WorldWideScience

Sample records for cliente real competidor

  1. Correspondence of Motivational Interviewing Adherence and Competence Ratings in Real and Role-Played Client Sessions

    Science.gov (United States)

    Decker, Suzanne E.; Carroll, Kathleen M.; Nich, Charla; Canning-Ball, Monica; Martino, Steve

    2013-01-01

    Treatment integrity ratings (adherence and competence) are frequently used as outcome measures in clinician training studies, drawn from recorded real client or role-played client sessions. However, it is unknown whether clinician adherence and competence are similar in real client and role-played sessions or whether real and role-play clients…

  2. FRIEND Engine Framework: A real time neurofeedback client-server system for neuroimaging studies

    Directory of Open Access Journals (Sweden)

    Rodrigo eBasilio

    2015-01-01

    Full Text Available In this methods article, we present a new implementation of a recently reported FSL-integrated neurofeedback tool, the standalone version of Functional Real-time Interactive Endogenous Modulation and Decoding (FRIEND. We will refer to this new implementation as the FRIEND Engine Framework. The framework comprises a client-server cross-platform solution for real time fMRI and fMRI/EEG neurofeedback studies, enabling flexible customization or integration of graphical interfaces, devices and data processing. This implementation allows a fast setup of novel plug-ins and frontends, which can be shared with the user community at large. The FRIEND Engine Framework is freely distributed for non-commercial, research purposes.

  3. 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…

  4. Assessing facade value - how clients make business cases in changing real estate markets

    Directory of Open Access Journals (Sweden)

    Alexandra den Heijer

    2013-12-01

    Full Text Available Relevance: The value of any intervention in the built environment is most relevant for the stakeholders that are investing in it. For them all costs need to be balanced with benefits - not necessarily directly financial, but adding value to the performance of the accommodated organization. Business cases contain performance criteria like competitive advantage (branding the organization, productivity (optimally supporting users of the building, profitability (on organizational level and sustainable development (monitoring the ecological footprint. In the changing real estate markets – from supply-driven to demand-driven and with increasingly higher vacancy rates – priorities in decisions about buildings have been shifting.Purpose: This paper elaborates on how (a the trends in real estate markets and (b changing priorities in decision making affect the quality demand for buildings and their facades.Design/methodology/approach: This paper is based on research of the Real Estate Management chair in general (market analysis, transformation trends, conceptual frameworks and more specifically on decisions about university campuses in the past 10 years (14 campuses and 57 buildings assessed.Findings: This paper provides both conceptual frameworks to assess the (added value of interventions in the built environment for the client and their (changing priorities in the brief for buildings and their facades.

  5. Assessing facade value - how clients make business cases in changing real estate markets

    Directory of Open Access Journals (Sweden)

    Alexandra Den Heijer

    2013-12-01

    Full Text Available Corresponding author: Dr. ir. Alexandra den Heijer, Delft University of Technology (TU Delft, Faculty of Architecture and the Built Environment, Department of Real Estate & Housing, Julianalaan 134, 2628 BL Delft, The Netherlands. Tel.: +31 15 278 4159; E-mail: a.c.denheijer@tudelft.nl RELEVANCE: The value of any intervention in the built environment is most relevant for the stakeholders that are investing in it. For them all costs need to be balanced with benefits - not necessarily directly financial, but adding value to the performance of the accommodated organization. Business cases contain performance criteria like competitive advantage (branding the organization, productivity (optimally supporting users of the building, profitability (on organizational level and sustainable development (monitoring the ecological footprint. In the changing real estate markets – from supply-driven to demand-driven and with increasingly higher vacancy rates – priorities in decisions about buildings have been shifting. PURPOSE: This paper elaborates on how (a the trends in real estate markets and (b changing priorities in decision making affect the quality demand for buildings and their facades. DESIGN/METHODOLOGY/APPROACH: This paper is based on research of the Real Estate Management chair in general (market analysis, transformation trends, conceptual frameworks and more specifically on decisions about university campuses in the past 10 years (14 campuses and 57 buildings assessed. FINDINGS: This paper provides both conceptual frameworks to assess the (added value of interventions in the built environment for the client and their (changing priorities in the brief for buildings and their facades

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

    Directory of Open Access Journals (Sweden)

    Vetrivel. P

    2014-01-01

    Full Text Available 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 deals with sending HTML for display in a web browser on the client terminal, an application server provides access to server side logic for pollutants levels to be use by client application programs. The Embedded Web Server is an arm mcb2300 board with internet connectivity and acts as air pollution server as this standalone device gathers air pollutants levels and as a Server. Embedded Web server is accessed by various clients.

  7. A Flexible Client-Driven 3DTV System for Real-Time Acquisition, Transmission, and Display of Dynamic Scenes

    Directory of Open Access Journals (Sweden)

    Qionghai Dai

    2008-08-01

    Full Text Available 3D experience and free-viewpoint navigation are expected to be two essential features of next generation television. In this paper, we present a flexible 3DTV system in which multiview video streams are captured, compressed, transmitted, and finally converted to high-quality 3D video in real time. Our system consists of an 8×8 camera array, 16 producer PCs, a streaming server, multiple clients, and several autostereoscopic displays. The whole system is implemented over IP network to provide multiple users with interactive 2D/3D switching, viewpoint control, and synthesis for dynamic scenes. In our approach, multiple video streams are first captured by a synchronized camera array. Then, we adopt a lengthened-B-field and region of interest- (ROI- based coding scheme to guarantee a seamless view switching for each user as well as saving per-user transmission bandwidth. Finally, a convenient rendering algorithm is used to synthesize a visually pleasing result by introducing a new metric called Clarity Degree (CD. Experiments on both synthetic and real-world data have verified the feasibility, flexibility, and good performance of our system.

  8. Modelo de Kanban como estrategia de mejora del servicio al cliente en AAM.

    OpenAIRE

    2016-01-01

    En la actualidad las organizaciones se enfrentan a un gran número de competidores lo que les obliga a implementar acciones encaminadas a mejorar el servicio al cliente, para obtener una percepción positiva que los lleve a posicionar sólidamente su marca. Por lo que, hoy en día la satisfacción de los clientes representa una ventaja competitiva para cualquier organización. Esta investigación tuvo como propósito principal, con base en los resultados obtenidos, desarrollar una propuesta de Kan...

  9. The real value of the customer in the process of crm and accounting: a case study in a retail supermarket El valor real del cliente en el proceso de crm y la contabilidad: un estudio de caso en empresa del sector minorista supermercadista O valor real do cliente no processo de crm e a contabilidade: um estudo de caso em empresa do setor de varejo supermercadista

    Directory of Open Access Journals (Sweden)

    Tatiane da Silva Ferreira Vichroski

    2010-12-01

    Full Text Available As important as the gathering of transactional data and types and patterns of the customers is today, assessment of customer value, as precisely as possible, is critical in order to analyze and understand each of them in today's competitive marketplace. Thus, a way is proposed to assess the real value of the customer (LTV - Life Time Value for a retail supermarket based on their transactional and financial history as well as customer interactions with the organization. An exploratory case study was conducted in a supermarket to understand how LTV may be used in decision making in the process of relationship management with the customer (CRM - Customer Relationship Management. Results disclosed that the company with knowledge of the real value of its portfolio of customers can treat each customer segment on a more distinct personalized basis. This facilitates allocation of investments for the strategies of the relationship avoiding errors and helping the business to grow. Finally, the importance of accounting information generated by this process is emphasized as a modest academic contribution to the progress of studies on LTV, a subject widely discussed in international literature.En el mercado competitivo actual, tan importante cuanto reunir datos de transacciones, tipos y modelos de clientes es estimar lo más precisamente posible el valor del cliente, como forma de analizar y entender cada consumidor. En esa perspectiva, este trabajo propone una forma de estimar el valor real del cliente (LTV - Life Time Value del comercio minorista supermercadista con base en su historia de transacciones y financiera, bien como en sus interacciones con la organización. Para tanto, fue realizado un estudio exploratorio de caso único en empresa del ramo supermercadista, con el propósito de conocer como el LTV puede ser empleado al tomarse decisiones en el proceso de gerenciar las relaciones con el cliente (CRM - Customer Relationship Management. Como

  10. 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.

  11. What client?

    DEFF Research Database (Denmark)

    Unterrainer, Walter

    2015-01-01

    but they are most notably creative in generating new forms of financing/enabling public projects as well as getting rewarded their own efforts. It is an ambition of the paper to document common grounds from their different experiences and to make them productive for our educational institutions....... rising pressure for new approaches towards space, urbanization, environmental challenges, technological inventions, transformation of cities and buildings on one hand and the decline in impact, reputation, self-esteem and economy of ´conventional´architectural profession on the other hand. In Asia like...... 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...

  12. Análisis del servicio y el nivel de satisfacción a los clientes de la empresa Cervecería Nacional. Diseño de un modelo integral de atención al cliente.

    OpenAIRE

    2016-01-01

    La creciente oferta de bebidas alcohólicas, energizantes y agua envasada en el mercado ecuatoriano ha mostrado que existen muchos competidores que desean ingresar a esta industria, y es muy claro que Nacional quien es el líder de mercado debe realizar una evaluación de sus fortalezas y en relación al servicio brindado a sus clientes, con el fin de implementar un plan estratégico a plazo, que le permita posesionarse y mantenerse como el mejor de los proveedores desarrolló una investiga...

  13. Multiversion Two-Phase Locking Concurrency Control Protocol in Real-Time Client /Server Database Systems%实时Client/Server数据库多版本两个阶段封锁并发控制协议

    Institute of Scientific and Technical Information of China (English)

    雷向东; 赵跃龙; 袁晓莉

    2005-01-01

    提出了实时Client/Server数据库多版本两阶段封锁并发控制协议.该协议具有多版本并发控制机制与两阶段封锁机制的优点,使用如下策略以减少延误截止时间事务数量:若冲突集中有比持锁事务Ti优先级高的事务,且Ti重启动不会延误截止时间,则Ti重启动,冲突集中优先级最高的事务获得锁;否则,冲突集中其它事务等待.为了提高只读事务的响应时间,客户端设有一致数据库影子,只读事务在客户端处理.通过仿真模拟,与2V2PL和OCC-TI-WAIT-50协议进行比较,结果表明:该并发控制协议不仅能有效降低事务延误截止时间率,而且能改善只读事务的响应时间,减少优先级高事务的锁等待时间.协议性能优于2V2PL协议和OCC-TI-WAIT-50协议.

  14. 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.

  15. 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....

  16. ¿Qué es un competidor directo? Estudio para corroborar la percepción de competencia directa con base en tres factores

    Directory of Open Access Journals (Sweden)

    Jorge Vera Martínez

    2012-01-01

    Full Text Available En el presente trabajo se ofrece la hipótesis de que la percepción de competencia directa por parte de un líder de unidad estratégica de negocio (UEN depende de tres variables: similitud del producto ofrecido, similitud del mercado atacado y similitud de capacidades estratégicas de las empresas competidoras. Se propone que la competencia directa depende más de la percepción de los gerentes que de una decisión basada en una regla objetiva. Estas tres variables son detectadas inicialmente en una revisión de literatura y son corroboradas mediante un estudio cualitativo donde se entrevistó a líderes de UEN. La relación entre estas tres variables y la percepción de competencia directa se corrobora mediante una prueba empírica donde se aplican cuestionarios -también a líderes de UEN- que sirvieron para medir la relación entre tales variables. El presente trabajo se enmarca en la noción de grupos estratégicos; se parte de que los integrantes de uno tenderían a percibirse como competidores directos y que esta percepción de competencia directa podría ser un factor para conformar tales grupos. Los resultados arrojan que la percepción de competencia directa sí es dependiente de cada una de las tres variables de similitud. Se hace un análisis estadístico de dos tipos: uno basado en correlaciones tomando la percepción de competencia directa como una variable ordinal y otro en chi-cuadrada y tablas de contingencia tomando la dependiente como una variable dicotómica: la de competencia más directa versus la de competencia menos directa.

  17. Reducing client waiting time.

    Science.gov (United States)

    1992-01-01

    This first issues of Family Planning (FP) Manager focuses on how to analyze client waiting time and reduce long waits easily and inexpensively. Client flow analysis can be used by managers and staff to identify organizational factors affecting waiting time. Symptoms of long waiting times are overcrowded waiting rooms, clients not returning for services, staff complaints about rushing and waiting, and hurried counseling sessions. Client satisfaction is very important in order to retain FP users. Simple procedures such as routing return visits differently can make a difference in program effectiveness. Assessment of the number of first visits, the number of revisits, and types of methods and services that the clinic provides is a first step. Client flow analysis involves assigning a number to each client on registration, attaching the client flow form to the medical chart, entering the FP method and type of visit, asking staff to note the time at each station, and summarizing data in a master chart. The staff should be involved in plotting data for each client to show waiting versus staff contact time through the use of color coding for each type of staff contact. Bottlenecks become very visible when charted. The amount of time spent at each station can be measured, and gaps in client's contact with staff can be identified. An accurate measure of total waiting time can be obtained. A quick assessment can be made by recording arrival and departure times for each client in one morning or afternoon of a peak day. The procedure is to count the number of clients waiting at 15-minute intervals. The process should be repeated every 3-6 months to observe changes. If waiting times appear long, a more thorough assessment is needed on both a peak and a typical day. An example is given of a completed chart and graph of results with sample data. Managers need to set goals for client flow, streamline client routes, and utilize waiting time wisely by providing educational talks

  18. 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.

  19. Campaign Consultants - Client Payments

    Data.gov (United States)

    City of San Francisco — Campaign Consultants are required to report ���economic consideration�۝ promised by or received from clients in exchange for campaign consulting services during the...

  20. 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.

  1. Identificación de los atributos contemplados por los clientes en una estrategia CRM utilizando el modelo de efectos olvidados

    Directory of Open Access Journals (Sweden)

    Anna M. Gil Lafuente

    2011-01-01

    Full Text Available Cuidar y retener a los clientes más valiosos se ha convertido para las organizaciones en una estrategia de negocio fundamental ante las presiones del mercado y las innovaciones de los competidores. Muchas empresas han realizado inversiones millonarias en proyectos de atención al cliente, herramientas de gestión, investigación de mercado, servicios postventa personalizados y muchas otras. Sin embargo, sigue habiendo una importante brecha entre lo invertido y los beneficios obtenidos. En muchos casos siguen presentándose reclamos recurrentes y las expectativas que tienen los clientes no parecen estar alineadas con los servicios ofrecidos por las empresas en lo que concierne sobre todo a los esfuerzos en la gestión de las relaciones. Sin embargo, los clientes no son conscientes de las implicaciones que tienen algunos factores sobre el servicio que ellos van a recibir. Ante este aparente ¿olvido involuntario¿, es lógico pensar que las empresas pueden dejar de tener en cuenta aspectos importantes en su relación con los clientes, o pueden no estar tomando en cuenta atributos que los clientes valoran cuando desean ser atendidos con un producto o servicio. El presente trabajo busca, a través del Modelo de Efectos Olvidados, evidenciar atributos escondidos que los clientes valoran en torno a un producto o servicio respecto a los objetivos planteados del lado de la empresa. La conclusión del trabajo permitirá apreciar cómo algunos aspectos fundamentales en las dimensiones de la calidad de servicio que han sido "olvidadas" por los clientes pueden ser ignoradas por las empresas. Los hallazgos permitirán a las empresas redefinir las estrategias de relación y reducir las brechas de insatisfacción, facilitando el camino para la fidelización de los clientes aumentando así la rentabilidad.

  2. 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

  3. 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)

  4. 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 accre......-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.......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...... accredited Continued Medical Education (CME) programme at the Lundbeck Institute. The CME programme aims at end-users, which are primarily general practitioners, but also specialists (psychiatrist and psychologists), from all over the world. The assumption was that it would be possible to identify and build...

  5. The Competitive Advantage: Client Service.

    Science.gov (United States)

    Leffel, Linda G.; DeBord, Karen B.

    The adult education literature contains a considerable amount of research on and discussion of client service in the marketing process, management and staff roles in service- and product-oriented businesses, and the importance of client service and service quality to survival in the marketplace. By applying the principles of client-oriented…

  6. Contiki NTP Client

    OpenAIRE

    Luštický, Josef

    2012-01-01

    This BSc Thesis was performed during a study stay at the RheinMain University of Applied Sciences in Wiesbaden, Germany. The purpose of this thesis is to describe the operating system Contiki for embedded systems, NTP time synchronisation protocol and to design and implement an NTP client for the Contiki operating system. This BSc Thesis was performed during a study stay at the RheinMain University of Applied Sciences in Wiesbaden, Germany. The purpose of this thesis is to describe the ope...

  7. 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…

  8. Vocational Indecision and Rehabilitation Clients.

    Science.gov (United States)

    Strohmer, Douglas C.; And Others

    1984-01-01

    Assessed the vocational decision-making problems of rehabilitation clients (N=60). Revealed that decision-making problems of clients can be grouped into three areas: employment readiness, self-appraisal, and decision-making readiness. Suggested that vocationally decided and undecided subjects differ significantly in the extent to which they have…

  9. Gestor de citas y clientes

    OpenAIRE

    2015-01-01

    Aplicación web para una consulta de fisioterapia que permite la gestión de las citas y los clientes. Aplicació web per a una consulta de fisioteràpia que permet la gestió de les cites i els clients.

  10. Classification-based Multi-client Video Transmission over Heterogeneous Networks

    Directory of Open Access Journals (Sweden)

    Bo Li

    2013-08-01

    Full Text Available These Real-time video streaming over networks operates under stringent network resource constraints, with multiple video clients competing for limited network resources. In this paper, we study the problem of bandwidth allocation for video transmission over heterogeneous networks, with multiple video clients connecting to the video server simultaneously and demanding for the video services, and aim to provide the best possible Quality of Service (QoS under limited bandwidth of both the video server and multiple video clients. We propose a classification-based approach for multi-client video transmission over heterogeneous networks (CMVT. Firstly, the video server detects the available bandwidth of multiple video clients and classifies the clients into different classes. Secondly, the limited export bandwidth of the server is allocated to different video clients using the client classification results and greedy algorithm. Finally, the video server transmits video streams to video clients in different classes through Unicast and clients in the same class through Unicast and forwarding. Experimental results demonstrate that the proposed video transmission method can use the network bandwidth efficiently and provide better video quality to more video clients

  11. competidores, Islas Canarias e Islas Baleares

    Directory of Open Access Journals (Sweden)

    Jano Jiménez Barreto

    2016-01-01

    Full Text Available Se realiza un estudio exploratorio cualitativo y cuantitativo, desde el punto de vista del marketing experiencial, de la visita a los stands de dos destinos similares en cuanto a su oferta turística principal (las Islas Canarias y las Islas Baleares en la Feria de Turismo Internacional (FITUR. Los resultados confirman que el marketing experiencial no es un área de gestión específica en la promoción de los destinos analizados, aunque las evidencias empíricas demuestran que existe una relación positiva y moderada entre la experiencia vivida en el stand (actividades emocionales e intelectuales desarrolladas dentro del stand y la intención de visitar el destino.

  12. An Empirical Evaluation of Web System Access for Smartphone Clients

    Directory of Open Access Journals (Sweden)

    Scott Fowler

    2012-11-01

    Full Text Available As smartphone clients are restricted in computational power and bandwidth, it is important to minimise the overhead of transmitted messages. This paper identifies and studies methods that reduce the amount of data being transferred via wireless links between a web service client and a web service. Measurements were performed in a real environment based on a web service prototype providing public transport information for the city of Hamburg in Germany, using actual wireless links with a mobile smartphone device. REST based web services using the data exchange formats JSON, XML and Fast Infoset were evaluated against the existing SOAP based web service.

  13. Secure Access to Private Services in Intranet for Mobile Clients

    Directory of Open Access Journals (Sweden)

    Li Kuang

    2013-02-01

    Full Text Available With wide adoption of Service Computing and Mobile Computing, people tend to invoke services with mobile devices, requiring accurate and real-time feedback from services at any time and any place. Among these services, some are private to limited users and require identity authorization before use; hence secure access control in wireless network should be provided. To address the challenge, in this study, we propose the architecture and protocols of a system of access to private services for mobile clients, which combines the technologies of trusted computing, Diffie-Hellman key agreement protocol, digital certificate, DES data encryption algorithm and twice verification. We further show the implementation of the proposed system, in which we have realized the authentication and authorization of mobile clients and then secure data transfer between mobile clients in the unsafe Internet and private services in the Intranet.

  14. Reputación bancaria durante la crisis económica. Comparación entre las principales entidades financieras desde la perspectiva del cliente

    Directory of Open Access Journals (Sweden)

    Belén Ruiz

    2014-01-01

    Full Text Available El nivel de reputación de la banca se ha visto dañado desde el inicio de la crisis económica, aunque no ha golpeado por igual a todas las instituciones del panorama nacional. Este estudio compara la reputación de las cuatro principales entidades financieras de España, a partir de un índice de reputación corporativa formado por ocho dimensiones, que ofrece claves operativas en la gestión de la reputación bancaria. Los resultados muestran el impacto de la intervención estatal de Bankia en el nivel de reputación de esta entidad. También ofrecen una visión muy precisa de las diferencias y similitudes en la percepción de las entidades por sus clientes y los clientes de sus competidores. A partir de este análisis, se concluyen los aspectos fundamentales sobre los que las entidades deben actuar en el diseño de políticas efectivas orientadas a la mejora de su reputación.

  15. 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

  16. Client Compliance with Homework Directives during Counseling.

    Science.gov (United States)

    Worthington, Everett L., Jr.

    1986-01-01

    Investigated compliance as a function of counselor, client, and therapy variables. Results indicated that variables associated with the conduct of counseling more strongly influenced compliance with homework than did either counselor or client variables. (Author/BL)

  17. Improving Services to Gay and Lesbian Clients.

    Science.gov (United States)

    Dulaney, Diana D.; Kelly, James

    1982-01-01

    Examines the gap in the theoretical and clinical training of social workers in helping the homosexual client. Proposes specific approaches for improving services to clients who are gay or lesbian. Discusses other neglected clients including heterosexual spouses, children of a homosexual parent, and aging homosexuals. (Author/RC)

  18. Client Involvement in Home Care Practice

    DEFF Research Database (Denmark)

    Glasdam, Stinne; Henriksen, Nina; Kjær, Lone;

    2013-01-01

    Client involvement’ has been a mantra within health policies, education curricula and healthcare institutions over many years, yet very little is known about how ‘client involvement’ is practised in home-care services. The aim of this article is to analyse ‘client involvement’ in practise seen...

  19. Cliente - Proveedor: Dos caras de una misma moneda, la Calidad

    Directory of Open Access Journals (Sweden)

    Aymée Hernández Cruz

    2009-01-01

    Full Text Available Muy difícil resulta mejorar la calidad en las empresas cuando ni directivos ni trabajadores comprenden ni entienden el real y auténtico significado de la palabra calidad desde el punto de vista de la gestión de procesos destinados a proveer tanto de productos como de servicios a los clientes internos y externos de la empresa. La falta de capacitación lleva a considerar que lograr producir y evaluar la calidad es una cuestión de sentido común, cuando todos sabemos muy bien que el sentido común es el menos común de los sentidos. Muchos aún creen que lograr calidad es meramente cumplir requisitos, y es mucho más que ello. Es adelantarse a las exigencias y necesidades actuales de los clientes, para proveerles de nuevos y más avanzadas y excelentes formas de lograr su plena satisfacción. En el estudio se quiere demostrar que tener clientes plenamente conformes y satisfechos es la razón de ser de la calidad y su gestión. Gestionar calidad es gestionar satisfacción. Centramos la aplicación de la propuesta en la Empresa Comercializadora de Azúcar y demás productos del MINAZ (CONAZUCAR, la cual está en vías de implantar su Sistema de Gestión de la Calidad siendo la satisfacción de los clientes un aspecto importante para el logro de la eficiencia y eficacia del sistema, teniendo en cuenta que contamos con los clientes para la Economía Interna (MINCIN, Lácteos, MININT, y otros y los clientes para la Exportación (CUBAZUCAR y CAISA.

  20. Bringing the client back in

    DEFF Research Database (Denmark)

    Danneris, Sophie; Nielsen, Mathias Herup

    2016-01-01

    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......Categorising the ‘job readiness’ of the unemployed client is a task of utmost importance for active labour market policies. Scholarly attention on the topic has mostly focused on either questions of political legitimacy or questions of how categories are practically negotiated in meetings between...... 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...

  1. 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).

  2. Call center. Centrados en el cliente

    OpenAIRE

    Leal-Alonso-de-Castañeda, José Enrique

    2003-01-01

    La empresa actual ha de estar preparada para responder al Cliente tal y como éste espera, porque no se busca un cliente puntual, sino un cliente fiel. La globalización de la economía y del acceso a los mercados exige que la empresa sea capaz de atraer al cliente no sólo con un servicio de calidad, sino además con una atención de calidad. La implantación de un Call Center (Centro de Atención al Cliente, Centro de Atención de Llamadas) constituye por todo ello una estrategia de negocio qu...

  3. Strategies for Optimal Implementation of Simulated Clients for Measuring Quality of Care in Low- and Middle-Income Countries.

    Science.gov (United States)

    Fitzpatrick, Anne; Tumlinson, Katherine

    2017-01-26

    The use of simulated clients or "mystery clients" is a data collection approach in which a study team member presents at a health care facility or outlet pretending to be a real customer, patient, or client. Following the visit, the shopper records her observations. The use of mystery clients can overcome challenges of obtaining accurate measures of health care quality and improve the validity of quality assessments, particularly in low- and middle-income countries. However, mystery client studies should be carefully designed and monitored to avoid problems inherent to this data collection approach. In this article, we discuss our experiences with the mystery client methodology in studies conducted in public- and private-sector health facilities in Kenya and in private-sector facilities in Uganda. We identify both the benefits and the challenges in using this methodology to guide other researchers interested in using this technique. Recruitment of appropriate mystery clients who accurately represent the facility's clientele, have strong recall of recent events, and are comfortable in their role as undercover data collectors are key to successful implementation of this methodology. Additionally, developing detailed training protocols can help ensure mystery clients behave identically and mimic real patrons accurately while short checklists can help ensure mystery client responses are standardized. Strict confidentiality and protocols to avoid unnecessary exams or procedures should also be stressed during training and monitored carefully throughout the study. Despite these challenges, researchers should consider mystery client designs to measure actual provider behavior and to supplement self-reported provider behavior. Data from mystery client studies can provide critical insight into the quality of service provision unavailable from other data collection methods. The unique information available from the mystery client approach far outweighs the cost.

  4. Preconceptions in the nurse-client relationship.

    Science.gov (United States)

    Forchuk, C

    1994-01-01

    Nursing theorist, Hildegard Peplau (1952) has identified the concept of preconceptions as critical in the development of the therapeutic nurse-client relationship. Although stereotypes exist for both nurses and chronic psychiatric clients, very little research has been reported on the preconceptions nurses and psychiatric clients have of each other. This investigation utilized non-probability, purposive sampling of 20 newly formed nurse-client dyads within programmes serving a chronically mentally ill population in Canada. Subjects were asked to give descriptions of each other. Semantic differentials based on this feedback were then developed and administered to 124 nurse-client dyads. Clients' statements generally evaluated their nurses positively. The generally positive views expressed by nurses and clients did not reflect public stereotypes for either group. The preconceptions the clients had of their nurses, and nurses had of their clients were related to both the quality of the emerging relationship (task, bond and goals) and the duration of the orientation phase. The preconceptions were virtually unchanged over the initial 6 months of the relationship.

  5. 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 lower

  6. Organizational and Client Commitment among Contracted Employees

    Science.gov (United States)

    Coyle-Shapiro, Jacqueline A-M.; Morrow, Paula C.

    2006-01-01

    This study examines affective commitment to employing and client organizations among long-term contracted employees, a new and growing employment classification. Drawing on organizational commitment and social exchange literatures, we propose two categories of antecedents of employee commitment to client organizations. We tested our hypotheses…

  7. Client Contact versus Paperwork: A Student Perspective.

    Science.gov (United States)

    Strohmer, Douglas C.; And Others

    1979-01-01

    Surveys master's level rehabilitation counseling students and examines percentage of time students spend involved in client contact and paperwork during their internship. Time spent in client contact was nearly double that spent doing paperwork for this group. Data from a number of settings are discussed. (Author)

  8. Toward Achieving the Dietitian's Goal: Client Education.

    Science.gov (United States)

    Wulf, Kathleen M.; Biltz, Peggy

    The role of the dietitian as a teacher of clients who must adhere to a special diet for health reasons is discussed. The objective of this education process is to achieve a complete understanding on the part of the client not only of what is allowed in the diet but also why it is desirable. The dietitian in the professional role as an educator…

  9. 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

  10. Uniform guidelines improve client care.

    Science.gov (United States)

    Barnett, B

    1994-12-01

    Uniform national guidelines on the delivery of family planning methods and services improve client care, assuming these guidelines are based on current scientific information. Compliance with these guidelines yields safe and efficient delivery of family planning services. Service providers need information, training, supplies, and guidelines to deliver quality services. Guidelines contribute to consistency among family planning programs in different settings. Even though clinics may not provide the same services, the guidelines allow them to provide the same standards of care. Specifically, eligibility criteria, contraindications, and follow-up schedules are the same regardless of the service delivery point. Various international health organizations (such as World Health Organization, USAID, Program for International Training in Health, International Planned Parenthood Federation, and Association for Voluntary Surgical Contraception) have developed guidelines for family planning service delivery. Governments can use these documents to develop national family planning guidelines and policies. They should adapt the guidelines to local needs and consider program resources. After development of the national guidelines, training, workshops, and dissemination of written materials should be provided for policymakers, physicians, nurses, and other health providers. Countries that have either developed or are working to draft their own national guidelines are Cameroon, Ghana, Mexico, and Nepal.

  11. Client and therapist variability in clients' perceptions of their therapists' multicultural competencies.

    Science.gov (United States)

    Owen, Jesse; Leach, Mark M; Wampold, Bruce; Rodolfa, Emil

    2011-01-01

    This study examined therapist differences in their clients' ratings of their therapists' multicultural competencies (MCCs) as well as tested whether therapists' who were rated as exhibiting more MCCs also had clients who had better therapy outcomes (N = 143 clients and 31 therapists). All clients completed at least 3 sessions. Results demonstrated that therapists accounted for less than 1% of the variance in their clients' Cross-Cultural Counseling Inventory–Revised (CCCI-R; T. D. LaFromboise, H. L. K. Coleman, & A. Hernandez, 1991) scores, suggesting that therapists did not differ in terms of how clients rated their MCCs. Therapists accounted for approximately 8.5% of the variance in therapy outcomes. For each therapist, their clients' CCCI-R scores were aggregated to provide an estimate of therapists' MCCs. Therapists' MCCs, based on aggregate CCCI-R scores, did not account for the variability in therapy outcomes that were attributed to them. Additionally, clients' race/ethnicity, therapists' race/ethnicity, or the interaction of clients'–therapists' race/ethnicity were not significantly associated with clients' perceptions of their therapists' MCCs.

  12. 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.

  13. Counselor Values and the Pregnant Adolescent Client.

    Science.gov (United States)

    Kennedy, Bebe C.; And Others

    1984-01-01

    Reviews options counselors can suggest to pregnant adolescents, including abortion, adoption, marriage, and single parenthood. Discusses the need for counselors to be aware of their own values and help the client explore her values. (JAC)

  14. Clients Who Frequent Madam Barnett's Emporium.

    Science.gov (United States)

    Russell, Scott

    1999-01-01

    Develops a comparison between writing tutors and prostitutes. Suggests that the intimate arrangement of people that places one in the position of professional and the other in the position of client works against collaboration. (NH)

  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. 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.

  17. Pursuing Therapeugenic Consequences of Restricting Client Smoking during Counseling.

    Science.gov (United States)

    Schneider, Lawrence J.; Dearing, Nancy

    Theorists and therapists have become increasingly attentive to the role of interpersonal behaviors that facilitate or hinder the ability of the counselor to exert influence over the client during counseling. A study was conducted to examine the impact of a counselor's preference that clients not smoke, client stress levels, client sex, and…

  18. Analyses of client variables in a series of psychotherapy sessions with two child clients.

    Science.gov (United States)

    Mook, B

    1982-04-01

    Studied the process of child psychotherapy by means of analyses of client verbal behaviors. Audio-video recordings were made of nine intermittent psychotherapy sessions with 2 child clients, aged 8 and 12. A randomized mastertape of 4-minute segments was rated for self-exploration by means of the Carkhuff scale. Transcripts were categorized by means of an extended Snyder system and a preliminary set of grammatical variables. Transcripts then were minutized, and all client variables were intercorrelated and factor-analyzed. According to the research expectations, a high level of interrater reliability for the Carkhuff scale and high levels of interjudge agreement for the extended Snyder system were found. Analyses of the client variables demonstrated the nature of each client's verbal responding as well as their pattern of change across successive therapy sessions. The overall verbal response behavior of each client was summarized best through the factor analyses. Communalities and individual differences between the clients were discussed. Future directions for the study of client variables in child psychotherapy process research were suggested.

  19. Counselor Trainees' Self-Statement Responses to Sexually and Physically Abused Clients, and Client Role Conflict.

    Science.gov (United States)

    Parisien, Lynne S.; Long, Bonita C.

    1994-01-01

    Assessed 63 female counselor trainees after viewing videotape of client reporting sexual abuse, physical abuse, or role conflict. Results indicated that trainees who expected to counsel sexually abused client increased their positive self-statements. Applied Schwartz's States-of-Mind model to self-statement ratios, and, according to model,…

  20. How Do Real Options Concepts Fit in Agile Requirements Engineering?

    NARCIS (Netherlands)

    Racheva, Zornitza; Daneva, Maya

    2010-01-01

    Agile requirements engineering is driven by creating business value for the client and heavily involves the client in decision-making under uncertainty. Real option thinking seems to be suitable in supporting the client’s decision making process at inter-iteration time. This paper investigates the f

  1. 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 client....... This article presents hyperbolic location fingerprinting, which records fingerprints as signal strength ratios between pairs of base stations instead of absolute signal strength values. This article also presents an automatic mapping-based method that avoids calibration by learning from online measurements...

  2. Neurobiological response to EMDR therapy in clients with different psychological traumas

    Directory of Open Access Journals (Sweden)

    MARCO ePAGANI

    2015-10-01

    Full Text Available We assessed cortical activation differences in real-time upon exposure to traumatic memory between two distinct groups of psychologically traumatised clients also in comparison with healthy controls. We used electroencephalography (EEG to compare neuronal activation throughout the bilateral stimulation phase of Eye Movement Desensitization and Reprocessing (EMDR sessions. We compared activation between the first (T0 and the last (T1 session, the latter performed after processing the index trauma. The group including all clients showed significantly higher cortical activity in orbito-frontal cortex at T0 shifting at T1 towards posterior associative regions. However the subgroup of clients with chronic exposure to the traumatic event showed a cortical firing at both stages which was closer to that of controls. For the first time EEG monitoring enabled to disclose neurobiological differences between groups of clients with different trauma histories during the reliving of the traumatic event. Cortical activations in clients chronically exposed to traumatic memories were moderate, suggesting an association between social and environmental contexts with the neurobiological response to trauma exposure and psychotherapy.

  3. Brain Damage in Deaf Vocational Rehabilitation Clients.

    Science.gov (United States)

    Getz, Marc; Vernon, McCay

    1986-01-01

    Screening of 54 deaf vocational clients by the Bender-Gestalt and other tests indicated the likely presence of significantly more brain damage than among the hearing population with a particularly high correlation between low IQ and brain damage in the deaf population. (DB)

  4. Practical Client Puzzle from Repeated Squaring

    NARCIS (Netherlands)

    Jeckmans, A.

    2009-01-01

    Cryptographic puzzles have been proposed by Merkle [15] to relay secret information between parties over an insecure channel. Client puzzles, a type of cryptographic puzzle, have been proposed by Juels and Brainard [8] to defend a server against denial of service attacks. However there is no general

  5. Borderline Clients: Practice Implications of Recent Research.

    Science.gov (United States)

    Johnson, Harriette C.

    1991-01-01

    Reviews current research on treatment of borderline clients with medication, individual counseling, and family interventions. Notes that recent studies indicate that borderline personality is heterogeneous condition in which different underlying disorders (affective, schizotypal, and neurological) may be present. Reviews effectiveness of various…

  6. Prioritizing Project Performance Criteria within Client Perspective

    Directory of Open Access Journals (Sweden)

    Arazi Idrus

    2011-10-01

    Full Text Available Successful performance in a construction project helps to deliver good products to the client. At present, there is no standard approach used by clients to evaluate project performance as project success carries different definitions to different people. Some used the traditional project performance measures of cost, quality and time while others used additional non-traditional measures such as the environment, health and safety, level of technology and contractor planning. The purpose of this study is to identify and rank the actual criteria used by local clients in current practice to measure the performance of a construction project during construction as well as upon completion. The ranking is based on the relative importance of the criteria as perceived by project performance decision makers working for clients’ organizations within the Malaysian construction industry using their accumulated experience and judgment. The objective of this study was investigated through a postal questionnaire which covered a selected sample of the study. Data were analyzed using mean, variance, frequency and severity index analyses. The results of this paper show that Quality of finished project, Construction cost and Construction time were the three most important criteria considered crucial by the respondents for evaluating project performance from current practice in Malaysia. The paper provides supportive practical solution for project performance decision makers working for clients’ organizations within the Malaysian construction industry to enhance and improve their practices in measuring their clients’ project performance so that their clients would enjoy higher satisfaction levels from their projects. More so, the paper would serve as a guide to contractors by helping them to understand that Quality of finished project, Construction cost and Construction time are the criteria given high priority by clients in measuring the performance of a

  7. Asymmetry of Responsiveness in Client-Centered Therapy

    Science.gov (United States)

    Shapiro, David A.

    1977-01-01

    Each utterance of a psychotherapy session conducted by Carl Rogers was transcribed on a separate card. Fifteen undergraduate subjects reconstituted client-therapist sequences more accurately than therapist-client sequences. (Author)

  8. 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.

  9. Cryptanalysis of Some Client-to-Client Password-Authenticated Key Exchange Protocols

    Directory of Open Access Journals (Sweden)

    Tianjie Cao

    2009-06-01

    Full Text Available Client-to-Client Password-Authenticated Key Exchange (C2C-PAKE protocols allow two clients establish a common session key based on their passwords. In a secure C2C-PAKE protocol, there is no computationally bounded adversary learns anything about session keys shared between two clients. Especially a participating server should not learn anything about session keys. Server- compromise impersonation resilience is another desirable security property for a C2C-PAKE protocol. It means that compromising the password verifier of any client A should not enable outside adversary to share session key with A. Recently, Kwon and Lee proposed four C2C-PAKE protocols in the three-party setting, and Zhu et al. proposed a C2C-PAKE protocol in the cross-realm setting. All the proposed protocols are claimed to resist server compromise. However, in this paper, we show that Kwon and Lee’s protocols and Zhu et al’s protocol exist server compromise attacks, and a malicious server can mount man-in-themiddle attacks and can eavesdrop the communication between the two clients.

  10. Client-to-client Password-Based Authenticated Key Establishment in a Cross-Realm Setting

    Directory of Open Access Journals (Sweden)

    Shuhua Wu

    2009-09-01

    Full Text Available The area of password-based authenticated key establishment protocols has been the subject of a vast amount of work in the last few years due to its practical aspects. Despite the attention given to it, most passwordauthenticated key establishment (PAKE schemes in the literature consider authentication between a client and a sever. Although some of them are extended to a threeparty PAKE protocol, in which a trusted server exists to mediate between two clients to allow mutual authentication, they are less considered in a cross-realm setting like in kerberos system. In this paper, we propose a provably secure password-authenticated key establishment protocol in a cross-realm setting where two clients in different realms obtain a secret session key as well as mutual authentication, with the help of respective servers. We deal with it using ideas similar to those used in the three-party protocol due to M. Abdalla et al. In our protocol, each client firstly establish secure channel with its server and then the servers securely distribute a fresh common session key to the two clients. One of the attractive features is that our protocol can be easily extended to a more general scenario where a common key should be established among more than two clients. Moreover, analysis shows that the proposed protocol has a per-user computational cost of the underlying two-party encrypted key exchange.

  11. Health Promotion through the Use of Nurse-Client Contracts.

    Science.gov (United States)

    Van Dover, Leslie J.

    Much of the practice of community health nurses is focused on health promotion. Nurse-client contracting has been used with clients experiencing hypertension, diabetes, or arthritis. A study was conducted to determine whether nurse-client contracting would be useful as a method for providing nursing care to assist sexually active young women to…

  12. 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…

  13. 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 Section 10.21 Money and Finance: Treasury Office of the Secretary of the Treasury PRACTICE BEFORE THE... § 10.21 Knowledge of client's omission. A practitioner who, having been retained by a client...

  14. 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...

  15. Counselor Beliefs and Perceived Knowledge Regarding Clients with Learning Disabilities

    Science.gov (United States)

    Bell, Tamekia R.

    2012-01-01

    Clients with learning disabilities constitute a cultural group that has not been extensively studied. The professional literature has found that counselors have reported the need for additional training in working with clients with disabilities. This study explored counselors' beliefs and perceived knowledge regarding counseling clients with…

  16. 19 CFR 111.39 - Advice to client.

    Science.gov (United States)

    2010-04-01

    ... 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... false information relative to any customs business. (b) Error or omission by client. If a broker...

  17. Accommodating Extension Clients Who Face Language, Vision, or Hearing Challenges

    Science.gov (United States)

    Angima, Sam; Etuk, Lena; Maddy, Deborah

    2016-01-01

    A survey-based study explored approaches used by one land-grant university to meet the needs of Extension clients who face language, vision, or hearing challenges. In attempts to serve such clients, the greatest gaps existed for clients whose main language was Spanish, followed by those who had vision impairments and then those who had hearing…

  18. Involvement of the Client in Home Care Practice

    DEFF Research Database (Denmark)

    Glasdam, Stinne; Kjær, Lone; Præstegaard, Jeanette

    2011-01-01

    Background: Through the last 35 years, ‘client involvement’ has been a mantra within health policies, education curriculums and health care institutions, yet very little is known about how ‘client involvement’ is practiced in the meetings with clients and health professionals. Aim: To analyse...

  19. Cuando su fabricante contratista se convierte en su competidor

    Directory of Open Access Journals (Sweden)

    Benito Arruñada

    2008-12-01

    Full Text Available La fabricación ha sido el aspecto fundamental de las empresas manufactureras durante más de un siglo. Sin embargo, en la actualidad, cada vez más compañías están subcontratando su producción a empresas especializadas. En algunas de ellas, los trabajadores no llegan a establecer un contacto físico con los productos. El cambio tecnológico no sólo está promoviendo la especialización mediante la utilización de robots y fábricas flexibles, sino que además está reduciendo los costes de coordinación a través de la aplicación de nuevos estándares y el uso de Internet. Este es el motivo por el que la subcontratación de la fabricación ("contract manufacturing", en inglés puede predominar en un futuro próximo. Desafortunadamente, los incentivos de los directivos fomentan una aproximación general y carente de análisis a las decisiones de externalizar o no, qué productos externalizar, con qué subcontratistas fabricantes (CM, por "Contract Manufacturer", en inglés comprometerse, y de qué forma -un acuerdo de mercado, una alianza estratégica, o alguna forma intermedia. Cuando los fabricantes de equipos originales (OEM, por "Original Equipment Manufacturer", en inglés comparten aspectos de propiedad intelectual básicos con sus CMs, es importante que la relación sea cercana y de confianza -pero no tan estrecha como para que los CMs se alejen del mercado y de las contribuciones de otros OEMs.Manufacturing has been the core of industrial firms for more than a century. Nowadays, however, an increasing number of companies are contracting out their production with specialists. In some of them not even a single worker touches physically the products it sells. Technological change is not only fostering specialization through the use of robots and flexible factories, but also reducing coordination costs by applying new standards and using the Internet. This is the reason why this "contract manufacturing" might well become the rule in the near future. Unfortunately, managers' incentives encourage a wholesale, uncritical approach to decisions about whether to outsource, which products to outsource, which CMs to engage, and in what form --a market agreement, a strategic alliance, or something in between. When OEMs share sensitive intellectual property with CMs, it is important that the relationship be trusting and close- but not so close that CMs lose touch with the market and other OEMs' contributions.

  20. Scrutable Mobile Client-side Personalization

    Directory of Open Access Journals (Sweden)

    Muhammad Asif

    2015-04-01

    Full Text Available Personalization has become an essential feature of mobile services of different domains. On the other hand, users have conflicting needs of personalized experience and privacy. This leads to the question of how to maximize the user’s experience of personalized mobile services while keeping privacy. One possible solution is to provide user’s control of their personal data by keeping their user model on their personal mobile devices. In this way, a user can scrutinize the data while sharing with service providers depending on her/his requirements. The client-side personalization approach can shift the control of privacy to the users and can involve them in personalization process. Transparency and user control can increase the user’s trust. In this paper, we have proposed a solution with the objective of scrutable client-side personalization while keeping the user in control of both privacy and personalization process.

  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. 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.

  3. Java ME Clients for XML Web Services

    Directory of Open Access Journals (Sweden)

    Paul POCATILU

    2008-01-01

    Full Text Available Using Web services in developing applications has many advantages like the existence of standards, multiple software platforms that support them, and many areas of usage. These advantages derive from the XML and Web technologies. This paper describes the stages in the development of a Web service client for Java ME platform and presents examples based on kSOAP and JSR 172.

  4. 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.

  5. Hsp90: Friends, clients and natural foes.

    Science.gov (United States)

    Verma, Sharad; Goyal, Sukriti; Jamal, Salma; Singh, Aditi; Grover, Abhinav

    2016-08-01

    Hsp90, a homodimeric ATPase, is responsible for the correct folding of a number of newly synthesized polypeptides in addition to the correct folding of denatured/misfolded client proteins. It requires several co-chaperones and other partner proteins for chaperone activity. Due to the involvement of Hsp90-dependent client proteins in a variety of oncogenic signaling pathways, Hsp90 inhibition has emerged as one of the leading strategies for anticancer chemotherapeutics. Most of Hsp90 inhibitors blocks the N terminal ATP binding pocket and prevents the conformational changes which are essential for the loading of co-chaperones and client proteins. Several other inhibitors have also been reported which disrupt chaperone cycle in ways other than binding to N terminal ATP binding pocket. The Hsp90 inhibition is associated with heat shock response, mediated by HSF-1, to overcome the loss of Hsp90 and sustain cell survival. This review is an attempt to give an over view of all the important players of chaperone cycle.

  6. DETERMINANTS OF THE CHOICE OF MARKETING CHANNELS BY CORPORATE CLIENTS: AN ANALYSIS OF THE INFORMATION TECHNOLOGY SECTOR

    Directory of Open Access Journals (Sweden)

    Guilherme Soares

    2012-12-01

    Full Text Available Based on a survey of 505 corporate clients from the information technology industry, this study uses a logit statistical model to analyze whether such factors as loyalty, trust, client importance, intimacy between customer and supplier and the cost of changing suppliers may affect the choice of the marketing channel used by the client. The results show that the greater intimacy between a supplier and a corporate client is a determining factor for the client’s preference for being served by the manufacturer rather than an intermediary. In contrast, clients’ perception of their own importance to the supplier is not very relevant to their preference for being served directly by the manufacturer, and the other factors were not identified as (statistically important determinants of the choice of the marketing channel. These results suggest that the real advantage of the direct sales channel over the indirect sales channel lies in its ability to strengthen the client-manufacturer relationship, thereby contributing to the development of solutions that better serve the needs of corporate clients.

  7. 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.

  8. 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

  9. Alterações nos fatores de competição da indústria calçadista exportadora devido à entrada de competidores asiáticos Changes in competitive factors in footwear export industry due to arrival Asian producers

    Directory of Open Access Journals (Sweden)

    Giancarlo Medeiros Pereira

    2010-01-01

    Full Text Available Este artigo apresenta uma análise das modificações observadas entre 1990 e 2008 nos fatores de competição vigentes na indústria calçadista do Vale do Rio dos Sinos voltada à exportação para grandes redes de varejo nos Estados Unidos. Essas alterações resultam das novas condições de competitividade que lhes foram impostas pela entrada de competidores asiáticos, principalmente chineses, no mercado. Foi utilizada a metodologia do estudo de caso exploratório qualitativo. As principais técnicas de pesquisa foram a entrevista semiestruturada e o grupo focado com gestores especialistas. Foram entrevistados gestores praticantes e especialistas acadêmicos com atividades nas empresas. Como resultado, observou-se que os atores do processo de produção para exportação de calçados aumentaram a importância das dimensões diversidade de modelos, qualidade, inovação, velocidade e flexibilidade de produto e reduziram a importância das dimensões volume de produção e preço de venda. As dimensões design, performance e pontualidade permaneceram inalteradas. A principal contribuição do artigo é desvelar elementos que permitam a formulação de hipóteses para estudos futuros, mais completos, acerca do impacto das alterações mercadológicas sobre fatores competitivos e estratégia de produção.The paper presents an analysis of the changes observed in competitive factors in the footwear industry aimed at the Brazilian-based export industry, due to the arrival of Asian producers, the Chinese in particular, in the market. The research method was a qualitative exploratory case study. The main research techniques were semi-structured interviews and focus groups. Managers, experts and academics involved in the companies participated. As a result, we discovered that the impact of these new producers has been to sharpen the following competitive dimensions: diversity of models, quality, innovation, speed of delivery and flexibility. The

  10. 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.

  11. 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

  12. CRM ¿filosofía o tecnología? : mitos y realidades de la orientación al cliente

    Directory of Open Access Journals (Sweden)

    Jordi A. Sangil Martínez

    2007-12-01

    Full Text Available Actualmente en el mundo empresarial existe la necesidad prioritaria de cuidar a los clientes. Las organizaciones invierten mucho, a veces demasiado, en este propósito. Esa inversión no siempre está correctamente fundamentada y analizada, muchas veces prima más la copia a los competidores, que un cuidadoso análisis de las necesidades internas de la propia organización. La orientación de las organizaciones hacia el cliente, no es más que el buen trato y el conocimiento exhaustivo del cliente, con el fin de incrementar su rentabilidad a lo largo del tiempo.Una de las modas que proliferan es la inversión (muchas veces gasto en tecnologías CRM (Acrónimo en inglés de Customer Relationship Management. CRM se percibe continuamente en el mundo empresarial como 'Tecnología" no como "Filosofía" empresarial. La cifra de negocio mundial por la venta de este tipo de aplicaciones (es decir "tecnología" es creciente, lo que sorprende si pensamos que, al mismo tiempo, más de la mitad de los proyectos de implantación fracasan, o si se quiere, no alcanzan el éxito deseado. El principal motivo de fracaso suele ser por la falta de concordancia o alineamiento entre la tecnología y la estrategia global corporativa. Esta alineación debe aplicarse y verse reflejada en la estructura, cultura y los procesos de la organización, así como en las políticas en cuanto a sistemas y tecnologías de la información.At the moment, in the business world, customer care is one of the most important organizational priorities. Organizations invest a lot, sometimes too much, in this purpose. That kind of investments are not always properly supported and analyzed by organizations, and often they are based on competitors' benchmark, instead of a careful analysis of the organizational internal needs. Customer orientation is just being kind with the client and trying to get as much information as possible out of the client, in order to increase its lifetime

  13. Hardened Client Platforms for Secure Internet Banking

    Science.gov (United States)

    Ronchi, C.; Zakhidov, S.

    We review the security of e-banking platforms with particular attention to the exploitable attack vectors of three main attack categories: Man-in-the-Middle, Man-in-the-PC and Man-in-the-Browser. It will be shown that the most serious threats come from combination attacks capable of hacking any transaction without the need to control the authentication process. Using this approach, the security of any authentication system can be bypassed, including those using SecureID Tokens, OTP Tokens, Biometric Sensors and Smart Cards. We will describe and compare two recently proposed e-banking platforms, the ZTIC and the USPD, both of which are based on the use of dedicated client devices, but with diverging approaches with respect to the need of hardening the Web client application. It will be shown that the use of a Hardened Browser (or H-Browser) component is critical to force attackers to employ complex and expensive techniques and to reduce the strength and variety of social engineering attacks down to physiological fraud levels.

  14. The client experience of assertive community treatment: a qualitative study.

    Science.gov (United States)

    Leiphart, Linda R; Barnes, Madaline G

    2005-01-01

    Assertive Community Treatment (ACT) has demonstrated effectiveness in reducing hospital days for persons with schizophrenia. Utilizing depth interviews and Grounded Theory techniques (Strauss & Corbin, 1998), client reactions to this intensive form of treatment delivery were explored. This study illustrates the importance of the relationship between treatment providers and persons with schizophrenia. As providers assisted clients with practical needs, clients began to develop trust, which fostered a sense of belonging and relationship, leading toward a positive motivation regarding treatment.

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

    OpenAIRE

    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...

  16. Dual diagnosis clients' treatment satisfaction - a systematic review

    OpenAIRE

    Schulte, S. J.; Meier, P.S.; Stirling, J.

    2011-01-01

    Abstract Background The aim of this systematic review is to synthesize existing evidence about treatment satisfaction among clients with substance misuse and mental health co-morbidity (dual diagnoses, DD). Methods We examined satisfaction with treatment received, variations in satisfaction levels by type of treatment intervention and by diagnosis (i.e. DD clients vs. single diagnosis clients), and the influence of factors other than treatment type on satisfaction. Peer-reviewed studies publi...

  17. 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.

  18. Improvement of AMGA Python Client Library for Belle II Experiment

    Science.gov (United States)

    Kwak, Jae-Hyuck; Park, Geunchul; Huh, Taesang; Hwang, Soonwook

    2015-12-01

    This paper describes the recent improvement of the AMGA (ARDA Metadata Grid Application) python client library for the Belle II Experiment. We were drawn to the action items related to library improvement after in-depth discussions with the developer of the Belle II distributed computing system. The improvement includes client-side metadata federation support in python, DIRAC SSL library support as well as API refinement for synchronous operation. Some of the improvements have already been applied to the AMGA python client library as bundled with the Belle II distributed computing software. The recent mass Monte- Carlo (MC) production campaign shows that the AMGA python client library is reliably stable.

  19. Intelligent Automated Diagnosis of Client Device Bottlenecks in Private Clouds

    CERN Document Server

    Widanapathirana, C; Sekercioglu, Y A; Ivanovich, M; Fitzpatrick, P; 10.1109/UCC.2011.42

    2012-01-01

    We present an automated solution for rapid diagnosis of client device problems in private cloud environments: the Intelligent Automated Client Diagnostic (IACD) system. Clients are diagnosed with the aid of Transmission Control Protocol (TCP) packet traces, by (i) observation of anomalous artifacts occurring as a result of each fault and (ii) subsequent use of the inference capabilities of soft-margin Support Vector Machine (SVM) classifiers. The IACD system features a modular design and is extendible to new faults, with detection capability unaffected by the TCP variant used at the client. Experimental evaluation of the IACD system in a controlled environment demonstrated an overall diagnostic accuracy of 98%.

  20. CREANDO CAPACIDADES QUE AUMENTEN EL VALOR PARA EL CLIENTE

    OpenAIRE

    Martelo Landroguez, Silvia; Barroso Castro, Carmen; Cepeda Carrión, Gabriel

    2011-01-01

    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 super...

  1. Dual diagnosis clients' treatment satisfaction - a systematic review

    Directory of Open Access Journals (Sweden)

    Stirling John

    2011-04-01

    Full Text Available Abstract Background The aim of this systematic review is to synthesize existing evidence about treatment satisfaction among clients with substance misuse and mental health co-morbidity (dual diagnoses, DD. Methods We examined satisfaction with treatment received, variations in satisfaction levels by type of treatment intervention and by diagnosis (i.e. DD clients vs. single diagnosis clients, and the influence of factors other than treatment type on satisfaction. Peer-reviewed studies published in English since 1970 were identified by searching electronic databases using pre-defined search strings. Results Across the 27 studies that met inclusion criteria, high average satisfaction scores were found. In most studies, integrated DD treatment yielded greater client satisfaction than standard treatment without explicit DD focus. In standard treatment without DD focus, DD clients tended to be less satisfied than single diagnosis clients. Whilst the evidence base on client and treatment variables related to satisfaction is small, it suggested client demographics and symptom severity to be unrelated to treatment satisfaction. However, satisfaction tended to be linked to other treatment process and outcome variables. Findings are limited in that many studies had very small sample sizes, did not use validated satisfaction instruments and may not have controlled for potential confounders. A framework for further research in this important area is discussed. Conclusions High satisfaction levels with current treatment provision, especially among those in integrated treatment, should enhance therapeutic optimism among practitioners dealing with DD clients.

  2. Processes involved in client-nominated relationship building incidents: Client attachment, attachment to therapist, and session impact.

    Science.gov (United States)

    Janzen, Jennifer; Fitzpatrick, Marilyn; Drapeau, Martin

    2008-09-01

    Thirty volunteer clients of trainee therapists nominated an incident that was critical in the development of their therapeutic relationship. Clients completed the Client Attachment to Therapist Scale (CATS), the Experiences in Close Relationships Scale (ECRS), and the Session Impacts Scale (SIS). Clients reported an increase in attachment security with their therapists, along with perceptions of support and relief and increasing exploration following the relationship building incident. While clients' avoidant attachment was unrelated to attachment to the therapist prior to the incidents, in subsequent sessions avoidance was related to a change in secure attachment to therapist. Finally, client attachment to therapist but not general attachment was significantly related to in-session exploration. Findings are discussed in light of attachment theory and convergence with findings from the field of social psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

  3. Profile and client satisfaction among clients of Integrated Counselling and Testing Centre for human immunodeficiency virus in Delhi

    Directory of Open Access Journals (Sweden)

    Vinoth Gnana Chellaiyan

    2014-10-01

    Full Text Available Background: Integrated Counseling and Testing Centre (ICTC is a place where a person is counseled and tested for human immunodeficiency virus (HIV and also a key entry point to the prevention of HIV infection and treatment of HIV infected people. The ICTC services are cost-effective and noncoercive intervention in the prevention of HIV/AIDS. The satisfaction of the clients availing these services indicates the quality of the services provided. Objective: The objective was to study the profile and satisfaction of clients attending counseling services of integrated counseling and testing centers in Delhi. Materials and Methods: The study was a descriptive, cross-sectional, health facility based study. The study was done in 20 ICTCs of Delhi. The ICTCs were chosen on the basis of population proportion to size. Consecutive sampling method was followed for recruiting the clients. After obtaining written consent, exit interview of 300 clients was undertaken. Results: Among 300 clients, 204 (68% were males, and 96 (32% were females. Majority, 267 (89% of the clients were staying with family and 33 (11% were staying with friends/roommates. The total number of referred clients was 270 (90% and self-referred or direct walk-in client was 30 (10%. Among the direct walk-in/self-referred clients, 12 (40% clients were recommended by their friends to come, 4 (13.3% clients seek to avail ICTC services because of high risk behavior and 14 (46.7% clients wanted to get tested for HIV as their spouse was HIV positive. About 96.3% of the clients who attended the counseling services were found to be satisfied. Conclusion: The proportion of self-referred/direct walk-in clients was very low, and low level of awareness about the HIV test and counseling services was found among the clients. This reflects the need to enhance the efforts directed at increasing the awareness of HIV test and counseling services. The satisfaction of clients could be further improved by better

  4. 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.

  5. 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

    Science.gov (United States)

    Jennings, Larissa; Moorthy, Anitha; Yang, Fan; Gee, Lisa; Romano, Karen; Hutchful, David; Labrique, Alain B.; LeFevre, Amnesty E.

    2016-01-01

    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. PMID:28070186

  6. Client interfaces to the Virtual Observatory Registry

    Science.gov (United States)

    Demleitner, M.; Harrison, P.; Taylor, M.; Normand, J.

    2015-04-01

    The Virtual Observatory Registry is a distributed directory of information systems and other resources relevant to astronomy. To make it useful, facilities to query that directory must be provided to humans and machines alike. This article reviews the development and status of such facilities, also considering the lessons learnt from about a decade of experience with Registry interfaces. After a brief outline of the history of the standards development, it describes the use of Registry interfaces in some popular clients as well as dedicated UIs for interrogating the Registry. It continues with a thorough discussion of the design of the two most recent Registry interface standards, RegTAP on the one hand and a full-text-based interface on the other hand. The article finally lays out some of the less obvious conventions that emerged in the interaction between providers of registry records and Registry users as well as remaining challenges and current developments.

  7. Investigating bias in psychotherapy with BDSM clients.

    Science.gov (United States)

    Kolmes, Keely; Stock, Wendy; Moser, Charles

    2006-01-01

    There is a concern among consensual BDSM participants that they will receive biased care from mental health professionals. Results are presented of an anonymous Internet-based survey administered to both BDSM-identified individuals who have received psychological care and to mental health professionals. The survey included socio-demographic data and invited participants to write narrative accounts of biased or culturally sensitive care, from which common themes were identified. Mental health providers (N=17) responded in fewer numbers than those who identified as BDSM-identified participants (N=175). Descriptive characteristics of the sample will be discussed. Themes from the qualitative data may be useful in informing the future development of guidelines for practitioners to work more responsibly with clients who identify as members of this sexual minority group.

  8. Client Abuse to Public Welfare Workers

    DEFF Research Database (Denmark)

    Strøbæk, Pernille Solveig; Korczynski, Marek

    2016-01-01

    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......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...... 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...

  9. Client Interfaces to the Virtual Observatory Registry

    CERN Document Server

    Demleitner, Markus; Taylor, Mark; Normand, Jonathan

    2015-01-01

    The Virtual Observatory Registry is a distributed directory of information systems and other resources relevant to astronomy. To make it useful, facilities to query that directory must be provided to humans and machines alike. This article reviews the development and status of such facilities, also considering the lessons learnt from about a decade of experience with Registry interfaces. After a brief outline of the history of the standards development, it describes the use of Registry interfaces in some popular clients as well as dedicated UIs for interrogating the Registry. It continues with a thorough discussion of the design of the two most recent Registry interface standards, RegTAP on the one hand and a full-text-based interface on the other hand. The article finally lays out some of the less obvious conventions that emerged in the interaction between providers of registry records and Registry users as well as remaining challenges and current developments.

  10. Treating clients with Asperger's syndrome and autism.

    Science.gov (United States)

    Woods, Alisa G; Mahdavi, Esmaeil; Ryan, Jeanne P

    2013-09-11

    Asperger's syndrome (AS) is a form of autism spectrum disorder (ASD) affecting many individuals today. Although neurobiological correlates for AS have been identified, like many ASDs, AS is not completely understood. AS as a distinct disorder is also not universally accepted and in the DSM-5 AS is not considered a separate nosological entity. In contrast to some other ASDs, individuals with AS are commonly characterized by having standard or higher than average intelligence, yet difficulties in social skills and communication can present challenges for these individuals in everyday functioning. Counseling a person with AS or autism presents a unique challenge for the mental health care provider. We have compiled this review consisting of some recent ideas regarding counseling the client with AS with the goal of providing some clinical insights and practical clues. Although the focus of the present paper is largely on AS, many of these strategies could also apply to individuals with high-functioning autism (HFA).

  11. 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...

  12. 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.

  13. Exploring Psychotherapy Clients' Independent Strategies for Change While in Therapy

    Science.gov (United States)

    Mackrill, Thomas

    2008-01-01

    Psychotherapy research usually describes how client change is caused by therapist interventions. This article describes how clients change by continuing to use and revising the strategies for change that they bring with them when they first enter therapy. This article presents data from a qualitative diary study of psychotherapy. Three cases…

  14. Client Views of TESOL Service: Expectations and Perceptions.

    Science.gov (United States)

    Walker, John

    2001-01-01

    Used focus groups to explore TESOL (teaching of English to speakers of other languages) client expectations and perceptions of the service they received in New Zealand English language schools. Findings confirmed the key role of the teacher and the importance of the school's milieu and home stay, quality of client feedback systems, servicescape,…

  15. Reading the Client: Nonverbal Communication as an Interviewing Tool.

    Science.gov (United States)

    Willett, Tom H.

    The importance of effective communication skills between lawyers and clients is equalled only by the imperative need for sustained instruction in the development of communicative skills for the lawyer. Especially important are the nonverbal communication skills in "reading the client." The subtleties of intonation, posture, gesture, and eye…

  16. 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…

  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. 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…

  19. Sexual Counseling with Spinal Cord-Injured Clients

    Science.gov (United States)

    Miller, Donald K.

    1975-01-01

    Spinal cord-injured clients have many fears and misapprehensions about their sexual functioning. Such misapprehensions can be helped by the counselor's willingness to discuss sexual issues openly. Clients need a clear and accurate picture of the facts, as well as encouragement and support to help them rediscover their sexuality. (Author)

  20. The Challenge of Prejudice: Counsellors' Talk about Challenging Clients' Prejudices

    Science.gov (United States)

    Spong, Sheila J.

    2012-01-01

    This paper considers the implications for training and practice of counsellors' responses to the notion of challenging clients' prejudices. It explores tensions in counselling discourse between social responsibility, responsibility to the client and responsibility for one's self as counsellor. Three focus groups of counsellors were asked whether a…

  1. Client Anticipations about Computer-Assisted Career Guidance System Outcomes.

    Science.gov (United States)

    Osborn, Debra S.; Peterson, Gary W.; Sampson, James P., Jr.; Reardon, Robert C.

    2003-01-01

    This study describes how 55 clients from a career center at a large, southeastern university anticipated using computer-assisted career guidance (CACG) systems to help in their career decision making and problem solving. Responses to a cued and a free response survey indicated that clients' most frequent anticipations included increased career…

  2. Individual Counseling with the Rehabilitation Client: A Point of View.

    Science.gov (United States)

    Matheny, Kenneth B.

    A model for individual counseling with the rehabilitation client is presented. The model consists of five stages: (1) exploration, (2) contract, (3) action, (4) evaluation, and (5) termination. The counselor assumes three roles: (1) alter ego, to help the client understand his needs; (2) interventionist, to procure services and employment for the…

  3. 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…

  4. 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…

  5. Architectural models for client interaction on service-oriented platforms

    NARCIS (Netherlands)

    Bonino da Silva Santos, L.O.; Ferreira Pires, L.; Sinderen, van M.J.; Sinderen, van M.J.

    2007-01-01

    Service-oriented platforms can provide different levels of functionality to the client applications as well as different interaction models. Depending on the platform’s goals and the computing capacity of their expected clients the platform functionality can range from just an interface to support t

  6. Counselor Preferences of Clients Entering a Counselor-Training Clinic.

    Science.gov (United States)

    Strohmer, Douglas C.; Leiere, Stephen J.; Hotard, Jacqueline M.; Stuckey, Rebecca I.

    2003-01-01

    Examines the expressed counselor preferences of individuals entering a community-based counselor-training clinic. Clients were asked whether they had a preference regarding counselor age, disability status, education, gender, and race. Of these characteristics, only for gender did even a moderate number of clients (30%) express a preference.…

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

    DEFF Research Database (Denmark)

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

    2010-01-01

    . 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...

  8. 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…

  9. 42 CFR 483.420 - Condition of participation: Client protections.

    Science.gov (United States)

    2010-10-01

    ... and meet privately with individuals of their choice, and to send and receive unopened mail; (10... must establish and maintain a system that— (i) Assures a full and complete accounting of clients... treatment of clients. (1) The facility must develop and implement written policies and procedures...

  10. Clients' Views of Live Supervision and Satisfaction with Therapy.

    Science.gov (United States)

    Locke, Lisa D.; McCollum, Eric E.

    2001-01-01

    Examines clients' perceptions of live supervision and their satisfaction with therapy in a university-based training clinic for marriage and family therapists. Results indicate that clients were generally satisfied with therapy and found the live-supervision process satisfactory as long as the perceived helpfulness of live supervision outweighed…

  11. 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…

  12. Alternative Lifestyle Clients: Therapists' Attitudes and Clinical Experiences.

    Science.gov (United States)

    Hymer, Sharon M.; Rubin, Arline M.

    1982-01-01

    Examined therapists' attitudes and fantasies toward clients involved in extramarital sex, sexually open marriages, and swinging. Therapists (N=57) responded to a 17-item questionnaire. The prediction that therapists would have more negative then positive attitudes toward alternative lifestyle clients was supported. (RC)

  13. A Client-Centered Review of Rogers with Gloria

    Science.gov (United States)

    Moon, Kathryn A.

    2007-01-01

    Carl Rogers's nondirective theory and his response style with Gloria (E. L. Shostrom, 1965) are discussed in reply to S. A. Wickman and C. Campbell's (2003) "An Analysis of How Carl Rogers Enacted Client-Centered Conversation With Gloria." Client-centered studies of C. Rogers's transcripts give context for reformulating S. A. Wickman and C.…

  14. The Small Agency/Client Relationship: The Small ClientÕs Perspective

    OpenAIRE

    William S Sekely; Vicki L. Blakney

    1996-01-01

    A study was conducted among small to medium sized advertisers in the midwest United States. The respondents in this study rated local agencies high in overall performance. Agencies received particularly high ratings in the areas of flexibility, creativity, meeting deadlines, and adaptability. Advertisers felt, however, that these agencies were less effective in public relations, research, and understanding a clientÕs business. These advertisers rated arts and graphics, copy creation, and mark...

  15. Design of Video Client Based on Android%基于Android视频客户端的设计

    Institute of Scientific and Technical Information of China (English)

    杨明极; 毕晶

    2012-01-01

    普通的网络视频监控已普及于安防应用和人们的家庭生活,但不能满足人们用手机实时监视的需求.因此,设计Android系统下的视频客户端具有了一定的实际意义.介绍了Android操作系统的特点及应用,设计了视频客户端分层的结构,分析了视频客户端各层的关键技术及功能.最后,系统通过性能测试,实现了客户端远程实时视频监视的功能.%The common network video remote monitoring is applied in the security and normal life, but not for the requirement of real-time monitoring through mobile phone. Therefore, design of video client based on Android becomes significant and useful. Some characteristics and applications of the Android operating system are introduced, a design of stratified structure for video client is proposed, and the key technologies and functions of each layer in the video client are analyzed. Finally, the system passes the performance tests, and realizes the real-time video client remote monitoring functions.

  16. 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

  17. Culture analysis and metaphor psychotherapy with Arab-Muslim clients.

    Science.gov (United States)

    Dwairy, Marwan

    2009-02-01

    Attempting to reveal unconscious content and promoting self-actualization may be counterproductive for clients who come from collectivistic cultures. Such treatment goals may expose clients to harsh confrontations with the family. Clients with dependency traits, low ego-strength, and strict families may be helped through metaphor psychotherapy or culture analysis. Metaphor therapy makes it possible to deal symbolically and indirectly with unconscious content; culture analysis can pave the way to reveal unconscious needs and enable clients to establish a new order within their belief systems and within their families. The present article describes these two therapy methods and illustrates their clinical use with an Arab-Muslim suffering from depression. Through such therapy anchored in his own culture and religion, the client altered his beliefs, became satisfied with himself, and found successful ways to adapt to his family.

  18. Services for clients of community support programs in rural Wisconsin.

    Science.gov (United States)

    Hollingsworth, E J

    1997-01-01

    To improve understanding of services provided or coordinated by rural community support programs (CSPs) for people with severe mental illness, this article identifies services most used by clients and the amounts of services used. Data on publicly funded services for more than 900 clients in 13 rural CSPs in a midwestern state have been analyzed. Virtually all clients were Caucasian. Information about types and amounts of client services for 12 consecutive months was obtained from county information systems, local records, and Medicaid claims. Most CSP clients use case management, community support, medication checks, counseling, and medication counseling services. Much smaller percentages use other outpatient, residential, vocational, and inpatient services. Significant amounts of only two services, case management and community support, are reported. The findings emphasize the ability of rural mental health providers to supply general services, but some limitation in provision of specialized services and facilities.

  19. Mutual construction and reconstruction in client-consultant interaction

    DEFF Research Database (Denmark)

    Smith, Irene Skovgaard

    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......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...... presented in the paper illustrates how consultancy projects evolve through processes of negotiation over whose interpretation should count and who should be in control. In the process, client actors with different posi-tions and interests play an active role in creating what become valid and what ideas...

  20. 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

  1. Involving Clients in Programme Evaluation and Research: A New Methodology for Occupational Therapy.

    Science.gov (United States)

    Clark, Carrie; And Others

    1993-01-01

    Reviews the relationship between occupational therapy and client involvement, examines the rationale for involving clients in program evaluation and research, and discusses how clients are involved in evaluation and research in today's mental health care setting. (Author)

  2. 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.

  3. Client perceptions of incest and substance abuse.

    Science.gov (United States)

    Janikowski, T P; Bordieri, J E; Glover, N M

    1997-01-01

    Clients receiving substance abuse treatment from 35 treatment facilities throughout the United States were surveyed using the Substance Abuse and Incest Survey-Revised (SAIS-R). A total of 732 participants responded to the survey; 518 (71%) were males, 204 (28%) were females, and 10 (1%) did not indicate gender. Participants had a mean age of 33.8 years, were predominately Caucasian (61.6%), never married (45.2%), were currently unemployed (69.4%), and had completed an average of 11.7 years of education. Of the entire sample, 266 (36.3%) reported having been victims of incest; 151 were males and 113 were females (2 did not indicate gender). The group reporting incest histories had a significantly greater percentage of females that did the group not reporting incest histories (chi 2 = 48.1, p incest histories were asked about their perceptions regarding incest, substance abuse, and counseling. Item responses were examined using descriptive statistics and factor analysis. The factor analysis on SAIS-R perception items identified five factors that accounted for 68.9% of the variance; these factors were Stigma and Resistance to Counseling; Substance Abuse and Incest; Ambivalence; Fear and Anticipation; and Receptivity to Counseling. Results are presented and the implications for substance abuse treatment and counseling are discussed.

  4. 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

  5. Client involvement in home care practice: a relational sociological perspective

    DEFF Research Database (Denmark)

    Glasdam, Stinne; Henriksen, Nina; Kjær, Lone;

    2012-01-01

    Client involvement’ has been a mantra within health policies, education curricula and healthcare institutions over many years, yet very little is known about how ‘client involvement’ is practised in home-care services. The aim of this article is to analyse ‘client involvement’ in practise seen...... from the positions of healthcare professionals, an elderly person and his relative in a homecare setting. A sociologically inspired single case study was conducted, consisting of three weeks of observations and interviews. The study has a focus on the relational aspects of home care and the structural...

  6. When hearing clients work with a deaf therapist.

    Science.gov (United States)

    Jampel, Julie B

    2010-06-01

    Not being able to hear can present significant challenges for the therapist and for the deaf therapist/hearing client dyad. It can also create opportunities. Although the literature indicates that most culturally Deaf therapists work with Deaf clients due to their mutual use of American Sign Language, I describe (a) the background of an audiologically deaf therapist who relies on speech reading rather than sign language, and (b) this therapist's clinical work with hearing clients. Some of the relational dynamics of these treatments are identified, and I conclude by noting how attention to communication can benefit the work of all psychotherapists.

  7. 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.

  8. 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.

  9. Midwives' perceptions of communication during videotaped counseling for prenatal anomaly tests: how do they relate to clients' perceptions and independent observations?

    NARCIS (Netherlands)

    Martin, L.; Gistels-van der Wal, J.T.; Pereboom, M.T.; Spelten, E.R.; Hutton, E.K.; Dulmen, A.M. van

    2015-01-01

    OBJECTIVE: This study aimed to provide insight into Dutch midwives' self-evaluation of prenatal counseling for anomaly screening in real life practice and, the degree of congruence of midwives' self-assessments with clients' perceptions and with observed performance. METHODS: Counseling sessions wer

  10. 75 FR 82236 - Principal Trades with Certain Advisory Clients

    Science.gov (United States)

    2010-12-30

    ... interests of an advisory client, including fulfilling the duty with respect to the best price and execution... absent evidence of significant harm to investors.''). VI. Promotion of Efficiency, Competition,...

  11. The role of written provider communication in external client participation.

    Science.gov (United States)

    Dellande, Stephanie; Taylor, Gail Ayala

    2004-01-01

    In certain classes of services, the client's role in the service delivery process often extends beyond the face-to-face exchange. With compliance dependent services (CDS), the client is expected to continue to perform for him or herself once away from the service provider in order to ensure positive outcomes and customer satisfaction (Dellande and Gilly, 1998). This study examined the effectiveness of written provider communication in influencing client motivation and role clarity in CDS. Two exploratory investigations examining written provider communication were conducted. In study 1, written material of three different types of health care related CDS (dialysis, prenatal care and weight loss) were examined; in study 2, dialysis written material was further examined. The findings suggest that, in the majority of the materials examined, written provider communication does not seem to clearly communicate the consequences of noncompliance (a source of customer motivation). However, the materials examined were effective in clarifying the client's external service roles.

  12. 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.

  13. Patient/client participation – adaptability into the system?

    DEFF Research Database (Denmark)

    Glasdam, Stinne; Kjær, Lone; Præstegaard, Jeanette

    2011-01-01

    Through the last 35 years "patient/client involvement" have been a mantra within health policies and stated objectives in education curriculums and institutional object clauses; - although different terms are used: "patient-centered", "inclusion", "participation", "influence", "respect for patient...

  14. 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.

  15. 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.

  16. Outsource the Clients Management? A Study about the Impact of the Facilities Management Activity Outsourcing in the Satisfaction of Organizational Clients

    Directory of Open Access Journals (Sweden)

    Hellio Calian Martins

    2014-04-01

    Full Text Available Satisfaction is the subject of several studies because of the managerial implications related to customer loyalty and business sustainability. This study aims to assess the satisfaction of organizational clients of Shopping Centers (SC with the technical and environmental services that provide the necessary conditions for the retail practice denominated facilities management (FM. FM involves a wide range of services to retailers to ensure normal operation (HR and finance management, real estate and Legal advice, IT repairs .... The services can be managed and/or performed by internal or external staff. FM activities are quite subject to contractual and environmental problems. Although most of the time they are invisible to consumers attending the SC, when they are poorly performed, the effects can be devastating, causing dissatisfaction among consumers and retailers. Data collected at two big SC in Rio de Janeiro were statistically analyzed. Results show evidence that this management option has significant relevance in customer satisfaction and there is also evidence that the shopkeeper satisfaction is lower when the FM is outsourced. This work aims to contribute to retail management, specifically SC management, by analyzing the satisfaction of organizational clients with services of FM and may provide more information for better decision making.

  17. Using art to empower clients during a facility move.

    Science.gov (United States)

    Osborn, Lawrence A; Tate, Frederic B

    2011-06-01

    Eastern State Hospital, a state psychiatric facility in Williamsburg, Virginia, moved from its old campus into a single new building in 2010. Adult clients were given the opportunity to decorate a portion of the new facility with ceramic tiles they designed using permanent markers. The purpose of this project was to empower the clients so they felt involved in the transition. This article describes the project from inception to fruition and is accented with images and descriptions of some of the tiles.

  18. Treatment approaches for dual diagnosis clients in England

    OpenAIRE

    Schulte, S.; Meier, P.S.; Stirling, J.; Berry, M

    2008-01-01

    Introduction - Dual diagnosis (DD, co-occurrence of substance use and mental health problems) prevalence data in England are limited to specific regions and reported rates vary widely. Reliable information on actual service provision for dual diagnosis clients has not been collated. Thus a national survey was carried out to estimate dual diagnosis prevalence in treatment populations and describe the service provision available for this client population in drug/alcohol (DAS) and mental health...

  19. 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.

  20. 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.

  1. The Contribution of the Counselor-Client Working Alliance to Career Exploration

    Science.gov (United States)

    Elad-Strenger, Julia; Littman-Ovadia, Hadassah

    2012-01-01

    This longitudinal study examines the effects of Israeli counselors' and clients' ratings of their working alliance on clients' career exploration (CE), using a sample of 94 three-session career counseling processes. Results reveal that both clients' and counselors' working alliance ratings increased over time; yet, clients' ratings remained…

  2. Effects on Briefing upon Client Satisfaction with the Initial Counseling Contact

    Science.gov (United States)

    Heilbrun, Alfred B., Jr.

    1972-01-01

    The results indicate that under special conditions providing prior information to the client concerning the directive nondirective character of interviewer behavior during the initial diagnostic interview influences client satisfaction, leads to client mediated changes in interviewer behavior, and increases the probability that the client will at…

  3. Real Language Meets Real Business

    Science.gov (United States)

    Muirhead, Muirhead; Schechter, Sarah

    2016-01-01

    The Real Business Language Challenge was a collaborative pilot project between Coca-Cola Enterprises (CCE) and Routes into Languages East for Year 9 and 10 pupils. It was based on CCE's award-winning Real Business Challenge, part of its highly acclaimed education programme. The Real Business Language Challenge transformed the project into a…

  4. Implementación de marketing relacional para la fidelización de los clientes de la Aseguradora Hispana de Seguros

    OpenAIRE

    Naranjo Hidalgo, Wendy Natalia

    2016-01-01

    1. Introducción. --2. Planteamiento de Propuesta de Trabajo. --3. Marco Teórico. --4. Metodología. --5. Resultados. --6. Conclusiones y Recomendaciones El objetivo del presente proyecto de investigación y desarrollo es fidelizar a los clientes reales y potenciales de la Aseguradora Hispana de Seguros, debido a que, en su trayectoria de 20 años al servicio de la comunidad se enfrenta a problemas tales como: servicio al cliente, optimización de los recursos, resistencia al cambio y a su comp...

  5. A Note on Real Estate Marketing Research

    OpenAIRE

    Emil E. Malizia

    1990-01-01

    Although the principles of real estate market analysis are more readily accessible due to the publication of several recent volumes, the topic yet to be grounded properly in the broader marketing research field. Building on the appraisal tradition, the professional market analyst strives for an objective assessment of market comparables and trends to arrive at a thoughtful and informed opinion of economic feasibility on behalf of the client developer, investor, lender, or landowner. However, ...

  6. Real Talk on Real Estate

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    What’s hot and what’s not in China’s property market The Beijing 2008 Olympics is a giant magnet for real estate investment, but how far-reaching is its pull? Is it a good time to buy real estate in second-tier cities? And could a bal- looning worldwide real estate bubble have ramifications for China? Inquiring minds want to know the answers to all these questions in real estate circles. Experts may not always answer harmoniously, but unless you have a villa empire, their advice could help you conquer this tricky market more successfully. No bubble in Beijing or beyond The Olympic effect will cause real

  7. 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.

  8. 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.

  9. 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.

  10. Does Motivational Interviewing (MI) Work with Nonaddicted Clients? A Controlled Study Measuring the Effects of a Brief Training in MI on Client Outcomes

    Science.gov (United States)

    Young, Tabitha L.; Gutierrez, Daniel; Hagedorn, W. Bryce

    2013-01-01

    This study investigated the relationships between motivational interviewing (MI) and client symptoms, attendance, and satisfaction. Seventy-nine clients attending a university-based counseling center were purposefully assigned to treatment or control conditions. Statistical analyses revealed client symptoms in both groups improved. However,…

  11. Empowerment interventions, knowledge translation and exchange: perspectives of home care professionals, clients and caregivers

    Directory of Open Access Journals (Sweden)

    Voyer Louis

    2008-08-01

    Full Text Available Abstract Background Few studies have examined empowerment interventions as they actually unfold in home care in the context of chronic health problems. This study aims to document the empowerment process as it plays out in interventions with adults receiving home care services. Methods/design The qualitative design chosen is a fourth generation evaluation combined with case studies. A home care team of a health and social services center situated in the Eastern Townships (Québec, Canada will be involved at every step in the study. A sample will be formed of 15 health care professionals and 30 of their home care clients and caregiver. Semi-structured interviews, observations of home care interventions and socio-demographic questionnaires will be used to collect the data. Nine instruments used by the team in prior studies will be adapted and reviewed. A personal log will document the observers' perspectives in order to foster objectivity and the focus on the intervention. The in-depth qualitative analysis of the data will illustrate profiles of enabling interventions and individual empowerment. Discussion The ongoing process to transform the health care and social services network creates a growing need to examine intervention practices of health care professionals working with clients receiving home care services. This study will provide the opportunity to examine how the intervention process plays out in real-life situations and how health care professionals, clients and caregivers experience it. The intervention process and individual empowerment examined in this study will enhance the growing body of knowledge about empowerment.

  12. Acculturation and polysubstance abuse in Arab-American treatment clients.

    Science.gov (United States)

    Arfken, Cynthia L; Kubiak, Sheryl P; Farrag, Mohamed

    2009-12-01

    Acculturation to U.S. culture by Latinos and Asian Americans has been associated with increased prevalence of substance abuse. However, little is known about the association between acculturation and substance use among Arab Americans, or more specifically, among Arab-American treatment clients. In 156 Arab-American male treatment clients, we found that higher levels of U.S. acculturation were positively associated with increased prevalence of polysubstance abuse. This first report on a large series of Arab-American clients also found considerable within-group variability. These results can be used to develop treatment plans and work-force training on the importance of U.S. acculturation and variability within Arab Americans.

  13. Web-client based distributed generalization and geoprocessing

    Science.gov (United States)

    Wolf, E.B.; Howe, K.

    2009-01-01

    Generalization and geoprocessing operations on geospatial information were once the domain of complex software running on high-performance workstations. Currently, these computationally intensive processes are the domain of desktop applications. Recent efforts have been made to move geoprocessing operations server-side in a distributed, web accessible environment. This paper initiates research into portable client-side generalization and geoprocessing operations as part of a larger effort in user-centered design for the US Geological Survey's The National Map. An implementation of the Ramer-Douglas-Peucker (RDP) line simplification algorithm was created in the open source OpenLayers geoweb client. This algorithm implementation was benchmarked using differing data structures and browser platforms. The implementation and results of the benchmarks are discussed in the general context of client-side geoprocessing. (Abstract).

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

    DEFF Research Database (Denmark)

    Ørngreen, Rikke; Nielsen, Janni; Levinsen, Karin

    2008-01-01

    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......  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...... perspectives in a Client Centred framework that is useable as the starting point for others in developing large scale e-learning projects....

  15. Helpful and unhelpful therapy experiences of LGBT clients.

    Science.gov (United States)

    Israel, Tania; Gorcheva, Raya; Burnes, Theodore R; Walther, William A

    2008-05-01

    The purpose of this study was to identify a broad range of variables that characterize the helpful and unhelpful therapy experiences of lesbian, gay, bisexual, and transgender (LGBT) individuals. Interviews were completed with a diverse sample of 42 LGBT individuals who have been in therapy, and a content analysis was conducted. Results indicated that basic counseling skills and relationships were key determinants of the quality of LGBT clients' therapy experiences. Also important to the helpfulness of the therapy experience were therapist variables such as professional background and attitudes toward client sexual orientation/gender identity; client variables such as stage of identity development, health status, and social support; and environmental factors such as confidentiality of the therapy setting.

  16. Privacy preserving, real-time and location secured biometrics for mCommerce authentication

    Science.gov (United States)

    Kuseler, Torben; Al-Assam, Hisham; Jassim, Sabah; Lami, Ihsan A.

    2011-06-01

    Secure wireless connectivity between mobile devices and financial/commercial establishments is mature, and so is the security of remote authentication for mCommerce. However, the current techniques are open for hacking, false misrepresentation, replay and other attacks. This is because of the lack of real-time and current-precise-location in the authentication process. This paper proposes a new technique that includes freshly-generated real-time personal biometric data of the client and present-position of the mobile device used by the client to perform the mCommerce so to form a real-time biometric representation to authenticate any remote transaction. A fresh GPS fix generates the "time and location" to stamp the biometric data freshly captured to produce a single, real-time biometric representation on the mobile device. A trusted Certification Authority (CA) acts as an independent authenticator of such client's claimed realtime location and his/her provided fresh biometric data. Thus eliminates the necessity of user enrolment with many mCommerce services and application providers. This CA can also "independently from the client" and "at that instant of time" collect the client's mobile device "time and location" from the cellular network operator so to compare with the received information, together with the client's stored biometric information. Finally, to preserve the client's location privacy and to eliminate the possibility of cross-application client tracking, this paper proposes shielding the real location of the mobile device used prior to submission to the CA or authenticators.

  17. 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

  18. Modelo Kano de satisfação do cliente

    OpenAIRE

    Iata, Cristiane Mitsuê

    2002-01-01

    Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro Tecnológico. Programa de Pós-Graduação em Engenharia Mecânica. Estudo realizado com base no modelo Kano de Satisfação do Cliente que classifica os diversos itens de qualidade de um produto ou serviço conforme percebido por seus clientes: os característicos de qualidade obrigatória, os característicos de qualidade linear e os característicos de qualidade atrativa. No presente trabalho, a utilização do modelo Kano foi re...

  19. A sociological approach to counseling homosexual clients and their families.

    Science.gov (United States)

    Hammersmith, S K

    1987-01-01

    Stigma lies at the root of many problems typically experienced by homosexual clients and their families. Sociological theory and research shed light on the dynamics of stigma and its consequences, both for the stigmatized population and for their heterosexual families and associates. This article summarizes key sociological research on the nature and development of sexual orientation. It considers the dynamics of homophobia and its implications for homosexual youngsters and their families. It offers practical tips for helping clients to understand their own or a family member's homosexual orientation, for coping with stigma, for reconciling issues of religion and morality, and for determining lifestyle. Suggestions for therapist office materials are also included.

  20. Understanding the working alliance with clients diagnosed with anorexia nervosa.

    Science.gov (United States)

    Oyer, Laura; O'Halloran, Mary Sean; Christoe-Frazier, Liesel

    2016-01-01

    The therapeutic working alliance is a vital ingredient of psychotherapy, specifically for clients diagnosed with anorexia nervosa, as progress is often slow and treatment difficult. This qualitative phenomenological study investigated the experiences of eight clients with anorexia nervosa and seven therapists who work with this population, regarding which therapist factors aided in and challenged the working alliance formation in individual psychotherapy. Data was gathered through semi-structured interviews. Some helpful therapist factors included collaboration, appropriate self-disclosure, providing a warm and safe environment, and willingness to be contacted outside of a session. Unhelpful factors included lack of attunement and objectivity and failure to individualize treatment.

  1. Client-Centric Adaptive Scheduling of Service-Oriented Applications

    Institute of Scientific and Technical Information of China (English)

    Jing Wang; Li-Yong Zhang; Yan-Bo Han

    2006-01-01

    The paper proposes a client-centric computing model that allows for adaptive execution of service-oriented applications. The model can flexibly dispatch application tasks to the client side and the network side, dynamically adjust an execution scheme to adapt to environmental changes, and thus is expected to achieve better scalability, higher performance and more controllable privacy. Scheduling algorithms and the rescheduling strategies are proposed for the model.Experiments show that with the model the performance of service-oriented application execution can be improved.

  2. Understanding, eliciting and negotiating clients' multicultural health beliefs.

    Science.gov (United States)

    Jackson, L E

    1993-04-01

    People of many cultures explain and treat illness in ways that are different from and that may conflict with the biomedical beliefs and practices on which the American health care system is based. Eliciting clients' health beliefs and negotiating treatment plans with them can help avoid problems caused by discrepancies in belief systems. This article presents three major categories of belief systems commonly found in the United States as well as other countries. Questions designed to discover clients' health beliefs are included, along with guidelines for arriving at plans of care that accommodate those beliefs. Case studies are provided that illustrate this process of negotiation.

  3. Auditor client relationship and audit Quality : The effects of long-term auditor client relationship on audit quality in SMEs

    OpenAIRE

    Aamir, Suhaib; Farooq, Umar

    2011-01-01

    Different scandals around the globe during the past, in specific during the last decade, have intrigued the stakeholders to question the roles of both auditors and management. But most of the fingers since then have been raised on the role of auditors, because it is the auditors who are entrusted with the responsibility to detect any errors or frauds in the financial reports of the client-firm. Apart from this, the long-term auditor client relationship has been the center of attention in most...

  4. The client-centred approach as experienced by male neurological rehabilitation clients in occupational therapy. A qualitative study based on a grounded theory tradition.

    Science.gov (United States)

    Van de Velde, Dominique; Devisch, Ignaas; De Vriendt, Patricia

    2016-08-01

    Purpose To explore the perspectives of male clients in a neurological rehabilitation setting with regard to the occupational therapy they have received and the client-centred approach. Method This study involved a qualitative research design based on the grounded theory tradition. Individual in-depth interviews were used to collect data. Data were analysed using a constant comparative method. Seven male participants from an inpatient neurological setting were included using a theoretical sampling technique. Results Three themes emerged to describe the approach of the therapists to client-centred practice: (a) a shared biomedical focus as the start of the rehabilitation process, (b) the un-simultaneous shift from a biomedical towards a psycho-social focus and (c) formal versus informal nature of gathering client information. Conclusion A client-centred approach entails a shift from the therapist focussing on recovery from the short-term neurological issues towards the long-term consequences of the disease. According to the client, this shift in reasoning must occur at a specific and highly subjective moment during the rehabilitation process. Identifying this moment could strengthen the client-centred approach. Implications for Rehabilitation Client-centred practice entails a shift from recovering the short-term neurological issues towards the long-term psycho-social consequences of the disease. To be effective in client-centred practice, the clients expect from the professional to be an authority with regard to biomedical issues and to be partner with regard to psycho-social issues. Client-centred practice is most likely to be successful when client is susceptible to discuss his psycho-social issues and finding this moment is a challenge for the professional. Using formal methods for goal setting do not necessarily cover all the information needed for a client-centred therapy programme. Rather, using informal methods could lead to a more valid image of the client.

  5. Real Forestry for Real Estate

    Science.gov (United States)

    Gagnon, Jennifer; Fisher, Jason

    2013-01-01

    Virginia is poised to see an unprecedented change in forest land ownership. To provide new landowners with information on sustainable forest management, we developed a two-part program, Real Forestry for Real Estate. First, we assembled New Landowner Packets, which contain a variety of sustainable forest management resources. Second, two…

  6. The Clinical and Client-Centered Approach to Counseling.

    Science.gov (United States)

    Rivas, Richard G.

    This review analyzes the clinical and client-centered approaches to counseling. Clinical counseling separated from vocational counseling in the third decade of this century. A split took place between guidance and discipline. The mental hygiene movement facilitated this split. In 1942 Carl Rogers made an impact on counseling theory with the…

  7. Women Counselors for Women Clients? A Review of the Research

    Science.gov (United States)

    Tanney, Mary Faith; Birk, Janice M.

    1976-01-01

    Reviews the available research on the effects of counselor sex on the effectiveness of therapy for female clients. It concludes that the research findings are not clear cut and that much remains to be done on the extent and effects of sex stereotyping in the therapeutic relationship. (NG)

  8. Langfristige Performance mit Thin Clients bei HSBC Trinkaus

    Science.gov (United States)

    HSBC Trinkaus nutzt Thin Clients als grafikstarke Desktops einer Citrix-basierenden Server Based Computing-Umgebung. Die neuen Dualview-Arbeitsplätze sind zuverlässiger, pflegeleichter und stromsparender als die bisherigen Terminal-PCs. Selbst die Administration erfolgt im Zweibildschirmbetrieb.

  9. 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…

  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. 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 Section 8.34 Money and Finance: Treasury Office of the Secretary of the Treasury PRACTICE BEFORE THE BUREAU OF ALCOHOL, TOBACCO AND FIREARMS Duties and Restrictions Relating to Practice § 8.34 Knowledge...

  12. 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…

  13. Perceptions of Clients and Counseling Professionals regarding Spirituality in Counseling

    Science.gov (United States)

    Morrison, Julie Q.; Clutter, Stacy M.; Pritchett, Elaine M.; Demmitt, Alan

    2009-01-01

    Although current research indicates that psychotherapeutic change both affects and is affected by spiritual concerns, relatively little is known about the degree to which spirituality is used as an intervention in counseling and how it is perceived by clients and mental health professionals. The purpose of this study was to examine the perceptions…

  14. Perceived Counselor Acculturation Levels: Their Pertinence to Caucasian Client Expectations.

    Science.gov (United States)

    Liu, Huan-Chung Scott; Schneider, Lawrence J.

    After reading 1 of 4 randomly-assigned written descriptions of a counselor, a group of 257 Caucasian undergraduates completed the Expectations sbout Counseling: Brief Form (Tinsley, 1982), Confidence Rating scales and Willingness items to examine how the perceived levels of acculturation of the counselor influenced client's perceptions of the…

  15. Undergraduate Role Players as "Clients" for Graduate Counseling Students.

    Science.gov (United States)

    Anderson, Dana D.; And Others

    1989-01-01

    Describes two exercises in which undergraduates from abnormal psychology courses act as role-play clients for graduate counselor-trainees. Finds that the exercises seem to be educationally beneficial and may also help decrease undergraduates' negative stereotyping of persons with psychological problems. (KO)

  16. 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…

  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. Chapter 48: How to Build a Simple SIAP Client

    Science.gov (United States)

    Kwok, S. H.; Tody, D.

    This tutorial describes how to build a SIAP Client application. The steps are: find the SIAP service, set the parameters, build the query, submit the request, retrieve the response, analyze the response and prepare the output. Examples in Java and Python are given. The second part of the tutorial explains how to retrieve the image data from access references.

  19. Interpreting Behavioral Genetic Results: Suggestions for Counselors and Clients.

    Science.gov (United States)

    Gatz, Margaret

    1990-01-01

    Contends treatment strategies often are premised on modifying either environmental factors or clients' interpretations of the interpersonal environment, but a more complete analysis would take into account the role played by genetic transmission in an individual's personality. Recommends when developing interventions both counselors and clients…

  20. 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…

  1. Client satisfaction with a nurse-managed clinic.

    Science.gov (United States)

    Pulliam, L

    1991-01-01

    To survive and thrive in today's competitive health-care market, health-care providers must evaluate outcomes of their services, including client satisfaction, then use this information to set standards. In the past, standards of care for the elderly were based on tradition rather than evaluation of their effect on outcomes (Thorsland, 1986). There are, therefore, few guidelines for evaluating outcomes of care in any setting and almost none for care of the elderly in nurse-managed centers. As a first step in evaluating client satisfaction in a nurse-managed clinic a focus group discussion was conducted with nine clients of the Nurse Education Link to Aged (NELA) Wellness Center. The focus group participants indicated that the Center had done an excellent job of meeting physical and emotional health needs of clients. Participants especially liked the location of the clinic in the apartment building where they live. Additional services requested by participants included programs for coping with depression and stress, alcoholism, and arthritis, and for increasing social interaction between men and women.

  2. Competent Counseling for Middle Eastern American Clients: Implications for Trainees

    Science.gov (United States)

    Soheilian, Sepideh S.; Inman, Arpana G.

    2015-01-01

    The authors used a factorial multivariate analysis of variance (MANOVA) to determine whether counselor trainees' group differences on measures of multicultural competence, empathy, and multicultural counseling self-efficacy (CSE) when working with Middle Eastern American (MEA) clients were moderated by trainee race. Two hundred and fifty-six…

  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. Developments in the Market for Client-based Management Education.

    Science.gov (United States)

    Prince, Christopher

    2002-01-01

    Interviews with 19 human resource managers, 6 consultants, and 11 business faculty investigated the effectiveness of client-based management education. Results suggested that strategic management education is a business imperative and many companies are developing partnerships with business schools to deliver training that supports business…

  5. Data Cleaning Methods for Client and Proxy Logs

    NARCIS (Netherlands)

    Weinreich, H.; Obendorf, H.; Herder, E.; Edmonds, A.; Hawkey, K.; Kellar, M.; Turnbull, D.

    2006-01-01

    In this paper we present our experiences with the cleaning of Web client and proxy usage logs, based on a long-term browsing study with 25 participants. A detailed clickstream log, recorded using a Web intermediary, was combined with a second log of user interface actions, which was captured by a mo

  6. 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.

  7. Play Therapy: Client-Centered Counseling for Elementary School Children.

    Science.gov (United States)

    DeMaagd, Joan

    The value and importance of creative activities and play opportunities in play therapy is reviewed and discussed. Play therapy is considered to be part of the non-directive client-centered approach to counseling developed by Carl Rogers. The importance of giving the child the opportunity to play out his feelings and explore his thoughts and…

  8. Teaching Accountability: Using Client Feedback to Train Effective Family Therapists

    Science.gov (United States)

    Sparks, Jacqueline A.; Kisler, Tiffani S.; Adams, Jerome F.; Blumen, Dale G.

    2011-01-01

    The AAMFT Task Force on Core Competencies (Nelson et al., 2007) proposed that marriage and family therapy (MFT) educators teach and provide evidence of trainee competence beyond coursework and accrued clinical hours. This article describes the integration of a systematic client feedback protocol into an MFT-accredited program's curricula to…

  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 client-serve

  10. Evaluation of a Continuing Education Training on Client Financial Capability

    Science.gov (United States)

    Frey, Jodi Jacobson; Svoboda, Deborah; Sander, Rebecca L.; Osteen, Philip J.; Callahan, Christine; Elkinson, Audrey

    2015-01-01

    The researchers conducted an evaluation study assessing outcomes among 37 social workers who completed a continuing education course on financial capability and working with clients. Key constructs assessed included participants' attitudes about financial capability, self-efficacy to provide services, organizational barriers, and basic financial…

  11. Suicidal Clients and Supervisees: A Model for Considering Supervisor Roles

    Science.gov (United States)

    McGlothlin, Jason M.; Rainey, Steve; Kindsvatter, Aaron

    2005-01-01

    It is likely that counselor trainees will be exposed to suicidal clients and subsequently face personal dilemmas, stress, and feelings of incompetence. Ethical guidelines mandate that supervisors have procedures to assist supervisors in such times. Currently, the literature does not provide a framework for providing such supervision. This article…

  12. 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.

  13. Assessing facade value - how clients make business cases in changing real estate markets

    NARCIS (Netherlands)

    Den Heijer, A.C.

    2013-01-01

    RELEVANCE: The value of any intervention in the built environment is most relevant for the stakeholders that are investing in it. For them all costs need to be balanced with benefits - not necessarily directly financial, but adding value to the performance of the accommodated organization. Business

  14. Serving up the self: Role identity and burnout in client service environments

    Directory of Open Access Journals (Sweden)

    Carly Steyn

    2015-02-01

    Full Text Available Orientation: Whilst the limited investigations into the relationship between identity and burnout have made an important contribution to our understanding of the development of burnout, further research is required to gain a deeper understanding of how the processes associated with the construction and enactment of a specific identity could contribute to burnout amongst client service employees. Research purpose: The purpose of this research was to explore whether levels of burnout amongst client service employees are associated with the manner in which they define and enact the client service role identity.Motivation for the study: The negative effects of burnout amongst client service employees can be particularly devastating for client service organisations. A deeper understanding of the causes of burnout amongst client service employees is therefore essential if we wish to reduce the significant costs associated with burnout in this environment.Research approach, design and method: The research strategy comprised a qualitative design consisting of semi-structured interviews. Main findings: The results of the study indicate that the role identities of higher burnout client service employees differ from the role identities of lower burnout client service employees. Lower burnout employees view the client relationship as a partnership and experience a high level of self-verification when dealing with their clients. Higher burnout employees, on the other hand, describe themselves as subordinate to the client and exhibit strong feelings of defeat and failure when interacting with their clients. Practical implications/managerial implications: The study shows that if client service organisations wish to reduce the detrimental effects of burnout in the workplace, they need to pay careful attention to the way in which their client service employees perceive themselves in relation to the client. Since client service employees construct role identities

  15. 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

  16. Client Evaluation of Treatment for Alcohol Use Disorder in COMBINE.

    Science.gov (United States)

    Kirouac, Megan; Witkiewitz, Katie; Donovan, Dennis M

    2016-08-01

    Practitioners and researchers across disciplines have been interested in identifying variables that act as indicators of treatment success or failure and one straightforward approach to measuring treatment success is to assess client satisfaction with treatment. Existing measures of treatment satisfaction do not address the specific aspects relevant to alcohol use disorder (AUD) treatment. Researchers in the COMBINE Study developed a new measure of treatment satisfaction to assess satisfaction in AUD treatment: The Evaluation of Treatment (EOT) measure. The aims of the present study were to examine the factor structure of items from the EOT measure and to examine the association between the EOT measure and other measures of client engagement, as well as AUD treatment outcomes. We also extended the model to test for possible mediation effects of treatment evaluation on the relationship between client treatment engagement components and AUD treatment outcomes. Confirmatory factor analyses indicated a 6-factor model with a higher order treatment satisfaction factor provided an excellent fit to the data (χ2 (246)=499.44, p<0.001, CFI=0.99, TLI=0.98, RMSEA =0.040 (90% CI: 0.035, 0.045). Overall, the latent factor of treatment satisfaction was significantly associated with client engagement predictors and treatment evaluation significantly mediated the associations between both working alliance and treatment expectations in the prediction of alcohol-related problems and global severity. Findings suggest that client evaluations of treatment play a substantial role in predicting AUD treatment outcomes and should be considered in future treatment and research.

  17. 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. Cog

  18. 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. Cog

  19. The analysis of challenging relations: Influences on interactive behaviour of staff towards clients with intellectual disabilities

    NARCIS (Netherlands)

    Willems, A.P.A.M.; Embregts, P.J.C.M.; Bosman, A.M.T.; Hendriks, A.H.C.

    2014-01-01

    Background Relationships between support staff and clients with intellectual disability (ID) are important for quality of care, especially when dealing with challenging behaviour. Building upon an interpersonal model, this study investigates the influence of client challenging behaviour, staff attit

  20. 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.

  1. Breaking through with Thin-Client Technologies: A Cost Effective Approach for Academic Libraries.

    Science.gov (United States)

    Elbaz, Sohair W.; Stewart, Christofer

    This paper provides an overview of thin-client/server computing in higher education. Thin-clients are like PCs in appearance, but they do not house hard drives or localized operating systems and cannot function without being connected to a server. Two types of thin-clients are described: the Network Computer (NC) and the Windows Terminal (WT).…

  2. ARQUITETURA E PROTOCOLO PARA APLICAÇÃO VISUAL THIN CLIENT

    Directory of Open Access Journals (Sweden)

    Vanius Roberto Bittencourt

    2011-12-01

    Full Text Available In this paper are studied different solutions to an increasingly common need today - to run applications thin client visuals. To solve common problems is provided a proposed open architecture and protocol for client-server application with visual thin client on windows.

  3. Factors Associated with Recent Suicide Attempts in Clients Presenting for Addiction Treatment

    Science.gov (United States)

    Penney, Alexander; Mazmanian, Dwight; Jamieson, John; Black, Nancy

    2012-01-01

    Factors associated with recent suicide attempts were examined in clients who sought treatment at an addictions facility between 2001 and 2008. Clients who reported being hospitalized for attempting suicide in the past year (n = 76) were compared to all other clients (n = 5914) on demographic, mental health, substance use, and problem gambling…

  4. Day Hospital and Residential Addiction Treatment: Randomized and Nonrandomized Managed Care Clients

    Science.gov (United States)

    Witbrodt, Jane; Bond, Jason; Kaskutas, Lee Ann; Weisner, Constance; Jaeger, Gary; Pating, David; Moore, Charles

    2007-01-01

    Male and female managed care clients randomized to day hospital (n=154) or community residential treatment (n=139) were compared on substance use outcomes at 6 and 12 months. To address possible bias in naturalistic studies, outcomes were also examined for clients who self-selected day hospital (n=321) and for clients excluded from randomization…

  5. Attitudes of Counselors-in-Training toward Career Goals of a Male Client.

    Science.gov (United States)

    Arnold, Susan T.

    1981-01-01

    Explored how vocational choices inconsistent with sex-role expectations affect counselor's perceptions of male clients. After observing a male client choosing either a nursing or accounting career, graduate students assessed the clients' masculine or feminine attributes. Results indicated significant differences in counselor perceptions of clients…

  6. Experiences of Rural Vocational Rehabilitation Clients Who Leave the System Prematurely: A Qualitative Exploration

    Science.gov (United States)

    Rigles, Bethany; Ipsen, Catherine; Arnold, Nancy; Seekins, Tom

    2011-01-01

    Vocational rehabilitation (VR) clients who leave the system prematurely experience worse employment outcomes than clients who stay in services. The authors conducted this study to learn about factors leading to premature exit by rural VR clients. Results will inform survey development for a large longitudinal study on this topic. The authors…

  7. 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.... (2) Use a confidence or secret of a client to the disadvantage of the client. (3) Use a confidence...

  8. Training Counselors to Work with Disabled Clients: Cognitive and Affective Components.

    Science.gov (United States)

    Strohmer, Douglas C.; And Others

    1983-01-01

    Examined the relationship of cognitive complexity, counselor anxiety, and client disability to accurate empathy in 28 counseling students who observed counseling interviews of clients with and without disabilities. A significant interaction among cognitive complexity, anxiety, and client disability condition indicated that all three factors…

  9. Rehabilitation Counselor Hypothesis Testing: The Role of Negative Information, Client Disability, and Counselor Experience.

    Science.gov (United States)

    Strohmer, Douglas C.

    1995-01-01

    Examines the way that rehabilitation counselors (n=41) select information to test a hypothesis about a client. Consistent with previous research, rehabilitation counselors systematically noted more negative client information when presented with equal numbers of equivalently weighted positive and negative client factors. (JPS)

  10. Physical Attractiveness: Interactive Effects of Counselor and Client on Counseling Processes.

    Science.gov (United States)

    Vargas, Alice M.; Borkowski, John G.

    1983-01-01

    Assessed how the physical attractiveness of counselors and clients interacted to build rapport in two experiments involving college students (N=128 and N=64). Results showed the counselor's physical attractiveness had a major impact on her perceived effectiveness and the client's expectation of success irrespective of the client's attractiveness…

  11. 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...

  12. The Effect of Brief Training in Motivational Interviewing on Client Outcomes and Trainee Skill Development

    Science.gov (United States)

    Young, Tabitha L.

    2010-01-01

    Motivational Interviewing (MI) is an evidence-based practice that focuses on working through client ambivalence and increasing clients' motivation to change. The purposes of this study were to investigate the effect that a unique student-based training in MI had on counselor trainees' ability to perform MI, and on client outcomes. This training…

  13. Client Resistance as Predicted by Therapist Behavior: A Study of Sequential Dependence.

    Science.gov (United States)

    Bischoff, Mary M.; Tracey, Terence J. G.

    1995-01-01

    Examines the relation of client resistant behavior to therapist directive behavior in a sample of ten archival therapy sessions. Results indicated an overall trend, with therapist directive behavior slightly increasing the probability of subsequent client resistance. No similar effect of client behavior on subsequent therapist behavior was found.…

  14. Pension helpdesk calls : A repair mechanism in the client communication of financial institutions

    NARCIS (Netherlands)

    Nell, Louise; Lentz, Leo; Pander Maat, Henk; Koole, Tom

    2015-01-01

    This paper analyzes the role of helpdesk calls in the client communication package of pension funds.Our audio-corpus of 77 helpdesk calls contained 104 client questions. These show that clients seem tocall the helpdesk in order to repair a comprehension problem, to find specific information they mis

  15. Real analysis

    CERN Document Server

    Loeb, Peter A

    2016-01-01

    This textbook is designed for a year-long course in real analysis taken by beginning graduate and advanced undergraduate students in mathematics and other areas such as statistics, engineering, and economics. Written by one of the leading scholars in the field, it elegantly explores the core concepts in real analysis and introduces new, accessible methods for both students and instructors. The first half of the book develops both Lebesgue measure and, with essentially no additional work for the student, general Borel measures for the real line. Notation indicates when a result holds only for Lebesgue measure. Differentiation and absolute continuity are presented using a local maximal function, resulting in an exposition that is both simpler and more general than the traditional approach. The second half deals with general measures and functional analysis, including Hilbert spaces, Fourier series, and the Riesz representation theorem for positive linear functionals on continuous functions with compact support....

  16. 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......, the client exercised near complete control, with developers unwittingly playing a cooperative but submissive role. Our study makes two principal contributions. First, we combine Hardy’s (1996) multi-dimensional power framework and the principles of Pickering’s (1995) version of disciplinary agency to propose...... why the developer was compliant in this scenario of power inequality. Second, we examine how a development methodology helped convey symbolic and disciplinary power. By doing so we gain rich insight into how meaning power, and the power of the system institutionalised within the methodology, can...

  17. A state-wide assessment: marital stability and client outcomes.

    Science.gov (United States)

    Hartmann, D J; Sullivan, W P; Wolk, J L

    1991-12-01

    This paper presents results of Missouri's first statewide evaluation of alcohol and drug treatment programs. The study utilized a 1-year follow-up sample of 242 respondents to explore the nature and patterns of post-treatment functioning. This paper focuses on the impact of client marital stability on post-treatment substance use. The data supported the expected result that marital status was related to post-treatment relapse. Further analysis suggests that transitional periods between marriage and divorce are especially important in understanding the pattern of relapse after treatment. Multivariate analysis indicates that the marital status effect is important both directly and in interaction with program completion. The data suggest that attention to transitional states and interpersonal functioning should be incorporated into client follow-up.

  18. Norms and Interfirm Governance in Client-Architectural Firm Relationships

    DEFF Research Database (Denmark)

    Skaates, Maria Anne

    2001-01-01

    This article seeks to establish connections between governance structures, norms, and relationship types in architectural firm-client relationships. Due to the complex, intangible, knowledge intensive, and artistic nature of these professional services, both individual architectural project orders...... and relationships to clients are achieved by making credible promises (Løwendahl, 2000). This, in turn, requires profound understanding of existing norms and norms dynamics in architectural fields. An analytical framework of possible governance structures, possible relationship types, and norms is built...... conditions influence interfirm governance. Finally eight general hypothesis concerning the relationship between governance structures, norms, and relationship types in the professional services are presented on the basis of the analysis and related to existing theoretical contributions....

  19. 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.

  20. A Discussion of Thin Client Technology for Computer Labs

    CERN Document Server

    Martínez-Mateo, Jesús; Pérez-Rey, David

    2010-01-01

    Computer literacy is not negotiable for any professional in an increasingly computerised environment. Educational institutions should be equipped to provide this new basic training for modern life. Accordingly, computer labs are an essential medium for education in almost any field. Computer labs are one of the most popular IT infrastructures for technical training in primary and secondary schools, universities and other educational institutions all over the world. Unfortunately, a computer lab is expensive, in terms of both initial purchase and annual maintenance costs, and especially when we want to run the latest software. Hence, research efforts addressing computer lab efficiency, performance or cost reduction would have a worldwide repercussion. In response to this concern, this paper presents a survey on thin client technology for computer labs in educational environments. Besides setting out the advantages and drawbacks of this technology, we aim to refute false prejudices against thin clients, identif...

  1. Clinical algorithms as a tool for psychotherapy with Latino clients.

    Science.gov (United States)

    Manoleas, Peter; Garcia, Betty

    2003-04-01

    Clinical algorithms have the advantage of being able to integrate clinical, cultural, and environmental factors into a unified method of planning and implementing treatment. A model for practice is proposed that uses 3 algorithms as guides for conducting psychotherapy with Latino clients, the uses of which are illustrated in a single, ongoing case vignette. The algorithm format has the additional advantage of easily adapting itself for data gathering for research purposes.

  2. Implementing groupwork in primary care to meet client need.

    Science.gov (United States)

    Newcombe, Teresa; Gledstone, Pam

    Hertsmere health visitors are successfully using groupwork to target patient groups who may not traditionally access services. This includes working with clients in environments such as a homeless family hostel and an English as a second language group. The health visitors have incorporated national service framework targets and important health promotion advice into sessions, and work with a range of other professionals. The result is a modernised, family-centred public health role.

  3. 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.

  4. The Effects of Charismatic Clients on Auditors Objectivity

    OpenAIRE

    All, Charlotte; Mahdi, Carl-Göran; Isaksson, Vincent

    2013-01-01

    This study empirically examines and attempts to model auditors’ relationships with their charismatic clients. Reviewing the prevailing research on charismatic leadership theories and auditor situation as well as related literature, we posit that the prevailing major models pertaining to charismatic leadership can be applied to extend and refine the current models of auditor acquiescence. After hypothesizing such a model, we design an instrument based on the revised Conger-Kanungo model used b...

  5. The influence of olfactory marketing on client's loyalty

    OpenAIRE

    Marques, Ana Sofia Mesquita Tavares

    2013-01-01

    Mestrado em Marketing/ JEL Classification System: M31 Este estudo liga dois grandes temas, o Marketing e o comportamento do consumidor. Mais detalhadamente implica duas vertentes interessantes dos temas anteriores, o Marketing Olfactivo e a lealdade do consumidor, respectivamente. O foco principal que se pretendeu avaliar nesta pesquisa foi perceber se o Marketing Olfactivo no ponto de venda tem influência na lealdade dos clientes. Esta pesquisa procurou recolher respos...

  6. The Role of Client Motivation in Workplace Rehabilitation

    OpenAIRE

    Amanda Mabin; Christine Randall

    2014-01-01

    Motivation has been recognised as an essential component in managing medical issues, adjusting to physical disability, cognitive impairment, returning to work, and improving psychosocial functioning (Wagner & McMahon, 2004).  This research explores the role of client motivation in workplace rehabilitation and demonstrates the implications for rehabilitation counselling practice. The research focuses on understanding the concept of motivation, reasons for its presence or absence, and why motiv...

  7. Your client credibility: are your pharmacy practices helping or hindering?

    OpenAIRE

    Ingwersen, Walter

    2004-01-01

    When recommending a specific pharmaceutical, more has to be taken into account than whether the API is indicated for the illness in question. Based on the preceding discussion, product source can have a tremendous impact on efficacy, on therapeutic success, and on practitioners' credibility in the eyes of their clients. However, product source goes beyond simple credibility, encompassing professional ethics and liability. In answering the Ethical question of the month--December 2001 "Should p...

  8. 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.

  9. 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.

  10. The Concerns about Counseling Racial Minority Clients scale.

    Science.gov (United States)

    Wei, Meifen; Chao, Ruth Chu-Lien; Tsai, Pei-Chun; Botello-Zamarron, Raquel

    2012-01-01

    The purpose of this study was to develop and validate the Concerns about Counseling Racial Minority Clients (CCRMC) scale among counselor trainees. Sample 1 was used for an exploratory factor analysis and confirmatory factor analysis. Four factors were identified, Managing Cultural Differences (α = .82), Offending or Hurting Clients (α = .87), Biased Thoughts and Behaviors (α = .81), and Client Perceptions (α = .77). The coefficient alpha for the CCRMC was .90. The results support the validity of the scale. The scores on the CCRMC and its subscales have positive associations with fear of negative evaluation from others (r = .19 to .40) and negative associations with general counseling self-efficacy (r = -.30 to -.46) and multicultural intervention self-efficacy (r = -.30 to -.64). The CCRMC significantly predicted fear of negative evaluation, session management self-efficacy, and multicultural intervention self-efficacy over and above multicultural social desirability. The validity evidence was not different between White and minority graduate trainees. In Sample 2, the estimated 1-week test-retest reliabilities ranged from .75 to .96 for the CCRMC and its four subscales.

  11. Boundary work in inter-agency and interprofessional client transitions.

    Science.gov (United States)

    Saario, Sirpa; Juhila, Kirsi; Raitakari, Suvi

    2015-01-01

    This article analyses the accomplishment of boundary work performed by professionals engaged in inter-agency collaboration. As a means of building authority within a particular field, boundary work is found to be a common feature of most professional practices. By analysing the talk of Finnish professionals who work in the field of supported housing in mental health, the article investigates the ways professionals--as collective representatives of their service--talk about doing boundary work when transferring their clients to another agency. The study drew on the principles of exploratory case study design and ethnomethodology. A key finding from the analysis of professionals' focus groups and team meetings indicated that boundary work is employed when disputes arise between supported housing and collaborating agencies. The article goes on to suggest that professionals accomplish boundary work by rhetorically presenting themselves as holders of "day-to-day evidence" of clients' mundane living skills and serious ill-health. The paper concludes by arguing that in inter-agency collaboration, boundary work building on day-to-day evidence is used to influence the decision on the most appropriate living arrangement for the client. Boundary work is also used for boosting the authority of professionals as representatives of a relatively new and fixed-term agency in the service system.

  12. Rural-urban differences in psychiatric status and functioning among clients with severe mental illness.

    Science.gov (United States)

    Dottl, S L; Greenley, J R

    1997-08-01

    Studies of clients with severe mental illness (SMI) typically focus on individuals in larger urban areas. Less is known about clients in rural and smaller urban areas. Here we compare the psychiatric status, home and community activities of daily living, and social and vocational functioning of 1600 adult clients with SMI from 18 small-city and rural Wisconsin counties. Rural clients are less likely to have a diagnosis of schizophrenia or organic brain syndrome; have higher levels of general pathology, including more belligerent, bizarre, nervous, and depressive behaviors; and engage in fewer vocational activities than urban clients.

  13. The new version 2.12 of BKG Ntrip Client (BNC)

    Science.gov (United States)

    Stürze, Andrea; Mervart, Leos; Weber, Georg; Rülke, Axel; Wiesensarter, Erwin; Neumaier, Peter

    2016-04-01

    A new version of the BKG Ntrip Client (BNC) has been released. Originally developed in cooperation of the Federal Agency for Cartography and Geodesy (BKG) and the Czech Technical University (CTU) with a focus on multi-stream real-time access to GPS observations, the software has once again been substantially extended. Promoting Open Standards as recommended by the Radio Technical Commission for Maritime Services (RTCM) remains the prime subject. Beside its Graphical User Interface (GUI), the real-time software for Windows, Linux, Mac, and Linux platforms now comes with complete Command Line Interface (CLI) and considerable post processing functionality. RINEX Version 3 file editing & Quality Check (QC) with full support of Galileo, BeiDou, and SBAS - besides GPS and GLONASS - is part of the new features. Comparison of satellite orbit/clock files in SP3 format is another fresh ability of BNC. Simultaneous multi-station Precise Point Positioning (PPP) for real-time displacement-monitoring of entire reference station networks is one more recent addition to BNC. Implemented RTCM messages for PPP (under development) comprise satellite orbit and clock corrections, code and phase observation biases, and the Vertical Total Electron Content (VTEC) of the ionosphere. The well established, mature codebase is mostly written in C++ language. Its publication under GNU GPL is thought to be well-suited for test, validation and demonstration of new approaches in precise real-time satellite navigation when IP streaming is involved. The poster highlights BNC features which are new in version 2.12 and beneficial to IAG institutions and services such as IGS/RT-IGS and to the interested public in general.

  14. Perspectives of Treatment Providers and Clients with Serious Mental Illness Regarding Effective Therapeutic Relationships.

    Science.gov (United States)

    Easter, Alison; Pollock, Michele; Pope, Leah Gogel; Wisdom, Jennifer P; Smith, Thomas E

    2016-07-01

    This study explores the nature of clinical therapeutic relationships between mental health treatment providers and high-need clients with serious mental illness who had recently discontinued treatment. Semi-structured qualitative interviews of 56 clients with serious mental illness who had recently discontinued care and 25 mental health treatment providers were completed. Both clients with serious mental illness and treatment providers emphasized the importance of client-focused goal setting, time and availability of treatment providers, a caring approach, and trust and honesty in the relationship. However, clients with serious mental illness placed greater emphasis on goals involving tangible services, a notable area of discord between the two groups. Individuals with serious mental illness and treatment providers agreed regarding several key elements to a positive clinical relationship. Further attention to client goals related to tangible services may serve to improve relationships between treatment providers and high-need clients with serious mental illness.

  15. Real analysis

    CERN Document Server

    DiBenedetto, Emmanuele

    2016-01-01

    The second edition of this classic textbook presents a rigorous and self-contained introduction to real analysis with the goal of providing a solid foundation for future coursework and research in applied mathematics. Written in a clear and concise style, it covers all of the necessary subjects as well as those often absent from standard introductory texts. Each chapter features a “Problems and Complements” section that includes additional material that briefly expands on certain topics within the chapter and numerous exercises for practicing the key concepts. The first eight chapters explore all of the basic topics for training in real analysis, beginning with a review of countable sets before moving on to detailed discussions of measure theory, Lebesgue integration, Banach spaces, functional analysis, and weakly differentiable functions. More topical applications are discussed in the remaining chapters, such as maximal functions, functions of bounded mean oscillation, rearrangements, potential theory, a...

  16. Meeting the Challenge of Distributed Real-Time & Embedded (DRE) Systems

    Science.gov (United States)

    2012-05-10

    Services COTS & standards-based middleware, language, OS, network, & hardware platforms • Real-time CORBA (TAO) middleware • ADAPTIVE Communication...Airframe, Navigation, & Display components • Common middleware infrastructure • e.g., Real-time CORBA & Lightweight CORBA ...OMG Real-time CORBA & DDS, Sun RMI, Microsoft DCOM, W3C SOAP Client OBJ REF Object (Servant) in args operation() out args + return IDL STUBS IDL

  17. Measuring Staff Behavior towards Clients with ID and Challenging Behavior: Further Psychometric Evaluation of the Staff-Client Interactive Behavior Inventory (SCIBI)

    Science.gov (United States)

    Willems, Arno P. A. M.; Embregts, Petri J. C. M.; Hendriks, Lex H. C.; Bosman, Anna M. T.

    2012-01-01

    Recently, the Staff-Client Interactive Behavior Inventory (SCIBI) was developed, measuring both interpersonal and intrapersonal staff behavior in response to challenging behavior in clients with ID. The aim of the two studies presented here was first to confirm the factor structure and internal consistency of the SCIBI and second to demonstrate…

  18. Relationships between Client Self-Perceptions of Self-Consciousness Levels and Therapist Awareness of These Perceptions.

    Science.gov (United States)

    Turner, Robert G.; Keyson, Mae

    1978-01-01

    Investigated congruity between clients' self-perceptions and therapists' awareness of these self-perceptions. Neurotic and psychotic clients completed Self-Consciousness Scale (SCS). Therapists completed SCS as they thought their client would respond. Therapists' reports significantly correlated with client self-reports on subscales indicating…

  19. Funciones reales

    OpenAIRE

    Acevedo Frías, Bernardo

    1984-01-01

    Este trabajo pretende ser un punto de apoyo para el desarrollo del tema y proporcionar un complemento para estudiantes de ingeniería. Este trabajo comprende los conceptos básicos de las funciones reales, sus clases, las propiedades más importantes con algunas demostraciones, ejemplos teóricos y gráficos; con ello se permite al lector conocer con mayor seguridad y rapidez, lo referente a funciones. Comprende temas relacionados con funciones tales como: producto cartesiano, relación, dominio ...

  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. Information seeking: a component of client decisions and health behavior.

    Science.gov (United States)

    Lenz, E R

    1984-04-01

    The information-seeking patterns of clients have received little attention in nursing theory and research, but they are important antecedents of health-related decisions and behavior. The concept of information seeking is analyzed within the framework of a six-step process model. Inter-related dimensions of the information search process are identified and the impact on cognitive and behavioral outcomes is postulated. Sociodemographic, experiential, personality, and contextual variables suggested by prior research to predict variation in search behavior are identified, and implications for nursing theory and research are discussed.

  2. 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...

  3. Rancang Bangun Sistem Presensi Mahasiswa Berbasis Fingerprint Client Server

    Directory of Open Access Journals (Sweden)

    Decki Noor Cahyadi

    2014-05-01

    Full Text Available Presensi mahasiswa merupakan salah satu peran penting dalam kegiatan belajar dan mengajar. Sistem Presensi melalui SIMAK di ST3 Telkom memiliki beberapa kekurangan, yaitu memerlukan waktu khusus untuk memanggil mahasiswa satu persatu, juga memiliki celah kecurangan, jika dosen yang bersangkutan tidak mengenali wajah mahasiswa, sehingga ada kemungkinan mahasiswa mengaku sebagai mahasiswa lain. Berdasarkan hasil analisa, ditawarkan sebuah inovasi baru untuk Sistem Presensi menggunakan fingerprint berbasis client server. Dalam pembangunan Sistem Presensi ini menggunakan metode pengembangan sistem waterfall, DBMS Microsoft Access dan Visual Basic 6.0 sebagai bahasa pemrogramannya. Hasil pengujian menunjukkan sistem informasi presensi sudah dapat berjalan dengan baik. Output sesuai dengan rancangan yang telah dibuat.

  4. Prostitución en Galicia: clientes e imaginarios femeninos

    OpenAIRE

    Suárez,Agueda Gómez; Freire,Silvia Pérez

    2010-01-01

    Hoy, la prostitución en nuestra sociedad resulta un indicador de la "cultura sexual" dominante en las sociedades patriarcales y capitalistas. Este artículo pretende aportar otro enfoque al análisis de la industria sexual en nuestro país, ajustándose, principalmente, a las experiencias de los hombres implicados en el fenómeno de la prostitución en Galicia. El dramatismo con que las mujeres en prostitución viven su realidad y la frivolidad y ociosidad en la que se recrean los clientes, muestra ...

  5. Factores explicativos de la lealtad de clientes de los supermercados

    OpenAIRE

    Galo Paiva; Magaly Sandoval; Michele Bernardin

    2012-01-01

    El propósito de este estudio es identificar los factores principales que explican la lealtad de los clientes a nivel de supermercados en la ciudad de Temuco, Chile. Se propone un modelo basado en la literatura sobre lealtad de marca y lealtad a los distribuidores. Se realizó una encuesta personal aleatoria en hogares de Temuco, obteniéndose 1.050 cuestionarios útiles. La prueba del modelo propuesto está basada en un modelo de regresión logística. Se obtuvo que los factores determinantes de la...

  6. The Role of Client Motivation in Workplace Rehabilitation

    Directory of Open Access Journals (Sweden)

    Amanda Mabin

    2014-06-01

    Full Text Available Motivation has been recognised as an essential component in managing medical issues, adjusting to physical disability, cognitive impairment, returning to work, and improving psychosocial functioning (Wagner & McMahon, 2004.  This research explores the role of client motivation in workplace rehabilitation and demonstrates the implications for rehabilitation counselling practice. The research focuses on understanding the concept of motivation, reasons for its presence or absence, and why motivation is important to the workplace rehabilitation process. This study also explores significant influencing factors that may be utilised to increase motivation and promote more successful return to work outcomes, as well as considering the implications for rehabilitation practice and research.

  7. [Nursing care to the client with hypertension: a bibliographic review].

    Science.gov (United States)

    Moura, Denizielle de Jesus Moreira; Bezerra, Sara Taciana Firmino; Moreira, Thereza Maria Magalhães; Fialho, Ana Virgínia de Melo

    2011-01-01

    This study aimed to identify the nursing care practices to the client with hypertension in the scientific production in the last ten years. It was carried out a bibliographic study, using in the BIREME, the LILACS, SciELO and BDENF's data basis, selecting thirty articles. The results were exposed in charts, tables and graphics, where prevails, in the literature analyzed, the nursing consultation as the more used practice, through the nursing attendance systematization and the Health Education with individual approaches, besides the realization of home visits with family approach. One believes that the systematization of nursing care will contribute in an expressive manner to the adhesion to the antihypertensive treatment.

  8. Resgatando conflitos relativos à sexualidade dos clientes portadores de coronariopatias

    OpenAIRE

    Silvia Sidnéia da Silva

    2007-01-01

    Trata-se de um estudo descritivo, de abordagem quali-quantitativa que teve o objetivo de identificar junto aos clientes portadores de coronariopatias quais as dificuldades em relação aos fatores de risco quanto à sua doença, associando-as à sua sexualidade. O referencial teórico-metodológico utilizado foi de Freire, adaptado por Bueno. A amostra constituiu-se de 36 sujeitos, com idades entre 23 e 86 anos, de ambos os sexos, maioria casada, usuários do Sistema Único de Saúde, portadores do dia...

  9. Musical Listening: Giving Audience to the Music and Our Clients

    Directory of Open Access Journals (Sweden)

    Carolyn Arnason

    2002-11-01

    Full Text Available This essay will discuss the experience of listening to music and the incredible power it has to both inspire awe and generate myriad questions about what musical listening is all about. I envision this essay in ABA form, although without a perfect cadence at the end. The B section will describe a research study in progress that I am conducting about how music therapists listen to improvised music. The B section will be encircled by A sections describing clinical work with an individual client that fostered my interest in this research topic.

  10. Cognitive behavioural therapy and client-centred counselling.

    Science.gov (United States)

    Collins, Findlay; Deady, David

    This article reviews the potential for combining cognitive behavioural therapy (CBT) and client-centred counselling (CCC) in nurse education and practice. Currently, CBT and CCC are practiced independently of one another within mental health care. This project attempted to bring together the unique qualities of each intervention while encouraging a synergistic approach. This was undertaken by developing and delivering a three-day pilot study workshop. The experiential workshops were evaluated using two sets of structured questionnaires and six semi-structured interviews with randomly selected participants. A follow-up questionnaire was used to review the combined approach in practice.

  11. Vida como drama: repensando o papel do cliente em psicoterapia

    OpenAIRE

    Eloisa Nogueira Aguiar

    2011-01-01

    O artigo busca uma discussão sobre o papel do cliente em psicoterápica, a partir do pensamento de José Ortega y Gasset. Se a psicoterapia é a preocupação com a experiência vivencial, sua filosofia se oferece de grande valia, pois coloca a vida humana no centro de suas investigações. A vida é um projeto pessoal que implica, simultaneamente, as circunstâncias e a subjetividade. A vida requer um processo de “quefazer”. Viver é sentir-se fatalmente forçado a exercitar a liberdade, a decidir quem ...

  12. Delivering results to clients: a question of satisfying needs or desires?

    Science.gov (United States)

    Patel, H; Heng, E L; Aleem, A; Chung, N; Tang, O; John, M; Patel, M; Green, L; Theobald, N

    2006-02-01

    Demand for genitourinary (GU) medicine services is outstripping supply. Improving efficiency can modulate the supply side of the equation, e.g. decreasing the number of clients having to return for their results. This survey explored how clients at two central London GU medicine clinics would like to receive their results and their views were reflected against what was offered by London GU medicine clinics. There was a significant difference between the result delivery services that the clients wanted and what the clinics provided (P <0.0001, chi(2)). Of the clients, 92% wanted to know their results regardless of outcome whereas 22% of London clinics would only inform clients of positive results. This study questions the importance and feasibility of patient choice, an important aspect of the National Strategy for Sexual Health and HIV. Clinics may not individually be able to provide choice but between them, they do provide a wide range of alternatives for the client.

  13. From discharge planner to "concierge": recommendations for hospital social work by clients with intracerebral hemorrhage.

    Science.gov (United States)

    Linton, Kristen F; Ing, Marissa M; Vento, Megan A; Nakagawa, Kazuma

    2015-01-01

    The Affordable Care Act and budget cuts have changed the role of hospital social workers by placing pressure on them to conduct speedy discharges and decrease readmission rates. This qualitative study aimed to assess if hospital social work is meeting the needs of clients in the hospital and postdischarge. Semistructured interviews with 10 clients with intracerebral hemorrhage (ICH) and 11 caregivers were conducted. Participants reported that social work services were not meeting their needs. Clients with ICH and their caregivers expressed needs from social workers that surpassed their roles as discharge planners, including counseling, help with finances and insurance, and advocacy. Participants wanted social work services to begin early in acute treatment with continuity postdischarge. Social workers should conduct ethical social work by meeting clients where they are, addressing needs as prioritized by the client, and advocating individually and organizationally for clients.

  14. Clients' initiatives and caregivers' responses in the organizational dynamics of care delivery.

    Science.gov (United States)

    Kajamaa, Anu; Hilli, Angelique

    2014-01-01

    Our aim with this article is to develop a typology for the analysis of client-caregiver encounters in health care. We first observed client-caregiver interactions in the homes of home care clients and during the care processes of surgical patients. We then conducted a data-driven analysis to identify the clients' initiatives and the degree of engagement in the responses they received. The clients shaped their care by commenting on, questioning, ensuring, and enriching their care. The responses from the caregivers consisted of neutral acceptance, disregard, and shared expansive development of the clients' initiatives. The typology developed from these will be a tool to widen our understanding of the complex interactions in care delivery and of the different conceptualizations of care that actors hold. In future studies this typology will help in the analysis of the organizational dynamics of health care delivery.

  15. Interaction effects of treatment setting and client characteristics on retention and completion.

    Science.gov (United States)

    Klein, Chris; di Menza, Salvatore; Arfken, Cynthia; Schuster, Charles R

    2002-01-01

    Client-treatment matching assumes treatment outcome will be improved if characteristics of clients are matched to specific elements of treatment. Few empirical studies, however, have examined matching across different types of treatment settings. The present research examined differences in demographics and substance-related problems in populations admitted to three substance abuse treatment settings--outpatient (n = 1132), intensive outpatient (n = 1190), and residential (n = 149)--and tested whether interactions between client characteristics and type of setting predicted rates of 30-day retention and treatment completion. In addition, three specific hypotheses based on prior theoretical and empirical investigations were tested. Client characteristics included demographic information (e.g., sex, age, race) and Addiction Severity Index (ASI) composite scores. Client-setting interactions were found for both retention and completion. All three hypotheses received at least partial support. Implications for client assignment and future research are discussed.

  16. Identifying Fallers among Home Care Clients with Dementia and Parkinson’s Disease*

    Science.gov (United States)

    Bansal, Symron; Hirdes, John P.; Maxwell, Colleen J.; Papaioannou, Alexandra; Giangregorio, Lora M.

    2016-01-01

    Few studies have focused on falls among home care (HC) clients with neurological conditions. This study identified factors that increase risk of falling among HC clients with no recent history of falls, and explored whether risk profiles varied among those with dementia or parkinsonism compared to those without selected neurological conditions. A retrospective cohort design was used and analysis of data from community-based HC clients across Ontario was conducted on a sample of ambulatory clients with dementia, parkinsonism, or none of the selected neurological conditions. Data were obtained from the Resident Assessment Instrument for HC (RAI-HC) assessment. The outcome used in multivariable analyses was whether clients fell during follow-up. Unsteady gait was a strong predictor of falls across all three groups. Co-morbid parkinsonism most strongly predicted falls in the dementia group. Clients with borderline intact to mild cognitive impairment had higher odds of falling within the parkinsonism and comparison groups. PMID:27426223

  17. Prostitución en Galicia: clientes e imaginarios femeninos Prostitution in Galicia: clients and feminine imaginary

    OpenAIRE

    Agueda Gómez Suárez; Silvia Pérez Freire

    2010-01-01

    Hoy, la prostitución en nuestra sociedad resulta un indicador de la "cultura sexual" dominante en las sociedades patriarcales y capitalistas. Este artículo pretende aportar otro enfoque al análisis de la industria sexual en nuestro país, ajustándose, principalmente, a las experiencias de los hombres implicados en el fenómeno de la prostitución en Galicia. El dramatismo con que las mujeres en prostitución viven su realidad y la frivolidad y ociosidad en la que se recrean los clientes, muestra ...

  18. 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

    Right of Canada, as represented by the Minister of National Defence, 2007 © Sa Majesté la Reine (en droit du Canada), telle que représentée par le...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...dispositif améliorant les performances ira en diminuant, ils continueront d’aider à assurer la modularité des modèles de l’EIMP. La démarche qui fait

  19. Automated Client-side Sanitizer for Code Injection Attacks

    Directory of Open Access Journals (Sweden)

    Dnyaneshwar K. Patil

    2016-04-01

    Full Text Available Web applications are useful for various online services. These web applications are becoming ubiquitous in our daily lives. They are used for multiple purposes such as e-commerce, financial services, emails, healthcare services and many other captious services. But the presence of vulnerabilities in the web application may become a serious cause for the security of the web application. A web application may contain different types of vulnerabilities. Cross-site scripting is one of the type of code injection attacks. According to OWASP TOP 10 vulnerability report, Cross-site Scripting (XSS is among top 5 vulnerabilities. So this research work aims to implement an effective solution for the prevention of cross- site scripting vulnerabilities. In this paper, we implemented a novel client-side XSS sanitizer that prevents web applications from XSS attacks. Our sanitizer is able to detect cross-site scripting vulnerabilities at the client-side. It strengthens web browser, because modern web browser do not provide any specific notification, alert or indication of security holes or vulnerabilities and their presence in the web application.

  20. Client-Side Event Processing for Personalized Web Advertisement

    Science.gov (United States)

    Stühmer, Roland; Anicic, Darko; Sen, Sinan; Ma, Jun; Schmidt, Kay-Uwe; Stojanovic, Nenad

    The market for Web advertisement is continuously growing and correspondingly, the number of approaches that can be used for realizing Web advertisement are increasing. However, current approaches fail to generate very personalized ads for a current Web user that is visiting a particular Web content. They mainly try to develop a profile based on the content of that Web page or on a long-term user's profile, by not taking into account current user's preferences. We argue that by discovering a user's interest from his current Web behavior we can support the process of ad generation, especially the relevance of an ad for the user. In this paper we present the conceptual architecture and implementation of such an approach. The approach is based on the extraction of simple events from the user interaction with a Web page and their combination in order to discover the user's interests. We use semantic technologies in order to build such an interpretation out of many simple events. We present results from preliminary evaluation studies. The main contribution of the paper is a very efficient, semantic-based client-side architecture for generating and combining Web events. The architecture ensures the agility of the whole advertisement system, by complexly processing events on the client. In general, this work contributes to the realization of new, event-driven applications for the (Semantic) Web.

  1. What you Need to Know About...Microsoft Client Protection

    Institute of Scientific and Technical Information of China (English)

    Paul; Thurrott; 贾笑明(译者)

    2006-01-01

    Microsoft Client Protection是微软公司新出的一款安全产品,它整合了反间谍软件工具、病毒防护和反恶意软件技术。“我们从客户那里收到这样的信息,他们缺少集中化管理恶意软件防护方面的解决方案”,Paul Bryan,Microsoft Enterprise Access and Security Products部门的产品管理主管告诉我说,”他们想用更少的安全产品去管理并且要求对环境中的安全状态有更好的可见性。”从多方面看来,Microsoft Client Protection正是这么一款期待已久的产品。

  2. 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.

  3. Vida como drama: repensando o papel do cliente em psicoterapia

    Directory of Open Access Journals (Sweden)

    Eloisa Nogueira Aguiar

    2011-08-01

    Full Text Available O artigo busca uma discussão sobre o papel do cliente em psicoterápica, a partir do pensamento de José Ortega y Gasset. Se a psicoterapia é a preocupação com a experiência vivencial, sua filosofia se oferece de grande valia, pois coloca a vida humana no centro de suas investigações. A vida é um projeto pessoal que implica, simultaneamente, as circunstâncias e a subjetividade. A vida requer um processo de “quefazer”. Viver é sentir-se fatalmente forçado a exercitar a liberdade, a decidir quem vai ser neste mundo. Este é o caráter dramático da vida. Esta visão ajuda a explicar a sua negação afiada de uma essência humana. Assim, altera-se o papel do cliente, bem como sua expectativa em relação ao psicólogo.

  4. 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...

  5. HIV and family planning service integration and voluntary HIV counselling and testing client composition in Ethiopia.

    Science.gov (United States)

    Bradley, H; Bedada, A; Tsui, A; Brahmbhatt, H; Gillespie, D; Kidanu, A

    2008-01-01

    Integrating voluntary HIV counselling and testing (VCT) with family planning and other reproductive health services may be one effective strategy for expanding VCT service delivery in resource poor settings. Using 30,257 VCT client records with linked facility characteristics from Ethiopian non-governmental, non-profit, reproductive health clinics, we constructed multi-level logistic regression models to examine associations between HIV and family planning service integration modality and three outcomes: VCT client composition, client-initiated HIV testing and client HIV status. Associations between facility HIV and family planning integration level and the likelihood of VCT clients being atypical family planning client-types, versus older (at least 25 years old), ever-married women were assessed. Relative to facilities co-locating services in the same compound, those offering family planning and HIV services in the same rooms were 2-13 times more likely to serve atypical family planning client-types than older, ever-married women. Facilities where counsellors jointly offered HIV and family planning services and served many repeat family planning clients were significantly less likely to serve single clients relative to older, married women. Younger, single men and older, married women were most likely to self-initiate HIV testing (78.2 and 80.6% respectively), while the highest HIV prevalence was seen among older, married men and women (20.5 and 34.2% respectively). Compared with facilities offering co-located services, those integrating services at room- and counsellor-levels were 1.9-7.2 times more likely to serve clients initiating HIV testing. These health facilities attract both standard material and child health (MCH) clients, who are at high risk for HIV in these data, and young, single people to VCT. This analysis suggests that client types may be differentially attracted to these facilities depending on service integration modality and other facility

  6. Stigmatizing Clients with Mental Health Conditions: An Assessment of Social Work Student Attitudes

    OpenAIRE

    Kubiak, Sheryl Pimlott; Ahmedani, Brian K; Rios-Bedoya, Carlos F.; Anthony, James C.

    2011-01-01

    Research suggests that stigma plays a major role in discouraging clients from participating in mental health treatment. Because social workers provide a significant amount of such services, this study investigates social work student stigma as a function of their willingness to treat clients with alcohol dependence, nicotine dependence, depression, and Alzheimer’s disease. Students’ held higher levels of stigma toward nicotine dependent clients and less toward those with depression. Personal ...

  7. Do cleaning organisms reduce the stress response of client reef fish?

    OpenAIRE

    Oliveira Tânia SF; Oliveira Rui F; Bshary Redouan; Canário Adelino VM

    2007-01-01

    Abstract Background Marine cleaning interactions in which cleaner fish or shrimps remove parasites from visiting 'client' reef fish are a textbook example of mutualism. However, there is yet no conclusive evidence that cleaning organisms significantly improve the health of their clients. We tested the stress response of wild caught individuals of two client species, Chromis dimidiata and Pseudanthias squamipinnis, that had either access to a cleaner wrasse Labroides dimidiatus, or to cleaner ...

  8. Visualization of roaming client/server connection patterns during a wirelessly enabled disaster response drill.

    Science.gov (United States)

    Calvitti, Alan; Lenert, Leslie A; Brown, Steven W

    2006-01-01

    Assessment of how well a multiple client server system is functioning is a difficult task. In this poster we present visualization tools for such assessments. Arranged on a timeline, UDP client connection events are point-like. TCP client events are structured into intervals. Informative patterns and correlations are revealed by both sets. For the latter, comparison of two visualization schemes on the same timeline yields additional insights.

  9. Client Preferences Affect Treatment Satisfaction, Completion, and Clinical Outcome: A Meta-Analysis

    Science.gov (United States)

    Lindhiem, Oliver; Bennett, Charles B.; Trentacosta, Christopher J.; McLear, Caitlin

    2014-01-01

    We conducted a meta-analysis on the effects of client preferences on treatment satisfaction, completion, and clinical outcome. Our search of the literature resulted in 34 empirical articles describing 32 unique clinical trials that either randomized some clients to an active choice condition (shared decision making condition or choice of treatment) or assessed client preferences. Clients who were involved in shared decision making, chose a treatment condition, or otherwise received their preferred treatment evidenced higher treatment satisfaction (ESd = .34; p < .001), increased completion rates (ESOR = 1.37; ESd = .17; p < .001), and superior clinical outcome (ESd = .15; p < .0001), compared to clients who were not involved in shared decision making, did not choose a treatment condition, or otherwise did not receive their preferred treatment. Although the effect sizes are modest in magnitude, they were generally consistent across several potential moderating variables including study design (preference versus active choice), psychoeducation (informed versus uninformed), setting (inpatient versus outpatient), client diagnosis (mental health versus other), and unit of randomization (client versus provider). Our findings highlight the clinical benefit of assessing client preferences, providing treatment choices when two or more efficacious options are available, and involving clients in treatment-related decisions when treatment options are not available. PMID:25189522

  10. Stigmatizing Clients with Mental Health Conditions: An Assessment of Social Work Student Attitudes.

    Science.gov (United States)

    Kubiak, Sheryl Pimlott; Ahmedani, Brian K; Rios-Bedoya, Carlos F; Anthony, James C

    2011-01-01

    Research suggests that stigma plays a major role in discouraging clients from participating in mental health treatment. Because social workers provide a significant amount of such services, this study investigates social work student stigma as a function of their willingness to treat clients with alcohol dependence, nicotine dependence, depression, and Alzheimer's disease. Students' held higher levels of stigma toward nicotine dependent clients and less toward those with depression. Personal histories of depression and student age - but not smoking or alcohol use - were predictive of higher stigma levels towards nicotine dependent clients. Implications for social work are discussed.

  11. 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.

  12. Therapist empathy and client anxiety reduction in motivational interviewing: "She carries with me, the experience".

    Science.gov (United States)

    Angus, Lynne E; Kagan, Fern

    2009-11-01

    In this article, we examine the use of motivational interviewing (MI) to treat generalized anxiety disorder (GAD) by means of case illustration that focuses on four categories drawn from the client's experience of the key ingredients in MI therapy. The case illustration, drawn from the York study on combining MI and cognitive behavior therapy in the treatment of GAD (uses the client's pre- and post-therapy narrative interviews) to arrive at categories representative of the client's experience of MI therapy. The results of the qualitative analysis highlight the key contributions to positive client outcomes and readiness for change in brief MI therapy for GAD.

  13. Psychotherapists' outcomes with White and racial/ethnic minority clients: First, the good news.

    Science.gov (United States)

    Hayes, Jeffrey A; McAleavey, Andrew A; Castonguay, Louis G; Locke, Benjamin D

    2016-04-01

    The purposes of this study were to (a) investigate whether psychotherapists differ in their effectiveness with clients, (b) determine whether disparities exist within therapists' caseloads in their outcomes with White and racial and ethnic minority (REM) clients, (c) explore therapist factors that might contribute to observed therapist effects, and (d) identify whether treatment outcomes varied for REM and White clients. A sample of 3,825 clients seen by 251 therapists at 45 college counseling centers completed the Counseling Center Assessment of Psychological Symptoms at the beginning and end of individual psychotherapy. Therapists differed in their effectiveness at reducing general distress across clients, and evidence was found for disparities within therapists' caseloads in their effectiveness with REM and White clients. Effect sizes were small. Disparities within therapists' caseloads were not a function of any therapist variable that was studied. Therapy outcomes were similar for White and REM clients. Therapist multicultural competence can, and should, be considered in terms of measurable outcomes across client racial/ethnic groups. It is possible to identify multiculturally expert therapists who evidence competence with both REM and White clients and who might serve as models from whom the field could learn.

  14. When psychologists work with religious clients: applications of the general principles of ethical conduct.

    Science.gov (United States)

    Yarhouse, M A; VanOrman, B T

    1999-12-01

    Psychologists become more effective and relevant when they appreciate that many clients hold religious values and commitments. Greater awareness of religion and religious values in the lives of clients may aid clinicians' efforts to provide more accurate assessments and effective treatment plans. The authors use the American Psychological Association's (1992) "Ethical Principles of Psychologists and Code of Conduct" as a framework to examine many of the ethical issues relevant when psychologists work with religious clients. This article also provides suggestions for ways in which clinicians may obtain the skills needed to offer competent assessments and interventions with religiously committed clients.

  15. 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.

  16. 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.

  17. 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.

  18. Satisfação do cliente na avaliação da assistência de enfermagem La satisfacción del cliente en la evaluación de la asistencia de enfermería The costumer's satisfaction in the nursing assistance avaluation

    Directory of Open Access Journals (Sweden)

    Regiane Polizer

    2006-08-01

    Full Text Available O estudo destaca a importância da percepção do cliente no processo de avaliação da assistência de enfermagem. Através da pesquisa bibliográfica no período compreendido entre 1990 e 2004. Realizou-se uma revisão sobre satisfação do cliente, onde foram identificados conceitos e publicações que abordassem a percepção do cliente como fator importante na avaliação da assistência de enfermagem. Assim, concluindo que o cliente tem papel importante na obtenção do verdadeiro resultado da assistência oferecida, pois se caracteriza como fonte de opiniões e sugestões auxiliando no processo de avaliação.Este estudio destaca la importancia de la opinión del cliente en el proceso de la evaluación de la asistencia de enfermería. Atravéz de la investigación bibliográfica en el período comprendido entre 1990 y 2004. Fue realizado una revisión acerca de la satisfacción del cliente, donde fueran identificados los conceptos y a las publicaciones de la opinión del cliente como factor importante en la evaluación de la asistencia de enfermería. La conclusíon fue que el cliente tiene papel importante en el obtencíon del verdadero resultado de la asistencia ofrecida, por lo tanto se caracteriza como fuente de las opiniones y sugestiones que asisten al proceso de la evaluación.This study detaches the importance of the perception of the customer in the process of evaluation of the nursing assistance. Through of bibliographical study research in the period understood between 1990 and 2004. This study reviewed on customer's satisfaction, where had been identified to concepts and publications that approached the perception of the customer as important factor in the evaluation of the nursing assistance. Thus, concluding, that customer has important paper in the attainment of the resulted real of the offered assistance, therefore characterizes as source of opinions and suggestions assisting in the process of evaluation.

  19. Wireless communication of real-time ultrasound data and control

    Science.gov (United States)

    Tobias, Richard J.

    2015-03-01

    The Internet of Things (IoT) is expected to grow to 26 billion connected devices by 2020, plus the PC, smart phone, and tablet segment that includes mobile Health (mHealth) connected devices is projected to account for another 7.3 billion units by 2020. This paper explores some of the real-time constraints on the data-flow and control of a wireless connected ultrasound machine. The paper will define an ultrasound server and the capabilities necessary for real-time use of the device. The concept of an ultrasound server wirelessly (or over any network) connected to multiple lightweight clients on devices like an iPad, iPhone, or Android-based tablet, smartphone and other network-attached displays (i.e., Google Glass) is explored. Latency in the ultrasound data stream is one of the key areas to measure and to focus on keeping as small as possible (devices is running in real-time with the operator. The second parameter is the management of bandwidth. At minimum we need to be able to see 20 frames-per- second. It is possible to achieve ultrasound in triplex mode at >20 frames-per-second on a properly configured wireless network. The ultrasound server needs to be designed to accept multiple ultrasound data clients and multiple control clients. A description of the server and some of its key features will be described.

  20. Development of two measures of client engagement for use in home aged care.

    Science.gov (United States)

    Baker, Jess Rose; Harrison, Fleur; Low, Lee-Fay

    2016-05-01

    The aim of the study was to develop and validate measures of client engagement in aged homecare. The Homecare Measure of Engagement-Staff questionnaire (HoME-S) is a self-complete measure of six dimensions of client engagement: client acceptance, attention, attitude, appropriateness, engagement duration and passivity. The Homecare Measure of Engagement-Client/Family report (HoME-CF) is a researcher-rated interview which obtains client and/or family perspectives regarding frequency and valence of conversational and recreational engagement during care worker visits. Care workers (n = 84) completed the HoME-S and a measure of relationship bond with client. Researchers interviewed clients (n = 164) and/or their family (n = 117) and completed the HoME-CF, and measures of agitation, dysphoria, apathy and cognitive functioning. The HoME-S and HoME-CF demonstrated good test-retest and inter-rater reliability, and showed significant negative correlations with apathy, agitation and non-English-speaking background. Controlling for client and care service characteristics, a stronger care worker-client relationship bond and English-speaking background were independently associated with higher HoME-S scores, and apathy was independently associated with higher HoME-CF scores. In conclusion, the HoME-S and HoME-CF are psychometrically sound engagement measures for use in homecare. Clients who are apathetic or from non-English-speaking backgrounds may be less responsive to traditional care worker engagement strategies. Engagement may be augmented in clients who have stronger relationships with their care workers.

  1. The relation between intrapersonal and interpersonal staff behaviour towards clients with ID and challenging behaviour: a validation study of the Staff-Client Interactive Behaviour Inventory

    NARCIS (Netherlands)

    Willems, A.P.A.M; Embregts, P.J.C.M.; Stams, G.J.J.M.; Moonen, X.M.H.

    2010-01-01

    Background: Interpersonal staff behaviour is one of the instigating factors associated with challenging behaviour in clients with intellectual disabilities (ID). There are several studies focusing on the influence of intrapersonal staff characteristics - such as beliefs, attributions and emotional r

  2. Real-time systems

    OpenAIRE

    Badr, Salah M.; Bruztman, Donald P.; Nelson, Michael L.; Byrnes, Ronald Benton

    1992-01-01

    This paper presents an introduction to the basic issues involved in real-time systems. Both real-time operating sys and real-time programming languages are explored. Concurrent programming and process synchronization and communication are also discussed. The real-time requirements of the Naval Postgraduate School Autonomous Under Vehicle (AUV) are then examined. Autonomous underwater vehicle (AUV), hard real-time system, real-time operating system, real-time programming language, real-time sy...

  3. Preocupación por el cliente: ¿ética, responsabilidad o simplemente negocio?

    Directory of Open Access Journals (Sweden)

    Jesús J. Cambra-Fierro

    2010-08-01

    Full Text Available Este artículo, tomando como referencia básica los conceptos de Orientación al Mercado (OM y Responsabilidad Social Corporativa (RSC pretende i identificar y analizar la importancia real de aquellos factores que determinan el mayor o menor nivel de preocupación por el cliente, y ii establecer un nexo entre ambos conceptos (OM y RSC. Para alcanzar los objetivos propuestos la investigación está basada en un estudio de casos múltiple (multiple case-study de empresas pertenecientes a sectores diversos. Los datos sugieren que la presión competitiva y las normas legales son los factores críticos de dicha preocupación, mientras que el patrón de responsabilidad social de la empresa es un elemento secundario. Por tanto, en determinadas situaciones el mercado puede actuar como mecanismo de ajuste soberano a largo plazo, mientras que en otras será necesario articular un conjunto de normas y leyes que regulen la actividad de las empresas y protejan al consumidor. Las implicaciones de estos resultados y las conclusiones del estudio se incluyen en la parte final del artículo.

  4. Interrogación del cliente: un arte, una ciencia

    Directory of Open Access Journals (Sweden)

    Neutra, Richard J.

    1960-03-01

    Full Text Available Los arquitectos inician, o deberían iniciar, su aprendizaje con la realización de proyectos de viviendas, cuyo uso todos hemos experimentado. La experiencia clínica con un hombre de carne y hueso es una espléndida preparación para el derroche imaginativo e inconcreto que vendrá luego, cuando el joven arquitecto comience a enfrentarse con los funcionarios de obras públicas, las compañías anónimas y los empresarios de solares y edificios. Desgraciadamente, la investigación sobre el cliente no puede efectuarse —en el caso del arquitecto— con la misma precisión, sinceridad e intensidad con que la efectúa un médico.

  5. Location Privacy Techniques in Client-Server Architectures

    DEFF Research Database (Denmark)

    Jensen, Christian Søndergaard; Lu, Hua; Yiu, Man Lung

    2009-01-01

    A typical location-based service returns nearby points of interest in response to a user location. As such services are becoming increasingly available and popular, location privacy emerges as an important issue. In a system that does not offer location privacy, users must disclose their exact...... locations in order to receive the desired services. We view location privacy as an enabling technology that may lead to increased use of location-based services. In this chapter, we consider location privacy techniques that work in traditional client-server architectures without any trusted components other....... Third, their effectiveness is independent of the distribution of other users, unlike the k-anonymity approach. The chapter characterizes the privacy models assumed by existing techniques and categorizes these according to their approach. The techniques are then covered in turn according...

  6. 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.

  7. b.i.t. Bremerhaven: Thin Clients entlasten Schulen

    Science.gov (United States)

    Das Schulamt Bremerhaven zentralisiert die Verwaltungs-IT und schafft dadurch Freiräume für pädagogische und organisatorische Herausforderungen. Pflege und Support der neuen Infrastruktur übernimmt der Dienstleister b.i.t. Bremerhaven, die Thin Clients kommen vom Bremer Hersteller IGEL Technology. Ganztagsschulen, das 12-jährige Abitur, PISA, der Wegfall der Orientierungsstufe - deutsche Schulen müssen derzeit zahlreiche organisatorische und pädagogische Herausforderungen bewältigen. Um die neuen Strukturen umsetzen zu können, werden zusätzliche Ressourcen benötigt. Das Schulamt Bremerhaven hat gemeinsam mit dem Dienstleister b.i.t. Bremerhaven (Betrieb für Informationstechnologie) eine intelligente Lösung gefunden, wie sich die benötigten finanziellen Freiräume schaffen lassen.

  8. Reprint of: Client interfaces to the Virtual Observatory Registry

    Science.gov (United States)

    Demleitner, M.; Harrison, P.; Taylor, M.; Normand, J.

    2015-06-01

    The Virtual Observatory Registry is a distributed directory of information systems and other resources relevant to astronomy. To make it useful, facilities to query that directory must be provided to humans and machines alike. This article reviews the development and status of such facilities, also considering the lessons learnt from about a decade of experience with Registry interfaces. After a brief outline of the history of the standards development, it describes the use of Registry interfaces in some popular clients as well as dedicated UIs for interrogating the Registry. It continues with a thorough discussion of the design of the two most recent Registry interface standards, RegTAP on the one hand and a full-text-based interface on the other hand. The article finally lays out some of the less obvious conventions that emerged in the interaction between providers of registry records and Registry users as well as remaining challenges and current developments.

  9. MCIP Client Application for SCADA in Iiot Environment

    Directory of Open Access Journals (Sweden)

    Nicoleta Cristina GAITAN

    2015-09-01

    Full Text Available Modern automation systems architectures which include several subsystems for which an adequate burden sharing is required. These subsystems must work together to fulfil the tasks imposed by the common function, given by the business purpose to be fulfilled. These subsystems or components, in order to perform these tasks, must communicate with each other, this being the critical function of the architecture of such a system. This article presents a MCIP (Monitoring and Control of the Industrial Processes client application which allows the monitoring and control of the industrial processes and which is object-oriented. As a novelty, the paper presents the architecture of the user object, which is actually a wrapper that allows the connection to Communication Standard Interface bus, the characteristics of the IIoT (Industrial Internet of Things object and the correspondence between a server’s address space and the address space of MCIP.

  10. Real-time medical collaboration services over the web.

    Science.gov (United States)

    Andrikos, Christos; Rassias, Georgios; Tsanakas, Panayiotis; Maglogiannis, Ilias

    2015-08-01

    The gradual shift in modern medical practice, from working alone clinical doctors to MDTs (Multi-Disciplinary Teams), raises the need of online real-time collaboration among geographically distributed medical personnel. The paper presents a Web-based platform, featuring an efficient medical data management and exchange, for hosting real-time collaborative services. The presented work leverages state-of-the-art features of the web (technologies and APIs) to support client-side medical data processing. Moreover, to address the typical bandwidth bottleneck and known scalability issues of centralized data sharing, an indirect RPC (Remote Process Call) scheme is introduced through object synchronization over the WebRTC paradigm.

  11. Viewing ISS Data in Real Time via the Internet

    Science.gov (United States)

    Myers, Gerry; Chamberlain, Jim

    2004-01-01

    EZStream is a computer program that enables authorized users at diverse terrestrial locations to view, in real time, data generated by scientific payloads aboard the International Space Station (ISS). The only computation/communication resource needed for use of EZStream is a computer equipped with standard Web-browser software and a connection to the Internet. EZStream runs in conjunction with the TReK software, described in a prior NASA Tech Briefs article, that coordinates multiple streams of data for the ground communication system of the ISS. EZStream includes server components that interact with TReK within the ISS ground communication system and client components that reside in the users' remote computers. Once an authorized client has logged in, a server component of EZStream pulls the requested data from a TReK application-program interface and sends the data to the client. Future EZStream enhancements will include (1) extensions that enable the server to receive and process arbitrary data streams on its own and (2) a Web-based graphical-user-interface-building subprogram that enables a client who lacks programming expertise to create customized display Web pages.

  12. Post-abortion care services for youth and adult clients in Kenya: a comparison of services, client satisfaction and provider attitudes.

    Science.gov (United States)

    Evens, Emily; Otieno-Masaba, Rose; Eichleay, Margaret; McCarraher, Donna; Hainsworth, Gwyn; Lane, Cate; Makumi, Margaret; Onduso, Pamela

    2014-01-01

    Unsafe abortion accounts for 35% of maternal mortality in Kenya. Post-abortion care (PAC) reduces maternal death and provides an opportunity to prevent unwanted pregnancies. Few studies have documented how the receipt of PAC services varies by client age. In this study, descriptive data were collected from clients, providers and eight health facilities in Kenya's Central and Nairobi provinces to examine receipt of PAC services by client age, client satisfaction and provider attitudes. Delivery of PAC treatment, pain management, HIV and STI services and violence screening did not vary by age. However, fewer youth between the ages of 15 and 24 received a contraceptive method compared with adult clients (35% versus 48%; p=0.02). Forty-nine per cent of youth reported not using a family planning method due to fears of infertility, side-effects or lack of knowledge compared with 22% of adults. Additional efforts are needed in Kenya to bolster the family planning services that young PAC clients receive and increase the uptake of contraception.

  13. Índices fisiológicos associados com a "performance" aeróbia em corredores de "endurance": efeitos da duração da prova Índices fisiológicos asociados a la "performance" aerobia en competidores de "endurance": efectos de la duración de la prueba Physiological indexes associated with aerobic performance in endurance runners: effects of race duration

    Directory of Open Access Journals (Sweden)

    Benedito Sérgio Denadai

    2004-10-01

    Full Text Available O objetivo deste estudo foi analisar a validade do consumo máximo de oxigênio (VO2max, da velocidade correspondente ao VO2max (vVO2max, do tempo de exaustão na vVO2max (Tlim, da economia de corrida (EC e do limiar anaeróbio (LAn para a predição da performance de atletas de endurance. Quatorze corredores de endurance (33,4 ± 4,4 anos; 62,7 ± 4,3kg; 166,1 ± 5,0cm; VO2max = 60,4 ± 5,9ml.kg-1.min-1 realizaram os seguintes testes: a competição simulada nas distâncias de 1.500 e 5.000m. e; b testes de laboratório para a determinação do VO2max, vVO2max, EC, LAn e Tlim na intensidades de 100% vVO2max. As velocidades (km/h da vVO2max (18,7 ± 0,8, LAn (17,3 ± 1,1 v1.500m (19,9 ± 0,8 e v5.000m (17,9 ± 0,9 foram significantemente diferentes. A regressão múltipla stepwise revelou que o LAn foi o único preditor da performance da v5.000m, explicando 50% da variação desta performance. Para a v1.500m, o Tlim e a vVO2max explicaram 88% da variação da performance. Com base em nossos resultados, pode-se concluir que a validade dos índices fisiológicos (VO2max, vVO2max, Tlim, EC e LAn, para a predição da performance aeróbia de atletas de endurance, é dependente da distância da prova (1.500 x 5.000m analisada.El objetivo de este estudio fue analizar la validez del consumo máximo de oxígeno (VO2max, de la velocidad correspondiente al VO2max (vVO2max, del tiempo de exaustión en la vVO2max (Tlim, de la economía de la carrera (EC y del umbral anaeróbico (LAn para predecir la performance de atletas de endurance. Catorce competidores de endurance (33,4 ± 4,4 años; 62,7 ± 4,3kg; 166,1 ± 5,0cm; VO2max = 60,4 ± 5,9ml.kg-1.min-1 realizaron las siguientes pruebas: a competición simulada en las distancias de 1.500 y 5.000m. e; b pruebas de laboratorio para la determinación del VO2max, vVO2max, EC, LAn y Tlim en la intensidad del 100% vVO2max. Las velocidades (km/h de la vVO2max (18,7 ± 0,8, LAn (17,3 ± 1,1 v1.500m (19,9 ± 0,8 y v5

  14. Going against the Grain: Supporting Lesbian, Gay and Bisexual Clients as they "Come Out."

    Science.gov (United States)

    Cowie, Helen; Rivers, Ian

    2000-01-01

    Focuses upon sexual orientation as a counseling resource: a means by which to expand upon skills and understand the experiences of lesbian, gay, and bisexual clients. Considers the process of development from the perspective of the clients and explores the process of identity formation and the role of those professionals who provide support during…

  15. Empowering High-Risk Clients to Attain a Better Quality of Life: A Career Resiliency Framework

    Science.gov (United States)

    Rickwood, Rory R.; Roberts, Jillian; Batten, Suzanne; Marshall, Anne; Massie, Kendra

    2004-01-01

    Career counselors frequently encounter clients who are at high risk for career and life development difficulties. Research suggests there is a connection between resiliency and successful career development in high-risk clients. Many high-risk individuals have poor decision-making skills and lack motivation to succeed in life and career…

  16. HPV vaccination intention among male clients of a large STI outpatient clinic in Amsterdam, the Netherlands

    NARCIS (Netherlands)

    Marra, E.; Alberts, C.J.; Zimet, G.D.; Paulussen, T.G.W.M.; Heijman, T.; Hogewoning, A.A.; Sonder, G.J.B.; Fennema, J.S.; Vries, H.J.C. de; Schim van der Loeff, M.F.

    2016-01-01

    We explored HPV vaccination intention and its determinants among male clients of the sexually transmitted infections (STI) clinic in Amsterdam. In 2015, male clients aged ≥18 years were invited to complete a web-based questionnaire regarding HPV vaccination intention and socio-psychological determin

  17. Coorientation Theory and Assessment of the RFP Solution to Client/Service Learner Matchmaking

    Science.gov (United States)

    Rogers, Cathy; Andrews, Valerie

    2013-01-01

    Tensions that result from varying expectations of service learners and clients/community partners are as common as the pedagogical practice of service learning in public relations courses. The matchmaking process between instructors and clients can influence expectations; however, the literature includes little guidance about the process of client…

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

    NARCIS (Netherlands)

    Scheerhagen, Marisja; van Stel, Henk F; 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 th

  19. Fostering Experiential Learning and Service through Client Projects in Graduate Business Courses Offered Online

    Science.gov (United States)

    Hagan, Linda M.

    2012-01-01

    Undergraduate marketing and public relations capstone courses utilize client projects to allow students to apply their knowledge and encourage collaboration. Yet, at the graduate level, especially with courses offered in an online modality, experiential service learning in the form of client project assignments presents unique challenges. However,…

  20. The Client-Centered Approach as a Foundation for Teaching the Introductory Course in Public Relations.

    Science.gov (United States)

    Najor, Michele A.; Motschall, Melissa

    2001-01-01

    Describes how the authors use a broad-based, client-centered model to teach an introductory course in public relations, integrating writing assignments for "clients" into course topics, which include history, ethics, theory, research, program planning, publicity, crisis management, and evaluation methods. Discusses course objectives, and notes…

  1. A Case Study of Teaching Marketing Research Using Client-Sponsored Projects: Method, Challenges, and Benefits

    Science.gov (United States)

    Bove, Liliana L.; Davies, W. Martin

    2009-01-01

    This case study outlines the use of client-sponsored research projects in a quantitative postgraduate marketing research subject conducted in a 12-week semester in a research-intensive Australian university. The case study attempts to address the dearth of recent literature on client-sponsored research projects in the discipline of marketing.…

  2. Reconciling Spiritual Values Conflicts for Counselors and Lesbian and Gay Clients

    Science.gov (United States)

    Fallon, Kathleen M.; Dobmeier, Robert A.; Reiner, Summer M.; Casquarelli, Elaine J.; Giglia, Lauren A.; Goodwin, Eric

    2013-01-01

    Counselors and lesbian and gay clients experience parallel values conflicts between religious beliefs/spirituality and sexual orientation. This article uses critical thinking to assist counselors to integrate religious/spiritual beliefs with professional ethical codes. Clients are assisted to integrate religious/spiritual beliefs with sexual…

  3. 42 CFR 483.450 - Condition of participation: Client behavior and facility practices.

    Science.gov (United States)

    2010-10-01

    ... available to all staff, clients, parents of minor children, and legal guardians. (2) To the extent possible...: Facility practices—Conduct toward clients. (1) The facility must develop and implement written policies and... specifically towards the reduction of and eventual elimination of the behaviors for which the drugs...

  4. Using Web-Based Peer Benchmarking to Manage the Client-Based Project

    Science.gov (United States)

    Raska, David; Keller, Eileen Weisenbach; Shaw, Doris

    2013-01-01

    The complexities of integrating client-based projects into marketing courses provide challenges for the instructor but produce richness of context and active learning for the student. This paper explains the integration of Web-based peer benchmarking as a means of improving student performance on client-based projects within a single semester in…

  5. Mapping fields of interest: A systematic literature review on public clients in construction

    NARCIS (Netherlands)

    Eisma, P.R.; Volker, L.

    2014-01-01

    Purpose: To create an overview of scientific knowledge currently available on public clients in order to set up a research agenda for public commissioning in construction. Background: Public clients are important actors and change agents in the construction industry. While sharing characteristics w

  6. A Client-Server Architecture for an Instructional Environment Based on Computer Networks and the Internet.

    Science.gov (United States)

    Guidon, Jacques; Pierre, Samuel

    1996-01-01

    Discusses the use of computers in education and training and proposes a client-server architecture for an experimental computer environment as an approach to a virtual classroom. Highlights include the World Wide Web and client software, document delivery, hardware architecture, and Internet resources and services. (Author/LRW)

  7. The Analysis of Challenging Relations: Influences on Interactive Behaviour of Staff towards Clients with Intellectual Disabilities

    Science.gov (United States)

    Willems, A. P. A. M.; Embregts, P. J. C. M.; Bosman, A. M. T.; Hendriks, A. H. C.

    2014-01-01

    Background: Relationships between support staff and clients with intellectual disability (ID) are important for quality of care, especially when dealing with challenging behaviour. Building upon an interpersonal model, this study investigates the influence of client challenging behaviour, staff attitude and staff emotional intelligence on…

  8. Interaction of counseling rapport and topics discussed in sessions with methadone treatment clients.

    Science.gov (United States)

    Joe, George W; Simpson, D Dwayne; Rowan-Szal, Grace A

    2009-01-01

    Therapeutic rapport between counselors and clients in drug user treatment has been shown to be an important predictor of follow-up outcomes. This naturalistic study investigated the relationship of counseling rapport to drug-related topics discussed in counseling sessions in a sample of 330 clients and nine counselors. These voluntary clients had been admitted to a private, for-profit outpatient methadone treatment in Texas between September 1995 and August 1997 and received no-fee services for a year for participation in this study. The data were gathered using forms in the TCU community treatment assessments (www.ibr.tcu.edu) that measured intake information, counseling session topics, and counselor evaluation of the client. A majority were males, Hispanic, had a pending legal status and the average age was 39. Co-occurring drug dependence for these heroin users included cocaine (38%) and alcohol (31%). The results supported the hypothesis that higher rapport would be associated with addressing clients in a more "supportive approach" that emphasized relapse prevention and strengths-building while lower rapport would be associated with a punitive counseling style that stressed program rules and compliance. The influences of client background, counselor differences, and during-treatment positive urines were also examined. Although counselors differed in their general manner of dealing with clients, each also showed flexibility determined in part by client behavior (such as continued cocaine use). The findings indicate that focusing on constructive solutions is the preferred counseling approach.

  9. 77 FR 17367 - Permissible Sharing of Client Records by Customs Brokers

    Science.gov (United States)

    2012-03-26

    ... SECURITY U.S. Customs and Border Protection 19 CFR Part 111 RIN 1651-AA80 Permissible Sharing of Client Records by Customs Brokers AGENCY: U.S. Customs and Border Protection, Department of Homeland Security... Customs and Border Protection (CBP) regulations that would allow brokers, upon the client's consent in...

  10. The Use of Positive Reinforcement to Strengthen a Client's Commitment to Aversion Therapy.

    Science.gov (United States)

    Kurlychek, Robert T.

    1979-01-01

    Although aversive therapeutic approaches can be very effective in eliminating undesirable behavior, many clients do not commit themselves to participating in an activity which is subjectively very unpleasant. The addition of a positive reinforcement system whereby the client is rewarded for engaging in aversive therapy is proposed. (Author)

  11. Postservice Psychosocial Adjustment of Former Spinal Cord Injured Rehabilitation Clients. Research Report.

    Science.gov (United States)

    Cook, Daniel W.

    A study examined the long-term adjustment of spinal cord-injured vocational rehabilitation clients by isolating major dimensions of postservice adjustment, correlating preservice status with adjustment followup, and by measuring client pre- to postservice psychological change. Three self-report instruments (a needs satisfaction inventory, a goal…

  12. Spiritual and Nonspiritual Approaches to Dream Work: Effects on Clients' Well-Being

    Science.gov (United States)

    Davis, Timothy L.; Hill, Clara E.

    2005-01-01

    In this study, the authors compared two versions of the C. E. Hill (1996) Cognitive-Experimental Dream Interpretation Model, one using waking life interpretation in the insight stage and the other using clients' spirituality as an aid in the interpretation process during the insight stage. Spiritually oriented volunteer clients completed either…

  13. The Use of Narrative Therapy with Clients Diagnosed with Bipolar Disorder

    Science.gov (United States)

    Ngazimbi, Evadne E.; Lambie, Glenn W.; Shillingford, M. Ann

    2008-01-01

    Clients diagnosed with bipolar disorder often suffer from mood instability, and research suggests that these clients need both counseling services and pharmacotherapy. Narrative therapy is a social constructionist approach grounded on the premise that there is no single "truth"; individuals may create new meanings and retell their stories to…

  14. Coming out through Art: A Review of Art Therapy with LGBT Clients

    Science.gov (United States)

    Pelton-Sweet, Laura M.; Sherry, Alissa

    2008-01-01

    This paper examines sexual identity development and the integration of art therapy in counseling with lesbian, gay, bisexual, and transgendered (LGBT) clients. Especially during the coming out process for LGBT clients, research has shown that levels of emotional and physical well-being decrease considerably. However, there is growing evidence in…

  15. The National Treatment Improvement Evaluation Study (NTIES): Profile of Clients Age 45 and Over.

    Science.gov (United States)

    Caliber Associates, Fairfax, VA.

    This paper summarizes similarities and differences between two cohorts of the National Treatment Improvement Evaluation Study (NTIES) clients, those age 45 or older and those younger than 45. Results reveal the following: Clients in the 45+ cohort were considerably more likely to be treated for problems with alcohol or with heroin, and they were…

  16. The Use of Gestalt Interventions in the Treatment of the Resistant Alcohol-Dependent Client.

    Science.gov (United States)

    Ramey, Luellen

    1998-01-01

    Reviews ethical and practical dilemmas associated with clients who have hidden alcohol dependencies, and proposes an approach rooted in Gestalt counseling theory which confronts these issues and is compatible with a current emerging alcohol-treatment model. Suggests specific activities for addressing client resistance to revealing a hidden alcohol…

  17. Secondary Prevention Services for Clients Who Are Low Risk in Drug Court: A Conceptual Model

    Science.gov (United States)

    DeMatteo, David S.; Marlowe, Douglas B.; Festinger, David S.

    2006-01-01

    The drug court model assumes that most drug offenders are addicts, and that drug use fuels other criminal activity. As a result, drug court clients must satisfy an intensive regimen of treatment and supervisory obligations. However, research suggests that roughly one third of drug court clients do not have a clinically significant substance use…

  18. A Critical Appraisal of the Use of Standardized Client Simulations in Social Work Education

    Science.gov (United States)

    Logie, Carmen; Bogo, Marion; Regehr, Cheryl; Regehr, Glenn

    2013-01-01

    Reliable and valid methods to evaluate student competence are needed in social work education, and practice examinations with standardized clients may hold promise for social work. The authors conducted a critical appraisal of standardized client simulations used in social work education to assess their effectiveness for teaching and for…

  19. Dissecting the Wilderness Therapy Client: Examining Clinical Trends, Findings, and Patterns

    Science.gov (United States)

    Hoag, Matthew J.; Massey, Katie E.; Roberts, Sean D.

    2014-01-01

    Over the last decade, wilderness therapy research has increased substantially in both quality and quantity and has begun to establish a base of evidence and literature. However, there is still much to be learned about the clients served and their clinical profile. The authors examined diagnostic data from discharge summaries of 929 clients (192…

  20. Client-Provider relationship in comprehensive substance abuse treatment: differences in residential and nonresidential settings.

    Science.gov (United States)

    Shin, Hee-Choon; Marsh, Jeanne C; Cao, Dingcai; Andrews, Christina M

    2011-12-01

    As the substance abuse service system shifts from primarily residential to primarily nonresidential settings, it becomes important to understand how substance abuse treatment processes and outcomes may vary across service setting. Research increasingly indicates that, along with specific treatment and service strategies, client-provider relationship is an important ingredient in effective substance abuse treatment. This study uses a moderator-mediator analysis of a comprehensive service model to examine how the relation between client-provider relationship and substance abuse treatment outcomes may differ in residential and nonresidential settings. The study used data collected for the National Treatment Improvement Evaluation Study, a prospective, cohort-based study of U.S. substance abuse treatment programs and their clients, with an analytic sample of 59 publicly funded service delivery units and 3,027 clients. Structural equation modeling is used to assess the structural relations and causal connections between treatment process and treatment outcome variables. Results indicate that for nonresidential settings, a better client-provider relationship is directly related to improved outcomes of treatment duration and reduced posttreatment substance use and is indirectly related to both outcomes through provision of services matched to client needs. In residential settings, the quality of the client-provider relationship is unrelated to process or outcome variables. The findings point to the importance of the client-provider relationship in all settings but particularly in outpatient settings where there are limited physical constraints on the treatment process.

  1. Nonromantic/Nonsexual Relationships with Former Clients: Implications for Psychologists' Training.

    Science.gov (United States)

    Anderson, Sharon K.

    The ethical principles and code of conduct of the American Psychological Association are clear: psychologists are to avoid sexual relationships with former clients. But guidelines offer scant guidance on nonromantic and nonsexual relationships with former clients; the ethical risks of such relationships are explored in this paper. The information…

  2. How Counselors Are Trained to Work with Bisexual Clients in CACREP-Accredited Programs

    Science.gov (United States)

    Bonjo, Laurie Anne

    2013-01-01

    In spite of recent progress toward addressing the need for cultural competence with lesbian and gay-identified clients, bisexual-identified clients continue to be marginalized in the principles, theories, and methods of studying sexuality as well as in the training provided by counselor educators. A descriptive content analysis was conducted to…

  3. Sequential Analyses of Therapist-Client Interaction during Change Events: A Task-Focused Approach.

    Science.gov (United States)

    Wiseman, Hadas; Rice, Laura N.

    1989-01-01

    Used task-focused approach employing sequential analyses as deductive techniques for studying therapist-client interactions in context of clinical microtheories of change events. Results indicated that therapist productive voice facilitated shift from poor to productive client voice and from low to intermediate experiencing and that therapist…

  4. Managing Mental Health Problems in Everyday Life: Drug Treatment Client's Self-Care Strategies

    Science.gov (United States)

    Holt, Martin; Treloar, Carla

    2008-01-01

    Little is understood about the self-care activities undertaken by drug treatment clients. Using data from a qualitative study of drug treatment and mental health we identify the self-care practices of drug treatment clients diagnosed with anxiety and depression. Seventy-seven participants were interviewed in four sites across Australia.…

  5. How Does Motivational Interviewing Work? Therapist Interpersonal Skill Predicts Client Involvement Within Motivational Interviewing Sessions

    Science.gov (United States)

    Moyers, Theresa B.; Miller, William R.; Hendrickson, Stacey M. L.

    2005-01-01

    Although many studies have shown that motivational interviewing (MI) is effective in reducing problem behaviors, few have investigated purported causal mechanisms. Therapist interpersonal skills have been proposed as an influence on client involvement during MI sessions and as a necessary precursor to client commitment language. Using the…

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

    NARCIS (Netherlands)

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

    2009-01-01

    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, welfa

  7. Exploratory Use of Crites's CMI-Attitude Scale with Rehabilitation Clients.

    Science.gov (United States)

    Strohmer, Douglas C.

    1981-01-01

    Explored the use of Crites' Career Maturity Inventory (CMI) with rehabilitation clients in evaluation versus training groups. Results indicate the CMI may be useful in tapping variables important in the progress of rehabilita- tion clients. Suggests group placement, content, and reading level must be considered and further research is needed. (JAC)

  8. Multiple Codes, Multiple Impressions: An Analysis of Doctor-Client Encounters in Nigeria

    Science.gov (United States)

    Odebunmi, Akin

    2013-01-01

    Existing studies on doctor-client interactions have largely focused on monolingual encounters and the interactional effects and functions of the languages used in the communication between doctors and their clients. They have neither, to a large extent, examined the several codes employed in single encounters and their pragmatic roles nor given…

  9. Integrating Attachment Theory to Support a Client Coming to Terms with Infidelity

    Science.gov (United States)

    Claire, Carolyn A.

    2010-01-01

    Finding it difficult to overcome the emotional distress experienced when considering her husband's infidelity, a client seeks counselling support. The client's goal was to learn about herself and to use the experience as an opportunity for self transformation. The case study utilizes Attachment Theory and Cognitive Behavioural Therapy to help the…

  10. Access to, Use of, and Attitudes toward Telecommunication among Rural VR Clients

    Science.gov (United States)

    Ipsen, Catherine; Rigles, Bethany; Arnold, Nancy; Seekins, Tom

    2013-01-01

    Telecommunication offers rural vocational rehabilitation (VR) clients a method of communicating with their VR counselor between face-to-face visits. Unfortunately, certain telecommunication methods may not be available to many rural VR clients or may pose barriers in the rehabilitation process. This article describes findings from an exploratory…

  11. Diet Quality Is Low among Female Food Pantry Clients in Eastern Alabama

    Science.gov (United States)

    Duffy, Patricia; Zizza, Claire; Jacoby, Jocelynn; Tayie, Francis A.

    2009-01-01

    Objective: Examine diet quality, food security, and obesity among female food pantry clients. Design: Cross-sectional study. Setting: A food pantry in Lee County, Alabama. Participants: Fifty-five female food pantry clients between 19 and 50 years of age. Main Outcome Measure(s): Diet quality using United States (US) Department of Agriculture…

  12. Solution-Focused Counseling for Clients with Religious and Spiritual Concerns

    Science.gov (United States)

    Guterman, Jeffrey T.; Leite, Noelia

    2006-01-01

    Solution-focused counseling is presented as a framework for clients with religious and spiritual concerns. The theory of solution-focused counseling is described. Implications for using this model with religious and spiritual clients are considered. A case example is provided to illustrate the application of solution-focused counseling for a…

  13. The Views of Clients with Mild Intellectual Disabilities regarding Their Working Relationships with Caregivers

    Science.gov (United States)

    Roeden, John M.; Maaskant, Marian A.; Curfs, Leopold M. G.

    2011-01-01

    Background: Research studies into the effect of therapies have shown that a good relationship between the client and his caregiver is a key factor in a positive treatment outcome. Methods: The nominal group technique (NGT) has been used in this study to discover what clients with intellectual disabilities feel contributes to a successful working…

  14. ERDDAP - An Easier Way for Diverse Clients to Access Scientific Data From Diverse Sources

    Science.gov (United States)

    Mendelssohn, R.; Simons, R. A.

    2008-12-01

    ERDDAP is a new open-source, web-based service that aggregates data from other web services: OPeNDAP grid servers (THREDDS), OPeNDAP sequence servers (Dapper), NOS SOAP service, SOS (IOOS, OOStethys), microWFS, DiGIR (OBIS, BMDE). Regardless of the data source, ERDDAP makes all datasets available to clients via standard (and enhanced) DAP requests and makes some datasets accessible via WMS. A client's request also specifies the desired format for the results, e.g., .asc, .csv, .das, .dds, .dods, htmlTable, XHTML, .mat, netCDF, .kml, .png, or .pdf (formats more directly useful to clients). ERDDAP interprets a client request, requests the data from the data source (in the appropriate way), reformats the data source's response, and sends the result to the client. Thus ERDDAP makes data from diverse sources available to diverse clients via standardized interfaces. Clients don't have to install libraries to get data from ERDDAP because ERDDAP is RESTful and resource-oriented: a URL completely defines a data request and the URL can be used in any application that can send a URL and receive a file. This also makes it easy to use ERDDAP in mashups with other web services. ERDDAP could be extended to support other protocols. ERDDAP's hub and spoke architecture simplifies adding support for new types of data sources and new types of clients. ERDDAP includes metadata management support, catalog services, and services to make graphs and maps.

  15. "You've Gotta Keep the Customer Satisfied": Assessing Client Satisfaction.

    Science.gov (United States)

    Andert, Jeffery N.; And Others

    To better understand factors contributing to an identified early attrition rate for families referred to a child guidance clinic, a procedure was developed for assessing their satisfaction with clinic services. Brief Client Satisfaction Questionnaires (N=3) were developed to assess clients' attitudes and reactions to an initial screening and…

  16. Predictors of Client Satisfaction in Executive Outplacement: Implications for Service Delivery.

    Science.gov (United States)

    Wooten, Kevin C.

    1996-01-01

    Examined program components of professional outplacement relative to client satisfaction using a sample (N=68) of former executives seeking jobs. Survey results suggest outplacement content components and process components were better predictors of client satisfaction when compared with contextual components. Self-efficacy may make a key…

  17. Ethical Issues in the Assessment and Treatment of a Rational Suicidal Client.

    Science.gov (United States)

    Snipe, Rosetta M.

    1988-01-01

    Notes that rational client's decision to commit suicide may present complex ethical issues for therapist. Presents and discusses three-month account of therapy with client, from perspective of ethical values and principles upon which assessment and treatment decisions were made, and complex ethical dilemmas encountered as therapist juxtaposed…

  18. 75 FR 33766 - Manufacturing Extension Partnership (MEP) Availability of Funds for Projects To Develop Client...

    Science.gov (United States)

    2010-06-15

    ... business models and deployment strategies that integrate two or more of the MEP Strategic Growth Areas. The... Funds for Projects To Develop Client Engagement or Business Models and Deployment Strategies That... develop client engagement or business models and deployment strategies that integrate two or more of...

  19. Working with Clients Who Have Religious/Spiritual Issues: A Survey of University Counseling Center Therapists

    Science.gov (United States)

    Kellems, Ian S.; Hill, Clara E.; Crook-Lyon, Rachel E.; Freitas, Gary

    2010-01-01

    University counseling center therapists (N = 220) completed an Internet survey about religion/spirituality in therapy, with 200 of these therapists describing therapy with a recent client whose issues involved religion/spirituality. Common client religion/spirituality issues were questioning one's childhood religion, exploring…

  20. 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... SuperMedia LLC, formerly known as Idearc Media LLC, Supermedia Information Services LLC, Client Care... Federal Register on October 25, 2010 (75 FR 65515). The subject workers are engaged in employment...

  1. Exploring Outcomes and Initial Self-Report of Client Motivation in a College Counseling Center

    Science.gov (United States)

    Ilagan, Guy; Vinson, Michael L.; Sharp, Julia L.; Ilagan, Jill; Oberman, Aaron

    2015-01-01

    Objective: To explore the association between college counseling center clients' initial self-report of motivation and counseling outcome. Participants: The sample was composed of 331 student clients who utilized a college counseling center from August 2007 to August 2009. The college is a public, mid-size, urban university in the Southeast.…

  2. Risk assessment by client and case manager for shared decision making in outpatient forensic psychiatry

    NARCIS (Netherlands)

    van den Brink, Rob H. S.; Troquete, Nadine A. C.; Beintema, Harry; Mulder, Tamara; van Os, Titus W. D. P.; Schoevers, Robert A.; Wiersma, Durk

    2015-01-01

    Background: In outpatient forensic psychiatry, assessment of re-offending risk and treatment needs by case managers may be hampered by an incomplete view of client functioning. The client's appreciation of his own problem behaviour is not systematically used for these purposes. The current study tes

  3. Facilitating Client Value Creation in the Conceptual Design Phase of Construction Projects

    DEFF Research Database (Denmark)

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

    2009-01-01

    , it is not a straightforward management task to operationalize client value in construction. Within this context, the client group comprises multiple stakeholders, which often have conflicting goals and values that may not be fully realized by the stakeholders themselves. The management challenge is further complicated......If client values are not fully understood in a construction project it is likely to result in either low fulfilment of client expectations or multiple design alterations during the project process which lead to additional costs and frustration among the project participants. However...... by the fact that the delivery team, which is responsible for understanding and delivering client value, is made up of even more different parties. The paper reports the initial outcome of a joint research project between academics and practitioners, which aims to develop a practical workshop model...

  4. Client attachment security predicts alliance in a randomized controlled trial of two psychotherapies for bulimia nervosa

    DEFF Research Database (Denmark)

    Folke, Sofie; Daniel, Sarah Ingrid Franksdatter; Poulsen, Stig Bernt;

    2015-01-01

    Objective: This study investigated the relation between clients’ attachment patterns and the therapeutic alliance in two psychotherapies for bulimia nervosa. Method: Data derive from a randomized clinical trial comparing cognitive-behavioral therapy and psychoanalytic psychotherapy for bulimia...... nervosa. Client attachment patterns were assessed with the Adult Attachment Interview. Independent raters scored audiotapes of early, middle, and late therapy sessions for 68 clients (175 sessions) using the Vanderbilt Therapeutic Alliance Scale. Results: Client attachment security was found...... to be a significant (p = .007) predictor of alliance levels at the three measured time points, with clients higher on attachment security developing stronger alliances with their therapists in both treatments as compared to clients higher on attachment insecurity. No evidence was found to support a hypothesized...

  5. El servicio al cliente: una necesidad imperante en la calidad de la industria. // The client service: a prevailing necessity in the quality of the industry.

    Directory of Open Access Journals (Sweden)

    E. Martínez Delgado

    2006-05-01

    Full Text Available A través de todos los sectores industriales la investigación por la excelencia en el servicio se ha convertido en unapreocupación creciente y los gerentes han reconocido que la ventaja sustancial competitiva puede ganarse a través de unservicio superior al cliente, e igualmente importante, el servicio al cliente se convierte en un medio poderoso de diferenciarlas compañías desde la competencia. La calidad equivale entonces no sólo al producto en sí mismo, sino combinado éstecon lo que le rodea; de hecho, en las normas ISO 9000: 2000 se define al producto como el resultado de un proceso,siendo los servicios una de las cuatro categorías genéricas de éste. Cada vez más se demanda la garantía de la capacidad deproducir establemente una calidad superior y de innovación del producto acorde con los deseos de los clientes; pasándosede la certificación del producto a la certificación de toda la cadena logística, debiendo brindarse servicios de alto valoragregado a los clientes en forma diferenciada. Así, en el mercado globalizado donde sólo es posible ubicar productos dealta calidad para satisfacer a los clientes y al mercado, lo primero que debe hacer el gerente de servicios es comprender lascalidades demandadas por los clientes, así como la información relacionada con la importancia relativa de lascaracterísticas de calidad.El presente trabajo expone los resultados favorables obtenidos en el sistema de producción-distribución a través de unmodelo conformado para la evaluación integral del desempeño de la organización. Éste considera al cliente, con suscriterios y preferencias, como un elemento clave en la planeación de la producción y en la proyección de las capacidadesproductivas, incorporándolo con su oferta de valor.Palabras claves: Calidad industrial, producción-distribución, ISO 9000, cliente._______________________________________________________________________________Abstract.The investigation for the

  6. Network Based Real Time Condition Monitoring of Rotating Machinery

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    This paper presents the development of a network based real time condition monitoring system of rotating machinery. The system is built up in a double net structure consisting of local net (including client and server) and intranet. The client serves as a field data collector and processor that samples the vibration signals and process parameters of a machine monitored in the net and processes the sampled data. The data collected by the client are transmitted to the server that processes the data further and provides the results of the diagnosis of each machine to any distant terminals through intranet or internet. Such a structure of the monitoring system is advantageous in safety, reliability and reasonably shares the existing net resources. In order to ensure real time transmission of the data, two procedures of data transmission, virtual channel and data pool, are developed and applied in the monitoring system. The experimental results show that the monitoring system works well and is suitable to monitor a large group of rotating machines.

  7. Report on Provider-Client Interaction From 68 Methadone Maintenance Clinics in China.

    Science.gov (United States)

    Li, Li; Comulada, W Scott; Lin, Chunqing; Lan, Chiao-Wen; Cao, Xiaobin; Wu, Zunyou

    2016-10-06

    Provider-client interaction is an integral of clinical practice and central to the delivery of high-quality medical care. This article examines factors related to the provider-client interaction in the context of methadone maintenance treatment (MMT). Data were collected from 68 MMT clinics in China. In total, 418 service providers participated in the survey. Linear mixed effects regression models were performed to identify factors associated with provider-client interaction. It was observed that negative attitude toward drug users was associated with lower level of provider-client interaction and less time spent with each client. Other factors associated with lower level of interaction included being female, being younger, being a nurse, and fewer years in medical field. Higher provider-client interaction was associated with provider reported job satisfaction. The findings of this study call for a need to address provider negative attitudes that can impact provider-client interaction and the effectiveness of MMT. Future intervention efforts targeting MMT providers should be tailored by gender, provider type, and medical experiences.

  8. Multicultural Web–Based Motivational Interviewing for Clients with a first-time DUI Offense

    Science.gov (United States)

    Osilla, Karen Chan; D’Amico, Elizabeth J.; Díaz-Fuentes, Claudia M.; Lara, Marielena; Watkins, Katherine

    2012-01-01

    Culturally and linguistically appropriate interventions are needed to reduce the risk of DUI recidivism among diverse populations. Using core elements of Motivational Interviewing, we developed a culturally-relevant web-MI intervention (web-MI) in English and Spanish to serve as a standalone or adjunctive program in DUI educational settings and evaluated its feasibility and acceptability among clients with first-time DUI offenses. We conducted an iterative formative assessment using focus groups with staff (n = 8) and clients (n = 27), and usability interviews with clients (n = 21). Adapting MI for the web was widely accepted by staff and clients. Clients stated the web-MI was engaging, interactive and personal, and felt more comfortable than past classes and programs. Spanish-speaking clients felt less shame, embarrassment, and discomfort with the web-MI compared to other in-person groups. Results support the viability of web-MI for DUI clients at risk for recidivism and highlight the importance of adapting the intervention for diverse populations. Key decisions used to develop the web-MI are discussed. PMID:22506822

  9. Multicultural web-based motivational interviewing for clients with a first-time DUI offense.

    Science.gov (United States)

    Osilla, Karen Chan; D'Amico, Elizabeth J; Díaz-Fuentes, Claudia M; Lara, Marielena; Watkins, Katherine E

    2012-04-01

    Culturally and linguistically appropriate interventions are needed to reduce the risk of driving under the influence (DUI) recidivism among diverse populations. Using core elements of Motivational Interviewing, we developed a culturally relevant web-MI intervention (web-MI) in English and Spanish to serve as a standalone or adjunctive program in DUI educational settings and evaluated its feasibility and acceptability among clients with first-time DUI offenses. We conducted an iterative formative assessment using focus groups with staff (n = 8) and clients (n = 27), and usability interviews with clients (n = 21). Adapting MI for the web was widely accepted by staff and clients. Clients stated the web-MI was engaging, interactive and personal, and felt more comfortable than past classes and programs. Spanish-speaking clients felt less shame, embarrassment, and discomfort with the web-MI compared to other in-person groups. Results support the viability of web-MI for DUI clients at risk for recidivism and highlight the importance of adapting the intervention for diverse populations. Key decisions used to develop the web-MI are discussed.

  10. Relationships among client-therapist personality congruence, working alliance, and therapeutic outcome.

    Science.gov (United States)

    Taber, Brian J; Leibert, Todd W; Agaskar, Vaibhavee R

    2011-12-01

    Despite the importance of the working alliance in therapeutic outcome, little is known about the factors associated with its formation. We advance that personality similarity between client and therapist is one such factor pertinent to the working alliance. In this study, personality similarity in 32 client-therapist dyads was examined for its relations to the bond, task, and goal elements of the working alliance (Bordin, 1979, Psychotherapy: Theory, Research, and Practice, 16, 252-260) and therapeutic outcome. Personality similarity was conceptualized using Holland's (1997, Making vocational choices [3rd ed.]) congruence construct. Therapists completed the Self-Directed Search pretreatment and clients completed the Working Alliance Inventory-Short Revised and Self-Directed Search after the third session. Results indicated that (a) client-therapist personality congruence was associated with the bond, (b) bond was associated with task and goal, and (c) task and goal were associated with therapeutic outcome. Congruence was not associated with task, goal, or therapeutic outcome. Holland's theory provides a framework for adapting to clients of varying personality types. By understanding how client-therapist personalities relate to each other in therapy, client-therapist bonds may be more efficiently realized.

  11. Cognitive Behavioural Therapy from the Perspective of Clients with Mild Intellectual Disabilities: A Qualitative Investigation of Process Issues

    Science.gov (United States)

    Pert, C.; Jahoda, A.; Stenfert Kroese, B.; Trower, P.; Dagnan, D.; Selkirk, M.

    2013-01-01

    Background: Clinicians working with clients who have mild intellectual disabilities (IDs) have shown growing enthusiasm for using a cognitive behavioural approach, amid increasing evidence of good treatment outcomes for this client group. However, very little is known about the views and experiences of clients with IDs who have undergone cognitive…

  12. Varying the Order in which Positive and Negative Information Is Presented: Effects on Counselors' Judgments of Clients' Mental Health.

    Science.gov (United States)

    Pain, Michelle D.; Sharpley, Christopher F.

    1989-01-01

    Studied ratings by Australian counseling psychology graduate students (N=38) and practicing counseling psychologists (N=40) of four hypothetical clients' mental health. Presented "good,""bad," and "neutral" information on each client and asked subjects to rate clients' on Global Assessment Scale. Found bad information presented earlier adversely…

  13. The Change Grid and the Active Client: Challenging the Assumptions of Change Agentry in the Penal Process.

    Science.gov (United States)

    Klofas, John; Duffee, David E.

    1981-01-01

    Reexamines the assumptions of the change grid regarding the channeling of masses of clients into change strategies programs. Penal organizations specifically select and place clients so that programs remain stable, rather than sequence programs to meet the needs of clients. (Author)

  14. Working Alliance as a Mediator and Moderator between Expectations for Counseling Success and Counseling Outcome among Korean Clients

    Science.gov (United States)

    Yoo, Sung-Kyung; Hong, Sehee; Sohn, Nanhee; O'Brien, Karen M.

    2014-01-01

    The study examined client's perceptions of working alliance as a mediator and moderator between client expectations of counseling success and counseling outcome. Participants were 284 adult clients in counseling in university or community counseling centers or private practices in South Korea. Level of functioning at the start of counseling…

  15. A Java Thick Client User Interface for Grid Processing

    Science.gov (United States)

    Hesselroth, T.

    2005-12-01

    A user interface (CAPRI) which is configurable at runtime has been developed which allows application features to be maintained and upgraded on a central server, available to users without the need for reinstalling software. The user interface is specified by an XML file accessed through a URL and parsed by the open-source SWIX library, which returns a completely laid-out container with the application's controls. A set of generic model-view-controller-actions classes are also instantiated by the CAPRI package based on parsing of the input XML file. Hierarchical relationships present in the XML file are reflected in membership relationships among the classes. An event-driven architecture with a central event handler allows for convenient extensibility. Client/server software is based on the Java Web Services package with SOAP message passing. The server has access to data and computing resources and brokers the requested computation. Sun Grid Engine software is used to manage the cluster of processing nodes. This application has been deployed at the Spitzer Science Center to allow rapid interactive processing of science data.

  16. Client Device Based Content Adaptation Using Rule Base

    Directory of Open Access Journals (Sweden)

    Velammal

    2011-01-01

    Full Text Available Problem statement: Content adaptation have been playing an important role in mobile devices, wherein the content display differs from desktop computers in many aspects, such as display screens, processing power, network connection bandwidth. In order to display web contents appropriately on mobile devices and on other types of devices such as hand computers, PDAs, Smart phones, it is important to adapt or transcode them to fit the characteristics of these devices. Approach: Existing content adaptation systems deploy various techniques which have been developed for specific purposes and goals. By exploiting various possible combinations of available resources, appropriate adaptation process can be carried over on the actual data, so that the information can be assimilated in a different end system other than the intended system. In this study, we present a content adaptation system based on rules created for mobile devices. Rules are invoked based on the individual client device information. Results: The adaptation has been performed according to the delivery device which was formalized through the profiler system. A profile holds information about the hardware and software specifications of the device thereby enabling the adaption of web content based on their characteristics which enables the user to access the web easily on various devices. Conclusion/Recommendation: This study enhances the viability of the information being presented to user, which will be independent of the end system being used for accessing the information. With the help of configurable rules, effective content adaptation can be achieved to provide optimal result.

  17. Community engagement: outcomes for occupational therapy students, faculty and clients.

    Science.gov (United States)

    Schindler, Victoria P

    2014-06-01

    Students in health care professions, including occupational therapy, are required to develop knowledge, skills and attitudes in mental health and research. Persons diagnosed with a mental illness, a learning disability or an autism-spectrum disorder desire to achieve goals in higher education and employment. Faculty in health care programmes strives to meet professional goals and accreditation and institution requirements for teaching, service and scholarship. The Bridge Program, a programme based on principles of community engagement, was developed to meet the needs of these three stakeholders. The objective of this paper is to provide programme description and outcomes of the effectiveness of the Bridge Program for all three stakeholders. This uses mixed methods research design including descriptive and quantitative and qualitative one-group pre-test-post-test designs. Instruments consisted of the Occupational Therapy Student and Mental Health Population Scale and the Canadian Occupational Performance Measure. Quantitative results support that graduate occupational therapy students gained research and clinical skills (n = 100; p = .000); clients increased performance and satisfaction toward goals (n = 113; p = .000) and faculty (n = 1) achieved goals related to teaching, service and scholarship. Programmes based on principles of community engagement can address the needs of the community, can provide outcomes that advance knowledge about community practice and can result in benefits for all stakeholders. This paper is limited to generalization and instrumentation and recommends an ongoing evaluation of other community engagement programmes involving all stakeholders in the future research.

  18. calidad del servicio y atención al cliente

    Directory of Open Access Journals (Sweden)

    Gerardo E. Romero

    2006-01-01

    Full Text Available Este artículo revela mediante un análisis descriptivo la relación de los principios y valores éticos profesados por las organizaciones bancarias en los procesos de la calidad del servicio y atención al cliente, a través de la identificación de los valores, creencias y actitudes presentes en su cultura organizacional. Se llevó a cabo una investigación descriptiva, transversal y de campo para darle respuestas a los objetivos planteados. Las conclusiones estuvieron orientadas a que los principios éticos no son entendidos en igual orden de importancia y que los valores éticos son determinantes para ofrecer calidad y buena atención en los servicios financieros; sugiriéndose algunos lineamientos gerenciales con la creación e implantación de un código ético del comportamiento laboral para garantizarle la preservación y protección tanto del usuario como los miembros de las instituciones bancarias con un espíritu de servicio bajo un enfoque integral ético.

  19. Factores explicativos de la lealtad de clientes de los supermercados

    Directory of Open Access Journals (Sweden)

    Galo Paiva

    2012-06-01

    Full Text Available El propósito de este estudio es identificar los factores principales que explican la lealtad de los clientes a nivel de supermercados en la ciudad de Temuco, Chile. Se propone un modelo basado en la literatura sobre lealtad de marca y lealtad a los distribuidores. Se realizó una encuesta personal aleatoria en hogares de Temuco, obteniéndose 1.050 cuestionarios útiles. La prueba del modelo propuesto está basada en un modelo de regresión logística. Se obtuvo que los factores determinantes de la lealtad al establecimiento son la imagen del supermercado, la conveniencia de la relación comercial, la búsqueda de ahorro en las compras y la percepción de las marcas de distribuidor. La aplicación a tres cadenas diferentes muestra características particulares de la lealtad para cada establecimiento. Aun cuando las marcas de distribuidor desempeñan un papel importante en la estrategia de este tipo de empresas, la investigación no prueba que son un determinante de la lealtad al distribuidor, pese a que son bien percibidas por aquellos que las compran.

  20. Proving the correctness of client/server software

    Indian Academy of Sciences (India)

    Eyad Alkassar; Sebastian Bogan; Wolfgang J Paul

    2009-02-01

    Remote procedure calls (RPCs) lie at the heart of any client/server software. Thus, formal specification and verification of RPC mechanisms is a prerequisite for the verification of any such software. In this paper, we present a mathematical specification of an RPC mechanism and we outline how to prove the correctness of an implementation — say written in C — of this mechanism at the code level. We define a formal model of user processes running concurrently under a simple operating system, which provides inter-process communication and portmapper system calls. A simple theory of non-interference permits us to use conventional sequential program analysis between system calls (within the concurrent model). An RPC mechanism is specified and the correctness proof for server implementations, using this mechanism, is outlined. To the best of our knowledge this is the first treatment of the correctness of an entire RPC mechanism at the code level.

  1. POLA HUBUNGAN PATRON-CLIENT KIAI DAN SANTRI DI PESANTREN

    Directory of Open Access Journals (Sweden)

    Syamsul Ma'arif

    2010-11-01

    Full Text Available AbstractPesantren as a unique of Indonesian Islamic  education institution has a dynamic in its development. Although modernization and its implication has been influenced pesantren’s existence, it can survive until noweday. One of factors support pesantren is figure of kiai as a strong leader with his patronage system. This is a relation pattern which has been rooted in pesantren tradition. The system has widely networks and disseminated by kiai not only in the pesantren, but also out of it. Patron-client between santri and kiai legitimize the authority and charisma of kiai. It also make him easy to influence and ask community to participate in buillding pesantren. Last but not least, the community it self have a good awareness and attitude (sami’na wa atha’na in foolowing and supporting every single of kiai’s policy for advance of pesantren.  Kata kunci: kiai, santri, pesantren, patronage    

  2. Joint source-channel rate allocation and client clustering for scalable multistream IPTV.

    Science.gov (United States)

    Chakareski, Jacob

    2015-08-01

    We design a system framework for streaming scalable internet protocol television (IPTV) content to heterogenous clients. The backbone bandwidth is optimally allocated between source and parity data layers that are delivered to the client population. The assignment of stream layers to clients is done based on their access link data rate and packet loss characteristics, and is part of the optimization. We design three techniques for jointly computing the optimal number of multicast sessions, their respective source and parity rates, and client membership, either exactly or approximatively, at lower complexity. The latter is achieved via an iterative coordinate descent algorithm that only marginally underperforms relative to the exact analytic solution. Through experiments, we study the advantages of our framework over common IPTV systems that deliver the same source and parity streams to every client. We observe substantial gains in video quality in terms of both its average value and standard deviation over the client population. In addition, for energy efficiency, we propose to move the parity data generation part to the edge of the backbone network, where each client connects to its IPTV stream. We analytically study the conditions under which such an approach delivers energy savings relative to the conventional case of source and parity data generation at the IPTV streaming server. Finally, we demonstrate that our system enables more consistent streaming performance, when the clients' access link packet loss distribution is varied, relative to the two baseline methods used in our investigation, and maintains the same performance as an ideal system that serves each client independently.

  3. Qualidade de vida de clientes pós-infarto agudo do miocárdio Calidad de vida de los clientes pós-infarto agudo del miocardio Client's quality of life after myocardial infarction

    Directory of Open Access Journals (Sweden)

    Joselany Afio Caetano

    2007-03-01

    Full Text Available Objetivou-se neste estudo avaliar a qualidade de vida de clientes que sofreram infarto agudo do miocárdio. A amostra constou de 30 clientes selecionados pela busca em prontuários de uma unidade cardiológica, que nos permitiu a identificação e localização desses clientes, internados no ano de 2004. Para coleta de dados utilizamos a Escala de Qualidade de Vida de Flanagan e o tratamento estatístico com desvio-padrão. Os resultados mostraram maior índice de respostas nos níveis "indiferentes" a "pouco satisfeitos" em suas qualidades de vida. A relação interpessoal apresentou o mais alto índice de satisfação, contrariando o bem-estar físico e material, com o mais baixo índice de satisfação. Concluiu-se que a avaliação da qualidade de vida de clientes que sofreram infarto agudo do miocárdio se mostra comprometida, o que vem corroborar outros estudos anteriormente realizados.El objetivo del estudio fue evaluar la calidad de vida de los clientes que han sufrido infarto agudo del miocardio. La muestra ha consistido de 30 pacientes escogidos por la búsqueda en historias clínicas de una unidad cardiológica, que nos permitió la identificación y localización de estos clientes, internados en el año 2004. Para la colecta de los datos utilizamos la Escala de Calidad de Vida de Flanagan y el tratamiento estadístico con desvío medio. Los resultados muestran mayor índice de respuestas en los niveles "indiferentes" a "poco satisfechos" en sus calidades de vida. La relación interpersonal presentó el más alto índice de satisfacción, contrariando el bienestar físico y material, con el más bajo índice de satisfacción. Ha concluído que la evaluación de la calidad de vida de clientes que sufrieron infarto agudo del miocardio muéstrase comprometida, lo que viene a confirmar otros estudios anteriormente realizados.This study evaluates the quality of life of clients who suffered myocardial infarction. The sample consisted of 30

  4. The orientation phase of the nurse-client relationship: how long does it take?

    Science.gov (United States)

    Forchuk, C

    1992-01-01

    As Hildegard Peplau has established, the orientation phase of the nurse-client relationship represents the first stage of therapeutic work. The author studied the length of the orientation phase with clients with chronic mental illness. Findings suggested that the orientation phase was related to the number and length of hospitalizations, while demographic variables such as psychiatric diagnosis were unrelated to the length of the orientation phase. A return to the orientation phase can be triggered by a change of staff, even for brief periods, or internal factors within the client, such as worsening of paranoia or depression.

  5. Profiles of criminal-justice clients in drug treatment: implications for intervention.

    Science.gov (United States)

    Kline, A

    1997-01-01

    Psychosocial differences between criminal-justice-referred and voluntary clients, using a sample of 996 men and women in residential drug treatment in northern New Jersey, were explored. Results suggest differences in demographic characteristics between the two groups as well as differences in attitudes and behaviors likely to impact on treatment outcome. Demographically, criminal-justice clients are younger, more likely to be male, and less likely to be Black than other clients. They also report better health status and better social and psychological adjustment, reporting less homelessness, fewer health problems, lower levels of psychological distress, better family adjustment, and fewer medical, social, and drug problems requiring intervention. Implications for treatment are discussed.

  6. Interactive client side data visualization with d3.js

    Science.gov (United States)

    Rodzianko, A.; Versteeg, R.; Johnson, D. V.; Soltanian, M. R.; Versteeg, O. J.; Girouard, M.

    2015-12-01

    Geoscience data associated with near surface research and operational sites is increasingly voluminous and heterogeneous (both in terms of providers and data types - e.g. geochemical, hydrological, geophysical, modeling data, of varying spatiotemporal characteristics). Such data allows scientists to investigate fundamental hydrological and geochemical processes relevant to agriculture, water resources and climate change. For scientists to easily share, model and interpret such data requires novel tools with capabilities for interactive data visualization. Under sponsorship of the US Department of Energy, Subsurface Insights is developing the Predictive Assimilative Framework (PAF): a cloud based subsurface monitoring platform which can manage, process and visualize large heterogeneous datasets. Over the last year we transitioned our visualization method from a server side approach (in which images and animations were generated using Jfreechart and Visit) to a client side one that utilizes the D3 Javascript library. Datasets are retrieved using web service calls to the server, returned as JSON objects and visualized within the browser. Users can interactively explore primary and secondary datasets from various field locations. Our current capabilities include interactive data contouring and heterogeneous time series data visualization. While this approach is very powerful and not necessarily unique, special attention needs to be paid to latency and responsiveness issues as well as to issues as cross browser code compatibility so that users have an identical, fluid and frustration-free experience across different computational platforms. We gratefully acknowledge support from the US Department of Energy under SBIR Award DOE DE-SC0009732, the use of data from the Lawrence Berkeley National Laboratory (LBNL) Sustainable Systems SFA Rifle field site and collaboration with LBNL SFA scientists.

  7. Client-side Web Mining for Community Formation in Peer-to-Peer Environments

    Data.gov (United States)

    National Aeronautics and Space Administration — In this paper we present a framework for forming interests-based Peer-to-Peer communities using client-side web browsing history. At the heart of this framework is...

  8. WPS-based technology for client-side remote sensing data processing

    Directory of Open Access Journals (Sweden)

    E. Kazakov

    2015-04-01

    that the processing servers could play the role of the clients connecting to the service supply server. The study was partially supported by Russian Foundation for Basic Research (RFBR, research project No. 13-05-12079 ofi_m.

  9. Social work practitioners' integration of clients' religion and spirituality in practice: a literature review.

    Science.gov (United States)

    Oxhandler, Holly K; Pargament, Kenneth I

    2014-07-01

    Emerging research on religion, spirituality, health, and mental health has begun to catch the attention of helping professionals. Some clients are expressing a desire for their health and mental health practitioners to initiate discussion of their religious or spiritual beliefs as they relate to their case. Social workers are the most represented group among personnel providing mental health services, so it is important to understand their attitudes, views, and behaviors regarding integrating clients' religion and spirituality (RS) into practice. Few studies have assessed such an integration; those that are available focus primarily on practitioner characteristics and use of specific helping activities to integrate clients' RS in treatment. This article discusses how RS have been integrated into social work practice and education and reviews instruments used to assess such practices. In addition, the findings from previous studies examining social workers' integration of clients' RS are compared with those of other helping professions. Finally, implications for education and practice are discussed.

  10. 77 FR 38766 - Proposed Information Collection; Comment Request; International Client Life-Cycle Multi-Purpose...

    Science.gov (United States)

    2012-06-29

    ..., products and services, exporting experience, marketing, events and activities, trade fair/ show, certified... that relate to CS programs and metrics with the types of information collected from clients to...

  11. 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.

  12. 77 FR 62185 - Temporary Rule Regarding Principal Trades With Certain Advisory Clients

    Science.gov (United States)

    2012-10-12

    ... clients, in the wake of Financial Planning Association v. SEC (the ``FPA Decision''),\\2\\ certain... investment advisers. \\29\\ See Comment Letter of the Financial Planning Association (Nov. 30, 2007);...

  13. The Impact of internet use on the Client-professional relationship: A comparative analysis

    DEFF Research Database (Denmark)

    Johnsen, Helle

    2014-01-01

    use the internet to prepare for the client-professional meeting and to seek second opinions. Professionals reported more limitations than benefits in relation to internet use. Limitations were linked to doubts of reliability of internet information and information overload. Midwifery clients were......This study explores how internet use impacts the client–professional relationship among midwives compared to related professions. Thirty health professionals in Denmark and Norway took part in nine focus group interviews. A template approach was used to analyse data. Findings indicate that clients...... reported to use internet chatrooms as an information source. However, these were often perceived as interfering with midwifery work. Although midwifery clients were frequent users of internet information, they also turned to midwives for verification of the information they found. Seeking reassurance...

  14. Beauty from the beast: Avoiding errors in responding to client questions.

    Science.gov (United States)

    Waehler, Charles A; Grandy, Natalie M

    2016-09-01

    Those rare moments when clients ask direct questions of their therapists likely represent a point when they are particularly open to new considerations, thereby representing an opportunity for substantial therapeutic gains. However, clinical errors abound in this area because clients' questions often engender apprehension in therapists, causing therapists to respond with too little or too much information or shutting down the discussion prematurely. These response types can damage the therapeutic relationship, the psychotherapy process, or both. We explore the nature of these clinical errors in response to client questions by providing examples from our own clinical work, suggesting potential reasons why clinicians may not make optimal use of client questions, and discussing how the mixed psychological literature further complicates the issue. We also present four guidelines designed to help therapists, trainers, and supervisors respond constructively to clinical questions in order to create constructive interactions. (PsycINFO Database Record

  15. 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...

  16. Solid Waste Information and Tracking System Client Server Conversion Project Management Plan

    Energy Technology Data Exchange (ETDEWEB)

    GLASSCOCK, J.A.

    2000-02-10

    The Project Management Plan governing the conversion of SWITS to a client-server architecture. The PMP describes the background, planning and management of the SWITS conversion. Requirements and specification documentation needed for the SWITS conversion

  17. Focus on Exercise: Client and Clinician Perspectives on Exercise in Individuals with Serious Mental Illness.

    Science.gov (United States)

    Browne, Julia; Mihas, Paul; Penn, David L

    2016-05-01

    The health benefits of exercise are well established, yet individuals with serious mental illness (SMI) have a shorter life expectancy due in large part to physical health complications associated with poor diet and lack of exercise. There is a paucity of research examining exercise in this population with the majority of studies having examined interventions with limited feasibility and sustainability. Before developing an intervention, a thorough exploration of client and clinician perspectives on exercise and its associated barriers is warranted. Twelve clients and fourteen clinicians participated in focus groups aimed at examining exercise, barriers, incentives, and attitudes about walking groups. Results indicated that clients and clinicians identified walking as the primary form of exercise, yet barriers impeded consistent participation. Distinct themes arose between groups; however, both clients and clinicians reported interest in a combination group/pedometer based walking program for individuals with SMI. Future research should consider examining walking programs for this population.

  18. The effect of affective bibliotherapy on clients' functioning in group therapy.

    Science.gov (United States)

    Shechtman, Zipora; Nir-Shfrir, Rivka

    2008-01-01

    Abstract The effect of affective group bibliotherapy (GB) was compared to affective group therapy (GT) on patients' functioning in therapy and their session impression. Three small groups totaling twenty-five in-patients in a hospital in Israel participated in the study. Clients concurrently participated in both group types, undergoing three sessions in each condition. In-therapy behaviors were assessed through the Client Behavior System (CBS; Hill & O'Brien, 1999). Results indicated that in the GB condition compared to the GT condition, clients showed less resistance, used simple responses less frequently, and expressed greater affective exploration. The Session Evaluation Questionnaire (SEQ; Stiles et al., 1994) was used to measure clients' impressions of the sessions. Results indicated that patients evaluated the two treatment conditions equally. Overall, the results support earlier findings, suggesting that affective bibliotherapy can be an effective method of treatment.

  19. Repayment flexibility can reduce financial stress: a randomized control trial with microfinance clients in India.

    Science.gov (United States)

    Field, Erica; Pande, Rohini; Papp, John; Park, Y Jeanette

    2012-01-01

    Financial stress is widely believed to cause health problems. However, policies seeking to relieve financial stress by limiting debt levels of poor households may directly worsen their economic well-being. We evaluate an alternative policy - increasing the repayment flexibility of debt contracts. A field experiment randomly assigned microfinance clients to a monthly or a traditional weekly installment schedule (N=200). We used cell phones to gather survey data on income, expenditure, and financial stress every 48 hours over seven weeks. Clients repaying monthly were 51 percent less likely to report feeling "worried, tense, or anxious" about repaying, were 54 percent more likely to report feeling confident about repaying, and reported spending less time thinking about their loan compared to weekly clients. Monthly clients also reported higher business investment and income, suggesting that the flexibility encouraged them to invest their loans more profitably, which ultimately reduced financial stress.

  20. Stakeholders' influence on the importance of users' and clients' information and constraints during website design.

    Science.gov (United States)

    Chevalier, Aline

    2007-12-01

    The present study aims at determining the role of the stakeholder (via a user vs a client spokesperson) on the importance allocated to information and constraints considered by novice and professional web designers. Analysis showed all designers focused mainly on clients' constraints and information even when they dealt with a user spokesperson: they considered clients' constraints as more important than users' constraints. These results are new with regard to those previously obtained in web design, which showed designers considered prescribed constraints (regardless of the stakeholder to which they are related) as unavaoidable, and the vast majority of others as avoidable if required. Research is required to help web designers to ponder users' and clients' constraints and to assess whether the same patterns of results occur in other design domains.

  1. Real-time, face recognition technology

    Energy Technology Data Exchange (ETDEWEB)

    Brady, S.

    1995-11-01

    The Institute for Scientific Computing Research (ISCR) at Lawrence Livermore National Laboratory recently developed the real-time, face recognition technology KEN. KEN uses novel imaging devices such as silicon retinas developed at Caltech or off-the-shelf CCD cameras to acquire images of a face and to compare them to a database of known faces in a robust fashion. The KEN-Online project makes that recognition technology accessible through the World Wide Web (WWW), an internet service that has recently seen explosive growth. A WWW client can submit face images, add them to the database of known faces and submit other pictures that the system tries to recognize. KEN-Online serves to evaluate the recognition technology and grow a large face database. KEN-Online includes the use of public domain tools such as mSQL for its name-database and perl scripts to assist the uploading of images.

  2. Provision of care to clients of migrant origin: the experiences of maternity care providers.

    OpenAIRE

    Boerleider, A.W.; Francke, A.L.; Wiegers, T.A.; Manniën, J.; Devillé, W.L.J.M.

    2012-01-01

    Background: Women of non-western migrant origin comprise a substantial part of the client population in maternity care. According to Statistics Netherlands, mothers of non-western migrant origin contribute to 17% of all live births. This group is very diverse in origin which implies a variety in needs and expectations with regard to maternity care. Furthermore, clients of nonwestern migrant origin have been shown to make less adequate use of prenatal and postnatal care. This may add to the ch...

  3. Loyal clients. Despite Arthur Andersen's indictment, healthcare companies aren't defecting.

    Science.gov (United States)

    Jaklevic, Mary Chris

    2002-03-25

    In contrast to about 50 defections by public companies, many healthcare clients of Andersen are standing by the troubled auditor--at least for now. Saying that it's too soon to judge, clients such as the Catholic Health Association are sitting tight to see what the fallout is from the Enron scandal before making any decisions. And even if many part ways with Andersen, there's a host of consultants to take its place.

  4. Medication administration to the diabetic clients of the Helsinki Deaconess's institute nursing homes : Medication administration

    OpenAIRE

    2014-01-01

    Diabetic clients in nursing care homes are among the most vulnerable members of the society, as they depend on their care home staff for almost all of their entire needs. A combination of complex medical conditions may result in the need to take multiple medications with some taking up to eight medications on average. Medication system in nursing home passes through many steps before it actually reaches the client. This may result in an increase in medication error. The purpose of this st...

  5. Influencia de las certificaciones de calidad en la satisfacción del cliente hotelero

    OpenAIRE

    Arribas López, Sara

    2014-01-01

    La facilidad que actualmente tienen los clientes de comentar en internet sus estancias en los hoteles, aportando detalles del trato recibido, instalaciones, etc., ha provocado que los alojamientos se esfuercen en ofrecer calidad en sus servicios. Los buscadores y portales de reservas online ofrecen la posibilidad de comentar y puntuar, y así, obtener un ranking. Esta clasificación puede influir en el cliente a la hora de escoger un alojamiento. Las certificaciones de calidad...

  6. ANALYSIS OF THREE-TIER ARCHITECTURE%三层Client/Server结构分析

    Institute of Scientific and Technical Information of China (English)

    周莺; 吴秋云

    2001-01-01

    本文就网络计算模式的发展,介绍了传统两层Client/Server结构特点,详细分析了由此发展而来的三层Client/Server的逻辑结构和物理结构及实现它需要考虑的因素,并重点对Browser/Server结构和相关技术现状进行了研究.

  7. Alcohol use and client-perpetrated sexual violence against female sex workers in China.

    Science.gov (United States)

    Zhang, Chen; Li, Xiaoming; Stanton, Bonita; Hong, Yan; Chen, Yiyun; Shan, Qiao; Liu, Wei; Zhou, Yuejiao

    2013-01-01

    The global literature suggests that female sex workers (FSWs) experience high rates of sexual violence perpetrated by their clients, especially when FSWs are under the influence of alcohol. However, such data are limited in China. The current study is aimed to fill in the literature gap by examining the association between alcohol use by FSWs and client-perpetrated sexual violence against FSWs in China. A total of 1022 FSWs were recruited through community outreach in Guangxi, China. Female sex workers completed a self-administered survey on their demographic information, alcohol use, and sexual violence perpetrated by clients. Multivariable regression was employed to assess the relationship between alcohol use and client-perpetrated sexual violence among FSWs while controlling for possible confounders. Results indicated that alcohol use was positively associated with the experience of sexual violence in both bivariate and multivariable analyses. Women who were at a higher risk level of alcohol use were more likely to experience sexual violence perpetrated by clients even after controlling confounders (e.g., demographics and alcohol-serving practice). Given the association between alcohol use and client-perpetrated sexual violence, preventing or reducing alcohol use among FSWs could be an effective strategy to protect these women from sexual violence perpetrated by their clients. Alternatively, psychological counseling and other support should be available to these women so they can reduce their alcohol use as a maladaptive coping strategy. We call for culturally appropriate alcohol use reduction components, incorporated with sexual violence reduction strategies including adaptive coping skills training as well as empowerment, and targeting both FSWs and their clients.

  8. Lightweight Tactical Client: A Capability-Based Approach to Command Post Computing

    Science.gov (United States)

    2015-12-01

    SUBTITLE LIGHTWEIGHT TACTICAL CLIENT: A CAPABILITY-BASED APPROACH TO COMMAND POST COMPUTING 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM...operational standpoint. For example, a requirement of a Command Post Client (ref. 1) is the capability to operate for an extended period of time (48+ hr...operations during disconnected, intermittent, and latent states including fully disconnected operations  Able to operate on a physically light

  9. Qualitative Evaluation Criteria for Client Relationship Managers in the Financial Services Industry

    OpenAIRE

    Zhang, Xuhua

    2011-01-01

    Scandinavian Financial Research Ltd (SFR) is an international research company located in Helsinki, Finland. It is the premier research and consulting partner for key decision makers in the institutional financial services market in Scandinavia. SFR conducts two main research programmes yearly: Investment Services Programme and Corporate Banking Programme. The service quality evaluations of client relationship managers, which are crucial to SFR’s clients, are incorporated in both programmes. ...

  10. Musings on track: creative use of multiple disciplines to evaluate client needs.

    Science.gov (United States)

    Kae-Je', Bert

    2012-06-01

    The author's concern about palliative care, the elderly and chronically ill is demonstrated by the creative utilization of a number of disciplines, Pastoral Counseling, Art Therapy, and Psychology in caring for clients. She shows how Maslow's Hierarchy can be used as a focused lens suggesting broader assessment of client needs that might enhance the interventional repertoire for mature students and more experienced creative clinicians in fields of Pastoral Counselling, CPE, Psychology, and Art Therapy.

  11. Predictors of Clients' Satisfaction with Delivery of Animal Health Care Services in Periurban Ghana

    OpenAIRE

    Paa Kobina Turkson

    2011-01-01

    The study used logistic regression modelling to determine predictors of satisfaction with delivery of animal health care services for 889 clients (livestock and poultry keepers) in periurban Ghana. Of the 15 indicators tested as predictors of satisfaction in this study, 8 were included in the best fit model. These were accessibility, availability of services, service charge, effectiveness, efficiency, quality of services, meeting client needs, and getting help. Efficiency and effectiveness we...

  12. REAL PIECEWISE ALGEBRAIC VARIETY

    Institute of Scientific and Technical Information of China (English)

    Ren-hong Wang; Yi-sheng Lai

    2003-01-01

    We give definitions of real piecewise algebraic variety and its dimension. By using the techniques of real radical ideal, P-radical ideal, affine Hilbert polynomial, Bernstein-net form of polynomials on simplex, and decomposition of semi-algebraic set, etc., we deal with the dimension of the real piecewise algebraic variety and real Nullstellensatz in Cμ spline ring.

  13. Real Algebraic Geometry

    CERN Document Server

    Mahé, Louis; Roy, Marie-Françoise

    1992-01-01

    Ten years after the first Rennes international meeting on real algebraic geometry, the second one looked at the developments in the subject during the intervening decade - see the 6 survey papers listed below. Further contributions from the participants on recent research covered real algebra and geometry, topology of real algebraic varieties and 16thHilbert problem, classical algebraic geometry, techniques in real algebraic geometry, algorithms in real algebraic geometry, semialgebraic geometry, real analytic geometry. CONTENTS: Survey papers: M. Knebusch: Semialgebraic topology in the last ten years.- R. Parimala: Algebraic and topological invariants of real algebraic varieties.- Polotovskii, G.M.: On the classification of decomposing plane algebraic curves.- Scheiderer, C.: Real algebra and its applications to geometry in the last ten years: some major developments and results.- Shustin, E.L.: Topology of real plane algebraic curves.- Silhol, R.: Moduli problems in real algebraic geometry. Further contribu...

  14. Client-Driven Joint Cache Management and Rate Adaptation for Dynamic Adaptive Streaming over HTTP

    Directory of Open Access Journals (Sweden)

    Chenghao Liu

    2013-01-01

    Full Text Available Due to the fact that proxy-driven proxy cache management and the client-driven streaming solution of Dynamic Adaptive Streaming over HTTP (DASH are two independent processes, some difficulties and challenges arise in media data management at the proxy cache and rate adaptation at the DASH client. This paper presents a novel client-driven joint proxy cache management and DASH rate adaptation method, named CLICRA, which moves prefetching intelligence from the proxy cache to the client. Based on the philosophy of CLICRA, this paper proposes a rate adaptation algorithm, which selects bitrates for the next media segments to be requested by using the predicted buffered media time in the client. CLICRA is realized by conveying information on the segments that are likely to be fetched subsequently to the proxy cache so that it can use the information for prefetching. Simulation results show that the proposed method outperforms the conventional segment-fetch-time-based rate adaptation and the proxy-driven proxy cache management significantly not only in streaming quality at the client but also in bandwidth and storage usage in proxy caches.

  15. Facilitating Client Value Creation in the Conceptual Design Phase of Construction Projects: A Workshop Approach

    Directory of Open Access Journals (Sweden)

    Mikael Hygum Thyssen

    2010-05-01

    Full Text Available If client values are not fully understood in a construction project it is likely to result in either low fulfilment of client expectations or multiple design alterations during the project process which lead to additional costs and frustration among the project participants. However, it is not a straightforward management task to operationalize client value in construction. Within this context, the client group comprises multiple stakeholders, which often have conflicting goals and values that may not be fully realized by the stakeholders themselves. The management challenge is further complicated by the fact that the delivery team, which is responsible for understanding and delivering client value, is made up of even more different parties. The article reports the initial outcome of a joint research project between academics and practitioners, which aims to develop a practical workshop model that incorporates client values into the conceptual design of construction projects. The workshop model draws on value management and lean thinking as underlying principles in an attempt to address the ambiguous concept of `value'. DOI: 10.3763/aedm.2008.0095

  16. Male clients of male escorts: satisfaction, sexual behavior, and demographic characteristics.

    Science.gov (United States)

    Grov, Christian; Wolff, Margaret; Smith, Michael D; Koken, Juline; Parsons, Jeffrey T

    2014-01-01

    Few studies have examined male clients who pay for sex with male escorts. In 2012, clients (n = 495) completed an online survey about their most recent hire. Most clients were White/Caucasian (87.7%), HIV negative (89.5%), employed full time (71.1%), single (58.6%), with a mean age of 54. Three-quarters of clients were gay identified, 18% bisexual, and 4% heterosexual. The median rate paid to escorts was $250 per hour with a modal appointment time of 1 to 2 hours (41.6%). Oral sex was common (80% gave, 69% received), 30% reported anal insertive sex, and 34% reported anal receptive sex. In total, few (12%) reported unprotected anal sex. Satisfaction with encounters was high. Receptive unprotected anal intercourse was associated with greater satisfaction in bivariate analyses but not in multivariable analyses. In a multivariable model, having receptive anal sex (whether protected or not) and rating the financial cost of the encounter as "worth it" were significantly associated with greater satisfaction. This study contributes to a scarce literature regarding clients of male sex workers and, in particular, provides information on the characteristics of men hiring men for sexual services, behavioral event-level data about their encounters, and analysis of factors directly associated with client satisfaction.

  17. How Do Nursing Students Perceive the Needs of Older Clients? Addressing a Knowledge Gap

    Directory of Open Access Journals (Sweden)

    Sandra P. Hirst

    2016-01-01

    Full Text Available Background. Many nurse educators understand that students need to embrace the challenges and rewards of working with older clients. Yet, they might wonder how they can help students to develop and what is the specialized knowledge necessary to care for older clients. Question. How do students perceive the nursing needs of older adults? Method. A qualitative descriptive study was undertaken. Data collection occurred through semistructured interviews (9 students and one focus group (8 students using a photoelicitation technique. The researchers used a descriptive approach to analyze the data. Findings. Six themes emerged from the data: ask the older client!; physiology rules; personal, not professional; who can validate?; hierarchy of needs; and help us learn. Conclusion. Participants relied upon previous patterns of learning, primarily experiential, and on the views of health care colleagues in clinical practice to make decisions about the health needs of older clients. Participants clearly recognized the need to and significance of understanding the health care requirements of older clients. Findings have implications for how the care of older clients is introduced into nursing education programs.

  18. Enabling occupation: occupation-based and client centred practice in Occupational Therapy

    Directory of Open Access Journals (Sweden)

    Tatiana Barcelos Pontes

    2016-04-01

    Full Text Available Occupational therapists have always been dedicated to the human occupation study, however the client hasn’t always been seen as an occupational being, with needs, interests and individual goals. The concern for our clients’ engagement in occupation, rather than the acquisition or restoration of performance components, together with the gradual modification of the concept of occupation from work-related activities to purposeful human activity, requires a broadening of our scope of practice. The most current theories related to occupational therapy practice have highlightes the use of client centered and occupational based practices. In occupation-based, client-centred practice the client participates actively in negotiating goals, and client occupational goals are given priority and are placed at the centre of assessment, intervention and outcomes. There are numerous evidences in the literature with significantly positive results supporting these approaches. These approaches are based on the premises that goals and objectives of interventions should be focused in occupation and significant activities to the client and reflect the occupational therapy core values: an occupational-centred perspective that respects client’s choices, goals and values, promoting and supporting the engagement on meaningful activities.

  19. Treatment counselor's attitudes about lesbian, gay, bisexual, and transgendered clients: urban vs. rural settings.

    Science.gov (United States)

    Eliason, Michele J; Hughes, Tonda

    2004-03-01

    Treatment counselors' attitudes about lesbian, gay, bisexual, and transgendered (LGBT) clients can have important effects on these client's recovery. There is a common, but unexamined, perception that LGBT people are more accepted in urban areas (and thus urban treatment programs) and that urban counselors have greater knowledge of the needs of the LGBT community. This study examined the attitudes and knowledge of treatment counselors from two geographic regions: urban Chicago (n = 109) and rural Iowa (n = 242) in 2000. The instrument assessed demographic characteristics, knowledge, and experiences working with LGBT clients, and attitudes about LGBT clients (an adaptation of Herek's Attititudes about Lesbians and Gays rating scale). Only a few demographic differences between the urban and rural counselors were identified. Chicago counselors were more racially diverse and more likely to have grown up in an urban area than the Iowa counselors. The Iowa counselors had slightly higher levels of formal education. Although the Chicago providers reported having considerably more contact with LGBT clients and more formal and continuing education about LGBT people, they did not have more positive attitudes or report more knowledge of specific LGBT issues that might influence alcohol and drug treatment. Overall, both Chicago and Iowa counselors had very little formal education regarding the needs of LGBT clients, and nearly half reported negative or ambivalent attitudes. Many of the counselors lacked knowledge about legal issues such as domestic partnership and power of attorney, the concepts of domestic partnership and internalized homophobia, and issues related to family of origin and current family.

  20. Evaluating Thin Client Computers for Use by the Polish Army

    Science.gov (United States)

    2006-06-01

    36 Real Player Windows Y 37 Windows Media Player Windows Y Table 2. List of Software and Tests Results B. PERFORMANCE EVALUATION The second ...acquired – this is for use in case of a primary server crash; Participation in eLearning program – internet-based courses on Microsoft products.71... Languages OLP NL Device CAL 30x Windows Server CAL 2003 Polish OLP NL Device CAL 30x Windows Terminal Svr CAL 2003 WinNT Polish OLP NL Device CAL

  1. Dinheiro, afeto, sexualidade: a relação de prostitutas com seus clientes Dinero, afecto y sexualidad: la relación de prostitutas com sus clientes Money, affection and sexuality: the prostitutes' relationship with clients

    Directory of Open Access Journals (Sweden)

    Fernanda Burbulhan

    2012-12-01

    Full Text Available A prostituição é alvo constante de diferentes olhares, e para desvelar alguns de seus significados, resolvemos estudar a relação estabelecida entre a prostituta e o seu cliente. Para tanto, elegemos a abordagem qualitativa de pesquisa, com informações obtidas através de entrevista semiestruturada. Nosso estudo contou com sete participantes mulheres, com idade mínima de dezoito anos e envolvimento com a prática da prostituição há pelo menos um ano. As participantes responderam um questionário socioeconômico e foram entrevistadas, sendo as entrevistas posteriormente submetidas à análise de conteúdo. Com base nas informações obtidas, concluímos que a relação estabelecida entre prostitutas e seus clientes fundamenta-se no dinheiro, tanto em relação ao que o cliente paga quanto em relação àquilo que ele não pode pagar, porque "não tem preço". Essa negociação serve de alicerce para o estabelecimento de condições de ser-estar dessas mulheres profissionais do sexo dentro e fora da prostituição.La prostitución es objetivo constante de diferentes puntos de vista y a fin de aclarar algunos de sus significados, se optó por estudiar la relación establecida entre la prostituta y su cliente. Así, elegimos un enfoque cualitativo de la investigación, con la información obtenida a través de entrevista semiestructurada. Nuestro estudio contó con la presencia de siete participantes del sexo femenino, con edad mínima de 18 años y su participación en el ejercicio de la prostitución en al menos un año. Las participantes respondieron a un cuestionario socioeconómico y fueron entrevistadas, y las entrevistas posteriormente objeto de análisis de contenido. Podemos concluir que la relación establecida entre las prostitutas y sus clientes se basa en el dinero, tanto en relación a lo que el cliente paga, así como en lo que respecta a lo que él no puede pagar porque "no tiene un precio". Este acuerdo sirve como base

  2. The Relation between Intrapersonal and Interpersonal Staff Behaviour towards Clients with ID and Challenging Behaviour: A Validation Study of the Staff-Client Interactive Behaviour Inventory

    Science.gov (United States)

    Willems, A. P. A. M.; Embregts, P. J. C. M.; Stams, G. J. J. M.; Moonen, X. M. H.

    2010-01-01

    Background: Interpersonal staff behaviour is one of the instigating factors associated with challenging behaviour in clients with intellectual disabilities (ID). There are several studies focusing on the influence of intrapersonal staff characteristics--such as beliefs, attributions and emotional reactions--on staff behaviour. Little is known,…

  3. Representaciones Sociales sobrela quimioterapia para clientes oncológicos

    Directory of Open Access Journals (Sweden)

    Vander Monteiro da CONCEIÇÃO

    2012-08-01

    Full Text Available As diferentes formas de reagir aos fatores que estão intricadamente ligados no processo saúde-doença são inerentes a cada contexto vivenciado, ou seja, a cada universo social, como o universo de doentes com câncer em tratamento quimioterápico, objeto em estudo. Para adentrar nas relações sociais do grupo a ser pesquisado elaboraram-se os seguintes objetivos: identificar as representações sociais que clientes com câncer têm sobre o tratamento quimioterápico; descrever as representações sociais encontradas e analisar tais a luz da Teoria das Representações Sociais. Tratou-se de um estudo qualitativo, exploratório-descritivo do tipo estudo de casos e o suporte teórico-conceitual do fenômeno da Teoria das Representações Sociais. A pesquisa foi realizada nas dependências da Clínica Oncológica Brasil entrevistando-se 21 indivíduos em quimioterapia através da entrevista com livre associação de palavras analisando os dados segundo a análise de conteúdo temático permitindo então a emersão de duas categorias, onde a primeira remete a representações de aceitação da quimioterapia em prol de um bem maior, a cura. Enquanto que a segunda apresenta Representações Sociais negativas, sendo exaltando os efeitos colaterais do tratamento em virtude das vivências ou da influência midiática. O estudo permitiu conhecer como um símbolo comum a um grupo pode ser representado de forma diferenciada por seus membros, isso reflete o dinamismo das Representações Sociais e a formação do senso comum por meio de experiências com o tratamento quimioterápico, servindo esse saber para a estruturação do cuidado em saúde.

  4. A corporalidade do cliente segundo representações de estudantes de enfermagem La corporalidad del cliente según representaciones de estudiantes de enfermería The corporality of the client according to nursing students representations

    Directory of Open Access Journals (Sweden)

    Renata Campos de Lima

    2006-12-01

    Full Text Available É um estudo fundamentado na teoria da Representação Social que subsidiou a apreensão e análise de como as estudantes de enfermagem perceberam e representaram o corpo de seus clientes e as subjetividades emergentes do contato da relação do cuidar. Foi realizado junto a 20 estudantes do sexo feminino das quatro séries de graduação em Enfermagem da UNIFESP. Os dados foram obtidos utilizando a entrevista aberta e analisados pelo método Análise de Conteúdo (Análise Categorial, o qual desvelou as seguintes categorias: corpo objeto, estigmatização, relação estudante-cliente, comunicação corporal, invasão de privacidade e constrangimento.Es un estudio basado en la teoría de la Representación Social que subsidió la incautación y análisis de como las estudiantes de enfermería percibieron y representaron el cuerpo de sus clientes y las subjetividades emergentes del contacto de la relación del cuidar. Fue realizado junto la 20 estudiantes del sexo femenino de las cuatro series de graduación en Enfermería de la UNIFESP. Los datos fueron obtenidos utilizando la entrevista abierta y analizados por el método Análisis de Contenido (Análisis Categorial, lo cual desveló las siguientes categorías: cuerpo objeto, estigmatizacion, relación estudiante-cliente, comunicación corporal, invasión de privacidad y constreñimiento.This study based on the theory of the Social Representation that subsidized the apprehension and analysis of how nursing students had perceived and represented the body of their clients and the emergent subjectives of contact and relation of taking care. It was carried with 20 female students of four grades of the nursing faculty of the UNIFESP. The data were obtained using interview and analysed by content analysis method (Categorial Analysis that showed the following categories: body object, stigmatisation, student-client relationship, body communication, privacy's intrusion and embarrassing.

  5. An Architecture For Shared Multi-User Client Rendering Of Massive Geodatasets

    Science.gov (United States)

    Al-Naser, A.; Brooke, J.; Rasheed, M.; Irving, D. H.

    2012-12-01

    result of user geological interpretations with what we call 'features'. A feature is a logical subset of the original data with each key-value pair tagged as belonging to a particular spatial feature. Thus, instead of a surface being considered as composed of polygons it is now a tagged subset of the data. Our architecture requires an intermediate stage which builds in real-time a volume in a format which can be directly rendered on a client GPU. We call this a Feature-Embedded Spatial Volume (FESVo). In this stage we utilize the indexing and parallel capabilities of the database to perform parallel queries, and on-the-fly down-sampling if lower resolution is required, at a complexity of O(k), where k is the number of data units fetched from the database, similar to searching complexity with the bitmapping index method. Also, user interactions with the visualization are saved back to the database as point tags allowing immediate knowledge sharing. We present a technical and functional architecture for a data-centric approach and how it scales to overcome access and analytical latency in client-server data interactions. Preliminary experimental evaluation shows potential advantages of such a system in terms of security and centralised data management for subsurface data visualization systems. Also, we believe that our architecture can lead to a web-based visualization environment for geoscientific data.

  6. Identifying and Addressing the Unmet Health Care Needs of Drug Court Clients.

    Science.gov (United States)

    Dugosh, Karen L; Festinger, David S; Lipkin, Jessica L

    2016-12-01

    Drug courts address issues such as employment and housing but largely miss the opportunity to address important health care issues. The current study examined the prevalence and correlates of chronic medical conditions among a sample of drug court clients who were participating in a clinical trial of an intervention to reduce HIV risk. A total of 256 clients completed a health survey at entry into the drug court program and 9 months post-entry. The baseline health survey included a comprehensive list of chronic medical conditions, and participants were asked to indicate which, if any, they had ever been diagnosed as having. They were also asked to indicate whether or not they were currently receiving treatment for each chronic condition that they endorsed. The follow-up survey was identical to the baseline survey, with the exception that it contained items reflecting (1) whether or not any member of the drug court team engaged in discussion with the client about each of the chronic conditions reported and (2) whether the client received a referral to medical care for endorsed conditions while in the drug court program. Results indicated that over 50% of clients reported at least one chronic condition and 21% reported more than one condition. Among those with chronic conditions, 71% reported having chronic conditions for which they were not currently receiving treatment. Unfortunately, drug court clients reported that the drug court team did little to address these unmet health needs. Findings from this study suggest that clients could benefit if drug court programs began to widen their focus to include addressing health-related issues.

  7. La gestion de la relation client dans la banque: Cas du marché marocain

    Directory of Open Access Journals (Sweden)

    EL KORAICHI Mustapha

    2014-03-01

    Full Text Available Face aux évolutions du secteur bancaire (concurrence accrue, crise de confiance l’adoption d’un système de gestion de la relation client représente un enjeu important pour les banques. Il contribue à l’optimisation de la gestion du portefeuille client, plus précisément ce système permet d’acquérir de nouveaux clients et d’augmenter la rentabilité des clients existants. Cet article a pour objectif de répondre à la problématique suivante: le système de gestion de la relation client permet-il aux banques d’atteindre les objectifs attendus? L’étude que nous avons réalisée auprès de 47 banques commerciales marocaines montre que malgré le potentiel anticipé, les bénéfices escomptés d’un tel système restent limités. En effet, l’utilisation de ce système reste à son état embryonnaire, il se centre principalement sur la collecte des informations clients au niveau des agences tandis que l’analyse et l’exploitation de ces informations se fait au niveau du siège de la banque. De même, les opérations basiques de la banque occupent une grande part du temps de travail des agents de la banque au dépend des services bancaires à valeur ajoutée. D’un autre côté, une grande part des banques adoptant ce système ne mesurent pas le coût de la relation avec leurs clients.

  8. The ICF as a common language for rehabilitation goal-setting: comparing client and professional priorities

    Directory of Open Access Journals (Sweden)

    van der Merwe Aletia

    2011-10-01

    Full Text Available Abstract Background Joint rehabilitation goals are an important component for effective teamwork in the rehabilitation field. The activities and participation domain of the ICF provides a common language for professionals when setting these goals. Involving clients in the formulation of rehabilitation goals is gaining momentum as part of a person-centred approach to rehabilitation. However, this is particularly difficult when clients have an acquired communication disability. The expressive communication difficulties negatively affect the consensus building process. As a result, obtaining information regarding rehabilitation goals from professionals and their clients warrants further investigation for this particular population. Methods This comparative study investigated clients and their assigned rehabilitation professionals' perception of the importance of ICF activities and participation domains for inclusion in their rehabilitation program. Twelve clients in an acute rehabilitation centre and twenty of their corresponding rehabilitation professionals participated in an activity using the Talking Mats™ visual framework for goal setting. Each participant rated the importance of the nine activities and participation domains of the ICF for inclusion in their current rehabilitation program. Results The ICF domains which consistently appear as very important across these groups are mobility, self-care and communication. Domains which consistently appear in the lower third of the rankings include spare time, learning and thinking and domestic life. Results indicate however that no statistical significant differences exist in terms of the individual domains across each of the participant groups. Within group differences however indicated that amongst the speech-language therapists and physiotherapists there was a statistical significant difference between spare time activities and communication and mobility. Conclusions Findings indicate that

  9. SignalR real-time application cookbook

    CERN Document Server

    Vespa, Roberto

    2014-01-01

    This book contains illustrated code examples to help you create real-time, asynchronous, and bi-directional client-server applications. Each recipe will concentrate on one specific aspect of application development with SignalR showing you how that aspect can be used proficiently. Different levels of developers will find this book useful. Beginners will be able to learn all the fundamental concepts of SignalR, quickly becoming productive in a difficult arena. Experienced programmers will find in this book a handy and useful collection of ready-made solutions to common use cases, which they wil

  10. 基于 BLE 的 Android 心电监护软件%Android Client for Dynamic ECG Monitoring System Based on BLE

    Institute of Scientific and Technical Information of China (English)

    李金桦; 甄辉; 黄海; 姚剑

    2016-01-01

    为了降低心电监测系统的成本,减少长时间监测的功耗和云端服务器的压力,针对远程心电监护系统的需求,设计并实现基于BLE的Android心电监护软件。监护软件主要包括登录模块、通信模块、显示模块、分析模块、存储模块和云端交互6个功能模块。采用典型三层结构分层设计软件的整体架构。基于BLE设计数据链路层协议与心电采集器通讯以获取实时数据,分析后采用SurfaceView绘制动态心电图,同时采用SQLite进行本地存储以及采用3G网络同步心电数据。测试结果表明,该客户端能实时获取心电数据,流畅刷新心电图以及实现数据分析、存储与云端同步等功能。%In order to reduce the cost of electrocardiogram( ECG) monitoring system, the power consumption of long-time monito-ring and the analysis pressure of cloud server, a design and development method of Android client based on BLE in the remote ECG monitoring system is proposed.The client mainly includes the login module, the communication module, the display mod-ule, the analysis module, the storage module and the cloud interaction module.The client’s architecture is designed by the typi-cal three-layer structure hierarchical design.With data link layer protocol based on BLE designed to obtain real-time data, the Android client uses SurfaceView module to draw ECG after analyzing the ECG data with difference-threshold method, then uses SQLite to complete the local storage and uses 3G network to synchronize ECG data.Test results show that, the client can obtain real-time ECG data flow, refresh the electrocardiogram and implement the data analysis, storage and cloud synchronization.

  11. Psychotherapeutic issues with "kinky" clients: clinical problems, yours and theirs.

    Science.gov (United States)

    Nichols, Margaret

    2006-01-01

    People whose sexual repertoire includes BDSM, fetish, or other "kinky" practices have become increasingly visible, on the Internet, in the real world, and in psychotherapists' offices. Unfortunately, the prevailing psychiatric view of BDSM remains a negative one: These sexual practices are usually considered paraphilias, i.e., de facto evidence of pathology. A different, affirming view of BDSM is taken in this paper. After defining BDSM and reviewing common misconceptions, a variety of issues the practitioner will face are described. These include problems of countertransference, of working with people with newly emerging sexual identities, working with spouses and partners, and discriminating between abuse and sexual "play."

  12. Prevalence and Correlates of Client-Perpetrated Violence against Female Sex Workers in 13 Mexican Cities.

    Directory of Open Access Journals (Sweden)

    Shirley J Semple

    Full Text Available Globally, client-perpetrated violence against female sex workers (FSWs has been associated with multiple health-related harms, including high-risk sexual behavior and increased exposure to HIV/STIs. This study examined correlates of client-perpetrated sexual, physical, and economic violence (e.g., robbery against FSWs in 13 cities throughout Mexico.FSWs (N = 1,089 who were enrolled in a brief, evidence-based, sexual risk reduction intervention for FSWs (Mujer Segura were interviewed about their work context, including experiences of violence perpetrated by clients, sexual risk and substance use practices, financial need, and social supports. Three broad categories of factors (sociodemographic, work context, behavioral and social characteristics of FSWs were examined as correlates of sexual, physical, and economic violence.The prevalence of different types of client-perpetrated violence against FSWs in the past 6 months was: sexual (11.7%, physical (11.8%, economic (16.9%, and any violence (22.6%. Greater financial need, self-identification as a street worker, and lower perceived emotional support were independently associated with all three types of violence. Alcohol use before or during sex with clients in the past month was associated with physical and sexual violence. Using drugs before or during sex with clients, injection drug use in the past month, and population size of city were associated with sexual violence only, and FSWs' alcohol use score (AUDIT-C was associated with economic violence only.Correlates of client-perpetrated violence encompassed sociodemographic, work context, and behavioral and social factors, suggesting that approaches to violence prevention for FSWs must be multi-dimensional. Prevention could involve teaching FSWs strategies for risk avoidance in the workplace (e.g., avoiding use of alcohol with clients, enhancement of FSWs' community-based supports, development of interventions that deliver an anti

  13. El Servicio al cliente: ¡Más que un querer, un deber!

    Directory of Open Access Journals (Sweden)

    Gustavo Vargas Vargas

    2013-02-01

    Full Text Available Uno de los aspectos más importantes en la generaciónde diferenciación con respecto a la competencia loconstituye “el Servicio al Cliente”. El Servicio al Cliente presenta características, queconvierten su tratamiento en complejo de implementar:Por ejemplo se menciona que el Servicio es intangible;que el Servicio es variable; que el Servicio se producey se consume a la vez; y, que el Servicio no puede seralmacenado. Lo anterior es influido por la cultura del paísdonde se ubique la empresa. El tratar el tema del Servicio al Cliente es muyimportante en aras de poder mantener a nuestros clientes.En este sentido, varias investigaciones citadas evidencianel impacto de un mal manejo del Servicio al Cliente, asícomo cifras ligadas en general a su comportamiento. El Servicio al Cliente se puede definir como el conjuntode aspectos relacionados con los clientes, y no sólo setrata de atención al cliente, aspecto que es comúnmenteconfundido con el primero. La atención al cliente es partedel Servicio, pero no lo es todo! Es necesario escapar de seguir tratando este tema consuperficialidad, y más bien, aprovechar su implementacióncomo medio de generar ventajas competitivas ante lacompetencia.   ABSTRACT One of the most important aspects in the generationof a differentiation with your competition is constitutedby “Customer Service”. Customer Service presents several characteristicsthat make it complex to implement: For example itis mentioned that Service is intangible; that Serviceis variable; that Service is produced and consumedsimultaneously; and, that Service cannot be stored. Thisis influenced by the culture of the country where thecompany is located. Dealing with the subject of Customer Service is veryimportant for the sake of being able to maintain ourclients. In this sense several quoted investigations showthe impact of a badly handed Customer Service, as wellas financial figures related to its performance. Customer Service can be

  14. Pencils on real curves

    CERN Document Server

    Coppens, Marc

    2011-01-01

    We consider coverings of real algebraic curves to real rational algebraic curves. We show the existence of such coverings having prescribed topological degree on the real locus. From those existence results we prove some results on Brill-Noether Theory for pencils on real curves. For coverings having topological degree 0 we introduce the covering number k and we prove the existence of coverings of degree 4 with prescribed covering number.

  15. Prototype for a Generic Thin—Client Remote Analysis Environment for CMS

    Institute of Scientific and Technical Information of China (English)

    C.D.Steenberg; J.J.Bunn; 等

    2001-01-01

    The multi-tiered architecture of the highly-distributed CMS computing systems necessitates a flexible data distribution and analysis environment.We describe a prototype analysis environment which functions efficiently over wide area networks using a server installed at the Caltech/UCSD Tier 2 prototype to analyze CMS data stored at various locations using a thin client.The analysis environnment is based on existing HEP(Anaphe) and CMOS(CARF,ORCA,IGUANA)software thchnology on the server acessed from a variety of clients.A Java Analysis Studio (JAS,from SLAC)plug-in is being developed as a reference client.The server is operated as "Black box"on the proto-Tier2 system.ORCA Objectivity databases(e.g.an existing large CMS Muon sample)are hosted on the master and slave nodes,and remote clients can request processing of queries across the server nodes ,and get the histogram results returned and rendered in the client.The server is implemented using pure C++,and use XML-RPC as a language-neutral transport.This has several benefits,including much better scalability,better integration with CARF/ORCA,and importanly,Makes the work directly useful to other non-java general-purpose analysis and presentation tools such as Hippodraw,Lizard.or ROOT.

  16. FirebrowseR: an R client to the Broad Institute’s Firehose Pipeline

    Science.gov (United States)

    Deng, Mario; Brägelmann, Johannes; Kryukov, Ivan; Saraiva-Agostinho, Nuno; Perner, Sven

    2017-01-01

    With its Firebrowse service (http://firebrowse.org/) the Broad Institute is making large-scale multi-platform omics data analysis results publicly available through a Representational State Transfer (REST) Application Programmable Interface (API). Querying this database through an API client from an arbitrary programming environment is an essential task, allowing other developers and researchers to focus on their analysis and avoid data wrangling. Hence, as a first result, we developed a workflow to automatically generate, test and deploy such clients for rapid response to API changes. Its underlying infrastructure, a combination of free and publicly available web services, facilitates the development of API clients. It decouples changes in server software from the client software by reacting to changes in the RESTful service and removing direct dependencies on a specific implementation of an API. As a second result, FirebrowseR, an R client to the Broad Institute’s RESTful Firehose Pipeline, is provided as a working example, which is built by the means of the presented workflow. The package’s features are demonstrated by an example analysis of cancer gene expression data. Database URL: https://github.com/mariodeng/ PMID:28062517

  17. A humanização no cuidado com o cliente cirúrgico

    Directory of Open Access Journals (Sweden)

    Rosemari Ferigolo Medina

    2002-10-01

    Full Text Available A compreensão e o respeito ao ser humano na sua individualidade, a preocupação com seus sentimentos, desejos e direitos e a busca pela melhora no cuidado com vistas à humanização na assistência ao cliente e familiar, orientou este trabalho respaldado na Teoria Humanística de Paterson & Zderad (1988, desenvolvido com quinze clientes cirúrgicos internados num Hospital de Santa Maria. O acompanhamento no pré-operatório procurou identificar e reduzir os fatores causadores de ansiedade, medo e desconfortos ocasionados frente à iminência do ato cirúrgico. Os elementos-chave utilizados, neste processo de humanização ao cliente e seu familiar, foram a capacidade de empatia e a comunicação, sendo esta, verbal ou não-verbal. A interação vivida junto aos clientes propiciou-nos unir o saber técnico (racionalidade instrumental à subjetividade (intuição e afeto, desenvolvendo, desse modo, uma assistência de enfermagem diferenciada, com maior apoio e presença, orientação e reflexão e, segurança e conforto ao cliente (ser humano assistido.

  18. Client Characteristics and Therapist Competence and Adherence to Family Therapy for Schizophrenia

    Directory of Open Access Journals (Sweden)

    Radha G. Carlson

    2010-01-01

    Full Text Available Este studio examina la manera en que la competencia/adherencia del terapista se relaciona con características del cliente, la satisfacción del cliente y la terminación premadura en intervenciones familiares para el tratamiento de la esquizofrenia. Como fue predicho, síntomas psiquiátricos menos severos e índices más bajos de tensión familiar fueron relacionados con niveles más altos de competencia/adherencia en los terapistas, en varias áreas específicas y no específicas de tratamiento. Indices de más competencia/ adherencia también fueron relacionados con índices más bajos de terminación premadura e índices más altos de satisfacción del cliente. Contrario a predicciones, la aflicción emocional general y la cohesión de familia no tuvieron relaciones con la competencia/adherencia. Este estudio sugiere que erapistas y investigadores deberían tomar en cuenta las características de sus clientes en el proceso de valuar el rendimiento del terapista y escoger clientes más apropiados para terapia.

  19. THE EDUCATION AND ENVIROMENT AS KEY FACTORS IN NURSING CARE TO CLIENTS WITH SICKLE CELL ANEMIA

    Directory of Open Access Journals (Sweden)

    Priscila Sanchez Bosco

    2012-01-01

    Full Text Available Objetivos: objetivos levantar informações atualizadas acerca das novas concepções sobre o cuidado de Enfermagem para clientes portadores de anemias hemolíticas e discutir as novas concepções acerca do cuidado de Enfermagem para os clientes portadores de anemias hemolíticas. Métodos: O presente estudo foi extraído de um projeto de pesquisa que tem como tema as novas concepções acerca do cuidado de Enfermagem para o cliente portador de anemias hemolíticas crônicas. Foi desenvolvido no ano de 2008 como parte do projeto de pesquisa da Universidade Federal do Estado do Rio de Janeiro. Foram utilizados como fontes, bases de dados eletrônicos além de levantamento junto às bibliotecas tradicionais. Resultados: Durante a coleta de dados foram levantados: 36 ARTIGOS “ON LINE”; 10 oriundos de BIBLIOTECAS CONVENCIONAIS e 4 DISSERTAÇÕES E 1 TESE. Conclusão: Conclui-se que o meio ambiente exerce força sobre estes clientes e que os enfermeiros podem utilizar-se de estratégias educacionais para que tanto estes clientes consigam conviver com a anemia falciforme de forma mais harmônica, sem o medo e a angústia que, geralmente se mostram presentes.

  20. Sex, drugs and prisons: HIV prevention strategies for over 190 000 clients in Ukraine

    Science.gov (United States)

    Smyrnov, P.; Kumar, A. M. V.; Achanta, S.; Boyko, K.; Khogali, M.; Naik, B.; Zachariah, R.

    2014-01-01

    Setting: One hundred and forty non-governmental organisations implementing human immunodeficiency virus (HIV) prevention programmes among clients, including people who inject drugs, prisoners, female sex workers, men who have sex with men and street children in Ukraine, 2010–2011. Objective: Among enrolled clients, to assess factors associated with HIV testing, HIV retesting within a year of initial testing and HIV seroconversion. Design: Retrospective cohort study involving record reviews. Results: Of 192 487 clients, 42 109 (22%) underwent an initial HIV test (22% were positive). Among HIV-negative clients at baseline, 10 858 (27%) were retested within a year: 317 (3%) of these were HIV-positive. HIV testing and retesting rates were lower among prisoners (0.3%) and others (street children and partners of those in risk groups, 6%), and those who did not receive counselling or services such as condom and needle distribution. Individuals who were not counselled were more likely to seroconvert. Conclusions: In this large cohort of high-risk groups from Eastern Europe, HIV testing was low and HIV sero-conversion was high. This is of public health concern, bringing into question the overall quality of counselling and how well it is tailored to the specific needs of various risk groups. Qualitative studies to understand the reasons for non-testing are urgently required for designing client-specific interventions. PMID:26399206

  1. Defense attorney plea recommendations and client race: does zealous representation apply equally to all?

    Science.gov (United States)

    Edkins, Vanessa A

    2011-10-01

    Research on racism in the criminal justice system generally focuses on the role of the jury; yet, the vast majority of convictions are obtained through plea bargains. This research addresses the role of the defense attorney and proposes that disparities in sentence length and incarceration rates between African Americans and Caucasian Americans are in part due to the plea bargains that defense attorneys recommend these clients accept. Using practicing defense attorneys from around the country, findings indicate that the pleas attorneys felt they could obtain with a minority client contained higher sentences (adjusted M = 2.88) than those they felt they could obtain with a Caucasian client (adjusted M = 2.22) and were significantly more likely to include some jail time. Reasons for the disparate recommendations were not due to increased perceptions of guilt with the minority client nor to perceptions that the minority client would fare worse at trial. Theoretical and practical implications are discussed as well as possible future directions.

  2. A web-based care-requiring client and Home Helper mutual support system.

    Science.gov (United States)

    Ogawa, Hidekuni; Yonezawa, Yoshiharu; Maki, Hiromichi; Hahn, Allen W; Caldwell, W Morton

    2005-01-01

    For the improved efficiency of home care of the elderly, a web-based system has been developed to enable faster communications between care-requiring clients, their Home Helper and the care manager. Changes to care items, such as cooking, bathing, washing, cleaning and shopping are usually requested by the elderly client over the telephone. However, the care central office often requires 24 hours to process and respond to such spoken requests. The system we have developed consists of Internet client computers with liquid crystal input tablets, wireless Internet Java enabled mobile phones and a central office server that yields almost instant communication. The care clients enter requests on the liquid crystal tablet at their home and then their computer sends these requests to the server at the Home Helper central office. The server automatically creates a new file of the requested items, and then immediately transfers them to the care manager and Home Helper's mobile phone. With this non-vocal and paperless system, the care-requiring clients, who can easily operate the liquid crystal tablet, can very quickly communicate their needed care change requests to their Home Helper.

  3. A Secure Mechanism to Supervise Automotive Sensor Network by Client on Smart Phone

    Directory of Open Access Journals (Sweden)

    T R Yashavanth

    2013-03-01

    Full Text Available This paper presents a proposal on design of a secure client on smart phone to monitor automotive sensor network. Recently, more and more vehicles, such as BMW X5, are connected from outside via smart phone [3]. From smart phone, users can use the internet resources in automotive. Users can monitor the automotives by using their smart phones. When the automotive is moving or stolen by robber, alert information will be reported to users and users can even brake their automotive via smart phone in emergency status by sending control command to the vehicle information gateway. So client software in smart phone is required to monitor the sensor network in automotives. In order to prevent malicious attack on the client software by malicious attackers which are usually the robbers, there should be a mechanism provided to the clients which offers security by considering few criteria’s like power of computation, level of security and consumption of power. This proposed method uses IDEA for the encryption of all the messages since IDEA has high level of security and suitable to implement in software and also demands on computational power is less. Record management set is being suggested for the storage of critical data which is a Java MIDlet based mechanism. Between client software and its gateway a communication management on transaction is also proposed. The verification of the key updating process is verified with model checking in UPPAAL [7].

  4. Antecedentes del éxito de la relación entre restaurantes y sus clientes

    Directory of Open Access Journals (Sweden)

    Maria Fuentes-Blasco

    2014-05-01

    Full Text Available En el contexto de servicios turísticos, donde la competencia cada vez es más intensa, el desarrollo y mantenimiento de relaciones a largo plazo empresa-cliente se ha convertido en una fuente de ventaja competitiva para las organizaciones proveedoras de servicios. Sin embargo, un alto porcentaje de estas relaciones fracasan. Además, existe una evidencia empírica limitada acerca de este ámbito de estudio en la industria turística, y muy especialmente en el sector de la hostelería. Ante este reto, el objetivo del presente trabajo es analizar los antecedentes del éxito de la relación restaurante-cliente a partir de una secuencia causal: dimensiones del valor entregado  confianza y compromiso  éxito de la relación. A partir de una muestra de 150 restaurantes, los resultados indican que la calidad de servicio y el prestigio, como elementos del valor entregado, son antecedentes directos del compromiso del gestor del servicio con su grupo de clientes e indirectos del éxito de la relación empresa-cliente. Además, la confianza del gestor del servicio con sus clientes y el compromiso que adquiere con ellos se convierten en antecedentes significativos del éxito de la relación con los mismos.

  5. Predicting initial client engagement with community mental health services by routinely measured data.

    Science.gov (United States)

    Roeg, Diana; van de Goor, Ien; Garretsen, Henk

    2015-01-01

    Engagement is a determinant of how well a person will respond to professional input. This study investigates whether, in practice, routinely measured data predict initial client engagement with community mental health services. Engagement, problem severity, client characteristics, and duration before the first contact were measured at team entrance with clients (n = 529) of three community mental health teams. Regression analysis was used to predict engagement. Gender, age, referrer, having children, having a partner, and ethnicity showed a minor relationship with engagement. Higher problem severity measured by the team members with the Health of the Nation Outcome Scales, being referred for having psychiatric problems and/or causing severe and long-lasting trouble (as 'assessed' by the often non-professional referrer), and a longer duration between enrollment and the first conversation with a client, were indicative for a lower engagement. The final model explained 19.2 % of the variance in engagement. It can be concluded that initial client engagement with community mental health services can be predicted, in part, by routinely measured data. The findings can be used by community mental healthcare teams to create an awareness system.

  6. A grounded theory: seeking relief from flatus as relevant client-nurse action and interaction.

    Science.gov (United States)

    Annells, Merilyn

    2007-01-01

    Flatus problems are not uncommon among gastroenterological clients and those in other care settings. Yet what clients and nurses do productively about those problems in regard to their actions and interactions and why they do so has not previously been the focus of research. Holistic health management requires trustworthy qualitative evidence to guide best practice in this regard. This study systematically developed a substantive grounded theory that details and explains the trajectory of the basic social process: seeking relief from being discommoded (inconvenienced, troubled) by flatus in the situational context of client-nurse interactions. In the theory, there is also a focus on the context of nursing care situations, possible constraints, and likely outcomes. Grounded theory method was applied. Data were collected through semistructured individual interviews, nonparticipant observation, and document analysis regarding incidents and situations involving 38 participants-clients and registered nurses. The results show that clients, when trying to do something about the situation, can be severely discommoded by flatus problems and are hampered by embarrassment and the social taboo about admitting that one is bothered by flatus. The individual may or may not disclose the problem to a nurse, and nurses may or may not be attuned to these problems. There are ways for nurses to be helpful in these situations and possible remedies are identified in this article.

  7. Clients of female sex workers as a bridging population in Vietnam.

    Science.gov (United States)

    Nguyen, Nhu T; Nguyen, Hien T; Trinh, Huan Q; Mills, Stephen J; Detels, Roger

    2009-10-01

    Understanding bridging behaviors of clients of female sex workers (FSWs) is important for projecting and intervening in the spread of sexually transmitted infections in Vietnam. The goals of the study were to determine HIV/STI prevalence amongst different bridging groups, identify factors associated with being potential and active bridgers, and assess the association of drug use and unsafe sex with HIV and/or STI prevalence. In April, 2007, 292 clients were anonymously interviewed at sex venues in a two-stage time-location cluster sampling survey, followed by HIV, syphilis, and HSV-2 testing. Based on condom use with both high-risk (FSWs) and low-risk (wives/girlfriends) sexual partners, clients were classified as unlikely, potential, or active bridgers. The majority of clients were potential or active bridgers (55.8%) who had a significantly higher prevalence of herpes simplex type 2 (HSV-2) (21% and 33%, respectively) than unlikely bridgers (8.7%). HIV seropositivity was 4.4-fold (95% CI 1.1-17.1) higher among those who were HSV-2-positive. Clients of FSWs may be playing a major bridging role in transmitting HIV and sexually transmitted infections (STIs) in Vietnam. An observed synergistic interaction between drug use and condom slippage/breakage emphasizes the importance of proper condom use, particularly among drug users.

  8. The impact of a reproductive health franchise on client satisfaction in rural Nepal.

    Science.gov (United States)

    Agha, Sohail; Karim, Ali Mehryar; Balal, Asma; Sosler, Steve

    2007-09-01

    This study evaluates the impact of a nurse and paramedic reproductive health franchise in rural Nepal on client satisfaction and utilization of services. A quasi-experimental study design, with baseline and follow-up measurements on nonequivalent control groups, was used to assess the effects of the intervention. The study collected data from exit interviews with male and female clients at clinics and from household interviews with married women. Our assessment covers the project's performance for about a year of actual implementation. Client satisfaction with the quality of services increased across a range of indicators at intervention clinics but not at control clinics. Overall satisfaction with services also increased only at intervention clinics but not at control clinics. Consistent with these changes, loyalty increased among clients of franchised clinics. The analysis showed a positive relationship between client satisfaction and loyalty. Although the project's implementation was examined over a relatively short period of time, there appears to have been a net positive effect of the intervention on obtaining family planning products from medical stores/pharmacies. The study shows that franchising reproductive health services increases a provider's interest in delivering better quality services in rural areas of a developing country.

  9. O significado da nutrição parenteral para o cliente no contexto hospitalar

    Directory of Open Access Journals (Sweden)

    Consuelo Helena Aires de Freitas Lopes

    1996-06-01

    Full Text Available A necessidade de compreender o significado da nutrição parenteral para o cliente no contexto hospitalar surgiu das nossas inquietações diante do cuidado de enfermagem. Realizaram-se observações participantes, entrevistas e anotações de campo junto a sete clientes hospitalizados, que se encontravam sob nutrição parenteral. O sentido das investigações foi centrado na indagação: como você está se sentindo com a nutrição parenteral? Os dados foram analisados numa abordagem interacionista, mostrando as dificuldades enfrentadas pelos clientes na assistência hospitalar, como percebiam eles a nutrição parenteral e que significados eram atribuídos a essa terapêutica. O estudo revelou os sentimentos, comportamentos e atitudes relacionados aos aspectos biológico, emocional e sócio-cultural do cliente, ligados à nutrição parenteral, demonstrando, também as limitações impostas ao cliente sob esse tratamento, bem como as dificuldades na assistência de enfermagem.

  10. Facility Location with Client Latencies: Linear-Programming based Techniques for Minimum-Latency Problems

    CERN Document Server

    Chakrabarty, Deeparnab

    2010-01-01

    We introduce a problem that is a common generalization of the uncapacitated facility location and minimum latency (ML) problems, where facilities need to be opened to serve clients and also need to be sequentially activated before they can provide service. Formally, we are given a set \\F of n facilities with facility-opening costs {f_i}, a set of m clients, and connection costs {c_{ij}} specifying the cost of assigning a client j to a facility i, a root node r denoting the depot, and a time metric d on \\F\\cup{r}. Our goal is to open a subset F of facilities, find a path P starting at r and spanning F to activate the open facilities, and connect each client j to a facility \\phi(j)\\in F, so as to minimize \\sum_{i\\in F}f_i +\\sum_{clients j}(c_{\\phi(j),j}+t_j), where t_j is the time taken to reach \\phi(j) along path P. We call this the minimum latency uncapacitated facility location (MLUFL) problem. Our main result is an O(\\log n\\max{\\log n,\\log m})-approximation for MLUFL. We also show that any improvement in th...

  11. Informal caregivers of clients with neurological conditions: profiles, patterns and risk factors for distress from a home care prevalence study

    OpenAIRE

    Mitchell, Lori A.; Hirdes, John; Poss, Jeff W.; Slegers-Boyd, Caroline; Caldarelli, Hilary; Martin, Lynn

    2015-01-01

    Background Individuals living in the community with neurological conditions receive the majority of their care from informal caregivers. The purpose of this project was to provide a profile of caregivers of home care clients with neurological conditions. The study also examined prevalence of caregiver distress and the association between neurological conditions and other client and caregiver characteristics with distress. Methods The study population included Canadian home care clients in the...

  12. Risk Factors of Condom Use among Clients of Commercial Sex Workers in Saunas and Beauty Parlors in China

    Institute of Scientific and Technical Information of China (English)

    ZHANG Yan(张岩); WU Zunyou(吴尊友); LIU Wei(刘伟)

    2002-01-01

    Objectives: To describe and analyze risk factors associatedwith disuse of condoms during commercial sexual intercourseamong clients attending sauna and massage centers.Methods: Selected female sex workers from saunas andbeauty parlors were trained as interviewers. They surveyedclients during provision of sexual services. Informationcollected included customers' demographics, knowledge ofSTDs, rationale for and history of condom use. Risk factorsfor condom usage were assessed though logistical modeling.Results: A total of 50 clients were interviewed. The rates ofcondom usage for last sexual intercourse with commercial andnon-commercial partners were 57% and 53% for clients ofsauna centers and 30% and 40% for clients of beauty parlors,respectively. The choice to use a condom was influenced byclients 60.8% of the time, sex workers 30.4%, and otherfactors 8.8 %. The choice against using a condom was decidedupon by clients 69.7% of the time, sex workers 9.1%, andother factors 21.2%. Multivariate analysis showed thateducational level and perception of risk of infection werefactors for condom use. Clients with a high school educationhad a higher condom use rate than those with a middle schooleducation or less. Furthermore, clients who perceived risk ofdisease used condoms more frequently than those who did not.Conclusions: Clients played a significant role in decidingwhether or not to use a condom during commercial sex. Lackof perception of risk is a major factor for not using condoms.A program for promotion of prophylactics targeting bothcommercial sex workers and their clients is recommended.

  13. Verbal interactional dominance and coordinative structure of speech rhythms of staff and clients with an intellectual disability.

    Science.gov (United States)

    Reuzel, Ellen; Embregts, Petri J C M; Bosman, Anna M T; Cox, Ralf F A; van Nieuwenhuijzen, Maroesjka; Jahoda, Andrew

    2014-10-01

    Social interactions between staff and clients with an intellectual disability contain synchronized turn-taking patterns. Synchrony can increase rapport and cooperation between individuals. This study investigated whether verbal interactional dominance and balance, an indication of attunement between staff and clients with ID, are associated with synchrony of turn-taking patterns during staff-client interactions and whether the level of dominance and balance is related to the observed quality of the social interactions. Nineteen staff members video-recorded a social interaction with one of their clients in which the client asked for support. The recordings were analyzed using Cross Recurrence Quantification Analysis and Initiative Response Analysis. Fifteen staff observers as well as client observers completed a questionnaire on the quality of the video-recorded interactions. Staff and clients' patterns of verbal interactional dominance and balance were associated with the synchrony of their turn-taking behaviors. Staff's dominance was associated with a higher level of synchrony of turn taking, whereas client's dominance was associated with a lower level of synchrony. The patterns of verbal interactional dominance and balance were associated with staff observer reports about the quality of the interactions. The study suggested that staff and clients have a tendency to be sensitive to different aspects of interactions, which in turn may have different functions.

  14. Age matters: differential impact of service quality on contraceptive uptake among post-abortion clients in Kenya.

    Science.gov (United States)

    Tavrow, Paula; Withers, Mellissa; McMullen, Kara

    2012-01-01

    This paper analyses the impact of high quality, user-friendly, comprehensive sliding-scale post-abortion services on clients' uptake of contraception in a Kenyan town. Data were drawn from detailed physician records in a private clinic that served 1080 post-abortion clients in 2006. All clients received confidential family planning counselling and were offered a complete range of contraceptives at no additional cost. One quarter of clients were below age 19. Prior to the abortion, no client aged 10-18 years reported having used contraception, as compared to 60% of clients aged 27-46 years. After the abortion and family planning counselling session, only 6% of clients aged 10-18 chose a method, as compared to 96% of clients aged 27-46, even though contraception was free, the provider strongly promoted family planning to everyone and all clients had just experienced an unwanted pregnancy. Significant predictors of contraceptive uptake post-abortion were: having a child, a previous termination, prior contraceptive use and being older than 21. These findings suggest that availability, affordability and youth-friendliness are not sufficient to overcome psycho-social barriers to contraceptive use for sexually-active young people in Kenya. To reduce unwanted pregnancies, more attention may be needed to developing youth-friendly communities that support responsible sexuality among adolescents.

  15. Prioritizing the client trust factors in electronic banking using analytic hierarchy process

    Directory of Open Access Journals (Sweden)

    Hossein vazifedust

    2014-04-01

    Full Text Available This paper prioritizes the trust factors among electronic banking clients of an Iranian bank named Parsian Bank. The study first analyzes and reviews the literature and interviews with experts of electronic banking and academicians and determines client trust as the most important factor for development of electronic banking. The study also determines different factors associated with trust, which includes individual factors, banking factors and infrastructural factors. The sample populations consist of 25 experts who are academicians, managers and bank officers, clients of electronic banking. The necessary data was collected through conducting interviews and questionnaires and they are analyzed using analytic hierarchy process (AHP. The research findings indicate that the attitudinal factors, telecommunication infrastructure and cultural factors were the most influential factors accordingly and the customer orientation and ease of access were the least influential factors.

  16. Management of the Benefits on the Client's Involvement on Ergonomic Analysis

    Science.gov (United States)

    Loureiro, Isabel F.; Leão, Celina P.; Arezes, Pedro

    Nowadays, market trade economy is witnessing to a continuous development and transformation. The organizations come to be seen as sociotechnical systems with new ergonomic contexts. Various types of relationships can be established. From the ergonomic analysis point of view, it is necessary to understand all the mechanisms that regulate these relationships. The interaction between clients and professionals (workers) reproduce a relationship that can be important to the ergonomic analysis. This paper allows a better comprehension of the relationship in the effective's ergonomic intervention. A case study was analyzed in a private health sector using the Ergonomic Three-dimension Analysis as an ergonomic approach. This analysis is made by three different but related dimensions: analyst, professional and client. The results show that that clients' involvement in the ergonomic analysis will benefit the ergonomic intervention and consequently the professional environment.

  17. Enhancing client welfare through better communication of private mental health data between rural service providers

    Directory of Open Access Journals (Sweden)

    Oliver Kisalay Burmeister

    2015-11-01

    Full Text Available Client welfare is detrimentally affected by poor communication of data between rural service providers, which in part is complicated by privacy legislation. A study of service provision involving interviews with mental health professionals, found challenges in communicative processes between agencies were exacerbated by the heavy workloads. Dependence on individual interpretations of legislation, and on manual handling, led to delays that detrimentally affected client welfare. The main recommendation arising from this article is the creation of an ehealth system that is able to negotiate differing levels of access to client data through centralised controls, where the administration of that system ensures that it stays current with changing legislative requirements. The main contribution of the proposed model is to combine two well-known concepts: data integration and generalisation. People with mental illness are amongst the most vulnerable members of society, and current ehealth systems that provide access to medical records inadequately cater to their needs.

  18. Trust and Professional Skepticism in the Relationship between auditors and Clients: Overcoming the dichotomy Myth

    DEFF Research Database (Denmark)

    Aschauer, Ewald; Fink, Matthias; Andrea, Moro

    2017-01-01

    This study empirically investigates the relationship between auditors' identification-based trust in client firm's managers and their perceptions of auditors' professional skepticism. We employ a multimethod approach broken Down into two studies. First, in study 1, we approached auditors and clie......This study empirically investigates the relationship between auditors' identification-based trust in client firm's managers and their perceptions of auditors' professional skepticism. We employ a multimethod approach broken Down into two studies. First, in study 1, we approached auditors...... and clients using narrative interviews in order to identify the working definitions of interpersonal trust and professional skepticism and also to develop an empirical and testable hypothesis against the backdrop of the current literature. Second, in Study 2, an ordinary least Squares regression based on data...

  19. The Integration of Clients' Religion and Spirituality in Social Work Practice: A National Survey.

    Science.gov (United States)

    Oxhandler, Holly K; Parrish, Danielle E; Torres, Luis R; Achenbaum, W Andrew

    2015-07-01

    This article describes the results of a cross-sectional study of licensed clinical social workers' (LCSWs') views and behaviors related to integrating clients' religion and spirituality in clinical practice. A total of 442 LCSWs from across the United States who advertised their services on the Internet provided anonymous responses to an online administration of the Religious/Spiritually Integrated Practice Assessment Scale. The results indicate that LCSWs have positive attitudes, high levels of self-efficacy, and perceive such integration as feasible, but report low levels of engagement in integrating clients' religious and spiritual beliefs into practice. Moreover, two variables emerged as significant predictors for LCSWs' overall orientation toward integrating clients' religion and spirituality in practice: practitioners' intrinsic religiosity and prior training (prior course work or continuing education). Implications and next steps for social work education and continuing training efforts are discussed.

  20. An ECG storage and retrieval system embedded in client server HIS utilizing object-oriented DB.

    Science.gov (United States)

    Wang, C; Ohe, K; Sakurai, T; Nagase, T; Kaihara, S

    1996-02-01

    In the University of Tokyo Hospital, the improved client server HIS has been applied to clinical practice and physicians can order prescription, laboratory examination, ECG examination and radiographic examination, etc. directly by themselves and read results of these examinations, except medical signal waves, schema and image, on UNIX workstations. Recently, we designed and developed an ECG storage and retrieval system embedded in the client server HIS utilizing object-oriented database to take the first step in dealing with digitized signal, schema and image data and show waves, graphics, and images directly to physicians by the client server HIS. The system was developed based on object-oriented analysis and design, and implemented with object-oriented database management system (OODMS) and C++ programming language. In this paper, we describe the ECG data model, functions of the storage and retrieval system, features of user interface and the result of its implementation in the HIS.

  1. Therapist’s Gender and Gender Roles: Impact on Attitudes toward Clients in Substance Abuse Treatment

    Directory of Open Access Journals (Sweden)

    Tytti Artkoski

    2013-01-01

    Full Text Available The purpose of the present study was to investigate the impact of therapist’s gender and gender roles on attitudes toward clients. Attitudes toward motivational interviewing were also a focus as MI can be hypothesized to be feminine rather than masculine in nature. The subjects ( were Finnish substance abuse therapists. Their attitudes toward clients were measured using a vignette task. Results indicated that female therapists were significantly more positive toward clients than were male therapists. Although females were significantly more feminine than males, they saw themselves as masculine as the males did. The more feminine the therapist was, the more s/he preferred MI. In the future, an examination of this kind should be combined with measurement of treatment processes and outcomes.

  2. Determinants of Client-Professional Relationship Quality in the Financial Planning Setting

    Directory of Open Access Journals (Sweden)

    Katherine Hunt

    2011-06-01

    Full Text Available Advice provided by financial planners has the potential to impact the financial and emotional well being ofclients. Despite the outcomes of quality financial planning relationships, there is little direct evidence tosupport the importance of ‘relationship quality’ in financial planning. Previous research has emphasised theimportance of relationship quality in psychology, nursing, and business settings. This research investigatesdeterminants of client-professional relationship quality in financial planning, measured in a survey of clientsand financial planners regarding relationship factors of trust, engagement, empowerment, ownership, clientactivity and commitment. Ratings for relationship dimensions were compared between clients and financialplanners, with financial planners found to overestimate their clients’ levels of trust and commitment andunderestimate their client’s levels of empowerment. The relationship dimension of ‘trust’ was found to becritical for client-professional relationship quality.

  3. An analysis of a partial task training strategy for profoundly retarded institutionalized clients.

    Science.gov (United States)

    Cipani, E

    1985-03-01

    This study investigated the effects of a partial task training strategy on productivity and on-task behavior in three profoundly retarded institutionalized clients in a pre-skills workshop classroom. Partial task training consisted of the presentation of "mini-tasks," with reinforcement for completion of those tasks. Additionally, behavior monitors were used to provide the clients with further positive comments and prompts. The results indicated that this strategy was effective in decreasing high rates of off-task behavior and in substantially increasing the number of pieces completed during the session. However, the effect on other inappropriate behaviors was minimal. This strategy demonstrated that profoundly retarded clients could be taught to increase on-task behavior and productivity in pre-skills workshop classes.

  4. Sexual risk behavior among injection drug-using human immunodeficiency virus positive clients.

    Science.gov (United States)

    Singh, B K; Koman, J J; Catan, V M; Souply, K L; Birkel, R C; Golaszewski, T J

    1993-06-01

    This study examined sexual risk behavior of 154 seropositive Hispanic injection drug-using clients who were a subsample of a larger study. The results revealed that while nearly 71% followed safe sex practices at a 6-month follow-up, the other 29% were following risky sexual behaviors. Among males who were 25 years of age or younger, slightly over 58% were practicing unsafe sex. Among females, those in the 31-35 age group were all following risky sexual behaviors. Generally, those who lived with their sexual partners, females, and younger clients tended to follow risky sexual behaviors. These findings are very significant in the light of the heterosexual transmission of Human Immunodeficiency Virus (HIV). Educational and case management programs are needed to provide such clients with an understanding of the possibility of HIV transmission to their sexual partners and to their children in case of pregnancies.

  5. Clients' Perceptions Towards IT Security of e-banking in Bosnia and Herzegovina

    Directory of Open Access Journals (Sweden)

    Nedim Makarević

    2013-01-01

    Full Text Available Main objective of this research is to examine clients’ perceptions in Bosnia and Herzegovina towards IT security of e-banking, to diagnose problems and try to give proper solutions. Survey was prepared based on six variables and specific questions assigned to each variable. Response rate was good and 207 respondents were surveyed.Overall results suggested a slight agreement in general, and they indicated that when it comes to IT security of online banking, several factors including privacy, control and intangible features are highly important for clients of Bosnia and Herzegovina. Clients do not perceive tangible features as important as they actually are. Therefore, banks are those who need to give more effort when it comes to implementation of IT security in online banking. They definitely need to find more effective ways to inform and educate clients about IT security of using online service, and in that way create additional value.

  6. Sociodemographic characteristics of severely mentally ill clients in rural and urban counties.

    Science.gov (United States)

    Greenley, J R; Dottl, S L

    1997-12-01

    Sociodemographic differences between rural and urban clients with severe mental illness (SMI) are explored using approaches which extend research in this area beyond limitations found in the few existing studies. Sixteen hundred adult clients from 18 Wisconsin counties are classified according to the degree of rurality of their counties of residence, using two definitions: a dichotomous metropolitan-non-metropolitan grouping and population density. There are significant differences between rural and urban clients for age, gender, and marital status, but not education or income. Young (18-35 years), unmarried males are more likely to live in more densely populated counties. Older (65 and older) women who are currently or previously married are more likely to live in less densely populated counties.

  7. Criteria for architect selection and satisfaction among first-time private sector clients

    Directory of Open Access Journals (Sweden)

    Adedapo Adewunmi Oluwatayo

    2016-11-01

    Full Text Available For sustained profitability, architects must position themselves to attract new clients. This involves understanding potential clients’ choices and how these might impact on subsequent satisfaction. The study ranked criteria for architect selection and how these predict satisfaction among first-time private sector clients in Lagos, Nigeria. Data from a questionnaire survey were analysed using descriptive statistics, relative importance index and categorical regression, identifying timely delivery, cost of service and quality of previous services as the most important criteria. Although personal relationship has been said to influence selection of a professional service provider, this criterion was found to be of relatively low importance here. To attract private sector clients, architects should prioritise improved service delivery and construction skill development.

  8. A consulta de enfermagem no contexto da comunicação interpessoal: a percepção do cliente La consulta de enfermería en el contexto de la comunicación interpersonal: la percepción del cliente Nursing consultation in the interpersonal communication context: clients perception

    Directory of Open Access Journals (Sweden)

    Maria da Graça da Silva

    1998-01-01

    Full Text Available Este estudo relata a percepção do cliente quanto a consulta de enfermagem, sob o ponto de vista do contexto da comunicação interpessoal. Os dados foram coletados através de entrevista semi-estruturada, com uma amostra de 11 (onze clientes atendidos no Programa de Controle do Diabetes e Hipertensão do Centro de Especialidades Médicas, em Campo Grande-MS. Os resultados mostraram a percepção positiva do cliente em relação a consulta de enfermagem e ao enfermeiro, e evidenciaram as dificuldades dos clientes em expor seus sentimentos claramente.Este estudo relata la percepción del cliente cuando estealizada la consulta de enfermería, bajo el punto de vista del contexto de la comunicación interpersonal. Los datos fueron colectados por medio de entrevista semi-estructurada, con una muestra de 11 (once clientes atendidos en el Programa de Control de la Diabetis e Hipertensión del Centro de Especialidades Médicas, en Campo Grande - M.S. Los resultados mostraron la percepción positiva del cliente en relación a la consulta de enfermería y al enfermero, y evidenciaron las dificultades de los clientes en exponer sus sentimientos claramente.This study describes clients perceptions about the nursing consultation, under the interpersonal communication context point of view. Data were collected through semi-structured interviews, with a sample of 11 (eleven clients, who attended the Diabetis Control and High Blood Pressure Program of the Medical Specialities Center of Campo Grande - MS. Results demonstrated clients positive perceptions about nursing consultation and nurses and clients difficulties in explaining their feelings clearly.

  9. TJ-II data retrieving by means of a client/server model

    Science.gov (United States)

    Vega, J.; Sánchez, E.; Crémy, C.; Portas, A.; Dulya, C. M.; Nilsson, J.

    1999-01-01

    The database of the TJ-II flexible heliac is centralized in a Unix server. This computer also commands the on-line processes related to data acquisition during TJ-II discharges: programming of measurement systems, connectivity with control systems, data visualization, and computations. The server has to provide access to the data so that signal analysis can be performed by local users or even from remote hosts. Data retrieving is accomplished by means of a client/server architecture in which two data servers are permanently running in the background of the Unix computer. One of them serves data requests from local clients and the other one sends data to remote clients. The communication protocol in both cases has been developed by using TCP/IP and Berkeley sockets. The client part consists of a set of routines (FORTRAN and C callable), which, in a transparent way, provide connectivity with the servers. This structure allows access to TJ-II data exactly in the same way from any computer, hiding not only specific aspects of the database, but hardware architecture of the server computer as well. In addition, the remote access makes it possible to distribute computations and to reduce the load on the Unix server from analysis and visualization tasks. At present, this software is running in four different environments: the Unix server itself, various types of Unix workstations, a CRAY J90 and a CRAY T3E. Finally, due to the fact that visualization is essential for TJ-II data analysis, a powerful and a very flexible visualization tool has been developed. It is a point and click application based on X Window/Motif. Data access is carried out through the client/server processes mentioned above and the software runs in the client computer.

  10. Too frightened to care? Accounts by district nurses working with clients who misuse substances.

    Science.gov (United States)

    Peckover, Sue; Chidlaw, Robert G

    2007-05-01

    Drug misusers have complex health and social care needs, and experience considerable difficulties in accessing the assessment, care and treatment that they require. Despite the development of specialist services in many parts of the UK, substance misuse is often marginalised within mainstream general healthcare, and many practitioners are unprepared for the challenges of working with this client group. The present paper reports findings from a qualitative study that aimed to explore district nurses' understandings and practices in relation to discrimination and inequalities issues. The research took place during 2003 in two city-based primary care trusts in the North of England. Semistructured interviews were undertaken with 18 'G' grade district nurses. The authors present findings that highlight some of the challenges and tensions district nurses encounter when providing care to clients who misuse substances. The discourses of 'prejudice' and 'risk' were intertwined throughout the data, and served to shape service provision for clients who misuse substances. This was reflected in the district nurses' accounts of their own practice and that of other services, suggesting that these clients receive suboptimal care. The discourse of 'risk' was also used by district nurses to construct themselves as 'vulnerable', and this helped to explain some of their own practices of care provision. Many participants acknowledged their limited knowledge and experience of working with this client group. There is an urgent need for district nurses and other health professionals to develop their practice with these clients, who may present as both vulnerable and dangerous, in order to ensure that care is provided equitably and safely.

  11. Estrategia de marketing relacional para lograr la fidelización de los clientes

    Directory of Open Access Journals (Sweden)

    Juan Carlos Niño de Guzmán Miranda

    2014-11-01

    Full Text Available El objetivo de esta investigación es determinar la eficacia de la estrategia de marketing relacional para mejorar la fidelización de los clientes en el Centro de Aplicación Productos Unión. La investigación tiene un diseño preexperimental. Para la recolección de información se aplicó la Encuesta de Fidelización de Clientes, en una muestra de 216 bodegueros de Lima Metropolitana, en dos momentos: antes y después de la implementación de la estrategia de marketing relacional. La encuesta mide tres dimensiones de la fidelización de los clientes: compra, servicios y lealtad. Los resultados muestran que la fidelización de los clientes se incrementó después de la implementación de la estrategia de marketing relacional, teniendo como media del pretest = 59.82 y el postest = 93.25. Del mismo modo, se incrementaron las medias en las dimensiones compra (pretest = 29.14; postest = 47.70, servicios (pretest = 25.96; postest = 31.53, y lealtad (pretest = 3.78; postest = 9.49. La prueba “t de student” para el contraste de medias muestra que hubo un incremento significativo en la fidelización de los clientes (0.000, compra (0.000, servicios (0.000 y lealtad (0.000 a un nivel de confianza de 95%. En conclusión, la estrategia de marketing relacional mejora la fidelización de los clientes.

  12. Developing a Culturally Appropriate HIV and Hepatitis C Prevention Intervention for Latino Criminal Justice Clients.

    Science.gov (United States)

    Ibañez, Gladys E; Whitt, Elaine; Rosa, Mario de la; Martin, Steve; O'Connell, Daniel; Castro, Jose

    2016-07-01

    The population within the criminal justice system suffers from various health disparities including HIV and hepatitis C virus (HCV). African American and Latino offenders represent the majority of the offender population. Evidence-based interventions to prevent HIV and HCV among criminal justice clients are scant and usually do not take cultural differences into account. Toward this end, this study describes the process of culturally adapting an HIV/HCV prevention intervention for Latino criminal justice clients in Miami, Florida, by using the ecological validity model. Recommendations for culturally adapting an intervention for Latinos include an emphasis on language and integrating cultural themes such as familism and machismo.

  13. Projeto Fidelização de clientes aplicada ao restaurante Tribeca

    OpenAIRE

    Monteiro, Ana Luísa Ferreira

    2012-01-01

    Dissertação de Mestrado em Marketing e Promoção Turística apresentada à ESTM - Escola Superior de Turismo e Tecnologia do Mar do Instituto Politécnico de Leiria Atualmente, para fazer face às exigências, necessidades e expetativas dos clientes muitas empresas recorrem à utilização de diversas ações, no sentido de manter os seus clientes e conquistar novos, mas a concorrência entre empresas é uma constante e nenhuma tem a capacidade de saber qual a melhor forma de conseguir alcançar os seus...

  14. La orientación empresarial hacia el cliente en la Web 2.0

    OpenAIRE

    2010-01-01

    Los espacios de la Web 2.0 se han configurado en el panorama digital como una herramienta al servicio de las estrategias empresariales de los anunciantes. Las capacidades de escucha de los clientes (actuales y potenciales) y de creación comunidades en torno a la marca, entre otras, facilitan a la compañía la puesta en marcha de una orientación empresarial hacia el cliente a través de estas herramientas. Los objetivos del presente artículo han sido analizar el empleo que las empresas están hac...

  15. Detection, advice, and referral to services (DARTS) procedures among clients with public defenders.

    Science.gov (United States)

    Mericle, Amy A; Belenko, Steven; Festinger, David S

    2011-01-01

    Although screening and brief intervention techniques have been found to be efficacious in a variety of medical settings, their use in the criminal justice system has been limited. We present data from Chief Public Defenders (PDs) in 24 Pennsylvania counties who were surveyed about their approach to substance-using clients and their attitudes toward treatment and talking to clients about substance use. A random subsample (n = 8) participated in an additional semistructured interview. Results provide preliminary support for the use of Detection, Advice, and Referral to Services (DARTS) procedures by PDs and identify potential barriers to its implementation.

  16. Estrategia de marketing relacional para lograr la fidelización de los clientes

    OpenAIRE

    Juan Carlos Niño de Guzmán Miranda

    2014-01-01

    El objetivo de esta investigación es determinar la eficacia de la estrategia de marketing relacional para mejorar la fidelización de los clientes en el Centro de Aplicación Productos Unión. La investigación tiene un diseño preexperimental. Para la recolección de información se aplicó la Encuesta de Fidelización de Clientes, en una muestra de 216 bodegueros de Lima Metropolitana, en dos momentos: antes y después de la implementación de la estrategia de marketing relacional. La encuesta mide tr...

  17. Poetic license: using the Exner system of Rorschach analysis to understand client writings.

    Science.gov (United States)

    Mailler, B

    1991-01-01

    Is it possible to generalize client responses to Rorschach stimuli to their responses to other stimuli in the life space? If so, can we interpret their responses without a formal administration? This paper explores the application of Exner-based Rorschach techniques to client verbalizations and writings. This exploration is conducted by taking "poetic license" with the Exner system and analyzing three pieces of literature: poems by Basho, Ezra Pound, and Siv Cedering Fox. It appears that there is some face validity to the notion that psychological processes can be inferred by interpreting language according to some Exner concepts and techniques.

  18. Segmentación de clientes: fidelidad, "share of wallet" y sensibilidad al precio

    OpenAIRE

    Rico Paino, Miguel

    2011-01-01

    En este proyecto, realizado bajo un convenio de colaboración para la empresa consultora Neo-Metrics, se estudian y analizan las características y los hábitos de compras de los consumidores de una cadena de supermercados ubicado en Cataluña. El proyecto consiste básicamente en realizar diferentes segmentaciones de clientes. Primero se segmenta a los clientes dependiendo su grado de fidelidad. Después se realiza una segmentación en función del "Share of Wallet" y finalmente se obtienen gru...

  19. Addressing multiple relationships between clients and therapists in lesbian, gay, bisexual, transgender communities.

    Science.gov (United States)

    Kessler, Laura E; Waehler, Charles A

    2005-02-01

    Therapists working in lesbian, gay, bisexual, and transgender (LGBT) communities are likely to experience the potential to engage in multiple relationships with their clients. Currently, the American Psychological Association's (2002) ethics code and the related literature base offer minimal direct guidance to therapists practicing in LGBT communities. In this article, the authors review current literature regarding multiple relationships in psychotherapy, considering how this literature addresses issues specific to practitioners working within LGBT communities, present a case study highlighting the negotiation of a multiple relationship between a client and therapist who both identify as lesbian, and offer recommendations for practitioners working within LGBT communities.

  20. Calidad en la atención al cliente en las Pymes del municipio de Arauca

    OpenAIRE

    Soto Soto, Adriana Del Pilar

    2013-01-01

    El presente estudio, muestra como las pymes del municipio de Arauca orientan la calidad del servicio al cliente y como la existencia de factores internos que están bajo la orientación de la gerencia, ocasionan que las expectativas de los clientes sean mayores que sus percepciones. Lo poca planificación estratégica, la falta de liderazgo empresarial y la cultura inciden de forma negativa en los procesos de calidad que las empresas deben lograr para tener niveles altos de satisfacción de los...

  1. MARKETING DE RELACIONAMENTO: A PERCEPÇÃO DO CLIENTE DA SOUZA CRUZ

    Directory of Open Access Journals (Sweden)

    Jorne Ricardo Peiter

    2015-09-01

    Full Text Available Em meio à crescente preocupação das organizações com as evoluções e as constantes modificações nos processos das empresas, principalmente no que diz respeito à qualidade de seus produtos e serviços, tornou-se necessário realizar estudos sobre formas de aproximação dos clientes e prospecção de novos clientes. Essa prática ganhou uma importância fundamental para agregar valor para a organização, além de compreender cada vez mais as necessidades dos clientes através do marketing de relacionamento. O presente trabalho busca estudar a percepção dos clientes em relação às ferramentas de marketing de relacionamento utilizadas pela empresa Souza Cruz S.A. Para tanto, são apresentados os principais conceitos envolvendo marketing de relacionamento e o processo de fidelização de clientes. A metodologia utilizada foi divida em duas etapas distintas, sendo a primeira exploratória, bibliográfica e qualitativa; e a segunda é descritiva, bibliográfica e quantitativa. A amostra foi de 50 clientes da Souza Cruz. Os resultados apontam que os clientes consideram muito importante o relacionamento com a empresa, o que é comprovado pela média da pesquisa nos atributos de comunicação / atendimento dos colaboradores (4,35 no grau de importância, e 4,58 no grau de satisfação. Na síntese da satisfação geral, a média do grau de satisfação atribuída pela amostragem da pesquisa é de 3,98. Esse percentual foi considerado bom, visto que aproxima-se do item satisfeito (grau 4. Esse resultado pode estar relacionado ao trabalho de relacionamento que a empresa Souza Cruz vem realizando com sua equipe de Trade Marketing, que busca, constantemente, valorizar os seus clientes, para construir relacionamentos fortes e duradouros.

  2. Necesidades percibidas por los clientes de un sistema CRM en empresas de compra online

    OpenAIRE

    2014-01-01

    El CRM es una herramienta que apoya la gestión de relaciones sólidas y duraderas con los clientes de manera que los productos y servicios que la empresa ofrece cumplan efectivamente las expectativas de sus clientes y por tanto se garantice la continuidad de las ventas en un entorno tan competitivo como el actual. El objetivo de este documento es presentar los resultados de la investigación de mercados que busca identificar las principales características que debe tener, desde el punto de vist...

  3. Metodologia de estimación del numero de clientes del Sistema Bancario en Mexico

    OpenAIRE

    Beatriz Irene Balmaseda Perez; Lizbeth Necoechea

    2012-01-01

    Los clientes del sistema bancario mexicano son aquellos que tienen al menos una cuenta de ahorro o credito, en alguno de los bancos del pais. Con el fin de evaluar el avance de bancarizacion y establecer metas de inclusion financiera, este documento propone un metodo para calcular el numero de usuarios con tenencia de productos de captacion y/o credito en alguna de las instituciones bancarias. Al no haber cifras publicadas del numero de clientes de cada banco, por parte de las autoridades o d...

  4. ANÃLISE DE MODELOS DE VALOR DE CLIENTE POR TODA A VIDA E INFLUÃNCIAS NA RENTABILIDADE ORGANIZACIONAL

    Directory of Open Access Journals (Sweden)

    Jersone Tasso Moreira Silva

    2007-04-01

    Full Text Available Esse trabalho objetiva descrever práticas de gestão de um portfolio de clientes, relacionando-as com os pressupostos do modelo valor do cliente (customer equity orientado para retenção e rentabilidade. A partir do conceito fundamental sobre valor de clientes, o trabalho apresenta análise da viabilidade da aplicação de alguns modelos. O conceito foi operacionalizado tendo, como base, a classificação dos clientes por lucratividade e mensuração do valor do cliente de acordo com os modelos propostos por Rust, Blattberg e Gupta (2005, identificando ações relacionadas às políticas de retenção, manutenção e aquisição de clientes na empresa analisada. Observou-se que a baixa retenção dos clientes nos grupos, era devida, em parte, a esta grande mobilidade dos clientes entre os grupos de margem de contribuição bruta. O estudo foi realizado em um portfólio de clientes de uma empresa industrial multinacional de grande porte, do setor industrial, na perspectiva de estudo de caso quantitativo. Pelos elementos apresentados foi possível definir recomendações que minimizem a volatilidade de clientes, bem como identificar aqueles com maior potencial em termos de margem de contribuição e definir estratégias que facilite a maximização do valor do cliente.

  5. Improvements and Additions to NASA Near Real-Time Earth Imagery

    Science.gov (United States)

    Cechini, Matthew; Boller, Ryan; Baynes, Kathleen; Schmaltz, Jeffrey; DeLuca, Alexandar; King, Jerome; Thompson, Charles; Roberts, Joe; Rodriguez, Joshua; Gunnoe, Taylor; Wong, Minnie; Alarcon, Christian; DeCesare, Cristina; Pressley, Natalie

    2016-01-01

    For many years, the NASA Global Imagery Browse Services (GIBS) has worked closely with the Land, Atmosphere Near real-time Capability for EOS (Earth Observing System) (LANCE) system to provide near real-time imagery visualizations of AIRS (Atmospheric Infrared Sounder), MLS (Microwave Limb Sounder), MODIS (Moderate Resolution Imaging Spectrometer), OMI (Ozone Monitoring Instrument), and recently VIIRS (Visible Infrared Imaging Radiometer Suite) science parameters. These visualizations are readily available through standard web services and the NASA Worldview client. Access to near real-time imagery provides a critical capability to GIBS and Worldview users. GIBS continues to focus on improving its commitment to providing near real-time imagery for end-user applications. The focus of this presentation will be the following completed or planned GIBS system and imagery enhancements relating to near real-time imagery visualization.

  6. The real relationship in a postmodern world: theoretical and empirical explorations.

    Science.gov (United States)

    Gelso, Charles J

    2009-05-01

    A theory of the real relationship, including its place in the overall therapeutic relationship, is amplified. The real relationship is seen as a key component of all psychotherapy relationships. It exists from the first moment of contact between therapist and patient, and it deepens as the work progresses. Recently, reliable measures of the real relationship from the therapist's and client's perspectives have been developed, and these measures have demonstrated sound beginning validity. Studies have explored the variables with which the real relationship correlates and have demonstrated significant relationships to treatment progress and outcome. The real relationship appears to be a promising variable for future study, and potentially fruitful directions for such study are noted.

  7. Real-Time Monitoring of Psychotherapeutic Processes: Concept and Compliance

    Science.gov (United States)

    Schiepek, Günter; Aichhorn, Wolfgang; Gruber, Martin; Strunk, Guido; Bachler, Egon; Aas, Benjamin

    2016-01-01

    Objective: The feasibility of a high-frequency real-time monitoring approach to psychotherapy is outlined and tested for patients' compliance to evaluate its integration to everyday practice. Criteria concern the ecological momentary assessment, the assessment of therapy-related cognitions and emotions, equidistant time sampling, real-time nonlinear time series analysis, continuous participative process control by client and therapist, and the application of idiographic (person-specific) surveys. Methods: The process-outcome monitoring is technically realized by an internet-based device for data collection and data analysis, the Synergetic Navigation System. Its feasibility is documented by a compliance study on 151 clients treated in an inpatient and a day-treatment clinic. Results: We found high compliance rates (mean: 78.3%, median: 89.4%) amongst the respondents, independent of the severity of symptoms or the degree of impairment. Compared to other diagnoses, the compliance rate was lower in the group diagnosed with personality disorders. Conclusion: The results support the feasibility of high-frequency monitoring in routine psychotherapy settings. Daily collection of psychological surveys allows for the assessment of highly resolved, equidistant time series data which gives insight into the nonlinear qualities of therapeutic change processes (e.g., pattern transitions, critical instabilities). PMID:27199837

  8. Real-Time Monitoring of Psychotherapeutic Processes: Concept and Compliance

    Directory of Open Access Journals (Sweden)

    Guenter Karl Schiepek

    2016-05-01

    Full Text Available AbstractObjective. The feasibility of a high-frequency real-time monitoring approach to psychotherapy is outlined and tested for patients’ compliance to evaluate its integration to everyday practice. Criteria concern the ecological momentary assessment, the assessment of therapy-related cognitions and emotions, equidistant time sampling, real-time nonlinear time series analysis, continuous participative process control by client and therapist, and the application of idiographic (person-specific surveys. Methods. The process-outcome monitoring is technically realized by an internet-based device for data collection and data analysis, the Synergetic Navigation System. Its feasibility is documented by a compliance study on 151 clients treated in an inpatient and a day-treatment clinic. Results. We found high compliance rates (mean: 78.3%, median: 89.4% amongst the respondents, independent of the severity of symptoms or the degree of impairment. Compared to other diagnoses, the compliance rate was lower in the group diagnosed with personality disorders. Conclusion. The results support the feasibility of high-frequency monitoring in routine psychotherapy settings. Daily collection of psychological surveys allows for assessment of highly resolved, equidistant time series data which gives insight into the nonlinear qualities of therapeutic change processes (e.g., pattern transitions, critical instabilities.

  9. Client Software Design of Video Monitoring System Based on GTK +/GNOME%基于GTK+/GNOME的视频监控系统客户端软件设计

    Institute of Scientific and Technical Information of China (English)

    刘立才; 康维新; 王海生; 缪晶; 张强; 李鹏; 吴学文

    2012-01-01

    针对实时视频数据的处理,在Linux系统下充分利用多线程编程优点,基于GNOME桌面环境下的GTK技术,对客户端软件设计及其关键技术进行了详细的研究.该客户端软件在应用层通过多线程操作能够对图像数据进行及时处理,利用GTK技术设计的图形化用户界面不仅为用户提供了友好的访问与控制接口,同时也便于客户端和服务端之间信息的交互.另外,所设计的客户端软件还具有动态拍照存储的功能,这就为后续处理操作提供了宝贵的资料来源.经过测试,该客户端软件性能稳定、可靠,视频监控画面清晰、流畅、实时性好,能够较好地满足用户的需求,具有一定的实际应用价值.%Aiming at the real-time video data processing, fully using the advantages of multi-threaded programming in Linux, together with GTK technology in the GNOME desktop environment, the client software design and its key technologies are studied in detail. The client software at the application layer through multi-threaded operation to process the real-time image data,the design of graphical user interface using GTK technology can not only provide users with a friendly visit and control interface, at the same time also facilitate the interaction of the information between the client and server. In addition, the client software also has the function of dynamic photographing and storage,so that it can provide a valuable source of evidence for follow-up processing operations. The client software is tested to be stable and reliable in performance,and the video monitoring screen is clear and smooth,with good quality in real time,which can meet the needs of customers and has a certain practical value.

  10. Conducting real-time multiplayer experiments on the web.

    Science.gov (United States)

    Hawkins, Robert X D

    2015-12-01

    Group behavior experiments require potentially large numbers of participants to interact in real time with perfect information about one another. In this paper, we address the methodological challenge of developing and conducting such experiments on the web, thereby broadening access to online labor markets as well as allowing for participation through mobile devices. In particular, we combine a set of recent web development technologies, including Node.js with the Socket.io module, HTML5 canvas, and jQuery, to provide a secure platform for pedagogical demonstrations and scalable, unsupervised experiment administration. Template code is provided for an example real-time behavioral game theory experiment which automatically pairs participants into dyads and places them into a virtual world. In total, this treatment is intended to allow those with a background in non-web-based programming to modify the template, which handles the technical server-client networking details, for their own experiments.

  11. Implicit Real Vector Automata

    Directory of Open Access Journals (Sweden)

    Jean-François Degbomont

    2010-10-01

    Full Text Available This paper addresses the symbolic representation of non-convex real polyhedra, i.e., sets of real vectors satisfying arbitrary Boolean combinations of linear constraints. We develop an original data structure for representing such sets, based on an implicit and concise encoding of a known structure, the Real Vector Automaton. The resulting formalism provides a canonical representation of polyhedra, is closed under Boolean operators, and admits an efficient decision procedure for testing the membership of a vector.

  12. REAL ESTATE INFORMATION

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Project: Shihua International Center Developer: Beijing Urban Construction Real Estate Co. Ltd. Location: Inner side of Jingguangqiao Overpass along the East Third Ring Road, Beijing Project Introduction: On the afternoon of March 30, Beijing Urban Construction Real Estate Co. Ltd. and Beijing Huihe Real Estate Co. Ltd. held the first introductory conference on the project of Shihua International Center in the Conference Hall of Jingguanq Center. At the conference,

  13. Elements of real analysis

    CERN Document Server

    Sprecher, David A

    2010-01-01

    This classic text in introductory analysis delineates and explores the intermediate steps between the basics of calculus and the ultimate stage of mathematics: abstraction and generalization.Since many abstractions and generalizations originate with the real line, the author has made it the unifying theme of the text, constructing the real number system from the point of view of a Cauchy sequence (a step which Dr. Sprecher feels is essential to learn what the real number system is).The material covered in Elements of Real Analysis should be accessible to those who have completed a course in

  14. Real Change for the Real Economy

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    To tackle the problem of excess liquidity, it is extremely urgent to lead private speculative money into the investment sector. Developing strategic emerging industries will open a new investment channel for private capital and might help divert a certain amount from the virtual economy to real business operations.

  15. 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 =…

  16. Is Student Pathology Really Increasing? Seven Measures of the Acuity of Counseling Center Clients, 1992-2007

    Science.gov (United States)

    Schwartz, Allan J.

    2015-01-01

    Since 1992, an overwhelming consensus among counseling center directors has asserted that, year after year, the severity or psychopathology of counseling center clients has been increasing. In contrast to this perceptual consensus, the search for confirming evidence using client self-report measures has been frustrating. These studies have…

  17. Ma(r)king Differences in Dutch Social Work : Professional Discourse and Ways of Relating to Clients in Context

    NARCIS (Netherlands)

    Haar, M. van der

    2007-01-01

    This study investigates the ways social workers in the Netherlands deal with a diversity of clients, particularly focussing on allochtonous clients. The study is motivated by the current hegemonic tendency to problematise allochtonous Dutch, often explained along the lines of culture. It was assumed

  18. Assessing client-caregiver relationships and the applicability of the 'student-teacher relationship scale' for people with intellectual disabilities

    NARCIS (Netherlands)

    J.M. Roeden; M.A. Maaskant; H.M.Y. Koomen; M.J.J.M. Candel; L.M.G. Curfs

    2012-01-01

    Improvements in client-caregiver relationships may lead to improvements in the quality of life of clients with intellectual disabilities (ID). For this reason, interventions aimed at influencing these relationships are important. To gain insight into the nature and intention of these relationships i

  19. Using Experiential Activities to Prepare Counselors-in-Training to Understand the Power of Cravings when Addressing Clients with Addiction

    Science.gov (United States)

    Harrawood, Laura K.; McClure, Cristen C.; Nelson, Jennifer

    2011-01-01

    Providing skilled treatment options for clients experiencing addiction is imperative to positive client treatment outcomes. As a prerequisite to providing efficacious addiction treatment, counselors-in-training are charged with the responsibility of understanding the affect of cravings on addiction relapse. This article presents 3 experiential,…

  20. An evaluation of client satisfaction with training programs and technical assistance provided by Florida's Coordinated School Health Program Office.

    Science.gov (United States)

    Weiler, R M; Pigg, R M

    2000-11-01

    Client or customer satisfaction surveys assess the perceived quality of programs, products, services, and employee performance. Such assessments prove beneficial for evaluation and planning purposes. This survey examined the satisfaction of clients using the programs, services, and technical assistance provided through the Coordinated School Health Program Office (CSHPO) in the Florida Department of Education. Using the 42-item Client Satisfaction Survey, data were collected in summer 1999 from 300 of 574 clients (52.3%) who attended training sessions or sought technical assistance from CSHPO during 1996-1999. More than two-thirds (67.2%) of clients rated the training program as "very good" or "excellent" at increasing their understanding about the concept of a coordinated school health program. Overall, 69.7% of clients rated the training programs they attended as "very good" or "excellent." Resource materials and staff effectiveness rated positively as well. Findings confirmed client satisfaction with CSHPO's training programs, technical assistance, and staff. Information obtained through the client satisfaction survey can be used by CSHPO to assist in future program planning and resource allocations.