly addresses female sex workers' relationships with their regular commercial male partners. I used ethnographic data from Nairobi, Kenya to interrogate motivations and strategies for recruiting and retaining regular male clients among female sex workers (FSWs). Regular commercial male partners, popularly called customer care, wera or wesh by Nairobi's FSWs, played diverse roles in their lives. Client retention enabled sex workers to manage the risk of reduced marriage prospects, guaranteed them steady work, livelihoods, and incomes, and prevented their victimization and harassment. To retain clients, sex workers obliged them a great deal, pretended they had quit prostitution, and sometimes resorted to magical practices. However, these strategies were also accompanied by risks that reinforced the vulnerability of sex workers. Lack of critical attention to sex workers' practices for managing perceived risks in their particular type of work may hamper current programmatic efforts to make their job safer.

  19. Surfing for Data: A Gathering Trend in Data Storage Is the Use of Web-Based Applications that Make It Easy for Authorized Users to Access Hosted Server Content with Just a Computing Device and Browser

    Science.gov (United States)

    Technology & Learning, 2005

    2005-01-01

    In recent years, the widespread availability of networks and the flexibility of Web browsers have shifted the industry from a client-server model to a Web-based one. In the client-server model of computing, clients run applications locally, with the servers managing storage, printing functions, and network traffic. Because every client is…

  20. Indigenous clients intersecting with mainstream nursing: a reflection.

    Science.gov (United States)

    Trueman, Scott

    2017-01-01

    Mental health care for Australian Aboriginal and Torres Strait Islander people living in rural and remote locations is delivered primarily by nurses. Culturally safe therapeutic interventions can promote understanding and improve care. Reflective knowledge thinking, writing and practice can support nurses to practice cultural safety. Two instances of mental health care for Australian Aboriginal and Torres Strait Islander clients are described in this reflective piece of writing. The care provided in both instances was culturally inappropriate and/or inadequate. I was an agent or observer in both cases, which happened during my employment as a mental health nurse in Australia. The first story, 'the traumatisation of Client A' describes an instance where I, from a place of ignorance, acted without cultural sensitivity and knowledge. I restrained and observed a client in a way that accorded with workplace policy but, at the same time, failed to take into account the circumstances and cultural safety of my client. The second story, 'the misunderstandings about Client B', occurred much later in my career. This time, I engaged with the client, acted with cultural safety, listened to his story and was able to clear up misunderstandings surrounding his presentation to hospital. The two events described in this article led me to discover the nurse I was then and the nurse I have become now. In comparing the two events and my level of awareness and understanding of Aboriginal peoples, along with my own actions, I reflect on my own journey of discovery, which has informed and shaped my awareness as a culturally safe and more sensitive nurse.

  1. Prevalence and risk factors of frailty among home care clients.

    Science.gov (United States)

    Miettinen, Minna; Tiihonen, Miia; Hartikainen, Sirpa; Nykänen, Irma

    2017-11-17

    Frailty is a common problem among older people and it is associated with an increased risk of death and long-term institutional care. Early identification of frailty is necessary to prevent a further decline in the health status of home care clients. The aims of the present study were to determine the prevalence of frailty and associated factors among 75-year-old or older home care clients. The study participants were 75-year-old or older home care clients living in three cities in Eastern and Central Finland. Home care clients who had completed the abbreviated Comprehensive Geriatric Assessment (aCGA) for frailty (n = 257) were included in the present study. Baseline data were obtained on functional status, cognitive status, depressive symptoms, self-rated health, ability to walk 400 m, nutritional status, drug use and comorbidities. Most of the home care clients (90%) were screened for frailty using the aCGA. Multivariate analysis showed that the risk of malnutrition or malnutrition (OR = 4.27, 95% CI = 1.56, 11.68) and a low level of education (OR = 1.14, 95% CI = 1.07, 1.23) were associated with frailty. Frailty is a prevalent problem among home care clients. The risk of malnutrition or malnourishment and a lower level of education increase the risk of frailty. Screening for frailty should be done to detect the most vulnerable older people for further intervention to prevent adverse health problems. ClinicalTrials.gov: NCT02214758 .

  2. Automatic invariant detection in dynamic web applications

    NARCIS (Netherlands)

    Groeneveld, F.; Mesbah, A.; Van Deursen, A.

    2010-01-01

    The complexity of modern web applications increases as client-side JavaScript and dynamic DOM programming are used to offer a more interactive web experience. In this paper, we focus on improving the dependability of such applications by automatically inferring invariants from the client-side and

  3. Using the Domain Name System to Thwart Automated Client-Based Attacks

    Energy Technology Data Exchange (ETDEWEB)

    Taylor, Curtis R [ORNL; Shue, Craig A [ORNL

    2011-09-01

    On the Internet, attackers can compromise systems owned by other people and then use these systems to launch attacks automatically. When attacks such as phishing or SQL injections are successful, they can have negative consequences including server downtime and the loss of sensitive information. Current methods to prevent such attacks are limited in that they are application-specific, or fail to block attackers. Phishing attempts can be stopped with email filters, but if the attacker manages to successfully bypass these filters, then the user must determine if the email is legitimate or not. Unfortunately, they often are unable to do so. Since attackers have a low success rate, they attempt to compensate for it in volume. In order to have this high throughput, attackers take shortcuts and break protocols. We use this knowledge to address these issues by implementing a system that can detect malicious activity and use it to block attacks. If the client fails to follow proper procedure, they can be classified as an attacker. Once an attacker has been discovered, they will be isolated and monitored. This can be accomplished using existing software in Ubuntu Linux applications, along with our custom wrapper application. After running the system and seeing its performance on three popular Web browsers Chromium, Firefox and Internet Explorer as well as two popular email clients, Thunderbird and Evolution, we found that not only is this system conceivable, it is effective and has low overhead.

  4. A cloud-based forensics tracking scheme for online social network clients.

    Science.gov (United States)

    Lin, Feng-Yu; Huang, Chien-Cheng; Chang, Pei-Ying

    2015-10-01

    In recent years, with significant changes in the communication modes, most users are diverted to cloud-based applications, especially online social networks (OSNs), which applications are mostly hosted on the outside and available to criminals, enabling them to impede criminal investigations and intelligence gathering. In the virtual world, how the Law Enforcement Agency (LEA) identifies the "actual" identity of criminal suspects, and their geolocation in social networks, is a major challenge to current digital investigation. In view of this, this paper proposes a scheme, based on the concepts of IP location and network forensics, which aims to develop forensics tracking on OSNs. According to our empirical analysis, the proposed mechanism can instantly trace the "physical location" of a targeted service resource identifier (SRI), when the target client is using online social network applications (Facebook, Twitter, etc.), and can analyze the probable target client "identity" associatively. To the best of our knowledge, this is the first individualized location method and architecture developed and evaluated in OSNs. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  5. Development of Client Environments for a Synchronization System based on Events; Desarrollo de Entornos Cliente para un Sistema de Sincronizacion Basado en Eventos

    Energy Technology Data Exchange (ETDEWEB)

    Pereira, A.; Vega, J.

    2005-07-01

    The Asynchronous Event Distribution System (AEDS) was built to provides synchronization resources within the TJ-II local area network. It is a software system developed to add soft synchronization capabilities to the TJ-II data acquisition, control and analysis environments Soft synchronization signifies that AEDS is not a realtime system. In fact, AEDS is based on TCP/IP over ETHERNET networks. However, its response time is adequate for practical purposes when synchronization requirements can support some delay between event dispatch and message reception. Event broadcasters (or synchronization servers in AEDS terminology) are Windows computers. Destination computers (or synchronization clients) were also Windows machines in the first version of AEDS. However, this fact imposed a very important limitation on synchronization capabilities. to overcome this situation, synchronization clients for different environments have been added to AEDS: time-sharing operating systems (UNIX and LINUX), real-time operating systems (OS9 and VxWorks) and Java applications. The synchronization primitives that operate in these systems are very different between them and therefore, several approaches were chosen in order to provide the same functionality to the various environments. POSLX thread library with its basic synchronization primitives (mutex and conditions variables) was used to accomplish this task on UNIX/LINUX systems, IPC mechanisms for concurrent processes on OS9 and VxWorks real time operating systems, and synchronized-wait/notify primitives on Java virtual machines. (Author) 11 refs.

  6. Retención de clientes en agencias de eventos

    OpenAIRE

    Claudia Gómez-Ramírez

    2011-01-01

    Como componente de la mezcla de comunicación efectiva para las marcas se encuentran los "Eventos", que hoy en día exigen una gestión estratégica. Resulta clave, para las organizaciones especializadas en la prestación de este servicio, aplicar herramientas que les permitan ser competitivas a largo plazo gracias a la diferenciación. Para ello, el CESA ha estudiado la relación cliente-agencia de comunicación de marketing, fundamentalmente respecto a la importancia de la retención de clientes en ...

  7. A brain-computer interface controlled mail client.

    Science.gov (United States)

    Yu, Tianyou; Li, Yuanqing; Long, Jinyi; Wang, Cong

    2013-01-01

    In this paper, we propose a brain-computer interface (BCI) based mail client. This system is controlled by hybrid features extracted from scalp-recorded electroencephalographic (EEG). We emulate the computer mouse by the motor imagery-based mu rhythm and the P300 potential. Furthermore, an adaptive P300 speller is included to provide text input function. With this BCI mail client, users can receive, read, write mails, as well as attach files in mail writing. The system has been tested on 3 subjects. Experimental results show that mail communication with this system is feasible.

  8. Treatment of Deaf Clients: Ethical Considerations for Professionals in Psychology

    Science.gov (United States)

    Boness, Cassandra L.

    2016-01-01

    Providing therapy to deaf clients raises important ethical considerations for psychologists related to competence; multiple relationships and boundary issues; confidentiality; assessment, diagnosis, and evaluation; and communication and using interpreters. In evaluating and addressing these, psychologists must consider the APA’s Ethics Code and other relevant issues (e.g., ADA) necessary to provide ethical treatment. The current article provides background, ethical considerations, principles and standards relevant to the treatment of deaf clients, and recommendations to support psychologists, training programs, and the field. Psychologists have the responsibility to guarantee that the benefits of mental health treatment are fairly and justly provided to this traditionally underserved population. PMID:27917030

  9. Agregador / gestor de noticias y cliente para iPhone

    OpenAIRE

    SAORÍN BERNAL, FRANCISCO JAVIER

    2015-01-01

    La presente memoria abarca la descripción y desarrollo del Trabajo Fin de Grado “Agregador/gestor de noticias y cliente para iPhone”, consistente en un servicio web cuya función es la de recopilar periódicamente la información de noticias RSS de diferentes sitios web con ayuda de APIs de terceros como Google y la librería SimplePie para llevar a cabo el parseado de las fuentes RSS. Dichas fuentes son previamente añadidas al servicio a través de una aplicación móvil (app cliente...

  10. Integrating mental health and addictions services to improve client outcomes.

    Science.gov (United States)

    Peterson, Ashley L

    2013-10-01

    Substance use disorders are highly prevalent among adults with mental health disorders. In many health service delivery areas, mental health and addictions services are delivered separately. However, current best practices indicate that integration of mental health and addictions services can lead to better outcomes for clients with co-occurring disorders, including fewer hospitalizations. Service integration in the community can occur in many ways, including full or partial program integration. While the delivery of mental health and addictions services must be responsive to the needs of the local community, fully integrated programs have the strongest evidence base for positive client outcomes.

  11. Verbally Conditioning Client Behaviors in the Therapeutic Setting

    OpenAIRE

    Henry D. Schlinger, Jr.; Galen Alessi

    2011-01-01

    En este artículo se aborda la cuestión de cómo, a través de las interacciones verbales en contextos terapéuticos, se puede cambiar la conducta de un cliente. Sugerimos que, cuando se producen cambios de este tipo, independientemente de la orientación teórica del terapeuta, se ha producido condicionamiento verbal de la conducta del cliente. Concretamente, cualquier estimulo verbal en un contexto terapéutico que provoque tal cambio alterará también la función de contextos donde normalmente se p...

  12. Networks implementation using thin clients in educational sector

    OpenAIRE

    Valencia Ayala, Luz Estela; Medina Arias, Camilo Ernesto; Valencia Ochoa, Juan Carlos

    2008-01-01

    En este articulo se presenta una alternativa para la reutilización de equipos de cómputo en las instituciones y centros educativos, promoviendo el uso de la tecnología de clientes livianos con el fin de aumentar la infraestructura tecnológica y de esta manera proporcionar mayor acceso a las Tecnología de la Información y Comunicación -TIC’s. Los clientes livianos son una alternativa que puede implementarse en algunas áreas de organizaciones en donde se realicen tareas de cómputo simples, ...

  13. Client/Server distributed processing using SunOS remote procedure protocol

    Energy Technology Data Exchange (ETDEWEB)

    Hammer, K.E.; Gilman, T.L.

    1990-01-01

    Over the last ten years the development of PC's and workstations has changed the way computing is performed. Previously, extensive computations were performed on large high speed mainframe machines with substantial storage capacity. Large capital and operational costs were associated with these machines. The advent of more powerful workstations has brought more computational cycles to the users at lower cost than was achieved with busy timesharing systems. However, many users still can't afford individual special purpose hardware or gigabytes of storage. A successful distributed processing environment must share these resources. Client/Server models have been proposed to address the issues of shared resources. They are not a new idea, but their implementation has been difficult. With the introduction of SUN's public domain Remote Procedure Call (RPC) Protocol and SUN's interface generator, RPCGEN, their implementation has been made easier. SUN has developed a set of C'' callable routines that handle the Client/Server operations. The availability of Network File System (NFS) on the SRL CRAY and the arrival of Wollongong's latest version of NFS has allowed applications and information sharing between computing platforms. This paper reviews the Client/Server model with respect to SUN's RPC implementation. The discussion will focus on the RPC connection between local and remote machines, the RPC Paradigm for making remote procedure calls, and the programming levels of the RPC libraries. The paper will conclude with summaries of two applications developed at SRL using the protocol and their effect on our computing environment. These include the Nuclear Plant Analyzer and an animation of fluids using behavioral simulation of atom-like particles.

  14. What are the Benefits of PCSI to Clients?

    Centers for Disease Control (CDC) Podcasts

    2009-12-07

    This podcast describes how PCSI directly benefits clients by maximizing opportunities to screen, test, treat, or vaccinate those in need of services.  Created: 12/7/2009 by National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP).   Date Released: 12/7/2009.

  15. Client Satisfaction and Trust in the South African Public Service ...

    African Journals Online (AJOL)

    This article discusses the relationship between service quality (as defined by the legislative framework) from the public service and client satisfaction from the point of view of citizens. The article will confine itself to organisational trust – that is, the experience and perception held by citizens of the commitment and ...

  16. The prevalence of glucose intolerance among antenatal clients at ...

    African Journals Online (AJOL)

    Objectives: To determine the prevalence of and associated factors for glucose intolerance among antenatal clients at Kenyatta National Hospital at 24-36 weeks of gestation. Design: Cross-sectional analytical study. Setting: Kenyatta National Hospital antenatal clinic. Subjects: One hundred and two (102) antenatal mothers ...

  17. Clinical Assessment of Dissociative Identity Disorder among College Counseling Clients

    Science.gov (United States)

    Levy, Benjamin; Swanson, Janine E.

    2008-01-01

    College counseling professionals address a wide range of complex student mental health concerns. Among these, accurately identifying client presentations of dissociative identity disorder (DID) can be especially challenging because students with DID sometimes present as if they are experiencing another problem, such as a mood, anxiety, or…

  18. A Client-Centered Approach to Teacher Development.

    Science.gov (United States)

    Nunan, David

    1989-01-01

    Presents a rationale for adopting a client-centered approach for foreign language teacher development programs. An inservice English-as-a-second-language teacher education workshop in Adelaide (Australia) helped participants to select and grade learning tasks. Participants then incorporated the "good" learning tasks into their own…

  19. Prevalence of malaria at booking among antenatal clients in a ...

    African Journals Online (AJOL)

    Administrator

    ABSTRACT. The prevalence of malaria parasitemia at booking was studied in 1,848 pregnant women in a secondary hospital in Ibadan, Nigeria. Main outcome variables were patent parasitemia and fever. 8.4% had patent malaria parasitaemia. Most clients (89%) with parasitemia were asymptomatic. Febrile subjects ...

  20. The Vredefort Dome World Heritage Site: Client satisfaction with ...

    African Journals Online (AJOL)

    In an attempt to demonstrate this industry's significance in terms of its economic, recreation and leisure-related value, this study set out to determine levels of client satisfaction with aspects concerning the operator's choice of pre-trip, transport and catering arrangements, sensitivity towards toilet and trash issues, interest in ...

  1. The experiences of clients and healthcare providers regarding the ...

    African Journals Online (AJOL)

    A qualitative, exploratory and contextual design using a phenomenological approach to enquire about the participants' experiences was implemented. Purposive sampling resulted in the selection of 23 clients who used the reproductive healthcare services and ten healthcare providers who were interviewed during ...

  2. Why "Who Is the Client?" Is the Wrong Ethical Question

    Science.gov (United States)

    Fisher, Mary Alice

    2014-01-01

    The familiar question "Who is the client?" elicits a singular answer. This may be appropriate as a clinical question, and it is sometimes necessary as a legal question or reimbursement question, but on ethical questions, the National Association of School Psychologists Ethics Code requires school psychologists to "think plural"…

  3. HIV Prevalence amongst Clients Attending Antenatal Clinic at the ...

    African Journals Online (AJOL)

    Cross-sectional study of 262 randomly selected women that booked for antenatal care at the Federal Medical Centre Makurdi between 1 January 2007 to 30 April, 2007 was carried out. Information regarding age, parity, gestational age at booking, educational status and HIV sero-status of the clients were looked into.

  4. Attitude To Caesarean Section Amongst Antenatal Clients In Ibadan ...

    African Journals Online (AJOL)

    This was a cross-sectional study carried out on 372 clients receiving antenatal care at a rural, suburban and urban centres, in order to assess the acceptance of caesarean delivery amongst them and the factors influencing their attitude. Caesarean section was acceptable to 65.7%. Many respondents will refuse the surgery, ...

  5. Does bank failure affect client firms? Micro evidence from Estonia

    Czech Academy of Sciences Publication Activity Database

    Joeveer, Karin

    -, č. 224 (2004), s. 1-29 ISSN 1211-3298 Institutional research plan: CEZ:AV0Z7085904 Keywords : bank failure * client firm performance * firm bankruptcy Subject RIV: AH - Economics http://www.cerge-ei.cz/pdf/wp/Wp224.pdf

  6. Client-Centered Problem-Solving Networks in Complex Organizations.

    Science.gov (United States)

    Tucker, Charles; Hanna, Michael

    Employees in different kinds of organizations were surveyed for their perceptions of their companies' client and operational problem-solving networks. The individuals came from a manufacturing firm, a community college, a telephone company, a farmers' cooperative, and a hospital. Interviews were conducted with those people reporting numerous…

  7. Nonverbal Communication and Client Satisfaction in Computer-Assisted Transactions.

    Science.gov (United States)

    Ketrow, Sandra M.

    1991-01-01

    Tests the arousal-valence model of nonverbal communication by examining the effect of selected immediate nonverbal communication cues exhibited by bank tellers on the satisfaction of their clients in banking transactions. Finds that immediacy in brief impersonal transactions is not a significant predictor of satisfaction. (SR)

  8. Survey of urologists on clients' demand for screening for prostate ...

    African Journals Online (AJOL)

    2011-03-05

    Mar 5, 2011 ... Objective: The aim of this article is to document the experience of urologists on clients' demand for prostate cancer screening among Nigerians. Materials and Methods: The study is a cross-sectional evaluation of the urologists that attended the Fourteenth Annual. Meeting and the Scientific Conference of ...

  9. Malaria among antenatal clients attending primary health care ...

    African Journals Online (AJOL)

    anémie chez les femmes enceintes qui fréquentent les ... proportion plus élevée de primigravid et secondigravid clients (61 % VS 39 %) et les jeunes femmes enceintes (54,6 % ..... as teenage mothers than those with higher gravidity and older.

  10. Client-Server Connection Status Monitoring Using Ajax Push Technology

    Science.gov (United States)

    Lamongie, Julien R.

    2008-01-01

    This paper describes how simple client-server connection status monitoring can be implemented using Ajax (Asynchronous JavaScript and XML), JSF (Java Server Faces) and ICEfaces technologies. This functionality is required for NASA LCS (Launch Control System) displays used in the firing room for the Constellation project. Two separate implementations based on two distinct approaches are detailed and analyzed.

  11. Use of Drama Students as "Clients" in Teaching Abnormal Psychology.

    Science.gov (United States)

    Gilliland, Kirby

    1982-01-01

    Describes the use of drama students to role play subjects of case studies in simulations of standard interviews in a college-level abnormal psychology class. Graduate drama students role-played clients in interviews with instructors or student panels. After the interviews, class discussion covered alternative possible diagnoses and possible…

  12. Prevalence of malaria at booking among antenatal clients in a ...

    African Journals Online (AJOL)

    The prevalence of malaria parasitemia at booking was studied in 1,848 pregnant women in a secondary hospital in Ibadan, Nigeria. Main outcome variables were patent parasitemia and fever. 8.4% had patent malaria parasitaemia. Most clients (89%) with parasitemia were asymptomatic. Febrile subjects booked at an ...

  13. Therapists' Experience of Working with Suicidal Clients | Rossouw ...

    African Journals Online (AJOL)

    When therapists discover that phenomena are not necessarily what they appear to be, they feel unsettled and confused about their responsibilities and what it means to live and die as a human being. The study reveals that therapists experience a profound legacy of guilt, doubt and fear when a client commits suicide.

  14. Advance provision of oral contraceptives to family planning clients in ...

    African Journals Online (AJOL)

    Objective: In sub-Saharan Africa, many family planning programmes do not encourage advance provision of oral contraceptives to clients who must wait until menses to initiate pill use. Since some resistance to advance provision of pills is due to provider fears that the practice may be harmful, we conducted a study in Kenya ...

  15. Connaissances, attitudes et pratiques en focus group des clients ...

    African Journals Online (AJOL)

    2010-02-06

    Objective: To evaluate the knowledge, attitudes and practices about prevention of mother-to-child transmission of HIV (PMTCT) among clients in focus group in Togo. Methods: A cross-sectional study was conducted in 20 antenatal clinics involved in PMTCT activities from January 18 to February 6, 2010. Data were collected ...

  16. Clients\\' Satisfaction With Services For Prevention Of Mother-To ...

    African Journals Online (AJOL)

    A significant difference (P = 0.02) was observed between clients with no formal education as compared to those with primary level of education and above. ... in individual counselling, inadequate on site test supplies and equipment and cost incurred when travelling to seek for PMTCT service from a referral or satellite health ...

  17. Counseling Minor Clients. The ACA Legal Series, Volume 4.

    Science.gov (United States)

    Salo, Mark M.; Shumate, Stephen G.

    This monograph addresses many of the questions mental health professionals find themselves asking when faced with counseling minor clients. The monograph begins by examining how children and adolescents are viewed in the eyes of the law and discusses a minor's legal right to seek or refuse counseling services. Issues involving custody and…

  18. An analysis of hypnotherapist-client sexual intimacy.

    Science.gov (United States)

    Hawkins, R

    1993-10-01

    While sexual interaction between psychologists, physicians, and other health therapists of all kinds and their clients is typically condemned by professional bodies as unethical, the controversy regarding the potential for hypnosis to produce compliant behavior in unwilling or nonconsenting subjects suggests that hypnotherapist-client sex may warrant special attention. Because the experiments required to clarify the potential for hypnosis to potentiate nontrivial compliance are themselves unethical and/or inconclusive, experimental methods cannot be adequately used to clarify this issue. Instead, the matter can be addressed by reference to other forms of evidence, such as the responses of therapists and clients to anonymous surveys and the analysis of cases, that have reached the courts. Consideration of this qualitatively deficient evidence suggests that even if the use of hypnotic suggestion can lead to compliance to sexual demands, overt coercion is seldom used in practice. Social psychological and situational factors are particularly salient in understanding therapist-client sex. The question of whether there are special properties of the dynamics of the hypnotic experience, other than specific coercive suggestion and beyond those typically found in other forms of therapy, is considered. Comparisons are drawn with other examples of socially condemned sex, such as teacher-student sex, sexual harassment in the workplace, incest, and extramarital sex.

  19. Treatment of Deaf Clients: Ethical Considerations for Professionals in Psychology

    OpenAIRE

    Boness, Cassandra L.

    2015-01-01

    Providing therapy to deaf clients raises important ethical considerations for psychologists related to competence; multiple relationships and boundary issues; confidentiality; assessment, diagnosis, and evaluation; and communication and using interpreters. In evaluating and addressing these, psychologists must consider the APA’s Ethics Code and other relevant issues (e.g., ADA) necessary to provide ethical treatment. The current article provides background, ethical considerations, principles ...

  20. Beyond Multiplication: Incorporating Importance into Client Satisfaction Measures

    Science.gov (United States)

    Hsieh, Chang-Ming

    2014-01-01

    Objective: This article brings the discussions on incorporating perceived importance across study areas into the study of client satisfaction and cautions the use of multiplicative scores (multiplying satisfaction and importance scores) as a weighting method. An alternative weighting method is provided. Method: Analyze data from a client…

  1. The ethical reasoning process of auditors in a clients confidential ...

    African Journals Online (AJOL)

    This study was conducted to investigate the reasoning process of auditors in Nigeria when faced with an ethical dilemma involving sensitive client information. The survey approach, involving three scenarios was used. The findings show that auditors usually adhere to the code of professional conduct in taking decisions.

  2. The measurement of emotional reactions of bank clients

    Directory of Open Access Journals (Sweden)

    Marinković Veljko

    2014-01-01

    Full Text Available Focus on customers is an important factor in gaining sustainable competitive advantage of retail banks. Modern marketing-oriented banks have to be focused towards understanding and meeting the financial requirements of their clients. Attention of bank management should also be directed towards the study of quality of relationships between a bank and its clients. In this context, it is important to measure emotional reactions of clients. The aim of this paper is to identify the key drivers of emotional reactions. Specifically, two emotional reactions are observed in the paper: satisfaction and affective commitment. In the conducted study, two research models that include four independent variables (service quality, bank image, trust and social bonds are designed, wherein satisfaction is regarded as dependent variable in the first model, while affective commitment is given the role of dependent variable in the second model. The results indicate a moderate degree of satisfaction, but also a low level of affective commitment of the respondents. In addition, trust is stressed as the most important factor of emotional reactions. On the other hand, clients believe that banks provide a good quality service, where the quality stands out as an important driver of satisfaction, but not as a driver of affective commitment.

  3. The Effects of Incest on Therapist Assessment of Female Clients.

    Science.gov (United States)

    Meiselman, Karin C.; Sheehy, Nancy

    The occurrence of incest in which a female child is molested by an older male family member may be increasing as the number of stepfamilies increases, because previous evidence suggests that girls living with stepfathers are at greater risk for molestation. If psychotherapists will be seeing more incest-history clients as a result of this trend,…

  4. Towards Mining Latent Client Identifiers from Network Traffic

    Directory of Open Access Journals (Sweden)

    Jain Sakshi

    2016-04-01

    Full Text Available Websites extensively track users via identifiers that uniquely map to client machines or user accounts. Although such tracking has desirable properties like enabling personalization and website analytics, it also raises serious concerns about online user privacy, and can potentially enable illicit surveillance by adversaries who broadly monitor network traffic.

  5. off between the substance dependent client and the therapist

    African Journals Online (AJOL)

    Adele

    If therapists them- selves reflect honestly on their approaches to the treatment of substance dependent clients in practice, I dare say most, or at least some, of us ... The paper will focus on motivational interviewing, autonomy, virtue, human rights, duty to care, justice and common ... play an “add-on” role in its development.

  6. Searching for Mercy Street: Protecting Records after the Client's Death.

    Science.gov (United States)

    Schoener, Gary R.

    The duties of a therapist to a deceased client are not directly dealt with in codes of ethics. The issues came into focus following the publication of a biography of Anne Sexton, as it contained information from more than 80 hours of therapy that Ms. Sexton's psychologist released to the biographer. This paper considers the question of whether the…

  7. Relating Ethnic Identity, Acculturation, and Attitudes toward Treating Minority Clients.

    Science.gov (United States)

    Gurung, Regan A. R.; Mehta, Vivek

    2001-01-01

    The attitudes of medical students of Indian decent (N=150) toward treating minority clients and using alternative therapies were assessed in relationship to the students' ethnic identity, acculturation, and self-concept. Students with strong ethnic identity and acculturation were more likely to treat minority patients and use alternative…

  8. Client and therapist values in relation to drop-out

    NARCIS (Netherlands)

    Vervaeke, G.A.C.; Vertommen, H; Storms, G

    Although since the 1980s a majority of therapists were found to believe that values are embedded in psychotherapy (Garfield and Bergin, 1994), values are seldom a part of explicit interaction between client and therapist in clinical practice. One possible reason for the discrepancy between the

  9. Personality Processes Reflected in Client Vocal Style and Rorschach Performance

    Science.gov (United States)

    Rice, Laura North; Gaylin, Ned L.

    1973-01-01

    Vocal style was proposed as a useful variable with which to classify groups of clients in order to study the differential effects of various therapeutic maneuvers. Relationships between voice quality ratings in early psychotherapy interviews and pretherapy Rorschach and Minnesota Multiphasic Personality Inventory scores were investigated in order…

  10. Measuring Client Experiences of Motivational Interviewing during a Lifestyle Intervention

    Science.gov (United States)

    Madson, Michael B.; Mohn, Richard S.; Schumacher, Julie A.; Landry, Alicia S.

    2015-01-01

    The Client Evaluation of Motivational Interviewing was used to assess motivational interviewing experiences in a predominantly female, African American sample from the Southeastern United States who received motivational interviewing-based feedback during a multicomponent lifestyle intervention. Motivational interviewing was experienced…

  11. Confronting infertility in Iranian clients: a grounded theory.

    Science.gov (United States)

    Zandi, Mitra; Mohammadi, Eesa; Vanaki, Zohreh; Shiva, Marziyeh; Bagheri Lankarani, Narges; Zarei, Faezeh

    2017-12-01

    The present study examined how infertile Iranian clients confront infertility. Research on infertility has confirmed the significance of a socio-cultural context in the formation of responses to infertility. This study used the grounded theory approach to explore the experiences of infertile individuals presenting at the Royan Institute in Iran from October 2013 to September 2014. Clients with infertility of at least two years in duration were recruited using purposive sampling followed by theoretical sampling. A total of 41 interviews were conducted with 36 people. Data were collected through in-depth unstructured interviews and field notes. Data analysis was performed using MAXQDA 2007. A sense of 'insecurity about personal and family identity' shaped in the context of 'facing the cultural-economic dilemmas' was identified as the main concern of infertile clients. The clients dealt with this concern through a series of strategies that included gradual acceptance of infertility, seeking information and consultation, pursuing treatment, focusing on saving the marriage, self-control and resilience and fighting inner turmoil. All these approaches suggest 'protecting personal and family identity' as the core concept. The findings highlight the need for the health care system to treat infertility as a broad concept than mere individual and biological dysfunction.

  12. The Choice of Contraceptive Method among New Clients attending ...

    African Journals Online (AJOL)

    Background Nigeria is Africa's most populous state with a low rate of contraceptive use. Factors affecting the method of contraception chosen vary widely across different parts of the country. We studied the preferred methods and characteristics of new clients attending a family planning clinic in a teaching hospital in ...

  13. Family Planning Services: A Guide for Client Education.

    Science.gov (United States)

    Los Angeles Regional Family Planning Council, CA.

    This guidebook is designed to assist health workers in the delivery of information and education regarding reproductive health and fertility control to family planning clients. Aspects of services that might be provided by various staff members are suggested. Initially, family planning philosophy from which general operating principles are derived…

  14. The network of corporate clients: customer attrition at commercial banks

    Science.gov (United States)

    Lublóy, Á.; Szenes, M.

    2008-12-01

    Commercial banks might profit from the adoption of methods widely used in network theory. A decision making process might become biased if one disregards network effects within the corporate client portfolio. This paper models the phenomenon of customer attrition by generating a weighted and directed network of corporate clients linked by financial transactions. During the numerical study of the agent-based toy model we demonstrate that multiple steady states may exist. The statistical properties of the distinct steady states show similarities. We show that most companies of the same community choose the same bank in the steady state. In contrast to the case for the steady state of the Barabási-Albert network, market shares in this model equalize by network size. When modeling customer attrition in the network of 3 × 105 corporate clients, none of the companies followed the behavior of the initial switcher in three quarters of the simulations. The number of switchers exceeded 20 in 1% of the cases. In the worst-case scenario a total of 688 companies chose a competitor bank. Significant network effects have been discovered; high correlation prevailed between the degree of the initial switcher and the severity of the avalanche effect. This suggests that the position of the corporate client in the network might be much more important than the underlying properties (industry, size, profitability, etc) of the company.

  15. Physical after effects and clients satisfaction following colposcopy ...

    African Journals Online (AJOL)

    EB

    Objectives: A prospective study among 111 women who had colposcopy and cervical biopsy following an abnormal Pap smear result at the ... Conclusion: Although majority of the clients who had colposcopy and cervical biopsy reported they experienced physical side effects .... groups in terms of parity, type of cytological.

  16. Importance of the Sex of Worker and Client

    Science.gov (United States)

    Schwartz, Mary C.

    1974-01-01

    The author surveys the writings of the last eight years of "Social Work" in order to study the profession's attitude toward the sex factor (sex of case worker and of client groups), and to determine whether and how this factor has been interpreted in professional thinking. (Author/EAK)

  17. Voluntary Genital Ablations: Contrasting the Cutters and Their Clients

    Directory of Open Access Journals (Sweden)

    Robyn A. Jackowich, BA

    2014-08-01

    Conclusions: This study may help identify individuals who are at risk of performing illegal castrations. That information may help healthcare providers protect individuals with extreme castration ideations from injuring themselves or others. Jackowich RA, Vale R, Vale K, Wassersug RJ, and Johnson TW. Voluntary genital ablations: Contrasting the cutters and their clients. Sex Med 2014;2:121–132.

  18. 37 CFR 10.33 - Direct contact with prospective clients.

    Science.gov (United States)

    2010-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Direct contact with prospective clients. 10.33 Section 10.33 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND... evidencing undue influence, intimidation, or overreaching. The term “solicit” includes contact in person, by...

  19. Creation of the client for the communications protocol Jabber

    OpenAIRE

    Pešková, Petra

    2010-01-01

    This Bachaleror's thesis describes and compares the best known communication protocols (ICQ, AIM, MSN, Gadu Gadu, IRC, Google chat a Yahoo! Messenger), especially the Jabber protocol. A part of this thesis is to design an instant messaging client based on Jabber protocol.

  20. Fifteen Years Evaluation Of Haematocrit Values In Clients Accepting ...

    African Journals Online (AJOL)

    The study retrospectively evaluated the haematocrit values of clients accepting female sterilization over a 15year period in Jos University Teaching Hospital, Jos, Plateau State, Nigeria. Between January 1985 and December 1999, 2986 female sterilizations, through minilaparotomy, were performed. The mean (± SD) age ...

  1. Effects of an Intake Interview on Clients' Anxiety and Depression.

    Science.gov (United States)

    Hutchinson, Roger L.; And Others

    It has generally been accepted that brief interactions with counselors can provide significant mood or symptom improvements in potential psychotherapy clients. Of primary importance appears to be the reduction of anxiety and depression and, consequently, the activation of hope which may be triggered simply by the act of being interviewed by a…

  2. Survey of urologists on clients' demand for screening for prostate ...

    African Journals Online (AJOL)

    Objective: The aim of this article is to document the experience of urologists on clients' demand for prostate cancer screening among Nigerians. Materials and Methods: The study is a cross-sectional evaluation of the urologists that attended the Fourteenth Annual Meeting and the Scientific Conference of the Nigerian ...

  3. Dealing with difficult library clients- perspectives from Nigerian ...

    African Journals Online (AJOL)

    ... of handling it in case it arises in different types of libraries in Nigeria. The study recommended that there should be a periodic training on customer care service for all library staff and list of services to be paid for should be displayed conspicuously in libraries amongst others. Keywords: Library, clients, Nigerian, Librarians.

  4. A study of valuation clients perception on mortgage valuation reliability

    African Journals Online (AJOL)

    ... strain in many business dealings. This paper studies the perception of clients on reliability of mortgage valuation in Nigeria. A sample size of 50 lending institutions was randomly chosen representing 57.5% of the target population in Lagos State, the study area. The study used descriptive statistic to analyse the data.

  5. Client satisfaction with maternal health services comparism between ...

    African Journals Online (AJOL)

    Background: One principal determinant of uptake and continued utilization of maternal health services is overall client satisfaction. The public and private sectors supply substantial portions of these services in developing countries, but face different challenges. This study aimed at determining the differences in the quality of ...

  6. Nutrition education program for food bank clients: A pilot study

    Science.gov (United States)

    Many low income families depend on foods from food banks. The objective of the study was to determine program content and examine feasibility of a pilot nutrition education program for food bank clients. Formative research was conducted with staff at a local food bank and its pantries and adult clie...

  7. Counselling the (Self?) Diagnosed Client: Generative and Reflective Conversations

    Science.gov (United States)

    Strong, Tom; Ross, Karen H.; Sesma-Vazquez, Monica

    2015-01-01

    In this paper, we address the phenomenon of clients who present their concerns in the medicalised discourse of the "Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition" ("DSM-5"). We contextualise this phenomenon, highlighting how a "diagnose-and-treat" logic increasingly pervades everyday…

  8. Client Financial Support for Mitigating Cost Factors Affecting ...

    African Journals Online (AJOL)

    Sultan

    The study assessed effects of client financial support for mitigating the effects of cost factors affecting the performance of Small Scale Contractors (SSC) in Nigeria. Exploratory and descriptive designs were adopted. A total of 550 questionnaires were administered to key construction industry stakeholders in northern Nigeria ...

  9. Client financial support for mitigating cost factors affecting ...

    African Journals Online (AJOL)

    The study assessed effects of client financial support for mitigating the effects of cost factors affecting the performance of Small Scale Contractors (SSC) in Nigeria. Exploratory and descriptive designs were adopted. A total of 550 questionnaires were administered to key construction industry stakeholders in northern Nigeria ...

  10. The Power of the "OCEAN": Another Way to Diagnose Clients.

    Science.gov (United States)

    Miller, Mark J.

    1990-01-01

    Outlines the OCEAN model of personality which includes the domains of Openness, Conscientiousness, Extraversion, Agreeableness, and Neuroticism. Provides a detailed explanation of each factor and a case study to illustrate how the model can be used to diagnose clients. Discusses advantages of this diagnostic approach and implications for usage.…

  11. Mrs. Manumbu's wait: a case for reducing client waiting time.

    Science.gov (United States)

    1992-01-01

    Management Sciences for Health has published a case study on reducing client waiting time, case discussion questions, and a case analysis for training and group discussion for family planning (FP) managers. A married mother of 3 children carries her 5-week-old son as she walks for 1 hour on a hot day to a FP clinic. She wants to learn how to prevent another birth too soon. After registering, she joins at least 35 other women and children under a tree. She sits next to a good friend who has been waiting for 2 hours. They listen to another woman who tells about waiting for 3 hours only to be told she needed to return the following day because too many people wanted to visit the physician. The woman adds that she just wanted a new supply of oral contraceptives. The long walk to the clinic was not the problem, leaving her children alone by themselves was the problem. The new client begins to be concerned about waiting for 3 hours while her children are also home alone; plus, she had chores to do. The case discussion questions ask participants how the waiting time can discourage the new client from using FP, what the clinic can do to ameliorate the situation, and what programs and policies can reduce long client waits. Some solutions to improving the waiting situation include providing transportation, appointments, and fast routes for resupplying contraceptives as well as analyzing client flow and implementing the findings. Mid- and senior-level managers could begin a community-based service delivery program in villages, support a triage policy, and implement higher level training for nurses to perform more medical functions.

  12. Predictors for Unplanned Hospitalization of New Home Care Clients.

    Science.gov (United States)

    Rönneikkö, Jukka K; Mäkelä, Matti; Jämsen, Esa R; Huhtala, Heini; Finne-Soveri, Harriet; Noro, Anja; Valvanne, Jaakko N

    2017-02-01

    To identify factors predicting unplanned hospitalization of new home care clients using the Resident Assessment Instrument for Home Care (RAI-HC). A register-based study based on RAI-HC assessments and nationwide hospital discharge records. Municipal home care services in Finland. New Finnish home care clients aged 63 and older (N = 15,700). Information from home care clients' first RAI-HC assessment was connected to information regarding their first hospitalization over 1 year of follow-up. Multivariate regression analyses were used to evaluate the independent risk factors for hospitalization. Forty-three percent (n = 6,812) of participants were hospitalized at least once. The strongest independent risk factors were hospitalization during the year preceding the RAI-HC assessment (odds ratio (OR) = 2.01, 95% confidence interval (CI) = 1.87-2.16), aged 90 and older (OR = 1.69, 95% CI = 1.48-1.92), renal insufficiency (OR = 1.44, 95% CI = 1.22-1.69) and using 10 or more drugs (OR = 1.41, 95% CI = 1.26-1.58). Other independent risk factors were male sex, previous emergency department visits or other acute outpatient care use, daily urinary incontinence, fecal incontinence, history of falls, cognitive impairment, chronic skin ulcer, pain, unstable health status, housing-related problems, and poor self-rated health. Parkinson's disease, coronary artery disease, congestive heart failure, chronic obstructive pulmonary disease, and cancer were independent prognostic indicators. A body mass index of 24 kg/m2 or greater and the client's own belief that functional capacity could improve had a protective role. Assessing new home care clients using the RAI-HC reveals modifiable risk factors for unplanned hospitalization. Systematic assessment by a multidisciplinary team at the beginning of the service and targeting modifiable risk factors could reduce the risk of unplanned hospitalization. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics

  13. A Whooping Cough Education Module for WIC Clients in Utah.

    Science.gov (United States)

    Luthy, Karlen E; Anderson, Alicia; Macintosh, Janelle; Beckstrand, Renea L; Eden, Lacey M; Amy, Ryan; Macintosh, Christopher I

    Clients in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) are required to complete education modules quarterly to maintain eligibility. The purposes of this project were to: (1) create a whooping cough vaccination education module for WIC clients; (2) evaluate baseline perceptions of WIC clients on the whooping cough vaccine and disease; and (3) evaluate whooping cough knowledge following completion of the module. A decline in vaccination rates among infants and children using WIC services was reported by a local WIC program director who requested whooping cough vaccination education materials. This quality improvement project included development of a whooping cough education module and evaluation of learning. Learning was evaluated using a pre- and posttest design. Client feedback was solicited via open-ended questions. Quantitative analysis was performed on visual analog-type questions with paired t-tests and a Cohen's d. Content analysis was conducted on open-ended items. The module was designed by a team of vaccination experts and included general definitions, signs and symptoms during the three stages of disease, recommendations to prevent whooping cough, and vaccination recommendations. Learning of users of the module was then evaluated. After using the module, clients indicated they were significantly more likely to vaccinate themselves and their child against whooping cough, and to recommend the vaccination to their family members. The greatest concern of participants about whooping cough was how it affected infants. Participants reported they learned new information on disease seriousness, recognition of symptoms, and treatment options but still requested additional information on the whooping cough disease and vaccine. A whooping cough education module is an effective strategy to improve whooping cough knowledge and promote the whooping cough vaccine.

  14. Patent Medicine VendorsAND#8217; Clients: Medicine Use Behaviour

    Directory of Open Access Journals (Sweden)

    Asa Auta

    2012-12-01

    Full Text Available AIM: To investigate some medicine use behaviour of Patent Medicine Vendors’ (PMVs clients including self medication practice and medication sharing behaviour. METHOD: A descriptive, cross-sectional survey was conducted in July 2011, on 361 undergraduate students of the University of Jos, Nigeria who visited PMVs within a month preceding the study. A pretested questionnaire was administered to participating students. Participants responded to questions on demography, and medicine use behaviour. Data were entered into the Statistical Package for Social Sciences (SPSS version 16 to generate descriptive statistics which were represented in percentages. RESULTS: The results showed that majority of the respondents (91.7% visited the PMVs for self-medication with the common classes of medicines procured by PMVs clients including analgesics (38.4%, antimalarials (22.2% and nutrition/blood preparations (14.1%. About 78.5% of the medicines sold to PMVs clients were in their original package and only 45.9% of clients reported checking the expiry date of their procured medicine prior to use. Medication sharing behaviour was common (60.2% among respondents. Although most respondents (70.2% said they had read a medicine information leaflet in the past, majority of them depended on unreliable sources such as friends/relatives (23.2%, media (10.8% and the internet (9.9% for medicine information. CONCLUSION: The study therefore demonstrated that PMV clients are those on self-medication practices and medication sharing behaviour is high among them. [TAF Prev Med Bull 2012; 11(6.000: 681-686

  15. Risk Factors for Hip Fracture in Older Home Care Clients

    Science.gov (United States)

    Poss, Jeff; Cook, Richard J.; Byrne, Kerry; Hirdes, John P.

    2009-01-01

    Background Little information is available on hip fracture risks among community-dwelling persons receiving home care. Our aim was to identify risk factors for hip fracture from health information routinely collected for older home care clients. Methods This was a cohort study involving secondary analysis of data on 40,279 long-stay (>60 days) home care clients aged 65 and older in Ontario, Canada; occurrence of hip fracture as well as potential risk factor information were measured using the Resident Assessment Instrument (RAI)/Minimum Data Set–Home Care assessment instrument. Results In all, 1,003 clients (2.5%) had hip fracture on follow-up assessment. Older (85+ vs 65–74, relative risk [95% confidence interval]: 0.52 [0.43–0.64]) clients are at increased risk; males are at reduced risk [0.60 (0.51–0.70)]. Other risk factors include osteoporosis (1.19 [1.03–1.36]), falls (1.31 [1.15–1.49]), unsteady gait (1.18 [1.03–1.36]), use of ambulation aide (1.39 [1.21–1.59]), tobacco use (1.42, [1.13–1.80]), severe malnutrition (2.61 [1.67–4.08]), and cognitive impairment (1.30 [1.12–1.51]). Arthritis (0.86 [0.76–0.98]) and morbid obesity (0.34 [0.16–0.72]) were associated with reduced risk. Males and females demonstrated different risk profiles. Conclusions Important risk factors for hip fracture can be identified from routinely collected data; these could be used to identify at-risk clients for further investigation and prevention strategies [22]. PMID:19196903

  16. Dreaming of you: client and therapist dreams about each other during psychodynamic psychotherapy.

    Science.gov (United States)

    Hill, Clara E; Knox, Sarah; Crook-Lyon, Rachel E; Hess, Shirley A; Miles, Joe; Spangler, Patricia T; Pudasaini, Sakar

    2014-01-01

    Our objectives were to describe the frequency of therapists' dreams about their clients and clients' dreams about their therapists, to determine how therapists and clients who had such dreams differed from those who did not have such dreams, whether therapy process and outcome differed for those who had and did not have such dreams, and to describe the content and consequences of these dreams. Thirteen doctoral student therapists conducted psychodynamic psychotherapy with 63 clients in a community clinic. Therapists who had dreams about clients had higher estimated and actual dream recall than did therapists who did not dream about clients. Qualitative analyses indicated that therapists' dreams yielded insights about the therapist, clients, and therapy; therapists used insights in their work with the clients. Among the clients, only two (who were particularly high in attachment anxiety and who feared abandonment from their therapists) reported dreams that were manifestly about their therapists. Therapists-in-training dreamed more about their clients than their clients dreamed about them. Dreams about clients can be used by therapists to understand themselves, clients, and the dynamics of the therapy relationship.

  17. Client's Perspective on Quality of Audiology Care: development of the Consumer quality index (CQI) Audiology Care for measuring client experiences.

    NARCIS (Netherlands)

    Hendriks, M.; Dahlhaus-Booij, J.; Plass, A.M.

    2017-01-01

    Objective: Clients’ perspective on the quality of audiology care has not been investigated thoroughly. Research has focused primarily on satisfaction with, and limitations of hearing aids. We developed a Consumer Quality Index (CQI) questionnaire ‘Audiology Care’ to systematically assess client

  18. A theory led narrative review of one-to-one health interventions: the influence of attachment style and client-provider relationship on client adherence.

    Science.gov (United States)

    Nanjappa, S; Chambers, S; Marcenes, W; Richards, D; Freeman, R

    2014-10-01

    A theory-led narrative approach was used to unpack the complexities of the factors that enable successful client adherence following one-to-one health interventions. Understanding this could prepare the provider to anticipate different adherence behaviours by clients, allowing them to tailor their interventions to increase the likelihood of adherence. The review was done in two stages. A theoretical formulation was proposed to explore factors which influence the effectiveness of one-to-one interventions to result in client adherence. The second stage tested this theory using a narrative synthesis approach. Eleven studies across the health care arena were included in the synthesis and explored the interplay between client attachment style, client-provider interaction and client adherence with health interventions. It emerged that adherence results substantially because of the relationship that the client has with the provider, which is amplified or diminished by the client's own attachment style. This occurs because the client's attachment style shapes how they perceive and behave in relationships with the health-care providers, who become the 'secure base' from which the client accepts, assimilates and adheres with the recommended health intervention. The pathway from one-to-one interventions to adherence is explained using moderated mediation and mediated moderation models. © The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  19. NeuroTerrain – a client-server system for browsing 3D biomedical image data sets

    Science.gov (United States)

    Gustafson, Carl; Bug, William J; Nissanov, Jonathan

    2007-01-01

    Background Three dimensional biomedical image sets are becoming ubiquitous, along with the canonical atlases providing the necessary spatial context for analysis. To make full use of these 3D image sets, one must be able to present views for 2D display, either surface renderings or 2D cross-sections through the data. Typical display software is limited to presentations along one of the three orthogonal anatomical axes (coronal, horizontal, or sagittal). However, data sets precisely oriented along the major axes are rare. To make fullest use of these datasets, one must reasonably match the atlas' orientation; this involves resampling the atlas in planes matched to the data set. Traditionally, this requires the atlas and browser reside on the user's desktop; unfortunately, in addition to being monolithic programs, these tools often require substantial local resources. In this article, we describe a network-capable, client-server framework to slice and visualize 3D atlases at off-axis angles, along with an open client architecture and development kit to support integration into complex data analysis environments. Results Here we describe the basic architecture of a client-server 3D visualization system, consisting of a thin Java client built on a development kit, and a computationally robust, high-performance server written in ANSI C++. The Java client components (NetOStat) support arbitrary-angle viewing and run on readily available desktop computers running Mac OS X, Windows XP, or Linux as a downloadable Java Application. Using the NeuroTerrain Software Development Kit (NT-SDK), sophisticated atlas browsing can be added to any Java-compatible application requiring as little as 50 lines of Java glue code, thus making it eminently re-useable and much more accessible to programmers building more complex, biomedical data analysis tools. The NT-SDK separates the interactive GUI components from the server control and monitoring, so as to support development of non

  20. NeuroTerrain – a client-server system for browsing 3D biomedical image data sets

    Directory of Open Access Journals (Sweden)

    Nissanov Jonathan

    2007-02-01

    Full Text Available Abstract Background Three dimensional biomedical image sets are becoming ubiquitous, along with the canonical atlases providing the necessary spatial context for analysis. To make full use of these 3D image sets, one must be able to present views for 2D display, either surface renderings or 2D cross-sections through the data. Typical display software is limited to presentations along one of the three orthogonal anatomical axes (coronal, horizontal, or sagittal. However, data sets precisely oriented along the major axes are rare. To make fullest use of these datasets, one must reasonably match the atlas' orientation; this involves resampling the atlas in planes matched to the data set. Traditionally, this requires the atlas and browser reside on the user's desktop; unfortunately, in addition to being monolithic programs, these tools often require substantial local resources. In this article, we describe a network-capable, client-server framework to slice and visualize 3D atlases at off-axis angles, along with an open client architecture and development kit to support integration into complex data analysis environments. Results Here we describe the basic architecture of a client-server 3D visualization system, consisting of a thin Java client built on a development kit, and a computationally robust, high-performance server written in ANSI C++. The Java client components (NetOStat support arbitrary-angle viewing and run on readily available desktop computers running Mac OS X, Windows XP, or Linux as a downloadable Java Application. Using the NeuroTerrain Software Development Kit (NT-SDK, sophisticated atlas browsing can be added to any Java-compatible application requiring as little as 50 lines of Java glue code, thus making it eminently re-useable and much more accessible to programmers building more complex, biomedical data analysis tools. The NT-SDK separates the interactive GUI components from the server control and monitoring, so as to support

  1. Countertransference Reactions to Lesbian Clients: The Role of Homophobia, Counselor Gender, and Countertransference Management.

    Science.gov (United States)

    Gelso, Charles J.; And Others

    1995-01-01

    Examined male and female counselors' countertransference reactions to lesbian versus heterosexual client actresses, and the role of counselor homophobia and countertransference management ability in countertransference reactions. Counselors did not exhibit more countertransference with lesbian clients. Countertransference management did not…

  2. 75 FR 742 - Temporary Rule Regarding Principal Trades With Certain Advisory Clients

    Science.gov (United States)

    2010-01-06

    ... Clients AGENCY: Securities and Exchange Commission. ACTION: Final rule; correction. SUMMARY: On December... principal capacity in transactions with certain of their advisory clients. As adopted, the only change to...

  3. Midwives' views on of appropriate antenatal counselling for congenital anomaly tests: do they match clients' preferences?

    NARCIS (Netherlands)

    Martin, L.; Hutton, E.K.; Spelten, E.R.; Gitsels-van der Wal, J.T.; Dulmen, S. van

    2014-01-01

    Objective: this study aims to provide insight into: (a) midwives' views on appropriate antenatal counselling for congenital anomaly tests, and (b) whether these views match clients' preferences regarding antenatal counselling. Design: a comparative (midwives versus clients) questionnaire survey.

  4. Midwives' views on appropriate antenatal counselling for congenital anomaly tests: Do they match clients' preferences?

    NARCIS (Netherlands)

    Martin, L.; Hutton, E.K.; Spelten, E.R.; Gitsels-van der Wal, J.T.; Dulmen, S. van

    2014-01-01

    OBJECTIVE: this study aims to provide insight into: (a) midwives' views on appropriate antenatal counselling for congenital anomaly tests, and (b) whether these views match clients' preferences regarding antenatal counselling. DESIGN: a comparative (midwives versus clients) questionnaire survey.

  5. Como liberar los clientes del servicio: el reto del siglo XXI

    National Research Council Canada - National Science Library

    Fisk, Raymond P

    2011-01-01

    Liberar a los clientes de servicios es el reto empresarial del siglo XXI. Muchas organizaciones tienen estructuras organizacionales y procesos que pretenden mas ejercer un control sobre los clientes que brindarles un servicio...

  6. Counselling and Psychological Services for Clients at the Shelter Home

    Directory of Open Access Journals (Sweden)

    Ľudmila Fonferová

    2014-07-01

    Full Text Available Problem: The paper is dealing with a psychological approach to the work with families and their children at a shelter home. It describes the circumstances and conditions for the work in the specific socio-therapeutic environment of the Horni Pocernice Shelter Home. The main research question - 'What are the options of psychological intervention and psychotherapeutic work with clients in the scope of services offered by the shelter home in Horni Pocernice'- works with the hypopaper that psychology and psychotherapy have their place within and next to social services. For clients who use services of this shelter home is this work essential and contributes to better understanding of their life situation and their social relations. Effectivity of psychological work in the environment of a shelter home is in a great deal connected to its acceptance, inner belief and understanding of its real possibilities by every single social worker. Lack of understanding, distorted expectations both on the side of social workers and psychologists complicate or even prevent psychotherapeutic work with clients for whom the requirements and demands of social workers are determining during their stay. Methods: This paper is based on the design of ethnographic field research. Empirical design of this research is defined by the premises of the shelter home and the time period from 2007 to 2012. Therapeutic possibilities of clients are examined from the position of psychologist and psychotherapist of this centre who offers his/her services once a week for about 5 to 7 hours. The research sample was being created during the collection of data in the examined period and its analysis when it was early established with respect to the research question that all available cases typical for full collection will be included (there were 646 clients in the examined period. Results: The answer to the main research question concerns two variables which are related to each other. The

  7. Effectiveness of Client-centered Play Therapy on Fear and Anxiety in Preschool Children

    Directory of Open Access Journals (Sweden)

    Hoda Sadat Mosavi

    2016-12-01

    Full Text Available Background and Objective: Preschool period is playing main role in development and adjustment of children. Fear and anxiety are of externalizing disorders, providing untreated it leads to negative effects on individual and social relationship specially in adulthood therefore, this research investigates the influence of client-centered play therapy on fear and anxiety among preschool children (5-6 aged.Materials and Methods: This study is a quasi-experimental study with pre and post- tests. 14 male and female preschool children (5-6 aged who were obtaining scores higher than cut-off in Spence anxiety scale (SAS and fear survey schedule for children-revised (FSSC-R parents’ form questionnaires were selected, and then they were assigned randomly to the control and experimental groups. The experimental group received techniques of client-centered play therapy for six treatment sessions (45minutes for each session. The fear and anxiety were measured at the beginning and at end of therapeutic session, utilizing the Spence Children's Anxiety Scale and fear survey schedule for children-revised (FSSC-R parents’ form. Statistical analysis conducted by analysis of covariance (ANCOVA.Results: There is significantly difference in Mean (SD scores of pretest 130.4 (3.3 and posttest 127.1 (4.6 fear (P<0.001, F= 24.6 and in scores of pretest 58.6 (2.6 and post-test 48.28 (3.6 anxiety (P<0.001, F=19.5 between preschool children in pre and post-test.Conclusion: Findings indicated that client-centered play therapy has effective in reducing behavioral problem such as fear and anxiety disorders in preschool children. Therefore, it can be useful and applicable as the psychological therapeutic interventions for decreasing behavioral distress in children.

  8. The Effects of Therapist Gender on Group Therapy for Eating-Disordered Clients

    OpenAIRE

    Soutor, Todd A.

    1995-01-01

    This present study examined the session-by-session content of group therapy for eating-disordered clients. The main objective of this study was to identify how therapist-client gender match affects group therapy process , regarding the disclosure of important issues relevant to eating-disordered clients. It was hypothesized that the group therapy process for eating-disordered clients would be qualitatively different if therapy was facilitated by a female as opposed to a male therapist. The ev...

  9. Patient silence is not necessarily client satisfaction: communication problems in home care nursing.

    Science.gov (United States)

    Heineken, J

    1998-02-01

    Although we may believe we are inviting client feedback about care, it is clear from a recent study surveying home care providers and older adult care recipients that failures in communication continue to plague us. Inadequate communication can lead to misunderstandings, client and provider dissatisfaction, and even termination of the home care provider-client relationship. By strengthening communication skills, staff can see changes in client satisfaction, have greater success in resolving potential problems, and may ultimately experience more job performance satisfaction.

  10. Distribución comercial: Tema 14. El servicio al cliente en el comercio minorista

    OpenAIRE

    Juan Vigaray, María Dolores de

    2010-01-01

    El servicio al cliente tiene una importancia trascendente a la hora de mantener y recuperar clientes. Un mal servicio al cliente puede anular completamente un producto fantástico. Se debe de recordar al cliente la posibilidad y el interés de la empresa en que reclame y diga cualquier cosa que no le haya satisfecho, para que la empresa pueda corregir el error y compensarle.

  11. Challenging the Courtesy Bias Interpretation of Favorable Clients' Perceptions of Family Planning Delivery

    Science.gov (United States)

    Len, Federico R.; Lundgren, Rebecka; Huapaya, Ana; Sinai, Irit; Jennings, Victoria

    2007-01-01

    Favorable client perceptions of provider's interpersonal behavior in contraceptive delivery, documented in clinic exit questionnaires, appear to contradict results from qualitative evaluations and are attributed to clients' courtesy bias. In this study, trained simulated clients requested services from Ministry of Health providers in three…

  12. Counselor Intake Judgments About White and Black Clients in a University Counseling Center.

    Science.gov (United States)

    Bishop, John B.; Richards, Thomas F.

    1987-01-01

    Compared counselor intake judgment about White and Black clients at a university counseling center. Counselors reported significantly higher ratings on judged potential for change in Black as compared to White clients. Type and severity of presenting problem, client anxiety level, ease of expression, motivation, realism of goals, and physical…

  13. 13 CFR 113.3-3 - Structural accommodations for handicapped clients.

    Science.gov (United States)

    2010-01-01

    ... handicapped clients. 113.3-3 Section 113.3-3 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION... ADMINISTRATOR General Provisions § 113.3-3 Structural accommodations for handicapped clients. (a) Existing... by handicapped clients. Where structural changes are necessary to make the recipient's goods or...

  14. Better versus Worse Family Therapy Sessions as Reflected in Clients' Alliance-Related Behavior

    Science.gov (United States)

    Friedlander, Myrna L.; Bernardi, Shaina; Lee, Hsin-Hua

    2010-01-01

    To be responsive to clients' evaluations of the unfolding therapy process, therapists must first accurately "read" client behavior, a particularly challenging task in conjoint family therapy. In this study, the authors compared client behavior in 28 sessions that one family member and the therapist concurred, on the Session Evaluation…

  15. Understanding the Experience of Black Clients in Marriage and Family Therapy

    Science.gov (United States)

    Awosan, Christiana I.; Sandberg, Jonathan G.; Hall, Cadmona A.

    2011-01-01

    Past research on Black clients' utilization of therapy focused on the barriers that prevent Black clients from attending therapy and the reasons for these barriers. However, few studies have been conducted that focus on how Black clients attending therapy actually experience these barriers. This study utilized both Likert and open-ended questions…

  16. 37 CFR 10.57 - Preservation of confidences and secrets of a client.

    Science.gov (United States)

    2010-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Preservation of confidences and secrets of a client. 10.57 Section 10.57 Patents, Trademarks, and Copyrights UNITED STATES PATENT... secret of a client for the advantage of the practitioner or of a third person, unless the client consents...

  17. Clients' psychosocial communication and midwives' verbal and nonverbal communication during prenatal counseling for anomaly screening.

    Science.gov (United States)

    Martin, Linda; Gitsels-van der Wal, Janneke T; Pereboom, Monique T R; Spelten, Evelien R; Hutton, Eileen K; van Dulmen, Sandra

    2016-01-01

    This study focuses on facilitation of clients' psychosocial communication during prenatal counseling for fetal anomaly screening. We assessed how psychosocial communication by clients is related to midwives' psychosocial and affective communication, client-directed gaze and counseling duration. During 184 videotaped prenatal counseling consultations with 20 Dutch midwives, verbal psychosocial and affective behavior was measured by the Roter Interaction Analysis System (RIAS). We rated the duration of client-directed gaze. We performed multilevel analyses to assess the relation between clients' psychosocial communication and midwives' psychosocial and affective communication, client-directed gaze and counseling duration. Clients' psychosocial communication was higher if midwives' asked more psychosocial questions and showed more affective behavior (β=0.90; CI: 0.45-1.35; pcommunication was not related to midwives" client-directed gaze. Additionally, psychosocial communication by clients was directly, positively related to the counseling duration (β=0.59; CI: 0.20-099; p=0.004). In contrast with our expectations, midwives' client-directed gaze was not related with psychosocial communication of clients. In addition to asking psychosocial questions, our study shows that midwives' affective behavior and counseling duration is likely to encourage client's psychosocial communication, known to be especially important for facilitating decision-making. Copyright © 2015 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  18. 34 CFR 379.42 - What are the special requirements pertaining to the Client Assistance Program?

    Science.gov (United States)

    2010-07-01

    ... Client Assistance Program? 379.42 Section 379.42 Education Regulations of the Offices of the Department... requirements pertaining to the Client Assistance Program? Each grantee under a program covered by this part... availability and purposes of the State's Client Assistance Program, including information on seeking assistance...

  19. 17 CFR 4.31 - Required delivery of Disclosure Document to prospective clients.

    Science.gov (United States)

    2010-04-01

    ... Disclosure Document to prospective clients. 4.31 Section 4.31 Commodity and Securities Exchanges COMMODITY... Advisors § 4.31 Required delivery of Disclosure Document to prospective clients. (a) Each commodity trading... prospective client a Disclosure Document containing the information set forth in §§ 4.34 and 4.35 for the...

  20. 42 CFR 483.450 - Condition of participation: Client behavior and facility practices.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Client behavior and... Retarded § 483.450 Condition of participation: Client behavior and facility practices. (a) Standard: Facility practices—Conduct toward clients. (1) The facility must develop and implement written policies and...

  1. 75 FR 66796 - Pricewaterhousecoopers LLP (“PwC”), Internal Firm Services Client Account Administrators Group...

    Science.gov (United States)

    2010-10-29

    ... Employment and Training Administration Pricewaterhousecoopers LLP (``PwC''), Internal Firm Services Client... subject firm should read PricewaterhouseCoopers LLP (``PwC''), Internal Firm Services Client Account... subject firm to read PricewaterhouseCoopers LLP (``PwC''), Internal Firm Services Client Account...

  2. 76 FR 5840 - Supermedia LLC, Formerly Known as Idearc Media LLC, Supermedia Information Services LLC, Client...

    Science.gov (United States)

    2011-02-02

    ... Information Services LLC, Client Care Group and Publishing Operations Group Including On-Site Leased Workers... eligibility of workers and former workers of SuperMedia LLC, formerly known as Idearc Media LLC, Client Care... SuperMedia LLC, formerly known as Idearc Media LLC, Supermedia Information Services LLC, Client Care...

  3. 45 CFR 2551.81 - What type of clients are eligible to be served?

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false What type of clients are eligible to be served... FOR NATIONAL AND COMMUNITY SERVICE SENIOR COMPANION PROGRAM Clients Served § 2551.81 What type of clients are eligible to be served? Senior Companions serve only adults, primarily older adults, who have...

  4. 49 CFR 1103.21 - How far a practitioner may go in supporting a client's cause.

    Science.gov (United States)

    2010-10-01

    ... client's cause. 1103.21 Section 1103.21 Transportation Other Regulations Relating to Transportation... of Ethics The Practitioner's Duties and Responsibilities Toward A Client § 1103.21 How far a practitioner may go in supporting a client's cause. A practitioner shall put forth his best effort to maintain...

  5. 45 CFR 1609.5 - Acceptance of reimbursement from a client.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Acceptance of reimbursement from a client. 1609.5... CORPORATION FEE-GENERATING CASES § 1609.5 Acceptance of reimbursement from a client. (a) When a case results in recovery of damages or statutory benefits, a recipient may accept reimbursement from the client...

  6. 34 CFR 370.1 - What is the Client Assistance Program (CAP)?

    Science.gov (United States)

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false What is the Client Assistance Program (CAP)? 370.1... SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION CLIENT ASSISTANCE PROGRAM General § 370.1 What is the Client Assistance Program (CAP)? The purpose of this program is to establish and...

  7. 17 CFR 275.206(4)-3 - Cash payments for client solicitations.

    Science.gov (United States)

    2010-04-01

    ... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Cash payments for client... for client solicitations. (a) It shall be unlawful for any investment adviser required to be... client at the time of the solicitation or referral; or (iii) Other than a solicitor specified in...

  8. 77 FR 24685 - Proposed Information Collection; Comment Request; Client Focus Groups and Qualitative Interviews

    Science.gov (United States)

    2012-04-25

    ... Constitution Avenue NW., Washington, DC 20230 (or via the Internet at [email protected] ). FOR FURTHER...'' to collect feedback from the U.S. business clients it serves. These surveys ask the client to... export assistance to U.S. companies. In addition to collecting client feedback through Quality Assurance...

  9. 75 FR 66050 - Permissible Sharing of Client Records by Customs Brokers

    Science.gov (United States)

    2010-10-27

    ... Records by Customs Brokers AGENCIES: Customs and Border Protection, Department of Homeland Security... obligations of customs brokers to keep clients' information confidential. The proposed amendment would allow brokers, upon the client's consent in a written authorization, to share client information with affiliated...

  10. Memoria organizacional en la retroalimentación de clientes

    Directory of Open Access Journals (Sweden)

    Javier E De la Hoz Freyle

    2014-12-01

    Full Text Available La retroalimentación de clientes en las organizaciones representa una base significativa de conocimientos que pueden ser aprovechados en beneficio de la mejora continua de procesos, a través de estrategias de gestión del conocimiento (GC. Estas estrategias pueden ser potenciadas por medio de la incorporación de memorias organizacionales como mecanismos para el almacenamiento y recuperación de recursos de conocimiento. Este planteamiento motivó una investigación guiada por la metodología de sistemas blandos que incorporó una memoria organizacional como eje de la GC en la retroalimentación de clientes, buscando brindar beneficios en la mejora de procesos y servicios. El presente artículo muestra el desarrollo de dicha investigación, así como su contribución a la mejora continua de la entidad intervenida.

  11. Greetings and Politeness in Doctor-Client Encounters in Southwestern

    Directory of Open Access Journals (Sweden)

    Akin Odebunmi

    2013-05-01

    Full Text Available Doctors and clients sometimes experience interactiveclashes during hospital meetings in South-western Nigerianhospitals because of their divergent culture-constrainedorientation to politeness cues. The goal of this paper is tounpack the discursive elements that characterize interactiveconfluence and divergence in selected consultativeencounters in the hospitals. The findings indicate thatinstitutional and cultural (disalignments occur in respect ofadjacency and non-adjacency pair greetings. In bothgreeting types, face support, threat and stasis are conjointlyco-constituted by doctors and Yoruba clients within theaffordances of the cultural, institutional and situationalcontext of the Southwestern Nigerian hospital setting.Adjacency pair greetings attract mutual interpretingsbetween the parties; interactive disalignments aredifferentially pragmatically accommodated by doctors andclients. In non-adjacency pair greeting, doctors’ threats areco-constituted as appropriate by both parties, theinstitutional power of doctor and shared Western culturalorientation playing significant roles.

  12. Introduction: perspectives on therapy with gay, lesbian, and bisexual clients.

    Science.gov (United States)

    Campos, P E; Goldfried, M R

    2001-05-01

    The approach that mental health professionals have taken in working with gay, lesbian, and bisexual (GLB) clients has changed dramatically over the past 25 years. Once viewed as being pathological in nature-either a sociopathic personality disorder or a sexual deviation-homosexuality is no long conceptualized as a "disorder" and instead is viewed within the broader context of human diversity. Even with such changes, many mental health professionals nonetheless retain subtle biases against working with gay, lesbian, and bisexual clients, and often lack the necessary information for working with them effectively. This issue of In Session provides a series of articles designed to help practicing therapists to become better aware of those clinical issues if they are to work with GLB individuals-which they are likely to do.

  13. A Client/Server Architecture for Supporting Science Data Using EPICS Version 4

    Energy Technology Data Exchange (ETDEWEB)

    Dalesio, Leo [EPIC Consulting, Jacksonville, FL (United States)

    2015-04-21

    The Phase 1 grant that serves as a precursor to this proposal, prototyped complex storage techniques for high speed structured data that is being produced in accelerator diagnostics and beam line experiments. It demonstrates the technologies that can be used to archive and retrieve complex data structures and provide the performance required by our new accelerators, instrumentations, and detectors. Phase 2 is proposed to develop a high-performance platform for data acquisition and analysis to provide physicists and operators a better understanding of the beam dynamics. This proposal includes developing a platform for reading 109 MHz data at 10 KHz rates through a multicore front end processor, archiving the data to an archive repository that is then indexed for fast retrieval. The data is then retrieved from this data archive, integrated with the scalar data, to provide data sets to client applications for analysis, use in feedback, and to aid in identifying problem with the instrumentation, plant, beam steering, or model. This development is built on EPICS version 4 , which is being successfully deployed to implement physics applications. Through prior SBIR grants, EPICS version 4 has a solid communication protocol for middle layer services (PVAccess), structured data representation and methods for efficient transportation and access (PVData), an operational hierarchical record environment (JAVA IOC), and prototypes for standard structured data (Normative Types). This work was further developed through project funding to successfully deploy the first service based physics application environment with demonstrated services that provide arbitrary object views, save sets, model, lattice, and unit conversion. Thin client physics applications have been developed in Python that implement quad centering, orbit display, bump control, and slow orbit feedback. This service based architecture has provided a very modular and robust environment that enables commissioning teams

  14. Authenticated Diffie-Hellman Key Agreement Scheme that Protects Client Anonymity and Achieves Half-Forward Secrecy

    Directory of Open Access Journals (Sweden)

    Hung-Yu Chien

    2015-01-01

    Full Text Available Authenticated Diffie-Hellman key agreement (D-H key is the de facto building block for establishing secure session keys in many security systems. Regarding the computations of authenticated D-H key agreement, the operation of modular exponentiation is the most expensive computation, which incurs a heavy loading on those clients where either their computational capacities or their batteries are limited and precious. As client’s privacy is a big concern in several e-commerce applications, it is desirable to extend authenticated D-H key agreement to protect client’s identity privacy. This paper proposes a new problem: the modified elliptic curves computational Diffie-Hellman problem (MECDHP and proves that the MECDHP is as hard as the conventional elliptic curves computational Diffie-Hellman problem (ECDHP. Based on the MECDHP, we propose an authenticated D-H key agreement scheme which greatly improves client computational efficiency and protects client’s anonymity from outsiders. This new scheme is attractive to those applications where the clients need identity protection and lightweight computation.

  15. Evaluating Hand Function in Clients with Trigger Finger

    OpenAIRE

    Danit Langer; Adina Maeir; Michael Michailevich; Shai Luria

    2017-01-01

    Background. Trigger finger (TF) is a common hand pathology frequently encountered in hand clinics. Occupational therapists predominantly assess TF symptoms as opposed to using standardized hand functioning assessments. The purpose of this study was to assess the construct validity of dexterity and grip strength assessments for clients with TF. Method. Sixty-three participants with TF and 66 healthy controls were administered the Functional Dexterity Test (FDT), Purdue Pegboard Test (PPT), and...

  16. A Client-Server System for Ubiquitous Video Service

    Directory of Open Access Journals (Sweden)

    Ronit Nossenson

    2012-12-01

    Full Text Available In this work we introduce a simple client-server system architecture and algorithms for ubiquitous live video and VOD service support. The main features of the system are: efficient usage of network resources, emphasis on user personalization, and ease of implementation. The system supports many continuous service requirements such as QoS provision, user mobility between networks and between different communication devices, and simultaneous usage of a device by a number of users.

  17. Concurrent heroin use among methadone maintenance clients in China.

    Science.gov (United States)

    Li, Li; Lin, Chunqing; Wan, Dai; Zhang, Linglin; Lai, Wenhong

    2012-03-01

    The study examined concurrent illicit heroin use among methadone maintenance clients in China and its association with clients' demographic characteristics, treatment experience, and personal social network. Face-to-face surveys were conducted with 178 clients randomly recruited from six methadone maintenance treatment (MMT) clinics in Sichuan, China. Concurrent heroin use was measured based on self-report of heroin use during the past 30 days and a confirmatory urine morphine test. The participants' demographic characteristics and treatment factors were measured and examined. The drug use status of their family members and friends was also assessed. A total of 80 participants (44.9%) who either reported illicit heroin use in the past 30 days or had a positive urine test were defined as using heroin concurrently. Having drug-using friends was significantly associated with increased concurrent heroin use. Longer length of treatment (2 years or longer) was associated with increased concurrent heroin use. Among those who had both drug-using family members and friends, more women (71.4%) than men (50.0%) used heroin. For those who had no drug-using family members or friends, more men (34.8%) than women (20.8%) used heroin. Study findings indicate an urgent need to address concurrent illicit heroin use among MMT clients. Further examination of the influence of social networks on concurrent drug abuse behavior is encouraged. Results also highlight the importance of understanding gender differences in treatment seeking and behavioral changes, which is crucial to the development of gender-specific treatment strategies. Copyright © 2011 Elsevier Ltd. All rights reserved.

  18. Animal-assisted therapy for clients with dementia.

    Science.gov (United States)

    Buettner, Linda L; Fitzsimmons, Suzanne; Barba, Beth

    2011-05-01

    The purpose of this article is to increase nurses' awareness of animal-assisted therapy as a treatment option for older adults with dementia. We describe the differences between animal visitation programs and goal-directed therapy. We also address credentials of human-animal teams and provide an overview of possible therapeutic outcomes for older adults with dementia. Step-by-step methods are outlined for nurses to advocate for clients with dementia to receive these services. Copyright 2011, SLACK Incorporated.

  19. The Experience of Nurses with Hospitalised Jehovah's Witness Clients.

    OpenAIRE

    RAZÍMOVÁ, Pavlína

    2014-01-01

    This thesis deals with experience of nurses with hospitalized clients of Jehovah's Witnesses, subjective feelings of nurses, their opinions and peculiarities in the treatment of Jehovah's Witnesses. It is very likely that most nurses will meet with them when practicing their job. Jehova's Witnesses do not accept blood products in their treatment because of their beliefs. Given the trend in modern nursing is to apply multicultural approach, it is useful to know the specifics of care for these ...

  20. Project Management Yinyang: Coupling project success and client satisfaction

    Directory of Open Access Journals (Sweden)

    Greg Stewart Usher

    2017-06-01

    Full Text Available Our research applies paradox theory to a project management construct to help project management researchers and practitioners understand the tensions that can exist between project success and client satisfaction. Our research highlights that although project success and client satisfaction are both present within a project management construct, they also belong to different functional systems. Project success and client satisfaction have different systemic-discourses and use different language games to convey information. These distinctions can create latent and sometimes salient tensions within the project management construct that project managers must understand, embrace, and work with. We have used a Grounded Theory (GT methodology to explore the lived experience of project managers, and from this have identified a phenomenon which we have termed project management yinyang. Project management yinyang is the state that exists when both project success and Client satisfaction are tightly coupled within the project management construct. Project management yinyang highlights that these two phenomena cannot be viewed as separate elements because the ‘seed’ of each exists within the other. And to truly achieve one, you must also achieve the other. Our findings indicate that in order to create project management yinyang the project manager must embrace a paradoxical yet holistic philosophy. They must understand the complementarity, interdependency, and structural coupling that exists between the positivist and interpretivist paradigms within the project management construct. They must understand how satisfaction (Yin and success (Yang are created through focus. Furthermore, they must understand how project management yinyang is separate from, but borne from, the convergence of the other two elements.

  1. Vaccine-associated Leptospira antibodies in client-owned dogs.

    Science.gov (United States)

    Martin, L E R; Wiggans, K T; Wennogle, S A; Curtis, K; Chandrashekar, R; Lappin, M R

    2014-01-01

    Long-term microscopic agglutination test (MAT) results after vaccination with 4-serovar Leptospira vaccines are not available for all vaccines used in client-owned dogs. To determine antibody responses of client-owned dogs given 1 of 4 commercially available Leptospira vaccines. Healthy client-owned dogs (n = 32) with no history of Leptospira vaccination for at least the previous year. Dogs were given 1 of 4 Leptospira vaccines on week 0 and then approximately on week 3 and week 52. Sera were collected before vaccine administration on week 0 and then within 3 days of week 3, within 2 days of week 4, and approximately on weeks 7, 15, 29, 52, and 56. Antibody titers against Leptospira serovars bratislava, canicola, grippotyphosa, hardjo, icterohemorrhagiae, and pomona and were determined by MAT. When compared among vaccines, MAT results varied in maximal titers, the serovars inducing maximal titers, and the time required to reach maximal titers. Each vaccine induced at least some MAT titers ≥1 : 800. Most dogs were negative for antibodies against all serovars 1 year after vaccination, and anamnestic responses were variable. Dogs vaccinated with Leptospira vaccines have variable MAT titers over time, and antibodies should not be used to predict resistance to Leptospira infection. MAT titers ≥1 : 800 can develop after Leptospira spp. vaccination, which can complicate the clinical diagnosis of leptospirosis. Copyright © 2014 by the American College of Veterinary Internal Medicine.

  2. Business Client Segmentation in Banking Using Self-Organizing Maps

    Directory of Open Access Journals (Sweden)

    Bach Mirjana Pejić

    2014-11-01

    Full Text Available Segmentation in banking for the business client market is traditionally based on size measured in terms of income and the number of employees, and on statistical clustering methods (e.g. hierarchical clustering, k-means. The goal of the paper is to demonstrate that self-organizing maps (SOM effectively extend the pool of possible criteria for segmentation of the business client market with more relevant criteria, including behavioral, demographic, personal, operational, situational, and cross-selling products. In order to attain the goal of the paper, the dataset on business clients of several banks in Croatia, which, besides size, incorporates a number of different criteria, is analyzed using the SOM-Ward clustering algorithm of Viscovery SOMine software. The SOM-Ward algorithm extracted three segments that differ with respect to the attributes of foreign trade operations (import/export, annual income, origin of capital, important bank selection criteria, views on the loan selection and the industry. The analyzed segments can be used by banks for deciding on the direction of further marketing activities.

  3. PhenoDB: an integrated client/server database for linkage and population genetics.

    Science.gov (United States)

    Cheung, K H; Nadkarni, P; Silverstein, S; Kidd, J R; Pakstis, A J; Miller, P; Kidd, K K

    1996-08-01

    In this paper we describe PhenoDB, an Internet-accessible client/server database application for population and linkage genetics. PhenoDB stores genetic marker data on pedigrees and populations. A database for population and linkage genetics requires two core functions: data management tasks, such as interactive validation during data entry and editing, and data analysis tasks, such as generating summary population statistics and performing linkage analyses. In PhenoDB we attempt to make these tasks as easy as possible. The client/server architecture allows efficient management and manipulation of large datasets via an easy-to-use graphical interface. PhenoDB data (73 populations, 34 pedigrees, approximately 4200 individuals, and close to 80,000 typings) are stored in a generic format that can be readily exported to (or imported from) the file formats required by various existing analysis programs such as LIPED and Lathrop and Lalouel's Multipoint Linkage. PhenoDB allows performance of complex ad-hoc queries and can generate reports for use in project management. Finally, PhenoDB can produce statistical summaries such as allele frequencies, phenotype frequencies, and Chi-square tests of Hardy-Weinberg ratios of population/pedigree data.

  4. The Partners for Change Outcome Management System (PCOMS) revisiting the client's frame of reference.

    Science.gov (United States)

    Duncan, Barry L; Reese, Robert J

    2015-12-01

    Despite overall psychotherapy efficacy (Lambert, 2013), many clients do not benefit (Reese, Duncan, Bohanske, Owen, & Minami, 2014), dropouts are a problem (Swift & Greenberg, 2012), and therapists vary significantly in success rates (Baldwin & Imel, 2013), are poor judges of negative outcomes (Chapman et al., 2012), and grossly overestimate their effectiveness (Walfish, McAlister, O'Donnell, & Lambert, 2012). Systematic client feedback offers 1 solution (Duncan, 2014). Several feedback systems have emerged (Castonguay, Barkham, Lutz, & McAleavey, 2013), but only 2 have randomized clinical trial support and are included in the Substance Abuse and Mental Health Administration's National Registry of Evidence-Based Programs and Practices: The Outcome Questionnaire-45.2 System (Lambert, 2010) and the Partners for Change Outcome Management System (PCOMS; Duncan, 2012). This article presents the current status of PCOMS, the psychometrics of the PCOMS measures, its empirical support, and its clinical and training applications. Future directions and implications of PCOMS research, training, and practice are detailed. Finally, we propose that systematic feedback offers a way, via large-scale data collection, to reprioritize what matters to psychotherapy outcome, reclaim our empirically validated core values and identity, and change the conversation from a medical model dominated discourse to a more scientific, relational perspective. (c) 2015 APA, all rights reserved).

  5. Implementing a simulated client program: bridging the gap between theory and practice.

    Science.gov (United States)

    Adams, Cindy L; Ladner, Lynda D

    2004-01-01

    This paper outlines the design and implementation of an innovative communication skills training program at the Ontario Veterinary College (OVC). Based upon the body of research in human medical education reporting effective results through the use of standardized patients (SPs) for this type of training, an experiential learning laboratory using simulated clients (SCs) and patients was introduced to first-year veterinary students. One hundred and four first-year students were assigned to 12 groups of eight or nine students plus a facilitator. Each student interacted with a simulated client and a patient while being observed by peers and a facilitator. The Calgary-Cambridge Observation Guide (CCOG) was used to guide students and facilitators with performance standards and feedback. Assessment strategies were utilized. Implementation of this program required extensive resources, including funding, expertise, facilitator training, time allotment in an already overburdened curriculum, and administrative and faculty support. Preliminary assessment revealed high student and facilitator satisfaction. The potential of this program for student education and assessment was recognized, and it will be expanded in years 2 and 3 of the DVM (Doctor of Veterinary Medicine) curriculum. Medical educators have created resources, including skills checklists and experiential learning modalities, that are highly applicable to veterinary medical education. Ongoing evaluation of the program is essential to determine whether we are meeting expectations for communication competency in veterinary medicine.

  6. Does the Feldenkrais Method make a difference? An investigation into the use of outcome measurement tools for evaluating changes in clients.

    Science.gov (United States)

    Connors, Karol Anne; Pile, Carolyn; Nichols, Margo Elaine

    2011-10-01

    Evidence-based practice confirms the need for outcome measures. Feldenkrais Method practitioners struggle to use such tools because of the broad range of applications of the Feldenkrais Method and the difficulty identifying suitable measurement tools. A pre/post-test design was used to investigate the use of three outcome measurement tools [Patient-specific Functional Scale (PSFS), Pain Outcome Profile (POP) and Short Form12v2 Health questionnaire (SF12v2)] for clients experiencing problems performing everyday functional tasks who attended Feldenkrais sessions. Eleven Feldenkrais practitioners submitted data on 48 clients. Changes were detected in the clients' ability to perform everyday tasks (PSFS improved 3.8 points, p Feldenkrais sessions. Crown Copyright © 2010. Published by Elsevier Ltd. All rights reserved.

  7. Reusable Client-Side JavaScript Modules for Immersive Web-Based Real-Time Collaborative Neuroimage Visualization

    Directory of Open Access Journals (Sweden)

    Jorge L. Bernal-Rusiel

    2017-05-01

    Full Text Available In this paper we present a web-based software solution to the problem of implementing real-time collaborative neuroimage visualization. In both clinical and research settings, simple and powerful access to imaging technologies across multiple devices is becoming increasingly useful. Prior technical solutions have used a server-side rendering and push-to-client model wherein only the server has the full image dataset. We propose a rich client solution in which each client has all the data and uses the Google Drive Realtime API for state synchronization. We have developed a small set of reusable client-side object-oriented JavaScript modules that make use of the XTK toolkit, a popular open-source JavaScript library also developed by our team, for the in-browser rendering and visualization of brain image volumes. Efficient realtime communication among the remote instances is achieved by using just a small JSON object, comprising a representation of the XTK image renderers' state, as the Google Drive Realtime collaborative data model. The developed open-source JavaScript modules have already been instantiated in a web-app called MedView, a distributed collaborative neuroimage visualization application that is delivered to the users over the web without requiring the installation of any extra software or browser plugin. This responsive application allows multiple physically distant physicians or researchers to cooperate in real time to reach a diagnosis or scientific conclusion. It also serves as a proof of concept for the capabilities of the presented technological solution.

  8. Reusable Client-Side JavaScript Modules for Immersive Web-Based Real-Time Collaborative Neuroimage Visualization.

    Science.gov (United States)

    Bernal-Rusiel, Jorge L; Rannou, Nicolas; Gollub, Randy L; Pieper, Steve; Murphy, Shawn; Robertson, Richard; Grant, Patricia E; Pienaar, Rudolph

    2017-01-01

    In this paper we present a web-based software solution to the problem of implementing real-time collaborative neuroimage visualization. In both clinical and research settings, simple and powerful access to imaging technologies across multiple devices is becoming increasingly useful. Prior technical solutions have used a server-side rendering and push-to-client model wherein only the server has the full image dataset. We propose a rich client solution in which each client has all the data and uses the Google Drive Realtime API for state synchronization. We have developed a small set of reusable client-side object-oriented JavaScript modules that make use of the XTK toolkit, a popular open-source JavaScript library also developed by our team, for the in-browser rendering and visualization of brain image volumes. Efficient realtime communication among the remote instances is achieved by using just a small JSON object, comprising a representation of the XTK image renderers' state, as the Google Drive Realtime collaborative data model. The developed open-source JavaScript modules have already been instantiated in a web-app called MedView, a distributed collaborative neuroimage visualization application that is delivered to the users over the web without requiring the installation of any extra software or browser plugin. This responsive application allows multiple physically distant physicians or researchers to cooperate in real time to reach a diagnosis or scientific conclusion. It also serves as a proof of concept for the capabilities of the presented technological solution.

  9. The meaning of a positive client-nurse relationship for senior home care clients with chronic disease.

    Science.gov (United States)

    Turpin, Liza J; McWilliam, Carol L; Ward-Griffin, Catherine

    2012-12-01

    This study explored the meaning of a positive client-nurse relationship for seniors with chronic disease receiving in-home care. In this phenomenological study, eight participants aged 65 to 86 were purposefully selected from the Southwest Community Care Access Centre (SW-CCAC) in London, Ontario. Narrative data were collected through audiotaped, in-depth interviews using a semi-structured interview guide. The analysis and interpretation of the interviews revealed that the meaning of a positive client-nurse relationship for these seniors encompassed two patterns of the meaning: having comfort and being connected within this relationship. These two patterns were contextualized by being a senior with chronic disease and were socially constructed through the relational experience of co-creating a positive relationship. Although further research is needed, the insights gained add to what is known about the theory and practice of relational health promotion for seniors living with chronic disease receiving in-home care.

  10. Client's Perspective on Quality of Audiology Care: development of the Consumer quality index (CQI) Audiology Care for measuring client experiences.

    OpenAIRE

    M. Hendriks; Dahlhaus-Booij, J.; Plass, A.M.

    2017-01-01

    Objective: Clients’ perspective on the quality of audiology care has not been investigated thoroughly. Research has focused primarily on satisfaction with, and limitations of hearing aids. We developed a Consumer Quality Index (CQI) questionnaire ‘Audiology Care’ to systematically assess client experiences with audiology care. Design: The CQI Audiology Care was developed in three steps: (1) posing open-ended questions through e-mail (n = 14), (2) two small-scale surveys assessing psychometric...

  11. Identificação de requisitos de clientes para o projeto de um dosador de precisão para sementes miúdas Identification of client's requirements to design a precision meter for small seeds

    Directory of Open Access Journals (Sweden)

    Ângelo V. dos Reis

    2006-04-01

    small seeds identified through the application of a field questionnaire to farmers, agricultural researches, salespersons, designers, and other information gathered in the bibliography. Forty clients' needs were brought about from the answers of the 55 questionnaires and bibliographical data. With the analysis of these needs, it was possible to identify 27 clients' requirements along the life cycle of a seeder, to be used in the product design.

  12. A grid-enabled lightweight computational steering client: a .NET PDA implementation.

    Science.gov (United States)

    Kalawsky, R S; Nee, S P; Holmes, I; Coveney, P V

    2005-08-15

    The grid has been developed to support large-scale computer simulations in a diverse range of scientific and engineering fields. Consequently, the increasing availability of powerful distributed computing resources is changing how scientists undertake large-scale modelling/simulation. Instead of being limited to local computing resources, scientists are now able to make use of supercomputing facilities around the world. These grid resources comprise specialized distributed three-dimensional visualization environments through to massive computational systems. The scientist usually accesses these resources from reasonably high-end desktop computers. Even though most modern desktop computers are provided with reasonably powerful three-dimensional graphical hardware, not all scientific applications require high-end three-dimensional visualization because the data of interest is essentially numerical or two-dimensional graphical data. For these applications, a much simpler two-dimensional graphical displays can be used. Since large jobs can take many hours to complete the scientist needs access to a technology that will allow them to still monitor and control their job while away from their desks. This paper describes an effective method of monitoring and controlling a set of chained computer simulations by means of a lightweight steering client based on a small personal digital assistant (PDA). The concept of using a PDA to steer a series of computational jobs across a supercomputing resource may seem strange at first but when scientists realize they can use these devices to connect to their computation wherever there is a wireless network (or cellular phone network) the concept becomes very compelling. Apart from providing a much needed easy-to-use interface, the PDA-based steering client has the benefit of freeing the scientist from the desktop. It is during this monitoring stage that the hand-held PDA client is of particular value as it gives the application

  13. Aggression exhibited by older dementia clients toward staff in Japanese long-term care.

    Science.gov (United States)

    Ko, Ayako; Takasaki, Kinuko; Chiba, Yumi; Fukahori, Hiroki; Igarashi, Ayumi; Takai, Yukari; Yamamoto-Mitani, Noriko

    2012-01-01

    This study examined the experiences of staff members from seven Japanese hospitals who had been treated aggressively by older dementia clients. Altogether, 170 questionnaires were analyzed. In the past year, 75.3% and 63.5% of staff members had experienced physical and verbal aggression, respectively. Working numerous night shifts, working shifts other than 3-shifts, and being allotted assignments with clients who had a lower average level of physical capacity were the factors associated with recurrent client aggression. Those staff members who spent adequate time caring for their clients, who gained client consent before providing care, and who tried to build a trusting relationship with their clients were found to have experienced less aggression. Burnout, which is likely to enhance the risk of the staff mistreatment and neglect of older clients, was found to be higher among those who experienced aggression.

  14. Agreement between clients with schizophrenia and mental health workers on clients' social quality of life: The role of social cognition and symptoms.

    Science.gov (United States)

    Ofir-Eyal, Shani; Hasson-Ohayon, Ilanit; Bar-Kalifa, Eran; Kravetz, Shlomo; Lysaker, Paul H

    2017-06-01

    Studies have showed that therapists and mental health workers of persons with schizophrenia tend to estimate their patients' social quality of life (SQoL) as poorer than the clients' own estimation. This study explores the hypothesis that this discrepancy is related to clients' social cognition and symptomatology. Cross-sectional assessment of both clients and their mental health workers. Ninety persons with schizophrenia and 12 persons who were formal care providers participated in the study. All responded to a parallel version (client and clinician) of social quality-of-life scales. Clients' emotion identification, theory of mind and symptoms were also assessed. Low social cognitive abilities of persons with schizophrenia, as well as negative symptomatology and having children, may be related to the negative bias of mental health workers, with regard to their client's SQoL. While more severe levels of negative symptoms and more deficits of social cognition were related to reduced levels of agreement, paradoxically, a relatively normative family life that includes parenting was also related to lower levels of agreement. Attention should be given to low agreement between clients with schizophrenia and clinicians with regard to the client's quality of life, as it is central to alliance and outcome. Clinicians tend to estimate clients' social quality of life as poorer than the clients' own estimation when those clients have low social cognition, high negative symptomatology and children. There is a need to identify additional factors that contribute to agreement and alliance in therapy. Longitudinal assessment during therapy can trace the process of construction of agreement. © 2016 The British Psychological Society.

  15. Communities of color? Client-to-client racial concordance in the selection of mental health programs for Caucasians and African Americans.

    Science.gov (United States)

    Koizumi, Naoru; Rothbard, Aileen B; Smith, Tony E; Mayer, Jeremy D

    2011-12-01

    A discrete-choice logit model was applied to study the determinants of mental health provider choice using data from a large urban county in the Northeast US. The study subjects were 9,544 adult Medicaid recipients who received outpatient treatment from the 20 Community Mental Health Center (CMHC) programs in 2001. In addition to a conventional set of variables representing client and provider characteristics, the regression model included several interaction terms to examine whether racial concordance level among patients influences the choice of an outpatient program. The results revealed that racial concordance among the clients seems to be a factor in choosing a program. In particular, Caucasian clients are much more likely to select a program with a higher percentage of Caucasian clients, even though they have to travel further. More generally, our results suggest that program choice may be driven more by the racial composition of the clients served than by spatial proximity to the program.

  16. Paid caregiver motivation, work conditions, and falls among senior clients.

    Science.gov (United States)

    Lindquist, Lee A; Tam, Karen; Friesema, Elisha; Martin, Gary J

    2012-01-01

    The purpose of this study was to determine the motivation of paid non-familial caregivers of seniors, understand more about their work conditions, and identify any links to negative outcomes among their senior clients. Ninety-eight paid caregivers (eighty-five female and thirteen male), recruited from multiple sites (i.e. senior centers, shopping malls, local parks, lobbies of senior apartments, caregiver agency meetings) completed face-to-face questionnaires and semi-structured interviews. We found that 60.7% of participants chose to become a caregiver because they enjoyed being with seniors while 31.7% were unable to obtain other work, and 8.2% stated it was a prerequisite to a different health related occupation. Caregivers stated that the most challenging conditions of their work were physical lifting (24.5%), behavioral and psychological symptoms of dementia (24.5%), senior depression/mood changes (18.4%), attachment with impending death (8.2%), missing injuries to client (5.1%), lack of sleep (4.1%), and lack of connection with outside world (3.1%). Caregivers who reported that the best part of their job was the salary, flexible hours, and ease of work were significantly more likely to have clients who fell and fractured a bone than those who enjoyed being with seniors (job characteristics, 62.5% vs. senior enjoyment, 25.6%; plove of seniors and also by their lack of other job opportunities. Paid caregivers frequently face challenging work conditions. When seeking a caregiver for a senior, motivation of the caregiver should be considered when hiring. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  17. Client-oriented Building Mass Customization (CoBMC)

    Science.gov (United States)

    Lee, Xia Sheng; Faris Khamidi, Mohd; Kuppusamy, Sivaraman; Tuck Heng, Chin

    2017-12-01

    Although much later compared to other industries including aerospace, automobile, oil and gas etc., digital technology development has been cresting towards an exponential curve in the construction industry. Technological diversity and abundance change the game from “what you can” to “what you want”. Society is changing at an unprecedented rate. Consequently adaptability will be crucial. This research paper explores the integration of digital adaptive technologies that transform the construction industry from the mass production to that of a possible client-oriented mass customization. The focus on the design, construction and performance stages of a building project, currently undergoing major overhaul faces a paradigm shift globally that will impact and compel attention for the next three decades with viable solutions such as Building Information Modelling (BIM) to manage massive data cum information. Customization maximizes clients’ participation during the design process thereby achieving greater effective value and higher satisfaction. A study between customized and standardized examples will investigate how adaptive customization will shift the design paradigm from cost to value centric. This action research will explore different aspects of emerging innovative systems already in place pushing the edge of frontiers, and transforming the building industry landscape whether micro or giga, to compliment new technologies to create an unprecedented exhilaration of freshness over the mundane, routine and mediocrity. Three identified fundamental aspects that are instrumental to Client-oriented Building Mass Customization (CoBMC) are design option visualization, parametric product information and n-dimensional modelling. The study concluded that a paradigm shift is therefore inevitable for every stakeholder including clients who will need to re-examine their roles, capabilities, and competencies in preparation towards challenging future.

  18. 17 CFR 275.206(4)-4 - Financial and disciplinary information that investment advisers must disclose to clients.

    Science.gov (United States)

    2010-04-01

    ... information that investment advisers must disclose to clients. 275.206(4)-4 Section 275.206(4)-4 Commodity and... disclose to clients. (a) It shall constitute a fraudulent, deceptive, or manipulative act, practice, or... fail to disclose to any client or prospective client all material facts with respect to: (1) A...

  19. Saying good goodbyes to your clients: A functional analytic psychotherapy (FAP) perspective.

    Science.gov (United States)

    Tsai, Mavis; Gustafsson, Tore; Kanter, Jonathan; Plummer Loudon, Mary; Kohlenberg, Robert J

    2017-03-01

    Functional analytic psychotherapy (FAP) promotes client growth by shaping clients' daily life problems that also show up in session with their therapists. FAP therapists create evocative contexts within therapy that afford clients the opportunity to practice, refine, and be reinforced for new, more adaptive behaviors which then can be generalized into their outside lives. In FAP, the termination process will vary from client to client depending on the nature of the client's problems and targets. For many clients, the process can be a rich, multifaceted, final opportunity to evoke, reinforce, and promote generalization of clients' in-session improvements, particularly improvements related to vulnerable self-expression in the service of intimate and close relationships. By making explicit agreements at the outset of therapy to participate in an intentional termination process, and by later providing an evocative structure for ending therapy with vulnerable emotional expression, clients have the opportunity to develop more adaptive behaviors in the context of relationship endings which can be a painful part of the human experience. Equipped with the skills of open-hearted communication developed from an authentic relationship with their therapist, clients can leave therapy on a trajectory of further growth in interpersonal connection and living more boldly. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  20. Client Perspectives on Desirable Attributes and Skills of Veterinary Technologists in Australia: Considerations for Curriculum Design.

    Science.gov (United States)

    Clarke, Patricia M; Al-Alawneh, John; Pitt, Rachael E; Schull, Daniel N; Coleman, Glen T

    2015-01-01

    Client or service user perspectives are important when designing curricula for professional programs. In the case of veterinary technology, an emerging profession in the veterinary field in Australasia, client views on desirable graduate attributes, skills, and knowledge have not yet been explored. This study reports on a survey of 441 veterinary clients (with 104 responses) from four veterinary practices in Brisbane, Queensland, conducted between October 2008 and February 2009. The included veterinary practices provided clinical placements for veterinary technology undergraduates and employment for veterinary technology graduates (2003-2007). Client socio-demographic data along with ratings of the importance of a range of technical (veterinary nursing) skills, emotional intelligence, and professional attributes for veterinary technology graduates were collected and analyzed. Overall, the majority of clients viewed technical skills, emotional intelligence, and professional attributes as important in the clinical practice of veterinary technology graduates with whom they interacted in the veterinary practice. Client interviews (n=3) contextualized the survey data and also showed that clients attached importance to graduates demonstrating professional competence. Agglomerative hierarchical cluster analysis revealed four distinct groupings of clients within the data based on their differing perceptions. Using a multivariable proportional-odds regression model, it was also found that some client differences were influenced by demographic factors such as gender, age, and number of visits annually. For example, the odds of female clients valuing emotionality and sociability were greater than males. These findings provide useful data for the design of a professionalizing and market-driven veterinary technology curriculum.

  1. Nurse in communication with blind patient/client

    OpenAIRE

    Slabe, Damjan; Hafnar, Mirjana

    2015-01-01

    In the article, the authors present special features of communication with a blind patient/client in all phases of nurs- ing care. The nurse who is familiar and skilled in basic principles of communication with the blind can criate solid basis for communication of high quality. The authors stress the importance of warm human relationship, professional knowledge in knowledge of specific features of sensory perception of the blind (blind-born child or an adult who lost his/her sight later in li...

  2. From Client-Server to P2P Networking

    Science.gov (United States)

    Liu, Lu; Antonopoulos, Nick

    Peer-to-peer (P2P) networks attract attentions worldwide with their great success in file sharing networks (such as Napster, Gnutella, Freenet, BitTorrent, Kazaa, and JXTA). An explosive increase in the popularity of P2P networks has been witnessed by millions of Internet users. In this chapter, an investigation of network architecture evolution, from client-server to P2P networking, will be given, underlining the benefits and the potential problems of existing approaches, which provides essential theoretical base to drive future generation of distributed systems.

  3. Clients experience of video recordings of their psychotherapy

    DEFF Research Database (Denmark)

    Jacobsen, Claus Haugaard; Jensen, Karen Boelt; Madsen, Ninna Skov

    the current relatively widespread use video one finds only a very limited numbers empirical study of how these recordings is experienced by the clients. Aim: After a brief discussion of the pro and cons of the use of video recordings this paper presents a qualitative, explorative study of clients’ experiences......Background: Due to the development of technologies and the low costs video recording of psychotherapy sessions have gained ground in training and supervision. While some praise the advantages others decline to use this technological aid for ethical, theoretical or clinical reasons. Despite...

  4. PLAN DE EMPRESA SERVICIO DE CLIENTE MISTERIOSO PARA COMERCIOS

    OpenAIRE

    CUENCA BONO, MARÍA LLUC

    2017-01-01

    [ES] El objeto del presenta Trabajo Final de Carrera (TFC) es la realización de un plan de empresa para ofrecer el servicio de cliente misterioso a empresas. Se pretende conocer la viabilidad de la idea de negocio teniendo en cuenta la situación económica del país y la competencia existente. Desarrollando resumidamente la idea de negocio, se trataría de una empresa de servicios que disponga de personas que realicen visitas de forma oculta y simulada a las tiendas y oficinas ...

  5. The Development and Validation of the Client Expectations of Massage Scale

    Science.gov (United States)

    Boulanger, Karen T.; Campo, Shelly; Glanville, Jennifer L.; Lowe, John B; Yang, Jingzhen

    2012-01-01

    Background: Although there is evidence that client expectations influence client outcomes, a valid and reliable scale for measuring the range of client expectations for both massage therapy and the behaviors of their massage therapists does not exist. Understanding how client expectations influence client outcomes would provide insight into how massage achieves its reported effects. Purpose: To develop and validate the Client Expectations of Massage Scale (CEMS), a measure of clients’ clinical, educational, interpersonal, and outcome expectations. Setting: Offices of licensed massage therapists in Iowa. Research Design: A practice-based research methodology was used to collect data from two samples of massage therapy clients. For Sample 1, 21 volunteer massage therapists collected data from their clients before the massage. Factor analysis was conducted to test construct validity and coefficient alpha was used to assess reliability. Correlational analyses with the CEMS, previous measures of client expectations, and the Life Orientation Test–Revised were examined to test the convergent and discriminant validity of the CEMS. For Sample 2, 24 massage therapists distributed study materials for clients to complete before and after a massage therapy session. Structural equation modeling was used to assess the construct, discriminant, and predictive validity of the CEMS. Participants: Sample 1 involved 320 and Sample 2 involved 321 adult massage clients. Intervention: Standard care provided by licensed massage therapists. Main Outcomes: Numeric Rating Scale for pain and Positive and Negative Affect Schedule–Revised (including the Serenity subscale). Results: The CEMS demonstrated good construct, convergent, discriminant and predictive validity, and adequate reliability. Client expectations were generally positive toward massage and their massage therapists. Positive outcome expectations had a positive effect on clients’ changes in pain and serenity. High

  6. Therapist Differentiation and Couple Clients' Perceptions of Therapeutic Alliance.

    Science.gov (United States)

    Bartle-Haring, Suzanne; Shannon, Samuel; Bowers, David; Holowacz, Eugene

    2016-10-01

    Therapeutic alliance has been acknowledged as one of the catalysts for change within a therapeutic relationship. The contributions of therapists' characteristics to alliance are not often studied. From a Bowen System's Theory perspective, the therapist's level of differentiation would be highly relevant to the development of a therapeutic alliance. The hypothesis for this study was that therapists who are able to take a more differentiated stance in therapy will build a stronger therapeutic alliance. To test this hypothesis, multilevel modeling procedures were performed, using data from nine therapists and 93 couple cases collected at a large, Midwestern university. Therapist differentiation of self was found to be weakly associated with the clients' perception of therapeutic alliance across the early sessions of therapy, but not in the expected direction. Although the results were unexpected, this study provides an example of the potential of examining therapist characteristics from within one model of therapy, that can be applied across various clients and various models of therapy. © 2016 American Association for Marriage and Family Therapy.

  7. Indian system of medicine and women's health: a clients' perspective.

    Science.gov (United States)

    Guha Mazumdar, Papiya; Gupta, Kamla

    2007-11-01

    India has a strong base of ancient indigenous systems of medicine and its national health policies and programmes have consistently promoted the integration of Indian Systems of Medicine (ISM) into the country's official health system. Realizing the safety and efficacy of ISM drugs, the Department of Indian Systems of Medicine and Homoeopathy (ISM&H) has suggested their use for certain women's health problems and during pregnancy. Although the Government of India has attempted to integrate ISM through the country's contemporary health programme of Reproductive and Child Health (RCH), utilization dynamics from the clients' perspective is little understood. This study shows that, at least in urban areas, for the majority of women's health problems biomedicine is regarded as the first choice, failure of which leads clients to seek treatment from ISM as a final resort. Nevertheless, women showed a preference for ISM treatment for certain specific health problems, strongly backed by a belief in their efficacy. Of the predictors that positively influenced women's choice of ISM treatment, 'strong evidenced-based results' was found to be the most important. Women's preference for ISM is dependent on the availability of competent providers.

  8. Establishing a bond with clients of different cultures.

    Science.gov (United States)

    Heineken, J; McCoy, N

    2000-01-01

    In nursing, it is well known that establishing a successful nurse/client relationship depends on the nurse's ability to promote a bond of trust between them (Arnold & Boggs, 1995). A home care nurse working with a client from a different culture will need to be mindful and take the extra steps mentioned in this and other articles. Such steps will help promote this bond of trust and aid the nurse in providing more culturally competent care. However, because every person is unique, these same approaches and structured questions can be asked of all patients. To do so will enable the nurse to have a more complete understanding of each patient's health care beliefs, practices, and decision-making strategies. As has been shown through the case studies presented, gaining a more thorough understanding of the patient and his/her family's health care beliefs is critical to achieving cost-effective and clinically positive outcomes. In each of the examples discussed, if these cultural assessments had not been performed, more nursing resources and longer-term service would have been required.

  9. Fat simple--a nursing tool for client education.

    Science.gov (United States)

    Janssen, Jo

    2006-07-01

    Recent debate about "good fats" and "bad fats" has created uncertainty for nurses and clients as they struggle to make sense of the often contradictory statements in the media. This article summarises the current level of knowledge regarding dietary effects on serum cholesterol and presents the information in an eye catching table that can be used as an educational resource in heart disease prevention education. Information from a literature review was used to design a table that identifies how changes in diet and activity can alter components of a person's lipid profile. Nurses can use the resulting table as a simple tool to give clients targeted education based on their individual cholesterol results. This tool illustrates that not all dietary recommendations to the public are beneficial to serum cholesterol levels and it also explains why popular diets such as the Atkins, Mediterranean, and glycaemic index/load can produce more cardio-protective profiles than the traditional low fat diet. It should provide a way forward in an increasingly contentious area of practice.

  10. Estrategias de lealtad de clientes en la banca universal

    Directory of Open Access Journals (Sweden)

    María Virginia Baptista

    2013-04-01

    Full Text Available Esta investigación parte de los resultados obtenidos en el estudio previo sobre segmentación de lealtad de clientes de la banca universal en el municipio Libertador del estado de Mérida (Venezuela, considerando las dimensiones de satisfacción y compromiso. El objetivo principal es proponer estrategias dirigidas a incrementar los niveles de satisfacción y compromiso en cada segmento identificado en dicho estudio. A través de la investigación cuantitativa apoyada en el análisis estadístico correlacional se analizan los atributos que los usuarios consideraron más importantes y que al mismo tiempo no valoraron satisfactoriamente; asimismo, se identifican las fallas del servicio en estos atributos, elementos del compromiso que tuviesen baja presencia y las correlaciones moderadas positivas entre satisfacción y compromiso. Todo esto permite proponer estrategias en el contexto del marketing relacional que pueden ser adoptadas por la banca para mejorar la lealtad de sus clientes.

  11. Estrategias de lealtad de clientes en la banca universal

    Directory of Open Access Journals (Sweden)

    María Virginia Baptista

    2013-01-01

    Full Text Available Esta investigación parte de los resultados obtenidos en el estudio previo sobre segmentación de lealtad de clientes de la banca universal en el municipio Libertador del estado de Mérida (Venezuela, considerando las dimensiones de satisfacción y compromiso. El objetivo principal es proponer estrategias dirigidas a incrementar los niveles de satisfacción y compromiso en cada segmento identificado en dicho estudio. A través de la investigación cuantitativa apoyada en el análisis estadístico correlacional se analizan los atributos que los usuarios consideraron más importantes y que al mismo tiempo no valoraron satisfacto- riamente; asimismo, se identifican las fallas del servicio en estos atributos, elementos del compromiso que tuviesen baja presencia y las correlaciones moderadas positivas entre satisfacción y compromiso. Todo esto permite proponer estrategias en el contexto del marketing relacional que pueden ser adoptadas por la banca para mejorar la lealtad de sus clientes.

  12. The Segway for people with disabilities: meeting clients' mobility goals.

    Science.gov (United States)

    Sawatzky, Bonita; Denison, Ian; Tawashy, Amira

    2009-06-01

    The goal of this study was to determine how the Segway compares to clients' current method of mobility in meeting their specific mobility goals. This study included 10 subjects (aged 19-65 yrs) with a wide range of disabilities (e.g., multiple sclerosis, spinal cord injury, and amputee) who were able to walk at least 6 m with or without assistance. Subjects navigated a 25-m obstacle course at our provincial adult rehabilitation center with their current mobility devices and then the Segway. The outcome measures used were the Wheelchair Outcome Measure score and the difference in the time required to complete the obstacle course. There was a significant difference in Wheelchair Outcome Measure score between subjects' current mobility method and using the Segway for client specific goals (P Segway may be a good device for people with disabilities because it allows them to participate in social and functional activities in a manner that traditional mobility aids do not facilitate as well. However, it does have its limitations and should be considered as just one of the many mobility options offered to people with disabilities.

  13. Nursing students' perceptions of clients undergoing elective cosmetic surgery.

    Science.gov (United States)

    Cooper, Leah Beth

    2007-01-01

    Aesthetic obsession is commonplace in current society. Supermarket a isles dedicated to beauty products, makeup, and anti-aging creams seem to expand daily. Television and publications flood the public with messages of what constitutes beauty and how to achieve the ideal. Surgical alteration of the body is swiftly becoming a form of self-care technique along with other heath-promoting behavior. Since 2003, the general acceptance of plastic surgery among all Americans surpassed 50% (American Society for Aesthetic Plastic Surgery, 2003). Elective cosmetic surgical procedures have increased by an astounding 444% since 1997 (American Society of Plastic Surgeons, 2006). This quest for body satisfaction based on modern cultural norms increases the public's need for accurate information and understanding from those in the healthcare profession. Despite a transformation in the general population's conception of cosmetic surgery and its clients, stigma still lies in many individuals, including those in the healthcare profession. As this progressively growing patient population emerges, many in healthcare question their attitudes toward plastic surgery and the patients receiving aesthetic operations. With clients undergoing plastic surgery becoming increasingly visible within the healthcare system, some unique aspects of patient care must be addressed.

  14. Thinking critically about client-centred practice and occupational possibilities across the life-span.

    Science.gov (United States)

    Njelesani, Janet; Teachman, Gail; Durocher, Evelyne; Hamdani, Yani; Phelan, Shanon K

    2015-07-01

    Client-centred occupational therapy practice is tacitly guided by prevailing social values and beliefs about what are "normal" occupational possibilities. These values and beliefs privilege some occupations and negate others. This study aims to identify and problematize assumptions regarding the value of approximating normal occupational possibilities, showing how these assumptions influence and may diminish client-centred practice. Using empirical research examples it demonstrates how occupational therapists and clients are immersed in contexts that shape values and beliefs about what are considered "normal" occupations and how these taken-for-granted values structure occupational therapy practice. Critique of client-centred practice requires conscious reflexivity, interrogating our own and our clients' predispositions to value some occupations over others. Engaging in critical reflexivity can help therapists develop new perspectives of how client-centred practice can be applied that includes enabling possibilities for occupations that would be missed altogether in the pursuit of "normal'.

  15. A Stream Tapping Protocol Involving Clients in the Distribution of Videos on Demand

    Directory of Open Access Journals (Sweden)

    Santosh Kulkarni

    2008-01-01

    Full Text Available We present a stream tapping protocol that involves clients in the video distribution process. As in conventional stream tapping, our protocol allows new clients to tap the most recent broadcast of the video they are watching. While conventional stream tapping required the server to send to these clients the part of the video they missed, our protocol delegates this task to the clients that are already watching the video, thus greatly reducing the workload of the server. Unlike previous solutions involving clients in the video distribution process, our protocol works with clients that can only upload video data at a fraction of the video consumption rate and includes a mechanism to control its network bandwidth consumption.

  16. Design and optimisation of a (FA)Q-learning-based HTTP adaptive streaming client

    Science.gov (United States)

    Claeys, Maxim; Latré, Steven; Famaey, Jeroen; Wu, Tingyao; Van Leekwijck, Werner; De Turck, Filip

    2014-01-01

    In recent years, HTTP (Hypertext Transfer Protocol) adaptive streaming (HAS) has become the de facto standard for adaptive video streaming services. A HAS video consists of multiple segments, encoded at multiple quality levels. State-of-the-art HAS clients employ deterministic heuristics to dynamically adapt the requested quality level based on the perceived network conditions. Current HAS client heuristics are, however, hardwired to fit specific network configurations, making them less flexible to fit a vast range of settings. In this article, a (frequency adjusted) Q-learning HAS client is proposed. In contrast to existing heuristics, the proposed HAS client dynamically learns the optimal behaviour corresponding to the current network environment in order to optimise the quality of experience. Furthermore, the client has been optimised both in terms of global performance and convergence speed. Thorough evaluations show that the proposed client can outperform deterministic algorithms by 11-18% in terms of mean opinion score in a wide range of network configurations.

  17. Client and parent feedback on a Youth Mental Health Service: The importance of family inclusive practice and working with client preferences.

    Science.gov (United States)

    Coates, Dominiek

    2016-12-01

    In mental health settings, feedback from clients and carers is central to service evaluation, development and delivery. Increasingly, client and carer feedback is considered an integral part of service planning, and recognized as a critical element of the provision of recovery oriented service. This paper outlines the findings of a qualitative evaluation of a Youth Mental Health (YMH) service from the perspective of discharged clients and their parents. The service researcher conducted telephone interviews with 39 parents of discharged clients, and 17 young people themselves. Participants reported positive or mixed experiences with the service. In addition to more generic positive statements about the service, analysis identified two key themes: the importance of 'family inclusive practice' and the importance of 'working with client preferences'. Young people and their parents want to be actively engaged in treatment and have their treatment preferences considered in treatment planning. Participants expressed the importance of "a good fit" between the client and the worker in terms of the clinician's gender, personality and treatment style/modality. While for some participants these themes were raised in the context of service strengths, others identified them as limitations or opportunities for service improvement. The extent to which clients and their parents felt engaged and heard by their allocated clinician is critical to their satisfaction or dissatisfaction with the service, depending on their unique experience. As an outcome of this evaluation, a range of service improvement strategies have been recommended. © 2016 Australian College of Mental Health Nurses Inc.

  18. Working alliance, real relationship, session quality, and client improvement in psychodynamic psychotherapy: A longitudinal actor partner interdependence model.

    Science.gov (United States)

    Kivlighan, Dennis M; Hill, Clara E; Gelso, Charles J; Baumann, Ellen

    2016-03-01

    We used the Actor Partner Interdependence Model (APIM; Kashy & Kenny, 2000) to examine the dyadic associations of 74 clients and 23 therapists in their evaluations of working alliance, real relationship, session quality, and client improvement over time in ongoing psychodynamic or interpersonal psychotherapy. There were significant actor effects for both therapists and clients, with the participant's own ratings of working alliance and real relationship independently predicting their own evaluations of session quality. There were significant client partner effects, with clients' working alliance and real relationship independently predicting their therapists' evaluations of session quality. The client partner real relationship effect was stronger in later sessions than in earlier sessions. Therapists' real relationship ratings (partner effect) were a stronger predictor of clients' session quality ratings in later sessions than in earlier sessions. Therapists' working alliance ratings (partner effect) were a stronger predictor of clients' session quality ratings when clients made greater improvement than when clients made lesser improvement. For clients' session outcome ratings, there were complex three-way interactions, such that both Client real relationship and working alliance interacted with client improvement and time in treatment to predict clients' session quality. These findings strongly suggest both individual and partner effects when clients and therapists evaluate psychotherapy process and outcome. Implications for research and practice are discussed. (c) 2016 APA, all rights reserved).

  19. Meaning of dancing therapy in therapy of clients with psychological diseases

    OpenAIRE

    Němcová, Barbora

    2010-01-01

    Bachelor thesis deals with meaning and effects of Dance therapy in frame of medical therapy of clients with psychical disease. Theoretical part defines words like dance, movement and Dance therapy. This part also describes history of dance, meaning and aims of Dance therapy, its school, aims and divisions. Mensioned are person of dance therapist, personalities connected with dance and Dance therapy, target groups of clients suitable for Dance therapy, importance of Dance therapy for clients w...

  20. Communicative principles among corporate clients and regional branches of commercial banks

    OpenAIRE

    Asie TSINTSADZE; Lela ONIANI

    2014-01-01

    The aim of this article is to discuss the share of consumption taken by the corporate clients in the autonomous republic of Adjara. It is remarkable that the most of the share of banks’ total incomes are formed exactly on the base of accumulated resource accounts of corporate clients. So in order to attract corporate clients in the region, there is a great and strong competition among the banks. According to the above mentioned information, we are discussing several principles concerning to t...

  1. The insecure psychotherapy base: Using client and therapist attachment styles to understand the early alliance.

    Science.gov (United States)

    Marmarosh, Cheri L; Kivlighan, Dennis M; Bieri, Kathryn; LaFauci Schutt, Jean M; Barone, Carrie; Choi, Jaehwa

    2014-09-01

    The purpose of this study was to test the notion that complementary attachments are best for achieving a secure base in psychotherapy. Specifically, we predicted third to fifth session alliance from client- and therapist-rated attachment style interactions. Using a combined sample of 46 therapy dyads from a community mental health clinic and university counseling center, the client- and therapist-perceived therapy alliance, attachment anxiety, and attachment avoidance were examined at the beginning of therapy. The results of an Actor-Partner Interdependence Model (APIM; Kenny & Cook, 1999, Partner effects in relationship research: Conceptual issues, analytic difficulties, and illustrations. Personal Relationships, 6, 433-448.) indicated that there was no direct effect of either client or therapist attachment style on therapist or client early ratings of the alliance. One significant interaction emerged and indicated that client-perceived alliance was influenced by therapist and client attachment anxiety. The client-perceived early alliance was higher when more anxious therapists worked with clients with decreasing anxiety. The client early alliance was higher when less anxious therapists worked with clients with increasing anxiety. The findings partially support the notion that different attachment configurations between the therapist and client facilitate greater alliance, but this was the case only when assessing client-perceived early alliance and only with regards to the dimension of attachment anxiety. There were no significant main effects or interactions when exploring therapist-perceived alliance. Implications of the findings are discussed along with recommendations for future study and clinical training. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  2. Improving client and nurse satisfaction through the utilization of bedside report.

    Science.gov (United States)

    Vines, Mary M; Dupler, Alice E; Van Son, Catherine R; Guido, Ginny W

    2014-01-01

    Bedside reporting improves client safety and trust and facilitates nursing teamwork and accountability; however, many nurses do not consider it best practice when caring for their clients. A literature review was conducted to determine whether bedside report is an essential shift handover process that promotes both client and nursing satisfaction. Implications for nurses in professional development are discussed, and strategies for developing and implementing bedside report using Lewin's theory of planned change are provided.

  3. Servidor de claves públicas pgp, cliente administrador y cliente para ciframiento y desciframiento de correo electrónico

    OpenAIRE

    Redrovan Castillo, Fabian; Ruiz Ampuero, Luis M.; Vaca Ruiz, Carmen K.; Yanez Godoy, Ricardo E.; Caicedo Rossi, Guido Alfredo

    2009-01-01

    Basándose en el paradigma Cliente-Servidor bajo la arquitectura TCP/IP, se implementaran tres aplicaciones. Cada aplicación tiene un nombre que refleja su propósito: el Cliente Administrador, el Cliente de Correo Electrónico y finalmente el servidor PGP. Este último ofrece varios servicios, sobresaliendo por su importancia, el proporcionar a quien lo necesite, la clave pública de encriptación PGP (Pretty Good Privacy) de una persona determinada. Para que esto sea posible, dicha persona deb...

  4. A macro perspective for client-centred practice in curricula: Critique and teaching methods.

    Science.gov (United States)

    Fleming-Castaldy, Rita P

    2015-07-01

    Client-centred practice is often eclipsed by social, economic, and political inequities. Ignoring these realities obstructs clients' goal attainment. The author advocates for the integration of a macro perspective inclusive of participation barriers and supports in occupational therapy curricula and seeks to motivate educators to adopt teaching approaches that develop students' abilities to address the complexities of client-centred practice. This article integrates a critical analysis of the literature on client-centred practice with reflexivity on disability studies and autoethnography. Educational standards require students to learn about the social, economic, and political contexts that impact on client-centred practice and the need for advocacy to enable participation. Theoretical support of a macro perspective for client-centred practice is strongly evident in the literature. Information on methods for teaching students how to actualize these concepts in practice is scant. Thus, strategies to inform the integration of a macro perspective into curricula and concrete activities to develop students' competencies for empowered client-centred practice are required. Educators have an ethical responsibility to critique their pedagogy to determine whether they are adequately preparing students for client-centred practice. The focus must move from teaching a micro perspective of client-centred practice to a macro perspective that enables occupational justice and empowerment.

  5. Healing Relationships: A Qualitative Study of Healers and Their Clients in Germany

    Directory of Open Access Journals (Sweden)

    B. M. H. Stöckigt

    2015-01-01

    Full Text Available Background. The aim of this study was to investigate the nature of the relationships between healers and their clients in Germany. Methods. An interdisciplinary research team performed semistructured interviews with healers and clients and participatory observation of healing sessions. All interviews were digitally recorded, transcribed, and analyzed using content analysis. Results. Fifteen healers and sixteen clients were included. The healer-client relationship was described as a profound and unique experience, which brought forth interpersonal and spiritual connections. The healers were seen as role models for healing to occur and support for being connected spiritually. The clients had to be open-minded and responsible. The importance of the healers’ empathy was emphasized. Discussion. The relationship between healer and client can be seen as a triangular connection between client, healer, and a transcendent source which is not the case in typical patient-doctor relationships. The spiritual connection is also said to enhance the empathetic understanding of the healer. The personality and a partner-like attitude of the healer supported the client in giving a more positive meaning to his life, in reconnecting to his spirituality, and in taking responsibility. Future studies should address the role of spirituality in health care and the development of enduring healer-client relationships.

  6. Ontogenesis in narrative therapy: a linguistic-semiotic examination of client change.

    Science.gov (United States)

    Muntigl, Peter

    2004-03-01

    In this article I investigate how the narrative therapy process facilitates client change. The kind of change that I focus on is linguistic-semiotic; that is, how clients develop their meaning potential through language. What I will demonstrate is how an examination of the linguistic-semiotic level provides new insights into narrative therapy's role in endowing clients with the semiotic materials to make new meanings. An examination of six conjoint sessions involving a narrative therapist with one couple revealed that client change or ontogenesis is composed of three semiotic phases. In the first phase of ontogenesis clients display a beginning semiotic repertoire by formulating "extreme case" descriptions of self and other's behaviors. In the second phase clients are scaffolded by therapist's questions and reformulations into construing events as problems and problems as the agents of negative behaviors. In the final phase clients display a development in their semiotic potential. Clients are able to eliminate problems and construe themselves as agents without prior therapist scaffolding. Therefore, in the latter stages of the narrative process clients are able to deploy meanings that have been generated throughout therapy, in order to produce narratives of self agency and self control.

  7. Quality of intrapartum care at Mulago national referral hospital, Uganda: clients' perspective

    National Research Council Canada - National Science Library

    Kigenyi, Omar; Tefera, Getachew B; Nabiwemba, Elizabeth; Orach, Christopher G

    2013-01-01

    Quality of intrapartum care is an important intervention towards increasing clients' utilization of skilled attendance at birth and accelerating improvements in newborn's and maternal survival and wellbeing...

  8. Montessori-based training makes a difference for home health workers & their clients.

    Science.gov (United States)

    Gorzelle, Gregg J; Kaiser, Kathy; Camp, Cameron J

    2003-01-01

    Home care visits can last several hours. Home care workers are often at a loss on how to fill time spent in homes of clients. The challenge is how to use this time in ways that are productive and engaging for both clients and home health workers. The authors trained home health aides to implement Montessori-based activities while interacting with clients who have dementia. The results were amazing. Among other positive results, the authors found a statistically significant increase in the amount of pleasure displayed by clients after health workers received training.

  9. Psychotherapists' experience with clients who engage in consensual sadomasochism: a qualitative study.

    Science.gov (United States)

    Lawrence, Anne A; Love-Crowell, Jennifer

    2008-01-01

    Consensual sadomasochism (Bondage and Discipline, Dominance and Submission, Sadism and Masochism; BDSM) is relatively common, but the experience of psychotherapists who work with clients who engage in BDSM has received little study. We conducted semistructured interviews with 14 therapists experienced in working with BDSM clients. Interviews were recorded, transcribed, and analyzed for thematic content. Therapists emphasized the importance of cultural competence, including a nonjudgmental attitude and knowledge of BDSM practices and cultural values. BDSM was rarely a central issue in therapy, relationship issues were clients' most common presenting concerns. Therapists who practiced BDSM themselves often encountered boundary issues with clients.

  10. Creating reality or contributing to confusion? An exploratory study of client participation in student learning.

    Science.gov (United States)

    Twinn, S F

    1995-08-01

    Changing trends in nurse education continue to highlight the theory-practice gap in student preparation. The development of courses such as Project 2000 has acknowledged the importance of integrating theory and practice in overcoming this phenomenon. As part of this process clients and patients have become more involved in student learning, particularly in the community. However educationalists and practitioners have expressed concerns about the effect of this development on the quality of patient care. Clients have participated actively in health visiting education since the 1960s and, as part of a wider study, research was undertaken to explore the implications of client participation in student learning. A case-study design was developed employing qualitative and quantitative methods of data collection, including confidential semi-structured interviews. For the purpose of this paper the discussion focuses on three major issues; the essential role of clients in the learning process, clients' perception of students' role in the practicum, and clients' perception of their role in the assessment process. The findings demonstrate that despite clients' willingness and commitment to participate in student learning important factors must be considered. These include not only the selection of clients, detailed briefing of students and clients and careful monitoring of the practice situation, but also the preparation of practitioners facilitating student learning. These findings are equally important for student learning in pre-registration programmes.

  11. Analysis of Terminal Server Architectures for Thin Clients in a High Assurance Network

    National Research Council Canada - National Science Library

    Balmer, Steven R; Irvine, Cynthia E

    2000-01-01

    This paper examines the architectural and security impact of using commercially available, popular terminal servers to support thin clients within the context of a high assurance multilevel network...

  12. Meeting the occupational needs of a neurologically impaired client for driving: a case review.

    Science.gov (United States)

    Rolland, Beth; Dickerson, Anne E; Brooks, Johnell

    2013-10-01

    Driving as a means of community mobility is an activity highly valued by individuals. When a medical condition impacts a person's ability to drive, occupational therapy practitioners should address this instrumental task of daily living with the client in order for the client to know if and when return to driving might be possible. This case review illustrates how the task of driving motivated a neurologically impaired client in therapy as well as how driving evaluation and driving rehabilitation intervention should not be done in isolation, but with the communication that will optimally assist the client to return to functional performance.

  13. Gender differences in veterinarian-client-patient communication in companion animal practice.

    Science.gov (United States)

    Shaw, Jane R; Bonnett, Brenda N; Roter, Debra L; Adams, Cindy L; Larson, Susan

    2012-07-01

    To describe the relationship between veterinarian and client genders and veterinarian-client-patient communication. Cross-sectional descriptive study. Random sample of 50 companion animal practitioners in southern Ontario and a convenience sample of 300 clients and their pets. For each practitioner, 6 clinical appointments were videotaped, and the resulting 300 videotapes were analyzed with the Roter interaction analysis system (RIAS). Linear regression was conducted to study the relationship between demographic factors, measures of veterinarian-client-patient communication, and gender of the veterinarian and client. Female veterinarians conducted more relationship-centered appointments, provided more positive and rapport-building statements, talked more to the patient, and were perceived as less hurried or rushed, compared with male veterinarians. Clients were more likely to provide lifestyle-social information to female veterinarians. Same-gender veterinarian-client interactions were relationship centered and included client provision of more lifestyle-social information. Gender influenced veterinarian-client-patient communication, and previously described physician gender differences in medical communication were largely replicated in the veterinary context.

  14. A multivariate dynamic systems model for psychotherapy with more than one client

    DEFF Research Database (Denmark)

    Butner, Jonathan E.; Deits-Lebehn, Carlene; Crenshaw, Alexander O.

    2017-01-01

    The dynamics of the give and take between therapist and client(s) is frequently of interest to therapy process researchers. Characterizing the ways that therapists respond to clients and clients respond to therapists can be challenging in therapeutic encounters involving a single therapist...... cross-lagged panel models can be extended to psychotherapeutic encounters involving 3 people and used to test processes that exist between dyadic subsets of the larger group as well as the group as one cohesive unit. Three hundred seventy-nine talk turns of fundamental frequency from a couple therapy...

  15. Client-level measures of services integration among chronically homeless adults.

    Science.gov (United States)

    Mares, Alvin S; Greenberg, Greg A; Rosenheck, Robert A

    2008-10-01

    While several major studies have examined services integration at the system or interagency level, there has been far less effort to measure the integration of services at the client-level and its correlates. This study presents three client-level measures of services integration, two objective measures, representing the proportion of needed services received and the number of outpatient services received by each client, and one subjective measure, a five-item scale measuring perceived coordination of care among clients' service providers. Data from the evaluation of the collaborative initiative to help end chronic homelessness (CICH) are used to examine bivariate and multivariate relationships of these three client-level measures to two system-level measures of services integration, one addressing interagency services coordination/planning and the other interagency trust/respect as well as to baseline client characteristics among 734 chronically homeless adults in 11 cities. Client-level measures of service integration were not strongly associated to each other or to the system-level measures, except for weak associations (r = 0.10) between one objective client measure and the system-level measure of service coordination and planning, and another between client-level use of outpatient mental health services and system-level trust and respect. Multivariate analysis showed that clients who received a greater array of needed services received more service overall and were more likely to have a diagnosis of PTSD and more medical problems, but less serious alcohol problems. Clients who reported more outpatient mental health and substance abuse visits were significantly more likely to be married, to be veterans, to have more serious drug problems, and to be dually diagnosed. Clients with more serious drug problems reported poorer coordination among their service providers on the subjective measure of client-level service integration. Three client-level measures of

  16. Health workers' support for hepatitis C treatment uptake among clients with a history of injecting.

    Science.gov (United States)

    Brener, Loren; von Hippel, Courtney; Wilson, Hannah; Hopwood, Max

    2016-04-01

    Hepatitis C virus is stigmatised because of its association with injecting drug use. Although treatment is available, uptake remains low, especially among people who inject drugs. Ninety health workers completed a survey assessing attitudes towards people who inject drugs and support for treatment for three client scenarios: one who stopped injecting, one on methadone, and one continuing to inject. Support for hepatitis C virus treatment was significantly higher, where the client was not injecting. Participants who showed more negative attitudes towards people who inject drugs were less supportive of clients entering hepatitis C virus treatment, illustrating the influence of health workers' attitudes in determining treatment options offered to clients.

  17. Using a cross-contextual qualitative diary design to explore client experiences of psychotherapy

    DEFF Research Database (Denmark)

    Mackrill, Thomas

    2007-01-01

    Qualitative research in counselling and psychotherapy has largely been based on interviews carried out with clients and therapists. Other approaches to qualitative data collection are possible. The present paper presents a diary design for qualitative psychotherapy research. The study explores...... the connection between what goes on in therapy sessions and client activities and experiences in other contexts. The design of the study involved clients and counsellors keeping diaries about significant aspects of therapy sessions, while clients also kept diaries about new and different experiences in other...

  18. Loosening the notions of compliance and sub-behaviour in client/server systems

    Directory of Open Access Journals (Sweden)

    Franco Barbanera

    2014-10-01

    Full Text Available In the context of "session behaviors" for client/server systems, we propose a weakening of the compliance and sub-behaviour relations where the bias toward the client (whose "requests" must be satisfied is pushed further with respect to the usual definitions, by admitting that "not needed" output actions from the server side can be "skipped" by the client. Both compliance and sub-behaviour relations resulting from this weakening remain decidable, though the proof of the duals-as-minima property for servers, on which the decidability of the sub-behaviour relation relies, requires a tighter analysis of client/server interactions.

  19. Exploring the experience of clients with tetraplegia utilizing assistive technology for computer access.

    Science.gov (United States)

    Folan, Alyce; Barclay, Linda; Cooper, Cathy; Robinson, Merren

    2015-01-01

    Assistive technology for computer access can be used to facilitate people with a spinal cord injury to utilize mainstream computer applications, thereby enabling participation in a variety of meaningful occupations. The aim of this study was to gain an understanding of the experiences of clients with tetraplegia trialing assistive technologies for computer access during different stages in a public rehabilitation service. In order to explore the experiences of clients with tetraplegia trialing assistive technologies for computer use, qualitative methodology was selected. Data were collected from seven participants using semi-structured interviews, which were audio-taped, transcribed and analyzed thematically. Three main themes were identified. These were: getting back into life, assisting in adjusting to injury and learning new skills. The findings from this study demonstrated that people with tetraplegia can be assisted to return to previous life roles or engage in new roles, through developing skills in the use of assistive technology for computer access. Being able to use computers for meaningful activities contributed to the participants gaining an enhanced sense of self-efficacy, and thereby quality of life. Implications for Rehabilitation Findings from this pilot study indicate that people with tetraplegia can be assisted to return to previous life roles, and develop new roles that have meaning to them through the use of assistive technologies for computer use. Being able to use the internet to socialize, and complete daily tasks, contributed to the participants gaining a sense of control over their lives. Early introduction to assistive technology is important to ensure sufficient time for newly injured people to feel comfortable enough with the assistive technology to use the computers productively by the time of discharge. Further research into this important and expanding area is indicated.

  20. OLS Client and OLS Dialog: Open Source Tools to Annotate Public Omics Datasets.

    Science.gov (United States)

    Perez-Riverol, Yasset; Ternent, Tobias; Koch, Maximilian; Barsnes, Harald; Vrousgou, Olga; Jupp, Simon; Vizcaíno, Juan Antonio

    2017-10-01

    The availability of user-friendly software to annotate biological datasets and experimental details is becoming essential in data management practices, both in local storage systems and in public databases. The Ontology Lookup Service (OLS, http://www.ebi.ac.uk/ols) is a popular centralized service to query, browse and navigate biomedical ontologies and controlled vocabularies. Recently, the OLS framework has been completely redeveloped (version 3.0), including enhancements in the data model, like the added support for Web Ontology Language based ontologies, among many other improvements. However, the new OLS is not backwards compatible and new software tools are needed to enable access to this widely used framework now that the previous version is no longer available. We here present the OLS Client as a free, open-source Java library to retrieve information from the new version of the OLS. It enables rapid tool creation by providing a robust, pluggable programming interface and common data model to programmatically access the OLS. The library has already been integrated and is routinely used by several bioinformatics resources and related data annotation tools. Secondly, we also introduce an updated version of the OLS Dialog (version 2.0), a Java graphical user interface that can be easily plugged into Java desktop applications to access the OLS. The software and related documentation are freely available at https://github.com/PRIDE-Utilities/ols-client and https://github.com/PRIDE-Toolsuite/ols-dialog. © 2017 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.