La question du secret professionnel dans l’intervention clinique auprès des délinquants adultes

The conditions and the rules of practice in clinical settings limit the client's right to confidentiality. These limits are reviewed in the case of criminologists : some limits are legal while others refer to the context, the expectations and the reticences shared by the speakers in presence.In regard to past crimes and s elf-incrimination, these questions raise fundamental issues both to the level of ethics and administration of the penal justice. Besides the latter, is there a place for moral justice in our social control system

L'accident ou la faute non intentionnelle en droit des assurances privées québécois

L'objet de cet article est de démontrer que la notion d'accident est unique, et correspond exactement aux notions de risque ou de hasard. L'accident est un événement non intentionnel, ou non voulu par l'assuré, ce qu'aucune définition technique ne peut contractuellement écarter. Pour prouver le caractère intentionnel d'un sinistre, il ne suffit pas de démontrer sa forte prévisibilité : il faut surtout prouver que l'assuré a causé le sinistre en étant conscient de son caractère inéluctable ou certain. La négligence ne correspondant pas à la volonté de réaliser le sinistre, mais à l'état d'une personne dont l'esprit ne s'applique pas à ce qu'elle fait ou devrait faire, le sinistre consécutif s'avère accidentel. Sont donc accidentelles, parce que non intentionnelles, les conséquences de la négligence grossière, de la faute lourde ou de l'insouciance grave imputable à l'assuré. La démonstration de cette thèse s'effectue en s'appuyant fortement sur les droits français et canadien, les deux principales sources juridiques consultées par le législateur québécois dans sa réforme du Code civil mise en vigueur en 1976.The purpose of this article is to demonstrate that the concept of an accident is unique and corresponds exactly with the concepts of risk and hazard. An accident is an event that is unintentional or undesired by the insured such that no technical definition of the word accident may contractually eliminate it. In order to prove the intentional nature of a loss, the demonstration of a high degree of predictability is inadequate ; it is especially necessary to prove that the insured is the author of the loss while being conscious of its unavoidable or certain nature. Neglect does not correspond to volition for creating a loss, but rather to the state of a person whose mind is not concentrating on what he is doing or should be doing, the ensuing loss is therefore accidental. Hence, gross neglect or serious carelessness on the part of the insured are accidental because they are unintentional. This premise is demonstrated by preponderant recourse to French and Canadian law which served as the main legal sources consulted by the Québec legislator in the Civil Code reform enacted in 1976

Lunar radar measurements of the earth's magnetospheric wake Scientific report no. 11

Lunar radar echo measurments to determine size and electron density of earth magnetospheric wak

Evaluating tools to support a new practical classification of diabetes: excellent control may represent misdiagnosis and omission from disease registers is associated with worse control.

To conduct a service evaluation of usability and utility on-line clinical audit tools developed as part of a UK Classification of Diabetes project to improve the categorisation and ultimately management of diabetes

Optimization in the design of a 12 gigahertz low cost ground receiving system for broadcast satellites. Volume 2: Antenna system and interference

The antenna characteristics are analyzed of a low cost mass-producible ground station to be used in broadcast satellite systems. It is found that a prime focus antenna is sufficient for a low-cost but not a low noise system. For the antenna feed waveguide systems are the best choice for the 12 GHz band, while printed-element systems are recommended for the 2.6 GHz band. Zoned reflectors are analyzed and appear to be attractive from the standpoint of cost. However, these reflectors suffer a gain reduction of about one db and a possible increase in sidelobe levels. The off-axis gain of a non-auto-tracking station can be optimized by establishing a special illumination function at the reflector aperture. A step-feed tracking system is proposed to provide automatic procedures for searching for peak signal from a geostationary satellite. This system uses integrated circuitry and therefore results in cost saving under mass production. It is estimated that a complete step-track system would cost only $512 for a production quantity of 1000 units per year

Optimization in the design of a 12 gigahertz low cost ground receiving system for broadcast satellites. Volume 1: System design, performance, and cost analysis

The technical and economical feasibility of using the 12 GHz band for broadcasting from satellites were examined. Among the assigned frequency bands for broadcast satellites, the 12 GHz band system offers the most channels. It also has the least interference on and from the terrestrial communication links. The system design and analysis are carried out on the basis of a decision analysis model. Technical difficulties in achieving low-cost 12 GHz ground receivers are solved by making use of a die cast aluminum packaging, a hybrid integrated circuit mixer, a cavity stabilized Gunn oscillator and other state-of-the-art microwave technologies for the receiver front-end. A working model was designed and tested, which used frequency modulation. A final design for the 2.6 GHz system ground receiver is also presented. The cost of the ground-terminal was analyzed and minimized for a given figure-of-merit (a ratio of receiving antenna gain to receiver system noise temperature). The results were used to analyze the performance and cost of the whole satellite system

Genesis of a UK Faculty of Clinical Informatics at a time of anticipation for some, and ruby, golden and diamond celebrations for others

This Editorial marks the launch of the UK Faculty of Clinical Informatics (FCI) at the time when non-clinically qualified informaticians are anticipating the lauch of  the Federation of Informatics Professionals in Health and Care (Fed-IP)

Computerised medical record systems that guide and protect – reflections on the Bawa-Garba case

Lawrence Weed proposed we develop computerised, problem orientated medical records that guide and teach.  The Bawa-Garba case outcomes might have been different if care had been supported by computerised medical record (CMR) systems. CMR systems can reduce prescribing errors and could be develop to flag gaps in supervision.   However, CMR systems are not a panacea and need to be fit for purpose.  Our informatics perspective on this case is to call for widespread use of CMR systems - designed to guide and protect

An occultation satellite system for determining pressure levels in the atmosphere

A two-satellite microwave occultation system is described that will fix, as an absolute function of altitude, the pressure-temperature profile generated by a passive infrared sounder. The 300 mb pressure level is determined to within 24 m rms, assuming the temperture errors produced by the infrared sensor are not greater than 2 K rms. Error caused by water vapor in the radio path is corrected by climatological adjustments. A ground test of the proposed system is described. A microwave signal propagating between two mountain tops was found to be subject to periods of intense fading. Computer analysis of the raypath between the transmitting and receiving stations indicates that multipath and defocusing were responsible for this fading. It is unlikely that an operational pressure-reference-level system will be subject to the deep fades observed in the ground test, because the phenomena are associated with lower altitudes than the closest approach altitude of an occultation-system raypath

La prescription des programmes d’exercices à domicile : Comment s’y retrouver?

Dans le cadre du cours PHT-6113 Travail dirigéIntroduction/problématique : Les problèmes du système de santé québécois nous amènent à devoir augmenter l’efficacité et l’efficience des soins. La prescription de programmes d’exercices à domicile (PED) s’avère être un bon moyen d’y parvenir. Toutefois, il manque de lignes directrices en ce qui concerne les évidences sur l’efficacité des PED et la méthode d’enseignement optimale. Par ailleurs, aucune recension sur la manière dont les PED sont prescrits dans la pratique clinique des physiothérapeutes et sur la satisfaction des patients à l’égard des PED n’a été faite à ce jour. Objectifs : Le but principal de ce projet est de recueillir les informations pertinentes afin de guider les physiothérapeutes dans leur pratique clinique en ce qui concerne l’utilisation et l’enseignement des PED. Pour y parvenir, un des sous-objectifs est la création de questionnaires pour sonder l’efficacité des PED et évaluer la manière dont ces derniers sont prescrits par les physiothérapeutes. Stratégie méthodologique : Recension de la littérature pour ce qui est des différentes pathologies pour lesquelles la prescription des PED a été prouvée efficace et sur les aspects pédagogiques à considérer dans leur enseignement. Révision et modification des questionnaires élaborés lors d’un projet pilote suite à une recension des écrits et une rencontre avec des experts. Résultats : La littérature a effectivement démontré l’efficacité des PED pour plusieurs pathologies musculo-squelettiques, et ce, à plusieurs niveaux (douleur, fonction, etc.). Certaines variables d’enseignement doivent être considérées par les physiothérapeutes telles que la pratique de la tâche motrice et la rétroaction donnée. Deux questionnaires valides ont été réalisés. Conclusion : Des lignes directrices concernant la prescription de PED et leur enseignement seront distribuées aux physiothérapeutes