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Assessment of a Multimodal Strategy for Information and Collection of Advance Directives in a Comprehensive Cancer Center:Description of the Study Protocol

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Psycho-Oncologie 2024年第4期18卷 367-375页

作者： léonor fasse François Blot laboratoire Psychopathologie et Processus de Santé(UR 4057) Institut de PsychologieUniversitéParis CitéBoulogne92100France Département Interdisciplinaire d’Organisation du Parcours Patient Institut Gustave RoussyUniversitéParis SaclayVillejuif94805France

Background:Information on the possibility of drawing up Advance Directives(AD)is a necessity,and represents a major medical,ethical,and legal *** difficulties are numerous,both organizational and cultural,and this is also true in the context of oncology,where ADs(and more broadly,advanced palliative care)are of critical *** an eminently sensitive subject,dealing with ADs(and therefore with end-of-life issues)requires both societal and medical/health-care *** institutional approach has therefore been developed,to deploy information tools,training professionals,and formalize the collection of *** an approach cannot be implemented without an assessment not only of its objective results but also above all of its psychological effects,on both users(patients,family caregivers)and ***:This longitudinal study,based on a mixed-method,interdisciplinary approach,will assess the impact of this information dissemination on AD,in terms of both potential positive and negative effects,using validated measurement ***,this study follows the 5 criteria of the RE-AIM model,designed to analyze the interest and impact of a device intended for users of the healthcare system;we will use a mixed methodology,relying on both a quantitative component(counting the number of people benefiting from the scheme,and those requesting support in drawing up their DA...,administering questionnaires),as well as a qualitative component(focus groups)which will enable us to study the subjective experiences of users,their relatives and the professionals involved in the ***:The results of this study will make it possible to determine the effects of this system of assistance in the drafting of ADs,which is currently being promoted by the legislator,but which is struggling to be implemented.

关键词： Advance directive cancer palliative care living wills end of life shared-decision making

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Revamping School Bilingualism in Francophone Primary Education in Cameroon： Some Strategies to Avoid Another Failure

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Sino-US English Teaching 2012年第12期9卷 1754-1759页

作者： fasse Mbouya Innocent University of Douala Douala Cameroon

In order to revamp school bilingualism in FPE （Francophone primary education） in Cameroon some changes were brought about after the release of a new education orientation law in 1998. Those changes include the institution of NSE （new syllabuses of English）, the institution of an English paper at the end-of-primary school examination, the adoption new course books, the decision requesting all FPE teachers to teach English alongside other subjects This paper the data of which stem from a survey of teachers （n = 222）, pupils （n = 589）, parents （n = 293）, and head teachers （n = 23） in some 30 schools of Yaounde proposes some strategies to help curb the crucial lack of qualified teachers, the high cost of teaching and learning materials and the glaring lack of motivation of teachers. Strategies include how to train specialist teachers in numbers, the institution of a BPB （bilingualism promotion bonus） to generate sustained motivation to teach, a substantial subsidization of course book production With these measures the promotion of French/English school bilingualism in Cameroon primary education may turn from the myth of Sisyphus it has become into a successful undertaking

关键词： language policy implementation bilingualism development second/foreign language teaching

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Combined Add-on Supplementation of Omega-3 Fatty Acids, Vitamin E, Vitamin A, Copper, and Selenium in Rheumatoid Arthritis

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Food and Nutrition Sciences 2011年第7期2卷 714-723页

作者： Janina Willers Sabine fasse Nils Putschky Henning Zeidler Hans-Georg Pott Michael Bernateck Winfried Demary Reinhard Hein Vu Vi Pham Rainer Stange Bernhard Uehleke Heike Franziska Weidemann Guido Hoese Ralf lichtinghagen Andreas Hahn 不详

Objectives: The present study evaluated the effects of a combined nutritional supplement, containing omega-3 fatty acids (ω-3 FA) and different antioxidative micronutrients on nutrient status and disease activity in patients with rheumatoid arthritis (RA). Methods: The study was conducted as a double-blind, randomised placebo-controlled trial. A hundred patients with defined RA were allocated to the verum or placebo group. During a period of twelve weeks they were given three capsules of their specific study supplementation every day. The daily dosage of ω-3 FA was 1.35 g (thereof 900 mg eicosapentaenoic acid, EPA), 90 mg vitamin E, 600 μg vitamin A, 3 mg copper, and 75 μg selenium, or soy oil (placebo), respectively. Outcome variables were the changes in DAS 28, the number of tender and swollen joints, morning stiffness, and supply with different nutrients (e.g. serum concentration of EPA, AA and vitamin E), as well as blood lipid levels. Results: Sixty-four participants were included in this analysis: 30 receiving verum and 34 placebo. After twelve weeks of intervention, little but not significant improvements were observed in the DAS 28 and other clinical factors. Subgroup analysis revealed that the effect was much more pronounced in patients who were at least at a moderate activity of illness. Regarding the nutritional status, the serum concentration of EPA (P ly, while AA (P lementation. The concentration of triglycerides decreased significantly in the verum group (P lacebo group. Conclusions: A twelve week add-on supplementation of a combined food supplement (ω-3 FA + antioxidants) effected modest but not significant changes in the clinical parameters in RA. Though vitamin E, SOD and GPx improved significantly, equivalent to an increased antioxidant defence. This supplementation was dedicated to enhance the nutritional s

关键词： Rheumatoid Arthritis Nutrition Omega-3 Fatty Acids Antioxidants lipid Profil

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发明工作室：大学的创客空间及文化

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现代远程教育研究 2015年第4期27卷 10-23页

作者：克莱格.福瑞斯特洛葛仙妮.莫尔艾米特.加里瓦拉芭芭拉.伯克斯.法丝朱莉.琳西温蒂.纽斯泰特皮特.恩格克里斯托弗.奎特尔佘震宇孙晴李洁解百臣机械工程系生物医学工程系工程学院佐治亚理工学院天津大学管理与经济学部

创造力、发明和创新被视为工程学教育的中心支柱。然而,很多大学却缺少培育开放式设计-建造项目的环境。大学里的制造空间和原型空间是典型的"加工车间",这些场所的使用者多数是专业人员或一些受过高级培训的学生,而非普通学生。为了使... 详细信息

创造力、发明和创新被视为工程学教育的中心支柱。然而,很多大学却缺少培育开放式设计-建造项目的环境。大学里的制造空间和原型空间是典型的"加工车间",这些场所的使用者多数是专业人员或一些受过高级培训的学生,而非普通学生。为了使设计和原型更加贴合工程经验,佐治亚理工学院建立了发明工作室。这是一个配备最先进的综合性设备、可以免费使用、与学习工厂作用相似的创客空间,采用"自下而上"的管理方法,主要由一个本科生管理团队在学校行政管理部门和相关章程指导下集中运营和管理,支持各种项目类型的研究。尽管其最初只是专门为进行课程的顶层设计而创立,发明工作室现在已展现出强大的生命力,拥有了自己的特色文化,其意义已远超过一个顶层原型设计实验室。发明工作室的组织管理、设施建设、安全保证、资金筹备等方式,值得其他创造类似环境的学校借鉴,其设备、基础设施以及文化转型的经验表明,实践与设计-建造教育的价值在于可以持续有效地促进工科学生创新、创造和创业。

关键词：发明工作室创客空间工程学教育创造力培养创新教育佐治亚理工学院

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