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Search Results: 1 - 10 of 9795 matches for " Patrick Singy "
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How to Be a Pervert: A Modest Philosophical Critique of the Diagnostic and Statistical Manual of Mental Disorders
Patrick Singy
Revista de Estudios Sociales , 2012,
Abstract: This paper is divided into three parts. I begin with a short history of the way American psychiatrists have defined mental disorder in general, and paraphilias (sexual perversions) in particular, from the 1950s to 2013. I look at how the different editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM) have articulated (or in the case of the future DSM-5, will articulate) the distinction between health and disease. In the second part I suggest how psychiatrists might want to modify their approach to the definition of mental disorder. In the third part I explain why the paraphilias in particular should be removed from the current psychiatric classification of diseases.
Dunno if you've any plans for the future: medical student indirect questioning in simulated oncology interviews
Céline Bourquin, Friedrich Stiefel, Alexandre Berney, Pascal Singy
BMC Medical Education , 2012, DOI: 10.1186/1472-6920-12-8
Abstract: I don't know questions (IDK-Qs) were observed during the initial evaluation of students' communication skills; they were systematically identified through video screening and subjected to a qualitative content and discourse analysis considering their context, their content, their intent and their effect on the simulated patients. To evaluate the specificity of medical students' IDK-Qs, the data were compared with a data set of oncologists (N = 31) conducting simulated patient interviews in the context of a Communication Skills Training (CST).During the interviews, 41.3% of the students asked 1-6 IDK-Qs. The IDK-Qs were attributed to three content categories: medical/treatment questions (N = 24); lifestyle/psychosocial questions (N = 18); and "inviting questions" questions (N = 11). Most of the IDK-Qs had an exploratory function (46/53), with simulated patients providing detailed responses or asking for more information (36/53). IDK-Qs were rare in the oncologist sample compared to the student sample (5 vs. 53 occurrences).IDK-Qs showed a question design difference between medical students and oncologists in simulated patient interviews. Among other reasons for this difference, the possible function of IDK-Qs as a protective linguistic strategy and marker for psychological discomfort is discussed.The practice of breaking bad news in oncology has been investigated with different methods and from different point of views, focusing on communication style (patient-centered vs. emotion- or disease-centered) [1-7], skills (tailoring the information to the patient's needs, involving him/her in decision-making, disclosing concerns, etc.) [2,3,8-15] and communication skills training programs (CST) at the under- and postgraduate level [16-30].With regard to the required communication skills for breaking bad news, even though the focus has also been on how things are said [9-12,14] - by identifying communication practices concerning most notably how physicians respond to cancer
Medical residents' feedback on needs and acquired skills following a short course on cross-cultural competence
Alicia Bardet,Alexander R. Green,Sophie Paroz,Pascal Singy
International Journal of Medical Education , 2012, DOI: 10.5116/ijme.4fdd.eb2c
Abstract: Objectives: The purpose of this study is to assess short and long term changes in knowledge, attitudes, and skills among medical residents following a short course on cultural competency and to explore their perspectives on the experience. Methods: Eighteen medical residents went through a short training programme comprised of two seminars lasting 30' and 60' respectively over two days. Three months later, we conducted three focus groups, with 17 residents to explore their thoughts, perspectives and feedback about the course. To measure changes over time, we carried out a quantitative sequential survey before the seminars, three days after, and three months later using the Multicultural Assessment Questionnaire. Results: Residents expressed a wide variety of perspectives on the main themes related to the content of the training - culture, trialogue, stereotypes, status, epidemiology, history and geopolitics - and related to its organization - relevance, volume, timing, target audience, training tools, and working material. Using the MAQ, we observed a higher global performance score (n=16) at three days (median=38) compared to results before the training (median=33) revealing a median difference of 5.5 points (z=2.4, p=0.015). This difference was still present at three months ( =4.5, z=2.4, p=0.018), mainly due to knowledge acquisition ( =3) rather than attitudes ( =0) or skills ( =1). Conclusions: Cross-cultural competence training not only brings awareness of multicultural issues but also helps participants understand their own cultures, perception of others and preconceived ideas. Physicians' education should however also focus on improving implementation of acquired knowledge in cross-cultural competence.
Ego Depletion and the Humean Theory of Motivation  [PDF]
Patrick Fleming
Open Journal of Philosophy (OJPP) , 2014, DOI: 10.4236/ojpp.2014.43042
Abstract:

By what capacities do human beings engage in intentional action? Humeans about motivation claim that the source of all action is desire. Volitionalists claim that action has two distinct sources, one in the will and one in desire. Recent work suggests that volitionalism has some empirical support. Roy F. Baumeister and colleagues have argued for a phenomenon called “ego depletion”. They argue that some aspect of the self exerts volition in a number of different contexts. The main evidence for this claim is that experimental subjects who engage in acts of self-regulation are less likely to engage in similar actions on later tests. The evidence calls for a reformulation of the Humean theory, not a rejection of it. And the reformulation is one that still has interest for metaethics. Many philosophers are interested in the Humean theory of motivation because they believe that it has implications for the correct theory of normative practical reasons. Here I argue that if the Humean theory of motivation was ever a threat to the objectivity of morality, it still is.

Letter to Editor  [PDF]
Patrick Velte
Open Journal of Business and Management (OJBM) , 2014, DOI: 10.4236/ojbm.2014.21001
Abstract: Letter to Editor
Rain Attenuation Effects on 2.6 GHz WiMAX Networks Deployment in Ghana  [PDF]
Patrick Fiati
World Journal of Engineering and Technology (WJET) , 2015, DOI: 10.4236/wjet.2015.33009
Abstract: WiMAX communication systems operating at 2.6 G frequencies are used for broadband multimedia and internet based services. At these frequencies, the signal will be affected by various propagation impairments such as rain attenuation, cloud attenuation, tropospheric scintillation, ionospheric scintillation, water vapour attenuation, and rain and ice depolarization. Among all the pro-pagation impairments, rain attenuation is the most important and critical parameter. In this research, rain attenuation is calculated at KNUST, Kumasi using ITU-R rain attenuation model. The preliminary results of the work will be used to calculate the attenuation experimentally and comparison can be made, which helps to develop a new rain attenuation model at 2.6 G bands. Rain attenuation is an important aspect of signal propagation above 2.6 GHz frequency. The attenuation time series generation from point rain rate measurement is crucial due to unavailability of actual signal measurements. In this research, a simple and realistic approach has been demonstrated for better estimation of rain attenuation using WiMAX-band signal propagation data and ground rain rate measurements in Ghana. The ITU-R model of rain attenuation has been modified by incorporating an effective slant path model. The effective slant path has been estimated and modeled in terms of a power-law relationship of rain rate data of 2007-2008. The methodology has been validated with the measured data of 2014. Comparison with ITU-R and GMET clearly demonstrates the improved predictability of the proposed model at the present tropical location.
Association between Cardiovascular Disease Risk Factor Knowledge and Lifestyle  [PDF]
Patrick Mullie, Peter Clarys
Food and Nutrition Sciences (FNS) , 2011, DOI: 10.4236/fns.2011.210140
Abstract: Objective: To relate cardiovascular risk factor knowledge to lifestyle. Methods: In this cross-sectional study, food consumption and lifestyle characteristics were recorded using mailed questionnaires. The dietary pattern was described using the Mediterranean Diet Score (MDS). An open ended questionnaire without predefined choices or answers was used to capture cardiovascular knowledge. Results: Lack of physical activity, smoking and eating too much fat were the 3 most cited potential cardiovascular risk factors, while being overweight, eating too much salt and a low consumption of fruits and vegetables were the least cited risk factors. Age, Body Mass Index, physical activity, smoking, income and dietary habits were not consistently associated with knowledge of risk factors. A low socioeconomic position as measured by the indicator education was associated with a lower knowledge of established and modifiable cardiovascular risk factors. Conclusions: Risk factor knowledge, an essential step in prevention of CVD, is not systematically associated with a healthier lifestyle. The findings of this study confirm that there is a gap between risk factor knowledge and lifestyle.
Site Specific Uncertainty in Regional Haze RuleHaze Indexes  [PDF]
Patrick A. Ryan
Atmospheric and Climate Sciences (ACS) , 2012, DOI: 10.4236/acs.2012.21001
Abstract: In 1999, the US Environmental Protection Agency (EPA) published the regional haze rule (RHR). The RHR default implementation plan calls for each class I area 20% worst baseline (2000-2004) visibility to improve linearly in time to natural conditions in 2064 and in calendar year 2018, each class I area 20% worst visibility is to comply with the 2018 visibility that falls on the linear improvement glide path from baseline (2000-2004) to natural (2064) conditions. This study shows that accurately assessing compliance depends on assessing the uncertainty in baseline, natural and 2018 visibility estimates. This study identifies ±3 dV and ±4 dV of uncertainty in 20% worst natural and baseline visibility estimates. The percent uncertainty in calculated 2018 glide path visibility values ranges from 10% - 45%.
Leaf Wand for Measuring Chlorophyll Fluorescence on Cylindrical Leaves and Its Application on Juncus roemerianus (Black Needlerush)  [PDF]
Patrick D. Biber
American Journal of Plant Sciences (AJPS) , 2012, DOI: 10.4236/ajps.2012.31007
Abstract: Chlorophyll fluorescence is a well established technique to rapidly and non-invasively determine photosynthesis parameters in plant leaves. It can be used in both laboratory and field settings, and frequently dark-adaptation of a leaf sample is called for. In the field, this can be accomplished on flat leaves using standard leaf clips supplied by instrument manufacturers. However, not all plant leaves are flat, many are cylindrical or otherwise three-dimensional in shape. The standard leaf clip does not close fully on three-dimensional leaves, therefore, does not allow the sample to be properly dark adapted in the field. A new leaf “wand” was developed that can be slipped over an entire cylindrical leaf or culm of rushes and sedges for both light- and dark-adapted measurements. This new leaf wand is compared to the standard leaf clip (DLC-8) using a Walz mini-PAM on Juncus roemerianus(Black needlerush). Results indicate that dark-adapted yield measurements are not significantly different between leaf clips, while light-adapted yields are higher with the leaf wand. The potential sources of difference in the optical path of the excitation light and fluorescence return are discussed and compared between leaf clips. Construction of specialized leaf wands should be considered for any leaves are not flat and therefore that do not fit the standard leaf clip for complete dark-adaptation under field conditions.
Limited Re-Sequencing for Mixed-Models with Multiple Objectives, Part II: A Permutation Approach  [PDF]
Patrick R. McMullen
American Journal of Operations Research (AJOR) , 2012, DOI: 10.4236/ajor.2012.21002
Abstract: This research presents an approach to solving the limited re-sequencing problem for a JIT system when two objectives are considered for multiple processes. One objective is to minimize the number of setups; the other is to minimize the material usage rate [1]. For this research effort, each unique permutation of the problem’s demand structure is noted, and used as a mechanism for finding subsequent sequences. Two variants of this permutation approach are used: one employs a Monte-Carlo simulation, while the other employs a modification of Ant-Colony Optimization to find sequences satisfying the objectives of interest. Problem sets from the literature are used for assessment, and experimentation shows that the methodology presented here outperforms methodology from an earlier research effort [3].
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