Effect of Qing Nao tablet on blood stasis model of mice

Science.gov (United States)

Kong, Xuejun; Hao, Shaojun; Wang, Hongyu; Liu, Xiaobin; Xie, Guoqi; Li, Wenjun; Zhang, Zhengchen

2018-04-01

To investigate the effect of Qing Nao tablet on mouse model of blood stasis syndrome, 60 mice, male and female, were randomly divided into 6 groups, were fed with large, small doses of Qing Nao tablet suspension, Naoluotong saline suspension and the same volume (group 2, 0.1ml/10g), administer 1 times daily, orally for 15 days. Intragastric administration for first days, in addition to the 1 group saline group every day in the hind leg intramuscular saline, the other 5 groups each rat day hind leg muscle injection of dexamethasone 0.8mg/kg intramuscular injection every day, 1 times, 15 days. 1 hour continuous intramuscular injection and intramuscular drug perfusion on the sixteenth day after mice. The eyeball blood, heparin after whole blood viscosity test. Compared with the control group, model group, high and low shear viscosity were significantly increased (Pgroup, high dose group and Qing Nao tablet Naoluotong group can significantly reduce the viscosity at high shear and (Pgroup can significantly reduce high shear and shear viscosity (Pgroup can significantly reduce the low shear viscosity (Pgroup can significantly reduce the low shear viscosity (Pgroup were lower high cut, low shear viscosity and trend The potential (P>0.05). The Qing Nao tablet has a good effect on the model of blood stasis in mice.

Characterization of Bacillus subtilis strains in Thua nao, a traditional fermented soybean food in northern Thailand.

Science.gov (United States)

Inatsu, Y; Nakamura, N; Yuriko, Y; Fushimi, T; Watanasiritum, L; Kawamoto, S

2006-09-01

To clarify the diversity of Bacillus subtilis strains in Thua nao that produce high concentrations of products useful in food manufacturing and in health-promoting compounds. Production of amylase, protease, subtilisin NAT (nattokinase), and gamma-polyglutamic acid (PGA) by the Bacillus subtilis strains in Thua nao was measured. Productivity of protease NAT by these strains tended to be higher than by Japanese commercial natto-producing strains. Molecular diversity of isolated strains was analysed via randomly amplified polymorphic DNA-PCR fingerprinting. The strains were divided into 19 types, including a type with the same pattern as a Japanese natto-producing strain. B. subtilis strains that could be a resource for effective production of protease, amylase, subtilisin NAT, or PGA were evident in Thua nao produced in various regions in northern Thailand. This study clearly demonstrated the value of Thua nao as a potential resource of food-processing enzymes and health-promoting compounds.

European land CO2 sink influenced by NAO and East-Atlantic Pattern coupling

Science.gov (United States)

Bastos, Ana; Janssens, Ivan A.; Gouveia, Célia M.; Trigo, Ricardo M.; Ciais, Philippe; Chevallier, Frédéric; Peñuelas, Josep; Rödenbeck, Christian; Piao, Shilong; Friedlingstein, Pierre; Running, Steven W.

2016-01-01

Large-scale climate patterns control variability in the global carbon sink. In Europe, the North-Atlantic Oscillation (NAO) influences vegetation activity, however the East-Atlantic (EA) pattern is known to modulate NAO strength and location. Using observation-driven and modelled data sets, we show that multi-annual variability patterns of European Net Biome Productivity (NBP) are linked to anomalies in heat and water transport controlled by the NAO–EA interplay. Enhanced NBP occurs when NAO and EA are both in negative phase, associated with cool summers with wet soils which enhance photosynthesis. During anti-phase periods, NBP is reduced through distinct impacts of climate anomalies in photosynthesis and respiration. The predominance of anti-phase years in the early 2000s may explain the European-wide reduction of carbon uptake during this period, reported in previous studies. Results show that improving the capability of simulating atmospheric circulation patterns may better constrain regional carbon sink variability in coupled carbon-climate models. PMID:26777730

Technological fantasies of Nao

DEFF Research Database (Denmark)

Jørgensen, Stina Marie Hasse; Tafdrup, Oliver Alexander

2017-01-01

This article will through a ‘what-if’ scenario involving the humanoid robot, Nao, as a museum guide, discuss the potential benefits of theorizing social robots through a perspective grounded in critical design and postphenomenology. Within Science and Technology-studies (STS) postphenomenology has...... been the ‘go-to’ theory when discussing the philosophical aspects of human-technology relations. Postphenomenology directly addresses how humans on a phenomenological level relate to robots through an ‘alterity-relation’ that establishes the robot as a ‘quasi-other’. A methodological discussion of how...... to conduct empirical postphenomenological research into robotics, has, however, not been thoroughly unfolded, although the question of a general postphenomenological methodology has been touched upon. This article provides a contribution to the debate on how to enquire into human-robot relations...

Tropical Pacific forcing on decadal-to-centennial NAO-dominated precipitation variability in northern Mediterranean over the past 6500 years

Science.gov (United States)

Hu, H. M.; Shen, C. C.; Michel, V.; Jiang, X.; Mii, H. S.; Wang, Y.; Valensi, P.

2017-12-01

We present a multi-annual-resolved absolute-dated stalagmite-inferred precipitation record, with age precision as good as ±2 years, from northern Italy, to reflect North Atlantic Oscillation (NAO) dynamics since 6.5 ka (thousand years ago, before 1950 C.E.). Our record features millennial precipitation fluctuations punctuated by several centennial-scale drought periods centered at 5.6, 6.2, 4.2, 3.0 and 2.3 ka. The phase relationship with previous NAO-sensitive records suggests a multi-millennial southward migration of the northern Westerlies and enhanced NAO variability from the middle- to late-Holocene. We also found the multi-decadal to centennial rainfall amount could dramatically vary within few decades, possibly affecting ancient Mediterranean civilizations. Concurrence between northern Mediterranean precipitation and western tropical Pacific sea surface temperature records suggests the remote forcing on this NAO-dominated rainfall. We argue that the irregular NAO change nowadays could be related to high frequency of El Niño-Southern Oscillation events and might cause an inevitable abrupt hydroclimate change and irreparable impacts on the regional human society in the near future.

Understanding the NAO from Iberian and UK paleoclimate records. The NAOSIPUK project

Science.gov (United States)

Garcia-Alix, Antonio; Toney, Jaime L.; Jiménez-Moreno, Gonzalo; Slaymark, Charlotte; José Ramos-Román, Maria; Camuera, Jon; Jiménez-Espejo, Francisco J.; Anderson, R. Scott

2017-04-01

The main goal of the NAOSIPUK project was to understand the North Atlantic Oscillation (NAO) during the Holocene, because the NAO is one major climate mode influencing climate patterns across Europe, and therefore, economy and society (Hurrell, 1995). We analysed several sedimentary records in two regions with opposing NAO responses. Our sedimentary surface survey from numerous lakes and bogs, led to further investigation of four records in the southern Iberian Peninsula and three in the central/northern UK. Past environments of the different sites were analysed using pollen and charcoal analysis, organic and inorganic geochemistry analyses, and sedimentary and geophysical surveys were performed. This work compares general environmental trends in both regions as deduced from the organic matter from bulk sediment to get an idea of the organic matter source, as well as specific organic compounds extracted from the sediment, such as leaf waxes (n-alkanes), algae-related compounds (diols and alkenones), and bacteria-related compounds (hopanes), to specify the sources of the organic matter, environmental temperature ranges, as well as hydrological changes. Our preliminary results show that the palaeoenvironmental indices developed from n-alkanes agree with the variations deduced from the carbon and nitrogen atomic ratios, as well as the carbon isotopic composition from bulk sediments in southern Iberia records. Interestingly, these indices show that some locations display opposite trends from one another, and are used to distinguish regional versus local effects of climate change, human impacts, and aeolian dust inputs. During the late Holocene solar forcing and NAO fluctuations are the main drivers of the environmental evolution in most of the Iberian and UK sites. However, we do detect the influence of the NAO in the temperatures oscillations of the studied sites in southern Iberia. This influence is much more important in the north/central UK sites. The regional

O ensaio de adorno e a produção social da forma

Directory of Open Access Journals (Sweden)

Iná Camargo Costa

1987-01-01

Full Text Available Com o objetivo de participar num debate em torno da forma ensaio em sua relação com a filosofia, discutimos essa opção formal da Escola de Frankfurt a partir do texto de Adorno "O ensaio como forma". Uma vez encontrada sua proposição de que o objeto do ensaio é um conflito detido, tentamos sugerir algumas das razões sociais que induzem essa escolha.

Climate Prediction Center (CPC) Monthly North Atlantic Oscillation (NAO) teleconnection index

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — Monthly tabulated index of the North Atlantic Oscillation (NAO) teleconnection pattern. The data spans the period 1950 to present. The index is derived from a...

New Insights into the Instability of Discharge Products in Na-O2 Batteries.

Science.gov (United States)

Landa-Medrano, Imanol; Pinedo, Ricardo; Bi, Xuanxuan; Ruiz de Larramendi, Idoia; Lezama, Luis; Janek, Jürgen; Amine, Khalil; Lu, Jun; Rojo, Teófilo

2016-08-10

Sodium-oxygen batteries currently stimulate extensive research due to their high theoretical energy density and improved operational stability when compared to lithium-oxygen batteries. Cell stability, however, needs to be demonstrated also under resting conditions before future implementation of these batteries. In this work we analyze the effect of resting periods on the stability of the sodium superoxide (NaO2) discharge product. The instability of NaO2 in the cell environment is demonstrated leading to the evolution of oxygen during the resting period and the decrease of the cell efficiency. In addition, migration of the superoxide anion (O2(-)) in the electrolyte is observed and demonstrated to be an important factor affecting Coulombic efficiency.

Pharmacokinetics and efficiency of brain targeting of ginsenosides Rg1 and Rb1 given as Nao-Qing microemulsion.

Science.gov (United States)

Li, Tao; Shu, Ya-Jun; Cheng, Jia-Yin; Liang, Run-Cheng; Dian, Shao-Na; Lv, Xiao-Xun; Yang, Meng-Qi; Huang, Shu-Ling; Chen, Gang; Yang, Fan

2015-02-01

Nao-Qing solution has been shown to be clinically effective in the treatment of acute ischemic stroke (AIS). The purpose of this study was to improve the pharmacokinetics and brain uptake of Nao-Qing, administered as an oil-in-water microemulsion. Sprague-Dawley (SD) rats were given Nao-Qing microemulsion by intranasal or intragastric routes. Samples of blood, brain, heart, liver, lung and kidney were collected at pre-determined time intervals, and the contents of ginsenosides Rg1 and Rb1 (active ingredients of the Nao-Qing microemulsion) were analyzed by high-performance liquid chromatography (HPLC). The results showed that contents of ginsenosides Rg1 and Rb1 in Nao-Qing microemulsion was 8475.13 ± 54.61 μg/ml and 6633.42 ± 527.27 μg/ml, respectively, and that the particle size, pH and viscosity of the microemulsion were 19.9 ± 5.07 nm, 6.1 and 3.056 × 10(-3 )Pas, respectively. Absorption of ginsenoside Rg1 was higher than that of ginsenoside Rb1, which was barely detectable after intragastric administration; furthermore, the concentration of ginsenoside Rg1 in blood and other tissues at each time point was lower for intragastric than for intranasal administration. Compared with intragastric administration, intranasal administration resulted in a shorter tmax (0.08 versus 1 h), a higher Cmax (16.65 versus 11.29 μg/ml), and a higher area under the concentration-time curve (AUC) (592.91 versus 101.70 μgċh/ml) in the brain. The relative rates of uptake (Re) and the ratio of peak concentration (Ce) in the brain were 126.31% and 147.48% for ginsenoside Rg1, respectively. These data illustrate that intranasal administration can promote the absorption of drugs in Nao-Qing microemulsion and achieve fast effect.

Estudo comparativo dos ensaios de CBR e Mini-CBR para solos de Uberlândia-MG

OpenAIRE

Souza, Ricardo Andrade de

2007-01-01

O presente trabalho trata de um estudo comparativo entre o ensaio de CBR e o ensaio de Mini-CBR para os solos de Uberlândia MG, visando ampliar a utilização do Mini-CBR, tendo em vista suas vantagens em relação ao CBR. As principais vantagens do referido ensaio são maior praticidade do ensaio, exigência de menor quantidade de amostra, maior rapidez na execução, solicitação de menor esforço físico para execução e menor influência do operador na execução, sendo também, menos dispendioso que o...

The influences of the AMO and NAO on an Iberian alpine lake during the Late Holocene

Science.gov (United States)

Hernández, Armand; Leira, Manel; Trigo, Ricardo; Vázquez-Loureiro, David; Carballeira, Rafael; Sáez, Alberto

2017-04-01

High mountain lakes, usually oligotrophic, in the Iberian Peninsula are particularly sensitive to the influence of North Atlantic large-scale modes of climate variability due to their geographical position and the reduced direct anthropic disturbances. In this context, Serra da Estrela (Portugal), in the westernmost of the Sistema Central Range, constitutes a physical barrier to air masses coming from the Atlantic Ocean. However, long-term climate reconstructions have not yet been conducted. We present a climate reconstruction in terms of precipitation and temperature changes of this setting based on facies analysis, X-ray fluorescence core scanning, elemental and isotope geochemistry on bulk organic matter and a preliminary study of diatom assemblages from the sedimentary record of Lake Peixão (1677 m a.s.l.; Serra da Estrela) for the last ca. 3500 years. A multivariate statistical analysis has been performed to recognize the main environmental factors controlling the lake sedimentation. Our results reveal that two main processes explain 70% of the total variance, with PC1 (accumulation of siliciclastic material vs organic matter), and PC2 (variations in lacustrine productivity, related to nutrient inputs from the catchment), explaining 53% and 17% respectively. In mountain lakes, siliciclastic and/or external organic matter accumulation tend to be governed by the snowmelt which, in turn, are frequently controlled by winter and spring temperatures. On the other hand, lake productivity, usually limited by phosphorus and nitrogen, is dependent of internal recycling and/or external inputs, mainly by catchment leaching (climatically driven by summer precipitation) and atmospheric deposition (anthropic influence). The results from Lake Peixão have been compared to other Western Iberia and Northeastern Atlantic records, as well as the Atlantic Multidecadal Oscillation (AMO) and North Atlantic Oscillation (NAO) indices. Thus, a tentative Late Holocene climate

ESPERA E ESPELHO: Um Ensaio Trivial

Directory of Open Access Journals (Sweden)

Prof. Dr. Manuel Curado

2016-08-01

Full Text Available O problema da determinação da ação humana ocupou a filosofia durante séculos. O presente ensaio procura contribuir para esse debate através da proposta de duas teses filosóficas. A primeira tese defende que toda a ação humana se organiza numa estrutura de espera de algo que determine a consciência. Toda a iniciativa e todo o ato voluntário dependem de algo que surge no fluxo de consciência. Neste sentido, o sujeito parece ser visitado do exterior por algo que irá iniciar o comportamento. Em defesa desta tese apresentam-se relatos fenomenológicos do processo de decisão, registos históricos de eventos mentais como visitações, representações literárias e teorias filosóficas do tempo. Em particular, mostra-se que as teorias sobre a dimensão corpuscular ou granular do tempo e do fluxo da consciência são especialmente relevantes para a explicação da capacidade de atuação dos seres humanos. Em complemento, propõe-se um inventário dos grandes temas que organizam a ação. Trabalham-se conteúdos culturais ligados às universidades, à internet e à literatura. Defende-se uma segunda tese filosófica segundo a qual os seres humanos só se interessam maioritariamente por si mesmos. O ensaio termina com a defesa da ideia de que a filosofia, a ciência e a religião não têm meios racionais para explicar a atuação humana, restando apenas a abordagem sapiencial. As várias linhas de pensamento deste ensaio são unificadas pela ideia de que a trivialidade da vida humana esconde problemas intelectuais dignos de investigação. Palavras-chave: determinação do comportamento; autodeterminação; Bestimmung; Selbsbestimmung; sobretons psíquicos; teoria granular da consciência; fenomenologia da ação.

THE UNIQUE Na:O ABUNDANCE DISTRIBUTION IN NGC 6791: THE FIRST OPEN(?) CLUSTER WITH MULTIPLE POPULATIONS

International Nuclear Information System (INIS)

Geisler, D.; Villanova, S.; Cummings, J.; Carraro, G.; Pilachowski, C.; Johnson, C. I.; Bresolin, F.

2012-01-01

Almost all globular clusters investigated exhibit a spread in their light element abundances, the most studied being an Na:O anticorrelation. In contrast, open clusters show a homogeneous composition and are still regarded as Simple Stellar Populations. The most probable reason for this difference is that globulars had an initial mass high enough to retain primordial gas and ejecta from the first stellar generation and thus formed a second generation with a distinct composition, an initial mass exceeding that of open clusters. NGC 6791 is a massive open cluster and warrants a detailed search for chemical inhomogeneities. We collected high-resolution, high signal-to-noise spectra of 21 members covering a wide range of evolutionary status and measured their Na, O, and Fe content. We found [Fe/H] = +0.42 ± 0.01, in good agreement with previous values, and no evidence for a spread. However, the Na:O distribution is completely unprecedented. It becomes the first open cluster to show intrinsic abundance variations that cannot be explained by mixing, and thus the first discovered to host multiple populations. It is also the first star cluster to exhibit two subpopulations in the Na:O diagram with one being chemically homogeneous while the second has an intrinsic spread that follows the anticorrelation so far displayed only by globular clusters. NGC 6791 is unique in many aspects, displaying certain characteristics typical of open clusters, others more reminiscent of globulars, and yet others, in particular its Na:O behavior investigated here, that are totally unprecedented. It clearly had a complex and fascinating history.

The Unique Na:O Abundance Distribution in NGC 6791: The First Open(?) Cluster with Multiple Populations

Science.gov (United States)

Geisler, D.; Villanova, S.; Carraro, G.; Pilachowski, C.; Cummings, J.; Johnson, C. I.; Bresolin, F.

2012-09-01

Almost all globular clusters investigated exhibit a spread in their light element abundances, the most studied being an Na:O anticorrelation. In contrast, open clusters show a homogeneous composition and are still regarded as Simple Stellar Populations. The most probable reason for this difference is that globulars had an initial mass high enough to retain primordial gas and ejecta from the first stellar generation and thus formed a second generation with a distinct composition, an initial mass exceeding that of open clusters. NGC 6791 is a massive open cluster and warrants a detailed search for chemical inhomogeneities. We collected high-resolution, high signal-to-noise spectra of 21 members covering a wide range of evolutionary status and measured their Na, O, and Fe content. We found [Fe/H] = +0.42 ± 0.01, in good agreement with previous values, and no evidence for a spread. However, the Na:O distribution is completely unprecedented. It becomes the first open cluster to show intrinsic abundance variations that cannot be explained by mixing, and thus the first discovered to host multiple populations. It is also the first star cluster to exhibit two subpopulations in the Na:O diagram with one being chemically homogeneous while the second has an intrinsic spread that follows the anticorrelation so far displayed only by globular clusters. NGC 6791 is unique in many aspects, displaying certain characteristics typical of open clusters, others more reminiscent of globulars, and yet others, in particular its Na:O behavior investigated here, that are totally unprecedented. It clearly had a complex and fascinating history.

Ensaios sobre economia do empreendorismo

OpenAIRE

Gabrielito Rauter Menezes

2015-01-01

Esta tese é composta por três ensaios sobre Economia do Empreendedorismo. O primeiro deles trata sobre os determinantes do empreendedorismo no Brasil a partir de modelos de escolha ocupacional, usando os microdados da Pesquisa Nacional por Amostra por Domicílios (PNAD) do ano de 2012. A estratégia empírica adotada empregou os modelos de escolha discreta na estimação da escolha ocupacional. Os resultados demonstraram que existem efeitos significativos para as variáveis: anos de estudos iniciai...

Communication Framework For the Mionix Naos QG Mouse

DEFF Research Database (Denmark)

Wulff-Jensen, Andreas

2017-01-01

The Mionix Naos QG mouse has multiple sensors integrated. It can record all the metrics native to mice: being scroll, clicks and mouse movements. Moreover, this mouse has heart rate (HR) and Galvanic Skin Response (GSR) sensors embedded. Through Mionics API [1] WebSocket can be used to access all...... or be recorded. Another Unity implementation have been developed as well. This was directly connected to the WebSocket, and has the same properties as the first Unity development. Since two nearly identical implementations were made, the quality of their recordings and data communication were tested. Based...

Serial clustering of extratropical cyclones and relationship with NAO and jet intensity based on the IMILAST cyclone database

Science.gov (United States)

Ulbrich, Sven; Pinto, Joaquim G.; Economou, Theodoros; Stephenson, David B.; Karremann, Melanie K.; Shaffrey, Len C.

2017-04-01

Cyclone families are a frequent synoptic weather feature in the Euro-Atlantic area, particularly during wintertime. Given appropriate large-scale conditions, such series (clusters) of storms may cause large socio-economic impacts and cumulative losses. Recent studies analyzing reanalysis data using single cyclone tracking methods have shown that serial clustering of cyclones occurs on both flanks and downstream regions of the North Atlantic storm track. Based on winter (DJF) cyclone counts from the IMILAST cyclone database, we explore the representation of serial clustering in the ERA-Interim period and its relationship with the NAO-phase and jet intensity. With this aim, clustering is estimated by the dispersion of winter (DJF) cyclone passages for each grid point over the Euro-Atlantic area. Results indicate that clustering over the Eastern North Atlantic and Western Europe can be identified for all methods, although the exact location and the dispersion magnitude may vary. The relationship between clustering and (i) the NAO-phase and (ii) jet intensity over the North Atlantic is statistically evaluated. Results show that the NAO-index and the jet intensity show a strong contribution to clustering, even though some spread is found between methods. We conclude that the general features of clustering of extratropical cyclones over the North Atlantic and Western Europe are robust to the choice of tracking method. The same is true for the influence of the NAO and jet intensity on cyclone dispersion.

Nitric acid oxidation of Si (NAOS) method for low temperature fabrication of SiO{sub 2}/Si and SiO{sub 2}/SiC structures

Energy Technology Data Exchange (ETDEWEB)

Kobayashi, H., E-mail: koba771@ybb.ne.jp [Institute of Scientific and Industrial Research, Osaka University, and CREST, Japan Science and Technology Agency, 8-1 Mihogaoka, Ibaraki, Osaka 567-0047 (Japan); Imamura, K.; Kim, W.-B.; Im, S.-S.; Asuha [Institute of Scientific and Industrial Research, Osaka University, and CREST, Japan Science and Technology Agency, 8-1 Mihogaoka, Ibaraki, Osaka 567-0047 (Japan)

2010-07-15

We have developed low temperature formation methods of SiO{sub 2}/Si and SiO{sub 2}/SiC structures by use of nitric acid, i.e., nitric acid oxidation of Si (or SiC) (NAOS) methods. By use of the azeotropic NAOS method (i.e., immersion in 68 wt% HNO{sub 3} aqueous solutions at 120 deg. C), an ultrathin (i.e., 1.3-1.4 nm) SiO{sub 2} layer with a low leakage current density can be formed on Si. The leakage current density can be further decreased by post-metallization anneal (PMA) at 200 deg. C in hydrogen atmosphere, and consequently the leakage current density at the gate bias voltage of 1 V becomes 1/4-1/20 of that of an ultrathin (i.e., 1.5 nm) thermal oxide layer usually formed at temperatures between 800 and 900 deg. C. The low leakage current density is attributable to (i) low interface state density, (ii) low SiO{sub 2} gap-state density, and (iii) high band discontinuity energy at the SiO{sub 2}/Si interface arising from the high atomic density of the NAOS SiO{sub 2} layer. For the formation of a relatively thick (i.e., {>=}10 nm) SiO{sub 2} layer, we have developed the two-step NAOS method in which the initial and subsequent oxidation is performed by immersion in {approx}40 wt% HNO{sub 3} and azeotropic HNO{sub 3} aqueous solutions, respectively. In this case, the SiO{sub 2} formation rate does not depend on the Si surface orientation. Using the two-step NAOS method, a uniform thickness SiO{sub 2} layer can be formed even on the rough surface of poly-crystalline Si thin films. The atomic density of the two-step NAOS SiO{sub 2} layer is slightly higher than that for thermal oxide. When PMA at 250 deg. C in hydrogen is performed on the two-step NAOS SiO{sub 2} layer, the current-voltage and capacitance-voltage characteristics become as good as those for thermal oxide formed at 900 deg. C. A relatively thick (i.e., {>=}10 nm) SiO{sub 2} layer can also be formed on SiC at 120 deg. C by use of the two-step NAOS method. With no treatment before the NAOS method

IS THE CLIENT ALWAYS RIGHT? AN EMOTIONAL APPROACH TO SERVICES PROVIDING O cliente tem sempre razão? Uma abordagem emocional no provimento de serviços

Directory of Open Access Journals (Sweden)

Márcia Pitrowsky

2011-01-01

Full Text Available

This essay aims at using the marketing academic frame of reference to present an approach on the emotional interaction processes that surround the supply and delivery of services in general, based on a quick analysis of the principle – not accepted by all service providers – that the client is always right.

Este ensaio objetiva apresentar, dentro do estado da arte acadêmico do marketing, abordagem sobre a importância do comportamento humano pelo lado emocional nos processos de interação que envolvem a oferta e a entrega de serviços em geral, a partir de avaliação a respeito do princípio – do qual nem todos provedores de serviços compartilham – de que o cliente sempre teria razão.

Tema 2: The NAO robot as a Persuasive Educational and Entertainment Robot (PEER – a case study on children’s articulation, categorization and interaction with a social robot for learning

Directory of Open Access Journals (Sweden)

Lykke Brogaard Bertel

2016-01-01

Full Text Available The application of social robots as motivational tools and companions in education is increasingly being explored from a theoretical and practical point of view. In this paper, we examine the social robot NAO as a Persuasive Educational and Entertainment Robot (PEER and present findings from a case study on the use of NAO to support learning environments in Danish primary schools. In the case study we focus on the children’s practice of articulation and embodied interaction with NAO and investigate the role of NAO as a ‘tool’, ‘social actor’ or ‘simulating medium’ in the learning designs. We examine whether this categorization is static or dynamic, i. e. develops and changes over the course of the interaction and explore how this relates to and affects the student’s motivation to engage in the NAO-supported learning activities.

Tema 2: The NAO robot as a Persuasive Educational and Entertainment Robot (PEER – a case study on children’s articulation, categorization and interaction with a social robot for learning

Directory of Open Access Journals (Sweden)

Lykke Brogaard Bertel

2015-12-01

Full Text Available The application of social robots as motivational tools and companions in education is increasingly being explored from a theoretical and practical point of view. In this paper, we examine the social robot NAO as a Persuasive Educational and Entertainment Robot (PEER and present findings from a case study on the use of NAO to support learning environments in Danish primary schools. In the case study we focus on the children’s practice of articulation and embodied interaction with NAO and investigate the role of NAO as a ‘tool’, ‘social actor’ or ‘simulating medium’ in the learning designs. We examine whether this categorization is static or dynamic, i. e. develops and changes over the course of the interaction and explore how this relates to and affects the student’s motivation to engage in the NAO-supported learning activities.

Late Holocene forest dynamics in the Gulf of Gaeta (central Mediterranean) in relation to NAO variability and human impact

Science.gov (United States)

Di Rita, Federico; Lirer, Fabrizio; Bonomo, Sergio; Cascella, Antonio; Ferraro, Luciana; Florindo, Fabio; Insinga, Donatella Domenica; Lurcock, Pontus Conrad; Margaritelli, Giulia; Petrosino, Paola; Rettori, Roberto; Vallefuoco, Mattia; Magri, Donatella

2018-01-01

A new high-resolution pollen record, spanning the last five millennia, is presented from the Gulf of Gaeta (Tyrrhenian Sea, central Italy), with the aim of verifying if any vegetation change occurred in the central Mediterranean region in relation to specific well-known global and/or regional climate events, including the 4.2 ka event, the Medieval Climate Anomaly (MCA) and the Little Ice Age (LIA), and to detect possible vegetation changes related to still under-investigated climate signals, for example the so-called "Bond 2" cold event around 2.8 ka BP. The vegetation dynamics of the Gaeta record shows a recurrent pattern of forest increase and decline punctuating the mid- and late Holocene. When the timing of these patterns is compared with the climate proxy data available from the same core (planktonic foraminifera assemblages and oxygen stable isotope record) and with the NAO (North Atlantic Oscillation) index, it clearly appears that the main driver for the forest fluctuations is climate, which may even overshadow the effects of human activity. We have found a clear correspondence between phases with negative NAO index and forest declines. In particular, around 4200 cal BP, a drop in AP (Arboreal Pollen) confirms the clearance recorded in many sites in Italy south of 43°N. Around 2800 cal BP, a vegetation change towards open conditions is found at a time when the NAO index clearly shows negative values. Between 800 and 1000 AD, a remarkable forest decline, coeval with a decrease in the frequencies of both Castanea and Olea, matches a shift in the oxygen isotope record towards positive values, indicating cooler temperatures, and a negative NAO. Between 1400-1850 AD, in the time period chronologically corresponding to the LIA (Little Ice Age), the Gaeta record shows a clear decline of the forest cover, particularly evident after 1550 AD, once again in correspondence with negative NAO index.

Ultrathin SiO{sub 2} layer formed by the nitric acid oxidation of Si (NAOS) method to improve the thermal-SiO{sub 2}/Si interface for crystalline Si solar cells

Energy Technology Data Exchange (ETDEWEB)

Matsumoto, Taketoshi; Nakajima, Hiroki; Irishika, Daichi; Nonaka, Takaaki; Imamura, Kentaro; Kobayashi, Hikaru, E-mail: h.kobayashi@sanken.osaka-u.ac.jp

2017-02-15

Highlights: • The density of interface states at the SiO{sub 2}/Si interface is decreased by NAOS. • The minority carrier lifetime is increased by the NAOS treatment. • Great interfacial properties of the NAOS layer are kept after thermal oxidation. - Abstract: A combination of the nitric acid oxidation of Si (NAOS) method and post-thermal oxidation is found to efficiently passivate the SiO{sub 2}/n-Si(100) interface. Thermal oxidation at 925 °C and annealing at 450 °C in pure hydrogen atmosphere increases the minority carrier lifetime by three orders of magnitude, and it is attributed to elimination of Si dangling bond interface states. Fabrication of an ultrathin, i.e., 1.1 nm, NAOS SiO{sub 2} layer before thermal oxidation and H{sub 2} annealing further increases the minority carrier lifetime by 30% from 8.6 to 11.1 ms, and decreased the interface state density by 10% from 6.9 × 10{sup 9} to 6.3 × 10{sup 9}eV{sup −1} cm{sup −2}. After thermal oxidation at 800 °C, the SiO{sub 2} layer on the NAOS-SiO{sub 2}/Si(100) structure is 2.26 nm thick, i.e., 0.24 nm thicker than that on the Si(100) surface, while after thermal oxidation at 925 °C, it is 4.2 nm thick, i.e., 0.4 nm thinner than that on Si(100). The chemical stability results from the higher atomic density of a NAOS SiO{sub 2} layer than that of a thermal oxide layer as reported in Ref. [28] (Asuha et al., 2002). Higher minority carrier lifetime in the presence of the NAOS layer indicates that the NAOS-SiO{sub 2}/Si interface with a low interface state density is preserved after thermal oxidation, which supports out-diffusion oxidation mechanism, by which a thermal oxide layer is formed on the NAOS SiO{sub 2} layer.

The Role of the North Atlantic Oscillation (NAO) on Recent Greenland Surface Mass Loss and Mass Partitioning

Science.gov (United States)

Tedesco, M.; Alexander, P.; Porter, D. F.; Fettweis, X.; Luthcke, S. B.; Mote, T. L.; Rennermalm, A.; Hanna, E.

2017-12-01

Despite recent changes in Greenland surface mass losses and atmospheric circulation over the Arctic, little attention has been given to the potential role of large-scale atmospheric processes on the spatial and temporal variability of mass loss and partitioning of the GrIS mass loss. Using a combination of satellite gravimetry measurements, outputs of the MAR regional climate model and reanalysis data, we show that changes in atmospheric patterns since 2013 over the North Atlantic region of the Arctic (NAA) modulate total mass loss trends over Greenland together with the spatial and temporal distribution of mass loss partitioning. For example, during the 2002 - 2012 period, melting persistently increased, especially along the west coast, as a consequence of increased insulation and negative NAO conditions characterizing that period. Starting in 2013, runoff along the west coast decreased while snowfall increased substantially, when NAO turned to a more neutral/positive state. Modeled surface mass balance terms since 1950 indicate that part of the GRACE-period, specifically the period between 2002 and 2012, was exceptional in terms of snowfall over the east and northeast regions. During that period snowfall trend decreased to almost 0 Gt/yr from a long-term increasing trend, which presumed again in 2013. To identify the potential impact of atmospheric patterns on mass balance and its partitioning, we studied the spatial and temporal correlations between NAO and snowfall/runoff. Our results indicate that the correlation between summer snowfall and NAO is not stable during the 1950 - 2015 period. We further looked at changes in patterns of circulation using self organizing maps (SOMs) to identify the atmospheric patterns characterizing snowfall during different periods. We discuss potential implications for past changes and future GCM and RCM simulations.

Design and Implementation of Autonomous Stair Climbing with Nao Humanoid Robot

OpenAIRE

Lu, Wei

2015-01-01

With the development of humanoid robots, autonomous stair climbing is an important capability. Humanoid robots will play an important role in helping people tackle some basic problems in the future. The main contribution of this thesis is that the NAO humanoid robot can climb the spiral staircase autonomously. In the vision module, the algorithm of image filtering and detecting the contours of the stair contributes to calculating the location of the stairs accurately. Additionally, the st...

Experimentalidade: ciência, capital e poder no mundo dos ensaios clínicos

Directory of Open Access Journals (Sweden)

Adriana Petryna

2011-06-01

Full Text Available A terceirização e expatriação de ensaios clínicos abriram um campo de atividade experimental sem precedentes. Este ensaio discute os mecanismos científicos e regulatórios através dos quais um campo global de experimentalidade se configura. Ele mapeia a indústria de ensaios clínicos e seu deslocamento para países de média e baixa renda (especialmente o Leste Europeu e o Brasil. Enquanto o empreendimento de ensaios clínicos se adapta a normas regulatórias nacionais e internacionais, o reconhecimento de riscos prejudiciais a pacientes e populações é frequentemente adiado ou evitado. Este texto explora as brechas legais em relação a como os benefícios e riscos desse empreendimento são calculados, bem como as práticas emergentes de responsabilidade.The outsourcing and offshoring of clinical trials have sparked an unprecedented field of experimental activity. This essay addresses the scientific and regulatory mechanisms by which a global field of experimentality takes form. It charts a clinical trials industry and its move to low- and middle-income countries (particularly in Eastern Europe and Brazil. As the clinical trials enterprise adapts itself to international and national regulatory norms, the acknowledgement of adverse risks to patients and populations is often deferred or engineered out. The essay explores policy gaps with respect to how benefits and liabilities of this enterprise are weighed as well as emergent practices of accountability.

Os ensaios clínicos e o registro de anticorpos monoclonais e biomedicamentos oncológicos no Brasil

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Cecilia Ferreira da Silva

Full Text Available RESUMO Objetivo Analisar o percurso dos ensaios clínicos com anticorpos monoclonais e biomedicamentos oncológicos realizados em instituições brasileiras de 2003 a 2012. Método Neste estudo retrospectivo e descritivo, realizou-se um levantamento junto aos repositórios ClinicalTrials.gov e ReBEC. Foram incluídos ensaios de fase II ou III com participação do Brasil e registro em pelo menos um dos repositórios. Após a seleção dos ensaios, foi investigada a trajetória dos anticorpos monoclonais e biomedicamentos desde a pesquisa até o registro sanitário junto a Agência Nacional de Vigilância Sanitária (Anvisa, Food and Drug Administration (FDA e European Medicines Agency (EMA. Resultado Nove ensaios foram selecionados, todos randomizados controlados. Oito eram de fase III e um de fase II. Dois ensaios utilizaram cegamento duplo e sete eram abertos. Todos apresentaram recrutamento para ambos os sexos, com idade mínima de 18 anos. A média de recrutamento foi de 985,2 pacientes. Sete ensaios estavam finalizados e dois haviam sido encerrados prematuramente. Todos os ensaios foram financiados por indústrias farmacêuticas não brasileiras e enfocaram câncer renal, colorretal, gástrico, de pulmão (não pequenas células, linfoma não-Hodgkin e melanoma, envolvendo a utilização de cetuximabe, figitumumabe, ipilimumabe, rituximabe, bevacizumabe e interferon alfa-2a. A FDA foi a primeira agência a registrar os medicamentos, seguida pela EMA, a não ser no caso do interferon alfa-2a, recusado pela EMA. Não foi possível avaliar o ano de aprovação no Brasil pela Anvisa. Conclusão A participação do Brasil nos ensaios clínicos com anticorpos monoclonais e biomedicamentos oncológicos é insuficiente. A limitação do conteúdo disponível sobre os estudos, histórico de registro e outros elementos relevantes é uma fragilidade importante das fontes consultadas.

El ciclo anual de la hidrología de Colombia en relación con el ENSO y la NAO

Directory of Open Access Journals (Sweden)

1998-01-01

Full Text Available INFLUENCE DE L’ENSO ET DE LA NAO SUR LE CYCLE ANNUEL DE L’HYDROLOGIE DE COLOMBIE. On évalue l’impact de El Niño-Oscillation du Sud (ENSO et de l’Oscillation de l’Atlantique Nord (NAO sur le cycle annuel hydrologique colombien. Les résultats du Projet de Réanalyse Climatologique NCEP/NCAR ont été utilisés pour identifier les mécanismes de la circulation atmosphérique qui interviennent dans cette région au cours des phases extrêmes de l’ENSO. En particulier, l’affaiblissement du courant jet inférieur d’ouest, qui se propage du Pacifique vers l’intérieur de la Colombie, est l’un des principaux mécanismes de circulation susceptible de nous aider à expliquer les anomalies hydrologiques en situation El Niño. Les résultats confirment l’importance de l’influence de l’ENSO et de la NAO sur les précipitations et les débits de Colombie, en particulier au cours des trimestres de septembre-octobre-novembre et de décembre-janvier-février. Se cuantifica la dependencia del ciclo anual de la hidroclimatología de Colombia con respecto del fenómeno El Niño-Oscilación del Sur (ENSO y la Oscilación del Atlántico Norte (NAO. Se usan los resultados del Proyecto de Reanálisis Climático de NCEP/NCAR para identificar los mecanismos de la circulación involucrados en las anomalías climáticas en la región de Suramérica tropical durante las fases extremas del ENSO (El Niño y La Niña. De particular importancia, el debilitamiento, durante El Niño, de la corriente de chorro superficial del oeste que penetra desde el Océano Pacífico hacia el interior de Colombia es un mecanismo de la circulación que coadyuva para explicar las anomalías hidrológicas. Los resultados confirman la fuerte influencia del ENSO y la NAO sobre las lluvias y los caudales de Colombia, en particular durante los trimestres septiembre-octubre-noviembre y diciembre-enero-febrero. THE ANNUAL CYCLE OF THE HYDROLOGY IN COLOMBIA IN RELATION TO THE ENSO AND NAO

Initial phases of design-based research into the educational potentials of NAO-robots

DEFF Research Database (Denmark)

Majgaard, Gunver; Bertel, Lykke Brogaard

2014-01-01

In this paper, we describe our initial research, using the humanoid robot NAO in primary and secondary schools. How does a programmable humanoid enrich teaching and how do we prepare the teachers? Ten school classes are using the robot for creative programming. So far we have experienced...... that the robot enriches the learning processes by combining the auditory, visual and kinaesthetic modalities....

Ensaios sobre o uso da matriz insumo-produto como ferramenta de políticas públicas municipais

OpenAIRE

Brene, Paulo Rogerio Alves

2013-01-01

Resumo: O objetivo desta tese é analisar da viabilidade do uso da matriz insumo-produto na orientação e implementação de políticas públicas municipais. Para tanto, a tese está divida em três ensaios. O primeiro ensaio trata da metodologia para a estimação da matriz a partir de dados básicos de emprego e salário da Relação Anual de Informações Sociais (RAIS). O segundo ensaio discute a viabilidade de simulações sobre a matriz, abrindo espaço para a implementação de políticas públicas orientada...

Region of eye contact of humanoid Nao robot is similar to that of a human

NARCIS (Netherlands)

Cuijpers, R.H.; Pol, van der D.; Herrmann, G.; Pearson, M.J.; Lenz, A.; Bremner, P.; Spiers, A.; Leonards, U.

2013-01-01

Eye contact is an important social cue in human-human interaction, but it is unclear how easily it carries over to humanoid robots. In this study we investigated whether the tolerance of making eye contact is similar for the Nao robot as compared to human lookers. We measured the region of eye

Ensaio de desbaste de ramos inferiores do cafeeiro II

Directory of Open Access Journals (Sweden)

J. E. Teixeira Mendes

1951-12-01

Full Text Available Foi continuado o ensaio do desbaste dos ramos inferiores do cafeeiro, instalado na Estação Experimental Central de Campinas, em 1932. O ensaio compreende duas séries : a desbastada ; b não desbastada. Cada série se compõe de 5 repetições com 25 cafeeiros cada uma. A variedade em cultivo foi a Coffea arabica L. var. typica Cramer. A série desbastada foi mantida sem os ramos primários até uma altura de 50 cm do solo. Na série não desbastada não se interferiu de modo algum nessa parte da planta. As colheitas foram iniciadas em 1935. A série não desbastada produziu significativamente mais, no período todo examinado, isto é, em dezesseis safras (1935-1950. Não houve grande diferença no tamanho das sementes. A maturação foi um pouco apressada na série desbastada. O ensaio demonstra que não houve vantagem em se fazer esta operação.The experiment, begun at the Central Experiment Station at Campinas in 1932, on the pruning of the lower branches of coffee plants, has been continued. The trial contains two series, a pruned and b not pruned. Each series consists of five replicates, each with 25 coffee plants. The variety is Coffea arabica L. var. typica Cramer. The pruned trees were kept free from primary branches to a height of 50 cm. The unpruned trees were left entirely untouched in this region. Harvesting began in 1935. The unpruned trees have yielded significantly better (P = 5% over the period of the 16 years of the trial (1935-1950. There was no great difference in size of seeds. Ripening was advanced a little in the pruned trees. The experiment showed that there was no advantage to be gained by pruning ; on the contrary, the operation appears to be prejudicial to the yield.

Influence of winter NAO pattern on variable renewable energies potential in Europe over the 20th century

Science.gov (United States)

François, Baptiste; Raynaud, Damien; Hingray, Benoit; Creutin, Jean-Dominique

2017-04-01

Integration of Variable Renewable Energy (VRE) sources in the electricity system is a challenge because of temporal and spatial fluctuations of their power generation resulting from their driving weather variables (i.e. solar radiation wind speed, precipitation, and temperature). Very few attention was paid to low frequency variability (i.e. from annual to decades) even though it may have significant impact on energy system and energy market Following the current increase in electricity supplied by VRE generation, one could ask the question about the risk of ending up in a situation in which the level of production of one or more VRE is exceptionally low or exceptionally high for a long period of time and/or over a large area. What would be the risk for an investor if the return on investment has been calculated on a high energy production period? What would be the cost in term of carbon emission whether the system manager needs to turn on coal power plant to satisfy the demand? Such dramatic events would definitely impact future stakeholder decision to invest in a particular energy source or another. Weather low frequency variability is mainly governed by large-scale teleconnection patterns impacting the climate at global scale such as El Niño - Southern Oscillation (ENSO) in the tropics and in North America or the North Atlantic Oscillation (hereafter, NAO) in North America and Europe. Teleconnection pattern's influence on weather variability cascades to VRE variability and ends up by impacting electricity system. The aim of this study is to analysis the impact of the NAO on VRE generation in Europe during the winter season. The analysis is carried out over the twentieth century (i.e. from 1900 to 2010), in order to take into account climate low frequency variability, and for a set of 12 regions covering a large range of climates in Europe. Weather variable time series are obtained by using the ERA20C reanalysis and the SCAMP model (Sequential Constructive

Client Perspective

International Nuclear Information System (INIS)

Cohen, M.; Oleksiak, T.A.

1991-01-01

Training Sections can best serve the needs of their clients by encouraging them to recognize that self-determination and overall training program ownership are the key ingredients of a successful program. In a support role, Training Sections should provide excellent lesson plans and instructors, good record keeping, and feedback vehicles. Most importantly, Training Sections should communicate closely with their clients and provide maximum flexibility to support overall client responsibilities

Revisiting Caveiro Lake sediment record: the Holocene NAO and AMO impact on Pico Island (Azores archipelago)

Science.gov (United States)

Hernandez, A.; Giralt, S.; Raposeiro, P. M.; Gonçalves, V. M.; Pueyo, J. J.; Trigo, R. M.; Bao, R.; Sáez, A.

2017-12-01

Northern Hemisphere climate is partly conditioned by a number of atmospheric and oceanic patterns which occur in the North Atlantic sector. The favourable location of the Azores Archipelago (37°-40° N, 25°-31° W) results in a privileged place to generate high-resolution Holocene climatic proxy data that can contribute to deep our understanding on the evolution of these atmospheric and oceanic patterns. In the frame of three research projects, namely PALEONAO (CGL2010-15767), RAPIDNAO (CGL2013-40608-R) and PALEOMODES (CGL2016-75281-C2), high-resolution proxy-based reconstructions from Azores Archipelago have recently shown a combined impact of atmospheric and oceanic patterns at multiannual and decadal time-scales (Rubio-Inglés et al. 2016; Hernández et al. 2017). However, the long-term evolution coupling/uncoupling of these patterns is not well-determined yet. Here, we present a new high-resolution climate reconstruction based on the Caveiro Lake sedimentary sequence in order to fill this gap. Previously, Björck et al. (2006) studied a section of this sequence (the uppermost 4.6 m covering last 6 Ka cal BP) concluding that changes in the thermohaline circulation and the SST were the main drivers in the long-term precipitation variability, whereas the NAO impact was the main atmospheric driver of short-term precipitation changes. However, they only distinguished the NAO impact for the last 600 years owing to the low resolution of the study for the lower portion of the core. The new studied sequence (8.40 m long, 8.2 Ka cal BP) has been analysed at decadal-to centennial time-scale resolution for X-ray diffraction (XRD), X-ray fluorescence (XRF) core scanning and elemental and isotope geochemistry on bulk organic matter. The statistical multivariate analysis of the data highlights the main drivers triggering the sedimentary infill of the lake would be the NAO and AMO by controlling the lacustrine productivity via nutrients input. This new high

Ensaio sobre a eficácia do ácido fórmico no tratamento da Varroose

OpenAIRE

Pires, Sância; Serrano, José; Ruíz, José; Pereira, Óscar; Silva, Elisa

2004-01-01

Este ensaio teve como objectivo estudar a eficácia do ácido fórmico no tratamento da Varroose. O ensaio decorreu num apiário situado na área de influência do Parque Natural de Montesinho. De acordo com a metodologia descrita por (2; 3), em 15 colmeias de modelo Langstroth e infestadas de forma natural, pelo ácaro Varroa destructor (1), aplicámos esponjas impregnadas com 240 mi de ácido fórmico a 85%, durante 20 dias.

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....

A politica nuclear da Argentina e do Brasil : Desenvolvimento, nao-proliferacao e democratizacao

OpenAIRE

澤田, 眞治

1994-01-01

Este artigo e uma tentativa de analisar o desenvolvimento da politica da energia nuclear da Argentina e do Brasil, com relacao ao regime internacional de naoproliferacao das armas nucleares. Dado o fato de que ambos os paises da America do Sul recusaram a assinatura do TNP(Tratad0 sobre Nao-Proliferacao das Armas Nucleares), em razao do carater discriminatorio de inspecao, a Argentina e o Brasil estavam sendo considerado os estados duvidossos que potencialmente teriam a bomba atomica. A despe...

In Situ Imaging the Oxygen Reduction Reactions of Solid State Na-O2 Batteries with CuO Nanowires as the Air Cathode.

Science.gov (United States)

Liu, Qiunan; Yang, Tingting; Du, Congcong; Tang, Yongfu; Sun, Yong; Jia, Peng; Chen, Jingzhao; Ye, Hongjun; Shen, Tongde; Peng, Qiuming; Zhang, Liqiang; Huang, Jianyu

2018-05-14

We report real time imaging of the oxygen reduction reactions (ORRs) in all solid state sodium oxygen batteries (SOBs) with CuO nanowires (NWs) as the air cathode in an aberration-corrected environmental transmission electron microscope under an oxygen environment. The ORR occurred in a distinct two-step reaction, namely, a first conversion reaction followed by a second multiple ORR. In the former, CuO was first converted to Cu 2 O and then to Cu; in the latter, NaO 2 formed first, followed by its disproportionation to Na 2 O 2 and O 2 . Concurrent with the two distinct electrochemical reactions, the CuO NWs experienced multiple consecutive large volume expansions. It is evident that the freshly formed ultrafine-grained Cu in the conversion reaction catalyzed the latter one-electron-transfer ORR, leading to the formation of NaO 2 . Remarkably, no carbonate formation was detected in the oxygen cathode after cycling due to the absence of carbon source in the whole battery setup. These results provide fundamental understanding into the oxygen chemistry in the carbonless air cathode in all solid state Na-O 2 batteries.

Conhecimento e voluntariedade para participação em pesquisas: um estudo descritivo com participantes de um ensaio clínico

Directory of Open Access Journals (Sweden)

Lucas Lobato

2014-06-01

Full Text Available O objetivo deste estudo é avaliar o conhecimento sobre as informações do Termo de Consentimento Livre e Esclarecido (TCLE e a voluntariedade de participantes de um ensaio clínico. Trata-se de um estudo quantitativo, descritivo, transversal, realizado em novembro de 2011 com participantes de um ensaio clínico realizado em Americaninhas, no Nordeste de Minas Gerais, Brasil. Amostra por conveniência, com 143 adultos de 18 a 45 anos, de ambos os sexos. Utilizou-se um questionário estruturado, aplicado uma semana após a assinatura do TCLE. A maioria dos participantes do ensaio clínico assinou o TCLE sem o conhecimento suficiente das informações da pesquisa, e sofreu influência em sua decisão de participar do ensaio clínico. Concluímos que a assinatura do TCLE não garante a expressão da autonomia de todos os participantes de pesquisa clínica.

Três ensaios sobre os mercados de gasolina, etanol e açúcar no Brasil

OpenAIRE

Melo, André de Souza

2012-01-01

Este trabalho é divido em três ensaios sobre o mercado de gasolina, etanol e açúcar no Brasil. O primeiro ensaio tem como objetivo analisar como o preço da gasolina reage a choques de demanda, oferta e atividade econômica. Analisa-se também como o preço se comporta, diante de mudanças no imposto sobre a gasolina (CIDE) e a mistura obrigatória do etanol na gasolina. Esse estudo é motivado pela grande importância do mercado de gasolina do Brasil, que desde 2002 é determinado pelas forças de mer...

Monitoramento geodésico tridimensional aplicado em ensaios estruturais de painéis compensados de madeira

OpenAIRE

Zonta, Camila

2013-01-01

Resumo: Uma parceria entre o Laboratório de Instrumentação Geodésica e o Laboratório de Tecnologia da Madeira, ambos da Universidade Federal do Paraná, possibilitou o desenvolvimento deste projeto. A junção das áreas, Levantamento Geodésico e Tecnologia da Madeira, mostra-se um conjunto inovador na avaliação de ensaios estruturais e monitoramento de estruturas de madeira. Desta forma, realizaram-se neste trabalho ensaios de flexão estática em painéis compensados de madeira com uso de uma Máqu...

Linfoma do sistema nervoso central: ensaio iconográfico

Directory of Open Access Journals (Sweden)

Fabiano Reis

2013-04-01

Full Text Available Ilustramos este ensaio iconográfico de linfoma do sistema nervoso central com imagens de ressonância magnética obtidas em nosso serviço nos últimos 13 anos e discutimos algumas das principais características radiológicas deste tipo de linfoma, primário e secundário. O linfoma sistema nervoso central é um tumor relativamente infrequente, mas alguns achados na ressonância magnética podem sugerir este diagnóstico.

Ensaios não destrutivos para avaliação da resistência do concreto : estudo de aplicações em obras

OpenAIRE

Moreno Samaniego, Yulena Tatiana

2014-01-01

O emprego de ensaios não destrutivos em estruturas de concreto para avaliação da resistência à compressão tem se tornado cada vez mais importante, pelo fato destes não provocarem danos consideráveis nas estruturas. Com base nisso, a principal importância do presente estudo é a aplicação dos ensaios não destrutivos de Esclerometria e Penetração de Pino em diferentes obras civis do Distrito Federal. O objetivo desse trabalho é verificar o emprego destes ensaios na determinação da resistência à ...

Risk ranking of pathogens in ready-to-eat unprocessed foods of non-animal origin (FoNAO) in the EU: Initial evaluation using outbreak data (2007-2011)

DEFF Research Database (Denmark)

Da Silva Felício, M. T.; Hald, Tine; Liebana, E.

2015-01-01

Foods of non-animal origin (FoNAO) are consumed in a variety of forms, being a major component of almost all meals. These food types have the potential to be associated with large outbreaks as seen in 2011 associated with VTEC O104. In order to identify and rank specific food/pathogen combination...... processed, stored and prepared as part of the above data collection exercises....... most often linked to human cases originating from FoNAO in the EU, a semi-quantitative model was developed using seven criteria: strength of associations between food and pathogen based on the foodborne outbreak data from EU Zoonoses Monitoring (2007-2011), incidence of illness, burden of disease, dose......NAO in the EU. Efforts to collect additional data even in the absence of reported outbreaks as well as to enhance the quality of the EU-specific data, which was used as input for all the model criteria, will allow the improvement of the model outputs. Furthermore, it is recommended that harmonised terminology...

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.

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

O artesanato da suspeita: o ensaio como tradição críticadoi:10.5007/1807-1384.2011v8n1p1

Directory of Open Access Journals (Sweden)

Ricardo Forster

2011-07-01

Full Text Available Este ensaio pretende ser uma defesa da importância acadêmica do ensaio. Na vida acadêmica atual, vigora sobretudo o pragmatismo da produtividade funcional e da eficiência, expresso, através de um inglês comercial, sobretudo pelo paper. Esse esvaziamento das palavras convida-nos a enfatizar a importância do ensaio. De Montaigne a Steiner, passando por Adorno,  o ensaio, gênero da modernidade, torna-se, assim, sobretudo num tempo de crise das grandes narrativas,  o modo de captar o eterno naquilo que vivemos e percebemos como destinado a perecer. Constitui-se como  escritura do sujeito moderno, e manifestação de suas  extraordinárias inquietudes e de suas solidões. O ensaio como artesanato da suspeita, ao invés de ser visto como vitória do amadorismo na vida acadêmica, é o caminho com que  se revelarão os limites de toda pretensão universalista e do produtivismo acadêmico hoje imperante.

How Does Mediterranean Basin's Atmosphere Become Weak Moisture Source During Negative Phase of NAO: Use of AIRS, AMSR, TOVS, & TRMM Satellite Datasets Over Last Two NAO Cycles to Examine Governing Controls on E-P

Science.gov (United States)

Smith, Eric A.; Mehta, Amita V.

2008-01-01

The Mediterranean Sea is a noted 'concentration" basin in that it almost continuously exhibits positive evaporation minus precipitation (E - P ) properties -- throughout the four seasons and from one year to the next. Nonetheless, according to the ECMWF Era-40 48-year (1958-2005) climate reanalysis dataset, for various phases of the North Atlantic Oscillation (NAO) when the pressure gradient between Portugal and Iceland becomes either very relaxed (large negative NAO-Index) or in transition (small positive or negative NAO-Index), the atmospheric moisture source properties of the basin become weak, at times even reversed for several months (i.e., negative E - P). This behavior poses numerous questions concerning how and why these events occur. Moreover, it begs the question of what it would take for the basin to reach its tipping point in which P would exceed E throughout the rainy season (some six months) on an annually persistent basis -- and the sea would possibly transform to a recurring "dilution" basin. This talk investigates these questions by: (1) establishing over a period from 1979 to present, based on detailed analyses of satellite retrieval products from a combination of NASA-AQUA, NOAA-LEO, NASA/JAXA Scatterometer, and NASA-TRMM platforms, plus additional specialized satellite data products and ancillary meteorological datasets, the actual observation-based behavior of E - P, (2) diagnosing the salient physical and meteorological mechanisms that lead to the weaker E - P events during the analysis period, partly based on analyzing surface and upper air data at discrete stations in the western and eastern Mediterranean -- while at the same time evaluating the quality of the ERA-40 data over this same time period, (3) conducting GCM and high-resolution regional modeling experiments to determine if perturbed but realistic meteorological background conditions could maintain Mediterranean as a "dilution" basin through the October to March rainy season on

Ensaios de inovação no ensino médio

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Eleny Mitrulis

2002-07-01

Full Text Available O objetivo deste trabalho é examinar alguns ensaios de inovação que vêm ocorrendo no ensino de nível médio e destacar elementos que possam contribuir para sua interpretação bem como para a formulação de políticas de apoio e de orientação às escolas. Em um primeiro momento, examinam-se a centralidade do ensino médio no conjunto das reformas educativas, o direcionamento destas reformas no contexto da mudança do papel do Estado e as questões relativas à formação geral e à formação profissional. A segunda parte deste ensaio é dedicada ao exame de alguns conceitos de reforma e de inovação e à descrição e análise de relatos de experiências e ensaios de inovação realizados por escolas de nível médio. São relatos apresentados por escolas públicas estaduais que participaram da primeira fase do Programa de Expansão e Melhoria do Ensino Médio da Secretaria de Estado da Educação de São Paulo¹, entre os anos 2000 e 2001. Os relatos apresentados, com exceção daqueles referentes à gestão da aplicação dos recursos financeiros distribuídos pelo programa, referem-se a ensaios de inovação realizados pelas escolas antes de sua vinculação a ele.This article aims to examine some of the experiences implemented at the mid level and to highlight elements that can contribute to their interpretation as well as the formulation of policies to support and guide the schools. First, the centrality of mid level education to the body of educational reforms is examined, the nature of these reforms in the context of the changing role of the State and issues referring to training in general and of professionals. The second part is dedicated to an examination of some concepts of reform and of innovation and a description and analysis of reports of experiences and trails of innovations realized by mid level schools. These are reports presented by state public schools which participated in the first phase of the Program to Improve

Counselor Responsiveness to Client Religiousness.

Science.gov (United States)

Kelly, Eugene W., Jr.

1990-01-01

Presents eight categories of client attitudes toward religion and suggests opportunities for religiously oriented counselor responses. Uses four categories to describes how religion may be associated with specific client issues. Contends that an informed appreciation of clients' religiousness and the religious dimensions of many client issues can…

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

Eliminating drift of the head gesture reference to enhance Google Glass-based control of an NAO humanoid robot

Directory of Open Access Journals (Sweden)

Xiaoqian Mao

2017-03-01

Full Text Available This article presents a strategy for hand-free control of an NAO humanoid robot via head gesture detected by Google Glass-based multi-sensor fusion. First, we introduce a Google Glass-based robot system by integrating the Google Glass and the NAO humanoid robot, which is able to send robot commands through Wi-Fi communications between the Google Glass and the robot. Second, we detect the operator’s head gestures by processing data from multiple sensors including accelerometers, geomagnetic sensors and gyroscopes. Next, we use a complementary filter to eliminate drift of the head gesture reference, which greatly improves the control performance. This is accomplished by the high-pass filter component on the control signal. Finally, we conduct obstacle avoidance experiments while navigating the robot to validate the effectiveness and reliability of this system. The experimental results show that the robot is smoothly navigated from its initial position to its destination with obstacle avoidance via the Google Glass. This hands-free control system can benefit those with paralysed limbs.

Variability modes of precipitation along a Central Mediterranean area and their relations with ENSO, NAO, and other climatic patterns

Science.gov (United States)

Kalimeris, Anastasios; Ranieri, Ezio; Founda, Dimitra; Norrant, Caroline

2017-12-01

This study analyses a century-long set of precipitation time series in the Central Mediterranean (encompassing the Greek Ionian and the Italian Puglia regions) and investigates the statistically significant modes of the interannual precipitation variability using efficient methods of spectral decomposition. The statistical relations and the possible physical couplings between the detected modes and the global or hemispheric patterns of climatic variability (the El Niño Southern Oscillation or ENSO, the North Atlantic Oscillation or NAO, the East Atlantic or EA, the Scandinavian or SCAND, and others) were examined in the time-frequency domain and low-order synchronization events were sought. Significant modes of precipitation variability were detected in the Taranto Gulf and the southern part of the Greek Ionian region at the sub-decadal scales (mostly driven by the SCAND pattern) and particularly at the decadal and quasi-decadal scales, where strong relations found with the ENSO activity (under complex implications of EA and NAO) prior to the 1930s or after the early-1970s. The precipitation variations in the Adriatic stations of Puglia are dominated by significant bi-decadal modes which found to be coherent with the ENSO activity and also weakly related with the Atlantic Ocean sea surface temperature intrinsic variability. Additionally, important discontinuities characterize the evolution of precipitation in certain stations of the Taranto Gulf and the Greek Ionian region during the early-1960s and particularly during the early-1970s, followed by significant reductions in the mean annual precipitation. These discontinuities seem to be associated with regional effects of NAO and SCAND, probably combined with the impact of the 1970s climatic shift in the Pacific and the ENSO variability.

The near-term prediction of drought and flooding conditions in the northeastern United States based on extreme phases of AMO and NAO

Science.gov (United States)

Berton, Rouzbeh; Driscoll, Charles T.; Adamowski, Jan F.

2017-10-01

A series of hydroclimatic teleconnection patterns were identified between variations in either Atlantic or Pacific oceanic indices with precipitation and discharge anomalies in the northeastern United States. We hypothesized that temporal annual or seasonal changes in discharge could be explained by variations in extreme phases of the Atlantic Multi-decadal Oscillation (AMO index, SST: Sea Surface Temperature anomalies) and the North Atlantic Oscillation (NAO index, SLP: Sea-Level Pressure anomalies) up to three seasons in advance. The Merrimack River watershed, the fourth largest basin in New England, with a drainage area of 13,000 km2, is a compelling study site because it not only provides an opportunity to investigate the teleconnection between hydrologic variables and large-scale climate circulation patterns, but also how those patterns may become obscured by anthropogenic disturbances such as river regulation or urban development. We considered precipitation and discharge data of 21 gauging stations within the Merrimack River watershed, including the Hubbard Brook Experimental Forest (HBEF), NH, with a median record length of 55 years beginning as early as 1904. The discharge anomalies were statistically significant (p-value ≤ 0.2) between extreme positive and negative phases of AMO (1857-2011) and NAO (1900-2011) and revealed the potential teleconnectivity of climate circulation patterns with discharge. Annual and seasonal correlations of discharge were examined with the extreme phases of AMO and NAO at zero-, one-, or two- year/season lags (total of 30 scenarios). When AMO was greater than 0.2, the strongest correlations of AMO and NAO with discharge were observed at headwater catchments. This correlation weakened downstream towards larger regulated and/or developed sub-basins. We introduced a simple approach for near-term prediction of drought and flooding events. An exponential decay function was regressed through the historic occurrence of the relative

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

OpenAIRE

Zavadska Diana V.

2015-01-01

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...

Docinhos e ensaios de não inferioridade: uma experiência pedagógica criativa

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David William Moraes

Full Text Available Os novos desafios na área da educação surgem com o próprio desenvolvimento do conhecimento. Novas técnicas de pesquisa possibilitaram grandes descobertas na ciência e, com isso, uma crescente complexificação dos temas estudados. Os alunos, inseridos no universo dinâmico da internet, também evoluíram e não se encaixam mais nas prescrições da pedagogia tradicional. Para essas novas realidades, a forma de educar no século XXI exige dos educadores um esforço de criatividade para transmitir um conhecimento cada vez mais complexo. Para ilustrar essa nova situação, relatamos uma experiência pedagógica que buscou, com a criatividade de uma intervenção fictícia, favorecer o ensino dos ensaios clínicos de não inferioridade. A experiência demonstra a utilidade de tais ensaios clínicos quando se necessita testar a eficácia de tratamentos. A utilização dos docinhos e a participação dos alunos como sujeitos do ensaio configuraram-se como uma metodologia ativa, de aproximação entre os educandos e seu objeto de estudo. O exercício realizado está de acordo com os modelos pedagógicos sugeridos pela teoria da aprendizagem significativa e pode servir de referência para iniciativas semelhantes.

Fazedeiro de poesias: uma leitura do livro ensaios fotográficos de Manoel de Barros

OpenAIRE

Bastos, Luciete

2003-01-01

Discute a poética de Manoel de Barros, procurando privilegiar a especificidade de sua poesia:  desconstrução da linguagem, metalinguagem e a construção da imagem no livro Ensaios Fotográficos.

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

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

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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.

Aspectos “Subjetivos” do Fetichismo da Mercadoria Cultural no Ensaio Sobre Música Popular de T. W. Adorno

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Fábio César da Silva

2017-05-01

Full Text Available Neste artigo, apresento uma leitura do ensaio Sobre Música Popular (1941 de T. W. Adorno (1903-1969, enfatizando os aspectos “subjetivos” do fetichismo da mercadoria cultural. Considero aspectos “subjetivos” do fetichismo quando se enfatiza o consumo de mercadorias. Esse ensaio fez parte dos resultados de pesquisa de rádio da Universidade de Princeton, feita nos Estados Unidos entre 1938 a 1940, cujo objetivo era analisar as programações radiofônicas. Focarei a leitura na seção Teoria do Ouvinte, pois nela Adorno enfatizou esses aspectos “subjetivos” por meio de análises específicas do consumo da música popular americana supondo seus modos de recepção.

The NAO Influence on the Early to Mid-Holocene North Atlantic Coastal Upwelling

Science.gov (United States)

Hernandez, A.; Cachão, M.; Sousa, P.; Trigo, R. M.; Freitas, M. C.

2017-12-01

Coastal upwelling regions yield some of the oceanic most productive ecosystems, being crucial for the worldwide social and economic development. Most upwelling systems, emerging cold nutrient-rich deep waters, are located in the eastern boundaries of the Atlantic and Pacific basins, and are driven by meridional wind fields parallel to the coastal shore. These winds are associated with the subsiding branch of the large-scale Anticyclonic high pressure systems that dominate the subtropical ocean basins, and therefore can be displaced or intensified within the context of past and future climate changes. However, the role of the current global warming influencing the coastal upwelling is, as yet, unclear. Therefore it is essential to derive a long-term perspective, beyond the era of instrumental measurements, to detect similar warm periods in the past that have triggered changes in the upwelling patterns. In this work, the upwelling dynamics in the Iberian North Atlantic margin during the early and mid-Holocene is reconstructed, using calcareous nannofossils from a decadally resolved estuarine sediment core located in southwestern Portugal. Results suggest that the coastal dynamics reflects changes in winds direction likely related to shifts in the NAO-like conditions. Furthermore, the reconstructed centennial-scale variations in the upwelling are synchronous with changes in solar irradiance, a major external forcing factor of the climate system that is known to exert influence in atmospheric circulation patterns. In addition, these proxy-based data interpretations are in agreement with wind field and solar irradiance simulation modelling for the mid-Holocene. Therefore, the conclusion that the solar activity via the NAO modulation controlled the North Atlantic upwelling of western Iberia during the early and mid-Holocene at decadal to centennial timescales can be derived. The financial support for attending this meeting was possible through FCT project UID/GEO/50019

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…

Do client fees help or hurt?

Science.gov (United States)

Barnett, B

1998-01-01

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

Chaperone-client complexes: A dynamic liaison

Science.gov (United States)

Hiller, Sebastian; Burmann, Björn M.

2018-04-01

Living cells contain molecular chaperones that are organized in intricate networks to surveil protein homeostasis by avoiding polypeptide misfolding, aggregation, and the generation of toxic species. In addition, cellular chaperones also fulfill a multitude of alternative functionalities: transport of clients towards a target location, help them fold, unfold misfolded species, resolve aggregates, or deliver clients towards proteolysis machineries. Until recently, the only available source of atomic resolution information for virtually all chaperones were crystal structures of their client-free, apo-forms. These structures were unable to explain details of the functional mechanisms underlying chaperone-client interactions. The difficulties to crystallize chaperones in complexes with clients arise from their highly dynamic nature, making solution NMR spectroscopy the method of choice for their study. With the advent of advanced solution NMR techniques, in the past few years a substantial number of structural and functional studies on chaperone-client complexes have been resolved, allowing unique insight into the chaperone-client interaction. This review summarizes the recent insights provided by advanced high-resolution NMR-spectroscopy to understand chaperone-client interaction mechanisms at the atomic scale.

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.

Ensaio de migração de cloretos para concreto: influência do número de fatias extraídas

OpenAIRE

Medeiros,Marcelo Henrique Farias de; Borba,André Yukio; Hoppe Filho,Juarez; Helene,Paulo Roberto do Lago

2012-01-01

Ensaios de migração de cloretos são usados para mensurar a capacidade do concreto em inibir o ataque por cloretos. Muitos pesquisadores realizam esse ensaio em uma fatia de concreto extraída da parte central dos corpos de prova cilíndricos, descartando cerca de 75% do concreto usado para moldar os corpos de prova. Esse fato gerou a questão: Seria possível extrair mais fatias de um mesmo corpo de prova sem se perder a confiança nos resultados? O principal objetivo desse trabalho é responder a ...

Ensaio de migração de cloretos para concreto: influência do número de fatias extraídas

OpenAIRE

Medeiros, Marcelo Henrique Farias de; Hoppe Filho, Juarez; Borba, André Yukio; Helene, Paulo Roberto do Lago

2012-01-01

p. 475-481 Ensaios de migração de cloretos são usados para mensurar a capacidade do concreto em inibir o ataque por cloretos. Muitos pesquisadores realizam esse ensaio em uma fatia de concreto extraída da parte central dos corpos de prova cilíndricos, descartando cerca de 75% do concreto usado para moldar os corpos de prova. Esse fato gerou a questão: Seria possível extrair mais fatias de um mesmo corpo de prova sem se perder a confiança nos resultados? O principal objetivo desse trabalho ...

Acreditação e credenciamento de laboratórios de ensaio para diagnósticos de anemia infecciosa equina

OpenAIRE

Bordin, Ricardo

2015-01-01

Este trabalho apresenta uma contribuição ao processo de acreditação e credenciamento aos laboratórios de ensaio no escopo da Anemia Infecciosa Equina (AIE). Consiste em uma proposta de priorização de requisitos para a acreditação, credenciamento e biossegurança de laboratórios de ensaio, desenvolvida por sete etapas metodológicas: 1) descrição dos elementos que caracterizam um laboratório de AIE e utilização da experiência do laboratório de estudo como facilitador do processo de acreditação; ...

Anxiety in mammography: mammographers' and clients' perspectives

International Nuclear Information System (INIS)

Galletta, S.; Joel, N.; Maguire, R.; Weaver, K.; Poulos, A.

2003-01-01

The aim of this study was to identify causes of anxiety experienced by mammographers and clients during mammography and strategies to decrease the anxiety generated by the mammographic procedure. Two questionnaires were distributed: one to mammographers in public and private centres within NSW, the other to women (clients) who have experienced mammography. Mammographers' and clients' rankings of causes of clients' anxiety demonstrated many similarities indicating the mammographers' acknowledgement of factors contributing to client anxiety. Thematic analysis provided important qualitative data concerning anxiety experienced by both mammographers and clients and the influence of mammographer and client behaviour on that anxiety. The results of this study have provided important new knowledge for mammographic practice and mammography education. By understanding the causes of anxiety experienced by clients, mammographers can provide an informed, empathetic approach to the mammographic process. By acknowledging factors which increase their own anxiety mammographers can reduce the impact of this on themselves and on their clients. Copyright (2003) Australian Institute of Radiography

Localización probabilística del humanoide Nao en el campo de la RoboCup

OpenAIRE

García Sierra, Juan Felipe; Fernández Llamas, Camino; Matellán Olivera, Vicente; Rodríguez Lera, Francisco Javier

2010-01-01

Una de las habilidades fundamentales que debe poseer un robot para definirse como autónomo es la de autolocalizarse en un entorno dado. En este artículo abordaremos el problema de la localización aplicando técnicas probabilísticas combinando representaciones topológicas y métricas sobre un terreno acotado como es el campo de fútbol de la RoboCup. El artículo presenta también el funcionamiento y resultados obtenidos sobre un conjunto de pruebas simuladas y reales utilizando el humanoide Nao...

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...

ESTUDO TRIBOLÓGICO DE ÓLEOS BIODEGRADÁVEIS DE COCO E DE RÍCINO ATRAVÉS DE ENSAIOS ABRASIVOS

Directory of Open Access Journals (Sweden)

jaciana silva de santana

2010-11-01

Full Text Available Em substituição aos óleos minerais, os óleos biodegradáveis vêm proporcionando uma grande alternativa ao mercado, uma vez que o mesmo diminui os impactos ambientais. Com a finalidade de avaliar o desempenho do óleo de rícino (refinado e bruto e o óleo de coco comparando-os com os óleos minerais SAE 20W50 SJ e W40, realizaram-se ensaios tribológicos de desgaste na configuração pino-contra-cilindro de aço AISI 52100. As superfícies das amostras metálicas foram confeccionadas por torneamento e lixamento, utilizando-se lixas de diferentes granulometrias, seguidas por limpeza com banho ultrassônico e pesagem antes e após a realização dos ensaios. Os corpos-de-prova foram analisados antes dos ensaios no microscópio óptico. A dureza do aço AISI 52100 foi medida utilizando-se um durômetro Rockwell. O óleo foi caracterizado através de ensaios de densidade e tensão superficial (Souza et. al., 2007. A eficiência da ação do lubrificante foi avaliada através da taxa de desgaste calculada para as amostras utilizando-se a equação de Archard e através da microscopia eletrônica de varredura (MEV. Segundo resultados da taxa de desgaste, os óleos vegetais de rícino e coco obtiveram valores de 88,89 % e 33,33 % menores que para os óleos W40 e SAE 20W50 SJ, respectivamente. Sendo assim, os óleos vegetais possuem propriedades tribológicas equivalentes e até superiores às dos óleos minerais estudados.

PATRON-CLIENT RELATIONSHIP PADA MASYARAKAT MADURA

OpenAIRE

Mohammad Hefni

2012-01-01

Abstrac This article traces patron-client relationship of Madurese both from socio-historical point of view and its contemporary progress. As an imbalance social-exchange relationship, in terms of patron-client relationship, second side (client) much highly depends upon the first side (patron). This had been experienced in Madurese social history during the native governmental period of time. The government was classified into two major classes; ruler class (patron) and farmer class (client)....

A comparison of fusion breeder/fission client and fission breeder/fission client systems for electrical energy production

International Nuclear Information System (INIS)

Land, R.J.; Parish, T.A.

1983-01-01

A parametric study that evaluated the economic performance of breeder/client systems is described. The linkage of the breeders to the clients was modelled using the stockpile approach to determine the system doubling time. Since the actual capital costs of the breeders are uncertain, a precise prediction of the cost of a breeder was not attempted. Instead, the breakeven capital cost of a breeder relative to the capital cost of a client reactor was established by equating the cost of electricity from the breeder/client system to the cost of a system consisting of clients alone. Specific results are presented for two breeder/client systems. The first consisted of an LMFBR with LWR clients. The second consisted of a DT fusion reactor (with a 238 U fission suppressed blanket) with LWR clients. The economics of each system was studied as a function of the cost of fissile fuel from a conventional source. Generally, the LMFBR/LWR system achieved relatively small breakeven capital cost ratios; the maximum ratio computed was 2.2 (achieved at approximately triple current conventional fissile material cost). The DTFR/LWR system attained a maximum breakeven capital cost ratio of 4.5 (achieved at the highest plasma quality (ignited device) and triple conventional fissile cost)

Negotiating the Client-Based Capstone Experience

Science.gov (United States)

Reifenberg, Steve; Long, Sean

2017-01-01

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

The Effects of Psychotherapist's and Clients' Interpersonal Behaviors during a First Simulated Session: A Lab Study Investigating Client Satisfaction

Directory of Open Access Journals (Sweden)

François Moors

2017-10-01

Full Text Available The purpose of this study was to examine the effects of psychotherapists' behaviors during a first simulated therapy session on clients' satisfaction, including their intention to pursue or drop out from therapy. The importance of psychotherapists' warmth on clients' satisfaction was examined to check previous findings stressing this determining factor. Examining the role of warm behaviors is however insufficient according to the interpersonal perspective. We therefore tested the role of the psychotherapist's agentic behaviors since only a few studies provide contradictory results about the role of this interpersonal dimension on clients' satisfaction and how it is influenced by matching up client and therapist's profiles. To test our hypotheses and control for alternative therapy-related explanatory variables, we used different videos as experimental conditions manipulating the therapist's behaviors. Seventy-five participants had to imagine themselves as potential clients arriving for a first therapy session. They successively watched a role-playing therapist behaving according to five randomized interpersonal profiles. Results confirmed that warmth was a major dimension predicting client satisfaction. They revealed that agency was also a determinant of client satisfaction and that its effects depended on the client's own interpersonal agentic profile. Dominant clients were found to be more satisfied with the dominant psychotherapist than the submissive one while submissive clients preferred only the warm psychotherapist. These findings are discussed and suggest that therapists may need to be flexible and adapt their behaviors according to their client's interpersonal profile to increase their client satisfaction and decrease drop outs.

As vicissitudes do "ensaio sobre o dom"

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Lygia Sigaud

1999-10-01

Full Text Available A partir dos anos 60, antropólogos de diferentes tradições nacionais passaram a convergir no sentido de considerar que o texto de Marcel Mauss, "Ensaio sobre o Dom", contivesse uma teoria da troca, que atribui à identificação entre a coisa dada e o espírito do doador o princípio de explicação das transações. Esta interpretação contrasta com a que tiveram os contemporâneos de Mauss, os quais resgataram do trabalho suas dimensões relativas ao direito, às obrigações e às prestações totais. Partindo desta constatação, o artigo problematiza o destino do ensaio e busca torná-lo inteligível. Para tanto examina as condições sociointelectuais que contribuíram para que se produzisse a inflexão na leitura e a consolidação de uma espécie de crença coletiva em relação ao trabalho. Através deste estudo de caso, a autora identifica mecanismos que operam no processo de construção de teorias, na conformação de representações acerca de textos e na sua consagração no âmbito da antropologia.From the 1960s, anthropologists of different national traditions came to share the view that Marcel Mauss’s text, "Essay on the Gift," contained a theory of exchange which takes the identification between the thing given and the spirit of the donor as the explanatory principle of transactions. This interpretation contrasts with that held by Mauss’s contemporaries, who lifted from the work aspects relating to law, obligations and total prestations. Starting from this fact, the article problematizes the essay’s fate and seeks to make it intelligible. To this end, it examines the socio-intellectual conditions which contributed to producing this inflection in the readings of the work and the consolidation of a kind of collective belief concerning it. Through this case study, the author identifies mechanisms which operate in the process of constructing theories, in the conformity found in representations of certain texts, and in the

Ensaio laboratorial e clínico com Hycanthone, nôvo agente esquistossomicida

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Naftale Katz

1967-08-01

Full Text Available A partir do Miracil D, um derivado hidroximetílico (Hycanthone pode ser obtido através da atividade biológica do Aspergillus sclerotiorum. Êste derivado mostrou-se muito ativo quando administrado a camundongos, hamsters e macacos Cebus experimentalmente infectados com Schistosoma mansoni. Ensaios clínicos com o Hycanthone foram feitos em 52 pacientes com esquistossomose mansoni ativa. A droga foi administrada, nas doses de 2 e 3 mg/kg/ dia, junto com um anti-ácido, duas vêzes ao dia, durante 5 dias consecutivos. Com exceção de 2 casos, todos os pacientes completaram o tratamento. Náusea e/ou vômito, anorexia, tonturas e cefaléia foram os efeitos colaterais mais comuns. Atividade terapêutica foi avaliada através de repetidos exames de fezes (4 a 6 e uma biópsia retal realizada a partir do 4.° mês após o tratamento. As percentagens de cura foram de 83,3 e 80,0% com o esquema de 2 e 3 mg/kg, respectivamente. Os dados laboratoriais e clínicos sôbre a atividade esquistossomicida do Hycanthone até agora obtidos mostram a necessidade de novos ensaios com êste promissor medicamento.

Teleconnections in Groundwater of U.S. Principal Aquifers to the Non-Stationarity of ENSO, NAO, PDO, and AMO

Science.gov (United States)

Gurdak, J. J.; Kuss, A. M.

2012-12-01

Groundwater will play an important role in society's adaptation to climate variability and change. Therefore, it is particularly important to detect and quantify teleconnections in groundwater with non-stationarity in climate variability on interannual to multidecadal timescales because of the tangible and near-term implications for water-resource management. Interannual to multidecadal climate variability partially controls precipitation distribution in space and time, drought frequency and severity, snowmelt runoff, streamflow, and other hydrologic processes that profoundly affects surface-water resources. However, the effects of interannual to multidecadal climate variability on recharge rates and mechanisms and other subsurface hydrologic processes that affect groundwater quantity and quality are largely unknown in most aquifers of the United States (U.S.) and other regions of the world. Here we use singular spectrum analysis (SSA), wavelet coherence analysis, and lag correlation to quantify the effects of the El Niño Southern Oscillation (ENSO) (2-7 year cycle), North Atlantic Oscillation (NAO) (3-6 year cycle), Pacific Decadal Oscillation (PDO) (10-25 year cycle), and Atlantic Multidecadal Oscillation (AMO) (50-70 year cycle) on precipitation, groundwater levels, simulated groundwater pumping, and climate varying recharge rates across the regionally extensive Central Valley (52,000 km2), Basin and Range (700,000 km2), High Plains (450,000 km2), and North Atlantic Coastal Plain (130,000 km2) Principal Aquifers (PAs) of the U.S. The results indicate that precipitation, recharge, and groundwater levels are partially affected by interannual to multidecadal climate variability and groundwater-level fluctuations are not solely a function of temporal patterns in pumping. ENSO and PDO have a greater control than NAO and AMO on variability in precipitation and groundwater levels across the U.S., particularly in the western and central PAs. At many locations, recharge

14 CFR 1261.317 - Attorney-client privilege.

Science.gov (United States)

2010-01-01

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

32 CFR 776.4 - Attorney-client relationships.

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2010-07-01

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

49 CFR 1103.23 - Confidences of a client.

Science.gov (United States)

2010-10-01

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

Characterizing fentanyl use in methadone-maintained clients.

Science.gov (United States)

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

2017-04-01

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

Interactive Effects of Counselor-Client Similarity and Client Self-Esteem on Termination Type and Number of Sessions.

Science.gov (United States)

Berry, G. William; Sipps, Gary J.

1991-01-01

Examined effects of client self-esteem as measured by Rosenberg Self-Esteem Scale and client-counselor similarity as determined by Myers-Briggs Type Indicator (MBTI) on number of sessions and type of termination (unilateral or mutual) for 55 clients and 9 counselors at university counseling center. Self-esteem interacted significantly with…

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 fr...... in public home-care practice remains limited...

31 CFR 10.28 - Return of client's records.

Science.gov (United States)

2010-07-01

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

Progress in Suppressing Scattered Light into the Optical Beam Path of the NAO Rozhen 2m Telescope

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Ovcharov, E. P.; Petrov, N.; Markov, H.; Bonev, T.; Donchev, Z.

2010-09-01

In this poster paper we present a summary of the published analysis of the spatial dependence of the magnitudes derived from images obtained in the RC focal plane of the 2m RCC NAO Rozhen telescope. An alert for the possible reason was the unusually curved flat-field images taken as a part of the standard CCD calibration procedure. The reasons for the problem are described and a solution is presented, which consists modification of the mirror baffles and mounting of special diaphragm at the entrance of the filter wheel.

Podemos fidelizar clientes inicialmente insatisfechos

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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.

Xerostomia among older home care clients.

Science.gov (United States)

Viljakainen, Sari; Nykänen, Irma; Ahonen, Riitta; Komulainen, Kaija; Suominen, Anna Liisa; Hartikainen, Sirpa; Tiihonen, Miia

2016-06-01

The purpose of this study was to examine drug use and other factors associated with xerostomia in home care clients aged 75 years or older. The study sample included 270 home care clients aged ≥75 years living in Eastern and Central Finland. The home care clients underwent in-home interviews carried out by trained home care nurses, nutritionists, dental hygienists and pharmacists. The collected data contained information on sociodemographic factors, health and oral health status, drug use, depressive symptoms (GDS-15), cognitive functioning (MMSE), functional ability (Barthel Index, IADL) and nutrition (MNA). The primary outcome was xerostomia status (never, occasionally or continuously). Among the home care clients, 56% (n = 150) suffered from xerostomia. Persons with continuous xerostomia used more drugs and had more depressive symptoms and a higher number of comorbidities than other home care clients. In multivariate analyses, excessive polypharmacy (OR = 1.83, 95% Cl 1.08-3.10) and depressive symptoms (OR = 1.12, 95% Cl 1.03-1.22) were associated with xerostomia. Xerostomia is a common problem among old home care clients. Excessive polypharmacy, use of particular drug groups and depressive symptoms were associated with xerostomia. The findings support the importance of a multidisciplinary approach in the care of older home care clients. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

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

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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.

Clients' and therapists' stories about psychotherapy.

Science.gov (United States)

Adler, Jonathan M

2013-12-01

This article provides an overview of the emerging field of research on clients' stories about their experiences in psychotherapy. The theory of narrative identity suggests that individuals construct stories about their lives in order to provide the self with a sense of purpose and unity. Psychotherapy stories serve both psychological functions. Focusing on the theme of agency as a vehicle for operationalizing purpose and coherence as a way of operationalizing unity, this article will describe the existing scholarship connecting psychotherapy stories to clients' psychological well-being. Results from cross-sectional qualitative and quantitative studies as well as longitudinal research indicate a connection between the stories clients tell about therapy and their psychological well-being, both over the course of treatment and after it is over. In addition, a preliminary analysis of therapists' stories about their clients' treatment is presented. These analyses reveal that the way therapists recount a particular client's therapy does not impact the relationships between clients' narratives and their improvement. The article concludes with a discussion of how this body of scholarship might be fruitfully applied in the realm of clinical practice. © 2012 Wiley Periodicals, Inc.

The Client's Perspective on Voluntary Stuttering.

Science.gov (United States)

Byrd, Courtney T; Gkalitsiou, Zoi; Donaher, Joe; Stergiou, Erin

2016-08-01

Voluntary stuttering is a strategy that has been suggested for use in the clinical literature but has minimal empirical data regarding treatment outcomes. The purpose of the present study is to explore client perspectives regarding the impact of the use of this strategy on the affective, behavioral, and cognitive components of stuttering. The present study used an original survey designed to explore the intended purpose. A total of 206 adults who stutter were included in the final data corpus. Responses were considered with respect to the type of voluntary stuttering the participants reportedly produced and the location of use. A client perceives significantly greater affective, behavioral, and cognitive benefits from voluntary stuttering when the production is closely matched to the client's actual stutter and when it is used outside the clinical environment. To enhance client perception of associated benefits, clinicians should encourage use of voluntary stuttering that closely matches the client's own stuttering. Clinicians should also facilitate practice of voluntary stuttering outside of the therapy room. Finally, clinicians should be aware that clients, at least initially, may not perceive any benefits from the use of this strategy.

[On the clients of public health organizations].

Science.gov (United States)

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

2004-01-01

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

Client Intimacy & Performance Advice: Determinants of Trust in the Public Accountant - SME Client Relationship

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Dianne McGrath

2018-04-01

Full Text Available This multi-discipline research investigated the determinants of trust in the relationship between Australia’s public accountants and their small and medium-sized (SME clients. In excess of four hundred SME owners, across Australia, were surveyed to test a proposed model and client intimacy variables were found to be the most significant predictors of trust in this important relationship. Offer-related variables, primarily the provision of advisory or performance-related services (rather than conformance-related services, were also found to be significant, however, at a lesser level than client intimacy and relationship variables. The multi-dimensionality of the trust construct was also highlighted.

49 CFR 1103.22 - Restraining clients from improprieties.

Science.gov (United States)

2010-10-01

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

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.

29 CFR 402.11 - Attorney-client communications exempted.

Science.gov (United States)

2010-07-01

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

29 CFR 403.9 - Attorney-client communications exempted.

Science.gov (United States)

2010-07-01

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

Ensaios sobre a metodologia do estudo da influência de três herbicidas em Spirodela punctata (G.F.W. Meyer Thompson (Lemnaceae

Directory of Open Access Journals (Sweden)

Durvalina Maria Mathias dos Santos

1988-01-01

Full Text Available O presente trabalho visa conhecer a taxa de multiplicação e o índice de mortalidade de S. punctata a diversas concentrações do butaclora, propanila e glifosato bem como comparar dois métodos diferentes de investigações (ensaio 1 e 2. Os dados indicaram que no ensaio 1 as concentrações foram pouco tóxicas provocando baixos índices de mortalidade embora tenha ocorrido inibição do crescimento nas concentrações mais fortes. O ensaio 2 mostrou que a butaclora e a propanila são mais tóxicas que o glifosato, com valores de mortalidade de 100% em apenas 48 horas. A taxa de multiplicação, neste ensaio, somente foi determinada para o glifosato, pois os demais herbicidas foram altamente tóxicos para a espécie. Verificou-se, na comparação dos dois métodos diferentes, que os recipientes utilizados no ensaio 2 foram mais adequados ao cultivo da espécie e que os efeitos tóxicos devem ser observados em frondes consideradas individualmente e não em plantas inteiras.The present work looks for a knowledge of multiplícate rate and mortality index of. S. punctata to several concentrations of butachlor, propanil and gliphosate as well as to compare two different methods. On essay 1 the concentrations were a little toxic provoking low index of mortality in spite of it has occured inhibition of increasing on stronger concentrations. The essay 2 showed what, the butachlor and the propanil are more toxics than the gliphosate, with values of mortality of 100% in only 48 hours. The multiplícate rate, on this essay, was only determinated to the gliphosate, because the other herbicides were highly toxic to the species. It was checked on the comparation of the two different methods the posts used on essay 2 were more appropriate to the cultive specie and the toxic effects must be observated on considered individualy and not on whole plants.

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 client's ability to make adequately considered decisions in connection with the representation is...

29 CFR 404.5 - Attorney-client communications exempted.

Science.gov (United States)

2010-07-01

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

42 CFR 483.420 - Condition of participation: Client protections.

Science.gov (United States)

2010-10-01

... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Client protections. 483... Condition of participation: Client protections. (a) Standard: Protection of clients' rights. The facility must ensure the rights of all clients. Therefore, the facility must— (1) Inform each client, parent (if...

31 CFR 10.21 - Knowledge of client's omission.

Science.gov (United States)

2010-07-01

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

Uncovering client retention antecedents in service organizations

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Mari Jansen van Rensburg

2014-01-01

Full Text Available This paper develops a multi-dimensional model of retention to provide a more complete and integrated view of client retention and its determinants in service contexts. To uncover the antecedents of client retention, social and economic exchanges were reviewed under the fundamental ideas of the Social Exchange Theory. Findings from a survey of senior South African advertising executives suggest that client retention is the result of evaluative as well as relational factors that can influence client responses. Despite contractual obligations, advertisers are willing to pay the costs and make the sacrifices of switching should their expectations be unmet. An important contribution of this study is the use of multi-item scales to measure retention. The model developed provides valuable insight to agencies on client retention management and the optimal allocation of resources for maximum customer equity. This model may also be applied to other service organisations to provide insight to client retention.

Client Contacts Improve Quality of Copywriting.

Science.gov (United States)

McCann, Guy

1988-01-01

Discusses the advantages of using real-life clients for class assignments in copywriting courses. Presents suggestions for client sources and identifies possible problems which may be encountered. (MM)

Comparisons of client and clinician views of the importance of factors in client-clinician interaction in hearing aid purchase decisions.

Science.gov (United States)

Poost-Foroosh, Laya; Jennings, Mary Beth; Cheesman, Margaret F

2015-03-01

Despite clinical recognition of the adverse effects of acquired hearing loss, only a small proportion of adults who could benefit use hearing aids. Hearing aid adoption has been studied in relationship to client-related and hearing aid technology-related factors. The influence of the client-clinician interaction in the decision to purchase hearing aids has not been explored in any depth. Importance ratings of a sample of adults having a recent hearing aid recommendation (clients) and hearing healthcare professionals (clinicians) from across Canada were compared on factors in client-clinician interactions that influence hearing aid purchase decisions. A cross-sectional approach was used to obtain online and paper-based concept ratings. Participants were 43 adults (age range, 45-85 yr) who had received a first hearing aid recommendation in the 3 mo before participation. A total of 54 audiologists and 20 hearing instrument practitioners from a variety of clinical settings who prescribed or dispensed hearing aids completed the concept-rating task. The task consisted of 122 items that had been generated via concept mapping in a previous study and which resulted in the identification of eight concepts that may influence hearing aid purchase decisions. Participants rated "the importance of each of the statements in a person's decision to purchase a hearing aid" on a 5-point Likert scale, from 1 = minimally important to 5 = extremely important. For the initial data analysis, the ratings for each of the items included in each concept were averaged for each participant to provide an estimate of the overall importance rating of each concept. Multivariate analysis of variance was used to compare the mean importance ratings of the clients to the clinicians. Ratings of individual statements were also compared in order to investigate the directionality of the importance ratings within concepts. There was a significant difference in the mean ratings for clients and clinicians for

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…

45 CFR 1608.7 - Attorney-client relationship.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 4 2010-10-01 2010-10-01 false Attorney-client relationship. 1608.7 Section 1608... PROHIBITED POLITICAL ACTIVITIES § 1608.7 Attorney-client relationship. Nothing in this part is intended to prohibit an attorney or staff attorney from providing any form of legal assistance to an eligible client...

Can retail banking clients' attrition be managed?

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Agaliotis Konstantinos

2015-01-01

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

17 CFR 205.3 - Issuer as client.

Science.gov (United States)

2010-04-01

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

19 CFR 111.39 - Advice to client.

Science.gov (United States)

2010-04-01

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

The influences of the AMO and NAO on the sedimentary infill in an Azores Archipelago lake since ca. 1350 CE

Science.gov (United States)

Hernández, Armand; Sáez, Alberto; Bao, Roberto; Raposeiro, Pedro M.; Trigo, Ricardo M.; Doolittle, Sara; Masqué, Pere; Rull, Valentí; Gonçalves, Vítor; Vázquez-Loureiro, David; Rubio-Inglés, María J.; Sánchez-López, Guiomar; Giralt, Santiago

2017-07-01

The location of the Azores Archipelago in the North Atlantic makes this group of islands an excellent setting to study the long-term behavior of large oceanic and atmospheric climate dynamic patterns, such as the Atlantic Multidecadal Oscillation (AMO) and the North Atlantic Oscillation (NAO). Here, we present the impacts of these patterns on Lake Empadadas (Azores Archipelago) from the Medieval Climate Anomaly (MCA) - Little Ice Age (LIA) transition to the present based on sedimentological, geochemical and biological characterizations of the sedimentary record. Multivariate analyses of a number of proxies including X-ray fluorescence (XRF), X-ray diffraction (XRD), total organic and inorganic carbon (TOC and TIC) and diatom life forms abundance reveal that the sedimentary infill evolution has been controlled by (i) fluctuations in the lake level and (ii) variations in organic matter accumulation. Both processes are governed by climate variability and modulated by anthropogenic activities associated with changes on the lake catchment. Changes in these two sedimentary processes have been used to infer five stages: (i) the MCA-LIA transition (ca. 1350-1450 CE) was characterized by a predominantly positive AMO phase, which led to intermediate lake levels and high organic matter concentration; (ii) the first half of the LIA (ca. 1450-1600 CE) was characterized by predominant lowstand conditions and intermediate organic matter deposition mainly related to negative AMO phases; (iii) the second half of the LIA (ca. 1600-1850 CE) was characterized by negative AMO and NAO phases, implying intermediate lake levels and high organic matter deposition; (iv) the Industrial era (ca. 1850-1980 CE) was characterized by the lowest lake level and organic matter accumulation associated with negative AMO phases; and (v) the period spanning between 1980 CE and the present reveals the highest lake levels and low organic matter deposition, being associated with very positive AMO

Análise da lucratividade dos clientes

OpenAIRE

Madeira, Paulo

2000-01-01

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

Diversity and uses of Zingiberaceae in Nam Nao National Park, Chaiyaphum and Phetchabun provinces, Thailand, with a new record for Thailand

Directory of Open Access Journals (Sweden)

Surapon Saensouk

2016-11-01

Full Text Available Three tribes, 12 genera and 38 species of the ginger family (Zingiberaceae along five routes in Nam Nao National Park were surveyed between January 2012 and December 2013 to determine their diversity, ecological data, phenology, uses and conservation status. The highest diversity was found in the tribe Zingibereae (6 genera and 21 species, of which the genera Curcuma and Zingiber comprised the highest number species (eight species each. A species key was constructed based on morphology. The ginger family was found in four forest-types—deciduous dipterocarp forest, mixed deciduous forest, dry evergreen forest and pine forest. The most flowering bloom of the ginger family in Nam Nao National Park was during March to August and the most fruiting bloom was during June to September. The popular uses of Zingiberaceae were as a food, spice, in medicine, as ornamentation and in rituals. Eight species have been evaluated as of least concern and are presented in the IUCN Red List, while two rare species were reported in Thailand Red Data: Plants, while six rare Zingiberaceae species were identified based on the evaluation criteria of Saensouk (2011. Four species were endemic to Thailand. Moreover, Etlingera yunnanensis (T. L. Wu & S. J. Chen R. M. Smith was a new record for Thailand.

Detecting the Benefits of Shade Management in the Thermal Regime of an Upland River Under Positive and Negative Phases of the NAO

Science.gov (United States)

Wilby, R.; Johnson, M. F.

2017-12-01

Water temperature is an important determinant of river ecosystem function and health. Hence, there is growing concern about rising surface water temperatures as a consequence of global warming and human modifications to river regimes. Some agencies are advocating riparian shade management as a means of `keeping rivers cool'. As appealing as this policy might seem, there are a host of practical considerations such as which species to plant, where to plant, and how much to plant? Moreover, there can be unintended consequences for groundwater recharge, flood risk and nutrient fluxes through the buffer zone. The thermal benefits of tree-planting may also be hard to detect amidst the integrated, downstream effects of landscape shade and flows from springs. Yet, to truly evaluate shade management as an adaptation to climate change, clear evidence is needed of the costs and benefits of this local intervention. What has this got to do with natural modes of climate variability? Continental scale, hydrological impacts of ENSO, the PDO and NAO have been widely reported - these periodic variations in ocean-atmosphere circulations are often blamed for floods, droughts, wildfire, crop failures, and the like. But there is emerging evidence that such phenomena also drive inter-annual variations in the heat flux of rivers. This matters because the underlying signal can confound field and model experiments intended to test adaptation options. Here, we present evidence of NAO signatures in the water temperature regime of the River Dove, UK. We compare the amplitude of these thermal variations with the expected benefit of tree planting. We demonstrate that the difference in maximum summer water temperature between strongly positive and strongly negative NAO phases can be about 2.5°C. This is equivalent to the thermal benefit of more than 2 km of riparian shade for the river studied. So, whilst modes of climate variability undoubtedly have a global footprint, let us not forget that

Improving UK client-contractor relations

International Nuclear Information System (INIS)

Brant, A.W.

1996-01-01

The client's aim in any decommissioning project is that the originally intended end point is achieved, within budget and on time. The contractor's aim is to have a satisfied client, so that both are happy to work together again, and to have a reasonable return for his efforts. How can these - not incompatible - aims best be achieved? (UK)

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.

Precisão experimental de ensaios de trigo em regiões homogêneas de adaptação

Directory of Open Access Journals (Sweden)

Giovani Benin

2013-04-01

Full Text Available O objetivo deste trabalho foi avaliar a adequação de estatísticas de precisão experimental em conjuntos de ensaios de competição de genótipos de trigo (Triticum aestivum, realizados em regiões homogêneas de adaptação. As estatísticas herdabilidade, coeficiente de determinação, valor do teste F para genótipo, índice de diferenciação de Fasoulas, acurácia seletiva e coeficiente de repetibilidade foram calculadas a partir de resultados de produtividade de grãos de trigo de 572 ensaios de competição com 25 genótipos, em quatro regiões homogêneas de adaptação, nas safras de 2007 a 2011. Foram estimadas as correlações lineares entre as estatísticas e realizada a análise de trilha. As estatísticas foram agrupadas pelo método hierárquico de Ward. As médias das estatísticas de cada região de adaptação foram comparadas pelo teste t "bootstrap". As estatísticas acurácia seletiva, coeficiente de determinação, coeficiente de herdabilidade e coeficiente de repetibilidade apresentam relação algébrica e são adequadas para avaliar a precisão experimental de ensaios de competição de trigo em diferentes regiões de adaptação. As regiões utilizadas para avaliação do valor de cultivo e uso do trigo diferem quanto à acurácia seletiva e ao coeficiente de repetibilidade.

Agreement between clients with schizophrenia and mental health workers on clients' social quality of life: The role of social cognition and symptoms.

Science.gov (United States)

Ofir-Eyal, Shani; Hasson-Ohayon, Ilanit; Bar-Kalifa, Eran; Kravetz, Shlomo; Lysaker, Paul H

2017-06-01

Studies have showed that therapists and mental health workers of persons with schizophrenia tend to estimate their patients' social quality of life (SQoL) as poorer than the clients' own estimation. This study explores the hypothesis that this discrepancy is related to clients' social cognition and symptomatology. Cross-sectional assessment of both clients and their mental health workers. Ninety persons with schizophrenia and 12 persons who were formal care providers participated in the study. All responded to a parallel version (client and clinician) of social quality-of-life scales. Clients' emotion identification, theory of mind and symptoms were also assessed. Low social cognitive abilities of persons with schizophrenia, as well as negative symptomatology and having children, may be related to the negative bias of mental health workers, with regard to their client's SQoL. While more severe levels of negative symptoms and more deficits of social cognition were related to reduced levels of agreement, paradoxically, a relatively normative family life that includes parenting was also related to lower levels of agreement. Attention should be given to low agreement between clients with schizophrenia and clinicians with regard to the client's quality of life, as it is central to alliance and outcome. Clinicians tend to estimate clients' social quality of life as poorer than the clients' own estimation when those clients have low social cognition, high negative symptomatology and children. There is a need to identify additional factors that contribute to agreement and alliance in therapy. Longitudinal assessment during therapy can trace the process of construction of agreement. © 2016 The British Psychological Society.

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...... for capturing and managing client values within a lean framework. This paper describes the initial findings of a joint research project between academia and industry practitioners that seeks to develop the workshop method to create a state of the art approach in construction design management. This includes...... 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...

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.

Client Involvement in Home Care Practice

DEFF Research Database (Denmark)

Glasdam, Stinne; Henriksen, Nina; Kjær, Lone

2013-01-01

, political and administrative frames that rule home- care practice. Client involvement is shown within four constructed analytical categories: ‘Structural conditions of providing and receiving home care’; ‘Client involvement inside the home: performing a professional task and living an everyday life......’; ‘Client involvement outside the home: liberal business and mutual goal setting’; and ‘Converting a home to a working place: refurnishing a life’. The meaning of involvement is depending on which position it is viewed from. On the basis of this analysis, we raise the question of the extent to which...

Homebased rehabilitation: Physiotherapy student and client perspectives

Directory of Open Access Journals (Sweden)

Dianne Parris

2016-05-01

Full Text Available Background. Home-based rehabilitation (HBR in under-resourced areas in a primary healthcare (PHC context exposes students to the real-life situations of their clients. There is a scarcity of literature on student and client experiences of HBR in the physiotherapy context. Increased knowledge of HBR could result in an enhanced experience for both student and client. This study sought to discover the perceptions of final-year physiotherapy students and their clients relating to their experiences of HBR during a PHC placement in a resource-constrained setting. Objectives. To explore the experiences and perceptions of physiotherapy students and their clients regarding HBR as part of clinical training in resource-constrained settings. To discover the barriers to and facilitators of effective HBR. Methods. An exploratory case study was performed. A qualitative phenomenological research design in the interpretivist paradigm was used. Semistructured interviews were conducted with clients (n=7 living in an under-resourced setting, who had received HBR from physiotherapy students. Paired interviews were conducted with final-year physiotherapy students (n=6 after their HBR placement. Results. Clients appreciated the students’ services; however, data revealed communication barriers and unmet expectations. Students reported struggling to adapt to the context, resulting in interventions not being sufficiently client-centred. They voiced a need for language competency and earlier exposure to such contexts. Conclusion. Exposure to real-life situations in under-resourced settings in HBR provides valuable situated and authentic learning opportunities for physiotherapy students. The experience can be useful in preparing graduates to address the needs of the populations they serve during community service.

Linguagem e dignidade: um ensaio a partir de Frankenstein de Mary Shelley

Directory of Open Access Journals (Sweden)

Marciano Adilio Spica

2015-06-01

Full Text Available Este pretende ser um ensaio relacionando filosofia e literatura. Mais especificamente, o que pretendo mostrar é como a literatura pode ajudar a ilustrar grandes temas filosóficos. Para isso farei uma discussão relacionando a obra Frankenstein de Mary Shelley a algumas abordagens filosóficas sobre a linguagem. Tentarei mostrar que a clássica obra de terror, acima citada, reúne passagens que ilustram o papel da linguagem na significação do mundo e, mais do que isso, na constituição da dignidade humana. Farei isso aproximando tal obra de alguns escritos de Habermas e Wittgenstein.

Determination of the absolute second-order rate constant for the reaction Na + O3 → NaO + O2

International Nuclear Information System (INIS)

Husain, David; Marshall, Paul; Plane, J.M.C.

1985-01-01

The absolute second-order rate constant for the reaction Na + O 3 -> NaO + O 2 (k 1 ) has been determined by time-resolved atomic resonance absorption spectroscopy at lambda = 589 nm [Na(3 2 Psub(j)) 2 Ssub(1/2))] following pulsed irradiation, coupled with monitoring of O 3 by light absorption in the ultra-violet; this yields k 1 (500 K) = 4(+4,-2) x 10 -10 cm 3 molecule -1 s -1 , resolving large differences for various estimates of this important quantity used in modelling the sodium layer in the mesosphere. (author)

32 CFR 776.28 - Conflict of interest: Former client.

Science.gov (United States)

2010-07-01

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

Involvement of the Client in Home Care Practice

DEFF Research Database (Denmark)

Glasdam, Stinne; Kjær, Lone; Præstegaard, Jeanette

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...

On Being "Attractive" With Resistant Clients.

Science.gov (United States)

Miller, Mark J.; Wells, Don

1990-01-01

Calls client resistance a frequent occurrence within the helping profession. Defines client resistance, provides a brief review of related literature, and offers counselor attractiveness as one way of addressing the issue. Identifies attractive counselor behaviors and attitudes and presents case study illustrating specific attractive counselor…

37 CFR 10.84 - Representing a client zealously.

Science.gov (United States)

2010-07-01

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

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

Science.gov (United States)

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

2014-10-01

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

Durabilidade de fachadas: método de ensaio para verificação da resistência à ação de calor e choque térmico

Directory of Open Access Journals (Sweden)

Luciana Alves Oliveira

Full Text Available A avaliação da durabilidade de sistemas construtivos envolve a identificação dos agentes agressivos do ambiente. Em países tropicais, tende a ser significativa a ação de agentes de degradação, como altas temperaturas, umidade, radiação ultravioleta e agentes biológicos. A ação desses agentes é mais atuante nas fachadas dos edifícios, por sofrerem continuamente aquecimento, em razão da radiação solar, e resfriamento, em função de chuvas ou oscilações térmicas, fenômeno conhecido como choque térmico. No Brasil, a resistência à ação de calor e choque térmico de fachadas é tratada na norma de desempenho - NBR 15575-4 (ABNT, 2013. Entretanto, o método de ensaio proposto por esta norma difere dos métodos de ensaios de normas estrangeiras, em alguns aspectos. Assim, o objetivo deste artigo é discutir e propor revisões no método de ensaio estabelecido na norma brasileira para avaliar a resistência dos elementos de fachada leve à ação de calor e choque térmico. A discussão e proposta de revisão do método de ensaio de choque térmico são baseadas em revisão bibliográfica, e pelos resultados de ensaios realizados conforme a NBR 15.575-4 (ABNT, 2013. Foram propostas as seguintes modificações: tempo de permanência do corpo de prova na fase aquecida, e dimensões e restrições impostas ao corpo-de-prova. Para a consideração de outros aspectos, como tempo e quantidades de ciclos, estudos ainda precisam ser desenvolvidos.

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

African Journals Online (AJOL)

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

A "client perspective" helps improve services.

Science.gov (United States)

1998-01-01

Egypt's Ministry of Health launched a campaign in 1992 to improve client satisfaction with family planning clinic services in the country. In the program, family planning clinic supervisors are being trained to use a checklist of 101 indicators to evaluate services, ranging from the availability of contraceptive commodities to the condition of facilities. Television messages and posters disseminated throughout communities instruct potential clients to look for gold stars on the doors of family planning clinics across the country, indicators of a clinic which meets quality service standards. This program is currently used by almost 4000 clinics nationwide. Family planning services worldwide have long focused upon increasing levels of contraceptive use. More recently, however, they are also focusing upon the quality of services provided. Frameworks for improving services tend to emphasize better ways to interact with clients, and often address how to approach specific management concerns, such as maintaining adequate contraceptive supplies. Client interaction, management concerns, and how quality makes a difference are discussed.

31 CFR 8.34 - Knowledge of client's omission.

Science.gov (United States)

2010-07-01

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

Successful Vocational Rehabilitation of Clients with Retinitis Pigmentosa.

Science.gov (United States)

Taheri-Araghi, M.; Hendren, G.

1994-01-01

Statistical analysis of 10 personal (client) variables and four program variables related to 76 people who became blind from retinitis pigmentosa revealed that 6 variables predicted clients' rehabilitation outcomes: age, gender, race, work status, amount of case-service money spent on the client's behalf, and number of changes in career objectives…

Mutual powerlessness in client participation practices in mental health care

Science.gov (United States)

Broer, Tineke; Nieboer, Anna P.; Bal, Roland

2012-01-01

Abstract Background  Client participation has become a dominant policy goal in many countries including the Netherlands and is a topic much discussed in the literature. The success of client participation is usually measured in terms of the extent to which clients have a say in the participation process. Many articles have concluded that client participation is limited; professionals often still control the participation process and outcomes. Objective  The objective of this study is to gain insight into (i) the practice of client participation within a quality improvement collaborative in mental health care and (ii) the consequences of a Foucauldian conceptualization of power in analysing practices of client participation. Design  We used an ethnographic design consisting of observations of national events and improvement team meetings and interviews with the collaborative’s team members and programme managers. Results  Contrary to many studies on client participation, we found both clients and service providers frequently felt powerless in its practice. Professionals and clients alike struggled with the contributions clients could make to the improvement processes and what functions they should fulfil. Moreover, professionals did not want to exert power upon clients, but ironically just for that reason sometimes struggled with shaping practices of client participation. This mutual powerlessness (partly) disappeared when clients helped to determine and execute specific improvement actions instead of participating in improvement teams. Conclusion  Recognizing that power is inescapable might allow for a more substantive discussion concerning the consequences that power arrangements produce, rather than looking at who is exerting how much power. PMID:22390793

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)

Experimental Blind Quantum Computing for a Classical Client

Science.gov (United States)

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

2017-08-01

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

Experimental Blind Quantum Computing for a Classical Client.

Science.gov (United States)

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

2017-08-04

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

37 CFR 10.78 - Limiting liability to client.

Science.gov (United States)

2010-07-01

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

Who cares for involuntary clients?

Science.gov (United States)

Soliman, Soheil; Pollack, Harold A; Alexander, Jeffrey A

2009-01-01

The objectives of this study were to compare characteristics of outpatient substance abuse treatment (OSAT) units that serve high proportions of involuntary clients (ICs) with those that serve a low percentage of such clients. The authors analyze unit-level 1995-2005 data from the National Drug Abuse Treatment System Survey (NDATSS). Approximately 1/6 of OSAT units draw the dominant majority of their clients from involuntary referrals. OSAT units that treat a high proportion of ICs are less likely to be accredited by professional organizations, have fewer treatment staff with advanced degrees, and have shorter average treatment duration than do OSAT units that serve few ICs. OSAT units that serve ICs are more likely to offer legal and domestic violence services but are less likely to offer mental health services or aftercare. OSAT units that serve ICs are less likely to be hospital-affiliated than are other units. Clients at such facilities are more likely to be convicted of driving while intoxicated (DWI), are younger, are less likely to have received prior treatment, are more likely to remain abstinent after treatment, but are more likely to be remanded back to courts. The authors conclude that ICs are an important market niche in OSAT care. DWI is by far the most common offense reported in units that specialize in ICs. Aside from legal and domestic violence services, units with a high proportion of ICs appear to offer somewhat less intensive and professionalized services than do other facilities; however, clients at these units are more likely to be abstinent at the end of treatment and but more likely to be remanded back to the courts.

Client capital as a source of enterprise cost

Directory of Open Access Journals (Sweden)

Verba Veronika A.

2014-01-01

Full Text Available The article presents the authors’ vision of the essence of the client capital and its influence upon the enterprise cost. The goal of the article is explanation of the role of the client capital in the process of enterprise capitalisation with the help of the business cost capitalisation model: investments into assets – cash flow generation – enterprise capitalisation. The result of the study is the authors’ position regarding the essence and structuring the client capital, which gives a possibility to detect financial and managerial instruments of capitalisation of the client capital. The conducted analysis of dynamics of financial parameters of the world leaders of IT industry, car building, clothes manufacture and beverages production allows detection of interconnection of the enterprise cost with the volume of assets and profit and identification of influence of the client capital upon capitalisation of enterprises of various spheres of activity. The article develops a model of capitalisation of the client capital on the basis of detection of cash flows, caused by formation of enterprises of B2C and B2B types.

O ensaio sobre o dom de Marcel Mauss: um texto pioneiro da crítica decolonial

Directory of Open Access Journals (Sweden)

Paulo Henrique Martins

2014-08-01

Full Text Available O objetivo deste artigo é mostrar que Marcel Mauss, em seu Ensaio sobre o dom, publicado em 1924, desenvolve uma reflexão pós-colonial avant la lettre que estrutura toda a sua crítica antiutilitarista do ocidentalismo e que pode esclarecer uma série de aspectos da crítica decolonial, especialmente em suas relações atuais com o pensamento antiutilitarista desenvolvido na Europa.

Mutual construction and reconstruction in client-consultant interaction

DEFF Research Database (Denmark)

Smith, Irene Skovgaard

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

Entrevista com Caetano Galindo, o autor de Ensaio sobre entendimento humano

Directory of Open Access Journals (Sweden)

Lucas Menezes de Moraes

2017-06-01

Full Text Available Caetano Waldrigues Galindo é paranaense, 43 anos, Doutor em linguística pela Universidade Federal do Paraná e tradutor de obras consagradas da literatura mundial, como Graça Infinita, de David Foster Wallace, e Vida Querida, da vencedora do Prêmio Nobel de Literatura, Alice Munro. Galindo já recebeu prêmios importantes como o Jabuti, APCA, bem como o da Academia Brasileira de Letras por sua tradução de Ulysses, de James Joyce. Como escritor, já publicou Sim, eu digo sim: Uma visita guiada ao Ulysses  de James Joyce e Ensaio sobre o entendimento humano, livro que recebeu o Prêmio Paraná de Literatura de 2013. Um ano antes, Galindo foi eleito uma das 100 pessoas mais influentes do Brasil.

Multi-client quantum key distribution using wavelength division multiplexing

International Nuclear Information System (INIS)

Grice, Warren P.; Bennink, Ryan S.; Earl, Dennis Duncan; Evans, Philip G.; Humble, Travis S.; Pooser, Raphael C.; Schaake, Jason; Williams, Brian P.

2011-01-01

Quantum Key Distribution (QKD) exploits the rules of quantum mechanics to generate and securely distribute a random sequence of bits to two spatially separated clients. Typically a QKD system can support only a single pair of clients at a time, and so a separate quantum link is required for every pair of users. We overcome this limitation with the design and characterization of a multi-client entangled-photon QKD system with the capacity for up to 100 clients simultaneously. The time-bin entangled QKD system includes a broadband down-conversion source with two unique features that enable the multi-user capability. First, the photons are emitted across a very large portion of the telecom spectrum. Second, and more importantly, the photons are strongly correlated in their energy degree of freedom. Using standard wavelength division multiplexing (WDM) hardware, the photons can be routed to different parties on a quantum communication network, while the strong spectral correlations ensure that each client is linked only to the client receiving the conjugate wavelength. In this way, a single down-conversion source can support dozens of channels simultaneously--and to the extent that the WDM hardware can send different spectral channels to different clients, the system can support multiple client pairings. We will describe the design and characterization of the down-conversion source, as well as the client stations, which must be tunable across the emission spectrum.

37 CFR 10.65 - Limiting business relations with a client.

Science.gov (United States)

2010-07-01

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

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

Science.gov (United States)

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

2017-03-01

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

Social work - client relationship practice: exploring social worker perspectives

OpenAIRE

WENDY ELIZABETH ROLLINS

2018-01-01

This thesis explores, using qualitative methodology, the significance of social worker – client relationships for achieving client outcomes in the field of child and family welfare. The study found that social worker – client relationships are critical for achieving outcomes. It is a distinct practice method, informed by relational views about ‘the self’, human development and healing. The social worker, as Relationship Building Agent, is heavily focused on client engagement and building t...

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

Science.gov (United States)

2010-10-01

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

Análise da adaptabilidade e estabilidade de produção em ensaios regionais de feijoeiro para o Estado de São Paulo

Directory of Open Access Journals (Sweden)

Guilherme Augusto Peres Silva

2013-02-01

Full Text Available O objetivo deste trabalho foi identificar genótipos, superiores em produtividade, adaptabilidade e estabilidade, na produção de grãos de feijoeiro, por meio da análise Lin & Binns (1988, modificada por Carneiro (1998. Foram avaliados vinte e dois genótipos pertencentes aos principais programas de melhoramento do país. Essas avaliações constaram de dados dos ensaios de VCU 2007/2008/2009 para o Estado de São Paulo, que seguiram as normas estabelecidas pelo MAPA/SNPC, para ensaios de campo. Estes ensaios foram instalados em vinte e quatro ambientes, nas épocas das águas de 2007 e 2008, seca de 2008 e 2009 e inverno de 2008 e 2009. Os resultados obtidos no conjunto dos anos e ambientes de 2007/2008/2009 demonstraram que os genótipos 'Gen C2-1-3', 'CNFC 10408', 'Juriti Claro' e 'LP 04-72' comportaram-se como os mais estáveis e adaptados. O método Lin & Binns (1988, modificado por Carneiro (1998, mostrou-se adequado para análise dos dados, identificando os genótipos mais estáveis, produtivos e adaptados aos ambientes de cultivo.

Assessment of ART centres in India: client perspectives.

Science.gov (United States)

Sogarwal, Ruchi; Bachani, Damodar

2009-05-01

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

Automated Detection of Client-State Manipulation Vulnerabilities

DEFF Research Database (Denmark)

Møller, Anders; Schwarz, Mathias

2012-01-01

automated tools that can assist the programmers in the application development process by detecting weaknesses. Many vulnerabilities are related to web application code that stores references to application state in the generated HTML documents to work around the statelessness of the HTTP protocol....... In this paper, we show that such client-state manipulation vulnerabilities are amenable to tool supported detection. We present a static analysis for the widely used frameworks Java Servlets, JSP, and Struts. Given a web application archive as input, the analysis identifies occurrences of client state...... and infers the information flow between the client state and the shared application state on the server. This makes it possible to check how client-state manipulation performed by malicious users may affect the shared application state and cause leakage or modifications of sensitive information. The warnings...

Servidor de claves públicas pgp, cliente administrador y cliente para ciframiento y desciframiento de correo electrónico

OpenAIRE

Redrovan Castillo, Fabian; Ruiz Ampuero, Luis M.; Vaca Ruiz, Carmen K.; Yanez Godoy, Ricardo E.; Caicedo Rossi, Guido Alfredo

2009-01-01

Basándose en el paradigma Cliente-Servidor bajo la arquitectura TCP/IP, se implementaran tres aplicaciones. Cada aplicación tiene un nombre que refleja su propósito: el Cliente Administrador, el Cliente de Correo Electrónico y finalmente el servidor PGP. Este último ofrece varios servicios, sobresaliendo por su importancia, el proporcionar a quien lo necesite, la clave pública de encriptación PGP (Pretty Good Privacy) de una persona determinada. Para que esto sea posible, dicha persona deb...

PATRON-CLIENT RELATIONSHIP PADA MASYARAKAT MADURA

Directory of Open Access Journals (Sweden)

Mohammad Hefni

2012-03-01

Full Text Available Abstrac This article traces patron-client relationship of Madurese both from socio-historical point of view and its contemporary progress. As an imbalance social-exchange relationship, in terms of patron-client relationship, second side (client much highly depends upon the first side (patron. This had been experienced in Madurese social history during the native governmental period of time. The government was classified into two major classes; ruler class (patron and farmer class (client. The former is fully in authority to take control either economic or politic potencies, however, the later transacts labors to the first side. Both side is connected by a bribe (upeti systems—percaton, apanage and daleman. In current progress this relationship becomes more acquaintance, it covers economic and politic relationship. The success of Trunojoyo, the king of Sumenep's inherit, against the Mataram domination had been supported by Madurese people that had previously tightened to the system. Today,  patron-client relationship in Madura is reflected in the relationship between the head of village, as the owner of percaton,  and the staff as well as people, as the percaton manager. The other is well-described in the relationship of ship owner and pandega (fisher in fishing. Once the relationship is set up, it directs to diadik relation, a two in one relation which is more personal and long lasting one. Kata-kata kunci Patron-klien, percaton, apanage, panembahan, rakyat, daleman, kepala desa, juragan, pandega, dan diadik.

Laser Surgeon, Client Education, and Satisfaction with Tattoo Removal

DEFF Research Database (Denmark)

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

2017-01-01

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

O problema do ethos da escrita de si em Montaigne e em Petrarca: do ensaio à epístola

Directory of Open Access Journals (Sweden)

Sergio Xavier Gomes de Araujo

2012-12-01

Full Text Available Montaigne insiste ao longo dos Ensaios em seu desprezo pela retórica. Mas como procuraremos mostrar aqui, sua "forma natural" inscreve-se em grande medida dentro dos termos da própria retórica, sob uma mobilização particular dos preceitos e convenções tradicionalmente apropriados à escrita em primeira pessoa, especialmente aqueles que regulavam o sermo familiaris, gênero recuperado pela primeira vez na Renascença por Petrarca. Retomamos assim, para desenvolvê-la, a fecunda intuição de Hugo Friedrich que, em sua clássica obra sobre os Ensaios de Montaigne, aponta o seu parentesco com a forma epistolar de Petrarca, sem, porém, acompanhá-lo quando distancia o ensaio da epístola familiar, por entendê-lo como marco de ruptura com os procedimentos da retórica e, assim, com toda a prosa artisticamente trabalhada do humanismo.Montaigne insists throughout the course of the Essays on his disdain for rhetoric. But as we try to expose here, his "natural form" includes itself to a large extent in the terms of rhetoric itself, under a particular usage of the precepts and conventions traditionally appropriate to the discourse in first person, especially those which regulated the sermo familiaris, genre recuperated for the first time in the Renaissance by Petrarch. We retake, in order to develop it, the fruitful intuition of Hugo Friedrich in his classical work about Montaigne's Essays, indicating its kinship with Petrarch's epistolary form, without, however, following him when he moves the essay away from the familiar epistle by interpreting the essay as a rupture with the rhetorical procedures and therefore with all the artistically worked prose of humanism.

32 CFR 776.32 - Department of the Navy as client.

Science.gov (United States)

2010-07-01

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

Type II Cepheids: evidence for Na-O anticorrelation for BL Her type stars?

Science.gov (United States)

Kovtyukh, V.; Yegorova, I.; Andrievsky, S.; Korotin, S.; Saviane, I.; Lemasle, B.; Chekhonadskikh, F.; Belik, S.

2018-06-01

The chemical composition of 28 Population II Cepheids and one RR Lyrae variable has been studied using high-resolution spectra. The chemical composition of W Vir variable stars (with periods longer than 8 d) is typical for the halo and thick disc stars. However, the chemical composition of BL Her variables (with periods of 0.8-4 d) is drastically different, although it does not differ essentially from that of the stars belonging to globular clusters. In particular, the sodium overabundance ([Na/Fe] ≈ 0.4) is reported for most of these stars, and the Na-O anticorrelation is also possible. The evolutionary tracks for BL Her variables (with a progenitor mass value of 0.8 solar masses) indicate that mostly helium-overabundant stars (Y = 0.30-0.35) can fall into the instability strip region. We suppose that it is the helium overabundance that accounts not only for the existence of BL Her variable stars but also for the observed abnormalities in the chemical composition of this small group of pulsating variables.

45 CFR 1639.4 - Permissible representation of eligible clients.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 4 2010-10-01 2010-10-01 false Permissible representation of eligible clients... CORPORATION WELFARE REFORM § 1639.4 Permissible representation of eligible clients. Recipients may represent an individual eligible client who is seeking specific relief from a welfare agency. [62 FR 30766...

37 CFR 10.33 - Direct contact with prospective clients.

Science.gov (United States)

2010-07-01

... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Direct contact with prospective clients. 10.33 Section 10.33 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND... clients. A practitioner may not solicit professional employment from a prospective client with whom the...

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

African Journals Online (AJOL)

Results. Clients appreciated the students' services; however, data revealed communication barriers and unmet expectations. Students reported struggling to adapt to the context, resulting in interventions not being sufficiently client-centred. They voiced a need for language competency and earlier exposure to such contexts.

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.

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.

The Little Ice Age was 1.0-1.5 °C cooler than current warm period according to LOD and NAO

Science.gov (United States)

Mazzarella, Adriano; Scafetta, Nicola

2018-02-01

We study the yearly values of the length of day (LOD, 1623-2016) and its link to the zonal index (ZI, 1873-2003), the Northern Atlantic oscillation index (NAO, 1659-2000) and the global sea surface temperature (SST, 1850-2016). LOD is herein assumed to be mostly the result of the overall circulations occurring within the ocean-atmospheric system. We find that LOD is negatively correlated with the global SST and with both the integral function of ZI and NAO, which are labeled as IZI and INAO. A first result is that LOD must be driven by a climatic change induced by an external (e.g. solar/astronomical) forcing since internal variability alone would have likely induced a positive correlation among the same variables because of the conservation of the Earth's angular momentum. A second result is that the high correlation among the variables implies that the LOD and INAO records can be adopted as global proxies to reconstruct past climate change. Tentative global SST reconstructions since the seventeenth century suggest that around 1700, that is during the coolest period of the Little Ice Age (LIA), SST could have been about 1.0-1.5 °C cooler than the 1950-1980 period. This estimated LIA cooling is greater than what some multiproxy global climate reconstructions suggested, but it is in good agreement with other more recent climate reconstructions including those based on borehole temperature data.

75 FR 82236 - Principal Trades with Certain Advisory Clients

Science.gov (United States)

2010-12-30

... 3235-AJ96 Principal Trades with Certain Advisory Clients AGENCY: Securities and Exchange Commission... certain of their advisory clients. The amendment extends the date on which rule 206(3)- 3T will sunset... a principal capacity in transactions with certain of their advisory clients.\\1\\ In December 2009, we...

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

Directory of Open Access Journals (Sweden)

Carly Steyn

2015-12-01

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

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…

Discrimination against Obese Exercise Clients: An Experimental Study of Personal Trainers.

Science.gov (United States)

Fontana, Fabio; Bopes, Jonathan; Bendixen, Seth; Speed, Tyler; George, Megan; Mack, Mick

2018-01-01

The aim of the study was to compare exercise recommendations, attitudes, and behaviors of personal trainers toward clients of different weight statuses. Fifty-two personal trainers participated in the study. The data collection was organized into two phases. In phase one, trainers read a profile and watched the video displaying an interview of either an obese or an average-weight client. Profiles and video interviews were identical except for weight status. Then, trainers provided exercise recommendations and rated their attitude toward the client. In phase two, trainers personally met an obese or an average-weight mock client. Measures were duration and number of advices provided by the trainer to a question posed by the client and sitting distance between trainer and client. There were no significant differences in exercise intensity ( p = .94), duration of first session ( p = .65), and total exercise duration of first week ( p = .76) prescribed to the obese and average-weight clients. The attitude of the personal trainers toward the obese client were not significantly different from the attitude of personal trainers toward the average-weight client ( p = .58). The number of advices provided ( p = .49), the duration of the answer ( p = .55), and the distance personal trainers sat from the obese client ( p = .68) were not significantly different from the behaviors displayed toward the average-weight client. Personal trainers did not discriminate against obese clients in professional settings.

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.

37 CFR 10.67 - Settling similar claims of clients.

Science.gov (United States)

2010-07-01

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

Psychometrics of the Personal Questionnaire: A client-generated outcome measure.

Science.gov (United States)

Elliott, Robert; Wagner, John; Sales, Célia M D; Rodgers, Brian; Alves, Paula; Café, Maria J

2016-03-01

We present a range of evidence for the reliability and validity of data generated by the Personal Questionnaire (PQ), a client-generated individualized outcome measure, using 5 data sets from 3 countries. Overall pretherapy mean internal consistency (alpha) across clients was .80, and within-client alphas averaged .77; clients typically had 1 or 2 items that did not vary with the other items. Analyses of temporal structure indicated high levels of between-clients variance (58%), moderate pretherapy test-retest correlation (r = .57), and high session-to-session Lag-1 autocorrelation (.82). Scores on the PQ provided clear evidence of convergence with a range of outcome measures (within-client r = .41). Mean pre-post effects were large (d = 1.25). The results support a revised caseness cutoff of 3.25 and a reliable change index interval of 1.67. We conclude that PQ data meet criteria for evidence-based, norm-referenced measurement of client psychological distress for supporting psychotherapy practice and research. (c) 2016 APA, all rights reserved).

Client contribution in negotiations on employability – categories revised?

DEFF Research Database (Denmark)

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

2010-01-01

worker–client talk: how the category unemployed is shaped and ‘translated’ when the client negotiates her situation with the social worker. Two types of category revisions are identified. First, the employability of the client, rather than her unemployment situation, is the issue under negotiation......In this article, we explore how the institutional category ‘unemployed’ is specified in everyday practice when implementing an active employment policy. We illustrate the process of categorisation as an aspect of the in situ positioning and self-representation of the client by examining one social...

Research Study on the Migration of Clients on Banking Market

Directory of Open Access Journals (Sweden)

Cornelia Tureac

2013-02-01

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

Writing about Clients: Ethical Considerations and Options

Science.gov (United States)

Sperry, Len; Pies, Ronald

2010-01-01

Today, the decision to prepare clinical case material for publication is a decision that cannot be taken lightly. The decision involves reviewing ethical considerations and choosing among various options to safeguard client privacy. Such options include seeking the client's permission, disguising case material, and developing composite case…

Experiential Interventions for Clients with Genital Herpes.

Science.gov (United States)

Cummings, Anne L.

1999-01-01

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

A influência do sistema de gestão de laboratórios nos resultados dos ensaios de proficiência da construção civil The influence of the laboratory management system on the results of civil construction proficiency testing

Directory of Open Access Journals (Sweden)

Morgana Pizzolato

2008-12-01

Full Text Available A participação de laboratórios em atividades de ensaio de proficiência (EP é uma das formas de avaliar e demonstrar a confiabilidade das suas atividades de medição. Isso significa dizer que, por intermédio dos ensaios de proficiência (EP, pode-se avaliar a habilidade do laboratório de realizar ensaios e calibrações de forma competente. Os ensaios de proficiência fornecem informações importantes para avaliação de laboratórios, postulantes à acreditação, acreditados, notificados ou designados por agências reguladoras e para os laboratórios em geral. Este artigo teve por objetivo verificar se o tipo de sistema de gestão dos laboratórios de ensaio da construção civil do Brasil influencia nos resultados dos ensaios de proficiência (EP. Objetiva ainda discutir como contemplar o resultado dos ensaios de proficiência no cálculo da incerteza de medição dos ensaios. Como resultado do estudo, conclui-se que não existe efeito dos tipos de sistema de gestão sobre os resultados dos ensaios de proficiência (EP. Logo, foi sugerido o uso do desvio padrão dos resultados de um grupo representativo de ensaios de proficiência de determinados ensaios (químico, físico, etc. para gerar um cálculo genérico da incerteza de medição para o setor de atuação do laboratório. Esta abordagem, além de simplificar o cálculo da incerteza de medição contempla um maior número de fontes de incerteza de medição.Laboratories participation in proficiency testing is one way to evaluate and demonstrate the reliability of their measurement results. That is to say, through the proficiency testing, the laboratory ability of accomplishing tests and calibrations successfully can be evaluated. The proficiency testing supplies important information for the evaluation of laboratories, candidates to accreditation, accredited laboratories, notified or designated laboratories by regulatory bodies, and laboratories in general. This paper aims at

Can Knowledge of Client Birth Order Bias Clinical Judgment?

Science.gov (United States)

Stewart, Allan E.

2004-01-01

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

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

Client and parent feedback on a Youth Mental Health Service: The importance of family inclusive practice and working with client preferences.

Science.gov (United States)

Coates, Dominiek

2016-12-01

In mental health settings, feedback from clients and carers is central to service evaluation, development and delivery. Increasingly, client and carer feedback is considered an integral part of service planning, and recognized as a critical element of the provision of recovery oriented service. This paper outlines the findings of a qualitative evaluation of a Youth Mental Health (YMH) service from the perspective of discharged clients and their parents. The service researcher conducted telephone interviews with 39 parents of discharged clients, and 17 young people themselves. Participants reported positive or mixed experiences with the service. In addition to more generic positive statements about the service, analysis identified two key themes: the importance of 'family inclusive practice' and the importance of 'working with client preferences'. Young people and their parents want to be actively engaged in treatment and have their treatment preferences considered in treatment planning. Participants expressed the importance of "a good fit" between the client and the worker in terms of the clinician's gender, personality and treatment style/modality. While for some participants these themes were raised in the context of service strengths, others identified them as limitations or opportunities for service improvement. The extent to which clients and their parents felt engaged and heard by their allocated clinician is critical to their satisfaction or dissatisfaction with the service, depending on their unique experience. As an outcome of this evaluation, a range of service improvement strategies have been recommended. © 2016 Australian College of Mental Health Nurses Inc.

The ARAC client system: network-based access to ARAC

International Nuclear Information System (INIS)

Leach, M J; Sumikawa, D; Webster, C

1999-01-01

The ARAC Client System allows users (such as emergency managers and first responders) with commonly available desktop and laptop computers to utilize the central ARAC system over the Internet or any other communications link using Internet protocols. Providing cost-effective fast access to the central ARAC system greatly expands the availability of the ARAC capability. The ARAC Client system consists of (1) local client applications running on the remote user's computer, and (2) ''site servers'' that provide secure access to selected central ARAC system capabilities and run on a scalable number of dedicated workstations residing at the central facility. The remote client applications allow users to describe a real or potential them-bio event, electronically sends this information to the central ARAC system which performs model calculations, and quickly receive and visualize the resulting graphical products. The site servers will support simultaneous access to ARAC capabilities by multiple users. The ARAC Client system is based on object-oriented client/server and distributed computing technologies using CORBA and Java, and consists of a large number of interacting components

Client/server models for transparent, distributed computational resources

International Nuclear Information System (INIS)

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

1991-01-01

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

What Business Students Should Know about Attorney-Client Privilege

Science.gov (United States)

Draba, Robert; Marshall, Brent

2012-01-01

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

Enhancing Clients' Communication Regarding Goals for Using Psychiatric Medications.

Science.gov (United States)

Deegan, Patricia E; Carpenter-Song, Elizabeth; Drake, Robert E; Naslund, John A; Luciano, Alison; Hutchison, Shari L

2017-08-01

Discordance between psychiatric care providers' and clients' goals for medication treatment is prevalent and is a barrier to person-centered care. Power statements-short self-advocacy statements prepared by clients in response to a two-part template-offer a novel approach to help clients clarify and communicate their personal goals for using psychiatric medications. This study described the power statement method and examined a sample of power statements to understand clients' goals for medication treatment. More than 17,000 adults with serious mental illness at 69 public mental health clinics had the option to develop power statements by using a Web application located in the clinic waiting areas. A database query determined the percentage of clients who entered power statements into the Web application. The authors examined textual data from a random sample of 300 power statements by using content analysis. Nearly 14,000 (79%) clients developed power statements. Of the 277 statements in the sample deemed appropriate for content analysis, 272 statements had responses to the first part of the template and 230 had responses to the second part. Clients wanted psychiatric medications to help control symptoms in the service of improving functioning. Common goals for taking psychiatric medications (N=230 statements) were to enhance relationships (51%), well-being (32%), self-sufficiency (23%), employment (19%), hobbies (15%), and self-improvement (10%). People with serious mental illness typically viewed medications as a means to pursue meaningful life goals. Power statements appear to be a simple and scalable technique to enhance clients' communication of their goals for psychiatric medication treatment.

37 CFR 10.68 - Avoiding influence by others than the client.

Science.gov (United States)

2010-07-01

... than the client. 10.68 Section 10.68 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND... the client. (a) Except with the consent of the practitioner's client after full disclosure, a practitioner shall not: (1) Accept compensation from one other than the practitioner's client for the...

Intervenção familiar na esquizofrenia: recorte de modelos de ensaios clínicos Family intervention in the schizophrenia: cut out of the models of clinical trials

OpenAIRE

Maria Goretti Andrade Rodrigues; Letícia Krauss Silva

2006-01-01

O entendimento do formato da Intervenção Familiar citada pelos ensaios clínicos controlados na condição esquizofrenia foi o foco de nossa investigação aqui relatada. Procedemos a uma busca sistemática na base de dados MedLine e elaboramos a compreensão da fundamentação teórica das práticas descritas para avaliar a heterogeneidade clínica das intervenções que são objeto de estudo dos ensaios que resgatamos. Descrevemos um modelo denominado "pragmático", que apresenta fragmentos de técnicas, se...

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

African Journals Online (AJOL)

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

Training Therapists about Client Expectations of Psychotherapy.

Science.gov (United States)

Soley, Georgia; Marshall, Renee; Chambliss, Catherine

Research has indicated that premature termination of therapy is sometimes due to a conflict in goal and outcome expectations between therapists and family members of clients. The present study requested both therapists and parents of child clients to complete questionnaires to determine if there is congruence between therapist and parental…

Experience of Client-centered Practice amongst Danish Occupational Therapists

DEFF Research Database (Denmark)

Larsen, Anette Enemark

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

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

Science.gov (United States)

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

2016-03-01

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

Client capital as a source of enterprise cost

OpenAIRE

Verba Veronika A.; Tyshchenko Oleksandr O.

2014-01-01

The article presents the authors’ vision of the essence of the client capital and its influence upon the enterprise cost. The goal of the article is explanation of the role of the client capital in the process of enterprise capitalisation with the help of the business cost capitalisation model: investments into assets – cash flow generation – enterprise capitalisation. The result of the study is the authors’ position regarding the essence and structuring the client capital, which gives a poss...

Medicaid care management: description of high-cost addictions treatment clients.

Science.gov (United States)

Neighbors, Charles J; Sun, Yi; Yerneni, Rajeev; Tesiny, Ed; Burke, Constance; Bardsley, Leland; McDonald, Rebecca; Morgenstern, Jon

2013-09-01

High utilizers of alcohol and other drug treatment (AODTx) services are a priority for healthcare cost control. We examine characteristics of Medicaid-funded AODTx clients, comparing three groups: individuals cost clients in the top decile of AODTx expenditures (HC; n=5,718); and 1760 enrollees in a chronic care management (CM) program for HC clients implemented in 22 counties in New York State. Medicaid and state AODTx registry databases were combined to draw demographic, clinical, social needs and treatment history data. HC clients accounted for 49% of AODTx costs funded by Medicaid. As expected, HC clients had significant social welfare needs, comorbid medical and psychiatric conditions, and use of inpatient services. The CM program was successful in enrolling some high-needs, high-cost clients but faced barriers to reaching the most costly and disengaged individuals. Copyright © 2013 Elsevier Inc. All rights reserved.

Characteristics of clients accessing HIV counseling and testing ...

African Journals Online (AJOL)

Characteristics of clients accessing HIV counseling and testing services in a tertiary hospital in ... Introduction: Client-initiated HIV testing and counseling has helped millions of people learn their HIV status. ... AJOL African Journals Online.

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…

Emotional congruence between clients and therapists and its effect on treatment outcome.

Science.gov (United States)

Atzil-Slonim, Dana; Bar-Kalifa, Eran; Fisher, Hadar; Peri, Tuvia; Lutz, Wolfgang; Rubel, Julian; Rafaeli, Eshkol

2018-01-01

The present study aimed to (a) explore 2 indices of emotional congruence-temporal similarity and directional discrepancy-between clients' and therapists' ratings of their emotions as they cofluctuate session-by-session; and (b) examine whether client/therapist emotional congruence predicts clients' symptom relief and improved functioning. The sample comprised 109 clients treated by 62 therapists in a university setting. Clients and therapists self-reported their negative (NE) and positive emotions (PE) after each session. Symptom severity and functioning level were assessed at the beginning of each session using the clients' self-reports. To assess emotional congruence, an adaptation of West and Kenny's (2011) Truth and Bias model was applied. To examine the consequences of emotional congruence, polynomial regression, and response surface analyses were conducted (Edwards & Parry, 1993). Clients and therapists were temporally similar in both PE and NE. Therapists experienced less intense PE on average, but did not experience more or less intense NE than their clients. Those therapists who experienced more intense NE than their clients were more temporally similar in their emotions to their clients. Therapist/client incongruence in both PE and NE predicted poorer next-session symptomatology; incongruence in PE was also associated with lower client next-session functioning. Session-level symptoms were better when therapists experienced more intense emotions (both PE and NE) than their clients. The findings highlight the importance of recognizing the dynamic nature of emotions in client-therapist interactions and the contribution of session-by-session emotional dynamics to outcomes. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Understanding the innovation adoption process of construction clients, Clients driving Innovation

NARCIS (Netherlands)

Hartmann, Andreas; Dewulf, Geert P.M.R.; Reymen, Isabelle; Adams, L.; Guest, K.

2006-01-01

Although the role of clients in stimulating construction innovation seems to be controversial, little has been known about their innovation adoption behaviour. This paper presents first results of an ongoing research project the aim of which is to shed more light on the adoption processes of

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

Science.gov (United States)

2012-03-26

...-0038] RIN 1651-AA80 Permissible Sharing of Client Records by Customs Brokers AGENCY: U.S. Customs and... would allow brokers, upon the client's consent in a written authorization, to share client information... services to the broker's clients. Although the proposed rule was prepared in response to a request from a...

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

Science.gov (United States)

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

2014-01-01

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

Avaliação do módulo de elasticidade de peças de madeira laminada colada (MLC obtido por meio do ensaio de vibração transversal

Directory of Open Access Journals (Sweden)

Pedro Gutemberg de Alcântara Segundinho

Full Text Available O controle da qualidade é fundamental no processo de fabricação de peças de madeira laminada colada (MLC, e uma das formas desse controle pode ser por meio da avaliação não destrutiva do módulo de elasticidade. O objetivo deste trabalho foi comparar os valores de módulo de elasticidade das peças de MLC obtidos por meio do ensaio de vibração transversal livre e do ensaio de flexão estática, ambos feitos antes e após tratamento preservativo (contra a ação de agentes biológicos, realizado pelo processo de Célula Cheia. No total, foram produzidas 54 peças de MLC de dimensões nominais de 9 cm x 9 cm x 200 cm, com três espécies de madeira de reflorestamento coladas com dois adesivos de aplicação estrutural e tratadas com três preservantes. Foi obtida uma correlação significativa entre os valores do módulo de elasticidade obtidos pelos dois métodos (r variou entre 0,85 e 0,99. Concluiu-se que o ensaio de vibração transversal livre pode ser utilizado para avaliação do módulo de elasticidade de peças de MLC, sendo uma alternativa ao ensaio de flexão estática

A qualitative analysis of staff-client interactions within a breast cancer assessment clinic

International Nuclear Information System (INIS)

Nightingale, J.M.; Murphy, F.; Eaton, C.; Borgen, R.

2017-01-01

Objectives: Breast screening clients recalled to an assessment clinic experience high levels of anxiety. The culture of the assessment clinic may impact upon client experience, which may influence their future re-engagement in screening. This study aimed to explore the culture of staff-client interactions within a breast cancer assessment clinic. Materials and methods: Following an ethnographic approach, twenty-three client journeys were observed, followed by semi-structured interviews with the clients. The observation and interview data were analysed to produce research themes, which were then explored within two focus groups to add a practitioner perspective. Results: Multiple staff-client interaction events were observed over a period of several weeks. Client interview feedback was overwhelmingly positive. Three recurrent and sequential themes emerged: breaking down barriers, preparing the ground and sign-posting. These themes outline the changing focus of staff-client interactions during the client's clinic journey, encompassing how anxieties were expressed by clients, and responded to by practitioners. Conclusion: This study was the first to explore in depth the staff-client interaction culture within a breast assessment clinic using an ethnographic approach. A new perspective on professional values and behaviours has been demonstrated via a model of staff-client interaction. The model documents the process of guiding the client from initial confusion and distress to an enhanced clarity of understanding. A recommendation most likely to have a positive impact on the client experience is the introduction of a client navigator role to guide the clients through what is often a lengthy, stressful and confusing process. - Highlights: • This study was the first to explore staff-client interaction within breast assessment clinics. • Assessment clinic culture may affect client perceptions and future re-engagement in screening. • An ethnographic approach

THE CITIZEN CLIENT PROFILE

Directory of Open Access Journals (Sweden)

Ângela Cristina Bueno Vieira

2006-12-01

Full Text Available ABSTRACT: In our experience and work in the Medical Clinic at the Federal University of Goiás Clinical Hospital (HC/UFG, we observe that in despite of the most patients get orientations about their pathology by the health team, they don’t accomplish these orientations. For the continuous self-care promotion was implanted project "Citizen Client", with intention to contribute to patient citizenship rescue, guiding and strengthening its rights and duties while carrying on pathology. This article is an experience related by a qualitative approach with a group of patients interned in the Medical Clinic of the HC/UFG that rambles, their familiars and that ones who participates in the project Citizen Client during their internment in the year of 2003. On the meeting we work with lectures, workshops and groups by the multi-professional team and coordinated by a Nurse. The subjects had been diverse, approaching some pathology and its cares, social and spiritual assistance. The client participation in its recovery has extreme importance and, so that this occurs, it is necessary health education understood in its extended form, recognizing the client’s life reality, their day-by-day, providing mechanisms for them to become an asset subject with autonomy to act in favor of own health. KEYWORDS: Health Education; Self Care; Quality of Life.

Examining challenging behaviors of clients with borderline personality disorder.

Science.gov (United States)

Chalker, Samantha A; Carmel, Adam; Atkins, David C; Landes, Sara J; Kerbrat, Amanda H; Comtois, Katherine Anne

2015-12-01

Few studies have examined effects of challenging behaviors of clients with borderline personality disorder (BPD) on psychotherapy outcomes. Dialectical behavior therapy (DBT) is an evidence-based treatment designed to treat chronic suicidality, self-directed violence (SDV), and emotion dysregulation, while targeting challenging behaviors. DBT has been shown to be effective with clients with BPD. We evaluated whether therapist reported challenging behaviors, such as high volume phone contacts or violating the therapist's limits, during DBT would be associated with dropping out of DBT, severity and frequency of SDV, emotion regulation deficits, psychological symptom severity and client's and therapist's satisfaction of treatment. The current study examined challenging behaviors reported by therapists in a sample of 63 psychiatrically disabled outpatient DBT clients diagnosed with BPD (73% women, average age 37 years). More frequent phone contacts were associated with a decrease in dropout and psychological symptoms, and an increase in client and therapist satisfaction. More avoidance/disengagement behavior was associated with more than twice the risk of SDV and a decrease in therapist satisfaction. Findings suggest that the phone coaching might serve to maximize client satisfaction and reduce the likelihood of dropout. Copyright © 2015 Elsevier Ltd. All rights reserved.

Restating a Client-Centered Approach to Career Counseling.

Science.gov (United States)

Miller, Mark J.

1988-01-01

Asserts career counseling too often is associated with objective test scores and rational decision making. Reiterates the importance of considering the client's developing self-concept in career counseling. Provides sample client centered career counseling session. (Author/ABL)

34 CFR 370.1 - What is the Client Assistance Program (CAP)?

Science.gov (United States)

2010-07-01

... 34 Education 2 2010-07-01 2010-07-01 false What is the Client Assistance Program (CAP)? 370.1... § 370.1 What is the Client Assistance Program (CAP)? The purpose of this program is to establish and carry out CAPs that— (a) Advise and inform clients and client applicants of all services and benefits...

A metáfora teatral como representação social para Erving Goffman: um ensaio teórico

Directory of Open Access Journals (Sweden)

Danilo Henrique Martins

2014-11-01

Full Text Available Erving Goffman (1922-1982 desenvolve o estudo da representação baseando-se na metáfora da ação teatral como ponto norteador estrutural de sua exposição. Preocupando-se em ir além das representações teatrais apresentadas no cotidiano, Erving Goffman buscou realizar uma análise das situações dentro das interações, os chamados encontros sociais. Pensar como Goffman desenvolveu seu método torna-se imprescindível para aplicá-lo em futuras pesquisas. O presente ensaio apresentou uma reflexão do pensamento teórico-metodológico de Erving Goffman acerca da metáfora teatral da vida social como palco de atuação tendo como ponto de partida as principais referências bibliográficas que este autor utilizou para sustentar seus argumentos, pois tais autores influenciaram com riqueza o pensamento goffmaniano. O ensaio demonstrou que Goffman não se prendeu a teoria defendida pelos autores de sua referência, mas procurou reinterpretar tais ideias e transformá-las para aplicar em sua própria teoria

Clients' outcomes of home health nursing in Taiwan.

Science.gov (United States)

Yeh, L; Wen, M J

2001-09-01

The home health nursing movement is expanding rapidly. Home health nursing agencies (HHNAs) are expected to demonstrate that the care provided does make a difference for the client receiving the services. The purpose of this study was to explore client outcomes from home health nursing. Outcome indicators include: Services utilized (emergency services, re-hospitalization), physiological status (catheter indwelling status, consciousness level, wound severity-number and wound stages) and functional status (reflected by Barthel Index). A prospective research design was used to collect the results. Five hospital-based HHNAs were invited to participate in this research. Clients newly admitted to HHNAs and diagnosed as non-cancer patients were recruited, and the researchers gathered outcome indicators over a six-month period. Data were analyzed using SPSS 8.0 computer software. There were 75 clients in this study. Results showed that most of the clients (64.0%) received service for more than 180 days. The client characteristics were dominated by elderly (66.6% age above 70), female (53.3%) and married (74.7%). The three leading care needs were NG tubing service (84.0%), Foley tubing service (45.3%) and wound care (38.7%). The Kruscal Wallis Test revealed that there was no difference in emergency service frequency and re-hospitalization between clients who received service for more than 180 days and those who received service for less than 180 days. The Wilcoxon Sign rank test showed that within one half-year, catheter indwelling status, functional status, and wound severity were not significantly different, with the exception only of conscious level (p = .001). The results of this study can be viewed as preliminary data to assist in shaping home health nursing services in Taiwan.

13 CFR 113.3-3 - Structural accommodations for handicapped clients.

Science.gov (United States)

2010-01-01

... handicapped clients. 113.3-3 Section 113.3-3 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION... ADMINISTRATOR General Provisions § 113.3-3 Structural accommodations for handicapped clients. (a) Existing... by handicapped clients. Where structural changes are necessary to make the recipient's goods or...

Trust and Professional Skepticism in the Relationship between auditors and Clients

DEFF Research Database (Denmark)

Aschauer, Ewald; Fink, Matthias; Moro, Andrea

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...... collected from 233 real auditor-client dyads in Germany reveals that auditors' identification-based trust is positively Associated with their clients' perception of the auditors' professional skepticism. The identified coexistence of trust and professional skepticism in auditor-client dyads implies...... that regulatory measures that impede the evolution of trust between auditors and their clients will fail to enhance professional skepticism. instead, regulations should give auditors and their clients sufficient leeway to establish identification-based trust....

Mutual powerlessness in client participation practices in mental health care

NARCIS (Netherlands)

T. Broer (Tineke); A.P. Nieboer (Anna); R.A. Bal (Roland)

2014-01-01

textabstractBackground Client participation has become a dominant policy goal in many countries including the Netherlands and is a topic much discussed in the literature. The success of client participation is usually measured in terms of the extent to which clients have a say in the participation

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

A study on client needs regarding FDG-PET for cancer screening

International Nuclear Information System (INIS)

Yamane, Tomohiko; Yoshiya, Kazuhiko; Nagata, Takeshi; Ito, Shinichi; Ito, Satoshi; Mezaki, Yukio; Uchida, Hideo

2006-01-01

We researched client needs regarding FDG-PET for cancer screening. The study included 1,527 individuals who underwent FDG-PET for cancer screening at our hospital. An interview sheet was distributed after injecting FDG. Clients listed the organs that required examination and the symptoms causing them anxiety. Results indicated that 9.8% of the clients listed organs for which FDG-PET would not be useful in detecting cancer. This study suggested that there exists a gap between client needs and FDG-PET utility; hence we need improved methods of providing correct information to clients. (author)

Comparison and selection of client computer in nuclear instrument

International Nuclear Information System (INIS)

Ma Guizhen; Xie Yanhui; Peng Jing; Xu Feiyan

2012-01-01

The function of modern new nuclear instrument is very much. And the information degree is high requested. Through close matching for host computer and client computer, the data processing function can be carried out. This article puts forward a few of projects for the client computer of general nuclear instrument. The function and features of several common client computers, such as FPGA, ARM and DSP, are analyzed and compared. The applied scope is discussed also. At the same time, using a practical design as an example, the selection ideas of client computer are described. This article can be used for reference for the hardware design of data acquisition processing unit in nuclear instrument. (authors)

Communication management between architects and clients

Science.gov (United States)

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

2017-10-01

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

Evaluation of a liaison librarian program: client and liaison perspectives.

Science.gov (United States)

Tennant, Michele R; Cataldo, Tara Tobin; Sherwill-Navarro, Pamela; Jesano, Rae

2006-10-01

This paper describes a survey-based evaluation of the five-year old Liaison Librarian Program at the University of Florida. Liaison librarians, faculty, students, staff, residents, and post-doctoral associates were queried via Web-based surveys. Questions addressed client and liaison perspectives on a variety of issues, including program and service awareness and usage, client-library relations and communication, client support for the program, and liaison workload. Approximately 43% of the 323 client respondents were aware of liaison services; 72% (n = 163) of these clients had had contact with their liaison. Ninety-five percent (n = 101) of faculty and students who reported contact with their liaison supported the continuation of the program. Liaison services were used by a greater percentage of faculty than students, although they had similar patterns of usage and reported the same "traditional" services to be most important. Liaisons indicated that communications with clients had increased, the reputation of the library was enhanced, and their workloads had increased as a result of the Liaison Librarian Program. Survey results suggest that the Liaison Librarian Program has a core set of clients who use and highly value the services provided by liaisons. Recommendations addressing workload, training, marketing, and administrative support are provided.

45 CFR 1609.5 - Acceptance of reimbursement from a client.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 4 2010-10-01 2010-10-01 false Acceptance of reimbursement from a client. 1609.5... CORPORATION FEE-GENERATING CASES § 1609.5 Acceptance of reimbursement from a client. (a) When a case results in recovery of damages or statutory benefits, a recipient may accept reimbursement from the client...

Corruption of Client Advocacy in a Community Mental Health System.

Science.gov (United States)

Denner, Bruce

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

Desenvolvimento e usabilidade de módulo didático de baixo custo para ensaios de tubo gotejadores | Development and usability of didactic low cost module for drip tubes tests

Directory of Open Access Journals (Sweden)

Alex Nunes de Almeida

2016-04-01

Full Text Available No mercado de irrigação a quantidade de produtos disponíveis para sistemas localizados cresce a cada dia, em particular, produtos como tubogotejadores podem operar em campo nas mais diversas condições de serviço, onde um dos motivos é que estes produtos podem apresentar diferentes características de fabricação. Assim havendo a necessidade de estudos quanto a sua funcionalidade em condições variadas, porém controladas e pré-definidas, com base nessa problemática este trabalho visou a criação de um módulo didático para ensaios de tubogotejadores com uso direcionado à pesquisa e ensino. Com posse de planta baixa e ferramentas para desenvolvimento tridimensional pôde-se projetar um modelo virtual do módulo (bancada o qual serviu de escopo para a construção de uma bancada física em estrutura de madeira reaproveitada a partir de estrados, que pudesse ser de baixo custo e que tornar possível a realização de ensaios. Como resultado foi obtida uma bancada para ensaios com dimensões de 7 x 1 x 1 m, capaz de realizar ensaios de até 10 linhas simultaneamente. Conclui-se que é possível construir um módulo didático de baixo custo, que possibilite o auxílio do ensino e pesquisa para alunos de graduação.

Understanding the usage of the Helioviewer Project clients and services

Science.gov (United States)

Ireland, J.; Zahniy, S.; Mueller, D.; Nicula, B.; Verstringe, F.; Bourgoignie, B.; Buchlin, E.; Alingery, P.

2017-12-01

The Helioviewer Project enables visual exploration of the Sun and the inner heliosphere for everyone, everywhere via intuitive interfaces and novel technology. The project mainly develops two clients, helioviewer.org and JHelioviewer, and the server-side capabilities accessed via those clients. Images from many different ground and space-based sources are currently available from multiple servers. Solar and heliospheric feature and event information, magnetic field extrapolations and important time-series can also be browsed and visualized using Helioviewer Project clients. Users of the Helioviewer Project have made over two million movies and many millions of screenshots since detailed (and anonymous) logging of Helioviewer Project usage was implemented in February 2011. These usage logs are analyzed to give a detailed breakdown on user interaction with solar and heliospheric data via Helioviewer Project clients and services. We present summary statistics on how our users are using our clients and services, which data they are interested in, and how they choose to interact with different data sources. At the poster presentation we will also be soliciting ideas from the community to improve our clients and services.

Proposta de método para planejamento experimental de ensaio de queda livre de trem de pouso através da obtenção do comportamento dinâmico

OpenAIRE

José Renato de Carvalho

2011-01-01

Ensaios de queda livre em trens de pouso são mandatórios tanto na fase de desenvolvimento, quanto na fase de qualificação e certificação do produto. Este trabalho propõe um método para avaliar projetos de trens de pouso do tipo balacim com relação ao comportamento dinâmico obtido nos ensaios de queda livre. Através de pesquisas junto a diferentes equipes de engenharia e estudos de literaturas especializadas foi possível elaborar um processo para avaliar projetos de trem de pouso. O desenvolvi...

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)

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

Science.gov (United States)

2010-04-01

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

Male nurses' experiences of providing intimate care for women clients.

Science.gov (United States)

Inoue, Madoka; Chapman, Rose; Wynaden, Dianne

2006-09-01

This paper reports a study of male nurses' experiences of providing intimate care for women clients. The number of men entering the nursing profession has increased worldwide. As a consequence of the move to a more gender-balanced profession, debate has ensued over how intimate care should be performed when this requires male nurses to be physically close to women clients. As there was little previous work on this topic, we wished to provide nurses, clients and other healthcare professionals with a better understanding of male nurses' experiences of working with women clients and within a healthcare system where they often feel excluded. Semi-structured, open-ended interviews were conducted with male nurses working in various clinical settings in Western Australia. Latent content analysis was used to analyse the interviews, which were carried out between June and July 2004. Three themes were identified: the definition of intimate care, the emotional experience associated with providing intimate care and strategies used to assist in the delivery of intimate care for women clients. Providing intimate care for women clients was a challenging experience for male nurses. Participants described how it required them to invade these clients' personal space. Consequently, they often experienced various negative feelings and used several strategies to assist them during care delivery. Nurse educators should assist male nurses to be better prepared to interact with women clients in various settings. Furthermore, workplace environments need to provide additional support and guidance for male nurses to enable them to develop effective coping strategies to manage challenging situations.

Institutional policy changes aimed at addressing obesity among mental health clients.

Science.gov (United States)

Knol, Linda L; Pritchett, Kelly; Dunkin, Jeri

2010-05-01

People with mental illness often experience unique barriers to healthy eating and physical activity. For these clients, interventions should focus on changes in the immediate environment to change behaviors. The purpose of this project was to implement and evaluate policy changes that would limit calorie intake and increase calorie expenditure of clients receiving mental health services. This intervention was implemented in a rural mental health system in the southeastern United States. Clients live in small group homes, where they are served breakfast, dinner, and a snack, and attend outpatient day treatment programs, where they are served lunch and can purchase snacks from vending machines. This intervention included institutional policy changes that altered menus and vending machine options and implemented group walking programs. Primary outcome measures were changes in clients' weight at 3 and 6 months after policy implementation. At the 3-month follow-up, the median weight loss for overweight/obese clients (n = 45) was 1.4 kg. The 33 overweight/obese clients who were still in the group homes at the 6-month follow-up either maintained or continued to lose weight. Institutional policy changes aimed at improving dietary intake and physical activity levels among clients receiving mental health services can promote weight loss in overweight clients.

37 CFR 10.57 - Preservation of confidences and secrets of a client.

Science.gov (United States)

2010-07-01

... and secrets of a client. 10.57 Section 10.57 Patents, Trademarks, and Copyrights UNITED STATES PATENT... confidences and secrets of a client. (a) “Confidence” refers to information protected by the attorney-client or agent-client privilege under applicable law. “Secret” refers to other information gained in the...

Weight and body mass index among female contraceptive clients.

Science.gov (United States)

Kohn, Julia E; Lopez, Priscilla M; Simons, Hannah R

2015-06-01

As obesity may affect the efficacy of some contraceptives, we examined weight, body mass index (BMI) and prevalence of obesity among female contraceptive clients at 231 U.S. health centers. A secondary aim was to analyze differences in contraceptive method use by obesity status. Cross-sectional study using de-identified electronic health record data from family planning centers. We analyzed contraceptive visits made by 147,336 females aged 15-44 years in 2013. A total of 46.1% of clients had BMI ≥25. Mean body weight was 154.4 lb (S.D.=41.9); mean BMI was 26.1 (S.D.=6.6). A total of 40% had BMI ≥26, when levonorgestrel emergency contraception may become less effective. Obese clients had higher odds of using a tier 1 or tier 3 contraceptive method and had lower odds of using a tier 2 or hormonal method than non-obese clients. About half of contraceptive clients would be categorized as overweight or obese. Contraceptive method choices differed by obesity status. About half of contraceptive clients in this study population were overweight or obese. Contraceptive method choices differed by obesity status. All women - regardless of body size - should receive unbiased, evidence-based counseling on the full range of contraceptive options so that they can make informed choices. Copyright © 2015 Elsevier Inc. All rights reserved.

An experimental study of client-side Spotify peering behaviour

OpenAIRE

Ellis, M.; Strowes, S.; Perkins, C.

2011-01-01

Spotify is a popular music-streaming service which has seen widespread use across Europe. While Spotify’s server-side behaviour has previously been studied, little is known about the client-side behaviour. In this paper, we describe an experimental study where we collect packet headers for Spotify traffic over multiple 24-hour time frames at a client host. Two distinct types of behaviour are observed, when tracks are being downloaded, and when the client is only serving requests from other pe...

Adubação do algodoeiro: VIII - Ensaios com diversos adubos fosfatados (2.ª série Fertilizer experiments with cotton: VIII - Trials with various phosphorus fertilizers (2nd series

Directory of Open Access Journals (Sweden)

Heitor de C. Aguiar

1960-01-01

Full Text Available Continuando a publicação dos ensaios destinados a determinar a eficiência relativa de diversos fosfatos na adubação do algodoeiro, os autores relatam os resultados obtidos nos que foram conduzidos entre 1941-42 e 1944-45. Nesta 2.ª série figuram oito ensaios, dois dos quais só foram aproveitados para estudar a influência dos adubos sôbre a germinação. Dos seis utilizados para verificar o efeito sôbre a produção, dois foram localizados em terra-roxo-legítima (Piracicaba e Ribeirão Prêto, três em terra-roxa-misturada (um em Campinas e dois em Limeira e um em solo massapê-salmourão (Mococa. Um dos ensaios foi executado sòmente por um ano, mas os outros foram conduzidos, nos mesmos canteiros, por dois a quatro anos. A dose de P2O5, 80 kg/ha, foi sempre empregada na presença de azôto e potássio (salitre do Chile e cloreto de potássio. Todos os adubos foram aplicados nos sulcos de plantio. Exceto no ensaio de Piracicaba, instalado em solo aparentemente muito fértil, o efeito do fósforo sôbre a produção variou entre sofrível e verdadeiramente espetacular. No conjunto dêstes cinco ensaios Serranafosfato e farinha de ossos degelatinados deram resultados equivalentes e superiores aos de Cibrafosfata, enquanto superfosfato se mostrou superior aos três. Essas diferenças tenderam a diminuir nos ensaios que duraram mais de um ano. O fósforo não modificou a marcha da frutificação em um dos ensaios, mas apressou-a consideràvelmente nos outros quatro. Nesse sentido superfosfato foi mais eficiente em dois ensaios; nos outros dois todos os fosfatos se mostraram iguais. Em regra o fósforo aumentou o pêso dos capulhos e das sementes, mas não alterou a porcentagem de fibra e o comprimento desta, mesmo quando seu efeito sôbre a produção foi muito grande. No último ano de dois ensaios conduzidos por quatro anos - um em terra-roxa-misturada e o outro em solo massapê-salmourão - não se empregaram adubos. Nos dois casos o

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

Science.gov (United States)

2010-07-01

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

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

Science.gov (United States)

2010-10-01

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

Tratamento farmacológico do transtorno bipolar: as evidências de ensaios clínicos randomizados Pharmacological treatment of bipolar disorder: evidence from randomized clinical trials

Directory of Open Access Journals (Sweden)

Flávio Kapczinski

2005-01-01

Full Text Available O presente artigo é uma síntese das evidências provenientes de ensaios clínicos randomizados sobre o tratamento do transtorno bipolar. A metodologia para a busca do material disponível é descrita, e os resultados são apresentados. Com o melhor nível de evidência disponível, ou seja, revisões sistemáticas de mais de um ensaio clínico randomizado ou pelo menos um ensaio clínico randomizado, temos as seguintes recomendações: 1 a mania aguda pode ser tratada com Lítio, Valproato, Carbamazepina, e antipsicóticos; 2 a depressão bipolar pode ser tratada com antidepressivos (com risco aumentado de virada para mania, com lamotrigina e a associação fluoxetina/olanzapina e 3 a manutenção do transtorno bipolar pode ser realizada com o lítio, valproato, carbamazepina, olanzapina e lamotrigina (quando o objetivo for a profilaxia da depressão bipolar. A não existência de ensaios clínicos publicados não significa que determinadas intervenções não sejam úteis.The present article is a synthesis of the published clinical trials about the treatment of Bipolar disorder (BD. The methodology used to search the literature is described and results are presented. Using the best available evidence (systematic reviews of clinical trials or at lest one randomized clinical trial the following is recommended: 1 acute mania can be treated with lithium, carbamazepine, valrpoate and antipsychotics; 2 acute depression can be treated with lamotrigine, olanzapine/fluoxetine combination and with antidepressants (with an increased risk of switch into mania; 3 maintenance can be performed using lithium, valproate, olanzapine and lamotrigine (when the aim is prophylaxis of bipolar depression. The absence of published results about certain interventions does not mean that such interventions are not useful.

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

Science.gov (United States)

Ringrose, Jo L.

2011-01-01

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

Fidelização de clientes na web: como conhecer e fidelizar clientes por meio da internet

OpenAIRE

Benossi, Claudio

2010-01-01

A dissertação intitulada Fidelização de Clientes na WEB: Como conhecer e fidelizar clientes através da Internet do Mestrado em Tecnologias da Inteligência e Design Digital (TIDD) tem como objetivo analisar a contribuição da tecnologia da informação para o marketing de relacionamento, incrementando a competitividade empresarial. O atual ambiente globalizado implica numa era de concorrência e competição, resultado da desintegração de fronteiras e da abertura de mercados anteriormente protegidos...

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.

Cleaner shrimp use a rocking dance to advertise cleaning service to clients.

Science.gov (United States)

Becker, Justine H A; Curtis, Lynda M; Grutter, Alexandra S

2005-04-26

Signals transmit information to receivers about sender attributes, increase the fitness of both parties, and are selected for in cooperative interactions between species to reduce conflict [1, 2]. Marine cleaning interactions are known for stereotyped behaviors [3-6] that likely serve as signals. For example, "dancing" and "tactile dancing" in cleaner fish may serve to advertise cleaning services to client fish [7] and manipulate client behavior [8], respectively. Cleaner shrimp clean fish [9], yet are cryptic in comparison to cleaner fish. Signals, therefore, are likely essential for cleaner shrimp to attract clients. Here, we show that the yellow-beaked cleaner shrimp [10] Urocaridella sp. c [11] uses a stereotypical side-to-side movement, or "rocking dance," while approaching potential client fish in the water column. This dance was followed by a cleaning interaction with the client 100% of the time. Hungry cleaner shrimp, which are more willing to clean than satiated ones [12], spent more time rocking and in closer proximity to clients Cephalopholis cyanostigma than satiated ones, and when given a choice, clients preferred hungry, rocking shrimp. The rocking dance therefore influenced client behavior and, thus, appears to function as a signal to advertise the presence of cleaner shrimp to potential clients.

The Impact of Organizational Stress and Burnout on Client Engagement

Science.gov (United States)

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

2011-01-01

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

Efficient Mobile Client Caching Supporting Transaction Semantics

Directory of Open Access Journals (Sweden)

IlYoung Chung

2000-05-01

Full Text Available In mobile client-server database systems, caching of frequently accessed data is an important technique that will reduce the contention on the narrow bandwidth wireless channel. As the server in mobile environments may not have any information about the state of its clients' cache(stateless server, using broadcasting approach to transmit the updated data lists to numerous concurrent mobile clients is an attractive approach. In this paper, a caching policy is proposed to maintain cache consistency for mobile computers. The proposed protocol adopts asynchronous(non-periodic broadcasting as the cache invalidation scheme, and supports transaction semantics in mobile environments. With the asynchronous broadcasting approach, the proposed protocol can improve the throughput by reducing the abortion of transactions with low communication costs. We study the performance of the protocol by means of simulation experiments.

Counseling Older Japanese American Clients: An Overview and Observations.

Science.gov (United States)

Itai, Goro; McRae, Cynthia

1994-01-01

Discusses important aspects of providing counseling to older Japanese American clients, including ethical issues based on cultural differences and nontraditional approaches to counseling. Examines unique historical and cultural characteristics of these clients. Includes 26 citations. (Author/CRR)

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

Visualization Software for VisIT Java Client

Energy Technology Data Exchange (ETDEWEB)

2017-01-01

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

75 FR 66050 - Permissible Sharing of Client Records by Customs Brokers

Science.gov (United States)

2010-10-27

.... USCBP-2010-0038] RIN 1651-AA80 Permissible Sharing of Client Records by Customs Brokers AGENCIES... the Code of Federal Regulations (CFR) pertaining to the obligations of customs brokers to keep clients' information confidential. The proposed amendment would allow brokers, upon the client's consent in a written...

Difficult Clients: Who Are They and How Do We Help Them?

Science.gov (United States)

Seligman, Linda; Gaaserud, Lynn

1994-01-01

Reviewed literature on dealing with resistant clients and, based on review, developed survey to elicit counselors' reactions to and experiences with resistant clients. Responses from 215 American Mental Health Counselors Association members suggest that nearly all counselors have encountered resistant clients, but counselors' reactions to and…

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.…

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,…

Propuesta metodológica para la gestión del cliente

Directory of Open Access Journals (Sweden)

Luis Ignacio López Villegas

2016-03-01

Full Text Available La investigación tuvo como objetivo diseñar una propuesta metodológica para la fidelización del cliente bancario. Situando al cliente como la razón de ser de su negocio, aportando a dicha entidad bancaria una visión más amplia del valor de sus clientes y un punto de partida para el diseño de acciones o estrategias realmente efectivas a la hora de gestionar en torno a éstos. La metodología se aplicó considerando clientes externos; mediante técnicas estadísticas aleatorias se les aplicó un instrumento —encuesta— validada previamente mediante prueba piloto, y a los clientes internos —funcionarios del banco— se les aplicó una entrevista, dando como resultado una propuesta metodológica de intervención hacia el cumplimiento del objetivo: incrementar la rentabilidad mediante la fidelización de clientes.

assessment of clients' satisfaction with health service deliveries at ...

African Journals Online (AJOL)

Abrham

Hence, the objective of this study was to assess the perceived levels of clients' ... doctor. Furthermore, satisfaction with the health care was found to have a significant association with the age ... those client values and expectations, which are.

Meta-análise de ensaios clínicos de intervenção familiar na condição esquizofrenia Meta-analysis of clinical trials on family intervention in schizophrenia

Directory of Open Access Journals (Sweden)

Maria Goretti Andrade Rodrigues

2008-10-01

Full Text Available O objetivo da presente revisão sistemática foi avaliar a eficácia da intervenção familiar de base cognitivo-comportamental para portadores de esquizofrenia em tratamento ambulatorial, com relação aos desfechos recaída e sobrecarga familiar. Pesquisadores independentes conduziram as análises da pertinência e da qualidade dos ensaios identificados pela estratégia de busca utilizada, seguindo protocolo previamente elaborado. Foram selecionados 11 ensaios randomizados ou quasi-randomizados. Para o desfecho recaída, o risco relativo sumário, pelo modelo de efeitos fixos, foi favorável à intervenção familiar para o conjunto dos ensaios, com eficácia de cerca de 60% (50%-70%. O risco relativo sumário dos ensaios do subgrupo cognitivo-comportamental [RR = 0,43 (0,28-0,67] foi equivalente ao do subgrupo comportamental [RR = 0,37 (0,23-0,60] e ao do subgrupo "pragmático" [RR = 0,37 (0,21-0,66], embora a forma de análise dos ensaios "pragmáticos" tenha sido, em geral, por tratamento efetivo. A diferença de riscos sumária geral foi estimada em cerca de 30% pelo modelo de efeitos randômicos. Apenas quatro ensaios analisaram o desfecho sobrecarga familiar, abrangendo, diferentemente, algumas das dimensões objetivas e subjetivas. Os resultados dos estudos individuais foram, em geral, favoráveis à intervenção familiar.The present study aimed to assess the efficacy of cognitive-behavioral family interventions by relatives of schizophrenic patients under community care, specifically targeting relapse and family burden as outcomes. Independent researchers conducted the analyses of the pertinence and quality of trials identified through a search strategy, following a previously developed protocol. Eleven randomized or quasi-randomized trials were selected. The summary relative risk of relapse using the fixed effects model was favorable to family intervention, with estimated efficacy reaching nearly 60% (50%-70%. Summary relative risk

Eficacia do metodo Meir Schneider de autocuidado em pessoas com distrofias musculares progressivas : ensaio clinico fase II

OpenAIRE

Lea Beatriz Teixeira Soares

1999-01-01

Resumo: As pessoas com distrofias musculares progressivas vivem o limite do conhecimento médico e aguardam resultados de pesquisa da prevenção, reabilitação e mesmo a cura dos indivíduos portadores. Nesse contexto discute-se a eficácia do método Meir Schneider de autocuidado (self-healing) baseado em ensaio clínico fase II em 12 pessoas com distrofias musculares progressivas, sob tratamento ambulatorial intensivo e não intensivo. Foram atendidos 7 portadores de Distrofia Muscular Duchenne- DM...

Interpretação de ensaios de CPTU e DMT em solos com permeabilidade intermediária

OpenAIRE

Jonatas Sosnoski

2016-01-01

A indústria mineradora do país sofre constantemente com problemas ambientais devido à qualidade e volume de rejeitos gerados durante o processo de extração do minério. Os volumes gerados demandam grandes áreas para armazenagem e consequentemente obras complexas de contenção dos rejeitos. A engenharia geotécnica busca entender o comportamento mecânico de depósitos destes rejeitos através do uso de ensaios tanto de campo como de laboratório. Para isso utiliza ferramentas e procedimentos consagr...

Clients' experiences of a community based lifestyle modification program: a qualitative study.

Science.gov (United States)

Chan, Ruth S M; Lok, Kris Y W; Sea, Mandy M M; Woo, Jean

2009-10-01

There is little information about how clients attending lifestyle modification programs view the outcomes. This qualitative study examined the clients' experience of a community based lifestyle modification program in Hong Kong. Semi-structured interviews were conducted with 25 clients attending the program. Clients perceived the program had positive impacts on their health and nutrition knowledge. They experienced frustration, negative emotion, lack of motivation, and pressure from others during the program. Working environment and lack of healthy food choices in restaurants were the major perceived environmental barriers for lifestyle modification. Clients valued nutritionists' capability of providing professional information and psychological support in the program. Our results suggest that nutritionist's capability of providing quality consultations and patient-centered care are important for empowering clients achieve lifestyle modification.

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…

Clients' perception of service quality of care in health facilities in ...

African Journals Online (AJOL)

Introduction: Clients perception of service quality is important for utilization of health services. Clients with positive perception are more likely to comply with treatment and to continue to use health care services. Assessing clients' perception of services offered is crucial for improving delivery and organization of the services.

17 CFR 275.206(4)-3 - Cash payments for client solicitations.

Science.gov (United States)

2010-04-01

... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Cash payments for client... for client solicitations. (a) It shall be unlawful for any investment adviser required to be... client at the time of the solicitation or referral; or (iii) Other than a solicitor specified in...

Speaking for the Client

DEFF Research Database (Denmark)

Mik-Meyer, Nanna; Silverman, D.

. Nonetheless staff often assume that their clients were at the centre of the encounter, even when there is little indication that they understand the Danish language spoken. In order to analyze and explain dilemmas like these, we draw on symbolic interactionism and conversation analysis, placing linguistic...

Subjective Experiences of Clients in a Voluntary Money Management Program.

Science.gov (United States)

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

2013-01-01

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

Social networks and links to isolation and loneliness among elderly HCBS clients.

Science.gov (United States)

Medvene, Louis J; Nilsen, Kari M; Smith, Rachel; Ofei-Dodoo, Samuel; DiLollo, Anthony; Webster, Noah; Graham, Annette; Nance, Anita

2016-01-01

The purpose of this study was to explore the network types of HCBS clients based on the structural characteristics of their social networks. We also examined how the network types were associated with social isolation, relationship quality and loneliness. Forty personal interviews were carried out with HCBS clients to assess the structure of their social networks as indicated by frequency of contact with children, friends, family and participation in religious and community organizations. Hierarchical cluster analysis was conducted to identify network types. Four network types were found including: family (n = 16), diverse (n = 8), restricted (n = 8) and religious (n = 7). Family members comprised almost half of participants' social networks, and friends comprised less than one-third. Clients embedded in family, diverse and religious networks had significantly more positive relationships than clients embedded in restricted networks. Clients embedded in restricted networks had significantly higher social isolation scores and were lonelier than clients in diverse and family networks. The findings suggest that HCBS clients' isolation and loneliness are linked to the types of social networks in which they are embedded. The findings also suggest that clients embedded in restricted networks are at high risk for negative outcomes.

Avaliação do módulo de elasticidade de peças de madeira laminada colada (MLC) obtido por meio do ensaio de vibração transversal

OpenAIRE

Segundinho,Pedro Gutemberg de Alcântara; Carreira,Marcelo Rodrigo; Calil Neto,Carlito; Regazzi,Adair José; Dias,Antonio Alves; Calil Junior,Carlito

2013-01-01

O controle da qualidade é fundamental no processo de fabricação de peças de madeira laminada colada (MLC), e uma das formas desse controle pode ser por meio da avaliação não destrutiva do módulo de elasticidade. O objetivo deste trabalho foi comparar os valores de módulo de elasticidade das peças de MLC obtidos por meio do ensaio de vibração transversal livre e do ensaio de flexão estática, ambos feitos antes e após tratamento preservativo (contra a ação de agentes biológicos), realizado pelo...

Biaxial seismic behaviour of reinforced concrete columns =

Science.gov (United States)

Rodrigues, Hugo Filipe Pinheiro

A analise dos efeitos dos sismos mostra que a investigacao em engenharia sismica deve dar especial atencao a avaliacao da vulnerabilidade das construcoes existentes, frequentemente desprovidas de adequada resistencia sismica tal como acontece em edificios de betao armado (BA) de muitas cidades em paises do sul da Europa, entre os quais Portugal. Sendo os pilares elementos estruturais fundamentais na resistencia sismica dos edificios, deve ser dada especial atencao a sua resposta sob acoes ciclicas. Acresce que o sismo e um tipo de acao cujos efeitos nos edificios exige a consideracao de duas componentes horizontais, o que tem exigencias mais severas nos pilares comparativamente a acao unidirecional. Assim, esta tese centra-se na avaliacao da resposta estrutural de pilares de betao armado sujeitos a acoes ciclicas horizontais biaxiais, em tres linhas principais. Em primeiro lugar desenvolveu-se uma campanha de ensaios para o estudo do comportamento ciclico uniaxial e biaxial de pilares de betao armado com esforco axial constante. Para tal foram construidas quatro series de pilares retangulares de betao armado (24 no total) com diferentes caracteristicas geometricas e quantidades de armadura longitudinal, tendo os pilares sido ensaiados para diferentes historias de carga. Os resultados experimentais obtidos sao analisados e discutidos dando particular atencao a evolucao do dano, a degradacao de rigidez e resistencia com o aumento das exigencias de deformacao, a energia dissipada, ao amortecimento viscoso equivalente; por fim e proposto um indice de dano para pilares solicitados biaxialmente. De seguida foram aplicadas diferentes estrategias de modelacao nao-linear para a representacao do comportamento biaxial dos pilares ensaiados, considerando nao-linearidade distribuida ao longo dos elementos ou concentrada nas extremidades dos mesmos. Os resultados obtidos com as varias estrategias de modelacao demonstraram representar adequadamente a resposta em termos das curvas

Patient-Therapist Value Congruence and Ratings of Client Improvement

Science.gov (United States)

Martini, Janie L.

1978-01-01

It can be concluded from the results of the two studies described here that value similarity between client and therapist is related to therapists' ratings of client improvement. This phenomenon can be expected in therapies irrespective of theoretical orientation. (Author)

Case management in early psychosis intervention programme: Perspectives of clients and caregivers.

Science.gov (United States)

Wong, Horng Hien; Yong, Yee Huei; Shahwan, Shazana; Cetty, Laxman; Vaingankar, Janhavi; Hon, Charlene; Lee, Helen; Loh, Christopher; Abdin, Edimansyah; Subramaniam, Mythily

2017-12-14

This qualitative study explored the perspectives of clients and caregivers on case management provided by the Singapore Early Psychosis Intervention Programme (EPIP), with the intent to understand the salient aspects of case management from their perspective. Clients and their caregivers were recruited from the EPIP outpatient clinics. Focus group discussions (FGDs) were conducted at a community centre outside the hospital with 47 clients and 19 caregivers. Facilitators were experienced researchers who were not involved in the care of the clients and trained in qualitative research methodologies. All FGDs were audio recorded and transcribed verbatim with all participants' identifiers omitted to protect confidentiality. Qualitative data analysis was conducted using thematic analysis. There were 11 themes that emerged from the FGDs: therapeutic alliance, holistic monitoring, collaborative role with other care providers, counselling and guidance, crisis management, bridging role, client-centred care, client empowerment and strength building, psychoeducation/education on illness, support and problem solving. "Problem solving" surfaced only from the client FGDs; the remaining themes were common to both groups. The voices of clients and caregivers are important to EPIP case management service. This study has provided insights into their perspectives, understandings and lived experiences of case management and its impact on clients and caregivers. © 2017 The Authors Early Intervention in Psychiatry Published by John Wiley & Sons Australia, Ltd.

Jian Nao Ning for Treatment of Memory Impairment in Patients with Mild or Moderate Multi-infarct Dementia

Institute of Scientific and Technical Information of China (English)

田金洲; 尹军祥; 刘峘; 杨承芝; 王永炎

2002-01-01

Forty patients with multi-infarct dementia (MID) were randomly assigned to the treatment group (25 cases) treated with Jian Nao Ning (健脑宁JNN) and the duxil control group (15 cases). Memory function were assessed at baseline and endpoint using memory subscales of a battery of New Psychometric Tests (Chinese version) including mini-mental state examination (MMSE), verbal memory, and non-verbal memory, etc. After treatment, the mean scores of verbal memory in the Hopkins Verbal Learning Test (P<0.05) and total memory scores of memory items (P<0.001) in JNN group increased significantly; and improvement in episodic memory function including story recall (immediate and delayed), delayed word recall, verbal learning and verbal recognition and visual recognition in the JNN group was better than that in the duxil control group, suggesting that JNN can obviously improve memory function for the patients with mild or moderate multi-infarct dementia.

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

Science.gov (United States)

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

2014-01-01

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

What client?

DEFF Research Database (Denmark)

Unterrainer, Walter

2015-01-01

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...

Client Centeredness and Health Reform: Key Issues for Occupational Therapy

Science.gov (United States)

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

2015-01-01

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

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

On the Use of Client-Driven Projects in the Mathematics Classroom

Science.gov (United States)

Maki, Dan; Winston, Wayne; Shafii-Mousavi, Morteza; Kochanowski, Paul; Lang, Chris; Ernstberger, Kathy; Hodgson, Ted

2006-01-01

In this article, we discuss the use of client-driven projects--projects that are posed by business, government, and non-profit organizations and based upon real problems facing the organization. Although client-driven projects have long been used in business and engineering education, their use in the mathematics classroom is rare. Client-driven…

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.

Tattoo removal by Q-switched yttrium aluminium garnet laser: client satisfaction.

Science.gov (United States)

Hutton Carlsen, K; Esmann, J; Serup, J

2017-05-01

Tattoo removal by Q-switched yttrium aluminium garnet (YAG) lasers is golden standard; however, clients' satisfaction with treatment is little known. To determine clients' satisfaction with tattoo removal. One hundred and fifty-four tattoo removal clients who had attended the private clinic 'Centre for Laser Surgery', Hellerup, Denmark, from 2001 to 2013 completed a questionnaire concerning outcome expectations, level of pain experiences and satisfaction with tattoo removal. The laser surgeon and his team were blinded from data handling. The study design included a minimum 2-year postlaser treatment observation period from 2013 to 2015. Overall, clients were satisfied with their laser treatment; 85% assessed their treatment and results to be acceptable to superb, while 15% assessed their treatment and results to be inferior to unacceptable. Effectiveness relative to colour of tattoo on a scale from 0 (no effect) to 10 (complete removal) scored a mean of blue 9.5, black 9.4, yellow 8.9, red 8.8 and green 6.5. Clients were dissatisfied with green pigment remnants, which could mimic bruising. One hundred and twenty-nine clients (84%) experienced moderate to extreme pain during treatment. Twenty-eight (20%) developed minor scarring. There were many reasons for tattoo removal; e.g. stigmatisation (33%), conspicuousness (29%) and poor artistic quality (22%). One hundred and two clients had expected complete removal of tattoos without a blemish, expectations that were only partly fulfilled. During the treatment period, clients adjusted expectations and adapted more realistic views of outcomes. The majority of clients were satisfied with Q-switched YAG laser removal of tattoos despite high pretreatment expectations which were only partly met. The study supports YAG lasers for tattoo removal as acceptable therapy of today, with room for new approaches. © 2017 European Academy of Dermatology and Venereology.

Workplace Responses and Psychologists' Needs Following Client Suicide.

Science.gov (United States)

Finlayson, Melissa; Simmonds, Janette

2017-01-01

This research aimed to explore the role of workplace responses in psychologists' adaptation to client suicides. Participants were 178 psychologists who completed an online self-report questionnaire which included both open and closed questions yielding qualitative and quantitative data. Fifty-six (31.5%) participants reported one or more client suicides. Mixed results were found in terms of perceived support from the workplace following a client suicide. Psychologists reported a need for more open communication in the workplace, peer supports, space to grieve, as well as opportunities to engage in a learning process. The findings have important implications for research and for understanding the role of the workplace postvention. It also raises the need for external support to be accessible for psychologists working in private practice.

Employment-related information for clients receiving mental health services and clinicians.

Science.gov (United States)

King, Joanne; Cleary, Catherine; Harris, Meredith G; Lloyd, Chris; Waghorn, Geoff

2011-01-01

Clients receiving public mental health services and clinicians require information to facilitate client access to suitable employment services. However, little is known about the specific employment-related information needs of these groups. This study aimed to identify employment-related information needs among clients, clinicians and employment specialists, with a view to developing a new vocational information resource. Employment-related information needs were identified via a series of focus group consultations with clients, clinicians, and employment specialists (n=23). Focus group discussions were guided by a common semi-structured interview schedule. Several categories of information need were identified: countering incorrect beliefs about work; benefits of work; disclosure and managing personal information; impact of earnings on welfare entitlements; employment service pathways; job preparation, planning and selection; and managing illness once working. Clear preferences were expressed about effective means of communicating the key messages in written material. This investigation confirmed the need for information tailored to clients and clinicians in order to activate clients' employment journey and to help them make informed decisions about vocational assistance.

Addressing clients' racism and racial prejudice in individual psychotherapy: Therapeutic considerations.

Science.gov (United States)

Bartoli, Eleonora; Pyati, Aarti

2009-06-01

Psychotherapists lack clear guidelines regarding how to address clients' racist and prejudicial comments in clinical work. The authors explore the contributions of multicultural, social justice, feminist, and ethical theories to the field of psychotherapy and apply these theories to 2 clinical vignettes in which clients made racially charged statements. These clinical examples highlight the importance of using racial, in addition to traditional, theories to decipher the clinical meanings of racial comments and dynamics in clinical work. The article provides therapeutic conceptualizations regarding how to address clients' racist and prejudicial comments in psychotherapy and elaborates on the complex meanings that might arise from engaging in racially charged discussions with clients depending on the racial composition of the therapeutic dyad. In addition to highlighting how social justice, multicultural, and feminist lenses are necessary to fully understand the meaning of clients' comments, the argument is made that addressing clients' racist and prejudicial comments is at once a clinical and a social justice issue. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

Performance of Distributed Query Optimization in Client/Server Systems

NARCIS (Netherlands)

Skowronek, J.; Blanken, Henk; Wilschut, A.N.

The design, implementation and performance of an optimizer for a nested query language is considered. The optimizer operates in a client/server environment, in particular an Intranet setting. The paper deals with the scalability challenge by tackling the load of many clients by allocating optimizer

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.

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

Science.gov (United States)

2010-07-01

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

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

2017-11-01

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.

A “indústria dos ensaios clínicos” e sua repercussão sobre a prática médica contemporânea

Directory of Open Access Journals (Sweden)

Erney Plessmann de Camargo

Full Text Available Este artigo relata a maneira pela qual a indústria farmacêutica organiza a experimentação de novas drogas em seres humanos, tal como vem ocorrendo a partir do início da última década do século 20 nos Estados Unidos. Ao fazê-lo, situa aspectos econômicos da produção de fármacos, e sua extraordinária expansão que é uma característica da contemporaneidade. Descreve também práticas tradicionais da clínica médica relacionadas aos ensaios clínicos, em especial as regras éticas aceitas internacionalmente para a investigação médica quando envolve pessoas, estabelecidas depois do horror suscitado pela divulgação dos “experimentos” de médicos nos campos de concentração nazistas. O artigo retrata parte do debate que o surgimento e a consolidação da “indústria dos ensaios clínicos” – clinical trials industry – suscita entre profissionais ligados à prática da medicina, revelado nas revistas The Lancet e New England Journal of Medicine e em relatórios de órgãos de supervisão do governo norte-americano. Conflito de interesses, má conduta científica, o desrespeito ao princípio ético primum non nocere e à regra do consentimento informado dos voluntários que participam de ensaios ocupam o centro das preocupações levantadas por esses profissionais.

Interactional patterns between staff and clients with borderline to mild intellectual disabilities

NARCIS (Netherlands)

Reuzel, E.; Embregts, P.J.C.M.; Bosman, A.M.T.; van Nieuwenhuizen, A.; Jahoda, A.

2013-01-01

Background Client-centred models of care imply that clients should have a collaborative relationship with staff providing support. This study investigates whether dialogues between staff and clients in naturally occurring contexts reflect this collaborative ideal. Methods Nineteen staff members

Speech Mannerisms: Games Clients Play

Science.gov (United States)

Morgan, Lewis B.

1978-01-01

This article focuses on speech mannerisms often employed by clients in a helping relationship. Eight mannerisms are presented and discussed, as well as possible interpretations. Suggestions are given to help counselors respond to them. (Author)

Feminist Therapy: A Comparative Study of Therapists and Clients.

Science.gov (United States)

Curtin, Catherine A.

Little research in the existing literature attempts to define feminist therapy by incorporating the specific experiences and philosophies of those who describe themselves as feminist therapists. Even less information is available about the perceptions of their clients. Therapists and their clients answered questions about the theoretical…

Avaliação do subleito de rodovias vicinais de baixo volume de tráfego por meio de ensaios geotécnicos

Directory of Open Access Journals (Sweden)

Taciano Oliveira da Silva

2011-08-01

Full Text Available Este artigo aborda a viabilidade técnica do uso de solos locais, preferencialmente os de comportamento geotécnico laterítico, em camadas de reforço do subleito de rodovias vicinais de baixo volume de tráfego, através de ensaios geotécnicos e da classificação MCT (Miniatura, Compactado, Tropical. Para este propósito, consideraram-se amostras deformadas de solos coletadas no subleito das estradas VCS 493 e VCS 296, pertencente à malha rodoviária vicinal do município de Viçosa-MG, Brasil. O programa de estudo de laboratório envolveu a realização dos seguintes ensaios: (i granulometria conjunta; (ii limites de Atterberg (LL e LP; (iii massa específica dos grãos do solo; (iv compactação e CBR realizados na energia do Proctor normal; (v compactação Mini-MCV; e (vi perda de massa do corpo-de-prova por imersão em água. Os resultados desta pesquisa possibilitaram verificar que os solos de comportamento laterítico foram enquadrados no grupo LG' na classificação MCT e que, mesmo apresentando valores de Limite de liquidez e Índice de plasticidade elevados, quando compactados na energia do Proctor normal e, conseqüentemente, imersos em água, não apresentaram expansão com valor significativo no ensaio de CBR. Por outro lado, as areias saprolíticas apresentam perda de massa por imersão (Pi difícil de ser previsto na Metodologia MCT, pois podem apresentar valores muito elevados e baixos, conforme a compacidade atingida durante o processo de compactação dos corpos-de-prova, como pode ser notado no resultado da amostra 8.

Adubação do tomateiro - ensaios com diversos adubos nitrogenados Trials with the tomato plant using nitrogenous fertilizers

Directory of Open Access Journals (Sweden)

Humberto Ribeiro de Campos

1963-01-01

Full Text Available Ensaios de campo foram conduzidos em solo massapé da Estação Experimental de Monte Alegre do Sul, com o objetivo de investigar o efeito de quatro adubos nitrogenados - salitre do Chile, sulfato de amônio, Nitrocálcio e uréia - sôbre a produção do tomateiro (Lycopersicon esculentum Mill.. O nitrogênio foi aplicado em cobertura em quatro e em cinco parcelas iguais, para o primeiro e segundo ensaio, respectivamente. Não foram significativas as diferenças entre as produções proporcionadas pelas diversas formas de adubo nitrogenado usadas; houve, porém, diferença altamente significativa entre as produções obtidas com êsses adubos e a da testemunha.This paper presents the results of two fertilizer trials comparing nitrogen sources for the tomato plant. Both were carried out at the Monte Alegre Experiment Station, on a massape type of soil. The nitrogenous fertilizers were ammonium sulfate, Nitroealcio (ammonium nitrate plus calcium carbonate, Chile nitrate and urea. They were applied as top dressing four and five times, respectively, for the first and second experiments. The results of these tests indicated that there was no significant difference between the nitrogen sourees, but on the other hand its application was highly significant when compared with the control, except for the Chile nitrate.

Ensaio sobre arte e testemunho: Rodrigo Braga e a invenção da experiência

Directory of Open Access Journals (Sweden)

Tania Rivera

2016-04-01

Full Text Available Resumo O ensaio enfoca o testemunho como uma posição discursiva e explora seu papel na simbolização do trauma. Considerando-o como transmissão de centelhas do Real, defende que uma de suas modalidades seria a invenção da experiência, tal como aponta parte da produção contemporânea em artes visuais. Para melhor explorar essa hipótese, propõe um diálogo com alguns dos trabalhos apresentados pelo artista brasileiro Rodrigo Braga em sua exposição Mais Força que o Necessário, realizada na Bélgica em 2010.

Medidas do grau de precisão experimental em ensaios de competição de cultivares de milho Measures of experimental precision degree in corn cultivar competition trials

Directory of Open Access Journals (Sweden)

Alberto Cargnelutti Filho

2009-02-01

Full Text Available O objetivo deste trabalho foi avaliar a adequação de algumas estatísticas como medidas do grau de precisão experimental, e as relações entre elas. Foram usados os dados de produtividade de grãos de 101 ensaios de competição de cultivares de milho (Zea mays L., realizados no Estado do Rio Grande do Sul, nos anos agrícolas 2002/2003, 2003/2004 e 2004/2005. Foi estudada a relação entre 12 estatísticas, estimadas para cada ensaio, e as análises de correlação de trilha e de agrupamento foram realizadas com base nessas estatísticas. Os limites de classe estabelecidos, a partir das estatísticas acurácia seletiva, herdabilidade, coeficiente de determinação e valor do teste F para cultivar, mostraram-se adequados para estimar o grau de precisão experimental de ensaios de competição de cultivares de milho. Por essas estatísticas, 89% dos ensaios de competição de cultivares de milho apresentaram precisão alta ou muito alta e 5% dos ensaios poderiam ser escartados em razão da insuficiência na precisão experimental. As estatísticas acurácia seletiva, herdabilidade, coeficiente de determinação e valor do teste F para cultivar têm relação direta entre si e são mais adequadas do que o coeficiente de variação e a diferença mínima significativa pelo teste de Tukey, em percentagem da média, para avaliação da precisão experimental em ensaios de competição de cultivares de milho.The objective of this work was to evaluate the appropriateness of some statistics as experimental precision measures and the relationships among them. Grain yield data from 101 cultivar competition trials of corn (Zea mays L., which were carried out in the Rio Grande do Sul state, Brazil, in the agricultural years 2002/2003, 2003/2004 and 2004/2005, were used. Relationship among 12 statistics, estimated from each trial, was studied and correlation, path and cluster analysis were calculated based on these statistics. Class limits established by

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

Science.gov (United States)

Holcomb-McCoy, Cheryl

2004-01-01

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

A macro perspective for client-centred practice in curricula: Critique and teaching methods.

Science.gov (United States)

Fleming-Castaldy, Rita P

2015-07-01

Client-centred practice is often eclipsed by social, economic, and political inequities. Ignoring these realities obstructs clients' goal attainment. The author advocates for the integration of a macro perspective inclusive of participation barriers and supports in occupational therapy curricula and seeks to motivate educators to adopt teaching approaches that develop students' abilities to address the complexities of client-centred practice. This article integrates a critical analysis of the literature on client-centred practice with reflexivity on disability studies and autoethnography. Educational standards require students to learn about the social, economic, and political contexts that impact on client-centred practice and the need for advocacy to enable participation. Theoretical support of a macro perspective for client-centred practice is strongly evident in the literature. Information on methods for teaching students how to actualize these concepts in practice is scant. Thus, strategies to inform the integration of a macro perspective into curricula and concrete activities to develop students' competencies for empowered client-centred practice are required. Educators have an ethical responsibility to critique their pedagogy to determine whether they are adequately preparing students for client-centred practice. The focus must move from teaching a micro perspective of client-centred practice to a macro perspective that enables occupational justice and empowerment.

Na-O abundances in M53: A Mostly First Generation Globular Cluster

Science.gov (United States)

Boberg, Owen M.; Friel, Eileen D.; Vesperini, Enrico

2016-01-01

We present the Fe, Ca, Ti, Ni, Ba, Na, and O abundances for a sample of 53 red giant branch (RGB) stars in the globular cluster (GC) NGC 5024 (M53). The abundances were measured from high signal-to-noise medium resolution spectra collected with the Hydra multi-object spectrograph on the WIYN 3.5- meter telescope. M53 is of interest because previous studies based on the morphology of the cluster's horizontal branch suggested that it might be composed primarily of first generation (FG) stars and differ from the majority of other GCs withmultiple populations, which have been found to be dominated by second generation (SG) stars. Our sample has an average [Fe/H] = -2.07 with a standard deviation of 0.07 dex. This value is consistent with previouslypublished results. The alpha-element abundances in our sample are also consistent with the trends seen in Milky Way halo stars at similar metallicities, with enhanced [Ca/Fe] and [Ti/Fe] relative to solar. We find thatthe Na-O anti-correlation is not as extended as other GCs with similarly high masses. The fraction of SG to FG stars in our sample is approximately 1:3 and the SG is more centrally concentrated. These findings further support that M53 might be a mostly FG cluster and could give further insight into how GCs formed the light element abundance patterns we observe in them today.

Exploring the field of public construction clients by a graphical network analysis

NARCIS (Netherlands)

Eisma, P.R.; Volker, L.

2014-01-01

Because public construction clients form the majority of construction clients and procure over 40% of the construction output in most countries, they are important actors in the construction industry. Yet, the field of research on clients is still underdeveloped. In order to identify the research

Client-Controlled Case Information: A General System Theory Perspective

Science.gov (United States)

Fitch, Dale

2004-01-01

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

A Call for Feminist Research: A Limited Client Perspective

Science.gov (United States)

Murray, Kirsten

2006-01-01

Feminist approaches embrace a counselor stance that is both collaborative and supportive, seeking client empowerment. On review of feminist family and couple counseling literature of the past 20 years using several academic databases, no research was found that explored a clients experience of feminist-informed family and couple counseling. The…

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

African Journals Online (AJOL)

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

Clients' experiences of HIV positive status disclosure to sexual ...

African Journals Online (AJOL)

The purpose of the study was to describe the experiences of HIV positive clients as they disclose their HIV positive status to their sexual partners. A qualitative descriptive and phenomenological design was used. Purposive sampling was used to select 15 HIV positive clients to participate in the study. Semi-structured ...

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

Directory of Open Access Journals (Sweden)

Hj.Indirawaty

2015-08-01

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

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

Science.gov (United States)

2012-10-12

... 3235-AJ96 Temporary Rule Regarding Principal Trades With Certain Advisory Clients AGENCY: Securities... principal capacity in transactions with certain of their advisory clients. The amendment would extend the... Advisers Act when they act in a principal capacity in transactions with certain of their advisory clients...

75 FR 75650 - Temporary Rule Regarding Principal Trades With Certain Advisory Clients

Science.gov (United States)

2010-12-06

... 3235-AJ96 Temporary Rule Regarding Principal Trades With Certain Advisory Clients AGENCY: Securities... principal capacity in transactions with certain of their advisory clients. The amendment would extend the... Advisers Act when they act in a principal capacity in transactions with certain of their advisory clients...

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

Science.gov (United States)

2010-10-01

... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Client behavior and... Retarded § 483.450 Condition of participation: Client behavior and facility practices. (a) Standard: Facility practices—Conduct toward clients. (1) The facility must develop and implement written policies and...

Adaptando e inovando: o Laboratório de Ensaios de Materiais da Escola Politécnica e a tecnologia do concreto em São Paulo

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Gitahy Maria Lucia Caira

2001-01-01

Full Text Available A década de 1920 é o momento em que se aceleram os processos de diversificação e integração industrial em São Paulo, ampliando-se as atividades produtivas sediadas na capital do estado. Esse contexto traz novos desafios à indústria da construção civil e à respectiva pesquisa tecnológica em desenvolvimento no Gabinete de Resistência dos Materiais da Escola Politécnica (1899. O Gabinete, para melhor atender à demanda empresarial de ensaios e auxílio técnico, sofre uma completa reestruturação, atingindo maior autonomia e modificando suas prioridades. O Gabinete de Resistência transforma-se no famoso Laboratório de Ensaios de Materiais (LEM., que se lança à pesquisa tecnológica sistemática de 1926 a 1934, quando, através de uma nova transformação, dá origem ao Instituto de Pesquisas Tecnológicas (IPT.

Client Server design and implementation issues in the Accelerator Control System environment

International Nuclear Information System (INIS)

Sathe, S.; Hoff, L.; Clifford, T.

1995-01-01

In distributed system communication software design, the Client Server model has been widely used. This paper addresses the design and implementation issues of such a model, particularly when used in Accelerator Control Systems. in designing the Client Server model one needs to decide how the services will be defined for a server, what types of messages the server will respond to, which data formats will be used for the network transactions and how the server will be located by the client. Special consideration needs to be given to error handling both on the server and client side. Since the server usually is located on a machine other than the client, easy and informative server diagnostic capability is required. The higher level abstraction provided by the Client Server model simplifies the application writing, however fine control over network parameters is essential to improve the performance. Above mentioned design issues and implementation trade-offs are discussed in this paper

A brain-computer interface controlled mail client.

Science.gov (United States)

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

2013-01-01

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

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

Science.gov (United States)

Bent, John M.; Faibish, Sorin

2015-08-18

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

Obtenção do módulo dinâmico de misturas asfálticas com agregados sintéticos de argila calcinada, utilizando o ensaio de compressão diametral

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Fábio Roberto Garcia Nunes

2009-11-01

Full Text Available

No Brasil, o módulo dinâmico de misturas asfálticas ainda é pouco utilizado, sobretudo por ser, em regra, obtido por intermédio do estado de compressão ou da tração axial, a necessitar, em razão disso, de corpos de prova com aproximadamente 200 mm de altura, a partir de um compactador giratório. Tal imperativo dificulta os estudos realizados com amostras retiradas diretamente do pavimento. Neste trabalho, determinou-se o citado parâmetro por meio do ensaio de compressão diametral em corpos de prova compactados (Marshall de misturas asfálticas, nas dimensões 101,5 × 63,50 mm. Figuraram como agregados graúdos os agregados sintéticos de argila calcinada (ASAC. Os resultados se mostraram equivalentes entre as misturas asfálticas com ASAC e segundo o ensaio de compressão diametral com aqueles obtidos pelo trabalho de KING (2004, quando utilizado o ensaio de compressão axial.

Tratamento do câncer de esôfago: ensaio clinico controlado

Directory of Open Access Journals (Sweden)

Antonio Pedro Mirra

Full Text Available Realização de ensaio clínico controlado em câncer de esôfago, com uma casuística de 65 casos, no Hospital A.C. Camargo, no período de 1986 a 1990. O ensaio clínico controlado estudou três grupos terapêuticos: grupo I - cirurgia exclusiva (20 casos; grupo 2 - cirurgia + radioterapia pós-operatória (27 casos; grupo 3 - quimioterapia pré-operatória + cirurgia + radioterapia e quimioterapia pós-operatória (18 casos. O tempo cirúrgico foi único, com ressecção ampla do esôfago, utilizando-se como vias de acesso, preferentemente, a transpleural para os tumores localizados no terço médio do esôfago e a transmediastinal para o terço inferior e segmento abdominal. A retirada dos gânglios linfáticos regionais fez parte deste tempo cirúrgico, bem como a técnica de plastia padronizada com o estômago, com anastomose extratorácica cervical e posição do estômago no mediastino posterior. A radioterapia foi aplicada no leito esofágico, com dose total de 4.500 a 5.000 cGY em cinco sessões semanais. Foram utilizadas as drogas cisplatina (80 mg/m², vincristina (1,5 mg/m² e bleomicina (10mg/m² na quimioterapia pré e pós-operatórias. A sobrevida de cinco anos, segundo os grupos terapêuticos, foi de: grupo I - 61,9% , grupo 2 - 52,6 % e grupo 3 - 68,7%. Esta sobrevida, segundo o estadiamento clínico, foi de: EC I+II A - 52,0% e EC II B + III- 45,5%. Esses resultados estatisticamente não foram significativos. Os índices de sobrevida de cinco anos para os grupos terapêuticos 1 e 2 variaram de 40,4 a 60,6% quando os EC foram I + II A; para os demais EC não houve sobrevida de cinco anos. Para uma melhor avaliação, a inclusão de maior número de casos em pesquisas desse tipo poderia ser obtida pela participação de vários centros de tratamento do câncer de esôfago.

77 FR 76854 - Temporary Rule Regarding Principal Trades With Certain Advisory Clients

Science.gov (United States)

2012-12-31

... 3235-AL28 Temporary Rule Regarding Principal Trades With Certain Advisory Clients AGENCY: Securities... transactions with certain of their advisory clients. The amendment extends the date on which rule 206(3)- 3T... releases used RIN 3235-AJ96. (See Temporary Rule Regarding Principal Trades with Certain Advisory Clients...

Prevalence and risk factors of frailty among home care clients.

Science.gov (United States)

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

2017-11-17

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

Clients' psychosocial communication and midwives' verbal and nonverbal communication during prenatal counseling for anomaly screening.

Science.gov (United States)

Martin, Linda; Gitsels-van der Wal, Janneke T; Pereboom, Monique T R; Spelten, Evelien R; Hutton, Eileen K; van Dulmen, Sandra

2016-01-01

This study focuses on facilitation of clients' psychosocial communication during prenatal counseling for fetal anomaly screening. We assessed how psychosocial communication by clients is related to midwives' psychosocial and affective communication, client-directed gaze and counseling duration. During 184 videotaped prenatal counseling consultations with 20 Dutch midwives, verbal psychosocial and affective behavior was measured by the Roter Interaction Analysis System (RIAS). We rated the duration of client-directed gaze. We performed multilevel analyses to assess the relation between clients' psychosocial communication and midwives' psychosocial and affective communication, client-directed gaze and counseling duration. Clients' psychosocial communication was higher if midwives' asked more psychosocial questions and showed more affective behavior (β=0.90; CI: 0.45-1.35; pcommunication was not related to midwives" client-directed gaze. Additionally, psychosocial communication by clients was directly, positively related to the counseling duration (β=0.59; CI: 0.20-099; p=0.004). In contrast with our expectations, midwives' client-directed gaze was not related with psychosocial communication of clients. In addition to asking psychosocial questions, our study shows that midwives' affective behavior and counseling duration is likely to encourage client's psychosocial communication, known to be especially important for facilitating decision-making. Copyright © 2015 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

The measurement of emotional reactions of bank clients

Directory of Open Access Journals (Sweden)

Marinković Veljko

2014-01-01

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

Cultural humility: measuring openness to culturally diverse clients.

Science.gov (United States)

Hook, Joshua N; Davis, Don E; Owen, Jesse; Worthington, Everett L; Utsey, Shawn O

2013-07-01

Building on recent theory stressing multicultural orientation, as well as the development of virtues and dispositions associated with multicultural values, we introduce the construct of cultural humility, defined as having an interpersonal stance that is other-oriented rather than self-focused, characterized by respect and lack of superiority toward an individual's cultural background and experience. In 4 studies, we provide evidence for the estimated reliability and construct validity of a client-rated measure of a therapist's cultural humility, and we demonstrate that client perceptions of their therapist's cultural humility are positively associated with developing a strong working alliance. Furthermore, client perceptions of their therapist's cultural humility were positively associated with improvement in therapy, and this relationship was mediated by a strong working alliance. We consider implications for research, practice, and training. PsycINFO Database Record (c) 2013 APA, all rights reserved.

17 CFR 4.31 - Required delivery of Disclosure Document to prospective clients.

Science.gov (United States)

2010-04-01

... Disclosure Document to prospective clients. 4.31 Section 4.31 Commodity and Securities Exchanges COMMODITY... Advisors § 4.31 Required delivery of Disclosure Document to prospective clients. (a) Each commodity trading... prospective client a Disclosure Document containing the information set forth in §§ 4.34 and 4.35 for the...

A CONCEPTUAL TOOL FOR ASSESSING CLIENT PERFORMANCE IN THE CONSTRUCTION PROJECT COALITION

Directory of Open Access Journals (Sweden)

Gary D. Holt

2002-01-01

Full Text Available Due to the significant impact of client performance on overall project performance and the interdependence of participant%5C%27s performance in the construction project coalition %28i.e. clients%2C designers and constructors%29%2C there is a need to establish client performance measures. Based on data collected from in-depth interviews with nineteen UK architects and nine UK contractors%2C a generic tool for the on-going formal assessment of client performance is presented. It was found that this approach to performance assessment %28i.e. from the view point of other%2C non-client coalition participants%29 should lead to improved project relationships. Data analysis showed that in addition to %5C%27harder%5C%27 measures such as understanding of project requirements and finance%2C other%2C %5C%27softer%5C%27 measures of client performance %28e.g. attitude%29 were worthy of consideration since they determine the quality of participant relationships. It is recommended that the tool be used to promote more effective client performance and thus enhance coalition relationships%2C enabling continuous improvement. The ultimate aim is to develop similar tools for the assessment of all coalition participants based on a culture of openness and trust. Abstract in Bahasa Indonesia : assessment+tool%2C+coalition+participants%2C+client+performance%2C+perceptions%2C+performance+measures%2C+satisfaction.

Análise de Clientes de uma Distribuidora de Medicamentos

OpenAIRE

Sidney Lino Oliveira; Josmária Lima Ribeiro Oliveira

2004-01-01

Este artigo trata da análise de clientes por meio de uma pesquisa quantitativa para uma distribuidora farmacêutica. O interesse desta análise foi de identificar os principais clientes para estabelecer um relacionamento mais efetivo, e promo- ver a implantação de um sistema logístico que possibilite uma abordagem voltada para o cliente. O estudo de caso foi desenvolvido em uma distribuidora farmacêutica situada em Juiz de Fora/MG que atende à região da Zona da Mata/MG e o estado do Rio de Jane...

Community ambulation: influences on therapists and clients reasoning and decision making.

Science.gov (United States)

Corrigan, Rosemary; McBurney, Helen

2008-01-01

Community ambulation is an important element of a rehabilitation training programme and its achievement is a goal shared by rehabilitation professionals and clients. The factors that influence a physiotherapist's or health professionals decision making around the preparation of a client for community ambulation and the factors that influence a client's decision to return to walking in their community are unclear. To review the available literature about the factors that have influenced the reasoning and decision making of rehabilitation therapists and clients around the topic of ambulation in the community. Three separate searches of the available literature were undertaken using Ovid, Cinahl, ProQuest, Medline and Ebscohost databases. Databases were searched from 1966 to October 2006.The first search explored the literature for factors that influence the clinical reasoning of rehabilitation therapists. The second search explored the literature for factors that influence client's decision to ambulate in the community. A third search was undertaken to explore the literature for the demands of community ambulation in rural communities. Very few studies were found that explored community ambulation in the context of clinical reasoning and decision making, the facilitators and barriers to a clients return to ambulation in their community or the demands of ambulation in a rural community. Consideration of the environment is key to the successful return to walking in the community of clients with mobility problems yet little literature has been found to guide physiotherapist's decision making about preparing a clients to return to walking in the community. An individual's participation in their society is also a result of the interaction between their personal characteristics and his or her environment. The influence of these characteristics may vary from one individual to another yet the factors that influence a person's decision to return to walking in their community

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.

Designing e-learning solutions with a client centred approach

DEFF Research Database (Denmark)

Ørngreen, Rikke; Nielsen, Janni; Levinsen, Karin

2008-01-01

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

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

Science.gov (United States)

2010-07-01

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

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…

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

Directory of Open Access Journals (Sweden)

Agueda Gómez Suárez

2010-04-01

Full Text Available 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 el controvertido e inquietante semblante de esta realidad. El análisis del discurso de los clientes a través del "Frame Analysis", y el estudio de los imaginarios femeninos dominantes entre ellos son retratados en este texto, junto con el discurso de las mujeres en prostitución y el de los hombres que ocupan espacios masculinizados. Este artículo pretende ser una contribución más al complejo estudio del fenómeno de la prostitución en nuestro país.Today, the prostitution in our society turns out to be an indicator of the dominant "sexual culture" in the patriarchal and capitalist societies. This article tries to contribute with another approach to the analysis of the sexual industry in our country, adjusting, principally, to the experiences of the men involved in the phenomenon of the prostitution in Galicia. The dramatic quality in which the women in prostitution live their reality and the levity and idleness, in which the clients enjoy themselves, show the controversial and worrying face of this reality. The analysis of the clients' speech across the "Frame Analysis", and the study of the feminine dominant imaginary among them are portrayed in this text, together with the speech of the women in prostitution and of the men who occupy masculinized spaces. This article tries to be a contribution to the complex study of the phenomenon of the prostitution in our country.

Mr. Ngao's proposal: introducing client fees. Case scenarios for training and group discussion.

Science.gov (United States)

1992-01-01

In this supplement to the issue of "The Family Planning Manager" devoted to fees, a hypothetical case scenario is presented to illustrate the introduction of client fees to a family planning program. Managers are instructed to prepare a plan that includes the necessary information for deciding what to charge for, who to charge, and how much to charge; identifies the administrative changes involved in charging fees; and outlines steps that clinic managers should take before introducing client fees. Decisions should be based on factors such as the objectives of fee charging, client willingness and ability to pay, client perception of the quality of current services, services for which clients would be most willing to pay, estimated cost of providing services, and the cost of new administrative procedures inherent in a fee-for-service approach. Administrative procedures for collecting, handling, and accounting for cash; reporting income and expenses; and implementing a fair and flexible system of waivers and exemptions must be defined. Clients should be informed well in advance of fee introduction, and staff trained to manage potential client complaints.

Encounters with unemployment in occupational health care: Nurses' constructions of clients without work.

Science.gov (United States)

Romppainen, Katri; Jähi, Rita; Saloniemi, Antti; Virtanen, Pekka

2010-02-01

This study explores occupational health nurses' encounters with unemployed clients in Finland. It involved setting up and evaluating a new service, Career Health Care, that resembled occupational health care, except that clients were recruited from among job seekers who were participating in one of three active labour market policy measures: vocational training, subsidised employment in the public sector, or participatory training for entering the labour market. Our main interest focused on nurses' perceptions of the unemployed and their professional practices in the context of Career Health Care. The analysis revealed four overlapping discourses with regard to clients: the client as a casualty of unemployment, the client as unemployed but active, the client as a deviant in the labour market, and the client as a skilled user of the system. Each discourse had implications for professional practice. The risk of negative stereotyping and consequent exclusion from services is discussed here. In conclusion, we stress the complexity of providing health services that can match the increasing diversity of contemporary labour market trajectories. Copyright 2009 Elsevier Ltd. All rights reserved.

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

Science.gov (United States)

2010-10-01

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

Ensaio de dissolução de cápsulas de fluconazol: problemas encontrados na determinação por espectrofotometria na região do UV

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D.M. Oliveira

2010-11-01

Full Text Available

Entre as classes terapêuticas analisadas no Programa Nacional de Verificação da Qualidade de Medicamentos (PROVEME, o antifúngico fluconazol constava na apresentação de cápsulas de diferentes procedências. Na realização dos ensaios de dissolução conforme as técnicas dos fabricantes, constatou-se que os valores obtidos por espectrofotometria-UV foram superiores aos obtidos nos ensaios de teor e uniformidade de conteúdo, cuja determinação foi por CLAE-UV. Considerando este fato, foi objetivo deste trabalho realizar o ensaio de dissolução destas amostras pelos respectivos métodos dos fabricantes e o quantitativo do ensaio por espectrofotometria no UV e por CLAE-UV, a fim de avaliar as possíveis interferências dos excipientes nestas determinações. Os valores obtidos por espectrofotometria foram superiores aos obtidos por CLAE, confirmando a interferência dos excipientes. Concluiu-se que a metodologia a ser empregada na análise de fármacos deve ser criteriosamente selecionada, a fim de evitar resultados não condizentes com a real formulação do produto. Palavras-chave: cápsulas de fluconazol, CLAE, dissolução, espectrofotometria. ABSTRACT Among the therapeutic classes analyzed in the Programa Nacional de Verificação da Qualidade de Medicamentos (PROVEME consisted the antifungal fluconazole in the dosage form of capsules from different origins. In dissolution tests, according to manufacturers techniques, it was found that the values obtained by UV-spectrophotometry were higher than those obtained from tests of content and content uniformity, whose determination was by HPLC-UV. Considering this fact, the objective of this study was to perform the dissolution test of these samples by the respective manufacturers methods and the quantitative assay by UV-spectrophotometry and HPLC-UV, to evaluate possible interferences of excipients in these determinations. The values obtained by spectrophotometry were

Bringing the client back in

DEFF Research Database (Denmark)

Danneris, Sophie; Nielsen, Mathias Herup

2018-01-01

Categorizing the job readiness of unemployed clients is a task of the utmost importance for active labor market policies. Scholarly attention on the topic has mostly focused either on questions of political legitimacy or on how categories are practically negotiated in meetings between the welfare...

Ulysses directives in The Netherlands: opinions of psychiatrists and clients

NARCIS (Netherlands)

Varekamp, I.

2004-01-01

In this article we present a study on the opinions of Dutch psychiatrists and clients on Ulysses directives. In-depth interviews were conducted with 18 clients and 17 psychiatrists. Most respondents were proponents of Ulysses directives. The most frequently mentioned objective of these directives

Client participation in moral case deliberation: a precarious relational balance

NARCIS (Netherlands)

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

2011-01-01

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

Infusão de insulina em terapia intensiva: ensaio controlado randomizado

Directory of Open Access Journals (Sweden)

Milena Penteado Ferraro Miranda

2013-06-01

Full Text Available Ensaio clínico controlado e aleatorizado que comparou o uso de protocolo de insulina intensivo e convencional na evolução clínica de pacientes em sepse grave e choque séptico, nas primeiras 72 h. Foi conduzido em um hospital universitário na cidade de São Paulo. Os pacientes (n=46 foram alocados em dois grupos: glicêmico intensivo (glicemia entre 80-110mg/dl e convencional (180-220mg/dl. Utilizaram-se testes t-Student e Qui-Quadrado na análise dos dados. Observou-se diferença estatisticamente significativa (p<0,001 na média glicêmica, mas não houve diferença para as variáveis pressão arterial média mínima (p=0,06 e máxima (p=0,11, creatinina sérica (p=0,33 e na mortalidade (p=0,11. Apesar de não haver diferença entre os grupos quanto à mortalidade, a instabilidade hemodinâmica no grupo convencional foi mais duradoura e somente nele ocorreram óbitos.

Toward Healthy Family Breathing: client survey

National Research Council Canada - National Science Library

Kaloti, Jiti; Naylor, P.J

1997-01-01

.... A secondary purpose was to measure clients behaviours and attitudes to add to the knowledge about how different types of perinatal workers can best assist pregnant and parenting women who smoke...

Torque nos rodados motrizes de um trator agrícola submetido a ensaios de tração

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Diego A. Fiorese

2015-09-01

Full Text Available RESUMOA determinação do torque nos rodados motrizes dos tratores agrícolas complementa os ensaios de tração e permite o cálculo da distribuição dos esforços tratórios entre os eixos. O objetivo principal desta pesquisa foi determinar a demanda de torque nos rodados motrizes de um trator com potência do motor de 89 kW, buscando avaliar o torque demandado em função da utilização da tração dianteira assistida (TDA, para distintas marchas e conforme aumento da força de tração. Foram realizados ensaios de tração sobre pista de concreto utilizando-se um torciômetro instalado no eixo traseiro do trator, um carro dinamométrico e instrumentação eletrônica para aquisição de dados. Avaliaram-se a TDA ligada e desligada, quatro marchas (5, 7, 8 e 9 km h-1 e oito cargas na barra de tração (4, 8, 12, 16, 20, 24, 28, 30 kN. Os resultados analisados estatisticamente através de equações de regressão indicaram comportamento similar para todas as marchas sendo que, conforme o aumento da força de tração ocorreu crescimento linear da demanda de torque nos eixos motrizes. Com a TDA ligada nas cargas mais baixas o torque é maior no eixo dianteiro e nas cargas mais altas é maior no eixo traseiro.

Antecedent control in the treatment of brain-injured clients.

Science.gov (United States)

Zencius, A H; Wesolowski, M D; Burke, W H; McQuade, P

1989-01-01

Three brain-injured clients failed to respond significantly to consequence management programmes designed to increase attendance, use of a cane, and to reduce unauthorized breaks. When antecedent stimulus control procedures were applied, attendance and use of a cane increased and unauthorized breaks decreased. The study shows that antecedent control may be the treatment of choice when treating brain-injured clients with memory loss.

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...

UNDERSTANDING OF NON VERBAL BEHAVIOR CLIENTS AND TECHNIQUES IN COUNSELING SESSION

Directory of Open Access Journals (Sweden)

afdal afdal

2016-06-01

Full Text Available The practice of counseling by counselor not only need the skills to understand what is expressed by the client, but were further able to understand and have skills in giving meaning to the nonverbal communication, demonstrated by the behavior of a counseling session. During this time many of counselors who focus only on what is revealed by the client and using verbal techniques alone without seeing what goes on inside the client more deeply to understand the communication indicated by nonverbal behavior. The techniques used in the discussion of this article provides the inspiration that counseling is an art, not superficial, not skeptical and just focus on one technique alone, but many of the techniques that can be used to explore client issues. Furthermore, this paper supports the philosophical theory of Gestalt who believe that the client can feel the direct presence in the counseling sessions through the practices of the techniques used, to interpret the expression of various communications made, stationing themselves and find their own meaning.

BAG3 induces the sequestration of proteasomal clients into cytoplasmic puncta

Science.gov (United States)

Minoia, Melania; Boncoraglio, Alessandra; Vinet, Jonathan; Morelli, Federica F; Brunsting, Jeanette F; Poletti, Angelo; Krom, Sabine; Reits, Eric; Kampinga, Harm H; Carra, Serena

2014-01-01

Eukaryotic cells use autophagy and the ubiquitin–proteasome system as their major protein degradation pathways. Upon proteasomal impairment, cells switch to autophagy to ensure proper clearance of clients (the proteasome-to-autophagy switch). The HSPA8 and HSPA1A cochaperone BAG3 has been suggested to be involved in this switch. However, at present it is still unknown whether and to what extent BAG3 can indeed reroute proteasomal clients to the autophagosomal pathway. Here, we show that BAG3 induces the sequestration of ubiquitinated clients into cytoplasmic puncta colabeled with canonical autophagy linkers and markers. Following proteasome inhibition, BAG3 upregulation significantly contributes to the compensatory activation of autophagy and to the degradation of the (poly)ubiquitinated proteins. BAG3 binding to the ubiquitinated clients occurs through the BAG domain, in competition with BAG1, another BAG family member, that normally directs ubiquitinated clients to the proteasome. Therefore, we propose that following proteasome impairment, increasing the BAG3/BAG1 ratio ensures the “BAG-instructed proteasomal to autophagosomal switch and sorting” (BIPASS). PMID:25046115

Neurobiological response to EMDR therapy in clients with different psychological traumas

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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.

An Exploration of Supervisory and Therapeutic Relationships and Client Outcomes

Science.gov (United States)

Bell, Hope; Hagedorn, W. Bryce; Robinson, E. H. Mike

2016-01-01

The authors explored the connection between the facilitative conditions present within the supervisory relationship, the therapeutic relationship, and client outcomes. A correlational research design was used with a sample of 55 counselors-in-training and 88 clients. Results indicated a significant positive relationship between the therapeutic…

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…

Ulysses directives in The Netherlands: opinions of psychiatrists and clients.

Science.gov (United States)

Varekamp, I

2004-12-01

In this article we present a study on the opinions of Dutch psychiatrists and clients on Ulysses directives. In-depth interviews were conducted with 18 clients and 17 psychiatrists. Most respondents were proponents of Ulysses directives. The most frequently mentioned objective of these directives was to secure timely admission to hospital, although a large minority was mainly interested in giving patients influence on treatment decisions. Psychiatrists differed on how much autonomy they preferred with regard to decisions about the moment of admission and kind of treatment. Clients also differed in this respect. Pressure from others to execute a Ulysses directive, and premature admission to the hospital were mentioned as risks of Ulysses directives. Crisis cards were seen as an alternative by many psychiatrists and some clients. Recommendations are made for a good functioning of Ulysses directives, and the appropriateness of crisis cards as an alternative for a number of patients is discussed.

Challenging the Courtesy Bias Interpretation of Favorable Clients' Perceptions of Family Planning Delivery

Science.gov (United States)

Len, Federico R.; Lundgren, Rebecka; Huapaya, Ana; Sinai, Irit; Jennings, Victoria

2007-01-01

Favorable client perceptions of provider's interpersonal behavior in contraceptive delivery, documented in clinic exit questionnaires, appear to contradict results from qualitative evaluations and are attributed to clients' courtesy bias. In this study, trained simulated clients requested services from Ministry of Health providers in three…

Round-Trip Delay Estimation in OPC UA Server-Client Communication Channel

OpenAIRE

Nakutis, Zilvinas; Deksnys, Vytautas; Jarusevicius, Ignas; Dambrauskas, Vilius; Cincikas, Gediminas; Kriauceliunas, Alenas

2017-01-01

In this paper an estimation of round-trip delay (RTD) in OPC UA server-client channel was investigated in various data communication networks including Ethernet, WiFi, and 3G. Testing was carried out using the developed IoT gateway device running OPC UA server and remote computer running OPC UA client. The server and the client machines were configured to operate in Virtual Private Network powered by OpenVPN. Experimental analysis revealed that RTD values are distributed in the wide range exh...

Communicative principles among corporate clients and regional branches of commercial banks

OpenAIRE

Asie TSINTSADZE; Lela ONIANI

2014-01-01

The aim of this article is to discuss the share of consumption taken by the corporate clients in the autonomous republic of Adjara. It is remarkable that the most of the share of banks’ total incomes are formed exactly on the base of accumulated resource accounts of corporate clients. So in order to attract corporate clients in the region, there is a great and strong competition among the banks. According to the above mentioned information, we are discussing several principles concerning to t...

Qualidade dos ensaios de competição de cultivares de milho no Estado do Rio Grande do Sul Quality of cultivar competition experiments with corn in the State of Rio Grande do Sul - Brazil

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Daniela Giffoni Marques

2000-06-01

Full Text Available O objetivo deste trabalho foi estimar a proporção de ensaios com significância para efeito de blocos, cultivares e do atendimento às pressuposições de normalidade e aleatoriedade do erro, homogeneidade das variâncias do erro entre cultivares e a aditividade do modelo necessárias para os testes de hipótese. Também foi objetivo a quantificação do efeito do não atendimento das pressuposições sobre a diferença mínima significativa (DMS, obtida pelo teste de Tukey em nível de 5% de probabilidade. Foram analisados 307 ensaios da rede estadual de competição de cultivares de milho do Estado do Rio Grande do Sul no período de 1993 e 1996. Dos ensaios de competição de cultivares de milho, 85,67% apresentaram efeito significativo para cultivares e, nestes, a média da DMS era igual a 30,28%. O não atendimento às pressuposições para os testes de hipótese ocorreu em baixa freqüência e aumentou a DMS. A falta de aditividade no modelo ocorreu em 8,75% dos ensaios e não modificou a DMS, sendo a transformação indicada ineficiente para a redução da DMS. A causa da falta de aleatoriedade dos erros em 9,88% dos ensaios foi a variabilidade entre as unidades experimentais e/ou o bloqueamento em posição inadequada à variabilidade espacial da fertilidade no local do ensaio.This study aimed to quantify the proportion of experiments with statistical difference for blocks, cultivar and the F test assumption (additivity, normal distribution, random error, and error variance homogeneity among cultivars observance. Also, the effects on the least significant difference (LSD based on Tukey test (P=0.05 were quantified when some assumption was not observed. The statistical analysis was based upon 307 sets of experimental cultivar competition data carried out from 1993 to 1996 in the State of Rio Grande do Sul, Brazil. Among the experiments with significant differences in treatments (cultivars, 85.67% had an average LSD equal to 30.28%. Low

Improving the efficiency of cognitive-behavioural therapy by using formal client feedback.

Science.gov (United States)

Janse, Pauline D; De Jong, Kim; Van Dijk, Maarten K; Hutschemaekers, Giel J M; Verbraak, Marc J P M

2017-09-01

Feedback from clients on their view of progress and the therapeutic relationship can improve effectiveness and efficiency of psychological treatments in general. However, what the added value is of client feedback specifically within cognitive-behavioural therapy (CBT), is not known. Therefore, the extent to which the outcome of CBT can be improved is investigated by providing feedback from clients to therapists using the Outcome Rating Scale (ORS) and Session Rating Scale (SRS). Outpatients (n = 1006) of a Dutch mental health organization either participated in the "treatment as usual" (TAU) condition, or in Feedback condition of the study. Clients were invited to fill in the ORS and SRS and in the Feedback condition therapists were asked to frequently discuss client feedback. Outcome on the SCL-90 was only improved specifically with mood disorders in the Feedback condition. Also, in the Feedback condition, in terms of process, the total number of required treatment sessions was on average two sessions fewer. Frequently asking feedback from clients using the ORS/SRS does not necessarily result in a better treatment outcome in CBT. However, for an equal treatment outcome significantly fewer sessions are needed within the Feedback condition, thus improving efficiency of CBT.

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…

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…

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

Experiences in occupational therapy with Afghan clients in Australia.

Science.gov (United States)

Maroney, Pamela; Potter, Marianne; Thacore, Vinod Rai

2014-02-01

With a steady increase of refugees arriving in Australia from Afghanistan coupled with reports that prevalence of mental illness amongst Afghan refugees in South-East Melbourne is particularly high, mental health providers will need to acquire cultural competence to provide effective treatment. There is a dearth of literature on the subject of rehabilitation of Afghan psychiatric clients in the Australian context, providing the impetus for this article. To illustrate the impact of Afghan socio-cultural beliefs and attitudes on the implementation of occupational therapy and rehabilitation programmes in a mental health facility and adaptations to accommodate the needs of the clients and their families. Two case vignettes of Afghan clients are presented to illustrate the variance in goals and expectations of the clients and their families to that of the occupational therapy and rehabilitation programmes offered. Family expectations and involvement, culture-specific factors and religion play significant roles in the presentation and treatment of clients from the Muslim culture and require modification in implementation of rehabilitation programmes. A need for developing family or community-based services is proposed coupled with culturally responsive practices. Culture sensitive models of occupational therapy will need to be developed as younger generations of refugee families acculturate and need psychological help to deal with conflicts with parents and elders who hold values different from those adopted by their children born and brought up in the Australian socio-cultural environment. These and other issues mentioned above provide fertile fields for research in this evolving area of occupational therapy. © 2014 Occupational Therapy Australia.

The insecure psychotherapy base: Using client and therapist attachment styles to understand the early alliance.

Science.gov (United States)

Marmarosh, Cheri L; Kivlighan, Dennis M; Bieri, Kathryn; LaFauci Schutt, Jean M; Barone, Carrie; Choi, Jaehwa

2014-09-01

The purpose of this study was to test the notion that complementary attachments are best for achieving a secure base in psychotherapy. Specifically, we predicted third to fifth session alliance from client- and therapist-rated attachment style interactions. Using a combined sample of 46 therapy dyads from a community mental health clinic and university counseling center, the client- and therapist-perceived therapy alliance, attachment anxiety, and attachment avoidance were examined at the beginning of therapy. The results of an Actor-Partner Interdependence Model (APIM; Kenny & Cook, 1999, Partner effects in relationship research: Conceptual issues, analytic difficulties, and illustrations. Personal Relationships, 6, 433-448.) indicated that there was no direct effect of either client or therapist attachment style on therapist or client early ratings of the alliance. One significant interaction emerged and indicated that client-perceived alliance was influenced by therapist and client attachment anxiety. The client-perceived early alliance was higher when more anxious therapists worked with clients with decreasing anxiety. The client early alliance was higher when less anxious therapists worked with clients with increasing anxiety. The findings partially support the notion that different attachment configurations between the therapist and client facilitate greater alliance, but this was the case only when assessing client-perceived early alliance and only with regards to the dimension of attachment anxiety. There were no significant main effects or interactions when exploring therapist-perceived alliance. Implications of the findings are discussed along with recommendations for future study and clinical training. PsycINFO Database Record (c) 2014 APA, all rights reserved.

Client-Centered Employee Assistance Services.

Science.gov (United States)

Bayer, Darryl Lee

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

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. Copyright © 2016 Elsevier B.V. and Société Française de Biochimie et Biologie Moléculaire (SFBBM). All rights reserved.

A real time multi-server multi-client coherent database for a new high voltage system

International Nuclear Information System (INIS)

Gorbics, M.; Green, M.

1995-01-01

A high voltage system has been designed to allow multiple users (clients) access to the database of measured values and settings. This database is actively maintained in real time for a given mainframe containing multiple modules each having their own database. With limited CPU nd memory resources the mainframe system provides a data coherency scheme for multiple clients which (1) allows the client to determine when and what values need to be updated, (2) allows for changes from one client to be detected by another client, and (3) does not depend on the mainframe system tracking client accesses

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

The Performance and Compatibility of Thin Client Computing with Fleet Operations

National Research Council Canada - National Science Library

Landry, Kenneth J

2006-01-01

...) with a thin client/server-based computing (TCSBC) architecture. After becoming nearly extinct in the early 1990s, thin clients are emerging on the forefront of technology with numerous bandwidth improvements and cost reduction benefits...

Fabiola Gianotti "O universo que vemos, estrelas, planetas e galaxias, é apenas 5% do que là està. Nao hà instrumentos que nos permitam observar o restantes 95%, que sao o que chamamos matéria escura e energia"

CERN Document Server

Caetano, Emilia

2017-01-01

Fabiola Gianotti "O universo que vemos, estrelas, planetas e galaxias, é apenas 5% do que là està. Nao hà instrumentos que nos permitam observar o restantes 95%, que sao o que chamamos matéria escura e energia"

Paying by the hour: The least appealing option for clients of lawyers

OpenAIRE

Seldeslachts, Jo

2016-01-01

In this study, we analyze a client's choice of contract in auctions where Dutch law firms compete for cases. The distinguishing feature is that lawyers may submit bids with any fee arrangement they wish. We find robust evidence that bids offering hourly rates are less attractive to clients. Our findings tentatively contradict lawyers' often-made argument that hourly rates are in a client's best interest.

Comparing Performance of Government and Private Clients in Construction Projects: Contractors’ Perspective

OpenAIRE

Jati Utomo Dwi Hatmoko; Riqi Radian Khasania

2016-01-01

By nature, government and private projects have different characteristics, which influence client performance. This research aims to compare performance of government and private clients in construction projects as perceived by contractors. Six client performance indicators were used, i.e. understanding of project requirements, financial, decision making, management skills, supports for contractor, and client’s attitude. Data were collected through questionnaire surveys filled in by 117 respo...

Channel Access Client Toolbox for Matlab

International Nuclear Information System (INIS)

2002-01-01

This paper reports on MATLAB Channel Access (MCA) Toolbox--MATLAB [1] interface to EPICS Channel Access (CA) client library. We are developing the toolbox for SPEAR3 accelerator controls, but it is of general use for accelerator and experimental physics applications programming. It is packaged as a MATLAB toolbox to allow easy development of complex CA client applications entirely in MATLAB. The benefits include: the ability to calculate and display parameters that use EPICS process variables as inputs, availability of MATLAB graphics tools for user interface design, and integration with the MATLABbased accelerator modeling software - Accelerator Toolbox [2-4]. Another purpose of this paper is to propose a feasible path to a synergy between accelerator control systems and accelerator simulation codes, the idea known as on-line accelerator model

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.

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

Science.gov (United States)

2015-12-01

bundles these capabilities together is proposed: a lightweight tactical client. In order to avoid miscommunication in the future, it is... solutions and almost definitely rules out most terminal-based thin clients. UNCLASSIFIED Approved for public release

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

African Journals Online (AJOL)

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

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…

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…

Client Participation in Managing Social Work Service--An Unfinished Quest

Science.gov (United States)

Leung, Terry T. F.

2011-01-01

"Client participation" is a popular ideal and object of rhetorical commitment in social work service. But the much-touted potential of this concept requires careful and critical scrutiny. This article reports on a study of client-participation initiatives in the Hong Kong welfare sector. The study identified significant differences in…

Parallel Journeys: How a Music Therapist Can Travel with his Client

OpenAIRE

Henry Dunn

2009-01-01

This paper explores the nature of the client-therapist relationship through the presentation of a case study. In this case study I aim to show how our processes within the therapy had strong parallels and how through being personally affected by my client this enabled me to work therapeutically more effectively and help him on his journey. The case study demonstrates how I was prepared to try new techniques at the same time as my client became more experimental, and also reveals how the clien...

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.

37 CFR 10.85 - Representing a client within the bounds of the law.

Science.gov (United States)

2010-07-01

... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Representing a client within... OFFICE Patent and Trademark Office Code of Professional Responsibility § 10.85 Representing a client within the bounds of the law. (a) In representation of a client, a practitioner shall not: (1) Initiate...

Effects of Counselor Gender and Gender-Role Orientation on Client Career Choice Traditionality.

Science.gov (United States)

Barak, Azy; And Others

1988-01-01

Male (N=120) and female (N=120) clients were counseled by male or female counselor classified as masculine, feminine, or androgynous in sex-role orientation. Clients' career choice traditionality was measured during counseling, following counseling, and with respect to clients' career six months later. Counselor gender and gender-role orientation…

Counselors' attachment anxiety and avoidance and the congruence in clients' and therapists' working alliance ratings.

Science.gov (United States)

Kivlighan, Dennis M; Marmarosh, Cheri L

2018-07-01

To determine how counselors' attachment anxiety and avoidance related to congruence between counselors' and clients' Working alliance (WA) ratings. Congruence strength was defined as the regression coefficient for clients' WA ratings predicting counselors' WA ratings. Directional bias was defined as the difference in level between counselors' and clients' WA ratings. Twenty-seven graduate student counselors completed an attachment measure and they and their 64 clients completed a measure of WA early in therapy. The truth-and-bias analysis was adapted to analyze the data. As hypothesized counselors' WA ratings were significantly and positively related to clients' WA ratings. Also as hypothesized, counselors' WA ratings were significantly lower than their clients' WA ratings (directional bias). Increasing counselor attachment anxiety was related to increasing negative directional bias; as counselors' attachment anxiety increased the difference between counselors and clients WA ratings became more negative. There was a significant interaction between counselor attachment anxiety and congruence strength in predicting counselor WA ratings. There was a stronger relationship between client WA ratings and counselor WA ratings for counselors low versus high in attachment anxiety. Counselors' attachment anxiety is realted to their ability to accurately percieve their clients' WA.

Comparing Performance of Government and Private Clients in Construction Projects: Contractors’ Perspective

Directory of Open Access Journals (Sweden)

Jati Utomo Dwi Hatmoko

2016-09-01

Full Text Available By nature, government and private projects have different characteristics, which influence client performance. This research aims to compare performance of government and private clients in construction projects as perceived by contractors. Six client performance indicators were used, i.e. understanding of project requirements, financial, decision making, management skills, supports for contractor, and client’s attitude. Data were collected through questionnaire surveys filled in by 117 respondents. The results show that there is a significant difference between both types of client performance. Three variables related to financial indicators, i.e. timely payment, owner value estimate, and payment approval, rank in the bottom three of the government client performance, but in contrast rank in the top three of the private ones. These results suggest that the government clients’ performance is perceived inferior to the private ones. Establishing a clients’ forum for sharing knowledge and best practices would be a strategic solution to enhance clients’ capacities.

The Effects of Client-Counselor Racial Matching on Therapeutic Outcome

Science.gov (United States)

Kim, Eunha; Kang, Minchul

2018-01-01

This study explored the effects of ethnic/racial matching on psychotherapy outcomes via the number of counseling sessions attended by clients, using clinical data collected from a university's counseling center. A total sample of 644 clients (193 men, 448 women) was selected and the ethnic/racial distribution of the sample comprised 499…

An Empirical Research on Bank Client Credit Assessments

Directory of Open Access Journals (Sweden)

Quan Chen

2018-05-01

Full Text Available Individual microcredit loans involve large quantities and small amounts and necessitate rapid approval, therefore making simple and fast application approvals rather critical. Creditors must evaluate clients’ credit status and default risk within the shortest time when determining whether to approve or decline their applications, preventing overdue responses that negatively impact bank profits and management practices, and could trigger domestic financial crises. This study investigates client credit quality criteria, focusing on the expert opinions of bank managers. The decision-making trial and evaluation laboratory method is adopted to enable a comparison and analysis of the similarities and differences in how banks evaluate their clients’ character, ability, financial capability, and collateral. Based on causality and correlations among the criteria, we also identify the core problems and key improvement criteria in the evaluation system. Through survey results of professional managers from Taiwanese banks, this study uses the DEMATEL method to compare the differences in bank evaluation methods based on the four dimensions of clients’ character, ability, pockets, and collateral, as well as the corresponding 14 criteria. In order to improve the reliability and usefulness in bank client credit risk assessment, the assessment dimensions and indicators of bank client credit risk assessment are first discussed; second, the causal relationship and degree of mutual influence between different dimensions and criteria are researched and assessed; in the end, the paper discusses how to improve the function and the benefits of bank client credit risk assessment.

Therapists' causal attributions of clients' problems and selection of intervention strategies.

Science.gov (United States)

Royce, W S; Muehlke, C V

1991-04-01

Therapists' choices of intervention strategies are influenced by many factors, including judgments about the bases of clients' problems. To assess the relationships between such causal attributions and the selection of intervention strategies, 196 counselors, psychologists, and social workers responded to the written transcript of a client's interview by answering two questionnaires, a 1982 scale (Causal Dimension Scale by Russell) which measured causal attribution of the client's problem, and another which measured preference for emotional, rational, and active intervention strategies in dealing with the client, based on the 1979 E-R-A taxonomy of Frey and Raming. A significant relationship was found between the two sets of variables, with internal attributions linked to rational intervention strategies and stable attributions linked to active strategies. The results support Halleck's 1978 hypothesis that theories of psychotherapy tie interventions to etiological considerations.

45 CFR 2551.81 - What type of clients are eligible to be served?

Science.gov (United States)

2010-10-01

... 45 Public Welfare 4 2010-10-01 2010-10-01 false What type of clients are eligible to be served... FOR NATIONAL AND COMMUNITY SERVICE SENIOR COMPANION PROGRAM Clients Served § 2551.81 What type of clients are eligible to be served? Senior Companions serve only adults, primarily older adults, who have...

A Ignorância Letrada: ensaio sobre a mediocrização do ambiente acadêmico

Directory of Open Access Journals (Sweden)

Paulo Roberto Almeida

2010-08-01

Full Text Available Ensaio sobre a crescente deterioração da qualidade da produção acadêmica brasileira na área de humanas, examinando a natureza do problema, suas causas, suas consequências mais evidentes e as evidências disponíveis, de modo indireto. Ademais das pedagogias freireanas, que estão na raiz da tragédia educacional nos dois primeiros ciclos de ensino, o sistema de educação superior padece de viseiras mentais criadas por ideologias supostamente progressistas que deformam a percepção da realidade e contribuem para a erosão de qualidade nos diferentes ciclos de ensino.

Development and construct validation of the Client-Centredness of Goal Setting (C-COGS) scale.

Science.gov (United States)

Doig, Emmah; Prescott, Sarah; Fleming, Jennifer; Cornwell, Petrea; Kuipers, Pim

2015-07-01

Client-centred philosophy is integral to occupational therapy practice and client-centred goal planning is considered fundamental to rehabilitation. Evaluation of whether goal-planning practices are client-centred requires an understanding of the client's perspective about goal-planning processes and practices. The Client-Centredness of Goal Setting (C-COGS) was developed for use by practitioners who seek to be more client-centred and who require a scale to guide and evaluate individually orientated practice, especially with adults with cognitive impairment related to acquired brain injury. To describe development of the C-COGS scale and examine its construct validity. The C-COGS was administered to 42 participants with acquired brain injury after multidisciplinary goal planning. C-COGS scores were correlated with the Canadian Occupational Performance Measure (COPM) importance scores, and measures of therapeutic alliance, motivation, and global functioning to establish construct validity. The C-COGS scale has three subscales evaluating goal alignment, goal planning participation, and client-centredness of goals. The C-COGS subscale items demonstrated moderately significant correlations with scales measuring similar constructs. Findings provide preliminary evidence to support the construct validity of the C-COGS scale, which is intended to be used to evaluate and reflect on client-centred goal planning in clinical practice, and to highlight factors contributing to best practice rehabilitation.

Students: Customers, Clients or Pawns?

Science.gov (United States)

Tight, Malcolm

2013-01-01

The metaphor of the student as a consumer or customer is widely used within contemporary higher education, and impacts on the ways in which students, academics and institutions behave. These, and a number of alternative metaphors for the student, are critically reviewed. The alternatives considered include both contemporary (student as client or…

Usage of Thin-Client/Server Architecture in Computer Aided Education

Science.gov (United States)

Cimen, Caghan; Kavurucu, Yusuf; Aydin, Halit

2014-01-01

With the advances of technology, thin-client/server architecture has become popular in multi-user/single network environments. Thin-client is a user terminal in which the user can login to a domain and run programs by connecting to a remote server. Recent developments in network and hardware technologies (cloud computing, virtualization, etc.)…

Client and family engagement in rehabilitation research: a framework for health care organizations.

Science.gov (United States)

Anderson, James; Williams, Laura; Karmali, Amir; Beesley, Lori; Tanel, Nadia; Doyle-Thomas, Krissy; Sheps, Gideon; Chau, Tom

2018-04-01

To describe the development and implementation of an organizational framework for client and family-centered research. Case report. While patient-centered care is now well established, patient-centered research remains underdeveloped. This is particularly true at the organizational level (e.g., hospital based research institutes). In this paper we describe the development of an organizational framework for client and family centered research at Holland Bloorview Kids Rehabilitation Hospital in Toronto, Canada. It is our hope that, by sharing our framework other research institutions can learn from our experience and develop their own research patient/client/family engagement programs. Implications for rehabilitation Family engagement in rehabilitation research •Rehabilitation research is crucial to the development and improvement of rehabilitative care. •The relevance, appropriateness, and accountability of research to patients, clients and families could be improved. •Engaging clients and families as partners in all aspects of the research process is one way to address this problem. •In this paper, we describe a framework for engaging clients and families in research at the organizational level.

Certification. Tool for quality? Market and client for radiation experts

International Nuclear Information System (INIS)

Zwaard, W.

1999-01-01

The role and impact of certification in the advisory work of radiation experts is briefly outlined. Certification is a guarantee for quality of the advice or a product in case there is a client and a market. In cases where there is not a client or a market certification will lead to 'window-dressing and a bureaucratic system

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

Science.gov (United States)

2012-06-29

... Request; International Client Life-Cycle Multi-Purpose Forms AGENCY: International Trade Administration...-0151, 0625-0215, 0625-0220, 0625-0228, and 0625- 0238. These collections include all client intake... trade events to U.S. organizations. The International Client Life-cycle Multi-Purpose Forms, previously...

Occupational Therapists’ Perceived Relevance of Nussbaum’s Central Capabilities to Client-centered Practice

Directory of Open Access Journals (Sweden)

Tahmineh Mousavi

2015-10-01

Full Text Available Background: Client-centered practice is highly valued in occupational therapy. Nussbaum’s Capabilities Approach focuses on the individual person and functional autonomy by encompassing 10 functional capabilities that could provide a framework for the systematic implementation of client-centered care. Method: To explore the perceived relevance of Nussbaum’s 10 capabilities with respect to client-centered practice, semi-structured interviews with 14 occupational therapists in British Columbia, Canada, were conducted and thematically analyzed. Results: Nussbaum’s Central Human Functional Capabilities approach provides a broad perspective, encompassing the range of settings of occupational therapy practice. Nussbaum’s 10 capabilities were viewed as being particularly aligned with the established tenets of client-centered practice. Conclusion: Nussbaum’s Capabilities Approach has several compelling attributes for consideration by occupational therapists that warrant further exploration as a novel basis for systematically implementing client-centered care.

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

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...... 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’....

Modelação numérica de ensaios realizados nos materiais do aterro da barragem de Odelouca

OpenAIRE

Brito, A.; Maranha, J. R.; Caldeira, L.

2012-01-01

A caracterização mecânica e hidráulica dos materiais da Barragem de Odelouca, efectuada no Laboratório Nacional de Engenharia Civil (LNEC), é utilizada para a calibração dos modelos constitutivos a utilizar na modelação numérica da barragem. Assim, tendo como ponto de partida os resultados obtidos nos ensaios realizados durante a construção da barragem, procede-se à verificação da adequação e à calibração de modelos constitutivos existentes para descrever o comportamento mecânico e hidrául...

Exploring the field of public construction clients by a graphical network analysis

OpenAIRE

Eisma, P.R.; Volker, L.

2014-01-01

Because public construction clients form the majority of construction clients and procure over 40% of the construction output in most countries, they are important actors in the construction industry. Yet, the field of research on clients is still underdeveloped. In order to identify the research gaps in this field, a graphical network analysis of existing literature is performed. The analysis is based on a query executed in the scientific database Scopus resulting in around 3,300 publication...

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…

77 FR 24685 - Proposed Information Collection; Comment Request; Client Focus Groups and Qualitative Interviews

Science.gov (United States)

2012-04-25

... Request; Client Focus Groups and Qualitative Interviews AGENCY: International Trade Administration (ITA... ``Quality Assurance Surveys'' to collect feedback from the U.S. business clients it serves. These surveys ask the client to evaluate the U.S. Commercial Service on its customer service provision. Results from...

O curar e o cuidar: a historia de uma relação (um ensaio

Directory of Open Access Journals (Sweden)

Maria José dos Santos Rossi

1991-03-01

Full Text Available O presente ensaio refere-se a um estudo da relação entre a arte de cuidar e a arte de curar. Se o cuidar existiu desde que a humanidade se constituiu, ele era um saber indiferenciado o qual tanto faziam parte as atividades elaboradas no cuidado e na cura. Utilizando autores que tratam tanto da questão da relação de poder entre os gêneros masculino e feminino, bem como situam aquelas atividades no contexto histórico, verificamos existir uma ruptura entre o cuidar e o curar, ficando este último hegemônico. O cuidar, assim se transforma em enfermagem, como atividade subalterna. Este é o início de uma pesquisa a longo prazo para situar as noções relativas da disciplina - o seu discurso.

Prototype for a generic thin-client remote analysis environment for CMS

International Nuclear Information System (INIS)

Steenberg, C.D.; Bunn, J.J.; Hickey, T.M.; Holtman, K.; Legrand, I.; Litvin, V.; Newman, H.B.; Samar, A.; Singh, S.; Wilkinson, R.

2001-01-01

The multi-tiered architecture of the highly-distributed CMS computing systems necessitates a flexible data distribution and analysis environment. The authors 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 environment is based on existing HEP (Anaphe) and CMS (CARF, ORCA, IGUANA) software technology on the server accessed 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 a '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 importantly, makes the work directly useful to other non-Java general-purpose analysis and presentation tools such as Hippodraw, Lizard, or ROOT

Working alliance, real relationship, session quality, and client improvement in psychodynamic psychotherapy: A longitudinal actor partner interdependence model.

Science.gov (United States)

Kivlighan, Dennis M; Hill, Clara E; Gelso, Charles J; Baumann, Ellen

2016-03-01

We used the Actor Partner Interdependence Model (APIM; Kashy & Kenny, 2000) to examine the dyadic associations of 74 clients and 23 therapists in their evaluations of working alliance, real relationship, session quality, and client improvement over time in ongoing psychodynamic or interpersonal psychotherapy. There were significant actor effects for both therapists and clients, with the participant's own ratings of working alliance and real relationship independently predicting their own evaluations of session quality. There were significant client partner effects, with clients' working alliance and real relationship independently predicting their therapists' evaluations of session quality. The client partner real relationship effect was stronger in later sessions than in earlier sessions. Therapists' real relationship ratings (partner effect) were a stronger predictor of clients' session quality ratings in later sessions than in earlier sessions. Therapists' working alliance ratings (partner effect) were a stronger predictor of clients' session quality ratings when clients made greater improvement than when clients made lesser improvement. For clients' session outcome ratings, there were complex three-way interactions, such that both Client real relationship and working alliance interacted with client improvement and time in treatment to predict clients' session quality. These findings strongly suggest both individual and partner effects when clients and therapists evaluate psychotherapy process and outcome. Implications for research and practice are discussed. (c) 2016 APA, all rights reserved).

Payeeship, financial leverage, and the client-provider relationship.

Science.gov (United States)

Angell, Beth; Martinez, Noriko I; Mahoney, Colleen A; Corrigan, Patrick W

2007-03-01

Although representative payeeship provided within clinical settings is believed to have therapeutic benefits, its potential negative impact on the therapeutic alliance or client-provider relationship is of concern. This study examined the effects of payeeship and perceived financial leverage on positive and negative dimensions of the client-provider relationship. The sample consisted of 205 adults ages 18 to 65 with axis I disorders who were receiving mental health services from a large urban community mental health clinic. Information about money management characteristics and ratings of the client-provider relationship were collected via face-to-face interview. Fifty-three percent of the sample had a payee or money manager, and 79% of this group had a clinician payee. Respondents with co-occurring psychotic and substance use disorders, lower functioning, and lower insight about their illness were more likely to have a clinician payee. Forty percent of those with a clinician payee reported perceived financial leverage. Having a clinician payee was also associated with perceived financial leverage and with higher levels of conflict in the case management relationship. When examined in combination, financial leverage was found to mediate the effects of payeeship on conflict in the case management relationship (mean+/-SE=2.37+/-1.33, 95% confidence interval=16-5.52, pconflict in the therapeutic alliance when used as a source of treatment leverage. Although payeeship provides important support and may enhance functional outcomes for the patient, decisions about using the mechanism for promoting treatment adherence should take into account the potential disruption to the client-provider relationship.

Rehabilitation therapies for older clients of the Ontario home care system: regional variation and client-level predictors of service provision.

Science.gov (United States)

Armstrong, Joshua J; Zhu, Mu; Hirdes, John P; Stolee, Paul

2015-01-01

To examine regional variation in service provision and identify the client characteristics associated with occupational therapy (OT) and physiotherapy (PT) services for older adults in the Ontario Home Care System. Secondary analyses of a provincial database containing comprehensive assessments (RAI-HC) linked with service utilization data from every older long-stay home care client in the system between 2005 and 2010 (n = 299 262). Hierarchical logistic regression models were used to model the dependent variables of OT and PT service use within 90 d of the initial assessment. Regional differences accounted for 9% of the variation in PT service provision and 20% of OT service provision. After controlling for the differences across regions, the most powerful predictors of service provision were identified for both OT and PT. The most highly associated client characteristics related to PT service provision were hip fracture, impairments in activities of daily living/instrumental activities of daily living, cerebrovascular accidents, and cognitive impairment. For OT, hazards in the home environment was the most powerful predictor of future service provision. Where a client lived was an important determinant of service provision in Ontario, raising the possibility of inequities in access to rehabilitation services. Health care planners and policy makers should review current practices and make adjustments to meet the increasing and changing needs for rehabilitation therapies of the aging population. Implications for Rehabilitation For older adults in home care, the goal of rehabilitation therapy services is to allow individuals to maintain or improve physical functioning, quality of life and overall independence while living within their community. Previous research has demonstrated that a large proportion of home care clients specifically identified as having rehabilitation potential do not receive it. This article used clinical assessment data to identify the

[Client centered psychotherapy].

Science.gov (United States)

Werthmann, H V

1979-01-01

In the discussion concerning which psychotherapeutic methods should come under the auspices of the medical health system in West Germany, the question is raised regarding the client-centered therapy of Carl Rogers. Can it be considered a distinct psychotherapeutic method? A review of the scientific literature dealing with this method shows that it provides neither a theory of mental illness nor a theory of clinical application based on individual cases or specific neurotic disturbances, Therefore it should be categorized as a useful method of communication in the field of psychology and not as a therapeutic method for treating mental illness.

Modelling Client Satisfaction Levels: The Impact of Contractor Performance

Directory of Open Access Journals (Sweden)

Robby Soetanto

2012-11-01

Full Text Available The performance of contractors is known to be a key determinant of client satisfaction.Here, using factor analysis, clients’ satisfaction is defined in several dimensions. Based onclients’ assessment of contractor performance, a number of satisfaction models developedusing the multiple regression (MR technique are presented. The models identify arange of variables encompassing contractor performance, project performance and respondent(i.e. client attributes as useful predictors of satisfaction levels. Contractor performanceattributes were found to be of utmost importance indicating that clientsatisfaction levels are mainly dependent on the performance of the contractor. Furthermore,findings suggest that subjectivity is to some extent prevalent in clients’ performanceassessment. The models demonstrate accurate and reliable predictive power as confirmedby validation tests. Contractors could use the models to help improve their performanceleading to more satisfied clients. This would also promote the development ofharmonious working relationships within the construction project coalition.

Four different types of client attitudes towards purchasing spectacles in optometric practice

Science.gov (United States)

Fylan, Fiona; Grunfeld, Elizabeth A; Turvey, Andrew; Desallais, Jacques

2005-01-01

Abstract Background  Unmet expectations are a major cause of client dissatisfaction, yet very little is known about the expectations and health values that clients in optometry practice hold about having an eye examination and purchasing spectacles. This study identified different attitudes and behaviours held by presbyope clients in optometric practices. Method  A total of 158 presbyope clients, recruited from 14 practices, completed a questionnaire which was developed from the theory of planned behaviour. The questionnaire examined attitudes towards spectacles and visiting the optician, motivation to visit the optician, perceptions of barriers to attending the opticians, information requirements, and preferences for shared decision‐making. Responses were analysed using principal components analysis. Results and Conclusions  Four factors were identified, which were labelled style, vision, avoiding and seeking. Style is concerned with the importance of appearing fashionable or stylish, and desiring approval from others. Vision relates to clients’ attitudes towards obtaining clear vision and to maintaining healthy eyesight. Avoiding describes the perceived difficulties associated with visiting the optician and purchasing new spectacles. Seeking corresponds to the desire for information on the technical details of lenses. Practitioners could use these characteristics to tailor information to meet the needs and address the expectations of individual clients. This may make the information provided more personally relevant, and could enhance client satisfaction. PMID:15713167

Attachment Patterns in the Psychotherapy Relationship: Development of the Client Attachment to Therapist Scale.

Science.gov (United States)

Mallinckrodt, Brent; And Others

1995-01-01

Describes development of an instrument, the Client Attachment to Therapist Scale (CATS). CATS factors correlated in expected directions with survey measures of object relations, client-rated working alliance, social self-efficacy, and adult attachment. Cluster analysis revealed four types of client attachment. Discusses implications of attachment…

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

Science.gov (United States)

2012-11-14

...; Comment Request; Application for Client Assistance Program AGENCY: Department of Education (ED), Office of... of Collection: Application for Client Assistance Program. OMB Control Number: 1820-0520. Type of... Burden Hours: 9. Abstract: This form is used by states to request funds to establish and carry out Client...

Using Private Employment Agencies to Place Public Assistance Clients in Jobs.

Science.gov (United States)

Carcagno, George J.; And Others

1982-01-01

This paper presents the results of an experiment in which private employment agencies were used to place public assistance clients in jobs. Contains brief descriptions of the experiment and the AFDC clients who participated in it. Key experimental findings are outlined and policy implications are discussed. (CT)

On Non-Parallelizable Deterministic Client Puzzle Scheme with Batch Verification Modes

NARCIS (Netherlands)

Tang, Qiang; Jeckmans, Arjan

A (computational) client puzzle scheme enables a client to prove to a server that a certain amount of computing resources (CPU cycles and/or Memory look-ups) has been dedicated to solve a puzzle. Researchers have identified a number of potential applications, such as constructing timed cryptography,

Indoor Location Fingerprinting with Heterogeneous Clients

DEFF Research Database (Denmark)

Kjærgaard, Mikkel Baun

2011-01-01

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

Exploring Lawyer-Client Interaction: A Qualitative Study of Positive Lawyer Characteristics.

Science.gov (United States)

Elbers, Nieke A; van Wees, Kiliaan A P C; Akkermans, Arno J; Cuijpers, Pim; Bruinvels, David J

2012-03-01

Personal injury victims involved in compensation processes have a worse recovery than those not involved in compensation processes. One predictor for worse recovery is lawyer engagement. As some people argue that this negative relation between lawyer engagement and recovery may be explained by lawyers' attitude and communications to clients, it seems important to investigate lawyer-client interaction. Although procedural justice and therapeutic jurisprudence had previously discussed aspects relevant for lawyer-client interaction, the client's perspective has been rather ignored and only few empirical studies have been conducted. In this qualitative study, 21 traffic accident victims were interviewed about their experiences with their lawyer. Five desirable characteristics for lawyers were identified: communication, empathy, decisiveness, independence, and expertise. Communication and empathy corresponded with aspects already discussed in literature, whereas decisiveness, independence and expertise had been addressed only marginally. Further qualitative and quantitative research is necessary to establish preferable lawyer characteristics and to investigate what would improve the well-being of personal injury victims during the claims settlement process.

Gardening with Huntington's disease clients--creating a programme of winter activities.

Science.gov (United States)

Spring, Josephine Anne; Baker, Mark; Dauya, Loreane; Ewemade, Ivie; Marsh, Nicola; Patel, Prina; Scott, Adrienne; Stoy, Nicholas; Turner, Hannah; Viera, Marc; Will, Diana

2011-01-01

A programme of garden-related indoor activities was developed to sustain a gardening group for people with mid to late stage Huntington's disease during the winter. The activities were devised by the horticulturist, working empirically, involving the services occupational therapist, physiotherapist, occupational therapy art technician, computer room, recreation and leisure staff. The programme was strongly supported by the nursing and care staff. Feedback on the effectiveness of the activities was sought from the clients, team members and unit staff. The clients' interest in gardening was sustained by a multidisciplinary programme of indoor growing and using plant products in creative activities, computing and group projects. The clients enjoyed all activities except one that they said lacked contact with plants. The inexpensive programme of activities enabled creativity and self-expression, stimulated social contact and helped with therapeutic goals of the clients. In addition, it engaged the multi-disciplinary team and the unit staff, was practical and enhanced the environment.

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 (c) 2016 APA, all rights reserved).

Comparative analysis of a client's verbal responses in counseling sessions: quantitative case study.

Science.gov (United States)

Lee, Han-Jong

2011-04-01

This study investigated how the in-session change in a client's verbal behavior might influence the effectiveness of counseling sessions. 10 sessions of counseling with a male undergraduate suffering from depressive mood were conducted by a humanistically oriented counselor. The two most effective and the two least effective sessions were identified according to the client's evaluation of the effectiveness of counseling sessions. Results indicated that over the three segments of the most effective sessions, the client gradually increased responses that indicated exploration of his own emotions, thoughts, and behaviors. By contrast, the client continued talking mainly about past events in a storytelling manner throughout the least effective sessions.

Advising Students or Practicing Law: The Formation of Implied Attorney-Client Relationships with Students

Science.gov (United States)

Sheridan, Patricia M.

2014-01-01

An attorney-client relationship is traditionally created when both parties formally enter into an express agreement regarding the terms of representation and the payment of fees. There are certain circumstances, however, where the attorney-client relationship can be implied from the parties' conduct. An implied attorney-client relationship may…

The prevalence and impact of depression in self-referred clients attending an employee assistance program.

Science.gov (United States)

Lam, Raymond W; Wolinsky, Debra; Kinsella, Cynthia; Woo, Cindy; Cayley, Paula M; Walker, Anne B

2012-11-01

To determine the prevalence and characteristics of clients with depression attending an employee assistance program (EAP). Anonymized data were obtained from 10,794 consecutive clients, including 9105 employees, self-referred to PPC Canada, a large, external EAP. Assessment measures included the self-rated nine-item Patient Health Questionnaire (PHQ-9). Clinical characteristics of depressed clients (PHQ-9 score ≥ 10) were compared with those of nondepressed clients. Thirty-seven percent of the employee sample met PHQ-9 criteria for clinically significant depression. Compared with clients without depression, they had significantly higher rates of anxiety, psychotropic medication use, problem substance use, global problems with functioning, absenteeism, impairment in work-related tasks, and low job satisfaction. A large proportion of EAP clients were clinically depressed with associated negative effects on personal and occupational functioning.

Development of a Nutrition Education Intervention for Food Bank Clients.

Science.gov (United States)

Dave, Jayna M; Thompson, Deborah I; Svendsen-Sanchez, Ann; McNeill, Lorna Haughton; Jibaja-Weiss, Maria

2017-03-01

The focus of this article is the development of a nutrition education intervention for food bank clients. Formative research using mixed-methods (qualitative and quantitative) and community-based participatory research principles was conducted to assess the nutrition education needs of clients obtaining service from the Houston Food Bank (HFB). Participants were HFB and pantry staff and clients. Interview data were coded and analyzed using grounded theory approach. Themes were then identified. Quantitative data were analyzed for frequencies and descriptives. Data were used to tailor the curriculum to the target population. Six HFB staff, 49 pantry staff from 17 pantries, and 54 clients from 10 pantries participated in interviews and focus groups and completed questionnaires. The participants provided opinion on the current nutrition education provided via the food bank and made suggestions on strategies for development of an intervention. Their feedback was used to develop the six-session intervention curriculum to be delivered over 6 months. This research provides evidence that it is critical for members of the target audience be included in formative research to develop behavior change programs that are relevant and appealing and target their needs and interests.

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…

Chair rise capacity and associated factors in older home-care clients.

Science.gov (United States)

Tiihonen, Miia; Hartikainen, Sirpa; Nykänen, Irma

2017-07-01

The aim of this study was to investigate the ability of older home-care clients to perform the five times chair rise test and associated personal characteristics, nutritional status and functioning. The study sample included 267 home-care clients aged ≥75 years living in Eastern and Central Finland. The home-care clients were interviewed at home by home-care nurses, nutritionists and pharmacists. The collected data contained sociodemographic factors, functional ability (Barthel Index, IADL), cognitive functioning (MMSE), nutritional status (MNA), depressive symptoms (GDS-15), medical diagnoses and drug use. The primary outcome was the ability to perform the five times chair rise test. Fifty-one per cent ( n=135) of the home-care clients were unable to complete the five times chair rise test. Twenty-three per cent ( n=64) of the home-care clients had good chair rise capacity (≤17 seconds). In a multivariate logistic regression analysis, fewer years of education (odds ratio [OR] = 1.11, 95% confidence interval [CI] 1.04-1.18), lower ADL (OR = 1.54, 95% CI 1.34-1.78) and low MNA scores (OR = 1.12, 95% CI 1.04-1.20) and a higher number of co-morbidities (OR = 1.21, 95% CI 1.02-1.43) were associated with inability to complete the five times chair rise test. Poor functional mobility, which was associated with less education, a high number of co-morbidities and poor nutritional status, was common among older home-care clients. To maintain and to prevent further decline in functional mobility, physical training and nutritional services are needed. (NutOrMed, ClinicalTrials.gov Identifier: NCT02214758).

Legibility of USP pictograms by clients of community pharmacies in Portugal.

Science.gov (United States)

Soares, Maria Augusta

2013-02-01

Effective and safe use of medicines depends on patients' good understanding of the pharmacotherapy. Pictograms are a communication tool, as complement of verbal/written information, to facilitate drug use and, avoiding errors, being useful for drug effectiveness and safety. To assess the ability of pharmacy's clients, in understanding USP pictograms, establishing the relationship with their socio demographic profiles. The study was developed in community pharmacies, in Lisbon region. Cross sectional study, carried out in pharmacies in Lisbon. A structured questionnaire was used in pharmacies clients of 18 years old and above. Legibility of fifteen USP pictograms was studied using ISO and ANSI criteria. Correlation between the legibility of pictograms and pharmacies clients' demographic profile (age, gender, scholarship, frequency of medicines use) was evaluated. SPSS data base version 18 was used for descriptive analysis. Legibility of fifteen United States Pharmacopeia (USP) pictograms and, its relationship with clients' demographic data (scholarship degree, age, frequency of medicines use and, gender) was studied. From 751 responders, ten pictograms were legible by ISO and seven by ANSI. More than 30 % of the responders weren't able to understand five of the pictograms. It was found statistically significant relationships between some the understanding of some pictograms and clients' scholarships degree, age and frequency of medicines use. It was found that not all the fifteen tested USP pictograms were correctly comprehended by Portuguese pharmacies' clients, having found correlations with scholarship degree, daily use of medicines and age group, for some pictograms. To ensure the effectiveness of USP pictograms it is advisable to test patients' comprehension, before their use in general practice.

Análise de ensaios in vitro do compósito de 50% HA-50% TiO2 fabricados pelo método da esponja polimérica

Directory of Open Access Journals (Sweden)

A. G. S. Galdino

2014-12-01

Full Text Available À medida que há uma melhoria na tecnologia aplicada à saúde humana, a expectativa de vida vem aumentando, mas nem todas as partes do corpo podem manter suas funções com o processo de envelhecimento. A engenharia tecidual foi desenvolvida para substituir, reparar ou reconstruir tecidos ou órgãos perdidos ou danificados por acidentes ou doenças graves através da utilização e desenvolvimento de novos materiais, que sejam biocompatíveis, bioabsorvíveis, porosos, entre outras características. O objetivo deste trabalho é avaliar através dos ensaios in vitro o compósito poroso de hidroxiapatita - titânia (HA-TiO2, com composição de 50% HA - 50% TiO2 para obter arcabouços utilizados para engenharia tecidual óssea. Os corpos de prova foram produzidos pelo método da esponja polimérica, utilizando bicarbonato de sódio como ligante e floculante. A sinterização foi realizada em três temperaturas: a 1250 ºC; 1300 ºC e 1350 ºC. Linhagens imortalizadas de fibroblastos e osteoblastos foram utilizadas para avaliar o compósito frente à citotoxicidade, crescimento e adesão celular. Nesses ensaios foram utilizados três corpos de prova porosos em um intervalo de cinco dias. Os resultados obtidos mostraram-se satisfatórios, com adesão e crescimento das células de fibroblastos e osteoblastos, o que serve como indicador para que esse compósito seja submetido posteriormente a ensaios in vivo.

The quality of integrated reproductive health services: perspectives of clients in KwaZulu-Natal, South Africa

Directory of Open Access Journals (Sweden)

P Maharaj

2005-09-01

Full Text Available The focus of family planning programmes has shifted away from an emphasis on controlling fertility towards helping individuals achieve their reproductive goals. This article seeks to expand knowledge about the quality of integrated services from the perspective of clients at health facilities in KwaZulu-Natal. The results from 300 structured interviews with clients visiting health facilities found that overall quality of services was relatively high. However, the quality of services varied somewhat between rural and urban areas. Clients visiting urban health facilities reported greater satisfaction with services than clients visiting rural health facilities. The interviews with clients suggests that existing efforts to integrate services has had limited success. Clients were rarely offered an expanded range of services during their visit. In most cases, clients only received services for which they presented at the health facility.

Client satisfaction with reproductive health-care quality: integrating business approaches to modeling and measurement.

Science.gov (United States)

Alden, Dana L; Do, Mai Hoa; Bhawuk, Dharm

2004-12-01

Health-care managers are increasingly interested in client perceptions of clinic service quality and satisfaction. While tremendous progress has occurred, additional perspectives on the conceptualization, modeling and measurement of these constructs may further assist health-care managers seeking to provide high-quality care. To that end, this study draws on theories from business and health to develop an integrated model featuring antecedents to and consequences of reproductive health-care client satisfaction. In addition to developing a new model, this study contributes by testing how well Western-based theories of client satisfaction hold in a developing, Asian country. Applied to urban, reproductive health clinic users in Hanoi, Vietnam, test results suggest that hypothesized antecedents such as pre-visit expectations, perceived clinic performance and how much performance exceeds expectations impact client satisfaction. However, the relative importance of these predictors appears to vary depending on a client's level of service-related experience. Finally, higher levels of client satisfaction are positively related to future clinic use intentions. This study demonstrates the value of: (1) incorporating theoretical perspectives from multiple disciplines to model processes underlying health-care satisfaction and (2) field testing those models before implementation. It also furthers research designed to provide health-care managers with actionable measures of the complex processes related to their clients' satisfaction.

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

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.

DURABILIDADE NATURAL DA MADEIRA DE QUATRO ESPÉCIES AMAZÔNICAS EM ENSAIOS DE DETERIORAÇÃO DE CAMPO

Directory of Open Access Journals (Sweden)

Amilker Romanini

2014-03-01

Full Text Available Este estudo teve como objetivo avaliar a durabilidade natural da madeira de quatro espécies amazônicas em ensaios de deterioração de campo. Para tanto corpos de prova de Trattinnickia rhoifolia (amescla, Qualea albiflora (cambará, Dipteryx odorata (cumaru e Mezilaurus itauba (itaúba, com dimensões de 2 x 2 x 20 cm, foram submetidos durante 10 meses a ensaios de deterioração em ambiente de campo aberto. A cada dois meses foram realizadas amostragens no material ensaiado e retirados corpos de prova para determinação do percentual de massa seca residual e índice de deterioração. A madeira de amescla apresentou a menor durabilidade natural, o que pode ser explicado pelas suas propriedades físicas e químicas, já as madeiras de cambará, cumaru e itaúba não diferiram estatisticamente entre si. Palavras-chave: biodeterioração, qualidade da madeira, madeira tropical, química da madeira. NATURAL DURABILITY OF FOUR AMAZONIAN WOODS IN FIELD TESTS ABSTRACT This study aimed to evaluate natural durability of four Amazonian woods in field tests. For this purpose samples of Trattinnickia rhoifolia (amescla, Qualea albiflora (cambará, Dipteryx odorata (cumaru and Mezilaurus itauba (itaúba, with reduced dimensions of 2 x 2 x 20 cm, were submitted in open field tests during 10 months. Every two months samples were weighed and evaluated by a criterion of notes, to determine the percentage of residual dry mass and decay index, respectively. Amescla wood had lower natural durability, which can be explained by their physical and chemical properties, however cambará, cumaru and itaúba wood not differ statistically. Keywords: biodeterioration, wood quality, tropical wood, wood chemistry. DOI: http://dx.doi.org/10.14583/2318-7670.v02n01a03

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…

Trainees' use of supervision for therapy with sexual minority clients: A qualitative study.

Science.gov (United States)

Chui, Harold; McGann, Kevin J; Ziemer, Kathryn S; Hoffman, Mary Ann; Stahl, Jessica

2018-01-01

In the supervision literature, research on sexual orientation considerations often focuses on sexual minority supervisees and less often on their work with sexual minority clients. Yet both heterosexual and sexual minority supervisees serve sexual minority clients and may have different supervision needs. Twelve predoctoral interns from 12 APA-accredited counseling center internships were interviewed about how they made use of supervision for their work with a sexual minority client. The sample consisted of 6 heterosexual-identified supervisees and 6 supervisees who identified as lesbian, gay, or queer (LGQ). Data were analyzed using consensual qualitative research. All participants reported positive gains from supervision that carried over to their work with heterosexual and sexual minority clients, even when not all supervisors disclosed or discussed their own sexual orientation. Heterosexual supervisees used supervision to ensure that their heterosexuality does not interfere with an affirmative experience for their sexual minority client, whereas LGQ supervisees used supervision to explore differences in sexual identity development between themselves and their client to minimize the negative impact of overidentification. Thus, affirmative supervision may unfold with different foci depending on supervisees' sexual identity. Implications for training and supervision are discussed. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

75 FR 66796 - Pricewaterhousecoopers LLP (“PwC”), Internal Firm Services Client Account Administrators Group...

Science.gov (United States)

2010-10-29

... LLP (``PwC''), Internal Firm Services Client Account Administrators Group Atlanta, GA; Amended...''), Internal Firm Services Client Account Administrators Group. Accordingly, the Department is amending this... Firm Services Client Account Administrators Group. The amended notice applicable to TA-W-73,630 is...

77 FR 38582 - Proposed Information Collection; Comment Request; Domestic Client Life-Cycle Multi-Purpose Forms

Science.gov (United States)

2012-06-28

... Request; Domestic Client Life-Cycle Multi-Purpose Forms AGENCY: International Trade Administration. ACTION..., 0625-0237, and 0625-0238. These collections include all client intake, events/activities and export... Client Life-cycle Multi-Purpose Forms, previously titled Export Information Services Order Forms, are...

The Role of Reflection on Clients' Change in the Coaching Process

Science.gov (United States)

Kristal, Zuno

2010-01-01

This study explored the role of reflection in the personal life-coaching process and the ways it affects clients' change, as perceived by both coach and client. Underlying this study is that coaching is currently recognized as a learning process, yet how reflection is understood or used is currently unspecified. Insights gained from the adult…

Effects of Client Violence on Social Work Students: A National Study

Science.gov (United States)

Criss, Pam

2010-01-01

This study uses a work stress theoretical framework to examine the effects of direct and indirect client violence on a randomly selected national sample of MSW and BSW social work students from the National Association of Social Workers (N=595). Client violence variables were analyzed in relationship to fear of future violence and occupational…

Social-Cognitive Factors Affecting Clients' Career and Life Satisfaction after Counseling

Science.gov (United States)

Verbruggen, Marijke; Sels, Luc

2010-01-01

This study examines factors affecting clients' career and life satisfaction in the first 6 months after having participated in career counseling. In particular, we tested a large subset of the recent social-cognitive model of work satisfaction of Lent and Brown using a longitudinal data set of 195 former counseling clients. Our results showed that…

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.

Client/Server Architecture Promises Radical Changes.

Science.gov (United States)

Freeman, Grey; York, Jerry

1991-01-01

This article discusses the emergence of the client/server paradigm for the delivery of computer applications, its emergence in response to the proliferation of microcomputers and local area networks, the applicability of the model in academic institutions, and its implications for college campus information technology organizations. (Author/DB)

Estimating Client Out-of-Pocket Costs for Accessing Voluntary Medical Male Circumcision in South Africa.

Directory of Open Access Journals (Sweden)

Michel Tchuenche

Full Text Available In 2010, South Africa launched a countrywide effort to scale up its voluntary medical male circumcision (VMMC program on the basis of compelling evidence that circumcision reduces men's risk of acquiring HIV through heterosexual intercourse. Even though VMMC is free there, clients can incur indirect out-of-pocket costs (for example transportation cost or foregone income. Because these costs can be barriers to increasing the uptake of VMMC services, we assessed them from a client perspective, to inform VMMC demand creation policies. Costs (calculated using a bottom-up approach and demographic data were systematically collected through 190 interviews conducted in 2015 with VMMC clients or (for minors their caregivers at 25 VMMC facilities supported by the government and the President's Emergency Plan for AIDS Relief in eight of South Africa's nine provinces. The average age of VMMC clients was 22 years and nearly 92% were under 35 years of age. The largest reported out-of-pocket expenditure was transportation, at an average of US$9.20 (R 100. Only eight clients (4% reported lost days of work. Indirect expenditures were childcare costs (one client and miscellaneous items such as food or medicine (20 clients. Given competing household expense priorities, spending US$9.20 (R100 per person on transportation to access VMMC services could be a significant burden on clients and households, and a barrier to South Africa's efforts to create demand for VMMC. Thus, we recommend a more focused analysis of clients' transportation costs to access VMMC services.

Risk Factors for Hip Fracture in Older Home Care Clients

Science.gov (United States)

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

2009-01-01

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

Veterinary students' views on animal patiens and human clients, using Q methodology

NARCIS (Netherlands)

de Graaf, G.

2007-01-01

Veterinarians serve two masters: animal patients and human clients. Both animal patients and human clients have legitimate interests, and conflicting moral claims may flow from these interests. Earlier research concludes that veterinary students are very much aware of the complex and often

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...

What client?

DEFF Research Database (Denmark)

Unterrainer, Walter

2015-01-01

Urbanization is growing exponentially, global streams of refugees are at an all-time high, 10 million people found their homes destroyed by one typhoon on the Philippines, 2,000,000,000 people have no access to basic sanitation. The building sector produces a gigantic 60% of global waste. 40...... has been a popular art and that the clients were the rich and powerful, documented by a legacy of palaces, churches, villas, office blocs and alienated ´property developments´. Slum dwellers, climate victims, war refugees, the urban poor but also endangered species as well as tormented spaces cannot......% of (non-renewable) energy is consumed by buildings (without calculating energy used in construction). Growing amounts of buildings become abandoned and derelict, infrastructural failures and junk spaces surge and whole urban quarters decline socially and physically. Any more challenges needed? Looking...

OHS consultants as facilitators of learning processes in client enterprises

DEFF Research Database (Denmark)

Broberg, Ole

2004-01-01

emphasis on initiating learning processes in the client enter-prise in a way that will develop the OHS management capabilities of that enterprise. This presentation is based on a research program focussing on how OHS consultants go about when they are involved in consultancy on technological change...... processes in client enter-prises. Specifically the learning perspective will be touched upon. The research programme included four cases in different client enterprises: 1) New tech-nology in a logistic department of a brewery, 2) new pharmaceutical process facility, 3) design of a new catering centre...... in another institution than pre-sent the users to blueprints and then ask them to put forward technical suggestions to im-prove the workplace design. In conclusion, the study pointed out that the OHS consultants had different work practices on learning aspects of their consultancy. Several constraining...

Implementation of news module for news client based on ApiCloud

OpenAIRE

Fu Xin; Liang Yu; Cao Sanxing; Gu Hongbo

2017-01-01

With the development of new media technology, news client has become the main battlefield of news browsing. Based on the ApiCloud hybrid development platform, this paper uses HTML, JavaScript and other technologies to develop the mobile client news module, and uses WAMP integrated development environment to build a news publishing system on the server side.

Risk-Coping through Sexual Networks: Evidence from Client Transfers in Kenya

Science.gov (United States)

Robinson, Jonathan; Yeh, Ethan

2012-01-01

Why do women engage in transactional sex? While much of the explanation is that sex-for-money pays more than other jobs, we use a unique panel data set constructed from 192 self-reported diaries of sex workers in Western Kenya to show that women who supply transactional sex develop relationships with regular clients, and that these clients send…

Effect of Pre-Construction on Construction Schedule and Client Loyalty

OpenAIRE

Jong Hoon Kim; Hyun-Soo Lee; Moonseo Park; Min Jeong; Inbeom Lee

2016-01-01

Pre-construction is essential in achieving the success of a construction project. Due to the early involvement of project participants in the construction phase, project managers are able to plan ahead and solve issues well in advance leading to the success of the project and the satisfaction of the client. This research utilizes quantitative data derived from construction management projects in order to identify the relationship between pre-construction, construction schedule, and client sat...

Client Perceptions of Occupational Health and Safety Management System Assistance Provided by OSHA On-Site Consultation: Results of a Survey of Colorado Small Business Consultation Clients.

Science.gov (United States)

Autenrieth, Daniel A; Brazile, William J; Gilkey, David P; Reynolds, Stephen J; June, Cathy; Sandfort, Del

2015-01-01

The Occupational Safety and Health Administration (OSHA) On-Site Consultation Service provides assistance establishing occupational health and safety management systems (OHSMS) to small businesses. The Safety and Health Program Assessment Worksheet (Revised OSHA Form 33) is the instrument used by consultants to assess an organization's OHSMS and provide feedback on how to improve a system. A survey was developed to determine the usefulness of the Revised OSHA Form 33 from the perspective of Colorado OSHA consultation clients. One hundred and seven clients who had received consultation services within a six-year period responded to the survey. The vast majority of respondents indicated that the Revised OSHA Form 33 accurately reflected their OHSMS and that information provided on the Revised OSHA Form 33 was helpful for improving their systems. Specific outcomes reported by the respondents included increased safety awareness, reduced injuries, and improved morale. The results indicate that the OHSMS assistance provided by OSHA consultation is beneficial for clients and that the Revised OSHA Form 33 can be an effective tool for assessing and communicating OHSMS results to business management. Detailed comments and suggestions provided on the Revised OSHA Form 33 are helpful for clients to improve their OHSMS.

49 CFR 1103.21 - How far a practitioner may go in supporting a client's cause.

Science.gov (United States)

2010-10-01

... client's cause. 1103.21 Section 1103.21 Transportation Other Regulations Relating to Transportation... of Ethics The Practitioner's Duties and Responsibilities Toward A Client § 1103.21 How far a practitioner may go in supporting a client's cause. A practitioner shall put forth his best effort to maintain...

34 CFR 379.42 - What are the special requirements pertaining to the Client Assistance Program?

Science.gov (United States)

2010-07-01

... Client Assistance Program? 379.42 Section 379.42 Education Regulations of the Offices of the Department... requirements pertaining to the Client Assistance Program? Each grantee under a program covered by this part... availability and purposes of the State's Client Assistance Program, including information on seeking assistance...

Metodologia de um ensaio não destrutivo, baseado em medidas de tensão Hall, para determinação de descontinuidades em aços ao carbono

Directory of Open Access Journals (Sweden)

Rayssa Sousa de Andrade Toscano Lins

2015-06-01

Full Text Available Os ensaios não destrutivos são usados para avaliar a presença de descontinuidades que possam afetar a integridade de materiais em serviço. Esse é o motivo principal pelo qual eles são usados em manutenção para detectar defeitos. No presente trabalho, é estudada a potencialidade do uso da interação entre densidades de linhas de campo magnético e material para detecção de descontinuidades. Foram utilizadas para ensaio duas amostras de um aço SAE 1020 laminado, com dimensões de 30x40x12 mm – uma amostra sem furo e outra com um furo passante de 2 mm no centro da face de 30x40 mm. Essas amostras foram submetidas a campos externos de até 18,6 Oe. Um sensor de efeito Hall do tipo SS495A foi utilizado para medições das densidades das linhas de campo resultantes da interação entre o campo e o material. Os resultados mostram que a mudança de permeabilidade de um material em função da presença de uma descontinuidade pode ser detectada através das variações de medidas de densidade de linhas de campo. Um defeito padrão de 2 mm, utilizado em ensaios de ultrassom, foi detectado com a metodologia apresentada. A condição de detecção da descontinuidade para os diferentes aços ao carbono comum foi determinada a partir da aplicação do campo externo ideal encontrado.

Training in Rational-Behavior Problem Solving and Employability Enhancement of Rehabilitation Clients.

Science.gov (United States)

Farley, Roy C.

1984-01-01

Examined the effects of a psychoeducational program on employability enhancement of 23 rehabilitation clients. The program had a significant, positive impact on clients' thinking, feeling, acting, and vocational outcome and reduced task-interfering beliefs, thoughts, emotions, and problem behavior. Participants had a lower vocational training…

Design and Build: Views from some Major Public Clients in Hong Kong

Directory of Open Access Journals (Sweden)

Albert P C Chan

2001-09-01

Full Text Available This paper presents the views of clients in public sector on design and build(D&B procurement method. Specifically, their reasons of adopting D&B and refusing to adopt it were explored. Data were collected through face-to-face interviews with ten senior staff from four major public organisations in Hong Kong. The findings indicate that public clients held different views on D&B methods based on different grounds. Apart from functional requirements such as project completion time, cost certainty, etc., internal resources and political force would also influence client's adoption of D&B method in the public sector.

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

Client's Constraining Factors to Construction Project Management

African Journals Online (AJOL)

factors as a significant system that constrains project management success of public and ... finance for the project and prompt payment for work executed; clients .... consideration of the loading patterns of these variables, the major factor is ...

Using machine learning algorithms to guide rehabilitation planning for home care clients.

Science.gov (United States)

Zhu, Mu; Zhang, Zhanyang; Hirdes, John P; Stolee, Paul

2007-12-20

Targeting older clients for rehabilitation is a clinical challenge and a research priority. We investigate the potential of machine learning algorithms - Support Vector Machine (SVM) and K-Nearest Neighbors (KNN) - to guide rehabilitation planning for home care clients. This study is a secondary analysis of data on 24,724 longer-term clients from eight home care programs in Ontario. Data were collected with the RAI-HC assessment system, in which the Activities of Daily Living Clinical Assessment Protocol (ADLCAP) is used to identify clients with rehabilitation potential. For study purposes, a client is defined as having rehabilitation potential if there was: i) improvement in ADL functioning, or ii) discharge home. SVM and KNN results are compared with those obtained using the ADLCAP. For comparison, the machine learning algorithms use the same functional and health status indicators as the ADLCAP. The KNN and SVM algorithms achieved similar substantially improved performance over the ADLCAP, although false positive and false negative rates were still fairly high (FP > .18, FN > .34 versus FP > .29, FN. > .58 for ADLCAP). Results are used to suggest potential revisions to the ADLCAP. Machine learning algorithms achieved superior predictions than the current protocol. Machine learning results are less readily interpretable, but can also be used to guide development of improved clinical protocols.

Ressentimentos e estereótipos: ensaio sobre as representações a respeito do português no Brasil (século XIX

Directory of Open Access Journals (Sweden)

Igor José de Renó Machado

Full Text Available RESUMO Neste ensaio proponho uma hipótese para a construção da imagem do português no Brasil. No senso comum brasileiro, a imagem estereotipada de um português pouco inteligente é compartilhada nacionalmente, sendo substrato para piadas e referências pouco elogiosas aos sujeitos da ex-metrópole. Busco aqui uma interpretação possível para o surgimento dessas representações coletivas sem, contudo, procurar dar uma resposta que esgote todas as possibilidades.

The impact of worker values on client outcomes within a drug treatment service.

Science.gov (United States)

Phillips, Rosie; Bourne, Humphrey

2008-02-01

Little attention has been paid to understanding the impact of values, attributes and characteristics of drugs workers on therapeutic relationships and treatment outcomes. Interaction of values with other variables is considered to be of importance since values play a role in determining attitudes and behaviours. This exploratory study investigates the impact of drug workers' personal values on client outcomes within a drug treatment service. Eight drug workers and 58 clients were recruited at a UK charity working with problematic drug users who are also socially excluded. Drug workers completed a validated questionnaire to elicit their personal values. Client outcomes were assessed using the Christo Inventory for Substance Misuse Services. The relationship between client outcomes and worker values were analysed using Spearman's rank test of association. Drug workers prioritising stimulation, self-direction and hedonism value types experienced more positive client outcomes compared with those prioritising security, conformity, benevolence, tradition and universalism types. The value types associated with positive outcomes fall within Schwartz's 'openness to change' superordinate dimension, whereas those related to more negative outcomes fall within the 'conservation' dimension. The study suggests that drug workers' personal values may have a significant impact upon client outcomes in the treatment of substance misuse. Reasons for this finding are explored, as are limitations of this study and suggestions for future research.

Smoking and its treatment in addiction services: clients' and staff behaviour and attitudes.

Science.gov (United States)

Cookson, Camilla; Strang, John; Ratschen, Elena; Sutherland, Gay; Finch, Emily; McNeill, Ann

2014-07-14

High smoking prevalence has been observed among those misusing other substances. This study aimed to establish smoking behaviours and attitudes towards nicotine dependence treatment among clients and staff in substance abuse treatment settings. Cross-sectional questionnaire survey of staff and clients in a convenience sample of seven community and residential addiction services in, or with links to, Europe's largest provider of mental health care, the South London and Maudsley NHS Foundation Trust. Survey items assessed smoking behaviour, motivation to quit, receipt of and attitudes towards nicotine dependence treatment. Eighty five percent (n = 163) and 97% (n = 145) response rates of clients and staff were achieved. A high smoking prevalence was observed in clients (88%) and staff (45%); of current smokers, nearly all clients were daily smokers, while 42% of staff were occasional smokers. Despite 79% of clients who smoked expressing a desire to quit and 46% interested in receiving advice, only 15% had been offered support to stop smoking during their current treatment episode with 56% reported never having been offered support. Staff rated smoking treatment significantly less important than treatment of other substances (p smoking cessation interventions to an extraordinarily high prevalence population of smokers in addiction services. This is despite the majority of smokers reporting motivation to quit. Staff smoking and attitudes may be a contributory factor in these findings.

17 CFR 275.206(4)-4 - Financial and disciplinary information that investment advisers must disclose to clients.

Science.gov (United States)

2010-04-01

... information that investment advisers must disclose to clients. 275.206(4)-4 Section 275.206(4)-4 Commodity and... disclose to clients. (a) It shall constitute a fraudulent, deceptive, or manipulative act, practice, or... fail to disclose to any client or prospective client all material facts with respect to: (1) A...

Avaliação de Matrizes de Carne Bovina na Produção de Itens de Ensaio de Proficiência para Pesquisa de Salmonella spp.*

Directory of Open Access Journals (Sweden)

Marcelo Luiz Lima Brandão

2014-01-01

Full Text Available Objetivo: Avaliar três tipos de matrizes cárneas (autoclavada a 121ºC/15 min, cozida por 20 min e enlatada na produção de itens de ensaio (IE contendo Salmonella spp., a serem utilizados em um Ensaio de Proficiência (EP, Material e Métodos: O lote de IE foi preparado utilizando a técnica de liofilização e a trealose como crioprotetor e avaliados quando a sua homogeneidade e estabilidade, Resultados: Os lotes produzidos com carne cozida e com carne enlatada não se apresentaram suficientemente homogêneos, Os IE produzidos em matriz carne autoclavada foram considerados suficientemente homogêneos e estáveis à temperatura de ≤-70ºC durante o período de quatro meses, No estudo de estabilidade em curta duração, os IE apresentaram-se suficientemente estáveis nas temperaturas de -20, 4 e 25ºC durante três dias, Conclusão: A carne autoclavada a 121ºC/15 min foi considerada uma matriz satisfatória para produção de IE contendo Salmonella spp, aplicáveis a um EP.

Knowledge about feet care of the diabetic client

OpenAIRE

Barbui, Elaine Cristina; Cocco, Maria Inês Monteiro

2002-01-01

Esta pesquisa tem por objetivo avaliar o conhecimento dos clientes que freqüentam um Ambulatório de Diabetes, em relação à sua doença e cuidados com os pés. Na amostra estudada - diabéticos tipo 2 - houve predominância da faixa etária acima de cinqüenta anos e 71,8% tinham diabetes há menos de dez anos. Concluiu-se que os clientes sabem que os cuidados adequados com os pés são necessários para evitar as complicações, porém o autocuidado não é realizado corretamente. Para que isso seja incorpo...

A RAD approach to client/server system development

International Nuclear Information System (INIS)

Brule, M.; Fair, W.; Jiang, J.; Sanvido, R.

1995-01-01

The capability, richness, and leverage of inexpensive commercial operating systems, off-the-shelf applications, and powerful developing tools have made building feature-rich client/server systems possible in rapid time and at low cost--ushering in a new level of systems integration not before possible. The authors achieve rapid application development (RAD) by using a flexible and extendible client/service integration framework. The framework provides the means to integrate in-house and third-party software applications with databases and expert-system knowledge bases and, where appropriate, provides communication links among the applications. The authors discuss the integration framework's capabilities, explain its underlying system architecture, and outline the methods and tools used to customize and integrate many diverse applications

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.

The Effect of Client Attachment Style and Counselor Functioning on Career Exploration

Science.gov (United States)

littman-Ovadia, Hadassah

2008-01-01

This longitudinal research investigated the interactive effect of social attachment style and perceived-counselor behavior on exploratory behavior exhibited by clients during and after career counseling. Results from 96 clients in career counseling indicated that social confidence and comfort, and the perception that the counselor had created…

Implementation of news module for news client based on ApiCloud

Directory of Open Access Journals (Sweden)

Fu Xin

2017-01-01

Full Text Available With the development of new media technology, news client has become the main battlefield of news browsing. Based on the ApiCloud hybrid development platform, this paper uses HTML, JavaScript and other technologies to develop the mobile client news module, and uses WAMP integrated development environment to build a news publishing system on the server side.

Prenatal screening for congenital anomalies: exploring midwives' perceptions of counseling clients with religious backgrounds.

Science.gov (United States)

Gitsels-van der Wal, Janneke T; Manniën, Judith; Gitsels, Lisanne A; Reinders, Hans S; Verhoeven, Pieternel S; Ghaly, Mohammed M; Klomp, Trudy; Hutton, Eileen K

2014-07-19

In the Netherlands, prenatal screening follows an opting in system and comprises two non-invasive tests: the combined test to screen for trisomy 21 at 12 weeks of gestation and the fetal anomaly scan to detect structural anomalies at 20 weeks. Midwives counsel about prenatal screening tests for congenital anomalies and they are increasingly having to counsel women from religious backgrounds beyond their experience. This study assessed midwives' perceptions and practices regarding taking client's religious backgrounds into account during counseling. As Islam is the commonest non-western religion, we were particularly interested in midwives' knowledge of whether pregnancy termination is allowed in Islam. This exploratory study is part of the DELIVER study, which evaluated primary care midwifery in The Netherlands between September 2009 and January 2011. A questionnaire was sent to all 108 midwives of the twenty practices participating in the study. Of 98 respondents (response rate 92%), 68 (69%) said they took account of the client's religion. The two main reasons for not doing so were that religion was considered irrelevant in the decision-making process and that it should be up to clients to initiate such discussions. Midwives' own religious backgrounds were independent of whether they paid attention to the clients' religious backgrounds. Eighty midwives (82%) said they did not counsel Muslim women differently from other women. Although midwives with relatively many Muslim clients had more knowledge of Islamic attitudes to terminating pregnancy in general than midwives with relatively fewer Muslim clients, the specific knowledge of termination regarding trisomy 21 and other congenital anomalies was limited in both groups. While many midwives took client's religion into account, few knew much about Islamic beliefs on prenatal screening for congenital anomalies. Midwives identified a need for additional education. To meet the needs of the changing client population

Improved materials management through client/server computing

International Nuclear Information System (INIS)

Brooks, D.; Neilsen, E.; Reagan, R.; Simmons, D.

1992-01-01

This paper reports that materials management and procurement impacts every organization within an electric utility from power generation to customer service. An efficient material management and procurement system can help improve productivity and minimize operating costs. It is no longer sufficient to simply automate materials management using inventory control systems. Smart companies are building centralized data warehouses and use the client/server style of computing to provide real time data access. This paper describes how Alabama Power Company, Southern Company Services and Digital Equipment Corporation transformed two existing applications, a purchase order application within DEC's ALL-IN-1 environment and a materials management application within an IBM CICS environment, into a data warehouse - client/server application. An application server is used to overcome incompatibilities between computing environments and provide easy, real-time access to information residing in multi-vendor environments

Information provision to clients with stroke and their carers: self-reported practices of occupational therapists.

Science.gov (United States)

Gustafsson, Louise; Hodge, Anna; Robinson, Mia; McKenna, Kryss; Bower, Kylie

2010-06-01

The literature promotes the use of a wide range of educational materials for teaching and training clients with chronic conditions such as stroke. Client education is a valuable tool used by occupational therapists to facilitate client and carer ability to manage the stroke-affected upper limb. The aim of this study was to identify what information was provided to clients and carers, how this information was delivered, when the information was delivered and the client factors that influenced the method of information provision. Convenience and snowball sampling was used to recruit occupational therapists working in stroke. Twenty-eight participants completed the study questionnaire anonymously and their responses were summarised descriptively. There was a clinically important trend for carers to receive less information than clients. Written and/or verbal information was the favoured method for delivering information related to handling (57%), soft-tissue injury minimisation (46.4%) and oedema management (50%). Information was delivered with decreasing frequency from admission (86%) to discharge (64%). More than 90% of participants indicated that the client's cognitive ability, visual ability, level of communication, primary language and perceptual ability were considered prior to the delivery of information. Participants regularly conveyed information to clients and carers with respect to management of the stroke-affected upper limb. However, an increased emphasis on the development of practical self-management skills, awareness of the impact of personal factors and a timeline for information provision may prove useful.

A ARTE DE FIDELIZAR CLIENTES COMO DIFERENCIAL COMPETITIVO

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Fagna Florindo Oliveira

2014-12-01

Full Text Available Este trabalho pretende avaliar as práticas de fidelização de clientes adotadas pela empresa Móveis Conquista, à luz da literatura especializada. A metodologia considera duas vertentes, uma marcada pela revisão de literatura e outra na análise de uma empresa, considerada como estudo de caso, de cunho exploratório-avaliativo. Tomou-se por base a comparação entre os indicativos das fontes teóricas consultadas e a prática da referida empresa. Para o levantamento de dados, foram realizadas entrevistas semiestruturadas com os gestores e colaboradores. A partir da comparação, identificou-se a necessidade da empresa Moveis Conquista adotar estratégias competitivas, voltadas para a manutenção do cliente, com medidas capazes de desenvolver um relacionamento ainda maior. Identificou-se ainda que, diante do novo cenário de negócios, a referida empresa, a partir das ações em curso, vem ganhando cada vez mais espaço no mercado, reconhecendo que os clientes devem ser considerados necessários para o sucesso da organização, assim como reconhece a necessidade de aperfeiçoar as ferramentas de relacionamento já utilizadas.

Growth curves of clients' emotional experience and their association with emotion regulation and symptoms.

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Fisher, Hadar; Atzil-Slonim, Dana; Bar-Kalifa, Eran; Rafaeli, Eshkol; Peri, Tuvia

2017-12-06

Emotional experience during psychotherapy is considered a core mechanism of change. Yet the sheer experience itself may not necessarily be beneficial; instead, the trajectories of emotional experience need to be explored as possible predictors of treatment outcomes. This study investigated whether clients' pre-treatment levels of emotion regulation and symptoms predicted patterns of session-to-session change in emotional experience. We also explored which patterns better predict clients' improvement in emotion regulation and symptoms from pre- to post treatment. One-hundred and seven clients undergoing psychodynamic psychotherapy completed questionnaires on their symptoms and emotion regulation at pre- and post- treatment. They also reported their level of emotional experience at the end of each session. Pre-treatment symptoms and difficulties in emotion regulation predicted greater instability in emotional experience. Higher mean levels of emotional experience during treatment were associated with an improvement in emotion regulation, and greater stability during treatment was associated with improvement in emotion regulation and symptoms. These findings lend weight to the idea that experiencing emotion in the therapeutic environment has significant implications for clients' ability to manage their emotions outside the session. However, emotions experienced in an unstable manner within therapy are associated with poorer outcomes. Clinical and methodological significance of this article: Therapists can benefit from observing the patterns and not only the level of their clients' emotional experiences. The identification of clients' difficulties early in treatment may help therapists guide clients through the delicate process of carefully attending to their emotions.

A Whooping Cough Education Module for WIC Clients in Utah.

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

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

Project Management Yinyang: Coupling project success and client satisfaction

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Greg Stewart Usher

2017-06-01

Full Text Available Our research applies paradox theory to a project management construct to help project management researchers and practitioners understand the tensions that can exist between project success and client satisfaction. Our research highlights that although project success and client satisfaction are both present within a project management construct, they also belong to different functional systems. Project success and client satisfaction have different systemic-discourses and use different language games to convey information. These distinctions can create latent and sometimes salient tensions within the project management construct that project managers must understand, embrace, and work with. We have used a Grounded Theory (GT methodology to explore the lived experience of project managers, and from this have identified a phenomenon which we have termed project management yinyang. Project management yinyang is the state that exists when both project success and Client satisfaction are tightly coupled within the project management construct. Project management yinyang highlights that these two phenomena cannot be viewed as separate elements because the ‘seed’ of each exists within the other. And to truly achieve one, you must also achieve the other. Our findings indicate that in order to create project management yinyang the project manager must embrace a paradoxical yet holistic philosophy. They must understand the complementarity, interdependency, and structural coupling that exists between the positivist and interpretivist paradigms within the project management construct. They must understand how satisfaction (Yin and success (Yang are created through focus. Furthermore, they must understand how project management yinyang is separate from, but borne from, the convergence of the other two elements.

Benefits to a life insurance company from providing radon tests for clients

International Nuclear Information System (INIS)

Cohen, B.L.

1993-01-01

If a life insurance company provided free radon tests to clients, clients' life expectancies would be extended and profits would thereby be increased. This effect is quantified and it is found that the direct monetary benefits to the company could be substantial. Several subsidiary advantages are also discussed

Comparação entre valores de ensaios experimentais e calculados da resistência ao embutimento da madeira de Pinus taeda L.

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Diego Henrique de Almeida

2014-04-01

Full Text Available Para dimensionar ligações entre membros estruturais de madeira com pinos metálicos (pregos ou parafusos, dois fenômenos devem ser levados em consideração: a flexão do pino metálico e a resistência da madeira ao embutimento. A norma brasileira ABNT NBR 7190:1997 preconiza a metodologia empregada em ensaios laboratoriais para determinação da resistência da madeira ao embutimento com pino metálico e, na ausência dos ensaios, especifica relações para estimar a resistência da madeira ao embutimento a partir da resistência na compressão. O objetivo desta pesquisa consistiu na comparação entre valores de resistência ao embutimento da madeira determinados experimentalmente e calculados utilizando parâmetros recomendados pela ABNT NBR 7190:1997. Pelos resultados dos testes de hipótese, pode-se concluir que a estimativa da resistência ao embutimento paralelo às fibras proposta pela ABNT NBR 7190:1997, que estabelece equivalência com os resultados de compressão na mesma direção, mostrou-se precisa para as madeiras de Pinus taeda L.. Entretanto, o mesmo não foi observado na direção normal em relação às fibras, possivelmente explicada pelo valor do coeficiente áe presente na equação para o cálculo de fe90.

Which Individual Therapist Behaviors Elicit Client Change Talk and Sustain Talk in Motivational Interviewing?

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Apodaca, Timothy R; Jackson, Kristina M; Borsari, Brian; Magill, Molly; Longabaugh, Richard; Mastroleo, Nadine R; Barnett, Nancy P

2016-02-01

To identify individual therapist behaviors which elicit client change talk or sustain talk in motivational interviewing sessions. Motivational interviewing sessions from a single-session alcohol intervention delivered to college students were audio-taped, transcribed, and coded using the Motivational Interviewing Skill Code (MISC), a therapy process coding system. Participants included 92 college students and eight therapists who provided their treatment. The MISC was used to code 17 therapist behaviors related to the use of motivational interviewing, and client language reflecting movement toward behavior change (change talk), away from behavior change (sustain talk), or unrelated to the target behavior (follow/neutral). Client change talk was significantly more likely to immediately follow individual therapist behaviors [affirm (p=.013), open question (pmotivational interviewing can either elicit both client change talk and sustain talk or suppress both types of client language. Affirm was the only therapist behavior that both increased change talk and also reduced sustain talk. Copyright © 2015 Elsevier Inc. All rights reserved.

A physician role typology: colleague and client dependence in an HMO.

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Barr, J K; Steinberg, M K

1985-01-01

This paper reports on physicians' role definitions in one prepaid group practice, a health maintenance organization (HMO). Colleague and client dependence are reviewed and analyzed as separable dimensions of physician role definitions. Data are derived from documents, interviews, and staff questionnaires collected in 1979-1980. The evidence reported suggests widespread colleague dependence in the HMO. Physicians consulted with one another about patient care and engaged in informal referral and review, developing practice standards; and some of these physicians relied on colleagues for handling their patient visits when needed. In relation to their patients, some physicians viewed themselves as bureaucratic officials relatively dependent on client approval in carrying out their health care activities, while others saw themselves as trusted medical experts in a setting free of nonmedical constraints in patient care. The relationship of organizational structure to these different role definitions is discussed. Classifying these HMO physicians according to a fourfold typology of professional dependence shows that most are Organizational Physicians (Type I), who are both colleague and client dependent. Collegial Physicians (Type II) are colleague dependent and, at the same time, do not perceive clients as demanding. Implications for quality of care and physician satisfaction and turnover are considered.

Client satisfaction in a faith-based health network: findings from a survey in Uganda.

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Shumba, Constance Sibongile; Kabali, Kenneth; Miyonga, Jonathan; Mugadu, Jairus; Lakidi, Luke; Kerchan, Patrick; Tumwesigye, Tonny

2017-09-01

Client satisfaction surveys are important in evaluating quality of the healthcare processes and contribute to health service improvements by assisting health program managers to develop appropriate strategies. The goal of this study was to assess clients' level of satisfaction with services provided by private-not-for-profit member health facilities affiliated to Uganda Protestant Medical Bureau. This was a cross-sectional descriptive study using an interviewer-administered questionnaire conducted in 254/278 (91%) of UPMB member health facilities between 27th April and 14th July 2014 among 927 clients. The tool measured ten dimensions of the care-seeking experience namely; health facility access; waiting time; health providers; support staff; rights; payments; facilities and environment; consent; confidentiality; and the overall care seeking experience. Logistic regression was utilised for multivariate analysis. Overall client satisfaction was found to be high within the UPMB network (84.2%). Most of the client satisfaction dimensions were rated above 70% except payments and rights. There was evidence of association with marital status; single/never married were 3.05 times more likely to be dissatisfied compared to widowed. Clients attending HCIII were less likely to be dissatisfied compared to those attending HCII (OR=0.51, 95% CI: 0.25-1.05). Post-secondary education (OR=1.79; 95% CI 1.01-3.17), being formally employed (OR=2.78, 95% CI: 0.91-8.48) or unemployed (OR=3.34, 95% CI: 1.00-11.17), attendance at a hospital (OR=2.15, 95% CI: 1.36- 3.41) were also associated with high dissatisfaction levels with payments. This study found a high level of satisfaction with services in the UPMB network but recorded low client satisfaction with the dimensions of rights and payments. Health workers should take time to explain rights and entitlement as well as charges levied to clients.

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

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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.

Client and clinician-rated characteristics of problem gamblers with and without history of gambling-related illegal behaviors.

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Ellis, Jennifer D; Lister, Jamey J; Struble, Cara A; Cairncross, Molly; Carr, Meagan M; Ledgerwood, David M

2018-03-12

Individuals with gambling disorder are at an elevated risk for engaging in gambling-related illegal behaviors. The present study examined client (N = 88) and clinician ratings (N = 30) of client characteristics associated with a history of gambling-related illegal behaviors. We also examined client characteristics associated with history of arrest for a gambling-related crime. Gambling-related illegal behaviors and arrest were common (57.3% and 23.9%, respectively) in the present sample. Clients of younger age, and those with greater gambling-related financial consequences, lifetime alcohol problems, impulsivity, mood symptoms, and daily living role difficulties were more likely to report gambling-related illegal behaviors. Clients who had been arrested for a gambling-related crime were more likely to report daily living and role functioning difficulties and lifetime alcohol problems. Clinicians rated clients with a history of gambling-related illegal behaviors and/or gambling-related arrests as more impulsive, and clinicians also endorsed higher rates of treatment failure among these clients. Both client and clinician report suggested that clients with a history of illegal behaviors may have a variety of comorbid problems that may be a focus of clinical intervention. Copyright © 2018 Elsevier Ltd. All rights reserved.

WORKING WITH HOMOSEXUAL CLIENTS: Application of Solution-Focused Therapy

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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

The network of corporate clients: customer attrition at commercial banks

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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.

An Evaluation of Army Wellness Center Clients' Health-Related Outcomes.

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Rivera, L Omar; Ford, Jessica Danielle; Hartzell, Meredith Marie; Hoover, Todd Allan

2018-01-01

To examine whether Army community members participating in a best-practice based workplace health promotion program (WHPP) experience goal-moderated improvements in health-related outcomes. Pretest/posttest outcome evaluation examining an autonomously participating client cohort over 1 year. Army Wellness Center facilities on 19 Army installations. Army community members sample (N = 5703), mostly Active Duty Soldiers (64%). Assessment of health risks with feedback, health assessments, health education classes, and health coaching sessions conducted by health educators at a recommended frequency of once a month for 3 to 12 months. Initial and follow-up outcome assessments of body mass index (BMI), body fat, cardiorespiratory fitness, blood pressure, and perceived stress. Mixed model linear regression testing for goal-moderated improvements in outcomes. Clients experienced significant improvements in body fat (-2% change), perceived stress (-6% to -12% change), cardiorespiratory fitness (+6% change), and blood pressure (-1% change) regardless of health-related goal. Only clients with a weight loss goal experienced BMI improvement (-1% change). Follow-up outcome assessment rates ranged from 44% (N = 2509) for BMI to 6% (N = 342) for perceived stress. Army Wellness Center clients with at least 1 follow-up outcome assessment experienced improvements in military readiness correlates and chronic disease risk factors. Evaluation design and follow-up-related limitations notwithstanding results suggest that best practices in WHPPs can effectively serve a globally distributed military force.

75 FR 66797 - PricewaterhouseCoopers LLP (“PwC”) Internal Firm Services Client Account Administrators Group...

Science.gov (United States)

2010-10-29

... LLP (``PwC'') Internal Firm Services Client Account Administrators Group, Charlotte, NC; Amended... Firm Services Client Account Administrators Group. Accordingly, the Department is amending this... Firm Services Client Account Administrators Group. The amended notice applicable to TA-W-73,608 is...

Women-focused treatment agencies and process improvement: Strategies to increase client engagement

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Wisdom, Jennifer P.; Hoffman, Kim; Rechberger, Elke; Seim, Kay; Owens, Betta

2009-01-01

Behavioral health treatment agencies often struggle to keep clients engaged in treatment. Women clients often have additional factors such as family responsibilities, financial difficulties, or abuse histories that provide extra challenges to remaining in care. As part of a national initiative, four women-focused drug treatment agencies used process improvement to address treatment engagement. Interviews and focus groups with staff assessed the nature and extent of interventions. Women-focused drug treatment agencies selected relational-based interventions to engage clients in treatment and improved four-week treatment retention from 66% to 76%. Process improvement interventions in women-focused treatment may be useful to improve engagement. PMID:20046914

Making participation accessible for vulnerable clients

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Louis Anthony Iaquinto

2016-07-01

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

Willingness of Graduate Students in Rehabilitation Counseling to Discuss Sexuality with Clients

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Juergens, Maria Helena; Smedema, Susan Miller; Berven, Norman L.

2009-01-01

The purpose of this study was to obtain a greater understanding of the willingness of graduate students in rehabilitation counseling to discuss sexuality with clients. This was done by testing a model of factors predicted to influence the willingness of rehabilitation counseling master's students to discuss sexuality with clients, using path…

Validation of a Brief PTSD Scale for Clients with Severe Mental Illnesses

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O'Hare, Thomas; Shen, Ce; Sherrer, Margaret

2012-01-01

Trauma and Posttraumatic Stress Disorder (PTSD) are more common in severe mental illnesses (SMI) clients than in the general population, yet brief screens for detecting probable PTSD in SMI clients are nonexistent. In a two-part study, the authors used correlation analysis and receiver operating characteristics (ROC) analysis to develop and…

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…

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

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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…

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.

76 FR 5840 - Supermedia LLC, Formerly Known as Idearc Media LLC, Supermedia Information Services LLC, Client...